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Effect of inflammatory response on joint function after hip fracture in elderly patients:A clinical study

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World Journal of Orthopedics 2024年第4期15卷 337-345页

作者： Jia-Ming Wang Yu-Tao Pan Chen-Song Yang Ming-Chong Liu Sheng-Chao Ji Ning Han Fang Liu Gui-Xin sun Department of Traumatic Surgery Shanghai East HospitalSchool of MedicineTongji UniversityShanghai 200092China

BACKGROUND Excellent hip joint function facilitates limb recovery and improves the quality of *** study aimed to investigate the potential risk factors affecting postoperative joint functional activity and outcomes in elderly hip fractures patients and to provide evidence for patient rehabilitation and clinical *** To explore the relationship between inflammatory factors and hip function and the interaction between inflammation and health after hip fracture in elderly *** The elderly patients who had hip fracture surgery at our hospital between January 1,2021,and December 31,2022 were chosen for this retrospective clinical *** with excellent and fair postoperative hip function had their clinical information and characteristics gathered and ***,gender,fracture site,surgical technique,laboratory indices,and other variables that could have an impact on postoperative joint function were all included in a univariate *** further identify independent risk factors affecting postoperative joint function in hip fractures,risk factors that showed statistical significance in the univariate analysis were then included in a multiple logistic regression *** addition to this,we also compared other outcome variables such as visual analogue scale and length of hospital stay between the two *** A total of 119 elderly patients with hip fractures were included in this study,of whom 37 were male and 82 were *** results of univariate logistic regression analysis after excluding the interaction of various factors showed that there was a statistically significant difference in interleukin(il)-6,il-8,il-10,C-reactive protein(CRP),and complement C1q(C1q)between the fair and excellent joint function groups(Pil-6>20 pg/mL[Odds ratio(OR)3.070,95%CI:1.243-7.579],il-8>21.4 pg/mL(OR 3.827,95%CI:1.498-9.773),CRP>10 mg/L(OR 2.142,95%CI:1.

关键词： Hip function Fracture Inflammatory factors Risk factors Prevention

奥曲肽联合乌司他丁治疗急性胰腺炎患者的临床研究

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中国临床药理学杂志 2024年第18期40卷 2650-2654页

作者：孙瑜婧厦门大学附属中山医院急诊部福建厦门361004

目的观察奥曲肽联合乌司他丁对急性胰腺炎(AP)患者血液流变学、血清炎症因子及血清可溶性肿瘤坏死因子受体(sTNF-R)水平的影响。方法将AP患者分为对照组与试验组。对照组接受醋酸奥曲肽注射液静脉滴注0.3mg,bid,试验组在对照组治疗的基... 详细信息

目的观察奥曲肽联合乌司他丁对急性胰腺炎(AP)患者血液流变学、血清炎症因子及血清可溶性肿瘤坏死因子受体(sTNF-R)水平的影响。方法将AP患者分为对照组与试验组。对照组接受醋酸奥曲肽注射液静脉滴注0.3mg,bid,试验组在对照组治疗的基础上给予注射用乌司他丁1.0×10^(5)U,bid。比较2组患者临床疗效、腹痛缓解时间、首次排便时间、胃肠减压时间及住院时间、血液流变学(全血高切黏度、血浆比黏度、血小板黏附率)、血清炎症因子[C反应蛋白(CRP)、肿瘤坏死因子α(TNF-α)、白细胞介素-2(il-2)、白细胞介素-6(il-6)、白细胞介素-8(il-8)]及sTNF-R水平,并进行安全性评价。结果试验组与对照组均纳入40例。治疗后,试验组和对照组的总有效率分别为85.00%(34例/40例)和65.00%(26例/40例),在统计学上差异有统计学意义(Pil-2分别为(28.69±4.76)和(40.08±6.74)pg·mL^(-1),il-6分别为(43.06±11.02)和(50.58±13.67)pg·mL^(-1),il-8分别为(80.13±22.66)和(94.65±26.05)pg·mL^(-1),sTNF-R分别为(1.12±0.14)和(1.46±0.20)ng·mL^(-1),在统计学上差异均有统计学意义(均P0.05)。结论奥曲肽联合乌司他丁治疗能有效改善AP患者血液流变学、血清炎症因子及sTNF-R水平。

关键词：醋酸奥曲肽注射液注射用乌司他丁急性胰腺炎临床疗效血清炎症因子血清可溶性肿瘤坏死因子受体血液流变学

miR-410-3p通过靶向YAP1调节il-22诱导的人角质形成细胞增殖和凋亡

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中国免疫学杂志 2024年第2期40卷 261-265,272页

作者：孙敏任虹连云港市第一人民医院皮肤科连云港222000

目的:探究miR-410-3p在银屑病中的表达及其对角质形成细胞增殖和凋亡的影响及机制。方法:收集12例寻常型银屑病患者和12例健康志愿者空腹静脉血,qRT-PCR检测血清miR-410-3p表达。将常规培养的人角质形成细胞HaCaT分为:对照组、il-22组、... 详细信息

目的:探究miR-410-3p在银屑病中的表达及其对角质形成细胞增殖和凋亡的影响及机制。方法:收集12例寻常型银屑病患者和12例健康志愿者空腹静脉血,qRT-PCR检测血清miR-410-3p表达。将常规培养的人角质形成细胞HaCaT分为:对照组、il-22组、miR-NC组和miR-410-3p组。后3组使用100 ng/ml il-22刺激24 h,体外建立银屑病模型。miRNC组和miR-410-3p组加入il-22前48 h分别转染miR-NC和miR-410-3p,对照组不进行任何处理。CCK-8分析细胞活力,BrdU检测细胞增殖,流式细胞术检测细胞凋亡,qRT-PCR检测miR-410-3p和YAP1 mRNA表达,Western blot分析YAP1蛋白表达。Starbase软件和双荧光素酶报告基因分析miR-410-3p和YAP1的靶向关系。转染miR-410-3p的HaCaT银屑病细胞模型中同时过表达YAP1,检测细胞活力和凋亡。结果:miR-410-3p在银屑病患者血清中的表达显著低于健康志愿者(Pil-22组miR-410-3p表达降低,YAP1 mRNA和蛋白表达增加,细胞活力增强,BrdU阳性细胞增多,凋亡率降低(均Pil-22组相比,miR-410-3p组miR-410-3p表达增加,YAP1 mRNA和蛋白表达减少,细胞活力减弱,BrdU阳性细胞减少,凋亡率升高(均Pil-22诱导的HaCaT细胞增殖和凋亡的影响。结论:miR-410-3p在银屑病患者中表达减少,上调其表达可通过靶向YAP1抑制il-22诱导的角质形成细胞增殖,促进细胞凋亡。

关键词： miR-410-3p 银屑病角质形成细胞增殖凋亡 YAP1

Usefulness of magnifying endoscopy in post-endoscopic resection scar for early gastric neoplasm:A prospective short-term follow-up endoscopy study

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World Journal of Gastroenterology 2009年第3期15卷 349-355页

作者： Tae Hoon Lee il-Kwun chung Ji-Young Park Chang Kyun Lee Suck-Ho Lee Hong Soo Kim Sang-Heum Park sun-Joo Kim Hyun-Deuk Cho Young Hwangbo Division of Gastroenterology Department of Internal MedicineSoonchunhyang University College of MedicineCheonan Hospital23-20 Bongmyung-dongCheonan330-721South Korea Department of Pathology Soonchunhyang University College of MedicineCheonan Hospital23-20 Bongmyung-dongCheonan330-721South Korea Department of Preventive Medicine Soonchunhyang University College of MedicineCheonan Hospital23-20 Bongmyung-dongCheonan330-721South Korea

AIM： To investigate the relationship between postendoscopic resection （ER） scars on magnifying endoscopy （ME） and the pathological diagnosis in order to validate the clinical significance of ME. METHODS： From January, 2007 to June, 2008, 124 patients with 129 post-ER scar lesions were enrolled. Mucosal pit patterns on ME were compared with conventional endoscopy （CE） findings and histological results obtained from targeted biopsies. RESULTS： CE findings showed nodular scars （53/129）, erythematous scars （85/129）, and ulcerative scars （4/129）. The post-ER scars were classified into four pit patterns of sulci and ridges on ME：（ Ⅰ ） 47 round; （Ⅱ） 54 short rod or tubular; （Ⅲ） 19 branched or gyrus-like;and （Ⅳ） 9 destroyed pits. Sensitivity and specificity were 88.9% and 62.5%, respectively, by the presence of nodularity on CE. Erythematous lesions were high sensitivity （100%）, but specificity was as low as 36.7%. The range of the positive predictive va ue （PPV） on CE was as low as 10.6%-25%. Nine type N pit patterns were diagnosed as tumor lesions, and 120 cases of type Ⅰ-Ⅲ pit patterns revealed non-neoplastic lesions. Thus, the sensitivity, specificity, and the PPV of ME were 100%. CONCLUSION： ME findings can detect the presence of tumor in post-ER scar lesions, and make evident the biopsy target site in short-term follow-up. Further large-scale and long-term studies are needed to determine whether ME can replace endoscopic biopsy.

关键词： Endoscopic mucosal resection Endoscopic submucosal dissection Magnifying endoscopy Pitpattern Scar

Automatic Discontinuity Classification of Wind-turbine Blades Using A-scan-based Convolutional Neural Network

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Journal of Modern Power Systems and Clean Energy 2021年第1期9卷 210-218页

作者： Jiyeon Choung sun Lim Seung Hwan Lim Su chung Chi Mun Ho Nam Korea Electronics Technology Institute 401-402Bucheon Technopark655Pyeongcheon-roWonmi-guBucheon-siGyeonggi-do 14502Korea Sam Yong Inspection Engineering Co.Ltd.

Recent development trends in wind power generation have increased the importance of the safe operation of wind-turbine blades(WTBs). To realize this objective, it is essential to inspect WTBs for any defects before they are placed into operation. However, conventional methods of fault inspection in WTBs can be rather difficult to implement, since complex curvatures that characterize the WTB structures must ensure accurate and reliable inspection. Moreover, it is considered useful if inspection results can be objectively and consistently classified and analyzed by an automated system and not by the subjective judgment of an inspector. To address this concern,the construction of a pressure-and shape-adaptive phased-array ultrasonic testing platform, which is controlled by a nanoengine operation system to inspect WTBs for internal defects, has been presented in this paper. An automatic classifier has been designed to detect discontinuities in WTBs by using an A-scanimaging-based convolutional neural network(CNN). The proposed CNN classifier design demonstrates a classification accuracy of nearly 99%. Results of the study demonstrate that the proposed CNN classifier is capable of automatically classifying the discontinuities of WTB with high accuracy, all of which could be considered as defect candidates.

关键词： Wind-turbine blade(WTB) blade inspection platform convolutional neural network(CNN) discontinuity phased-array ultrasonic testing(PAUT) A-scan

Effects of probiotics， prebiotics and synbiotics supplementation on cardiovascular risk factors in patients with type 2 diabetes mellitus: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials

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Food Science and Human Wellness 2024年

作者： Yanyan Tian Jiayue Xia Lihua Li Ligang Yang Hua Xiao Guoping Gao Yuanyuan Wang Chen Zhang Tiange Bu Guiju sun Department of Nutritional Sciences， University of Toronto Key Laboratory of Environmental Medicine and Engineering of Ministry of Education， Department of Nutrition and Food Hygiene， School of Public Health， Southeast University Lianshui People's Hospital Affiliated to Kangda College of Nanjing Medical University Gong'an County People's Hospital

A systematic review and meta-analysis study was conducted to assess the effectiveness of probiotic/prebiotic/synbiotic supplementation on the effects of cardiovascular risk factors in patients with type 2 diabetes mellitus (T2DM) based on data from randomized controlled trials (RCTs). We searched electronic databases including PubMed， Cochrane Library， Embase， and Web of Science to identify clinical trials published up to 31 March 2023. Data was pooled using a random-effects model if significant heterogeneity (I2> 50%)， otherwise use a fixed-effects model. Fifty-six trials that included 3 317 patients were enrolled for analysis. Meta-analysis reported that probiotic/prebiotic/synbiotic supplementation significantly reduced systolic blood pressure (SBP) (weighted mean difference (WMD): -3.57 mmHg， 95% confidence interval (CI): -5.36， -1.78; P = 0.000)， diastolic blood pressure (DBP) (WMD: -2.05 mmHg， 95% CI: -3.07， -1.04; P = 0.000)， triglycerides (TG) (WMD: -16.10 mg/dL， 95% CI: -20.16， -12.05; P = 0.000)， total cholesterol (TC) (WMD: -14.00 mg/dL， 95% CI: -20.46， -7.55; P = 0.000)， low-density lipoprotein cholesterol (LDL-C) (WMD: -7.03 mg/dL， 95% CI: -9.25， -4.81; P = 0.000)， fasting plasma glucose (FPG) (WMD: -16.57 mg/dL， 95% CI: -20.39， -12.74; P = 0.000)， hemoglobin A1c (HbA1c) (WMD: -0.44%， 95% CI: -0.68， -0.20; P = 0.000)， insulin (standardized mean difference (SMD): -0.37， 95% CI: -0.53， -0.21; P = 0.000)， homeostatic model assessment of insulin resistance (HOMA-IR) (WMD: -1.05， 95% CI: -1.56， -0.54; P = 0.000)， C-reactive protein (CRP) (SMD: -0.35， 95% CI: -0.57， -0.13; P = 0.002)， tumor necrosis factor-α (TNF-α) (SMD: -1.07， 95% CI: -1.57， -0.56; P = 0.000)， interleukin-6 (il-6) (SMD: -0.37 ， 95% CI: -0.61， -0.13; P = 0.003) levels， they also increased the high-density lipoprotein cholesterol (HDL-C) (WMD: 3.70 mg/dL， 95% CI: 1.80， 5.60; P = 0.000) levels in T2DM patients， as compared to the placebo groups. This meta-analysis supports the use of probiotic

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Effect of Some Metal Ion Dopants on Electrochemical Properties of Ni(OH)_2 Film Electrode

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Chemical Research in Chinese Universities 2003年第4期19卷 494-498页

作者： ZHANG Heng-bin LIU Han-san CAO Xue-jing sun Chia-chung College of Chemistry State Key Laboratory of Theoretical and Computational ChemistryInstitute of Theoretical ChemistryJilin UniversityChangchun 130023P.R.China

The Ni(OH) 2 film electrodes doped respectively with alkali-earth metal aluminum, lead, partial transition metal and some rare-earth metal(altogether 17 kinds of metals) ions were prepared by cathode electrodeposition. The electrode reaction reversibility, the difficult extent of oxygen evolution, the proton diffusion coefficient, the discharge potential of middle value and the active material utilization of the Ni(OH) 2 film electrode were compared with those of the ones doped with the metal ions by means of cyclic voltammetry, potential step and constant current charge-discharge experiments. It was found that Ca 2+ , Co 2+ , Cd 2+ , Al 3+ etc. have obviously positive effect.

关键词： Film electrode Electrochemical properties Metal ion dopant

Clinical Efficacy and Safety of Miniscalpel-Needle Treatment for Tension-Type Headache:A Systematic Review and Meta-Analysis

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Chinese Journal of Integrative Medicine 2020年第9期26卷 713-720页

作者： Chan-Young Kwon Sang-Hoon Yoon sun-Yong chung Jong Woo Kim Department of Clinical Korean Medicine Graduate SchoolKyung Hee U niversitySeoul(02447)Republic of Korea chung-Yeon Central Institute Gwang-juRepublic of Korea Department of Oriental Neuropsychiatry Kyung Hee University Hospital at GangdongSeoul(02447)Republic of Korea

Objective:To investigate the clinical efficacy and safety of miniscalpel-needle(MSN)treatment for tension-type headache(TTH).Method:Seven medical databases were searched to identify randomized controlled trials(RCTs)evaluating the effect and safety of MSN *** articles published up to November 15,2018 were retrieved.A meta-analysis was conducted for the included studies,and the risk of bias was *** outcomes were visual analogue scale(VAS)or numeric rating scale(NRS)*** outcomes were clinical effective rates including total effective rate(TER),markedly effective rate(MER),and totally cured rate(TCR)determined by improvement in clinical symptoms or VAS scores,the frequency of adverse events(AEs)that occurred during the study,and participant quality of life(QOL).Results:Seven RCTs involving 724 participants were *** treatment showed significantly higher MER and TCR[relative risk(RR)1.27,95%confidence interval(Cl)1.01 to 1.61;RR 1.31,95%Cl 1.09 to 1.57,respectively],but not TER(RR 1.03,95%Cl 0.96 to 1.10)compared to *** treatment plus conventional treatment showed significant lower VAS and higher TER,MER,and TCR(mean difference-3.54,95%Cl-3.80 to-3.28;RR 1.14,95%Cl 1.06 to 1.23;RR 2.31,95%Cl 1.50 to 3.58;RR 3.01,95%Cl 2.25 to 4.02,respectively)compared to conventional ***:According to current evidence,MSN treatment as a monotherapy or as an adjunctive treatment to other existing treatments might have benefits on treating ***,since the number and the sample size of studies included were both small and the methodological quality was poor,the findings of this review should be interpreted with great caution,and our confidence in the results is low.A high quality RCT using objective outcomes should be performed on this topic.

关键词： acupuncture acupotomy tension-type headache systematic review meta-analysis

Laparoscopic resection of an adrenal pseudocyst mimicking a retroperitoneal mucinous cystic neoplasm

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World Journal of Gastroenterology 2009年第23期15卷 2923-2926页

作者： Bum-Soo Kim sun-Hyung Joo sung-il Choi Jeong-Yoon Song Division of Hepatobiliary Surgery Department of Surgery Kyung Hee University College of Medicine and East-West Neo Medical Center 149 Sangil-dong Gangdong-gu Seoul 134-727 South Korea

Adrenal pseudocysts are rare cystic masses that arise within the adrenal gland and are usually non-functional and asymptomatic. Adrenal pseudocysts consist of a fibrous wall without a cellular lining. We report a patient with a 9 cm, left-sided suprarenal cystic mass who presented with abdominal discomfort of 2 years＇ duration. A 38-year-old woman was referred to our service for evaluation of abdominal discomfort and gastrointestinal symptoms. Routine laboratory tests were within normal limits. An abdominal computed tomography scan showed a 9 cm × 8 cm × 8 cm well-defined cystic lesion displacing the left kidney. Magnetic resonance imaging showed a cystic lesion with low signal intensity on the Tl-weighted image and high signal intensity on the T2-weighted image. A laparoscopic left adrenalectomy was performed to diagnose the lesion. The final pathology showed an adrenal pseudocyst without a cellular lining. The patient had no postoperative complications and she was discharged four days after surgery.

关键词： Adrenal gland Pseudocyst Laparoscopy Adrenalectomy