Effectiveness and Safety of Ultrasound-Guided Local Paricalcitol Injection in Treating Secondary Hyperparathyroidism in ESRD: A Retrospective Study.

PURPOSE: To compare the safety and efficacy of percutaneous paricalcitol injection with intravenously administered paricalcitol in treating parathyroid hyperplasia in patients with secondary hyperparathyroidism (SHPT). METHODS: This study was approved by the Ethics Committee of our institution. We retrospectively collected data on patients who received percutaneous paricalcitol injection (24 patients) and intravenously administered paricalcitol (22 patients) based on their intact parathyroid hormone (iPTH) level. Serum iPTH, calcium, phosphorus, and the volume of the parathyroid gland were measured at several indicated time points after treatment, and adverse events associated with the two treatments were evaluated. RESULTS: After 6 months of follow-up, we found that patients from the percutaneous injection group had significantly decreased levels of iPTH (from 1887.81 ± 726.81 pg/mL to 631.06 ± 393.06 pg/mL), phosphate (from 1.94 ± 0.36 mmol/L to 1.71 ± 0.34 mmol/L), and volume of the parathyroid gland (from 0.87 ± 0.50 cm3 to 0.60 ± 0.36 cm3), with relief from ostealgia within 48-72 h. In the intravenously administered group, the levels of iPTH decreased from 686.87 ± 260.44 pg/mL to 388.47 ± 167.36 pg/mL; while there was no significant change in phosphate levels, the volume of the parathyroid gland and ostealgia relief were observed at the end of follow-up. The serum calcium level did not significantly change, and no severe complications were observed in both groups. In vitro fluorescence-activated single cell sorting (FACS) analysis indicated that paricalcitol induced parathyroid cell apoptosis in a dose-dependent manner. CONCLUSIONS: Percutaneous paricalcitol injection is a selective treatment for SHPT in ESRD.

[Design of Low Power Multi-parameter Monitoring System Based on Bluetooth].

This paper designs a bluetooth-based low-power multi-parameter monitoring system. The system is mainly composed of ECG signal acquisition, respiratory signal acquisition, body temperature acquisition, bluetooth 4.0 transmission module and Android mobile phone APP display. The system collects the corresponding physiological signals through various collection parts, and can realize the monitoring of three physiological signals of electrocardiogram, respiration and body temperature. The Android mobile APP can display ECG, respiratory waveform and temperature data in real time. The system is small in size and low in power consumption, and has a good application prospect in portable and wearable medical applications.

[Design of Treatment System for Poor Peripheral Circulation Using Air Wave Pressure Based on STM32 Microprocessor].

This study designs an intermittent pneumatic pressurization device with STM32 series single chip as the core. The working state of the air pump and the plurality of air chambers is controlled by the IO port of the single chip microcomputer, and the circulating inflation of the plurality of air bags is realized. The pressure monitoring system consists of a silicon piezoresistive pressure sensor, a high-precision operational amplifier and a 12-bit AD converter which monitors the gas pressure of each gas path in real time to ensure the safety of the equipment. The system is easy to operate, simple in function, and has strong practicability.

Discrimination of saturated alkanes and relevant volatile compounds via the utilization of a conceptual fluorescent sensor array based on organoboron-containing polymers.

This work reports a conceptual sensor array for the highly discriminative analysis of 20 clinically and environmentally relevant volatile small organic molecules (VSOMs), including saturated alkanes and common solvents, in the air at room temperature. For the construction of the sensor array, a four coordinated, non-planar mono-boron complex and four relevant polymers are synthesized. Based on the polymers and the use of different substrates, 8 fluorescent films have been fabricated. Integration of the film-based sensors results in the sensor array, which demonstrates unprecedented discriminating capability toward the VSOMs. Moreover, for the signal molecule of lung cancer, n-pentane, the response time is less than 1 s, the experimental detection limit is lower than 3.7 ppm, and after repeating the tests over 50 times no observable degradation was observed. The superior sensing performance is partially ascribed to the tetrahedral structure of the boron centers in the polymers as it may produce molecular channels in the films, which are a necessity for fast and reversible sensing. In addition, the polarity of the micro-channels may endow the films with additional selectivity towards the analytes. The design as demonstrated provides an effective strategy to improve the sensing performance of fluorescent films to very challenging analytes, such as saturated alkanes.