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1.
Medicina (Kaunas) ; 59(6)2023 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-37374249

RESUMO

The exact mechanism involved in the development of postherpetic neuralgia (PHN) is not yet known. The objective of this study was to evaluate longitudinal functional connectivity (FC) changes in the neuroimaging case series of patients with acute herpes zoster (HZ). Cases: This study included five patients who had symptoms of HZ. Functional magnetic resonance imaging was conducted at enrollment and 3 months to determine FC changes. Of the five patients, three developed PHN. In the PHN subjects, the FC of the left superior frontal gyrus (SFG) and the right inferior frontal gyrus (IFG) were activated. The left SFG is known to contribute to higher cognitive functions and working memory. The right IFG is associated with pain processing and empathy for pain. Conclusions: Although only a few patients were enrolled in this study, the PHN could be affected by pain itself, as well as pain memory and psychological aspects such as empathy for pain.


Assuntos
Herpes Zoster , Neuralgia Pós-Herpética , Humanos , Herpes Zoster/complicações , Herpesvirus Humano 3 , Encéfalo/diagnóstico por imagem , Neuroimagem
2.
Brain Behav Immun ; 60: 282-292, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27833045

RESUMO

Myelin basic protein (MBP) is an auto-antigen able to induce intractable pain from innocuous mechanical stimulation (mechanical allodynia). The mechanisms provoking this algesic MBP activity remain obscure. Our present study demonstrates that membrane type 1 matrix metalloproteinase (MT1-MMP/MMP-14) releases the algesic MBP peptides from the damaged myelin, which then reciprocally enhance the expression of MT1-MMP in nerve to sustain a state of allodynia. Specifically, MT1-MMP expression and activity in rat sciatic nerve gradually increased starting at day 3 after chronic constriction injury (CCI). Inhibition of the MT1-MMP activity by intraneural injection of the function-blocking human DX2400 monoclonal antibody at day 3 post-CCI reduced mechanical allodynia and neuropathological signs of Wallerian degeneration, including axon demyelination, degeneration, edema and formation of myelin ovoids. Consistent with its role in allodynia, the MT1-MMP proteolysis of MBP generated the MBP69-86-containing epitope sequences in vitro. In agreement, the DX2400 therapy reduced the release of the MBP69-86 epitope in CCI nerve. Finally, intraneural injection of the algesic MBP69-86 and control MBP2-18 peptides differentially induced MT1-MMP and MMP-2 expression in the nerve. With these data we offer a novel, self-sustaining mechanism of persistent allodynia via the positive feedback loop between MT1-MMP and the algesic MBP peptides. Accordingly, short-term inhibition of MT1-MMP activity presents a feasible pharmacological approach to intervene in this molecular circuit and the development of neuropathic pain.


Assuntos
Metaloproteinase 1 da Matriz/metabolismo , Proteína Básica da Mielina/metabolismo , Bainha de Mielina/metabolismo , Neuralgia/metabolismo , Animais , Feminino , Hiperalgesia/metabolismo , Metaloproteinase 14 da Matriz/metabolismo , Metaloproteinase 2 da Matriz/metabolismo , Peptídeos , Ratos Sprague-Dawley , Nervo Isquiático/lesões
3.
J Clin Microbiol ; 54(4): 1140-3, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26842700

RESUMO

One of the most common diseases in high-performance German Holstein dairy cows is left-sided displacement of the abomasum (LDA). Hypomotility of the abomasum is detrimental during the pathogenesis of LDA. It is known that improper interactions between the gut microbiota and the enteric nervous system contribute to dysfunctions of gastrointestinal motility. Therefore, we hypothesized that the gut microbial composition will be different between German Holstein dairy cows with and without LDA. We used 16S rRNA gene analysis to evaluate whether there are any differences in bacterial composition between German Holstein dairy cows with and without LDA. Even though our data are limited to being used to correlate compositional changes with corresponding functional aspects in the pathogenesis of LDA, results from this study show that the fecal microbial compositions of German Holstein dairy cows with LDA shifted and were less diverse than those in normal cows. In particular,Spirochaeteswere absent in cows with LDA.


Assuntos
Abomaso/patologia , Bactérias/classificação , Bactérias/genética , Biota , Fezes/microbiologia , Gastropatias/veterinária , Animais , Bovinos , Análise por Conglomerados , DNA Ribossômico/química , DNA Ribossômico/genética , Filogenia , RNA Ribossômico 16S/genética , Análise de Sequência de DNA
4.
Nano Lett ; 15(8): 5089-97, 2015 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-26177185

RESUMO

Large-scale suspended architectures of various two-dimensional (2D) materials (MoS2, MoSe2, WS2, and graphene) are demonstrated on nanoscale patterned substrates with different physical and chemical surface properties, such as flexible polymer substrates (polydimethylsiloxane), rigid Si substrates, and rigid metal substrates (Au/Ag). This transfer method represents a generic, fast, clean, and scalable technique to suspend 2D atomic layers. The underlying principle behind this approach, which employs a capillary-force-free wet-contact printing method, was studied by characterizing the nanoscale solid-liquid-vapor interface of 2D layers with respect to different substrates. As a proof-of-concept, a photodetector of suspended MoS2 has been demonstrated with significantly improved photosensitivity. This strategy could be extended to several other 2D material systems and open the pathway toward better optoelectronic and nanoelectromechnical systems.

5.
Nanotechnology ; 26(38): 385204, 2015 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-26335045

RESUMO

We report on the characteristics of localized surface plasmon (LSP)-enhanced near-ultraviolet light-emitting diodes (NUV-LEDs) fabricated by using colloidal silver (Ag) nanoparticles (NPs). Colloidal Ag NPs were deposited on the 20 nm thick p-GaN spacer layer using a spray process. The optical output power of NUV-LEDs with colloidal Ag NPs was increased by 48.7% at 20 mA compared with NUV-LEDs without colloidal Ag NPs. The enhancement was attributed to increased internal quantum efficiency caused by the resonance coupling between excitons in the multiple quantum wells and the LSPs in the Ag NPs.

6.
Res Synth Methods ; 15(2): 303-312, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38158609

RESUMO

This study builds on the simulation framework of a recent paper by Stanley and Doucouliagos (Research Synthesis Methods 2023;14;515-519). S&D use simulations to make the argument that meta-analyses using partial correlation coefficients (PCCs) should employ a "suboptimal" estimator of the PCC standard error when constructing weights for fixed effect and random effects estimation. We address concerns that their simulations and subsequent recommendation may give meta-analysts a misleading impression. While the estimator they promote dominates the "correct" formula in their Monte Carlo framework, there are other estimators that perform even better. We conclude that more research is needed before best practice recommendations can be made for meta-analyses with PCCs.


Assuntos
Modelos Estatísticos , Projetos de Pesquisa , Simulação por Computador , Método de Monte Carlo
7.
J Am Chem Soc ; 135(30): 11006-14, 2013 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-23822850

RESUMO

Because of their preferential two-dimensional layer-by-layer growth in thin films, 5,5'bis(4-alkylphenyl)-2,2'-bithiophenes (P2TPs) are model compounds for studying the effects of systematic chemical structure variations on thin-film structure and morphology, which in turn, impact the charge transport in organic field-effect transistors. For the first time, we observed, by grazing incidence X-ray diffraction (GIXD), a strong change in molecular tilt angle in a monolayer of P2TP, depending on whether the alkyl chain on the P2TP molecules was of odd or even length. The monolayers were deposited on densely packed ultrasmooth self-assembled alkane silane modified SiO2 surfaces. Our work shows that a subtle change in molecular structure can have a significant impact on the molecular packing structure in thin film, which in turn, will have a strong impact on charge transport of organic semiconductors. This was verified by quantum-chemical calculations that predict a corresponding odd-even effect in the strength of the intermolecular electronic coupling.

8.
Opt Express ; 21(3): 3138-44, 2013 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-23481772

RESUMO

We demonstrate localized surface plasmon (LSP)-enhanced near-ultraviolet light-emitting diodes (NUV-LEDs) using silver (Ag) and platinum (Pt) nanoparticles (NPs). The optical output power of NUV-LEDs with metal NPs is higher by 20.1% for NUV-LEDs with Ag NPs and 57.9% for NUV-LEDs with Pt NPs at 20 mA than that of NUV-LEDs without metal NPs. The time-resolved photoluminescence (TR-PL) spectra shows that the decay times of NUV-LEDs with Ag and Pt NPs are faster than that of NUV-LEDs without metal NPs. The TR-PL and absorbance spectra of metal NPs indicate that the spontaneous emission rate is increased by resonance coupling between excitons in the multiple quantum wells and LSPs in the metal NPs.


Assuntos
Gálio/química , Índio/química , Iluminação/instrumentação , Nanopartículas Metálicas/química , Platina/química , Prata/química , Ressonância de Plasmônio de Superfície/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento , Semicondutores , Raios Ultravioleta
9.
J Nanosci Nanotechnol ; 13(11): 7459-66, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24245274

RESUMO

Transparent mesoporous silica plates doped with rare-earth metal oxide were prepared using solvent-evaporation method based on the self-organization between structure-directing agent and silicate in a non-aqueous solvent. A triblock copolymer, Pluronic (F127 or P123), was used as the structure-directing agent, while tetraethyl orthosilicate (TEOS) was used as a silica source. The pore diameter and the surface area of the mesoporous silica plate prepared with the optimized conditions were ca 40 A and 600 m2 g(-1), respectively, for both structure-directing agent. Rare-earth metal oxides (Eu, Tb, Tm oxide) in mesochannel were formed via one-step synthetic route based on the preparation method of a silica plate. Optical properties of rare-earth metal oxide-doped mesoporous silica plates were investigated by UV irradiation and photoluminescence (PL) spectroscopy. Under the exitation wavelength of 254 nm, the doped mesoporous silica plates emitted red, green and blue for Eu, Tb and Tm oxides, respectively. Rare-earth metal oxide-doped mesoporous silica plates showed enhanced PL intensity compared to that of the bulk rare-earth metal oxide.


Assuntos
Medições Luminescentes/instrumentação , Metais Terras Raras/química , Nanoestruturas/química , Radiometria/instrumentação , Dióxido de Silício/química , Raios Ultravioleta , Desenho de Equipamento , Análise de Falha de Equipamento , Metais Terras Raras/efeitos da radiação , Nanoestruturas/efeitos da radiação , Nanoestruturas/ultraestrutura , Óxidos/química , Óxidos/efeitos da radiação , Tamanho da Partícula , Doses de Radiação , Transdutores , Água/química
10.
Spectrochim Acta A Mol Biomol Spectrosc ; 303: 123150, 2023 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-37487289

RESUMO

We developed a method for the early on-site detection of strawberry anthracnose using a portable Raman system with multivariate statistical analysis algorithms. By using molecular markers based on Raman spectra, the proposed method can detect anthracnose in strawberry stems 3 days after exposure to Colletotrichum gloeosporioides. A fiber-optic probe was applied for the portable Raman system, and the acquisition time was 10 s. We found that the molecular markers were closely related to the following subjects: i) an increase in amide III and fatty acids of C. gloeosporioides invading strawberry stems (Raman bands at 1180-1310 cm-1) and ii) a decrease in metabolites in strawberry plants, such as phenolic compounds and terpenoids (Raman bands at 760, 800, and 1523 cm-1). We also found that the increased fluorescence background caused by various chromophores within the invading C. gloeosporioides could serve as a marker. A two-dimensional cluster plot obtained by principal component analysis (PCA) showed that the three groups (control, fungal infection, and pathogen) were distinguishable. The linear discriminant analysis (LDA)-based prediction algorithm could identify C. gloeosporioides infection with a posterior probability of over 40%, even when no symptoms were visible on the inoculated strawberry plants.


Assuntos
Fragaria , Humanos , Fragaria/microbiologia , Análise Espectral Raman , Doenças das Plantas/microbiologia , Biomarcadores , Sorogrupo
11.
J Am Chem Soc ; 134(11): 5222-32, 2012 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-22385287

RESUMO

Conjugated polymers with nearly planar backbones have been the most commonly investigated materials for organic-based electronic devices. More twisted polymer backbones have been shown to achieve larger open-circuit voltages in solar cells, though with decreased short-circuit current densities. We systematically impose twists within a family of poly(hexylthiophene)s and examine their influence on the performance of polymer:fullerene bulk heterojunction (BHJ) solar cells. A simple chemical modification concerning the number and placement of alkyl side chains along the conjugated backbone is used to control the degree of backbone twisting. Density functional theory calculations were carried out on a series of oligothiophene structures to provide insights on how the sterically induced twisting influences the geometric, electronic, and optical properties. Grazing incidence X-ray scattering measurements were performed to investigate how the thin-film packing structure was affected. The open-circuit voltage and charge-transfer state energy of the polymer:fullerene BHJ solar cells increased substantially with the degree of twist induced within the conjugated backbone--due to an increase in the polymer ionization potential--while the short-circuit current decreased as a result of a larger optical gap and lower hole mobility. A controlled, moderate degree of twist along the poly(3,4-dihexyl-2,2':5',2''-terthiophene) (PDHTT) conjugated backbone led to a 19% enhancement in the open-circuit voltage (0.735 V) vs poly(3-hexylthiophene)-based devices, while similar short-circuit current densities, fill factors, and hole-carrier mobilities were maintained. These factors resulted in a power conversion efficiency of 4.2% for a PDHTT:[6,6]-phenyl-C(71)-butyric acid methyl ester (PC(71)BM) blend solar cell without thermal annealing. This simple approach reveals a molecular design avenue to increase open-circuit voltage while retaining the short-circuit current.

12.
Artigo em Inglês | MEDLINE | ID: mdl-36166520

RESUMO

Visual perception is a key component of data visualization. Much prior empirical work uses eye movement as a proxy to understand human visual perception. Diverse apparatus and techniques have been proposed to collect eye movements, but there is still no optimal approach. In this paper, we review 30 prior works for collecting eye movements based on three axes: (1) the tracker technology used to measure eye movements; (2) the image stimulus shown to participants; and (3) the collection methodology used to gather the data. Based on this taxonomy, we employ a webcam-based eyetracking approach using task-specific visualizations as the stimulus. The low technology requirement means that virtually anyone can participate, thus enabling us to collect data at large scale using crowdsourcing: approximately 12,000 samples in total. Choosing visualization images as stimulus means that the eye movements will be specific to perceptual tasks associated with visualization. We use these data to propose a SCANNER DEEPLY, a virtual eyetracker model that, given an image of a visualization, generates a gaze heatmap for that image. We employ a computationally efficient, yet powerful convolutional neural network for our model. We compare the results of our work with results from the DVS model and a neural network trained on the Salicon dataset. The analysis of our gaze patterns enables us to understand how users grasp the structure of visualized data. We also make our stimulus dataset of visualization images available as part of this paper's contribution.

13.
Polymers (Basel) ; 14(9)2022 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-35567084

RESUMO

The hollow glass microsphere (HGM) containing polymer materials, which are named as syntactic foams, have been applied as lightweight materials in various fields. In this study, carboxyl group-containing hyperbranched polymer (HBP) was added to a glass fiber (GF)-reinforced syntactic foam (RSF) composite for the simultaneous enhancement of mechanical and rheological properties. HBP was mixed in various concentrations (0.5-2.0 phr) with RSF, which contains 23 wt% of HGM and 5 wt% of GF, and the rheological, thermal, and mechanical properties were characterized systematically. As a result of the lubricating effect of the HBP molecule, which comes from its dendritic architecture, the viscosity, storage modulus, loss modulus, and the shear stress of the composite decreased as the HBP content increased. At the same time, because of the hydrogen bonding among the polymer, filler, and HBP, the compatibility between filler and the polymer matrix was enhanced. As a result, by adding a small amount (0.5-2.0 phr) of HBP to the RSF composite, the tensile strength and flexural modulus were increased by 24.3 and 9.7%, respectively, and the specific gravity of the composite was decreased from 0.948 to 0.917. With these simultaneous effects on the polymer composite, HBP could be potentially utilized further in the field of lightweight materials.

14.
Nanoscale Adv ; 4(17): 3585-3591, 2022 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-36134344

RESUMO

A new design for light-emitting diodes (LEDs) with on-chip photocatalysts is presented for purification applications. An array of disk-shaped TiO2, with a diameter of several hundred nanometers, combined with SiO2 pedestals was fabricated directly on the surface of an InGaN-based near-ultraviolet (UV) LED using a dry etching process. The high refractive-index contrast at the boundary and the circular shape can effectively confine the near-UV light generated from the LED through multiple internal reflections inside the TiO2 nanodisks. Such a feature results in the enhancement of light absorption by the photocatalytic TiO2. The degradation of the organic dye malachite green was monitored as a model photocatalytic reaction. The proposed structure of LEDs with TiO2/SiO2 nanodisk/pedestal array exhibited a photocatalytic activity that was three times higher than the activity of LEDs with a TiO2 planar layer. The integration of photocatalytic materials with near-UV LEDs in a single system is promising for various purification applications, such as sterilization and disinfection.

15.
Nat Commun ; 13(1): 3467, 2022 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-35725850

RESUMO

The need for miniaturized and high-performance devices has attracted enormous attention to the development of quantum silicon nanowires. However, the preparation of abundant quantities of silicon nanowires with the effective quantum-confined dimension remains challenging. Here, we prepare highly dense and vertically aligned sub-5 nm silicon nanowires with length/diameter aspect ratios greater than 10,000 by developing a catalyst-free chemical vapor etching process. We observe an unusual lattice reduction of up to 20% within ultra-narrow silicon nanowires and good oxidation stability in air compared to conventional silicon. Moreover, the material exhibits a direct optical bandgap of 4.16 eV and quasi-particle bandgap of 4.75 eV with the large exciton binding energy of 0.59 eV, indicating the significant phonon and electronic confinement. The results may provide an opportunity to investigate the chemistry and physics of highly confined silicon quantum nanostructures and may explore their potential uses in nanoelectronics, optoelectronics, and energy systems.

16.
J Am Chem Soc ; 133(42): 16722-5, 2011 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-21970371

RESUMO

We demonstrate that poly(3,4-dialkylterthiophenes) (P34ATs) have comparable transistor mobilities (0.17 cm(2) V(-1) s(-1)) and greater environmental stability (less degradation of on/off ratio) than regioregular poly(3-alkylthiophenes) (P3ATs). Unlike poly(3-hexylthiophene) (P3HT), P34ATs do not show a strong and distinct π-π stacking in X-ray diffraction. This suggests that a strong π-π stacking is not always necessary for high charge-carrier mobility and that other potential polymer packing motifs in addition to the edge-on structure (π-π stacking direction parallel to the substrate) can lead to a high carrier mobility. The high charge-carrier mobilities of the hexyl and octyl-substituted P34AT produce power conversion efficiencies of 4.2% in polymer:fullerene bulk heterojunction photovoltaic devices. An enhanced open-circuit voltage (0.716-0.771 eV) in P34AT solar cells relative to P3HT due to increased ionization potentials was observed.

17.
Opt Express ; 19 Suppl 4: A943-8, 2011 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-21747565

RESUMO

We report high-efficiency blue light-emitting diodes (LEDs) with air voids embedded in GaN. The air void structures were created by the lateral epitaxial overgrowth (LEO) of GaN using a tungsten mask. The optical output power was increased by 60% at an injection current of 20 mA compared with that of conventional LEDs without air voids. The enhancement is attributed to improved internal quantum efficiency because the air voids reduce the threading dislocation and strain in the LEO GaN epilayer. A ray-tracing simulation revealed that the path length of light escaping from the LED with air voids is much shorter because the air voids efficiently change the light path toward the top direction to improve the light extraction of the LED.

18.
J Korean Med Sci ; 26(10): 1333-8, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22022187

RESUMO

The aim of this study was to evaluate and compare the Child-Turcotte-Pugh (CTP) classification system and the model for end-stage liver disease (MELD) score in predicting the severity of the systemic inflammatory response in living-donor liver transplantation patients. Recipients of liver graft were allocated to a recipient group (n = 39) and healthy donors to a donor group (n = 42). The association between the CTP classification, the MELD scores and perioperative cytokine concentrations in the recipient group was evaluated. The pro-inflammatory cytokines measured included interleukin (IL)-1ß, IL-6, and tumor necrosis factor (TNF)-α; the anti-inflammatory cytokines measured included IL-10 and IL-4. Cytokine concentrations were quantified using sandwich enzyme-linked immunoassays. The IL-6, TNF-α, and IL-10 concentrations in the recipient group were significantly higher than those in healthy donor group patients. All preoperative cytokine levels, except IL-6, increased in relation to the severity of liver disease, as measured by the CTP classification. Additionally, all cytokine levels, except IL-6, were significantly correlated preoperatively with MELD scores. However, the correlations diminished during the intraoperative period. The CTP classification and the MELD score are equally reliable in predicting the severity of the systemic inflammatory response, but only during the preoperative period.


Assuntos
Citocinas/sangue , Falência Renal Crônica/classificação , Falência Renal Crônica/cirurgia , Transplante de Fígado , Síndrome de Resposta Inflamatória Sistêmica/diagnóstico , Adulto , Feminino , Humanos , Interleucina-10/sangue , Interleucina-1beta/sangue , Interleucina-4/sangue , Interleucina-6/sangue , Fígado/patologia , Doadores Vivos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Índice de Gravidade de Doença , Resultado do Tratamento , Fator de Necrose Tumoral alfa/sangue
19.
Res Synth Methods ; 12(2): 192-215, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33150663

RESUMO

The purpose of this study is to show how Monte Carlo analysis of meta-analytic estimators can be used to select estimators for specific research situations. Our analysis conducts 1620 individual experiments, where each experiment is defined by a unique combination of sample size, effect size, effect size heterogeneity, publication selection mechanism, and other research characteristics. We compare 11 estimators commonly used in medicine, psychology, and the social sciences. These are evaluated on the basis of bias, mean squared error (MSE), and coverage rates. For our experimental design, we reproduce simulation environments from four recent studies. We demonstrate that relative estimator performance differs across performance measures. Estimator performance is a complex interaction of performance indicator and aspects of the application. An estimator that may be especially good with respect to MSE may perform relatively poorly with respect to coverage rates. We also show that the size of the meta-analyst's sample and effect heterogeneity are important determinants of relative estimator performance. We use these results to demonstrate how these observable characteristics can guide the meta-analyst to choose the most appropriate estimator for their research circumstances.


Assuntos
Interpretação Estatística de Dados , Viés , Simulação por Computador , Método de Monte Carlo , Tamanho da Amostra
20.
Medicine (Baltimore) ; 100(4): e23614, 2021 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-33530162

RESUMO

INTRODUCTION: Venous air embolism (VAE) from vascular injuries, is of rare occurrence but can result in catastrophic complications during total hip arthroplasty (THA). Early recognition and prompt management of vascular injury are required to avoid severe complications. Especially, bleeding is generally associated with profound hypotension in venous injury. We report an unusual complication of venous air embolism induced by femoral vein rupture during THA. PATIENT CONCERNS: A 54-year-old male patient with a history of old left acetabular fracture was scheduled for THA. We experienced massive bleeding and VAE induced by femoral vein rupture during total hip arthroplasty. The BP suddenly dropped from 100/70 mm Hg to 80/50 mm Hg with massive bleeding. ETCO2 and SaO2 decreased profoundly. DIAGNOSIS: The VAE was diagnosed by the change in end- tidal CO2 (ETCO2) and change of vital signs, so we performed ABGA and inserted TEE for confirmination. INTERVENTIONS: For treatment, patient was managed by oxygen therapy, inotropics, vasopressor, transfusion and surgical repair. OUTCOMES: Upon consulting with a cardiologist, the patient was extubated the next day and was transferred to the general ward and recovered without serious complications. He stayed for 17 days until finally discharged without complications. CONCLUSION: Preoperative vascular imaging may be recommended in the revisional case of THA or in patients with the history of hip trauma. The monitoring of ETCO2 and TEE might be helpful to recognize VAE earlier and therefore to avoid catastrophic complications through adequate treatment.


Assuntos
Artroplastia de Quadril/efeitos adversos , Embolia Aérea/etiologia , Veia Femoral/lesões , Hemorragia/etiologia , Complicações Pós-Operatórias/etiologia , Lesões do Sistema Vascular/etiologia , Humanos , Masculino , Pessoa de Meia-Idade
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