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代谢综合征对急性幕上皮质下腔隙性脑梗死患者短期预后的影响 被引量:1
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作者 杜晓光 刘志健 +1 位作者 孙晓敏 周丽 《中国现代医学杂志》 CAS 北大核心 2022年第13期21-25,共5页
目的 探讨代谢综合征(MS)对急性幕上皮质下腔隙性脑梗死患者短期认知功能和神经功能的影响。方法 回顾性分析2016年5月—2018年6月潍坊市人民医院神经内科收治的106例急性幕上皮质下腔隙性脑梗死患者的临床资料,根据是否患MS分为MS组46... 目的 探讨代谢综合征(MS)对急性幕上皮质下腔隙性脑梗死患者短期认知功能和神经功能的影响。方法 回顾性分析2016年5月—2018年6月潍坊市人民医院神经内科收治的106例急性幕上皮质下腔隙性脑梗死患者的临床资料,根据是否患MS分为MS组46例和非MS组60例,以发病90 d的改良Rankin量表(mRS)评分≥3分为预后不良。所有患者行颅脑MRI检查,比较两组腔隙性梗死灶数量和Fazekas量表评分;比较两组入院及发病90 d的美国国立卫生研究院卒中量表(NIHSS)评分、蒙特利尔认知评估(MoCA)评分和mRS评分;比较两组的血生化指标。采用多因素一般Logistic回归分析短期预后不良的影响因素。结果 MS组患者的腰围、收缩压、舒张压、空腹血糖(FBG)、餐后2 h血糖(2 h PG)、腔隙性梗死灶数量、Fazekas量表评分高于非MS组(P <0.05),高密度脂蛋白胆固醇(HDL-C)低于非MS组(P <0.05)。MS组患者的入院NIHSS评分、入院mRS评分、发病90 d的NIHSS评分均高于非MS组(P <0.05),入院MoCA评分和发病90 d的MoCA评分均低于非MS组(P <0.05),两组发病90 d的mRS评分比较,差异无统计学意义(P>0.05)。多因素一般Logistic回归分析显示MS是急性幕上皮质下腔隙性脑梗死短期预后不良的独立影响因素[O^R=3.695(95%CI:1.288,10.600)]。结论 MS是急性幕上皮质下腔隙性脑梗死短期预后不良的独立影响因素,与脑卒中后神经功能损伤有关,可能与认知功能下降有关。 展开更多
关键词 代谢综合征 脑梗死 短期预后
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Causes of immune dysfunction in hyperbilirubinemia model rats 被引量:8
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作者 xiao-min sun Ping Kang Ke Tao 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2015年第5期382-385,共4页
Objective:To explore the causes of immune dysfunction in neonatal rats with hyperbilirubinemia.Methods:A total of 60 newborn SD rats were equally randomized into normal saline(NS) group,LPS control group,bilirubin con... Objective:To explore the causes of immune dysfunction in neonatal rats with hyperbilirubinemia.Methods:A total of 60 newborn SD rats were equally randomized into normal saline(NS) group,LPS control group,bilirubin control group,low-dose group and high-dose group.After anesthesia,0.1 mL NS was given to the NS and LPS control group and different doses of bilirubin for the other groups;1 h later,the NS and bilirubin control group received the intraperitoneal injection of 0.05 mL NS and 1mg/kg LPS for the other groups.After 5 or 24 hours of model establishment,spleens were collected for detecting the expression levels of MyD88 and p-TAK1 protein and the spleen cells apoptosis by immunohistochemmistry and TUNEL method.After 24 hours of model establishment,scrum inflammatory factors levels and T cell subsets distribution were determined by ELISA and flow cytometry.Results:In contrast to low-dose bilirubin,high-dose bilirubin could induce spleen cells apoptosis in coordination with LPS.After 5 hours of model establishment,compared with NS group.MyD88 expression level in low-dose group elevated while p-TAK1 level in high-dose group reduced(P<0.05).In high-dose group,inflammotory factors levels and CD8^+T cells percentage were all higher than LPS control and NS group(P<0.05),while CD4^+ T cells percentage was lower than NS group(P<0.05).Conclusions:High-concentration plasma bilirubin in coordination with LPS could inhibit NF- κB signal pathways activation and aggravate inflammatory reaction,thus caused immunosuppression with inflammation cascade,which resulted in the immune dysfunction. 展开更多
关键词 BILIRUBIN MYD88 P-P38MAPK SPLEEN cells HYPERBILIRUBINEMIA
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Theoretical Research on Scattering Resonance States of Reaction I+HI(v=O)→IH(v'=0)+I: Partial Potential Energy Surface and One-dimensional Quantum Reactive Scattering Calculation
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作者 Hua-yang Wang xiao-min sun +1 位作者 Zheng-ting Cai Da-cheng Feng 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 北大核心 2006年第5期411-415,共5页
Based on the vibrational potential curves coupled with the minimum energy reaction path, the partial potential energy surface of the reaction I+HI→IH+I was constructed at the QCISD(T)//MP4SDQ level with pseudo po... Based on the vibrational potential curves coupled with the minimum energy reaction path, the partial potential energy surface of the reaction I+HI→IH+I was constructed at the QCISD(T)//MP4SDQ level with pseudo potential method. And the formation mechanism of the scattering resonance states of this reaction was well interpreted with the partial potential energy surface. The scattering resonance states of this reaction should belong to Feshbach resonance because of the coupling of the vibrational mode and the translational mode. With the one-dimensional square potential well model, the resonance width and lifetime of the I+HI(v=0)→IH(v'=0)+I state-to-state reaction were calculated, which preferably explained the high-resolved threshold photodetachment spectroscopy of the IHI- anion performed by Neumark et al.. 展开更多
关键词 Partial potential energy surface Scattering resonance states Scattering resonance width and lifetime One-dimensional square potential well model
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Minimally invasive surgery for glycogen storage disease combined with inflammatory bowel disease:A case report
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作者 Jian Wan Zi-Chao Zhang +3 位作者 Mu-Qing Yang xiao-min sun Lu Yin Chun-Qiu Chen 《World Journal of Clinical Cases》 SCIE 2021年第17期4342-4347,共6页
BACKGROUND Inflammatory bowel disease(IBD)is rare in patients with glycogen storage disease(GSD).In GSD patients,a decrease in the number of neutrophils leads to prolonged intestinal infection,leading to the formation... BACKGROUND Inflammatory bowel disease(IBD)is rare in patients with glycogen storage disease(GSD).In GSD patients,a decrease in the number of neutrophils leads to prolonged intestinal infection,leading to the formation of chronic inflammation and eventually the development of IBD.Minimally invasive surgery for patients with IBD has been proven to reduce inflammatory responses and postoperative risks and ultimately promote rapid recovery.Herein we discuss minimally invasive surgery and the perioperative management in a patient with GSD and IBD.CASE SUMMARY A 23-year-old male had GSD Ib associated with IBD-like disease for 10 years.Despite standard treatments,such as mesalazine,prednisone and adalimumab,the patient eventually developed colonic stenosis with incomplete ileus.After adequate assessment,the patient was treated with minimally invasive surgery and discharged in stable condition.CONCLUSION Minimally invasive surgery for patients with IBD and GSD is safe,feasible and effective. 展开更多
关键词 Minimally invasive surgery Glycogen storage disease Inflammatory bowel disease PERIOPERATIVE Rapid recovery Case report
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Meningeal carcinomatosis: a retrospective analysis of seventy-seven cases
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作者 Feng-Na Chu Yue Lang +1 位作者 xiao-min sun Li Cui 《Neuroimmunology and Neuroinflammation》 2017年第1期1-5,共5页
Aim:Meningeal carcinomatosis is a special type of malignant tumor characterized by short survival and poor prognosis.In the present study,the authors aim to analyze the clinical,laboratory data and prognosis of mening... Aim:Meningeal carcinomatosis is a special type of malignant tumor characterized by short survival and poor prognosis.In the present study,the authors aim to analyze the clinical,laboratory data and prognosis of meningeal carcinomatosis patients.Methods:The authors enrolled 77 cases of meningeal carcinomatosis from 2003 to 2013 in the First Hospital of Jilin University.The clinical data including age,gender,symptoms at onset,clinical manifestations,primary tumors and the laboratory data including cerebrospinal fluid (CSF),tumor markers as well as the imaging data were analyzed.The interval between the onset of primary tumor and the onset of central nervous symptoms,treatments and survival time were also analyzed.Results:The onset of meningeal carcinomatosis was usually acute (46.2%) or subacute (39.0%).The most frequent symptom at onset was intracranial hypertension (70.1%).Symptoms such as headache,vomit and high lumbar puncture intracranial pressure was observed in 56% of cases during the course of the disease.CSF abnormalities such as higher protein concentration (73.4%),more CSF pleocitosis (57.1%) and lower glucose levels (48.4%) were found in 95.3% of meningeal carcinomatosis patients.Non-contrast enhanced cerebral magnetic resonance imaging (MRI) showed that 13.2% patients had abnormal meningeal changes while in the enhancement scan 35.3% patients showed changes.The serum tumor markers increased in 84% of the patients.There were no differences regarding the mean survival between patients who received intrathecal chemotherapy and those who received brain radiotherapy or supportive treatment.Conclusion:The most common clinical manifestation of meningeal carcinomatosis is intracranial hypertension.The most common primary tumor is lung cancer,followed by gastric cancer and breast cancer.The linear enhancement of meningeal on the MRI scan is of great importance for the diagnosis of meningeal carcinomatosis. 展开更多
关键词 MENINGEAL CARCINOMATOSIS CEREBROSPINAL fluid magnetic RESONANCE imaging therapy
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Molecular simulations of methane, ethane and propane adsorption on TON
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作者 Cheng PENG Zhi LI xiao-min sun 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2009年第11期1636-1641,共6页
The aim of this study was to understand and characterize the adsorption of small alkanes, namely methane, ethane and propane, in zeolite TON through detailed Monte Carlo simulations. The isotherms of pure components w... The aim of this study was to understand and characterize the adsorption of small alkanes, namely methane, ethane and propane, in zeolite TON through detailed Monte Carlo simulations. The isotherms of pure components were calculated and showed good agreement with experimental data. The adsorption positions, adsorption energy of pure components and isotherms of mixtures were also simulated and the results are discussed. 展开更多
关键词 Monte Carlo simulations ZEOLITE ADSORPTION
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