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OBJECTIVE: This case series study investigated the outcomes of an innovative approach, ansa cervicalis nerve (ACN)-to-recurrent laryngeal nerve (RLN) low-tension anastomosis. METHODS: Patients who received laryngeal nerve anastomosis between May 2015 and September 2021 at the facility were enrolled. The inclusion criteria were patients with RLN dissection and anastomosis immediately during thyroid surgery. Exclusion criteria were cases with anastomosis other than cervical loop-RLN anastomosis or pronunciation recovery time > 6 months. Patients admitted before January 2020 were assigned to group A which underwent the conventional tension-free anastomosis, and patients admitted after January 2020 were group B and underwent the innovative low-tension anastomosis (Dong's method). RESULTS: A total of 13 patients were included, 11 patients received unilateral surgery, and 2 underwent bilateral surgery. For patients who underwent unilateral anastomosis, group B had a significantly higher percentage of normal pronunciation via GRBAS scale (83.3 % vs. 0 %, p = 0.015) and voice handicap index (66.7 % vs. 0 %, p = 0.002), and shorter recovery time in pronunciation (median: 1-day vs. 4 months, p = 0.001) than those in group A after surgery. CONCLUSIONS: ACNs-to-RLN low-tension anastomosis with a laryngeal segment ≤1 cm (Dong's method) significantly improves postoperative pronunciation and recovery time. The results provide clinicians with a new strategy for ACN -to-RLN anastomosis during thyroid surgery.
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To clarify the effects of corn-based cropping systems on phosphorus (P) fractions and availability in red soil, we measured P fractions and availability of topsoil (0-20 cm) and subsoil (20-40 cm) in abandoned farmland (control) and three corn-based cropping systems (corn continuous cropping, zucchini-corn rotation and pea-corn rotation), respectively. The results showed that total P, available P contents and P activation coefficient in topsoil were higher than those in subsoil. The value of relative P parameters in topsoil of pea-corn rotation was the highest among all cropping systems. Organic P was the main P fraction in red soil, accounting for 57.8%-81.1% (topsoil) and 74.3%-85.5% (subsoil) of total P. Except for pea-corn rotation soil, sodium hydroxide extractable P (NaOH-P) was the main P fraction in other cropping systems. The contents of water-soluble P (H2O-P) and sodium bicarbonate extractable P (NaHCO3-P) with high availability were lower than other P fractions, only accounting for 0.3%-2.1% (topsoil) and 1.7%-10.0% (subsoil) of total P. The pea-corn rotation soil had the highest hydrochloric acid extractable P (HCl-P) content in topsoil and subsoil, and significantly differed from other cropping systems. The contents of available P, sodium bicarbonate extractable organic P (NaHCO3-Po), sodium hydroxide extractable organic P (NaOH-Po) and hydrochloric acid extractable inorganic P (HCl-Pi) were significantly correlated with pH, cation exchange capacity, iron-aluminum oxides and soil texture. In conclusion, pea-corn rotation was the most suitable system to improve P availability of red soil in Panxi area.
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Fósforo , Suelo , Agua , Zea maysRESUMEN
BACKGROUND: Hypothyroidism is a common hormone deficiency condition. Regenerative medicine approaches, such as a bioengineered thyroid, have been proposed as potential therapeutic alternatives for patients with hypothyroidism. This study demonstrates a novel approach to generate thyroid grafts using decellularized rat thyroid matrix. METHODS: Isolated rat thyroid glands were perfused with 1% sodium dodecyl sulfate to generate a decellularized thyroid scaffold. The rat thyroid scaffold was then recellularized with rat thyroid cell line to reconstruct the thyroid by perfusion seeding technique. As a pilot study, the decellularized rat thyroid scaffold was perfused with human-derived thyrocytes and parathyroid cells. RESULTS: The decellularization process retained the intricate three-dimensional microarchitecture with a perfusable vascular network and native extracellular matrix components, allowing efficient reseeding of the thyroid matrix with the FRTL-5 rat thyroid cell line generating three-dimensional follicular structures in vitro. In addition, the recellularized thyroid showed successful cellular engraftment and thyroid-specific function, including synthesis of thyroglobulin and thyroid peroxidase. Moreover, the decellularized rat thyroid scaffold could further be recellularized with human-derived thyroid cells and parathyroid cells to reconstruct a humanized bioartificial endocrine organ, which maintained expression of critical genes such as thyroglobulin, thyroid peroxidase, and parathyroid hormone. CONCLUSION: These findings demonstrate the utility of a decellularized thyroid extracellular matrix scaffold system for the development of functional, bioengineered thyroid tissue, which could potentially be used to treat hypothyroidism.
