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Assessing Delay in Receiving Adequate and Appropriate Treatment: A Client Perspective among Women Admitted to Emergency Obstetric Hospitals of Ethiopia 评估接受充分和适当治疗的延误:埃塞俄比亚产科急诊医院收治妇女的客户观点
Pub Date : 2020-01-01 DOI: 10.37628/IJBME.V6I2.750
Gedamu Abera Zegeye
Background: In Ethiopia, the maternal death is still unacceptably high, but instead of women dying in their 'hovels', they die in hospitals. For improving quality of medical care in obstetric emergencies, appropriate timing is extremely important and key to reduce maternal mortality. The aim of the study was to assess delay in receiving adequate and appropriate treatment for women faced emergency obstetric complications admitted to emergency room on five referral hospitals of Ethiopia. Methods: Facility based Cross-sectional study was conducted on five referral hospitals of Ethiopia. Mixed of health facilities (university and non-university hospitals) that provide specialized obstetric care and perform a minimum number of 1,000 deliveries per year was considered. Women faced obstetric complications and fulfill world Health Organizations Criteria for potential life-threatening conditions was included in the study. A total of 360 study subjects were sampled. Samples was proportionally allocated to each facilities based on their clients flow and systematic random sampling technique was used to select study subjects. Data was collected using exist interview and from maternal cards. Data was analyzed using SPSS software. Multivariable analysis was conducted using logistic regression; variables with the largest p-value of 0.2 in bivariable analysis were included. Result: The mean age of the respondent was 30 year with standard deviation of (SD , ± 6). Out of the total sampled, 60% of them faced obstetric complications at home. Even though, the time of getting appropriate treatment for a women faced obstetric complications vary from complication to complication they faced, but the median time were 1.10 hours. About 49 percent of women faced obstetric complications were delayed to get appropriate treatment which was above the median time. Of which, one in six women were delayed to received appropriate treatment because of training issues. women who got information about emergency obstetric complications were two times more likely to reduce delay in receiving appropriate treatment than women who did not get the information (AOR: 2.09, 95% CI, 1.0-4.36). Conclusion : About 49 percent of women were delayed in receiving appropriate treatment, and women who were got information about emergency obstetric complications were got appropriate treatment on time. Therefore referral hospitals of Ethiopia, are recommended to check there liaison system and emergency medical management protocols. Keywords : Emergency obstetric care, Multivariable analysis, SPSS software, Third delay
背景:在埃塞俄比亚,产妇死亡率仍然高得令人无法接受,但妇女不是死在"茅舍"里,而是死在医院里。为了提高产科急诊的医疗质量,适当的时机是极其重要的,也是降低孕产妇死亡率的关键。这项研究的目的是评估埃塞俄比亚五家转诊医院急诊室收治的急诊产科并发症妇女在接受充分和适当治疗方面的延误情况。方法:对埃塞俄比亚5家转诊医院进行基于设施的横断面研究。考虑了提供专门产科护理和每年至少接生1 000次的混合保健设施(大学和非大学医院)。面临产科并发症并符合世界卫生组织潜在威胁生命条件标准的妇女被纳入研究。共有360名研究对象被抽样。根据各机构的客流量按比例分配样本,采用系统随机抽样技术选择研究对象。数据收集采用现有的访谈和从产妇卡。数据分析采用SPSS软件。采用logistic回归进行多变量分析;纳入双变量分析中p值最大为0.2的变量。结果:调查对象的平均年龄为30岁,标准差为(SD,±6),其中60%的人在家中出现产科并发症。尽管面临产科并发症的妇女获得适当治疗的时间因并发症而异,但平均时间为1.10小时。大约49%面临产科并发症的妇女被推迟接受适当的治疗,这超过了中位数时间。其中,六分之一的妇女由于培训问题而未能得到适当的治疗。获得产科急诊并发症信息的妇女比未获得信息的妇女减少接受适当治疗延误的可能性高两倍(AOR: 2.09, 95% CI, 1.0-4.36)。结论:约49%的妇女延误了适当的治疗,获得产科急诊并发症信息的妇女及时得到了适当的治疗。因此,建议埃塞俄比亚的转诊医院检查其联络系统和紧急医疗管理协议。关键词:产科急诊,多变量分析,SPSS软件,第三次延迟
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引用次数: 0
Nature of Obstetric Emergency Health Services in India 印度产科急诊服务的性质
Pub Date : 2020-01-01 DOI: 10.37628/IJBME.V6I2.749
S. Kaur, Manpreet Kaur
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引用次数: 0
Research progress of biomarkers in diagnosis and therapy of colorectal cancer 癌症生物标志物在结直肠癌诊断和治疗中的研究进展
Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.06.013
Liang Tang
Colorectal cancer (CRC) is one of the most common human malignant diseases, the cumulative result of genetic and epigenetic mutations, and its mortality rate is second only to that of lung cancer. Most patients with CRC have developed to middle to advanced stage when symptoms appear, and the treatment effects of surgery and chemotherapy are usually not satisfactory. With the emergence of targeted drugs in recent years, individualized treatment of colorectal cancer has gradually become a trend. With the development of colorectal cancer research, more and more molecular markers of colorectal cancer have been continuously discovered, and its impact on tumorigenesis, development and treatment has gradually received more attention. The application of molecular markers in the screening of colorectal cancer can help the early detection and diagnosis. Detection of molecular markers before individualized treatment can optimize the treatment plan and prompt the patient's prognosis. In this paper, the most recent findings of molecular markers with promising clinical application were summarized, in order to provide reference for the early diagnosis and treatment of colorectal cancer. Key words: Colorectal cancer; Biomarker; CpG island methylator phenotype; Oncogene; Tumor suppressor gene
癌症是人类最常见的恶性疾病之一,是遗传和表观遗传突变的累积结果,其死亡率仅次于癌症。大多数CRC患者在出现症状时已发展到中晚期,手术和化疗的治疗效果通常不令人满意。随着近年来靶向药物的出现,癌症个体化治疗逐渐成为一种趋势。随着癌症研究的发展,越来越多的癌症分子标志物被不断发现,其对肿瘤发生、发展和治疗的影响也逐渐受到人们的重视。分子标记物在癌症筛查中的应用有助于结直肠癌的早期检测和诊断。个体化治疗前检测分子标志物可以优化治疗计划,提示患者预后。本文综述了具有临床应用前景的分子标志物的最新发现,为癌症的早期诊断和治疗提供参考。关键词:结直肠癌癌症;生物标志物;CpG岛甲基化子表型;肿瘤基因;肿瘤抑制基因
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引用次数: 0
Clinical study of home noninvasive positive pressure ventilation treatment of silicosis patients with respiratory failure 家庭无创正压通气治疗矽肺合并呼吸衰竭的临床研究
Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.06.011
Qi Li, Qi Wu, Na-xin Zhang
Objective To study the clinical application value of long term home noninvasive positive pressure ventilation in the therapy of silicosis patients with type 2 respiratory failure. Methods A total of 85 silicosis patients with type 2 respiratory failure were enrolled, and their clinical data were retrospectively analyzed. According to the therapeutic method, they were divided into noninvasive positive pressure ventilation group (group A) and basic therapy group (group B). The various indicators of the patients were analyzed before and after the treatment including vital signs, laboratory indicators, 6-minute walking distance (6MWD), and modified dyspnea index (mMRC). The admission times, length of hospital stay and annual mortality of the patients were also recorded by follow-up after the treatment for one year. Results After the one year follow-up, the heart rate, respiratory rate, PaO2, PaCO2, SO2%, 6MWD, and mMRC of group A were significantly improved than those of group B (all P 0.05). Conclusions The therapeutic method of home noninvasive positive pressure ventilation has significant effects on silicosis combined with type 2 respiratory failure. It can improve clinical symptoms and the quality of life, and reduce the length of hospital stay and admission times, and reduced medical insurance burden. Key words: Home; Noninvasive positive pressure ventilation; Silicosis; Type 2 respiratory failure
目的探讨长期居家无创正压通气治疗矽肺合并2型呼吸衰竭的临床应用价值。方法对85例矽肺合并2型呼吸衰竭患者的临床资料进行回顾性分析。按治疗方法分为无创正压通气组(A组)和基础治疗组(B组)。分析患者治疗前后的各项指标,包括生命体征、实验室指标、6分钟步行距离(6MWD)和改良呼吸困难指数(mMRC)。在治疗一年后,通过随访记录患者的入院次数、住院时间和年死亡率。结果随访1年后,A组的心率、呼吸频率、PaO2、PaCO2、SO2%、6MWD、mMRC均较B组明显改善(均P<0.05)。结论家庭无创正压通气治疗矽肺合并2型呼吸衰竭疗效显著。它可以改善临床症状和生活质量,缩短住院时间和住院次数,减轻医疗保险负担。关键词:家;无创正压通气;矽肺病;2型呼吸衰竭
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引用次数: 0
Expression of kinesin family member C1 in hepatocellular carcinoma and its correlation with prognosis and clinicopathological features 激酶家族成员C1在肝细胞癌中的表达及其与预后和临床病理特征的关系
Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.06.006
Yi Liu, Hua Fan, Huihui Wang, B. Zhang, Jing-ming Zhai, Yonggang Fan
Objective To study the expression of kinesin family member C1 (KIFC1) in hepatocellular carcinoma (HCC) and analyze its correlation with the clinicopathological features and prognosis of patients. Methods The expression levels of KIFC1 protein in the HCC tissues from 82 patients were determined by immunohistochemical staining. The correlation between KIFC1 protein and clinicopathological characteristics (including age, gender, tumor nodules, tumor grade, tumor volume, lymph node metastasis, and alpha-fetoprotein expression) was analyzed. The Kaplan-Meier analysis was used to analyze the effect of KIFC1 expression level on overall survival and progression-free survival in patients with HCC. The expression level of KIFC1 mRNA in liver cancer tissue was analyzed by GPEIA database. The correlation between KIFC1 expression and prognosis was analyzed by KM-plotter. Results KIFC1 protein is significantly overexpressed in liver cancer tissues, and its expression level is significantly correlated with tumor nodule number (P=0.023) and tumor size (P=0.011). Patients with high expression of KIFC1 had poor overall disease and disease-free survival (all P<0.05). KIFC1 mRNA is significantly overexpressed in liver cancer tissues and correlated with disease-free survival and overall survival. Conclusions The expression of KIFC1 protein is highly expressed in liver cancer tissues, and its expression level is related to the clinicopathological characteristics of liver cancer. Bioinformatics analysis results show that KIFC1 is related to the poor prognosis of patients, suggesting that KIFC1 is expected to be a potential predictor and therapeutic target for liver cancer prognosis. Key words: Hepatocellular carcinoma; Kinesin family member C1; Immunohistochemistry; Clinicopathological features; Prognosis
目的研究驱动蛋白家族成员C1(KIFC1)在肝细胞癌(HCC)中的表达,并分析其与患者临床病理特征和预后的关系。方法应用免疫组织化学方法检测82例HCC组织中KIFC1蛋白的表达水平。分析KIFC1蛋白与临床病理特征(包括年龄、性别、肿瘤结节、肿瘤分级、肿瘤体积、淋巴结转移和甲胎蛋白表达)之间的相关性。Kaplan-Meier分析用于分析KIFC1表达水平对HCC患者总生存率和无进展生存率的影响。用GPEIA数据库分析了肝癌组织中KIFC1mRNA的表达水平。用KM绘图仪分析KIFC1表达与预后的相关性。结果KIFC1蛋白在癌症组织中显著表达,其表达水平与肿瘤结节数(P=0.023)和肿瘤大小(P=0.011)显著相关,KIFC1mRNA在癌症组织中显著表达,与无病生存率和总生存率相关。结论KIFC1蛋白在癌症组织中高表达,其表达水平与癌症的临床病理特征有关。生物信息学分析结果表明,KIFC1与患者预后不良有关,提示KIFC1有望成为癌症预后的潜在预测因子和治疗靶点。关键词:肝细胞癌;Kinesin家族成员C1;免疫组织化学;临床病理特征;预后
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引用次数: 0
Finite element analysis and experimental study of the performance of insulin pen needles 胰岛素笔针性能的有限元分析与实验研究
Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.06.008
Saihui Cui, Hongwang Zhu, Zhenai Pan, Haochen Wang
Objective To compare and analyze the relationship between geometric parameters of the needle of different insulin pens and their puncture force, flow rate, and pressing force. Methods The human skin tissue model and needle model were established, and the finite element simulation analysis of needle puncture was performed. Using a test platform, 25 kinds of needles with different geometric parameters were tested for the puncture force, pushing pressure, flow rate and other parameters. The influence of geometric parameters on the performance of the needles were analyzed. Results The puncture force of the needle was closely related to its section design. Compared with the three-section needle, the five-section needle increases the secondary inclination angle and the condyle angle, increases the contact area between the needle and the tissue, and make the change of the contact angle more smoothly, which reduce the needle penetration force. The smaller the outer diameter of the needle, the smaller the penetrating power. The larger the inner diameter of the needle, the greater the fluid flow rate, the smaller the pushing pressure, and the higher the injection accuracy. Conclusions Five-section, ultra-thin-walled or ultra-thin-walled needles have more excellent performance. On the basis of ensuring the strength of the needle, the needle's geometry can be optimized to reduce the puncture force. The results of this study can provide theoretical basis and experimental basis for the design of needles for insulin pens. Key words: Insulin pen needle; Puncture force; Flow rate; Finite element analysis
目的比较分析不同胰岛素笔针头几何参数与穿刺力、流速、压入力的关系。方法建立人体皮肤组织模型和针刺模型,对针刺过程进行有限元模拟分析。利用测试平台,对25种不同几何参数的针进行了穿刺力、推压、流量等参数的测试。分析了几何参数对针体性能的影响。结果穿刺针的穿刺力与其截面设计密切相关。与三节针相比,五节针增加了二次倾角和髁突角,增加了针与组织的接触面积,使接触角的变化更加平稳,从而减小了针的穿透力。针的外径越小,穿透力越小。针头内径越大,流体流量越大,推压压力越小,注射精度越高。结论五节针、超薄壁针和超薄壁针的性能更为优异。在保证针强度的基础上,优化针的几何形状,减小穿刺力。本研究结果可为胰岛素笔用针的设计提供理论依据和实验依据。关键词:胰岛素笔针;穿刺力;流量;有限元分析
{"title":"Finite element analysis and experimental study of the performance of insulin pen needles","authors":"Saihui Cui, Hongwang Zhu, Zhenai Pan, Haochen Wang","doi":"10.3760/CMA.J.ISSN.1673-4181.2019.06.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4181.2019.06.008","url":null,"abstract":"Objective \u0000To compare and analyze the relationship between geometric parameters of the needle of different insulin pens and their puncture force, flow rate, and pressing force. \u0000 \u0000 \u0000Methods \u0000The human skin tissue model and needle model were established, and the finite element simulation analysis of needle puncture was performed. Using a test platform, 25 kinds of needles with different geometric parameters were tested for the puncture force, pushing pressure, flow rate and other parameters. The influence of geometric parameters on the performance of the needles were analyzed. \u0000 \u0000 \u0000Results \u0000The puncture force of the needle was closely related to its section design. Compared with the three-section needle, the five-section needle increases the secondary inclination angle and the condyle angle, increases the contact area between the needle and the tissue, and make the change of the contact angle more smoothly, which reduce the needle penetration force. The smaller the outer diameter of the needle, the smaller the penetrating power. The larger the inner diameter of the needle, the greater the fluid flow rate, the smaller the pushing pressure, and the higher the injection accuracy. \u0000 \u0000 \u0000Conclusions \u0000Five-section, ultra-thin-walled or ultra-thin-walled needles have more excellent performance. On the basis of ensuring the strength of the needle, the needle's geometry can be optimized to reduce the puncture force. The results of this study can provide theoretical basis and experimental basis for the design of needles for insulin pens. \u0000 \u0000 \u0000Key words: \u0000Insulin pen needle; Puncture force; Flow rate; Finite element analysis","PeriodicalId":61751,"journal":{"name":"国际生物医学工程杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47704848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of clinical effects of three kinds of bone graft in the treatment of periodontal intra-bony defects 三种骨移植治疗牙周骨内缺损的临床疗效比较
Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.06.009
Jian Kang, Jinrong Zhao, Jing Li, Ying Zhang, Rui-dan Su, Yongqiang Ma, Zhi-Tao Wang
Objective To compare the clinical effects of guided tissue regeneration (GTR) combined with different bone graft materials, including Bio-Gene, Bone3 and Bio-Oss, in the treatment of periodontal intra-bony defects. Methods Eighteen patients with chronic periodontitis with periodontal intra-bony defects were randomly divided into the Bio-Gene group, the Bone3 group and Bio-Oss group. After periodontal debridement, periodontal bone grafting combined with GTR surgery was performed in all patients. The clinical and radiographic parameters of patients were collected before surgery, suture removal (2 weeks after surgery), and 6 months after surgery, including periodontal exploration depth (PD), clinical attachment loss (CAL), gingival recession (GR), and residual alveolar bone height (RBH). Results The wounds healed well in all patients when the suture was removed. The stage I healing was obtained without infection or wound dehiscence, and the postoperative discomfort was acceptable. At 6 months after periodontal bone grafting combined with GTR treatment, the PD and CAL indexes in the three groups were significantly improved compared with those before surgery (all P 0.05). Imaging results showed that new bone formation was observed in the original bone defect area in all three groups after 6 months of the treatment, the bone density was similar to the surrounding bone tissue. Besides, the RBH% increased significantly compared with that before the treatment (all P 0.05). Conclusions Bio-Gene, Bone3 and Bio-Oss are all reliable bone graft materials for the treatment of alveolar bone defects caused by periodontitis, which can significantly improve the osteogenesis effect. Key words: Periodontitis; Intra-bony defects; Periodontal bone grafting; Guided tissue regeneration; Bone substitute
目的比较引导组织再生(GTR)联合Bio-Gene、Bone3和Bio-Oss等不同骨移植材料治疗牙周骨内缺损的临床效果。方法将18例伴有牙周骨内缺损的慢性牙周炎患者随机分为Bio-Gene组、Bone3组和Bio-Oss组。所有患者在牙周清创术后进行牙周骨移植联合GTR手术。在手术前、拆线前(手术后2周)和手术后6个月收集患者的临床和放射学参数,包括牙周探查深度(PD)、临床附着丧失(CAL)、牙龈退缩(GR)和残余牙槽骨高度(RBH)。结果所有患者的伤口在拆线后均愈合良好。第一阶段的愈合没有感染或伤口裂开,术后的不适是可以接受的。牙周骨移植联合GTR治疗6个月后,三组的PD和CAL指标均较术前有显著改善(均P<0.05),骨密度与周围骨组织相似。结论Bio-Gene、Bone3和Bio-Oss均为治疗牙周炎引起的牙槽骨缺损的可靠骨移植材料,可显著提高成骨效果。关键词:牙周炎;骨内缺损;牙周骨移植;引导组织再生;骨替代品
{"title":"Comparison of clinical effects of three kinds of bone graft in the treatment of periodontal intra-bony defects","authors":"Jian Kang, Jinrong Zhao, Jing Li, Ying Zhang, Rui-dan Su, Yongqiang Ma, Zhi-Tao Wang","doi":"10.3760/CMA.J.ISSN.1673-4181.2019.06.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-4181.2019.06.009","url":null,"abstract":"Objective \u0000To compare the clinical effects of guided tissue regeneration (GTR) combined with different bone graft materials, including Bio-Gene, Bone3 and Bio-Oss, in the treatment of periodontal intra-bony defects. \u0000 \u0000 \u0000Methods \u0000Eighteen patients with chronic periodontitis with periodontal intra-bony defects were randomly divided into the Bio-Gene group, the Bone3 group and Bio-Oss group. After periodontal debridement, periodontal bone grafting combined with GTR surgery was performed in all patients. The clinical and radiographic parameters of patients were collected before surgery, suture removal (2 weeks after surgery), and 6 months after surgery, including periodontal exploration depth (PD), clinical attachment loss (CAL), gingival recession (GR), and residual alveolar bone height (RBH). \u0000 \u0000 \u0000Results \u0000The wounds healed well in all patients when the suture was removed. The stage I healing was obtained without infection or wound dehiscence, and the postoperative discomfort was acceptable. At 6 months after periodontal bone grafting combined with GTR treatment, the PD and CAL indexes in the three groups were significantly improved compared with those before surgery (all P 0.05). Imaging results showed that new bone formation was observed in the original bone defect area in all three groups after 6 months of the treatment, the bone density was similar to the surrounding bone tissue. Besides, the RBH% increased significantly compared with that before the treatment (all P 0.05). \u0000 \u0000 \u0000Conclusions \u0000Bio-Gene, Bone3 and Bio-Oss are all reliable bone graft materials for the treatment of alveolar bone defects caused by periodontitis, which can significantly improve the osteogenesis effect. \u0000 \u0000 \u0000Key words: \u0000Periodontitis; Intra-bony defects; Periodontal bone grafting; Guided tissue regeneration; Bone substitute","PeriodicalId":61751,"journal":{"name":"国际生物医学工程杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44305156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nd:YAG Laser therapy device for caries control and prevention and its influence on temperature of isolated tooth pulp chamber Nd:YAG激光防龋装置及其对离体牙髓腔温度的影响
Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.06.012
Xiaoyue Liang, Zhaohui Zou, Xiaoxi Dong, Ranran Du, Yu Zhang
Objective To analyze the influence of a dental caries phototherapy device using neodymium-yttrium-aluminum-garnet (Nd:YAG) laser on the temperature of tooth pulp chamber of different sites and morphologies under different irradiation duration and power. Methods Fifty intact isolated teeth were collected and randomly divided into middle incisor group, upper right first premolar group, upper right second molar group, upper left first premolar group, and upper left second molar group. Each experimental group was irradiated according to the laser power 1.5, 1.6, 1.7, 1.8, 1.9 and 2.0 W, and the irradiation duration 30, 60, 90 s. The temperature rise of the pulp chamber was recorded with a thermocouple thermometer. Results After the laser irradiation, the temperature of the tooth pulp chamber increased, and the temperature rise was less than 5.5 ℃, i.e. the threshold leading to the dental pulp necrosis. Conclusions The use of laser to prevent dental caries will increase the temperature of the tooth pulp chamber, but the temperature rise in the range of 5.5 ° C is relatively safe and will not cause irreversible damage to the pulp tissue. Key words: Oral phototherapy device; Laser; Pulp chamber; Temperature
目的分析采用钕钇铝石榴石(Nd:YAG)激光治疗龋病的装置在不同照射时间和功率下对牙髓腔不同部位和形态温度的影响。方法收集50颗完整离体牙,随机分为中切牙组、右上第一前磨牙组、右上第二磨牙组、左上第一前磨牙组和左上第二磨牙组。实验组分别按激光功率1.5、1.6、1.7、1.8、1.9、2.0 W,照射时间30、60、90 s进行照射。用热电偶温度计记录了牙髓腔的温升。结果激光照射后牙髓腔温度升高,且温升小于5.5℃,即导致牙髓坏死的阈值。结论使用激光预防龋病会使牙髓腔温度升高,但温度升高在5.5℃范围内是相对安全的,不会对牙髓组织造成不可逆的损伤。关键词:口服光疗仪;激光;髓室;温度
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引用次数: 0
Role of histone methylation enzyme EZH2 and VEGF165 in momymoya disease 组蛋白甲基化酶EZH2和VEGF165在胸腺疾病中的作用
Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.06.005
Zaiyu Guo, Heliang Zhang, Qian Chen, Yanwei Hou
Objective To study on the role of histone methylation enzyme enhancer of zeste homolog 2 (EHZ2) and vascular endothelial growth factor 165 (VEGF165) in momymoya disease. Methods The animal model of moyamoya disease was established by ear vein injection of horse serum in New Zealand rabbits. VEGF165 was over-expressed in situ by packaging lentivirus. Real-time quantitative PCR and Western Blot were used to detect the expression of VEGF165, EZH2 and H3K27me3 in the brain tissues of the animal models. Results Compared with the normal control group, the expression levels of mRNA and protein of EZH2 in the moyamoya disease model group were increased (EZH2 mRNA: P<0.01), and the level of histone H3K27me3 was increased. After overexpression of VEGF165 in the moyamoya disease model group, the expression levels of mRNA and protein of EZH2 was further increased (EZH2 mRNA: P<0.01), and the level of histone H3K27me3 was also increased. Conclusions EZH2 plays a certain role in the pathogenesis of moyamoya disease, and the expression of EZH2 is regulated by VEGF 165, which provides a theoretical basis for the study of the pathogenesis of moyamoya disease. Key words: Moyamoya disease; Enhancer of zeste homolog 2; Vascular endothelial growth factor 165
目的探讨zeste同源物组蛋白甲基化酶增强子2 (EHZ2)和血管内皮生长因子165 (VEGF165)在肺癌中的作用。方法采用耳静脉注射马血清法建立新西兰兔烟雾病动物模型。通过包装慢病毒原位过表达VEGF165。采用实时定量PCR和Western Blot检测VEGF165、EZH2和H3K27me3在动物模型脑组织中的表达。结果与正常对照组比较,烟雾病模型组EZH2 mRNA及蛋白表达水平升高(P<0.01),组蛋白H3K27me3表达水平升高。过表达VEGF165后,烟雾病模型组EZH2 mRNA和蛋白表达水平进一步升高(EZH2 mRNA: P<0.01),组蛋白H3K27me3水平也升高。结论EZH2在烟雾病发病中发挥一定作用,EZH2的表达受VEGF 165的调控,为烟雾病发病机制的研究提供了理论依据。关键词:烟雾病;趣味同源物2的增强剂;血管内皮生长因子165
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引用次数: 0
Effect of tea polyphenols on diabetic nephropathy mice by regulating Nrf-2/ARE signaling pathway 茶多酚通过调节Nrf-2/ARE信号通路对糖尿病肾病小鼠的影响
Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1673-4181.2019.06.003
Tao Ma, Jia-yi Liang, Junhua Shi
Objective To investigate the effects of tea-polyphenols on diabetic nephropathy (DN) mice by regulating nuclear factor E2-related factor 2/antioxidant response element (Nrf-2/ARE) signaling pathway. Methods A total of ten male 9-week-old normal (db/m) mice were randomly and equally divided into blank control group and tea-polyphenol control group, and ten male 9-week-old homologous type 2 diabetes (db/db) mice were randomly divided into model group and tea polyphenol treatment group. The animals in the tea-polyphenol control group and the treatment group were given 50 mg/(kg·d) tea-polyphenols by oral gavage, and the animals in the blank control group and model group were given same volume of double distilled water. The administration was once a day for 8 weeks. The blood glucose and 24-hour urine protein quantization (24 h-UP) were measured and recorded at 0, 4, and 8 weeks. After 8 weeks of the treatment, the mice were sacrificed. The intraocular blood stasis samples were collected for renal function indicators (serum creatinine and urea nitrogen), and kidney tissue samples were also collected for the tests of superoxide dismutase (SOD), reactive oxygen species, and malondialdehyde. Periodic acid Schiff reaction (PAS) staining was used to observe glomerular injury and scored. Western blot was used to detect the expression of Nrf-2 and hemeoxygenase-1 (HO-1) protein. Results Compared with the blank control group, the blood glucose and 24 h-UP of the mice in the model group and the tea-polyphenol treatment group increased after 4 and 8 weeks of the treatment (all P 0.05). Conclusions Renal tissue of DN mice will undergo significant oxidative stress injury. Tea-polyphenols may reduce the oxidative stress injury in DN mice by regulating the Nrf-2/ARE signaling pathway, and play a protective role in the kidney. Key words: Diabetic nephropathy; Tea-polyphenols; Nuclear factor E2-related factor 2/antioxidant response element signaling pathway; Oxidative stress
目的探讨茶多酚通过调节核因子E2相关因子2/抗氧化反应元件(Nrf-2/ARE)信号通路对糖尿病肾病(DN)小鼠的影响。方法将10只雄性9周龄正常(db/m)小鼠随机等分为空白对照组和茶多酚对照组,10只雄性同源2型糖尿病(db/db)小鼠随机分为模型组和茶酚治疗组。茶多酚对照组和治疗组动物灌胃给予茶多酚50mg/(kg·d),空白对照组和模型组动物给予相同体积的双蒸馏水。给药8周,每天一次。在0、4和8周时测量并记录血糖和24小时尿蛋白定量(24h-UP)。治疗8周后,处死小鼠。收集眼内瘀血样本用于肾功能指标(血清肌酐和尿素氮),还收集肾组织样本用于超氧化物歧化酶(SOD)、活性氧和丙二醛的测试。采用PAS染色法观察肾小球损伤情况并评分。采用蛋白质印迹法检测Nrf-2和血红素氧合酶-1(HO-1)蛋白的表达。结果与空白对照组相比,模型组和茶多酚治疗组小鼠在治疗4周和8周后血糖和24h-UP均升高(均P<0.05)。茶多酚可通过调节Nrf-2/ARE信号通路减轻DN小鼠的氧化应激损伤,并在肾脏中发挥保护作用。关键词:糖尿病肾病;茶多酚;核因子E2相关因子2/抗氧化反应元件信号通路;氧化应激
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国际生物医学工程杂志
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