RESUMEN
Hypersonic target detection based on infrared intensity characteristics is easily disturbed by sea surface and cloud flares when detected by space-based optical systems, which results in a low detection rate, high false alarm, and difficulty in stable detection. This paper explores a method to improve target detection performance based on the correlation of infrared radiation, multi-spectral and polarization. Firstly, the comprehensive factors that influence complex ambient illumination, atmospheric transmission, and clutter background on spectral-polarization characteristics of hypersonic targets are analyzed. Based on the global radiation scattering theory, the temperature distribution model of the hypersonic target is established by using FLUENT. The polarization emission and pBRDF model of the target is established, and the radiation polarization transfer model is generated. Secondly, the sea surface temperature distribution is obtained by inversion of Landsat8 remote sensing data. The radiation polarization transfer model of the sea surface is established based on the Cox-Munk model combined with pBRDF and the polarization emission model. Thirdly, the polarization scattering effect of atmospheric particles on the upward radiation of the interaction of the target with the sunlight is considered comprehensively, and the 6SV radiative transfer model is used to calculate the polarization effect of atmospheric particles on the upward radiation transmission of the target and the background. Then, combined with the point diffusion of the optical system and the photoelectric conversion of the detector, the multi-dimensional full-chain imaging prediction model of the hypersonic target-sea background-ambient atmosphere-optical system-detector is established. The imaging characteristics and detection performance of the target in different imaging dimensions are simulated and analyzed with the signal-to-clutter ratio (SCR). The research shows that in the direction of reflected sunlight from the sea surface, the sea surface glare is suppressed and the target is highlighted through a target detection method of multi-dimensional information. This method has better detection results than the infrared multi-spectral detection method.
RESUMEN
ETV6::ABL1 is a rare fusion gene that found in MPN, ALL, and AML. It has a complex and diverse formation mechanism due to the reciprocal orientations of the ETV6 and ABL1 genes relative to the centromeres. NPM1 is frequently mutated in adult AML, often accompanied by FLT3-ITD, which suggests molecular synergisms in AML pathogenesis. Previous reports on ETV6::ABL1 mostly focus on FLT3-ITD. In this study, we present a case of AML with ETV6::ABL1, along with NPM1 and FLT3-ITD. The patient showed a rapid increase in primitive cells at the initial stage, along with the presence of immature granulocytes and erythrocytes. Through cytogenetic analysis, fluorescence in situ hybridization (FISH), and RNA-seq, we elucidated the mechanism behind the formation of the ETV6::ABL1 fusion gene. Despite conventional chemotherapy failure and rapid tumor proliferation, we attempted to add FLT3 inhibitor sorafenib to the treatment, along with chemotherapy bridging to haploidentical transplantation. After haplo-HSCT, a combination of sorafenib and dasatinib was administered as maintenance therapy. The patient achieved complete remission (CR) and maintained it for 11 months. The intricate genetic landscape observed in this case presents diagnostic dilemmas and therapeutic challenges, emphasizing the importance of a comprehensive understanding of its implications for disease classification, risk stratification, and treatment selection.
RESUMEN
Parkinson's disease (PD), one of the most frequent neurodegenerative disorders, is characterized by the selective loss of dopaminergic neurons in the substantia nigra (SN). Genetic vulnerability, aging, environmental insults are believed to contribute to the pathogenesis of PD. However, the cellular and molecular mechanism of dopaminergic neurons degeneration remains incompletely understood. Dopamine (DA) metabolism is a cardinal physiological process in dopaminergic neurons, which is closely related to the loss of dopaminergic neurons in the SN. DA metabolism takes part in several pathological processes of PD neurodegeneration, such as iron metabolism disturbance, α-synuclein mis-folding, endoplasmic reticulum stress, protein degradation dysfunction, neuroinflammatory response, etc. In this review, we will describe altered DA metabolism and its contributions to PD pathogenesis.
Asunto(s)
Enfermedad de Parkinson , Dopamina , Neuronas Dopaminérgicas , Humanos , Enfermedad de Parkinson/etiología , Sustancia Negra , alfa-Sinucleína/genética , alfa-Sinucleína/metabolismoRESUMEN
Many studies have confirmed that overexpressed WT1 exists in leukemic cells, especially in AML. However, the immunophenotypic features of this sort of leukemic cells remain to be unclarified. We retrospectively analyzed the immunophenotype of 283 newly diagnosed AML patients with intermediated and poor cytogenetic risk to evaluate the correlation between phenotype and WT1 overexpression. EVI1 transcripts, KMT2A-PTD, FLT3-ITD, and NPM1 mutations were simultaneously assessed. Our results revealed that overexpressed WT1 was significantly associated with the expression of CD117, CD13, and CD123. Besides, leukemic cells with WT1 overexpression also lacked lymphoid and myeloid differentiation-related markers. FAB subtype M2 patients had higher WT1 levels, compared with other FAB subtype. Multivariate analysis was proved that NPM1 mutation, M2 subtype, and the expression of CD123 were independently associated with WT1 overexpression. These indicated that AML with overexpressed WT1 was proliferated and blocked in the early stage of AML development. It presumably provided some clues to detect overexpressed WT1 cells via multiparameter flow cytometry. CD123-targeted drugs might become one of the alternative treatments for patients with WT1 overexpression.
Asunto(s)
Regulación Leucémica de la Expresión Génica , Leucemia Mieloide Aguda/metabolismo , Proteínas WT1/biosíntesis , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Antígenos CD/biosíntesis , Antígenos CD/genética , Antígenos de Diferenciación/biosíntesis , Antígenos de Diferenciación/genética , Femenino , Humanos , Inmunofenotipificación , Leucemia Mieloide Aguda/genética , Leucemia Mieloide Aguda/patología , Masculino , Persona de Mediana Edad , Mutación , Proteínas Nucleares/biosíntesis , Proteínas Nucleares/genética , Nucleofosmina , Factores de Riesgo , Proteínas WT1/genéticaRESUMEN
Building a wide-area, high-efficiency, and accurate detection technology for air targets has become a new challenge for the construction of space situational awareness. Firstly, based on the space-based optical detection requirements for aircraft plume, the method of integrated modeling for sea/cloud background radiation characteristics based on coupling of remote sensing data and physical model is proposed, which can effectively deduce the background radiation field distribution under any environmental conditions. Specifically, combined with meteorological satellite sensor data, such as cloud top temperature, cloud type and cloud top height, three-dimensional atmospheric transmittance and atmospheric path thermal radiation texture are generated for different cloud heights and cloud phase conditions. Then, a coupled sea/cloud bidirectional reflectance model matched to the sampling of space-based detectors is established. Further, the accurate prediction model for multi-spectral imaging features of aircraft plume is built by considering the space-based full imaging chains including the complex coupling of aircraft plume, sea/cloud background, environmental atmosphere, optical system, and imaging detector. Finally, combined with the diffraction effect of the optical system, the multi-spectral imaging features of the aircraft plume are simulated under various spectral bands, flying heights, sea/cloud backgrounds, and detection angles, and the detection performances are analyzed and discussed by using the signal-to-clutter ratio (SCR). Research results show that the detection capability in the narrow band of 2.65-2.90µm and 4.25-4.50µm is better than the wide band of 3-5µm. When the aircraft flying height is greater than 5km, the aircraft plume can be detected in both narrow bands. It is more reliable to use the multispectral joint-band to detect aircraft plume in different backgrounds.
RESUMEN
Segmented Planar Imaging is an advanced technology for ultra-thin, high-resolution imaging with photonic integrated circuit (PIC). In this paper, a segmented planar imager with a novel hierarchical multistage sampling lens array is proposed, which can effectively improve the sampling of low and medium frequency information. Based on the novel lens array architecture, a full-chain signal level model of the segmented planar imaging system is established, considering the fill factor of lens array and the wavelength spacing of the arrayed waveguide grating in PICs. The simulation results show that the imaging quality of the segmented planar imaging system with the hierarchical multi-level sampling lens array is significantly improved, compared with the original segmented planar imaging system. Moreover, the error range and optimization options of some parameters are given based on the full-chain modeling. There is almost no influence on the system imaging results when the error of the lens array fill factor is within 5%. The imaging quality of the system is enhanced as the wavelength spacing of the arrayed waveguide grating is reduced, and arrayed waveguide grating with wavelength spacing of 10 nm is the optimal choice for the system. The results will be helpful for the optimal design of segmented planar integrated optical imaging systems.
RESUMEN
In view of the optical detection requirements of wide-area and continuous surveillance of air targets, the detection ability of an infrared imaging system in geostationary orbit for aircraft plumes is studied. The point spread model of the subpixel imaging of the full chain, including the aircraft plume, the sea surface, the environmental atmosphere, the optical system, and the imaging detector is established. The detection ability of the typical imaging system in geostationary orbit is analyzed from the signal-to-noise ratio (SNR) and the detection range in combination with the effect of the point spread function (PSF) of the optical system. Meanwhile, the optimal coupling condition of the PSF to the spatial resolution is discussed. The imaging characteristics of the aircraft target on the focal plane of the infrared imaging system under different spatial sampling rates are simulated and verified. Research shows that the SNR of the system first increases, and then decreases gradually with an increase of the spatial sampling rate. The detectable range covered by the pixel footprint decreases as the detector size increases. When the detector size is 15, 20, and 30 µm, the target can be detected with a spatial resolution of 200-700, 300-700, and 400-600 m, respectively.
RESUMEN
The imaging quality of an airborne infrared (IR) system is limited by the angular disturbance of the airborne platform. Based on the full-chain (IR scene-atmosphere-optical system-detector-airborne platform) signal transmission process, this study focused on the low-frequency sinusoidal angular disturbance features of the airborne platform and accurately calculated the point spread function caused by the angular disturbance and the IR imaging features when the IR system's different locations were dynamically simulated in a three-dimensional scene. First, the degradation mechanism of the IR imaging features resulting from the angular disturbance was analyzed from the viewpoint of scene radiation signal transmission and detector sampling. Then, the dynamic simulation in the three-dimensional scene resulting from the angular disturbance was realized by considering the geometric transformation of the spatial imaging, scale registration of the spatial sampling, radiation coupling, and angular disturbance caused by the airborne platform. Finally, the distances detected under different disturbance conditions were predicted using the established model. The obtained results provide data supporting the demonstration, verification, and optimization of the IR imaging system's design scheme.
RESUMEN
The accurate generation of infrared (IR) imaging features of subpixel targets plays a very important role in the demonstration, verification, and optimization of system design schemes as well as in research into detection algorithms for small targets in the development of remote IR early warning systems. Based on the generation mechanism of target full-link IR imaging features, this study theoretically considers target radiation characteristics, the working environment, and the spatial response and energy-conversion characteristics of IR sensors, and an accurate deduction model of IR imaging features of subpixel targets is proposed and established. First, the surface-radiation field distribution of the target and background are inverted based on the measured data and the model of radiation calibration; then, the accurate simulation of IR imaging features of subpixel targets is realized by considering the geometric transformation of the spatial imaging, the aperiodic transfer function, scale registration of spatial sampling, and radiation coupling. Finally, the accuracy of the proposed model is verified by using the outfield experiment data. The experimental results show that the IR imaging-diffusion features of subpixel targets with different duty cycles are in good agreement with the prediction results of the model. The results obtained provide data support for the demonstration, verification, and optimization of the system design scheme, as well as for research into detection algorithms of small targets in the development of remote IR early warning systems.
RESUMEN
In order to establish a more realistic radiation model of the sea surface, the effects of solar radiation, sky radiation, and atmospheric thermal radiation on sea surface radiation are taken into consideration, on the basis of which the infrared radiative transfer equation of the sea surface is deduced in this paper. A method for calculating the bidirectional reflection characteristics of the sea surface based on measured data is proposed according to the projection imaging of beam propagation. Based on the measurements of sea surface temperature, incident sky radiation, incident solar radiation, and radiance of sea crests at different times, the radiative transfer equation is used to retrieve the bidirectional reflectance of a midwave infrared sea surface. Meanwhile, the results of the method mentioned above are compared with the calculated results of Cox-Munk, Mermelstein, Wu, and Beckmann bidirectional reflection characteristics models. Research shows that the bidirectional reflectance at the wave crest of a sea surface increases gradually, when the solar incident zenith angle changes from 56.39° to 76.02° as well as the direction of observation remaining constant (θr=80.0°; Ïr=73.0°). The reflection ability at the wave crest of the sea surface is strongest when the incident direction of the sun is close to the observation direction, which is in accordance with the law of reflection. The Cox-Munk model and Wu model are closer to our values when the solar incidence zenith angle is small (θi≤65.93°). On the other hand, the calculated values of the Mermelstein and Wu models are closer to the values in this paper when the solar incidence zenith angle is large (θi≤65.93°). In general, the error of the Beckmann model is a little greater than that of the other three models.
RESUMEN
BACKGROUND: Ophiocordyceps sinensis, a worm and fungus combined mixture which Hirsutella sinensis is parasitic on the caterpillar body, has been used as a traditional medicine or healthy food in China for thousands of years. H. sinensis is reported as the only correct anamorph of O. sinensis and its main active ingredients are similar to the natural O. sinensis. RESULTS: H. sinensis L0106, asexual strain of O. sinensis, was isolated and identified in this study. Three transcriptomes of H. sinensis at different cultivation periods (growth period 3d, pre-stable period 6d and stable period 9d) were sequenced for the first time by RNA-Seq method, and 25,511 unigenes (3d), 25,214 unigenes (6d) and 16,245 unigenes (9d) were assembled and obtained, respectively. These unigenes of the three samples were further assembled into 20,822 unigenes (All), and 62.3 percent of unigenes (All) could be annotated based on protein databases. Subsequently, the genes and enzymes involved in the biosynthesis of the active ingredients according to the sequencing and annotation results were predicted. Based on the predictions, we further investigated the interaction of different pathway networks and the corresponding enzymes. Furthermore, the differentially expressed genes (DEGs) of H. sinensis grown during different developmental stages (3d-VS-6d, 3d-VS-9d and 6d-VS-9d) were globally detected and analyzed based on the data from RNA-Seq, and 764 DEGs between 3d and 6d, 1,869 DEGs between 3d and 9d, and 770 DEGs between 6d and 9d were found, respectively. CONCLUSIONS: This work presented here would aid in understanding and carrying out future studies on the genetic basis of H. sinensis and contribute to the further artificial production and application of this organism. This study provided a substantial contribution and basis to further characterize the gene expression profiles of H. sinensis in the metabolic pathways of active ingredients.
Asunto(s)
Hypocreales/genética , Redes y Vías Metabólicas/genética , Anotación de Secuencia Molecular , Transcriptoma/genética , Animales , Secuencia de Bases , China , Secuenciación de Nucleótidos de Alto Rendimiento , Hypocreales/crecimiento & desarrollo , Insectos/genética , Insectos/parasitología , Medicina Tradicional China , Datos de Secuencia Molecular , Análisis de Secuencia de ARNRESUMEN
Objectives: The FT4-to-FT3 ratio (FFR) variations in patients with subacute combined spinal cord degeneration (SCSD) as a potentially useful prognostic indicator are still unknown. This study aimed to investigate the changes of FFR as a potentially valuable prognostic predictor in patients with SCSD. Methods: This study included 144 consecutive SCSD patients who received standard diagnostic and therapeutic procedures between January 2015 and December 2021 and were admitted to the Department of Neurology at the First Affiliated Hospital of Bengbu Medical University. At the time of admission, we gathered data on all patients' demographics, daily routines, previous chronic conditions, medication histories, and other clinical details. For the purpose of measuring FFR, blood samples were specifically taken within 48 h of admission. The degree of neurological impairment of patients was assessed using the functional disability scale at the time of admission. At 6 months following discharge, the Modified Rankin Scale (mRS) was used to evaluate the clinical prognosis. To evaluate the relationship between the FFR and the risks of a poor outcome (mRS > 2), univariate and multivariate logistic regression analysis was utilized. The significance of the FT4/FT3 ratio in predicting the clinical outcomes in SCSD patients 6 months after discharge was assessed using the area under curve-receiver operating characteristic (AUC-ROC). Results: About 90 patients (62.5%) of the 144 patients had poor outcomes, while 54 (37.5%) had favorable outcomes. Higher FFR at admission was independently linked to higher odds of a poor outcome, according to a logistic analysis. With an optimized cutoff value of >2.843, the FFR exhibited the maximum accuracy for predicting a poor outcome, according to the AUCâROC curve (AUC 0.731, P < 0.001; sensitivity, 77.8%; specificity, 83.3%). FFR was identified as an independent predictor of poor outcomes by multivariate logistic regression (OR, 2.244; 95% CI, 1.74-2.90; P < 0.001). Conclusions: We discovered that in patients who had a bad result 6 months after discharge, the FFR had dramatically increased at the time of admission, providing a unique prognostic marker in patients with SCSD.
RESUMEN
BACKGROUND: AGEs accumulate in the skin as a result of a high-sugar diet and play an important role in the skin aging process. OBJECTIVES: The aim of this study was to characterize the mechanism underlying the effect of a high-sugar diet on skin aging damage at a holistic level. METHODS: We established a high-sugar diet mouse model to compare and analyze differences in physiological indexes. The effect of a high-sugar diet on skin aging damage was analyzed by means of a transcriptome study and staining of pathological sections. Furthermore, the differences in the protein expression of AGEs and ECM components between the HSD and control groups were further verified by immunohistochemistry. RESULTS: The skin in the HSD group mice tended toward a red, yellow, dark, and deep color. In addition, the epidermis was irregular with anomalous phenomena, the epidermis was thinned, and the dermis lost its normal structure and showed vacuolated changes. Transcriptomics results revealed significant downregulation of the ECM-receptor interaction pathway, significant upregulation of the expression of AGEs and significant downregulation of the expression levels of COLI, FN1, LM5, and TNC, among others ECM proteins and ECM receptors. CONCLUSIONS: High-sugar diets cause skin aging damage by inducing the accumulation of AGEs, disrupting the expression of ECM proteins and their receptors, and downregulating the ECM-receptor interaction pathway, which affects cellular behavioral functions such as cell proliferation, migration, and adhesion, as well as normal skin tissue structure.
Asunto(s)
Productos Finales de Glicación Avanzada , Envejecimiento de la Piel , Piel , Animales , Envejecimiento de la Piel/efectos de los fármacos , Envejecimiento de la Piel/fisiología , Ratones , Productos Finales de Glicación Avanzada/metabolismo , Productos Finales de Glicación Avanzada/efectos adversos , Piel/metabolismo , Piel/efectos de los fármacos , Piel/patología , Matriz Extracelular/metabolismo , Proteínas de la Matriz Extracelular/metabolismo , Proteínas de la Matriz Extracelular/genética , Masculino , Modelos Animales de Enfermedad , Receptores de Superficie Celular/metabolismo , Receptores de Superficie Celular/genética , TranscriptomaRESUMEN
Cocculus orbiculatus (L.) DC. (C. orbiculatus) is a medicinal herb valued for its dried roots with anti-inflammatory, analgesic, diuretic, and other therapeutic properties. Despite its traditional applications, chemical investigations into C. orbiculatus remain limited, focusing predominantly on alkaloids and flavonoids. Furthermore, the therapeutic use of C. orbiculatus predominantly focuses on the roots, leaving the stems, a significant portion of the plant, underutilized. This study employed ultra-high performance liquid chromatography quadrupole time-of-flight mass spectrometry (UHPLC-Q-TOF-MS/MS) with in-house and online databases for comprehensive identification of components in various plant parts. Subsequently, untargeted metabolomics was employed to analyze differences in components across different harvest periods and plant sections of C. orbiculatus, aiming to screen for distinct components in different parts of the plant. Finally, metabolomic analysis of the roots and stems, which contribute significantly to the plant's weight, was conducted using chemometrics, including principal component analysis (PCA), partial least squares discriminant analysis (PLS-DA), orthogonal partial least squares discriminant analysis (OPLS-DA), and heatmaps. A total of 113 components, including alkaloids, flavonoids, and organic acids, were annotated across the root, stem, leaf, flower, and fruit, along with numerous previously unreported compounds. Metabolomic analyses revealed substantial differences in components between the root and stem compared to the leaf, flower, and fruit during the same harvest period. PLS-DA and OPLS-DA annotated 10 differentiating components (VIP > 1.5, P < 0.05, FC > 2 or FC < 0.67), with 5 unique to the root and stem, exhibiting lower mass spectrometric responses. This study provided the first characterization of 113 chemical constituents in different parts of C. orbiculatus, laying the groundwork for pharmacological research and advocating for the enhanced utilization of its stem.
Asunto(s)
Metabolómica , Raíces de Plantas , Espectrometría de Masas en Tándem , Cromatografía Líquida de Alta Presión/métodos , Espectrometría de Masas en Tándem/métodos , Metabolómica/métodos , Raíces de Plantas/química , Flavonoides/análisis , Alcaloides/análisis , Alcaloides/química , Tallos de la Planta/química , Extractos Vegetales/química , Análisis de Componente PrincipalRESUMEN
Efficient capture of circulating tumor cells (CTCs) from cancer patients is an important technique that may promote early diagnosis and prognosis monitoring of cancer. However, the existing systems have certain disadvantages, such as poor selectivity, low capture efficiency, consumption of antibodies, and difficulty in release of CTCs for downstream analysis. Herein, we fabricated an innovative PEGylated boronate affinity cell imprinted polydimethylsiloxane (PBACIP) for highly efficient capture of CTCs from cancer patients. The antibody-free PBACIP possessed hierarchical structure of imprinted cavities, which were inlaid with boronic acid modified SiO2 nanoparticles (SiO2@BA), so it could specifically capture target CTCs from biological samples due to the synergistic effect of boronate affinity and cell imprinting. Furthermore, PEGylation was accurately completed in the non-imprinted region by the template cells occupying the imprinted cavity, which not only retained the microstructure of original imprinted cavities, but also endowed PBACIP with hydrophilicity. The artificial PBACIP could efficiently capture human breast-cancer cells from biological sample. When 5 to 500 SKBR3 cells were spiked in 1 mL mice lysed blood, the capture efficiency reached 86.7 ± 11.5% to 96.2 ± 2.3%. Most importantly, the PBACIP was successfully used to capture CTCs from blood of breast cancer patients, and the captured CTCs were released for subsequent gene mutation analysis. The PBACIP can efficiently capture and release CTCs for downstream analysis, which provides a universal strategy toward individualized anti-tumor comprehensive treatments and has great potential in the future cell-based clinical applications.
Asunto(s)
Técnicas Biosensibles , Células Neoplásicas Circulantes , Humanos , Ratones , Animales , Dióxido de Silicio , Ácidos Borónicos/química , AnticuerposRESUMEN
A new propaguliferous moss species, Pohliatibetana X.R.Wang & X.M.Shao (Mielichhoferiaceae), from Tibet, southwest China, is described. The new species differs most saliently from other species of Pohlia by its combination of slender plants, loosely attached leaves and axillary solitary, and dark red and flower-like gemmae. In this paper, the line drawings, photographs, habit of the new species are provided and a morphological comparison of it with the similar species is made.
RESUMEN
Purpose: To investigate the effect of 3-methyladenine (3-MA) and starvation on the expression of matrix metalloproteinase (MMP-2) in patients with primary open-angle glaucoma. Methods: Primary TM cells were cultured and divided into three groups. The control group was treated with a normal medium, the 3-MA group was stimulated with 3-MA, and the starvation group received nutrient depletion by replacing the normal media with Earle's balanced salt solution. Cellular mRNA and protein were measured at different 3-MA concentrations and starvation time periods. The level of autophagy was accessed by monodansylcadaverine fluorescent staining and expression of specific autophagy-related genes, light chain 3 (LC3), and Beclin1. The effects of 3-MA and starvation on cell proliferation were determined with a 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide assay kit. The mRNA and protein expression of LC3-II, Beclin1, and MMP-2 were measured by reverse transcription-polymerase chain reaction and western blot, respectively. Results: Compared to the control group, starvation significantly upregulated LC3-II and Beclin1 in TM cells after 3 h of stimulation, which peaked at 6 h and 9 h, respectively. Increased MDC-labeled cells were also observed. Starvation downregulated the expression of MMP-2. On the contrary, 3-MA suppressed the activation of autophagy, as shown by the marked downregulation of LC3-II and Beclin1. The expressions of MMP-2 were higher in the 3-MA group compared to the control group, reaching a peak at a concentration of 5 mM. Conclusion: Autophagy may be involved in the pathogenesis of POAG via regulating the expression of MMP-2 and, subsequently, the deposition of the extracellular matrix.
RESUMEN
Objective: This study aimed to investigate the effect of ropivacaine with dexmedetomidine or dexamethasone in a thoracic paravertebral nerve block (TPVB) combined with an erector spinae plane block (ESPB) for thoracoscopic lobectomy analgesia. Methods: A total of 97 patients undergoing thoracoscopic lobectomy under general anesthesia were enrolled in this study and randomly divided into three groups, ie, a ropivacaine group (Group R), a ropivacaine + dexmedetomidine group (Group R1), and a ropivacaine + dexamethasone group (Group R2). Ultrasound-guided TPVB combined with an erector spinae plane block was given after anesthesia induction. The following were applied to each group: Group R received 30 mL of 0.5% ropivacaine + 5 mL of a normal saline mixture; Group R1 received 30 mL of 0.5% ropivacaine + 5 mL of a 1 µg/kg dexmedetomidine mixture; Group R2 received 30 mL of 0.5% ropivacaine + 5 mL of an 8 mg dexamethasone mixture. The primary observation index was the time to the first postoperative remedial analgesia. The secondary observation indexes were the intraoperative consumption of propofol and sufentanil, time to waking from anesthesia, time to extubation, postoperative numerical rating scaltpe (NRS) score, postoperative sufentanil consumption, remedial analgesic dosage, and adverse reactions. Results: When compared with Group R, the time to first postoperative remedial analgesia was longer, the intraoperative and postoperative sufentanil consumption and flurbiprofen axetil remedial analgesic dose were lower, and the time to waking from anesthesia and time to extubation were shorter in groups R1 and R2 (P < 0.05). The NRS scores at 1, 6, 12, and 24 h postoperatively in groups R1 and R2 were lower than in Group R at the same time points (P < 0.05). Conclusion: Ropivacaine with dexmedetomidine or dexamethasone in TPVB combined with ESPB could prolong the time to first postoperative remedial analgesia, reduce perioperative sufentanil and postoperative remedial analgesic drug consumption, and decrease the postoperative NRS score in patients undergoing thoracoscopic lobectomy.
Asunto(s)
Analgesia , Dexmedetomidina , Bloqueo Nervioso , Anestesia General , Dexametasona , Humanos , Ropivacaína , SufentaniloRESUMEN
Objective: At present, there is no early prediction model of left ventricular reverse remodeling (LVRR) for people who are in cardiac arrest with an ejection fraction (EF) of ≤35% at first diagnosis; thus, the purpose of this article is to provide a supplement to existing research. Materials and methods: A total of 109 patients suffering from heart attack with an EF of ≤35% at first diagnosis were involved in this single-center research study. LVRR was defined as an absolute increase in left ventricular ejection fraction (LVEF) from ≥10% to a final value of >35%, with analysis features including demographic characteristics, diseases, biochemical data, echocardiography, and drug therapy. Extreme gradient boosting (XGBoost), random forest, and logistic regression algorithm models were used to distinguish between LVRR and non-LVRR cases and to obtain the most important features. Results: There were 47 cases (42%) of LVRR in patients suffering from heart failure with an EF of ≤35% at first diagnosis after optimal drug therapy. General statistical analysis and machine learning methods were combined to exclude a number of significant feature groups. The median duration of disease in the LVRR group was significantly lower than that in the non-LVRR group (7 vs. 48 months); the mean values of creatine kinase (CK) and MB isoenzyme of creatine kinase (CK-MB) in the LVRR group were lower than those in the non-LVRR group (80.11 vs. 94.23 U/L; 2.61 vs. 2.99 ng/ml; 27.19 vs. 28.54 mm). Moreover, AUC values for our feature combinations ranged from 97 to 94% and to 87% when using the XGBoost, random forest, and logistic regression techniques, respectively. The ablation test revealed that beats per minute (BPM) and disease duration had a greater impact on the model's ability to accurately forecast outcomes. Conclusion: Shorter disease duration, slightly lower CK and CK-MB levels, slightly smaller right and left ventricular and left atrial dimensions, and lower mean heart rates were found to be most strongly predictive of LVRR development (BPM).
RESUMEN
AIMS: Inhibitor of soluble epoxide hydrolase (t-AUCB) has been used in the experimental therapy of hypertension. This study aimed to investigate whether the secretion of submandibular glands (SMGs) altered in renal hypertensive rats, and to explore whether t-AUCB could improve the salivary secretion. MAIN METHODS: 2-kidney 1-clip Sprague-Dawley rats were used as renal hypertensive animals. t-AUCB treatment was given for 1 week after 8 weeks modeling. Blood pressure, blood perfusion and the secretion of SMGs, and endothelium-dependent relaxation of external maxillary artery were measured to investigate the effects of t-AUCB on the vascular tone and the secretion of SMGs in renal hypertensive rats. SMGs were collected for histological evaluation and the internal arteries were dissected for primary endothelial cells culture. KEY FINDINGS: The blood perfusion and flow rate of SMGs in the renal hypertensive rats were significantly lower than those in the controls. Endothelium-dependent relaxation of the external maxillary artery and AMPK/Akt/eNOS signaling was impaired in hypertensive rats. The glandular morphology and the concentration of salivary ions did not change obviously. t-AUCB treatment ameliorated the secretion of SMGs, the blood perfusion, and the dysfunction of endothelium-dependent relaxation of the external maxillary artery by activating the AMPK/Akt/eNOS pathway in hypertensive rats. SIGNIFICANCE: t-AUCB increases the blood perfusion through ameliorating dysfunction of endothelium-dependent relaxation of SMGs arteries and thus improves the hyposecretion of SMGs in hypertensive rats.