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1.
J Hazard Mater ; 472: 134472, 2024 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-38696964

RESUMO

Spent ternary lithium-ion batteries contain abundant lithium resource, and their proper disposal is conducive to environmental protection and the comprehensive utilization of resources. Separating valuable metals in the ternary leaching solution is the key to ensuring resource recovery. However, the traditional post-lithium extraction strategies, which heavily rely on ion exchange to remove transition metal ions in the leachate, encounter challenges in achieving satisfactory lithium yields and purities. Based on this, this paper proposed a new strategy to prioritize lithium extraction from ternary leachate using "(+) LiFePO4/FePO4 (-)" lithium extraction system. The preferential recovery of lithium can be realized by controlling the potential over 0.1 V versus Standard Hydrogen Electrode (SHE) without introducing any impurity ions. The lithium recovery rate reaches 98.91%, while the rejection rate of transition ions exceeds 99%, and the separation coefficients of lithium to transition metal ions can reach 126. Notably, the resulting lithium-rich liquid can directly prepare lithium carbonate with a purity of 99.36%. It provides a green and efficient strategy for the preferential recovery of lithium from the spent ternary leachate.

2.
Membranes (Basel) ; 10(12)2020 Nov 26.
Artigo em Inglês | MEDLINE | ID: mdl-33256217

RESUMO

The preparation of Li2CO3 from brine with a high mass ratio of Mg/Li is a worldwide technology problem. Membrane separation is considered as a green and efficient method. In this paper, a comprehensive Li2CO3 preparation process, which involves electrochemical intercalation-deintercalation, nanofiltration, reverse osmosis, evaporation, and precipitation, was constructed. Concretely, the electrochemical intercalation-deintercalation method shows excellent separation performance of lithium and magnesium, and the mass ratio of Mg/Li decreased from the initial 58.5 in the brine to 0.93 in the obtained lithium-containing anolyte. Subsequently, the purification and concentration are performed based on nanofiltration and reverse osmosis technologies, which remove mass magnesium and enrich lithium, respectively. After further evaporation and purification, industrial-grade Li2CO3 can be prepared directly. The direct recovery of lithium from the high Mg/Li brine to the production of Li2CO3 can reach 68.7%, considering that most of the solutions are cycled in the system, the total recovery of lithium will be greater than 85%. In general, this new integrated lithium extraction system provides a new perspective for preparing lithium carbonate from high Mg/Li brine.

3.
Waste Manag ; 107: 1-8, 2020 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-32248067

RESUMO

A simple, green and effective method, which combined lithium iron phosphate battery charging mechanism and slurry electrolysis process, is proposed for recycling spent lithium iron phosphate. Li and FePO4 can be separation in anionic membrane slurry electrolysis without the addition of chemical reagent. The leaching efficiency of Li can reach to 98% and over 96% of Fe are recycled as FePO4/C. Kinetics analysis indicates that the surface chemical reaction is the control step during the slurry electrolysis. Additionally, X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), Electrochemical Impedance Spectroscopy (EIS) characterization and thermodynamic analysis are employed to investigate the leaching mechanism. It is found that the spent LiFePO4 is delithiated and oxidized to FePO4 by the function of e-, which is similar as the LiFePO4 battery charging process. EIS analysis also verify the kinetics results, the charge transfer resistance controlled the leaching process. Finally, a novel process for recovery of spent LiFePO4 is proposed. The recovered Li2CO3 and FePO4/C can be used for resynthesize LiFePO4, and the resynthesized LiFePO4 exhibits reversible capacities of 143.6 mAh g-1 at 1C and high current efficiency, stable cycle performances at 0.1 and 0.5C which meets the basic requirements for reuse.


Assuntos
Carbono , Lítio , Fontes de Energia Elétrica , Eletrodos , Eletrólise , Ferro , Fosfatos
4.
Med Sci Monit ; 25: 4362-4369, 2019 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-31185006

RESUMO

BACKGROUND Ischemia-reperfusion (I/R) leads to kidney injury. Renal I/R frequently occurs in kidney transplantations and acute kidney injuries. Recent studies reported that miR-30 stimulated immune responses and reductions in renal I/R related to anti-inflammation. Our study investigated the effects of miR-30c-5p on renal I/R and the relationship among miR-30c-5p, renal I/R, and macrophages. MATERIAL AND METHODS Sprague Dawley rats received intravenous tail injections of miR-30c-5p agomir. Then a renal I/R model were established by removing the left kidney and clamping the right renal artery. Serum creatinine (Cr) was analyzed using a serum Cr assay kit, and serum neutrophil gelatinase associated lipocalin (NGAL) was measured using a NGAL ELISA (enzyme-linked immunosorbent assay) kit. Rat kidney tissues were analyzed using hematoxylin and eosin staining. THP-1 cells treated with miR-30c-5p agomir and miR-30c-5p antagomir were measured with quantitative reverse transcription-polymerase chain reaction. Protein levels were analyzed by western blot. RESULTS MiR-30c-5p agomir reduced serum Cr, serum NGAL, and renal I/R injury. MiR-30c-5p agomir inhibited the expression of CD86 (M1 macrophage marker), inducible nitric oxide synthase (iNOS), and tumor necrosis factor-alpha (TNF-alpha) and promoted the expression of CD206 (M2 macrophage marker), interleukin (IL)-4, and IL-10 in rat kidneys. MiR-30c-5p agomir reduced the expression of CD86 and iNOS, and increased the expression of CD206 and IL-10 in THP-1 cells. CONCLUSIONS We preliminarily demonstrated that miR-30c-5p agomir might decrease renal I/R through transformation of M1 macrophages to M2 macrophages and resulted in changes in inflammatory cytokines.


Assuntos
Injúria Renal Aguda/sangue , Macrófagos/metabolismo , MicroRNAs/sangue , Traumatismo por Reperfusão/sangue , Injúria Renal Aguda/genética , Injúria Renal Aguda/metabolismo , Injúria Renal Aguda/patologia , Animais , Creatina/sangue , Humanos , Inflamação/sangue , Rim/irrigação sanguínea , Rim/patologia , Lipocalina-2/sangue , Macrófagos/patologia , Masculino , MicroRNAs/genética , Óxido Nítrico Sintase Tipo II/sangue , Ratos , Ratos Sprague-Dawley , Traumatismo por Reperfusão/genética , Traumatismo por Reperfusão/metabolismo , Traumatismo por Reperfusão/patologia , Células THP-1 , Fator de Necrose Tumoral alfa/sangue
5.
J Cell Mol Med ; 23(5): 3130-3139, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30873749

RESUMO

The present research focuses on the influence of CCCTC-binding factor (CTCF) on prostate cancer (PC) via the regulation of the FoxO signalling pathway. A bioinformatics analysis was conducted to screen out target genes for CTCF in LNCaP cells and to enrich the relevant pathways in LNCaP cells. It was found that the FoxO pathway was enriched according to the ChIP-seq results of CTCF. The expression of CTCF, pFoxO1a, FoxO1a, pFoxO3a and FoxO3a was tested by RT-qPCR and Western blot. Inhibition of CTCF could lead to the up-regulation of the FoxO signalling pathway. The rates of cell proliferation, cell invasion and apoptosis were examined by MTT assay, cell invasion assay and flow cytometry under different interference conditions. Down-regulation of CTCF could suppress cell proliferation, cell invasion and facilitate cell apoptosis. Lastly, the effect of CTCF on tumour growth was determined in nude mice. Inhibition of CTCF regulated the FoxO signalling pathway, which retarded tumour growth in vivo. In conclusion, CTCF regulates the FoxO signalling pathway to affect the progress of PC.


Assuntos
Fator de Ligação a CCCTC/genética , Proteína Forkhead Box O1/genética , Proteína Forkhead Box O3/genética , Neoplasias da Próstata/genética , Animais , Apoptose/genética , Fator de Ligação a CCCTC/antagonistas & inibidores , Linhagem Celular Tumoral , Proliferação de Células/genética , Progressão da Doença , Regulação Neoplásica da Expressão Gênica/genética , Xenoenxertos , Humanos , Masculino , Camundongos , Invasividade Neoplásica/genética , Invasividade Neoplásica/patologia , Neoplasias da Próstata/patologia , Transdução de Sinais/genética , Ativação Transcricional/genética
6.
J Cell Physiol ; 234(3): 2778-2787, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30145832

RESUMO

This study was aimed at exploring the underlying mechanisms of ketamine in the SV-40 immortalized human ureteral epithelial (SV-HUC-1) cells. The viability and apoptosis of SV-HUC-1 cells treated with 0.01, 0.1, and 1 mM ketamine were respectively detected via cell counting kit-8 (CCK-8) assay and terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick end labeling (TUNEL) staining. Reactive oxygen species (ROS) level was measured through ROS probe staining. Apoptosis-related proteins (B-cell lymphoma 2 [Bcl-2] and Bax) and autophagy-associated proteins (light chain 3-I [LC3-I] and LC3-II) were determined by western blot or immunofluorescent assay. Additionally, transmission electron microscopy (TEM) was used to evaluate the formation of autophagosomes. After cotreatment of 3-methyladenine (3-MA) or N-acetyl-l-cysteine (NAC), the biological functions of SV-HUC-1 cells were analyzed to determine the association of ROS with cell viability and autophagy. CCK-8 assay and TUNEL staining indicated that ketamine effectively decreased the viability of SV-HUC-1 cells and accelerated apoptosis of SV-HUC-1 cells through regulating the expression level of IKBα (phospho), nuclear factor ÐºB (P65), Bcl-2, and Bax proteins. Enhanced ROS production was also confirmed in ketamine-treated SV-HUC-1 cells treated with ketamine. Ketamine-induced autophagosomes in SV-HUC-1 cells were observed by means of TEM, and increased levels of LC3 II/I ratio and Beclin 1 were examined through western blot and immunofluorescent assay. Furthermore, ketamine exerted effects on SV-HUC-1 cells in a dose-dependent and time-dependent manner. Additionally, cotreatment of NAC with 3-MA significantly attenuated the ROS level and suppressed the cell autophagy. Ketamine promoted SV-HUC-1 cell autophagy and impaired the cell viability of SV-HUC-1 cells by inducing ROS.


Assuntos
Autofagossomos/efeitos dos fármacos , Autofagia/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Células Epiteliais/efeitos dos fármacos , Ketamina/farmacologia , Espécies Reativas de Oxigênio/metabolismo , Apoptose/efeitos dos fármacos , Autofagossomos/metabolismo , Proteína Beclina-1/metabolismo , Linhagem Celular , Humanos , Fosforilação
7.
Anticancer Res ; 37(8): 4311-4318, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28739723

RESUMO

BACKGROUND: Cancer-associated fibroblasts (CAFs) are dominant components of the prostate cancer (PCa) stroma. However, the contrasting effects of CAFs and adjacent normal prostate fibroblasts (NPFs) are still poorly defined. The senescence of non-immortalized CAFs after subculture may limit the cell number and influence experimental results of in vitro studies. In this study, we immortalized CAFs to study their role in PCa carcinogenesis, proliferation, and invasion. MATERIALS AND METHODS: We cultured and immortalized CAFs and NPFs, then compared their effect on epithelial malignant transformation by using in vitro co-culture, soft agar assay, and a mouse renal capsule xenograft model. We also compared their roles in PCa progression by using in vitro co-culture, cell viability assays, invasion assays, and a mouse xenograft model. For the mechanistic study, we screened a series of growth factors by using real-time polymerase chain reaction. RESULTS: The CAFs and NPFs were successfully cultured, immortalized, and characterized. The CAFs were able to transform prostate epithelial cells into malignant cells, but NPFs were not. The CAFs were more active in promoting proliferation of and invasion by PCa cells, and in secreting higher levels of a series of growth factors. CONCLUSION: The immortalized CAFs were more supportive of PCa carcinogenesis and progression. Targeting CAFs might be a potential option for PCa therapy. Immortalized CAFs and NPFs will also be valuable resources for future experimental exploration.


Assuntos
Fibroblastos Associados a Câncer/citologia , Transformação Celular Neoplásica/patologia , Células Epiteliais/citologia , Fibroblastos/citologia , Neoplasias da Próstata/patologia , Idoso , Animais , Fibroblastos Associados a Câncer/metabolismo , Fibroblastos Associados a Câncer/patologia , Linhagem Celular Tumoral , Sobrevivência Celular , Transformação Celular Neoplásica/genética , Técnicas de Cocultura , Células Epiteliais/patologia , Humanos , Peptídeos e Proteínas de Sinalização Intercelular/genética , Masculino , Camundongos , Invasividade Neoplásica , Transplante de Neoplasias , Neoplasias da Próstata/genética
8.
PLoS One ; 12(1): e0171134, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28125713

RESUMO

Prostate cancer (PCa) is one of the most common cancers in elderly men. Mediator Complex Subunit 19 (Med19) is overexpressed and plays promotional roles in many cancers. However, the roles of Med19 in PCa are still obscure. In this study, by using immunohistochemical staining, we found higher expression level of Med19 in PCa tissues than in adjacent benign prostate tissues. We then knocked down the Med19 expression in PCa cell lines LNCaP and PC3 by using lentivirus siRNA. Cell proliferation, anchor-independent growth, migration, and invasion were suppressed in Med19 knockdown PCa cells. In nude mice xenograft model, we found that Med19 knockdown PCa cells formed smaller tumors with lower proliferation index than did control cells. In the mechanism study, we found that Med19 could regulate genes involved in cell proliferation, cell cycle, and epithelial-mesenchymal transition, including P27, pAKT, pPI3K, IGF1R, E-Cadherin, N-Cadherin, Vimentin, ZEB2, Snail-1 and Snail-2. Targeting Med19 in PCa cells could inhibit the PCa growth and metastasis, and might be a therapeutic option for PCa in the future.


Assuntos
Proliferação de Células/genética , Complexo Mediador/genética , Invasividade Neoplásica/genética , Próstata/patologia , Neoplasias da Próstata/genética , Animais , Movimento Celular/genética , Transição Epitelial-Mesenquimal , Xenoenxertos , Humanos , Masculino , Complexo Mediador/metabolismo , Camundongos , Camundongos Nus , Neoplasias da Próstata/metabolismo , Neoplasias da Próstata/patologia , RNA Interferente Pequeno
9.
Int Braz J Urol ; 40(2): 220-4, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24856489

RESUMO

OBJECTIVE: To investigate the safety and feasibility of self-retaining bidirectional barbed absorbable suture application in retroperitoneoscopic partial nephrectomy. MATERIALS AND METHODS: From Sep 2011 and Aug 2012, 76 cases of retroperitoneoscopic partial nephrectomy were performed at our hospital. The patients were divided into two groups: self-retaining barbed suture (SRBS) group (n = 36) and non-SRBS group (n = 40). There was no significant difference in age, sex, tumor size and location between the two groups. Clinical data and outcomes were analyzed retrospectively. RESULTS: All 76 cases of retroperitoneoscopic partial nephrectomy were successfully performed, without conversion to open surgery or serious intraoperative complications. In the SRBS group, the suture time, warm ischemia time and operation blood loss were significantly shorter than that of non-SRBS group (p < 0.01), and operation time and hospital stay were shorter than that of non-SRBS group (p < 0.05). CONCLUSIONS: The application of self-retaining bidirectional barbed absorbable suture in retroperitoneoscopic partial nephrectomy could shorten suture time and warm ischemia time, with good safety and feasibility, worthy of being used in clinic.


Assuntos
Carcinoma de Células Renais/cirurgia , Neoplasias Renais/cirurgia , Nefrectomia/métodos , Espaço Retroperitoneal/cirurgia , Técnicas de Sutura , Suturas , Adulto , Perda Sanguínea Cirúrgica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nefrectomia/efeitos adversos , Duração da Cirurgia , Complicações Pós-Operatórias , Reprodutibilidade dos Testes , Estudos Retrospectivos , Estatísticas não Paramétricas , Técnicas de Sutura/efeitos adversos , Suturas/efeitos adversos , Resultado do Tratamento , Isquemia Quente
10.
ANZ J Surg ; 84(9): 649-52, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24661643

RESUMO

BACKGROUND: Retroperitoneoscopic live donor nephrectomy has been performed in many countries. The purpose of this study was to evaluate the inguinal incision as a route for hand-assisted manipulation and allograft retrieval. METHODS: From April 2011 to June 2012, a prospective clinical study of 21 cases of retroperitoneal live donor nephrectomy was performed at our hospital. All donors were grouped in a test group (n = 11, inguinal incision) or a control group (n = 10, lumbar incision). The operative time, warm ischaemia time, blood loss, hospital stay, cosmetic satisfaction, incision complications, and recipient's serum creatinines were compared between groups. RESULTS: All 21 cases of retroperitoneal live donor nephrectomy were accomplished successfully without serious complications. There was no difference in blood loss and operative time between groups. The mean warm ischaemic time and hospital stay was shorter (P < 0.01), and satisfaction with cosmesis was greater (P < 0.05) in the test group. The abdominal asymmetry (4/10) and wound dehiscence occurred only in the control group. The recipient's serum creatinine was lower in the test group at 1 day (P < 0.01) and 3 days (P < 0.05) after transplantation. CONCLUSION: The inguinal incision offers an ideal route for hand-assisted manipulation and allograft retrieval during retroperitoneoscopic live donor nephrectomy, and has a potential to be generally applied in the future.


Assuntos
Canal Inguinal/cirurgia , Transplante de Rim , Laparoscopia/métodos , Doadores Vivos , Nefrectomia/métodos , Coleta de Tecidos e Órgãos/métodos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Estudos Prospectivos , Espaço Retroperitoneal
11.
Exp Clin Transplant ; 11(5): 396-9, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23432532

RESUMO

OBJECTIVES: We sought to evaluate the advantages of an inguinal incision in extracting the kidney during retroperitoneal laparoscopic live-donor nephrectomy. MATERIALS AND METHODS: From May 2008 to June 2011, fifty-eight cases of retroperitoneal live-donor nephrectomy were performed at our hospital; all data were analyzed retrospectively. All donors were grouped in a test group (n=32, inguinal incision) or a control group (n=26, lumbar incision) according to the selected graft retrieval incision. Donors were compared with regard to operative time and warm ischemia time, operative blood loss, hospital stay, cosmetic satisfaction, and incision complications. RESULTS: All 58 cases of retroperitoneal live-donor nephrectomy were successfully accomplished, without donor death, serious complications, and conversion to open surgery. There were no differences in mean operative time, mean blood loss, mean warm ischemic time, graft function, and 1-year graft survival rate between the groups. However, in a test group, the mean hospital stay was shorter (P < .01), and the satisfaction with cosmesis was higher (P < .01). The incidence rates of abdomen asymmetry (9/28), incision hernia (4/28), wound infection (5/28), and wound faulty union (6/28) were higher in the control group than they were in the test group. CONCLUSIONS: Inguinal incision is a safe and practical graft retrieval incision in retroperitoneal laparoscopic donor nephrectomy and can be generally applied.


Assuntos
Transplante de Rim/métodos , Laparoscopia , Doadores Vivos , Nefrectomia/métodos , Adulto , Idoso , Perda Sanguínea Cirúrgica , Feminino , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Satisfação do Paciente , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento , Isquemia Quente , Adulto Jovem
12.
Asian Pac J Cancer Prev ; 13(7): 3313-7, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22994753

RESUMO

Prostate cancer is a highly prevalent disease in older men of the western world. MicroRNAs (miRNAs) are small RNA molecules that regulate gene expression via posttranscriptional inhibition of protein synthesis. To identify the diagnostic potential of miRNAs in prostate cancer, we downloaded the miRNA expression profile of prostate cancer from the GEO database and analysed the differentially expressed miRNAs (DE-miRNAs) in prostate cancerous tissue compared to non-cancerous tissue. Then, the targets of these DE-miRNAs were extracted from the database and mapped to the STRING and KEGG databases for network construction and pathway enrichment analysis. We identified a total of 16 miRNAs that showed a significant differential expression in cancer samples. A total of 9 target genes corresponding to 3 DE-miRNAs were obtained. After network and pathway enrichment analysis, we finally demonstrated that miR-20 appears to play an important role in the regulation of prostate cancer onset. MiR-20 as single biomarker or in combination could be useful in the diagnosis of prostate cancer. We anticipate our study could provide the groundwork for further experiments.


Assuntos
Biomarcadores Tumorais/biossíntese , Biomarcadores Tumorais/genética , MicroRNAs/biossíntese , MicroRNAs/genética , Neoplasias da Próstata/genética , Neoplasias da Próstata/metabolismo , Expressão Gênica , Perfilação da Expressão Gênica/métodos , Humanos , Masculino , Neoplasias da Próstata/diagnóstico
13.
Zhonghua Liu Xing Bing Xue Za Zhi ; 31(2): 175-8, 2010 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-21215079

RESUMO

OBJECTIVE: To understand the prevalence of urinary incontinence (UI) and its severity in rural elderly people, as well as to investigate the awareness on UI in the elderly and health-care service seeking behavior. METHODS: A cross-sectional study was carried out in two townships of Jixian county, Tianjin. A total of 743 people aged 60 years and over were selected under cluster sampling method. All the information was collected with a standardized structured questionnaire by face-to-face interview. Prevalence, severity, the awareness on UI in the elderly and their utilization of health-care service for its diagnosis and treatment were analyzed. RESULTS: Prevalence of UI was 33.38% among people aged 60 years and over in two townships of Jixian, higher in females than in males (43.15% vs. 22.75%, χ(2) = 34.70, P < 0.0001). The prevalence rates of UI in 60- age group, 65- age group, 70- age group, 75- age group, 80- age group, 85 - 95 age group were 28.64%, 32.12%, 34.08%, 35.45%, 47.76%, 30.00%, respectively, and increased with age (for trend χ(2) = 2.19, P = 0.029). Stress urinary incontinence (SUI) and urge urinary incontinence (UUI) were mild, while mixed urinary incontinence (MUI) were mainly moderate. The differences of severity of SUI, UUI, MUI between men and women did not show statistical significance (all P > 0.05). In 743 elderly people, more than half of the respondents had never heard of UI (50.20%, 373/743) and only 170(22.88%) elderly people considered UI as a disease. 630 (84.79%) and 665 (89.50%) elderly people in our research group did not know that such condition was curable and preventable. In 248 elderly people with UI, only 12 (4.84%) of them ever seeking community health-care services in the health-care centers or hospitals. For the ones who did visit the centers, the purpose was only to seek for drug treatment. CONCLUSION: Prevalence of UI appeared to be high among the elderly people in rural areas of Jixian county. Most of the elderly people were lack of knowledge about UI that hindered them from seeking for diagnosis and treatment in the clinics, plus the treatment program for UI was not standardized. Knowledge on UI and health care seeking behavior should be popularized and strengthened among elderly people living in the rural areas.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Aceitação pelo Paciente de Cuidados de Saúde , Incontinência Urinária/epidemiologia , Incontinência Urinária/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , População Rural , Índice de Gravidade de Doença , Inquéritos e Questionários
14.
Zhonghua Yi Xue Za Zhi ; 89(14): 980-2, 2009 Apr 14.
Artigo em Chinês | MEDLINE | ID: mdl-19671312

RESUMO

OBJECTIVE: To compare the outcomes of renal transplantation with donor kidneys with multi-branched renal arteries. METHODS: The data about operation time, volume of intra-operational blood loss, postoperative complications, and post-operational renal function status of 251 recipients of donor kidneys with single-branched renal artery (Group A), 12 recipients of donor kidneys with double-branched renal arteries the diameter of one of which was < 2 mm or the estimated blood supply areas of one of which were < 10% (Group B), and 35 recipients of donor kidneys with renal arteries with 2 or more than 2 branches (Group C). RESULTS: The operation time was (115 +/- 34) min in Group A and was (120 +/- 31) min in Group B, both shorter than that of Group C [(133 +/- 55) min], however, not significantly. There were not significant differences in the intra-operational volume of blood loss, 1-year survival rate of patient/transplanted kidney, and post-operational creatinine level among these three groups. The complication rate was 7.6% (19/251) in Group A, 16.7% (2/12) in Group B, and 11.4% in Group C (4/35). CONCLUSION: There are not significant differences in the intra-operational status and post-operational outcomes among the operations of renal transplantation with donor kidneys with different amounts of renal arteries.


Assuntos
Sobrevivência de Enxerto , Transplante de Rim/métodos , Artéria Renal/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doadores de Tecidos , Resultado do Tratamento , Adulto Jovem
15.
Zhonghua Liu Xing Bing Xue Za Zhi ; 30(8): 766-71, 2009 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-20193194

RESUMO

OBJECTIVE: To understand the prevalence of urinary incontinence (UI) and its related factors so as to develop a three-tier program for prevention of the disease. METHODS: A cross-sectional study was carried out in two townships of Jixian county, Tianjin, during July to November 2007. A total of 743 people aged 60 years and over were selected under cluster sampling, and all information were collected with a standardized structured questionnaire by face-to-face interview. All the data were analyzed with multivariate logistic regression method to explore the related factors for UI in the elderly. RESULTS: The overall prevalence of UI was 33.38 percent among people aged 60 years and over in two townships. Risk factors for UI in men would include older age (OR = 1.39), occupation (OR = 5.00), awareness of UI (OR = 1.91), having in chronic respiratory diseases (OR = 2.23), prostate (OR = 11.47), neurological (OR = 11.76), or motor systems (OR = 2.48), while protective factors would include high educational level (taking primary school or below as control group), OR for the junior middle school group appeared to be 0.35, for senior middle school group it was 0.77, and of undergraduate group it was 0.53. Risk factors for UI in women would include older age (OR = 1.31), constipation (OR = 1.46), awareness of UI (OR = 1.94), increased body mass index (when normal weight group served as control group, OR in the overweight group was 1.03 and in the obesity group OR was 1.54), suffering from chronic respiratory diseases (OR = 4.84), diabetes mellitus (OR = 2.36), or motor system diseases (OR = 1.37), more gravidity (OR = 1.03), more parity (OR = 1.02), suffering from perinea laceration (OR = 1.72) and wound infection during delivery (OR = 1.65), while protective factors would include physical exercises (OR = 0.64). CONCLUSION: Prevalence of UI was higher among the elderly people in rural areas of Jixian county, Tianjin. UI in the elderly might have been influenced by various factors which suggesting the intervention strategy should be targeted at those related factors as well as focusing on primary prevention.


Assuntos
Incontinência Urinária/epidemiologia , Idoso , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Entrevistas como Assunto , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Prevalência , Fatores de Risco , Saúde da População Rural , Inquéritos e Questionários
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