Pesquisa | SciELO

SUMMARY: Due to the complexity of head shape, limited 1D or 2D head anthropometry fail to fully capture its shape characteristics. Currently, there is limited research on clustering analysis of head shape from a shape difference perspective, especially for the head shape of Chinese people. Head shape is influenced by factors such as race, sex, and age, making it imperative to create a head shape database for Chinese individuals. In this study, three-dimensional head data of 339 Chinese young adult were collected, and the head shapes were clustered into 7 clusters using an improved k-medoids algorithm. The differences between clusters and the average head shape were further analyzed. It can be foreseen that the head shape database for Chinese young adult constructed in this study has important reference value for the ergonomic design of head-related products and head morphology research, among other fields.

RESUMEN: Debido a la complejidad de la forma de la cabeza, la antropometría limitada de ésta, en 1D o 2D, no logra capturar completamente sus características de forma. Actualmente, existen estudios limitados sobre el análisis de agrupamiento de la forma de la cabeza, desde una perspectiva de diferencia de forma, especialmente en el caso de la población china. La forma de la cabeza está influenciada por factores como la raza, el sexo y la edad, por lo que resulta imperativo crear una base de datos sobre la forma de la cabeza de los individuos chinos. En este estudio, se recopilaron datos tridimensionales de la cabeza de 339 adultos jóvenes chinos, y las formas de la cabeza se agruparon en 7 grupos utilizando un algoritmo k-medoids mejorado. Las diferencias entre los grupos y la forma promedio de la cabeza se analizaron a profundidad. Se puede prever que la base de datos sobre la forma de la cabeza de adultos jóvenes chinos construida en este estudio, tiene un valor de referencia importante para el diseño ergonómico de productos relacionados con la morfología de la cabeza, entre otros campos.

Effect of restrictive fluid resuscitation on the coagulation function and hemodynamic parameters in patients with hemorrhagic traumatic shock
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Zheng, Junfen

; Zhu, Jinqiang

; Cao, Liexiang

; Dong, Meiping

; Mao, Yi

; Zhao, Zhiwei

; Liu, Yao

Clinics

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2023, Volume 78 elocation 100300

Resumo: En | Texto: En | PDF: En

Abstract Objectives To investigate the changes in the coagulation function and hemodynamic parameters in patients with Hemorrhagic Traumatic Shock (HTS) after restrictive fluid resuscitation. Methods A total of 139 patients with HTS admitted to our hospital were enrolled, among which 69 HTS patients were divided into the control group and the remaining 70 HTS patients as the observation group. Patients in the control group underwent regular fluid resuscitation, while those in the observation group underwent restrictive fluid resuscitation. Results During treatment, 70 patients in the observation group had a lower bleeding amount, infusion amount, and blood transfusion volume than those in the control group (p < 0.05). After treatment, patients in the observation group had better hemodynamic parameters and blood coagulation than those in the control group (p < 0.05), and the incidence rate in the observation group was only 12.9%, which was significantly lower than 60.87% in the control group, while the cure rate in the observation group was 100%, which was significantly higher than that in the control group (p < 0.05). Conclusions Restrictive fluid resuscitation could remarkably increase the cure rate and reduce the bleeding amount during HTS treatment, thereby benefiting the recovery of the patient's blood coagulation.

https://doi.org/10.1016/j.clinsp.2023.100300

Changes in gap junction proteins Connexin30.2 and Connexin40 expression in the sinoatrial node of rats with dexmedetomidine-induced sinus bradycardia
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Yin, Yong-Qiang

; Zhong, Yi

; Zhu, Yu

; Tian, Lei

Brazilian Journal of Anesthesiology

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Dez 2022, Volume 72 Nº 6 Páginas 768 - 773

Resumo: En | Texto: En | PDF: En

Abstract Background Dexmedetomidine (Dex) is widely used, and its most common side effect is bradycardia. The complete mechanism through which Dex induces bradycardia has not been elucidated. This research investigates the expression of gap junction proteins Connexin30.2 (Cx30.2) and Connexin40 (Cx40) within the sinoatrial node of rats with Dex-induced sinus bradycardia. Methods Eighty rats were randomly assigned to five groups. Saline was administered to rats in Group C. In the other four groups, the rats were administered Dex to induce bradycardia. In groups D1and D2, the rats were administered Dex at a loading dose of 30 μg.kg−1 and 100 μg.kg−1 for 10 min, then at 15 μg.kg−1.h−1 and 50 μg.kg−1.h−1 for 120 min separately. The rats in group D1A and D2A were administered Dex in the same way as in group D1and D2; however, immediately after the administration of the loading dose, 0.5 mg atropine was administered intravenously, and then at 0.5 mg.kg−1.h−1 for 120 min. The sinoatrial node was acquired after intravenous infusion was completed. Quantitative real-time polymerase chain reaction and western blot analyses were performed to measure mRNA and protein expression of Cx30.2 and Cx40, respectively. Results The expression of Cx30.2 increased, whereas the expression of Cx40 decreased within the sinoatrial node of rats with Dex-induced sinus bradycardia. Atropine reversed the effects of Dex on the expression of gap junction proteins. Conclusion Dex possibly altered the expression of gap junction proteins to slow down cardiac conduction velocity in the sinoatrial node.

https://doi.org/10.1016/j.bjane.2022.05.004

Electroacupuncture alleviates inflammatory pain via adenosine suppression and its mediated substance P expression
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ZHANG, Rong yi

; ZHU, Ben fan

; WANG, Li kui

; SONG, Yang

; ZHAO, Jia gui

; GUO, Yan

; ZHAO, Long

; CHEN, Shi

Arquivos de Neuro-Psiquiatria

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Out 2020, Volume 78 Nº 10 Páginas 617 - 623

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Introdução: A acupuntura tem sido amplamente utilizada para alívio de dor. No entanto, seus mecanismos são muito pouco conhecidos. Objetivo: Investigar a relação entre o efeito analgésico da eletroacupuntura e a regulação da expressão de adenosina e de substância P. Métodos: Utilizou-se um modelo de dor inflamatória crônica em ratos por injeção única do Adjuvante Completo de Freund e, em seguida, os animais foram tratados com eletroacupuntura diariamente. Foram aplicadas sete sessões bilaterais de eletroacupuntura (ST36 e BL60, 0,5 a 1,5 mA, força inicial de 0,5 mA, aumentada em 0,5 mA a cada 10 minutos, 30 minutos por sessão, uma sessão por dia) em ratos com Adjuvante Completo de Freund, por sete dias. O efeito analgésico da eletroacupuntura foi avaliado pela medida do limiar de retirada da pata em ratos que receberam estimulações mecânica e térmica. Resultados: A estimulação diária com eletroacupuntura aumentou efetivamente o limiar de retirada da pata em ratos com Adjuvante Completo de Freund. A eletroacupuntura aumentou o nível de adenosina na região zusanli. Estudos posteriores mostraram que a eletroacupuntura poderia diminuir os níveis de substância P, receptor de neurocinina-1, fator de necrose tumoral-alpha, interleucina-1β, interleucina-6 e CD68 nos gânglios da raiz dorsal. Curiosamente, a injeção direta de antagonistas do receptor de adenosina A1 ou de substância P, ou a transecção da raiz do nervo dorsal, podem prejudicar significativamente as ações analgésicas induzidas pela eletroacupuntura em ratos com Adjuvante Completo de Freund e reduzir os níveis de substância P, receptor de neurocinina-1, fator de necrose tumoral-alfa, interleucina-1β, interleucina-6 e CD68. Por fim, confirmamos que a injeção direta de um agonista do receptor da adenosina A1 reproduziu os efeitos analgésicos da eletroacupuntura. Conclusão: Nossos resultados indicam a regulação da secreção da substância P mediada pela adenosina. A via mediada pela substância P pode estar envolvida no processo de analgesia por eletroacupuntura em ratos.

ABSTRACT Background: Acupuncture has been widely used for alleviating pain. However, its mechanisms remain largely enigmatic. Objective: In the present study, we focused on whether the analgesic effect of electroacupuncture is related to its regulation on adenosine and substance P expression. Methods: We established chronic inflammatory pain model in rats through a single injection of Complete Freund’s Adjuvant, and then we treated animals using daily electroacupuncture. We applied seven bilateral sessions of electroacupuncture (ST36 and BL60, 0.5 to 1.5 mA, initial strength of 0.5 mA, increased by 0.5 mA every 10 minutes, for 30 minutes per session, one section per day) to Complete Freund’s Adjuvant rats for seven days. The analgesic effect of electroacupuncture was evaluated by measuring paw withdrawal threshold in rats that received mechanical and thermal stimulation. Results: Daily electroacupuncture stimulation effectively increased paw withdrawal threshold in Complete Freund’s Adjuvant rats. Electroacupuncture increased the adenosine level in zusanli. A further study showed that electroacupuncture could decrease substance P, neurokinin-1 receptor, tumor necrosis factor-alpha, interleukin-1β, interleukin-6 and CD68 levels in dorsal root ganglion. Interestingly, direct injection of adenosine A1 or substance P receptor antagonists, or dorsal nerve root transection could significantly impair electroacupuncture induced analgesic actions in Complete Freund’s Adjuvant rats could and reduce the levels of substance P, neurokinin-1 receptor, tumor necrosis factor-alpha, interleukin-1β, interleukin-6 and CD68. Finally, we confirmed that direct injection of adenosine A1 receptor agonist replicated the analgesic effect of electroacupuncture. Conclusion: Our results indicate regulation of adenosine-mediated substance P secretion. Substance P-mediated pathway may be involved in the analgesia process by electroacupuncture in rats.

https://doi.org/10.1590/0004-282x20200078 1025 downloads

Notum attenuates HBV-related liver fibrosis through inhibiting Wnt 5a mediated non-canonical pathways
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Li, Wenting

; Yu, Xiaolan

; Zhu, Chuanlong

; Wang, Zheng

; Zhao, Zonghao

; Li, Yi

; Zhang, Yonghong

Biological Research

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2019, Volume 52 elocation 10

Resumo: En | Texto: En | PDF: En

Abstract Background: Non-canonical Wnt pathways play important roles in liver fibrosis. Notum is a newly discovered inhibitor to Wnt proteins. This study was to investigate anti-fibrotic effects of Notum. Methods: 53 patients with hepatitis B virus (HBV) infection as well as a cell co-culture system of LX-2 and Hep AD38 cells were engaged in this study. Clinical, biological and virological data of each patient were analyzed. Cell viability was detected at different time points. mRNA and protein levels of NFATc1 (Nuclear factor of activated T-cells), Jnk, α-SMA, Col1A1 and TIMP-1 were detected both in LX-2 and liver tissue. Protein levels of NFATc1 and Jnk in liver tissue and their correlations with fibrosis score were analyzed. Results: Hepatitis B virus replication up-regulated Wnt5a induced NFATc1 and Jnk activity in Hep AD38. Notum suppressed NFATc1, Jnk and fibrosis genes expression, reduced cell viability in co-cultured LX-2 cells induced by HBV. Interestingly, Patients with HBV DNA > 5log copies/ml had higher mRNA levels of NFATc1 and fibrosis genes than patients with HBV DNA < 5log copies/ml. Most importantly, protein expressions of NFATc1 and pJnk have positive correlations with liver fibrosis scores in HBV-infected patients. Conclusions: Our data showed that Notum inhibited HBV-induced liver fibrosis through down-regulating Wnt 5a mediated non-canonical pathways. This study shed light on anti-fibrotic treatment.

https://doi.org/10.1186/s40659-019-0217-8 401 downloads

Ropivacaine promotes apoptosis of hepatocellular carcinoma cells through damaging mitochondria and activating caspase-3 activity
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Wang, Wenting

; Zhu, Mingyue

; Xu, Zhixin

; Li, Wei

; Dong, Xu

; Chen, Yi

; Lin, Bo

; Li, Mengsen

Biological Research

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2019, Volume 52 elocation 36

Resumo: En | Texto: En | PDF: En

Abstract Background: Recent evidences indicated that some local anaesthetic agents played a role in inhibiting the proliferation of cancer cells; Whether ropivacaine is able to promote apoptosis of hepatocellular carcinoma (HCC) cells is still unclear. The aim of this study was to investigate the effect of ropivacaine on the apoptosis of HCC cells. Methods: In the present study, we treated the HCC cell lines, Bel7402 and HLE with ropivacaine. MTT, DAPI stain, trypan blue exclusion dye assay, flow cytometry, electron microscopy, computational simulation, laser confocal microscope, Western blotting, and enzyme activity analysis of caspase-3 were applied to detect the growth and apoptosis of HCC cells and to explore the role mechanism of ropivacaine. Results: Ropivacaine was able to inhibit proliferation and promote apoptosis of HCC cells in a dose- and time-dependent manner. Ropivacaine also has a trait to inhibit the migration of HCC cells; ropivacaine damaged the mitochondria of HCC cells. The results also indicated that ropivacaine was able to interact with caspase-3, promote cytoplasmic caspase-3 migration into the nucleus, stimulate cleavage of caspase-3 and PARP-1, caspase-9 proteins, inhibit the expression of Bcl-2, promote expression of Apaf-1 and mitochondria release cytochrome C, and activate the activity of caspase-3. Conclusions: Ropivacaine has a novel role in promoting apoptosis of HCC cells; The role mechanism of ropivacaine maybe involve in damaging the function of mitochondria and activating the caspase-3 signalling pathway in HCC cells. Our findings provide novel insights into the local anaesthetic agents in the therapy of HCC patients.

https://doi.org/10.1186/s40659-019-0242-7 432 downloads

Tai Chi exercise and functional electrical stimulation of lower limb muscles for rehabilitation in older adults with chronic systolic heart failure: a non-randomized clinical trial
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Hao, Yi

; Zhang, Long

; Zhang, Zhenhua

; Chen, Lin

; He, Ning

; Zhu, Shuai

Brazilian Journal of Medical and Biological Research

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2019, Volume 52 Nº 12 elocation e8786

Resumo: En | Texto: En | PDF: En

Exercise-based training decreases hospitalizations in heart failure patients but such patients have exercise intolerance. The objectives of the study were to evaluate the effect of 12 weeks of Tai Chi exercise and lower limb muscles' functional electrical stimulation in older chronic heart failure adults. A total of 1,084 older adults with chronic systolic heart failure were included in a non-randomized clinical trial (n=271 per group). The control group did not receive any kind of intervention, one group received functional electrical stimulation of lower limb muscles (FES group), another group practiced Tai Chi exercise (TCE group), and another received functional electrical stimulation of lower limb muscles and practiced Tai Chi exercise (FES & TCE group). Quality of life and cardiorespiratory functions of all patients were evaluated. Compared to the control group, only FES group had increased Kansas City Cardiomyopathy Questionnaire (KCCQ) score (P<0.0001, q=9.06), only the TCE group had decreased heart rate (P<0.0001, q=5.72), and decreased peak oxygen consumption was reported in the TCE group (P<0.0001, q=9.15) and FES & TCE group (P<0.0001, q=10.69). FES of lower limb muscles and Tai Chi exercise can recover the quality of life and cardiorespiratory functions of older chronic heart failure adults (trial registration: Research Registry 4474, January 1, 2015).

https://doi.org/10.1590/1414-431x20198786 1571 downloads

Anaerobic biodegradation of benzo(a)pyrene by a novel Cellulosimicrobium cellulans CWS2 isolated from polycyclic aromatic hydrocarbon-contaminated soil
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Qin, Wei

; Fan, Fuqiang

; Zhu, Yi

; Huang, Xiaolong

; Ding, Aizhong

; Liu, Xiang

; Dou, Junfeng

Brazilian Journal of Microbiology

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Jun 2018, Volume 49 Nº 2 Páginas 258 - 268

Resumo: En | Texto: En | PDF: En

Abstract Cellulosimicrobium cellulans CWS2, a novel strain capable of utilizing benzo(a)pyrene (BaP) as the sole carbon and energy source under nitrate-reducing conditions, was isolated from PAH-contaminated soil. Temperature and pH significantly affected BaP biodegradation, and the strain exhibited enhanced biodegradation ability at temperatures above 30 °C and between pH 7 and 10. The highest BaP removal rate (78.8%) was observed in 13 days when the initial BaP concentration was 10 mg/L, and the strain degraded BaP at constant rate even at a higher concentration (50 mg/L). Metal exposure experimental results illustrated that Cd(II) was the only metal ion that significantly inhibited biodegradation of BaP. The addition of 0.5 and 1.0 g/L glucose enhanced BaP biodegradation, while the addition of low-molecular-weight organic acids with stronger acidity reduced BaP removal rates during co-metabolic biodegradation. The addition of phenanthrene and pyrene, which were degraded to some extent by the strain, showed no distinct effect on BaP biodegradation. Gas chromatography-mass spectrometry (GC-MS) analysis revealed that the five rings of BaP opened, producing compounds with one to four rings which were more bioavailable. Thus, the strain exhibited strong BaP degradation capability and has great potential in the remediation of BaP-/PAH-contaminated environments.

https://doi.org/10.1016/j.bjm.2017.04.014 1473 downloads

10.

Combination of Propylene Glycol Alginate and Lauric Acid on Water Retention and Mechanical Properties of Soy Protein Isolate-Based Films
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Liu, Yi

; Pan, Hongyang

; Liao, Tougen

; Zhu, Baokun

; Li, Zhiyu

; Wu, Jiacan

; Li, Yuandong

; Cai, Jibao

; Wang, Mingfeng

Journal of the Brazilian Chemical Society

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Dez 2017, Volume 28 Nº 12 Páginas 2365 - 2374

Resumo: En | Texto: En | PDF: En

The water sorption, water barrier properties and mechanical behavior of soy protein isolate (SPI) based films combined with propylene glycol alginate (PGA) and lauric acid (La) via a direct- or co-dried blending process were investigated. Higher water retention ability and a single glass transition temperature (Tg) were found when the PGA was added to form different ternary co-dried blending films by a co-drying process, indicating their compatibility. Tg was reduced in the case of higher relative humidity and incorporation of La. The response surface methodology (RSM) indicated that the effect of La content was highly significant (p < 0.05) for the water retention ability and mechanical properties, and the proposed models calculated for the tensile strength and elongation at break showed a good fit. The results revealed the importance of the interactions among lipids, protein and polysaccharide in composite films which also provided evidence for modeling film behavior.

https://doi.org/10.21577/0103-5053.20170090 1436 downloads

11.

Peroral endoscopic myotomy versus pneumatic dilation for achalasia in patients aged ≥ 65 years
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Wang, Xuehong

; Tan, Yuyong

; Lv, Liang

; Zhu, Hongyi

; Chu, Yi

; Li, Chenjie

; Liu, Deliang

Revista Española de Enfermedades Digestivas

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Out 2016, Volume 108 Nº 10 Páginas 637 - 641

Resumo: En | Texto: En | PDF: En

Background and aim: Both peroral endoscopic myotomy (POEM) and pneumatic dilation (PD) has proved to be effective for treating achalasia in patients aged ≥ 65 years. However little is known about the comparison between POEM and PD. The aim of the study was to compare the safety and efficacy of POEM and PD for the treatment of achalasia in these patients. Methods: We retrospectively reviewed the medical records of patients aged 65 years-old or more who received POEM or PD for the treatment of achalasia at our hospital from January 2010 to December 2015, they were divided into the POEM group and the PD group. Demographics and data about safety and efficacy were collected retrospectively and compared between the two groups. Results: A total of 31 patients were enrolled, and 21 of them received POEM, while the other 10 received PD. The treatment success (Eckardt score ≤ 3) rate of POEM and PD at 3, 6, 12, 24 and 36 months after the treatment were comparable (p > 0.05). Treatment failure was noticed in 3 cases, 1 of them was in the POEM group and the other 2 in the PD group, there was no significant difference (p > 0.05). Multivariate analysis showed that sigmoid-type achalasia was a predictive factor of treatment failure. No severe complications were observed during operation and periodical follow-up. Conclusion: Short-term and intermediate efficacy of POEM and PD for treating achalasia in patients aged ≥ 65 years was comparable. A large scale, randomized study with long-term follow-up is necessary in order to make a definitive conclusion.

https://doi.org/10.17235/reed.2016.4488/2016 684 downloads

12.

Flow-through anastomosis using a T-shaped vascular pedicle for gracilis functioning free muscle transplantation in brachial plexus injury
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Hou, Yi

; Yang, Jiantao

; Yang, Yi

; Qin, Bengang

; Fu, Guo

; Li, Xiangming

; Gu, Liqiang

; Liu, Xiaolin

; Zhu, Qingtang

; Qi, Jian

Clinics

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Ago 2015, Volume 70 Nº 8 Páginas 544 - 549

Resumo: En | Texto: En | PDF: En

OBJECTIVE: In gracilis functioning free muscle transplantation, the limited caliber of the dominant vascular pedicle increases the complexity of the anastomosis and the risk of vascular compromise. The purpose of this study was to characterize the results of using a T-shaped vascular pedicle for flow-through anastomosis in gracilis functioning free muscle transplantation for brachial plexus injury. METHODS: The outcomes of patients with brachial plexus injury who received gracilis functioning free muscle transplantation with either conventional end-to-end anastomosis or flow-through anastomosis from 2005 to 2013 were retrospectively compared. In the flow-through group, the pedicle comprised a segment of the profunda femoris and the nutrient artery of the gracilis. The recipient artery was interposed by the T-shaped pedicle. RESULTS: A total of 46 patients received flow-through anastomosis, and 25 patients received conventional end-to-end anastomosis. The surgical time was similar between the groups. The diameter of the arterial anastomosis in the flow-through group was significantly larger than that in the end-to-end group (3.87 mm vs. 2.06 mm, respectively, p<0.001), and there were significantly fewer cases of vascular compromise in the flow-through group (2 [4.35%] vs. 6 [24%], respectively, p=0.019). All flaps in the flow-through group survived, whereas 2 in the end-to-end group failed. Minimal donor-site morbidity was noted in both groups. CONCLUSIONS: Flow-through anastomosis in gracilis functioning free muscle transplantation for brachial plexus injury can decrease the complexity of anastomosis, reduce the risk of flap loss, and allow for more variation in muscle placement.

https://doi.org/10.6061/clinics/2015(08)03 1733 downloads

13.

Practice audits to reduce caesareans in a tertiary referral hospital in south-western China
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Runmei, Ma

; Terence T, Lao

; Yonghu, Sun

; Hong, Xiao

; Yuqin, Tian

; Bailuan, Li

; Minghui, Yang

; Weihong, Yang

; Kun, Liang

; Guohua, Liang

; Hongyu, Li

; Li, Geng

; Renmin, Ni

; Wenjin, Qi

; Zhuo, Chen

; Mingyu, Du

; Bei, Zhu

; Jing, Xu

; Yanping, Tao

; Lan, Zhang

; Xianyan, Song

; Zaiqing, Qu

; Qian, Sun

; Xiaoyun, Yi

; Jihui, Yu

; Dandan, Zhang

Bulletin of the World Health Organization

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Jul 2012, Volume 90 Nº 7 Páginas 488 - 494

Resumo: En Es Fr | Texto: En Es Fr | PDF: En | PDF: Es | PDF: Fr

OBJECTIVE: To assess the effectiveness of a three-stage intervention to reduce caesarean deliveries in a Chinese tertiary hospital. METHODS: A retrospective study was conducted to assess whether educating staff, educating patients and auditing surgeon practices (introduced in 2005) had reduced caesarean delivery rates. Multiple logistic regression was used to check for a potential association between caesarean rates and rates of admission to the neonatal intensive care unit (NICU). FINDINGS: The caesarean delivery rate ranged from 53.5% to 56.1% in 2001-2004 and from 43.9% to 36.1% in 2005-2011. When 2001-2004 and 2005-2011 were treated as "before" and "after" periods to evaluate the intervention's impact on the mean caesarean section rate, a significant reduction was noted: from 54.8% to 40.3% (odds ratio, OR: 0.56; 95% confidence interval, CI: 0.52-0.59; χ2 test: P < 0.001). The overall drop in the caesarean section rate was significant (χ2 test: P < 0.001) and inversely correlated with the years (Spearman's ρ: -0.096; P < 0.001). Although complicated pregnancies increased after 2004, the primary caesarean section rate decreased annually by 20% on average in 2005-2011, after practice audits were implemented. Multiple logistic regression showed a positive association between the caesarean delivery rate and the rate of admission to the NICU (adjusted OR: 1.26; 95% CI: 1.14-1.40). CONCLUSION: Patient and staff education and practice audits reduced the Caesarean section rate in a tertiary referral hospital without an increase in admissions to the NICU.

OBJETIVO: Evaluar la eficacia de una intervención en tres etapas para reducir los partos por cesárea en un hospital de atención terciaria en China. MÉTODOS: Se realizó un estudio retrospectivo para evaluar si el programa educativo para el personal y los pacientes y la auditoría de las prácticas de los cirujanos (que se pusieron en marcha en el año 2005) habían disminuido la tasa de partos por cesárea. Se empleó una regresión logística múltiple para comprobar la posible relación entre la tasa de cesáreas y la tasa de admisión en la unidad de cuidados intensivos neonatales (UCIN). RESULTADOS: La tasa de partos por cesárea osciló entre el 53,5% y el 56,1% entre 2001 y 2004 y entre el 43,9% y el 36,1% entre 2005 y 2011. Se constata una reducción significativa en la misma si se consideran los años 2001-2004 y 2005-2011 como periodos «antes» y «después» para evaluar el impacto de la intervención sobre la tasa media de partos por cesárea: del 54,8% al 40,3% (razón de posibilidades, OR: 0,56; intervalo de confianza, IC, del 95%: 0,54 - 0,59; χ2test P<0,001). La disminución general en la proporción de cesáreas fue significativa (χ2 test: P<0,001) y estuvo relacionada de forma inversa con los años (correlación de Spearman ρ: -0,096; P<0,001). A pesar del aumento de embarazos complicados después de 2004, la tasa de cesáreas primarias disminuyó anualmente hasta un 20% de media entre los años 2005-2011 después de haber puesto en marcha las auditorías de las prácticas. La regresión logística múltiple mostró una relación positiva entre la tasa de partos por cesárea y la tasa de admisión en la unidad de cuidados intensivos neonatales UCIN (OR ajustada: 1,26; IC del 95%: 1,14-1,40). CONCLUSIÓN: El programa educativo para el personal y los pacientes, así como las auditorías de las prácticas redujeron la tasa de cesáreas en un hospital de atención terciaria sin aumentar el número de admisiones en la UCIN.

OBJECTIF: Evaluer l'efficacité d'une intervention en trois étapes pour réduire les accouchements par césarienne dans un hôpital de troisième ligne chinois. MÉTHODES: Une étude rétrospective a été menée afin de déterminer si l'éducation du personnel, l'éducation des patients et l'audit des pratiques des chirurgiens (introduit en 2005) avaient réduit les taux d'accouchement par césarienne. Une régression logistique multiple a été utilisée pour vérifier une éventuelle corrélation entre les taux de césarienne et les taux d'admission à l'unité de soins intensifs néonataux. RÉSULTATS: Le taux de césarienne variait de 53,5% à 56,1% en 2001-2004 et de 43,9% à 36,1% en 2005-2011. Lorsque 2001-2004 et 2005-2011 ont été traités en tant que périodes "avant" et "après" pour évaluer l'impact des interventions sur le taux moyen de césarienne, une réduction significative a été mise en évidence: de 54,8% à 40,3% (rapport des chances, OR: 0,56; intervalle de confiance à 95%, IC: 0,52 à 0,59; test de χ2: P <0,001). La baisse globale du taux de césarienne était significative (test de χ2: P <0,001) et inversement corrélée avec les années (ρ de Spearman: -0,096; P <0,001). Bien que les grossesses compliquées aient augmenté après 2004, le taux de césarienne primaire a diminué chaque année de 20% en moyenne en 2005-2011, après que l'audit de bonnes pratiques ait été mis en œuvre. Une régression logistique multiple a montré une corrélation positive entre le taux de naissance par césarienne et le taux d'admission à l'unité de soins intensifs néonataux (OR ajusté: 1,26, IC 95%: 1,14 à 1,40). CONCLUSION: L'éducation des patients et du personnel ainsi que l'audit de bonnes pratiques ont réduit le taux de césarienne dans un hôpital de troisième ligne, sans augmentation des admissions en soins intensifs néonataux.

https://doi.org/10.2471/BLT.11.093369 1923 downloads

14.

Hyperexpression of two Aspergillus niger xylanase genes in Escherichia coli and characterization of the gene products
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Yi, Xiuli

; Shi, Yan

; Xu, Hui

; Li, Wei

; Xie, Jie

; Yu, Rongqing

; Zhu, Jun

; Cao, Yi

; Qiao, Dairong

Brazilian Journal of Microbiology

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Out 2010, Volume 41 Nº 3 Páginas 778 - 786

Resumo: En | Texto: En | PDF: En

The analysis of individual gene product should enable to clarify the role of a particular enzyme in a complex xylanase system of A. niger. The two genes encoding precursors of co-produced endo-1,4-β-D-xylanases, xynA1 and xynB, were isolated from Aspergillus niger SCTCC 400264 (SCTCC, China) by using RT-PCR technique and then successfully expressed in Escherichia coli BL21. The nucleotide sequences of the xynA1 and xynB genes revealed that they were only 52.5% homology to each other. Characterization of the recombinant enzymes revealed the different properties: the specific activity of recombinant XYNA1 was 16.58 U/mg compared to 1201.7 U/mg for recombinant XYNB; The optimum temperature and pH of the recombinant XYNA1 were 35 ºC and 3.0, respectively, whereas the corresponding values for the recombinant XYNB were 55 ºC and 5.0, respectively; The recombinant XYNB showed much more thermostability than recombinant XYNA1; The recombinant XYNB showed 94% of maximal activity after incubating in water for 60 min at 60 ºC compared to no activity for recombinant XYNA1. Various metal ions had different effects on activity between the two recombinant xylanases.

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