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Author Correction: Generalization to d-dimensions of a fermionic path integral for exact enumeration of polygons on hypercubic lattices. 作者更正:用于精确枚举超立方晶格上多边形的费米子路径积分的 d 维广义化
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-77745-4
M Ostilli, G W C Rocha, C G Bezerra, G M Viswanathan
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引用次数: 0
Overexpression of SlATG8f gene enhanced autophagy and pollen protection in tomato under heat stress. 过表达 SlATG8f 基因可提高番茄在热胁迫下的自噬能力和花粉保护能力。
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-77491-7
Liu Song, Cen Wen, Zhuo He, Xingxue Zha, Qunmei Cheng, Wen Xu

Autophagy is a mechanism for the degradation of cellular components in eukaryotes and plays a critical role in plant responses to abiotic stress. As a core member of the autophagy process, ATG8's role in how plants respond to heat stress remains unclear. To investigate the response of the tomato autophagy core member ATG8f to heat stress, we studied the key gene ATG8f and generated tomato lines overexpressing SlATG8f using the recombinant expression vector pBWA(V)HS. We observed that under heat stress, SlATG8f overexpression (OE) plants exhibited decreased heat tolerance compared to wild-type (WT) plants. Specifically, OE plants showed increased relative electrolyte leakage, reduced soluble solid content, elevated chlorophyll content, and higher autophagosome numbers, with less damage to chloroplasts and mitochondria. Additionally, expression of some ATG8 family genes and heat shock protein-related genes was upregulated. Moreover, SlATG8f overexpressing plants had higher pollen vitality and more intact pollen morphology. These results suggest that while SlATG8f overexpression renders plants more sensitive to heat, it helps mitigate high-temperature damage to tomato pollen by maintaining chloroplast integrity and interacting with heat shock proteins to respond to heat stress.

自噬是真核生物降解细胞成分的一种机制,在植物应对非生物胁迫的过程中起着至关重要的作用。作为自噬过程的核心成员,ATG8 在植物如何应对热胁迫中的作用仍不清楚。为了研究番茄自噬核心成员ATG8f对热胁迫的响应,我们研究了关键基因ATG8f,并利用重组表达载体pBWA(V)HS产生了过表达SlATG8f的番茄品系。我们观察到,在热胁迫下,SlATG8f 过表达(OE)植株的耐热性比野生型(WT)植株低。具体来说,OE 植物表现出相对电解质渗漏增加、可溶性固形物含量降低、叶绿素含量升高和自噬体数量增加,而叶绿体和线粒体的损伤较小。此外,一些 ATG8 家族基因和热休克蛋白相关基因的表达上调。此外,过表达 SlATG8f 的植株花粉活力更高,花粉形态更完整。这些结果表明,虽然SlATG8f的过表达会使植物对热更敏感,但它通过维持叶绿体的完整性以及与热休克蛋白相互作用来应对热胁迫,有助于减轻高温对番茄花粉的损害。
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引用次数: 0
Cardiovascular reactivity during conversations about discrimination is buffered by social support among U.S. Latines. 美国拉丁人在谈论歧视问题时的心血管反应会受到社会支持的缓冲。
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-76795-y
Hannah I Volpert-Esmond, Jessica R Bray, Samantha M Pages, Chad Danyluck

Racial discrimination is conceptualized as an acute and chronic stressor. Like other acute stressors, lab-based studies demonstrate acute effects of discrimination-related stressors on stress-related cardiovascular outcomes, including total cardiac output, blood pressure, and indices of sympathetic and parasympathetic nervous system activity. Critically, it is important to understand how individual and social factors buffer the experience of race-related acute stress. The current study extends existing work by measuring cardiovascular indices of stress during conversations about racial/ethnic discrimination and examines the moderating role of social support. Latine/Hispanic participants (N = 97) talked about personal discrimination experiences with either a close other or a research assistant they had never previously met. Participants in both conditions exhibited cardiovascular reactivity indicative of stress during the conversation. Additionally, patterns of reactivity reflected a more adaptive stress response and recovery profile when participants talked about discriminatory experiences with a close other relative to a stranger (less parasympathetic withdrawal during the stressor and more parasympathetic rebound during recovery). These patterns are consistent with a stress buffering account of social support, which suggests social bonds and community-level support are critical to consider in interventions to mitigate the harms of experiencing discrimination and prevent chronic health disparities.

种族歧视被视为一种急性和慢性压力源。与其他急性压力源一样,基于实验室的研究表明,与歧视相关的压力源会对与压力相关的心血管结果产生急性影响,包括总心输出量、血压以及交感和副交感神经系统活动指数。关键是要了解个人和社会因素如何缓冲与种族有关的急性压力体验。本研究对现有研究进行了扩展,测量了在有关种族/民族歧视的谈话中的心血管压力指数,并研究了社会支持的调节作用。拉丁/西班牙裔参与者(N = 97)与一位关系密切的人或一位从未谋面的研究助理谈论了个人受歧视的经历。在谈话过程中,两种情况下的参与者都表现出了心血管反应,这表明他们受到了压力。此外,与陌生人相比,当参与者谈及与亲密的人之间的歧视经历时,反应模式反映出更强的适应性压力反应和恢复特征(压力期间副交感神经退缩较少,恢复期间副交感神经反弹较多)。这些模式与社会支持的压力缓冲作用相一致,这表明社会纽带和社区层面的支持对于减轻遭受歧视的危害和预防慢性健康差异的干预措施至关重要。
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引用次数: 0
Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigation. 与标准手术导航相比,机器人辅助椎弓根螺钉置入的精确度和工作量。
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-77892-8
Julia Katharina Sippel, Johannes Groh, Lars Bräuer, Mario Perl, Holger Stadthalter

Aim was to compare image-guided navigation with a robot-assisted solution for performing MISS regarding precision, required time and subjective aspects. 90 pedicles were instrumented on two torsos, half with navigation, half robot-assisted. Precision analysis between both solutions didn't show a significant difference. Time measurement showed a significantly longer duration per wire for the robot-arm on the first torso and a not significant longer duration on the second torso, where a significant reduction in the mean duration was shown. There was no significant difference in the subjective impressions comparing navigation and robot except the possibility to change the procedure. Precision of both methods is suitable for clinical use. A time advantage using the robot-arm couldn't be demonstrated in the present study. A significant learning curve was shown, so a reduction in the longer duration on the robot can be expected. Further studies in clinical use are necessary.

目的是比较图像导航和机器人辅助 MISS 的精确度、所需时间和主观方面。在两个躯干上安装了 90 个椎弓根器械,其中一半使用导航,一半使用机器人辅助。两种方案的精确度分析没有显示出显著差异。时间测量显示,在第一个躯干上,机器人手臂每根导线的持续时间明显更长,而在第二个躯干上,持续时间并没有明显延长,平均持续时间明显缩短。在主观印象方面,导航和机器人没有明显差异,只是可以改变手术过程。两种方法的精确度都适合临床使用。在本研究中,机器人手臂在时间上的优势并没有体现出来。研究结果显示,学习曲线非常明显,因此可以预期使用机器人的时间会缩短。有必要对临床应用进行进一步研究。
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引用次数: 0
Pregnancy during COVID 19 pandemic associated with differential gut microbiome composition as compared to pre-pandemic. 与大流行前相比,在 COVID 19 大流行期间怀孕与不同的肠道微生物组组成有关。
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-77560-x
Therese A Rajasekera, Jeffrey D Galley, Lauren Mashburn-Warren, Christian L Lauber, Michael T Bailey, Brett L Worly, Tamar L Gur

The first two years of the COVID-19 pandemic and subsequent health mandates resulted in significant disruptions to daily life, creating a period of heightened psychosocial stress in myriad aspects. Understanding the impact of this period on pregnant individuals' bacteriomes is crucial as pregnancy is a period of heightened vulnerability to stress and its sequelae, anxiety and mood disorders, which have been demonstrated to alter gut microbiome composition. In a prospective cohort study (N = 12-26) conducted from February 2019 to August 2021, we examined psychometric responses and rectal microbiome swabs from pregnant individuals. Full-length 16 S rRNA sequencing followed by calculation of diversity metrics and relative abundance values were used to interrogate fecal microbiome community composition across pandemic groups. Distinct shifts in bacterial diversity and composition were observed during early to late pregnancy in the pandemic group, including lower relative abundance of pathogenic and lesser-known taxa. However, distribution of stress and depressive symptoms did not significantly differ from the pre-pandemic period while the correlation between stress and depressive symptoms dissipated during the pandemic. Our findings suggest that living through the COVID-19 pandemic altered the gut microbiome of pregnant individuals, independent of perceived stress.

COVID-19 大流行的头两年以及随后的卫生任务给人们的日常生活带来了极大的干扰,造成了社会心理各方面压力的增加。了解这一时期对孕妇细菌组的影响至关重要,因为怀孕期间更容易受到压力及其后遗症、焦虑症和情绪障碍的影响,而这已被证明会改变肠道微生物组的组成。在2019年2月至2021年8月进行的一项前瞻性队列研究(N = 12-26)中,我们检查了孕妇的心理反应和直肠微生物组拭子。通过全长 16 S rRNA 测序以及多样性指标和相对丰度值的计算,我们了解了不同大流行群体的粪便微生物群落组成。在妊娠早期到晚期,大流行病组的细菌多样性和组成发生了明显变化,包括致病菌和鲜为人知的类群相对丰度较低。然而,压力和抑郁症状的分布与大流行前没有明显差异,而压力和抑郁症状之间的相关性在大流行期间消失了。我们的研究结果表明,经历过 COVID-19 大流行的孕妇的肠道微生物组发生了改变,与感知到的压力无关。
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引用次数: 0
Public health concern of antimicrobial resistance and virulence determinants in E. coli isolates from oysters in Egypt. 埃及牡蛎中分离出的大肠杆菌的抗菌药耐药性和毒力决定因素对公共卫生的影响。
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-77519-y
Rahma Mohammed, Sara M Nader, Dalia A Hamza, Maha A Sabry

The emergence of critical-priority E. coli, carrying a wide array of resistance and virulence factors through food sources, poses a significant challenge to public health. This study aimed to investigate the potential role of oysters sold in Egypt as a source for E. coli, identify their resistance and virulence-associated gene profiles, and assess associated zoonotic risks. A total of 33 pooled fresh oyster samples were obtained from various retail fish markets in Egypt and examined bacteriologically for the presence of E. coli. Antimicrobial resistance was performed by the disk-diffusion method, and the multiple antibiotic resistance index (MAR) was calculated. All isolates were screened for extended-spectrum beta-lactamase (ESBL) (blaTEM, blaSHV, blaCTX-M, and blaOXA-1), plasmid-mediated AmpC blaCMY-2, and carbapenemases (blaKPC, blaNDM, blaVIM, and blaOXA-48) genes by Polymerase chain reaction. Moreover, the presence of virulence-encoding genes was investigated. The virulent MDR strains were clustered using R with the pheatmap package. The prevalence of E. coli was 72.7% (24 out of 33), with 66.7% of the isolates classified as multi-drug resistant, and 75% exhibited MAR values exceeding the 0.2 threshold. Different antimicrobial sensitivity phenotypes and genotype profiles were identified in E. coli isolates. The most prevalent gene detected among all isolates was blaTEM (22/24, 91.7%). Notably, all non-ESBL producers were positive for blaCMY2. Carbapenem-resistant and carbapenem-intermediate strains were carbapenemase producers, with the predominance of the blaKPC gene (11/24, 45.8%). Remarkably, twelve out of sixteen virulence genes were identified, with papC (21/24, 87.5%) and sfa (16/24, 66.7%) genes being the most prevalent. Most isolates carry virulence genes primarily associated with extra-intestinal pathogenic E. coli (ExPEC) (87.5%) and enteropathogenic (EPEC) (70.8%) pathotypes. Four E. coli isolates exhibit cluster patterns. This study provides the first insight into the emergence of virulent MDR E. coli among oysters in Egypt. It underscores the potential role of oysters as a source for disseminating these strains within aquatic ecosystems, presenting a possible threat to public health.

通过食物来源出现的临界优先大肠杆菌携带多种耐药性和致病因子,对公共卫生构成了重大挑战。本研究旨在调查在埃及销售的牡蛎作为大肠杆菌来源的潜在作用,确定其耐药性和毒力相关基因图谱,并评估相关的人畜共患病风险。研究人员从埃及不同的零售水产品市场共采集了 33 份新鲜牡蛎样本,并对样本中是否存在大肠杆菌进行了细菌学检测。抗菌药耐药性采用盘扩散法进行检测,并计算出多重抗生素耐药性指数(MAR)。通过聚合酶链反应,对所有分离菌株进行了扩谱β-内酰胺酶(ESBL)(blaTEM、blaSHV、blaCTX-M 和 blaOXA-1)、质粒介导的 AmpC blaCMY-2 和碳青霉烯酶(blaKPC、blaNDM、blaVIM 和 blaOXA-48)基因的筛查。此外,还调查了毒力编码基因的存在情况。利用 R 和 pheatmap 软件包对毒性 MDR 菌株进行了聚类。大肠埃希菌的感染率为 72.7%(33 株中有 24 株),66.7% 的分离株被归类为多重耐药菌株,75% 的分离株的 MAR 值超过了 0.2 临界值。在大肠杆菌分离物中发现了不同的抗菌药敏感表型和基因型特征。在所有分离株中检测到的最常见基因是 blaTEM(22/24,91.7%)。值得注意的是,所有非 ESBL 生产者的 blaCMY2 基因均呈阳性。碳青霉烯耐药菌株和碳青霉烯中间体菌株都能产生碳青霉烯酶,其中以 blaKPC 基因为主(11/24,45.8%)。值得注意的是,16 个毒力基因中有 12 个被鉴定出来,其中以 papC(21/24,87.5%)和 sfa(16/24,66.7%)基因最为普遍。大多数分离物携带的毒力基因主要与肠道外致病性大肠杆菌(ExPEC)(87.5%)和肠道致病性大肠杆菌(EPEC)(70.8%)病型有关。4 个大肠杆菌分离物表现出集群模式。这项研究首次揭示了埃及牡蛎中出现的毒性 MDR 大肠杆菌。它强调了牡蛎作为这些菌株在水生生态系统中传播源的潜在作用,可能对公共健康构成威胁。
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引用次数: 0
Combined effect of nitrogen-doped carbon and NiCo2O4 for electrochemical water splitting. 掺氮碳和镍钴氧化物在电化学水分离中的联合效应。
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-74031-1
Laura Kubińska, Mariusz Szkoda, Malgorzata Skorupska, Patrycja Grabowska, Marta Gajewska, Jerzy P Lukaszewicz, Anna Ilnicka

Electrocatalytic water splitting for green hydrogen production necessitates effective electrocatalysts. Currently, commercial catalysts are primarily platinum-based. Therefore, finding catalysts with comparable catalytic activity but lower cost is essential. This paper describes spinel-structured catalysts containing nickel cobaltite NiCo2O4, graphene, and additionally doped with heteroatoms. The structure and elemental composition of the obtained materials were analyzed by research methods such as TEM, SEM-EDX, XRD, XPS, and Raman spectroscopy. The electrochemical measurements showed that hybrid materials containing nickel cobaltite NiCo2O4 doped with graphene are highly active catalysts in the hydrogen evolution reaction (Tafel slopes = 91 mV dec-1, overpotential = 468 mV and onset potential = -339 mV), while in the oxygen evolution reaction (Tafel slopes = 51 mV dec-1, overpotential = 1752 mV and onset potential = 370 mV), bare NiCo2O4 without the addition of carbon has a worse activity (for HER: Tafel slopes = 120 mV dec-1, overpotential - does not achieve and onset potential = -404 mV, for OER: Tafel slopes = 54 mV dec-1, overpotential = 1796 mV and onset potential = 410 mV). In terms of stability, comparable results were obtained for each synthesized compound for both the HER and OER reactions.

电催化水分离绿色制氢需要有效的电催化剂。目前,商用催化剂主要以铂为基础。因此,寻找催化活性相当但成本更低的催化剂至关重要。本文介绍了含有镍钴酸盐 NiCo2O4、石墨烯以及杂原子掺杂的尖晶石结构催化剂。通过 TEM、SEM-EDX、XRD、XPS 和拉曼光谱等研究方法分析了所获材料的结构和元素组成。电化学测量结果表明,含有掺杂石墨烯的镍钴酸盐 NiCo2O4 的杂化材料在氢进化反应中是高活性催化剂(Tafel 斜率 = 91 mV dec-1,过电位 = 468 mV,起始电位 = -339 mV),而在氧进化反应中(Tafel 斜率 = 51 mV dec-1,过电位 = 1752 mV,起始电位 = 370 mV),未添加碳的裸镍钴酸盐 NiCo2O4 的活性较差(对于氢进化反应,Tafel 斜率 = 120 mV dec-1,过电位 = 1752 mV,起始电位 = 370 mV):塔菲尔斜率 = 120 mV dec-1,过电位 - 未达到,起始电位 = -404 mV;OER:塔菲尔斜率 = 54 mV dec-1,过电位 = 1796 mV,起始电位 = 410 mV)。就稳定性而言,每种合成化合物在 HER 和 OER 反应中都获得了相似的结果。
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引用次数: 0
Direct conversion of urine-derived cells into functional motor neuron-like cells by defined transcription factors. 通过定义转录因子将尿液衍生细胞直接转化为功能性运动神经元样细胞。
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-73759-0
Hiroaki Nagai, Masayo Saito, Hidehisa Iwata

Direct cell-type conversion of somatic cells into cell types of interest has garnered great attention because it circumvents rejuvenation and preserves the hallmarks of cellular aging (unlike induced pluripotent stem cells [iPSCs]) and is more suitable for modeling diseases with strong age-related and epigenetic contributions. Fibroblasts are commonly used for direct conversion; however, obtaining these cells requires highly invasive skin biopsies. Urine-derived cells (UDCs) are an alternative cell source and can be obtained via noninvasive procedures. Herein, induced motor neuron-like cells (iMNs) were generated from UDCs by transducing transcription factors involved in motor neuron (MN) differentiation. iMNs exhibited neuronal morphology, upregulation of pan-neuron and MN markers, and MN functionality, including spontaneous calcium oscillation and bungarotoxin-positive neuromuscular junction formation, when co-cultured with myotubes. Altogether, the findings of this study indicated that UDCs can be converted to functional MNs. This technology may allow us to understand disease pathogenesis and progression and discover biomarkers and drugs for MN-related diseases at the population level.

将体细胞直接转化为感兴趣的细胞类型的方法备受关注,因为这种方法可以避免返老还童,保留细胞衰老的特征(与诱导多能干细胞[iPSCs]不同),而且更适合模拟与年龄和表观遗传密切相关的疾病。成纤维细胞通常用于直接转换;然而,获取这些细胞需要高度侵入性的皮肤活检。尿源细胞(UDC)是另一种细胞来源,可以通过非侵入性程序获得。通过转导参与运动神经元(MN)分化的转录因子,诱导运动神经元样细胞(iMNs)从 UDCs 中产生。iMNs 表现出神经元形态、泛神经元和 MN 标记的上调,以及与肌管共同培养时 MN 的功能,包括自发钙振荡和 bungarotoxin 阳性神经肌肉接头的形成。总之,这项研究的结果表明,UDCs 可以转化为功能性 MNs。这项技术可帮助我们了解疾病的发病机制和进展,并在群体水平上发现治疗与 MN 相关疾病的生物标记物和药物。
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引用次数: 0
Effect of surface treatments and bonding type on elemental composition and bond strength of dentin. 表面处理和粘接类型对牙本质元素组成和粘接强度的影响
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-75709-2
Necla Demir, Meryem Gülce Subaşı, Tevfik Yavuz, Muhammet Karcı, Atiye Nilgün Öztürk, Hamdi Şükür Kılıç

The objective of this study was to explore the effect of different surface treatments and bonding types on elemental composition and bond strength of dentin. Under water cooling, 1.5 mm of tooth structure containing just dentin was cut from 39 extracted human molars. Dentin surfaces were untreated (control) or treated by erbium: yttrium aluminum garnet or femtosecond laser (n = 13, each). One sample from each group underwent scanning electron microscopy. Then, dentin surfaces were bonded by Clearfil SE Bond or Clearfil SE Protect (n = 6, each). Energy dispersive X-ray spectroscopy was performed both after surface treatment and bonding application. The dual-polymerized resin cement was applied to dentin surfaces with a special teflon mold (diameter:3 mm × height:3 mm). After polymerization of the resin cement, shear force was applied at the resin cement-dentin interface. Elemental composition value (weight%) of dentin after surface treatment was analyzed by one-way analysis of variance (ANOVA), and the difference value in pre and post-bonding elemental composition by two-way ANOVA. Paired t-tests were executed to compare the weight% values of each element before and after each bonding application. Bond strength was analyzed by two-way ANOVA. The post-hoc test was Tukey's honest significant difference test. Both laser treatments increased the mineral content of dentin, compared to the controls (P<0.05). Application of bonding agents decreased the mineral content of dentin compared to the surface treated dentin. Bond strength was unaffected by either surface treatment or bonding type (P>0.05). For resin cementation, either surface treatment is suitable. After laser treatment, Clearfil SE Bond is recommended over Clearfil SE Protect.

本研究旨在探讨不同表面处理和粘接类型对牙本质元素组成和粘接强度的影响。在水冷却条件下,从 39 颗拔出的人类臼齿上切下 1.5 毫米的牙齿结构,其中仅包含牙本质。牙本质表面未经处理(对照组),或使用铒:钇铝石榴石或飞秒激光进行处理(n = 13,每组)。每组各取一个样本进行扫描电子显微镜检查。然后,用 Clearfil SE Bond 或 Clearfil SE Protect(各 6 个)粘结牙本质表面。在表面处理和粘接应用后都进行了能量色散 X 射线光谱分析。使用特制的特氟龙模具(直径:3 毫米×高:3 毫米)将双聚合树脂粘结剂涂抹到牙本质表面。树脂粘结剂聚合后,在树脂粘结剂-牙本质界面上施加剪切力。通过单因素方差分析(ANOVA)分析表面处理后牙本质的元素组成值(重量百分比),通过双因素方差分析分析粘结前和粘结后元素组成的差异值。采用配对 t 检验比较每次粘接前后各元素的重量百分比值。粘接强度采用双向方差分析。事后检验采用 Tukey's 诚实显著性差异检验。与对照组相比,两种激光治疗方法都增加了牙本质的矿物质含量(P0.05)。对于树脂粘接,两种表面处理方法都适用。激光治疗后,建议使用 Clearfil SE Bond 而不是 Clearfil SE Protect。
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引用次数: 0
Efficacy of endoscopic interlaminar decompression in lumbar spinal stenosis: a retrospective study. 内窥镜椎板间减压术治疗腰椎管狭窄症的疗效:一项回顾性研究。
IF 3.8 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-11-06 DOI: 10.1038/s41598-024-77337-2
Xiao Qu, Lin Zhang, Zhou Xie, Jun Zhang, Yanran Huang, Ningdao Li, Xiaoji Luo

This retrospective study evaluated the clinical effectiveness of endoscopic interlaminar decompression for lumbar spinal stenosis in 40 patients treated from February 2020 to January 2022. The procedure was successful in all cases, with only one dural sac injury reported and no other complications. Postoperative Visual Analogue Scale (VAS) and Japanese Orthopaedic Association (JOA) scores improved significantly (P<0.05), and the modified Macnab criteria showed an 87.5% rate of excellent and good outcomes at follow-up. No patients required revision surgery. Overall, the endoscopic interlaminar approach proved to be effective, safe, and supported early recovery.

这项回顾性研究评估了2020年2月至2022年1月期间接受治疗的40名腰椎管狭窄症患者接受内镜下椎板间减压术的临床疗效。所有病例的手术都很成功,仅有一例硬膜囊损伤报告,无其他并发症。术后视觉模拟量表(VAS)和日本骨科协会(JOA)评分显著改善(P
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