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1.
Zhonghua Yi Xue Za Zhi ; 104(1): 63-68, 2024 Jan 02.
Artigo em Chinês | MEDLINE | ID: mdl-38178770

RESUMO

Objective: To assess the levels of serum glycocalyx markers in the first 24 hours after cardiac arrest (CA) and investigate their relationship with 30-day outcomes. Methods: A retrospective cohort study was conducted on prospectively collected data from CA patients, who were admitted to the intensive care units of the Affiliated Hospital of Xuzhou Medical University and obtained return of spontaneous circulation for more than 24 hours between September 2021 and October 2022. Serum samples obtained at the 24-hour after CA were utilized to measure the levels of glycocalyx markers, including heparan sulfate (HS), hyaluronic acid (HA), and syndecan-1 (Sdc-1). Patients were allocated into good function (CPC1-2) and poor function (CPC3-5) groups on the basis of cerebral performance category (CPC) at 30 days post-CA. Logistic regression analysis was used to determine the association between serum glycocalyx markers and neurological outcomes. Patients were regrouped in light of 30-d mortality and Cox regression analysis was used to determine the association between serum glycocalyx markers and 30-d mortality. Results: A total of 71 patients were included in the study, including 31 (43.7%) females and 40 (56.3%) males, with an average age of (59.0±17.0) years. The poor function group (n=49) demonstrated significantly elevated levels of HS and HA when compared to the good function group (n=22) [HS: 2 461.0(1 623.0, 5 492.0) µg/L vs 1 492.0 (914.0, 2 550.0) µg/L, P=0.008; HA: 124.0(97.0, 365.0)µg/L vs 337.0(135.0, 1 421.0) µg/L, P=0.033]. Adjusted logistic regression analysis revealed that HS was independently associated with poor neurological outcome [odds ratio (OR)=0.389, 95% confidence interval (CI): 0.182-0.828, P=0.014]. In the 30-day mortality analysis, the death group (n=32) exhibited significantly higher levels of HS and HA when compared to the survival group (n=39) [HS: 1 880.0(1 011.0, 3 554.0) µg/L vs 2 500.0(1 726.0, 6 276.0) µg/L, P=0.027; HA: 162.0(99.0, 537.0) µg/L vs 813.0(148.0, 1 531.0) µg/L, P=0.025]. Adjusted Cox regression analysis indicated that elevated levels of HS and HA were independent risk factors (HS: HR=1.697, 95%CI: 1.126-2.557, P=0.011; HA: HR=1.336, 95%CI: 1.047-1.705, P=0.020) for 30-day mortality. Conclusions: High level of serum HS in 24 hours after CA may serve as a potential predictive marker for both neurological function and 30-day mortality. However, high level of serum HA appears to primarily predict 30-day mortality. Sdc-1 does not seem to contribute to outcome prediction.


Assuntos
Glicocálix , Parada Cardíaca , Masculino , Feminino , Humanos , Adulto , Pessoa de Meia-Idade , Idoso , Estudos Retrospectivos , Biomarcadores , Prognóstico
2.
Zhonghua Yi Shi Za Zhi ; 53(6): 332-337, 2023 Nov 28.
Artigo em Chinês | MEDLINE | ID: mdl-39069505

RESUMO

Wenjiu YiBao is a professional acupuncture and moxibustion journal founded by The Oriental Acupuncture Scoiety in 1931, which aims to introduce and popularize Japanese Wenjiu(warm moxibustion) to Chinese readers. This article systematically introduces the editorial team, distribution situation, establishment of columns, and analyzes the reasons of its establishment.It is believed that the driving force of scientific trends and the need for teaching and communication are the reasons for its establishment. The characteristics of this journal include focusing on Wenjiu, promoting science, emphasizing practical effectiveness, and promoting teaching interaction. Wenjiu YiBao played a promoting role in the application of Japanese warm moxibustion and the development of warm moxibustion education in China. However, there are also shortcomings in exaggerating the efficacy of warm moxibustion, emphasizing too much of Western scientific thought, and translating Japanese warm moxibustion knowledge without further conducting local scientific research.


Assuntos
Moxibustão , China , História do Século XX , Moxibustão/história , Publicações Periódicas como Assunto/história , Acupuntura/história , Humanos
4.
Artigo em Chinês | MEDLINE | ID: mdl-32610406

RESUMO

Objective: To explore the optimal matching of the current parameters about artificial facial nerve (AFN) for inducing contraction of the orbicularis oris muscle (OOM) in rabbit with peripheral facial paralysis. Methods: According to the combinations of different stimulus parameters, at different time points, we used AFN to induce contraction of the affected side OOM of the paralyzed rabbit in waking state. We recorded the current amplitudes of the threshold stimulation and peak stimulation under each combination, then compared the total charge of the stimulus consumption under different combinations. Results: Compared the total stimulus charge consumption of the AFN threshold stimulation and that in the peak stimulation respectively under different stimulus frequency and pulse width matching combinations, we found that the frequency, the pulse width and the interaction of the frequency and pulse width among different groups could affect the total charge, the differences were statistically significant (P<0.05). Conclusions: When AFN stimulus frequency is 60 Hz and the stimulus pulse width is 100 µs, the output current intensity is relatively lowest and the total consumed charge is the lowest under the premise of effectively inducing the paralytic side OOM contraction. Thus we recommend this stimulus parametric combination as the optimal combination for meeting the low power consumption of AFN.


Assuntos
Nervo Facial , Paralisia Facial , Animais , Músculos Faciais , Lábio , Próteses e Implantes , Coelhos
5.
Opt Express ; 27(8): A495-A506, 2019 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-31052899

RESUMO

Heavy metal pollution from industrial wastewater is an important source. A method for heavy metals determination in industrial wastewater based on laser-induced breakdown spectroscopy (LIBS) technique was studied and the on-line monitoring system that used automatic graphite enrichment and spatial plasma confinement detection was developed and field demonstrated. The limits of detection (LOD) of heavy metal elements (Cd, Cr, Cu, Ni, Pb, Zn) could reach several µg/L. In Tongling, the on-line heavy metal monitor was field demonstrated. The calibration curves of copper and zinc were built on site, and then on-line monitoring was conducted. The measurement results of this monitor were compared with ICP-OES and had a good correlation. The results showed that the heavy metal monitor could be used for on-line detection of heavy metals in wastewater and had a good reliability.

6.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi ; 52(11): 841-845, 2017 Nov 07.
Artigo em Chinês | MEDLINE | ID: mdl-29141294

RESUMO

Objective: To explore the optimal positions of the implanted stimulating eletrodes for artificial facial nerve (AFN) for inducing contraction of the orbicularis oris muscle (OOM) in rabbit with peripheral facial paralysis. Methods: According to the four microelectrodes of the AFN stimulating side, four modes of the implanted positions were divided. In line with different modes, the electrodes were implanted into the affected OOM of the rabbits with unilateral peripheral facial paralysis. AFN output electric stimulation to induce contraction of the affected OOM with uniform stimulating frequency and pulse length in vitro. Then compared the stimulus threshold amplitude and the peak amplitude separately among different modes by SAS 9.3 version statistical software. Results: The differences of the stimulus threshold amplitude and the peak amplitude had no statistically significant separately between the first mode and the second mode (P>0.05), but there were statistically significant differences between the third mode and the fourth mode (P<0.05). Both kinds of the amplitudes were approximated between the first mode and the second mode respectively, and higher than those in the third mode or the fourth mode. Furthermore, both kinds of the amplitudes in the fourth mode were higher than those in the third mode. Conclusions: The microelectrodes of the AFN stimulating lateral are implanted into the upper lip with a public microelectrode and an output microelectrode, into the lower lip with an output microelectrode, and into the way, which is located to the angle 40° to 45° about the line joining between the midpoint of the ipsilateral auricle root and the corner of the mouth with an output microelectrode. This is the third positional mode which requires lowest effective stimulus current intensity. Thus the mode is suitable as the optimal placement programme.


Assuntos
Estimulação Elétrica/métodos , Eletrodos Implantados , Músculos Faciais/fisiologia , Nervo Facial , Paralisia Facial/fisiopatologia , Microeletrodos , Contração Muscular , Animais , Órgãos Artificiais , Estimulação Elétrica/instrumentação , Paralisia Facial/terapia , Lábio , Coelhos
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