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1.
Opt Express ; 32(11): 20024-20034, 2024 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-38859121

RESUMEN

An optical fiber sensing probe using a composite sensitive film of polyacrylonitrile (PAN) nanofiber membrane and gold nanomembrane is presented for the detection of a carcinoembryonic antigen (CEA), a biomarker associated with colorectal cancer and other diseases. The probe is based on a tilted fiber Bragg grating (TFBG) with a surface plasmon resonance (SPR) gold nanomembrane and a functionalized polyacrylonitrile (PAN) PAN nanofiber coating that selectively binds to CEA molecules. The performance of the probe is evaluated by measuring the spectral shift of the TFBG resonances as a function of CEA concentration in buffer. The probe exhibits a sensitivity of 0.46 dB/(µg/ml), a low limit of detection of 505.4 ng/mL in buffer, and a good selectivity and reproducibility. The proposed probe offers a simple, cost-effective, and a novel method for CEA detection that can be potentially applied for clinical diagnosis and monitoring of CEA-related diseases.


Asunto(s)
Resinas Acrílicas , Antígeno Carcinoembrionario , Oro , Nanofibras , Fibras Ópticas , Resonancia por Plasmón de Superficie , Antígeno Carcinoembrionario/análisis , Oro/química , Nanofibras/química , Resonancia por Plasmón de Superficie/instrumentación , Resonancia por Plasmón de Superficie/métodos , Resinas Acrílicas/química , Humanos , Técnicas Biosensibles/instrumentación , Membranas Artificiales , Nanopartículas del Metal/química , Reproducibilidad de los Resultados , Tecnología de Fibra Óptica/instrumentación
2.
Chin J Physiol ; 66(6): 485-493, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38149561

RESUMEN

Acute body mass loss before competitions in combat sports usually leads to loss in fat-free mass. Beta-hydroxy-beta-methylbutyrate (HMB) has been shown to increase skeletal muscle mass and muscle strength in various muscle wasting conditions. This study investigated the effect of HMB supplementation on body composition and sport-specific performance in well-trained boxers consuming a hypocaloric diet. Twelve male college boxers were divided into the HMB and placebo (PLA) groups using a body weight-matched single-blind parallel design. The study comprised a 6-day weight loss period (days 1-6), followed by a 3-day competition period (days 7-9). The participants in both the groups consumed 16 kcal/kg/day, including 1.6-1.7 g/kg of carbohydrates, 1.2-1.3 g/kg of protein, and 0.45-0.5 g/kg of fat during the 9-day period. The HMB group consumed 3 g/day HMB. Body composition measurement, isometric mid-thigh pull (IMTP), and a simulated boxing match were performed at baseline and on days 7, 8, and 9. Fasting blood samples were collected on the day before day 1 and on days 7, 8, and 9. Body mass was significantly decreased after the 6-day weight loss period (HMB group: baseline: 69.4 ± 11.2 kg, day 7: 67.1 ± 11.2 kg; PLA group: baseline: 68.6 ± 12.1 kg, day 7: 65.7 ± 11.5 kg, P < 0.05) while it was unchanged on the 3-day competition period in both the groups. Fat-free mass in the HMB group was maintained throughout the 9-day period (baseline: 56.7 ± 9.3 kg, day 7: 56.3 ± 8.7 kg, day 9: 55.8 ± 9.5 kg) whereas it significantly decreased on days 7 and 9 compared to the baseline in the PLA group (baseline: 55.2 ± 6.4 kg, day 7: 54.1 ± 6.6 kg, day 9: 54.0 ± 6.6 kg, P < 0.05). In the PLA group, the average and maximal heart rates in round 1 and the average heart rate in round 2 on days 8 and 9 were significantly lower than those at baseline, while these parameters were unchanged in the HMB group. The maximal force and the rate of force development in the IMTP remained unchanged among the different timepoints in both the groups. The blood biochemical parameters were similar at any timepoint between the PLA and HMB groups. HMB supplementation during acute weight loss may preserve fat-free mass and maintain heart rate response in subsequent simulated matches in well-trained boxers. In addition, HMB supplementation had a nonsignificant effect on glucose, fat, and protein metabolism during energy restriction.


Asunto(s)
Dieta Reductora , Suplementos Dietéticos , Humanos , Masculino , Composición Corporal , Músculo Esquelético/fisiología , Obesidad , Poliésteres/farmacología , Método Simple Ciego , Pérdida de Peso
3.
J Prosthet Dent ; 129(5): 676-680, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-34489088

RESUMEN

A 21-year-old woman with multiple congenitally missing maxillary anterior teeth received interdisciplinary treatment to restore function and esthetics. The treatment was initiated with orthodontic treatment, followed by implant placement, bone and soft-tissue augmentation, and prosthetic treatment including a screw-retained implant-supported 2-unit cantilever fixed dental prosthesis.


Asunto(s)
Anodoncia , Implantes Dentales , Femenino , Humanos , Adulto Joven , Adulto , Anodoncia/cirugía , Prótesis Dental de Soporte Implantado , Estética Dental , Tornillos Óseos
4.
Sensors (Basel) ; 19(23)2019 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-31766519

RESUMEN

In this paper, we demonstrate an innovative electromagnetic targeting system utilizing a passive magnetic-flux-concentrator for tracking endobronchoscope used in the diagnosis process of lung cancer tumors/lesions. The system consists of a magnetic-flux emitting coil, a magnetic-flux receiving electromagnets-array, and high permeability silicon-steel sheets rolled as a collar (as the passive magnetic-flux-concentrator) fixed in a guide sheath of an endobronchoscope. The emitting coil is used to produce AC magnetic-flux, which is consequently received by the receiving electromagnets-array. Due to the electromagnetic-induction, a voltage is induced in the receiving electromagnets-array. When the endobronchoscope's guide sheath (with the silicon-steel collar) travels between the emitting coil and the receiving electromagnets-arrays, the magnetic flux is concentrated by the silicon-steel collar and thereby the induced voltage is changed. Through analyzing the voltage-pattern change, the location of the silicon-steel collar with the guide sheath is targeted. For testing, a bronchial-tree model for training medical doctors and operators is used to test our system. According to experimental results, the system is successfully verified to be able to target the endobronchoscope in the bronchial-tree model. The targeting errors on the x-, y- and z-axes are 9 mm, 10 mm, and 5 mm, respectively.


Asunto(s)
Broncoscopía/instrumentación , Fenómenos Electromagnéticos , Humanos , Neoplasias Pulmonares/diagnóstico , Silicio/química , Acero/química
5.
BMC Vet Res ; 14(1): 138, 2018 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-29699558

RESUMEN

BACKGROUND: Low concentrations of nonionic surfactants can change the physical properties of cell membranes, and thus and in turn increase drug permeability. Porcine circovirus 2 (PCV2) is an extremely slow-growing virus, and PCV2 infection of PK-15 cells yields very low viral titers. The present study investigates the effect of various nonionic surfactants, namely, Tween-20, Tween-28, Tween-40, Tween-80, Brij-30, Brij-35, NP-40, and Triton X-100 on PCV2 infection and yield in PK-15 cells. RESULT: Significantly increased PCV2 infection was observed in cells treated with Tween-20 compared to those treated with Tween-28, Tween-40, Brij-30, Brij-35, NP-40, and Triton X-100 (p < 0.01). Furthermore, 24 h incubation with 0.03% Tween-20 has shown to induce significant cellular morphologic changes (cell membrane underwent slight intumescence and bulged into a balloon, and the number of microvilli decreased), as well as to increase caspase-3 activity and to decrease cell viability in PCV2-infected PK-15 cells cmpared to control group; all these changes were restored to normal after Tween-20 has been washed out from the plate. CONCLUSION: Our data demonstrate that Tween-20 transiently changes the surface morphology of PK-15 cells and improves PCV2 infection. The findings of the present study may be utilized in the development of a PCV2 vaccine.


Asunto(s)
Infecciones por Circoviridae/veterinaria , Circovirus/metabolismo , Polisorbatos/farmacología , Tensoactivos/farmacología , Animales , Caspasa 3/metabolismo , Línea Celular , Supervivencia Celular/efectos de los fármacos , Infecciones por Circoviridae/virología , Circovirus/fisiología , Riñón/citología , Riñón/virología , Microscopía Electroquímica de Rastreo/veterinaria , Porcinos , Replicación Viral/efectos de los fármacos
6.
J Oral Maxillofac Surg ; 76(3): 503.e1-503.e8, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-29125931

RESUMEN

PURPOSE: We propose a 2-stage orthodontic lower third molar extraction procedure to reduce iatrogenic inferior alveolar nerve injury. We tested our hypothesis that there are factors that can predict both dislodgement of the root portion and limited traction distances. PATIENTS AND METHODS: Fifteen patients (mean age, 25.7 years; age range, 17 to 65 years) with 20 lower third molars were enrolled. Panoramic films and cone beam computed tomography were analyzed. Dislodgement of the root portion, traction distance, duration of the orthodontic phase, and postoperative complications were documented. The predictive factors were analyzed and discussed. RESULTS: Three teeth had dislodgements of the root portion. The mean traction duration was 59.2 days (range, 33 to 77 days), and the mean traction distance was 2.60 mm (range, 0.27 to 5.20 mm). Root apex cortical bone indentation and root curvature were significantly associated with traction distance. Pulpitis symptoms were documented in 1 tooth, and no postoperative nerve disturbances occurred. CONCLUSIONS: Our proposed 2-stage orthodontic lower third molar extraction procedure reduced iatrogenic inferior alveolar nerve injury. Cortical bone indentation and root curvature predicted dislodgement of the root portion and limited traction distances.


Asunto(s)
Tercer Molar/cirugía , Extracción Dental/métodos , Adolescente , Adulto , Anciano , Tomografía Computarizada de Haz Cónico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Tercer Molar/diagnóstico por imagen , Evaluación de Procesos y Resultados en Atención de Salud , Radiografía Panorámica , Extracción Dental/efectos adversos , Resultado del Tratamiento , Traumatismos del Nervio Trigémino/prevención & control , Adulto Joven
7.
Scand J Gastroenterol ; 48(2): 241-5, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23268593

RESUMEN

OBJECTIVE: Recent studies have shown that pronase can improve mucosal visibility, but this agent is not uniformly available for human use worldwide. This study aimed to assess the efficacy of N-acetylcysteine (NAC), a mucolytic agent, in improving mucus elimination as measured by decreased endoscopic water flushes during narrow-band imaging (NBI) endoscopy. MATERIAL AND METHODS: A consecutive series of patients scheduled for upper gastrointestinal endoscopy at outpatient clinics were enrolled in this double-blind, randomized controlled trial. The control group drank a preparation of 100 mg dimethicone (5 ml at 20 mg/ml) plus water up to 100 ml, and the NAC group drank 300 mg NAC plus 100 mg dimethicone and water up to 100 ml. During the endoscopy, the endoscopist used as many flushes of water as deemed necessary to produce a satisfactory NBI view of the entire gastric mucosa. RESULTS: In all, 177 patients with a mean age of 51 years were evaluated in this study. Significantly lesser water was used for flushing during NBI endoscopy for the NAC group than the control group; 40 ml (30-70, 0-120) versus 50 ml (30-100, 0-150) (median (interquartile range, range), p = 0.0095). CONCLUSIONS: Considering the safety profile of NAC, decreasing the number of water flushes for optimal vision and unavailability of pronase in some areas, the authors suggest the use of add-on NAC to eliminate mucus during NBI endoscopy.


Asunto(s)
Acetilcisteína , Dimetilpolisiloxanos , Expectorantes , Gastroscopía/métodos , Imagen de Banda Estrecha/métodos , Neoplasias Gástricas/diagnóstico , Acetilcisteína/administración & dosificación , Administración Oral , Dimetilpolisiloxanos/administración & dosificación , Método Doble Ciego , Expectorantes/administración & dosificación , Femenino , Humanos , Masculino , Persona de Mediana Edad , Evaluación de Resultado en la Atención de Salud
8.
Phys Med Biol ; 68(13)2023 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-37321248

RESUMEN

Objective. This study aims to evaluate radiofrequency (RF) shielding effectiveness (SE), gradient-induced eddy current, magnetic resonance (MR) susceptibility, and positron emission tomography (PET) photon attenuation of six shielding materials: copper plate, copper tape, carbon fiber fabric, stainless steel mesh, phosphor bronze mesh, and a spray-on conductive coating.Approach. We evaluated the six shielding materials by implementing them on identical clear plastic enclosures. We measured the RF SE and eddy current in benchtop experiments (outside of the MR environment) and in a 3T MR scanner. The magnetic susceptibility performance was evaluated in the same MR scanner. Additionally, we measured their effects on PET detectors, including global coincidence time resolution, global energy resolution, and coincidence count rate.Main results. The RF SEs for copper plate, copper tape, carbon fiber fabric, stainless steel mesh, phosphor bronze mesh, and conductive coating enclosures were 56.8 ± 5.8, 63.9 ± 4.3, 33.1 ± 11.7, 43.6 ± 4.5, 52.7 ± 4.6, and 47.8 ±7.1 dB, respectively, in the benchtop experiment. Copper plate and copper tape experienced the most eddy current at 10 kHz in the benchtop experiment and also generated the largest ghosting artifacts in the MR scanner. Stainless steel mesh had the highest mean absolute difference (7.6 ±0.2 Hz) compared to the reference in the MR susceptibility evaluation. The carbon fiber fabric and phosphor bronze mesh enclosures caused the largest photon attenuation, reducing the coincidence count rate by 3.3%, while the rest caused less than 2.6%.Significance. The conductive coating proposed in this study is shown to be a high-performance Faraday cage material for PET/MRI applications based on its overall performance in all the experiments conducted in this study, as well as its ease and flexibility of manufacturing. As a result, it will be selected as the Faraday cage material for our second-generation MR-compatible PET insert.


Asunto(s)
Cobre , Acero Inoxidable , Fibra de Carbono , Fantasmas de Imagen , Tomografía de Emisión de Positrones/métodos , Imagen por Resonancia Magnética/métodos
9.
ACS Appl Bio Mater ; 6(2): 552-565, 2023 02 20.
Artículo en Inglés | MEDLINE | ID: mdl-36759183

RESUMEN

The high prevalence of acquiring skin wounds, along with the emergence of antibiotic-resistant strains that lead to infections, impose a threat to the physical, mental, and socioeconomic health of society. Among the wide array of wound dressings developed, hydrogels are regarded as a biomimetic soft matter of choice owing to their ability to provide a moist environment ideal for healing. Herein, neutral glycol chitosan (GC) was cross-linked via imine bonds with varying concentrations of dibenzaldehyde-terminated polyethylene glycol (DP) to give glycol chitosan/dibenzaldehyde-terminated polyethylene glycol hydrogels (GC/DP). These dynamic Schiff base linkages (absorption peak at 1638 cm-1) within the hydrogel structure endowed their ability to recover from damage as characterized by high-low strain exposure in continuous step strain rheology. Along with their good injectability and biodegradability, the hydrogels exhibited remarkable inhibition against E. coli, P. aeruginosa, and S. aureus. GC/DP hydrogels demonstrated high LC50 values in vivo using zebrafish embryos as a model system due to their relative biocompatibility and a remarkable 93.4 ± 0.88% wound contraction at 30-dpw against 49.1 ± 3.40% of the control. To the best of our knowledge, this is the first study that developed injectable glycol chitosan/dibenzaldehyde-terminated polyethylene glycol self-healing hydrogels for application in wound healing with intrinsic bacteriostatic properties against the three bacteria.


Asunto(s)
Escherichia coli , Staphylococcus aureus , Animales , Biomimética , Pez Cebra , Cicatrización de Heridas , Materiales Biocompatibles/farmacología , Polietilenglicoles/química , Antibacterianos/farmacología , Antibacterianos/uso terapéutico , Antibacterianos/química , Hidrogeles/química
10.
J Strength Cond Res ; 26(8): 2202-8, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-21997453

RESUMEN

The aim of this study was to investigate the cumulative effects of intensive resistance training on salivary immunoglobulin A (SIgA) and cortisol responses in elite male weightlifters. Eleven elite male Taiwanese weightlifters were trained through 3 training stages before a national weightlifting competition, and this was followed by a 2-week recovery stage. Resting saliva samples were collected once in each of the 4 stages. Salivary concentrations of total protein (TP), SIgA, lactoferrin, and cortisol were measured. The results showed that (a) salivary TP concentrations were not significantly affected; (b) resting levels of SIgA, the ratio of SIgA to TP (SIgA/TP), cortisol, and the ratio of cortisol to TP (cortisol/TP) were significantly higher in the training stages than in the recovery stage; (c) a positive correlation was revealed between the ratios of SIgA/TP and cortisol/TP; and (d) the resting salivary lactoferrin concentrations and the ratio of lactoferrin to TP (lactoferrin/TP) were significantly lower in stage 1 than in the recovery stage. The findings in this study suggest that prolonged, intensive resistance training exerts cumulative effects on SIgA and cortisol responses in elite weightlifters.


Asunto(s)
Hidrocortisona/metabolismo , Inmunoglobulina A/metabolismo , Entrenamiento de Fuerza , Saliva/química , Levantamiento de Peso/fisiología , Adulto , Humanos , Hidrocortisona/análisis , Inmunoglobulina A/análisis , Lactoferrina/análisis , Masculino , Proteínas y Péptidos Salivales/análisis , Adulto Joven
11.
J Dent Sci ; 17(4): 1788-1795, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36299334

RESUMEN

Background/purpose: In orthodontic applications, NiTi wires are under continuous bending stress and exposed to fluctuations in temperature over long durations. The sensitivity of NiTi to temperature can have a considerable influence on its mechanical properties. This study investigated the effects of deflected NiTi wire, presented in stress-induced (detwinned) martensite microstructure, combined with thermal cycle on the microstructure and mechanical properties. Materials and methods: We tested four types of as-received orthodontic NiTi: (1) Nitinol Classic (3 M Unitek), (2) Sentalloy (Tomy), (3) 27 °C CuNiTi (Ormco) and (4) 40 °C CuNiTi (Ormco). Each group of specimens was subjected to three different testing conditions: (1) temperature fluctuations (5000 cycles) between 5 and 55 °C, (2) continuous three-point bending force and (3) combination of thermal cycling and bending stress. Results: The specimens that underwent thermocycling as well as loading exhibited a substantial narrowing in stress hysteresis, which may be attributed to crystallinity lower than that of as-received NiTi wires. Reduced crystallinity can manifest in a number of imperfections, such as dislocations and internal stress, as well as a less-organized structure. Micro X-ray diffraction (XRD) analysis revealed the existence of martensite phase in Sentalloy wires subject to thermal and stress conditions. Under loading conditions, stress-induced martensite of NiTi wires exposed to temperature fluctuations of 5-55 °C also induced cyclic changes in bending stress. In a simulated intra-oral environment, the stability of austenite↔martensite transformation decreased. Conclusion: This study determined that bending stress in conjunction with repeated temperature fluctuations can greatly affect the microstructure and mechanical properties of NiTi wires.

12.
Ther Apher Dial ; 26(1): 55-63, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33928757

RESUMEN

The characteristics in dialyzer are associated with mortality in patients with end-stage renal disease (ESRD) receiving hemodialysis (HD). This study is to investigate the effects of dialyzer membranes on 3-year mortality in ESRD patients. From the long-term nationwide population database. Prevalent HD patients during 2005-2012 were enrolled. Our main analysis to calculate the effect was cox regression multivariate model. Overall, the mean age of all population (N = 73 565) was 61.0 ± 13.6 years, the observation period is 2.46 years ±0.98 within 3 years and 64.6% used polysulfone (PS), polymethyl methacrylate (PMMA) (11.6%), polyethersulfone (11.4%), and cellulose triacetate (CTA) (10.7%), ethylene vinyl alcohol (EVAL) (hazard ratio [HR] 2.72, 95% confidence interval [CI] 1.71-4.33) and CTA (HR 1.35, 95% CI 1.12-1.64) were associated with higher mortality than PS, but PMMA was not. EVAL and CTA adversely affected mortality and PMMA had no protective role. Further investigations on membrane characters on HD patients are warranted. Taipei Medical University (TMU) (TMU-JIRB (No. N201804051).


Asunto(s)
Fallo Renal Crónico/mortalidad , Fallo Renal Crónico/terapia , Membranas Artificiales , Diálisis Renal/instrumentación , Diálisis Renal/métodos , Uremia/mortalidad , Anciano , Materiales Biocompatibles , Causalidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Sistema de Registros , Taiwán/epidemiología , Resultado del Tratamiento
13.
World Neurosurg ; 156: e283-e290, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34543733

RESUMEN

BACKGROUND: Percutaneous vertebroplasty (PVP) is widely used for treatment of osteoporotic vertebral compression fractures (VCFs). However, the influence of PVP timing (early vs. late) on development of adjacent vertebral fractures has rarely been discussed. This retrospective cohort study aimed to evaluate bone-cement binding for thoracolumbar fractures (T8-L3) using a new assessment method to predict risk for adjacent vertebral fractures. METHODS: Patients with a single-level T-score ≤ -1.0 of lumbar bone mineral density and a primary osteoporotic VCF in the thoracolumbar region (T8-L3) who underwent PVP from October 2016 to February 2018 at our medical university-affiliated hospital were included. Patients were divided into refracture and non-refracture groups. All patients underwent computed tomography after vertebroplasty. Bone-cement distribution patterns were evaluated using standardized axial computed tomography images of each cemented vertebra by 4 independent observers with ImageJ software. The smoothness index was calculated as a percentage of smooth margins. RESULTS: Of 51 VCFs, 15 (29.4%) and 36 (70.6%) were refracture and non-refracture VCFs, respectively. The mean smoothness index (MSI) was higher in the refracture group than in the non-refracture group (P < 0.01), with an increased refracture risk that corresponded to increased MSI values (P = 0.004). Spearman correlation coefficient (0.375) showed a positive correlation between the fracture-vertebroplasty interval and MSI (P = 0.01). CONCLUSIONS: Axial computed tomography images were used to characterize bone-cement binding properties. Patients who underwent early PVP had a lower MSI, better bone-cement integration, and fewer adjacent fractures.


Asunto(s)
Cementos para Huesos , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Oseointegración , Fracturas de la Columna Vertebral/cirugía , Vertebroplastia/métodos , Anciano , Anciano de 80 o más Años , Densidad Ósea , Femenino , Fracturas por Compresión , Humanos , Vértebras Lumbares/lesiones , Vértebras Lumbares/cirugía , Masculino , Recurrencia , Estudios Retrospectivos , Vértebras Torácicas/lesiones , Vértebras Torácicas/cirugía , Tiempo de Tratamiento , Tomografía Computarizada por Rayos X
14.
Gastrointest Endosc ; 71(7): 1141-9, 2010 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-20362285

RESUMEN

BACKGROUND: Gastroesophageal varices are the most common type of gastric varices. Although endoscopic injection of N-butyl-2-cyanoacrylate is the current treatment of choice for acute gastric variceal bleeding, whether the concomitant esophageal varices should be ligated simultaneously with the first treatment session is currently not known. OBJECTIVE: The aim of this study was to evaluate the safety and probable therapeutic effect of simultaneous cyanoacrylate injection for bleeding gastric varices obliteration (GVO) and endoscopic band ligation (EBL) for concomitant esophageal varices in combination with routine antibiotics (simultaneous group), and to compare our results with historical results in which the patients underwent GVO first and then EBL for concomitant esophageal varices (separate group). DESIGN: A single-center pilot study. SETTING: A tertiary referral center. PATIENTS: Patients with liver cirrhosis and gastroesophageal varices, who presented with acute gastric varices bleeding. INTERVENTIONS: Simultaneous treatment in the form of GVO and EBL for concomitant esophageal varices in combination with routine antibiotics. MAIN OUTCOME MEASUREMENT: Rebleeding and mortality within the first year of index bleeding. RESULTS: Twenty patients in the simultaneous group and 67 patients in the separate group were included in the study. The 2 groups had similar baseline characteristics. The hemostasis of active bleeding was 100% in both groups (7/7 vs 20/20). The 1-year rebleeding rate was 10% (2/20) in the simultaneous group and 37.31% (25/67) in the separate group (P = .041). Kaplan-Meier analysis showed higher probability of remaining free of rebleeding in the simultaneous group (88.5% vs 61.1%; P = .044). Multivariate analysis indicated that treatment method (separate group) and high model for end-stage liver disease score (> or = 13) were independent risk factors of rebleeding in 1 year. The treatment failure, complications, 1-year mortality, and survival were similar in both groups. CONCLUSION: Simultaneous endoscopic treatment for gastric varices bleeding and concomitant esophageal varices is a safe and effective procedure in combination with antibiotic prophylaxis for patients with cirrhosis. The 1-year mortality rate was similar between the 2 groups. The results need further validation.


Asunto(s)
Antibacterianos/uso terapéutico , Enbucrilato/administración & dosificación , Várices Esofágicas y Gástricas/terapia , Hemorragia Gastrointestinal/terapia , Hemostasis Endoscópica/métodos , Quimioterapia Combinada , Endoscopía Gastrointestinal , Várices Esofágicas y Gástricas/complicaciones , Várices Esofágicas y Gástricas/mortalidad , Femenino , Estudios de Seguimiento , Hemorragia Gastrointestinal/etiología , Hemorragia Gastrointestinal/mortalidad , Humanos , Inyecciones Intralesiones , Ligadura/instrumentación , Masculino , Persona de Mediana Edad , Proyectos Piloto , Estudios Retrospectivos , Prevención Secundaria , Tasa de Supervivencia , Taiwán/epidemiología , Resultado del Tratamiento
15.
Eur J Appl Physiol ; 110(5): 989-95, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20668874

RESUMEN

The aim of this study was to examine the changes and relationships of immune and stress parameters of basketball players during a basketball season. Eight members of National Taichung University basketball team volunteered to participate. Saliva samples were collected at rest and before the start of practice or competition at seven time points during the intense training, competition and recovery period. Salivary immunoglobulin A (sIgA), cortisol, and lactoferrin were measured during training and competition period and compared with those measured at the fourth recovery week. Relationships among immune and stress parameters were evaluated. Compared with those detected at the fourth recovery week, significant decreases in secretion rates and absolute concentrations of sIgA and lactoferrin were observed at times of intense training and competition. In addition, significant increases in secretion rates and absolute concentrations of salivary cortisol were observed during intense training and competition period and the first week of recovery. Moreover, a significant inverse correlation (r = -0.28; P < 0.05) that existed between secretion rates of sIgA and cortisol as well as a positive correlation (r = 0.32; P < 0.05) that existed between secretion rates of sIgA and lactoferrin was measured. Our results demonstrated that the secreted cortisol was induced and the mucosal immunity of the participants was suppressed during the basketball season. The inverse correlation existed between secretion rates of sIgA and cortisol may indicate a possible role of cortisol in the strenuous exercise-induced immunosuppression. Our results also suggest that a delicate balance may exist between mucosal innate and adaptive immune responses.


Asunto(s)
Atletas , Baloncesto/fisiología , Hidrocortisona/metabolismo , Inmunoglobulina A/metabolismo , Lactoferrina/metabolismo , Saliva/química , Humanos , Hidrocortisona/análisis , Inmunoglobulina A/análisis , Lactoferrina/análisis , Fuerza Muscular/fisiología , Músculo Esquelético/fisiología , Resistencia Física/fisiología , Entrenamiento de Fuerza , Adulto Joven
16.
Digestion ; 78(2-3): 139-43, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-19023208

RESUMEN

Gastric variceal bleeding is a serious complication of liver cirrhosis. A recent consensus suggested that endoscopic injection of tissue glue for gastric variceal obliteration (GVO) should be the first choice for treatment of acute gastric variceal bleeding. Following the widespread use of GVO, more severe complications such as needle cementation, fistula formation, embolic sequels, recurrent septicemia, etc., have been reported. We present the first case of GVO-complicated pyogenic portosplenic vein thrombosis which led to persistent Klebsiella pneumoniae septicemia. The foreign body of a glue plug offers an ideal surface for bacterial colonization which becomes a reservoir for continuous bacterial dissemination. The mechanism was proven by ribotyping of the microorganism and postmortem pathology.


Asunto(s)
Cianoacrilatos/efectos adversos , Várices Esofágicas y Gástricas/terapia , Hemorragia Gastrointestinal/tratamiento farmacológico , Vena Porta , Sepsis/etiología , Adhesivos Tisulares/efectos adversos , Trombosis de la Vena/etiología , Cianoacrilatos/administración & dosificación , Várices Esofágicas y Gástricas/complicaciones , Hemorragia Gastrointestinal/etiología , Humanos , Masculino , Persona de Mediana Edad , Adhesivos Tisulares/administración & dosificación
17.
J Clin Neurosci ; 15(10): 1115-9, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18656363

RESUMEN

The aim of this study was to identify the risk factors associated with bone grafts infection after cranioplasty. Eighty-four cranioplasties were performed on 75 patients between 2002 and 2006. Cryopreserved bone grafts were used as graft material in group 1 and polymethylmethacrylate (PMMA) was used in group 2. Risk factors including age, gender, time intervals between craniectomy and cranioplasty, mechanism of injury, number of procedures, graft material, and the Glasgow Coma Scale score were compared between groups. Swab culture results and bone graft infection were assessed in group 1. Multiple procedures before cranioplasty and an inadequate time interval between craniectomy and cranioplasty increase the risk of infection after cranioplasty. Swab culture results, age, gender, mechanism of injury, graft material and Glasgow Coma Scale score are not related to infection. The use of PMMA was associated with a relatively low risk of infection (6.25%). Risk of graft infection was not associated with the choice of graft material in the present study. Multiple procedures and insufficient time intervals increase the risk of infection. Interrupting the wound healing process may be the cause of infection. PMMA is a safe material for cranioplasty regardless of previous infection.


Asunto(s)
Sustitutos de Huesos/efectos adversos , Trasplante Óseo/efectos adversos , Complicaciones Posoperatorias/prevención & control , Infecciones Relacionadas con Prótesis/prevención & control , Infección de la Herida Quirúrgica/prevención & control , Adulto , Infecciones Bacterianas/prevención & control , Recuento de Colonia Microbiana , Craneotomía/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Polimetil Metacrilato , Factores de Riesgo
18.
J Biomed Mater Res B Appl Biomater ; 83(1): 206-15, 2007 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-17405166

RESUMEN

The high outflow permeability of the nerve conduit used to emit the drained waste generated from the traumatized host nerve stump is critical in peripheral nerve regeneration. Our earlier studies have established that asymmetric conduits fulfill the basic requirements for use as nerve guide conduits. In this study, the inflow characteristics of optimal nerve conduits were further examined using in vivo and in vitro trials. Various asymmetric poly(DL-lactic acid-co-glycolic acid) (PLGA) conduits were controlled by modifying precipitation baths using 0, 20, and 95% isopropyl alcohol, with high-porosity (permeability), medium-porosity (high outflow and low inflow), and low-porosity (permeability), respectively. In the in vitro trial, the Schwann cells and fibroblasts were seeded on either side of the asymmetric PLGA films in a newly designed coculture system that simulated the repaired nerve conduit environment. The results of the directional permeable films indicated the statistically significant proliferation of Schwann cells and the inhibition of the division of fibroblasts in lactate dehydrogenase release and inhibition of 3-(4,5-dimethylthiazol-2-yl)2,5-diphenyl-tetrazolium bromide (MTT) reduction, compared with the other films. In the in vivo trial, the PLGA conduits seeded with Schwann cells were implanted into 10 mm right sciatic nerve defects in rats. After 6 weeks, implanted conduits were harvested. Histological examination verified that directional permeable conduits had markedly more A-type and B-type myelin fibers in the midconduit and distal nerve. In this work, the directional transport characteristics were established as an extremely important factor to the design and development of optimal nerve guide conduits in peripheral nerve regeneration.


Asunto(s)
Materiales Biocompatibles/metabolismo , Regeneración Tisular Dirigida , Implantes Experimentales , Ácido Láctico/metabolismo , Regeneración Nerviosa/fisiología , Nervios Periféricos/fisiología , Ácido Poliglicólico/metabolismo , Polímeros/metabolismo , Animales , Materiales Biocompatibles/química , Células Cultivadas , Técnicas de Cocultivo , Fibroblastos/citología , Fibroblastos/fisiología , Regeneración Tisular Dirigida/instrumentación , Regeneración Tisular Dirigida/métodos , Ácido Láctico/química , Masculino , Ensayo de Materiales , Nervios Periféricos/anatomía & histología , Nervios Periféricos/patología , Permeabilidad , Ácido Poliglicólico/química , Copolímero de Ácido Poliláctico-Ácido Poliglicólico , Polímeros/química , Porosidad , Ratas , Ratas Sprague-Dawley , Células de Schwann/citología , Células de Schwann/fisiología
19.
Bioresour Technol ; 227: 35-43, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28013134

RESUMEN

Lignocellulosic materials, mostly from agricultural and forestry residues, provide a potential renewable resource for sustainable biorefineries. Reducing sugars can be produced only after a pre-treatment stage, which normally involves chemicals but can be biological. In this case, two steps are usually necessary: solid-state cultivation of fungi for deconstruction, followed by enzymatic hydrolysis using cellulolytic enzymes. In this research, the utilisation of solid-state bioprocessing using the fungus Trichoderma longibrachiatum was implemented as a simultaneous microbial pretreatment and in-situ enzyme production method for fungal autolysis and further enzyme hydrolysis of fermented solids. Suspending the fermented solids in water at 50°C led to the highest hydrolysis yields of 226mg/g reducing sugar and 7.7mg/g free amino nitrogen (FAN). The resultant feedstock was shown to be suitable for the production of various products including ethanol.


Asunto(s)
Reactores Biológicos/microbiología , Lignina/química , Trichoderma/metabolismo , Fermentación , Hidrólisis
20.
Mol Imaging Biol ; 19(2): 233-244, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-27572293

RESUMEN

PURPOSE: The purpose of the study is to develop a targeted nanoparticle platform for T cell labeling and tracking in vivo. PROCEDURES: Through carboxylation of the polyethylene glycol (PEG) surface of SPION, carboxylated-PEG-SPION (IOPC) was generated as a precursor for further conjugation with the targeting probe. The IOPC could readily cross-link with a variety of amide-containing molecules by exploiting the reaction between 1-ethyl-3-(3-(dimethylamino)propyl)carbodiimide and N-hydroxysuccinimide. The subsequent conjugation of monoclonal anti-CD3 antibody with IOPC made it possible to construct a magnetic resonance imaging (MRI) contrast agente (CA) that targets T cells, named IOPC-CD3. RESULTS: IOPC-CD3 was found to have high transverse relaxivity, good targeting selectivity, and good safety profile in vitro. The utility of this newly synthesized CA was explored in an in vivo rodent collagen-induced arthritis (CIA) model of rheumatoid arthritis. Serial MRI experiments revealed a selective decrease in the signal-to-noise ratio of the femoral growth plates of CIA rats infused with IOPC-CD3, with this finding being consistent with immunohistochemical results showing the accumulation of T cells and iron oxide nanoparticles in the corresponding region. CONCLUSIONS: Together with the abovementioned desirable features, these results indicate that IOPC-CD3 offers a promising prospect for a wide range of cellular and molecular MRI applications.


Asunto(s)
Artritis Reumatoide/diagnóstico por imagen , Artritis Reumatoide/inmunología , Dextranos/química , Imagen por Resonancia Magnética/métodos , Nanopartículas de Magnetita/química , Linfocitos T/inmunología , Animales , Artritis Experimental/diagnóstico por imagen , Artritis Experimental/patología , Complejo CD3/metabolismo , Forma de la Célula , Supervivencia Celular , Femenino , Citometría de Flujo , Inmunohistoquímica , Polietilenglicoles/química , Ratas Endogámicas Lew , Relación Señal-Ruido , Coloración y Etiquetado
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