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1.
BMC Oral Health ; 21(1): 518, 2021 10 12.
Artigo em Inglês | MEDLINE | ID: mdl-34641860

RESUMO

BACKGROUND: Children and adolescents with juvenile idiopathic arthritis (JIA) may suffer from temporomandibular disorder (TMD). Due to this, imaging diagnosis is crucial in JIA with non-symptomatic TM joint (TMJ) involvement. The aim of the study was to examine the association between clinical TMD signs/symptoms and cone-beam computed tomography (CBCT) findings of TMJ structural deformities in children and adolescents with JIA. METHODS: This cross-sectional study is part of a longitudinal prospective multi-centre study performed from 2015-2020, including 228 children and adolescents aged 4-16 years diagnosed with JIA, according to the International League of Associations for Rheumatology (ILAR). For this sub-study, we included the Bergen cohort of 72 patients (32 female, median age 13.1 years, median duration of JIA 4.5 years). Clinical TMD signs/symptoms were registered as pain on palpation, pain on jaw movement, and combined pain of those two. The severity of TMJ deformity was classified as sound (no deformity), mild, or moderate/severe according to the radiographic findings of CBCT. RESULTS: Of 72 patients, 21 (29.2%) had pain on palpation at and around the lateral pole, while 41 (56.9%) had TMJ pain upon jaw movement and 26 (36.1%) had pain from both. Of 141 TMJs, 18.4% had mild and 14.2% had moderate/severe structural deformities visible on CBCT. CBCT findings were not significantly associated with either the pain on palpation or the pain on jaw movement. A significant difference was found between structural deformities in CBCT and the combined pain outcome (pain at both palpation and movement) for both TMJs for the persistent oligoarticular subtype (p = 0.031). CONCLUSIONS: There was no association between painful TMD and CBCT imaging features of the TMJ in patients with JIA, but the oligoarticular subtype of JIA, there was a significant difference associated with TMJ pain and structural CBCT deformities.


Assuntos
Artrite Juvenil , Tomografia Computadorizada de Feixe Cônico Espiral , Transtornos da Articulação Temporomandibular , Adolescente , Artrite Juvenil/complicações , Artrite Juvenil/diagnóstico por imagem , Criança , Estudos Transversais , Feminino , Humanos , Imageamento por Ressonância Magnética , Dor , Estudos Prospectivos , Articulação Temporomandibular/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/diagnóstico por imagem
2.
BMC Oral Health ; 20(1): 282, 2020 10 13.
Artigo em Inglês | MEDLINE | ID: mdl-33050890

RESUMO

BACKGROUND: Children and adolescents with juvenile idiopathic arthritis (JIA) may suffer pain from temporomandibular disorder (TMD). Still, routines for the assessment of temporomandibular joint (TMJ) pain in health and dental care are lacking. The aims of this study were to examine the prevalence of TMD in children and adolescents with JIA compared to their healthy peers and to investigate potential associations between JIA and TMD. METHODS: This comparative cross-sectional study is part of a longitudinal multicentre study performed during 2015-2020, including 228 children and adolescents aged 4-16 years with a diagnosis of JIA according to the ILAR criteria. This particular substudy draws on a subset of data from the first study visit, including assessments of TMD as part of a broader oral health examination. Children and adolescents with JIA were matched with healthy controls according to gender, age, and centre site. Five calibrated examiners performed the clinical oral examinations according to a standardised protocol, including shortened versions of the diagnostic criteria for TMD (DC/TMD) and the TMJaw Recommendations for Clinical TMJ Assessment in Patients Diagnosed with JIA. Symptoms were recorded and followed by a clinical examination assessing the masticatory muscles and TMJs. RESULTS: In our cohort of 221 participants with JIA and 221 healthy controls, 88 (39.8%) participants with JIA and 25 (11.3%) healthy controls presented with TMD based on symptoms and clinical signs. Painful TMD during the last 30 days was reported in 59 (26.7%) participants with JIA vs. 10 (5.0%) of the healthy controls (p <  0.001). Vertical unassisted jaw movement was lower in participants with JIA than in controls, with means of 46.2 mm vs. 49.0 mm, respectively (p <  0.001). Among participants with JIA, a higher proportion of those using synthetic disease-modifying antirheumatic-drugs and biologic disease-modifying antirheumatic-drugs presented with painful masticatory muscles and TMJs at palpation. CONCLUSION: Symptoms and clinical signs of TMD were seen in approximately half of the JIA patients compared to about one fourth of their healthy peers. Painful palpation to masticatory muscles and decreased vertical unassisted jaw movement were more frequent in participants with JIA than among healthy controls and should be part of both medical and dental routine examinations in patients with JIA.


Assuntos
Artrite Juvenil , Transtornos da Articulação Temporomandibular , Adolescente , Artrite Juvenil/complicações , Artrite Juvenil/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Humanos , Músculos da Mastigação , Prevalência , Articulação Temporomandibular , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/epidemiologia
3.
Phys Rev Lett ; 120(25): 258002, 2018 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-29979075

RESUMO

We introduce and study in two dimensions a new class of dry, aligning active matter that exhibits a direct transition to orientational order, without the phase-separation phenomenology usually observed in this context. Characterized by self-propelled particles with velocity reversals and a ferromagnetic alignment of polarities, systems in this class display quasi-long-range polar order with continuously varying scaling exponents, yet a numerical study of the transition leads to conclude that it does not belong to the Berezinskii-Kosterlitz-Thouless universality class but is best described as a standard critical point with an algebraic divergence of correlations. We rationalize these findings by showing that the interplay between order and density changes the role of defects.

4.
Clin Radiol ; 73(6): 595.e1-595.e7, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29510833

RESUMO

AIM: To correlate elastic parameters with collagen fibre shape and arrangement features in breast lesions. MATERIALS AND METHODS: Shear-wave elastography (SWE) was used to measure the stiffness of breast lesions in 54 patients before surgical removal. The value of stiffness was expressed as the mean and maximum elasticity (Emean and Emax). Lesions were sliced and stained with picric acid-sirius red to display the extracellular matrix (ECM) collagen fibre. The categories of the collagen fibres were based on the shape and arrangement features, i.e., category 0, wavy collagen fibres similar to normal breast tissue; category 1, taut parallel collagen fibres around tumour nests; category 2, straightened and aligned collagen fibres tending to be perpendicular to the tumour boundary; category 3, collagen fibre in a honeycomb arrangement. Bivariate correlation analysis was used to analyse the relationship between elastic parameters and collagen fibre category. RESULTS: For all 54 lesions, the correlation coefficient between Emean and category was 0.693 (p < 0.001), and between Emax and category was 0.794 (p < 0.001). For 36 malignant lesions, the correlation coefficient between Emean and category was 0.658 (p < 0.001), and between Emax and category was 0.771 (p < 0.001). CONCLUSION: Emean and Emax of breast lesions evaluated by SWE were positively correlated with ECM collagen fibre shape and arrangement category. Changes of ECM collagen fibre shape and arrangement may account for the stiffness variations of breast lesions.


Assuntos
Carcinoma de Mama in situ/fisiopatologia , Neoplasias da Mama/fisiopatologia , Carcinoma Ductal de Mama/fisiopatologia , Colágeno/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Carcinoma de Mama in situ/patologia , Neoplasias da Mama/patologia , Carcinoma Ductal de Mama/patologia , Elasticidade/fisiologia , Técnicas de Imagem por Elasticidade/métodos , Feminino , Humanos , Pessoa de Meia-Idade
5.
Int J Phytoremediation ; 18(2): 150-6, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26247604

RESUMO

To assess the phytoremediation potential of an autochthonous willow (Salix × aureo-pendula CL 'J1011') for phenanthrene (PHE)-contaminated soils and PHE-cadmium (PHE-Cd) co-contaminated soils, we conducted field experiments in the lower reaches of the Yangtze River, China. Ethylenediaminetetraacetic acid (EDTA) and ethyl lactate were tested for individual and combined effects on the phytoremediation efficiency. For PHE-contaminated soils, willow plus ethyl lactate resulted in significant removal of PHE from soils after 45 days, and the PHE concentration in the shoots was significantly higher with than without ethyl lactate. For PHE-Cd co-contaminated soils, both willow plus EDTA and willow plus EDTA and ethyl lactate led to a significant decrease in the concentrations of PHE and Cd in the soils after 45 days, whereas willow alone did not. The PHE and Cd concentrations in the willow shoots were significantly enhanced in the presence of EDTA alone and with ethyl lactate, except for the PHE concentration in stems with EDTA alone. Under the same treatment, the presence of Cd had no significant influence on the PHE removal from soils. The results indicate the feasibility of using this willow together with both EDTA and ethyl lactate for the simultaneous removal of PHE and Cd from soils.


Assuntos
Cádmio/metabolismo , Fenantrenos/metabolismo , Salix/metabolismo , Poluentes do Solo/metabolismo , Biodegradação Ambiental , China , Ácido Edético/química , Lactatos/química
6.
Insect Mol Biol ; 23(5): 632-43, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24989229

RESUMO

Ecdysone 20-monooxygenase (E20MO), a cytochrome P450 monooxygenase (CYP314A1), catalyses the conversion of ecdysone (E) to 20-hydroxyecdysone (20E). We report here the cloning and characterization of the Halloween gene Shade (Shd) encoding E20MO in the Colorado potato beetle, Leptinotarsa decemlineata. LdSHD has five conserved motifs typical of insect P450s, ie the Helix-C, Helix-I, Helix-K, PxxFxPE/DRF (PERF) and heme-binding motifs. LdShd was expressed in developing eggs, the first to fourth instars, wandering larvae, pupae and adults, with statistically significant fluctuations. Its mRNA was ubiquitously distributed in the head, thorax and abdomen. The recombinant LdSHD protein expressed in Spodoptera frugiperda 9 (Sf9) cells catalysed the conversion of E to 20E. Dietary introduction of double-stranded RNA (dsRNA) of LdShd into the second instar larvae successfully knocked down the LdShd expression level, decreased the mRNA level of the ecdysone receptor (LdEcR) gene, caused larval lethality, delayed development and affected pupation. Moreover, ingestion of LdShd-dsRNA by the fourth instars also down-regulated LdShd and LdEcR expression, reduced the 20E titre, and negatively influenced pupation. Introduction of 20E and a nonsteroidal ecdysteroid agonist halofenozide into the LdShd-dsRNA-ingested second instars, and of halofenozide into the LdShd-dsRNA-ingested fourth instars almost completely relieved the negative effects on larval performance. Thus, LdSHD functions to regulate metamorphotic processes by converting E to 20E in a coleopteran insect species Le. decemlineata.


Assuntos
Besouros/genética , Sistema Enzimático do Citocromo P-450/genética , Proteínas de Insetos/genética , Receptores de Esteroides/genética , Sequência de Aminoácidos , Animais , Besouros/crescimento & desenvolvimento , Besouros/metabolismo , Sistema Enzimático do Citocromo P-450/química , Sistema Enzimático do Citocromo P-450/metabolismo , Ecdisona/metabolismo , Ecdisterona/metabolismo , Feminino , Hidroxilação , Proteínas de Insetos/química , Proteínas de Insetos/metabolismo , Larva/metabolismo , Masculino , Dados de Sequência Molecular , Óvulo/metabolismo , Filogenia , Pupa/metabolismo , RNA de Cadeia Dupla/genética , RNA de Cadeia Dupla/metabolismo , Reação em Cadeia da Polimerase em Tempo Real , Receptores de Esteroides/metabolismo , Alinhamento de Sequência
7.
J Neurosurg Sci ; 58(1): 29-36, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24614790

RESUMO

AIM: The novel YL-1 hollow needle aspiration drainage system is an effective minimally invasive treatment in chronic subdural hematoma (CSDH). In order to find the risk prognosis factors of chronic subdural hematoma (CSDH) performed by the novel YL-1 hollow needle aspiration drainage system, a logistic analysis of postoperative results was performed. METHODS: One hundred ninety-four cases of chronic subdural hematoma in a period of 7 years since 2004 were collected. According to the postoperative rehabilitation effect of nerve function, the patients were divided into good prognosis group and poor prognosis group. The patients' indexes of the two groups with age, blood coagulation function, location of the hematoma, hematoma volume, admission Markwalder's grade, clinical symptoms were tested by the chi-square test, then the statistically significant factors were selected into the establishment of the Logistic regression model and further analysis of multiple factors were made on chronic subdural hematoma prognostic implications. RESULTS: Retrospective analysis was performed for differentiating good prognosis group (N.=174) and poor prognosis group (N.=20). Univariate analysis after the chi-square test showed that there were significant differences in gender, age, coagulation function, hematoma position, hematoma size, initial Markwalder's neurological grade, clinical symptoms and signs. Logistic regression analysis showed that chronic subdural hematoma prognostic factors sorted by odds ratio were as follows: high Markwalder's grade, male, coagulopathy, bilateral hematoma, senior citizens. CONCLUSION: We used logistic regression analysis to identify the risk prognosis factors of chronic subdural hematoma (CSDH) performed by a novel YL-1 hollow needle aspiration drainage systems, and found that high preoperative Markwalder's gradie, male, coagulopathy, bilateral hematoma, senior citizens will poorly affect prognosis in CSDH.


Assuntos
Drenagem/instrumentação , Hematoma Subdural Crônico/cirurgia , Agulhas , Complicações Pós-Operatórias , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Drenagem/métodos , Feminino , Hematoma Subdural Crônico/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Estudos Retrospectivos , Fatores de Risco , Resultado do Tratamento , Adulto Jovem
8.
Eur Rev Med Pharmacol Sci ; 27(10): 4752-4763, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-37259758

RESUMO

OBJECTIVE: The absence of proper pathogen treatment in the early stages can result in missing out on treatment chances or the overuse of antibiotics, both of which are the primary factors behind fatalities caused by lung infections. In this study, we aimed to investigate the efficacy of metagenomic next-generation sequencing (mNGS) in comparison to conventional detection methods in detecting infectious pathogens. PATIENTS AND METHODS: In this retrospective study, the infection pathogens of 104 patients were examined, and 86 bronchoalveolar lavage fluid (BALF), eight pleural effusions, and ten sputum samples were collected. The conventional detection approaches and mNGS analysis were used to determine the infection pathogen profiles and their detection rates were analyzed. RESULTS: Our study showed that mNGS was more sensitive (89.42%) than the conventional detection methods (56.73%) (p < 0.001), with a 32.69% improvement in sensitivity. The efficacy of mNGS in detecting mixed infections was significantly higher than that of conventional detection methods, with a detection rate of 85.29% compared to 17.65% (p < 0.001). The study demonstrated that mNGS had a higher sensitivity than the conventional detection methods when it came to diagnosing pulmonary infections, making it a potentially useful tool for clinical diagnosis. CONCLUSIONS: Combining mNGS with other pathogenic detection techniques can be an effective way to increase the rate of detecting pulmonary infections, as well as to provide guidance for treatment adjustments. Furthermore, the timing of sample collection and antibiotic administration can influence the effectiveness of mNGS when used on BALF specimens.


Assuntos
Pneumonia , Humanos , Estudos Retrospectivos , Sequenciamento de Nucleotídeos em Larga Escala , Antibacterianos/uso terapêutico , Líquido da Lavagem Broncoalveolar , Sensibilidade e Especificidade
9.
Artigo em Zh | MEDLINE | ID: mdl-34521166

RESUMO

Objective: To assess the efficacy of a bioabsorbable steroid-eluting sinus stent in improving surgical outcomes when placed in the frontal sinus ostium (FSO) following full endoscopic sinus surgery (ESS) in patients with whole group chronic rhinosinusitis with nasal polyps (CRSwNP). Methods: Patients with whole group CRSwNP who had similar lesions on bilateral sinus between September 2019 and March 2020 in Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Changhai Hospital were chosen. Patients with CRSwNP who underwent extended ESS were randomly assigned to receive a steroid-eluting sinus stent in one FSO whereas the contralateral side received surgery alone. Endoscopic evaluations recorded at 30, 90 days postoperative were graded by an independent assessment panel to assess the need for interventions in the FSO. Semi-quantitative data with CT and endoscopic score were performed by rank sum test. The need for postoperative intervention and the patency rate of FSO were analyzed using the McNemar test. Results: Thirty-one patients with whole group CRSwNP met all eligible criteria, including 17 males and 14 females, with the age of (44.5±11.8) years(x¯±s). Stents were successfully placed in one FSO of all patients. At 30 days post-ESS, the assessment panel reported that steroid-eluting stents reduced the need for postoperative interventions by 41.0% (χ2=5.314,P=0.021), the need for oral steroid interventions by 40.0% (χ2=4.133,P=0.042) and the need for surgical interventions by 74.8% (χ2=4.292,P=0.038) compared to control sinuses with no stents. Clinical surgeons also reported greater diameter of FSO compared to control sinuses at 30 days post-ESS (74.2% vs 48.4%, χ2=4.351, P=0.037). These results at 90 days post-ESS were consistent with those at 30 days post-ESS. Conclusion: Bioabsorbable steroid-eluting sinus stents in the FSO can reduce polyp formation, adhesion, and the need for postoperative interventions in FSO of CRSwNP patients and improve the early postoperative outcomes.


Assuntos
Seio Frontal , Pólipos Nasais , Seios Paranasais , Rinite , Implantes Absorvíveis , Adulto , China , Doença Crônica , Endoscopia , Feminino , Seio Frontal/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Pólipos Nasais/complicações , Rinite/complicações , Stents , Esteroides , Resultado do Tratamento
10.
Phys Rev Lett ; 104(3): 036103, 2010 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-20366662

RESUMO

We demonstrate the charge state of C60 on a Cu(111) surface can be made optimal, i.e., forming C60(3-) as required for superconductivity in bulk alkali-doped C60, purely through interface reconstruction rather than with foreign dopants. We link the origin of the C60(3-) charge state to a reconstructed interface with ordered (4x4) 7-atom vacancy holes in the surface. In contrast, C60 adsorbed on unreconstructed Cu(111) receives a much smaller amount of electrons. Our results illustrate a definitive interface effect that affects the electronic properties of molecule-electrode contact.

11.
Zhonghua Shao Shang Za Zhi ; 36(8): 686-690, 2020 Aug 20.
Artigo em Zh | MEDLINE | ID: mdl-32829607

RESUMO

For effective resistance to virus attack and infection and reducing virus transmission chance, it is extremely important for the medical staff and related workers to have their own safe protection. The paper summarizes the occurrence causes, common locations, and prevention ways about the device related pressure ulcers on the face resulted from wearing medical-grade protective equipment for a long working time. The paper proposes the prevention and nursing strategies for device related pressure ulcers and other related skin injuries during application of medical-grade protective equipment. The paper aims to provide reference for the prevention and nursing of device related pressure ulcers and related skin diseases for clinical medical staff, especially to the respectable personnel in front line of fighting against coronavirus disease 2019.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Dermatopatias , COVID-19 , Humanos , Equipamentos de Proteção , SARS-CoV-2
12.
Zhonghua Shao Shang Za Zhi ; 36(7): 612-614, 2020 Jul 20.
Artigo em Zh | MEDLINE | ID: mdl-32842414

RESUMO

The scar contracture of Achilles tendon in burn patients after operation is easy to cause " foot drop" , which leads to ankle dorsiflexion dysfunction. To solve this problem, the authors designed and made a static progressive ankle foot orthosis. The foot support part and the crus support part of the orthotic device are connected by rivets, and the distal end of the foot support part and the proximal end of the crus support part are pulled by the traction belt on both sides, gradually improving the ankle dorsiflexion function. This static progressive ankle foot orthosis is simple, practical, cost-effective, and worthy of clinical promotion.


Assuntos
Órtoses do Pé , Tornozelo , Articulação do Tornozelo , Contratura , Desenho de Equipamento , Humanos , Aparelhos Ortopédicos , Amplitude de Movimento Articular
13.
Zhonghua Shao Shang Za Zhi ; 35(7): 537-539, 2019 Jul 20.
Artigo em Zh | MEDLINE | ID: mdl-31357825

RESUMO

Objective: To observe the influences of different follow-up methods on rehabilitation and compliance of patients with severe scar after burns. Methods: From January 2012 to May 2016, medical records of 116 patients with severe scar after burns who were admitted to our unit, discharged after wound healing and conforming to the criteria, were retrospectively analyzed. They were divided into face-to-face follow-up group [n=59, 45 males and 14 females, aged (36±9) years] and routine follow-up group [n=57, 44 males and 13 females, aged (35±9) years] based on different follow-up methods they received. On the day of discharge and in post discharge month (PDM) 1, 3, and 6, the Vancouver Scar Scale (VSS) was used to evaluate the hypertrophic scar in joints, Activities of Daily Living (ADL) scale was used to evaluate the disability of patients in the 2 groups. In PDM 1, 3, and 6, Medical Compliance Behavior Questionnaire was used to investigate the medical compliance behaviors of patients in the 2 groups. Data were processed with chi-square test, t test with Bonferroni correction, and analysis of variance for repeated measurement. Results: (1) The VSS score of patients in face-to-face follow-up group on the day of discharge was (11.1±0.7) points, which was close to (11.7±0.7) points of routine follow-up group (t=2.021, P>0.05). The VSS scores of patients in face-to-face follow-up group in PDM 1, 3, and 6 were (10.5±0.6), (8.6±0.7), and (4.7±0.5) points, which were significantly lower than (11.4±0.7), (10.9±1.0), and (9.4±0.8) points of routine follow-up group respectively (t=2.034, 2.033, 2.042, P<0.05 or P<0.01). (2) The ADL score of patients in face-to-face follow-up group on the day of discharge was close to that of routine follow-up group (t=1.781, P>0.05). The ADL scores of patients in face-to-face follow-up group in PDM 1, 3, and 6 were higher than those of routine follow-up group respectively (t=9.683, 8.584, 9.772, P<0.01). (3) The compliance rates of consisted rehabilitation, reasonable diet, and timing consultation of patients in face-to-face follow-up group were better than those of routine follow-up group respectively (χ(2)=19.015, 13.251, 8.652, P<0.01). Conclusions: Compared with routine follow-up by phone, face-to-face follow-up can do better in evaluating the scar condition and ADL of patients with severe scar after burns, and improve the medical compliance rates of patients, which is worthy of clinical promotion.


Assuntos
Queimaduras/reabilitação , Cicatriz Hipertrófica/reabilitação , Cooperação do Paciente , Atividades Cotidianas , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
14.
Zhonghua Shao Shang Za Zhi ; 35(11): 819-820, 2019 Nov 20.
Artigo em Zh | MEDLINE | ID: mdl-31775472

RESUMO

If the abdominal pedicled flaps are not well fixed after repair of deep electric burn wounds in hands, many problems such as poor blood supply may occur. In order to solve the above problems, we designed and manufactured the individualized low temperature thermoplastic plate combined with special abdominal band to fix abdominal pedicled flaps for repairing of 17 patients (12 males and 5 females, aged 2-35 years) with deep electric burn wounds in hands from February 2016 to August 2018, and achieved the desired results. The shoulder joint, elbow joint, and wrist joint were fixed by low temperature thermoplastic plate according to the 1/2 circumference of the patient's side chest and upper arm, and the braking of wrist joint and elbow joint was strengthened by special abdominal band. Application of the combined method of fixing abdominal pedicled flaps in repairing deep electric burn wounds in hands has high success rate of flap transplantation. It is simple to make and practical, and worthy of clinical promotion.


Assuntos
Queimaduras por Corrente Elétrica/cirurgia , Temperatura Baixa , Traumatismos da Mão/cirurgia , Procedimentos de Cirurgia Plástica , Retalhos Cirúrgicos/transplante , Abdome , Adolescente , Adulto , Queimaduras por Corrente Elétrica/terapia , Criança , Pré-Escolar , Feminino , Traumatismos da Mão/terapia , Humanos , Masculino , Transplante de Pele , Cicatrização , Adulto Jovem
15.
Zhonghua Shao Shang Za Zhi ; 34(10): 701-706, 2018 Oct 20.
Artigo em Zh | MEDLINE | ID: mdl-30369138

RESUMO

Objective: To explore the effects of multidisciplinary comprehensive intervention in integrated treatment of patients with extremely severe burns. Methods: One hundred and ten patients hospitalized in our center from July 2013 to August 2017 met the criteria for inclusion in this study, and their medical records were retrospectively analyzed. According to the medical model at that time, 56 patients hospitalized from July 2013 to July 2015 received routine comprehensive treatment led by doctors, and they were included in the conventional intervention group. From August 2015 to August 2017, 54 patients were treated with integrated multidisciplinary interventions performed by a team consisting of physicians, intensive care nurses, burn nurses, intravenous infusion nurses, wound stoma nurses, and rehabilitation therapists, and they were included in the integrated intervention group. Acute Physiological and Chronic Health Assessment Ⅱ (APACHE Ⅱ) scores on admission and 4 weeks after treatment, incidences of pressure injury, wound sepsis, lung infection, and catheter-related infection during hospitalization, length of stay in intensive care unit (ICU) and total length of hospital stay, and Abbreviated Burn Specific Health Scale (BSHS-A) scores at discharge and 3 months after discharge were analyzed. Data were processed with t-test and chi-square test. Results: The APACHE Ⅱ scores of patients in the two groups were close on admission (t=0.573, P>0.05). Four weeks after treatment, the APACHE Ⅱ scores of patients in the two groups were obviously lower than those on admission within the same group (t=5.697, 4.853, P<0.01), and the score of the integrated intervention group was obviously lower than that of the conventional intervention group (t=2.170, P<0.05). No pressure injury was observed in patients of any group during hospitalization. The incidences of wound sepsis, lung infection, and catheter-related infection of patients in the integrated intervention group were 18.5% (10/54), 3.7% (2/54), and 9.3% (5/54), respectively, significantly lower than 42.9% (24/56), 21.4% (12/56), and 26.8% (15/56) of the conventional intervention group, χ2=4.073, 6.075, 3.962, P<0.05. The length of stay in ICU of patients in the integrated intervention group was (50±5) d, obviously shorter than (62±4) d of the conventional intervention group (t=2.852, P<0.01). The total length of hospital stay of patients in the integrated intervention group was (115±8) d, obviously shorter than (140±7) d of the conventional intervention group (t=16.885, P<0.01). At discharge and 3 months after discharge, the scores of BSHS-A, physical function, psychological function, and general health status of 50 patients in the integrated intervention group were significantly higher than those of 48 patients in the conventional intervention group (t=2.886, 3.126, 2.416, 2.544, 2.033, 3.471, 2.588, 2.210, P<0.05 or P<0.01), while the scores of social function of patients in the two groups were close (t=1.570, 1.350, P>0.05). Conclusions: Integrative treatment of patients with extremely severe burns by multidisciplinary comprehensive intervention can significantly alleviate the severity of burns, reduce the incidences of wound sepsis, lung infection, and catheter-related infection, shorten the length of stay in ICU and total length of hospital stay, and improve the quality of life.


Assuntos
Unidades de Queimados/organização & administração , Queimaduras/terapia , Comportamento Cooperativo , Cuidados Críticos/organização & administração , Equipe de Assistência ao Paciente , Qualidade de Vida , China/epidemiologia , Hospitalização , Humanos , Relações Interprofissionais , Tempo de Internação , Estudos Retrospectivos , Índice de Gravidade de Doença , Resultado do Tratamento
16.
Artigo em Zh | MEDLINE | ID: mdl-29771052

RESUMO

Primary tracheal schwannoma is rare. It is easy to be misdiagnosed as bronchitis, asthma due to the lack of special symptom. Diagnosis of schwannoma depends on a comprehensive examination. Surgery is the only effective mean. Here we reported a 17-year-old male, who suffered from cough for 10 months. A variety of tests confirmed that he had schwannoma. There is no significant change after tumor resection via rigid bronchoscope since two years ago.


Assuntos
Neurilemoma/diagnóstico , Neoplasias da Traqueia/diagnóstico , Adolescente , Broncoscopia , Tosse/etiologia , Humanos , Masculino , Neurilemoma/complicações , Traqueia , Neoplasias da Traqueia/complicações
17.
J Phys Chem B ; 110(34): 16902-7, 2006 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-16927979

RESUMO

We report first-principles calculations on the electrical transport properties of two kinds of one-dimensional nanowires: (a) a carbon nanowire (CNW) with alternating single and triple bonds and (b) a boron-nitrogen nanowire (BNNW) with equidistant bonds. We demonstrate the similarity and difference between the carbon nanowire and its boron-nitrogen analogue in the molecular orbital and transport properties, and then explore the potential innovations. The effects of molecular orbitals and nanowire-electrode coupling on the transport properties are analyzed. The cases of the nanowires sandwiched between both nanoscale and bulk electrodes are considered. It suggests that the characteristics of the transmission spectra and the current-voltage characteristics (I-V curves) are determined both by the electrodes and by the molecule as well as their coupling. In particular, the negative differential resistance (NDR) phenomenon is more apparent when the nanowires are positioned between two nanoscale electrodes. The tuning of the transport properties is also probed through the changes of nanowire-electrode separation and the inclusion of a gate voltage. These lead to dramatic variations in the equilibrium conductance, which can be understood from the shift and alignment of the molecular orbital relative to the Fermi level of the electrodes. In the analysis of the effects of nanowire-electrode separation, it shows that the equilibrium conductance has the same variation behavior as that of the projected density of states (PDOS) for CNW, while the localized molecular orbitals of BNNW result in its conductance varies differently from its PDOS. The different molecular orbital characteristics near the Fermi level of these two kinds of nanowires underlie their different transport properties.

18.
Dentomaxillofac Radiol ; 44(8): 20150041, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26119344

RESUMO

OBJECTIVES: To compare the effective dose to patients from temporomandibular joint examinations using a dental CBCT device and a multislice CT (MSCT) device, both before and after dose optimization. METHODS: A Promax(®) 3D (Planmeca, Helsinki, Finland) dental CBCT and a LightSpeed VCT(®) (GE Healthcare, Little Chalfont, UK) multislice CT were used. Organ doses and effective doses were estimated from thermoluminescent dosemeters at 61 positions inside an anthropomorphic phantom at the exposure settings in clinical use. Optimized exposure protocols were obtained through an optimization study using a dry skull phantom, where four observers rated image quality taken at different exposure levels. The optimal exposure level was obtained when all included criteria were rated as acceptable or better by all observers. RESULTS: The effective dose from a bilateral examination was 184 µSv for Promax 3D and 113 µSv for LightSpeed VCT before optimization. Post optimization, the bilateral effective dose was 92 µSv for Promax 3D and 124 µSv for LightSpeed VCT. CONCLUSIONS: At optimized exposure levels, the effective dose from CBCT was comparable to MSCT.


Assuntos
Tomografia Computadorizada de Feixe Cônico/métodos , Tomografia Computadorizada Multidetectores/métodos , Articulação Temporomandibular/diagnóstico por imagem , Medula Óssea/diagnóstico por imagem , Encéfalo/diagnóstico por imagem , Vértebras Cervicais/diagnóstico por imagem , Esôfago/diagnóstico por imagem , Humanos , Linfonodos/diagnóstico por imagem , Mandíbula/diagnóstico por imagem , Mucosa Bucal/diagnóstico por imagem , Imagens de Fantasmas , Doses de Radiação , Intensificação de Imagem Radiográfica/métodos , Eficiência Biológica Relativa , Sialografia/métodos , Crânio/diagnóstico por imagem , Dosimetria Termoluminescente/métodos , Glândula Tireoide/diagnóstico por imagem
19.
Contraception ; 32(6): 651-60, 1985 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-4092462

RESUMO

Thirty-nine adult male Wistar rats were administered 20 mg/kg or 24.3 mg/kg polyvinylpyrrolidone-gossypol (PVP-G) and 20 mg/kg gossypol acetic acid (G-A) 6 times a week for 6 weeks. Mating test was taken to evaluate the antifertility effect. Caudal sperm count, body weight, sex and accessory sex organ weights were recorded. At the end of 6 weeks treatment, the recovery period of 6 weeks was investigated. The results showed that the onset of antifertility action and recovery with PVP-G are faster than with G-A.


Assuntos
Fertilidade/efeitos dos fármacos , Gossipol/farmacologia , Povidona/farmacologia , Animais , Interações Medicamentosas , Feminino , Masculino , Gravidez , Ratos , Ratos Endogâmicos , Contagem de Espermatozoides/efeitos dos fármacos , Testículo/citologia , Testículo/efeitos dos fármacos , Fatores de Tempo
20.
Parasitol Int ; 49(2): 171-4, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10882907

RESUMO

The prevalence of antibodies to Toxoplasma gondii in the sera of rare wildlife in the Shanghai Zoological Garden, PR China, was examined using a modified agglutination test (MAT) and an enzyme-linked immunosorbent assay (ELISA). Forty-one (35%) of 117 animals belonging to two classes, 10 orders, 18 families, 37 genera and 52 species (including sub-species) were sero-positive for MAT. By MAT, T. gondii antibodies were found in 11.1% (4/36) of birds, in 25% (4/16) of primates, in 69.4% (25/36) of carnivores and in 27.6% (8/29) of herbivores. Thirty-three (33.7%) of 98 animals tested by protein A ELISA were sero-positive. By ELISA, T. gondii antibodies were found in none of 36 birds, in 33.3% (4/12) of primates, in 87.1% (27/31) of carnivores and in 10.5% (2/19) of herbivores.


Assuntos
Animais de Zoológico , Anticorpos Antiprotozoários/sangue , Toxoplasma/imunologia , Toxoplasmose/epidemiologia , Toxoplasmose/imunologia , Testes de Aglutinação , Animais , Antígenos de Protozoários/imunologia , China/epidemiologia , Ensaio de Imunoadsorção Enzimática , Prevalência , Estudos Soroepidemiológicos , Toxoplasma/crescimento & desenvolvimento , Toxoplasmose/parasitologia
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