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1.
Artículo en Inglés | MEDLINE | ID: mdl-38923482

RESUMEN

Time series anomaly detection is the process of identifying anomalies within time series data. The primary challenge of this task lies in the necessity for the model to comprehend the characteristics of time-independent and abnormal data patterns. In this study, a novel algorithm called adaptive memory broad learning system (AdaMemBLS) is proposed for time series anomaly detection. This algorithm leverages the rapid inference capabilities of the broad learning algorithm and the memory bank's capacity to differentiate between normal and abnormal data. Furthermore, an incremental algorithm based on multiple data augmentation techniques is introduced and applied to multiple ensemble learners, thereby enhancing the model's effectiveness in learning the characteristics of time series data. To bolster the model's anomaly detection capabilities, a more diverse ensemble approach and a discriminative anomaly score are recommended. Extensive experiments conducted on various real-world datasets demonstrate that the proposed method exhibits superior inference speed and more accurate anomaly detection compared to the existing competitors. A detailed experimental investigation is presented to elucidate the effectiveness of the proposed method and the underlying reasons for its efficacy.

2.
Neural Netw ; 178: 106436, 2024 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-38908165

RESUMEN

Incremental learning algorithms have been developed as an efficient solution for fast remodeling in Broad Learning Systems (BLS) without a retraining process. Even though the structure and performance of broad learning are gradually showing superiority, private data leakage in broad learning systems is still a problem that needs to be solved. Recently, Multiparty Secure Broad Learning System (MSBLS) is proposed to allow two clients to participate training. However, privacy-preserving broad learning across multiple clients has received limited attention. In this paper, we propose a Self-Balancing Incremental Broad Learning System (SIBLS) with privacy protection by considering the effect of different data sample sizes from clients, which allows multiple clients to be involved in the incremental learning. Specifically, we design a client selection strategy to select two clients in each round by reducing the gap in the number of data samples in the incremental updating process. To ensure the security under the participation of multiple clients, we introduce a mediator in the data encryption and feature mapping process. Three classical datasets are used to validate the effectiveness of our proposed SIBLS, including MNIST, Fashion and NORB datasets. Experimental results show that our proposed SIBLS can have comparable performance with MSBLS while achieving better performance than federated learning in terms of accuracy and running time.

3.
Opt Express ; 32(12): 21304-21326, 2024 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-38859488

RESUMEN

Precious metal doping can effectively improves the catalytic performance of TiO2. In this study, pulsed laser ablation in liquid (PLAL) is employed to integrate preparation with doping and control composite nanoparticle products by adjusting the laser action time to synthesise Ag-TiO2 composite nanoparticles with high catalytic performance. The generation and evolution of Ag-TiO2 nanoparticles are investigated by analysing particle size, microscopic morphology, crystalline phase, and other characteristics. The generation and doped-morphology evolution of composite nanoparticles are simulated based on thermodynamics, and the optimisation of Ag-doped structure on the composite nanomaterials is investigated based on density functional theory. The effect of Ag-TiO2 structural properties on its performance is examined under different catalytic conditions to determine optimal degradation conditions. In this study, the effect of laser ablation time on the doped structure during PLAL is analysed, which is of further research significance in exploring the structural evolution law of laser and composite nanoparticles, multi-variate catalytic performance testing, reduction of photogenerated carrier complexation rate, and expansion of its spectral absorption range, thereby providing the basis for practical production.

4.
J Biomed Res ; 37(5): 394-400, 2023 Sep 28.
Artículo en Inglés | MEDLINE | ID: mdl-37750309

RESUMEN

The current study aims to ascertain the anatomical feasibility of transferring the contralateral S1 ventral root (VR) to the ipsilateral L5 VR for treating unilateral spastic lower limb paralysis. Six formalin-fixed (three males and three females) cadavers were used. The VR of the contralateral S1 was transferred to the VR of the ipsilateral L5. The sural nerve was selected as a bridge between the donor and recipient nerve. The number of axons, the cross-sectional areas and the pertinent distances between the donor and recipient nerves were measured. The extradural S1 VR and L5 VR could be separated based on anatomical markers of the dorsal root ganglion. The gross distance between the S1 nerve root and L5 nerve root was 31.31 (± 3.23) mm in the six cadavers, while that on the diffusion tensor imaging was 47.51 (± 3.23) mm in 60 patients without spinal diseases, and both distances were seperately greater than that between the outlet of S1 from the spinal cord and the ganglion. The numbers of axons in the S1 VRs and L5 VRs were 13414.20 (± 2890.30) and 10613.20 (± 2135.58), respectively. The cross-sectional areas of the S1 VR and L5 VR were 1.68 (± 0.26) mm 2 and 1.08 (± 0.26) mm 2, respectively. In conclusion, transfer of the contralateral S1 VR to the ipsilateral L5 VR may be an anatomically feasible treatment option for unilateral spastic lower limb paralysis.

5.
Spine (Phila Pa 1976) ; 47(17): 1248-1252, 2022 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-35867634

RESUMEN

STUDY DESIGN: A total of 6 formalin-fixed cadavers were included in the cadaver feasibility study. OBJECTIVE: The aim was to ascertain the anatomical feasibility of extradural contralateral C7 ventral root transfer technique by cervical posterior. SUMMARY OF BACKGROUND DATA: Upper limb spastic hemiplegia is a common sequela after stroke. In our previous study, the authors established a method by transferring contralateral C7 dorsal and ventral roots to the corresponding C7 dorsal and ventral roots on the affected side in the cervical posterior. METHODS: In the present study, six formalin-fixed cadavers were dissected to confirm the anatomical feasibility. Experimental anastomosis in cadavers was conducted. The pertinent lengths of the extradural nerve roots were measured. The tissue structures surrounding regions between the extradural CC7 nerve roots and the vertebral artery were observed. The cervical magnetic resonance imaging scans of 60 adults were used to measure the distance between the donor and recipient nerves. RESULTS: Experimental anastomosis showed that the distance between the donor and recipient nerves was approximately 1 cm; the short segment of the sural nerve needed bridging. The distance between both exit sites of the exit of the extradural dura mater was 33.57±1.55 mm. The length of the extradural CC7 ventral root was 22.00±0.98 mm. The ventral distance (vd) and the dorsal distance (dd) in males were 23.98±1.72 mm and 30.85±2.22 mm ( P <0.05), while those in females were 23.28±1.51 mm and 30.03±2.16 mm, respectively. C7 vertebral transverse process, ligaments, and other soft tissues were observed between the vertebral artery and the extradural C7 nerve root. CONCLUSION: Under the premise of less trauma, our study shows that the extradural contralateral C7 ventral root transfer technique, in theory, yields better surgical results, including better recovery of motor function and complete preservation of sensory function. LEVEL OF EVIDENCE: 5.


Asunto(s)
Hemiplejía , Raíces Nerviosas Espinales , Adulto , Cadáver , Estudios de Factibilidad , Femenino , Formaldehído , Hemiplejía/cirugía , Humanos , Masculino , Raíces Nerviosas Espinales/cirugía , Extremidad Superior
6.
Front Neurorobot ; 16: 827913, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35295673

RESUMEN

The imbalance problem is widespread in real-world applications. When training a classifier on the imbalance datasets, the classifier is hard to learn an appropriate decision boundary, which causes unsatisfying classification performance. To deal with the imbalance problem, various ensemble algorithms are proposed. However, conventional ensemble algorithms do not consider exploring an effective feature space to further improve the performance. In addition, they treat the base classifiers equally and ignore the different contributions of each base classifier to the ensemble result. In order to address these problems, we propose a novel ensemble algorithm that combines effective data transformation and an adaptive weighted voting scheme. First, we utilize modified metric learning to obtain an effective feature space based on imbalanced data. Next, the base classifiers are assigned different weights adaptively. The experiments on multiple imbalanced datasets, including images and biomedical datasets verify the superiority of our proposed ensemble algorithm.

7.
IEEE Trans Neural Netw Learn Syst ; 33(1): 75-88, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33048763

RESUMEN

Graph-based methods have achieved impressive performance on semisupervised classification (SSC). Traditional graph-based methods have two main drawbacks. First, the graph is predefined before training a classifier, which does not leverage the interactions between the classifier training and similarity matrix learning. Second, when handling high-dimensional data with noisy or redundant features, the graph constructed in the original input space is actually unsuitable and may lead to poor performance. In this article, we propose an SSC method with novel graph construction (SSC-NGC), in which the similarity matrix is optimized in both label space and an additional subspace to get a better and more robust result than in original data space. Furthermore, to obtain a high-quality subspace, we learn the projection matrix of the additional subspace by preserving the local and global structure of the data. Finally, we intergrade the classifier training, the graph construction, and the subspace learning into a unified framework. With this framework, the classifier parameters, similarity matrix, and projection matrix of subspace are adaptively learned in an iterative scheme to obtain an optimal joint result. We conduct extensive comparative experiments against state-of-the-art methods over multiple real-world data sets. Experimental results demonstrate the superiority of the proposed method over other state-of-the-art algorithms.

8.
Spine (Phila Pa 1976) ; 46(20): 1363-1369, 2021 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-34559748

RESUMEN

STUDY DESIGN: Two fresh-frozen and six formalin-fixed cadavers were included in the study. OBJECTIVE: To ascertain whether transferring T9 or T11 ventral root (VR) to L2 VR and T10 or T12 VR to L3 VR in restoring lower limb function after spinal cord injury is anatomically feasible. SUMMARY OF BACKGROUND DATA: Lower limb paralysis impairs the quality of the life and places burden on the whole society. However, no significant improvement in this area was achieved during recent years. METHODS: In the present study, two fresh-frozen and six formalin-fixed cadavers were dissected to confirm the anatomical feasibility. A limited laminectomy was performed to expose the T9-L3 extradural nerve roots. T9 and T10 VR were anastomosed to L2 and L3 VR respectively, or T11 and T12 VR were anastomosed to L2 and L3 VR respectively. The pertinent distances between the donor and recipient nerves were measured and H&E staining was used to detect the axon number and cross-section area of each VR. RESULTS: The limited incision was performed to expose the T9-L3 nerve root. According to the anatomic landmark of dorsal root ganglion, each VR could be isolated from each extradural nerve root. The T9 or T11 VR needs sural nerve graft to be transferred to L2 VR, and T10 or T12 VR also needs a nerve bridge to connect to L3 VR. The nerve numbers of T9, T10, T11, T12, L2, and L3 VRs and the sural nerves were measured respectively. The cross-section areas of T9, T10, T11, T12, L2, and L3 VRs and sural nerves were measured respectively. CONCLUSION: Our study suggested that application of transferring T9 or T11 VR to L2 VR and T10 or T12 VR to L3 VR in restoring lower limb function is anatomically feasible.Level of Evidence: 5.


Asunto(s)
Traumatismos de la Médula Espinal , Cadáver , Estudios de Factibilidad , Humanos , Extremidad Inferior/cirugía , Raíces Nerviosas Espinales/cirugía
9.
J Orthop Surg Res ; 15(1): 574, 2020 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-33256851

RESUMEN

BACKGROUND: Pedicle screw fixation is a well-established technique for thoracolumbar fracture. A large number of studies have shown that the bending angle of the connecting rod has a significant correlation with the postoperative spinal stability. However, no studies have confirmed an objective indicator to guide the bending angle of the connecting rod during the operation. Our study aims to define a sagittal Cobb* angle to guide the bending angle of the connecting rod during surgery. METHODS: The frontal and lateral X-ray films in 150 cases of normal thoracolumbar spine were included to measure the normal spinal sagittal Cobb* angle in each segment. The patients who underwent single segment thoracolumbar fractures and pedicle screw internal fixation surgery were included. The radiological parameters included lumbar lordosis (LL), thoracic kyphosis (TK), pelvic tilt (PT), pelvic incidence (PI), sagittal vertical axis (SVA), and sacral slope (SS) were measured. The incidence of adjacent segment degeneration (ASD) 2 years after surgery was measured. RESULTS: The average values of normal sagittal Cobb* angle in each segment were - 5.196 ± 3.318° (T12), 2.279 ± 3.324° (L1), 7.222 ± 2.798° (L2), and 12.417 ± 11.962° (L3), respectively. The LL in the three groups was 35.20 ± 9.12°, 46.26 ± 9.68°, and 54.24 ± 15.31°, respectively. Compared with the normal group, there were significant differences in group A and group C, respectively (p < 0.05). The results were similar in the parameters of TL, PT, and SS. The incidences of SVA > 50 mm in group A, group B, and group C were 23.33%, 12.50%, and 19.23%, respectively. The parameter of PI in three groups was 41.36 ± 12.69, 44.53 ± 15.27, and 43.38 ± 9.85°, respectively. The incidences of ASD in group A, group B, and group C 2 years after surgery were 21.67%, 13.75%, and 17.95%, respectively. CONCLUSIONS: The study confirmed that the sagittal Cobb* angle can be used as a reference angle for bending rods. When the bending angle of the connecting rod is 4 to 8° greater than the corresponding segment sagittal Cobb* angle, the patient's spinal sagittal stability is the best 2 years after the operation.


Asunto(s)
Fijación Interna de Fracturas/métodos , Vértebras Lumbares/cirugía , Fracturas de la Columna Vertebral/cirugía , Vértebras Torácicas/cirugía , Femenino , Estudios de Seguimiento , Fijación Interna de Fracturas/instrumentación , Humanos , Degeneración del Disco Intervertebral/diagnóstico por imagen , Cifosis/diagnóstico por imagen , Lordosis/diagnóstico por imagen , Vértebras Lumbares/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Tornillos Pediculares , Complicaciones Posoperatorias/diagnóstico por imagen , Radiografía , Estudios Retrospectivos , Fracturas de la Columna Vertebral/diagnóstico por imagen , Vértebras Torácicas/diagnóstico por imagen , Factores de Tiempo
10.
IEEE Trans Neural Netw Learn Syst ; 31(4): 1387-1400, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-31265410

RESUMEN

The class imbalance problem has become a leading challenge. Although conventional imbalance learning methods are proposed to tackle this problem, they have some limitations: 1) undersampling methods suffer from losing important information and 2) cost-sensitive methods are sensitive to outliers and noise. To address these issues, we propose a hybrid optimal ensemble classifier framework that combines density-based undersampling and cost-effective methods through exploring state-of-the-art solutions using multi-objective optimization algorithm. Specifically, we first develop a density-based undersampling method to select informative samples from the original training data with probability-based data transformation, which enables to obtain multiple subsets following a balanced distribution across classes. Second, we exploit the cost-sensitive classification method to address the incompleteness of information problem via modifying weights of misclassified minority samples rather than the majority ones. Finally, we introduce a multi-objective optimization procedure and utilize connections between samples to self-modify the classification result using an ensemble classifier framework. Extensive comparative experiments conducted on real-world data sets demonstrate that our method outperforms the majority of imbalance and ensemble classification approaches.

11.
Angew Chem Int Ed Engl ; 59(11): 4314-4319, 2020 03 09.
Artículo en Inglés | MEDLINE | ID: mdl-31876353

RESUMEN

Non-Newtonian fluids are ubiquitous in daily life and industrial applications. Herein, we report an intelligent fluidic system integrating two distinct non-Newtonian rheological properties mediated by an autocatalytic enzyme reaction. Associative polyelectrolytes bearing a small amount of ionic and alkyl groups are engineered: by carefully balancing the charge density and the hydrophobic effect, the polymer solutions demonstrate a unique shear thickening property at low pH while shear thinning at high pH. The urea-urease clock reaction is utilized to program a feedback-induced pH change, leading to a strong upturn of the nonlinear viscoelastic properties. As long as the chemical fuel is supplied, two distinct non-Newtonian states can be achieved with a tunable lifetime span. As a proof of concept, we demonstrate how the physical energy-driven nonequilibrium properties can be manipulated by a chemical-fueled process.

12.
Spine (Phila Pa 1976) ; 45(11): E608-E615, 2020 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-31770316

RESUMEN

STUDY DESIGN: Anatomic study in nine fresh-frozen cadavers. OBJECTIVE: To confirm the anatomical feasibility of transferring the extradural ventral roots (VRs) and dorsal roots (DRs) of contralateral C7 nerves to those of the ipsilateral C7 nerves respectively through a cervical posterior approach. SUMMARY OF BACKGROUND DATA: The contralateral C7 nerve root transfer technique makes breakthrough for treating spastic limb paralysis. However, its limitations include large surgical trauma and limited indications. METHODS: Nine fresh-frozen cadavers (four females and five males) were placed prone, and the feasibility of exposing the bilateral extradural C7 nerve roots, separation of the extradural C7 VR and DR, and transfer of the VR and DR of the contralateral C7 to those of the ipsilateral C7 on the dural mater were assessed. The pertinent distances and the myelography results of each specimen were analyzed. The acetylcholinesterase (AChE) and antineurofilament 200 (NF200) double immunofluorescent staining were preformed to determine the nerve fiber properties. RESULTS: A cervical posterior midline approach was made and the laminectomy was performed to expose the bilateral extradural C7 nerve roots. After the extradural C7 VR and DR are separated, the VR and DR of the contralateral C7 have sufficient lengths to be transferred to those of the ipsilateral C7 on the dural mater. The myelography results showed that the spinal cord is not compressed after the nerve anastomosis. The AChE and NF200 double immunofluorescent staining showed the distal ends of the contralateral C7 VRs were mostly motor nerve fibers, and the distal ends of the contralateral C7 DRs were mostly sensory nerve fibers. CONCLUSION: Extradural contralateral C7 nerve root transfer in a cervical posterior approach for treating spastic limb paralysis is anatomically feasible. LEVEL OF EVIDENCE: 5.


Asunto(s)
Vértebras Cervicales/cirugía , Laminectomía/métodos , Espasticidad Muscular/cirugía , Parálisis/cirugía , Raíces Nerviosas Espinales/cirugía , Adulto , Anciano , Cadáver , Vértebras Cervicales/patología , Estudios de Factibilidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Espasticidad Muscular/patología , Parálisis/patología , Procedimientos de Cirugía Plástica/métodos , Traumatismos de la Médula Espinal/patología , Traumatismos de la Médula Espinal/cirugía , Raíces Nerviosas Espinales/patología
13.
Nanomaterials (Basel) ; 9(4)2019 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-30987101

RESUMEN

Cuprous oxide/silver (Cu2O/Ag) nanocomposites were prepared via a facile one-step method and used to construct an electrochemical sensor for hydrogen peroxide (H2O2) detection. In this method, AgNO3 and Cu(NO3)2 were reduced to Cu2O/Ag nanocomposites by glucose in the presence of hexadecyl trimethyl ammonium bromide (CTAB) at a low temperature. The optimum condition was the molar ratio of silver nitrate and copper nitrate of 1:10, the temperature of 50 °C. Under this condition, Cu2O/Ag nanocomposites were obtained with uniformly distributed and tightly combined Cu2O and Ag nanoparticles. The size of Cu2O particles was less than 100 nm and that of Ag particles was less than 20 nm. Electrochemical experiments indicate that the Cu2O/Ag nanocomposites-based sensor possesses an excellent performance toward H2O2, showing a linear range of 0.2 to 4000 µM, a high sensitivity of 87.0 µA mM-1 cm-2, and a low detection limit of 0.2 µM. The anti-interference capability experiments indicate this sensor has good selectivity toward H2O2. Additionally, the H2O2 recovery tests of the sensor in diluted milk solution signify its potential application in routine H2O2 analysis.

14.
RSC Adv ; 9(32): 18619-18626, 2019 Jun 10.
Artículo en Inglés | MEDLINE | ID: mdl-35515246

RESUMEN

Shape memory hydrogels have been extensively studied in the past decades owing to their exceptionally promising potential in a wide range of applications. Here, we present a gelatin/polyacrylamide double network hydrogel with thermal- and salt-activated shape memory effect. The thermally activated behavior is attributed to the reversible triple helix transformation of gelatin, and the salt-activated performance can be ascribed to the formation of hydrophobic interaction domains under the Hofmeister effect. The hydrogel can memorize a temporary shape successfully through soaking with (NH4)2SO4 solution or decreasing temperature, and recovers its permanent shape by extracting ions with deionized water or increasing temperature. In particular, the hydrogel exhibits excellent shape fixity and recovery ratio. The presented strategy may enrich the construction as well as application of biopolymer based shape memory hydrogels.

15.
Macromol Rapid Commun ; 40(4): e1800691, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30565769

RESUMEN

Polyion complex (PIC) hydrogels formed by charge attraction of opposite charged polymers have received unique research interest. Their conventional preparation method, with a large amount of residual salt after polymerization, requires a long-term dialysis treatment to remove the salt and toughen the gel. Here, a promising strategy for the one-step preparation of tough PIC hydrogels without dialysis after polymerization is provided. Bicarbonate and proton ions are selected as the counter ions of the cationic monomer and anionic polymers, respectively. By a CO2 -generating reaction between the counter ions, the residual salt is removed before polymerization, and thus, a PIC hydrogel with tough mechanical performance can be obtained instantly without dialysis. Due to the absence of dialysis, the tough hydrogel can be formed with a wide range of ratios for the oppositely charged polymer with distinct swelling behaviors from non-swelling to super-swelling. This tunable swelling behavior shows the possibility for shape-morphing systems from this one-step method.


Asunto(s)
Hidrogeles/síntesis química , Polímeros/síntesis química , Dióxido de Carbono/química , Hidrogeles/química , Iones/síntesis química , Iones/química , Estructura Molecular , Polímeros/química
16.
Opt Express ; 26(13): 16726-16735, 2018 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-30119495

RESUMEN

The precise calibration of optical lattice depth is an important step in the experiments of ultracold atoms in optical lattices. The Raman-Nath diffraction method, as the most commonly used method of calibrating optical lattice depth, has a limited range of validity and the calibration accuracy is not high enough. Based on multiple pulses Kapitza-Dirac diffraction, we propose and demonstrate a new calibration method by measuring the fully transfer fidelity of the first diffraction order. The high sensitivity of the transfer fidelity to the lattice depth ensures the highly precision calibration of the optical lattice depth. For each lattice depth measured, the calibration uncertainty is further reduced to less than 0.6% by applying the Back-Propagation Neural Network Algorithm. The accuracy of this method is almost one order of magnitude higher than that of the Raman-Nath diffraction method, and it has a wide range of validity applicable to both shallow lattices and deep lattices.

17.
J Biomed Res ; 32(4): 298-304, 2018 Jul 23.
Artículo en Inglés | MEDLINE | ID: mdl-29884775

RESUMEN

The study aimed to demonstrate the feasibility of an extradural nerve anastomosis technique for the restoration of a C5 and C6 avulsion of the brachial plexus. Nine fresh frozen human cadavers were used. The diameters, sizes, and locations of the extradural spinal nerve roots were observed. The lengths of the extradural spinal nerve roots and the distance between the neighboring nerve root outlets were measured and compared in the cervical segments. In the spinal canal, the ventral and dorsal roots were separated by the dura and arachnoid. The ventral and dorsal roots of C7 had sufficient lengths to anastomose those of C6. The ventral and dorsal of C4 had enough length to be transferred to those of C5, respectively. The feasibility of this extradural nerve anastomosis technique for restoring C5 and C6 avulsion of the brachial plexus in human cadavers was demonstrated in our anatomical study.

18.
Spine (Phila Pa 1976) ; 43(18): E1046-E1052, 2018 09 15.
Artículo en Inglés | MEDLINE | ID: mdl-29470276

RESUMEN

STUDY DESIGN: Anatomic study in six formalin-fixed cadavers. OBJECTIVE: To determine the anatomical feasibility of transferring the S2 and S3 ventral roots (VRs) to S1 VR as a method for restoring bladder dysfunction in spinal cord injury. SUMMARY OF BACKGROUND DATA: A large quantity of researches of neuroanastomosis methods have been used for treating the bladder dysfunction in spinal cord injury. However, some limitations retard the development of those studies. METHODS: In this study, six formalin-fixed cadavers (four males, two females) were dissected. The feasibility of exposing the S1, S2, and S3 extradural nerve roots by the limited laminectomy, isolating the VR and dorsal roots from each extradural nerve root and transferring the S2,S3 VRs to the S1 VR were assessed. The pertinent distances and the nerve cross-sectional areas in each specimen were measured. The morphology of each nerve root was observed by hematoxylin-eosin staining. RESULTS: The limited laminectomy was performed to expose the S1 to S3 extradural nerve roots. The VRs could be isolated from each extradural nerve root at the location of the dorsal root ganglion and the hematoxylin-eosin staining showed that there were some connective tissues separating the VRs from the corresponding dorsal root ganglion. The S2 and S3 VRs have sufficient lengths to be transferred to S1 VR without grafting. The mean cross-sectional area of the S1 VR was 2.60 ±â€Š0.17 mm, and that was 1.02 ±â€Š0.32 mm and 0.51 ±â€Š0.21 mm of the S2 and S3 VRs, respectively. CONCLUSION: This study demonstrated that use of the S2 and S3 VRs for extradural transfer to S1 VR for restoring bladder dysfunction is surgically feasible. LEVEL OF EVIDENCE: 5.


Asunto(s)
Procedimientos Neuroquirúrgicos/métodos , Sacro/cirugía , Traumatismos de la Médula Espinal/cirugía , Raíces Nerviosas Espinales/cirugía , Vejiga Urinaria Neurogénica/cirugía , Estudios de Factibilidad , Femenino , Humanos , Masculino , Sacro/diagnóstico por imagen , Traumatismos de la Médula Espinal/complicaciones , Traumatismos de la Médula Espinal/diagnóstico por imagen , Raíces Nerviosas Espinales/diagnóstico por imagen , Vejiga Urinaria Neurogénica/diagnóstico por imagen , Vejiga Urinaria Neurogénica/etiología
19.
J Cachexia Sarcopenia Muscle ; 9(2): 306-314, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-29372594

RESUMEN

BACKGROUND: Cachexia is a multifactorial syndrome that is highly prevalent in advanced cancer patients and leads to progressive functional impairments. The classification of cachexia stages is essential for diagnosing and treating cachexia. However, there is a lack of simple tools with good discrimination for classifying cachexia stages. Therefore, our study aimed to develop a clinically applicable cachexia staging score (CSS) and validate its discrimination of clinical outcomes for different cachexia stages. METHODS: Advanced cancer patients were enrolled in our study. A CSS comprising the following five components was developed: weight loss, a simple questionnaire of sarcopenia (SARC-F), Eastern Cooperative Oncology Group, appetite loss, and abnormal biochemistry. According to the CSS, patients were classified into non-cachexia, pre-cachexia, cachexia, and refractory cachexia stages, and clinical outcomes were compared among the four groups. RESULTS: Of the 297 participating patients, data from 259 patients were ultimately included. Based on the CSS, patients were classified into non-cachexia (n = 69), pre-cachexia (n = 68), cachexia (n = 103), and refractory cachexia (n = 19) stages. Patients with more severe cachexia stages had lower skeletal muscle indexes (P = 0.002 and P = 0.004 in male and female patients, respectively), higher prevalence of sarcopenia (P = 0.017 and P = 0.027 in male and female patients, respectively), more severe symptom burden (P < 0.001), poorer quality of life (P < 0.001 for all subscales except social well-being), and shorter survival times (P < 0.001). CONCLUSIONS: The CSS is a simple and clinically applicable tool with excellent discrimination for classifying cachexia stages. This score is extremely useful for the clinical treatment and prognosis of cachexia and for designing clinical trials.


Asunto(s)
Caquexia/clasificación , Neoplasias/complicaciones , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estadificación de Neoplasias , Pronóstico , Calidad de Vida
20.
J Biomed Res ; 32(2): 123-129, 2018 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-28866657

RESUMEN

This study was aimed to introduce a novel entry point for pedicle screw fixation in the thoracic spine and compare it with the traditional entry point. A novel entry point was found with the aim of improving accuracy, safety and stability of pedicle screw technique based on anatomical structures of the spine. A total of 76 pieces of normal thoracic CT images at the transverse plane and the thoracic pedicle anatomy of 6 cadaveric specimens were recruited. Transverse pedicle angle (TPA), screw length, screw placement accuracy rate and axial pullout strength of the two different entry point groups were compared. There were significant differences in the TPA, screw length, and the screw placement accuracy rate between the two groups (P<0.05). The maximum axial pullout strength of the novel entry point group was slightly larger than that of the traditional group. However, the difference was not significant (P>0.05). The novel entry point significantly improved the accuracy, stability and safety of pedicle screw placement. With reference to the advantages above, the new entry point can be used for spinal internal fixations in the thoracic spine.

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