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1.
Int. j. morphol ; 41(1): 324-330, feb. 2023. ilus, tab, graf
Article in English | LILACS | ID: biblio-1430512

ABSTRACT

SUMMARY: The Chinese alligator (Alligator sinensis) belongs to the genus Alligator, which is a unique crocodile in China. In order to study the macroscopic structure of the heart of Chinese alligator, we performed detailed cardiac anatomy on five specimens. The heart is in the cranial mediastinum. It is caudally involved by the liver cranial margins, and ventrally by the ribs, intercostal muscles, and sternum and dorsally by the lungs. The wild Chinese alligator heart is a typical four-chamber heart, with two (right and left) atria and ventricles, left and right aorta, pulmonary artery and subclavian artery branch from the aorta. Morphology measures the circumference (129.36 mm), weight (44.14 g), and length of the heart from apex to bottom (52.50 mm). Studies have shown that the shape of the wild Chinese alligator's heart is consistent with the anatomy of other crocodiles.


El caimán chino (Alligator sinensis) pertenece al género Alligator, que es un cocodrilo único en China. Para estudiar la estructura macroscópica del corazón del caimán chino, revisamos detalladamente la anatomía cardíaca de cinco especímenes. El corazón está en el mediastino craneal. Está limitado caudalmente por los márgenes craneales del hígado, y ventralmente por las costillas, los músculos intercostales y el esternón, y dorsalmente por los pulmones. El corazón de cocodrilo chino salvaje es un corazón típico de cuatro cámaras, con dos atrios y dos ventrículos (derecho e izquierdo), aortas izquierda y derecha, arteria pulmonar y rama de la arteria subclavia de la aorta. La morfología mide la circunferencia (129,36 mm), el peso (44,14 g) y la longitud del corazón desde el ápice hasta la base (52,50 mm). Los estudios han demostrado que la forma del corazón del caimán chino salvaje es consistente con la anatomía de otros cocodrilos.


Subject(s)
Animals , Alligators and Crocodiles/anatomy & histology , Heart/anatomy & histology
2.
Chinese Acupuncture & Moxibustion ; (12): 177-185, 2023.
Article in Chinese | WPRIM | ID: wpr-969968

ABSTRACT

OBJECTIVE@#To observe the effects of moxibustion on the stem cell factor (SCF)/tyrosine kinase receptor (c-kit) signaling pathway and immune function in rats with diarrhea irritable bowel syndrome (IBS-D), and to explore the mechanism of moxibustion for IBS-D.@*METHODS@#Among 52 young rats born from 6 healthy pregnant SPF rats, 12 rats were randomly selected into the normal group, and the remaining 40 rats were treated with the three-factor combination method of maternal separation, acetic acid enema and chronic restraint stress to establish the IBS-D rat model. Thirty-six rats with successful IBS-D model were randomly divided into a model group, a moxibustion group, and a medication group, 12 rats in each group. The rats in the moxibustion group were treated with suspension moxibustion at "Tianshu" (ST 25) and "Shangjuxu" (ST 37); the rats in the medication group were treated with intragastric administration of rifaximin suspension (150 mg/kg). All the treatments were given once a day for 7 consecutive days. The body mass, loose stool rate (LSR), the minimum volume threshold when abdominal withdrawal reflex (AWR) scored 3 were measured before acetic acid enema (35 days old), after modeling (45 days old), and after intervention (53 days old). After intervention (53 days old), HE staining was used to observe the morphology of colon tissue, and spleen and thymus coefficients were measured; ELISA method was used to detect serum inflammatory factors (tumor necrosis factor a [TNF-a], interleukin [IL]-10, IL-8), T-lymphocyte subsets (CD+4, CD+8, CD+45), value of CD+4/CD+8 and immune globulin (IgA, IgG, IgM); real-time PCR method and Western blot method was used to detect the expression of SCF, c-kit mRNA and protein in colon tissue; immunofluorescence staining method were used to detect positive expression of SCF and c-kit.@*RESULTS@#After intervention, compared with the normal group, in the model group, the body mass and the minimum volume threshold when AWR scored 3 were decreased (P<0.01), LSR, spleen and thymus coefficients, serum levels of TNF-α, IL-8, CD+4, CD+45, CD+4/CD+8, IgA, IgG, IgM were increased (P<0.01), serum IL-10 level and protein and mRNA expression of SCF and c-kit in colon tissue were decreased (P<0.01), and the positive expression of SCF and c-kit was decreased (P<0.01). Compared with the model group, in the moxibustion group and the medication group, the body mass and the minimum volume threshold when AWR scored 3 were increased (P<0.01, P<0.05), LSR, spleen and thymus coefficients, serum levels of TNF-α, IL-8, CD+4, CD+8, CD+45, CD+4/CD+8, IgA, IgG, IgM were decreased (P<0.01, P<0.05), serum IL-10 level and protein and mRNA expression of SCF and c-kit in colon tissue were increased (P<0.01), and the positive expression of SCF and c-kit was increased (P<0.01). Compared with the medication group, in the moxibustion group, the level of serum CD+4 was decreased (P<0.05), the value of CD+4/CD+8 was increased (P<0.01), and there was no significant difference in other indexes (P>0.05). The expression of SCF and c-kit mRNA was positively correlated with the minimum volume threshold when AWR scored 3 and IL-10 (P<0.01), and negatively correlated with remaining indexes (P<0.01, P<0.05).@*CONCLUSION@#Moxibustion could reduce visceral hypersensitivity, improve symptoms of abdominal pain and diarrhea in IBS-D rats, and its mechanism may be related to up-regulation of the expression of SCF/c-kit signaling pathway and improvement of IBS-D immune function.


Subject(s)
Rats , Animals , Irritable Bowel Syndrome/therapy , Moxibustion/methods , Rats, Sprague-Dawley , Interleukin-10 , Interleukin-8 , Maternal Deprivation , Tumor Necrosis Factor-alpha , Diarrhea , Signal Transduction , Homeostasis , Receptor Protein-Tyrosine Kinases , Immunity , Immunoglobulin A , Immunoglobulin M
3.
Chinese Acupuncture & Moxibustion ; (12): 766-770, 2023.
Article in Chinese | WPRIM | ID: wpr-980793

ABSTRACT

OBJECTIVE@#To observe the immediate analgesic effect of electroacupuncture (EA) combined with diclofenac sodium on acute gouty arthritis (AGA).@*METHODS@#A total of 90 patients with AGA were randomly divided into a low-dose medication (LM) group (30 cases, 1 case was eliminated, 1 case dropped off), a conventional medication (CM) group (30 cases, 1 case dropped off) and a combination of acupuncture and medication (AM) group (30 cases ). The LM group was given oral administration of 50 mg diclofenac sodium sustained-release capsule; the CM group was given oral administration of 100 mg diclofenac sodium sustained-release capsule; on the basis of the treatment of LM group, the AM group was treated with electroacupuncture at ashi points, Dadu (SP 2), Taichong (LR 3), Taibai (SP 3), Neiting (ST 44), Sanyinjiao (SP 6), Zusanli (ST 36) and Yinlingquan (SP 9) on the affected side, and Taichong (LR 3) and Zusanli (ST 36), Sanyinjiao (SP 6) and Yinlingquan (SP 9) were connected to electroacupuncture respectively, continuous wave, 2 Hz in frequency. The visual analogue scale (VAS) scores of pain before treatment and after 10 min, 2 h, 4 h and 6 h of treatment completion, joint tenderness and swelling scores before treatment and after 10 min and 6 h of treatment completion were compared, and the rate of diclofenac sodium addition within 24 h after treatment completion was recorded among the three groups.@*RESULTS@#After 10 min of treatment completion, the scores of VAS, joint tenderness and joint swelling in the AM group were lower than those before treatment (P<0.05), and the VAS score in the AM group was lower than that in the other two groups (P<0.05). After 2, 4 and 6 h of treatment completion, the VAS scores of the three groups were lower than those before treatment (P<0.05), and the scores in the AM group were lower than those in the LM group (P<0.05). After 6 h of treatment completion, the joint tenderness scores of the three groups and the joint swelling scores of the AM group and the CM group were lower than those before treatment (P<0.05), and the joint tenderness and swelling scores of the AM group were lower than those of the LM group (P<0.05). The rate of diclofenac sodium addition was 3.3 % (1/30) and 3.4 % (1/29) in the AM group and the CM group, respectively, which were lower than 17.9% (5/28) in the LM group (P<0.05).@*CONCLUSION@#Electroacupuncture combined with diclofenac sodium have a good immediate analgesic effect in the treatment of AGA, and have the advantages of small dosage of analgesic drugs and less adverse reactions.


Subject(s)
Humans , Diclofenac , Electroacupuncture , Arthritis, Gouty/drug therapy , Delayed-Action Preparations , Acupuncture Therapy , Arthralgia
4.
Rev. bras. med. esporte ; 28(2): 126-129, Mar-Apr. 2022. tab
Article in English | LILACS-Express | LILACS | ID: biblio-1365682

ABSTRACT

ABSTRACT Introduction: Studies have shown that different forms of aerobic exercise can lower blood pressure in patients with essential hypertension. Appropriate resistance exercises can also effectively lower blood pressure. Objective: To study the impact of sports on hypertension in colleges and universities. Methods: Several hypertension patients in colleges and universities were selected and randomly divided into two groups. One group (drug-only group) used conventional antihypertensive drugs (nifedipine), while the other (physical exercise group) supplemented drug therapy with physical exercise. There was a comparative analysis of the blood pressure of the two groups of patients. Results: The was a clear effect of sports on the hypertensive patients, with significant differences in the blood pressure reduction of the two groups. Conclusion: Sports can help treat high blood pressure. This method is viable for clinical application. Level of evidence II; Therapeutic studies - investigation of treatment results.


RESUMO Introdução: Estudos mostram que diferentes tipos de exercício aeróbico podem diminuir a pressão sanguínea de pacientes com hipertensão essencial; o mesmo é verdade para exercícios de resistência adequados. Objetivo: Estudar o impacto dos esportes na hipertensão em escolas secundárias e universidades. Métodos: Selecionou-se diversos pacientes com hipertensão em escolas secundárias e universidades, que foram aleatoriamente divididos em dois grupos. Um grupo (grupo terapia medicamentosa exclusiva) usou medicamentos anti-hipertensivos convencionais (nifedipino), enquanto o outro (grupo atividade física) utilizou atividades físicas como complemento à medicação. Realizou-se uma análise comparativa da pressão dos dois grupos de pacientes. Resultados: O esporte teve efeito evidente sobre os pacientes hipertensos, gerando diferenças significativas na pressão sanguínea entre os dois grupos. Conclusão: O esporte pode ajudar a tratar a hipertensão. O método utilizado é viável para aplicação clínica. Nível de evidência II; Estudos terapêuticos - investigação de resultados de tratamento.


RESUMEN Introducción: Estudios muestran que diferentes tipos de ejercicio aeróbico pueden disminuir la presión sanguínea de pacientes con hipertensión esencial; lo mismo es verdad para ejercicios de resistencia adecuados. Objetivo: Estudiar el impacto de los deportes en la hipertensión en escuelas secundarias y universidades. Métodos: Se seleccionaron diversos pacientes con hipertensión en escuelas secundarias y universidades, que fueron aleatoriamente dividididos en dos grupos. Un grupo (grupo de terapia medicamentosa exclusiva) usó medicamentos anti-hipertensivos convencionales (nifedipino), mientras que el otro (grupo actividad física) utilizó actividades físicas como complemento a la medicación. Se realizó un análisis comparativo de la presión de los dos grupos de pacientes. Resultados: El deporte tuvo efecto evidente sobre los pacientes hipertensos, generando diferencias significativas en la presión sanguínea entre los dos grupos. Conclusión: El deporte puede ayudar a tratar la hipertensión. El método utilizado es viable para aplicación clínica. Nivel de evidencia II; Estudiantes terapéuticos - investigación de resultados de tratamiento.

5.
Chinese Acupuncture & Moxibustion ; (12): 654-662, 2022.
Article in Chinese | WPRIM | ID: wpr-939510

ABSTRACT

OBJECTIVE@#To observe the effect of moxibustion on the regulation of nuclear factor-kappa B (NF-κB) and inflammatory factors by multiple microRNAs (miRNAs) in rats with diarrhea-predominant irritable bowel syndrome (IBS-D), and to explore the anti-inflammatory mechanism of moxibustion on IBS-D.@*METHODS@#Twelve of 52 newborn rats were randomly selected into a normal group. The remaining rats were made into IBS-D model. A total of 36 rats with successful model were randomly divided into a model group, a medication group and a moxibustion group, 12 rats in each group. The rats in the medication group were intraperitoneally injected with pyrrolidine dithiocarbamate (PDTC). The rats in the moxibustion group were treated with moxibustion at "Tianshu" (ST 25) and "Shangjuxu" (ST 37) for 20 min each time. All the intervention was given once a day for 7 days. Before and after modeling as well as after intervention, the body mass, loose stool rate and the minimum volume threshold of abdominal withdrawal reflex (AWR) were measured. After intervention, the contents of serum tumor necrosis factor α (TNF-α), interleukin (IL)-1β and IL-8 were detected by ELISA method; the morphology of colon tissues was observed by HE staining, and the expressions of miR-155, miR-125b, miR-29b, miR-31, miR-18a and NF-κB p65 mRNA in colon tissues were detected by real-time PCR. The expressions of NF-κB p65, TNF-α, IL-1β and IL-8 protein in colon tissues were detected by immunofluorescence.@*RESULTS@#After modeling, the body mass and the minimum volume threshold of AWR in the model group were lower than those in the normal group (P<0.01); the rates of loose stool in the model group were higher than those in the normal group (P<0.01); after intervention, in the model group, the inflammatory infiltration of colon tissues was obvious, and the serum levels of TNF-α, IL-1 β, IL-8 were higher than those in the normal group (P<0.05); the expression of miR-155, miR-125b, miR-29b, miR-31, miR-18a and NF-κB p65 mRNA in colon tissues was higher than that in the normal group (P<0.05); the protein expression of NF-κB p65, TNF-α, IL-1β, IL-8 was also higher than that in the normal group (P<0.01). After intervention, the body mass and the minimum volume threshold of AWR in the medication group and the moxibustion group were both higher than those in the model group (P<0.05); the loose stool rate in the medication group and the moxibustion group were lower than those in model group (P<0.05); the inflammatory cells infiltration in the colon tissues was less, the serum levels of TNF-α, IL-1β and IL-8 as well as the protein expression of NF-κB p65, TNF-α, IL-1β and IL-8 in the colon tissues in the medication group and the moxibustion group were lower than those in the model group (P<0.05, P<0.01). The expression of miR-125b, miR-31, miR-18a and NF-κB p65 mRNA in the medication group were lower than those in the model group (P<0.05). The expression of miR-155, miR-125b, miR-29b, miR-31, miR-18a and NF-κB p65 mRNA in the moxibustion group were lower than those in the model group (P<0.05). The miR-155, miR-125b, miR-29b, miR-31, miR-18a were positively correlated with NF-κB p65 mRNA (0<r<1, P<0.01).@*CONCLUSION@#The anti-inflammatory mechanism of moxibustion at "Tianshu" (ST 25) and "Shangjuxu" (ST 37) for IBS-D rats may be related to regulating multiple miRNAs to inhibit NF-κB signal pathway and reduce the expression of inflammatory factors.


Subject(s)
Animals , Rats , Diarrhea/therapy , Interleukin-8/genetics , Irritable Bowel Syndrome/therapy , MicroRNAs/genetics , Moxibustion , NF-kappa B/metabolism , RNA, Messenger , Rats, Sprague-Dawley , Signal Transduction , Tumor Necrosis Factor-alpha/genetics
6.
Braz. J. Pharm. Sci. (Online) ; 58: e19321, 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1420424

ABSTRACT

Abstract To investigate the pharmacokinetics and pharmacodynamics of Astragali Radix-Corni Fructus herb-pair in kidney-yin deficiency model, which was made by continuously oral gavage of thyroxine. A simple and rapid LC-MS/MS method was developed and validated for the determination of loganin and morroniside in rat plasma and used for the pharmacokinetics study. The kidney-yin deficiency significantly changed the AUC(0-∞), Cmax and CLz/F of loganin and morroniside. The T1/2z of morroniside increased significantly in the kidney-yin deficiency rats. For the pharmacodynamics study, the liver index, kidney index, and ALT, TBIL, UREA, CREA level in the kidney-yin deficiency mice were examined. The herb-pair had been proved to be effective for the treatment of kidney-yin deficiency by affecting the liver, kidney, ALT, UREA and CREA, which showed positively correlated with the dose. The pharmacokinetics and pharmacodynamics studies in the pathological status could offer more valuable information for the future application of Astragali Radix-Corni Fructus herb-pair.

7.
Chinese Acupuncture & Moxibustion ; (12): 1175-1179, 2021.
Article in Chinese | WPRIM | ID: wpr-921029

ABSTRACT

To summarize the application value of acupuncture in perioperative stress response. Perioperative acupuncture can not only effectively relieve pain and stress response during operation, but also relieve psychological stress response represented by preoperative anxiety before operation, and regulate adaptive immune response after operation. Acupuncture, as a safe non-drug therapy, shows its core advantage of participating in the multidisciplinary intervention of enhance recovery after surgery (ERAS). The future studies need to explore and evaluate the role of acupuncture during perioperative period from multiple dimensions, and gradually reveal the mechanism of acupuncture while establishing the evidence-based basis for acupuncture during perioperative period.


Subject(s)
Humans , Acupuncture , Acupuncture Therapy , Anxiety , Pain , Perioperative Period
8.
Journal of Southern Medical University ; (12): 1140-1143, 2016.
Article in Chinese | WPRIM | ID: wpr-286833

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the optimal starvation conditions of human umbilical vein endothelial cells (HUVECs) and establish a highly efficient and stable method for separating HUVECs.</p><p><b>METHODS</b>HUVECs harvested from human umbilical cords by digestion with 0.1% collagenase II for 15 min were cultured in endothelial culture medium (ECM) containing 5% fetal bovine serum (FBS), 1% endothelial cell growth factor (ECGS) and 1% penicillin/streptomycin solution(P/S) at 37 degrees celsius; in 5% CO2. The cells were observed for cell morphology under an inverted microscope and identified with immunofluorescence assay. The purity of HUVECs was detected using flow cytometry (FCM). The cell cycles of HUVECs cultured in the presence of 0, 0.1%, 0.5%, and 1% FBS for 0, 6, 12, 18, and 24 h were analyzed with flow cytometry.</p><p><b>RESULTS</b>s The purity of HUVECs harvested by digestion with 0.1% collagenase II reached 99.67%. The primary HUVECs showed a cobblestone or volute appearance in vitro. Immunocytochemistry showed that HUVECs highly expressed VIII-related antigen. Cell culture in the presence of different concentrations of FBS for 6 h resulted in 70% G0/G1 phase cells, which increased to 80%-90% at 12 h of cell culture, and further to around 95% at 18 and 24 h.</p><p><b>CONCLUSION</b>Digestion with 0.1% collagenase II can obtain high-purity primary HUVECs. Culturing HUVECs in serum-free medium for 12 h can result in a high purity (over 80%) of G0/G1 phase cells.</p>


Subject(s)
Humans , Cell Culture Techniques , Cell Cycle , Cells, Cultured , Culture Media , Chemistry , Flow Cytometry , Human Umbilical Vein Endothelial Cells , Cell Biology , Matrix Metalloproteinase 8 , Chemistry , Serum
9.
Gut and Liver ; : 298-305, 2014.
Article in English | WPRIM | ID: wpr-163237

ABSTRACT

BACKGROUND/AIMS: This study aimed to detect the expression of natural killer (NK) cell receptor natural killer group 2D (NKG2D) in the peripheral blood of patients with primary hepatocellular carcinoma and to discuss the correlation between NK cell cytotoxicity and liver function. METHODS: The number of NK cells and the expression of NK cell receptor NKG2D in peripheral blood were determined by flow cytometry in patients with primary hepatocellular carcinoma, hepatitis B cirrhosis, chronic hepatitis B, and healthy controls. RESULTS: When compared with patients in the healthy and the chronic hepatitis B groups, the primary hepatocellular carcinoma group showed significant decreases in all parameters, including the cytotoxicity of NK cells on K562 cells, expression rate of NKG2D in NK cells, number of NKG2D+ NK cells, expression level of NKG2D, and number of NK cells (p<0.05). The activity of NK cells showed a positive correlation, whereas the Child-Pugh scores in the primary hepatocellular carcinoma and the hepatitis B cirrhosis groups showed a negative correlation with all parameters detected above. CONCLUSIONS: The decrease of NK cell activity in patients with primary hepatocellular carcinoma is closely related to their lower expression of NKG2D. Liver function affects the expression of NKG2D and the activity of NK cells.


Subject(s)
Female , Humans , Male , Middle Aged , Carcinoma, Hepatocellular/physiopathology , Case-Control Studies , K562 Cells , Killer Cells, Natural/physiology , Liver Neoplasms/physiopathology , Lymphocyte Subsets/physiology , Lymphopenia/physiopathology , NK Cell Lectin-Like Receptor Subfamily K/metabolism , T-Lymphocytes, Cytotoxic/physiology
10.
Chinese Journal of Integrated Traditional and Western Medicine ; (12): 745-750, 2014.
Article in Chinese | WPRIM | ID: wpr-294403

ABSTRACT

<p><b>OBJECTIVE</b>To explore the effect of Lignum Sappan (LS) containing serum on the proliferation cycle arrest of human lung cancer cell line PG and its molecular mechanism.</p><p><b>METHODS</b>The lung cancer PG cells were divided into four groups, i.e., the blank control group, the LS group, the LS plus cisplatin group, and the cisplatin group. They were cultured by RPMI-1640 with 20% blank serum, RPMI-1640 with 20% LS containing serum, RPMI-1640 with 20% LS containing serum plus 1 microg/mL cisplatin, and RPMI-1640 with 20% blank serum plus 1 microg/mL cisplatin, respectively. The morphology of PG cells was observed using light microscope and laser scanning confocal microscope in each group. The cell cycle arrest was observed using flow cytometry. The expression of P16 and Rb1 mRNA was tested by PCR method.</p><p><b>RESULTS</b>Under the light microscope and laser scanning confocal microscope, the apoptosis degree of PG cells in the LS group was significant, but less than that of the LS plus cisplatin group as well as the cisplatin group. Compared with the blank control group, the proportion of PG cells increased at G0/ G1 and S phases (P < 0.05) and decreased at G2/M phase (P < 0.01) in the LS group; The proportion of PG cells increased at G2/M and S phases (P < 0.05, P < 0.01) and decreased at G0/G1 phase (P < 0.01) in the LS plus cisplatin group as well as the cisplatin group. Compared with the LS group, the proportion of PG cells increased at G2/M and S phases (P < 0.05, P < 0.01) and decreased at G0/G1 phase (P < 0.01) in the LS plus cisplatin group as well as the cisplatin group. There was no statistical difference in PG cells at each phase between the cisplatin group and the LS plus cisplatin group (P > 0.05). The expression of P16 and Rb1 mRNA increased in the LS group, when compared with the blank control group. They also increased in the cisplatin group and the LS plus cisplatin group, higher than that of the LS group (P < 0.05). There was no statistical difference in the expression of P16 and Rb1 mRNA between the cisplatin group and the LS plus cisplatin group (P > 0.05).</p><p><b>CONCLUSION</b>LS containing serum induced PG cell apoptosis by up-regulating the mRNA transcription levels of P16 and Rb1, thus resulting in PG cell arrest at G0/G1 and S phases, which was different from the manner of cisplatin (achieved by arresting PG cells at G2/M and S phases through regulating cyclinB1 mRNA transcription).</p>


Subject(s)
Humans , Apoptosis , Cell Cycle , Cell Line, Tumor , Cell Proliferation , Cisplatin , Pharmacology , Drugs, Chinese Herbal , Pharmacology , Lung Neoplasms , Pathology
11.
Rev. bras. cir. cardiovasc ; 28(4): 550-554, out.-dez. 2013. ilus
Article in English | LILACS | ID: lil-703126

ABSTRACT

Thoracic endovascular aortic repair for aortic dissections is recognized as an effective treatment. We herein report the case of a 72-year-old male with a Stanford type B aortic dissection. A stent-graft and double-disk vascular occluder was used to repair the primary and re-entry tears, respectively. At 3 month postoperatively, computed tomographic angiography revealed no endoleaks, the stent-graft and vascular occluder to be in optimal positions, the false lumen was almost completely thrombosed, and the visceral arteries were patent. This case illustrates that it is feasible to treat re-entry tears with a vascular occluder after primary proximal stent-graft repairs.


Reparação endovascular de aorta torácica para dissecção aórtica é reconhecida como um tratamento eficaz. Relatamos o caso de um homem de 72 anos de idade, com dissecção aórtica tipo B de Stanford. A endoprótese e oclusor duplo disco vascular foi usado para reparar as rupturas primária e de re-entrada, respectivamente. Aos três meses de pós-operatório, angiotomografia computadorizada não revelou vazamentos, o oclusor e a endoprótese vascular estavam em posições melhores, a falsa luz foi quase completamente trombosada, e as artérias viscerais estavam patentes. Esse caso demonstra que o tratamento de rupturas na re-entrada com endoprótese vascular após reparos proximais primários é viável.


Subject(s)
Aged , Humans , Male , Aortic Dissection/surgery , Aortic Aneurysm, Thoracic/surgery , Blood Vessel Prosthesis Implantation/instrumentation , Septal Occluder Device , Stents , Angiography , Aortic Dissection , Aortic Aneurysm, Thoracic , Blood Vessel Prosthesis Implantation/methods , Endovascular Procedures/instrumentation , Endovascular Procedures/methods , Tomography, X-Ray Computed , Treatment Outcome
12.
Academic Journal of Second Military Medical University ; (12): 1012-1015, 2013.
Article in Chinese | WPRIM | ID: wpr-839468

ABSTRACT

Objective To evaluate the diagnostic and therapeutic values of capsule endoscopy (CE) for small bowel tumors (SBTs). Methods Totally 773 patients with suspected SBTs disease underwent CE during October, 2006 to December, 2011. Further examination was done for patients with suspected SBTs, and the final diagnosis was made by CE and pathological confirmation. Results SBTs were detected in 21 patients (14 males, and 7 females, mean age [53. 9 + 15. 7] years), with a detection rate of 2. 7%. Nineteen patients had obscure gastrointestinal bleeding and two had abdominal pain. Four events of capsule retention occurred at the lesion sites. Nineteen patients underwent surgical treatment and two received chemotherapy; the patients were followed up for a mean of (19 + 14) (range 5-32) months; and there were two death cases due to metastasis (one at 5 months of follow-up and the other at 17 months). Conclusion CE is an effective choice for diagnosis of suspected SBTs, which is of guidance value for the treatment and prognosis of SBTs.

13.
Journal of Korean Medical Science ; : 1302-1306, 2013.
Article in English | WPRIM | ID: wpr-168392

ABSTRACT

Chronic inflammation is thought to be the leading cause of colorectal cancer, and interleukin-10 (IL10) has been identified as a potent immunomodulatory cytokine that regulates inflammatory responses in the gastrointestinal tract. Although several single nucleotide polymorphisms (SNPs) in IL10 have been associated with the risk of colorectal cancer, their prognostic significance has not been determined. Two hundred and eighty-two colorectal cancer patients were genotyped for two candidate cancer-associated SNPs in IL10. The associations of these SNPs with distant metastasis-free survival and overall survival were evaluated by Kaplan-Meier analysis and Cox regression model. The minor homozygote GG genotype of IL10 rs3021094 was significantly associated with a 3.30-fold higher risk of death compared with the TT+TG genotypes (P=0.011). The patients with IL10 rs3021094 GG genotype also had a poorer overall survival in Kaplan-Meier analysis (log-rank P=0.007) and in multivariate Cox regression model (P=0.044) adjusting for age, gender, carcinoembryonic antigen levels, tumor differentiation, stage, lymphovascular invasion, and perineural invasion. In conclusion, our results suggest that IL10 rs3021094 might be a valuable prognostic biomarker for colorectal cancer patients.


Subject(s)
Aged , Female , Humans , Male , Middle Aged , Alleles , Carcinoembryonic Antigen/blood , Cell Differentiation , Colorectal Neoplasms/genetics , Genotype , Homozygote , Interleukin-10/genetics , Kaplan-Meier Estimate , Lymphatic Metastasis , Neoplasm Staging , Polymorphism, Single Nucleotide , Regression Analysis , Biomarkers, Tumor/genetics
14.
Braz. j. infect. dis ; 16(3): 242-249, May-June 2012. ilus, tab
Article in English | LILACS | ID: lil-638557

ABSTRACT

OBJECTIVE: The diagnostic efficacy of the BDProbeTEC ET Mycobacterium tuberculosis (MTB) complex direct detection assay (DTB) performed on bronchoalveolar lavage (BAL) specimens and sputum smears was compared with acid-fast bacilli (AFB) smear microscopy. METHOD: AFB smear microscopy, DTB and culture results of 286 patients with pulmonary tuberculosis were retrospectively reviewed. A total of 120 patients provided expectorated sputum samples, and 166 patients provided BAL specimens. Culture results and clinical diagnosis were used as gold standards. RESULTS: The sensitivity and specificity of the DTB assay in detecting MTB in sputum specimens was significantly higher compared to AFB smear microscopy (83.7% and 82.4%, vs. 75.6%, and 41.2%, respectively). The sensitivity and specificity of the DTB assay in detecting MTB in sputum samples was 77.2% and 100% compared to clinical diagnosis, while AFB smear had a sensitivity and specificity of 70.3% and 26.3%, respectively. Compared to culture, DTB had a sensitivity and specificity of 82.8% and 93.2%, respectively, in detecting MTB from BAL specimens; AFB smear had a sensitivity and specificity of 41.9% and 87.7%, respectively. Compared to clinical diagnosis, DTB had a sensitivity and specificity of 67.2% and 100%, respectively, in detecting MTB from BAL specimens; AFB smear had a sensitivity and specificity of 34.8% and 79.5%, respectively. CONCLUSIONS: The superior performance of the DTB assay relative to AFB smear microscopy makes it a valuable tool to enable early diagnosis of MTB, thereby improving patient care and reducing transmission.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Humans , Infant , Middle Aged , Young Adult , Bronchoalveolar Lavage Fluid/microbiology , Mycobacterium tuberculosis/isolation & purification , Sputum/microbiology , Tuberculosis, Pulmonary/diagnosis , Sensitivity and Specificity
15.
Chinese Journal of Medical Instrumentation ; (6): 261-264, 2008.
Article in Chinese | WPRIM | ID: wpr-309600

ABSTRACT

In order to remove the artifacts of peripheral digital subtraction angiography (DSA), an affine transformation-based automatic image registration algorithm is introduced here. The whole process is described as follows: First, rectangle feature templates are constructed with their centers of the extracted Harris corners in the mask, and motion vectors of the central feature points are estimated using template matching technology with the similarity measure of maximum histogram energy. And then the optimal parameters of the affine transformation are calculated with the matrix singular value decomposition (SVD) method. Finally, bilinear intensity interpolation is taken to the mask according to the specific affine transformation. More than 30 peripheral DSA registrations are performed with the presented algorithm, and as the result, moving artifacts of the images are removed with sub-pixel precision, and the time consumption is less enough to satisfy the clinical requirements. Experimental results show the efficiency and robustness of the algorithm.


Subject(s)
Algorithms , Angiography, Digital Subtraction , Methods , Artifacts , Automation , Methods , Image Processing, Computer-Assisted , Methods
16.
Chinese Journal of Hypertension ; (12)2006.
Article in Chinese | WPRIM | ID: wpr-686044

ABSTRACT

Objective To analyze the electrocardiography(ECG)data of pressure overload-induced cardiac hy pertrophy rats.Methods Pressure overload cardiac hypertrophy was induced by abdominal aorta constriction. Echocardiogram and heart weight measurement demonstrated the occurrence of cardiac hypertrophy.Standardized ECG parameters of limb and chest were measured and statistically analyzed.Results Two weeks after hypertrophy models were established,echocardiogram showed greater LVPWTd,IVSTd,LVDd.ECG showed that left axis deviation and higher R waves in V_A,V_B,V_C(P

17.
Chinese Journal of Epidemiology ; (12): 808-810, 2005.
Article in Chinese | WPRIM | ID: wpr-295659

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate the effect of health education on lung function and quality of life in stabilized patients with chronic pulmonary disease (COPD).</p><p><b>METHODS</b>117 stabilized COPD patients were randomly devided into 4 groups with numbers as 31,26, 20 and 40 identified as Groups 1 to 4. Patients in Group 1 did not receive health education, but Groups 2,3 and 4 received one, two, three or more times health education in file. FEV1, FEV1%, FEV1/FVC and SGRQ score were compared pre and 6-month post the health education program.</p><p><b>RESULTS</b>Health education seemed successful in delaying the decline of FEV1, FEV%, FEV1/FVC and groups 2-4 were superior to group 1(P < 0.05) while groups 3 and 4 were superior to groups 1 or 2(P < 0.05). Health education was effective in raising the SGRQ score among the stabilized COPD patients with groups 2-4 superior to group 1 (P < 0.05) while groups 3 and 4 superior to groups 1 or 2 (P < 0.05).</p><p><b>CONCLUSION</b>Health education could effectively delay the decline of both lung function and quality of life in stabilized patients with COPD.</p>


Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Chronic Disease , Health Education , Lung , Physiology , Lung Diseases , Quality of Life , Recovery of Function
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