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1.
FASEB J ; 38(2): e23401, 2024 01 31.
Artículo en Inglés | MEDLINE | ID: mdl-38236196

RESUMEN

Ferroptosis, a type of iron-catalyzed necrosis, is responsible for vascular smooth muscle cell (VSMC) death and serves as a potential therapeutic target for alleviating aortic aneurysm. Here, our study explored the underlying mechanism of ferroptosis affecting VSMC functions and the resultant formation of AAA using its inhibitor Ferrostatin-1 (Fer-1). Microarray-based gene expression profiling was employed to identify differentially expressed genes related to AAA and ferroptosis. An AAA model was established by angiotensin II (Ang II) induction in apolipoprotein E-knockout (ApoE-/- ) mice, followed by injection of Fer-1 and RSL-3 (ferroptosis inducer). Then, the role of Fer-1 and RSL-3 in the ferroptosis of VSMCs and AAA formation was analyzed in Ang II-induced mice. Primary mouse VSMCs were cultured in vitro and treated with Ang II, Fer-1, sh-SLC7A11, or sh-GPX4 to assess the effect of Fer-1 via the SLC7A11/GPX axis. Bioinformatics analysis revealed that GPX4 was involved in the fibrosis formation of AAA, and there was an interaction between SLC7A11 and GPX4. In vitro assays showed that Fer-1 alleviated Ang II-induced ferroptosis of VSMCs and retard the consequent AAA formation. The mechanism was associated with activation of the SLC7A11/GPX4 pathway. Silencing of SLC7A11 or GPX4 could inhibit the ameliorating effect of Fer-1 on the ferroptosis of VSMCs. In vivo animal studies further demonstrated that Fer-1 inhibited Ang II-induced ferroptosis and vessel wall structural abnormalities in AAA mouse through activation of the SLC7A11/GPX4 pathway. Fer-1 may prevent AAA formation through activation of the SLC7A11/GPX4 pathway.


Asunto(s)
Aneurisma de la Aorta Abdominal , Ferroptosis , Hormonas Peptídicas , Fenilendiaminas , Animales , Ratones , Músculo Liso Vascular , Aneurisma de la Aorta Abdominal/inducido químicamente , Aneurisma de la Aorta Abdominal/prevención & control , Ciclohexilaminas/farmacología , Angiotensina II/farmacología
2.
Cereb Cortex ; 33(19): 10303-10321, 2023 09 26.
Artículo en Inglés | MEDLINE | ID: mdl-37642602

RESUMEN

Impairments in spatial navigation in humans can be preclinical signs of Alzheimer's disease. Therefore, cognitive tests that monitor deficits in spatial memory play a crucial role in evaluating animal models with early stage Alzheimer's disease. While Chinese tree shrews (Tupaia belangeri) possess many features suitable for Alzheimer's disease modeling, behavioral tests for assessing spatial cognition in this species are lacking. Here, we established reward-based paradigms using the radial-arm maze and cheeseboard maze for tree shrews, and tested spatial memory in a group of 12 adult males in both tasks, along with a control water maze test, before and after bilateral lesions to the hippocampus, the brain region essential for spatial navigation. Tree shrews memorized target positions during training, and task performance improved gradually until reaching a plateau in all 3 mazes. However, spatial learning was compromised post-lesion in the 2 newly developed tasks, whereas memory retrieval was impaired in the water maze task. These results indicate that the cheeseboard task effectively detects impairments in spatial memory and holds potential for monitoring progressive cognitive decline in aged or genetically modified tree shrews that develop Alzheimer's disease-like symptoms. This study may facilitate the utilization of tree shrew models in Alzheimer's disease research.


Asunto(s)
Enfermedad de Alzheimer , Tupaia , Humanos , Masculino , Animales , Adulto , Anciano , Tupaiidae , Memoria Espacial , Musarañas , Aprendizaje por Laberinto , Modelos Animales de Enfermedad
3.
Cancer Cell Int ; 23(1): 6, 2023 Jan 16.
Artículo en Inglés | MEDLINE | ID: mdl-36647071

RESUMEN

BACKGROUND: Chemotherapy resistance is an important bottleneck affecting the efficacy of chemotherapy in colon cancer. Therefore, improving the chemotherapy sensitivity of colorectal cancer cells is of great significance for improving the prognosis of patients with colon cancer. METHODS: CCK-8 assay was employed to examine the cell viability of colorectal cancer cell lines. Realtime-PCR and western blot were used to explore toll-like receptor 4 (TLR4) expression in colorectal cancer cell lines. The functions of TLR4 in the stemness of the colorectal cancer cell lines were analyzed by infecting cells with lentivirus containing TLR4 siRNA. RESULTS: We found that aspirin could effectively enhance the chemosensitivity of CT26 and HCT116 colorectal cancer cell lines. Aspirin can also inhibit the stemness of colorectal cancer cell including inhibiting the number of clone formation and reducing the volume and number of cell spheres and inducing the down-regulation of stemness-related genes. Besides that, aspirin also lead to down-regulation of TLR4 expression in colorectal cancer cells. The TLR4 positive colorectal cancer cells demonstrated a higher chemotherapy resistance potential than TLR4 negative colorectal cancer cells. In addition, the stemness of TLR4 positive colorectal cancer cells is stronger than TLR4 negative colorectal cancer cells. CONCLUSION: The results of our study indicate that aspirin increases chemosensitivity of colorectal cancer cells and inhibits the expression of toll-like receptor 4.

4.
Mol Cell Biochem ; 478(3): 597-608, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35980563

RESUMEN

A list of microRNAs (miRs) has been referred to involve in the development of hypoxic-ischemic brain damage (HIBD). Based on that, we probed the concrete role of miR-214-3p regulating thioredoxin-interacting protein (TXNIP) in the illness. A neonatal HIBD mouse model was established using the Rice-Vannucci method, followed by measurements of miR-214-3p and TXNIP levels in brain tissues. After modeling, mice were given brain injection of the compounds that could alter miR-214-3p and TXNIP expression. Afterward, neurological function, neuronal inflammation, neuronal apoptosis, neuron morphology, and the number of Nissl body were assessed in HIBD mice. The binding of miR-214-3p to TXNIP was analyzed. Lower miR-214-3p and higher TXNIP were analyzed in brain tissues of mice with HIBD. Up-regulating miR-214-3p or depleting TXNIP improved neurological function, reduced neuronal inflammation and neuronal apoptosis, attenuated morphological damage of neurons, and increased the number of Nissl bodies in mice with HIBD. TXNIP was targeted by miR-214-3p and overexpressing TXNIP reversed the therapeutic effect of miR-214-3p on HIBD mice. It is noted that promotion of miR-214-3p relieves HIBD in mice through inhibiting TXNIP expression.


Asunto(s)
Hipoxia-Isquemia Encefálica , MicroARNs , Animales , Ratones , Hipoxia-Isquemia Encefálica/metabolismo , MicroARNs/metabolismo , Encéfalo/metabolismo , Apoptosis , Animales Recién Nacidos , Proteínas Portadoras/metabolismo , Tiorredoxinas/metabolismo
5.
Mol Breed ; 43(3): 18, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37313300

RESUMEN

As one of the three staple crops, nutritional traits in maize are important for human and animal nutrition. Grain quality-related traits are closely related to grain commercial value. Understanding the genetic basis of quality-related traits in maize would be helpful for breeding high-quality maize varieties. In this study, two association panels (AM122 and AM180) were subjected to genome-wide association analysis of grain quality-related traits, including protein content, oil content, starch content, and fiber content. In total, 98 SNPs (P < 1 × 10-4) were identified to be significantly associated with these four grain quality-related traits. By integrating two sets of public transcriptome data, 31 genes located in 200 kb regions flanking the associated SNP showed high expression during kernel development and were differentially expressed in two maize inbred lines, KA225 and KB035, with significantly different quality. These genes might regulate maize grain quality by participating in plant hormone processes, autophagy processes, and others. All these results could provide important reference information for breeding high­quality maize varieties. Supplementary Information: The online version contains supplementary material available at 10.1007/s11032-023-01360-w.

6.
Sensors (Basel) ; 23(10)2023 May 14.
Artículo en Inglés | MEDLINE | ID: mdl-37430664

RESUMEN

Human activity recognition (HAR) is becoming increasingly important, especially with the growing number of elderly people living at home. However, most sensors, such as cameras, do not perform well in low-light environments. To address this issue, we designed a HAR system that combines a camera and a millimeter wave radar, taking advantage of each sensor and a fusion algorithm to distinguish between confusing human activities and to improve accuracy in low-light settings. To extract the spatial and temporal features contained in the multisensor fusion data, we designed an improved CNN-LSTM model. In addition, three data fusion algorithms were studied and investigated. Compared to camera data in low-light environments, the fusion data significantly improved the HAR accuracy by at least 26.68%, 19.87%, and 21.92% under the data level fusion algorithm, feature level fusion algorithm, and decision level fusion algorithm, respectively. Moreover, the data level fusion algorithm also resulted in a reduction of the best misclassification rate to 2%~6%. These findings suggest that the proposed system has the potential to enhance the accuracy of HAR in low-light environments and to decrease human activity misclassification rates.


Asunto(s)
Algoritmos , Actividades Humanas , Anciano , Humanos , Radar , Reconocimiento en Psicología
7.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 48(2): 213-220, 2023 Feb 28.
Artículo en Inglés, Zh | MEDLINE | ID: mdl-36999468

RESUMEN

OBJECTIVES: Abdominal aortic aneurysm is a pathological condition in which the abdominal aorta is dilated beyond 3.0 cm. The surgical options include open surgical repair (OSR) and endovascular aneurysm repair (EVAR). Prediction of acute kidney injury (AKI) after OSR is helpful for decision-making during the postoperative phase. To find a more efficient method for making a prediction, this study aims to perform tests on the efficacy of different machine learning models. METHODS: Perioperative data of 80 OSR patients were retrospectively collected from January 2009 to December 2021 at Xiangya Hospital, Central South University. The vascular surgeon performed the surgical operation. Four commonly used machine learning classification models (logistic regression, linear kernel support vector machine, Gaussian kernel support vector machine, and random forest) were chosen to predict AKI. The efficacy of the models was validated by five-fold cross-validation. RESULTS: AKI was identified in 33 patients. Five-fold cross-validation showed that among the 4 classification models, random forest was the most precise model for predicting AKI, with an area under the curve of 0.90±0.12. CONCLUSIONS: Machine learning models can precisely predict AKI during early stages after surgery, which allows vascular surgeons to address complications earlier and may help improve the clinical outcomes of OSR.


Asunto(s)
Lesión Renal Aguda , Aneurisma de la Aorta Abdominal , Implantación de Prótesis Vascular , Procedimientos Endovasculares , Humanos , Aneurisma de la Aorta Abdominal/cirugía , Aneurisma de la Aorta Abdominal/complicaciones , Procedimientos Endovasculares/efectos adversos , Procedimientos Endovasculares/métodos , Estudios Retrospectivos , Implantación de Prótesis Vascular/efectos adversos , Lesión Renal Aguda/epidemiología , Lesión Renal Aguda/etiología , Aprendizaje Automático , Resultado del Tratamiento , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología , Factores de Riesgo
8.
Opt Express ; 30(13): 23463-23474, 2022 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-36225025

RESUMEN

The modulation of structural color through various methods has attracted considerable attention. Herein, a new modulation method for the structural colors in all-dielectric photonic crystals (PCs) using energetic ion beams is proposed. One type of periodic PC and two different defective PCs were experimentally investigated. Under carbon-ion irradiation, the color variation primarily originated from the blue shift of the optical spectra. The varying degrees of both the reflection and transmission structural colors mainly depended on the carbon-ion fluences. Such nanostructures are promising for tunable color filters and double-sided chromatic displays based on PCs.

9.
Nutr Cancer ; 74(1): 100-109, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-33629916

RESUMEN

To assess the correlation of body composition with the response and outcome of neoadjuvant treatment (NAT) in patients with pancreatic ductal adenocarcinoma (PDAC). One hundred and nineteen PDAC patients underwent curative resection after NAT. Computed tomography scans of the third lumbar vertebra were used to assess the body composition of these patients before and after NAT. Three distinct wasting phenotypes were identified during NAT, with 51 patients (42.9%) developing muscle and fat wasting (MFW), 17 patients (14.3%) developing fat-only wasting (FW), and 51 patients (42.9%) having no wasting (NW). The response rate was higher in the NW phenotype than in the MFW and FW phenotypes (P = 0.007). In univariate and multivariate analyses, histological grade, sarcopenia before NAT, and MFW during NAT were associated with decreased overall survival (OS). Sarcopenia before NAT and MFW during NAT were associated with decreased disease-free survival (DFS). Body composition was associated with the response and outcome of patients undergoing NAT for PDAC. The response rate was higher in patients having NW during NAT. Sarcopenia before NAT and MFW during NAT were associated with decreased OS and DFS.


Asunto(s)
Carcinoma Ductal Pancreático , Neoplasias Pancreáticas , Composición Corporal , Caquexia , Carcinoma Ductal Pancreático/tratamiento farmacológico , Humanos , Terapia Neoadyuvante , Neoplasias Pancreáticas/tratamiento farmacológico , Pronóstico , Estudios Retrospectivos
10.
BMC Gastroenterol ; 22(1): 351, 2022 Jul 24.
Artículo en Inglés | MEDLINE | ID: mdl-35871649

RESUMEN

BACKGROUND: Liver cancer is a severe public health problem worldwide, and it creates a relatively higher disease burden in China than in the Western world. Despite achieving notable progress in China, potential differences in some aspects of medical services for liver cancer may persist across different regions and hospitals. This warrants serious consideration of the actual status of and barriers to liver cancer treatment. We intended to explore the present status of and obstacles in liver cancer treatment especially for advanced-stage liver cancer. METHODS: In February 2021, a national multicenter cross-sectional study was conducted among 1500 doctors from 31 provinces of mainland China using a self-administered online questionnaire. Participants completed the questionnaire about their general information, perspectives on the current status of liver cancer treatment, and expectations for future treatment. Chi-square and logistic regression analyses were performed to explore the differences associated with the regions, doctors' professional ranks, and hospital levels. RESULTS: Treatment conditions, medications, and treatment strategies were inconsistent across different economic regions and hospital of different levels. With respect to obstacles in treatment, 76.6% of the doctors were unsatisfied with the current treatment for liver cancer. Important factors that influenced their satisfaction with the treatment for liver cancer included early diagnosis and the disclosure of true conditions to patients. CONCLUSIONS: There persists differences in the treatment of liver cancer in China, besides barriers to treatment. More attention should be paid to the detection and treatment of liver cancer and the propagation of novel progress among doctors in underdeveloped areas.


Asunto(s)
Neoplasias Hepáticas , Médicos , China , Estudios Transversales , Humanos , Neoplasias Hepáticas/terapia , Encuestas y Cuestionarios
11.
World J Surg ; 46(11): 2817-2824, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-35978157

RESUMEN

BACKGROUND: Anastomotic leakage is a serious complication in laparoscopic colorectal surgeries. To resolve this problem, a new stapling technology (Tri-staple) is developed. In this study, we aim to compare the short-term outcomes of Tri-staple versus Universal staple in laparoscopic anterior resection of rectal and distal sigmoid colonic cancer. METHODS: A total of 446 patients were admitted to our hospital and received laparoscopic anterior resection for rectal and distal sigmoid colonic cancer between January 2016 and December 2020. Among them, Tri-staples were used in 202 patients, and the Universal staples were used in 244 patients. Propensity score matching was performed, followed by a comparison between the two groups (Tri-staple vs. Universal staple) in the incidences of anastomotic leakage, bleeding, and reoperation. RESULTS: In total, 270 patients were included in this retrospective cohort study by the propensity score matching, with each group having 135 patients. Tri-staple group had a significant lower incidence of anastomotic leakage compared with the Universal staple group (4.44% vs. 11.11%, P < 0.05). The reoperation rate was also lower in Tri-staple group than the Universal staple group (3.70% vs. 8.15%, P < 0.05). The anastomotic bleeding rates, average postoperative hospital stay, average drain indwelling period, and average fasting period had no statistical differences between the two groups. CONCLUSION: The usage of Tri-staple in laparoscopic anterior resection of rectal and distal sigmoid colonic cancer is associated with lower postoperative complications compared with Universal staple. Future high-quality randomized controlled trials are needed to confirm our findings.


Asunto(s)
Laparoscopía , Neoplasias del Recto , Neoplasias del Colon Sigmoide , Anastomosis Quirúrgica/efectos adversos , Fuga Anastomótica/epidemiología , Fuga Anastomótica/etiología , Fuga Anastomótica/cirugía , Humanos , Laparoscopía/efectos adversos , Análisis por Apareamiento , Neoplasias del Recto/cirugía , Estudios Retrospectivos , Neoplasias del Colon Sigmoide/cirugía
12.
J Comput Assist Tomogr ; 46(1): 116-123, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35099143

RESUMEN

OBJECTIVE: This study aimed to investigate the value of contrast-enhanced 3-dimensional (3D) T2-weighted (T2W) Volume Isotropic Turbo Spin Echo Acquisition (VISTA) sequence in prolactin-secreting pituitary adenoma diagnosis. METHODS: We enrolled 158 patients with hyperprolactinemia. Coronal dynamic contrast-enhanced (DCE) T1 spin echo and T2W VISTA sequences were performed. The detection of pituitary microadenomas in 3 imaging groups (DCE magnetic resonance imaging [MRI], VISTA, and DCE MRI + VISTA) were compared using McNemar test and χ2 test. RESULTS: The DCE MRI + VISTA group detected 28 more pituitary microlesions than DCE MRI alone. Among these, 20 lesions were clearly observed on VISTA images but were negative on DCE MRI. The combined sequences showed higher sensitivity (85.3%) and diagnostic accuracy (89.2%) for adenoma detection than any of the sequences alone (P < 0.01). We noted that in 65.7% of the patients with adenoma (46 of 70), a "hypointense rim" was present around the lesion on the VISTA images. Of them, 11 patients underwent surgery. Histopathology confirmed that the "hypointense rim" was a pseudocapsular structure at the edge of the adenoma. CONCLUSIONS: For patients with hyperprolactinemia, the 3D T2W VISTA sequence is an important supplement to DCE MRI, because it could improve the detection rate of pituitary microadenomas.


Asunto(s)
Adenoma/diagnóstico por imagen , Interpretación de Imagen Asistida por Computador/métodos , Imagenología Tridimensional/métodos , Imagen por Resonancia Magnética/métodos , Neoplasias Hipofisarias/diagnóstico por imagen , Adenoma/complicaciones , Adenoma/patología , Adolescente , Adulto , Anciano , Femenino , Humanos , Hiperprolactinemia/etiología , Masculino , Persona de Mediana Edad , Hipófisis/diagnóstico por imagen , Hipófisis/patología , Neoplasias Hipofisarias/complicaciones , Neoplasias Hipofisarias/patología , Prolactina/sangre , Adulto Joven
13.
Sensors (Basel) ; 22(18)2022 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-36146102

RESUMEN

Fiber optic oxygen sensors based on fluorescence quenching play an important role in oxygen sensors. They have several advantages over other methods of oxygen sensing-they do not consume oxygen, have a short response time and are of high sensitivity. They are often used in special environments, such as hazardous environments and in vivo. In this paper, a new fiber optic oxygen sensor is introduced, which uses the all-phase fast Fourier transform (apFFT) algorithm, instead of the previous lock-in amplifier, for the phase detection of excitation light and fluorescence. The excitation and fluorescence frequency was 4 KHz, which was conducted between the oxygen-sensitive membrane and the photoelectric conversion module by the optical fiber and specially-designed optical path. The phase difference of the corresponding oxygen concentration was obtained by processing the corresponding electric signals of the excitation light and the fluorescence. At 0%, 5%, 15%, 21% and 50% oxygen concentrations, the experimental results showed that the apFFT had good linearity, precision and resolution-0.999°, 0.05° and 0.0001°, respectively-and the fiber optic oxygen sensor with apFFT had high stability. When the oxygen concentrations were 0%, 5%, 15%, 21% and 50%, the detection errors of the fiber optic oxygen sensor were 0.0447%, 0.1271%, 0.3801%, 1.3426% and 12.6316%, respectively. Therefore, the sensor that we designed has greater accuracy when measuring low oxygen concentrations, compared with high oxygen concentrations.


Asunto(s)
Tecnología de Fibra Óptica , Fibras Ópticas , Análisis de Fourier , Oxígeno , Espectrometría de Fluorescencia
14.
Molecules ; 27(22)2022 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-36431979

RESUMEN

In this study, a two-step method was used to realize the liquefaction of waste sawdust under atmospheric pressure, and to achieve a high liquefaction rate. Specifically, waste sawdust was pretreated with NaOH, followed by liquefaction using phenol. The relative optimum condition for alkali-heat pretreatment was a 1:1 mass ratio of NaOH to sawdust at 140 °C. The reaction parameters including the mass ratio of phenol to pretreated sawdust, liquefaction temperature, and liquefaction time were optimized by response surface methodology. The optimal conditions for phenol liquefaction of pretreated sawdust were a 4.21 mass ratio of phenol to sawdust, a liquefaction temperature of 173.58 °C, and a liquefaction time of 2.24 h, resulting in corresponding liquefied residues of 6.35%. The liquefaction rate reached 93.65%. Finally, scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FT-IR), and X-ray diffraction (XRD) were used to analyze untreated waste sawdust, pretreated sawdust, liquefied residues, and liquefied liquid. SEM results showed that the alkali-heat pretreatment and liquefaction reactions destroyed the intact, dense, and homogeneous sample structures. FT-IR results showed that liquefied residues contain aromatic compounds with different substituents, including mainly lignin and its derivatives, while the liquefied liquid contains a large number of aromatic phenolic compounds. XRD showed that alkali-heat pretreatment and phenol liquefaction destroyed most of the crystalline regions, greatly reduced the crystallinity and changed the crystal type of cellulose in the sawdust.


Asunto(s)
Fenol , Fenoles , Hidróxido de Sodio , Espectroscopía Infrarroja por Transformada de Fourier , Álcalis
15.
Opt Express ; 29(20): 31915-31923, 2021 Sep 27.
Artículo en Inglés | MEDLINE | ID: mdl-34615273

RESUMEN

We theoretically and experimentally investigate the angle-dependent omnidirectional photonic bandgap (PBG) in one-dimensional photonic crystals (PCs) comprising hyperbolic metamaterials (HMMs) for TM polarization, which is different from blue-shifted PBG in conventional all-dielectric photonic crystals. The frequency range of PBG increases when the incident angles increase, owing to the red-shift and blue-shift of the long-wavelength and short-wavelength band edges, respectively. The red-shifted band edge originates from the phase-variation compensation mechanism between the HMMs and dielectric material. The experimental values are in good agreement with the simulation results. These nanostructures are ideal for fabricating photonic devices such as omnidirectional reflectors.

16.
Anesth Analg ; 131(6): 1864-1871, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-31990730

RESUMEN

BACKGROUND: Postoperative sore throat (POST) is not uncommon after general anesthesia with a supraglottic airway (SGA) device. Although it was reported that some pharmacological and nonpharmacological measures can reduce POST, because of limitations and variable success rates, we need to find a simpler and more effective way to alleviate POST. METHODS: This prospective, observer-blinded, randomized controlled study enrolled 140 patients who required general anesthesia administered via a streamlined liner of the pharyngeal airway (SLIPA) for <60 minutes. They were randomly divided into the gum (group G, n = 70) and control (group C, n = 70) groups. Before the induction of general anesthesia for 5-10 minutes, the patients in group G chewed gum for 2 minutes. Group C was asked to swallow twice without any additional treatment. A standard anesthesia protocol was followed. The incidence and severity of sore throat were assessed up to 24 hours postoperatively. The primary outcome was the incidence of POST numerical rating scale (NRS) scores >3 within 24 hours after surgery, and the secondary outcomes included the POST (NRS) scores 2, 6, and 24 hours after the surgery. RESULTS: The incidence of moderate/severe POST (NRS >3) within 24 hours after surgery was significantly lower in group G (10.1%, 7/69) than in group C (40.6%, 28/69) (odds ratio 0.386, 95% confidence interval [CI], 0.153-0.976; P = .044). The median (interquartile range [range]) scores at 2, 6, and 24 hours after anesthesia in group G were lower than those in the control group at the same times (2 hours: 0 [0-3 {0-4}] vs 3 [0-3 {0-6}], P = .048; 6 hours: 0 [0-3 {0-6}] vs 2 [0-4 {0-6}], P = .048; 24 hours: 0 [0-1 {0-7}] vs 0 [0-2 {0-6}]; P = .011). There were 14 patients (20.3%, 14/69) in group G who had blood stains on the SGA device, which was significantly lower than the number in group C (37.7%, 26/69) (P = .024). In patients with bloody SGA devices, the incidence of POST scores >3 was significantly lower in group G (14.3%, 2/14) than in group C (73.1%, 19/26) (P < .001), while there was no significant difference between the 2 groups in the incidence of POST score >3 in patients without bloody SGA devices (group G: 9.1%, 5/55; group C: 20.9%, 9/43; P = .145). CONCLUSIONS: Chewing gum before surgery can effectively reduce POST with a SGA device for hysteroscopic surgery, especially in patients with pharyngeal mucosal injury.


Asunto(s)
Anestesia General/efectos adversos , Goma de Mascar , Intubación Intratraqueal/efectos adversos , Faringitis/prevención & control , Complicaciones Posoperatorias/prevención & control , Adulto , Anestesia General/tendencias , Femenino , Humanos , Intubación Intratraqueal/tendencias , Masculino , Persona de Mediana Edad , Faringitis/etiología , Complicaciones Posoperatorias/etiología , Estudios Prospectivos , Método Simple Ciego , Resultado del Tratamiento
17.
Ann Surg Oncol ; 26(6): 1649-1656, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30924017

RESUMEN

BACKGROUND: Metastatic lesion to the pancreas accounts for approximately 2% of pancreatic neoplasms. There is no prospective, randomized or case-controlled study evaluating the role of pancreatic metastasectomy. METHODS: The PubMed, EMBASE, and Cochrane Library electronic databases were searched for studies published between January 1, 2001 and December 31, 2017. Studies with five or more patients who received pancreatic metastasectomy and data from our institution (29 patients) were included. The Kaplan-Meier method was used for survival analysis. RESULTS: A total of 414 patients from 20 institutions who underwent pancreatic resections were included. Of the reported 31 kinds of primary neoplasms, renal-cell carcinoma (RCC) comprised the most (54.3%). At the time of diagnosis, although 40.3% patients were asymptomatic, abdominal pain (34.8%) and jaundice (20.6%) were relatively common. As for surgical type, pancreatoduodenectomy, total pancreatectomy, distal pancreatectomy, and enucleation took up 37.9%, 11.4%, 43.5%, and 7.2% respectively. The mortality and morbidity rates were 1.4% and 48.3% respectively. Patients with symptoms at the time of diagnosis had significantly shorter survival compared with asymptomatic patients (p = 0.017). Those with RCC as primary tumor had significantly longer survival compared with non-RCC patients (p < 0.001). Positive margin also predicts worse prognosis (p = 0.035). CONCLUSIONS: Pancreatic metastasectomy is safe and associated with acceptable short- and intermediate-term results. In the conditions of RCC as the primary tumor, being asymptomatic, or negative resection margin, a better prognosis after resection can be achieved.


Asunto(s)
Metastasectomía/mortalidad , Neoplasias Pancreáticas/cirugía , Humanos , Metástasis de la Neoplasia , Neoplasias Pancreáticas/patología , Pronóstico , Tasa de Supervivencia
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