RESUMO
BACKGROUND: To compare the diagnostic value of serum markers human epididymal protein 4 (HE4) and cyclooxygenase-1 (COX-1) combined with transvaginal color Doppler sonography (TVCDS) in ovarian cancer (OC) treated with Bushen Yiqi Quyu prescription. METHODS: A total of 232 OC patients treated at the hospital from January 2018 to October 2020 were randomly divided into an observation group (n = 116) and control group (n = 116). The control group was treated with essential Western medication, and the observation group was treated with essential Western medication and Bushen Yiqi Quyu prescription. The clinical efficacy of the two groups was compared. The levels of HE4 and COX-1 were compared between the two groups before and after treatment. The ultrasonic features of TVCDS were compared between the two groups before and after treatment. The ROC curve was drawn to compare the sensitivity, specificity, and accuracy of single and combined detection of HE4, COX-1, and TVCDS in the observation group. RESULTS: The total effective rate of the observation group was significantly higher than that of the control group. After treatment, HE4 and COX-1 levels in both groups were considerably lower than those before treatment, and in the observation group, they decreased significantly than in the control group. HE4 and COX-1 were positively correlated with the clinical stage of OC. The higher the clinical stage, the higher the levels of HE4 and COX-1. After treatment, there was no significant difference in tumor location and the boundary between the two groups. There were statistically significant differences in tumor echo, nature, morphology, calcification, internal blood flow, and lymph node metastasis, and the difference in the observation group was more evident than in control group. The sensitivity, specificity, accuracy, positive detection rate, and negative detection rate of combined detection were higher than those of single detection. CONCLUSIONS: Bushen Yiqi Quyu prescription has certain curative effects in the treatment of OC patients, which can significantly reduce the level of tumor markers and improve the symptoms of OC patients. The combined detection of HE4, COX-1, and TVCDS has high sensitivity, specificity, and accuracy, which can effectively detect OC and reduce missed diagnosis and misdiagnosis.
RESUMO
Gas bubble manipulations in liquid have long been a concern because of their vital roles in various gas-related fields. To deal with the weakness in long-distance gas transportation of previous works, we took inspiration from the ridgelike structure on Nepenthes pitcher's peristome and successfully prepared a two-dimensional superaerophilic surface decorated with asymmetric aerophobic barriers capable of unidirectional and long-distance gas bubble delivery. For the first time, this process was investigated by in situ bubble-releasing experiments recorded by a high-speed camera and finite element modeling, which demonstrates a kinetic process regulated by the anisotropic motion resistance arising from the patterns. Furthermore, the Nepenthes alata-inspired two-dimensional surface (NATS) was integrated into a water electrolysis system for H2 directional transportation and efficient collection. As a result, the NATS design was proved to be a potential solution for facile manipulation of gas bubbles and provides a simple, adaptive, and reliable strategy for long-range gas transport underwater.
