BACKGROUND Lymphangiomas in the gastrointestinal tract are extremely rare in adults.As a benign lesion,small intestine lymphangiomas often remain asymptomatic and pose challenges for definitive diagnosis.However,lymph...BACKGROUND Lymphangiomas in the gastrointestinal tract are extremely rare in adults.As a benign lesion,small intestine lymphangiomas often remain asymptomatic and pose challenges for definitive diagnosis.However,lymphangiomas can give rise to complications such as abdominal pain,bleeding,volvulus,and intussusception.Here,we report a case of jejunal cavernous lymphangioma that presented with intermittent melena and refractory anemia in a male adult.CASE SUMMARY A 66-year-old man presented with intermittent melena,fatigue and refractory anemia nine months prior.Esophagogastroduodenoscopy and colonoscopy were performed many times and revealed no apparent bleeding.Conservative management,including transfusion,hemostasis,gastric acid secretion inhibition and symptomatic treatment,was performed,but the lesions tended to recur shortly after surgery.Ultimately,the patient underwent capsule endoscopy,which revealed a more than 10 cm lesion accompanied by active bleeding.After singleballoon enteroscopy and biopsy,a diagnosis of jejunal cavernous lymphangioma was confirmed,and the patient underwent surgical resection.No complications or recurrences were observed postoperatively.CONCLUSION Jejunal cavernous lymphangioma should be considered a cause of obscure gastrointestinal bleeding.Capsule endoscopy and single-balloon enteroscopy can facilitate diagnosis.Surgical resection is an effective management method.展开更多
During sintering of the silica-based ceramic core of turbine blades,a phenomenon called"nonuniform sintering"occurs that negatively affects the thermal and mechanical properties of the core.Standard samples ...During sintering of the silica-based ceramic core of turbine blades,a phenomenon called"nonuniform sintering"occurs that negatively affects the thermal and mechanical properties of the core.Standard samples of silica-based core were prepared by an injection molding method and sintered with alumina backfilling powder with different sodium contents.The effect of sodium content on the nonuniform sintering of silica-based cores and the thermal and mechanical properties was evaluated.Results show that the sintering level and the content ofα-cristobalite in the surface layer are significantly higher than that of the sample interior.A considerable number of microcracks are found in the surface layer due to theβtoα-phase transition of cristobalite.As the sodium content in the alumina powder decreases,the level of the nonuniform sintering and the amount of crystallized cristobalite in the surface layer decrease,which is beneficial to the thermal expansion and flexural strength at ambient temperature.The flexural strength and thermal deformation at high temperature are improved by reducing the surface cracks,but deteriorated with the decrease of the cristobalite crystallization when the surface cracks are macroscopically invisible.展开更多
Flavonoids are a large family of bioactive compounds widely found in foods and plants.Mang studies have proven the preventive and therapeutic effects of flavonoids in cardiovascular disease.Flavonoids has a wide range...Flavonoids are a large family of bioactive compounds widely found in foods and plants.Mang studies have proven the preventive and therapeutic effects of flavonoids in cardiovascular disease.Flavonoids has a wide range of pharmacological effects,including antioxidant,anti-inflammatory,vaso.dilation,avoiding the thrombus formation,improving endothelial function,modifying lipid levels and regulating blood lipids through different mechanisms of action.The cardiovascular protective mechanism of flavo.noids are the enzymes that inhibit the production of oxygen derived free radicals,inhibition of lipid peroxida.tion and inflammatory factor,down-regulation of epoxy synthase activity and the activation of AMPK and nuclear factor kappa B signaling pathway.In this review article we review and summarize the so far acquired knowledge of the most important mechanisms of action of flavonoids,to provide theoretical basis for the research and development of the active monomers in flavonoid and compound preparations.展开更多
BACKGROUND Lithium carbonate is used to manage various mood disorders,but it can cause thyroid abnormalities,including goiter,hypothyroidism,and hyperthyroidism.In rare cases,it can lead to giant goiter and subclinica...BACKGROUND Lithium carbonate is used to manage various mood disorders,but it can cause thyroid abnormalities,including goiter,hypothyroidism,and hyperthyroidism.In rare cases,it can lead to giant goiter and subclinical hyperthyroidism,which may require surgical intervention in severe cases.CASE SUMMARY This case represents a rare development of giant goiter and subclinical hyperthyroidism in a schizophrenia patient who was subjected to prolonged lithium carbonate treatment.The enlarged thyroid gland caused pressure on the airway and recurrent laryngeal nerve,which led to respiratory distress,hoarseness,and dysphagia.The immediate danger of suffocation required urgent surgical intervention.In this report,we describe the case of a 41-year-old Chinese woman.This sheds light on the etiology and challenges associated with managing a giant goiter.The patient underwent a subtotal thyroidectomy to relieve airway compression and facilitate airway expansion.Prior to the procedure,the patient was given iodine to prepare.Concurrently,changes were made to the psychiatric medication regimen.Following surgery,the patient's respiratory function and vocal cord functionality improved significantly,and her mental state remained stable.CONCLUSION It is essential to monitor thyroid function,test thyroid antibody levels,and perform thyroid ultrasounds consistently in all patients undergoing long-term lithium carbonate treatment.This vigilance helps prevent severe and potentially life-threatening thyroid enlargement.展开更多
文摘BACKGROUND Lymphangiomas in the gastrointestinal tract are extremely rare in adults.As a benign lesion,small intestine lymphangiomas often remain asymptomatic and pose challenges for definitive diagnosis.However,lymphangiomas can give rise to complications such as abdominal pain,bleeding,volvulus,and intussusception.Here,we report a case of jejunal cavernous lymphangioma that presented with intermittent melena and refractory anemia in a male adult.CASE SUMMARY A 66-year-old man presented with intermittent melena,fatigue and refractory anemia nine months prior.Esophagogastroduodenoscopy and colonoscopy were performed many times and revealed no apparent bleeding.Conservative management,including transfusion,hemostasis,gastric acid secretion inhibition and symptomatic treatment,was performed,but the lesions tended to recur shortly after surgery.Ultimately,the patient underwent capsule endoscopy,which revealed a more than 10 cm lesion accompanied by active bleeding.After singleballoon enteroscopy and biopsy,a diagnosis of jejunal cavernous lymphangioma was confirmed,and the patient underwent surgical resection.No complications or recurrences were observed postoperatively.CONCLUSION Jejunal cavernous lymphangioma should be considered a cause of obscure gastrointestinal bleeding.Capsule endoscopy and single-balloon enteroscopy can facilitate diagnosis.Surgical resection is an effective management method.
基金funded by the Shenzhen Development and Reform Commission Project(SZDRC 20181000)made possible through funding from the Wedge Central South Research Institute,Chinasupported by the State Key Laboratory of Solidification Processing,Northwestern Polytechnical University,China。
文摘During sintering of the silica-based ceramic core of turbine blades,a phenomenon called"nonuniform sintering"occurs that negatively affects the thermal and mechanical properties of the core.Standard samples of silica-based core were prepared by an injection molding method and sintered with alumina backfilling powder with different sodium contents.The effect of sodium content on the nonuniform sintering of silica-based cores and the thermal and mechanical properties was evaluated.Results show that the sintering level and the content ofα-cristobalite in the surface layer are significantly higher than that of the sample interior.A considerable number of microcracks are found in the surface layer due to theβtoα-phase transition of cristobalite.As the sodium content in the alumina powder decreases,the level of the nonuniform sintering and the amount of crystallized cristobalite in the surface layer decrease,which is beneficial to the thermal expansion and flexural strength at ambient temperature.The flexural strength and thermal deformation at high temperature are improved by reducing the surface cracks,but deteriorated with the decrease of the cristobalite crystallization when the surface cracks are macroscopically invisible.
基金supported by National Natural Science Foundation of China(8177393581573645+1 种基金81603101) CAMS Innovation Fund for Medical Sciences(2017-I2M-1-010)
文摘Flavonoids are a large family of bioactive compounds widely found in foods and plants.Mang studies have proven the preventive and therapeutic effects of flavonoids in cardiovascular disease.Flavonoids has a wide range of pharmacological effects,including antioxidant,anti-inflammatory,vaso.dilation,avoiding the thrombus formation,improving endothelial function,modifying lipid levels and regulating blood lipids through different mechanisms of action.The cardiovascular protective mechanism of flavo.noids are the enzymes that inhibit the production of oxygen derived free radicals,inhibition of lipid peroxida.tion and inflammatory factor,down-regulation of epoxy synthase activity and the activation of AMPK and nuclear factor kappa B signaling pathway.In this review article we review and summarize the so far acquired knowledge of the most important mechanisms of action of flavonoids,to provide theoretical basis for the research and development of the active monomers in flavonoid and compound preparations.
文摘BACKGROUND Lithium carbonate is used to manage various mood disorders,but it can cause thyroid abnormalities,including goiter,hypothyroidism,and hyperthyroidism.In rare cases,it can lead to giant goiter and subclinical hyperthyroidism,which may require surgical intervention in severe cases.CASE SUMMARY This case represents a rare development of giant goiter and subclinical hyperthyroidism in a schizophrenia patient who was subjected to prolonged lithium carbonate treatment.The enlarged thyroid gland caused pressure on the airway and recurrent laryngeal nerve,which led to respiratory distress,hoarseness,and dysphagia.The immediate danger of suffocation required urgent surgical intervention.In this report,we describe the case of a 41-year-old Chinese woman.This sheds light on the etiology and challenges associated with managing a giant goiter.The patient underwent a subtotal thyroidectomy to relieve airway compression and facilitate airway expansion.Prior to the procedure,the patient was given iodine to prepare.Concurrently,changes were made to the psychiatric medication regimen.Following surgery,the patient's respiratory function and vocal cord functionality improved significantly,and her mental state remained stable.CONCLUSION It is essential to monitor thyroid function,test thyroid antibody levels,and perform thyroid ultrasounds consistently in all patients undergoing long-term lithium carbonate treatment.This vigilance helps prevent severe and potentially life-threatening thyroid enlargement.
