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Examining the Pathological Diagnostic Impact of Frozen Sections in Breast Cancer 研究冷冻切片对乳腺癌病理诊断的影响
Pub Date : 2023-11-22 DOI: 10.26689/par.v7i6.5369
Ying Shen
Objective: To analyze the diagnostic value of frozen section pathology in the diagnosis of breast cancer. Methods: A total of 50 patients with breast tumors treated between July 2021 and February 2023 were randomly selected as samples. Both paraffin section and frozen section diagnoses were conducted. The paraffin section results served as the gold standard for evaluating the value of frozen section examination. Results: Among the frozen section diagnoses, 48 cases (96.00%) were confirmed, 1 case was misdiagnosed (2.00%), and 1 case was delayed (2.00%). Among the confirmed patients, 45 cases (90.00%) were entirely consistent, and 3 cases (6.00%) were basically consistent. The diagnostic rate of the frozen section was 96.00%, compared with 100.00% for the paraffin section (P > 0.05). The diagnostic time of the frozen section (35.25 ± 2.11 min) was significantly shorter than that for the paraffin section (6911.36 ± 58.36 min; P < 0.05). Conclusion: Frozen section diagnosis is rapid and demonstrates relatively high diagnostic accuracy. It can guide doctors in determining whether to pursue breast-conserving treatment and aid in selecting appropriate surgical methods. This is beneficial for preventing unnecessary medical interventions and reducing the need for secondary surgeries in breast cancer patients.
目的分析冰冻切片病理学在乳腺癌诊断中的诊断价值。方法随机选取 2021 年 7 月至 2023 年 2 月期间接受治疗的 50 例乳腺肿瘤患者作为样本。同时进行石蜡切片和冰冻切片诊断。石蜡切片结果作为评估冰冻切片检查价值的金标准。结果在冰冻切片诊断中,确诊 48 例(96.00%),误诊 1 例(2.00%),延误 1 例(2.00%)。在确诊患者中,45 例(90.00%)完全一致,3 例(6.00%)基本一致。冰冻切片的诊断率为 96.00%,而石蜡切片的诊断率为 100.00%(P > 0.05)。冰冻切片的诊断时间(35.25 ± 2.11 分钟)明显短于石蜡切片(6911.36 ± 58.36 分钟;P < 0.05)。结论冷冻切片诊断速度快,诊断准确率相对较高。它能指导医生决定是否进行保乳治疗,并帮助选择合适的手术方法。这有利于避免不必要的医疗干预,减少乳腺癌患者对二次手术的需求。
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引用次数: 0
Assessing the Clinical Efficacy and Effectiveness of Sentinel Lymph Node Biopsy Combined with Breast-Conserving Surgery for Early-Stage Breast Cancer 评估前哨淋巴结活检结合保乳手术治疗早期乳腺癌的临床效果和有效性
Pub Date : 2023-11-22 DOI: 10.26689/par.v7i6.5649
Jiehou Fan
Objective: To analyze the impact of sentinel lymph node biopsy (SLNB) combined with breast-conserving surgery in the clinical treatment of early-stage breast cancer. Methods: 80 patients with early-stage breast cancer admitted to the Second Department of Breast Surgery at Dezhou Second People’s Hospital from September 2020 to September 2022 were selected and randomly divided into a control group and an observation group using the random number table method, with 40 cases in each group. The control group underwent a modified radical mastectomy, while the observation group underwent SLNB combined with breast-conserving surgery. The surgical efficacy and prognosis between the two groups were compared. Results: The observation group exhibited shorter operation, hospitalization, and extubation times, as well as less intraoperative blood loss and drainage volume, all of which were significantly better than those in the control group (P < 0.05). Additionally, the observation group demonstrated a higher rate of excellent breast cosmetology and quality of life, with lower complication incidence, significantly outperforming the control group (P < 0.05). There was no statistical difference in the metastasis rate and recurrence rate between the two groups (P > 0.05). Conclusion: The combination of SLNB and breast-conserving surgery proves highly effective for patients with early-stage breast cancer, presenting fewer complications and enhancing both breast cosmetic outcomes and quality of life.
目的分析前哨淋巴结活检(SLNB)联合保乳手术对早期乳腺癌临床治疗的影响。方法:选取2020年9月-2022年9月德州市第二人民医院乳腺外科二病区收治的早期乳腺癌患者80例,采用随机数字表法随机分为对照组和观察组,每组40例。对照组行改良根治性乳房切除术,观察组行SLNB联合保乳手术。比较两组的手术疗效和预后。结果观察组的手术时间、住院时间和拔管时间均短于对照组,术中失血量和引流量均少于对照组(P < 0.05)。此外,观察组的乳房美容和生活质量优良率更高,并发症发生率更低,明显优于对照组(P < 0.05)。两组的转移率和复发率无统计学差异(P > 0.05)。结论对于早期乳腺癌患者来说,SLNB 和保乳手术的联合治疗效果显著,并发症较少,可提高乳房美容效果和生活质量。
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引用次数: 0
A Review of Textile Fabrication Using Bioactive Compounds Derived from Natural Products 利用天然产品中提取的生物活性化合物制造纺织品综述
Pub Date : 2023-11-07 DOI: 10.26689/par.v7i6.5162
Deepa Priya R, Aishwarya Lakshmi J, Veena H, K. Shanmugam
Antimicrobial-treated textiles should exhibit efficacy against a broad spectrum of bacterial and fungal species, all while maintaining user safety with a non-toxic profile. Natural antimicrobial compounds play a vital role in textile finishing processes. The proliferation of synthetic antimicrobial agents introduces environmental and consumer safety concerns. Given these potential hazards associated with synthetic agents, the utilization of natural antimicrobial agents is gaining traction, as they tend to have fewer adverse effects on users and are more environmentally sustainable. Numerous natural antimicrobial compounds, sourced from plants such as neem, basil, turmeric, aloe vera, and clove oil, have been developed, showcasing inherent antimicrobial properties. This review article highlights the importance of incorporating bioactive components in the creation of antibacterial textile fabrics.
经过抗菌剂处理的纺织品应能有效抵抗多种细菌和真菌,同时以无毒的特性保证用户的安全。天然抗菌化合物在纺织品整理工艺中发挥着至关重要的作用。合成抗菌剂的扩散带来了环境和消费者安全问题。鉴于合成抗菌剂的这些潜在危害,天然抗菌剂的使用正日益受到重视,因为天然抗菌剂对使用者的不良影响较小,而且在环境上更具可持续性。从印楝、罗勒、姜黄、芦荟和丁香油等植物中提取的大量天然抗菌化合物已被开发出来,显示出固有的抗菌特性。这篇综述文章强调了在制造抗菌纺织品时加入生物活性成分的重要性。
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引用次数: 0
Evaluating the Efficacy of Fecal Occult Blood Test and Tumor Marker Combined Screening for Colorectal Cancer 评价粪便潜血试验与肿瘤标志物联合筛查大肠癌的疗效
Pub Date : 2023-11-07 DOI: 10.26689/par.v7i6.5567
Yuan Yu
Objective: To analyze the screening effectiveness of combining the fecal occult blood test with tumor marker detection for colorectal cancer. Methods: A total of thirty patients with colorectal cancer and thirty patients with benign colon hyperplasia who received treatment from January 2020 to January 2023 were selected. These patients were assigned to the observation group and the control group, respectively. All patients in both groups underwent both fecal occult blood tests and tumor marker detection. The levels of tumor markers between the two groups were compared, the tumor marker levels in different stages were assessed within the observation group, and the positive detection rates for single detection and combined detection were compared. Results: The levels of various tumor markers in the observation group were significantly higher than those in the control group (P < 0.05). Furthermore, as the Duke stage increased within the observation group, the levels of various tumor markers also increased (P < 0.05). The positive detection rate of the combined test was notably higher than that of single detection (P < 0.05). Conclusion: Combining the fecal occult blood test with tumor marker detection in colorectal cancer screening can significantly improve the overall detection rate.
目的:分析粪便潜血检查联合肿瘤标志物检测对大肠癌的筛查效果。方法:选取2020年1月~ 2023年1月收治的30例结直肠癌患者和30例结肠良性增生患者。将患者分别分为观察组和对照组。两组患者均行粪便潜血检查和肿瘤标志物检测。比较两组患者肿瘤标志物水平,评估观察组内不同分期肿瘤标志物水平,比较单次检测与联合检测的阳性率。结果:观察组患者各项肿瘤标志物水平均显著高于对照组(P <0.05)。此外,随着观察组Duke期的延长,各种肿瘤标志物水平也随之升高(P <0.05)。联合检测的阳性检出率显著高于单一检测(P <0.05)。结论:将粪便潜血检查与肿瘤标志物检测相结合用于结直肠癌筛查,可显著提高整体检出率。
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引用次数: 0
Survey on the Status Quo of Emergency Response Capabilities of Public Health Emergencies in Grassroots Disease Control Institutions in a Certain Area 某区基层疾控机构突发公共卫生事件应急能力现状调查
Pub Date : 2023-09-25 DOI: 10.26689/par.v7i5.5309
Zhaohua Jiang
Objective: To survey and study the emergency response capabilities of grassroots disease control institutions in a certain area for public health emergencies, and to put forward suggestions for rectification. Methods: The study was carried out from March 2022 to March 2023. Field surveys, questionnaire surveys, and interviews were used to investigate and analyze the emergency response capabilities of public health emergencies in 5 county Centers for Disease Control and Prevention (CDCs) in the region. Results: Through the survey, it was found that the professional level of the existing emergency team personnel of the grassroots disease control institutions in this region needs to be improved. There was an overall lack of emergency plans, and the compliance rate of the equipment, inspection, and testing items was low. The health emergency system of the CDCs in the region and the ability of the talent team need to be further improved. Conclusion: The emergency response capacity of grassroots disease control institutions in this region needs to be improved. For this reason, government departments need to increase investment and strengthen the construction of talent teams and hardware settings, and grassroots disease control institutions need to strengthen the construction of the public health emergency system to improve the ability to respond to public health emergencies.
目的:调查研究某地区基层疾控机构应对突发公共卫生事件的应急能力,提出整改建议。方法:研究时间为2022年03月~ 2023年03月。采用实地调查、问卷调查和访谈等方法,对该地区5个县疾病预防控制中心突发公共卫生事件应急响应能力进行调查分析。结果:通过调查发现,该地区基层疾控机构现有应急班组人员的专业水平有待提高。整体缺乏应急预案,设备、检验、检测项目符合率低。区域内疾控中心的卫生应急体系和人才队伍的能力有待进一步提高。结论:该地区基层疾控机构应急能力有待提高。为此,政府部门需要加大投入,加强人才队伍建设和硬件设置,基层疾控机构需要加强公共卫生应急体系建设,提高应对突发公共卫生事件的能力。
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引用次数: 0
Comparison of the Effects of L-asparaginase and Pegaspargase in the Treatment of Adult Acute Lymphoblastic Leukemia l -天冬酰胺酶与Pegaspargase治疗成人急性淋巴细胞白血病的疗效比较
Pub Date : 2023-09-25 DOI: 10.26689/par.v7i5.5157
Limin Hou, Lan Li
Objective: To compare the effect of L-asparaginase and pegaspargase in the treatment of adult acute lymphoblastic leukemia. Methods: In this study, 96 patients who received treatment at the Shaanxi Provincial People’s Hospital from April 2019 to April 2021 were selected. The control group received L-asparaginase treatment, and the observation group received pegaspargase treatment. The curative effect and adverse reaction rate were compared between the two groups. Results: Comparing the experimental statistical results of the observation and the control groups, it can be concluded that the effect of the former group is better than that of the latter group in terms of clinical curative effect and statistics of adverse reactions. Conclusion: In the treatment of adult acute lymphoblastic leukemia, the application of pegaspargase therapy has a significantly better clinical effect and is worthy of further promotion.
目的:比较l -天冬酰胺酶与天门冬酰胺酶治疗成人急性淋巴细胞白血病的疗效。方法:选取2019年4月至2021年4月在陕西省人民医院就诊的96例患者为研究对象。对照组给予l -天冬酰胺酶治疗,观察组给予天门冬酰胺酶治疗。比较两组患者的疗效和不良反应发生率。结果:将观察组与对照组的实验统计结果进行比较,得出观察组在临床疗效及不良反应统计方面均优于对照组的结论。结论:应用pegaspargase治疗成人急性淋巴细胞白血病临床疗效明显较好,值得进一步推广。
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引用次数: 0
Current Status and Clinical Research Progress of Immunotherapy for Advanced Gastric Cancer 晚期胃癌免疫治疗现状及临床研究进展
Pub Date : 2023-09-25 DOI: 10.26689/par.v7i5.5245
Jiaxin Wang
Advanced gastric cancer is a common digestive system tumor, and its treatment has always been a difficult problem. In recent years, with the rapid development of immunotherapy, the treatment effect of advanced gastric cancer has been significantly improved. This article introduces the current status and clinical research progress of immune checkpoint inhibitors in advanced gastric cancer. Commonly used immunotherapy methods include chemical drug therapy, biological therapy, and gene therapy, among which the immune checkpoint inhibitors are currently one of the most popular immunotherapy methods, including nivolumab, pembrolizumab, and atezolizumab, which target programmed death ligand 1 (PD-L1) low expression (1%–49%) and PD-L1 high expression (≥50%). The results of clinical studies have shown that immunotherapy can significantly prolong the survival of patients with advanced gastric cancer while having lower toxic side effects and better tolerance. However, immunotherapy also has some problems, such as drug resistance and repeated infection. Future research directions include exploring new immunotherapy methods, combination therapy, and individualized therapy.
晚期胃癌是一种常见的消化系统肿瘤,其治疗一直是一个难题。近年来,随着免疫疗法的快速发展,晚期胃癌的治疗效果显著提高。本文介绍了免疫检查点抑制剂在晚期胃癌中的应用现状及临床研究进展。常用的免疫治疗方法包括化学药物治疗、生物治疗和基因治疗,其中免疫检查点抑制剂是目前最流行的免疫治疗方法之一,包括纳武单抗、派姆单抗和阿特唑单抗,靶向程序性死亡配体1 (PD-L1)低表达(1%-49%)和高表达(≥50%)。临床研究结果表明,免疫治疗可以显著延长晚期胃癌患者的生存期,同时毒副作用更小,耐受性更好。然而,免疫治疗也存在一些问题,如耐药和反复感染。未来的研究方向包括探索新的免疫治疗方法、联合治疗和个体化治疗。
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引用次数: 0
Impact of Sarcopenia on Prognosis in Frail Elderly Patients with Chronic Kidney Disease 骨骼肌减少症对老年虚弱慢性肾病患者预后的影响
Pub Date : 2023-09-25 DOI: 10.26689/par.v7i5.5261
Lei Ran, Lei Wang, Tingting Cai
Objective: To investigate the impact of sarcopenia on the prognosis of frail elderly patients with chronic kidney disease. Methods: A total of 98 elderly frail patients with chronic kidney disease were included in this study from June 2020 to July 2022. The patients were randomly divided into a study group of 48 cases and a control group of 50 cases. The control group only received conventional treatment for chronic kidney disease. On the basis of conventional treatment for chronic kidney disease, the study group added sarcopenia intervention treatment. The quality-of-life scores, muscle mass and muscle strength, renal function, and incidence of complications of the two groups were observed and analyzed. Results: The quality-of-life score, muscle mass and muscle strength, and renal function of the study group were significantly better than those of the control group (P < 0.05); the incidence of complications in the study group was 12.5%, which was significantly lower than that of the control group 36% of the group (P < 0.05). Conclusion: There is a close relationship between sarcopenia and frail elderly patients with chronic kidney disease. Sarcopenia will further aggravate the frailty symptoms and increase the risk of complications in elderly patients with chronic kidney disease. For elderly patients with chronic kidney disease, sarcopenia should be screened and intervened as early as possible to improve the prognosis and quality of life of the patients.
目的:探讨老年体弱慢性肾病患者肌肉减少症对预后的影响。方法:2020年6月至2022年7月共纳入98例老年体弱慢性肾脏疾病患者。将患者随机分为研究组48例,对照组50例。对照组仅接受慢性肾病常规治疗。研究组在常规治疗慢性肾脏疾病的基础上,增加肌少症干预治疗。观察分析两组患者的生活质量评分、肌量、肌力、肾功能、并发症发生率。结果:研究组患者的生活质量评分、肌量、肌力、肾功能均显著优于对照组(P <0.05);研究组并发症发生率为12.5%,明显低于对照组的36% (P <0.05)。结论:骨骼肌减少症与老年虚弱慢性肾病患者有密切关系。老年慢性肾病患者骨骼肌减少症会进一步加重虚弱症状,增加并发症的发生风险。对于老年慢性肾病患者,应尽早筛查和干预肌肉减少症,以改善患者的预后和生活质量。
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引用次数: 0
Adverse Effects and Intervention of Frailty on Elderly Cancer Patients 老年癌症患者虚弱的不良反应及干预措施
Pub Date : 2023-09-25 DOI: 10.26689/par.v7i5.5394
Tingting Li, Jia Feng, Qian Sun, Yanhong Shang, Youchao Jia, Kebin Zheng, Ce Wang, Jing Li, Yanling Li
Purpose: To study the adverse effects of frailty on elderly cancer patients and explore effective interventions. Methods: The convenience sampling method was used to select 362 elderly cancer patients who were consecutively admitted to the Oncology Department of the Affiliated Hospital of Hebei University from April 2020 to March 2021. The patients had five physical dimensions of activity tested and were divided into a frail group (n = 128) and a non-frail group (n = 234) based on the test results. The Chinese version of the Vulnerable Elders Questionnaire was formed on the basis of the Vulnerable Elders Survey-13 (VES-13). The two groups of patients were surveyed within three days of admission. The questionnaire includes general information (age, gender, education level, marital status, monthly income, living area, smoking, and alcohol history, hearing, vision, and sleep status), Geriatric Depression Scale (GDS), Mini Nutritional Assessment (MNA), Mini-Mental State Examination (MMSE), and Charlson Comorbidity Index (CCI). Results: (1) By comparing the general information of the two groups of patients, it was found that the gender, education level, marital status, living area, and history of tobacco and alcohol had no statistical significance (P > 0.05). In contrast, the frail group’s age, hearing status, vision status, and sleep status are significantly worse than those of the non-frail group (P < 0.05); (2) Analysis of Vulnerable Elderly Questionnaire results found that the GDS scores in the frail group were higher than those in the non-frail group, and the MNA and MMSE scores were lower than those in the non-frail group (P < 0.05). This indicated that the patients in the frail group had more severe depression, poor nutritional status, and specific impairments in cognitive function. Conclusion: Frailty adversely affects elderly cancer patients, and effective measures should be taken to intervene.
目的:研究衰弱对老年癌症患者的不良影响,探讨有效的干预措施。方法:采用方便抽样方法,选取2020年4月至2021年3月河北大学附属医院肿瘤科连续住院的老年癌症患者362例。对患者进行5项身体活动维度测试,根据测试结果将患者分为体弱组(128例)和非体弱组(234例)。《弱势长者问卷》中文版是在《弱势长者调查-13》的基础上编制而成。两组患者在入院后三天内接受调查。问卷内容包括一般信息(年龄、性别、受教育程度、婚姻状况、月收入、居住面积、烟酒史、听力、视力、睡眠状况)、老年抑郁量表(GDS)、迷你营养评估(MNA)、迷你精神状态检查(MMSE)、Charlson共病指数(CCI)。结果:(1)两组患者一般资料比较,性别、文化程度、婚姻状况、居住区域、烟酒史等差异无统计学意义(P >0.05)。相比之下,体弱组的年龄、听力状况、视力状况和睡眠状况均明显差于非体弱组(P <0.05);(2)弱势老年人问卷结果分析发现,体弱多病组的GDS评分高于非体弱多病组,MNA和MMSE评分低于非体弱多病组(P <0.05)。这表明体弱组患者抑郁更严重,营养状况较差,认知功能有特异性障碍。结论:虚弱对老年癌症患者有不良影响,应采取有效措施进行干预。
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引用次数: 0
Screening of Antiviral Efficacy of Few Seaweeds of Tamil Nadu Coast 泰米尔纳德邦海岸几种海藻抗病毒效果的筛选
Pub Date : 2023-09-25 DOI: 10.26689/par.v7i5.5161
Saranya N, Sri Abarajitha R, Anandhasayanan T, Jaivignesh D, Mugunthan B, Yuvaraj Dinakarkumar, Kirubanandan Shanmugam
Lately there has been a lot of interest worldwide in studies on the antiviral activities of marine natural secondary metabolites, notably marine polysaccharides. It has been established that polysaccharides made from marine sources and their derivatives have antiviral effects against potent viruses. Agricultural, biological, food, and pharmaceutical industries all make extensive use of goods obtained from algae. The most well-known chemical components found in algae are polysaccharides, which have been the subject of a variety of studies because of their varied bioactivities. Polysaccharides made from algae have recently risen to the top of pharmaceutical research due to their fascinating antiviral potential. Currently, COVID-19 can be prevented with vaccination, but the brown alga Sargassum wightii has several bioactive compounds that have the following qualities and may be a better option. S. wightii is one of the marine algae species that is rich in sulfated polysaccharides, the secondary metabolites which have antiviral action and the capacity to prevent viral proliferation. Fucoidan, a long-chain sulfated polysaccharide found in various brown algae, has potent antiviral effects. Additionally, sulfated polysaccharides from green algae (such as ulvans) and red algae (such as carrageenan), and lectins from red algae (such as griffithsin) have antiviral therapeutic agents against coronaviruses and other viruses. This research focuses on screening seaweeds for possible antiviral compounds to treat viral infections notably COVID-19.
近年来,以海洋多糖为代表的海洋天然次生代谢物的抗病毒活性研究受到了广泛的关注。研究表明,海洋多糖及其衍生物对强效病毒具有抗病毒作用。农业、生物、食品和制药行业都广泛使用从藻类中获得的产品。在藻类中发现的最著名的化学成分是多糖,由于其多种生物活性,多糖一直是各种研究的主题。从藻类中提取的多糖由于其令人着迷的抗病毒潜力,最近已上升到制药研究的顶端。目前,COVID-19可以通过接种疫苗来预防,但褐藻马尾藻含有几种生物活性化合物,具有以下特性,可能是更好的选择。双歧藻是一种富含硫酸多糖的海藻,其次生代谢产物具有抗病毒作用和抑制病毒增殖的能力。岩藻聚糖是一种在各种褐藻中发现的长链硫酸酸化多糖,具有有效的抗病毒作用。此外,来自绿藻(如紫藻)和红藻(如卡拉胶)的硫酸酸化多糖,以及来自红藻的凝集素(如格里菲斯素)具有抗冠状病毒和其他病毒的抗病毒治疗剂。本研究的重点是筛选海藻中可能的抗病毒化合物,以治疗病毒感染,特别是COVID-19。
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引用次数: 0
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Proceedings of Anticancer Research
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