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1.
Zhonghua Yu Fang Yi Xue Za Zhi ; 57(12): 2117-2121, 2023 Dec 06.
Artigo em Chinês | MEDLINE | ID: mdl-38186164

RESUMO

Objective: To analyze the immunological characteristics and antibody changes of patients infected with the Omicron BA.1 and evaluate the possibility of secondary infection. Methods: A total of 104 patients infected with Omicron BA.1 in the Jinnan District of Tianjin from January 8 to February 2, 2022, were included in the study. The control group and case group were matched 1∶1 based on age, sex and vaccination status. Serum was collected from the case group and control group at 3, 6 and 9 months after infection. The serum levels of interleukin4 (IL-4), IL-5 and interferon-gamma (IFN-γ), as well as the positive rates of IgG, IgG1 and IgG2, were detected by ELISA. Results: The highest concentration of IFN-γ in the case group at 6 months after infection was 145.4 pg/ml, followed by a decrease in concentration. The concentrations of IL-4 and IL-5 began to decrease at 6 months after infection (all P<0.001). There was no significant difference in the IgG2 positive rate between the case group and the control group at 6 months after BA.1 infection. However, at 9 months, there was a significant decrease compared to the control group (P=0.003). The ratio of IFN-γ/IL4 at 3 months after infection in the case group was lower than that in the control group (P<0.001). There was no significant difference in the ratio between the case group and the control group at 9 months after infection. Conclusion: The cellular immune function has been impaired at 3 months after infection with BA.1, and the specific cellular immune and humoral immune functions decrease significantly after 6 months, and the risk of secondary infection increases.


Assuntos
Coinfecção , Imunidade Humoral , Adulto , Humanos , Interleucina-4 , Interleucina-5 , Imunoglobulina G , Interferon gama
2.
Animal ; 15(7): 100254, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34090092

RESUMO

Although the skeletal muscle is one of the main sites of metabolism, little is known about the molecular mechanisms involving its response to nutrition stress. The aim of the study was to screen the transcriptome of sheep muscle to identify the metabolism-related genes under nutrition deprivation stress. Ten healthy adult female Small-tailed Han sheep with similar age and weight were randomly divided into a normal group and fasted group. After 3 days, three sheep were randomly selected from each group and the semitendinosus samples were subjected to RNA-sequencing (RNA-seq) and a series of analyses and function annotations. Compared with the normal group, 391 differentially expressed genes (DEGs) were identified in the fasted group that had obvious weight loss, including 278 down-regulated and 113 up-regulated genes. Gene Ontology enrichment annotation classified 228 DEGs in the metabolic process, 11 of which were new genes and only Sheep_newGene_4578 had been annotated by Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway. The results of Clusters of Orthologous Groups annotation indicated that 11, 9, and 4 DEGs were respectively classified in lipid transport and metabolism, amino acid transport and metabolism, and carbohydrate transport and metabolism. In addition, KEGG enrichment analysis showed that there were not only pathways which were directly related to metabolisms such as protein digestion and absorption pathway, fatty acid metabolism pathway, and biosynthesis pathway of unsaturated fatty acids, but also PI3K-AKT pathway, AMPK pathway, MAPK pathway, and FoxO pathway which were important to metabolism among the top 20 pathways with the lowest significant Q value. The MCODE analysis of protein-protein interaction revealed that two identified subnetworks with top score were closely associated with metabolism. The correlation analysis showed that the mRNA levels of most of DEGs that might be related in the two subnetworks were significantly correlated respectively, and the mRNA levels of most of 10 metabolism-related DEGs including Sheep_newGene_4578 were significantly correlated. Finally, 16 random and 10 metabolism-related DEGs were chosen for confirmation by quantitative real-time PCR, demonstrating the same expression change as determined by RNA-seq. In conclusion, multiple interrelated metabolism-related DEGs in skeletal muscle contributed to the response of sheep to nutritional deprivation stress.


Assuntos
Perfilação da Expressão Gênica , Fosfatidilinositol 3-Quinases , Animais , Feminino , Perfilação da Expressão Gênica/veterinária , Músculo Esquelético , RNA , Ovinos , Transcriptoma
3.
Trials ; 22(1): 228, 2021 Mar 23.
Artigo em Inglês | MEDLINE | ID: mdl-33757568

RESUMO

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease characterized by coughing, the production of excess sputum, and dyspnea. Patients with excessively thick sputum may have frequent attacks or develop more serious disease. The guidelines recommend airway clearance for patients with excessive sputum who are hospitalized with COPD. The active cycle of breathing technique is the most common non-pharmacological airway clearance technique used by physiotherapists. However, the effectiveness of the technique is not always guaranteed. Active cycle of breathing techniques require the initial dilution of the sputum, usually by inhalation drugs, which may have limited effects. Recent studies have found that phonophoresis decreases inflammation, suggesting the potential of the combined usage of active cycle of breathing techniques and phonophoresis. Therefore, the aim of this study is to explore the effectiveness and safety of combining active cycle of breathing technique and phonophoresis in treating COPD patients. METHODS AND ANALYSIS: We propose a single-blind randomized controlled trial using 75 hospitalized patients diagnosed with COPD with excessive sputum production. The patients will be divided into three groups. The intervention group will receive active cycle of breathing techniques combined with phonophoresis. The two comparison groups will be treated with active cycle of breathing techniques and phonophoresis, respectively. The program will be implemented daily for 1 week. The primary outcomes will be changes in sputum viscosity and production, lung function, and pulse oximetry. Secondary outcomes include the assessment of COPD and anxiety, measured by the COPD Assessment Test scale and the Anxiety Inventory for Respiratory Disease, respectively; self-satisfaction; the degree of cooperation; and the length of hospital stay. All outcome measures, with the exception of sputum production and additional secondary outcomes, will be assessed at the commencement of the study and after 1 week's intervention. Analysis of variance will be used to investigate differences between the groups, and a p-value of less than 0.05 (two-tailed) will be considered statistically significant. DISCUSSION: This study introduces a combination of active cycle of breathing techniques and phonophoresis to explore the impact of these interventions on patients hospitalized with COPD. If this combined intervention is shown to be effective, it may prove to be a better treatment for patients with COPD. TRIAL REGISTRATION: The trial was registered prospectively on the Chinese Clinical Trial Registry on 24 December 2019.ClinicalTrials.gov ChiCTR1900028506 . Registered on December 2019.


Assuntos
Fonoforese , Doença Pulmonar Obstrutiva Crônica , Dispneia , Humanos , Pulmão , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Doença Pulmonar Obstrutiva Crônica/terapia , Ensaios Clínicos Controlados Aleatórios como Assunto , Método Simples-Cego
5.
Zhonghua Liu Xing Bing Xue Za Zhi ; 41(5): 648-652, 2020 May 10.
Artigo em Chinês | MEDLINE | ID: mdl-32162858

RESUMO

Objective: To investigate and analysis the epidemiological characteristics of a cluster epidemic of COIVD-19 in a collective workplace in Tianjin, evduate the prevention and control measures based on limited evidence and experience in early period of COVID-19 epidemic. Methods: Descriptive research method was used to describe the distribution and other epidemiological characteristics of the cluster cases of COVID-19. Results: Since the onset of the first index case on January 15, ten confirmed COVID-19 cases had occurred in the workplace, and the epidemic had spread from the workplace to 4 families, infecting 7 family members. The median age of 17 cases was 55 (19-79) years. All the 10 employee cases were males, and in the family cases, 3 were males and 4 were females. Of the employee cases, 8 worked in CW workshop and 2 worked in administrative office building. The median exposure-onset interval of all the cases was 4 days, and the median exposure-onset interval was 4.5 days in the employee cases and 4 days in the family cases. The median onset-medical care seeking interval was 4 days in the non-isolated cases, 2.5 days in the cases with home isolation after onset, and 0.5 day in the cases with home isolation before onset. Conclusions: The clustering of COVID-19 cases was observed in this workplace in Tianjin, which affected 4 families. In the early stage of the epidemic, accurate and rapid blocking and control measures can completely prevent the large-scale spread of COVID-19.


Assuntos
Infecções por Coronavirus/epidemiologia , Epidemias , Pneumonia Viral/epidemiologia , Local de Trabalho , Adulto , Idoso , COVID-19 , China/epidemiologia , Análise por Conglomerados , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias
6.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi ; 53(12): 904-908, 2018 Dec 07.
Artigo em Chinês | MEDLINE | ID: mdl-30585001

RESUMO

Objective: To study the shift of oVEMP frequency tuning of unilateral Meniere's disease, by analyzing oVEMP of air-conducted tone bursts in various frequencies. Methods: From May 2016 to October 2017, 33 patients with unilateral Meniere's from Aerospace Center Hospital were tested for oVEMP in 500 Hz and 1 000 Hz air-conducted tone bursts respectively, and 20 healthy subjects(40 ears), matched for age and sex, were used as healthy control. The amplitudes of the N1-P1 wave and the frequency amplitude ratios of 500/1 000 Hz in affected ears, unaffected ears and normal ears were compared; and receiver operating characteristic curve was analyzed for frequency amplitude ratios of 500/1 000 Hz. Results: By the 500 Hz tone-burst stimulus, the provocation rates of the oVEMP were 84.9%(28/33), 93.9%(31/33) and 97.5%(39/40) in affected ears, contralateral ears and the ears of normal controls, respectively. By the stimulus of 1 000 Hz tone-burst, the provocation rates of the oVEMP were 81.8%(27/33), 87.9%(29/33) and 82.5% (33/40) in affected ears, contralateral ears and normal control ears, respectively. Amplitudes of N1-P1 waveforms in 500 Hz air-conducted tone bursts in affected ears were under normal control ears and contralateral ears. There was significant difference between affected ears and healthy control ears (P<0.05). Amplitudes of N1-P1 waveforms in contralateral ears were also significantly smaller than those in normal control ears (P<0.05). There were no significant differences in amplitudes of N1-P1 waveforms between affected ears, contralateral ears and normal control ears in 1 000 Hz tone bursts stimulus(P>0.05). Frequency amplitude ratios of 500/1 000 Hz in affected ears were significantly under contralateral and normal control ears (P<0.05). According to ROC, the frequency amplitude ratio critical value of frequency tuning was set as 1.17, the positive rate of frequency tuning shift in affected ears was 54.5%(18/33) and significantly higher than in contralateral ears(18.2%, 6/33, χ(2)=9.429, P=0.002) and normal control ears (7.5%, 3/40, χ(2)=19.530, P=0.000). In contrast, there was no significant difference in the incidence of frequency tuning shift between contralateral ears and normal ears(χ(2)=1.909, P=0.167). Conclusions: Frequency tuning oVEMP with Meniere's disease will be changed.Frequency tuning of oVEMP with Meniere's disease shifts from low frequency region to high frequency region in comparison with healthy people. Frequency amplitude ratio is helpful for diagnosis of Meniere's disease.


Assuntos
Doença de Meniere/fisiopatologia , Potenciais Evocados Miogênicos Vestibulares/fisiologia , Estudos de Casos e Controles , Humanos , Doença de Meniere/diagnóstico , Curva ROC , Vestíbulo do Labirinto
7.
Bratisl Lek Listy ; 118(10): 609-612, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29198128

RESUMO

BACKGROUND: Pro-protein processing mechanism plays an important role in neuron injury. OBJECTIVE: To study the protein convertase 1 (PC1) mediated processing mechanism, the ischemic cellular or tissue proPC1/PC1 or proCgA/CgA (pro-chromogranin A) was analyzed. METHODS: NS20Y differentiated cells were stressed by 0-6 h of oxygen and glucose deprivation (OGD) in glucose-free DMEM and an anaerobic jar environment. Ischemic C57BL/J mouse model was established by performing 60-min of middle cerebral artery occlusion (MCAO) operation and subsequent 4 or 24-h reperfusion. The TUNEL, immunochemistry, and Western blot methods were used to detect protein expression in ischemic cells or tissues. RESULTS: The OGD or MCAO stress caused substantial cell death in a dose-dependent manner (p < 0.05 or 0.01). With the increasing OGD dose, proPC1 and PC1 proteins gradually increased (p < 0.05 or 0.01) whereas proCgA and CgA proteins decreased (p < 0.05). In vivo the proPC1 and PC1 expressions presented with a peak at 4-h and then decreased at 24-h reperfusion (p < 0.05 or 0.01). The tissue proCgA and CgA proteins decreased with the increasing reperfusion time (p < 0.05). CONCLUSIONS: The results suggest that the increasing PC1 expression promoted the transformation of proCgA into CgA or smaller peptides, i.e. Pancreastatin or Secretoneurin, and the PC1 mediated processing plays a critical role (Fig. 4, Ref. 15).


Assuntos
Morte Celular , Cromogranina A/metabolismo , Infarto da Artéria Cerebral Média/metabolismo , Neurônios/metabolismo , Pró-Proteína Convertase 1/metabolismo , Animais , Western Blotting , Isquemia Encefálica/metabolismo , Diferenciação Celular , Hipóxia Celular , Glucose , Marcação In Situ das Extremidades Cortadas , Camundongos , Camundongos Endogâmicos C57BL , Neuropeptídeos/metabolismo , Secretogranina II/metabolismo
9.
Eur Rev Med Pharmacol Sci ; 21(9): 2167-2171, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28537667

RESUMO

OBJECTIVE: We conducted this study to analyze the mechanism behind the high coagulation state induced by circulating plasma microparticle tissue factor (MP-TF) in patients with breast cancer. PATIENTS AND METHODS: 87 cases of breast cancer patients (10 cases of TNM stage I, 16 cases of II, 32 cases of III, 29 cases of IV; 8 cases of pathological type in situ carcinoma, 15 cases of ductal carcinoma, 64 cases of invasive cancer) were used as the observation group and 20 cases of benign breast lesions were used as the control group to compare MP-TF levels of plasma and coagulation parameters including prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen (FIB) and D-dimer body (D-D) level and NF-κB signaling pathway index including P50, p65, TAK1 and IκBα levels. RESULTS: The plasma MP-TF level in the observation group was significantly higher than that in control group, and the level of MP-TF in the observation group increased with an increase in depth of TNM stage and tumor invasion; differences were statistically significant (p<0.05). In the observation group, the plasma PT and APTT were shortened, and the levels of FIB and D-D were increased; the differences were statistically significant (p<0.05). In the observation group, the levels of P50, p65, TAK1, IκBαin circulating blood were higher than those in control group; the differences were statistically significant (p<0.05). After the Pearson test, the plasma levels of MP-TF in patients with breast cancer were negatively correlated with PT and APTT, and positively correlated with FIB, D-D values and the levels of p50, p65, TAK1 and IκBα (4 p<0.05). CONCLUSIONS: MP-TF can lead to high blood coagulation in patients with breast cancer through the activation of NF-κB signaling pathway, which may become a new target for the intervention of the disease.


Assuntos
Coagulação Sanguínea , Neoplasias da Mama/sangue , Tromboplastina/análise , Adulto , Idoso , Neoplasias da Mama/patologia , Feminino , Produtos de Degradação da Fibrina e do Fibrinogênio/análise , Humanos , Pessoa de Meia-Idade , Tempo de Tromboplastina Parcial , Tempo de Protrombina
10.
Eur Rev Med Pharmacol Sci ; 19(5): 772-83, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25807429

RESUMO

OBJECTIVE: Chronic Ang II stimulation is linked to cardiac remodeling characterized by fibrosis and cardiac hypertrophy. However, the underlying cellular mechanisms involved are not yet fully known. Here, we studied the molecular mechanisms underlying the chronic effect of Ang II on cardiac hypertrophy, fibrosis, and autophagy. MATERIALS AND METHODS: The role of class I PI3-kinase in these actions of Ang II was studied using lentiviral vector-mediated expression of a dominant negative form of PI3-kinase subunit p85α (Lv-DNp85) in the heart. Ang II was infused subcutaneously for 4 weeks on rats using osmotic pumps. Cardiac hypertrophy, fibrosis, reactive oxygen species (ROS), and autophagy were examined in four groups of rats (Ang II+Lv-DNp85, Ang II+Lv-GFP, Saline+Lv-DNp85, Saline+Lv-GFP). RESULTS: Chronic infusion of Ang II induced severe cardiac hypertrophy and perivascular fibrosis in the heart. These effects were associated with a significant reduction in LC3 II and elevation in ROS levels, suggesting marked impairment of cardiac autophagy and increased generation of ROS. Cardiac transduction of Lv-DNp85 significantly attenuated Ang II-induced impairment of autophagy and elevation of ROS, as well as Ang II-induced cardiac hypertrophy and perivascular fibrosis. To study the cellular mechanisms underlying those actions of Ang II, phosphorylated Akt and mTOR were measured in hearts from these rats. Ang II increased phosphorylation of Akt and mTOR; and cardiac transduction of Lv-DNp85 significantly abolished Ang II-induced phosphorylation of Akt and mTOR, a signaling pathway inhibiting autophagy. CONCLUSIONS: These results demonstrate that class I PI3-kinase, via activation of the Akt-mTOR pathway, is involved in Ang II-induced impairment of autophagy, elevation of ROS, cardiac hypertrophy, and fibrosis, suggesting a novel target for cardiac protection.


Assuntos
Angiotensina II/administração & dosagem , Cardiomegalia/induzido quimicamente , Fosfatidilinositol 3-Quinases/metabolismo , Inibidores de Fosfoinositídeo-3 Quinase , Angiotensina II/efeitos adversos , Animais , Autofagia/efeitos dos fármacos , Cardiomegalia/enzimologia , Cardiomegalia/patologia , Fibrose/induzido quimicamente , Fibrose/enzimologia , Fibrose/patologia , Masculino , Fosforilação , Ratos , Ratos Sprague-Dawley , Espécies Reativas de Oxigênio/metabolismo , Transdução de Sinais
11.
Eur Rev Med Pharmacol Sci ; 17(19): 2644-53, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24142613

RESUMO

AIM: The objective of this study is to examine effects of extracts from cooked lentils on angiotensin II (Ang II)-induced hypertension, cardiac hypertrophy and fibrosis in normotensive rats. MATERIALS AND METHODS: Animals were divided into four groups (n=5 each group): control group, Ang II group, Ang II plus cooked lentil extract (Ang II+CLE) group, and Ang II plus raw lentil extract (Ang II+RLE) group. The telemetry blood pressure transducers were implanted into all rats. A telemetry BP probe was positioned intra-abdominally and secured to the ventral abdominal muscle with the catheter inserted into the lower abdominal aorta. Heart wall thickness, cross-sectional area of cardiomyocytes, diameter of the arterial cross-sections, and perivascular fibrosis in heart and kidney were measured. The surface area of positive-staining cardiomyocytes was analyzed using image analysis software. Reactive oxygen species (ROS) generation was determined using an oxidant-sensitive fluorogenic probe. RESULTS: Rats that received cooked or raw lentil extracts (oral administration, 8 weeks) show significantly attenuated Ang II-induced elevation in blood pressure, cardiac hypertrophy, perivascular fibrosis. Results demonstrated that pretreatment of cardiomyocytes with cooked or raw lentil extract significantly attenuated the Ang II-induced increase in the size of cells (16.0±1.7% and 21.2±2.9%, respectively, n=5, p < 0.05), and cooked or raw lentil extracts also attenuated the Ang II-induced increase in the reactive oxygen species levels in cardiomyocytes (19.8±2.2% & 26.6±3.1%, respectively, n=5, p < 0.05). CONCLUSIONS: This study showed that extracts from cooked lentils could prevent Ang II-induced elevation in blood pressure, cardiac hypertrophy, small arterial remodeling and perivascular fibrosis, and heating process does not have any significant affect on these protective effects.


Assuntos
Angiotensina II/farmacologia , Cardiomegalia/tratamento farmacológico , Hipertensão/tratamento farmacológico , Lens (Planta) , Extratos Vegetais/uso terapêutico , Animais , Masculino , Miócitos Cardíacos/metabolismo , Estresse Oxidativo/efeitos dos fármacos , Fitoterapia , Ratos , Ratos Sprague-Dawley , Remodelação Ventricular/efeitos dos fármacos
12.
Can J Surg ; 56(3): 180-6, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23484469

RESUMO

BACKGROUND: Research has demonstrated equivalent patient safety outcomes for various cardiac procedures when the primary surgeon was a supervised trainee. However, cardiac surgery cases have become more complex, and the Canadian cardiac surgery education model has undergone some changes. We sought to compare patient safety and efficiency of aortic valve replacement (AVR) between Canadian patients treated by senior cardiac trainees and those treated by certified cardiac surgeons. METHODS: We completed a single-centre, case-matched, prospectively collected and retrospectively analyzed study of AVR. Patients were matched between trainees and consultants for age, sex, New York Heart Association and Canadian Cardiovascular Society status, urgency of operation and diabetes status. RESULTS: We analyzed 1102 procedures: 624 isolated AVRs and 478 AVRs with coronary artery bypass graft (CABG). For isolated AVR, there was no significant difference in 30-d mortality (p = 0.13) or in major adverse events (p = 0.38) between the groups. In the AVR+CABG group, there was no significant difference in 30-day mortality (p = 0.10) or in the rates of major adverse events (p = 0.37) between the groups. Secondary outcomes (hospital and intensive care unit lengths of stay, valve size and type) did not differ significantly between the groups for isolated AVR or AVR+CABG. CONCLUSION: Despite a higher-risk patient population and changes in the cardiac surgery training model, it appears that outcomes are not negatively affected when a senior trainee acts as the primary surgeon in cases of AVR.


CONTEXTE: La recherche a fait état de résultats équivalents au plan de la sécurité des patients lors de diverses interventions cardiaques lorsque le chirurgien principal était un résident supervisé. Toutefois, la chirurgie cardiaque se complexifie et le modèle de formation canadien en chirurgie cardiaque a subi quelques transformations. Nous avons voulu comparer la sécurité de patients canadiens et l'efficience du remplacement de la valvule aortique (RVA) selon que les patients étaient traités par des résidents séniors en chirurgie cardiaque ou par des chirurgiens certifiés. MÉTHODES: Nous avons procédé à une collecte prospective de cas assortis, dans 1 seul centre, puis à une analyse rétrospective des cas de RVA. Les patients ont été répartis entre résidents et experts et assortis selon l'âge, le sexe, la classification de la NYHA (New York Heart Association) et de la Société canadienne de cardiologie, le caractère urgent de l'intervention et le statut à l'égard du diabète. RÉSULTANTS: Nous avons analysé 1102 interventions : 624 RVA isolés et 478 RVA avec pontage aorto-coronarien (PAC). Dans les cas de RVA isolés, on n'a noté aucune différence significative pour ce qui est de la mortalité à 30 jours (p = 0,13) ou des effets indésirables majeurs (p = 0,38) entre les groupes. Pour ce qui est du groupe RVA+PAC, on n'a noté aucune différence significative quant à la mortalité à 30 jours (p = 0,10) ou quant aux taux d'effets indésirables majeurs (p = 0,37) entre les groupes. Les paramètres secondaires (durée du séjour à l'hôpital et à l'unité des soins intensifs, taille et type de valvule) n'ont pas été significativement différents entre les groupes qu'il s'agisse de RVA isolé ou de RVA+PAC. CONCLUSIONS: Malgré une population de patients à risque plus élevé et les transformations apportées au modèle de formation en chirurgie cardiaque, il semble que les résultats ne soient pas affectés négativement lorsqu'un résident sénior agit à titre de chirurgien principal dans les cas de RVA.


Assuntos
Valva Aórtica , Doenças das Valvas Cardíacas/cirurgia , Implante de Prótese de Valva Cardíaca/educação , Internato e Residência/organização & administração , Cirurgia Torácica/educação , Idoso , Canadá , Competência Clínica , Ponte de Artéria Coronária/efeitos adversos , Ponte de Artéria Coronária/educação , Ponte de Artéria Coronária/mortalidade , Feminino , Doenças das Valvas Cardíacas/complicações , Doenças das Valvas Cardíacas/mortalidade , Implante de Prótese de Valva Cardíaca/efeitos adversos , Implante de Prótese de Valva Cardíaca/mortalidade , Humanos , Masculino , Pessoa de Meia-Idade , Segurança do Paciente , Estudos Retrospectivos , Resultado do Tratamento
13.
Ann Thorac Surg ; 72(3): 782-7, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11565658

RESUMO

BACKGROUND: To select the site of a target vessel for distal anastomosis surgeons use different approaches. Some try to place the graft as close to the stenosis as possible, whereas others routinely anastomose the graft onto the distal portion. In this latter case the proximal portion and its tributaries are perfused from the graft in a retrograde rather than an antegrade fashion. The aim of this study was to investigate the effect of local hemodynamics associated with the different location of distal anastomoses on flow patterns in the proximal native artery and its branches. METHODS: Computational fluid dynamic and in vitro model studies were carried out in a control model composed of a straight tube (host) with a 45E side branch and models in which the proximal end of the host had various degrees of stenosis; a 45E end-to-side "graft" anastomosis was introduced either proximal (upstream) or distal (downstream) to the branch. RESULTS: Placing the graft proximal to the branch largely preserved the flow patterns that were seen in the control model. Placing the graft distal to the branch, however, introduced an extensive region of relatively stagnant flow in the native vessel near the branch. Such regions are known to promote thrombus formation that could ultimately lead to occlusion of the retrograde portion of the host vessel. CONCLUSIONS: This study suggests that, although often less convenient surgically, long-term outcome of coronary artery bypass grafting may be improved by placing grafts in the most proximal portion of the native vessel, as close to the occlusion or stenosis as possible for better preservation of a proximal artery and its branches.


Assuntos
Circulação Coronária , Anastomose de Artéria Torácica Interna-Coronária/métodos , Velocidade do Fluxo Sanguíneo , Constrição , Vasos Coronários/patologia , Hemorreologia , Humanos , Modelos Cardiovasculares , Modelos Estruturais , Fluxo Pulsátil
14.
Ann Thorac Surg ; 72(2): 625-7, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11515920

RESUMO

The incidental finding of malignant internal thoracic lymph nodes while mobilizing the internal thoracic artery (ITA) for coronary bypass grafting has not to our knowledge been previously reported. The cases of 3 male patients who underwent surgery between January 1990 and January 1993 and in whom malignant lymph nodes were found in the ITA pedicle are reviewed. One individual was found to have metastatic carcinoma of the breast, whereas the other 2 were discovered to have previously undiagnosed lymphomas. After undergoing further relevant investigation and treatment, all 3 patients remain free of recurrent disease 6.8 to 9.8 years after their original cardiac surgery. Primary or metastatic malignancy may be encountered in the course of ITA mobilization for grafting. Abnormally enlarged internal thoracic lymph nodes should be sent for pathologic examination.


Assuntos
Ponte de Artéria Coronária , Doença das Coronárias/cirurgia , Complicações Intraoperatórias/patologia , Metástase Linfática/patologia , Artéria Torácica Interna/transplante , Idoso , Biópsia , Neoplasias da Mama Masculina/patologia , Carcinoma Ductal de Mama/patologia , Carcinoma Ductal de Mama/secundário , Humanos , Leucemia Linfocítica Crônica de Células B/patologia , Excisão de Linfonodo , Linfoma de Célula do Manto/patologia , Masculino , Artéria Torácica Interna/patologia , Pessoa de Meia-Idade , Timo/patologia
15.
Genetics ; 143(2): 961-72, 1996 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8725242

RESUMO

Wolbachia are cytoplasmically inherited bacteria responsible for reproductive incompatibility in a wide range of insects. There has been little exploration, however, of within species Wolbachia polymorphisms and their effects on compatibility. Here we show that some strains of the parasitic wasp Nasonia vitripennis are infected with two distinct bacterial strains (A and B) whereas others are singly infected (A or B). Double and single infections are confirmed by both PCR amplification and Southern analysis of genomic DNA. Furthermore, it is shown that prolonged larval diapause (the overwintering stage of the wasp) of a double-infected strain can lead to stochastic loss of one or both bacterial strains. After diapause of a double-infected line, sublines were produced with AB, A only, B only or no Wolbachia. A and B sublines are bidirectionally incompatible, whereas males from AB lines are unidirectionally incompatible with females of A and B sublines. Results therefore show rapid development of bidirectional incompatibility within a species due to segregation of associated symbiotic bacteria.


Assuntos
Infecções por Rickettsia/genética , Rickettsia/genética , Vespas/microbiologia , Animais , Reação em Cadeia da Polimerase
16.
Proc Biol Sci ; 261(1360): 55-63, 1995 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-7644549

RESUMO

Wolbachia are cytoplasmically inherited bacteria found in reproductive tissues of many arthropod species. These bacteria are associated with reproductive alterations in their hosts, including parthenogenesis, reproductive incompatibility and feminization. A fine-scale phylogenetic analysis was done using DNA sequences from ftsZ, a rapidly evolving bacterial cell-cycle gene. ftsZ sequences were determined for 38 different Wolbachia strains from 31 different species of insects and one isopod. The following results were found: (i) there are two major division of Wolbachia (A and B) which diverged 58-67 millions years before present based upon synonymous substitution rates; (ii) a general concordance is found between the ftsZ and 16S rDNA phylogenies, indicating that these represent bacterial strain (rather than simply gene) phylogenies; however, a possible example of recombination between A and B division bacteria may have occurred in the feminizing Wolbachia present in an isopod; (iii) extensive horizontal transmission of Wolbachia has occurred between insect taxa, including different insect orders; one strain in particular (designated Adm) shows extensive recent horizontal transmission; (iv) there is an association between the Wolbachia found in a parasitic wasp (Nasonia) and its fly host (Protocalliphora), suggesting exchange of bacteria between these species; (v) parthenogenesis induction has evolved several times among the Wolbachia; and (vi) some insects harbour infections with more than one Wolbachia strain, even within individual insects.


Assuntos
Artrópodes/microbiologia , Filogenia , Rickettsiaceae/genética , Animais , Sequência de Bases , Clonagem Molecular , Primers do DNA , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Rickettsiaceae/classificação , Rickettsiaceae/patogenicidade
17.
Ann Thorac Surg ; 58(5): 1368-72; discussion 1372-3, 1994 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7979661

RESUMO

Previous investigations from our institution using an isolated human cardiomyocyte model concluded that glucose supplementation of University of Wisconsin solution (UWS) was beneficial with respect to adenine nucleotide and protein recovery. We wished to confirm these results using an isolated heart model. Rodent hearts were frozen in liquid nitrogen (control) or flushed and stored in UWS for 8 hours at 0 degrees C or UWS supplemented with 10, 20, or 30 mmol/L glucose. Experimental hearts were assessed at end-storage or after 45 minutes of reperfusion on a Langendorff apparatus. Adenine nucleotides were assessed by high performance liquid chromatography. In parallel experiments, ventricular function was assessed before and after storage in Langendorff-perfused hearts instrumented with a left ventricular balloon. Glucose supplementation was associated with greater poststorage (20 and 30 mmol/L glucose) and postreperfusion (10, 20, and 30 mmol/L glucose) adenosine triphosphate levels than unmodified UWS. Developed pressure (expressed as a percentage of control values) was increased with 10 mmol/L glucose (75.2% +/- 7.9%, mean +/- standard deviation) compared with unmodified UWS (64.6% +/- 6.6%; p < 0.05). Coronary flow was greater with 10 (72.6% +/- 10.7%) or 20 mmol/L (71.2% +/- 12.5%) versus 0 mmol/L glucose (58.6% +/- 12.1%, p < 0.05). The data support previous in vitro findings and suggest that the addition of 10 mmol/L glucose to UWS is associated with enhanced recovery after prolonged hypothermic storage.


Assuntos
Glucose , Transplante de Coração , Soluções para Preservação de Órgãos , Preservação de Órgãos , Nucleotídeos de Adenina/metabolismo , Adenosina , Alopurinol , Animais , Circulação Coronária , Glutationa , Hipoxantina , Hipoxantinas/metabolismo , Técnicas In Vitro , Inosina/metabolismo , Inosina Monofosfato/metabolismo , Insulina , Miocárdio/metabolismo , Rafinose , Ratos , Ratos Sprague-Dawley , Função Ventricular
18.
Appl Opt ; 30(10): 1274-8, 1991 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-20582138

RESUMO

An automated measurement method for 360 degrees surface topography of 3-D diffuse objects is presented. The method is based on the simple principle of triangulation with structured illumination. The geometric specifications of the structured light module used in the system are analyzed on a computer. Using an advantageous data acquisition schedule, high data acquisition rates and measuring accuracy can be achieved. The system comprises a structured lighting projector, a 2-D detector array, and a microcomputer for control and processing. Experimental results for 3-D objects are offered.

19.
Zhonghua Zhong Liu Za Zhi ; 12(1): 15-7, 1990 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-2364864

RESUMO

G-banding and high resolution chromosome banding techniques were used in studying a human lung adenocarcinoma cell line LGC-7910. One hundred cells were counted at Passage 150. Ten, twelve and ten cells were analyzed at Passages 150, 173 and 183, respectively. The model number of chromosome in this cell line was 67-69. A number of marker chromosomes related to complex chromosomal rearrangement was observed. The analysis of chromosomes at the different passages showed a stability during subculture of the cell line. It was found that the cell line had partial deletion of the short arm on chromosome 7 (with breakpoint at 7p15.3-p13), rearrangement of the arm on chromosome 1 (with breakpoint at 1p13.1) and increase in chromosome 7 number. The results suggested that such chromosome alteration be related to the expression of activated oncogenes during carcinogenesis.


Assuntos
Adenocarcinoma/genética , Deleção Cromossômica , Cromossomos Humanos Par 7 , Neoplasias Pulmonares/genética , Adenocarcinoma/patologia , Bandeamento Cromossômico , Marcadores Genéticos , Humanos , Neoplasias Pulmonares/patologia , Células Tumorais Cultivadas
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