Background： Propofol is increasingly nsed during partial support mechanical ventilation such as pressure support ventilation （PSV） in postoperative patients. However breathing pattern, respiratory drive, and patien...Background： Propofol is increasingly nsed during partial support mechanical ventilation such as pressure support ventilation （PSV） in postoperative patients. However breathing pattern, respiratory drive, and patient-ventilator synchrony are affected by the sedative used and the sedation depth. The present study aimed to evaluate the physiologic effects of varying depths ofpropofbl sedation oll respiratory drive and patient-ventilator synchrony during PSV in postoperative patients. Methods： Eight postoperative patients receiving PSV for 〈24 h were enrolled. Propofol was administered to achieve and maintain a Ramsay score of 4, and the inspiratory pressure support was titrated to obtain a tidal volume （VT） of 6-8 ml/kg. Then, tile propolbl dose was reduced to achieve and maintain a Ramsay score of 3 and then 2. At each Ramsay level, the patient underwent 30-rain trials of PSV. We measured the electrical activity of the diaphragm, flow, airway presstlre, neuro-ventilatory efficiency （NVE）, and patient-ventilator synchrony. Results： Increasing the depth of sedation reduced the peak and mean electrical activity of the diaphragm, which suggested a decrease in respiratory drive, while VT remained unchanged. The NVE increased with an increase in the depth of sedation. Minute ventilation and inspiratory duty cycle decreased with an increase in the depth of sedation, but this only achieved statistical significance between Ramsay 2 and both Ramsay 4 and 3 （P 〈 0.05）. The ineffective triggering index increased with increasing sedation depth （9.5 -4- 4.0%, 6.7 - 2.0%, and 4.2-2.1% for Ramsay 4, 3, and 2, respectively） and achieved statistical significance between each pair of depth of sedation （P 〈 0.05）. The depth of sedation did not affect gas exchange. Conclusions： Propofol inhibits respiratory drive and deteriorates patient-ventilator synchrony to tile extent that varies with tile depth of sedation. Propolbl has less effect on breathing pattern and has no effect on VT and gas exchange in postoperative patients with PSV.展开更多
Background:Conventional pressure support ventilation(PSP)is triggered and cycled off by pneumatic signals such as flow.Patient-ventilator asynchrony is common during pressure support ventilation,thereby contributing t...Background:Conventional pressure support ventilation(PSP)is triggered and cycled off by pneumatic signals such as flow.Patient-ventilator asynchrony is common during pressure support ventilation,thereby contributing to an increased inspiratory effort.Using diaphragm electrical activity,neurally controlled pressure support(PSN)could hypothetically eliminate the asynchrony and reduce inspiratory effort.The purpose of this study was to compare the differences between PSN and PSP in terms of patient-ventilator synchrony,inspiratory effort,and breathing pattern.Methods:Eight post-operative patients without respiratory system comorbidity,eight patients with acute respiratory distress syndrome(ARDS)and obvious restrictive acute respiratory failure(ARF),and eight patients with chronic obstructive pulmonary disease(COPD)and mixed restrictive and obstructive ARF were enrolled.Patient-ventilator interactions were analyzed with macro asynchronies(ineffective,double,and auto triggering),micro asynchronies(inspiratory trigger delay,premature,and late cycling),and the total asynchrony index(AI).Inspiratory efforts for triggering and total inspiration were analyzed.Results:Total AI of PSN was consistently lower than that of PSP in COPD(3%vs.93%,P=0.012 for 100%support level;8%vs.104%,P=0.012 for 150%support level),ARDS(8%vs.29%,P=0.012 for 100%support level;16%vs.41%,P=0.017 for 150%support level),and post-operative patients(21%vs.35%,P=0.012 for 100%support level;15%vs.50%,P=0.017 for 150%support level).Improved support levels from 100%to 150%statistically increased total AI during PSP but not during PSN in patients with COPD or ARDS.Patients’inspiratory efforts for triggering and total inspiration were significantly lower during PSN than during PSP in patients with COPD or ARDS under both support levels(P<0.05).There was no difference in breathing patterns between PSN and PSP.Conclusions:PSN improves patient-ventilator synchrony and generates a respiratory pattern similar to PSP independently of any level of support in patients with different respiratory system mechanical properties.PSN,which reduces the trigger and total patient’s inspiratory effort in patients with COPD or ARDS,might be an alternative mode for PSP.Trial Registration:ClinicalTrials.gov,NCT01979627;https://clinicaltrials.gov/ct2/show/record/NCT01979627.展开更多
Although seasonal breeding has been documented in many non-human primates, it is not clear whether sexual behaviors show seasonal variation among male individuals. To test this hypothesis, the focal animal sampling me...Although seasonal breeding has been documented in many non-human primates, it is not clear whether sexual behaviors show seasonal variation among male individuals. To test this hypothesis, the focal animal sampling method and continuous recording were used to investigate seasonal variation and synchronization of sexual behaviors in five male Tibetan macaques （Macaca thibetana） at Mt. Huangshan from Oct 2005 to Sept 2006. Both copulatory and sexually motivated behaviors （i.e., sexual chase, grimace, and sexual-inspection）, which were significantly higher in the mating season than non-mating season. Furthermore, seasonal variations of sexual behaviors, including copulatory and sexually motivated behaviors, were synchronized among males. The results shed light on sexual competition and tactics for reproductive success of male M. thibetana and other non-human primates with seasonal breeding.展开更多
Objective To evaluate short time effects of primary percutaneous coronary intervention (pPCI) and rtPA thrombolysis+PCI (rtPA+PCI) on myocardial viability and ventricular systolic synchrony in AMI patients.Methods Eig...Objective To evaluate short time effects of primary percutaneous coronary intervention (pPCI) and rtPA thrombolysis+PCI (rtPA+PCI) on myocardial viability and ventricular systolic synchrony in AMI patients.Methods Eighty seven patients with first AMI were divided into two groups: group A ( n =42), pPCI group, the patients underwent PCI within 6h after onset of AMI; group B ( n =45), rtPA+PCI group, the patients underwent PCI after thrombolysis within 6h after onset of AMI; Myocardial viability was measured by 99m Tc MIBI SPECT. While, the parameters of cardiac function LVEF and ventricular systolic synchrony LVPS were measured by 99m Tc gated cardiac blood pool image on the first and the fourth weekend. Results (1) The peak CK MB was significantly lower in group A than that in group B( P <0.01 ). (2) Myocardial infarction area (MIA) was decreased and radioactivity counts in MIA was significantly increased in group A and B on the 4th weekend compared with that on the first weekend ( P <0.01 ), but there were no significant difference between group A and group B. (3) LVEF, LVPS were no significant difference between group A and group B.Conclusions (1)pPCI in acute myocardial infartion can limit infarct area, maintain ventricular systolic synchrony and improve ventricular function; (2) but, in those hospitals that there were no any condition for PCI, they should transfer the patients to central hospital for PCI after thrombolysis at the first time. It is beneficial to improve myocardial viability and ventricular systolic synchrony of AMI patients in short time.展开更多
目的:分析射波刀Synchrony同步追踪系统的质量保证验证方法是否符合临床肿瘤三维运动的要求,以保证射波刀临床治疗的质量。方法:利用改进的Synchrony模体采集CT影像信息,制订同步呼吸追踪的E2E(end to end)治疗验证计划。执行治疗计划,...目的:分析射波刀Synchrony同步追踪系统的质量保证验证方法是否符合临床肿瘤三维运动的要求,以保证射波刀临床治疗的质量。方法:利用改进的Synchrony模体采集CT影像信息,制订同步呼吸追踪的E2E(end to end)治疗验证计划。执行治疗计划,将装有EBT胶片的球方模体放在治疗床上,球方在不同运动条件下执行模拟验证计划,利用E2E软件对照射后的胶片进行分析,得出同步追踪的治疗误差。结果:射波刀Synchrony同步追踪系统在一维、二维、三维方向的治疗误差分别为0.91、1.03、0.90 mm。结论:射波刀Synchrony同步追踪系统的质量保证验证方法满足临床肿瘤精确治疗的要求。展开更多
目的利用模体端到端(End to End,E2E)系统测试分析呼吸运动对射波刀Synchrony追踪肿瘤目标定位精度的影响。方法利用射波刀Synchrony同步追踪系统的模体,设置不同的呼吸模式,将装有EBT2型号胶片的模体置于治疗床上,执行模体E2E验证计划...目的利用模体端到端(End to End,E2E)系统测试分析呼吸运动对射波刀Synchrony追踪肿瘤目标定位精度的影响。方法利用射波刀Synchrony同步追踪系统的模体,设置不同的呼吸模式,将装有EBT2型号胶片的模体置于治疗床上,执行模体E2E验证计划。E2E验证计划执行完毕后取出胶片,利用E2E软件分析不同呼吸模式下射波刀的目标追踪定位精度。结果不同呼吸周期(0、2、4、6和8 s)下anterior/superior(A/S)胶片的前方向误差比较,差异具有统计学意义(P=0.016);不同呼吸幅值(0、2、4、6和8 mm)下总体靶误差和前方向平均误差比较,差异均具有统计学意义(均P<0.05),且呼吸幅值越高,总体靶误差越高。结论患者的呼吸运动对射波刀Synchrony追踪目标的定位精度有影响,通过提高呼吸周期和降低呼吸幅值可提高射波刀追踪的精度。展开更多
By applying multiple wavelet coherence (MWC) to data from human body movements in triadic interaction, this study quantified triadic synchrony, rhythmic similarity among three interactants. Thirty-nine Japanese underg...By applying multiple wavelet coherence (MWC) to data from human body movements in triadic interaction, this study quantified triadic synchrony, rhythmic similarity among three interactants. Thirty-nine Japanese undergraduates were randomly assigned in a triad, and engaged in a brain-storming task. Triadic synchrony was quantified by calculating MWC to the time-series movement data collected by Kinect v2 sensor. The existence of synchrony was statistically tested by using a pseudo-synchrony paradigm. Results showed that the averaged value of MWC was higher in the experimental participant trio than in those of the pseudo trio in the frequency band of 0.5 - 1 Hz. The result supports the possible utility of applying multiple wavelet coherence to evaluate triadic synchrony in a small group interaction.展开更多
To reveal the mechanism of control of the Woolly Apple Aphid （Eriosoma lanigerum Hausm, WAA） by increase of biodiversity in the apple orchard, a consecutive two-year field trials were conducted in Yurman province, C...To reveal the mechanism of control of the Woolly Apple Aphid （Eriosoma lanigerum Hausm, WAA） by increase of biodiversity in the apple orchard, a consecutive two-year field trials were conducted in Yurman province, China. The results showed that the peak of natural enemy density curve in the cover cropping orchard was well temporally synchronized with that of the WAA density on trees, but did not synchronize with that of WAA density on trees in clean orchard. In addition, the frequency of natural enemies and WAA within a same sample in cover cropping orchard was obviously higher than that in clean cultivated orchard during the peak of population curves, indicating that natural enemies spatially synchronized with aphids. The density of WAA for the whole growing season in cover cropping orchard was much less than that in clean orchard. Therefore, the temporal-spatial synchrony of natural enemy and aphid populations was proposed as one of the mechanisms for aphid control in cover cropped orchards.展开更多
Objective:To study the correlation of the ultrasound parameters of left ventricular remodeling and systolic synchrony in patients with primary hypertension with serum cytokines and matrix metalloproteinases (MMPs).Met...Objective:To study the correlation of the ultrasound parameters of left ventricular remodeling and systolic synchrony in patients with primary hypertension with serum cytokines and matrix metalloproteinases (MMPs).Methods:134 patients with primary hypertension receiving three-dimensional echocardiography examination in our hospital between May 2013 and March 2016 were selected and divided into the group A with normal pattern (n=71), group B with concentric hypertrophy (n=39) and group C with eccentric hypertrophy (n=24) according to the left ventricular internal diameter at end-diastole (LVIDd) and left ventricular mass index (LVMI), and the ultrasound parameters of left ventricular remodeling and systolic synchrony as well as serum content of cytokines and MMPs were determined.Results: The time to minimal systolic volume of 16-segmental standard deviation (SDI), maximum time difference (DIF), Tpe, Tpe interphase and its correction (Tpec), LVIDd, LVMI and left ventricular remodeling index (LVRI) of group B and group C were significantly higher than those of group A (P<0.05), and SDI, DIF, Tpe, Tpec, LVIDd, LVMI and LVRI of group C were significantly higher than those of group B (P<0.05);serum tumor necrosis factor-α (TNF-α), interleukin-17 (IL-17), transforming growth factor-β1 (TGF-β1), matrix metalloproteinase 2 (MMP2), MMP3 and MMP9 content of group B and group C were significantly higher than those of group A (P<0.05), and serum TNF-α, IL-17, TGF-β1, MMP2, MMP3 and MMP9 content of group C were significantly higher than those of group B (P<0.05) and positively correlated with LVIDd, LVMI, LVRI, SDI, DIF, Tpe and Tpec;serum TIMP1 and TIMP2 content of group B and group C were significantly lower than those of group A (P<0.05), and serum TIMP1 and TIMP2 content of group C were significantly lower than those of group B (P<0.05) and negatively correlated with LVIDd, LVMI, LVRI, SDI, DIF, Tpe and Tpec.Conclusions:The ultrasound parameters of left ventricular remodeling and systolic synchrony significantly change in patients with primary hypertension and are closely related to the changes in the content of serum cytokines and MMPs.展开更多
目的探讨左束支区域起搏与右心室间隔起搏技术对老年患者左心室收缩同步性、心功能的影响。方法回顾性选取2022年2月至2023年3月期间于郴州市第一人民医院心血管内科接受永久性心脏起搏器植入术治疗的80例老年患者的临床资料,根据心脏...目的探讨左束支区域起搏与右心室间隔起搏技术对老年患者左心室收缩同步性、心功能的影响。方法回顾性选取2022年2月至2023年3月期间于郴州市第一人民医院心血管内科接受永久性心脏起搏器植入术治疗的80例老年患者的临床资料,根据心脏起搏电极植入部位分为两组,即对照组、观察组各40例。对照组患者于右心室间隔处植入心脏起搏器,观察组患者于左束支区域植入心脏起搏器。分别于患者心脏起搏器植入术后1个月、术后6个月、术后12个月观察各指标变化,包括左心室收缩同步性参数[左心室收缩期纵向应变达峰时间标准差(time to peak longitudinal strain standard deviation,Tls-SD)、最大差值(time to peak longitudinal strain maximum difference,Tls-dif),左心室收缩期径向应变达峰时间标准差(time to peak radial strain standard deviation,Trs-SD)、最大差值(time to peak radial strain maximum difference,Trs-dif),左心室收缩期环向应变达峰时间标准差(time to peak circumferential strain standard deviation,Tcs-SD)、最大差值(time to peak circumferential strain maximum difference,Tcs-dif)]以及心功能指标[左心室射血分数(left ventricular ejection fraction,LVEF)、心排血量(cardiac output,CO)、心脏指数(cardiac index,CI)]、心腔大小[右心房内径(right atrial inner diameter,RAD)、左心房内径(left atrial diameter,LAD)、左心室舒张末期内径(left ventricular end diastolic diameter,LVEDD)、左心室收缩末期内径(left ventricular end systolic diameter,LVESD)]、氨基末端脑钠肽前体(N-terminal pro-brain natriuretic peptide,NT-proBNP)浓度等。于术后12个月测定起搏参数(感知、阈值、阻抗、心室起搏比例),并统计心脏起搏器植入术后12个月内心力衰竭再入院、死亡等不良事件发生情况。结果术后各时间点观察组心功能指标LVEF、CO、CI略高于对照组,但两组比较差异无统计学意义(P>0.05)。术后各时间点观察组心腔大小指标RAD、LAD、LVEDD、LVESD低于对照组,尤其是术后12个月[RAD:(36.63±2.22)mm vs.(40.13±1.61)mm,LAD:(31.09±1.14)mm vs.(38.32±1.08)mm,LVEDD:(49.76±3.22)mm vs.(54.63±3.14)mm,LVESD:(40.64±2.11)mm vs.(48.11±3.24)mm,P<0.05]。术后各时间点观察组左心室收缩同步性指标LSDI、Tls-SD、Tls-dif、Trs-SD、Trs-dif、Tcs-SD、Tcs-dif均低于对照组,尤其是术后12个月[LSDI:4.86%±0.83%vs.9.49%±0.48%,Tls-SD:(14.42±1.78)ms vs.(25.00±1.43)ms,Tls-dif:(50.92±4.53)ms vs.(90.17±8.41)ms,Trs-SD:(50.37±4.33)ms vs.(69.44±6.52)ms,Trs-dif:(141.03±15.64)ms vs.(179.04±18.42)ms,Tcs-SD:(37.85±3.41)ms vs.(48.10±4.62)ms,Tcs-dif:(130.09±14.53)ms vs.(158.09±18.57)ms,P<0.05]。术后各时间点观察组NT-proBNP浓度略低于对照组,但两组比较差异无统计学意义(P>0.05)。两组起搏程控参数起搏感知、阻抗比较,差异无统计学意义(P<0.05);观察组起搏阈值低于对照组[(0.66±0.10)V vs.(0.75±0.12)V,P<0.05];两组起搏程控参数起搏感知、阻抗、阈值均处于正常范围。观察组心室起搏比例低于对照组(43.23%±4.53%vs.73.43%±6.56%,P<0.05)。术后12个月观察组心力衰竭再入院发生率明显低于对照组,差异有统计学意义(5.00%vs.22.50%,P<0.05)。结论左束支区域起搏技术在改善永久性心脏起搏器植入患者左心室收缩同步性、心功能方面优于右心室间隔起搏技术,术后12个月不良事件发生率较低,更有利于保护心功能,起搏参数稳定,属于一种有效且安全的起搏技术。展开更多
文摘Background： Propofol is increasingly nsed during partial support mechanical ventilation such as pressure support ventilation （PSV） in postoperative patients. However breathing pattern, respiratory drive, and patient-ventilator synchrony are affected by the sedative used and the sedation depth. The present study aimed to evaluate the physiologic effects of varying depths ofpropofbl sedation oll respiratory drive and patient-ventilator synchrony during PSV in postoperative patients. Methods： Eight postoperative patients receiving PSV for 〈24 h were enrolled. Propofol was administered to achieve and maintain a Ramsay score of 4, and the inspiratory pressure support was titrated to obtain a tidal volume （VT） of 6-8 ml/kg. Then, tile propolbl dose was reduced to achieve and maintain a Ramsay score of 3 and then 2. At each Ramsay level, the patient underwent 30-rain trials of PSV. We measured the electrical activity of the diaphragm, flow, airway presstlre, neuro-ventilatory efficiency （NVE）, and patient-ventilator synchrony. Results： Increasing the depth of sedation reduced the peak and mean electrical activity of the diaphragm, which suggested a decrease in respiratory drive, while VT remained unchanged. The NVE increased with an increase in the depth of sedation. Minute ventilation and inspiratory duty cycle decreased with an increase in the depth of sedation, but this only achieved statistical significance between Ramsay 2 and both Ramsay 4 and 3 （P 〈 0.05）. The ineffective triggering index increased with increasing sedation depth （9.5 -4- 4.0%, 6.7 - 2.0%, and 4.2-2.1% for Ramsay 4, 3, and 2, respectively） and achieved statistical significance between each pair of depth of sedation （P 〈 0.05）. The depth of sedation did not affect gas exchange. Conclusions： Propofol inhibits respiratory drive and deteriorates patient-ventilator synchrony to tile extent that varies with tile depth of sedation. Propolbl has less effect on breathing pattern and has no effect on VT and gas exchange in postoperative patients with PSV.
基金National Science and Technology Major Project(No.2020ZX09201015)Clinical Science and Technology Specific Projects of Jiangsu Province(Nos.BE2018743,BE2019749)+3 种基金National Natural Science Foundation of China(Nos.81870066,81670074,81930058)Natural Science Foundation of Jiangsu Province(No.BK20171271)Jiangsu Provincial Medical Youth Talent(No.QNRC 2016807)Third Level Talents of the"333 High Level Talents Training Project"in the fifth phase in Jiangsu(No.LGY2016051)。
文摘Background:Conventional pressure support ventilation(PSP)is triggered and cycled off by pneumatic signals such as flow.Patient-ventilator asynchrony is common during pressure support ventilation,thereby contributing to an increased inspiratory effort.Using diaphragm electrical activity,neurally controlled pressure support(PSN)could hypothetically eliminate the asynchrony and reduce inspiratory effort.The purpose of this study was to compare the differences between PSN and PSP in terms of patient-ventilator synchrony,inspiratory effort,and breathing pattern.Methods:Eight post-operative patients without respiratory system comorbidity,eight patients with acute respiratory distress syndrome(ARDS)and obvious restrictive acute respiratory failure(ARF),and eight patients with chronic obstructive pulmonary disease(COPD)and mixed restrictive and obstructive ARF were enrolled.Patient-ventilator interactions were analyzed with macro asynchronies(ineffective,double,and auto triggering),micro asynchronies(inspiratory trigger delay,premature,and late cycling),and the total asynchrony index(AI).Inspiratory efforts for triggering and total inspiration were analyzed.Results:Total AI of PSN was consistently lower than that of PSP in COPD(3%vs.93%,P=0.012 for 100%support level;8%vs.104%,P=0.012 for 150%support level),ARDS(8%vs.29%,P=0.012 for 100%support level;16%vs.41%,P=0.017 for 150%support level),and post-operative patients(21%vs.35%,P=0.012 for 100%support level;15%vs.50%,P=0.017 for 150%support level).Improved support levels from 100%to 150%statistically increased total AI during PSP but not during PSN in patients with COPD or ARDS.Patients’inspiratory efforts for triggering and total inspiration were significantly lower during PSN than during PSP in patients with COPD or ARDS under both support levels(P<0.05).There was no difference in breathing patterns between PSN and PSP.Conclusions:PSN improves patient-ventilator synchrony and generates a respiratory pattern similar to PSP independently of any level of support in patients with different respiratory system mechanical properties.PSN,which reduces the trigger and total patient’s inspiratory effort in patients with COPD or ARDS,might be an alternative mode for PSP.Trial Registration:ClinicalTrials.gov,NCT01979627;https://clinicaltrials.gov/ct2/show/record/NCT01979627.
文摘Although seasonal breeding has been documented in many non-human primates, it is not clear whether sexual behaviors show seasonal variation among male individuals. To test this hypothesis, the focal animal sampling method and continuous recording were used to investigate seasonal variation and synchronization of sexual behaviors in five male Tibetan macaques （Macaca thibetana） at Mt. Huangshan from Oct 2005 to Sept 2006. Both copulatory and sexually motivated behaviors （i.e., sexual chase, grimace, and sexual-inspection）, which were significantly higher in the mating season than non-mating season. Furthermore, seasonal variations of sexual behaviors, including copulatory and sexually motivated behaviors, were synchronized among males. The results shed light on sexual competition and tactics for reproductive success of male M. thibetana and other non-human primates with seasonal breeding.
文摘Objective To evaluate short time effects of primary percutaneous coronary intervention (pPCI) and rtPA thrombolysis+PCI (rtPA+PCI) on myocardial viability and ventricular systolic synchrony in AMI patients.Methods Eighty seven patients with first AMI were divided into two groups: group A ( n =42), pPCI group, the patients underwent PCI within 6h after onset of AMI; group B ( n =45), rtPA+PCI group, the patients underwent PCI after thrombolysis within 6h after onset of AMI; Myocardial viability was measured by 99m Tc MIBI SPECT. While, the parameters of cardiac function LVEF and ventricular systolic synchrony LVPS were measured by 99m Tc gated cardiac blood pool image on the first and the fourth weekend. Results (1) The peak CK MB was significantly lower in group A than that in group B( P <0.01 ). (2) Myocardial infarction area (MIA) was decreased and radioactivity counts in MIA was significantly increased in group A and B on the 4th weekend compared with that on the first weekend ( P <0.01 ), but there were no significant difference between group A and group B. (3) LVEF, LVPS were no significant difference between group A and group B.Conclusions (1)pPCI in acute myocardial infartion can limit infarct area, maintain ventricular systolic synchrony and improve ventricular function; (2) but, in those hospitals that there were no any condition for PCI, they should transfer the patients to central hospital for PCI after thrombolysis at the first time. It is beneficial to improve myocardial viability and ventricular systolic synchrony of AMI patients in short time.
文摘目的:分析射波刀Synchrony同步追踪系统的质量保证验证方法是否符合临床肿瘤三维运动的要求,以保证射波刀临床治疗的质量。方法:利用改进的Synchrony模体采集CT影像信息,制订同步呼吸追踪的E2E(end to end)治疗验证计划。执行治疗计划,将装有EBT胶片的球方模体放在治疗床上,球方在不同运动条件下执行模拟验证计划,利用E2E软件对照射后的胶片进行分析,得出同步追踪的治疗误差。结果:射波刀Synchrony同步追踪系统在一维、二维、三维方向的治疗误差分别为0.91、1.03、0.90 mm。结论:射波刀Synchrony同步追踪系统的质量保证验证方法满足临床肿瘤精确治疗的要求。
文摘目的利用模体端到端(End to End,E2E)系统测试分析呼吸运动对射波刀Synchrony追踪肿瘤目标定位精度的影响。方法利用射波刀Synchrony同步追踪系统的模体,设置不同的呼吸模式,将装有EBT2型号胶片的模体置于治疗床上,执行模体E2E验证计划。E2E验证计划执行完毕后取出胶片,利用E2E软件分析不同呼吸模式下射波刀的目标追踪定位精度。结果不同呼吸周期(0、2、4、6和8 s)下anterior/superior(A/S)胶片的前方向误差比较,差异具有统计学意义(P=0.016);不同呼吸幅值(0、2、4、6和8 mm)下总体靶误差和前方向平均误差比较,差异均具有统计学意义(均P<0.05),且呼吸幅值越高,总体靶误差越高。结论患者的呼吸运动对射波刀Synchrony追踪目标的定位精度有影响,通过提高呼吸周期和降低呼吸幅值可提高射波刀追踪的精度。
文摘By applying multiple wavelet coherence (MWC) to data from human body movements in triadic interaction, this study quantified triadic synchrony, rhythmic similarity among three interactants. Thirty-nine Japanese undergraduates were randomly assigned in a triad, and engaged in a brain-storming task. Triadic synchrony was quantified by calculating MWC to the time-series movement data collected by Kinect v2 sensor. The existence of synchrony was statistically tested by using a pseudo-synchrony paradigm. Results showed that the averaged value of MWC was higher in the experimental participant trio than in those of the pseudo trio in the frequency band of 0.5 - 1 Hz. The result supports the possible utility of applying multiple wavelet coherence to evaluate triadic synchrony in a small group interaction.
文摘To reveal the mechanism of control of the Woolly Apple Aphid （Eriosoma lanigerum Hausm, WAA） by increase of biodiversity in the apple orchard, a consecutive two-year field trials were conducted in Yurman province, China. The results showed that the peak of natural enemy density curve in the cover cropping orchard was well temporally synchronized with that of the WAA density on trees, but did not synchronize with that of WAA density on trees in clean orchard. In addition, the frequency of natural enemies and WAA within a same sample in cover cropping orchard was obviously higher than that in clean cultivated orchard during the peak of population curves, indicating that natural enemies spatially synchronized with aphids. The density of WAA for the whole growing season in cover cropping orchard was much less than that in clean orchard. Therefore, the temporal-spatial synchrony of natural enemy and aphid populations was proposed as one of the mechanisms for aphid control in cover cropped orchards.
文摘Objective:To study the correlation of the ultrasound parameters of left ventricular remodeling and systolic synchrony in patients with primary hypertension with serum cytokines and matrix metalloproteinases (MMPs).Methods:134 patients with primary hypertension receiving three-dimensional echocardiography examination in our hospital between May 2013 and March 2016 were selected and divided into the group A with normal pattern (n=71), group B with concentric hypertrophy (n=39) and group C with eccentric hypertrophy (n=24) according to the left ventricular internal diameter at end-diastole (LVIDd) and left ventricular mass index (LVMI), and the ultrasound parameters of left ventricular remodeling and systolic synchrony as well as serum content of cytokines and MMPs were determined.Results: The time to minimal systolic volume of 16-segmental standard deviation (SDI), maximum time difference (DIF), Tpe, Tpe interphase and its correction (Tpec), LVIDd, LVMI and left ventricular remodeling index (LVRI) of group B and group C were significantly higher than those of group A (P<0.05), and SDI, DIF, Tpe, Tpec, LVIDd, LVMI and LVRI of group C were significantly higher than those of group B (P<0.05);serum tumor necrosis factor-α (TNF-α), interleukin-17 (IL-17), transforming growth factor-β1 (TGF-β1), matrix metalloproteinase 2 (MMP2), MMP3 and MMP9 content of group B and group C were significantly higher than those of group A (P<0.05), and serum TNF-α, IL-17, TGF-β1, MMP2, MMP3 and MMP9 content of group C were significantly higher than those of group B (P<0.05) and positively correlated with LVIDd, LVMI, LVRI, SDI, DIF, Tpe and Tpec;serum TIMP1 and TIMP2 content of group B and group C were significantly lower than those of group A (P<0.05), and serum TIMP1 and TIMP2 content of group C were significantly lower than those of group B (P<0.05) and negatively correlated with LVIDd, LVMI, LVRI, SDI, DIF, Tpe and Tpec.Conclusions:The ultrasound parameters of left ventricular remodeling and systolic synchrony significantly change in patients with primary hypertension and are closely related to the changes in the content of serum cytokines and MMPs.
文摘目的探讨左束支区域起搏与右心室间隔起搏技术对老年患者左心室收缩同步性、心功能的影响。方法回顾性选取2022年2月至2023年3月期间于郴州市第一人民医院心血管内科接受永久性心脏起搏器植入术治疗的80例老年患者的临床资料,根据心脏起搏电极植入部位分为两组,即对照组、观察组各40例。对照组患者于右心室间隔处植入心脏起搏器,观察组患者于左束支区域植入心脏起搏器。分别于患者心脏起搏器植入术后1个月、术后6个月、术后12个月观察各指标变化,包括左心室收缩同步性参数[左心室收缩期纵向应变达峰时间标准差(time to peak longitudinal strain standard deviation,Tls-SD)、最大差值(time to peak longitudinal strain maximum difference,Tls-dif),左心室收缩期径向应变达峰时间标准差(time to peak radial strain standard deviation,Trs-SD)、最大差值(time to peak radial strain maximum difference,Trs-dif),左心室收缩期环向应变达峰时间标准差(time to peak circumferential strain standard deviation,Tcs-SD)、最大差值(time to peak circumferential strain maximum difference,Tcs-dif)]以及心功能指标[左心室射血分数(left ventricular ejection fraction,LVEF)、心排血量(cardiac output,CO)、心脏指数(cardiac index,CI)]、心腔大小[右心房内径(right atrial inner diameter,RAD)、左心房内径(left atrial diameter,LAD)、左心室舒张末期内径(left ventricular end diastolic diameter,LVEDD)、左心室收缩末期内径(left ventricular end systolic diameter,LVESD)]、氨基末端脑钠肽前体(N-terminal pro-brain natriuretic peptide,NT-proBNP)浓度等。于术后12个月测定起搏参数(感知、阈值、阻抗、心室起搏比例),并统计心脏起搏器植入术后12个月内心力衰竭再入院、死亡等不良事件发生情况。结果术后各时间点观察组心功能指标LVEF、CO、CI略高于对照组,但两组比较差异无统计学意义(P>0.05)。术后各时间点观察组心腔大小指标RAD、LAD、LVEDD、LVESD低于对照组,尤其是术后12个月[RAD:(36.63±2.22)mm vs.(40.13±1.61)mm,LAD:(31.09±1.14)mm vs.(38.32±1.08)mm,LVEDD:(49.76±3.22)mm vs.(54.63±3.14)mm,LVESD:(40.64±2.11)mm vs.(48.11±3.24)mm,P<0.05]。术后各时间点观察组左心室收缩同步性指标LSDI、Tls-SD、Tls-dif、Trs-SD、Trs-dif、Tcs-SD、Tcs-dif均低于对照组,尤其是术后12个月[LSDI:4.86%±0.83%vs.9.49%±0.48%,Tls-SD:(14.42±1.78)ms vs.(25.00±1.43)ms,Tls-dif:(50.92±4.53)ms vs.(90.17±8.41)ms,Trs-SD:(50.37±4.33)ms vs.(69.44±6.52)ms,Trs-dif:(141.03±15.64)ms vs.(179.04±18.42)ms,Tcs-SD:(37.85±3.41)ms vs.(48.10±4.62)ms,Tcs-dif:(130.09±14.53)ms vs.(158.09±18.57)ms,P<0.05]。术后各时间点观察组NT-proBNP浓度略低于对照组,但两组比较差异无统计学意义(P>0.05)。两组起搏程控参数起搏感知、阻抗比较,差异无统计学意义(P<0.05);观察组起搏阈值低于对照组[(0.66±0.10)V vs.(0.75±0.12)V,P<0.05];两组起搏程控参数起搏感知、阻抗、阈值均处于正常范围。观察组心室起搏比例低于对照组(43.23%±4.53%vs.73.43%±6.56%,P<0.05)。术后12个月观察组心力衰竭再入院发生率明显低于对照组,差异有统计学意义(5.00%vs.22.50%,P<0.05)。结论左束支区域起搏技术在改善永久性心脏起搏器植入患者左心室收缩同步性、心功能方面优于右心室间隔起搏技术,术后12个月不良事件发生率较低,更有利于保护心功能,起搏参数稳定,属于一种有效且安全的起搏技术。
