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Postoperative encapsulated hemoperitoneum in a patient with gastric stromal tumor treated by exposed endoscopic full-thickness resection: A case report

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World Journal of Gastrointestinal Surgery 2024年第2期16卷 601-608页

作者： Hui-Fei Lu Jing-Jing Li De-Bin Zhu Li-Qi mao Li-Fen Xu Jing Yu lin-Hua Yao Department of Gastroenterology the First People’s Hospital of HuzhouHuzhou 313000Zhejiang ProvinceChina

BACKGROUND Gastric stromal tumors,originating from mesenchymal tissues,are one of the most common tumors of the digestive *** stromal tumors originating from the muscularis propria,compared with conventional endoscopic submucosal dissection(ESD),endoscopic full-thickness resection(EFTR)can remove deep lesions and digestive tract wall tumors ***,this technique has major limitations such as perforation,postoperative bleeding,and post-polypectomy ***,we report a case of postoperative serous surface bleeding which formed an encapsulated hemoperitoneum in a patient with gastric stromal tumor that was treated with exposed *** treatment options to address this complication are *** SUMMARY A 47-year-old male patient had a hemispherical protrusion found during gastric endoscopic ultrasonography,located at the upper gastric curvature adjacent to the stomach fundus,with a smooth surface mucosa and poor *** lesion was 19.3 mm×16.1 mm in size and originated from the fourth ultrasound *** tomography(CT)revealed no significant evidence of lymph node enlargement or distant *** conventional ESD technology for mucosal pre-resection,exposed EFTR was performed to resect the intact tumor in order to achieve a definitive histopathological *** on its morphology and immunohistochemical expression of CD117 and DOG-1,the lesion was proven to be consistent with a gastric stromal *** days after exposed EFTR,CT showed a large amount of encapsulated fluid and gas accumulation around the *** addition,gastroscopy suggested intracavitary bleeding and abdominal puncture drainage indicated serosal *** on these findings,the patient was diagnosed with serosal bleeding resulting in encapsulated abdominal hemorrhage after exposed EFTR for a gastric stromal *** patient received combined treatments,such as hemostasis under gastroscopy,gastrointestinal decompression,and abdominal

关键词： Exposed endoscopic full-thickness resection Gastric stromal tumors Hemoperitoneum Abdominal infection Complication Postoperative bleeding Case report

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Adipose-derived stem cells in diabetic foot care:Bridging clinical trials and practical application

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World Journal of Diabetes 2024年第6期15卷 1162-1177页

作者： Song-Lu Tseng lin Kang Zhu-Jun Li Li-Quan Wang Zi-Ming Li Tian-Hao Li Jie-Yu Xiang jiu-Zuo Huang Nan-Ze Yu Xiao Long Department of Plastic and Reconstructive Surgery Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Department of Plastic and Reconstructive Surgery Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Biomedical Engineering Facility Institute of Clinical MedicinePeking Union Medical College HospitalChinese Academy of Medical Sciences BeijingBeijing 100021China

Diabetic foot ulcers(DFUs)pose a critical medical challenge,significantly impairing the quality of life of ***-derived stem cells(ADSCs)have been identified as a promising therapeutic approach for improving wound healing in *** extensive exploration of the mechanical aspects of ADSC therapy against DFU,its clinical applications remain *** this review,we aimed to bridge this gap by evaluating the use and advancements of ADSCs in the clinical management of *** review begins with a discussion of the classification and clinical management of diabetic foot *** then discusses the current landscape of clinical trials,focusing on their geographic distribution,reported efficacy,safety profiles,treatment timing,administration techniques,and dosing ***,the review discusses the preclinical strategies to enhance ADSC *** review shows that many trials exhibit biases in study design,unclear inclusion criteria,and intervention *** conclusion,this review underscores the potential of ADSCs in DFU treatment and emphasizes the critical need for further research and refinement of therapeutic approaches,with a focus on improving the quality of future clinical trials to enhance treatment outcomes and advance the field of diabetic wound care.

关键词： Adipose-derived stem cells Diabetic foot ulcers Wound healing Clinical

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First Case Report of Cystic Echinococcosis Caused by G7 Genotype Echinococcus intermedius Confirmed by Genetic Sequencing—Southern China,December 2023

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China CDC weekly 2024年第23期6卷 558-562页

作者： De Wu Jiayi Zhang Jieling Wang Yangyang Zhao Lei Wang Qiang mao Haisen lin Gang Yao Guanting Zhang Xu Wang Chuizhao Xue Ying Wang Jingdiao Chen Parasitic Disease Prevention and Control Institute Guangdong Center for Disease Control and PreventionGuangzhou CityGuangdong ProvinceChina Epidemic Prevention and Control Institute Zhuhai Center for Disease Control and PreventionZhuhai CityGuangdong ProvinceChina Department of Prevention&Healthcare Zhuhai First People's HospitalZhuhai CityGuangdong ProvinceChina National Institute of Parasitic Diseases Chinese Center for Disease Control and Prevention(Chinese Center for Tropical Diseases Research)ShanghaiChina

What is already known about this topic?Echinococcosis exhibits a global *** China,the primary endemic area is the northwest *** December 2023,we documented a case of echinococcosis in an individual lacking any travel or residential history in endemic *** is added by this report?This is the first laboratory-confirmed case of hepatic echinococcosis reported in Guangdong Province,associated with the G7 genotype of Echinococcus granulosus(***).The most probable mode of transmission is a local infection resulting from *** introduced from endemic *** are the implications for public health practice?As the circulation of agricultural products increases,it is essential to enhance the quarantine and management of livestock from epidemic areas to prevent and control the spread of echinococcosis to non-epidemic regions.

关键词： travel fir northwest

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Serum bile acid and unsaturated fatty acid profiles of non-alcoholic fatty liver disease in type 2 diabetic patients

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World Journal of Diabetes 2024年第5期15卷 898-913页

作者： Su-Su Feng Si-Jing Wang lin Guo Pan-Pan Ma Xiao-Long Ye Ming-lin Pan Bo Hang Jian-Hua mao Antoine M Snijders Yi-Bing Lu Da-Fa Ding Department of Endocrinology The Second Affiliated Hospital of Nanjing Medical UniversityNanjing 210011Jiangsu ProvinceChina Biological Systems and Engineering Division Lawrence Berkeley National LaboratoryBerkeleyCA 94720United States

BACKGROUND The understanding of bile acid(BA)and unsaturated fatty acid(UFA)profiles,as well as their dysregulation,remains elusive in individuals with type 2 diabetes mellitus(T2DM)coexisting with non-alcoholic fatty liver disease(NAFLD).Investigating these metabolites could offer valuable insights into the pathophy-siology of NAFLD in *** To identify potential metabolite biomarkers capable of distinguishing between NAFLD and *** A training model was developed involving 399 participants,comprising 113 healthy controls(HCs),134 individuals with T2DM without NAFLD,and 152 individuals with T2DM and *** validation encompassed 172 *** patients were divided based on liver fibrosis *** analytical approach employed univariate testing,orthogonal partial least squares-discriminant analysis,logistic regression,receiver operating characteristic curve analysis,and decision curve analysis to pinpoint and assess the diagnostic value of serum *** Compared to HCs,both T2DM and NAFLD groups exhibited diminished levels of specific *** UFAs,particular acids exhibited a positive correlation with NAFLD risk in T2DM,while theω-6:ω-3 UFA ratio demonstrated a negative *** ofα-linolenic acid andγ-linolenic acid were linked to significant liver fibrosis in *** validation cohort substantiated the predictive efficacy of these biomarkers for assessing NAFLD risk in T2DM *** This study underscores the connection between altered BA and UFA profiles and the presence of NAFLD in individuals with T2DM,proposing their potential as biomarkers in the pathogenesis of NAFLD.

关键词： Bile acid Non-alcoholic fatty liver disease Type 2 diabetes mellitus Unsaturated fatty acid

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电针“足三里”减轻大肠癌荷瘤小鼠5-FU化疗后肾损伤及其氧化应激、炎症反应和细胞凋亡的研究

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World Journal of Acupuncture-Moxibustion 2023年第3期33卷 244-251页

作者：张学君林久茂陈诗兰林晨捷彭娇杨晓丹赵锦燕福建中医药大学针灸学院福州350122 福建中医药大学中西医结合研究院福州350122 福建省中西医结合老年性疾病重点实验室福州350122

Objective:To observe the effect of electroacupuncture at"Zusanli(ST36)"on 5-fluorouracil(5-FU)-induced renal injury in colorectal cancer-bearing mice,and to further investigate its effects on oxidative stress,inflammatory responses,and cell apoptosis in mouse renal ***:Thirty-five male BALB/c mice were randomly divided into five groups of seven mice each,namely the control,CT26,5-FU,sham point(SP),and ST36(which received EA at the"ST36")*** the exception of the control group,each group was subjected to establishment of a subcutaneous implantation tumor model using the murine CT26 colorectal cancer cell *** the models were successfully established,the 5-FU,SP,and ST36 groups received 5-FU injection solution intraperitoneally at a dose of 5 mg/mL once every three days over a 21-day *** in the SP and ST36 groups additionally received an EA intervention after each intraperitoneal 5-FU *** were performed on mice of the SP group at bilateral sham acupoints and on mice of the ST36 group at the bilateral"ST36"using the continuous wave mode at a frequency of 2 Hz for a duration of 5 min,intervention was administered once every two days for a duration of 21 *** were collected from the mice at the end of the *** pathological morphology of the renal tissue was observed using hematoxylin and eosin(HE)staining;the contents of creatine(Cre),blood urea nitrogen(BUN)and malondialdehyde(MDA),and superoxide dismutase(SOD)activity were measured using biochemical assays;the expression and nuclear translocation of nuclear factor kappa B p65 subunit(NF-kB p65)were measured by immunofluorescence;the expression levels of tumor necrosis factor alpha(TNF-α),interleukin-6(IL-6),and interleukin-1β(IL-1β)in serum were measured by ELISA;cell apoptosis in renal tissue was detected using the TUNEL assay;and the expression levels of the anti-B-cell lymphoma/leukemia 2(Bcl-2),Bcl-2-associated X protein(Bax),cleaved caspase-3,cleaved caspas

关键词： Zusanli ST36 Chemotherapy Renal injury Oxidative stress Inflammatory response Apoptosis Electroacupuncture

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Endoscopic detection and diagnostic strategies for minute gastric cancer:A real-world observational study

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World Journal of Gastrointestinal Oncology 2024年第8期16卷 3529-3538页

作者： Xiao-Wei Ji Jie lin Yan-Ting Wang Jing-Jing Ruan Jing-Hong Xu Kai Song Jian-Shan mao Department of Gastroenterology The Second Affiliated HospitalZhejiang University School of MedicineHangzhou 310009Zhejiang ProvinceChina Department of Pathology The Second Affiliated HospitalZhejiang University School of MedicineHangzhou 310009Zhejiang ProvinceChina

BACKGROUND Minute gastric cancers(MGCs)have a favorable prognosis,but they are too small to be detected by endoscopy,with a maximum diameter≤5 *** To explore endoscopic detection and diagnostic strategies for *** This was a real-world observational *** endoscopic and clinicopathological parameters of 191 MGCs between January 2015 and December 2022 were retrospectively *** discoverable opportunity and typical neoplastic features were emphatically *** All MGCs in our study were of a single pathological type,97.38%(186/191)of which were differentiated-type *** light endoscopy(WLE)detected 84.29%(161/191)of MGCs,and the most common morphology of MGCs found by WLE was ***-band imaging(NBI)secondary observation detected 14.14%(27/191)of MGCs,and the most common morphology of MGCs found by NBI was *** three MGCs were detected by indigo carmine third *** a well-demarcated border lesion exhibited a typical neoplastic color,such as yellowish-red or whitish under WLE and brownish under NBI,MGCs should be *** proportion with high diagnostic confidence by magnifying endoscopy with NBI(ME-NBI)was significantly higher than the proportion with low diagnostic confidence and the only visible groups(94.19%>56.92%>32.50%,Pline combined with a typical neoplastic color using nonmagnifying observation is sufficient for diagnosis of *** improves the endoscopic diagnostic confidence of MGCs.

关键词： Minute gastric cancer White light endoscopy Narrow-band imaging endoscopy Indigo carmine Magnifying endoscopy Detection Diagnosis

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The First Reported Case of Co-Infection with Neisseria Meningitidis and Bordetella Pertussis in the Cerebrospinal Fluid Specimen of a Normal Four-Year-Old Child

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Biomedical and Environmental Sciences 2024年第4期37卷 432-435页

作者： XIA Xian LI Guo Ming TANG Yi WANG Si Quan HE Fei JIANG Yong Zhong YANG Hong Mei JIANG Hong lin LYU Jing mao ling Feng Hubei Key Laboratory of Edible Wild Plants Conservation&Utilization Hubei Normal UniversityHuangshi 430070HubeiChina Hubei Provincial Center for Disease Control and Prevention Wuhan 430079HubeiChina Joint Research Center for Molecular Diagnosis of Severe Infection in Children Binjiang Institute of Zhejiang UniversityHangzhou 310058ZhejiangChina

Pertussis is an acute and highly contagious respiratory disease caused by Bordetella pertussis(***),which occurs in people of all ages and is most dangerous for young children,especially *** introduction of whole-cell pertussis vaccines(wPVs)in the 1950s dramatically reduced the incidence of pertussis worldwide[1].However,over the past two decades,many studies have reported the resurgence of pertussis in different countries[2].Epidemiological surveillance in Hubei Province over the last 3 years revealed a clear increasing trend in the incidence of pertussis during the coronavirus disease 2019(COVID-19)epidemic.

关键词： Pertussis dangerous Hubei

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Characteristics of Lightning Activity in Southeast China and its Relation to the Atmospheric Background

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Journal of Tropical Meteorology 2024年第1期30卷 76-88页

作者：支树林朱杰刘岩毛梦妮 Jiangxi Meteorological Observatory Nanchang 330096 China Key Laboratory of Radiometric Calibration and Validation for Environmental Satellites National Satellite Meteorological Center(National Center for Space Weather)China Meteorological AdministrationBeijing 100081 China Shanghai Typhoon Institute China Meteorological AdministrationShanghai 200030 China Innovation Center for FengYun Meteorological Satellite(FYSIC) Beijing 100081 China Key Laboratory of Transportation Meteorology of China Meteorological Administration Nanjing Joint Institute for Atmospheric SciencesNanjing 210041 China Key Laboratory of Meteorological Disaster(KLME) Ministry of Education&Collaborative Innovation Center on Forecast and Evaluation of Meteorological Disasters(CICFEMD)Nanjing University of Information Science&TechnologyNanjing 210041 China jiujiang Observatory JiujiangJiangxi 332000 China

Based on the lightning observation data from the Fengyun-4A(FY-4A)Lightning Mapping Imager(FY-4A/LMI)and the Lightning Imaging Sensor(LIS)on the International Space Station(ISS),we extract the“event”type data as the lightning detection *** observations are then compared with the cloud-to-ground(CG)lightning observation data from the China Meteorological *** study focuses on the characteristics of lightning activity in Southeast China,primarily in Jiangxi Province and its adjacent areas,from April to September,2017–*** addition,with the fifth-generation European Centre for Medium-Range Weather Forecasts reanalysis data,we further delved into the potential factors influencing the distribution and variations in lightning activity and their primary related *** findings indicate that the lightning frequency and density of the FY-4A/LMI,ISS-LIS and CG data are higher in southern and central Jiangxi,central Fujian Province,and western and central Guangdong Province,while they tend to be lower in eastern Hunan *** general,the high-value areas of lightning density for the FY-4A/LMI are located in inland mountainous *** lower the latitude is,the higher the CG lightning density ***-value areas of the CG lightning density are more likely to be located in eastern Fujian and southeastern Zhejiang ***,the high-value areas of lightning density for the ISS-LIS are more dispersed,with a scattered distribution in inland mountainous areas and along the coast of eastern ***,the mountainous terrain is closely related to the high-value areas of the lightning *** locations of the high-value areas of the lightning density for the FY-4A/LMI correspond well with those for the CG observations,and the seasonal variations are also *** contrast,the distribution of the high-value areas of the lightning density for the ISS-LIS is more *** positions of the peak frequency of the FY-4A/LMI lightnin

关键词： lightning satellite and ground detections atmospheric background Southeast China

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Hepatocyte growth factor enhances the ability of dental pulp stem cells to ameliorate atherosclerosis in apolipoprotein E-knockout mice

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World Journal of Stem Cells 2024年第5期16卷 575-590页

作者： Han Duan Ning Tao lin Lv Kai-Xin Yan Yong-Gang You Zhuang mao Chang-Yao Wang Xue Li Jia-Yan Jin Chu-Tse Wu Hua Wang School of Life Sciences Hebei UniversityBaoding 071002Hebei ProvinceChina Beijing Institute of Radiation Medicine Beijing 100850China Department of Cardiology The Sixth Medical CentreChinese People’s Liberation Army General HospitalBeijing 100037China Department of Orthopaedics The Fourth Medical CentreChinese People’s Liberation Army General HospitalBeijing 100853China Third Cadet Regiment School of Basic Medical ScienceAir Force Medical UniversityXi’an 710032Shaanxi ProvinceChina

BACKGROUND Atherosclerosis(AS),a chronic inflammatory disease of blood vessels,is a major contributor to cardiovascular *** pulp stem cells(DPSCs)are capable of exerting immunomodulatory and anti-inflammatory effects by secreting cytokines and exosomes and are widely used to treat autoimmune and inflam-mation-related *** growth factor(HGF)is a pleiotropic cytokine that plays a key role in many inflammatory and autoimmune *** To modify DPSCs with HGF(DPSC-HGF)and evaluate the therapeutic effect of DPSC-HGF on AS using an apolipoprotein E-knockout(ApoE-/-)mouse model and an in vitro cellular *** ApoE-/-mice were fed with a high-fat diet(HFD)for 12 wk and injected with DPSC-HGF or Ad-Null modified DPSCs(DPSC-Null)through tail vein at weeks 4,7,and 11,respectively,and the therapeutic efficacy and mechanisms were analyzed by histopathology,flow cytometry,lipid and glucose measurements,real-time reverse transcription polymerase chain reaction(RT-PCR),and enzyme-linked immunosorbent assay at the different time points of the *** in vitro inflammatory cell model was established by using RAW264.7 cells and human aortic endothelial cells(HAOECs),and indirect co-cultured with supernatant of DPSC-Null(DPSC-Null-CM)or DPSC-HGF-CM,and the effect and mechanisms were analyzed by flow cytometry,RT-PCR and western *** factor-κB(NF-κB)activators and inhibitors were also used to validate the related signaling *** DPSC-Null and DPSC-HGF treatments decreased the area of atherosclerotic plaques and reduced the expression of inflammatory factors,and the percentage of macrophages in the aorta,and DPSC-HGF treatment had more pronounced *** treatment had no effect on serum lipoprotein *** FACS results showed that DPSCs treatment reduced the percentages of monocytes,neutrophils,and M1 macrophages in the peripheral blood and ***-Null-CM and DPSC-HGF-CM reduced adhesion molecule expression in tu

关键词： Atherosclerosis Apolipoprotein E-knockout mice Cell therapy Dental pulp stem cells Hepatocyte growth factor

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Non-contact wide-field viewing system-assisted scleral buckling surgery for retinal detachment in silicone oilfilled eyes

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International Journal of Ophthalmology(English edition) 2024年第4期17卷 761-766页

作者： Su-Lan Wu Yi-Qi Chen Li-Jun Shen Jian-Bo mao Li lin Ji-Wei Tao Huan Chen Shi-An Zhang Jia-Feng Yu Chen-Xi Wang Center for Rehabilitation Medicine Department of OphthalmologyZhejiang Provincial People’s HospitalAffiliated People’s HospitalHangzhou Medical CollegeHangzhou 310000Zhejiang ProvinceChina The Affiliated Eye Hospital of Wenzhou Medical University in Hangzhou Hangzhou 310000Zhejiang ProvinceChina

AIM:To evaluate scleral buckling(SB)surgery using a noncontact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil(SO)-filled ***:Totally 9 patients(9 eyes)with retinal detachment in SO-filled eyes were retrospectively *** patients underwent non-contact wide-field viewing system-assisted buckling surgery with 23-gauge intraocular *** was removed at an appropriate time based on *** patients were followed up for at least 3mo after SO *** reattachment,complications,visual acuity and intraocular pressure(IOP)before and after surgery were ***:Patients were followed up for a mean of 8.22mo(3-22mo)after SO *** patients had retinal *** the final follow-up,visual acuity showed improvement for 8 patients,and no change for 1 *** IOP was high in 3 patients before surgery,but it stabilized after treatment;it was not affected in the other *** of the patients had infections,hemorrhage,anterior ischemia,or any other ***:This new non-contact wide-field viewing system-assisted SB surgery with 23-gauge intraocular illumination is effective and safe for retinal detachment in SO-filled eyes.

关键词： non-contact wide-field viewing system scleral buckling silicone oil-filled retinal detachment

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