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1.
J Craniofac Surg ; 25(4): 1302-4, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24902112

RESUMEN

The present study aims to discuss the value and the effect of resection of suprasellar meningioma through the interhemispheric approach. Twenty-nine cases of patients with suprasellar meningioma diagnosed through enhanced magnetic resonance imaging scans and postoperative histopathologic examination underwent resection of tumors (the largest diameter ranged from 3 cm to 6 cm) by the microsurgical technique of small bone window (about 5 cm × 6 cm) through the interhemispheric approach. Among all cases, 25 (86%) (Simpson I, II) were of total resection of tumors and 4 were of subtotal resection of tumors. Moreover, along all cases, 19 were of improved vision and view, 2 of postoperative diabetes insipidus, and 1 of electrolyte imbalance. No operative death occurred. The small bone window interhemispheric approach can be used to expose tumors, lightly stretch brain tissues, reduce the incidence of complications, and improve the total resection rate of tumors of patients with sellae meningiomas growing forward, upward, and into the sella.


Asunto(s)
Neoplasias Meníngeas/cirugía , Meningioma/cirugía , Microcirugia/métodos , Procedimientos Neuroquirúrgicos/métodos , Silla Turca , Neoplasias Supratentoriales/cirugía , Adulto , Anciano , Craneotomía/métodos , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad
2.
Contemp Oncol (Pozn) ; 17(6): 525-9, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24592141

RESUMEN

AIM OF THE STUDY: The present study aims to discuss the value and the effect of resection of suprasellar meningioma through the interhemispheric approach. MATERIAL AND METHODS: Twenty-nine cases of patients with suprasellar meningioma diagnosed through enhanced magnetic resonance imaging (MRI) scans and postoperative histopathological examination underwent resection of tumours (the largest diameter ranged from 3 cm to 6 cm) by the microsurgical technique of a small bone window (about 4 cm × 5 cm) through the interhemispheric approach. RESULTS: Among all cases, 25 (86%) (Simpson I, II) were of total resection of tumours and 4 were of subtotal resection of tumours. 19 (65%) were of improvement of vision and visual field, 2 (7%) were of postoperative diabetes insipidus, and 1 (3%) was of electrolyte imbalance. No operative death occurred. CONCLUSIONS: The small bone window interhemispheric approach can be used to expose tumours, lightly stretch brain tissues, reduce the incidence of complications, and improve the total resection rate of tumours of patients with sellae meningiomas growing forward, upward, and into the sella.

3.
Acta Neurochir (Wien) ; 154(6): 1081-6; discussion 1086, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22466153

RESUMEN

BACKGROUND: Studies have demonstrated that brain oedema formation following spontaneous intracerebral haemorrhage is associated with substances derived from blood clots or blood components. However, these studies did not completely reveal the role of blood components in brain oedema formation following traumatic intracerebral haemorrhage (TICH). Here, we explore the role of erythrocytes in brain oedema development by studying the effect of erythrocytes on brain water content (BWC) and expression of haem oxygenase-1 (HO-1) in rats with TICH. METHODS: A total of 120 Sprague-Dawley rats were randomly divided into four experimental treatment groups: traumatic brain injury (TBI), TBI plus whole blood (WB), TBI plus lysed red blood cells (RBCs; LRBC) and TBI plus packed RBCs (PRBC). Following TBI, which was established by applying a free-falling device, WB, LRBC or PRBC were infused with stereotactic guidance into the injured cortex to produce a model of TICH. All rats were killed at 1, 3 or 5 days after TBI or TICH. BWC was measured, and immunohistochemistry for HO-1 was performed. RESULTS: In the WB, PRBC and TBI groups, BWC at 3 days post-TBI or post-TICH was the greatest. However, BWC in the LRBC group at 1 day was markedly higher than that at 3 and 5 days. Comparisons among the four groups showed that BWC in the LRBC group was the highest at 1 day, and the highest at 3 days in the WB and PRBC groups; there was no significant difference at 5 days. Positive expression of HO-1 in the WB, PRBC and LRBC groups coincided with changes in BWC. CONCLUSIONS: Our results indicate that erythrocytes play an important role in delayed brain oedema formation (3 days post-injury) following TICH, but have no significant influence on brain oedema at early stages (1 day post-injury), and that the mechanisms of delayed brain oedema involve RBC breakdown products.


Asunto(s)
Agua Corporal/fisiología , Edema Encefálico/sangre , Arterias Cerebrales/fisiopatología , Hemorragia Cerebral Traumática/sangre , Eritrocitos/fisiología , Hemo-Oxigenasa 1/biosíntesis , Animales , Edema Encefálico/etiología , Arterias Cerebrales/lesiones , Hemorragia Cerebral Traumática/complicaciones , Modelos Animales de Enfermedad , Femenino , Hemo-Oxigenasa 1/sangre , Hemo-Oxigenasa 1/genética , Masculino , Ratas , Ratas Sprague-Dawley
4.
Artículo en Zh | WPRIM | ID: wpr-969879

RESUMEN

Seasonal influenza has a high disease burden, and children infected with influenza are prone to multiple complications. Influenza vaccination is effective in preventing infection and reducing risks of severe diseases and complications. Influenza vaccines are trivalent and quadrivalent, depending on the components of the vaccine. According to the hemagglutinin content, it can be divided into full dose and half dose of influenza vaccine for children. The findings from clinical trials and real-world studies suggested, the full-dose influenza vaccine as in adults has the same safety profile and higher immunogenicity in children aged 6 to 35 months. The application of full-dose influenza vaccine in children aged 6 to 35 months can greatly improve the flexibility and convenience of vaccination, and help reduce the workload in the process.


Asunto(s)
Niño , Adulto , Lactante , Humanos , Preescolar , Vacunas contra la Influenza , Gripe Humana/prevención & control , Vacunación , Vacunas de Productos Inactivados , Anticuerpos Antivirales
5.
Artículo en Zh | WPRIM | ID: wpr-969846

RESUMEN

Human respiratory syncytial virus (HRSV) is one of the main pathogen causing severe acute lower respiratory tract infections in infants and the elderly, with high incidence rate and mortality worldwide. Vaccine is one of the important measure to prevent infection, transmission and severe disease of HRSV, but currently there is no officially approved preventive vaccine for prevention of HRSV in the world. This paper reviews and analyzes the current research and development progress of HRSV vaccine, summarizes the design routes of different types of HRSV preventive vaccines, and discusses the difficulties and challenges in vaccine research and development, in order to provide reference for the research and development of HRSV vaccine and the development of clinical trials.


Asunto(s)
Lactante , Humanos , Anciano , Virus Sincitial Respiratorio Humano , Infecciones por Virus Sincitial Respiratorio/epidemiología , Vacunas contra Virus Sincitial Respiratorio/uso terapéutico , Infecciones del Sistema Respiratorio
6.
Artículo en Zh | WPRIM | ID: wpr-1045973

RESUMEN

The scientific setting and standardized management of adult vaccination clinics will improve the accessibility of vaccination services, thereby increasing the vaccination rate. Currently, some provinces and cities in China have been exploring the construction of adult vaccination systems for many years, effectively improving the level of vaccination services, and forming some useful experiences and models. However, the construction of China's adult vaccination system is not yet perfect, and the service mode needs to be optimized. In the future, we should continue to improve the guarantee measures for adult vaccination, scientifically lay out the network, optimize the service mode, and improve the overall quality of immunization services over the life course.


Asunto(s)
Adulto , Humanos , Acontecimientos que Cambian la Vida , Inmunización , Vacunación , China , Ciudades
7.
Artículo en Zh | WPRIM | ID: wpr-1046296

RESUMEN

The scientific setting and standardized management of adult vaccination clinics will improve the accessibility of vaccination services, thereby increasing the vaccination rate. Currently, some provinces and cities in China have been exploring the construction of adult vaccination systems for many years, effectively improving the level of vaccination services, and forming some useful experiences and models. However, the construction of China's adult vaccination system is not yet perfect, and the service mode needs to be optimized. In the future, we should continue to improve the guarantee measures for adult vaccination, scientifically lay out the network, optimize the service mode, and improve the overall quality of immunization services over the life course.


Asunto(s)
Adulto , Humanos , Acontecimientos que Cambian la Vida , Inmunización , Vacunación , China , Ciudades
8.
Artículo en Zh | WPRIM | ID: wpr-969845

RESUMEN

Human Respiratory Syncytial Virus (HRSV) is a serious threat to the population health. The elderly are one of the susceptible populations. The prevalence of HRSV in the elderly is generally higher than that in other age groups except children, which has gradually attracted attention in recent years. This paper reviewed the prevalence, common complications and major complications of HRSV in the elderly, briefly expounded the economic burden of HRSV infection, and proposed that attention should be paid to the disease burden of the elderly after HRSV infection, timely treat common complications, so as to reduce the occurrence of adverse survival outcomes and provide scientific evidence for the prevention and control of HRSV infection in the elderly.


Asunto(s)
Niño , Humanos , Anciano , Infecciones por Virus Sincitial Respiratorio/epidemiología , Virus Sincitial Respiratorio Humano
9.
Chinese Journal of Epidemiology ; (12): 529-535, 2023.
Artículo en Zh | WPRIM | ID: wpr-985523

RESUMEN

The world has paid a heavy price for the pandemic of the emerging respiratory communicable disease, so more concern about communicable disease surveillance and early warning has been aroused. This paper briefly reviews the establishment of the surveillance and early warning system of respiratory communicable diseases in China, discusses its future development and introduces the novel surveillance methods and early warning models for the purpose of establishment of a multi-channel surveillance and multi-dimensional early warning system of communicable diseases in the future and the improvement of the prevention and control of emerging respiratory communicable diseases in China.


Asunto(s)
Humanos , Vigilancia de la Población/métodos , Enfermedades Transmisibles/epidemiología , Enfermedades Transmisibles Emergentes/prevención & control , China/epidemiología , Pandemias , Brotes de Enfermedades/prevención & control
10.
Chinese Journal of Epidemiology ; (12): 673-676, 2023.
Artículo en Zh | WPRIM | ID: wpr-985545

RESUMEN

With the expansion of mpox virus infection from endemic to a global epidemic in 2022, the WHO declared that the mpox event constituted a Public Health Emergency of International Concern. Due to the high degree of gene sequence similarity among orthopox viruses and cross-reactive antibodies induced by orthoviruses, smallpox vaccination may affect the immune response induced by mpox virus infection. The analysis of the protective effects of smallpox vaccination against mpox virus infection will help define the focus of prevention and control. In this review, we clarify the protection of the smallpox vaccine against mpox virus infection by analyzing the correlation between smallpox vaccination, immune response status, and clinical data and providing evidence for the prevention, control, and strategies of mpox epidemics.


Asunto(s)
Humanos , Viruela/epidemiología , Mpox/tratamiento farmacológico , Vacuna contra Viruela/uso terapéutico , Vacunación , Inmunidad
11.
Artículo en Zh | WPRIM | ID: wpr-1045901

RESUMEN

With the outbreak of infectious diseases, more and more attention has been paid to surveillance and early warning work. Timely and accurate monitoring data is the basis of infectious diseases prevention and control. Effective early warning methods for infectious diseases can improve the timeliness and sensitivity of early warning work. This paper briefly introduces the intelligent early warning model of infectious diseases, summarizes the emerging surveillance and early warning methods of infectious diseases, and seeks the possibility of diversified surveillance and early warning in different epidemic stages and different outbreak scenarios of infectious diseases. This paper puts forward the idea of constructing a diversified method system of infectious diseases surveillance and early warning based on multi-stages and multi-scenarios and discusses the future development trend of infectious diseases surveillance and early warning, in order to provide reference for improving the construction level of infectious diseases surveillance and early warning system in China.


Asunto(s)
Humanos , Vigilancia de la Población/métodos , Enfermedades Transmisibles/epidemiología , Brotes de Enfermedades/prevención & control , Epidemias , China/epidemiología
12.
Artículo en Zh | WPRIM | ID: wpr-1046224

RESUMEN

With the outbreak of infectious diseases, more and more attention has been paid to surveillance and early warning work. Timely and accurate monitoring data is the basis of infectious diseases prevention and control. Effective early warning methods for infectious diseases can improve the timeliness and sensitivity of early warning work. This paper briefly introduces the intelligent early warning model of infectious diseases, summarizes the emerging surveillance and early warning methods of infectious diseases, and seeks the possibility of diversified surveillance and early warning in different epidemic stages and different outbreak scenarios of infectious diseases. This paper puts forward the idea of constructing a diversified method system of infectious diseases surveillance and early warning based on multi-stages and multi-scenarios and discusses the future development trend of infectious diseases surveillance and early warning, in order to provide reference for improving the construction level of infectious diseases surveillance and early warning system in China.


Asunto(s)
Humanos , Vigilancia de la Población/métodos , Enfermedades Transmisibles/epidemiología , Brotes de Enfermedades/prevención & control , Epidemias , China/epidemiología
13.
Chinese Journal of Epidemiology ; (12): 436-439, 2022.
Artículo en Zh | WPRIM | ID: wpr-935408

RESUMEN

This paper reviews the domestic and foreign studies published in 2020 on the application of influenza vaccine in populations at high risk. The importance of influenza vaccination in population at high risk has been proved by larger sample, multicentre, high-quality evidence-based studies. Influenza vaccination is the most cost-effective measure to prevent influenza. However, the coverage rate of influenza vaccine is very low in China, it is necessary to strengthen the health education to promote influenza vaccination in different populations. It is recommended to give influenza vaccination to the population in whom influenza vaccination has been proven safe and effective before influenza season. Research of the safety, efficiency and cost-effectiveness of influenza vaccine should be accelerated for the populations in whom such data are lacking or insufficient.


Asunto(s)
Humanos , China , Costos y Análisis de Costo , Vacunas contra la Influenza/efectos adversos , Gripe Humana/prevención & control , Vacunación
14.
Artículo en Zh | WPRIM | ID: wpr-929575

RESUMEN

Influenza is an infectious respiratory disease caused by the influenza viruses. Older people, infants and people with underlying medical conditions could have a higher risk of severe influenza symptoms and complications. The co-infection of Coronavirus Diseases 2019 (COVID-19) with influenza viruses could lead to the complication of prevention, diagnosis, control, treatment, and recovery of COVID-19. Influenza vaccine and COVID-19 vaccine overlapped in target populations, vaccination time, and inoculation units. Although there was insufficient evidence on the immunogenicity and safety of co-administration of influenza vaccine and COVID-19 vaccine, World Health Organization and some countries recommended co-administration of inactivated influenza vaccine and COVID-19 vaccine. This review summarized domestic and international vaccination policies and research progress, and put forward corresponding suggestions in order to provide scientific support for the formulation of vaccination strategy on seasonal influenza vaccine and COVID-19 vaccine.


Asunto(s)
Anciano , Humanos , Lactante , COVID-19 , Vacunas contra la COVID-19 , China , Vacunas contra la Influenza , Gripe Humana/prevención & control , Pandemias/prevención & control , SARS-CoV-2 , Estaciones del Año , Vacunación
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