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1.
Artigo em Chinês | MEDLINE | ID: mdl-35866275

RESUMO

Objective: To analyze the clinical features and surgical outcomes of petrous bone cholesteatomas (PBCs). Methods: Data from 39 PBCs patients treated in the Department of Otorhinolaryngology, Xijing Hospital from September 2011 to December 2017 were reviewed retrospectively, including 23 males, 16 femals, aged 12-71 years old, with the median age of 37. Clinical classifications, surgical methods, facial and hearing function, and intraoperative and postoperative complications were made summary analysis. Results: In this study, five patients were congenital PBCs and 34 patients were acquired PBCs. The common clinical symptoms were hearing loss (100%, 39/39), ear discharge/pus (89.7%, 35/39) and facial paralysis (46.2%, 18/39). According to Sanna's classification, 14 cases were supralabyrinthine, including three cases underwent transcochlear (TC) approach, six cases underwent transotic (TO) approach and five underwent translabyrinthine (TL) approach. 10 cases were infralabyrinthine, including eight cases underwent subtotal petrosectomy, one case underwent TO approach and one underwent TL approach.10 cases were massive, including seven cases underwent TC approach, three cases underwent TO approach. Five cases were infralabyrinthine-apical, including two cases underwent TC approach, two cases underwent TO approach, and one case underwent endoscope assisted infratemporal fossa type B. The degree of facial nerve (FN) dysfunction from high to low was massive (6/10), supralabyrinthine (8/14), infralabyrinthine-apical (2/5) and infralabyrinthine (2/10). 19 cases involved in facial nerve operation, three cases underwent FN decompression, four cases underwent FN rerouting, four cases underwent nerve grafting, and one case underwent facial-hypoglossal anastomosis. Preoperative FN involvement in 18 cases, and the FN function was improved in 14 cases after surgery. The improved rate of postoperative FN function was 77.8%. The bone conducted hearing retained 50.0% (14/28) postoperatively. Five cases with cerebrospinal fluid leak were managed by inserting free muscle plugs and cavity obliteration. Two cases with the cholesteatomas matrix involved the sigmoid sinus and the jugular bulb, and occlusion of the sigmoid sinus was performed. Postoperatively, two patients presented with synkinesis. The patients were followed up for 40 to 115 months, and there was no recurrence. Conclusions: There are no specific clinical manifestations for PBCs, thus, it is difficult in early diagnosis and treatment. According to Sanna's classification, preoperative FN and hearing function, the best surgical approach should be selected with minimal recurrences and perioperative morbidity.


Assuntos
Colesteatoma , Osso Petroso , Adolescente , Adulto , Idoso , Criança , Colesteatoma/cirurgia , Nervo Facial/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Osso Petroso/cirurgia , Estudos Retrospectivos , Resultado do Tratamento , Adulto Jovem
2.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 57(4): 424-429, 2022 Apr 09.
Artigo em Chinês | MEDLINE | ID: mdl-35368171

RESUMO

Compared with cold lateral condensation and continuous wave of condensation which are classically used in clinical, newly emerging single-cone obturation technique is easy-to-operate as well as time-saving. Especially when combined with bioceramic root canal sealers of improved physicochemical and biological properties, single-cone obturation technique showed satisfactory short-term outcomes in clinical observations. However, difficulties still exist in avoiding the root canal overfilling and in operating the retreatment. Besides, the long-term effects of single-cone obturation with bioceramic sealers still remain unclear. This article makes an overview on the history and development of single-cone obturation ,and provides analysis of its pros and corns. Furthermore, we would also like to summarize its clinical application and look into its future improvements.


Assuntos
Materiais Restauradores do Canal Radicular , Obturação do Canal Radicular , Resinas Epóxi/química , Guta-Percha/química , Retratamento , Materiais Restauradores do Canal Radicular/química , Materiais Restauradores do Canal Radicular/uso terapêutico , Obturação do Canal Radicular/métodos , Tratamento do Canal Radicular
3.
Zhonghua Yi Xue Za Zhi ; 100(14): 1081-1083, 2020 Apr 14.
Artigo em Chinês | MEDLINE | ID: mdl-32294871

RESUMO

Objective: Investigating the diagnostic value of MRI for cervical cancer, including preoperative staging, vagina involvement and lymph node metastasis is the aim of this pape. Methods: Select 116 patients with UCC of the second hospital of JiLin University from October 2016 to April 2019. All patients accept MRI examination. Ultimately, all patients accept surgical treatment. Use SPSS19.0 software to analyze MRI results of all the patients.Using the postoperative pathological results as the golden standard in the diagnosis of cervicalcancer diagnosis. The dates from the MRI preoperative staging, preoperative clinical staging and the postoperative pathologic staging were compared through chi-square test. And the dates of preoperative MRI in cervical cancer vagina involvement and lymph node metastasis diagnosis and postoperative pathological results were compared through Mcnemar chi-square test. The difference was statistically significant(P<0.05). Results: 1, The differences between MRI staging and the postoperative pathologic staging have no statistical significance (P>0.05), whilethe difference between MRI staging and preoperative clinical staging during was statistically significant (P<0.05). Using the postoperative pathological staging as the examination standards, the accuracy of preoperative clinical staging is only 67.5%, and cervical cancer overall preoperative MRI staging accuracy was 95%; 2, Preoperative MRI diagnosis and postoperative pathologic results in cervical vaginal involvement and lymph node metastasis has highsensitivity and specificity, were 97.0%, 96.2%, 93.2%, 97.8%. Checked by Mcnemar chi-square test, the differences between themhave no statisticalsignificance (P>0.05), namely the preoperative MRI diagnosis and postoperative pathological results have consistency in clinical. Conclusion: The combination of MRI and FIGO clinical stage can impro the accuracy of clinical staging of cervical cancer. MRI can be used as the important tool to assess cervical cancer preoperative staging, and to choose and formulate reasonable cervical cancer treatment plan.


Assuntos
Neoplasias do Colo do Útero , Feminino , Humanos , Linfonodos , Metástase Linfática , Imageamento por Ressonância Magnética , Estadiamento de Neoplasias , Neoplasias do Colo do Útero/diagnóstico por imagem
4.
Zhonghua Yi Xue Za Zhi ; 98(47): 3864-3867, 2018 Dec 18.
Artigo em Chinês | MEDLINE | ID: mdl-30585031

RESUMO

Objective: To study the relationship between the intracardiac echogenic foci and the abnormal chromosome and the changes of Cardiac function. Methods: A total of 2645 cases with the gestational age between 14 to 22 weeks were tested in the department of gynecology and obstetrics of the Second Hospital of Jilin University from Jan.2016 to Dec.2017.Seventy-nine of them existed the intracardiac echogenic foci, and the patient's imaging data in details were recorded.All of them have taken the non-invasive DNA examination.Fetal echocardiography was performed at 22-24 weeks.Karyotype analysis was performed using amniocentesis and umbilical cord blood puncture.Inducing labor was performed for fetuses that has been identified as a haploid or had a severely malformation during pregnancy.The other fetuses were followed up to the birth.Echocardiography was performed on neonates. Results: The detection rate of intracardiac echogenic focus was 3.0% in early pregnancy, 92% in the left ventricle, 4% in the right ventricle, and 4% in double ventricle.There were 5 cases of haploid fetus induced labor, 2 cases of induced labor due to fatal malformation.Fetal echocardiography revealed tricuspid regurgitation in 7 cases.One of them was induced labor in consideration of heart failure. Conclusions: 1.The risk of chromosomal abnormality in the fetus of isolated left intracardiac echogenic focus is lower.Non-invasive DNA examination has a high reliability that could be an important reference before an invasive antenatal diagnosis.2.A higher rate of fetal malformation will be found when the foci located in the right or double ventricle.3.The relationship between fetal intracardiac echogenic foci and fetal cardiac dysfunction needs to be further clarified.


Assuntos
Coração , Adolescente , Cromossomos Humanos , Feminino , Feto , Humanos , Recém-Nascido , Gravidez , Reprodutibilidade dos Testes , Ultrassonografia Pré-Natal , Adulto Jovem
5.
Zhonghua Yi Xue Za Zhi ; 98(41): 3320-3323, 2018 Nov 06.
Artigo em Chinês | MEDLINE | ID: mdl-30440120

RESUMO

Objective: To analysis of fetal ultrasound soft index positive cases during 16-18 weeks of pregnancy, and to explore the relationship with chromosomal abnormalities in order to increase the positive rate of invasive prenatal diagnosis and reduce the rate of missed diagnosis. Methods: A total of 569 cases which were diagnosed with positive soft markers in the department of gynecology and obstetrics of the Second Hospital of Jilin University from Jan.2016 to Jan.2017 were studied by ultrasonography. Twenty-five cases were lost in follow-up and finally 544 cases were included as group A. Those fetuses who combined with other malformations were induced labor. Non-invasive DNA examination was recommended for continued pregnant women, and those pregnant women whose results were high risk underwent the amniotic cavity puncture. When the fetal aneuploidy was confirmed, they chose induced labor. We followed the rest of those patients until postnatal half year. Randomly selected 544 cases during 16-18 weeks of pregnancy without obvious abnormalities into group B, followed up to half a year after birth. Results: In group A, 7 of the 544 cases were combined with other severe malformation in the beginning, among the remaining 537 patients, 273 of them received non-invasive DNA examination. Ten cases were high risk results, all of them underwent the amniotic cavity puncture with the result of chromosome abnormality, and they chose induced labor. Six cases were found other malformation in the second trimester who chose induced labor, and the rest 521 cases followed until the fetuses was born after half year had a favorable prognosis. In group B, 1 cases of severe deformities and 1 cases of haploid fetuses were found in 544 fetuses. The incidence of haploid fetus in group A and group B were 1.8% and 0.2%, respectively, with statistically significant (P<0.05). The incidence of severe malformation in group A and group B were 2.3% and 0.2%, respectively, with statistically significant (P<0.05). Conclusions: During 16-18 weeks of pregnancy, sonographic markers may indicate an increased risk in fetal chromosomal abnormalities. The risk of serious malformation was increased in the fetuses with ultrasonic soft marker positive, but there was no specificity.


Assuntos
Transtornos Cromossômicos , Feminino , Feto , Humanos , Gravidez , Segundo Trimestre da Gravidez , Diagnóstico Pré-Natal , Ultrassonografia , Ultrassonografia Pré-Natal
6.
Zhonghua Yi Xue Za Zhi ; 98(37): 2987-2990, 2018 Oct 09.
Artigo em Chinês | MEDLINE | ID: mdl-30392253

RESUMO

Objective: Using the method of the ultrasound and the noninvasive DNA to find the relationship between the choroid plexus cyst and the aneuploidy, and to provide the meaningful data for prenatal consultant. Methods: A total of 112 cases, that the gestational age were between 13 and 20 weeks, which were diagnosed with choroid plexus cyst in the Department of Gynecology and Obstetrics of the Second Hospital of Jilin University from January. 2016 to July. 2017 were tested by ultrasonography. They all accepted the noninvasive DNA. At the same time, a total of 100 normal fetuses were randomly involved in the control group by the combination of gestational age and the age of the pregnant woman, all of them had taken the non-invasive DNA examination and followed up until the birth. Those fetuses who combined with other malformations were induced labor in the two groups. If the results of noninvasive DNA indicated the high-risk, invasive examination for karyotype analysis were recommended. If the results were aneuploidy, they chose induced labor. The rest cases followed up until the birth. Results: Five cases of the 112 fetuses in the case group were found with obvious malformation (3 of them were found in the early trimester, 2 of them were found in the middle trimester). The numbers of high risk results of noninvasive DNA were 7, and 5 of them underwent the invasive karyotype analysis. When the aneuploidy had diagnosed definitely, induced labor had been taken. One case was found to be the aneuploidy in the control group, and took the induced labor. One case was diagnosed as right side aortic arch by ultrasound in the control group, with a good prognosis. The other cases were followed up until the birth with a good prognosis. Conclusions: (1)In the early trimester, the fetus with choroid plexus cyst has an increasing risk of aneuploidy. (2)When the maximum diameter of choroid plexus cyst is less than 1 cm and the cyst was single, most of them could disappear in the middle trimester, it has no effect on the fetus. (3)Noninvasive DNA test has a high accuracy, which can improve the positive rate of invasive examination.


Assuntos
Plexo Corióideo , Aneuploidia , Encefalopatias , Cromossomos Humanos Par 18 , Cistos , Feminino , Doenças Fetais , Humanos , Gravidez , Segundo Trimestre da Gravidez , Trissomia , Ultrassonografia Pré-Natal
7.
Zhonghua Yi Xue Za Zhi ; 98(11): 823-825, 2018 Mar 20.
Artigo em Chinês | MEDLINE | ID: mdl-29609263

RESUMO

Objective: To probe the effect of multiple pregnancy on pelvic floor function of pregnant women, Pelvic floor ultrasonography was performed on the 42 day postpartum women.And the bladder neck mobility, bladder and urethral posterior angle and pelvic diaphragmatic hiatus area were measured. Methods: Collect 200 cases 42 day postpartum women who visited the second hospital of Jilin University from July 2015 to June 2017, of which 100 cases of primipara belong to group A, 100 cases of multiple pregnancy belong to group B, and 100 cases without maternal at the same age belong to the control group, ultrasound measurement of the bladder neck mobility, bladder and urethral posterior angle and pelvic diaphragmatic hiatus area were measured.t test were proformed respectively between the three groups, P<0.05 was considered statistically significant difference. Results: In the control group, the bladder neck mobility is (2.59±0.51) cm , the bladder neck mobility in A group is (2.99±0.69) cm, the bladder neck mobility in B group is (3.36±0.71) cm; the bladder and urethral posterior angle in the control group is (112.56±13.61)°, the bladder and urethral posterior angle in the control group after Valsalva action angle is(135.37±12.17)°, the bladder and urethral posterior angle in A group is(119.26±15.80)°, the bladder and urethral posterior angle in group A after Valsalva action is(141.79±12.08)°, the bladder and urethral posterior angle in B group is(123.62±16.20)°, the bladder and urethral posterior angle in group B after Valsalva action is (148.92±13.60)°; the pelvic diaphragmatic hiatus area in the control group is (13.35±2.86) cm(2,) the pelvic diaphragmatic hiatus area in the control group after Valsalva action is(15.28±3.15) cm(2,) the pelvic diaphragmatic hiatus area in A group is(17.52±3.19) cm(2,) the pelvic diaphragmatic hiatus area in A group ater Valsalva action is (18.06±5.13_the pelvic diaphragmatic hiatus area) cm(2,) the pelvic diaphragmatic hiatus area in B group is (18.26±4.18) cm(2,) the pelvic diaphragmatic hiatus area in B group after Valsalva action is (20.3±3.53) cm(2).In group A, group B and the control group, the measured value of the bladder neck mobility, bladder and urethral posterior angle and pelvic diaphragmatic hiatus area were examined by t test, and P<0.05, which means the difference was statistically significant. Conclusion: Pregnancy can affect the function of female pelvic floor, and the effect of parturient is more significant than that of the primipara.


Assuntos
Diafragma da Pelve , Feminino , Humanos , Período Pós-Parto , Gravidez , Gravidez Múltipla , Ultrassonografia , Incontinência Urinária por Estresse
8.
Zhonghua Yu Fang Yi Xue Za Zhi ; 52(1): 79-84, 2018 Jan 06.
Artigo em Chinês | MEDLINE | ID: mdl-29334713

RESUMO

Objective: To discuss the prevalence and influential factors of stroke among population in Jiangxi Province. Methods: Four cities in urban areas and four counties in rural areas were selected firstly, in which two districts or townships were selected; and then three communities or villages were chosen from each district and township, respectively, using the simple random sampling (SRS) method. Finally 15 269 subjects aging 15 years old or above, living in Jiangxi Province ≥6 months were randomly selected to participate in this survey from November 2013 to August 2014. Information of population characteristics, life behavior way, individual disease history were collected through questionnaire survey, and height, weight, waist circumference, blood pressure, body fat rate, visceral fat index and so on were measured by instruments. Risk factors of stroke prevalence were analyzed by the unconditioned logistic regression analysis. Results: A total of 15 269 participants (6 267 males) from 15 364 eligible participants were included in the statistical analysis. Out of which, 7 793 participants came from urban areas, and their average age was (53.04±17.91) years old. In this study, 226 stroke patients (117 males) were found among15 269 participants, including 122 urban participants and 104 rural participants, whose average age was (67.76±9.74) years old. The prevalence of stroke was 1 480.12/100 000 in 2014, which was separately 1 866.92/100 000 and 1 210.84/100 000 among males and females. The prevalence of people aging (45-49) years old was 413.79/100 000 (6/1 450) , while which among people aging 75 years old and above was 3 311.62/100 000 (61/1 842) . The prevalence of stroke among residents in Jiangxi presented an uprising tendency with age increasing (linear-by-linear association χ(2)=62.23, P<0.01). The research showed that when other influencing factors including gender, BMI, waist circumference, pulse-pressure difference, VAI, and sleeping time in non-working days were controlled, hypertensive patients had a higher risk of stroke than people without hypertension (OR=6.88, 95%CI: 4.90-9.67), drinkers had a higher risk of stroke than non-drinkers (OR=1.56, 95%CI: 1.17-2.08), compared with people <65 years old, people aged 65-74 years old and ≥75 years old had a higher risk of stroke, the value of OR (95%CI) were 1.88 (1.36-2.59) and 1.97 (1.39-2.80), respectively, compared with people with normal body fat percentage, people whose body fat percentage on high side and people who with high body fat percentage had a higher risk of stroke, the value of OR (95%CI) were 1.71 (1.18-2.48) and 1.74 (1.18-2.56), respectively, people with sleep time >8 h had a higher risk of stroke than those with sleep time of 6-8 h. Conclusion: There was a high stroke prevalence among residents in Jiangxi province. Hypertension, drinking, age, BFP and sleep duration were associated with stroke prevalence. Corresponding measures for high-risk population and risk factors should be strengthened to prevent and control the stroke.


Assuntos
Hipertensão , Acidente Vascular Cerebral/epidemiologia , Circunferência da Cintura , Idoso , Consumo de Bebidas Alcoólicas , Pressão Sanguínea , China/epidemiologia , Feminino , Humanos , Gordura Intra-Abdominal , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , População Rural , Inquéritos e Questionários
9.
Zhonghua Yi Xue Za Zhi ; 96(35): 2818-2820, 2016 Sep 20.
Artigo em Chinês | MEDLINE | ID: mdl-27686549

RESUMO

Objective: To explore the relationship between fetal radius loss and chromosomal abnormalities. Methods: Collect data of 3 100 cases pregnant women who had been checked in the second hospital of Jilin University from 2012 to 2015.There were 8 cases of absent radius, except 1 case of fetal lost follow-up, the remaining 7 cases had complete ultrasound, chromosome examination and the result of induction.The relationship between fetal radius loss and chromosomal abnormalities were analysed. Results: There were 1 case of 21 trisomy syndrome, 1 case of trisomy 13 syndrome, 2 cases of trisomy 18, 2 cases of chromosome translocation, 1 case of normal chromosome result and 1 case was lost to follow-up of the 8 absent radius fetuses. Conclusion: Through a comparison between the chromosome and ultrasonic characteristics of fetuses who have absent radius, we had indicated the relationship of fetal radius deletion and chromosomal anomaly, improved the positive rate of chromosome invasion examination, and provided the reference for eugenics.


Assuntos
Aberrações Cromossômicas , Rádio (Anatomia) , Transtornos Cromossômicos , Cromossomos Humanos Par 13 , Cromossomos Humanos Par 18 , Síndrome de Down , Feminino , Feto , Humanos , Gravidez , Trissomia , Síndrome da Trissomia do Cromossomo 13
10.
Eur Rev Med Pharmacol Sci ; 20(16): 3319-26, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27608888

RESUMO

OBJECTIVE: miRNAs have been recently reported to contribute to the etiology of endometriosis in stem cells. However, the mechanisms remain unclear. The aim of this investigation is to explore the expression of miR-15a-5p and VEGFA in endometrial samples from patients with or without endometriosis. And then examine the regulation by miR-15a-5p on the expression of VEGFA. PATIENTS AND METHODS: Here we collected 31 endometrial samples from patients with or without endometriosis and characterized the miRNAs expression profiles of these two groups. Then, we investigated the regulation by microRNA-15a-5p (miR-15a-5p) on the expression of vascular endothelial growth factor (VEGF) in endometrial mesenchymal stem cells. RESULTS: It was demonstrated that there was dramatically down-regulation of miR-15a-5p in the patients with endometriosis, compared with control patients. Moreover, we found that the up-regulation of miR-15a-5p suppressed cell proliferation, migration and invasion of these ectopic stem cells by targeting the 3' untranslated region of VEGFA. CONCLUSIONS: Taken together, this newly identified miR-15a-5p module provides a new avenue to the understanding of the processes of endometriosis development, especially proliferation, motility as well as angiogenesis, and may facilitate the development of potential therapeutics against endometriosis.


Assuntos
Endometriose/metabolismo , MicroRNAs/metabolismo , Feminino , Humanos , Células-Tronco Mesenquimais/metabolismo , Regulação para Cima , Fator A de Crescimento do Endotélio Vascular/metabolismo
11.
Zhonghua Yi Xue Za Zhi ; 96(33): 2648-2651, 2016 Sep 06.
Artigo em Chinês | MEDLINE | ID: mdl-27666886

RESUMO

Objective: To investigate the relationship among the prenatal ultrasound, prognosis and chromosome results of fetal bowel dilatation. And in order to further improve the positive rate of prenatal chromosome examination operation, and reduce the risk of missed diagnosis. Methods: Ninety fetuses who were diagnosed as fetal bowel dilatation by prenatal ultrasound from June 2013 to December 2015 in the Second hospital of Jilin University were enrolled. Chromosomes were examined by amniotic cavity puncture or umbilical cord blood puncture. The change of fetus's bowel was monitored periodically by prenatal ultrasound. The normal bowel movement of newborns was a good prognosis. The abdominal X ray or barium contrast radiography was performed in the newborns who did not have normal bowel movement after delivery. Patients underwent surgery or conservative treatment after diagnosis. Fetal karyotype analysis of aborted fetus was carried out by amniotic cavity puncture and umbilical cord blood before induction of labor. Autopsy was performed after induced labor. Patients who were not continued examination in our hospital were followed up by telephone. Results: Among the 90 fetuses, there are 11 cases of duodenum dilatation, 38 cases of jejunum and ileum dilatation, 41 cases of colorectal dilatation. Ten cases of duodenum dilatation were confirmed by autopsy after induced labor, and one case was lost in follow-up. Chromosome examination revealed 3 cases of 21- three body syndrome, 1 case of 18- three body syndrome, 1 case of chromosomal translocation. In 38 cases of jejunum and ileum dilatation, bowel dilatation of 26 cases had decrease or no obvious increase with good prognosis. Six cases of induced labor, 3 cases of receive surgery after birth, 2 cases of postoperative survival, and 3 cases of loss of follow-up. Chromosome examination revealed 1 case of 21- three body syndrome and 1 case of chromosomal translocation. In 41 cases of colorectal dilatation, 29 cases had good prognosis. Five cases were aborted, 1 case of fetal death, 2 cases died within 1 month after birth, 2 cases received surgery after birth and survived after operation, and 2 cases of loss of follow-up. Conclusions: Clinical prognosis and the associated risk of chromosome abnormalities in patients with fetal bowel dilatation are different in terms of its expansion location and extent of the different, which need to a specific analysis of specific situations.


Assuntos
Dilatação , Ultrassonografia Pré-Natal , Aberrações Cromossômicas , Cromossomos Humanos , Feminino , Feto , Humanos , Recém-Nascido , Cariotipagem , Gravidez , Prognóstico
12.
Zhonghua Shao Shang Za Zhi ; 32(8): 479-83, 2016 Aug 20.
Artigo em Chinês | MEDLINE | ID: mdl-27562158

RESUMO

OBJECTIVE: To explore the application of percutaneous transluminal angioplasty (PTA) in the surgical treatment of patients with diabetic feet. METHODS: The clinical data of 83 patients with diabetic feet, 95 limbs (95 wounds) in total, hospitalized in our unit from September 2011 to September 2014, conforming to the study criteria, were retrospectively analyzed. Patients were divided into conventional treatment group (CT, n=43, 51 wounds) and PTA group (n=40, 44 wounds) according to whether receiving PTA treatment or not. Patients in two groups received conventional debridement after admission, and patients in PTA group received another PTA treatment before debridement. Granulation growing well rates of wounds of patients in two groups were calculated on post debridement day (PDD) 3, 6, 9, and 12. Two stage preoperative preparation time of wounds of patients in two groups was recorded. Status of free skin graft survival of wounds and wound healing of patients in two groups were recorded according to the grade of Wagner. Values of ankle-brachial index (ABI) and ulcer recurrence of patients in two groups checked every month during follow-up time of half a year were recorded. Data were processed with chi-square test and t test. RESULTS: Granulation growing well rate of wounds of patients in group CT rose slowly after treatment, which was less than 40% on PDD 12. Granulation growing well rate of wounds of patients in PTA group rose significantly on PDD 9 and all the granulation grew well on PDD 12. On PDD 9 and 12, Granulation growing well rates of wounds of patients in PTA group were significantly higher than those in group CT (with χ(2) values respectively 30.008 and 47.810, P values below 0.01). Two stage preoperative preparation time of wounds of patients in group CT [(24±10) d] was obviously longer than that in PTA group [(15±3) d, t=5.709, P<0.01]. The ratios of survived free skin graft and healed suture in Wagner 2, 3, and 4 wounds of patients in PTA group were significantly higher than those in corresponding Wagner of group CT (with χ(2) values from 6.741 to 24.498, P values below 0.01). During follow-up time of half a year, values of ABI of patients in PTA group every month were significantly higher than those in group CT (with t values from 5.411 to 9.583, P values below 0.01). During follow-up time of half a year, there was no ulcer recurrence in group CT in the first four months, but ulcer recurrence was observed in one patient in the fifth month and in two patients in the sixth month. While no ulcer recurrence was found in PTA group during follow-up time of half a year. CONCLUSIONS: PTA has certain effect and clinical value for the treatment of diabetic foot.


Assuntos
Angioplastia/métodos , Pé Diabético/cirurgia , Transplante de Pele , Desbridamento , Humanos , Estudos Retrospectivos , Pele , Resultado do Tratamento , Cicatrização
13.
Genet Mol Res ; 15(2)2016 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-27323121

RESUMO

We examined the aberrant microRNA (miRNA) expression profile responsible for the changes in angiogenesis observed in endometriotic lesions. This study revealed characteristic miRNA expression profiles associated with endometriosis in endometrial tissue and endometriotic lesions from the same patient, and their correlation with the most important angiogenic and fibrinolytic factors. miRNA expression was quantified using a microRNA array and reverse-transcription microRNA polymerase chain reaction. Levels of vascular endothelial growth factor A (VEGFA), epidermal growth factor receptor 2 (EGFR2), phosphatase and tensin homolog (PTEN), and C-X-C chemokine receptor type 4 (CXCR4) were quantified using enzyme-linked immunosorbent assay. The endometrial tissue showed significantly lower levels of miR-200b, miR-15a-5p, miR-19b-1-5p, miR-146a-5p, and miR-200c, and higher levels of miR-16-5p, miR-106b-5p, and miR-145-5p. VEGFA was significantly upregulated, whereas EGFR2, PTEN, and CXCR4 were markedly downregulated, in the endometriotic tissues compared to that in the normal endometrial tissues. In conclusion, differences in the miRNA levels could modulate the expression of VEGFA, EGFR2, PTEN, and CXCR4, and may play an important role in the pathogenesis of endometriosis. The higher angiogenic and proteolytic activities observed in the eutopic endometrium might facilitate the implantation of endometrial cells at ectopic sites.


Assuntos
Endometriose/genética , MicroRNAs/biossíntese , PTEN Fosfo-Hidrolase/biossíntese , Receptor ErbB-2/biossíntese , Receptores CXCR4/biossíntese , Fator A de Crescimento do Endotélio Vascular/biossíntese , Adulto , Endometriose/patologia , Feminino , Regulação da Expressão Gênica , Humanos , Pessoa de Meia-Idade , Neovascularização Patológica/genética , Neovascularização Patológica/patologia , PTEN Fosfo-Hidrolase/genética , Receptor ErbB-2/genética , Receptores CXCR4/genética , Fator A de Crescimento do Endotélio Vascular/genética
14.
J Therm Biol ; 53: 90-7, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26590460

RESUMO

We evaluated the effect of cold shock on the fatty acid composition, antioxidant enzymes, and physiological responses of genetically improved farmed tilapia (GIFT). Experimental GIFT tilapia, a warm-water teleost, were initially acclimated at 28°C and then transferred directly to 13°C. Stress responses were monitored for 120h. There was a significant change in all parameters in response to the cold stressor (P<0.05). Serum cortisol levels increased from 336.93ng/ml to a peak of 1165.31ng/ml 24h after the initial cold shock, and declined rapidly thereafter. Serum glucose and cholesterol levels were significantly lower in the low temperature group than the control group at 120h (P<0.05). Acute low temperature stress enhanced superoxide dismutase, glutathione peroxidase, catalase, and glutathione levels in the liver of GIFT tilapia. The GIFT tilapia were able to selectively metabolize fatty acids for energy needs during the early period of exposure to low-temperature stress. During this time, they primarily used saturated fatty acids for energy. However as the duration of the stressor and loss of muscle fat increased, the fish began to metabolize long-chain polyunsaturated fatty acids. Increased malondialdehyde was produced by oxidation of these fatty acids leading to oxidative damage. Our results provide insight into the changes in fatty acid metabolism physiology that allow GIFT tilapia juveniles to adapt to short-term cold stress.


Assuntos
Catalase/metabolismo , Ciclídeos/metabolismo , Resposta ao Choque Frio , Ácidos Graxos/metabolismo , Proteínas de Peixes/metabolismo , Glutationa Peroxidase/metabolismo , Superóxido Dismutase/metabolismo , Animais , Animais Geneticamente Modificados/genética , Animais Geneticamente Modificados/crescimento & desenvolvimento , Animais Geneticamente Modificados/metabolismo , Glicemia/metabolismo , Catalase/genética , Colesterol/sangue , Ciclídeos/genética , Ciclídeos/crescimento & desenvolvimento , Proteínas de Peixes/genética , Glutationa Peroxidase/genética , Hidrocortisona/sangue , Fígado/crescimento & desenvolvimento , Fígado/metabolismo , Estresse Oxidativo , Superóxido Dismutase/genética
15.
J Fish Biol ; 86(3): 1129-38, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25683859

RESUMO

The objective of this study was to estimate genetic parameters of main length ratios associated with morphological traits in Paralichthys olivaceus. At 180, 240 and 360 days of age, body length (L1 ), head length (L2 ), body depth (L3 ), caudal peduncle depth (L4 ) and caudal-peduncle length (L5 ) were observed in 4757-5224 individuals from 52 full-sib families. Based on these observed traits, the main length-ratio traits including L3 :L1 , L2 :L1 , L5 :L1 and L4 :L3 were constructed. Three single-trait animal models were used to examine the phenotypic variation of length-ratio traits and were compared using the likelihood ratio test. As a result, the optimal model for all the analysed traits was determined as the model with the fixed, additive genetic and full-sib family effects. Using the optimal model, animal model analysis for single trait showed that heritabilities were estimated to be low, ranging from 0·122 to 0·276. The estimates for all length-ratio traits decreased while the days of age increased except for L3 :L1 . Multivariate animal model analysis indicated that within and among days of age, genetic correlations between length-ratio traits were different in the direction and magnitude. Genetic parameter estimation of main length ratios would be helpful for genetic improvement of body shape in P. olivaceus.


Assuntos
Tamanho Corporal/genética , Linguado/anatomia & histologia , Linguado/genética , Modelos Genéticos , Animais , Feminino , Funções Verossimilhança , Masculino , Fenótipo
16.
Genet Mol Res ; 10(4)2011 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-21968806

RESUMO

Albuminuria is an independent predictor of renal and cardiovascular complications in hypertensive subjects. We previously showed that lectin-like oxidized low density lipoprotein receptor 1 (OLR-1) polymorphisms at G501C are associated with susceptibility to essential hypertension and serum C-reactive protein levels. We have now investigated a possible association between OLR-1 polymorphisms at G501C, genotyped by PCR-RFLP, and severity of albuminuria in 307 hypertensive Chinese subjects and 225 age- and sex-matched controls. Urine albumin concentration /urine creatinine concentrations (ACR) were measured to evaluate the severity of albuminuria. Hypertensive subjects had a significantly higher frequency of the CC genotype and the C allele of the OLR-1 polymorphism than controls; this was also true for . hypertensive subjects with macroalbuinuria and microalbuminuria compared to those with normoalbuminuria. The mean ACR levels and mean serum C-reactive protein levels in CC carriers were significantly higher than in GG and GC carriers. There was a significant, positive correlation between serum hs-C-reactive protein levels and ACR levels. We conclude that OLR-1 polymorphisms at G501C affect the severity of albuminuria in essential hypertension patients.

17.
Poult Sci ; 86(1): 30-6, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17179412

RESUMO

The random regression model (RRM) methodology was applied to the estimation of genetic parameters for cumulative egg numbers and monthly egg production in a broiler dam line. The data were extracted from records of a commercial dam line in 2001 to 2003. A total of 99,193 records from 6,475 hens and 9,111 pedigreed animals were used in the current study. The variance components were estimated using Gibbs sampling procedure. According to the Bayesian information criterion and Bayes factor, an RRM with Legendre polynomial of 2 orders for hatching groups and additive genetic effects and of 4 orders for permanent environmental effects was chosen as the optimal model for cumulative egg numbers in the broiler dam line. The heritability estimates of the cumulative egg numbers between wk 1 and 40 of production ranged from 0.16 to 0.54, whereas heritability estimates from wk 12 to 20 of production were moderate. The ratios of permanent environmental variance to phenotypic variance were large, indicating that the RRM could produce better estimates of additive genetic effects. The genetic and phenotypic correlations between cumulative egg numbers at different production weeks estimated with the optimal RRM were generally higher when the overlapping weeks were greater. In addition, genetic parameters for monthly egg production could also be obtained by the optimal RRM, and the heritability estimates ranged from 0.03 to 0.18. It was suggested that early selection based on cumulative egg numbers in the first 19 wk of production could effectively improve annual egg production in the broiler dam line.


Assuntos
Galinhas/genética , Oviposição/genética , Óvulo/citologia , Óvulo/fisiologia , Animais , Contagem de Células , Galinhas/fisiologia , Feminino , Modelos Genéticos , Oviposição/fisiologia , Análise de Regressão
18.
J Dairy Sci ; 89(6): 2233-5, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16702290

RESUMO

Legendre polynomials of orders 3 to 8 in random regression models (RRM) for first-lactation milk production in Canadian Holsteins were compared statistically to determine the best model. Twenty-six RRM were compared using LP of order 5 for the phenotypic age-season groupings. Variance components of RRM were estimated using Bayesian estimation via Gibbs sampling. Several statistical criteria for model comparison were used including the total residual variance, the log likelihood function, Akaike's information criterion, the Bayesian information criterion, Bayes factors, an information-theoretic measure of model complexity, and the percentage relative reduction in complexity. The residual variance always picks the model with the most parameters. The log likelihood and information-theoretic measure picked the model with order 5 for additive genetic effects and order 7 for permanent environmental effects. The currently used model in Canada (order 5 for both additive and permanent environmental effects) was not the best for any single criterion, but was optimal when considering all criteria.


Assuntos
Bovinos/genética , Lactação/genética , Análise de Regressão , Animais , Teorema de Bayes , Canadá , Bovinos/fisiologia , Meio Ambiente , Feminino , Característica Quantitativa Herdável
19.
J Anim Breed Genet ; 122(1): 49-55, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16130488

RESUMO

A two-dimensional random regression model with regressions on days in milk (DIM) and parity number was applied to lactational milk yields in Chinese Simmental cattle. Random regressions were fitted for additive genetic and permanent environmental effects using a two-dimensional polynomial on DIM and parity number. A total of 4340 lactational milk yields from Chinese Simmental cattle which calved between 1980 and early 2000 were used in this study. Variance components were estimated using Bayesian methodology via Gibbs sampling. Variances of random regression coefficients associated with all terms of the polynomials were significant. A covariance function showed that heritabilities of lactational milk yields between 200 and 400 DIM over parities varied between 0.25 and 0.45. Heritabilities of 305-day milk yields from 1st to 6-8th parities were 0.28, 0.30, 0.32 0.32, 0.32, and 0.31, respectively. Ratios of permanent environment variances to total variances at each DIM were greater than corresponding heritabilities. Generally, genetic correlations were higher between lactational milk yields with similar DIM and parity number.


Assuntos
Bovinos/genética , Bovinos/fisiologia , Lactação/genética , Lactação/fisiologia , Animais , Feminino , Modelos Genéticos , Modelos Estatísticos , Paridade , Característica Quantitativa Herdável , Análise de Regressão , Fatores de Tempo
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