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1.
BMC Musculoskelet Disord ; 25(1): 354, 2024 May 04.
Article in English | MEDLINE | ID: mdl-38704573

ABSTRACT

BACKGROUND: This study aimed to investigate the impact of nursing interventions on the rehabilitation outcomes of patients after lumbar spine surgery and to provide effective references for future postoperative care for patients undergoing lumbar spine surgery. METHODS: The study included two groups: a control group receiving routine care and an observation group receiving additional comprehensive nursing care. The comprehensive care encompassed postoperative rehabilitation, pain, psychological, dietary management, and discharge planning. The Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Short-Form 36 (SF-36) Health Survey, self-rating depression scale (SDS) and self-rating anxiety scale(SAS) were used to assess physiological and psychological recovery. Blood albumin, haemoglobin, neutrophil counts, white blood cell counts, red blood cell counts, inflammatory markers (IL-6, IL-10, and IFN-γ) were measured, and the incidence of postoperative adverse reactions was also recorded. RESULTS: Patients in the observation group exhibited significantly improved VAS, ODI, SF-36, SDS and SAS scores assessments post-intervention compared to the control group (P < 0.05). Moreover, levels of IL-6, IL-10, and IFN-γ were more favorable in the observation group post-intervention (P < 0.05), indicating a reduction in inflammatory response. There was no significant difference in the incidence of postoperative adverse reactions between the groups (P > 0.05), suggesting that the comprehensive nursing interventions did not increase the risk of adverse effects. CONCLUSION: Comprehensive nursing interventions have a significant impact on the postoperative recovery outcomes of patients with LSS, alleviating pain, reducing inflammation levels, and improving the overall quality of patient recovery without increasing the patient burden. Therefore, in clinical practice, it is important to focus on comprehensive nursing interventions for patients with LSS to improve their recovery outcomes and quality of life.


Subject(s)
Lumbar Vertebrae , Humans , Male , Female , Middle Aged , Lumbar Vertebrae/surgery , Treatment Outcome , Adult , Aged , Pain Measurement , Pain, Postoperative/etiology , Pain, Postoperative/rehabilitation , Disability Evaluation , Postoperative Care/methods
2.
Heliyon ; 10(7): e29082, 2024 Apr 15.
Article in English | MEDLINE | ID: mdl-38617964

ABSTRACT

Objective: Composite Dietary Antioxidant Index (CDAI) values serve as a summary of an individual's combined dietary antioxidant intake. Although specific antioxidants are known to reduce thyroid damage from oxidative stress, the relationship between the CDAI and thyroid function remains uncertain. The purpose of this study was thus to investigate this relationship in greater detail while focusing on a representative American adult population. Methods: A total of 6,860 subjects from the 2007-2012 NHANES cohort were included in this study. Associations between CDAI values and thyroid function were evaluated with weighted linear regression models and smoothed curve fitting. Subgroup analyses were also performed. Results: The weighted mean (SD) values for variables analyzed in this study included a CDAI of 0.13 (0.06), serum free T4 (FT4) levels of 0.80 (0.01) ng/dL, and serum total T4 (TT4) levels of 7.80 (0.03) ug/dL. Lower CDAI values were found to be associated with higher levels of FT4 and TT4 using both unadjusted and adjusted models that accounted for relevant confounders (adjusted model, FT4 ß = -0.003, p = 0.005; TT4 ß = -0.035, p < 0.001). This negative correlation persisted when CDAI was categorized into quartiles (FT4, p for trend = 0.014; TT4, p for trend = 0.003). Conclusion: These findings suggest that a diet rich in antioxidants, as reflected by higher CDAI scores, is associated with significant decreases in levels of free and total T4. Further analyses will be necessary to better clarify the underlying mechanisms behind these observations.

3.
Technol Health Care ; 32(1): 63-73, 2024.
Article in English | MEDLINE | ID: mdl-37248923

ABSTRACT

BACKGROUND: Lower extremity arteriosclerosis obliterans (ASO) is the most common occlusive disease of the peripheral blood vessels. OBJECTIVE: To explore the application effect of symptom management-based rehabilitation strategy in postoperative functional exercises in patients with lower extremity ASO. METHODS: The researchers selected 136 patients that underwent lower extremity ASO surgery for the first time in their department from January to September 2020. Patients were divided into a control group (n= 68) and an experimental group (n= 68). The control group implemented routine discharge rehabilitation education and continuous nursing. On this basis, the experimental group applied the symptom management theory to the rehabilitation management strategy to compare the degree of pain, the ankle-brachial index, self-care ability and quality of life between the two groups before and after the intervention. RESULTS: Three months (P= 0.045) and six months (P=0.013) after discharge, the experimental group's degree of pain was significantly lower than that of the control group. At one month (P= 0.019), three months (P= 0.003) and six months (P= 0.000) after discharge, the experimental group recovered significantly better than the control group. At six months after discharge, the self-care ability, mood status and physical pain of the experimental group were significantly higher than in the control group (P< 0.05). CONCLUSION: The rehabilitation management strategy, which is based on symptom management theory, can effectively improve the symptoms, quality of life and self-efficacy of ASO patients in continuous care. This nursing strategy is worthy of clinical promotion.


Subject(s)
Arteriosclerosis Obliterans , Quality of Life , Humans , Arteriosclerosis Obliterans/surgery , Lower Extremity/surgery , Exercise Therapy , Pain
4.
Hum Mol Genet ; 33(7): 553-562, 2024 Mar 20.
Article in English | MEDLINE | ID: mdl-38129105

ABSTRACT

BACKGROUND: Vesicle-mediated transport, vital for substance exchange and intercellular communication, is linked to tumor initiation and progression. This work was designed to study the role of vesicle-mediated transport-related genes (VMTRGs) in breast cancer (BC)prognosis. METHODS: Univariate Cox analysis was utilized to screen prognosis-related VMTRGs. BC samples underwent unsupervised clustering based on VMTRGs to analyze survival, clinical factors, and immune cell abundance across different subtypes. We constructed a risk model using univariate Cox and LASSO regression analysis, with validation conducted using GEO datasets. Subsequently, we performed tumor mutational burden analysis, and immune landscape analysis on both groups. Ultimately, we conducted immunophenoscore (IPS) scoring to forecast immunotherapy and performed drug sensitivity analysis. RESULTS: We identified 102 VMTRGs associated with BC prognosis. Using these 102 VMTRGs, BC patients were classified into 3 subtypes, with Cluster3 patients showing significantly better survival rates. We constructed a prognostic model for BC based on 12 VMTRGs that effectively predicted patient survival. Riskscore was an independent prognostic factor for BC patients. According to median risk score, high-risk group (HRG) had higher TMB values. The immune landscape of the HRG exhibited characteristics of cold tumor, with higher immune checkpoint expression levels and lower IPS scores, whereas Gemcitabine, Nilotinib, and Oxaliplatin were more suitable for treating low-risk group. CONCLUSION: We classified BC subtypes and built a prognostic model based on VMTRGs. The genes in the prognostic model may serve as potential targets for BC therapy.


Subject(s)
Breast Neoplasms , Humans , Female , Prognosis , Breast Neoplasms/drug therapy , Breast Neoplasms/genetics , Biological Transport , Cell Communication , Cell Transformation, Neoplastic , Tumor Microenvironment
5.
BMC Musculoskelet Disord ; 24(1): 813, 2023 Oct 13.
Article in English | MEDLINE | ID: mdl-37833720

ABSTRACT

BACKGROUND: Postoperative urine retention (POUR) after lumbar interbody fusion surgery may lead to recatheterization and prolonged hospitalization. In this study, a predictive model was constructed and validated. The objective was to provide a nomogram for estimating the risk of POUR and then reducing the incidence. METHODS: A total of 423 cases of lumbar fusion surgery were included; 65 of these cases developed POUR, an incidence of 15.4%. The dataset is divided into a training set and a validation set according to time. 18 candidate variables were selected. The candidate variables were screened through LASSO regression. The stepwise regression and random forest analysis were then conducted to construct the predictive model and draw a nomogram. The area under the curve (AUC) of the receiver operating characteristic (ROC) curve and the calibration curve were used to evaluate the predictive effect of the model. RESULTS: The best lambda value in LASSO was 0.025082; according to this, five significant variables were screened, including age, smoking history, surgical method, operative time, and visual analog scale (VAS) score of postoperative low back pain. A predictive model containing four variables was constructed by stepwise regression. The variables included age (ß = 0.047, OR = 1.048), smoking history (ß = 1.950, OR = 7.031), operative time (ß = 0.022, OR = 1.022), and postoperative VAS score of low back pain (ß = 2.554, OR = 12.858). A nomogram was drawn based on the results. The AUC of the ROC curve of the training set was 0.891, the validation set was 0.854 in the stepwise regression model. The calibration curves of the training set and validation set are in good agreement with the actual curves, showing that the stepwise regression model has good prediction ability. The AUC of the training set was 0.996, and that of the verification set was 0.856 in the random forest model. CONCLUSION: This study developed and internally validated a new nomogram and a random forest model for predicting the risk of POUR after lumbar interbody fusion surgery. Both of the nomogram and the random forest model have high accuracy in this study.


Subject(s)
Low Back Pain , Urinary Retention , Humans , Urinary Retention/diagnosis , Urinary Retention/epidemiology , Urinary Retention/etiology , Postoperative Complications/diagnosis , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Lumbosacral Region , Smoking , Retrospective Studies
6.
PLoS One ; 18(6): e0287251, 2023.
Article in English | MEDLINE | ID: mdl-37384649

ABSTRACT

The retaining wall is a passive engineering measure to prevent and control unsafe factors caused by rock collapse in the valleys. Existing studies have mainly focused on its functional robustness and safety features, with few exploring its visual quality in the landscape. A multiple regression analysis was applied to evaluate the Scenic Beauty Estimation (SBE) of the giant retaining wall in Jiuzhaigou's (a world natural heritage site) Heye Village, then the factors affecting SBE were analyzed. It is found that enhancing the sense of perspective and spatial hierarchy of retaining-wall murals in narrow roads contributes to the extension of observers' sight, which is the key to improving SBE. Furthermore, the showcase of folk culture in murals can realize the beautification function of the giant retaining walls. In addition, the SBE of giant retaining walls is also linked to coordination, where the walls embellished with the natural landscape and folk culture murals have better SBE performance than those with local stones. This study provides a reference for constructing scenic beauty after fulfilling the safety function of retaining wall engineering.


Subject(s)
Engineering , Environment
7.
Pest Manag Sci ; 79(10): 3926-3933, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37245216

ABSTRACT

BACKGROUND: The insecticide carbosulfan is usually applied as a soil treatment or seed-coating agent, and so may be absorbed by crops and pose dietary risks. Understanding the uptake, metabolism and translocation of carbosulfan in crops is conducive to its safe application. In this study, we investigated the distribution of carbosulfan and its toxic metabolites in maize plants at both the tissue and subcellular levels, and explored the uptake and translocation mechanism of carbosulfan. RESULTS: Carbosulfan was mainly taken up by maize roots via the apoplast pathway, was preferentially distributed in cell walls (51.2%-57.0%) and most (85.0%) accumulated in roots with only weak upward translocation. Carbofuran, the main metabolite of carbosulfan in maize plants, was primarily stored in roots. However, carbofuran could be upwardly translocated to shoots and leaves because of its greater distribution in root-soluble components (24.4%-28.5%) compared with carbosulfan (9.7%-14.5%). This resulted from its greater solubility compared with its parent compound. The metabolite 3-hydroxycarbofuran was found in shoots and leaves. CONCLUSION: Carbosulfan could be passively absorbed by maize roots, mainly via the apoplastic pathway, and transformed into carbofuran and 3-hydroxycarbofuran. Although carbosulfan mostly accumulated in roots, its toxic metabolites carbofuran and 3-hydroxycarbofuran could be detected in shoots and leaves. This implies that there is a risk in the use of carbosulfan as a soil treatment or seed coating. © 2023 Society of Chemical Industry.


Subject(s)
Carbofuran , Carbofuran/metabolism , Zea mays/metabolism , Carbamates/metabolism , Plant Roots/metabolism
8.
J Gene Med ; 25(3): e3471, 2023 03.
Article in English | MEDLINE | ID: mdl-36525372

ABSTRACT

Breast cancer is a malignancy harmful to physical and mental health in women, with quite high mortality. Copy number variations (CNVs) are vital factors affecting the progression of breast cancer. Detecting CNVs in breast cancer to predict the prognosis of patients has become a promising approach to accurate treatment in recent years. The differential analysis was performed on CNVs of long noncoding RNAs (lncRNAs) as well as the expression of lncRNAs, microRNAs (miRNAs) and mRNAs in normal tissue and breast tumor tissue based on The Cancer Genome Atlas (TCGA) database. The CNV-driven lncRNAs were identified by the Kruskal-Wallis test. Meanwhile, a competitive endogenous RNA (ceRNA) network regulated by CNV-driven lncRNA was constructed. As the Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analyses revealed, the mRNAs in the dysregulated ceRNA network were mainly enriched in the biological functions and signaling pathways, including the Focal Adhesion-PI3K-Akt-mTOR-signaling pathway, the neuronal system, metapathway biotransformation Phase I and II and blood circulation, etc. The relationship between the CNVs of five lncRNAs and their gene expression in the ceRNA network was analyzed via a chi-square test, which confirmed that except for LINC00243, the expression of four lncRNAs was notably correlated with the CNVs. The survival analysis revealed that only the copy number gain of LINC00536 was evidently related to the poor prognosis of patients. The CIBERSORT algorithm showed that five lncRNAs were correlated with the abundance of immune cell infiltration and immune checkpoints. In a word, by analyzing CNV-driven lncRNAs and the ceRNA network regulated by these lncRNAs, this study explored the mechanism of breast cancer and provided novel insights into new biomarkers.


Subject(s)
Breast Neoplasms , MicroRNAs , RNA, Long Noncoding , Humans , Female , DNA Copy Number Variations , RNA, Long Noncoding/genetics , Breast Neoplasms/genetics , Phosphatidylinositol 3-Kinases/metabolism , MicroRNAs/genetics , RNA, Messenger/genetics , Gene Regulatory Networks , Gene Expression Regulation, Neoplastic
9.
Adv Healthc Mater ; 12(16): e2201989, 2023 06.
Article in English | MEDLINE | ID: mdl-36253093

ABSTRACT

Exosomes are cell-derived extracellular vesicles of 40-160 nm diameter, which carry numerous biomolecules and transmit information between cells. They are used as functional nanomaterials with great potential in biomedical areas, such as active agents and delivery systems for advanced drug delivery and disease therapy. In recent years, potential applications of exosomes in tissue engineering have attracted significant attention, and some critical progress has been made. This review gives a complete picture of exosomes and their applications in the regeneration of various tissues, such as the central nervous systems, kidney, bone, cartilage, heart, and endodontium. Approaches employed for modifying exosomes to equip them with excellent targeting capacity are summarized. Furthermore, current concerns and future outlook of exosomes in tissue engineering are discussed.


Subject(s)
Exosomes , Extracellular Vesicles , Nanostructures , Tissue Engineering , Drug Delivery Systems
10.
J Mech Behav Biomed Mater ; 137: 105553, 2023 01.
Article in English | MEDLINE | ID: mdl-36375275

ABSTRACT

Realistic modelling of human soft tissue is very important in medical applications. This paper proposes a novel method by dynamically incorporating soft tissue characterisation in the process of soft tissue modelling to increase the modelling fidelity. This method defines nonlinear tissue deformation with unknown mechanical properties as a problem of nonlinear filtering identification to dynamically identify mechanical properties and further estimate nonlinear deformation behaviour of soft tissue. It combines maximum likelihood theory, nonlinear filtering and nonlinear finite element method (NFEM) for modelling of nonlinear tissue deformation behaviour based on dynamic identification of homogeneous tissue properties. On the basis of hyperelasticity, a nonlinear state-space equation is established by discretizing tissue deformation through NFEM for dynamic filtering. A maximum likelihood algorithm is also established to dynamically identify tissue mechanical properties during the deformation process. Upon above, a maximum likelihood-based extended Kalman filter is further developed for dynamically estimating tissue nonlinear deformation based on dynamic identification of tissue mechanical properties. Simulation and experimental analyses reveal that the proposed method not only overcomes the NFEM limitation of expensive computations, but also absorbs the NFEM merit of high accuracy for modelling of homogeneous tissue deformation. Further, the proposed method also effectively identifies tissue mechanical properties during the deformation modelling process.


Subject(s)
Algorithms , Humans , Likelihood Functions , Computer Simulation
11.
Bull Environ Contam Toxicol ; 109(2): 386-392, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35670838

ABSTRACT

Although azoxystrobin has been widely applied on various crops, little is known about the bioavailability of azoxystrobin in the soil-vegetable system. In this study, the uptake, accumulation and translocation of azoxystrobin as affected by soil characteristics and plant species were respectively investigated. The accumulation amount of azoxystrobin in pakchoi increased as soil adsorption decreased and was positively associated with its concentration in pore water (Cpw), which was mainly affected by soil organic matter content. Therefore, Cpw could be a candidate for the estimation of azoxystrobin accumulation in pakchoi. In all the tested vegetables, azoxystrobin was mainly accumulated in roots, and its upward translocation was limited. Root lipid content was a major factor affecting the uptake and translocation of azoxystrobin in different vegetables.


Subject(s)
Soil Pollutants , Soil , Crops, Agricultural , Pyrimidines , Soil Pollutants/analysis , Strobilurins , Vegetables
12.
Sci Total Environ ; 815: 152937, 2022 Apr 01.
Article in English | MEDLINE | ID: mdl-35007570

ABSTRACT

Elaborating the environmental behavior of mefentrifluconazole, a novel triazole fungicide, in stereoselective level is of paramount importance for the application of the pesticide in agriculture. In this study, the enantioselective bioactivity, acute toxicity and stereoselective bioaccumulation of mefentrifluconazole in earthworm (Eisenia fetida) were investigated. Bioactivity tests against four pathogens revealed that R-(-)-mefentrifluconazole exhibited approximately 11-113 times higher bioactivity than its S-(+)-mefentrifluconazole. However, the LC50 of S-(+)-, rac- and R-(-)-mefentrifluconazole to earthworm was measured to be 4.1, 11.4 and 7.3 µg/cm2, respectively, indicating active ingredient R-(-)-mefentrifluconazole is less toxic than its racemate and S-form. Accumulation of mefentrifluconazole in earthworms was non-enantioselective and negatively related to its adsorption onto soils. The concentration of mefentrifluconazole in in situ pore water (CIPW) and CaCl2 extraction (CCaCl2) was closely related to its accumulation in earthworms, suggesting that CIPW and CCaCl2 could be appropriate indicators for estimation of the bioavailability of mefentrifluconazole in soil. Conclusively, our study provides necessary information for the risk assessment of mefentrifluconazole in agriculture.


Subject(s)
Fungicides, Industrial , Oligochaeta , Soil Pollutants , Animals , Bioaccumulation , Fluconazole/analogs & derivatives , Fungicides, Industrial/analysis , Fungicides, Industrial/toxicity , Soil , Soil Pollutants/analysis , Soil Pollutants/toxicity , Stereoisomerism , Triazoles/analysis , Triazoles/toxicity
13.
Comput Biol Med ; 135: 104594, 2021 08.
Article in English | MEDLINE | ID: mdl-34182332

ABSTRACT

This research work proposes a novel method for realistic and real-time modelling of deformable biological tissues by the combination of the traditional finite element method (FEM) with constrained Kalman filtering. This methodology transforms the problem of deformation modelling into a problem of constrained filtering to estimate physical tissue deformation online. It discretises the deformation of biological tissues in 3D space according to linear elasticity using FEM. On the basis of this, a constrained Kalman filter is derived to dynamically compute mechanical deformation of biological tissues by minimizing the error between estimated reaction forces and applied mechanical load. The proposed method solves the disadvantage of costly computation in FEM while inheriting the superiority of physical fidelity.


Subject(s)
Models, Biological , Computer Simulation , Elasticity , Finite Element Analysis
14.
Chaos Solitons Fractals ; 146: 110922, 2021 May.
Article in English | MEDLINE | ID: mdl-33824550

ABSTRACT

Prediction of COVID-19 spread plays a significant role in the epidemiology study and government battles against the epidemic. However, the existing studies on COVID-19 prediction are dominated by constant model parameters, unable to reflect the actual situation of COVID-19 spread. This paper presents a new method for dynamic prediction of COVID-19 spread by considering time-dependent model parameters. This method discretises the susceptible-exposed-infected-recovered-dead (SEIRD) epidemiological model in time domain to construct the nonlinear state-space equation for dynamic estimation of COVID-19 spread. A maximum likelihood estimation theory is established to online estimate time-dependent model parameters. Subsequently, an extended Kalman filter is developed to estimate dynamic COVID-19 spread based on the online estimated model parameters. The proposed method is applied to simulate and analyse the COVID-19 pandemics in China and the United States based on daily reported cases, demonstrating its efficacy in modelling and prediction of COVID-19 spread.

15.
Chest ; 159(2): 524-536, 2021 02.
Article in English | MEDLINE | ID: mdl-33069725

ABSTRACT

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has placed unprecedented burden on the delivery of intensive care services worldwide. RESEARCH QUESTION: What is the global point estimate of deaths and risk factors for patients who are admitted to ICUs with severe COVID-19? STUDY DESIGN AND METHODS: In this systematic review and meta-analysis Medline, Embase, and the Cochrane library were searched up to August 1, 2020. Pooled prevalence of participant characteristics, clinical features, and outcome data was calculated with the use of random effects models. Subgroup analyses were based on geographic distribution, study type, quality assessment, sample size, end date, and patient disposition. Studies that reported in-hospital mortality rate of adult patients (age >18 years) with confirmed COVID-19 admitted to an ICU met study eligibility criteria. Critical evaluation was performed with the Newcastle Ottawa Scale for nonrandomized studies. RESULTS: Forty-five studies with 16,561 patients from 17 countries across four continents were included. Patients with COVID-19 who were admitted to ICUs had a mean age of 62.6 years (95% CI, 60.4-64.7). Common comorbidities included hypertension (49.5%; 95% CI, 44.9-54.0) and diabetes mellitus (26.6%; 95% CI, 22.7-30.8). More than three-quarters of cases experienced the development of ARDS (76.1%; 95% CI, 65.7-85.2). Invasive mechanical ventilation was required in 67.7% (95% CI, 59.1-75.7) of case, vasopressor support in 65.9% (95% CI, 52.4-78.4) of cases, renal replacement therapy in 16.9% (95% CI, 12.1-22.2) of cases, and extracorporeal membrane oxygenation in 6.4% (95% CI, 4.1-9.1) of cases. The duration of ICU and hospital admission was 10.8 days (95% CI, 9.3-18.4) and 19.1 days (95% CI, 16.3-21.9), respectively, with in-hospital mortality rate of 28.1% (95% CI, 23.4-33.0; I2 = 96%). No significant subgroup effect was observed. INTERPRETATION: Critically ill patients with COVID-19 who are admitted to the ICU require substantial organ support and prolonged ICU and hospital level care. The pooled estimate of global death from severe COVID-19 is <1 in 3.


Subject(s)
COVID-19/epidemiology , Extracorporeal Membrane Oxygenation/statistics & numerical data , Hospital Mortality , Intensive Care Units , Renal Replacement Therapy/statistics & numerical data , Respiration, Artificial/statistics & numerical data , Vasoconstrictor Agents/therapeutic use , Acute Kidney Injury/physiopathology , Acute Kidney Injury/therapy , Anti-Bacterial Agents/therapeutic use , Antiviral Agents/therapeutic use , COVID-19/mortality , COVID-19/physiopathology , COVID-19/therapy , Coinfection/physiopathology , Coinfection/therapy , Comorbidity , Diabetes Mellitus/epidemiology , Glucocorticoids/therapeutic use , Heart Diseases/physiopathology , Heart Diseases/therapy , Hospitalization , Humans , Hypertension/epidemiology , Immunoglobulins, Intravenous/therapeutic use , Immunologic Factors/therapeutic use , Length of Stay/statistics & numerical data , Respiratory Distress Syndrome/physiopathology , Respiratory Distress Syndrome/therapy , Risk Factors , SARS-CoV-2 , Severity of Illness Index , Thrombosis/physiopathology , Thrombosis/therapy
16.
Comput Methods Programs Biomed ; 200: 105828, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33199083

ABSTRACT

BACKGROUND AND OBJECTIVE: Soft tissue modelling is crucial to surgery simulation. This paper introduces an innovative approach to realistic simulation of nonlinear deformation behaviours of biological soft tissues in real time. METHODS: This approach combines the traditional nonlinear finite-element method (NFEM) and nonlinear Kalman filtering to address both physical fidelity and real-time performance for soft tissue modelling. It defines tissue mechanical deformation as a nonlinear filtering process for dynamic estimation of nonlinear deformation behaviours of biological tissues. Tissue mechanical deformation is discretized in space using NFEM in accordance with nonlinear elastic theory and in time using the central difference scheme to establish the nonlinear state-space models for dynamic filtering. RESULTS: An extended Kalman filter is established to dynamically estimate nonlinear mechanical deformation of biological tissues. Interactive deformation of biological soft tissues with haptic feedback is accomplished as well for surgery simulation. CONCLUSIONS: The proposed approach conquers the NFEM limitation of step computation but without trading off the modelling accuracy. It not only has a similar level of accuracy as NFEM, but also meets the real-time requirement for soft tissue modelling.


Subject(s)
Models, Biological , Computer Simulation , Feedback , Finite Element Analysis
17.
Int J Surg ; 72: 59-68, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31580919

ABSTRACT

BACKGROUND: Pancreatic cancer is a disease of the elderly. Surgical resection is usually offered to patients in early stage disease; however, pancreatic resection in the elderly is controversial. METHODS: MEDLINE, EMBASE and Cochrane Library, were searched for studies comparing short- and long-term outcomes of elderly (above the age of 70) with non-elderly patients (below the age of 70) following pancreatic resection for pancreatic adenocarcinoma over the period from the inception of electronic database to 2017. Twelve articles documenting 4860 patients were included. A meta-analysis of data on patient characteristics, operative techniques, and perioperative outcomes were analysed. Our primary endpoint was postoperative mortality, defined as 30-day mortality or in-hospitalisation mortality. RESULTS: There were 919 patients in the elderly group and 3941 patients in the non-elderly group. Elderly patients had worse ASA scores (p < 0.001) and more cardiovascular comorbidities (p = 0.002). Tumour size, T-stage, N-stage and tumour grade were similar between the elderly and non-elderly group (p > 0.05). Fewer elderly patients received a concomitant venous resection with their pancreatectomy (RR0.80, p = 0.003, I2 = 0%), achieved a negative margin status (RR0.76, p = 0.02, I2 = 28%) and underwent adjuvant chemotherapy treatment (RR0.69, p < 0.001, I2 = 42%). Overall complication (RR1.15, p < 0.001, I2 = 47%), in particular, respiratory complications (RR2.33, p = 0.004, I2 = 39%), was higher in the elderly group. There was no difference in postoperative pancreatic fistula formation, postoperative haemorrhage, intraabdominal abscess and length of hospital stay between both groups (p > 0.05). Postoperative mortality was similar between both groups (p = 0.17). Subgroup analysis according to the time of enrolment (<2000, ≥2000) showed a significant subgroup effect (Chi2 = 3.44, p = 0.06, I2 = 70.9%) and revealed that postoperative mortality in the elderly group improved over time (Before 2000: n = 1654, subtotal RR2.27, p = 0.02, I2 = 0%; From 2000 onwards: n = 3206, subtotal RR1.00, p = 0.99, I2 = 0%). CONCLUSION: Fewer elderly patients received chemotherapy and portal vein resection to achieve a clear margin. Pancreatic resection of pancreatic adenocarcinoma can be performed safely on elderly patients with acceptable risks in experienced centres by specialist hepatobiliary surgeons. Age alone should not be the only determinant for the selection of patients for surgical treatment of pancreatic adenocarcinoma.


Subject(s)
Adenocarcinoma/surgery , Pancreatectomy/adverse effects , Pancreatic Neoplasms/surgery , Adenocarcinoma/drug therapy , Adenocarcinoma/mortality , Chemotherapy, Adjuvant , Comorbidity , Hospital Mortality , Humans , Length of Stay/statistics & numerical data , Pancreatectomy/methods , Pancreatic Fistula/etiology , Pancreatic Neoplasms/drug therapy , Pancreatic Neoplasms/mortality , Portal Vein/surgery , Postoperative Complications/etiology , Postoperative Hemorrhage/etiology , Pancreatic Neoplasms
18.
Mitochondrial DNA B Resour ; 4(2): 4045-4046, 2019 Nov 13.
Article in English | MEDLINE | ID: mdl-33366310

ABSTRACT

The complete mitochondrial genome (mitogenome) of Conwentzia sinica Yang, 1974 was sequenced and analyzed. The sequenced mitogenome is 15,153 bp in size, including 13 protein-coding genes (PCGs), 22 tRNA genes, 2 rRNA genes, and one control region. Thirteen PCGs use ATN as the start codon. Most of PCGs terminate with TAA codons but ND5, ND4 with a single T residue, and ND3 terminates with TAG. The lrRNA gene is 1290 bp. The measured length of srRNA gene is 782 bp. Twenty-two tRNA genes possess the typical clover-leaf secondary structure except for tRNASer(AGN) . The phylogenetic result supports the monophyly of the family Coniopterygidae and a closer relationship between Conwentzia and Coniopteryx.

19.
Oncol Lett ; 14(2): 2261-2267, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28781664

ABSTRACT

MicroRNAs (miRNAs/miRs) are 19-25 nucleotide-long, non-coding RNAs that regulate the expression of target genes at the post-transcriptional level. In the present study, the role of miR-340 in breast cancer (BC) was investigated. The overexpression of miR-340 significantly inhibited the proliferation, migration and invasion of human breast MDA-MB-231 cancer cells in vitro. The Rho-associated, coiled-coil containing protein kinase 1 (ROCK1) gene was identified as a target of miR-340; its expression was downregulated by overexpression of miR-340 by binding to its 3'-untranslated region. The short interfering RNA-mediated silencing of ROCK1 was also performed, which phenocopied the effects of miR-340 overexpression. An inhibitor of miR-340 was used to suppress miR-340 expression, which led to increased expression of ROCK1, thus improving the proliferation, migration and invasion of MDA-MB-231 cells. Data from the present study suggest that miR-340 inhibits MDA-MB-231 cell growth and its downregulation may lead to the progression and metastasis of BC. Thus, miR340 may act as a tumor-suppressor agent that could serve a key role in the diagnosis and therapy of BC.

20.
Oncol Rep ; 37(3): 1619-1626, 2017 Mar.
Article in English | MEDLINE | ID: mdl-28184936

ABSTRACT

RAB1A acts as an oncogene in various cancers, and emerging evidence has verified that RAB1A is an mTORC1 activator in hepatocellular and colorectal cancer, but the role of RAB1A in breast cancer remains unclear. In this investigation, RAB1A siRNA was successfully transfected in MDA-MB-231 and BT-549 human triple-negative breast cancer cells, and verified by real­time quantitative polymerase chain reaction and western blotting. Then, MTT cell proliferation, colony formation, cell invasion and wound healing assays were performed to characterize the function of RAB1A in the breast cancer cell lines. Downregulation of RAB1A inhibited cellular growth, cell migration, cell invasion and cell epithelial-mesenchymal transition. Furthermore, compared with NC siRNA transfected cells, RAB1A siRNA transfected breast cancer cells inhibited the phosphorylation of S6K1, the effector molecular of mTORC1. Collectively, our data suggested that RAB1A acts as an oncogene by regulating cellular proliferation, growth, invasion and metastasis via activation of mTORC1 pathway in triple-negative breast cancer.


Subject(s)
Cell Movement , Cell Proliferation , Epithelial-Mesenchymal Transition , Ribosomal Protein S6 Kinases, 70-kDa/metabolism , Triple Negative Breast Neoplasms/pathology , rab1 GTP-Binding Proteins/metabolism , Apoptosis , Blotting, Western , Female , Humans , RNA, Messenger/genetics , RNA, Small Interfering/genetics , Real-Time Polymerase Chain Reaction , Reverse Transcriptase Polymerase Chain Reaction , Ribosomal Protein S6 Kinases, 70-kDa/genetics , Triple Negative Breast Neoplasms/genetics , Triple Negative Breast Neoplasms/metabolism , Tumor Cells, Cultured , rab1 GTP-Binding Proteins/antagonists & inhibitors , rab1 GTP-Binding Proteins/genetics
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