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The pathophysiological process of immune inflammatory response after severe trauma is extremely complex,especially manifested in the dynamic changes.In the physiological response state,the inflammatory and anti-inflammatory conditions are in a dynamic balance.The immune inflammatory response is relatively stable,avoiding excessive inflammatory reactions or immunosuppression and reducing further damage to the body.In the pathological response state,the dynamic balance between inflammatory and anti-inflammatory is broken,and it can also lead to persistent inflammatory-immunosuppression-catabolism syndrome (PICS).As a result,it increases serious complications such as uncontrolled inflammatory reactions,sepsis,multiple organ dysfunction syndrome (MODS),and multiple organ failure (MOF).Current researches on post-traumatic immune inflammatory response have also expanded to the genetic level,indicating that the over-expression of genes and the generation and increase of immune response media are likely to be the key reasons for the disorder of immune inflammatory response.The author reviews the research progress of immune inflammatory response mechanism and related clinical intervention after severe trauma,in order to summarize the previous research results and explore the future research direction.
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The pathophysiological process of immune inflammatory response after severe trauma is extremely complex, especially manifested in the dynamic changes. In the physiological response state, the inflammatory and anti-inflammatory conditions are in a dynamic balance. The immune inflammatory response is relatively stable, avoiding excessive inflammatory reactions or immunosuppression and reducing further damage to the body. In the pathological response state, the dynamic balance between inflammatory and anti-inflammatory is broken, and it can also lead to persistent inflammatory-immunosuppression-catabolism syndrome (PICS). As a result, it increases serious complications such as uncontrolled inflammatory reactions, sepsis, multiple organ dysfunction syndrome (MODS), and multiple organ failure (MOF). Current researches on post-traumatic immune inflammatory response have also expanded to the genetic level, indicating that the over-expression of genes and the generation and increase of immune response media are likely to be the key reasons for the disorder of immune inflammatory response. The author reviews the research progress of immune inflammatory response mechanism and related clinical intervention after severe trauma, in order to summarize the previous research results and explore the future research direction.
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The directed functional connectivity in cerebral cortical is the key to understanding the pattern of the behavioral tissue. This process was studied to explore the directed functional network of rifle shooters at cerebral cortical rhythms from electroencephalogram (EEG) data, aiming to provide neurosciences basis for the future development of accelerating rifle skill learning method. The generalized orthogonalized partial directed coherence (gOPDC) algorithm was used to calculate the effective directed functional connectivity of the experts and novices in the pre-shot period. The results showed that the frontal, frontal-central, central, parietal and occipital regions were activated. Moreover, the more directed functional connections numbers in right hemispheres were observed compared to the left hemispheres. Furthermore, as compared to experts, novices had more activated regions, the stronger strength of connections and the lower value of the global efficiency during the pre-shot period. Those indirectly supported the conclusion that the novices needed to recruit more brain resources to accomplish tasks, which was consistent with "neural efficiency" hypothesis of the functional cerebral cortical in experts.
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OBJECTIVE@#To observe clinical characteristics of 15 cases of laryngeal nonsquamous malignancies.@*METHOD@#The clinical data of 15 patients with laryngeal nonsquamous malignancies were collected. Details about pathology, CT, treatment and follow-up results were carefully taken into account.@*RESULT@#There were more male patients than females while the sex ratio was 4:1. Supraglottic malignancies accounting for 53.33% seemed to be the most common type. In all the 15 patients, 1 patient gave up other treatment except tracheotomy to relieve laryngeal obstruction. Three patients took radiotherapy and chemotherapy. The rest patients underwent surgical procedure after strict endoscopic, radiologic staging. Radiotherapy and (or) chemotherapy were chosen after operation. The follow-up results show that 1 year survival rate was 79.4% and the 3 year survival rate was 57.8%, 5 year survival rate was 27.5% which was not optimistic.@*CONCLUSION@#Being a kind of rare type laryngeal nonsquamous malignancies have difference clinical characteristics with laryngeal squamous cell carcinoma. Laryngeal nonsquamous cell carcinoma have much lower 5 year survival rate and are easier to suffer recurrence and metastasis compared with laryngeal squamous cell carcinoma.
Assuntos
Feminino , Humanos , Masculino , Obstrução das Vias Respiratórias , Neoplasias Laríngeas , Diagnóstico , Patologia , Terapêutica , Recidiva Local de Neoplasia , Estudos Retrospectivos , Taxa de SobrevidaRESUMO
A case of large artificial teeth in hypopharynx and upper esophagus was reported. Physical signs of laryngeal obstruction were detected. CT showed foreign body in right pyriform sinus. Acute tracheotomy was performed before removal of the large foreign body with the help of esophagoscope and mouth-gag.
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Humanos , Masculino , Pessoa de Meia-Idade , Esôfago , Corpos Estranhos , HipofaringeRESUMO
Objective To resolve the problems of comprehensive evaluation on pilot's situation cognition basing on studying the mission situation. Methods The model of fuzzy comprehensive evaluation on pilots' situation cognitive was established on the basis of researches on concepts and methods of environmental quality evaluation in environment science.Results On the basis of theoretical consideration and analysis of experiments, the state of pilot's situation cognition was revealed preliminarily.Conclusion It is showed that the fuzzy comprehensive evaluation method on pilot's situation cognition can provide real and complete flight cognitive information. It is reliable basis for pilot's efficacy of training and flight safety.
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OBJECTIVE To study the expression of CSE1L gene sifted from the whole genome expression profiling in the aRNA from homogenous human nasopharyngeal carcinoma (NPC) and non-NPC biopsy tissue samples using semi-quantitative RT-PCR (sqRT-PCR). METHODS CSE1L gene was sifted from the whole genome expression profiling from homogenous NPC and non-NPC biopsy tissue samples. RNA later RNA Stabilization Reagent was used to preserve the tissue samples harvested from the nasopharynx of NPC and non-NPC patients. The samples were microdissected to get the homogenous tissue cells and then the total RNA was isolated from them. The antisense RNA (aRNA) was amplified from the total RNA by “in vitro transcription” (IVT). CSE1L gene expression in the homogenous tumor cells of NPC and the pure epithelial pillar cells of normal nasopharyngeal tissue was investigated by sqRT-PCR. RESULTS The high quality total RNA could be harvested from the microdissected homogenous tissue cells, and then the sufficient aRNA was amplified from it. The expression of CSE1L gene was identified using these aRNA by sqRT-PCR. There were significantdifference between the average expression value of CSE1L in NPC tissue (1.740?1.105) and in non-NPC tissue (0.618?0.183; df=30, t=3.159, P=0.004). The expression of CSE1L gene in the whole expression profiling were 1.056?0.296 in NPC tissue and 0.465?0.835 in non-NPC tissue respectively (df=16, t=4.317, P=0.001) . CONCLUSION The whole genome expression profiling with sqRT-PCR could be used to sift the marker genes from biopsy tissue samples. CSE1L may be as a candidate oncogene in NPC.
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Objective To establish a system to evaluate the mental workload on visual display interface in airplane cockpit after synthesizing three kinds of mental workload assessment techniques,i.e.main task measure method,physiology measure method and subjective evaluate method.Methods The evaluation indices of every kind of assessment techniques was defined,and the amount of each index through experiment and subjective inquiry was gained,weighted average was calculated and a quantification evaluation value of each kind of evaluation methods was got.At last,with weighted calculation of above three evaluation values,the evaluation value of mental workload on visual display interface in airplane cockpit was obtained.Results In M kinds of different designs of visual display interface in airplane cockpit,the synthetic evaluation value of one design was the smallest and the mental workload of this design was the smallest.The design of the smallest mental workload was chosen prior as the final scheme of visual display interface in airplane cockpit.Conclusion The evaluation system is combined with present main evaluation methods of mental workload and utilizes their advantages.The evaluating result can be quantified more directly and clearly.With this evaluation system,the mental workload can be evaluated during the design of visual display interface of airplane cockpit and the best scheme can be confirmed.
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Objective This paper deals with the problem of human movement characteristics of target acquisition. Method A hypothetical model was posed by using experimental data. Result The conception of final target size was put forward, an equation for calculating the movement time of target acquisition was obtained, and a new definition of index of difficulty was given. Conclusion Analysis of experimental data showed that this equation could give a better description of target acquisition in a wide range.
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OBJECTIVE: To evaluate three therapeutic schemes for sudden deafness with cost-effectiveness analysis for guiding rational use of drugs. METHODS:Using pharmacoeconomic cost-effectiveness analysis to evaluate 61 patients with 62ears of sudden deafness treated by Salvia Miltiorrhiza(groups A), Salvia Miltiorrhiza and cerebroprotein hydrolysate(groups B) or cerebroprotein hydrolysate(groups C) . RESULTS: The effective rates of three groups were 73.9%, 75.0% and 80.0% respectively without significant difference among them(P ＞ 0.05) . The average drug costs for one patient in three groups were 617.89 yuan, 2 651.29 yuan and 2 647.99 yuan respectively. The costs for 1% increase of effective rate in three groups were 8.36 yuan, 35.35 yuan and 33.10 yuan respectively. CONCLUSION: Salvia Miltiorrhiza scheme is the most rational one for sudden deafness.