Quantification of Total Phenols, Total Flavonoids, Total Anthocyanins and Evaluation of Antioxidant and Antiradical Activities of Detarium Senegalense Extracts from Chad

The aim of the present work is to assess the value of Detarium Senegalense by determining the content of total phenols, total flavonoids and total anthocyanins, and by evaluating the free radical scavenging activity of Detarium Senegalense extracts. For this purpose, sequential extraction using solvents of increasing polarity was essential. The various extracts obtained underwent phytochemical and biochemical analyses. Phytochemical screening revealed the presence of flavonoids, alkaloids, tannins, polyphenols, anthocyanins and steroids/terpenes. Quantitative analysis of total polyphenols, total flavonoids and total anthocyanins yielded the following results: total flavonoids (0.803 ± 0029 mg EQ/100g P for acetone extract of roots and 0.871 ± 0.401 mg EQ/100g P for methanol extract of leaves);total polyphenols (23.298 ± 12.68 mg EAG/100g P for acetone extract of roots and 24.69 ± 0.49 401 mg EAG/100g P for methanol extract of leaves);total monomeric anthocyanins (44.697 ± 0.939 mg EC3G/100g P and 16.699 ± 0.193 mg EC3G/100g P respectively for acetone and methanol extracts of stem bark). DPPH free radical scavenging activity was 1.674 ± 0.023 mg/mL for the acetone extract and 0.934 ± 0.24 mg/mL for the methanol extract of roots. .

Physicochemical and Biochemical Characterization, Total Phenolic and Energy Value from Bulbs of Different Onion (Allium cepa L.) Varieties in Senegal

The purpose of this study is to investigate the physicochemical properties of some local varieties of onion (Allium cepa L.) and compare them with an imported variety, all collected in May 2021. Proteins, reducing sugars, lipids, and polyphenol content were estimated according to the AFNOR standardized methods. The determination of calcium, magnesium, iron, sodium, potassium and phosphorus was performed by atomic absorption spectrophotometer coupled with a CCD detector. The results highlighted an average acidity of 0.377% ± 0.002% lower than the value of the imported variety which is 0.520% ± 0.001%. Local varieties have a pH ranging from 6.35 ± 0.003 to 6.42 ± 0.004, while the variety has a pH of 6.36 ± 0.003. The ash and dry matter contents vary respectively from 4.788% ± 0.004% to 8.253% ± 0.003% and 7.945% ± 0.021% to 11.945% ± 0.007% for the local varieties. Moreover, the imported one has ash and dry matter contents of 5.175% ± 0.007% and 10.035% ± 0.021% respectively. The results show that the protein, reducing sugar and lipid contents in the local onion varieties vary respectively from 2.815 ± 0.000 to 15.634 ± 0.001 g·100 g-1;4.691 ± 0.001 to 12.596 ± 0.002 g·100 g-1 and 0.006 ± 0.001 to 0.050 ± 0.057 g·100 g-1. Furthermore, the imported variety has a protein, reducing sugar and lipid content of 5.649 ± 0.002;8.565 ± 0.002 g·100 g-1 and 0.011 ± 0.010 g·100 g-1 respectively. The maximum levels of total polyphenols are obtained in the imported variety, Bellani and Gandiol, respectively 9.973 ± 0.001, 4.535 ± 0.002, and 3.425 ± 0.006 mg EAG/g of dry matter. The local varieties have a significant calorific intake of between 35.451 ± 0.001 and 112.980 ± 0.003 kcal·100 g-1 compared to the imported one with an energy value of 56.953 ± 0.001 kcal·100 g-1 of dry matter. The bulbs of different onion varieties studied have a fairly high content of mineral elements. The potassium content of local varieties is between 502.16 ± 0.06 mg·100 g-1 and 582.77 ± 0.04 mg·100 g-1 while the imported variety has a content of 536.62 ± 1.30 mg·100 g-1. They note that the local varieties have a better calcium content (249.75 ± 0.07 to 434.20 ± 0.57 mg·100 g-1) and magnesium (142.15 ± 0.07 to 162.60 ± 0.42 mg·100 g-1) than the imported variety (229.58 ± 0.04 mg·100 g-1) except for the varieties White Grano (228.29 ± 0.01 mg·100 g-1) and Rouge Amposta (117.00 ± 0.42 mg·100 g-1) respectively. These results reveal that Gandiol, Dayo and Orient F1 are nutritionally found better due to their higher antioxidant property, proteins, carbohydrates, and reducing sugar and should be included in diets to supplement our daily allowance needed by the body.

The Increase in Total Knee Replacement Surgery in China: A 10-Year Real-World Study

Total knee arthroplasty (TKR) is the most common and costly surgical procedure performed, and it is considered one of the most successful clinical interventions for patients suffering from severe knee osteoarthritis (OA). The incidence of TKR, including demographics, incidence rates, lengths of hospital stay, and costs, was estimated from 2010 to 2019 by analyzing data extracted from the Joint Surgery Department in our hospital, which included a total of 6770 patients. We calculated the TKR risk ratios to compare the rate of TKR between different covariables such as gender, age group, and primary diagnoses. The annual volume of TKR increased by fivefold (5.14%), with a higher incidence observed in the 60 to 69 age group constituting approximately 36% of cases. There has also been an increase in incidence among young people (<50), which now stands at 6.2%. The rate ratio (RR) per female vs. male was found to be 3.0 and the RR of OA vs. RA was 0.09. The mean average length of stay (ALOS) in the hospital decreased from 15 to just 5 days during this period. Additionally, the adjusted mean cost per patient increased significantly from ¥ 38261 ± 3630.63 to ¥ 53115.17 ± 2831.35. The majority of TKR recipients were over 60 years old with osteoarthritis being identified as the main causative agent. It is worth noting that women are more susceptible to knee arthritis and there is a concerning shift toward younger individuals being affected by this disease. Our results indicate a rise in in-hospital costs alongside a significant decline in hospital ALOS for TKR procedures. We predict an unprecedented rise in TKR incidence in the coming years due to population aging and improving economic conditions in China.

Primary Total Hip Arthroplasty on Complex Hips Conditions in a Low-Resource Setting

Introduction: Total hip arthroplasty of complex morphology is a challenge for the orthopaedic surgeon. Careful analysis of the hip’s anatomy helps to unravel the difficulties and anticipate the procedures to be performed and the implants to be planned. The aim was to identify the types of hip that make first-line THR difficult, specify the technical procedures to be used on these sites, and assess the functional results of the series. Material and Methods: This was a retrospective study that concerned patients operated on for total hip arthroplasty between January 2015 and December 2022 at the medical center “La Grâce” in Bobo-Dioulasso, Burkina Faso. Patients with coxarthrosis (on hip dysplasia, acetabular protrusio, acetabular malunion or neurological hip) and those with ankylosis of the hip, osteonecrosis secondary to neglected dislocation of the hip or hemoglobinopathy were included. Results: A total of 31 total hip replacements were performed in 30 patients. The mean age of patients at the surgery time was 36.2 years with extremes of 17 and 61 years. The male-to-female sex ratio was 1. The main indications for THA were the dysplasic hip osteoarthritis (11 cases) and the neglected hip dislocations (7 cases). In situ femoral neck osteotomy before hip dislocation was performed in seven cases. The acetabulum reconstruction techniques varied from the structural iliac bone graft (n = 3) and cancellous bone graft (n = 4) to the Kerboull plate (n = 1). After 45 months of mean follow-up, all hips were evaluated. The mean PMA score increased from 7.1 [4 - 8] before the surgery to 13.2 [13 - 17]. Conclusion: The large spectrum of challenges in complex hip management requires effective preoperative planning. Preoperative planning minimizes complications and ensures a better outcome.

Gait Kinematic Analysis Facilitates Rapid Early Recovery Following Total Knee Arthroplasty

Objective: To explore gait kinematics analysis and evaluate the surgical efficacy of total knee arthroplasty (TKA), as well as its guiding significance for postoperative rehabilitation. Method: Fifty patients admitted to TKA treatment for knee osteoarthritis from December 2022 to July 2023 were included, which were divided into an intervention group (gait kinematics analysis group, n = 25) and a control group (conventional rehabilitation program group, n = 25). All patients underwent HSS score and KSS score before surgery (T0), 1 month after surgery (T1), 3 months after surgery (T2), and 6 months after surgery (T3). The intervention group underwent gait kinematics analysis at 1 month after surgery (T1) and 3 months after surgery (T2). Two groups measured the hip knee ankle angle (HKA), distal femoral lateral angle (LDFA), and proximal tibial medial angle (MPTA) on knee joint radiographs before and after surgery. Results: There was no significant difference in general information, preoperative imaging parameters, and functional scores between the two groups of patients. There was no significant difference in functional scores and postoperative prosthesis alignment between the two groups of patients in the first month after surgery. The intervention group showed a significant decrease in gait kinematic scores in the first month, with hip joint scores being particularly prominent (P 0.05). Conclusion: Gait kinematic analysis is helpful in evaluating the postoperative efficacy of TKA and can guide early and rapid recovery after TKA.

Dual-Fields Rotational Total Skin Electron Therapy: Investigation and Implementation

Purpose: To present a protocol of a dual-field rotational (DFR) total skin electron therapy (TSET) and to provide an assessment of clinical implementation, dosimetry properties, and skin dose evaluation. Methods and Materials: The DFR-TSET combined the Stanford 6-field and McGill rotational methods. Dual 6 MeV electron beams in high dose total skin electron mode were used for DFR-TSET on a commercial linac. Beam profiles and dosimetric properties were measured using solid phantoms. The dose rate at expanded source-to-surface distance (SSD) was a combination of static rate and rotational rate. In vivo dosimetry of patient skin was performed on patients’ skin using film, metal oxide semiconductor field-effect transistors (MOSFET), and optically stimulated luminescent dosimeters (OSLD). Results: Dual field rotational total skin electron therapy exhibited good (≤±10%) uniformity in the beam profiles in the vertical direction at an extended SSD of 332 cm with a gantry angulation of ±20˚ deviated from the horizontal direction. In-vivo measurements confirmed acceptable uniformity of the patients’ total body surfaces and revealed anatomically self-blocked or shielded areas where underdosing occurred. Conclusions: The clinical implementation of DFR-TSET effectively utilizes the special mode on a linac. This technique provides short beam-on times, uniform dose distribution, large treatment field, and reduced dose of x-ray contamination to the patients. In-vivo measurements indicate satisfactory delivery and dose uniformity of the prescribed dose. Electron boost fields are recommended at normal SSDs to address underdosed areas.

Malnutrition Assessed Using the Geriatric Nutritional Risk Index Is Associated with Preoperative Incidence of Deep Vein Thrombosis in Japanese Patients Undergoing Total Knee Arthroplasty

Purpose: Few studies have evaluated the association between malnutrition and the risk of preoperative deep vein thrombosis (DVT) in patients undergoing primary total joint arthroplasty. This study aimed to investigate the prevalence of preoperative DVT in Japanese patients undergoing total knee arthroplasty (TKA) and the importance of malnutrition in the risk of preoperative DVT. Methods: We retrospectively analyzed 394 patients admitted for primary TKA at our institution between January 2019 and December 2023. All patients scheduled for TKA at our institution had serum D-dimer levels measured preoperatively. Lower-limb ultrasonography was examined to confirm the presence of DVT in patients with D-dimer levels ≥ 1.0 µg/mL or who were considered to be at high risk of DVT by the treating physician. Based on the results of lower-limb ultrasonography, all patients were divided into the non-DVT and DVT groups. The incidence of and risk factors for preoperative DVT were investigated, as well as the correlation of DVT with the patient’s nutritional parameters. We used two representative tools for nutritional assessment: the Geriatric Nutritional Risk Index (GNRI) and Controlling Nutritional Status Score. Results: The mean age was 77.8 ± 6.9 years. Preoperative DVT was diagnosed in 57 of the 394 (14.5%) patients. Multivariate logistic regression analysis showed that advanced age and malnutrition status, assessed using the GNRI, were independent risk factors for preoperative DVT. Conclusion: A high incidence of preoperative DVT was observed in patients who underwent TKA. Malnutrition status, as assessed using the GNRI, increased the risk of preoperative DVT. Our findings suggest that clinicians should consider these factors when tailoring preventive strategies to mitigate DVT risk in patients undergoing TKA.

Study of Total Dissolved Solids (TDS) Concentrations Factor of SWCC Al-Khobar Plant Seawater Intakes

This study presents a significant contribution to the field of water quality assessment and sustainable water management practices. By evaluating the levels of total dissolved solids (TDS) in seawater intakes within Al-Khobar desalination production system, the study addresses a crucial aspect of water treatment and environmental impact assessment. The findings provide valuable insights into the variations and trends of TDS levels across different phases of the system, highlighting the importance of monitoring and management strategies. The study provided both gravimetric total dissolved solids (TDS) and electrical conductivity (EC) measurements to analyze TDS calculation factor and evaluate measurement accuracy. Results revealed significant variations in TDS levels across the sampling locations, with phase-2 exhibiting higher levels and greater fluctuations. Phase-3 displayed similar trends but with lower TDS levels, while phase-4 showed slightly different behavior with higher average TDS levels. EC measurements demonstrated a strong correlation with TDS, providing a reliable estimation. However, additional methods such as gravimetric analysis should be employed to confirm TDS measurements. The findings contribute to understanding water quality in the Al-Khobar desalination system, aiding in monitoring, management, and decision-making processes for water treatment and environmental impact assessment. The study enhances the credibility of water quality assessments and supports sustainable water management practices.

Leadership and Top Management Influence on Total Quality Management Implementation in the Ghanaian Construction Industry

This study aims to determine the key and underlying Leadership and Top Management (LTM) factors that have a significant impact on sustaining the implementation of Total Quality Management (TQM) within the construction industry in Ghana. The research methodology employed in this study was a quantitative technique. Questionnaires were distributed to 641 participants within construction industry in Ghana. Questionnaires retrieved for the analysis were 536. Three steps approached were used for the data analysis. These include Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and Structural Equation Modeling (SEM) analysis. After conducting the EFA and CFA, SEM was also used to analyze the construct validity. The SEM analysis helps to determine four key indicator variables for the leadership and top management construct. These include Leadership/Top Management approach to employees’ management, Leadership/Top Management understanding of TQM, Leadership/Top Management empowerment of employees to resolve quality issues, and Leadership/Top Management endorsement of TQM. All the four indicator variables were found to be good of fit and closely associated with the dependent variable. The study adds to the body of knowledge by using EFA, CFA and SEM techniques to establish key leadership and top management factors affecting TQM implementation in Ghana’s construction industry. The findings in general suggested that leadership and top Management factors identified have a direct positive impact on sustaining TQM implementation in the Ghanaian construction industry. Consequently, the leadership and top management factors identified in this study can help improve TQM in the Ghanaian construction industry.

Prediction and Analysis of Total Nitrogen in a Sewage Treatment Plant Effluent

Total nitrogen was an important indicator for characterizing eutrophication of polluted water. Although the use of water quality online monitoring instrument can monitor water quality changes in real time, the degree of intelligence was low, so it was urgent to predict the water quality and take precautions in advance. A predictive model for total nitrogen levels in a sewage treatment plant utilizing the Anaerobic-Anoxic-Oxic (AAO) process was investigated in this paper. This model demonstrated significant practical application value. Based on the ARIMA (Autoregressive Integrated Moving Average) model and taking into account the impact of Biochemical Oxygen Demand (BOD), a prediction model for effluent total nitrogen was developed. However, the initial results exhibited significant deviations. To address this issue, seasonal factors were further considered. Then, the dataset was divided into winter and Non-winter sub-samples, leading to a reconstruction of the prediction model. Additionally, in developing the Non-winter prediction model, life cycle considerations were incorporated, and consequently, a SARIMA (Seasonal Autoregressive Integrated Moving Average) model was established. The predicting deviation associated with both the winter and Non-winter forecasting models showed a significant reduction.

Impacts of Climate Change on Seawater Temperature and Total Dissolved Solids: Challenges and Sustainable Solutions for Reverse Osmosis Desalination in the Arabian Gulf Region

This article examines the influence of seawater temperature and total dissolved solids (TDS) on reverse osmosis (RO) desalination in the Arabian Gulf region, with a focus on the impact of climate change. The study highlights the changes in seawater temperature and TDS levels over the years and discusses their effects on the efficiency and productivity of RO desalination plants. It emphasizes the importance of monitoring TDS levels and controlling seawater temperature to optimize water production. The article also suggests various solutions, including intensive pre-treatment, development of high-performance membranes, exploration of alternative water sources, and regulation of discharges into the Gulf, to ensure sustainable water supply in the face of rising TDS levels and seawater temperature. Further research and comprehensive monitoring are recommended to understand the implications of these findings and develop effective strategies for the management of marine resources in the Arabian Gulf.

On the (Δ + 2)-Total-Colorability of Planar Graphs with 7-Cycles Containing at Most Two Chords

The Total Coloring Conjecture (TCC) proposes that every simple graph G is (Δ + 2)-totally-colorable, where Δ is the maximum degree of G. For planar graph, TCC is open only in case Δ = 6. In this paper, we prove that TCC holds for planar graph with Δ = 6 and every 7-cycle contains at most two chords.

考虑碳流约束的电力系统能碳安全域模型与计算方法

针对当前电力系统碳减排任务与安全稳定运行需求,研究电力系统低碳安全运行技术。现有的能量流安全域模型使电力系统安全监视与控制更加科学有效,但忽略了系统运行过程中可能存在的“高碳”风险。文中提出了一种考虑碳流约束的电力系统能碳耦合安全域(简称能碳安全域)模型与计算方法,旨在保证系统安全性的同时减排提效。为完整刻画电力系统的低碳运行能力极限,分别从负荷端和源端角度提出了考虑碳流约束的系统最大供电能力曲线及最大消纳能力曲线模型。基于系统最大供电能力工作点,提出了能碳安全边界仿真拟合计算方法,实现了能碳安全域的降维观测。最后,结合算例验证了所提模型的有效性。

银杏叶总黄酮绿色提取工艺及抗氧化活性研究

采用单因素实验考察了低共熔溶剂种类、液料比、提取温度、n(氯化胆碱)∶n(尿素)、低共熔溶剂含水量、提取时间对银杏叶总黄酮提取率的影响,通过响应面法进一步优化了银杏叶总黄酮的提取工艺,并通过测定银杏叶总黄酮对DPPH自由基、ABTS自由基、·OH、·O_(2)^(-)的清除能力,金属离子螯合能力及总还原能力综合评价其抗氧化活性。结果表明,最优提取工艺为:液料比30∶1(mL∶g)、提取温度57℃、n(氯化胆碱)∶n(尿素)为1∶1.6、低共熔溶剂含水量40%、提取时间60 min,在此条件下,银杏叶总黄酮提取率为1.062%,且其抗氧化活性显著优于传统乙醇提取工艺。

基于注意力机制LSTM的电离层TEC预测

电离层总电子含量(Total Electron Content,TEC)的监测与预报是空间环境研究的重要内容,对卫星通讯和导航定位等有重要意义.TEC值影响因素较多,很难确定精确物理模型来对其进行预测.本文设计了基于注意力机制的LSTM模型(Att-LSTM),采用过去24小时TEC观测数据对未来TEC进行预测.选择北半球东经100°上,每2.5°纬度选择一个位置,共计36个位置来验证本文提出模型的性能,并与主流的深度学习模型如DNN、RNN、LSTM进行对比实验.取得了如下成果:(1)在选定的36个地区未来2小时单点预测上,基于本文的Att-LSTM模型的TEC预测性能明显优于其他对比模型;(2)讨论了纬度对Att-LSTM预测未来2小时TEC值时性能的影响,发现在北纬0°到60°之间,Att-LSTM预测性能随着纬度的升高而略有降低,在北纬62.5°~87.5°之间,模型预测性能出现扰动,预测效果略差;(3)讨论了磁暴期和磁静期模型的预测性能,发现无论是磁暴期还是磁静期,本文模型预测性能均较好;(4)还讨论了对未来多时点预测效果,实验结果表明,本文所提出的模型对未来2、4个小时的预测拟合度R-Square均超过0.95,预测结果比较可靠,对未来6、8、10个小时预测拟合度最高为0.7934,预测拟合度R-Square下降迅速,预测结果不可靠.

蓝莓不同部位活性成分及抗氧化能力比较分析

以蓝莓全果、蓝莓果皮和蓝莓果肉为原料,采用醇提法和水提法测定其绿原酸、原儿茶酸、槲皮素、香草酸、总黄酮和总酚的含量及其抗氧化能力。结果表明,蓝莓果实不同部位中活性成分和抗氧化能力具有显著差异(P<0.05);蓝莓果皮中总黄酮和总酚含量最高,显著高于其他提取物中总黄酮和总酚含量,分别为32.61 mg/g和26.95 mg/g;蓝莓果实各部位醇提取物中抗氧化能力显著高于水提取物,顺序为蓝莓果皮>蓝莓全果>蓝莓果肉;各部位主要有效成分包括绿原酸、原儿茶酸、槲皮素、香草酸,在蓝莓果皮中的含量显著高于果肉和蓝莓全果中(P<0.05),蓝莓果实中绿原酸和香草酸含量最高。

急性左主干完全闭塞与次全闭塞的心电图特点和院内死亡因素的分析

目的探讨左主干完全闭塞与次全闭塞的心电图特点差异,并对该类患者院内死亡因素进行分析。方法纳入94例左主干完全闭塞患者(完全闭塞组)和99例左主干次全闭塞患者(次全闭塞组),比较其心电图特点、冠状动脉造影和其他临床资料差异,并对患者的院内死亡因素进行分析。受试者工作特征(ROC)曲线分析心电图特点对左主干完全闭塞患者院内死亡风险的预测价值。分析左主干完全闭塞患者心电图特点与休克和侧支循环的关系。结果与次全闭塞组比较,完全闭塞组Ⅰ、avL、V2—V5导联ST段抬高,avR+avL导联ST段抬高,左前分支传导阻滞、左前分支+右束支传导阻滞比例升高,QRS时限延长,而avR导联ST段抬高和avR+V1导联ST段抬高比例降低(P<0.01)。avR+avL导联ST段抬高预测左主干完全闭塞特异度为0.97,左前分支+右束支阻滞预测左主干完全闭塞特异度为1.00。完全闭塞组院内死亡率为46.8%(44/94),次全闭塞组院内死亡率为14.1%(14/99)。在左主干完全闭塞患者中,Ⅰ、avL、V2—V5导联ST段抬高,QRS时限,休克,无侧支循环,Ⅰ、avL、V2—V5导联ST段抬高合并左前分支+右束支阻滞,Ⅰ、avL、V2—V5导联ST段抬高合并休克对于院内死亡有一定预测价值,曲线下面积(AUC)分别为0.716、0.619、0.766、0.688、0.572、0.785;Ⅰ、avL、V2—V5导联ST段抬高合并休克诊断特异度为0.82,敏感度为0.75。Ⅰ、avL、V2—V5导联ST段抬高合并左前分支+右束支阻滞预测完全闭塞患者院内死亡特异度为0.94。在急性左主干完全闭塞中,Ⅰ、avL、V2—V5导联ST段抬高,左前分支+右束支阻滞和无侧支循环患者中休克比例较高(P<0.05)。完全闭塞患者中,Ⅰ、avL、V2—V5导联ST段抬高患者未建立侧支循环,avR导联(包含avR+V1导联)ST段抬高患者中82.4%存在右冠状动脉侧支循环供应前降支+回旋支范围。而在avR+avL导联ST段抬高患者中69.2%存在右冠状动脉侧支循环供应前降支+回旋支范围。结论左主干完全闭塞与次全闭塞具有不同的心电图特点,左主干完全闭塞的心电图特征可预测院内死亡风险。

川赤芍总苷提取工艺优化、组成和抗氧化活性分析

探究超声波辅助乙醇提取川赤芍总苷,通过单因素和响应面优化提取工艺,采用高效液相色谱(HPLC)法检测总苷组成,并通过体外抗氧化试验评价总苷的抗氧化活性。结果表明:最佳提取工艺为超声功率175 W、超声时间42 min、乙醇浓度70%、液料倍数30(mL/g),此工艺条件下提取的川赤芍总苷得率为(5.86±0.32)%。HPLC分析总苷共检测到21个特征峰,其中没食子酸0.63 mg/g、氧化芍药苷11.28 mg/g、儿茶素18.64 mg/g、芍药内酯苷5.82 mg/g、芍药苷54.82 mg/g、苯甲酰芍药苷15.74 mg/g、丹皮酚原苷0.98 mg/g,共占总质量的95.35%。总苷清除DPPH·、ABTS+·和·OH-的IC50值分别为0.78、1.13、0.98 mg/mL,总苷的抗氧化活性强弱与浓度呈现较好的正相关。

改良无充气经单侧锁骨下入路腔镜甲状腺全切除术治疗甲状腺乳头状癌的临床分析

目的探讨改良无充气经单侧锁骨下入路腔镜甲状腺全切除术治疗甲状腺乳头状癌的可行性和安全性。方法回顾性分析2022年3月至2023年6月在浙江大学医学院附属邵逸夫医院头颈外科接受改良无充气经单侧锁骨下入路腔镜甲状腺全切除术的82例甲状腺乳头状癌患者的临床资料。结果所有手术均在腔镜下顺利完成,无中转开放手术。平均甲状腺乳头状癌的最大直径为(6.6±5.4)mm,平均手术时间(156.5±32.7)min,清扫的中央区淋巴结数目为(12±6.4)枚,术后住院时间为(3.3±1.2)d。术后暂时性甲状旁腺功能减退2例,暂时性声音嘶哑6例,均在术后1月恢复正常,术后出血1例。无永久性喉返神经损伤、永久性甲状旁腺功能减退及切口感染发生。随访过程中无肿瘤局部残留或复发。结论在合理选择病例的前提下改良无充气经单侧锁骨下入路腔镜下行甲状腺全切除手术安全可行,中央区淋巴结清扫彻底,颈前区功能保护好,有临床应用价值。

血清小而密低密度脂蛋白胆固醇和总抗氧化能力水平与脑梗死患者认知功能障碍的相关性分析

目的:探究脑梗死患者血清小而密低密度脂蛋白胆固醇(small dense low-density lipoprotein cholesterol, sdLDL-C)和总抗氧化能力(total antioxidant capacity, T-AOC)水平变化及其与认知功能障碍发生的关系。方法:选择148例脑梗死患者,依据发病后7 d是否出现认知功能障碍,分为非障碍组(n=77)和障碍组(n=71);分别采用过氧化氢酶法和比色法测定两组血清sdLDL-C和T-AOC水平,并进行比较;Pearson相关系数法分析脑梗死患者血清sdLDL-C、T-AOC水平与蒙特利尔认知评估(MoCA)评分相关性;二元Logistic回归分析影响脑梗死患者认知功能障碍发生的危险因素。结果:与非障碍组相比,障碍组血清sdLDL-C水平明显升高(P<0.05),T-AOC水平明显降低(P<0.05)。相关性分析显示,血清sdLDL-C水平与MoCA评分呈负相关(r=-0.516,P<0.05),T-AOC水平与MoCA评分呈正相关(r=0.446,P<0.05)。Logistic回归分析显示,高血压、糖尿病、病情严重程度、血清sdLDL-C和T-AOC是脑梗死患者认知功能障碍发生的独立影响因素(P<0.05)。结论:脑梗死患者血清sdLDL-C水平升高,T-AOC水平降低,二者是影响脑梗死患者并发认知功能障碍的独立影响因素。