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Objective:To evaluate the clinical value of radioactive nuclide strontium chloride (89SrCl2) combined with 99Tc-MDP in treating patients with breast cancer and osseous metastasis. Methods:A total of 80 patients with breast cancer and experiencing bone pain from osseous metastasis were randomly categorized into three groups. 22 patients were treated with 99Tc-MDP (99Tc-MDP group), 30 were treated with 89SrCl2 (89SrCl2 group), and 28 were treated with the combination therapy of 89SrCl2 and 99Tc-MDP (combination group). The analgesic effect, remission of bone metastases, and quality of life of patients in the three groups were observed before and after treatment. Side effect was also monitored. Results:In the combination group, the overall pain relief rate and the increase rate of life quality score were 92.9%(26/28) and 78.6%(22/28), respectively. The combination group was statistically significantly different from the two single-treatment groups (P0.05). Conclusion:The treatment of 89SrCl2 com-bined with 99Tc-MDP can increase the analgesic effect and significantly improve the curative effect without overt side effects in patients with breast cancer and bone metastasis.
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Objective To find out about the temperature ,relative humidity, concentration and species of air microbes in the warship , and to detect the possible pathogenic agents responsible for the high incidence of respiratory diseases among the crew.Methods A digital hygrometer was used to measure the indoor tempreture and relative humidity .Open agar set-tling plates were used to sample the air bacteria in the ship .Pure bacterial colonies were isolated from those on the original plates by repeated streak inoculation .The species of bacteria were determined by gram staining ,light microscope observation and 16S rDNA sequencing .Results Spots that met the standard requirement of temperature accounted for 20%but relative humidity was up to the stevrdard ineach place investigated .Although the concentration of airborne microbes was under the standard limit,bacteria were various.There were 18 different bacteria isolated from the air sample , including Chryseobacteri-um jejuense,Acinetobacter baumannii, Bacillus sporothermodurans, Staphylococcus aureus, Staphylococcus capitis, Staphylo-coccus hominis subsp.hominis strain and subsp.novobiosepticus, Staphylococcus cohnii subsp.cohnii and subsp.urealytic-us,Enhydrobacter aerosaccus,Corynebacterium casei,Macrococcus caseolyticus,Corynebacterium ammoniagenes,Brevibacillus panacihumi,Comamonas koreensis,Bacillus subtilis,Sphingobium yanoikuyae, Chryseobacterium hominis.Conclusion The high incidence of respiratory diseases among officers and soliders might be related to the lower tempreture and some airborne bacteria in the warship .
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Objective To investigate the influence and mechanism of erythropoietin (EPO) in renal blood flow after limb ischemia reperfusion (LIR). Methods Thirty male SD rats were randomly divided into control group, LIR group and EPO+LIR group with ten in each group. The values of renal blood flow, plasma creatinine (Cr), urea nitrogen (BUN) content in plasma, kidney tissue wet to dry ratio (W/D), nitric oxide (NO), nitric oxide synthase (NOS) and endothelin-1 (ET-1) in re-nal tissue were detected in three groups. The immunohistochemistry assay was used to detect the expression of intercellular adhesion molecule (ICAM-1) and vascular cell adhesion molecule (VCAM-1) in renal tissue. The morphological changes of renal tissue were observed with light microscope. Results The renal blood flow was significantly decreased, while the val-ues of Cr, BUN, W/D, NO, ET-1, NOS, expressions of ICAM-1 and VCAM-1 was significantly increased in LIR group than those of control group (P<0.05). Broaden interstitial and infiltration of inflammatory cells were observed in the renal tissue under light microscope. In the EPO+LIR group, the renal blood flow increased, the values of Cr, BUN, W/D, NO, ET-1 and NOS, expressions of ICAM-1 and VCAM-1 decreased significantly compared with those of LIR group (P<0.05). The patho-logical changes were alleviated in EPO+LIR group. Conclusion EPO can improve renal function, increase renal blood flow in rats after LIR. The mechanism may be related to the decreased edema, changed renal vasomotor function and decreased in-flammation.
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Objective To investigate the effect of sufentanil postconditioning on myocardial ischemiareperfusion (I/R) injury in patients undergoing cardiac valve replacement under cardiopulmonary bypass (CPB).Methods Sixty ASA Ⅱ or Ⅲ patients ( NYHA Ⅱ or Ⅲ ) of both sexes,aged 19-64 yr,scheduled for cardiac valve rreplacement under CPB,were randomly divided into 4 groups ( n =15 each):control group ( group C),sufentanil 0.5 μg/kg group (group S1 ),sufentanil 1.0 μg/kg group (group S2 ) and sufentanil 2.0 μg/kg group ( group S3 ).In groups S1,S2 and S3,sufentanil 0.5,1.0 and 2.0 μg/kg were infused over 2 min via aortic root 5 min before aortic unclamping respectively.In group C,the equal volume of normal saline (2 ml/kg) was infused instead of sufentanil.Blood samples were taken from the radial artery immediately before induction of anesthesia ( T2 ) and at 2,4,8,24 and 48 h after aortic unclamping ( T1-5 ) for determination of plasma concentrations of cardiac troponin-I (cTnI) and malondialdehyde (MDA) and activities of creatine kinase isoenzyme-MB (CK-MB) and superoxide dismutase (SOD).The duration of CPB,time of aortic clamping,extubation time,duration of stay in ICU,and myocardial contractility score and volume of drainage at 24 h after the operation were recorded.The restoration of spontaneous heart beat and adverse cardiovascular events were observed.Results The plasma cTnI,and MDA concentrations and CK-MB activity were significantly lower,while the SOD activity was significantly higher at T1-3 in group S1 than in group C ( P ＜ 0.05).The plasma cTnl concentration and CK-MB activity were significantly lower at T1-5,the plasma MDA concentration was significantly lower at T1-4,and SOD activity was significantly higher at T1-4,the extubation time and duration of stay in ICU were significantly shorter,and the myocardial contractility score at 24 h after the operation and incidence of adverse cardiovascular events were significantly lower in groups S2,3 than in group C ( P ＜ 0.05),The plasma cTnl concentration and CK-MB activity were significantly lower at T4,5,The plasma MDA concentration was significantly lower at T4,the SOD activity was significantly higher at T3,4,and the myocardial contractility score at 24 h after the operation was significantly lower in groups S2,3 than in group S1 ( P ＜ 0.05).Conclusion Sufentanil postconditioning can relieve myocardial I/R injury in patients undergoing cardiac valve replacement under CPB,and the mechanism is related to inhibition of lipid peroxidation.
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<p><b>OBJECTIVE</b>To investigate the relationship between c-fos gene and filamentous actin (F-actin) in MG-63 osteoblasts under cyclic tensile stress.</p><p><b>METHODS</b>MG-63 osteoblasts were subjected to cyclic tensile stress (0.5 Hz, 2 000 microstrain) for 3, 6, and 12 h. The changes of c-fos gene were investigated by fluorescent quantitation polymerase chain reaction. Then the best loading time group was screened as the experimental group compared with 0 h group. The changes of F-actin and c-fos were investigated with or without cytochalasin D treatment.</p><p><b>RESULTS</b>Cyclic tensile stress induced high expression of c-fos mRNA, and peaked at 3 h. After loading, F-actin had a structure reorganization, but had no change in expression. After cytochalasin D treatment, the formation of stress fibers and the fluorescence intensity of F-actin cytoskeleton significantly reduced, meanwhile the c-fos mRNA expression was inhibited.</p><p><b>CONCLUSION</b>After loading, there is only structure reorganization for F-actin, and the expression has not any change. That means the remodeling F-actin is the existing one. F-actin reorganization is an important part in c-fos gene expression induced by stress.</p>
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Humans , Actin Cytoskeleton , Actins , Cytochalasin D , Cytoskeleton , Genes, fos , Microtubules , Osteoblasts , RNA, Messenger , Stress, MechanicalABSTRACT
<p><b>OBJECTIVE</b>To propose an improved adaptive spectral clustering method for image segmentation to allow automatic selection of the optimal scaling parameters and enhance the accuracy of spectral clustering.</p><p><b>METHODS</b>Using constrain conditions for optimizing the criterion function and determining the optimal scaling parameters by iteration, the final image segmentation was achieved through spectral clustering based on Nystrom approximation. We chose suit weight functions for different texture images, and used the proposed method for image segmentation. The k-means algorithm and the method of spectral clustering after pre-segmentation by manually choosing the scaling parameter were compared with the proposed method.</p><p><b>RESULTS</b>The improved spectral clustering algorithm with automatic selection of the optimal scaling parameters achieved better results of image segmentation than the other two methods.</p><p><b>CONCLUSION</b>The proposed algorithm can improve the accuracy of spectral clustering for image segmentation.</p>
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Algorithms , Cluster Analysis , Image Interpretation, Computer-Assisted , Methods , Pattern Recognition, Automated , MethodsABSTRACT
Information integration of heterogeneous systems needs implementing to meet the communication requirements of all subsystems of Hospital Information System (HIS). The solution is to introduce Health Level Seven (HL7), an international medical information exchange standard. With extensible Markup Language (XML) as the message-encoding manner, HL7 version 3 follows the object-oriented methodology. Based on the message system of HL7 version 3, this paper introduces an XML-based message processing technology and then testifies its feasibility.
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Mutual information(MI) is a tool of measuring the statistical dependence between two random variables. MI between two images, being considered as two random fields, can be calculated to determine the degree of information redundancy between the image intensities of corresponding pixels in both images. In this paper, we utilize the MI criterion to realize the generalized registration between two neighboring slices in a medical image sequence (CT, MR et al) and consider that they match with each other if the MI between them is maximal. Experimental results confirm performance of our algorithm.
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This paper expatiates the application of classification, clustering-based data mining technology to Clinical Laboratory Information System (CLIS) with the introduction of the concepts of CLIS and data mining.
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Functional requirement of LIS analyzed, this paper discusses the application of web technology to it. The choice of application server and security control and management are emphasized on, and then corresponding solutions are provided.
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Objective To design a mobile device for patient information query.Methods Linux was used as operating system,and embedded SQL was used to access the database.Data transmission was realized by socket programming.Results The correctness of data access and transmission was proved by test,and the validity of the system was also confirmed.Conclusion Embedded system technology meets the need of mobile medical care.
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With the informatization construction of medical industry, the talents with a knowledge background of medicine and information science have to be available for the development and management in the field of medical facility informatization. In order to resolve the problem that medical industry falls short of information talents, this paper discusses some issues about the training of information talents in the industry, including the roles of medical academies in talents culture, the importance of continuing education and the constitution of the specialized course system.
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The development of HIS and the isolation of all the HISs are mentioned in this paper. It's suggested that HL7 be used to unify the health information. The inosculation of Laboratory Information System (LIS) and Hospital Information System (HIS) is taken as an example to introduce a unification scheme of medical treatment information network based on Health Level Seven (HL7) Engine.