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Rapid and Accurate Ecotoxicological Assessment of Heavy Metals Using Cyprinus carpio Cells. 利用鲤鱼细胞对重金属进行快速准确的生态毒理学评估
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-05 DOI: 10.3390/life14091119
Yun Haeng Lee, Myeong Uk Kuk, Ji Ho Park, Hojun Lee, Haneur Lee, Moon Kyoung So, Jee Hee Yoon, Yoo Jin Lee, Duyeol Kim, Byeonghyeon So, Minseon Kim, Jihae Park, Taejun Han, Joon Tae Park

Heavy metals have serious negative effects on various aquatic organisms, and therefore rapid and accurate ecotoxicological assessments of heavy metals are necessary. Fish-derived cells sensitive to heavy metals have been used as valuable tools for ecotoxicological assessments. However, this method requires a minimum toxicity treatment time of 96 h, which limits its use when rapid ecotoxicological assessments are required or ecotoxicological assessments of a large number of toxicants are performed. In this study, these limitations were overcome by adjusting parameters including the concentration of fetal bovine serum (FBS) in the medium and the treatment time of the toxicant. Specifically, we found that the maximum time for fish cells to remain unstarved was 6 h when using a medium containing 1% FBS. We applied both parameters to the ecotoxicological assessment (using a medium containing 1% FBS for the toxicity assessment and treating the toxicant for only 6 h). Surprisingly, these adjusted parameters allowed us to obtain faster and more accurate data than the traditional assessment. This improvement was due to the new assessment conditions that minimized the possibility that the growth-inducing effects of nutrients present in excess in the medium could interfere with the cellular response to the toxicant. The accuracy of this assessment was not limited to measuring the toxicity of heavy metals. In conclusion, we have established an ecotoxicity assessment that can generate rapid and accurate data on heavy metals. This new platform will become the cornerstone of rapid and accurate ecotoxicity assessments of heavy metals.

重金属对各种水生生物有严重的负面影响,因此有必要对重金属进行快速准确的生态毒理学评估。对重金属敏感的鱼源细胞已被用作生态毒理学评估的重要工具。然而,这种方法需要至少 96 小时的毒性处理时间,这就限制了它在需要进行快速生态毒理学评估或对大量毒性物质进行生态毒理学评估时的使用。在本研究中,通过调整培养基中胎牛血清(FBS)的浓度和毒物的处理时间等参数,克服了这些限制。具体来说,我们发现当使用含有 1%胎牛血清的培养基时,鱼细胞保持不饥饿的最长时间为 6 小时。我们将这两个参数应用于生态毒理学评估(使用含 1%FBS的培养基进行毒性评估,并将毒物处理时间缩短至 6 小时)。令人惊讶的是,与传统评估相比,这些调整后的参数使我们能够更快、更准确地获得数据。这是因为新的评估条件最大限度地降低了培养基中过量营养物质的生长诱导作用干扰细胞对毒物反应的可能性。这种评估的准确性不仅限于测量重金属的毒性。总之,我们已经建立了一种生态毒性评估方法,可以快速、准确地生成重金属数据。这个新平台将成为快速、准确评估重金属生态毒性的基石。
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引用次数: 0
The Clavien-Dindo Classification for Body-Contouring Surgery Complications: Evaluation of 602 Cases. 身体整形手术并发症的 Clavien-Dindo 分类:对 602 个病例的评估
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-05 DOI: 10.3390/life14091120
Michael S Pollhammer, Dominik Duscher, Andrea Pagani, Maximilian Zaussinger, Raphael Wenny, Isabel Zucal, Manfred Schmidt, Lukas Prantl, Georg M Huemer

Background: Due to the high frequency of postoperative complications after body-contouring surgeries, the need for a unifying postoperative complication grading system that correlates with outcomes is of key importance. Here we therefore consider the application of the Clavien-Dindo classification to evaluate postoperative complications after body-contouring surgeries. Methods: A retrospective study on 602 patients who underwent body-contouring surgery between 2009 and 2015 at our institution was performed. The length of hospital stays, age, sex, follow-up visits, and postoperative complications were evaluated and classified using the Clavien-Dindo classification. Results: We raised a total of 672 body-contouring procedures on 602 patients (563 female, 39 male). According to the Clavien-Dindo System, the severity of postoperative complications following body-contouring procedures was significantly correlated with the duration of hospitalization (mean 5.8 ± 2.7 days) and the number of follow-up visits (mean 4.4 ± 4.7). Conclusions: The Clavien-Dindo classification offers a valid prediction for postoperative hospital stay and the number of follow-up visits after body-reshaping surgery. By becoming a validated and reliable grading system that correlates patients' outcomes after body-contouring procedures, this classification has the potential to significantly improve patients' healthcare and quality of life.

背景:由于塑身手术术后并发症的发生率很高,因此需要一个统一的术后并发症分级系统,该系统应与手术结果相关联,这一点至关重要。因此,我们在此考虑应用 Clavien-Dindo 分级法来评估塑身手术后的并发症。研究方法我们对 2009 年至 2015 年期间在本院接受身体塑形手术的 602 名患者进行了回顾性研究。采用 Clavien-Dindo 分类法对患者的住院时间、年龄、性别、随访次数和术后并发症进行了评估和分类。结果:我们共为 602 名患者(563 名女性,39 名男性)进行了 672 次塑身手术。根据克拉维恩-丁多系统,身体塑形术后并发症的严重程度与住院时间(平均 5.8 ± 2.7 天)和复诊次数(平均 4.4 ± 4.7 次)显著相关。结论Clavien-Dindo分级法能有效预测身体整形手术后的住院时间和复诊次数。通过成为一个有效可靠的分级系统来关联患者在塑身手术后的结果,该分级系统有望显著改善患者的医疗保健和生活质量。
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引用次数: 0
Effectiveness of Home-Based Cardiac Rehabilitation with Optimized Exercise Prescriptions Using a Mobile Healthcare App in Patients with Acute Myocardial Infarction: A Randomized Controlled Trial. 急性心肌梗死患者使用移动医疗应用程序优化运动处方进行家庭心脏康复的效果:随机对照试验
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-05 DOI: 10.3390/life14091122
Hyun-Seok Jo, Hyeong-Min Kim, Chae-Hyun Go, Hae-Young Yu, Hyeng-Kyu Park, Jae-Young Han

Background: Despite the effectiveness of cardiac rehabilitation (CR), the actual participation rate in CR is low. While home-based CR offers a viable alternative, it faces challenges in participation due to factors such as a lack of self-motivation and fear of exercising without supervision. Utilizing a mobile healthcare application (app) during counseling may be an effective strategy for patients. Therefore, the aim of this study was to assess whether 6 weeks of home-based CR with exercise readjustment using a mobile app is an effective therapy for patients with acute myocardial infarction (AMI).

Methods: Post-AMI patients eligible for home-based CR were randomized into the intervention group (CR-Mobile) and the control group, which followed the usual home-based CR protocol (CR-Usual). Both groups participated in a 6-week home-based CR program, with exercise readjustment and encouragement carried out every 2 weeks. The CR-Mobile group was supervised using data recorded in the mobile app, while the CR-Usual group was supervised via phone consultations. The primary outcome measured was maximal oxygen consumption (VO2max).

Results: Within-group comparisons showed significant improvements in VO2max (PCR-Mobile = 0.011 vs. PCR-Usual = 0.020) and METs (PCR-Mobile = 0.011 vs. PCR-Usual = 0.011) for both groups.

Conclusions: These findings suggest that a 6-week home-based CR program with exercise readjustment using a mobile app can potentially enhance exercise capacity as effectively as verbal supervision.

背景:尽管心脏康复(CR)效果显著,但实际参与率却很低。虽然家庭式心脏康复提供了一种可行的选择,但由于缺乏自我激励和害怕在无人监督的情况下锻炼等因素,家庭式心脏康复的参与率面临挑战。在咨询过程中使用移动医疗应用程序(App)对患者来说可能是一种有效的策略。因此,本研究旨在评估使用移动应用程序进行为期 6 周的居家 CR 和运动再调整对急性心肌梗死(AMI)患者是否是一种有效的治疗方法:方法:将符合居家康复治疗条件的急性心肌梗死后患者随机分为干预组(CR-Mobile)和对照组(CR-Usual),前者遵循通常的居家康复治疗方案。两组患者都参加了为期 6 周的居家 CR 计划,每两周进行一次运动调整和鼓励。CR-Mobile组通过手机应用中记录的数据进行监督,而CR-Usual组则通过电话咨询进行监督。测量的主要结果是最大耗氧量(VO2max):组内比较显示,两组的最大氧耗量(PCR-Mobile = 0.011 vs. PCR-Usual = 0.020)和METs(PCR-Mobile = 0.011 vs. PCR-Usual = 0.011)均有显著提高:这些研究结果表明,为期 6 周的基于家庭的 CR 计划以及使用移动应用程序进行的运动再调整有可能与口头指导一样有效地提高运动能力。
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引用次数: 0
RETRACTED: Di Paola et al. Assessment of 2-Pentadecyl-2-oxazoline Role on Lipopolysaccharide-Induced Inflammation on Early Stage Development of Zebrafish (Danio rerio). Life 2022, 12, 128. 转载:Di Paola 等人,《2-十五烷基-2-噁唑啉对脂多糖诱发的斑马鱼(Danio rerio)早期发育阶段炎症的作用评估》。生命 2022,12,128。
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-05 DOI: 10.3390/life14091115
Davide Di Paola, Sabrina Natale, Enrico Gugliandolo, Marika Cordaro, Rosalia Crupi, Rosalba Siracusa, Ramona D'Amico, Roberta Fusco, Daniela Impellizzeri, Salvatore Cuzzocrea, Nunziacarla Spanò, Fabio Marino, Alessio Filippo Peritore

The journal retracts the article, "Assessment of 2-Pentadecyl-2-oxazoline Role on Lipopolysaccharide-Induced Inflammation on Early Stage Development of Zebrafish (Danio rerio)" [...].

该杂志撤回题为 "2-十五烷基-2-噁唑啉对脂多糖诱导的斑马鱼(Danio rerio)早期发育阶段炎症的作用评估 "的文章。[...].
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引用次数: 0
Methods for Screening and Isolating Extremely Heat-Resistant Escherichia coli from Meat Sources. 从肉类来源中筛选和分离耐热性极强的大肠杆菌的方法。
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-05 DOI: 10.3390/life14091123
Manita Guragain, Gregory E Smith, Joseph M Bosilevac

Meat animals harbor diverse E. coli populations in their digestive tracts and can serve as sources of pathogenic E. coli. The consumption of meat and produce contaminated with virulent E. coli from animal sources is associated with human illnesses and outbreaks. Heat treatment is an antimicrobial intervention that is commonly used during meat processing to ensure effective reductions in microbial load. Extreme heat resistance (XHR) has been reported among meat-borne E. coli and is mainly attributed to an ~15-19 kb genetic element known as the transmissible locus of stress tolerance (tLST). XHR E. coli can resist treatments used during meat processing and cooking. Therefore, the detection of heat-resistant E. coli is important for devising effective control measures to prevent meat spoilage and ensure meat safety. Here, we present methods used to (1) screen for tLST genes by multiplex PCR and (2) screen and isolate XHR E. coli from meat sources. The mode of heat exposure affects the outcome of XHR testing. Hence, the protocols were optimized to achieve maximum agreement between the tLST genotype and the XHR phenotype.

肉类动物的消化道中蕴藏着多种大肠杆菌,可作为致病性大肠杆菌的来源。食用被动物源致病性大肠杆菌污染的肉类和农产品与人类疾病和疫情爆发有关。热处理是肉类加工过程中常用的抗菌干预措施,可确保有效减少微生物负荷。据报道,肉源性大肠杆菌具有极强的耐热性(XHR),这主要归因于一个约 15-19 kb 的遗传因子,该遗传因子被称为耐应激性可传递基因座(tLST)。XHR 大肠杆菌能抵抗肉类加工和烹饪过程中使用的处理方法。因此,检测耐热大肠杆菌对于制定有效的控制措施以防止肉类腐败和确保肉类安全非常重要。在此,我们介绍了用于(1)通过多重 PCR 筛选 tLST 基因和(2)从肉类来源中筛选和分离 XHR 大肠杆菌的方法。热暴露模式会影响 XHR 检测的结果。因此,我们对方案进行了优化,以实现 tLST 基因型与 XHR 表型之间的最大一致性。
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引用次数: 0
Computed Tomography and Fluorescence Spectroscopy Blood Plasma Analysis Study for Kynurenic Acid as a Diagnostic Approach to Chronic Coenurosis in Sheep. 以计算机断层扫描和荧光光谱血浆分析法研究犬尿氨酸作为绵羊慢性神经衰弱的诊断方法
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-05 DOI: 10.3390/life14091121
Loredana Elena Olar, Vasile Daniel Tomoiagă, Sorin Marian Mârza, Ionel Papuc, Ioan Florin Beteg, Petru Cosmin Peștean, Mihai Musteață, Caroline Maria Lăcătuș, Raluca Marica, Paula Maria Pașca, Robert Cristian Purdoiu, Radu Lăcătuș

Coenurosis is a parasitic disease caused by the larval stage of Taenia multiceps, Coenurus cerebralis, typically found in the central nervous system of different livestock such as sheep and goats. The blood plasma from fifteen clinically healthy sheep and six sheep with neurological symptoms was studied by fluorescence spectroscopy in order to establish the contribution of kynurenic acid (KYNA), the neuroprotective metabolite of the kynurenine pathway, to the total fluorescence of the plasma. CT scans were used to confirm the presence of cysts in the central nervous system of sheep with neurological symptoms. The fluorescence spectroscopy analysis and further spectra deconvolution process revealed some significantly lower KYNA contributions to the total plasma fluorescence in sheep with coenurosis compared to healthy controls. Our results indicate that KYNA emission parameters could serve as valuable diagnostic markers, particularly for detecting preclinical cases of coenurosis, thus allowing for improved farm management practices.

脑蜗牛症是一种寄生虫病,由脑蜗牛(Taenia multiceps)的幼虫阶段引起,通常存在于不同牲畜(如绵羊和山羊)的中枢神经系统中。通过荧光光谱法研究了 15 只临床健康绵羊和 6 只出现神经症状绵羊的血浆,以确定犬尿氨酸(KYNA)(犬尿氨酸途径的神经保护性代谢产物)对血浆总荧光的贡献。CT 扫描用于确认有神经症状的绵羊的中枢神经系统中是否存在囊肿。荧光光谱分析和进一步的光谱解卷积过程显示,与健康对照组相比,合并神经衰弱绵羊的 KYNA 对血浆总荧光的贡献率明显较低。我们的研究结果表明,KYNA发射参数可作为有价值的诊断标记,特别是用于检测临床前的神经官能症病例,从而改进农场管理方法。
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引用次数: 0
A Sister Species for the Blue Crab, Callinectes sapidus? A Tale Revealed by Mitochondrial DNA. 蓝蟹的姊妹物种?线粒体 DNA 揭示的一个故事
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-05 DOI: 10.3390/life14091116
Chiara Locci, Ilenia Azzena, Noemi Pascale, Alessandra Ciccozzi, Ilaria Deplano, Ioannis A Giantsis, Dimitrios K Papadopoulos, Athanasios Lattos, Flavio Orrù, Cesare M Puzzi, Fabio Scarpa, Marco Casu, Daria Sanna

The Atlantic blue crab, Callinectes sapidus, is acknowledged as one of the worst invasive alien species in the Mediterranean, impacting biodiversity and human activities. Native to the western Atlantic, it has expanded to European coastal waters since the early 1900s. Despite its ecological and commercial importance, genetic research on this species is limited. Here we show a comprehensive investigation of the genetic variation and evolutionary history in Callinectes sapidus using 667 mitochondrial COI gene sequences. Our dataset encompasses 36 newly generated sequences from previously understudied Mediterranean sites and 631 from worldwide locations obtained from the GenBank public database. Our findings reveal two distinct, but closely related, genetic groups within the species' distribution range, suggesting the occurrence of a potential species complex. Furthermore, in the Mediterranean, low levels of genetic variability were observed except for substantial haplotypic differentiation in Turkish samples. This study depicts the global genetic diversity and evolutionary patterns of Callinectes sapidus, offering new insights into the taxonomic status of the species.

大西洋蓝蟹(Callinectes sapidus)被认为是地中海地区最严重的外来入侵物种之一,对生物多样性和人类活动造成了影响。它原产于大西洋西部,自 20 世纪初以来已扩展到欧洲沿海水域。尽管该物种在生态和商业上都很重要,但对其基因的研究却很有限。在这里,我们利用 667 条线粒体 COI 基因序列对 Callinectes sapidus 的遗传变异和进化历史进行了全面研究。我们的数据集包括 36 个新产生的序列,这些序列来自以前未被充分研究的地中海地区,631 个序列来自 GenBank 公共数据库中的全球各地。我们的研究结果表明,在该物种的分布范围内有两个不同但密切相关的基因组,这表明可能存在一个复合物种。此外,在地中海地区,除了土耳其样本中存在大量单倍型分化外,其他样本的遗传变异水平较低。这项研究描述了Callinectes sapidus的全球遗传多样性和进化模式,为该物种的分类地位提供了新的见解。
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引用次数: 0
Molecular Characterization, Evolution and Expression Analysis of Ammonium Transporter from Four Closely Related Bactrocera Species (Tephritidae). 四种亲缘关系很近的栉水母(Tephritidae)铵转运体的分子特征、进化和表达分析。
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-04 DOI: 10.3390/life14091114
Jie Zhang, Qi Wang, Chenhao Liu, Jiaying Liu, Qian Qian, Chuanjian Ru, Leyuan Liu, Shanchun Yan, Wei Liu, Guirong Wang

Numerous insects are attracted to low levels of ammonia, utilizing it as a cue to locate food sources. The Ammonium Transporter (Amt), a highly conserved, atypical olfactory receptor, has been shown to mediate the detection of ammonia in insects. While the attraction of Tephritidae to ammonia is well established, knowledge about the Amt in this family is limited. The species Bactrocera dorsalis (Hendel 1912), Bactrocera cucurbitae (Coquillett 1899), Bactrocera correcta Bezzi 1916 and Bactrocera tau (Walker 1849), which are common agricultural pests within Tephritidae, exhibit numerous ecological similarities, offering a solid foundation for studying Amt characteristics in this family. In this study, we elucidated the sequences, evolutionary relationships, and expression patterns of Amt in these four species. The results indicated that these Amts share the same open reading frame, containing 1770 bp that encode a protein of 589 amino acid residues. These Amt proteins exhibit the typical structural characteristics of Amts, including an 11-transmembrane domain with an extracellular N-terminus and an intracellular C-terminus. They also have the ability to form trimers in the membrane. Additionally, they contain three conserved amino acid residues essential for ammonia transport: A189, H195, and H352. Phylogenetic and expression pattern analyses showed that they are highly conserved in Diptera and are significantly expressed in antennae. This study is the first report characterizing the Amt gene in four Tephritidae species. These findings provide a foundation for further exploration into the roles of these genes in their particular biological contexts.

许多昆虫都会被低浓度的氨气所吸引,并利用氨气作为寻找食物来源的线索。氨转运体(Amt)是一种高度保守的非典型嗅觉受体,已被证明能够介导昆虫对氨的检测。虽然栉水母科昆虫对氨的吸引力已得到证实,但对该科昆虫的氨转运体的了解却很有限。Bactrocera dorsalis (Hendel 1912)、Bactrocera cucurbitae (Coquillett 1899)、Bactrocera correcta Bezzi 1916 和 Bactrocera tau (Walker 1849)是Tephritidae中常见的农业害虫,它们在生态学上有许多相似之处,为研究该科的氨特性提供了坚实的基础。本研究阐明了这四种害虫的 Amt 序列、进化关系和表达模式。结果表明,这些Amt具有相同的开放阅读框,包含1770 bp,编码589个氨基酸残基的蛋白质。这些 Amt 蛋白具有 Amts 的典型结构特征,包括一个具有胞外 N 端和胞内 C 端的 11 跨膜结构域。它们还能在膜中形成三聚体。此外,它们还含有氨转运所必需的三个保守氨基酸残基:A189、H195 和 H352。系统发育和表达模式分析显示,它们在双翅目中高度保守,并在触角中显著表达。本研究首次报道了四个Tephritidae物种中Amt基因的特征。这些发现为进一步探索这些基因在特定生物环境中的作用奠定了基础。
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引用次数: 0
MR Imaging of Hemosiderin Deposition in the Ankle Joints of Patients with Haemophilia: The Contribution of a Multi-Echo Gradient-Echo Sequence-Correlation with Osteochondral Changes and the Number and Chronicity of Joint Bleeds. 血友病患者踝关节血色素沉积的磁共振成像:多回波梯度回波序列的贡献--与骨软骨变化及关节出血数量和慢性程度的相关性。
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-04 DOI: 10.3390/life14091112
Olympia Papakonstantinou, Efstratios Karavasilis, Epaminondas Martzoukos, Georgios Velonakis, Nikolaos Kelekis, Helen Pergantou

We aim (a) to introduce an easy-to-perform multi-echo gradient-echo sequence (mGRE) for the detection of hemosiderin deposition in the ankle joints of boys with haemophilia (b) to explore the associations between the presence and severity of hemosiderin deposition and the other components of haemophilic arthropathy, the clinical score, and the number and chronicity of joint bleeds. An MRI of 41 ankle joints of 21 haemophilic boys was performed on a 3 T MRI system using an mGRE sequence in addition to the conventional protocol. Conventional MRI and mGRE were separately and independently assessed by three readers, namely, two musculoskeletal radiologists and a general radiologist for joint hemosiderin. We set as a reference the consensus reading of the two musculoskeletal radiologists, who also evaluated the presence of synovial thickening, effusion, and osteochondral changes. Excellent inter-reader agreement was obtained using the mGRE sequence compared to the conventional protocol (ICC: 0.95-0.97 versus 0.48-0.89), with superior sensitivity (90-95% versus 50-85%), specificity (95.2-100% versus 76.2-95.2%), and positive (95-100% versus 71-94.4%) and negative predictive value (91.3-95.5% versus 87-63%). Hemosiderin deposition was associated with osteochondral changes, synovial thickening, clinical score, and the total number of ankle bleeds, while it was inversely related with the time elapsed between the last joint bleed and MRI. (p < 0.05). The application of an mGRE sequence significantly improved hemosiderin detection, even when performed by the less experienced reader. Joint hemosiderin deposition was associated with the other components of haemophilic arthropathy and was mostly apparent in recent joint bleeds.

我们的目的是:(a) 引入一种易于操作的多回波梯度回波序列(mGRE),用于检测血友病男孩踝关节中的血色素沉积;(b) 探讨血色素沉积的存在和严重程度与血友病关节病的其他组成部分、临床评分以及关节出血的数量和慢性程度之间的关联。我们在 3 T 核磁共振成像系统上对 21 名嗜血男孩的 41 个踝关节进行了核磁共振成像,除常规方案外,还使用了 mGRE 序列。常规 MRI 和 mGRE 分别由三位阅片员独立评估,即两位肌肉骨骼放射科医生和一位普通放射科医生对关节血丝进行评估。我们将两名肌肉骨骼放射科医生的共识读片作为参考,他们还评估了滑膜增厚、渗出和骨软骨变化的存在。与传统方案相比,使用 mGRE 序列可获得极佳的读片者间一致性(ICC:0.95-0.97 对 0.48-0.89),灵敏度(90-95% 对 50-85%)、特异性(95.2-100% 对 76.2-95.2%)、阳性预测值(95-100% 对 71-94.4% )和阴性预测值(91.3-95.5% 对 87-63%)均优于传统方案。血色素沉积与骨软骨变化、滑膜增厚、临床评分和踝关节出血总数相关,而与最后一次关节出血和 MRI 之间的时间间隔成反比(P < 0.05)。应用 mGRE 序列能显著提高血色素的检测率,即使由经验较少的读者进行检测也是如此。关节血色素沉积与嗜血关节病的其他成分有关,主要表现在近期的关节出血中。
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引用次数: 0
Optimizing Femoral Access in Emergency EVAR with a Decision-Making Algorithm. 利用决策算法优化急诊 EVAR 中的股骨入路。
IF 3.2 3区 生物学 Q1 BIOLOGY Pub Date : 2024-09-04 DOI: 10.3390/life14091113
Domenico Mirabella, Salvatore Bruno, Manfredi Agostino La Marca, Ettore Dinoto, Edoardo Rodriquenz, Andrea Miccichè, Felice Pecoraro

Endovascular aneurysm repair (EVAR) has become the preferred approach over open repair for abdominal aortic aneurysms (AAAs) due to its minimally invasive nature. The common femoral artery (CFA) is the main access vessel for EVAR, with both surgical exposure and percutaneous access being utilized. However, in emergent cases, percutaneous access can be challenging and may result in complications such as bleeding or dissection thrombosis, leading to the need for surgical conversion. This study aimed to share experiences in implementing a decision-making algorithm to reduce surgical conversions due to percutaneous access failures. A total of 74 aortic patients treated with EVAR in emergency settings were included in this retrospective study. This study focused on various outcomes such as perioperative mortality, morbidity, procedure time, surgical exposure time, and surgical conversion rate. After the implementation of the decision-making algorithm, decreases in surgical conversions and operating time were observed. Percutaneous access was found to be more challenging in cases with specific anatomical characteristics of the CFA, such as severe atherosclerosis or smaller vessel diameter. This study highlighted the importance of carefully assessing patient anatomical features and utilizing a decision-making algorithm to optimize outcomes in EVAR procedures. Further research is needed to continue improving practices for managing aortic aneurysms and reducing complications in femoral artery access approaches.

血管内动脉瘤修补术(EVAR)因其微创性,已成为腹主动脉瘤(AAA)开放式修补术的首选方法。股总动脉 (CFA) 是 EVAR 的主要入路血管,手术暴露和经皮入路均可使用。然而,在急诊病例中,经皮入路可能具有挑战性,并可能导致出血或夹层血栓等并发症,从而导致手术转换的需要。本研究旨在分享实施决策算法的经验,以减少因经皮入路失败而导致的手术转换。这项回顾性研究共纳入了 74 名在急诊情况下接受 EVAR 治疗的主动脉患者。该研究重点关注各种结果,如围手术期死亡率、发病率、手术时间、手术暴露时间和手术转换率。在实施决策算法后,观察到手术转换率和手术时间均有所下降。经皮入路对于具有特殊解剖特征(如严重动脉粥样硬化或血管直径较小)的 CFA 病例更具挑战性。这项研究强调了仔细评估患者解剖特征和利用决策算法优化EVAR手术结果的重要性。还需要进一步研究,以继续改进股动脉入路方法中管理主动脉瘤和减少并发症的实践。
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