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1.
J Cell Mol Med ; 28(8): e18332, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38661644

RESUMEN

The role of KIAA0040 role in glioma development is not yet understood despite its connection to nervous system diseases. In this study, KIAA0040 expression levels were evaluated using qRT-PCR, WB and IHC, and functional assays were conducted to assess its impact on glioma progression, along with animal experiments. Moreover, WB was used to examine the impact of KIAA0040 on the JAK2/STAT3 signalling pathway. Our study found that KIAA0040 was increased in glioma and linked to tumour grade and poor clinical outcomes, serving as an independent prognostic factor. Functional assays showed that KIAA0040 enhances glioma growth, migration and invasion by activating the JAK2/STAT3 pathway. Of course, KIAA0040 enhances glioma growth by preventing tumour cell death and promoting cell cycle advancement. Our findings suggest that targeting KIAA0040 could be an effective treatment for glioma due to its role in promoting aggressive tumour behaviour and poor prognosis.


Asunto(s)
Movimiento Celular , Proliferación Celular , Regulación Neoplásica de la Expresión Génica , Glioma , Janus Quinasa 2 , Factor de Transcripción STAT3 , Transducción de Señal , Animales , Femenino , Humanos , Masculino , Ratones , Persona de Mediana Edad , Neoplasias Encefálicas/genética , Neoplasias Encefálicas/patología , Neoplasias Encefálicas/metabolismo , Línea Celular Tumoral , Movimiento Celular/genética , Proliferación Celular/genética , Glioma/genética , Glioma/patología , Glioma/metabolismo , Janus Quinasa 2/metabolismo , Janus Quinasa 2/genética , Ratones Desnudos , Pronóstico , ARN Largo no Codificante/genética , ARN Largo no Codificante/metabolismo , Factor de Transcripción STAT3/metabolismo , Factor de Transcripción STAT3/genética
2.
Biol Reprod ; 110(4): 808-818, 2024 Apr 11.
Artículo en Inglés | MEDLINE | ID: mdl-38169437

RESUMEN

The Yangtze finless porpoises (Neophocaena asiaeorientalis a.) are an endemic and critically endangered species in China. Intensive captive breeding is essential for understanding the biology of critically endangered species, especially their pregnancy characteristics, knowledge of which is crucial for effective breeding management. Urine metabolomics can reveal metabolic differences, arising from physiological changes across pregnancy stages. Therefore, we used the urinary metabolomic technology, to explore urinary metabolite changes in pregnant Yangtze finless porpoises. A total of 2281 metabolites were identified in all samples, which including organic acids and derivatives (24.45%), organoheterocyclic compounds (20.23%), benzenoids (18.05%), organic oxygen compounds (7.73%), and phenylpropanoids and polyketides (6.48%). There were 164, 387, and 522 metabolites demonstrating differential abundance during early pregnancy, mid pregnancy, and late pregnancy, respectively, from the levels observed in nonpregnancy. The levels of pregnenolone, 17α-hydroxyprogesterone, and tetrahydrocortisone were significantly higher during all pregnancy stages, indicating their important roles in fetal development. The differential metabolites between nonpregnancy and pregnancy were mainly associated with amino acid and carbohydrate metabolism. Moreover, metabolic activity varied across pregnancy stages; steroid hormone biosynthesis was predominant in early pregnancy, and amino acid biosynthesis and carbohydrate metabolism were predominant in mid pregnancy and late pregnancy, respectively. Our results provide new insights into metabolic characteristics in the Yangtze finless porpoises' urine during pregnancy, and indicate that the differential levels of urine metabolites can determine pregnancy in Yangtze finless porpoises, providing valuable information for the husbandry and management of pregnant Yangtze finless porpoises in captivity.


Asunto(s)
Marsopas , Animales , Femenino , Embarazo , Marsopas/fisiología , Especies en Peligro de Extinción , Metabolómica , China , Aminoácidos
3.
Opt Express ; 32(12): 20812-20822, 2024 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-38859452

RESUMEN

In the terahertz (THz) band, modulation research has become a focal point, with precise control of the phase shift of THz waves playing a pivotal role. In this study, we investigate the optical control of THz phase shift modulation in a polydimethylsiloxane (PDMS)-vanadium dioxide (VO2) flexible material using THz time-domain spectroscopy. Under the influence of an 808-nm continuous wave (CW) laser with power densities ranging from 0 to 2.74 W/cm2, the PDMS-VO2 flexible material exhibits significant phase shift modulation in the frequency range of 0.2 to 1.0 THz. The maximum optical-pumping phase shift reaches 0.27π rad at 1.0 THz in a composite material with a VO2 mass fraction of 5% and a thickness of 360 µm, and the amplitude transmittance from 0.2 THz to 1.0 THz exceeds 70%. Furthermore, the composite material exhibits good stability under at least 640 switching cycle times, as confirmed through repeatability tests. The proposed composite devices offer a new approach for more flexible phase shift modulation owing to the flexibility of the composite material and the non-contact and precise modulation of light control. Additionally, the stress-adjustable characteristics of flexible materials make them highly suitable for use in wearable THz modulators, highlighting their significant application potential.

4.
Mov Disord ; 39(3): 585-595, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38247265

RESUMEN

BACKGROUND: Clinical trials of new drugs for tic disorders (TD) often fail to yield positive results. Placebo and nocebo responses play a vital role in interpreting the outcomes of randomized controlled trials (RCTs), yet these responses in RCTs of TD remain unexplored. OBJECTIVE: The aim was to assess the magnitude of placebo and nocebo responses in RCTs of pharmacological interventions for TD and identify influencing factors. METHODS: A systematic search of the Embase, Medline, Cochrane Central Register of Controlled Trials, and PsycINFO databases was conducted. Eligible studies were RCTs that compared active pharmacological agents with placebos. Placebo response was defined as the change from baseline in TD symptom severity in the placebo group, and nocebo response as the proportion experiencing adverse events (AEs) in this group. Subgroup analysis and meta-regression were performed to explore modifying factors. RESULTS: Twenty-four trials involving 2222 participants were included in this study. A substantial placebo response in TD symptom severity was identified, with a pooled effect size of -0.79 (95% confidence interval [CI] -0.99 to -0.59; I2 = 67%). Forty-four percent (95% CI 27% to 63%; I2 = 92%) of patients experienced AEs while taking inert pills. Sample size, study design, and randomization ratio were correlated with changes in placebo and nocebo responses. CONCLUSION: There were considerable placebo and nocebo responses in TD clinical trials. These results are of great relevance for the design of future trials and for clinical practice in TD. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration ID CRD42023388397. © 2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.


Asunto(s)
Efecto Nocebo , Trastornos de Tic , Humanos , Efecto Placebo , Proyectos de Investigación , Trastornos de Tic/tratamiento farmacológico
5.
Int J Legal Med ; 138(2): 487-498, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37940721

RESUMEN

The medial clavicle epiphysis is a crucial indicator for bone age estimation (BAE) after hand maturation. This study aimed to develop machine learning (ML) and deep learning (DL) models for BAE based on medial clavicle CT images and evaluate the performance on normal and variant clavicles. This study retrospectively collected 1049 patients (mean± SD: 22.50±4.34 years) and split them into normal training and test sets, and variant training and test sets. An additional 53 variant clavicles were incorporated into the variant test set. The development stages of normal MCE were used to build a linear model and support vector machine (SVM) for BAE. The CT slices of MCE were automatically segmented and used to train DL models for automated BAE. Comparisons were performed by linear versus ML versus DL, and normal versus variant clavicles. Mean absolute error (MAE) and classification accuracy was the primary parameter of comparison. For BAE, the SVM had the best MAE of 1.73 years, followed by the commonly-used CNNs (1.77-1.93 years), the linear model (1.94 years), and the hybrid neural network CoAt Net (2.01 years). In DL models, SE Net 18 was the best-performing DL model with similar results to SVM in the normal test set and achieved an MAE of 2.08 years in the external variant test. For age classification, all the models exhibit superior performance in the classification of 18-, 20-, 21-, and 22-year thresholds with limited value in the 16-year threshold. Both ML and DL models produce desirable performance in BAE based on medial clavicle CT.


Asunto(s)
Aprendizaje Profundo , Humanos , Clavícula/diagnóstico por imagen , Estudios Retrospectivos , Determinación de la Edad por el Esqueleto/métodos , Aprendizaje Automático , Tomografía Computarizada por Rayos X/métodos
6.
Int J Legal Med ; 138(4): 1509-1521, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38332350

RESUMEN

Bone age assessment (BAA) is crucial in various fields, including legal proceedings, athletic competitions, and clinical medicine. However, the use of X-ray methods for age estimation without medical indication is subject to ethical debate, especially in forensic and athletic fields. The application of magnetic resonance imaging (MRI) with non-ionizing radiation can overcome this limitation in BAA. This study aimed to compare the application value of several MRI modalities of proximal humeral in BAA. A total of 468 patients with shoulder MRIs were retrospectively collected from a Chinese Han population aged 12-30 years (259 males and 209 females) for training and testing, including T1 weighted MRI (T1WI), T2 weighted MRI (T2WI), and Proton density weighted MRI (PDWI). Optimal regression models were established for age estimation, yielding mean absolute error (MAE) values below 2.0 years. The MAE values of T1WI were the lowest, with 1.700 years in males and 1.798 years in females. The area under the curve (AUC) and accuracy values of different MRI modalities of 16-year and 18-year thresholds were all around 0.9. For the 18-year threshold, T1WI outperformed T2WI and PDWI. In conclusion, the three MRI modalities of the proximal humerus can serve as reliable indicators for age assessment, while the T1WI performed better in age assessment and classification.


Asunto(s)
Determinación de la Edad por el Esqueleto , Epífisis , Húmero , Imagen por Resonancia Magnética , Humanos , Masculino , Femenino , Adolescente , Determinación de la Edad por el Esqueleto/métodos , Niño , Epífisis/diagnóstico por imagen , Epífisis/crecimiento & desarrollo , Adulto Joven , Adulto , Estudios Retrospectivos , Húmero/diagnóstico por imagen
7.
Int J Legal Med ; 138(3): 927-938, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38129687

RESUMEN

Bone age assessment (BAA) is a crucial task in clinical, forensic, and athletic fields. Since traditional age estimation methods are suffered from potential radiation damage, this study aimed to develop and evaluate a deep learning radiomics method based on multiparametric knee MRI for noninvasive and automatic BAA. This retrospective study enrolled 598 patients (age range,10.00-29.99 years) who underwent MR examinations of the knee joint (T1/T2*/PD-weighted imaging). Three-dimensional convolutional neural networks (3D CNNs) were trained to extract and fuse multimodal and multiscale MRI radiomic features for age estimation and compared to traditional machine learning models based on hand-crafted features. The age estimation error was greater in individuals aged 25-30 years; thus, this method may not be suitable for individuals over 25 years old. In the test set aged 10-25 years (n = 95), the 3D CNN (a fusion of T1WI, T2*WI, and PDWI) demonstrated the lowest mean absolute error of 1.32 ± 1.01 years, which is higher than that of other MRI modalities and the hand-crafted models. In the classification for 12-, 14-, 16-, and 18- year thresholds, accuracies and the areas under the ROC curves were all over 0.91 and 0.96, which is similar to the manual methods. Visualization of important features showed that 3D CNN estimated age by focusing on the epiphyseal plates. The deep learning radiomics method enables non-invasive and automated BAA from multimodal knee MR images. The use of 3D CNN and MRI-based radiomics has the potential to assist radiologists or medicolegists in age estimation.


Asunto(s)
Aprendizaje Profundo , Humanos , Niño , Adolescente , Adulto Joven , Adulto , Estudios Retrospectivos , Radiómica , Imagen por Resonancia Magnética/métodos , Articulación de la Rodilla/diagnóstico por imagen
8.
Int J Legal Med ; 138(3): 961-970, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38240839

RESUMEN

This study aimed to explore and develop data mining models for adult age estimation based on CT reconstruction images from the sternum. Maximum intensity projection (MIP) images of chest CT were retrospectively collected from a modern Chinese population, and data from 2700 patients (1349 males and 1351 females) aged 20 to 70 years were obtained. A staging technique within four indicators was applied. Several data mining models were established, and mean absolute error (MAE) was the primary comparison parameter. The intraobserver and interobserver agreement levels were good. Within internal validation, the optimal data mining model obtained the lowest MAE of 9.08 in males and 10.41 in females. For the external validation (N = 200), MAEs were 7.09 in males and 7.15 in females. In conclusion, the accuracy of our model for adult age estimation was among similar studies. MIP images of the sternum could be a potential age indicator. However, it should be combined with other indicators since the accuracy level is still unsatisfactory.


Asunto(s)
Esternón , Tomografía Computarizada por Rayos X , Adulto , Masculino , Femenino , Humanos , Estudios Retrospectivos , Tomografía Computarizada por Rayos X/métodos , Esternón/diagnóstico por imagen , Minería de Datos , China
9.
Nanotechnology ; 35(23)2024 Mar 18.
Artículo en Inglés | MEDLINE | ID: mdl-38430569

RESUMEN

Achieving highly efficient broadband absorption is an important research area in nanophotonics. In this paper, a novel method is proposed to design broadband near-perfect absorbers, consisting of a four-layer hemispherical concentric nanoshell array. The proposed nanostructure supports absorptivity exceeding 95% in the entire visible region, and the absorption bandwidth is determined by the interaction or 'hybridization' of the plasmons of the inner and outer metal-based nanoshells. Moreover, the designed absorber has wide-angle capability and is insensitive to polarization. The simple structure, as well as the stable absorption properties, suggests that such core-shell nanostructures can serve as a potential candidate for many applications such as solar energy harvesting, photo-detection, and emissivity control.

10.
Anal Bioanal Chem ; 416(12): 3073-3083, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38514583

RESUMEN

Diquat (DQ), paraquat (PQ), glufosinate (GLU), and glyphosate (GLYP) are commonly used herbicides that have been confirmed to be toxic to humans. Rapid and accurate measurements of these toxicants in clinical practice are beneficial for the correct diagnosis and timely treatment of herbicide-poisoned patients. The present study aimed to establish an efficient, convenient, and reliable method to achieve the simultaneous quantification of DQ, PQ, GLU, and GLYP in human plasma using liquid chromatography-tandem mass spectrometry (LC-MS/MS) without using derivatization or ion-pairing reagents. DQ, PQ, GLU, and GLYP were extracted by the rapid protein precipitation and liquid-liquid extraction method and then separated and detected by LC-MS/MS. Subsequently, linearity, limit of detection (LOD), limit of quantification (LOQ), precision, accuracy, extraction recovery, matrix effect, dilution integrity, and stability were evaluated to validate the method based on the FDA criteria. Finally, the validated method was applied to real plasma samples collected from 166 Chinese patients with herbicide poisoning. The results showed satisfactory linearity with low LOD (1 ng/mL for DQ and PQ, 5 ng/mL for GLU, and 10 ng/mL for GLYP, respectively) and low LOQ (5 ng/mL for DQ and PQ, 25 ng/mL for GLU and GLYP, respectively). In addition, the precision, accuracy, extraction recovery, and stability of the method were acceptable. The matrix effect was not observed in the analyzed samples. Moreover, the developed method was successfully applied to determine the target compounds in real plasma samples. These data provided reliable evidence for the application of this LC-MS/MS method for clinical poisoning detection.


Asunto(s)
Aminobutiratos , Diquat , Glicina , Glifosato , Herbicidas , Límite de Detección , Paraquat , Espectrometría de Masas en Tándem , Humanos , Espectrometría de Masas en Tándem/métodos , Glicina/análogos & derivados , Glicina/sangre , Aminobutiratos/sangre , Diquat/sangre , Diquat/envenenamiento , Paraquat/sangre , Paraquat/envenenamiento , Herbicidas/sangre , Herbicidas/envenenamiento , Cromatografía Liquida/métodos , Reproducibilidad de los Resultados
11.
Macromol Rapid Commun ; : e2400172, 2024 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-38627960

RESUMEN

Polymer memristors represent a highly promising avenue for the advancement of next-generation computing systems. However, the intrinsic structural heterogeneity characteristic of most polymers often results in organic polymer memristors displaying erratic resistive switching phenomena, which in turn lead to diminished production yields and compromised reliability. In this study, a 2D conjugated polymer, named PBDTT-BPQTPA, is synthesized by integrating the coplanar bis(thiophene)-4,8-dihydrobenzo[1,2-b:4,5-b]dithiophene (BDTT) as an electron-donating unit with a quinoxaline derivative serving as an electron-accepting unit. The incorporation of triphenylamine groups at the quinoxaline termini significantly enhances the polymer's conjugation and planarity, thereby facilitating more efficient charge transport. The fabricated polymer memristor with the structure of Al/PBDTT-BPQTPA/ITO exhibits typical non-volatile resistive switching behavior under high voltage conditions, along with history-dependent memristive properties at lower voltages. The unique memristive behavior of the device enables the simulation of synaptic enhancement/inhibition, learning algorithms, and memory operations. Additionally, the memristor demonstrates its capability for executing logical operations and handling decimal calculations. This study offers a promising and innovative approach for the development of artificial neuromorphic computing systems.

12.
Appl Opt ; 63(4): 1094-1104, 2024 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-38437408

RESUMEN

High-speed tracking technology has wide applications in the military and aerospace industry. However, existing approaches, such as camera arrays or Doppler radar systems, suffer from high cost and inconvenience. This paper reports a high-speed target tracking control system based on short-time rotational reflection imaging, specifically aimed at overcoming certain limitations. In the system we designed, a high-speed camera coupled with a rotating reflector is used to achieve reliable high-speed target tracking. This paper first introduces the working principle and mathematical model of the system, then analyzes the key technologies, including motor response delay time and rotational speed curve fitting, and, finally, verifies the feasibility of the system and the correctness of the theory based on a series of experiments. Experimental results demonstrated that our work is efficient and accurate in target tracking and image clarity. The developed system demonstrates significant potential for widespread use across military and aerospace sectors. Furthermore, the insights gained from our investigation into key technologies could act as a reference point for fellow researchers in related scientific areas.

13.
Appl Opt ; 63(11): 2981-2993, 2024 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-38856397

RESUMEN

The imaging quality of a rotational reflection high-speed tracking system is greatly affected by the optical characteristics of the reflector and the depth of field limitations of the imaging system, especially for tracking systems working in small distances. In order to improve the imaging quality, this paper focused on two factors that affect the imaging quality: double vision caused by the optical characteristics of reflectors and blurring caused by the depth of field of imaging systems. This paper quantified the impact of these two factors on imaging through theoretical analysis, proposed a method of changing the hardware position, and conducted a simulation and experiments. The results show that the proposed solution in this paper can effectively improve the imaging quality of the system. The content studied in this paper has certain significance in the field of high-speed tracking of rotating reflectors and can provide reference for relevant researchers.

14.
J Integr Neurosci ; 23(1): 20, 2024 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-38287844

RESUMEN

More than half of the patients with autism spectrum disorder (ASD) have gastrointestinal (GI) comorbidities, such as constipation, indigestion, abdominal pain, and diarrhea. Recent studies suggest prescribing probiotics and prebiotics in ASD could relieve GI disturbances and behavioral issues. This narrative review generalizes the research progress on probiotic and prebiotic therapies for ASD over the past 5 years and further discusses the underlying mechanisms of interaction between probiotics and prebiotics with ASD. Preliminary evidence has demonstrated the beneficial effects of probiotics and prebiotics on GI problems, autism-related behavioral disorders, and gut microbiome composition; the mechanism of probiotics and prebiotics in the treatment of ASD is mediated through inflammatory signaling pathways, metabolic pathways, neuronal signaling pathways, and the involvement of the vagus nerve. However, the results are inconclusive and mainly generated by animal experiments. Overall, the present review recommends further standardization of clinical studies to draw more robust evidence for prescribing probiotics and prebiotics in ASD.


Asunto(s)
Trastorno del Espectro Autista , Enfermedades Gastrointestinales , Microbioma Gastrointestinal , Probióticos , Animales , Humanos , Prebióticos , Trastorno del Espectro Autista/tratamiento farmacológico
15.
J Craniofac Surg ; 35(1): 59-62, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-37702526

RESUMEN

BACKGROUND: The application of the expanded forehead flap in nasal reconstruction has the advantage of being able to provide a sufficient amount of flap and can provide good aesthetic results. For an expanded forehead flap to survive, there must be adequate arterial supply and venous return. Despite this, limited studies have been conducted on preoperative vascular mapping and the design of the expanded forehead flap for nasal reconstruction. In this article, the authors present a technique of hand-held Doppler detection with light illumination for vascular mapping. PATIENTS AND METHODS: The study included patients who underwent total nasal reconstruction with expanded forehead flaps between May 2016 and April 2021. The design of the flap was based on the result of preoperative vascular detection by hand-held Doppler detection assisted by light illumination. RESULTS: A total of 32 patients underwent total nasal reconstruction with an expanded forehead flap. The distal part of the flap became necrotic 1 week after the surgery in 2 patients. Following dressing changes and the administration of antibiotics, the distal flap in these patients survived well. No complications were reported in the long term. CONCLUSIONS: Hand-held Doppler detection combined with light illumination is a convenient and effective preoperative design method for nasal reconstruction with an expanded forehead flap. All flaps survived well in the long term. LEVEL OF EVIDENCE: Level IV.


Asunto(s)
Iluminación , Rinoplastia , Humanos , Estética Dental , Colgajos Quirúrgicos/cirugía , Nariz/cirugía , Rinoplastia/métodos , Frente/diagnóstico por imagen , Frente/cirugía , Frente/irrigación sanguínea
16.
Facial Plast Surg ; 40(1): 61-67, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-37023772

RESUMEN

In addition to providing extra flap size, the tissue expansion process also brings changes in flap thickness. This study aims to identify the changes in the forehead flap thickness during the tissue expansion period. Patients undergoing forehead expander embedment from September 2021 to September 2022 were included. The thickness of the forehead skin and subcutaneous tissue were measured with ultrasound before and 1, 2, 3, and 4 months after expansion. Twelve patients were included. The average expansion period was 4.6 months, and the mean expansion volume was 657.1 mL. The thickness of skin and subcutaneous tissue in the central forehead changed from 1.09 ± 0.06 to 0.63 ± 0.05 mm and from 2.53 ± 0.25 to 0.71 ± 0.09 mm, respectively. In the left frontotemporal region, skin and subcutaneous tissue thickness changed from 1.03 ± 0.05 to 0.52 ± 0.05 mm and 2.02 ± 0.21 to 0.62 ± 0.08 mm. On the right side, skin and subcutaneous tissue thickness changed from 1.01 ± 0.05 to 0.50 ± 0.04 mm and 2.06 ± 0.21 to 0.50 ± 0.05 mm. This study measured the dynamic changes in the thickness of the forehead flap during expansion. The thickness of the forehead flap decreased the fastest in the first 2 months of expansion, and the changes in skin and subcutaneous thickness slowed down in the third and fourth months and tended to a minimum value. Additionally, the thickness of subcutaneous tissue decreased greater in magnitude than the dermal tissue.


Asunto(s)
Frente , Expansión de Tejido , Humanos , Frente/cirugía , Colgajos Quirúrgicos , Trasplante de Piel , Dispositivos de Expansión Tisular
17.
Facial Plast Surg ; 2024 Apr 22.
Artículo en Inglés | MEDLINE | ID: mdl-38547925

RESUMEN

Due to the prevalence of anterior maxilla dysplasia in Asian population, paranasal concavity is a common accompaniment to low nose, but its impact on facial harmonization is often underestimated. A retrospective comparative study was conducted on patients diagnosed as low nose with paranasal concavity between June 2017 and June 2021, with a total of 56 patients followed up successfully. The control and observation groups were established according to whether the paranasal augmentation was performed. Demographic data were collected. Cosmetic enhancement was quantitatively evaluated by sagittal planimetry, establishing related anatomical landmarks and measuring columella base prominence (CBP) and alar base prominence (ABP). Subjective evaluation concluded the patient-reported satisfaction (FACE-Q-Rhinoplasty Module and Facial Appearance Module) and the third-party physician assessment (Global Aesthetic Improvement Scale, GAIS).Significant improvements in CBP and ABP were reported both in the control and the observation group (p < 0.01). In postoperative intergroup comparisons, the observation group was superior to the control group regarding ABP values (2.5 ± 0.75 degrees, p < 0.01), FACE-Q-Facial scores (7.49 ± 3.70, p < 0.05), and GAIS scores (p < 0.05). However, no statistical difference was found in CBP values and FACE-Q-Rhinoplasty scores. Paranasal augmentation-related complications included asymmetry of alar bases (6.9%) and facial or intraoral foreign body sensation (34.5%). This study affirmed that paranasal augmentation using diced costal cartilage in rhinoplasty is a safe procedure effective in remedying paranasal concavity and improving facial satisfaction. LEVEL OF EVIDENCE:: IV.

18.
Aesthetic Plast Surg ; 2024 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-38653821

RESUMEN

BACKGROUND: Because of its unique advantages, frontal expansion has become a common tool for Asian nasal reconstruction, but it has the limitations of prolonging the duration and pain in the expansion area. Based on the fact that the denervation effect of botulinum toxin type A (BTX-A) has been widely used in the reconstruction of superficial organs, we hypothesized that BTX-A would shorten the length of nasal reconstruction sequence and alleviate the discomfort of patients. METHODS: A comparative retrospective study was conducted of consecutive patients underwent sequential treatment of nasal reconstruction between June 2010 and July 2012. Data on demographics, BTX-A injection plan and expansion duration were collected and analyzed. Phased pain intensity outcomes were evaluated by visual analogue scale (VAS). Photographs were collected during the follow-up period. RESULTS: Thirty patients were enrolled in the study; 15 (50%) with and 15 (50%) without BTX-A pre-injection. Demographic data were homogeneous. The duration of the observation group (BTX-A pretreated) (133.87 ± 13.64 days) was significantly shortened versus the control group (164.27 ± 14.08 days, P<0.001). At the initial stage, no significant difference was found in the VAS scores (P=0.64). At the medium stage, the VAS score of the observation group (2.07 ± 0.80) was significantly lower than the control group (3.00 ± 0.53, P<0.01). At the terminal stage, the VAS score of the observation group (1.93 ± 0.59) was significantly lower than the control group (2.73 ± 0.70) but with a narrower disparity. CONCLUSION: Pre-injection of BTX-A is effective in shortening the duration of the expansion phase, as well as relieving the pain associated with expansion. LEVEL OF EVIDENCE IV: The journal asks authors to assign a level of evidence to each article. For a complete description of Evidence-Based Medicine ratings, see the Table of Contents or the online Instructions for Authors at www.springer.com/00266 .

19.
Aesthetic Plast Surg ; 48(6): 1111-1117, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37438661

RESUMEN

BACKGROUND: There has been no previous study on the availability of different glucocorticoid varieties used in the multimodal cocktail for harvesting autologous costal cartilage. This randomized controlled trial (RCT) was to compare the significance and complications of betamethasone and triamcinolone acetonide as a component of the cocktail for harvesting costal cartilage in patients. MATERIALS AND METHODS: The patients were randomized to two groups. The group A used multimodal cocktail: ropivacaine, parecoxib sodium, epinephrine, and triamcinolone acetonide; group B used multimodal cocktail: ropivacaine, parecoxib sodium, epinephrine, and betamethasone. The primary outcomes were chest pain after surgery evaluated with a visual analog scale (VAS). The secondary outcomes evaluated the quality of recovery. The tertiary outcomes included rescue analgesic consumption, the first feeding time and the time to the first ambulation, and duration of hospital stay. RESULTS: The VAS scores between the two groups was not considered clinically significant, but the groups achieved a VAS score of 3 or less. However, the time until the first rescue analgesia and the number were significantly longer and smaller for group A. Additionally, there were no significant differences between the two groups in the duration of hospital stay, first feeding time, the quality of recovery, and the first ambulation time. CONCLUSION: Adding corticosteroids into the multimodal cocktails could improve pain relief after costal cartilage harvest. And the efficacy of Triamcinolone acetonide was better than betamethasone. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .


Asunto(s)
Cartílago Costal , Triamcinolona Acetonida , Humanos , Betametasona , Ropivacaína , Epinefrina , Dolor en el Pecho , Dolor Postoperatorio , Método Doble Ciego
20.
Fa Yi Xue Za Zhi ; 40(2): 112-117, 2024 Apr 25.
Artículo en Inglés, Zh | MEDLINE | ID: mdl-38847024

RESUMEN

Dental age estimation is a crucial aspect and one of the ways to accomplish forensic age estimation, and imaging technology is an important technique for dental age estimation. In recent years, some studies have preliminarily confirmed the feasibility of magnetic resonance imaging (MRI) in evaluating dental development, providing a new perspective and possibility for the evaluation of dental development, suggesting that MRI is expected to be a safer and more accurate tool for dental age estimation. However, further research is essential to verify its accuracy and feasibility. This article reviews the current state, challenges and limitations of MRI in dental development and age estimation, offering reference for the research of dental age assessment based on MRI technology.


Asunto(s)
Determinación de la Edad por los Dientes , Imagen por Resonancia Magnética , Diente , Humanos , Determinación de la Edad por los Dientes/métodos , Imagen por Resonancia Magnética/métodos , Diente/diagnóstico por imagen , Diente/crecimiento & desarrollo , Odontología Forense/métodos
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