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1.
J Wound Care ; 31(Sup10): S41-S52, 2022 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-36240870

RESUMEN

OBJECTIVE: Hard-to-heal wounds are a global health challenge, and effective treatments are still lacking. Moist exposed burn ointment (MEBO) and maggots are traditional treatments for promoting wound healing. This study was a preliminary exploration of combined maggot therapy and MEBO in the treatment of hard-to-heal wounds. METHOD: A coexistence experiment was conducted to determine the survival rates of maggots in MEBO. The maggots were placed in two different existence conditions: one set in MEBO (MEBO group), and another set as the control group (no MEBO) to compare survival rates. Case reports describe the use of the combined application of MEBO and maggots in the treatment of patients with hard-to-heal wounds. RESULTS: The coexistence experiment indicated that maggots in the MEBO group had a higher survival rate. From the therapeutic effect of the clinical cases (n=7), the combined application was safe and effective, with all the reported wounds eventually healing. CONCLUSION: Based on the findings of this study, we believe the combined application of MEBO and maggots is a promising way of promoting wound healing. Further studies and clinical trials are needed to elucidate the mechanism of the combined application in promoting wound healing and to more persuasively clarify the therapeutic effect.


Asunto(s)
Sitoesteroles , Cicatrización de Heridas , Animales , Desbridamiento , Humanos , Larva , Sitoesteroles/farmacología
2.
J Foot Ankle Surg ; 60(6): 1232-1240, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34215515

RESUMEN

Osteochondral lesions of the talus (OLT) are common injuries requiring surgery. Arthroscopic microfracture treatment is effective and acceptable. Although the concept of postoperative rehabilitation is continuously being updated, the choice between early weightbearing (EWB) versus delayed weightbearing (DWB) following microfracture is still not settled. A meta-analysis and systematic review was performed to compare the rehabilitation effect of 2 different weightbearing protocols following microfracture. Five databases were searched for relevant studies, and full-text articles comparing EWB and DWB were reviewed. Review Manager 5.3 software was used to summarize the results of the included studies. Two reviewers independently filtered the studies, assessed quality, extracted data, and estimated the risk of bias. The pain score and functional assessment of the ankle were selected as the endpoints. The mean difference was calculated as the summary statistic for continuous data. Then, visual analog scale and American Orthopedic Foot and Ankle Society scale scores were collected and pooled. Five randomized controlled trials including 283 patients were identified for this study, revealing that there was no significant difference in pain scores between EWB and DWB following microfracture 3 months, 6 months, 12 months, and 24 months postoperatively. Function assessment showed similar results. Comprehensive analysis of current evidence still suggests that EWB and DWB after microfracture of OLT produce comparable clinical outcomes in terms of pain and functional activity. Therefore, EWB is recommended to shorten the length of time before returning to work or sports after microfracture of OLT.


Asunto(s)
Cartílago Articular , Fracturas por Estrés , Astrágalo , Artroscopía , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto , Astrágalo/cirugía , Resultado del Tratamiento , Soporte de Peso
3.
Sensors (Basel) ; 20(4)2020 Feb 21.
Artículo en Inglés | MEDLINE | ID: mdl-32098063

RESUMEN

Fingerprint positioning based on WiFi in coal mines has received much attention because of the widespread application of WiFi. Fingerprinting techniques have developed rapidly due to the efforts of many researchers. However, the off-line construction of the radio fingerprint database is a tedious and time-consuming process. When the underground environments change, it may be necessary to update the signal received signal strength indication (RSSI) of all reference points, which will affect the normal working of a personnel positioning system. To solve this problem, an adaptive construction and update method based on a quantum-behaved particle swarm optimization-user-location trajectory feedback (QPSO-ULTF) for a radio fingerprint database is proposed. The principle of ULTF is that the mobile terminal records and uploads the related dataset in the process of user's walking, and it forms the user-location track with RSSI through the analysis and processing of the positioning system server. QPSO algorithm is used for the optimal radio fingerprint match between the RSSI of the access point (AP) contained in the dataset of user-location track and the calibration samples to achieve the adaptive generation and update of the radio fingerprint samples. The experimental results show that the radio fingerprint database generated by the QPSO-ULTF is similar to the traditional radio fingerprint database in the statistical distribution characteristics of the signal received signal strength (RSS) at each reference point. Therefore, the adaptive radio fingerprint database can replace the traditional radio fingerprint database. The comparable results of well-known traditional positioning methods demonstrate that the radio fingerprint database generated or updated by the QPSO-ULTF has a good positioning effect, which can ensure the normal operation of a personnel positioning system.

4.
Sensors (Basel) ; 20(18)2020 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-32967180

RESUMEN

The access points (APs) in a coal mine wireless local area network (WLAN) are generally sparsely distributed. It can, with difficulty, satisfy the basic requirements of the fingerprint positioning based on Wi-Fi. Currently, the effectiveness of positioning is ensured by deploying more APs in an underground tunnel, which significantly increases system cost. This problem can be solved by using the Virtual Access Point (VAP) method that introduces virtual access points (VAPs), which can be virtually arranged in any part of the positioning area without installing actual access points. The drawback of the VAP method is that the generated received signal strength (RSS) value of a VAP is calculated based on the mapping of RSS value from only one corresponding access point (AP). This drawback does not consider the correlation between different AP signals and the generated RSS value of a VAP, which makes the modeling of fingerprint samples and real-time RSS collection incomplete. This study proposed a Multi-Association Virtual Access Point (MA-VAP) method takes into account the influence of multi-association. The multi-association coefficient is calculated based on the correlation between the RSS values of a VAP and multiple access points (APs). Then, the RSS value generated by a VAP is calculated using the multi-association function. The real-time collected RSS values from multiple APs related to this VAP are the input of the multi-association function. The influence of the number of VAPs and their arrangement on positioning accuracy is also analyzed. The experimental positioning results show that the proposed MA-VAP method achieves better positioning performance than the VAP method for the same VAP arrangement. Combined with the Weight K-Nearest Neighbors (WKNN) algorithm and Kernel Principal Component Analysis (KPCA) algorithm, the positioning error of the MA-VAP method of the error distance cumulative distribution function (CDF) at 90% is 4.5 m (with WKNN) and 3.5 m (with KPCA) in the environment with non-line-of-sight (NLOS) interference, and the positioning accuracy is improved by 10% (with WKNN) and 22.2% (with KPCA) compared with the VAP method. The MA-VAP method not only effectively solves the fingerprint positioning problem when APs are sparse deployed, but also improves the positioning accuracy.

5.
J Adv Nurs ; 74(5): 1016-1029, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29171070

RESUMEN

AIM: This study aimed to evaluate the efficacy of music therapy for reducing the anxiety and pain of patients who underwent a biopsy. BACKGROUND: Music can affect human anxiety and pain by triggering a neuroendocrine effect. Clinical study results indicated that music can influence the anxiety and pain caused by invasive procedures. There is no effective solution for anxiety and pain arising from a biopsy. Although researchers in this field have different views, music still holds promise in reducing the anxiety and pain in patients undergoing the biopsy. DESIGN: Systematic review and meta-analysis of randomized controlled trials. DATA SOURCES: Systematic searches were conducted in PubMed, Embase, Medline and Cochrane databases for studies reported in the English language. The review period covered 2000 - December 2016. The outcome measure of interest was anxiety and pain. METHODS: This review followed Cochrane methods. Studies were selected according to the PICOS framework. The methodological quality of studies was assessed with the Cochrane risk of bias tool. A systematic review of effectiveness was conducted by using GRADE approach. RESULTS: Nine randomized controlled trials with a total of 326 participants in the music intervention group and 323 controls met the inclusion criteria. Music had a tendency towards decreasing systolic blood pressure before the biopsy, State-Trait Anxiety Inventory scores after the biopsy, diastolic blood pressure after the biopsy and heart rate after the biopsy. Similarly, music also tended to be more effective for controlling pain after the biopsy. There was moderate quality evidence for the outcome: State-Trait Anxiety Inventory scores after the biopsy; and low- or very low-quality evidence for other outcomes. CONCLUSION: Music can be used for patients before and during the biopsy procedure. This approach may be performed by nurses to promote the recovery of patients after the biopsy.


Asunto(s)
Trastornos de Ansiedad/terapia , Biopsia/psicología , Musicoterapia/métodos , Manejo del Dolor/métodos , Estrés Psicológico/terapia , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad
6.
World J Surg Oncol ; 13: 163, 2015 Apr 25.
Artículo en Inglés | MEDLINE | ID: mdl-25906772

RESUMEN

The patella is an uncommon location for cancerous occurrence and development. The majority of tumors of the patella are benign, with a significant incidence of giant cell tumors and chondroblastoma. With the development of modern diagnostic technologies, there appear however many other histological types which raise challenges of diagnosis and treatment. In this article, we review the reported histological types of primary patellar tumors. Specifically, epidemiology, symptomatology, imageology, histopathology, and treatment options for these histological lesions will be discussed, respectively. As there is an increasing focus on the diagnosis and the treatment of these lesions, the availability of the integrated information about primary patellar tumors becomes more significant.


Asunto(s)
Neoplasias Óseas/patología , Rótula/patología , Neoplasias Óseas/epidemiología , Neoplasias Óseas/terapia , Humanos
7.
Biomed Eng Online ; 13: 115, 2014 Aug 09.
Artículo en Inglés | MEDLINE | ID: mdl-25106498

RESUMEN

BACKGROUND: Lateral mass screw fixation (LSF) techniques have been widely used for reconstructing and stabilizing the cervical spine; however, complications may result depending on the choice of surgeon. There are only a few reports related to LSF applications, even though fracture fixation has become a severe complication. This study establishes the three-dimensional finite element model of the lower cervical spine, and compares the stress distribution of the four LSF techniques (Magerl, Roy-Camille, Anderson, and An), following laminectomy -- to explore the risks of rupture after fixation. METHOD: CT scans were performed on a healthy adult female volunteer, and Digital imaging and communication in medicine (Dicom) data was obtained. Mimics 10.01, Geomagic Studio 12.0, Solidworks 2012, HyperMesh 10.1 and Abaqus 6.12 software programs were used to establish the intact model of the lower cervical spines (C3-C7), a postoperative model after laminectomy, and a reconstructive model after applying the LSF techniques. A compressive preload of 74 N combined with a pure moment of 1.8 Nm was applied to the intact and reconstructive model, simulating normal flexion, extension, lateral bending, and axial rotation. The stress distribution of the four LSF techniques was compared by analyzing the maximum von Mises stress. RESULT: The three-dimensional finite element model of the intact C3-C7 vertebrae was successfully established. This model consists of 503,911 elements and 93,390 nodes. During flexion, extension, lateral bending, and axial rotation modes, the intact model's angular intersegmental range of motion was in good agreement with the results reported from the literature. The postoperative model after the three-segment laminectomy and the reconstructive model after applying the four LSF techniques were established based on the validated intact model. The stress distribution for the Magerl and Roy-Camille groups were more dispersive, and the maximum von Mises stress levels were lower than the other two groups in various conditions. CONCLUSION: The LSF techniques of Magerl and Roy-Camille are safer methods for stabilizing the lower cervical spine. Therefore, these methods potentially have a lower risk of fixation fracture.


Asunto(s)
Tornillos Óseos , Vértebras Cervicales/cirugía , Análisis de Elementos Finitos , Laminectomía , Estrés Mecánico , Adulto , Fenómenos Biomecánicos , Vértebras Cervicales/diagnóstico por imagen , Femenino , Humanos , Reproducibilidad de los Resultados , Tomografía Computarizada por Rayos X
8.
Sci Prog ; 107(1): 368504231223037, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38439712

RESUMEN

BACKGROUND: In the reconstruction of large complex cutaneous wounds, a myriad of mechanical devices has been designed to facilitate primary wound closure. However, there is a dearth of studies elucidating how best to achieve optimum use and efficiency of skin stretching (SS) when using the device for immediate primary closure of defects. METHODS: Skin defect wounds (7 × 7 cm) were prepared on the back of three Bama miniature pigs. A total of 15 cycles of SS (cycle loading) were subsequently performed on the skin edges of the wound by EASApprox® SS system. Then, the changes in equidistant points were recorded after each cycle. After the SS test, all wounds were sutured under low tension. RESULTS: Skin elongation was observed at all equidistant points on the back wounds of three Bama miniature pigs. Up to an additional 1.10 to 3.75 cm of tissue was garnered. The maximum skin elongation was typically achieved within eight cycles of stretching and relaxation. Beyond this range, additional stretching cycles did not result in further skin extension. CONCLUSION: There may be a close link between mobilization range and the times of acute cyclic stretching (cycle loading) during the process of primary wound closure. However, larger studies are required to further evaluate the accuracy and effectiveness.


Asunto(s)
Piel , Animales , Porcinos , Porcinos Enanos
9.
Int J Oncol ; 64(5)2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38488025

RESUMEN

Subsequently to the publication of the above article, an interested reader drew to the authors' attention that, in Fig. 1D on p. 1134, the data panels showing the results for the 'Control' and '1 µmol/l GW9662' experiments (on the left hand side of the figure) were overlapping, such that these data had been derived from the same original source where they were intended to show the results from differently performed experiments. The authors were able to re­examine their original data, and realize that the data for the '1 µmol/l GW9662' panel had been selected incorrectly. The corrected version of Fig. 1, now featuring the correct data for the '1 µmol/l GW9662' experiment in Fig. 1D, is shown on the next page, The authors confirm their error did not grossly affect either the results of the conclusions reported in the paper, and are grateful to the Editor of International Journal of Oncology for allowing them this opportunity to publish a Corrigendum. They also apologize to the readership for any inconvenience caused. [International Journal of Oncology 46: 1131-1140, 2015; DOI: 10.3892/ijo.2015.2829].

10.
Heliyon ; 10(13): e33056, 2024 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-39027544

RESUMEN

A vast amount of knowledge has been acquired through human activities such as farming, hunting, and fishing. Throughout history, humans have utilized living creatures for disease treatment, relying on the natural world's healing powers. The special "healers" may be able to treat patients via the power of nature. However, there was no systematic introduction or summary of these treatments. Therefore, we conducted a literature review based on PubMed, Google Scholar, Web of Science, Scopus, CNKI and WanFang DATA. Here, we defined this unique method as "animal healer" and six common kinds of animal healers were reviewed. These are fish therapy, pet therapy, worm therapy, leech therapy, maggot therapy, and bee therapy. According to the different characteristics of healers, treatment methods mainly included bite, parasitism, contact and communication. With the advantages of green and effectiveness, animal healers have great therapy potential against a variety of refractory diseases. The main purpose of this review is to draw people's attention to animal healer, promote it to become a possible clinical treatment strategy, and make further exploration in species cultivation, mechanism research, animal welfare, standard setting, safety evaluation and other aspects. In the future, animal healers will play an increasingly important role in medicine and hopefully solve more medical problems and dilemmas.

11.
Medicine (Baltimore) ; 103(7): e36679, 2024 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-38363903

RESUMEN

Studies have indicated that Vascular mimicry (VM) could contribute to the unfavorable prognosis of skin cutaneous melanoma (SKCM). Thus, the objective of this study was to identify therapeutic targets associated with VM in SKCM and develop a novel prognostic model. Gene expression data from The Cancer Genome Atlas (TCGA) and Genotype-Tissue Expression (GTEx) were utilized to identify differentially expressed genes (DEGs). By intersecting these DEGs with VM genes, we acquired VM-related DEGs specific to SKCM, and then identified prognostic-related VM genes. A VM risk score system was established based on these prognosis-associated VM genes, and patients were then categorized into high- and low-score groups using the median score. Subsequently, differences in clinical characteristics, gene set enrichment analysis (GSEA), and other analyses were further presented between the 2 groups of patients. Finally, a novel prognostic model for SKCM was established using the VM score and clinical characteristics. 26 VM-related DEGs were identified in SKCM, among the identified DEGs associated with VM in SKCM, 5 genes were found to be prognostic-related. The VM risk score system, comprised of these genes, is an independent prognostic risk factor. There were significant differences between the 2 patient groups in terms of age, pathological stage, and T stage. VM risk scores are associated with epithelial biological processes, angiogenesis, regulation of the SKCM immune microenvironment, and sensitivity to targeted drugs. The novel prognostic model demonstrates excellent predictive ability. Our study identified VM-related prognostic markers and therapeutic targets for SKCM, providing novel insights for clinical diagnosis and treatment.


Asunto(s)
Melanoma , Neoplasias Cutáneas , Humanos , Melanoma/genética , Neoplasias Cutáneas/genética , Pronóstico , Sistemas de Liberación de Medicamentos , Factores de Riesgo , Microambiente Tumoral
12.
Orthop Surg ; 15(4): 1153-1164, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36855914

RESUMEN

OBJECTIVES: At present, a variety of posterior lumbar internal fixation implantation methods have been developed, which makes it difficult for spine surgeons to choose. The stress distribution of the internal fixation system is one of the important indexes to evaluate these technologies. Common insertion technologies include Roy Camille, Magerl, Krag, AO, and Weinstein insertion techniques. This study aimed to compare the distribution of von Mises stresses in different screw fixation systems established by these insertion technologies. METHODS: Here, the three-dimensional finite element (FE) method was selected to evaluate the postoperative stress distribution of internal fixation. Following different pedicle screw insertion techniques, five single-segment transforaminal lumbar interbody fusion (TLIF) models were established after modeling and validation of the L1-S1 vertebrae FE model. RESULTS: By analyzing the data, we found that stress concentration phenomenon was in all the models. Additionally, Roy-Camille, Krag, AO, and Weinstein insertion techniques led to the great stress on lumbar vertebra, intervertebral disc, and screw-rod fixation systems. Therefore, we hope that the results can provide ideas for clinical work and development of pedicle screws in the future. It is worth noting that flexion, unaffected side lateral bending, and affected side axial rotation should be limited for the patients with cages implanted. CONCLUSIONS: Overall, our method obtained the results that Magerl insertion technique was the relatively safe approach for pedicle screw implantation due to its relatively dispersive stress in TLIF models.


Asunto(s)
Fijación Interna de Fracturas , Vértebras Lumbares , Tornillos Pediculares , Fusión Vertebral , Estrés Mecánico , Fusión Vertebral/métodos , Vértebras Lumbares/cirugía , Análisis de Elementos Finitos , Fijadores Internos , Fijación Interna de Fracturas/instrumentación , Fijación Interna de Fracturas/métodos
13.
Prev Med Rep ; 36: 102433, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37781107

RESUMEN

The prevention of diabetic foot ulcers (DFU) precedes treatment, in that early prevention significantly reduces the incidence of foot ulcers. The main objectives of this study were to examine the current prevalence of proactive foot ulcer examinations among diabetic patients and analyze influencing factors, in order to provide a scientific reference for the prevention of DFU in diabetic patients. The National Health and Nutrition Examination Survey (NHANES) 2011-2018 (n = 1278) data were utilized in this cross-sectional study. The dependent variable was whether patients underwent self-initiated foot ulcer inspections; risk factors that may lead to foot ulcers were included as independent variables. To explore the connection between the patient's subjective motivation to inspect foot ulcers and risk variables, the weighted logistic regression model was further carried out. Among all risk factors, race, body mass index (BMI) and hypertension were statistically significant between whether patients were examined for foot ulcers or not. In the fully adjusted logistic regression model, only hypertension was positively correlated with diabetic patient-initiated examination for foot ulcers. This study suggests that there is still room for improvement in the knowledge and behavior of diabetic patients to be proactive in preventing DFU. Health care and community workers should conduct targeted training on diabetic foot prevention to reduce and prevent DFU by reinforcing knowledge to build positive attitudes and drive preventive behavior change.

14.
Heliyon ; 9(12): e23003, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-38076120

RESUMEN

Background: Diabetic foot ulcers (DFUs) are among the most prevalent and dangerous complications of diabetes. Angiogenesis is pivotal for wound healing; however, its role in the chronic wound healing process in DFU requires further investigation. We aimed to investigate the pathogenic processes of angiogenesis in DFU from a molecular biology standpoint and to offer insightful information about DFU prevention and therapy. Methods: Differential gene and weighted gene co-expression network analyses (WGCNA) were employed to screen for genes related to DFU using the downloaded and collated GSES147890 datasets. With the goal of identifying hub genes, an interaction among proteins (PPI) network was constructed, and enrichment analysis was carried out. Utilizing a variety of machine learning techniques, including Boruta, Support Vector Machine Recursive Feature Elimination (SVM-RFE), and Least Absolute Shrinkage and Selection Operator (LASSO), we were able to determine which hub genes most strongly correspond to DFU. This allowed us to create an ideally suited DFU forecasting model that was validated via an external dataset. Finally, by merging 36 angiogenesis-related genes (ARGs) and machine learning models, we identified the genes involved in DFU-related angiogenesis. Results: By merging 260 genes located in the green module and 59 differentially expressed genes (DEGs), 35 candidate genes highly associated with DFU were found for more investigation. 35 candidate genes were enriched in epidermal growth factor receptor binding, nuclear division regulation, fluid shear stress, atherosclerosis, and negative regulation of chromosomal structure for the enrichment study. Fifteen hub genes were found with the aid of the CytoHubba plug. The LASSO method scored better in terms of prediction performance (GSE134341) (LASSO:0.89, SVM:0.65, Boruta:0.66) based on the validation of the external datasets. We identified thrombomodulin (THBD) as a key target gene that potentially regulates angiogenesis during DFU development. Based on the external validation dataset (GSE80178 and GSE29221), receiver operating characteristic (ROC) curves with higher efficiency were generated to confirm the potential of THBD as a biomarker of angiogenesis in DFU. Furthermore supporting this finding were the results of Western blot and real-time quantitative polymerase chain reaction (RT-qPCR), which showed decreased THBD expression in human umbilical vein endothelial cells (HUVECs) cultivated under high glucose. Conclusions: The findings implicate that THBD may influence DFU progression as a potential target for regulating angiogenesis, providing a valuable direction for future studies.

15.
Front Endocrinol (Lausanne) ; 14: 1189513, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37645416

RESUMEN

Background: Diabetic osteoporosis exhibits heterogeneity at the molecular level. Ferroptosis, a controlled form of cell death brought on by a buildup of lipid peroxidation, contributes to the onset and development of several illnesses. The aim was to explore the molecular subtypes associated with ferroptosis in diabetic osteoporosis at the molecular level and to further elucidate the potential molecular mechanisms. Methods: Integrating the CTD, GeneCards, FerrDb databases, and the microarray data of GSE35958, we identified ferroptosis-related genes (FRGs) associated with diabetic osteoporosis. We applied unsupervised cluster analysis to divide the 42 osteoporosis samples from the GSE56814 microarray data into different subclusters based on FRGs. Subsequently, FRGs associated with two ferroptosis subclusters were obtained by combining database genes, module-related genes of WGCNA, and differentially expressed genes (DEGs). Eventually, the key genes from FRGs associated with diabetic osteoporosis were identified using the least absolute shrinkage and selection operator (LASSO), Boruta, support vector machine recursive feature elimination (SVM - RFE), and extreme gradient boosting (XGBoost) machine learning algorithms. Based on ROC curves of external datasets (GSE56815), the model's efficiency was examined. Results: We identified 15 differentially expressed FRGs associated with diabetic osteoporosis. In osteoporosis, two distinct molecular clusters related to ferroptosis were found. The expression results and GSVA analysis indicated that 15 FRGs exhibited significantly different biological functions and pathway activities in the two ferroptosis subclusters. Therefore, we further identified 17 FRGs associated with diabetic osteoporosis between the two subclusters. The results of the comprehensive analysis of 17 FRGs demonstrated that these genes were heterogeneous and had a specific interaction between the two subclusters. Ultimately, the prediction model had a strong foundation and excellent AUC values (0.84 for LASSO, 0.84 for SVM - RFE, 0.82 for Boruta, and 0.81 for XGBoost). IDH1 is a common gene to all four algorithms thus being identified as a key gene with a high AUC value (AUC = 0.698). Conclusions: As a ferroptosis regulator, IDH1 is able to distinguish between distinct molecular subtypes of diabetic osteoporosis, which may offer fresh perspectives on the pathogenesis of the disease's clinical symptoms and prognostic heterogeneity.


Asunto(s)
Diabetes Mellitus , Ferroptosis , Osteoporosis , Humanos , Ferroptosis/genética , Algoritmos , Muerte Celular , Aprendizaje Automático , Osteoporosis/genética
16.
Heliyon ; 8(11): e11621, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-36468146

RESUMEN

Background: Unilateral pedicle screw fixation several advantages, including reduced trauma and low cost. However, its stability and safety have not been widely recognized. In this study, the biomechanical differences in the vertebral body and screw-rod system after unilateral and bilateral pedicle screw fixation were compared using both the finite element model and calf lumbar model. Method: We used the verified finite element model to establish unilateral and bilateral posterior lumbar surgery models. The biomechanical data of different parts of the models were recorded under different working states. Then, three calf lumbar models were selected to simulate different working states with the help of a universal testing machine and other instruments. Finally, the biomechanical data of the screw-rod system were obtained from a static strain test and analysis system. Results: By analyzing and comparing biomechanical data obtained using two different methods, this study found that unilateral pedicle screw fixation does not bring excessive loads to the lumbar spine and screw-rod system. Conclusion: From the perspective of biomechanics, unilateral pedicle screw fixation is considered a safe and reliable implantation technique.

17.
Sci Rep ; 11(1): 12968, 2021 06 21.
Artículo en Inglés | MEDLINE | ID: mdl-34155224

RESUMEN

At present, the pedicle screw is the most commonly used internal fixation device. However, there are many kinds of common posterior pedicle screw insertion techniques performed to reconstruct the lumbar stability. Therefore, spinal surgeons often face a difficult choice. The stress distribution of internal fixation system is an important index for evaluating safety. Unfortunately, little had been known about the difference of stress distribution of screw-rod systems that established by Roy-Camille, Magerl and Krag insertion techniques. Here, combination of finite element analysis and model measurement research was adopted to evaluate the difference of stress. Following different pedicle screw insertion techniques, three lumbar posterior surgery models were established after modeling and validation of the L1-S1 vertebrae finite element model. By analyzing the data, we found that stress concentration phenomenon was in all the postoperative models. Roy-Camille and Magerl insertion techniques led to the great stress on screw-rod systems. Then, fresh frozen calf spines were selected as a model for subsequent measurements. Fitted with a specially designed test pedicle screw, L5-L6 vertebrae were selected to repeat and verify the results of the finite element analysis. With the aid of universal testing machine and digital torque wrench, models simulated flexion, extension, lateral bending and rotation. Finally, the strain value was captured by the strain gauge and was then calculated as the stress value. Krag and Magerl were found to be the safer choice for pedicle screw insertion. Overall, our combination method obtained the reliable result that Krag insertion technique was the safer approach for pedicle screw implantation due to its relatively dispersive stress. Therefore, without the consideration of screw size, pedicle fill, bone density, and bone structures, we recommend the Krag insertion technique as the first choice to reconstruction of lumbar stability. Additionally, the combination method of finite element analysis and strain gauge measurement can provide a feasible way to study the stress distribution of spinal internal fixation.


Asunto(s)
Fijación Interna de Fracturas/métodos , Vértebras Lumbares/cirugía , Tornillos Pediculares , Estrés Mecánico , Fenómenos Biomecánicos , Módulo de Elasticidad , Análisis de Elementos Finitos , Fijación Interna de Fracturas/instrumentación , Humanos , Imagenología Tridimensional , Vértebras Lumbares/patología , Modelos Anatómicos , Radiografía , Reproducibilidad de los Resultados
18.
Acta Crystallogr Sect E Struct Rep Online ; 66(Pt 10): o2692, 2010 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-21587660

RESUMEN

In the title compound, C(21)H(18)N(2)O(2), the amino group is involved in an intra-molecular N-H⋯O hydrogen bond. The rings make dihedral angles of 37.9 (2), 64.4 (2) and 83.6 (2)°. In the crystal, inter-molecular O-H⋯N and O-H⋯O hydrogen bonds link the mol-ecules into chains running along [100].

19.
Acta Crystallogr Sect E Struct Rep Online ; 66(Pt 12): o3048, 2010 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-21589361

RESUMEN

The asymmetric unit of the title compound, C(8)H(9)N(3)O(2)S·0.5H(2)O, contains two thiosemicarbazide mol-ecules with the short distance of 3.521 (3) Šbetween the centroids of the benzene rings, and one water mol-ecule. In the two independent mol-ecules, the benzene rings and the thio-semicarbazone fragments are twisted at 9.2 (3) and 18.5 (3)°. An extensive three-dimensional hydrogen-bonding network, formed by inter-molecular N-H⋯O, N-H⋯S and O-H⋯O hydrogen bonds, consolidates the crystal packing.

20.
Acta Crystallogr Sect E Struct Rep Online ; 66(Pt 11): o2766, 2010 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-21588968

RESUMEN

In the crystal of the title compound, C(22)H(22)N(8)O(3), the dicarbohydrazide mol-ecules are linked into a chain along [010] by C-H⋯N inter-actions involving the pyridyl N atoms and aromatic C-H groups. The DMF mol-ecule is hydrogen bonded with the amide N-H via N-H⋯O inter-actions. C-H⋯O inter-actions also occur.

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