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1.
Childs Nerv Syst ; 40(5): 1349-1360, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38227027

RESUMEN

OBJECTIVE: To investigate the treatment plan and prognosis of children with ocular dyskinesia and hemifacial spasm secondary to pontine tumours adjacent to the fourth ventricle. METHODS: In this retrospective study, the clinical information of 10 consecutively collected children with ocular dyskinesia and hemifacial spasm secondary to pontine tumours adjacent to the fourth ventricle was analyzed. All 10 children underwent pontine tumour resection through a trans-cerebellomedullary fissure approach; 4 children underwent preoperative diffusion tensor imaging scans to determine the relationship between the tumour and facial nerve nucleus, and the other 6 children underwent intraoperative deep electroencephalography (EEG) tumour monitoring, in which the tumour electrical discharge activity of the tumour was recorded. A voxel distribution map was established to describe the distribution of the tumour location, and patient prognosis was evaluated through clinical and imaging follow-up. RESULTS: All 10 children achieved total tumour resection; 9 tumours were pathologically suggested to be ganglioglioma (WHO grade I), and 1 was a hamartoma. The symptoms of the original ocular dyskinesia and hemifacial spasm disappeared immediately after the operation. The children were followed up for 4-75 months, and none of the symptoms recurred; four cases with preoperative diffusion tensor imaging showed that the tumour was close to the facial nerve. Four in six intraoperative electrophysiological monitoring showed that the tumour had electrical discharge behaviour, and the tumour distribution map indicates a high density of tumour presence in the facial nerve nucleus and the nucleus of the abducens nerve. CONCLUSIONS: In paediatric patients, the facial symptoms are related to the location and abnormal electrical discharge of the tumour. There is no significant correlation between ocular dyskinesia and the location of the tumour. Conventional antiepileptic therapy for this disease is ineffective, and early surgical intervention for total tumour resection can achieve a clinical curative effect.


Asunto(s)
Neoplasias del Tronco Encefálico , Espasmo Hemifacial , Humanos , Niño , Espasmo Hemifacial/patología , Espasmo Hemifacial/cirugía , Estudios Retrospectivos , Cuarto Ventrículo/cirugía , Imagen de Difusión Tensora , Recurrencia Local de Neoplasia/patología , Nervio Facial/cirugía , Neoplasias del Tronco Encefálico/patología , Resultado del Tratamiento
2.
Ergonomics ; : 1-15, 2024 Feb 29.
Artículo en Inglés | MEDLINE | ID: mdl-38423143

RESUMEN

Preventing work-related musculoskeletal disorders (WMSDs) is crucial in reducing their impact on individuals and society. However, the existing mainstream 2D image-based approach is insufficient in capturing the complex 3D movements and postures involved in many occupational tasks. To address this, an improved deep learning-based rapid entire body assessment (REBA) method has been proposed. The method takes working videos as input and automatically outputs the corresponding REBA score through 3D pose reconstruction. The proposed method achieves an average precision of 94.7% on real-world data, which is comparable to that of ergonomic experts. Furthermore, the method has the potential to be applied across a wide range of industries as it has demonstrated good generalisation in multiple scenarios. The proposed method offers a promising solution for automated and accurate risk assessment of WMSDs, with implications for various industries to ensure the safety and well-being of workers.


This paper proposes a deep learning-based improved rapid entire body assessment (REBA) method for assessing work-related musculoskeletal disorders (WMSDs) risks using 3D pose reconstruction from videos, achieving 94.7% precision, comparable to ergonomic experts, with potential applications across various industries.

3.
J Magn Reson Imaging ; 58(6): 1966-1976, 2023 12.
Artículo en Inglés | MEDLINE | ID: mdl-37009777

RESUMEN

BACKGROUND: Current studies have indicated that tumoral morphologic features are associated with cerebellar mutism syndrome (CMS), but the radiomics application in CMS is scarce. PURPOSE: To develop a model for CMS discrimination based on multiparametric MRI radiomics in patients with posterior fossa tumors. STUDY TYPE: Retrospective. POPULATION: A total of 218 patients (males 132, females 86) with posterior fossa tumors, 169 of which were included in the MRI radiomics analysis. The MRI radiomics study cohort (169) was split into training (119) and testing (50) sets with a ratio of 7:3. FIELD/SEQUENCE: All the MRI were acquired under 1.5/3.0 T scanners. T2-weighted image (T2W), T1-weighted (T1W), fluid attenuated inversion recovery (FLAIR), diffusion-weighted imaging (DWI). ASSESSMENT: Apparent diffusion coefficient (ADC) maps were generated from DWI. Each MRI dataset generated 1561 radiomics characteristics. Feature selection was performed with univariable logistic analysis, correlation analysis, and least absolute shrinkage and selection operator (LASSO) penalized logistic regression. Significant clinical features were selected with multivariable logistic analysis and used to constructed the clinical model. Radiomics models (based on T1W, T2W, FLAIR, DWI, ADC) were constructed with selected radiomics features. The mix model was based on the multiparametric MRI radiomics features. STATISTICAL TEST: Multivariable logistic analysis was utilized during clinical features selection. Models' performance was evaluated using the area under the receiver operating characteristic (AUC) curve. Interobserver variability was assessed using Cohen's kappa. Significant threshold was set as P < 0.05. RESULTS: Sex (aOR = 3.72), tumor location (aOR = 2.81), hydrocephalus (aOR = 2.14), and tumor texture (aOR = 5.08) were significant features in the multivariable analysis and were used to construct the clinical model (AUC = 0.79); totally, 33 radiomics features were selected to construct radiomics models (AUC = 0.63-0.93). Seven of the 33 radiomics features were selected for the mix model (AUC = 0.93). DATA CONCLUSION: Multiparametric MRI radiomics may be better at predicting CMS than single-parameter MRI models and clinical model. EVIDENCE LEVEL: 4. TECHNICAL EFFICACY: 2.


Asunto(s)
Neoplasias Encefálicas , Neoplasias Infratentoriales , Mutismo , Masculino , Femenino , Humanos , Niño , Estudios Retrospectivos , Imagen por Resonancia Magnética , Neoplasias Infratentoriales/diagnóstico por imagen
4.
Cerebellum ; 22(4): 730-738, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35870083

RESUMEN

The aim of this study was to explore the association between sex and cerebellar mutism syndrome and to examine other potential risk factors. This ambispective cohort study examined 218 pediatric patients (132 boys) with a posterior fossa tumor who underwent tumor resection from July 2013 to March 2021. The patients' demographics and tumor characteristics were examined and statistically analyzed to explore the associations among the variables. Multivariable and subgroup analyses were conducted to validate the independent risk factors for cerebellar mutism syndrome (CMS). The male and female patients did not differ significantly in terms of age, tumor size, tumor location, tumor consistency, VP shunt placement before resection, extent of resection, or surgeon, as well as with respect to the presence of hydrocephalus or paraventricular edema. The overall incidence of CMS was 32.6%. The incidence of CMS was significantly higher in male patients than that in female patients (41.7% vs. 18.6%; P = 0.001). In the multivariable analysis, male sex (adjusted odds ratio [OR], 3.27; P = 0.001), solid tumor consistency (adjusted OR, 5.61; P = 0.001), midline location (adjusted OR, 3.78; P = 0.004), and hydrocephalus (adjusted OR, 2.56; P = 0.047) were independent risk factors for the CMS. Chi-square analysis revealed that solid tumor consistency and midline location were associated with medulloblastoma (P < 0.001). Male patients had a higher risk of developing CMS after a posterior fossa tumor resection. Midline location, solid tumor consistency, and hydrocephalus were independent risk factors for CMS.


Asunto(s)
Neoplasias Encefálicas , Enfermedades Cerebelosas , Neoplasias Cerebelosas , Hidrocefalia , Neoplasias Infratentoriales , Meduloblastoma , Mutismo , Humanos , Niño , Masculino , Femenino , Neoplasias Cerebelosas/epidemiología , Neoplasias Cerebelosas/cirugía , Estudios de Cohortes , Mutismo/epidemiología , Mutismo/etiología , Complicaciones Posoperatorias/etiología , Enfermedades Cerebelosas/complicaciones , Meduloblastoma/epidemiología , Meduloblastoma/cirugía , Neoplasias Infratentoriales/epidemiología , Neoplasias Infratentoriales/cirugía , Hidrocefalia/epidemiología , Hidrocefalia/etiología , Hidrocefalia/cirugía
5.
Metab Brain Dis ; 38(7): 2393-2400, 2023 10.
Artículo en Inglés | MEDLINE | ID: mdl-37261631

RESUMEN

Medulloblastoma (MB) is one of the most common malignant childhood brain tumors (WHO grade IV). Its high degree of malignancy leads to an unsatisfactory prognosis, requiring more precise and personalized treatment in the near future. Multi-omics and artificial intelligence have been playing a significant role in precise medical research, but their implementation needs a large amount of clinical information and biomaterials. For these reasons, it is urgent for current MB researchers to establish a large sample-size database of MB that contains complete clinical data and sufficient biomaterials such as blood, cerebrospinal fluid (CSF), cancer tissue, and urine. Unfortunately, there are few biobanks of pediatric central nervous system (CNS) tumors throughout the world for limited specimens, scarce funds, different standards collecting methods and et cl. Even though, China falls behind western countries in this area. The present research set up a standard workflow to construct the Beijing Children's Hospital Medulloblastoma (BCH-MB) biobank. Clinical data from children with MB and for collecting and storing biomaterials, along with regular follow-up has been collected and recorded in this database. In the future, the BCH-MB biobank could make it possible to validate the promising biomarkers already identified, discover unrevealed MB biomarkers, develop novel therapies, and establish personalized prognostic models for children with MB upon the support of its sufficient data and biomaterials, laying the foundation for individualized therapies of children with MB.


Asunto(s)
Neoplasias Encefálicas , Neoplasias Cerebelosas , Meduloblastoma , Humanos , Niño , Meduloblastoma/diagnóstico , Meduloblastoma/terapia , Meduloblastoma/patología , Inteligencia Artificial , Neoplasias Cerebelosas/diagnóstico , Neoplasias Cerebelosas/patología , Neoplasias Cerebelosas/terapia , Pronóstico , Neoplasias Encefálicas/diagnóstico , Hospitales
6.
Childs Nerv Syst ; 39(2): 353-358, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36471063

RESUMEN

PURPOSE: Pineal anlage tumor is an extremely rare tumor which was considered as a subtype of pineovlatoma with an overall poor prognosis. This case-based review further summarize the clinical profile. METHODS: A patient with pineal anlage tumor was reported, her clinical data and gene analysis results were recorded. RESULTS: An 8-month-old girl, with an obvious enhancing pineal occupancy and obstructive hydrocephalus. Her histological and immunohistochemical findings contained rhabdomyoblastic, melanin pigment and cartilage island. The wholeexpme sequencing and genome-wide copy number variation sequencing were performed, no mutations associated with pineoblatoma as well as copy number variants were identified. In terms of treatment, our patient underwent subtotal resection without radiotherapy or chemotherapy, and the residual tumor enlarged 4 months after surgery. We have followed her up for 10 months, and the child is still alive. CONCLUSION: Surgery combined radiotherapy and chemotherapy is still the best treatment currently,and genetic testing for patients is necessary.


Asunto(s)
Neoplasias Encefálicas , Glándula Pineal , Pinealoma , Neoplasias Supratentoriales , Humanos , Niño , Femenino , Lactante , Neoplasias Encefálicas/cirugía , Variaciones en el Número de Copia de ADN , Pinealoma/patología , Glándula Pineal/cirugía , Neoplasias Supratentoriales/patología
7.
BMC Public Health ; 22(1): 481, 2022 03 11.
Artículo en Inglés | MEDLINE | ID: mdl-35277151

RESUMEN

BACKGROUND: Hypertension, trouble sleeping and depression, as three major public health problems, were closely related. This study evaluated the independent association of trouble sleeping and depression with hypertension and interaction effect between trouble sleeping and depression on hypertension in Americans. METHOD: The data of this cross-sectional study was from the 2005-2018 National Health and Nutritional Examination Survey (NHANES) with hypertension, depression, trouble sleeping and confounding factor information. Multivariate logistic regression model and subgroup analyses of depression severity were conducted to assess the relationship between trouble sleeping and depression on hypertension. Relative excess risk due to interaction (RERI), attributable proportion of interaction (AP) and synergy index (S) were utilized to assess the additive interaction. RESULTS: A total of 30,434 participants (weighted n = 185,309,883) were examined with 16,304 (49.37%) known hypertensive subjects. Compared with participants without trouble sleeping, those with trouble sleeping had a higher risk of hypertension [OR = 1.359 (95% CI: 1.229-1.503)]. We also found the significant association of depression with an increased risk of hypertension [OR = 1.276 (95% CI: 1.114-1.462)], compared with those without depression. Moreover, there was a significant interaction between trouble sleeping and depression on hypertension risk [RERI = 0.528 (95% CI: 0.182-0.873), AP = 0.302 (95% CI: 0.140-0.465), S = 3.413 (95% CI: 1.301-8.951)]. CONCLUSION: There was a synergistic interaction between trouble sleeping and depression on hypertension, especially the significant synergistic effect between moderate depression and trouble sleeping on hypertension. The results suggested that improving the psychological status and trouble sleeping of patients may be beneficial to the prevention and treatment of hypertension.


Asunto(s)
Hipertensión , Trastornos del Sueño-Vigilia , Estudios Transversales , Depresión/epidemiología , Humanos , Hipertensión/complicaciones , Hipertensión/epidemiología , Encuestas Nutricionales , Factores de Riesgo , Trastornos del Sueño-Vigilia/complicaciones
8.
J Biomech Eng ; 144(8)2022 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-35079769

RESUMEN

The status of peripheral arteries is known to be a key physiological indicator of the body's response to both acute and chronic medical conditions. In this paper, peripheral artery deformation is tracked by wearable photoplethysmograph (PPG) and piezo-electric (polyvinylidene difluoride, PVDF) sensors, under pressure-varying cuff. A simple mechanical model for the local artery and intervening tissue captures broad features present in the PPG and PVDF signals on multiple swine subjects, with respect to varying cuff pressure. These behaviors provide insight into the robustness of cardiovascular property identification by noninvasive wearable sensing. This is found to help refine noninvasive blood pressure measurements and estimation of systemic vascular resistance (SVR) using selected features of sensor amplitude versus applied pressure.


Asunto(s)
Fotopletismografía , Dispositivos Electrónicos Vestibles , Animales , Arterias , Hemodinámica , Humanos , Fotopletismografía/métodos , Porcinos , Resistencia Vascular
9.
J Nurs Manag ; 30(8): 3817-3826, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-36057432

RESUMEN

AIM: To explore the feasibility of applying artificial intelligence in nurse-patient interaction to assist nurses in grasping patient status and reducing their working hours. BACKGROUND: Artificial intelligence has been reshaping the health care industry and has immense potential in nursing care, but there is still a lack of suitable artificial intelligence methods to improve the efficiency of the nurse-patient interaction that takes much time of nurses. METHODS: An artificial intelligence-based intelligent surveillance system was developed to reduce nurses' working hours in nurse-patient interaction, and a two-wave follow-up design was adopted in this study. The data were collected in a nursing home in Guangzhou, China. The first and second waves of data were recorded in the same format on the same patients by the same nurses. The only difference is the deployment of artificial intelligence technology between the two waves of data. RESULTS: Artificial intelligence-based intelligent surveillance can provide statistical health data for nurses to grasp the patients' status more intuitively, reducing the average nurse-patient interaction time per patient from 18 to 10 min. In addition, artificial intelligence's real-time response to the abnormal health status of patients not only avoids more serious secondary injuries for patients but also prevents nurses from consuming energy in detecting emergencies. CONCLUSION: The application of artificial intelligence has great potential to reduce nurses' working hours in nurse-patient interaction. There are still many limitations in artificial intelligence technology at this stage, and it is not feasible to completely rely on artificial intelligence. However, as a tool to assist decision-making, it can still have beneficial impacts on nursing management. IMPLICATIONS FOR NURSING MANAGEMENT: Artificial intelligence has great potential in daily nurse-patient interaction, and nursing facility managers and nurses need to be more open to this new technology.


Asunto(s)
Enfermeras y Enfermeros , Atención de Enfermería , Humanos , Inteligencia Artificial , Relaciones Enfermero-Paciente , Estado de Salud
10.
Analyst ; 146(1): 213-221, 2021 Jan 04.
Artículo en Inglés | MEDLINE | ID: mdl-33099585

RESUMEN

Glucose sensors are vital devices for blood glucose detection in the diabetes care. Different from traditional electrochemical devices based on glucose oxidase, the glucose sensor based on the glucose-responsive hydrogel is more robust owing to its enzyme-free principle. However, integrating the high sensitivity, fast response, wide measuring range and low-cost fabrication into a hydrogel sensor is still challenging. In this study, we present a physical capacitive sensor, which consists of interdigital carbon electrodes (ICEs) fabricated by a direct laser writing technology and glucose-responsive hydrogel (DexG-Con A hydrogel) built by UV curing in situ. The dielectric property of DexG-Con A hydrogel changes accordingly with the change in environmental glucose concentration. Experimental results demonstrate that in a glucose concentration range of 0-30 mM, the proposed hydrogel sensor is capable of measuring the glucose level in a repeatable and reversible manner, showing a short responsive time of less than 2 min and a high sensitivity of 8.81 pF mM-1 at a glucose range of 0-6 mM. Owing to its simple fabrication process, low-cost and high performance, the proposed glucose sensor shows great potential on batch production for continuous glucose monitoring application.


Asunto(s)
Técnicas Biosensibles , Glucosa , Glucemia , Automonitorización de la Glucosa Sanguínea , Electrodos , Hidrogeles
11.
Fish Shellfish Immunol ; 115: 160-170, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34147614

RESUMEN

C-type lectins (CTL) are a large group of pattern-recognition proteins and to play important roles in glycoprotein metabolism, multicellular integration, and immunity. Based on their overall domain structure, they can be classified as different groups that possess different physiological functions. A typical C-type lectin (named as OmLec1) was identified from the fish, Onychostoma macrolepis, an important cultured fish in China. Open reading frame of OmLec1 contains a 570 bp, encoding a protein of 189 amino acids that includes a signal peptide and a single carbohydrate-recognition domain. The phylogenetic analysis showed that OmLec1 could be grouped with C-type lectin from other fish. OmLec1 was expressed in all the tissues in our study, and the expression level was highest in liver. And its relative expression levels were significantly upregulated following infection with Aeromonas hydrophila. The recombinant OmLec1 protein (rOmLec1) could agglutinate some Gram-negative bacteria and Gram-positive bacteria in vitro in the presence of Ca2+, showing a typical Ca2+-dependent carbohydrate-binding protein. Furthermore, rOmLec1 purified from E. coli BL21 (DE3), strongly bound to LPS and PGN, as well as all tested bacteria in a Ca2+-dependent manner. These results indicate that OmLec1 plays a central role in the innate immune response and as a pattern recognition receptor that recognizes diverse pathogens among O. macrolepis.


Asunto(s)
Cyprinidae/genética , Cyprinidae/inmunología , Enfermedades de los Peces/inmunología , Regulación de la Expresión Génica/inmunología , Inmunidad Innata/genética , Lectinas Tipo C/genética , Lectinas Tipo C/inmunología , Aeromonas hydrophila/fisiología , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Proteínas de Peces/química , Proteínas de Peces/genética , Proteínas de Peces/inmunología , Perfilación de la Expresión Génica/veterinaria , Infecciones por Bacterias Gramnegativas/inmunología , Infecciones por Bacterias Gramnegativas/veterinaria , Lectinas Tipo C/química , Filogenia , Alineación de Secuencia/veterinaria
12.
J Adv Nurs ; 77(12): 4733-4742, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34227131

RESUMEN

AIM: To investigate the relationships and pathways between dyadic coping, intimate relationship and post-traumatic growth (PTG) in Chinese patients with breast cancer. DESIGN: A cross-sectional study. METHODS: Between November 2019 and November 2020, 133 patients with breast cancer who received therapy in tertiary grade-A hospitals at Dalian, China completed questionnaires including demographic and clinical questionnaires, Locke-Wallace Marriage Adjustment Test, Chinese version of the Dyadic Coping Inventory and Chinese version of the Post-traumatic Growth Inventory. Structural equation modelling was used to analyse the pathways. RESULTS: Dyadic coping was positively interrelated with PTG and intimate relationship (r = .355, p < .01; r = .213, p < .05); intimate relationship was negatively interrelated with PTG (r = -.207, p < .05). The structural equation model demonstrated adequate fit. Dyadic coping and intimate relationship directly affected PTG (ß = .469, p < .05; ß = -.309, p < .05). Dyadic coping indirectly affected PTG through intimate relationship (ß = -.066, p < .05). CONCLUSIONS: Dyadic coping was a stimulus factor, but intimate relationship was an obstructive factor in enhancing PTG for the Chinese patients with breast cancer. Furthermore, intimate relationship may have significant mediating effects in the link between dyadic coping and PTG. Strategies that improve dyadic coping level and avoid excessive intimacy relationships between couples contribute to the development of PTG among patients with breast cancer. IMPACT: The research provides new ideas and intervention entry points for global nurses and psychotherapists so that they can enact and implement targeted PTG intervention plans for patients with breast cancer worldwide.


Asunto(s)
Neoplasias de la Mama , Crecimiento Psicológico Postraumático , Adaptación Psicológica , Estudios Transversales , Femenino , Humanos , Relaciones Interpersonales , Encuestas y Cuestionarios
13.
Sensors (Basel) ; 21(22)2021 Nov 19.
Artículo en Inglés | MEDLINE | ID: mdl-34833784

RESUMEN

The surface Electromyography (sEMG) signal contains information about movement intention generated by the human brain, and it is the most intuitive and common solution to control robots, orthotics, prosthetics and rehabilitation equipment. In recent years, gesture decoding based on sEMG signals has received a lot of research attention. In this paper, the effects of muscle fatigue, forearm angle and acquisition time on the accuracy of gesture decoding were researched. Taking 11 static gestures as samples, four specific muscles (i.e., superficial flexor digitorum (SFD), flexor carpi ulnaris (FCU), extensor carpi radialis longus (ECRL) and finger extensor (FE)) were selected to sample sEMG signals. Root Mean Square (RMS), Waveform Length (WL), Zero Crossing (ZC) and Slope Sign Change (SSC) were chosen as signal eigenvalues; Linear Discriminant Analysis (LDA) and Probabilistic Neural Network (PNN) were used to construct classification models, and finally, the decoding accuracies of the classification models were obtained under different influencing elements. The experimental results showed that the decoding accuracy of the classification model decreased by an average of 7%, 10%, and 13% considering muscle fatigue, forearm angle and acquisition time, respectively. Furthermore, the acquisition time had the biggest impact on decoding accuracy, with a maximum reduction of nearly 20%.


Asunto(s)
Antebrazo , Fatiga Muscular , Electromiografía , Gestos , Humanos , Músculo Esquelético
14.
Pediatr Neurosurg ; 54(5): 359-366, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31437843

RESUMEN

In clinical pediatric neurosurgery practice, fourth ventricle and cerebellar tumors are not rare. However, reports of secondary refractory hemifacial spasm are very rare. No report is currently available on the treatment of hemifacial spasm secondary to fourth ventricle and cerebellar tumors in China. Zamponi et al. [Childs Nerv Syst 2011 Jun;27(6):1001-5] reported that these lesions can occur in neonates and infants, and surgical resection is effective.


Asunto(s)
Neoplasias del Ventrículo Cerebral/cirugía , Cuarto Ventrículo/cirugía , Espasmo Hemifacial/cirugía , Trastornos de la Motilidad Ocular/cirugía , Neoplasias del Ventrículo Cerebral/complicaciones , Neoplasias del Ventrículo Cerebral/diagnóstico por imagen , Preescolar , Femenino , Cuarto Ventrículo/diagnóstico por imagen , Espasmo Hemifacial/diagnóstico por imagen , Espasmo Hemifacial/etiología , Humanos , Lactante , Masculino , Trastornos de la Motilidad Ocular/diagnóstico por imagen , Trastornos de la Motilidad Ocular/etiología
15.
Int J Surg ; 110(1): 490-506, 2024 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-37800587

RESUMEN

BACKGROUND: The application of neoadjuvant immune checkpoint inhibitors combined with chemotherapy (NICT) in treating locally advanced oesophageal squamous cell carcinoma (ESCC) is a subject of considerable research interest. In light of this, we undertook a comprehensive meta-analysis aiming to compare the efficacy and safety of this novel approach with conventional neoadjuvant chemotherapy (NCT) in the management of ESCC. METHODS: A systematic search was conducted in PubMed, Embase, Cochrane Library, and Web of Science to gather relevant literature on the efficacy and safety of NICT compared to conventional NCT in locally advanced ESCC published before June 2023. Effect indicators, including odds ratios (ORs) with associated 95% CIs, were employed to evaluate the safety and efficacy outcomes. The risk of bias was assessed using the Cochrane bias risk assessment tool, and s ubgroup analysis and sensitivity analysis were conducted to investigate the findings further. RESULTS: A total of nine studies qualified for the meta-analysis, all of which investigated the efficacy and safety of NICT compared to conventional NCT. The pooled rates of pathologic complete response and major pathologic response in the NICT group were significantly higher compared to the NCT group, with values of 26.9% versus 8.3% ( P <0.00001) and 48.1% versus 24.6% ( P <0.00001), respectively. The ORs for achieving pathologic complete response and major pathologic response were 4.24 (95% CI, 2.84-6.32, I 2 =14%) and 3.30 (95% CI, 2.31-4.71, I 2 =0%), respectively, indicating a significant advantage for the NICT group. Regarding safety outcomes, the pooled incidences of treatment-related adverse events and serious adverse events in the NICT group were 64.4% and 11.5%, respectively, compared to 73.8% and 9.3% in the NCT group. However, there were no significant differences observed between the two groups in terms of treatment-related adverse events (OR=0.67, 95% CI, 0.29-1.54, P =0.35, I 2 =58%) or serious adverse events (OR=1.28, 95% CI, 0.69-2.36, P =0.43, I 2 =0%). Furthermore, no significant differences were found between the NICT and NCT groups regarding R0 resection rates, anastomotic leakage, pulmonary infection, and postoperative hoarseness. CONCLUSIONS: Neoadjuvant immune checkpoint inhibitors combined with chemotherapy demonstrate efficacy and safety in treating resectable oesophageal squamous cell carcinoma. Nevertheless, additional randomized trials are required to confirm the optimal treatment regimen.


Asunto(s)
Neoplasias Esofágicas , Carcinoma de Células Escamosas de Esófago , Humanos , Terapia Neoadyuvante , Carcinoma de Células Escamosas de Esófago/tratamiento farmacológico , Carcinoma de Células Escamosas de Esófago/cirugía , Inhibidores de Puntos de Control Inmunológico/efectos adversos , Neoplasias Esofágicas/tratamiento farmacológico , Neoplasias Esofágicas/cirugía , Fuga Anastomótica , Respuesta Patológica Completa
16.
Front Oncol ; 14: 1279733, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38463231

RESUMEN

Objective: This study investigates the prognostic significance of inflammatory nutritional scores in patients with locally advanced esophageal squamous cell carcinoma (LA-ESCC) undergoing neoadjuvant chemoimmunotherapy. Methods: A total of 190 LA-ESCC patients were recruited from three medical centers across China. Pre-treatment laboratory tests were utilized to calculate inflammatory nutritional scores. LASSO regression and multivariate logistic regression analyses were conducted to pinpoint predictors of pathological response. Kaplan-Meier and Cox regression analyses were employed to assess disease-free survival (DFS) prognostic factors. Results: The cohort comprised 154 males (81.05%) and 36 females (18.95%), with a median age of 61.4 years. Pathological complete response (pCR) was achieved in 17.38% of patients, while 44.78% attained major pathological response (MPR). LASSO and multivariate logistic regression analyses identified that hemoglobin, albumin, lymphocyte, and platelet (HALP) (P=0.02) as an independent predictors of MPR in LA-ESCC patients receiving neoadjuvant chemoimmunotherapy. Kaplan-Meier and log-rank tests indicated that patients with low HALP, MPR, ypT1-2, ypN0 and, ypTNM I stages had prolonged DFS (P < 0.05). Furthermore, univariate and multivariate Cox regression analyses underscored HALP (P = 0.019) and ypT (P = 0.029) as independent predictive factors for DFS in ESCC. Conclusion: Our study suggests that LA-ESCC patients with lower pre-treatment HALP scores exhibit improved pathological response and reduced recurrence rate. As a comprehensive index of inflammatory nutritional status, pre-treatment HALP may be a reliable prognostic marker in ESCC patients undergoing neoadjuvant chemoimmunotherapy.

17.
BMJ Open ; 13(3): e064850, 2023 03 30.
Artículo en Inglés | MEDLINE | ID: mdl-36997256

RESUMEN

INTRODUCTION: Cancer-related fatigue (CRF) is one of the most common and debilitating side effects experienced by patients with breast cancer (BC) during postoperative chemotherapy. Family-involvement combined aerobic and resistance exercise has been introduced as a promising non-pharmacological intervention for CRF symptom relief and improving patients' muscle strength, exercise completion, family intimacy and adaptability and quality of life. However, evidence for the practice of home participation in combined aerobic and resistance exercise for the management of CRF in patients with BC is lacking. METHODS AND ANALYSIS: We present a protocol for a quasi-randomised controlled trial involving an 8-week intervention. Seventy patients with BC will be recruited from a tertiary care centre in China. Participants from the first oncology department will be assigned to the family-involvement combined aerobic and resistance exercise group (n=28), while participants from the second oncology department will be assigned to the control group that will receive standard exercise guidance (n=28). The primary outcome will be the Piper Fatigue Scale-Revised (R-PFS) score. The secondary outcomes will include muscle strength, exercise completion, family intimacy and adaptability and quality of life, which will be evaluated by the stand-up and sit-down chair test, grip test, exercise completion rate, Family Adaptability and Cohesion Scale, Second Edition-Chinese Version (FACESⅡ-CV) and Functional Assessment of Cancer Therapy -Breast (FACT-B) scale. Analysis of covariance will be applied for comparisons between groups, and paired t-tests will be used for comparison of data before and after exercise within a group. ETHICS AND DISSEMINATION: This study has been approved by the Ethics Committee of the First Affiliated Hospital of Dalian Medical University (PJ-KS-KY-2021-288). The results of this study will be published via peer-reviewed publications and presentations at conferences. TRAIL REGISTRATION NUMBER: ChiCTR2200055793.


Asunto(s)
Neoplasias de la Mama , Entrenamiento de Fuerza , Femenino , Humanos , Neoplasias de la Mama/complicaciones , Neoplasias de la Mama/tratamiento farmacológico , Neoplasias de la Mama/cirugía , Terapia por Ejercicio/métodos , Fatiga/etiología , Fatiga/terapia , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto , Apoyo Familiar
18.
J King Saud Univ Comput Inf Sci ; 35(5): 101558, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-37251782

RESUMEN

Efficient contact tracing is a crucial step in preventing the spread of COVID-19. However, the current methods rely heavily on manual investigation and truthful reporting by high-risk individuals. Mobile applications and Bluetooth-based contact tracing methods have also been adopted, but privacy concerns and reliance on personal data have limited their effectiveness. To address these challenges, in this paper, a geospatial big data method that combines person reidentification and geospatial information for contact tracing is proposed. The proposed real-time person reidentification model can identify individuals across multiple surveillance cameras, and the surveillance data is fused with geographic information and mapped onto a 3D geospatial model to track movement trajectories. After real-world verification, the proposed method achieves a first accuracy rate of 91.56%, a first-five accuracy rate of 97.70%, and a mean average precision of 78.03% with an inference speed of 13 ms per image. Importantly, the proposed method does not rely on personal information, mobile phones, or wearable devices, avoiding the limitations of existing contact tracing schemes and providing significant implications for public health in the post-COVID-19 era.

19.
Micromachines (Basel) ; 14(10)2023 Oct 22.
Artículo en Inglés | MEDLINE | ID: mdl-37893403

RESUMEN

In this paper, we propose a pneumatic double-joint soft actuator based on fiber winding and build a dexterous hand with 11 degrees of freedom. Firstly, soft actuator structural design is carried out according to the actuator driving principle and gives the specific manufacturing process. Then, an experimental analysis of the bending performance of a single soft actuator, including bending angle, speed, and force magnitude, is carried out by building a pneumatic control experimental platform. Finally, a series of dexterous robotic hand-grasping experiments is conducted. Different grasping methods are used to catch the objects and measure the objects' change in height, length, and rotation angle during the experiment. The results show that the proposed soft actuator is more consistent with the bending rule of human fingers, and that the gestures of the dexterous hand are more imaginable and flexible when grasping objects. The soft actuator can carry out horizontal and vertical movements, and rotation of the object in the dexterous hand, thus achieving better human-computer interaction.

20.
Sci Rep ; 13(1): 12363, 2023 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-37524835

RESUMEN

The typical textile dyeing process calls for a wide range of operational parameters, and it has always been difficult to pinpoint which of these qualities is the most important in dyeing performance. Consequently, this research used a combined design of experiments and machine learning prediction models' method to offer a sustainable and beneficial reactive cotton fabric dyeing process. To be more precise, we built a least square support vector regression (LSSVR) model based on Taguchi's statistical orthogonal design (L27) to predict exhaustion percentage (E%), fixation rate (F%), and total fixation efficiency (T%) and color strength (K/S) in the reactive cotton dyeing process. The model's prediction accuracy was assessed using many measures, including root mean square error (RMSE), mean absolute error (MAE), and the coefficient of determination (R2). Principal component regression (PCR), partial least square regression (PLSR), and fuzzy modelling were some of the other types of regression models used to compare results. Our findings reveal that the LSSVR model greatly outperformed competing models in predicting the E%, F%, T%, and K/S. This is shown by the LSSVR model's much smaller RMSE and MAE values. Overall, it provided the highest possible R2 values, which reached 0.9819.

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