Cytological characters of four species in Syncalathium （Asteraceae： Lactuceae）, a small genus with six identified species endemic to alpine scree of the Sino-Himalayan region, are surveyed in this report. Three spe...Cytological characters of four species in Syncalathium （Asteraceae： Lactuceae）, a small genus with six identified species endemic to alpine scree of the Sino-Himalayan region, are surveyed in this report. Three species （Syncalathiumpilosum, Syncalathium chrysocephalum, and Syncalathium disciforme） are examined for the first time. Combined with our previous counts, five species have been cytologically investigated from the genus and the results indicated that all species are diploid with the basic somatic chromosome number of x=8. The karyotype asymmetry of Syncalathium souliei is 2A, distinct from the other four species of 1A, and the remaining species are divided into two subgroups with different karyotypes, consistent with their morphological features. The significance of the cytological evolution of Syncalathium is briefly discussed.展开更多
BACKGROUND Wavelet index(WLi)and pain rating index(PRi)are new parameters for regulating general anesthesia depth based on wavelet analysis.AIM To investigate the safety and efficacy of using WLi or PRi in sevoflurane...BACKGROUND Wavelet index(WLi)and pain rating index(PRi)are new parameters for regulating general anesthesia depth based on wavelet analysis.AIM To investigate the safety and efficacy of using WLi or PRi in sevoflurane anesthesia.METHODS This randomized controlled trial enrolled 66 patients scheduled for elective posterior lumbar interbody fusion surgery under sevoflurane anesthesia between September 2017 and February 2018.A random number generator was used to assign the eligible patients to three groups:Systolic blood pressure(SBP)monitoring group,WLi monitoring group,and PRi monitoring group.The main anesthesiologist was aware of the patient grouping and intervention used.The primary endpoint was anesthesia recovery time.Secondary endpoints included extubation time,sevoflurane consumption,number of unwanted events/interventions,number of adverse events and postoperative visual analogue scale for pain.RESULTS A total of 62 patients were included in the final analysis(SBP group,n=21;WLi group,n=21;and PRi group,n=20).There were no significant differences among the three groups in patient age,gender distribution,body mass index,American Society of Anesthesiologists class,duration of surgery,or duration of anesthesia.Anesthesia recovery time was shorter in the WLi and PRi groups than in the SBP group with no significant difference between the WLi and PRi groups.Extubation time was shorter in the WLi and PRi groups than in the SBP group.Sevoflurane consumption was lower in the WLi and PRi groups than in the SBP group.Nicardipine was more commonly needed to treat hypertension in the WLi and PRi groups than in the SBP group.CONCLUSION Regulation of sevoflurane anesthesia depth with WLi or PRi reduced anesthesia recovery time,extubation time and sevoflurane consumption without intraoperative unwanted events.展开更多
Patients with recurrent hepatocellular carcinoma(HCC)following liver transplantation(LT)have a poor prognosis owing to rapid tumor progression.Yttrium-90 radioembolization(^(90)Y-RE)has been shown to be a safe and eff...Patients with recurrent hepatocellular carcinoma(HCC)following liver transplantation(LT)have a poor prognosis owing to rapid tumor progression.Yttrium-90 radioembolization(^(90)Y-RE)has been shown to be a safe and efficacious transarterial radioembolization treatment for patients with advanced HCC.However,to our knowledge,no data are available for patients with recurrent HCC following LT.Here we report a case of severe bile duct complication after transarterial radioembolization with yttrium-90 in a patient who experienced HCC recurrence following LT.The present case suggests that ^(90)Y-RE should be cautiously performed in patients with recurrent HCC following LT.展开更多
基金supported bygrants-in-aid from the National Natural Science Foundation of China (NSFC 30625004, 40771073 to HSUN, and 30770167 to Z-L NIE)the Yunnan Natural Science Foundation (2008CC013 to HSUN)the National Science Foundation (DEB-0321846 to DEBOUFFORD)
文摘Cytological characters of four species in Syncalathium （Asteraceae： Lactuceae）, a small genus with six identified species endemic to alpine scree of the Sino-Himalayan region, are surveyed in this report. Three species （Syncalathiumpilosum, Syncalathium chrysocephalum, and Syncalathium disciforme） are examined for the first time. Combined with our previous counts, five species have been cytologically investigated from the genus and the results indicated that all species are diploid with the basic somatic chromosome number of x=8. The karyotype asymmetry of Syncalathium souliei is 2A, distinct from the other four species of 1A, and the remaining species are divided into two subgroups with different karyotypes, consistent with their morphological features. The significance of the cytological evolution of Syncalathium is briefly discussed.
基金Supported by Key Research and Development(R&D)Projects of Shanxi Province,China,No.201803D31135.
文摘BACKGROUND Wavelet index(WLi)and pain rating index(PRi)are new parameters for regulating general anesthesia depth based on wavelet analysis.AIM To investigate the safety and efficacy of using WLi or PRi in sevoflurane anesthesia.METHODS This randomized controlled trial enrolled 66 patients scheduled for elective posterior lumbar interbody fusion surgery under sevoflurane anesthesia between September 2017 and February 2018.A random number generator was used to assign the eligible patients to three groups:Systolic blood pressure(SBP)monitoring group,WLi monitoring group,and PRi monitoring group.The main anesthesiologist was aware of the patient grouping and intervention used.The primary endpoint was anesthesia recovery time.Secondary endpoints included extubation time,sevoflurane consumption,number of unwanted events/interventions,number of adverse events and postoperative visual analogue scale for pain.RESULTS A total of 62 patients were included in the final analysis(SBP group,n=21;WLi group,n=21;and PRi group,n=20).There were no significant differences among the three groups in patient age,gender distribution,body mass index,American Society of Anesthesiologists class,duration of surgery,or duration of anesthesia.Anesthesia recovery time was shorter in the WLi and PRi groups than in the SBP group with no significant difference between the WLi and PRi groups.Extubation time was shorter in the WLi and PRi groups than in the SBP group.Sevoflurane consumption was lower in the WLi and PRi groups than in the SBP group.Nicardipine was more commonly needed to treat hypertension in the WLi and PRi groups than in the SBP group.CONCLUSION Regulation of sevoflurane anesthesia depth with WLi or PRi reduced anesthesia recovery time,extubation time and sevoflurane consumption without intraoperative unwanted events.
基金This work was supported by the National 13th Five-Year Science and Technology Plan Major Projects of China(2017ZX10203205-006-001,2017ZX10203205-001-003)Guangdong Natural Science Foundation(2016A030313278)+1 种基金Science and Technology Program of Guangdong Province(2017B020209004,20,169,013)Guangdong Key Laboratory of Liver Disease Research(2017B030314027).
文摘Patients with recurrent hepatocellular carcinoma(HCC)following liver transplantation(LT)have a poor prognosis owing to rapid tumor progression.Yttrium-90 radioembolization(^(90)Y-RE)has been shown to be a safe and efficacious transarterial radioembolization treatment for patients with advanced HCC.However,to our knowledge,no data are available for patients with recurrent HCC following LT.Here we report a case of severe bile duct complication after transarterial radioembolization with yttrium-90 in a patient who experienced HCC recurrence following LT.The present case suggests that ^(90)Y-RE should be cautiously performed in patients with recurrent HCC following LT.
