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1.
Front Surg ; 11: 1296275, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38384739

RESUMO

Background: This study aimed to explore the risk factors of Modic changes in lumbar spondylolisthesis. Methods: The distribution of Modic changes in different types of lumbar spondylolisthesis, degree of spondylolisthesis, and degree of intervertebral disc degeneration in patients with lumbar spondylolisthesis was observed and analyzed. Statistical analysis was conducted to assess whether intervertebral disc degeneration, local mechanical changes, etc. affect the occurrence of Modic changes. The risk factors of Modic changes in lumbar spondylolisthesis were further illustrated. Results: The age in the lumbar spondylolisthesis with Modic changes group was younger than that in the lumbar spondylolisthesis without Modic changes group, and the bone mineral density was better in the lumbar spondylolisthesis with Modic changes group than that in the lumbar spondylolisthesis without Modic changes group, P < 0.05. The two groups statistically differed in intervertebral disc height (IDH) and disc angle on magnetic resonance imaging (MRI). In the classification of Modic changes, the incidence of type II was the highest. The incidence of Modic changes is higher in isthmic spondylolisthesis than in degenerative spondylolisthesis. With the aggravation of lumbar spondylolisthesis and intervertebral disc degeneration, the incidence of Modic changes gradually increased. Modic changes are most commonly seen in both the upper and lower endplates. Logistic regression analysis showed that the occurrence of Modic changes in lumbar spondylolisthesis was significantly correlated with IDH, disc angle on MRI, type of spondylolisthesis, degree of spondylolisthesis, and degree of intervertebral disc degeneration, P < 0.05. Conclusions: The occurrence of Modic changes is related to the type of spondylolisthesis, the degree of spondylolisthesis, the degree of disc degeneration, the decrease of intervertebral disc height, and local stress angulation.

2.
Zhonghua Yi Xue Za Zhi ; 92(39): 2781-4, 2012 Oct 23.
Artigo em Chinês | MEDLINE | ID: mdl-23290169

RESUMO

OBJECTIVE: To explore the surgical efficacy of transforaminal lumbar interbody fusion (TLIF) technique in the treatment of lumbar intervertebral disc herniation with lumbar instability. METHODS: From November 2008 to August 2011, 47 patients of lumbar intervertebral disc herniation underwent TLIF. There were 25 males and 22 females with an average age of 52 years (range: 30 - 68). The preoperative diagnoses included lumber intervertebral disc herniation plus lumbar instability (n = 16); lumbar degenerative spondylolisthesis (n = 9); lumbar spinal stenosis (n = 15) and degenerative lumbar scoliosis (n = 7). A total of 63 levels were fused, including single level (n = 31) and double levels (n = 16). Posterolateral fixation was secured with pedicle screw. Unilateral resections of inferior articular facet of superior vertebra and superior articular facet of inferior vertebra were performed to expose unilateral intervertebral vertebral foramen. Decompression of vertebral canal was expanded to the opposite side if symptoms recurred when never root was decompressed satisfactorily. Finally TLIF was performed routinely. The standard criteria of JOA (Japanese Orthopedic Association) and ODI (Oswestry disability index) were applied for efficacy evaluations. And the intervertebral height and bone fusion were observed radiologically. RESULTS: All patients underwent surgery smoothly without severe complications. The average follow-up period was 19.6 months (range: 6 - 36). Significant differences existed in JOA score between pre-operation (11.0 ± 2.8) and postoperation (15.4 ± 3.4) (P = 0.01) and ODI score between pre-operation (37.8 ± 4.6) and postoperation (18.8 ± 3.8). At 6.5 months postoperatively, all operated segments achieved fusion and there was no broken screw. There was 1 case of cage dislocation. CONCLUSION: In select patients of lumbar intervertebral disc herniation with spinal instability, TLIF may be performed easily and safely with fewer complications and total root decompression.


Assuntos
Deslocamento do Disco Intervertebral/cirurgia , Disco Intervertebral/cirurgia , Vértebras Lombares , Fusão Vertebral/métodos , Adulto , Idoso , Feminino , Humanos , Instabilidade Articular/cirurgia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Doenças da Coluna Vertebral/cirurgia
3.
J Orthop Surg Res ; 17(1): 203, 2022 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-35379259

RESUMO

BACKGROUND: The fusion of the lumbar spine may lead to the degeneration of the adjacent segments. In this study, the effects of OLIF and TLIF on adjacent segments after treatment of L4 degenerative lumbar spondylolisthesis (DLS) were compared and analysed. METHODS: This was a retrospective analysis of the medical records of consecutive patients treated with OLIF or TLIF for L4DLS. They were divided into the OLIF group and TLIF group based on different treatment methods. Cage height, segmental lordosis (SL), lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS) were compared between the two groups, and the postoperative biomechanical changes were analysed by establishing the disc angle (DA). The clinical outcomes were analysed by comparing the visual analogue scale (VAS), Oswestry Disability Index (ODI) and incidence of adjacent segment disease (ASDis) between the two groups. The intervertebral disc height (IDH), intervertebral foramen height (IDH), intervertebral foramen area (IFA), sliding distance (SD), and angular displacement (AD) in L3-4 and L5-S1 were compared between the two groups. The incidence of aggravated disc degeneration (ADD), the incidence of aggravated zygapophyseal joint degeneration (AJD) and the incidence of adjacent segment degeneration (ASDeg) were compared between the two groups for radiological degeneration. RESULTS: At the last follow-up, there was one case of ASDis in the OLIF group (2.78%) and two cases in the TLIF group (5.56%). At the last follow-up, compared with the preoperative values, IDH, IFH, and IFA of the adjacent segments above and below L4-5 decreased in both groups (P < 0.05); the SD and AD increased in both groups (P < 0.05). The cage height and L4-5 IDH in the OLIF group were significantly higher than those in the TLIF group (P < 0.05). SL, LL, PT, SS, and L5- S1DA were significantly improved in the OLIF group compared with the TLIF group (P < 0.05). The incidence of L3-4ASDeg in the two groups was higher than that of L5-S1. The incidence of ASDeg and the incidence of L5-S1ADD in the OLIF group were lower than those in the TLIF group, but the incidence of L5-S1AJD was higher than that in the TLIF group. CONCLUSION: L4DLS after OLIF and TLIF treatment will cause adjacent segment degeneration, and L3-4 degeneration is more obvious than L5-S1 degeneration. OLIF has more advantages in restoring lumbar sagittal balance. Compared with TLIF, OLIF can weaken the degeneration of the L5-S1 disc and increase the degeneration of the L5-S1 zygapophyseal joints.


Assuntos
Fusão Vertebral , Espondilolistese , Humanos , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/cirurgia , Região Lombossacral , Estudos Retrospectivos , Fusão Vertebral/métodos , Espondilolistese/diagnóstico por imagem , Espondilolistese/cirurgia
4.
IEEE Trans Nanobioscience ; 15(7): 674-682, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27552763

RESUMO

As one of the most ubiquitous post-transcriptional modifications of RNA, N6-methyladenosine ( [Formula: see text]) plays an essential role in many vital biological processes. The identification of [Formula: see text] sites in RNAs is significantly important for both basic biomedical research and practical drug development. In this study, we designed a computational-based method, called TargetM6A, to rapidly and accurately target [Formula: see text] sites solely from the primary RNA sequences. Two new features, i.e., position-specific nucleotide/dinucleotide propensities (PSNP/PSDP), are introduced and combined with the traditional nucleotide composition (NC) feature to formulate RNA sequences. The extracted features are further optimized to obtain a much more compact and discriminative feature subset by applying an incremental feature selection (IFS) procedure. Based on the optimized feature subset, we trained TargetM6A on the training dataset with a support vector machine (SVM) as the prediction engine. We compared the proposed TargetM6A method with existing methods for predicting [Formula: see text] sites by performing stringent jackknife tests and independent validation tests on benchmark datasets. The experimental results show that the proposed TargetM6A method outperformed the existing methods for predicting [Formula: see text] sites and remarkably improved the prediction performances, with MCC = 0.526 and AUC = 0.818. We also provided a user-friendly web server for TargetM6A, which is publicly accessible for academic use at http://csbio.njust.edu.cn/bioinf/TargetM6A.


Assuntos
Adenosina/análogos & derivados , Biologia Computacional/métodos , RNA/química , Análise de Sequência de RNA/métodos , Máquina de Vetores de Suporte , Adenosina/análise , Adenosina/química , RNA/análise , Saccharomyces cerevisiae/genética
5.
Spectrochim Acta A Mol Biomol Spectrosc ; 60(11): 2567-72, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15294246

RESUMO

The carbonyl stretching frequencies in the infrared spectra of 38 fac-tricarbonyl octahedral complexes of manganese(I) prepared in this laboratory were determined. These complexes may be grouped into three types: (a) neutral complexes of the structure (CO)(3)Mn(P-P)Z where P-P represents depe, dppe, or dppp, and Z represents various anionic functional groups bonded to the manganese; (b) ionic complexes of the structure [(CO)(3)Mn(P-P)Z](+)BF(4)(-) where Z represents various neutral molecules possessing one phosphorous, nitrogen, or oxygen atom coordinated to the manganese; (c) complexes of the structure (CO)(3)Mn(pn)Z where the chelating pn represents 1,1-diphenylphosphino-2,2-dimethylaminoethane, Ph(2)PCH(2)CH(2)NMe(2). All of these complexes show three carbonyl stretching modes (2A' + A"). The effects on the frequencies of these modes induced by both the various Z groups and the various ligands are discussed. Theoretical calculations (B3LYP/6-31G) with optimization of the full molecule make it possible to distinguish between the three stretching modes and to make unambiguous assignments of appropriate symmetry species to each.


Assuntos
Manganês/química , Compostos Orgânicos/química , Ligantes , Espectrofotometria Infravermelho
6.
Clin Neurophysiol ; 122(3): 490-498, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20719560

RESUMO

OBJECTIVES: To quantify the degree of unconsciousness with EEG nonlinear analysis and investigate the change of EEG nonlinear properties under different conditions. METHODS: Twenty-one subjects in persistent vegetative state (PVS), 16 in minimally conscious state (MCS) and 30 normal conscious subjects (control group) with brain trauma or stroke were involved in the study. EEG was recorded under three conditions: eyes closed, auditory stimuli and painful stimuli. EEG nonlinear indices such as Lempel-Ziv complexity (LZC), approximate entropy (ApEn) and cross-approximate entropy (cross-ApEn) were calculated for all the subjects. RESULTS: The PVS subjects had the lowest nonlinear indices followed by the MCS subjects and the control group had the highest. The PVS and MCS group had poorer response to auditory and painful stimuli than the control group. Under painful stimuli, nonlinear indices of subjects who recovered (REC) increased more significantly than non-REC subjects. CONCLUSIONS: With EEG nonlinear analysis, the degree of suppression for PVS and MCS could be quantified. The changes of brain function for unconscious subjects could be captured by EEG nonlinear analysis. SIGNIFICANCE: EEG nonlinear analysis could characterise the changes of brain function for unconscious state and might have some value in predicting prognosis of unconscious subjects.


Assuntos
Transtornos da Consciência/diagnóstico , Eletroencefalografia/estatística & dados numéricos , Dinâmica não Linear , Inconsciência/diagnóstico , Estimulação Acústica , Adulto , Idoso , Idoso de 80 Anos ou mais , Algoritmos , Lesões Encefálicas/diagnóstico , Lesões Encefálicas/fisiopatologia , Coma/fisiopatologia , Estado de Consciência/fisiologia , Transtornos da Consciência/fisiopatologia , Eletroencefalografia/classificação , Entropia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Potenciais Somatossensoriais Evocados/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Rede Nervosa/fisiopatologia , Dor/fisiopatologia , Estado Vegetativo Persistente/diagnóstico , Estimulação Física , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/fisiopatologia , Inconsciência/fisiopatologia , Adulto Jovem
7.
Chin Med J (Engl) ; 124(18): 2834-7, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22040488

RESUMO

BACKGROUND: The rodentia and lagomorpha animals are the intermediate hosts of Echinococcus multilocularis, their distribution and infection of this parasite may facilitate the infection of definitive hosts such as dogs. The aim of this study was to determine the distribution of the intermediate hosts of Echinococcus multilocularis in Shiqu County, Sichuan, China. METHODS: A systematic sampling method was used to investigate the density of burrows of rodents and lagomorphs at 97 pasture sites in winter and summer pastureland and remote sensing (RS) technology was used to correlate their densities to the distribution of these animals in different landscape types. RESULTS: Based on the densities of Ochotona curzoniae, Microtus fuscus (dependent variable) and their burrow densities (independent variable) in survey points, regression equations were fitted respectively (Ochotona curzoniae, P < 0.0001, R(2) = 0.8705; Microtus fuscus, P < 0.0001, R(2) = 0.9736). Their burrow density in summer pastureland was higher than in winter pastureland (F = 36.65, P < 0.0001). The burrow densities of Ochotona curzoniae and Microtus fuscus in bareland and half-bareland are higher than in grassland (F = 7.73, P < 0.001). CONCLUSIONS: The regression relationship between the densities of Ochotona curzoniae and Microtus fuscus and their burrow densities indicate that the burrow densities could reflect the animal densities and that the burrow density was greater in summer pastureland than in winter pastureland. The main distribution areas of the intermediate hosts were in bareland and half-bareland.


Assuntos
Arvicolinae/parasitologia , Echinococcus multilocularis/patogenicidade , Lagomorpha/parasitologia , Animais , China , Equinococose/epidemiologia , Equinococose/transmissão
8.
Zhonghua Liu Xing Bing Xue Za Zhi ; 32(7): 685-8, 2011 Jul.
Artigo em Chinês | MEDLINE | ID: mdl-21933540

RESUMO

OBJECTIVE: To analyzed the variant information on the indices regarding fleas from natural foci of Microtus plague in Sichuan epidemic area during 2000 to 2008. METHODS: Statistical and analytical methods were used on the surveillance data regarding Microtus fuscus plague. RESULTS: There were 19 flea species identified and the share of Callopsylla sparsity was 62.79 percent while the share of Amphipsylla tuta was 30.90 percent on Microtus fuscus plague. The infection rate of fleas and the flea index were the highest in October and the lowest in December and March. Species as Callopsylla sparsity, Amphipsylla tuta and Rhadinopsylla dahurica vicina could naturally infect the Yersinia pestis. CONCLUSION: Microtus fuscus plague could become epidemic when animals and flea species were infected. We should emphasis on plague monitoring program so as to prevent the occurrence of the disease.


Assuntos
Arvicolinae , Infestações por Pulgas , Doenças dos Roedores/epidemiologia , Animais , China/epidemiologia , Peste/prevenção & controle , Sifonápteros
9.
Zhonghua Liu Xing Bing Xue Za Zhi ; 30(11): 1175-8, 2009 Nov.
Artigo em Chinês | MEDLINE | ID: mdl-20193590

RESUMO

OBJECTIVE: To analyze the epidemic tendency of Microtus fuscus plague during 2000 - 2008 in Sichuan province. METHODS: To investigate the plague each year according to "overall Plan of the Plague in the Whole Nation" and "Surveillance Program of Sichuan Province Plague". RESULTS: There were plague epidemic from 2000 to 2008, with the average density as 312.41/ha. 42.57% of the Microtus fuscus were infected by body Fleas. The Fleas Index was 0.88 and the Index for nest Fleas of Microtus fuscus was 55.89. Six kinds of animals were infected by not only the Microtus fuscus but also herd-dog, sand fox, Tibetan sheep, domestic cats and Cricetulus longicaulatus as well. The positive rate of live Microtus fuscus was 0.32% but 22.99% in the dead Microtus fuscus. The overall positive rate on serological test was 6.70%. There were 4 Sections, 11 species and 19 kinds Fleas identified and carrying 3 kinds of fleas, Callopsylla sparsilis, Amphipsylla tutua tutua and Rhadinopsylla dahurica vicina, with the overall infection rate as 0.054%. CONCLUSION: Plague among Microtus fuscus showed a continuous epidemic in Sichuan province during 2000-2008.


Assuntos
Arvicolinae , Monitoramento Ambiental , Peste/prevenção & controle , Peste/veterinária , Sifonápteros/microbiologia , Animais , Arvicolinae/microbiologia , Arvicolinae/parasitologia , China , Peste/epidemiologia , Yersinia pestis
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