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1.
Environ Pollut ; 349: 123945, 2024 May 15.
Article in English | MEDLINE | ID: mdl-38604306

ABSTRACT

Noise pollution has grown to be a major public health issue worldwide. We sought to profile serum metabolite expression changes related to occupational noise exposure by untargeted metabolomics, as well as to evaluate the potential roles of serum metabolites in occupational noise-associated arterial stiffness (AS). Our study involved 30 noise-exposed industrial personnel (Lipo group) and 30 noise-free controls (Blank group). The untargeted metabolomic analysis was performed by employing a UPLC-HRMS. The associations of occupational noise and significant differential metabolites (between Blank/Lipo groups) with AS were evaluated using multivariable-adjusted generalized linear models. We performed the least absolute shrinkage and selection operator regression analysis to further screen for AS's risk metabolites. We explored 177 metabolites across 21 categories significantly differentially expressed between Blank/Lipo groups, and these metabolites were enriched in 20 metabolic pathways. Moreover, 15 metabolites in 4 classes (including food, glycerophosphocholine, sphingomyelin [SM] and triacylglycerols [TAG]) were adversely associated with AS (all P < 0.05). Meanwhile, five metabolites (homostachydrine, phosphatidylcholine (PC) (32:1e), PC (38:6p), SM (d41:2) and TAG (45:1) have been proven to be useful predictors of AS prevalence. However, none of these 15 metabolites were found to have a mediating influence on occupational noise-induced AS. Our study reveals specific metabolic changes caused by occupational noise exposure, and several metabolites may have protective effects on AS. However, the roles of serum metabolites in noise-AS association remain to be validated in future studies.


Subject(s)
Metabolome , Occupational Exposure , Vascular Stiffness , Humans , Adult , Male , Middle Aged , Noise, Occupational/adverse effects , Metabolomics
2.
Sci Total Environ ; 921: 171123, 2024 Apr 15.
Article in English | MEDLINE | ID: mdl-38387587

ABSTRACT

AIMS: We aimed to evaluate the association of occupational noise with metabolic syndrome (MetS) and its components, and to assess the potential role of miRNAs in occupational noise-associated MetS. METHODS: A total of 854 participants were enrolled in our study. Cumulative noise exposure (CNE) was estimated in conjunction with workplace noise test records and research participants' employment histories. Logistic regression models adjusted for potential confounders were used to assess the association of CNE and miRNAs with MetS and its components. RESULTS: We observed linear positive dose-response associations between occupational noise exposure and the prevalence of MetS (OR: 1.031; 95 % CI: 1.008, 1.055). And linear and nonlinear relationship were also found for the association of occupational noise exposure with high blood pressure (OR: 1.024; 95 % CI: 1.007, 1.041) and reduced high-density lipoprotein (OR: 1.051; 95 % CI: 1.031, 1.072), respectively. MiR-200a-3p, miR-92a-3p and miR-21-5p were inversely associated with CNE, or the prevalence of MetS and its components (all P < 0.05). However, we did not find any statistically significant mediation effect of miRNAs in the associations of CNE with MetS. Furthermore, the prevalence of bilateral hearing loss in high-frequency increased (OR: 1.036; 95 % CI: 1.008, 1.067) with CNE level rising, and participants with bilateral hearing loss in high-frequency had a significantly higher risk of MetS (OR: 1.727; 95 % CI: 1.048, 2.819). CONCLUSION: Our study suggests that occupational noise exposure is associated with MetS and its components, and the role of miRNAs in noise-induced increasing MetS risk needs to be confirmed in future studies.


Subject(s)
Hearing Loss, Noise-Induced , Metabolic Syndrome , MicroRNAs , Noise, Occupational , Occupational Exposure , Adult , Humans , Metabolic Syndrome/epidemiology , Hearing Loss, Bilateral , Hearing Loss, Noise-Induced/epidemiology , Noise, Occupational/adverse effects , China/epidemiology
3.
J Occup Environ Med ; 66(3): e106-e110, 2024 Mar 01.
Article in English | MEDLINE | ID: mdl-38234094

ABSTRACT

OBJECTIVE: This study aimed to explore the relationship of work stress with anxiety and depression and the mediation of job satisfaction. METHODS: We conducted a survey among gas station workers in Wuhan, China. Multivariate and bootstrap mediating analyses were conducted. RESULTS: The rate of effort-reward imbalance, overcommitment (OC), anxiety, and depression were 22.9%, 29.2%, 20.1%, and 19.9%. Work stress was positively associated with anxiety ( ß = 0.213 [95% confidence interval (CI), 0.156-0.270] for logarithmic effort-reward ratio [LgERR] and ß = 0.563 [95% CI, 0.505-0.621] for OC) and depression ( ß = 0.291 [95% CI, 0.227-0.356] for LgERR and ß = 0.417 [95% CI, 0.351-0.483] for OC). The mediation of job satisfaction from LgERR and OC to anxiety and depression were 14.93%, 9.05%, 24.34%, and 19.85%. CONCLUSIONS: We should concern the anxiety and depression, and work stress status of workers and improve the situation by improving job satisfaction.


Subject(s)
Depression , Occupational Stress , Adult , Humans , Depression/epidemiology , Job Satisfaction , Occupational Stress/epidemiology , Anxiety/epidemiology , China/epidemiology , Surveys and Questionnaires , Reward , Stress, Psychological/epidemiology
4.
IEEE Trans Biomed Circuits Syst ; 18(2): 451-459, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38019637

ABSTRACT

The main objectives of neuromorphic engineering are the research, modeling, and implementation of neural functioning in the human brain. We provide a hardware solution that can replicate such a nature-inspired system by merging multiple scientific domains and is based on neural cell processes. This work provides a modified version of the original Fitz-Hugh Nagumo (FHN) neuron using a simple 2V term called Hybrid Piece-Wised Base-2 Model (HPWBM), which accurately reproduces numerous patterns of the original neuron model. With reduced terms, we suggest modifying the original nonlinear term to achieve high matching accuracy and little computing error. Time domain and phase portraits are used to validate the proposed model, which shows that it can reproduce all of the FHN model's properties with high accuracy and little mistake. We provide an effective digital hardware approach for large-scale neuron implementations based on resource-sharing and pipelining strategies. The Hardware Description Language (HDL) is used to construct the hardware on an FPGA as a proof of concept. The recommended model hardly uses 0.48 percent of the resources on a Virtex 4 FPGA board, according to the results of the hardware implementation. The circuit can run at a maximum frequency of 448.236 MHz, according to the static timing study.


Subject(s)
Models, Neurological , Neurons , Humans , Neurons/physiology , Brain/physiology , Computers
5.
Comput Biol Med ; 169: 107844, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38103482

ABSTRACT

Based on deep learning, pancreatic cancer pathology image segmentation technology effectively assists pathologists in achieving improved treatment outcomes. However, compared to traditional image segmentation tasks, the large size of tissues in pathology images requires a larger receptive field. While methods based on dilated convolutions or attention mechanisms can enhance the receptive field, they cannot capture long-range feature dependencies. Directly applying self-attention mechanisms to capture long-range dependencies results in intolerable computational complexity. To address these challenges, we introduce a channel and spatial self-attention (CS) Module designed for efficiently capturing both channel and spatial long-range feature dependencies in pancreatic cancer pathological images. Specifically, the channel and spatial self-attention module consists of an adaptive channel self-attention module and a window-shift spatial self-attention module. The adaptive channel self-attention module adaptively pools features to a fixed size to capture long-range feature dependencies. While the window-shift spatial self-attention module captures spatial long-range dependencies in a window-based manner. Additionally, we propose a re-weighted cross-entropy loss to mitigate the impact of long-tail distribution on performance. Our proposed method surpasses state-of-the-art on both our Pancreatic Cancer Pathology Image (PCPI) dataset and the GlaS challenge dataset. The mDice and mIoU have achieved 73.93% and 59.42% in our PCPI dataset.


Subject(s)
Pancreatic Neoplasms , Humans , Entropy , Image Processing, Computer-Assisted
6.
Nat Commun ; 14(1): 5070, 2023 Aug 21.
Article in English | MEDLINE | ID: mdl-37604907

ABSTRACT

Light-driven actuators have great potential in different types of applications. However, it is still challenging to apply them in flying devices owing to their slow response, small deflection and force output and low frequency response. Herein, inspired by the structure of vine maple seeds, we report a helicopter-like rotary flying photoactuator (in response to 0.6 W/cm2 near-infrared (NIR) light) with ultrafast rotation (~7200 revolutions per minute) and rapid response (~650 ms). This photoactuator is operated based on a fundamentally different mechanism that depends on the synergistic interactions between the photothermal graphene and the hygroscopic agar/silk fibroin components, the subsequent aerodynamically favorable airscrew formation, the jet propulsion, and the aerodynamics-based flying. The soft helicopter-like photoactuator exhibits controlled flight and steering behaviors, making it promising for applications in soft robotics and other miniature devices.

8.
Environ Sci Pollut Res Int ; 30(18): 53876-53886, 2023 Apr.
Article in English | MEDLINE | ID: mdl-36867331

ABSTRACT

Based on nationally representative samples from US, we aimed to assess the associations of vitamins with hearing loss, vision disorder and sleep problem. A total of 25,312, 8425 and 24,234 participants were included in this study to investigate the relationship of vitamins with hearing loss, vision disorder and sleep problem from National Health and Nutrition Examination Survey, respectively. Vitamins including niacin, folic acid, vitamin B6, A, C, E and carotenoids were considered in our study. Logistic regression models were used to assess the associations between all included dietary vitamin intake concentrations and the prevalence of specific outcomes. Increased lycopene (odds ratio [OR]: 0.904, 95% confidence interval [CI]: 0.829-0.985) intake was associated with a deceased prevalence of hearing loss. Higher dietary intake of folic acid (OR: 0.637, 95% CI: 0.443-0.904), vitamin B6 (0.667, 0.465-0.947), alpha-carotene (0.695, 0.494-0.968), beta-carotene (0.703, 0.505-0.969) and lutein + zeaxanthin (0.640, 0.455-0.892) were associated with a decreased prevalence of vision disorder. The inversely associations of sleeping problem with niacin (OR: 0.902, 95% CI: 0.826-0.985), folic acid (0.882, 0.811-0.959), vitamin B6 (0.892, 0.818-0.973), vitamin C (0.908, 0.835-0.987), vitamin E (0.885, 0.813-0.963) and lycopene (0.919, 0.845-0.998) were also observed. Our findings provide evidence that increased specific vitamin intake is associated with decreased prevalence of hearing loss, vision disorder and sleep problem.


Subject(s)
Hearing Loss , Niacin , Sleep Wake Disorders , Humans , Vitamins , Lycopene , Nutrition Surveys , Vitamin A , Diet , Hearing Loss/epidemiology , Folic Acid , Vitamin K , Vitamin B 6 , Vision Disorders
9.
IEEE Trans Pattern Anal Mach Intell ; 45(6): 6969-6983, 2023 Jun.
Article in English | MEDLINE | ID: mdl-33656987

ABSTRACT

The task of multi-label image recognition is to predict a set of object labels that present in an image. As objects normally co-occur in an image, it is desirable to model the label dependencies to improve the recognition performance. To capture and explore such important information, we propose graph convolutional networks (GCNs) based models for multi-label image recognition, where directed graphs are constructed over classes and information is propagated between classes to learn inter-dependent class-level representations. Following this idea, we design two particular models that approach multi-label classification from different views. In our first model, the prior knowledge about the class dependencies is integrated into classifier learning. Specifically, we propose Classifier Learning GCN (C-GCN) to map class-level semantic representations (e.g., word embeddings) into classifiers that maintain the inter-class topology. In our second model, we decompose the visual representation of an image into a set of label-aware features and propose prediction learning GCN (P-GCN) to encode such features into inter-dependent image-level prediction scores. Furthermore, we also present an effective correlation matrix construction approach to capture inter-class relationships and consequently guide information propagation among classes. Empirical results on generic multi-label image recognition demonstrate that both of the proposed models can obviously outperform other existing state-of-the-arts. Moreover, the proposed methods also show advantages in some other multi-label classification related applications.

10.
IEEE Trans Image Process ; 31: 2570-2583, 2022.
Article in English | MEDLINE | ID: mdl-35275814

ABSTRACT

Multi-label image recognition has attracted considerable research attention and achieved great success in recent years. Capturing label correlations is an effective manner to advance the performance of multi-label image recognition. Two types of label correlations were principally studied, i.e., the spatial and semantic correlations. However, in the literature, previous methods considered only either of them. In this work, inspired by the great success of Transformer, we propose a plug-and-play module, named the Spatial and Semantic Transformers (SST), to simultaneously capture spatial and semantic correlations in multi-label images. Our proposal is mainly comprised of two independent transformers, aiming to capture the spatial and semantic correlations respectively. Specifically, our Spatial Transformer is designed to model the correlations between features from different spatial positions, while the Semantic Transformer is leveraged to capture the co-existence of labels without manually defined rules. Other than methodological contributions, we also prove that spatial and semantic correlations complement each other and deserve to be leveraged simultaneously in multi-label image recognition. Benefitting from the Transformer's ability to capture long-range correlations, our method remarkably outperforms state-of-the-art methods on four popular multi-label benchmark datasets. In addition, extensive ablation studies and visualizations are provided to validate the essential components of our method.

11.
Opt Lett ; 47(5): 1069-1072, 2022 Mar 01.
Article in English | MEDLINE | ID: mdl-35230292

ABSTRACT

Based on the electrically controlled birefringence effect in liquid crystal materials, an effective method for spatially separating azimuthally and radially polarized beams from non-polarized incident light waves is proposed. The radially polarized beam was highly converged by using a microhole-patterned electrode and a planar photo-alignment layer to shape the initial liquid-crystal radial alignment and a gradient refractive index distribution with central axial symmetry after applying a voltage signal. Due to the intrinsic polarization sensitivity of nematic liquid-crystal materials, the shaped gradient refractive index only applies to extraordinary light waves, which then converge into a spot. Thus, the azimuthally and radially polarized beams are effectively separated. The proposed method demonstrates some advantages, such as low cost, miniaturization, and easy fabrication and integration with other functional devices. Thanks to the wideband electrically controlled birefringence of liquid-crystal materials, this light-wave manipulation to spatially separate azimuthally and radially polarized beams can also be performed over a wide wavelength range.

12.
J Fish Biol ; 101(2): 400-407, 2022 Aug.
Article in English | MEDLINE | ID: mdl-34874555

ABSTRACT

The prevailing determinant of maturation in fishes is thought to be a redirection of energy from growth to reproduction. Instead, the Gill Oxygen Limitation Theory predicts that maturation, and thus reproduction, is induced when a fish reaches a critical ratio of oxygen supply to demand (Qm /Qmaint ). The consistency of this critical ratio has been previously documented in many fishes, but a broader test was lacking. In this study, the authors assess if this critical ratio is consistent across 132 unique fish species, as measured by the slope of the relationship between Lmax D and Lm D , where Lmax is the maximum length reached in a given population, Lm is the mean size at first maturity in that population and D is a gill-related exponent which renders the Lmax D /Lm D ratio equivalent to the Qm /Qmaint ratio. The authors found that across all species, the Lmax D /Lm D ratio was 1.40 (95% c.i. 1.38-1.42), which was not significantly different from that previously estimated across other species groups (1.35, 95% c.i. 1.22-1.53), especially when phylogenetic relationships were considered (1.25, 95% Bayesian credible interval 1.09-1.40). The consistency of the Lmax D /Lm D ratio across taxa, which expresses the difference in metabolic rate at maturity and maximum size, suggests that the scaling of gill surface area is the factor that underlies this ratio, and which triggers the maturation in fishes.


Subject(s)
Fishes , Gills , Animals , Bayes Theorem , Fresh Water , Gills/metabolism , Oxygen/metabolism , Phylogeny
13.
Opt Express ; 29(24): 40617-40632, 2021 Nov 22.
Article in English | MEDLINE | ID: mdl-34809397

ABSTRACT

A new type of liquid crystal microlens array (LCMLA) constructed by a single-layered LC material is proposed. The basic dual-mode integrated LC microlens includes a concentric microhole electrode and a central plate electrode. Compared with traditional LC microlenses driven electrically, the dual-mode integrated LC microlens presents a better light control effect, such as being flexibly adjusted between the beam convergence and divergence modes, enlarging both the tunable range of the signal voltage and the focal length and also reducing the focal spot assisted by a convex electric-field generated by the central plate electrode, acquiring a sharper beam diverging microring formed by the concave LC microlens assisted by a concave electric-field generated by the microhole electrode. At the same time, we have also verified that the electric-field filling factor of the dual-mode integrated LCMLA can be obviously increased through jointly tuning the signal voltages applied independently over both the microhole electrode and the central plate electrode. This research has laid a solid foundation for continuously developing LCMLA technology.

14.
IEEE Trans Image Process ; 30: 6917-6929, 2021.
Article in English | MEDLINE | ID: mdl-34339371

ABSTRACT

State-of-the-art two-stage object detectors apply a classifier to a sparse set of object proposals, relying on region-wise features extracted by RoIPool or RoIAlign as inputs. The region-wise features, in spite of aligning well with the proposal locations, may still lack the crucial context information which is necessary for filtering out noisy background detections, as well as recognizing objects possessing no distinctive appearances. To address this issue, we present a simple but effective Hierarchical Context Embedding (HCE) framework, which can be applied as a plug-and-play component, to facilitate the classification ability of a series of region-based detectors by mining contextual cues. Specifically, to advance the recognition of context-dependent object categories, we propose an image-level categorical embedding module which leverages the holistic image-level context to learn object-level concepts. Then, novel RoI features are generated by exploiting hierarchically embedded context information beneath both whole images and interested regions, which are also complementary to conventional RoI features. Moreover, to make full use of our hierarchical contextual RoI features, we propose the early-and-late fusion strategies (i.e., feature fusion and confidence fusion), which can be combined to boost the classification accuracy of region-based detectors. Comprehensive experiments demonstrate that our HCE framework is flexible and generalizable, leading to significant and consistent improvements upon various region-based detectors, including FPN, Cascade R-CNN, Mask R-CNN and PA-FPN. With simple modification, our HCE framework can be conveniently adapted to fit the structure of one-stage detectors, and achieve improved performance for SSD, RetinaNet and EfficientDet.

15.
ACS Appl Mater Interfaces ; 13(21): 24814-24823, 2021 Jun 02.
Article in English | MEDLINE | ID: mdl-34009941

ABSTRACT

Photoassisted electrocatalytic (P-EC) water splitting for H2 production has received much attention. Here, we report a metal-free bifunctional photoassisted catalyst of a polyaniline/carbon dots (PANI/CDs) composite for overall water splitting. In a neutral electrolyte, under visible light, the overpotentials of the oxygen evolution reaction (OER) and hydrogen evolution reaction (HER) for PANI/CDs/NF are reduced by 150 and 65 mV to reach the current densities of 30 and 20 mA cm-2, respectively. In a full water-splitting cell, under visible light, the current density is 13.27 mA cm-2 at 2.0 V, which increases by 62.8% compared with that under the dark conditions (8.15 mA cm-2). The in situ transient photovoltage (TPV) tests were used to study the light-induced effects on half-reactions of water splitting, as well as the charge-transfer kinetic characteristics at the catalyst interface.

16.
Sci Rep ; 9(1): 13429, 2019 Sep 17.
Article in English | MEDLINE | ID: mdl-31530864

ABSTRACT

In this paper, a band-pass filter based on half-mode substrate integrated waveguide (HMSIW) and double-layer spoof surface plasmon polaritons (SSPPs) consisting of two corrugated metal strips is proposed, which can realize band-pass transmission by etching periodic grooves at the top and bottom metal layers of the HMSIW. Moreover, the influences of important parameters on the performance of the proposed band-pass filter are analyzed by parametric study. By changing the key parameters, the low and high cut-off frequency can be controlled independently. The corresponding equivalent circuit of the proposed band-pass filter is put forward to explain the physical mechanism. Compared with the previous structures, this structure features smaller size, wider bandwidth and lower loss. Simulated results show that the proposed band-pass filter achieves a bandwidth (for |S11| < -10 dB and |S21| > -0.8 dB) of about 69.77% (15.6-32.1 GHz). The measured results have good agreements with the simulated ones, which verify that the proposed band-pass filter has good performances and potential applications at the microwave frequencies.

17.
J Phys Chem B ; 119(41): 13079-92, 2015 Oct 15.
Article in English | MEDLINE | ID: mdl-26397941

ABSTRACT

Infrared (IR) spectra from 1200 to 1800 cm(-1) of the pure α-helix and ß-sheet secondary structures have been extracted using a covariant least-squares procedure which relates a library of 40 infrared (IR) solution protein spectra from the work of Dong, Carpenter, and Caughey and amino acid fractions of the proteins based on assignments by STRIDE (secondary structure identification) of Eisenhaber and Argos. The excitonic splitting of the ß-sheet structures is determined for this library of solution proteins. The method is extended to find a set of spectral basis functions that analyze IR spectra of protein samples for α-helix and ß-sheet content. A rigorous error analysis including covariance, the correlations between the input library spectra, was used to justify the results and avoid less meaningful results. The utility of the results on α-helix and ß-sheet regions is demonstrated by detecting protein changes due to cancer in imaging Fourier transform IR (FTIR) spectra of liver tissue slices. This work ends with a method to extract IR spectra of less prominent torsional angle distributions.


Subject(s)
Proteins/chemistry , Spectrophotometry, Infrared/methods , Protein Structure, Secondary
18.
J Phys Chem B ; 117(41): 12442-50, 2013 Oct 17.
Article in English | MEDLINE | ID: mdl-24053455

ABSTRACT

Infrared (IR) spectroscopic imaging of human liver tissue slices has been used to identify and characterize liver tumors. Liver tissue, containing a liver metastasis of breast origin (mucinous carcinoma), was surgically removed from a consenting patient and frozen without formalin fixation or dehydration procedures, so that lipids and water remained in the tissues. A set of IR metrics (ratios of various IR peaks) was determined for tumors in fixation-free liver tissues. K-means cluster analysis was used to tell tumor from nontumor. In this case, there was a large reduction in lipid content upon going from nontumor to tumor tissue, and a well-resolved IR spectrum of nontumor liver lipid was obtained and analyzed. These IR metrics may someday guide work on IR spectroscopic diagnostics on patients in the operating room. This work also suggests utility for these methods beyond the identification of liver tumors, perhaps in the study of liver lipids.


Subject(s)
Liver Neoplasms/diagnosis , Humans , Liver Neoplasms/chemistry , Software , Spectroscopy, Fourier Transform Infrared
19.
J Econ Entomol ; 105(3): 1034-42, 2012 Jun.
Article in English | MEDLINE | ID: mdl-22812145

ABSTRACT

Quercetin is one of the most abundant flavonoids and the defense secondary metabolites in plants. In this study, the effect of quercetin on the growth of the silkworm larvae was investigated. Cytochrome P450 monooxygenases (P450s), glutathione S-transferases (GSTs), and carboxylesterases (COE) were assayed after exposure to different concentrations of quercetin for 3 d (short-term) and 7 d (long-term), respectively. The results showed that the weight gain of the silkworm larvae significantly decreased after the larvae were treated by different concentrations of quercetin except for the treatment with 0.5% quercetin. Activities of P450, GST, and COE were induced by 0.5 or 1% concentration of quercetin. In the midgut, the induction activity of P450s was reached to the highest level (2.3-fold) by 1% quercetin for 7 d, the highest induction activities of GSTs toward CHP and CDNB were 4.1-fold and 2.6-fold of controls by 1% quercetin after 7 d exposure, respectively. For COEs, the highest activity (2.3-fold) was induced by 0.5% quercetin for 7 d. However, P450s in whole body were higher inducible activities in short-term treatment than those in long-term treatment. The responses of eight cytochrome P450 (CYP) genes belonged to CYP6 and CYP9 families and seven GST genes were detected with real-time polymerase chain reaction. In addition, the genes induced by quercetin significantly were confirmed by qRT-PCR. CYP6AB5, CYP6B29, and GSTe8 were identified as inducible genes, of which the highest induction levels were 10.9-fold (0.5% quercetin for 7 d), 6.2-fold (1% quercetin for 7 d), and 7.1-fold (1% quercetin for 7 d), respectively.


Subject(s)
Antioxidants/pharmacology , Bombyx/drug effects , Carboxylesterase/metabolism , Cytochrome P-450 Enzyme System/metabolism , Glutathione Transferase/metabolism , Quercetin/pharmacology , Animals , Bombyx/enzymology , Bombyx/growth & development , Cytochrome P-450 Enzyme System/genetics , Enzyme Induction/drug effects , Glutathione Transferase/genetics , Larva/drug effects , Larva/enzymology , Larva/growth & development , Real-Time Polymerase Chain Reaction , Reverse Transcriptase Polymerase Chain Reaction
20.
Hepatobiliary Pancreat Dis Int ; 1(1): 33-4, 2002 Feb.
Article in English | MEDLINE | ID: mdl-14607619

ABSTRACT

OBJECTIVE: To explore the pathological features and the differential diagnosis of recurrent HBV after liver transplantation. METHODS: One case of liver transplantation for HBV cirrhosis was subjected to liver biopsies on time postoperatively. RESULTS: 25 days after liver transplantation, serologic HBsAg, HBeAg and HBV-DNA of the patient became negative, but HBsAg was positive again on day 58 after liver transplantation. Histopathological examination showed balloon-like changes of hepatocytes with fragmental necrosis, fibrosis in the portal areas and around the portal veins, cholestasis in some hepatocytes and canaliculi, and positive HBsAg and HBcAg with immunohistochemical staining. clinically hepatic enzyme levels progressively increased, maintained for some time, and decreased rapidly at last. Stubborn hypoproteinemia was associated with the aggregation of general condition of the patient. CONCLUSIONS: Fibrosing cholestatic hepatitis (FCH) is a special type in recurrent infection of HBV after liver transplantation. It has a serious clinical process and specific pathological changes different from those of the usual HBV.


Subject(s)
Cholestasis/pathology , Hepatitis B, Chronic/pathology , Hepatitis B, Chronic/surgery , Liver Cirrhosis/pathology , Liver Transplantation , Biopsy , Hepatocytes/pathology , Humans , Male , Middle Aged , Postoperative Complications/pathology
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