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Bilateral Congenital Upper Eyelid Eversion (Ectropion): A Rare Presentation Responded Well to Conservative Treatment at Temeke Regional Referral Hospital-Tanzania
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作者 Husna Msangi Annamary Stanslaus +2 位作者 Hussein Msuma Salha Omary Milka Mafwiri 《Open Journal of Ophthalmology》 2024年第3期204-207,共4页
Congenital eversion of the upper eyelids is a rare condition, the exact cause of which remains unknown. It is more frequently associated with Down’s syndrome and black babies. If diagnosed early and treated properly,... Congenital eversion of the upper eyelids is a rare condition, the exact cause of which remains unknown. It is more frequently associated with Down’s syndrome and black babies. If diagnosed early and treated properly, the condition can be managed without surgery. We report a case of non syndromic congenital bilateral severe upper eyelid eversion in otherwise normal 3 days old neonate of African descent (Tanzanian), born by vaginal delivery. The case was conservatively managed by lubricants, antibiotics and eyelid patching. We report this case because from the best of our knowledge it has never been documented here at our hospital and Tanzania before. 展开更多
关键词 Upper Eyelid Eversion Congenital ectropion Conservative Management
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Acute acquired concomitant esotropia with congenital paralytic strabismus:A case report
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作者 Meng-Di Zhang Xiang-Yu Liu +2 位作者 Ke Sun Shou-Nan Qi Chun-Ling Xu 《World Journal of Clinical Cases》 SCIE 2023年第27期6476-6482,共7页
BACKGROUND An unusual case of acute acquired concomitant esotropia(AACE)with congenital paralytic strabismus in the right eye is reported.CASE SUMMARY A 23-year-old woman presented with complaints of binocular diplopi... BACKGROUND An unusual case of acute acquired concomitant esotropia(AACE)with congenital paralytic strabismus in the right eye is reported.CASE SUMMARY A 23-year-old woman presented with complaints of binocular diplopia and esotropia of the right eye lasting 4 years and head tilt to the left since 1 year after birth.The Bielschowsky head tilt test showed right hypertropia on a right head tilt.She did not report any other intracranial pathology.A diagnosis of AACE and right congenital paralytic strabismus was made.Then,she underwent medial rectus muscle recession and lateral rectus muscle resection combined with inferior oblique muscle myectomy in the right eye.One day after surgery,the patient reported that she had no diplopia at either distance or near fixation and was found to be orthophoric in the primary position;furthermore,her head posture immediately and markedly improved.CONCLUSION In future clinical work,in cases of AACE combined with other types of strabismus,we can perform conventional single surgery for both at the same time,and the two types of strabismus can be solved simultaneously. 展开更多
关键词 Acute acquired concomitant esotropia Congenital paralytic strabismus Superior oblique paralysis Simultaneous surgery Case report
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Identification of Monitoring Organ in Bivalves for Early Warning of Paralytic Shellfish Toxins Accumulation 被引量:1
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作者 MENG Deting SHI Jiaoxia +6 位作者 LI Moli WEI Zhongcheng WANG Yangrui XU Yiqiang LI Yubo BAO Zhenmin HU Xiaoli 《Journal of Ocean University of China》 SCIE CAS CSCD 2023年第1期251-257,共7页
Bivalve farming plays a dominant role in mariculture in China.Paralytic shellfish toxins(PSTs)can be accumulated in bivalves and cause poisoning the consumers.A sensitive detection of PSTs can provide early warning to... Bivalve farming plays a dominant role in mariculture in China.Paralytic shellfish toxins(PSTs)can be accumulated in bivalves and cause poisoning the consumers.A sensitive detection of PSTs can provide early warning to decrease poisoning events in bivalve consuming.PSTs are traditionally examined using the whole soft-tissues.However,PSTs accumulation varies dramatically in different tissues of bivalves.Some tough tissues/organs(such as mantle),which account for a large proportion of the total soft body,exhibit a lower accumulation of PSTs and make the toxin extraction time-and reagent-consuming,potentially decreasing the accuracy and sensitivity of PSTs monitoring in bivalves.To develop a sensitive and cost-effective approach for PSTs examination in massively farmed bivalves,we fed three commercially important bivalves,Yesso scallop Patinopecten yessoensis,Pacific oyster Crassostrea gigas,and blue mussel Mytilus edulis with PSTs-producing dinoflagellate Alexandrium catenella,and detected PSTs concentration in different tissues.For all three bivalve species,the digestive gland accumulated much more PSTs than other tissues,and the digestive gland’s toxicity was significantly correlated with the PSTs toxicity of the whole soft-tissues,with r^(2)=0.94,0.92,and 0.94 for Yesso scallop,Pacific oyster,and blue mussel,respectively.When the toxicity of the whole soft-tissues reached 80μgSTXeq(100g)^(−1),the regulatory limit for commercial shellfish,the digestive gland’s toxicity reached 571.48,498.90,and 859.20μgSTXeq(100g)^(−1) in Yesso scallop,Pacific oyster,and blue mussel,respectively.Our results indicate that digestive gland can be used for the sensitive and cost-effective monitoring of PSTs in bivalves. 展开更多
关键词 paralytic shellfish toxins MONITORING BIVALVE early warning digestive gland
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Transfer of Paralytic Shellfish Toxins via Marine Food Chains:A Simulated Experiment 被引量:5
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作者 ZHI-JUN TAN TIAN YAN +1 位作者 REN-CHENG YU MING-JIANG ZHOU 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2007年第3期235-241,共7页
Objective To study the transfer of paralytic shellfish toxins (PST) using four simulated marine food chains: dinoflagellate Alexandrium tamarense→Artemia Artemia salina→Mysid shrimp Neomysis awatschensis; A. tama... Objective To study the transfer of paralytic shellfish toxins (PST) using four simulated marine food chains: dinoflagellate Alexandrium tamarense→Artemia Artemia salina→Mysid shrimp Neomysis awatschensis; A. tamarense→N. awatschensis; A. tamarense→A, salina→Perch Lateolabrax japonicus; and A. tamarense→L, japonicus. Methods The ingestion of A. tamarense, a producer of PST, by L. japonicus, N. awatschensis, and A. salina was first confirmed by microscopic observation of A. tamarense cells in the intestine samples of the three different organisms, and by the analysis of Chl.a levels in the samples. Toxin accumulation in L. japonicus and N. awatschensis directly from the feeding on A. tamarense or indirectly through the vector of A. salina was then studied, The toxicity of samples was measured using the AOAC mouse bioassay method, and the toxin content and profile of A. tamarense were analyzed by the HPLC method. Results Both A. salina and N. awatschensis could ingest A. tamarense cells. However, the ingestion capability of A. salina exceeded that of N. awatschensis. After the exposure to the culture of A. tamarense (2 000 cells·mL^-1) for 70 minutes, the content of Chl.a in A. salina and N. awatschensis reached 0.87 and 0.024 μg.mg^-1, respectively. Besides, A. tamarense cells existed in the intestines of L. japonicus, N. awatschensis and A. salina by microscopic observation. Therefore, the three organisms could ingest A. tamarense cells directly. A. salina could accumulate high content of PST, and the toxicity of A. salina in samples collected on days 1, 4, and 5 of the experiment was 2.18, 2.6, and 2.1 MU.g^-1, respectively. All extracts from the samples could lead to death of tested mice within 7 minutes, and the toxin content in anemia sample collected on the 1st day was estimated to be 1.65×10 ^5 μg STX equal/individual. Toxin accumulation in L japonicus and N. awatschensis directly from the feeding on A. tamarense or indirectly from the vector ofA. salina was also studied. The mice injected with extracts from L japonicus and N. awatschensis samples that accumulated PST either directly or indirectly showed PST intoxication symptoms, indicating that low levels of PST existed in these samples. Conclusion Paralytic shellfish toxins can be transferred to L. japonicus, N. awatschensis, and A. salina from A. tamarense directly or indirectly via the food chains. 展开更多
关键词 paralytic shellfish poisoning toxins A.tamarense L.japonicus N.awatschensis A.salina Marine food chains Is: paralytic shellfish poisoning toxins A. tamarense L. japonicus N. awatschensis A. salina Marine food chains
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Surgical Treatment of Ectropion at Polyclinic “SHOSHI” in Prishtina—Case Report
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作者 Fjolla Shoshi Fitore Shoshi +3 位作者 Mire Hoxha-Shoshi Avdyl Shoshi Anita Syla Lokaj Flaka Shoshi 《Open Journal of Ophthalmology》 2018年第1期64-68,共5页
Ectropion is an outward turning of the eyelid margin, as a result the conjunctiva is permanently irritated, thickened and dry. Since the lacrimal puncta are moved away from the eyeball, the tear elimination is difficu... Ectropion is an outward turning of the eyelid margin, as a result the conjunctiva is permanently irritated, thickened and dry. Since the lacrimal puncta are moved away from the eyeball, the tear elimination is difficult, tears are always present. Materials and Methods: This study includes patients suffering from senile ectropion, who were treated surgically at Polyclinic “SHOSHI” in Prishtina. Our study includes 19 patients suffering from senile ectropion, out of which, 17 were older than 75 years old and in those patients the ectropion was preset on both lower eyelids, while 2 patients were under 75 years old and the ectropion was present only on one side lower eyelid. Prior to surgery, patients have undergone laboratory examinations. The surgery was performed under local anesthesia. The suturing was done in three layers using 6.0 vicryl sutures. No operative or post-operative complications were encountered. Purpose: The purpose of this case report study is to show the success of the surgical treatment of ectropion, a procedure that is mainly performed so the tear elimination is enabled, and there are no tears present constantly. Conclusion: In old patients where the eyelid is turned outwards its margin, conjunctiva is constantly irritated, thickened and dry, the best method of treatment is the surgical treatment, making it possible for the tears to drain properly. 展开更多
关键词 ectropion CONJUNCTIVA IRRITATION PRESENCE of TEARS Surgical Treatment
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Multi-year assessment of paralytic shellfish toxins in hard clam species along the coastline of Jiangsu Province, China 被引量:1
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作者 Xinzhi Wang Hao Wu +5 位作者 Ying Cheng Hongmei Wen Rui Liu Libao Wang Chenxiao Shan Chuan Chai 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2019年第2期24-33,共10页
Paralytic shellfish toxins(PSTs) are notorious neurotoxins that threaten public health and food safety worldwide.Although PST monitoring programs have recently been established throughout China, the profiles and varia... Paralytic shellfish toxins(PSTs) are notorious neurotoxins that threaten public health and food safety worldwide.Although PST monitoring programs have recently been established throughout China, the profiles and variation of PSTs in important commercial clams(e.g., Mactra veneriformis, Ruditapes philippinarum, and Meretrix meretrix) along the Jiangsu Province coastline remain largely unexplored. In this study, a validated hydrophilic interaction liquid chromatography–tandem mass spectrometry(HILIC-MS/MS) method was used to examine PST profiles and levels in 540 clam samples from natural production areas along Jiangsu Province coastline during2014–2016. Although the PST levels(≤6.38 μg saxitotoxin equivalents(eq)/kg) were consistently below European Union regulatory limits(≤800 μg saxitotoxin eq/kg) during this time period, saxitotoxin, decarbamoylsaxitotoxin,and gonyautoxins 1 and 4 were detected, and nearly 40% of the samples were saxitotoxin-positive. The PST levels also varied significantly by seasons, with peak values observed in May during 2014–2016. This is the first systematic report of PSTs in clams from Jiangsu Province, and additional research and protective measures are needed to ensure the safety of clams harvested in this area. 展开更多
关键词 paralytic SHELLFISH TOXIN HILIC-MS/MS CLAM SEASONAL variation Jiangsu Province
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Comparative study on in vitro transformation of paralytic shellfish poisoning (PSP) toxins in different shellfish tissues 被引量:1
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作者 TIAN Hua GAO Chunlei +3 位作者 WANG Zongling SUN Ping FAN Shiliang ZHU Mingyuan 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2010年第1期120-126,共7页
Dissected tissues of three shellfish species, the Chinese scallop, Chlamys farreri, Manila clam, Ruditapes philippinarurn, and Razor shell, Solen strictu were evaluated for in vitro transformation of paralytic shellfi... Dissected tissues of three shellfish species, the Chinese scallop, Chlamys farreri, Manila clam, Ruditapes philippinarurn, and Razor shell, Solen strictu were evaluated for in vitro transformation of paralytic shellfish poisoning (PSP) toxins. Tissue homogenates were incubated with extraction from toxic algae Alexandriurn rninutura to determine toxin conversion. The effects of heating and addition of a natural reductant (glutathione) on toxin conversion were also assessed. The toxin profile was investigated through high performance liquid chromatography with fluorescence detection (HPLC-FLD). The evident variations in the toxin content were observed only in Chinese scallop viscera homogenates. The concentration of GTX4 was reduced by 45% (approximately 0.8 μmol/dm^3) and 25% (approximately 1 μmol/dm^3) for GTX1, while GTX2 and GTX3 increased by six times (approximately 1 μmol/dm^3) and 3 times (approximately 0.3μmol/dm^3) respectively. Simultaneously, the total toxicity decreased by 38% during the 48 h incubation period, the final toxicity was 20.4 nmol STXeq/g. Furthermore, heated Chinese scallop viscera homogenates samples were compared with non-heated samples. The concentration of the GTX4 and GTX1 was clearly 28% (approximately 0.53 μmol/dm^3) and 17% (approximately 0.69μmol/dm^3) higher in heated samples, GTX2 and GTX3 were four times (0.66 μmol/dm^3) and two times (0.187 μmol/dm^3) lower respectively. GSH (+) Chinese scallop viscera homogenates samples were compared with GSH (-) samples, the concentration in the GTX4 and GTX1 was 9% (approximately 0.12 μmol/dm^3) and 11% (approximately 0.36 μmol/dm^3) lower respectively, GTX2 and GTX3 was 17% (approximately 0.14 μmol/dm^3) and 19% (approximately 0.006 μmol/dm^3) higher respectively. In contrast,there was a little change in the concentration of PSP toxins of Manila clam and Razor shell tissue ho- mogenates. These observations on three shellfish tissues confirmed that there were species-specific differences in PSP toxins transformation. PSP toxins transformation was more pronounced in viscera tissue than in muscle tissue. PSP toxins was possibly interfered by some carbamoylase enzyme, and the activity in Chinese scallop viscera tissue is more remarkable than in the other two species. 展开更多
关键词 paralytic shellfish poisoning (PSP) toxins in vitro transformation viscera and muscle tissues
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A new simple screening method for the detection of paralytic shellfish poisoning toxins 被引量:2
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作者 程金平 皮帅帅 +5 位作者 叶属峰 高昊旻 姚磊 蒋真毅 宋玉玲 席磊 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2012年第5期786-790,共5页
The current testing for paralytic shellfish poisoning(PSP) in shellfish is based on the mouse bioassay(MBA).To alleviate animal welfare concerns,we evaluated the utility of using sublethal indicators of toxicity as an... The current testing for paralytic shellfish poisoning(PSP) in shellfish is based on the mouse bioassay(MBA).To alleviate animal welfare concerns,we evaluated the utility of using sublethal indicators of toxicity as an alternative to measuring time to death.Live mice were injected with a PSP congener and the changes in neurotransmitter levels were measured 60,90,and 120 min after injection.Acetylcholine(ACh) was the most sensitive marker for PSP toxicity.The changes in neurotransmitter levels were most pronounced in the blood.Thus,measurement of Ach levels in the blood may serve as a sensitive predictor for PSP that would not require sacrifice of the mice.This method was relatively simple,sensitive(less than 1 μg/kg weight,equivalent to 20 ng/mL),low maintenance,and rapid(less than 60 min). 展开更多
关键词 paralytic shellfish poisoning (PSP) mouse bioassay ACETYLCHOLINE ASSAY
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Depuration of paralytic shellfish toxins in Japanese scallop(Patinopecten yessoensis) in natural environment 被引量:1
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作者 SONG Tao LIU Lei +2 位作者 SONG Xiaoping LIANG Yubo ZHUANG Guohong 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2015年第12期170-174,共5页
To study the paralytic shellfish toxins(PSTs) depuration in Japanese scallop Patinopecten yessoensis in natural environment, Japanese scallops naturally contaminated with paralytic shellfish poisoning(PSP) toxins ... To study the paralytic shellfish toxins(PSTs) depuration in Japanese scallop Patinopecten yessoensis in natural environment, Japanese scallops naturally contaminated with paralytic shellfish poisoning(PSP) toxins in the Dayao Bay in the northern Huanghai Sea are transited to Qipanmo waters in the Bohai Sea of no reported PSTs incidents. The levels and profile of PSTs during 30-day depuration are detected by the high performance liquid chromatography with fluorescence detection(HPLC-FLD). The results show that the toxicity of the PSTs in soft tissues decreases to a relatively low level at Day 9. Moreover, the depurated ratio at the early stage of the PSTs depuration is higher than that at the later stage. The toxicity analysis of dissected organs reveals that the digestive gland is the most contaminated PSTs part, which is of important implication for the human health and scallop aquiculture. The mortality of Japanese scallops during PSTs depuration experiment is relevant to PSTs level in the soft tissue. 展开更多
关键词 paralytic shellfish toxins toxicity depuration toxin transformation Japanese scallop
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Evaluation of mouse bioassay results in an inter-laboratory comparison for paralytic shellfish poisoning toxins 被引量:1
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作者 曹际娟 郑江 +3 位作者 于兵 王秋艳 徐君怡 李爱峰 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2011年第4期912-916,共5页
An inter-laboratory comparison of the AOAC mouse bioassay for paralytic shellfish poisoning (PSP) toxicity in shellfish was carried out among 25 Chinese laboratories to examine the overall performance for PSP testing ... An inter-laboratory comparison of the AOAC mouse bioassay for paralytic shellfish poisoning (PSP) toxicity in shellfish was carried out among 25 Chinese laboratories to examine the overall performance for PSP testing in China, and to analyze the main factors affecting the performance of this method. The toxic scallop Patinopecten yessoensis collected from coast of Bohai Sea, China, was used as a test sample in the comparison study. The results were reported and evaluated using robust statistical methods. The z scores showed that 80%, 8%, and 12% of laboratories reported satisfactory results, unsatisfactory results, and questionable results, respectively. This evaluation demonstrates that the PSP mouse bioassay is an appropriate method for screening and testing PSP toxicity in shellfish. However, it was found that the experience and skill of technicians, as well as the body weight and health status of mice being used significantly affected the accuracy of the method. 展开更多
关键词 paralytic shellfish poisoning (PSP) mouse bioassay inter-laboratory comparison
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Identifi cation of paralytic shellfi sh toxin-producing microalgae using machine learning and deep learning methods 被引量:1
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作者 Wei XU Jie NIU +4 位作者 Wenyu GAN Siyu GOU Shuai ZHANG Han QIU Tianjiu JIANG 《Journal of Oceanology and Limnology》 SCIE CAS CSCD 2022年第6期2202-2217,共16页
Paralytic shellfi sh poisoning(PSP)microalgae,as one of the harmful algal blooms,causes great damage to the of fshore fi shery,marine culture,and marine ecological environment.At present,there is no technique for real... Paralytic shellfi sh poisoning(PSP)microalgae,as one of the harmful algal blooms,causes great damage to the of fshore fi shery,marine culture,and marine ecological environment.At present,there is no technique for real-time accurate identifi cation of toxic microalgae,by combining three-dimensional fluorescence with machine learning(ML)and deep learning(DL),we developed methods to classify the PSP and non-PSP microalgae.The average classifi cation accuracies of these two methods for microalgae are above 90%,and the accuracies for discriminating 12 microalgae species in PSP and non-PSP microalgae are above 94%.When the emission wavelength is 650-690 nm,the fl uorescence characteristics bands(excitation wavelength)occur dif ferently at 410-480 nm and 500-560 nm for PSP and non-PSP microalgae,respectively.The identification accuracies of ML models(support vector machine(SVM),and k-nearest neighbor rule(k-NN)),and DL model(convolutional neural network(CNN))to PSP microalgae are 96.25%,96.36%,and 95.88%respectively,indicating that ML and DL are suitable for the classifi cation of toxic microalgae. 展开更多
关键词 paralytic shellfi sh poisoning(PSP) machine learning(ML) deep learning(DL) toxic algal classifi cation
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Surgical Correction for Paralytic Strabismus Using T-Plate Anchor
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作者 Anwar Ramadhan Raed Behbehani +1 位作者 Mishari Dahrab Haitham Murad 《Open Journal of Ophthalmology》 2014年第2期31-35,共5页
External or internal ophthalmoloplegia will result in a complete or a partial ocular dysmotility leading to a debilitating and variable manifest binocular diplopia for a majority of the patients. Complete third, forth... External or internal ophthalmoloplegia will result in a complete or a partial ocular dysmotility leading to a debilitating and variable manifest binocular diplopia for a majority of the patients. Complete third, forth and sixth nerve cranial nerve palsies are among the many number of etiologies appearing as paralytic strabismus. Successful clinical management, elimination of symptomatic diplopia in the primary field of gaze and increased binocular field of motor and sensory fusion as a result of the oculomotor nerve (III) palsy are challenging tasks for physicians facing this difficult clinical entity. Here we report a novel surgical technique in the clinical management of this disease through suture-fixation of medial rectus muscle onto Titanium plate (T-plate) already anchored into the nasal orbital wall. 展开更多
关键词 T-PLATE paralytic STRABISMUS ANCHOR
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后天性麻痹性斜视3例分析
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作者 黄丹 刘琛 邓燕 《实用临床医学(江西)》 CAS 2024年第1期66-69,F0004,共5页
目的探讨后天性麻痹性斜视特异性病因及处理方法。方法回顾性分析3例后天性麻痹性斜视患者的临床资料。结果3例患者为儿童,均突然起病,表现为明显的眼球运动障碍,诊断为麻痹性斜视,发病原因及全身伴随症状各异。其中,间叶来源恶性肿瘤... 目的探讨后天性麻痹性斜视特异性病因及处理方法。方法回顾性分析3例后天性麻痹性斜视患者的临床资料。结果3例患者为儿童,均突然起病,表现为明显的眼球运动障碍,诊断为麻痹性斜视,发病原因及全身伴随症状各异。其中,间叶来源恶性肿瘤患儿对症治疗后,症状明显好转,右眼眼位正位,轻度外转受限,无复视;中耳炎患儿抗感染治疗17 d后,右眼正位,外转无明显受限,无复视;重症肌无力患儿对症治疗后,症状明显改善,双眼睑基本无下垂,左眼下转稍受限,外转正常。结论后天性麻痹性斜视病因复杂且病情多变,可伴有全身或神经系统异常。某些疾病表现为眼外肌麻痹常首诊为麻痹性斜视,明确病因有助于临床制定正确的治疗方案。 展开更多
关键词 麻痹性斜视 后天性 恶性肿瘤 中耳炎 重症肌无力 儿童 病例报告
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基于UPLC-Q-ExactiveMS构建麻痹性贝类毒素的特征指纹溯源技术 被引量:1
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作者 张帆 郑关超 +3 位作者 王潇潇 翟毓秀 谭志军 吴海燕 《海洋与湖沼》 CAS CSCD 北大核心 2024年第1期135-144,共10页
麻痹性贝类毒素污染是世界共同关注和重点管控的食品安全问题,其溯源一直是产业监管的难点和技术重点。基于指纹溯源技术理论,采用室内模拟3种产毒藻暴露紫贻贝后风险形成过程,开发基于超高效液相色谱-四极杆-静电场轨道阱高分辨质谱(UP... 麻痹性贝类毒素污染是世界共同关注和重点管控的食品安全问题,其溯源一直是产业监管的难点和技术重点。基于指纹溯源技术理论,采用室内模拟3种产毒藻暴露紫贻贝后风险形成过程,开发基于超高效液相色谱-四极杆-静电场轨道阱高分辨质谱(UPLC-Q-Exactive MS)鉴定麻痹性贝类毒素区域特征的指纹溯源技术。结果表明,采用乙腈/甲醇/丙酮(体积比为1︰1︰1)混合溶液作为提取剂,C8色谱柱联合正离子模式,质荷比(m/z)100~600和Amide色谱柱联合正离子模式,m/z 600~1500作为色谱质谱检测条件下,提取的化合物数量较多且稳定性良好,覆盖了40.4%指纹信息;紫贻贝与产毒藻中的共检出11种毒素成分,且具有高度相关性。N-磺酰胺甲酰基类毒素(如C类)和膝沟藻毒素(GTX类)在暴露期发生了显著的代谢转化;将摄食3种产毒藻后紫贻贝的差异化合物与特征毒素组分进行主成分分析及正交偏最小二乘法判别分析,共筛选出13种复合指纹物质。构建6种特征物质的Fisher判别模型,交叉验证准确率为88.9%,可实现产毒藻种溯源。该研究建立了基于超高效液相色谱-四极杆-静电场轨道阱高分辨质谱UPLC-Q-Exactive MS紫贻贝特征指纹溯源技术,初步实现了从污染麻痹性贝类毒素的贝类到肇事藻种的逆向溯源,可应用于贻贝麻痹性贝类毒素风险溯源研究。 展开更多
关键词 溯源 产毒藻 麻痹性贝类毒素 特征指纹 提取方法
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目偏牵正汤联合针刺治疗目偏视的临床研究 被引量:1
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作者 邢静 李慧丽 +3 位作者 张腾 李成双 肖胜燕 宗元娟 《中国中医眼科杂志》 2024年第1期40-45,共6页
目的 研究目偏牵正汤联合针刺治疗目偏视疗效,为目偏视提供临床治疗思路。方法 纳入2019年6月—2022年6月年重庆市中医院眼科住院及门诊的目偏视患者122例,随机分为观察组62例,对照组60例。对照组予营养神经、改善微循环、基础病治疗,... 目的 研究目偏牵正汤联合针刺治疗目偏视疗效,为目偏视提供临床治疗思路。方法 纳入2019年6月—2022年6月年重庆市中医院眼科住院及门诊的目偏视患者122例,随机分为观察组62例,对照组60例。对照组予营养神经、改善微循环、基础病治疗,观察组在对照组治疗基础上给予目偏牵正汤加减口服联合针刺治疗,10 d为1个疗程,共观察3个疗程,观察2组眼球运动受限程度、复视像检查、三棱镜斜视度变化。结果 2组治疗前眼球运动受限程度、复视像检查、三棱镜斜视度比较,差异均无统计学意义(P>0.05)。(1)眼球运动受限程度比较:治疗后2组眼球运动受限程度均较治疗前降低,差异均有统计学意义(Z_(观察组)=-6.710,P=0.000;Z_(对照组)=-2.953,P=0.003)。治疗后2组间比较,观察组眼球运动受限程度低于对照组,差异有统计学意义(Z=-4.523,P=0.000)。(2)复视像检查比较:治疗后2组两组复视分离最大方向的复视像间距均较治疗前降低,差异均有统计学意义(Z_(观察组)=-8.266、Z_(对照组)=-4.168,均P=0.000)。治疗后2组间比较,观察组复视分离最大方向的复视像间距低于对照组,差异有统计学意义(Z=-5.331,P=0.000)。(3)三棱镜斜视度比较:治疗后2组三棱镜斜视度均较治疗前降低,差异均有统计学意义(Z_(观察组)=-8.348,P=0.000;Z_(对照组)=-2.850,P=0.004)。治疗后2组间比较,观察组三棱镜斜视度低于对照组,差异有统计学意义(Z=-6.430,P=0.000)。(4)临床疗效:观察组总有效率(100.00%)高于对照组(78.33%),差异有统计学意义(χ^(2)=15.035,P=0.000)。其中,动眼神经麻痹治疗总有效率,观察组(100.00%)高于对照组(84.62%),差异有统计学意义(P=0.041);而外展神经麻痹和滑车神经麻痹总有效率,2组间差异均无统计学意义(P>0.05)。结论 目偏牵正汤联合针刺治疗能够改善眼球运动受限、复视症状,治疗目偏视临床疗效较好。 展开更多
关键词 目偏牵正汤 针刺 目偏视 麻痹性斜视
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跳舞“下腰”致脊髓损伤后继发麻痹性脊柱侧凸的临床及影像学特征
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作者 李文涵 王玉 +7 位作者 陈泉池 史本龙 毛赛虎 刘臻 孙旭 王斌 邱勇 朱泽章 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2024年第5期490-496,共7页
目的:探讨因跳舞“下腰”致脊髓损伤后继发麻痹性脊柱侧凸(paralytic scoliosis secondary to spinal cord injury)的临床及影像学特征。方法:回顾性分析2016年6月~2023年8月跳舞“下腰”致脊髓损伤后继发脊柱侧凸于南京鼓楼医院脊柱外... 目的:探讨因跳舞“下腰”致脊髓损伤后继发麻痹性脊柱侧凸(paralytic scoliosis secondary to spinal cord injury)的临床及影像学特征。方法:回顾性分析2016年6月~2023年8月跳舞“下腰”致脊髓损伤后继发脊柱侧凸于南京鼓楼医院脊柱外科行手术治疗患者的临床和影像学资料。所有患者均行坐位全脊柱正侧位X线片检查。记录患者脊髓损伤时年龄、确诊脊柱侧凸年龄、手术时年龄、截瘫平面、侧凸弯型、累及节段数、顶椎旋转情况,是否合并髋关节脱位,并于全脊柱正、侧位和Bending位X线片上测量冠状面侧凸主弯Cobb角、骨盆倾斜角和矢状面成角,计算侧凸柔韧度。对骨盆倾斜角和主弯Cobb角进行相关性分析。结果:共19例患者纳入本研究,均为女性,脊髓损伤时年龄5~9岁(6.8±1.1岁),确诊脊柱侧凸时年龄6~11岁(8.6±1.3岁),手术时年龄10~26岁(13.2±3.9岁)。损伤平面以下均为完全性瘫痪,其中13例截瘫平面位于T10水平,2例位于T9水平,4例位于T8水平。主弯均为长C型腰弯或胸腰弯,主弯累及节段数为7~13个(9±2个),Cobb角为50°~110°(74.2°±14.6°),主弯柔韧度为30%~54%(41%±10%)。顶椎旋转按Nash-Moe法分级,Ⅳ度12例,Ⅲ度6例,Ⅱ度1例。矢状面上,腰椎后凸15例(78.9%),局部后凸角为27°~47°(34.3°±5.8°),腰椎前凸角为-47°~55°(-16.9°±34.1°);胸椎呈代偿性后凸减小甚至前凸,胸椎后凸角为-10°~25°(10.4°±9.1°)。所有患者均合并髋关节半脱位,其中单侧17例(89.5%),大部分位于主弯凹侧;双侧2例(10.5%),主弯凹侧半脱位更严重。所有患者均合并骨盆倾斜,骨盆倾斜角为9°~39°(22.8°±8.4°)。Pearson相关分析显示骨盆倾斜角与主弯Cobb角存在显著相关性(r=0.635,P<0.05)。结论:跳舞“下腰”致脊髓损伤后继发麻痹性脊柱侧凸的主弯为长C型腰弯或者单胸腰弯,弯曲跨度大,节段长,椎体旋转严重,畸形相对柔软,在主弯近端可出现短的代偿弯,且均合并骨盆倾斜和位于主弯凹侧的髋关节半脱位,骨盆倾斜与侧凸严重程度呈正相关;矢状面表现为胸椎代偿性的后凸减小,腰椎或胸腰段后凸畸形。 展开更多
关键词 脊髓损伤 跳舞 麻痹性脊柱侧凸 影像学特征
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厚壳贻贝中麻痹性贝毒的蓄积及其对滤食率的影响
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作者 杨越聪 郑关超 +3 位作者 赵辉辉 张海涛 谭志军 吴海燕 《渔业科学进展》 CSCD 北大核心 2024年第5期224-233,共10页
厚壳贻贝(Mytilus unguiculatus)是中国地理标志产品,具有重要的经济价值和产业地位。随着我国近海有害赤潮灾害的频发,厚壳贻贝中贝类毒素残留风险亟需关注。本研究通过室内暴露方式,评估了不同密度链状亚历山大藻(Alexandrium catenel... 厚壳贻贝(Mytilus unguiculatus)是中国地理标志产品,具有重要的经济价值和产业地位。随着我国近海有害赤潮灾害的频发,厚壳贻贝中贝类毒素残留风险亟需关注。本研究通过室内暴露方式,评估了不同密度链状亚历山大藻(Alexandrium catenella)对厚壳贻贝滤食率的影响及其对麻痹性贝毒(paralytic shellfish toxins,PSTs)的蓄积代谢规律。结果表明,厚壳贻贝滤食率与产毒藻暴露密度、PSTs含量呈显著负相关(P<0.05),最低降至初始值的30.0%左右。厚壳贻贝对PSTs整体蓄积能力较弱,高密度组肝胰腺与软组织的日平均蓄积速率分别为981.6μg STXeq/kg/d和106.5μg STXeq/kg/d。链状亚历山大藻与厚壳贻贝中N-磺酰氨甲酰基类毒素-2(N-sulfocarbamoylgonyautoxin toxins-2,C1)、N-磺酰氨甲酰基类毒素-3(C2)与膝沟藻毒素5(Gonyautoxin-5,GTX5)3种组分的初始含量最高,贻贝摄食产毒藻后肝胰腺中C2占比显著降低(P<0.05),由74.1%(藻细胞)分别降低至22.6%(高密度组)与17.1%(低密度组);C1占比则由10.6%(藻细胞)上升至54.1%(高密度组)和54.0%(低密度组)。厚壳贻贝的代谢速率最高可达到1860.3μg STXeq/kg/d,显著高于其他双壳贝类。本研究表明,厚壳贻贝滤食率随PSTs产毒藻暴露时间呈下降趋势,且厚壳贻贝对PSTs的快速代谢与低转化、低残留等特点也表明其食用风险低于其他贻贝。本研究为评估厚壳贻贝中PSTs风险形成机理并为科学构建防控技术提供了研究基础。 展开更多
关键词 厚壳贻贝 麻痹性贝毒 生物转化 滤食率
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河北省近岸贝类中麻痹性贝毒污染特征及风险评估
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作者 李晓康 吴海燕 +5 位作者 程玲 车瀚钰 刘丽娟 牟海津 谭志军 郑关超 《渔业科学进展》 CSCD 北大核心 2024年第4期195-204,共10页
自2016年河北省发生贻贝中麻痹性贝毒(paralytic shellfish toxins,PSTs)超标且中毒事件以来,该区域主产贝类中PSTs安全风险受到研究者和管理部门的密切关注。以2022年3—6月在河北省近岸采集的6种主产贝类为研究对象,采用液相色谱质谱... 自2016年河北省发生贻贝中麻痹性贝毒(paralytic shellfish toxins,PSTs)超标且中毒事件以来,该区域主产贝类中PSTs安全风险受到研究者和管理部门的密切关注。以2022年3—6月在河北省近岸采集的6种主产贝类为研究对象,采用液相色谱质谱联用法(LC-MS/MS法)分析了PSTs的残留状况并进行急性暴露评估,以了解河北省近岸贝类中PSTs污染的变化情况及消费风险。整体来看,不同贝类样品中均有PSTs检出,且4月份贝类样品风险最高,但所有样品均未超过安全限量标准;该区域贝类中PSTs主要组分为GTX1&4和GTX2&3,且紫贻贝(Mytilus galloprovincialis)中含量最高,其次为毛蚶(Scapharca subcrenata);采用最高含量进行急性暴露评估发现,所有贝类样品均处于安全可接受状态。虽然河北近岸贝类中PSTs最高含量呈降低趋势,但仍存在一定残留及安全风险,后续需持续围绕该海域进行长期性调查研究,为我国贝类毒素监管和食用安全提供基础参考数据。 展开更多
关键词 麻痹性贝毒 河北 贝类 污染特征 安全评估
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风牵偏视病因病机探讨及临床应用
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作者 伍梅怡 李慧丽 +1 位作者 黎针宇 王辉武 《中国中医眼科杂志》 2024年第2期152-155,共4页
风牵偏视相当于西医学的后天麻痹性斜视,是眼科常见疾病之一。本文通过梳理古代医药典籍及现代文献分析发现,该病发病原因主要与风、湿两邪有关。其中风邪可分为外风、内风致病,外风致病多由于正气不足或外风亢盛,内风致病则可能与肝阳... 风牵偏视相当于西医学的后天麻痹性斜视,是眼科常见疾病之一。本文通过梳理古代医药典籍及现代文献分析发现,该病发病原因主要与风、湿两邪有关。其中风邪可分为外风、内风致病,外风致病多由于正气不足或外风亢盛,内风致病则可能与肝阳化风、热极生风、血虚及血瘀生风相关。此外,外风、内风可相兼致病。湿邪所致本病也有内、外之分,外湿所致本病多因气候或居处潮湿、冒雨淋水等涉湿过度造成湿邪侵袭人体,内湿致病则多因中焦不运、水湿内停。风湿亦可相兼为病,常见风邪挟杂湿邪所致风痰结聚证型。该病治疗应在整体观念理论指导下,遵循治病必求其本原则,在遣方用药中重视立足病因病机,基于辨证论治选用方证对应的方剂能取得较好临床效果。 展开更多
关键词 风牵偏视 麻痹性斜视 病因病机
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手术治疗眼球摘除术后结膜囊畸形的下睑外翻
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作者 蔡丹瑞 邢瑶 +5 位作者 王文菁 李婷 柏凌 熊全臣 许珉 刘子瑶 《中国美容医学》 CAS 2024年第6期45-47,共3页
目的:回顾分析治疗眼球摘除术后结膜囊畸形的下睑外翻这类手术的关键技术。方法:回顾性分析2015年3月-2017年12月在笔者医院接受手术治疗的眼球摘除术后结膜囊畸形的下睑外翻患者8例(8只眼),所有患者仅行针对结膜囊畸形的手术矫正,而未... 目的:回顾分析治疗眼球摘除术后结膜囊畸形的下睑外翻这类手术的关键技术。方法:回顾性分析2015年3月-2017年12月在笔者医院接受手术治疗的眼球摘除术后结膜囊畸形的下睑外翻患者8例(8只眼),所有患者仅行针对结膜囊畸形的手术矫正,而未采取针对下睑外翻常用的下睑全层楔形切除、外侧睑板条锚定、皮瓣法等术式。结果:8例患者均单纯行二期义眼台植入+结膜囊成形术并穹窿部弧形压管获得了深在、稳定的结膜囊,佩戴义眼片后,下睑缘位置满意,无内外翻。在无需接受任何下睑外翻矫正措施的情况下获得了满意的下睑形态及功能。结论:眼球摘除术后结膜囊畸形的下睑外翻手术关键点在于矫正眼眶凹陷,恢复结膜囊正常形态,尤其是加深下穹窿。 展开更多
关键词 结膜囊畸形 结膜囊成形 下穹窿 下睑外翻 眼球摘除术 矫正 眼眶凹陷
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