目的探讨外周血Septin9基因甲基化(mSEPT9)检测在结直肠腺瘤诊断中的预测意义。方法收集2020年10月至2022年5月在昆明市第一人民医院病理科诊断为结直肠腺瘤的31名患者作为实验组,21例肠镜阴性受试者(消化科门诊患者)作为对照组。对2组...目的探讨外周血Septin9基因甲基化(mSEPT9)检测在结直肠腺瘤诊断中的预测意义。方法收集2020年10月至2022年5月在昆明市第一人民医院病理科诊断为结直肠腺瘤的31名患者作为实验组,21例肠镜阴性受试者(消化科门诊患者)作为对照组。对2组人员进行外周血mSEPT9检测,并收集其相应外周血CEA检测结果,对检测结果采用受试者特征曲线进行统计分析。结果mSEPT9检测对腺瘤的曲线下预测面积(AREA of the ROC:AUC)为0.7205(P<0.05),分界值(CT值)为39.55,此时对应的敏感度为90.91%,特异度为56.67%;CEA检测对腺瘤的AUC为0.5333(P>0.05)。结论外周血mSEPT9检测筛查结直肠腺瘤效果优于外周血CEA肿瘤标记物,具有较好的敏感度及特异度,一定程度上对mSEPT9筛查阳性人群再行侵入性肠镜检查,更易为该类人群接受且可早期筛查结直肠腺瘤。展开更多
Objective To investigate the effects of propofol and sevoflurane on neurological recovery of traumatic brain injury(TBI)patients in the early postoperative stage.Methods We retrospectively analyzed the clinical data o...Objective To investigate the effects of propofol and sevoflurane on neurological recovery of traumatic brain injury(TBI)patients in the early postoperative stage.Methods We retrospectively analyzed the clinical data of TBI patients who underwent craniotomy or decompressive craniectomy.Generalized additive mixed model(GAMM)was used to analyze effects of propofol and sevoflurane on Glasgow Coma Scale(GCS)on postoperative days 1,3,and 7.Multivariate regression analysis was used to analyze effects of the two anesthetics on Glasgow Outcome Scale(GOS)at discharge.Results A total of 340 TBI patients were enrolled in this study.There were 110 TBI patients who underwent craniotomy including 75 in the propofol group and 35 in the sevoflurane group,and 134 patients who underwent decompressive craniectomy including 63 in the propofol group and 71 in the sevoflurane group.It showed no significant difference in GCS at admission between the propofol and the sevoflurane groups among craniotomy patients(β=0.75,95%CI:-0.55 to 2.05,P=0.260).However,elevation in GCS from baseline was 1.73 points(95%CI:-2.81 to-0.66,P=0.002)less in the sevoflurane group than that in the propofol group on postoperative day 1,2.03 points(95%CI:-3.14 to-0.91,P 0.001)less on day 3,and 1.31 points(95%CI:-2.43 to-0.19,P=0.022)less on day 7.The risk of unfavorable GOS(GOS 1,2,and 3)at discharge was higher in the sevoflurane group(OR=4.93,95%CI:1.05 to 23.03,P=0.043).No significant difference was observed among two-group decompressive craniectomy patients in GCS and GOS.Conclusions Compared to propofol,sevoflurane was associated with worse neurological recovery during the hospital stay in TBI patients undergoing craniotomy.This difference was not detected in TBI patients undergoing decompressive craniectomy.展开更多
Objective:To investigate the differences between meditation and resting states using infrared thermal imaging(IRTI)to determine facial temperature distribution features during meditation and annotate the patterns of f...Objective:To investigate the differences between meditation and resting states using infrared thermal imaging(IRTI)to determine facial temperature distribution features during meditation and annotate the patterns of facial temperature changes during meditation from the perspective of traditional Chinese medicine facial diagnosis.Methods:Each participant performed 10 min meditation and 10 min resting but in different sequences.A concentration test was set as the task load,followed by a meditation/resting or resting/meditation session,during which the participants'facial temperatures were observed using IRTI.Participants were scored on the Big Five Inventory(BFI)and Mindful Attention Awareness Scale(MAAS).Results:Forehead temperatures decreased more during meditation than during the resting state.The chin temperature increased only during meditation(P<.0001).For the subjects with meditation experience,there were significant differences in the temperatures of the left forehead(P<.01),right forehead(P<.01)and chin(P<.05)between the meditation and resting state at the 10~(th)min.In the nontask state,the BFI-Extraversion showed a negative correlation with the temperature of the left forehead(R=-0.41,P=.03).In the post-task state,the temperature of the left forehead was negatively correlated with scores on the MAAS(R=-0.42,P=.02).Conclusion:Using IRTI to study meditation offers a practical solution to the challenges in meditation research.The results indicate that an increase in chin temperature may be a representative feature of a meditation state,and forehead temperature is also a potential indicator.展开更多
文摘目的探讨外周血Septin9基因甲基化(mSEPT9)检测在结直肠腺瘤诊断中的预测意义。方法收集2020年10月至2022年5月在昆明市第一人民医院病理科诊断为结直肠腺瘤的31名患者作为实验组,21例肠镜阴性受试者(消化科门诊患者)作为对照组。对2组人员进行外周血mSEPT9检测,并收集其相应外周血CEA检测结果,对检测结果采用受试者特征曲线进行统计分析。结果mSEPT9检测对腺瘤的曲线下预测面积(AREA of the ROC:AUC)为0.7205(P<0.05),分界值(CT值)为39.55,此时对应的敏感度为90.91%,特异度为56.67%;CEA检测对腺瘤的AUC为0.5333(P>0.05)。结论外周血mSEPT9检测筛查结直肠腺瘤效果优于外周血CEA肿瘤标记物,具有较好的敏感度及特异度,一定程度上对mSEPT9筛查阳性人群再行侵入性肠镜检查,更易为该类人群接受且可早期筛查结直肠腺瘤。
基金Beijing Natural Sciences Foundation(7173255)Beijing Municipal Administration of Hospital Incubating Program(PX2019019).
文摘Objective To investigate the effects of propofol and sevoflurane on neurological recovery of traumatic brain injury(TBI)patients in the early postoperative stage.Methods We retrospectively analyzed the clinical data of TBI patients who underwent craniotomy or decompressive craniectomy.Generalized additive mixed model(GAMM)was used to analyze effects of propofol and sevoflurane on Glasgow Coma Scale(GCS)on postoperative days 1,3,and 7.Multivariate regression analysis was used to analyze effects of the two anesthetics on Glasgow Outcome Scale(GOS)at discharge.Results A total of 340 TBI patients were enrolled in this study.There were 110 TBI patients who underwent craniotomy including 75 in the propofol group and 35 in the sevoflurane group,and 134 patients who underwent decompressive craniectomy including 63 in the propofol group and 71 in the sevoflurane group.It showed no significant difference in GCS at admission between the propofol and the sevoflurane groups among craniotomy patients(β=0.75,95%CI:-0.55 to 2.05,P=0.260).However,elevation in GCS from baseline was 1.73 points(95%CI:-2.81 to-0.66,P=0.002)less in the sevoflurane group than that in the propofol group on postoperative day 1,2.03 points(95%CI:-3.14 to-0.91,P 0.001)less on day 3,and 1.31 points(95%CI:-2.43 to-0.19,P=0.022)less on day 7.The risk of unfavorable GOS(GOS 1,2,and 3)at discharge was higher in the sevoflurane group(OR=4.93,95%CI:1.05 to 23.03,P=0.043).No significant difference was observed among two-group decompressive craniectomy patients in GCS and GOS.Conclusions Compared to propofol,sevoflurane was associated with worse neurological recovery during the hospital stay in TBI patients undergoing craniotomy.This difference was not detected in TBI patients undergoing decompressive craniectomy.
基金supported by the Fundamental Research Funds for the Central Universities(x2021-JYB-XJSJJ-032)Beijing Municipal Commission of Education,Double First-class,High-caliber Talents Grant(1000041510156)。
文摘Objective:To investigate the differences between meditation and resting states using infrared thermal imaging(IRTI)to determine facial temperature distribution features during meditation and annotate the patterns of facial temperature changes during meditation from the perspective of traditional Chinese medicine facial diagnosis.Methods:Each participant performed 10 min meditation and 10 min resting but in different sequences.A concentration test was set as the task load,followed by a meditation/resting or resting/meditation session,during which the participants'facial temperatures were observed using IRTI.Participants were scored on the Big Five Inventory(BFI)and Mindful Attention Awareness Scale(MAAS).Results:Forehead temperatures decreased more during meditation than during the resting state.The chin temperature increased only during meditation(P<.0001).For the subjects with meditation experience,there were significant differences in the temperatures of the left forehead(P<.01),right forehead(P<.01)and chin(P<.05)between the meditation and resting state at the 10~(th)min.In the nontask state,the BFI-Extraversion showed a negative correlation with the temperature of the left forehead(R=-0.41,P=.03).In the post-task state,the temperature of the left forehead was negatively correlated with scores on the MAAS(R=-0.42,P=.02).Conclusion:Using IRTI to study meditation offers a practical solution to the challenges in meditation research.The results indicate that an increase in chin temperature may be a representative feature of a meditation state,and forehead temperature is also a potential indicator.
