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1.
Adv Sci (Weinh) ; : e2308390, 2024 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-38626374

RESUMEN

The smart materials with multi-color and stimuli-responsive luminescence are very promising for next generation of optical information encryption and anti-counterfeiting, but these materials are still scarce. Herein, a multi-level information encryption strategy is developed based on the polychromatic emission of Sb-doped double perovskite powders (SDPPs). Cs2NaInCl6:Sb, Cs2KInCl6:Sb, and Cs2AgInCl6:Sb synthesized through coprecipitation methods exhibit broadband emissions with bright blue, cyan, and orange colors, respectively. The information transmitted by specific SDPP is encrypted when different SDPPs are mixed. The confidential information can be decrypted by selecting the corresponding narrowband filter. Then, an encrypted quick response (QR) code with improved security is demonstrated based on this multi-channel selection strategy. Moreover, the three types of SDPPs exhibit three different water-triggered luminescence switching behaviors. The confidential information represented by Cs2NaInCl6:Sb can be erased/recovered through a simple water spray/drying. Whereas, the information collected from the green channel is permanently erased by moisture, which fundamentally avoids information leakage. Therefore, different encryption schemes can be designed to meet a variety of encryption requirements. The multicolor and stimuli-responsive luminescence greatly enrich the flexibility of optical information encryption, which leaps the level of security and confidentiality.

2.
Clin Transl Oncol ; 2024 Apr 04.
Artículo en Inglés | MEDLINE | ID: mdl-38575837

RESUMEN

Among adolescents and young adults, hematological malignancies are the most common malignancies. Although the survival rate of hematological malignancies in young patients has been dramatically improved, due to the continuous improvement and development of tumor diagnosis and treatment options, cytotoxic therapies can significantly reduce a patient's reproductive capacity and cause irreversible infertility. The most two established solutions are embryo cryopreservation and oocyte cryopreservation which can be considered in single female. Sperm or testicular tissue cryopreservation in adult male are feasible approaches that must be considered before gonadotoxic therapy. A comprehensive consultation with reproductive specialists when once diagnosed is a significantly issue which would help those survivors who want to have children. In this article, we review germ cell toxicity, which happens during the treatment of hematological malignancies, and aims to propose safety, efficacy fertility preservation methods in younger patients with hematological malignancies.

3.
Anal Chim Acta ; 1303: 342521, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38609263

RESUMEN

BACKGROUND: Theranostic nanoplatforms with integrated diagnostic imaging and multiple therapeutic functions play a vital role in precise diagnosis and efficient treatment for breast cancer, but unfortunately, these nanoplatforms are usually stuck in single-site imaging and single mode of treatment, causing unsatisfactory diagnostic and therapeutic efficiency. Herein, a dual biomarkers-activatable facile hollow mesoporous MnO2 (H-MnO2)-based theranostic nanoplatform, DNAzyme@H-MnO2-MUC1 aptamer (DHMM), was constructed for the simultaneous multi-site diagnosis and multiple treatment of breast cancer. RESULTS: The DHMM acted as an integrated diagnostic and therapeutic nanoplatform that realizes multi-site fluorescence imaging-guided high-efficient photothermal/chemodynamic/gene synergistic therapy (PTT/CDT/GT) for breast cancer. The H-MnO2 exhibits high loading capacity for Cy5-MUC1 aptamer (3.05 pmoL µg-1) and FAM-DNAzyme (3.37 pmoL µg-1), and excellent quenching for the probes. In the presence of MUC1 on the cell membrane and GSH in the cytoplasm, Cy5-MUC1 aptamer and FAM-DNAzyme was activated triggering dual-channel fluorescence imaging at different sites. Moreover, the self-supplied Mn2+ was further supplied as DNAzyme cofactors to catalytic cleavage intracellular EGR-1 mRNA for high-efficient GT and stimulated the Fenton-like reaction for CDT. The H-MnO2 also showcases a favorable photothermal performance with a photothermal conversion efficiency of 44.16%, which ultimately contributes to multi-site fluorescence imaging-guided synergistic treatment with an apoptosis rate of 71.82%. SIGNIFICANCE: This dual biomarker-activatable multiple therapeutic nanoplatform was realized multi-site fluorescence imaging-guided PTT/CDT/GT combination therapy for breast cancer with higher specificity and efficiency, which provides a promising theranostic nanoplatform for the precision and efficiency of breast cancer treatment.


Asunto(s)
Carbocianinas , ADN Catalítico , Neoplasias , Medicina de Precisión , Compuestos de Manganeso , Óxidos , Imagen Óptica , Biomarcadores
4.
World J Urol ; 42(1): 21, 2024 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-38198015

RESUMEN

OBJECTIVE: This research aims to explore the efficiency and safety of endoscopic combined intrarenal surgery (Micro-ECIRS) composed of micro-percutaneous nephrolithotomy (Micro-perc) and retrograde intrarenal surgery (RIRS) in the Galdakao-modified supine Valdivia (GMSV) position for a single session for the treatment of complex nephrolithiasis in children. MATERIALS AND METHODS: This study retrospectively reviewed patients aged < 18 years who underwent Micro-ECIRS in the GMSV position for renal stones larger than 2 cm under ultrasound guidance between August 2020 to May 2022 at our institution. RESULTS: A total of 13 patients (8 males and 5 females) received Micro-ECIRS for renal stones under ultrasound guidancewhile adopting the GMSV position. The average stone size was 2.7 cm (range: 2.1-3.7 cm). Among them, 6 patients had left kidney stones, 5 patients had right kidney stones, and 2 patients had bilateral kidney stones. The mean operative time was 70.5 min (range: 54-93 min). The mean hospital stay was 6.4 days (range: 4-9 days). The mean hemoglobin decrease was 8.2 g/L (range: 5.1-12.4 g/L). The total number of kidneys that had complete stone clearance was 8 kidneys at 48 h postoperatively, 11 kidneys at 2 weeks postoperatively, and 14 kidneys at 1 month postoperatively. CONCLUSION: Our results demonstrate that Micro-ECIRS while patients are in the GMSV position is a safe and effective method for the treatment of complex children nephrolithiasis. However, all children made three hospital visits and received anesthesia three times. Further research is needed to confirm these findings.


Asunto(s)
Anestesiología , Cálculos Renales , Nefrolitotomía Percutánea , Niño , Femenino , Masculino , Humanos , Estudios Retrospectivos , Cálculos Renales/diagnóstico por imagen , Cálculos Renales/cirugía , Riñón/diagnóstico por imagen , Riñón/cirugía
5.
J Immunol Res ; 2024: 6822664, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38292759

RESUMEN

Objective: Age-related mitochondrial dysfunction and associated oxidative stress may contribute to the development of osteoarthritis. The aim of this study was to identify hub genes associated with mitochondrial dysfunction in osteoarthritis (OA) patients, helping predict the risk of OA, and revealing the mechanism of OA progression. Methods: OA expression data and mitochondrial dysfunction genes were downloaded from GEO (GSE55235, GSE82107, and GSE114007) and GeneCard databases. The differentially expressed mitochondrial dysfunction genes (DEMDFGs) between OA and control samples were screened. Gene ontology (GO) and Kyoto encyclopedia of genes and genomes pathways were analyzed for DEMDFGs. The hub genes were determined by WGCNA and LASSO regression analysis. ROC curves manifested the diagnostic efficacy of each hub gene. A nomogram model was constructed and validated to predict OA risk. The expression of hub genes in OA and normal chondrocytes was verified by external datasets, qRT-PCR and western blotting. Results: A total of 31 DEMDFGs were identified, with 15 genes upregulated and 16 genes downregulated. GO functional enrichment analysis revealed that DEMDFGs were enriched in biological processes related to energy metabolism and cellular respiration. By employing weighted gene coexpression network analysis, we identified four distinct coexpression modules, among which the blue module exhibited the strongest correlation with OA. The intersection between DEMDFGs and this module yielded eight candidate genes. After LASSO analysis of the data, four hub genes (ACADL, CYBA, SLC19A2, and UCP2) were identified as potential biomarkers for OA. The expression levels of these four genes were externally validated in the GSE114007 dataset. And the biologically differential expression of these four genes has been verified in OA and normal chondrocytes. Moreover, the four hub genes had good sensitivity and specificity by ROC curve analysis, and the risk model constructed with these four genes showed promising performance. In conclusion, our study may provide novel mitochondrial dysfunction hub genes with potential clinical applications for understanding the pathology, diagnosis, and treatment of OA.


Asunto(s)
Enfermedades Mitocondriales , Osteoartritis , Humanos , Western Blotting , Condrocitos , Biología Computacional , Osteoartritis/diagnóstico , Osteoartritis/genética , Proteínas de Transporte de Membrana
7.
FEMS Microbiol Lett ; 3712024 01 09.
Artículo en Inglés | MEDLINE | ID: mdl-38100390

RESUMEN

In recent years, more and more evidence has shown that the disorder of gut microbiota (GM) is closely correlated with myocardial ischemia (MI). Even though the Danshen and Honghua herb pair (DHHP) is widely used in treating cardiovascular disease in China and exhibits obvious clinical efficacy on MI, the anti-MI mechanism of DHHP remains and needs to be explored in depth. Thus, in this study, we investigated whether the amelioration effect and molecular mechanism of DHHP on MI were related to regulating GM through pharmacodynamics evaluation and metagenomic sequencing. Histopathological testing results showed that DHHP treatment could alleviate the pathological changes of myocardial tissue in the acute MI (AMI) rats induced by isoproterenol (ISO), especially structural disorder, irregular distribution, and enlargement of the myocardial space. These pathological changes were all alleviated to some extent by DHHP treatment. Biochemical analysis results suggested that compared with the control group, the serum levels of AST, CTn-I, CK-MB, and TNF-α in model group rats were notably decreased, and the CAT and SOD levels in serum were markedly increased. These abnormal trends were significantly reversed by DHHP treatment. Furthermore, metagenomic sequencing analysis results indicated that DHHP could improve disorders in the composition and function of GM in AMI rats, mainly reflected in increasing diversity and richness, and obviously enhancing the abundance of Bacteroides fluxus, B. uniformis, B. stercoris, Roseburia hominis, Schaedlerella arabinosiphila, and R. intestinalis, and reducing the abundance of Enterococcus avium and E. canintestini, which were associated with purine metabolism, tyrosine metabolism, cyanoamino acid metabolism, and glutathione metabolism. In conclusion, DHHP may attenuate ISO-induced MI by regulating the structure, composition, and function of GM, thus contributing to further our understanding of the anti-MI mechanisms of DHHP and providing new therapeutic ideas and diagnostic targets for the clinical studies of MI.


Asunto(s)
Carthamus tinctorius , Microbioma Gastrointestinal , Isquemia Miocárdica , Salvia miltiorrhiza , Ratas , Animales , Salvia miltiorrhiza/química , Isquemia Miocárdica/tratamiento farmacológico , Isquemia Miocárdica/metabolismo , Isquemia Miocárdica/patología , Isoproterenol/uso terapéutico
8.
PLoS One ; 18(10): e0291107, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37878617

RESUMEN

The graduate admissions process is time-consuming, subjective, and complicated by the need to combine information from diverse data sources. Letters of recommendation (LORs) are particularly difficult to evaluate and it is unclear how much impact they have on admissions decisions. This study addresses these concerns by building machine learning models to predict admissions decisions for two STEM graduate programs, with a focus on examining the contribution of LORs in the decision-making process. We train our predictive models leveraging information extracted from structured application forms (e.g., undergraduate GPA, standardized test scores, etc.), applicants' resumes, and LORs. A particular challenge in our study is the different modalities of application data (i.e., text vs. structured forms). To address this issue, we converted the textual LORs into features using a commercial natural language processing product and a manual rating process that we developed. By analyzing the predictive performance of the models using different subsets of features, we show that LORs alone provide only modest, but useful, predictive signals to admission decisions; the best model for predicting admissions decisions utilized both LOR and non-LOR data and achieved 89% accuracy. Our experiments demonstrate promising results in the utility of automated systems for assisting with graduate admission decisions. The findings confirm the value of LORs and the effectiveness of our feature engineering methods from LOR text. This study also assesses the significance of individual features using the SHAP method, thereby providing insight into key factors affecting graduate admission decisions.


Asunto(s)
Internado y Residencia , Estudiantes , Humanos , Agricultura
9.
STAR Protoc ; 4(4): 102578, 2023 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-37733599

RESUMEN

Hematopoietic stem cells (HSCs) sustain hematopoiesis during homeostasis and regeneration. However, their limited availability poses a challenge for protein analysis. Here, we present a protocol for performing high-sensitivity western blot on HSCs using two techniques that enhance HSC isolation from mice and boost sensitivity for low cell numbers. We describe steps for isolating murine bone marrow cells, antibody staining, and cell sorting and post-sort analysis. We then detail a western blot procedure suitable for low numbers of HSCs. For complete details on the use and execution of this protocol, please refer to Li et al (2022).1,2.


Asunto(s)
Hematopoyesis , Células Madre Hematopoyéticas , Animales , Ratones , Células Madre Hematopoyéticas/metabolismo , Separación Celular , Células de la Médula Ósea , Western Blotting
10.
Sci Rep ; 13(1): 14367, 2023 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-37658207

RESUMEN

Letters of Recommendation (LORs) are widely utilized for admission to both undergraduate and graduate programs, and are becoming even more important with the decreasing role that standardized tests play in the admissions process. However, LORs are highly subjective and thus can inject recommender bias into the process, leading to an inequitable evaluation of the candidates' competitiveness and competence. Our study utilizes natural language processing methods and manually determined ratings to investigate gender and cultural differences and biases in LORs written for STEM Master's program applicants. We generate features to measure important characteristics of the LORs and then compare these characteristics across groups based on recommender gender, applicant gender, and applicant country of origin. One set of features, which measure the underlying sentiment, tone, and emotions associated with each LOR, is automatically generated using IBM Watson's Natural Language Understanding (NLU) service. The second set of features is measured manually by our research team and quantifies the relevance, specificity, and positivity of each LOR. We identify and discuss features that exhibit statistically significant differences across gender and culture study groups. Our analysis is based on approximately 4000 applications for the MS in Data Science and MS in Computer Science programs at Fordham University. To our knowledge, no similar study has been performed on these graduate programs.


Asunto(s)
Ciencia de los Datos , Humanos , Emociones , Hospitalización , Computadores
11.
Front Oncol ; 13: 1119587, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37409251

RESUMEN

Background: Colorectal cancer (CRC) patients with BRAF mutation have very poor prognosis. It is urgent to search for prognostic factors of BRAF mutant CRC. RNF43 is a ENF ubiquitin ligase of Wnt signaling. Mutation of RNF43 has been observed frequently in various types of human cancers. However, few studies have evaluated the role of RNF43 in CRC. The present study aimed to explore the impact of RNF43 mutations on molecular characteristics and prognosis in BRAF mutant CRC. Methods: Samples of 261 CRC patients with BRAF mutation were retrospectively analyzed. Tumor tissue and matched peripheral blood samples were collected and subjected to targeted sequencing with a panel of 1021 cancer-related genes. The association of molecular characteristics and survival in patients were then analyzed. 358 CRC patients with BRAF mutation from the cBioPortal dataset were used for further confirmation. Results: This study was inspired by a CRC patient with BRAF V600E and RNF43 co-mutation, who achieved a best remission of 70% and a progression free survival (PFS) of 13 months. Genomic analysis indicated that RNF43 mutation affected the genomic characteristics of patients with BRAF mutation, including microsatellite instability (MSI), tumor mutation burden (TMB) and the proportion of common gene mutations. Survival analysis showed that RNF43 mutation was a predictive biomarker for better PFS and OS in BRAF mutant CRC. Conclusion: Collectively, we identified that RNF43 mutations were correlated with favorable genomic features, resulting in a better clinical outcome for BRAF mutant CRC patients.

13.
Artículo en Inglés | MEDLINE | ID: mdl-37252872

RESUMEN

Most stroke survivors have mobility deficits and show a pathological gait pattern. Seeking to enhance the gait performance among this population, we have developed a hybrid cable-driven lower limb exoskeleton (called SEAExo). This study aimed to determine the effects of SEAExo with personalized assistance on immediate changes in gait performance of people after stroke. Gait metrics (i.e., the foot contact angle, knee flexion peak, temporal gait symmetry indices) and muscle activities were the primary outcomes to evaluate the assistive performance. Seven subacute stroke survivors participated and completed the experiment with three comparison sessions, i.e., walking without SEAExo (served as baseline) and without/with personalized assistance, at their preferred walking speeds. Compared to the baseline, we observed increases in the foot contact angle and knee flexion peak by 70.1% ( ) and 60.0% ( ) with personalized assistance. Personalized assistance contributed to the improvements in temporal gait symmetry of more impaired participants ( ), and it led to a 22.8% and 51.3% ( ) reduction in the muscle activities of ankle flexor muscles. These results demonstrate that SEAExo with personalized assistance has the potential to enhance post-stroke gait rehabilitation in real-world clinical settings.


Asunto(s)
Dispositivo Exoesqueleto , Rehabilitación de Accidente Cerebrovascular , Accidente Cerebrovascular , Humanos , Benchmarking , Fenómenos Biomecánicos , Marcha/fisiología , Tobillo , Caminata/fisiología
14.
Behav Sci (Basel) ; 13(4)2023 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-37102839

RESUMEN

Asian American students have experienced additional physical and emotional hardships associated with the COVID-19 pandemic due to increased xenophobic and anti-Asian discrimination. This study investigates different coping patterns and risk factors affecting Asian and non-Asian college students in response to COVID-19 challenges by studying the differences in their responses within four domains after the onset of the pandemic: academic adjustment, emotional adjustment, social support, and discriminatory impacts related to COVID-19. We first employed a machine learning approach to identify well-adjusted and poorly adjusted students in each of the four domains for the Asian and non-Asian groups, respectively. Next, we applied the SHAP method to study the principal risk factors associated with each classification task and analyzed the differences between the two groups. We based our study on a proprietary survey dataset collected from U.S. college students during the initial peak of the pandemic. Our findings provide insights into the risk factors and their directional impact affecting Asian and non-Asian students' well-being during the pandemic. The results could help universities establish customized strategies to support these two groups of students in this era of uncertainty. Applications for international communities are discussed.

15.
J Biomech ; 152: 111550, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-36996600

RESUMEN

Snoring is a common condition in the general population, and the management of snoring requires a better understanding of its mechanism through a fluid-structure interaction (FSI) perspective. Despite the recent popularity of numerical FSI techniques, outstanding challenges are accurately predicting airway deformation and its vibration during snoring due to complex airway morphology. In addition, there still needs to be more understanding of snoring inhibition when lying on the side, and the possible effect of airflow rates, as well as nose or mouth-nose breathing, on snoring remains to be investigated. In this study, an FSI method verified against in vitro models was introduced to predict upper airway deformation and vibration. The technique was applied to predict airway aerodynamics, soft palate flutter, and airway vibration in four sleep postures (supine, left/right lying, and sitting positions) and four breathing patterns (mouth-nose, nose, mouth, and unilateral nose breathing). It was found that, at given elastic properties of soft tissues, the evaluated flutter frequency of 19.8 Hz in inspiration was in good agreement with the reported frequency of snoring sound in literature. Reduction in flutter and vibrations due to the mouth-nose airflow proportion changes were also noticed when having side-lying and sitting positions. Breathing through the mouth results in larger airway deformation than breathing through the nose or mouth-nose. These results collectively demonstrate the potential of FSI for studying the physics of airway vibration and clarify to some degree the reason for snoring inhibition during sleep postures and breathing patterns.


Asunto(s)
Faringe , Apnea Obstructiva del Sueño , Humanos , Niño , Ronquido , Vibración , Sueño/fisiología , Paladar Blando , Respiración , Postura
16.
Front Microbiol ; 14: 1112590, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36970686

RESUMEN

The occurrence of cyanobacterial blooms in summer are frequently accompanied by the succession of phytoplankton communities in freshwater. However, little is known regarding the roles of viruses in the succession, such as in huge reservoirs. Here, we investigated the viral infection characteristics of phytoplankton and bacterioplankton during the summer bloom succession in Xiangxi Bay of Three Gorges Reservoir, China. The results indicated that three distinct bloom stages and two successions were observed. From cyanobacteria and diatom codominance to cyanobacteria dominance, the first succession involved different phyla and led to a Microcystis bloom. From Microcystis dominance to Microcystis and Anabaena codominance, the second succession was different Cyanophyta genera and resulted in the persistence of cyanobacterial bloom. The structural equation model (SEM) showed that the virus had positive influence on the phytoplankton community. Through the Spearman's correlation and redundancy analysis (RDA), we speculated that both the increase of viral lysis in the eukaryotic community and the increase of lysogeny in cyanobacteria may contributed to the first succession and Microcystis blooms. In addition, the nutrients supplied by the lysis of bacterioplankton might benefit the second succession of different cyanobacterial genera and sustain the dominance of cyanobacteria. Based on hierarchical partitioning method, the viral variables still have a marked effect on the dynamics of phytoplankton community, although the environmental attributes were the major factors. Our findings suggested that viruses played multiple potential roles in summer bloom succession and may help the blooms success of cyanobacteria in Xiangxi Bay. Under the background of increasingly serious cyanobacterial blooms worldwide, our study may have great ecological and environmental significance for understanding the population succession in phytoplankton and controlling the cyanobacterial blooms.

17.
Heliyon ; 9(3): e13996, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-36915533

RESUMEN

National parks provide a considerable number of co-benefits to society, including the balance of ecosystems, conservation of heritage values, and tourism. However, studies on zoning approaches for the management of national parks are lacking. The landscape characterization approach is a holistic method for identifying regional landscapes and helps improve zoning management, thus promoting sustainable planning. Here, we propose a landscape character classification (LCC) approach for national parks by integrating a k-means clustering algorithm and geographic information system (GIS). We used Laoshan National Park (LNP) as a case study and aimed to (1) quantify the major landscape factors (altitude, topography relief, soil type, and heritage impact intensity) that influence the landscape classification of mountainous protected areas; (2) create a map of landscape character types and areas to guide a zoning boundary; and (3) further examine how decision makers assign different conservation strategies to each landscape character area. Our results indicate that different landscape character areas reflect distinct ecological environments and heritage values and that differentiated zoning management can effectively mitigate the impact of natural disasters and human activities. Our study suggests that national parks require scientific landscape character zoning, rational descriptions of landscape character types, and targeted management measures to achieve the dual objectives of zoning and landscape conservation.

18.
Waste Manag ; 161: 203-212, 2023 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-36893714

RESUMEN

In melting municipal solid waste incineration (MSWI) fly ash by cyclone furnace, the deposition characteristics of particles affect the slag flow and the secondary MSWI fly ash formation. In this study, the composition mechanism based on critical viscosity is selected as the particle deposition model to predict the deposition and rebound of particles on the furnace wall. The Riboud model with an accurate viscosity prediction performance is selected, then the particle deposition model is integrated into a commercial computational fluid dynamics (CFD) solver through the user-defined function (UDF) to realize the coupling of particle motion and deposition process. The results show that under the same case, the deposition rate decreases obviously with the increase of MSWI fly ash particle size. And the escape rate reaches a maximum at particle size 120 µm. Controlling the particle size of fly ash particles within 60 µm can effectively reduce the generation of secondary MSWI fly ash. During the forward movement of the fly ash inlet position, the escape of MSWI fly ash particles with large particle sizes has been significantly weakened. This measure not only lowers the post-treatment cost but also dramatically reduces the pretreatment step of MSWI fly ash before the melting and solidification process. In addition, the deposition rate and quality will reach the maximum values, respectively, along with gradually increasing MSWI fly ash input flow. Overall, this study has the guiding significance for reducing the pretreatment steps and post-treatment costs of MSWI fly ash by melting in the cyclone furnace.


Asunto(s)
Tormentas Ciclónicas , Metales Pesados , Eliminación de Residuos , Incineración , Ceniza del Carbón , Residuos Sólidos , Metales Pesados/análisis , Carbono , Material Particulado
19.
World J Urol ; 41(3): 837-841, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-36749393

RESUMEN

OBJECTIVE: We aimed to explore the applicability and safety of micro-percutaneous nephrolithotomy (micro-perc) in the treatment of children with kidney stones in the Galdakao-modified supine Valdivia (GMSV) position under the guidance of whole-course ultrasound. MATERIALS AND METHODS: Patients were aged < 18 years in the GMSV position who underwent micro-perc for kidney stones under ultrasound guidance between August 2020 and May 2022 at our institution were reviewed retrospectively. RESULTS: A total of 23 patients, 15 males and 8 females, received micro-perc. The average stone size was 1.6 cm (range 1.1-2.0 cm). Among them, 12 patients had left kidney stones, 10 patients had right kidney stones, and 1 patient had bilateral kidney stones. The mean operative time was 55.3 min (range 35-86 min). The mean hospital stay was 2.9 days (range 2-4 days). The mean hemoglobin decrease was 1.7 g/L (range 0.9-3.2 g/L). A total of 17 patients had complete stone clearance at 48 h postoperatively. A total of 22 patients had complete stone clearance at 2 weeks postoperatively. CONCLUSION: Our results demonstrate that micro-perc under ultrasound guidance is a safe and effective method for the treatment of children with kidney stones in the GMSV position. Further research is warranted to confirm these results.


Asunto(s)
Cálculos Renales , Nefrolitotomía Percutánea , Nefrostomía Percutánea , Masculino , Femenino , Humanos , Niño , Estudios Retrospectivos , Nefrostomía Percutánea/métodos , Cálculos Renales/diagnóstico por imagen , Cálculos Renales/cirugía , Riñón/cirugía , Nefrolitotomía Percutánea/métodos , Posición Supina , Resultado del Tratamiento
20.
Sci Rep ; 13(1): 2013, 2023 02 03.
Artículo en Inglés | MEDLINE | ID: mdl-36737491

RESUMEN

The uvula flapping is one of the most distinctive features of snoring and is critical in affecting airway aerodynamics and vibrations. This study aimed to elucidate the mechanism of pharyngeal vibration and pressure fluctuation due to uvula flapping employing fluid-structure interaction simulations. The followings are the methodology part: we constructed an anatomically accurate pediatric pharynx model and put attention on the oropharynx region where the greatest level of upper airway compliance was reported to occur. The uvula was assumed to be a rigid body with specific flapping frequencies to guarantee proper boundary conditions with as little complexity as possible. The airway tissue was considered to have a uniform thickness. It was found that the flapping frequency had a more significant effect on the airway vibration than the flapping amplitude, as the flapping uvula influenced the pharyngeal aerodynamics by altering the jet flow from the mouth. Breathing only through the mouth could amplify the effect of flapping uvula on aerodynamic changes and result in more significant oropharynx vibration.


Asunto(s)
Faringe , Úvula , Humanos , Niño , Vibración , Ronquido , Orofaringe
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