Successful Treatment of Severe Heparin-induced Thrombocytopenia with Intravenous Immunoglobulin, Platelet Transfusion and Rivaroxaban: A Case Report

Heparin-induced thrombocytopenia(HIT) is a relatively infrequent complication of heparin administration. HIT can cause devastating thrombosis, making it one of the most serious adverse drug reactions encountered in clinical practice. We successfully treated a case of severe HIT presenting with thrombosis and life-threatening bleeding complications with intravenous immunoglobulin(IVIG), platelet transfusion and oral anticoagulant Rivaroxaban. In this case, we considered that IVIG played the most important role by preventing further thrombosis, increasing the platelet count, and ensuring the efficacy of Rivaroxaban. We therefore suggest that IVIG might be the optimal treatment for patients with this urgent condition.

Lipozyme RM IM在人乳替代脂合成中的循环利用及结构变化

目的:研究Lipozyme RM IM在人乳替代脂合成中的应用及其在循环利用中结构的变化。方法:以sn-2高棕榈酸甘油三酯和游离脂肪酸为底物,在Lipozyme RM IM催化下同步合成主要成分为1,3-二油酸-2-棕榈酸甘油三酯(1,3-dioleoyl-2-palmitoylglycerol,OPO)和1-油酸-2-棕榈酸-3-亚油酸甘油三酯(1-dioleoyl-2-palmitoyl-3-linoleoylglycerol,OPL)的人乳替代脂,考察合成过程中OPO与OPL含量、油酸与亚油酸含量、总棕榈酸含量、sn-2棕榈酸含量、酶活力、脂肪酶二级结构信息和内源荧光强度等指标,研究LipozymeRMIM在合成人乳替代脂中的应用及其循环利用特性。结果:以中国母乳脂质数据库为依据评判所合成人乳替代脂指标,Lipozyme RM IM循环使用第1次时,人乳替代脂中OPO相对含量为19.41%,OPL相对含量为17.04%,总脂肪酸中油酸相对含量为35.63%,亚油酸相对含量为22.30%,总棕榈酸相对含量为28.80%,sn-2棕榈酸相对含量为52.40%;当Lipozyme RM IM循环使用至第17次时,母乳结构脂中OPO相对含量为8.50%,OPL相对含量为7.62%,总脂肪酸中油酸相对含量为28.62%,亚油酸相对含量为13.38%,总棕榈酸相对含量为38.26%,sn-2棕榈酸相对含量为58.40%,均与中国母乳脂质范围一致。但Lipozyme RM IM循环使用超过17次后,酶法合成产物脂质组成与中国母乳脂质范围相差甚远。结论:Lipozyme RM IM作为一种酯交换能力优异的脂肪酶,在合成人乳替代脂的过程中可以累计使用17次,证明了固定化脂肪酶在合成人乳替代脂中有较好的循环使用特性。该研究为脂肪酶在人乳替代脂合成中的广泛应用提供了参考依据,同时也为连续性反应器合成人乳替代脂过程中脂肪酶的循环利用提供了参考。

基于GC-IMS和GC-MS技术结合化学计量法分析干燥方式对香椿挥发性成分的影响

为研究干燥方式对香椿挥发性风味物质的影响,利用气相色谱-离子迁移谱技术(gaschromatography-ion mobility spectrometry,GC-IMS)和气相色谱-质谱联用技术(gas chromatography-mass spectrometry,GC-MS)、相对香气活性值(relative odor activity value,ROAV)对真空冷冻干燥、热泵干燥、热风干燥、微波真空干燥的香椿样品进行挥发性成分分析,并进一步结合化学计量方法主成分分析(principal component analysis,PCA)和偏最小二乘判别分析(partial least squares-discriminant analysis,PLS-DA),探究样品间挥发性成分的差异性。结果表明,通过GC-IMS检测到78个峰,鉴定出59种化合物。通过GC-MS鉴定出94种挥发性化合物,主要挥发性成分是硫化物、烯烃类和醛类。经过干燥后总挥发性化合物的含量显著降低。通过ROAV法确定了(E,Z)-二-1-丙烯基二硫化物、2-巯基-3,4-二甲基-2,3-二氢噻吩、正己醛、2-己烯醛、丁香酚等为香椿样品中关键香气化合物。PCA和PLS-DA结果表明,不同干燥方式的样品与新鲜样品有明显的分离,彼此之间也有明显的区别。鲜样和真空冷冻干燥样品为一组,其他3个干燥香椿样品为一组。根据变量投影重要性(variable importance in projection,VIP)得分共筛选出10种(VIP>1)标志挥发性化合物。干燥方式对香椿风味特性影响显著,真空冷冻干燥组与鲜样最为接近,考虑实际应用热泵干燥为香椿最适宜的脱水方式。本研究为热加工过程中风味品质控制提供一定的理论参考。

不同厂家水基胶挥发性物质的GC-IMS差异分析

目的快速分析不同厂家水基胶中的挥发物特性。方法采用气相色谱-离子迁移谱(GC-IMS)联用技术对各种水基胶中的挥发性物质进行定性分析;结合生物指纹图谱、主成分分析(PCA)法以及欧式距离分析法对不同水基胶样品进行差异对比分析。结果水基胶中共识别出88种挥发性化学物质,涵盖酯类、酮类、醇类、醛类、杂环类、酸类、芳香类、醚类、萜类、酰胺类和腈类等11大类别,其中酯类物质占据显著比例,达26种,占总挥发性物质的38%~46%。结论采用GC-IMS技术结合生物指纹图谱、PCA以及欧式距离分析,能够有效区分不同厂家水基胶样品,同时同一厂家不同规格样品之间显示出较高的相似性;GC-IMS技术为不同厂家水基胶的快速溯源鉴别及挥发性物质差异分析提供了有力工具。

Laparoscopic splenectomy for primary immune thrombocytopenia:Current status and challenges

Primary immune thrombocytopenia(ITP) is an immunemediated disorder affecting both adults and children, characterised by bleeding complications and low platelet counts. Corticosteroids are the first-line therapy for ITP, but only 20%-40% of cases achieve a stable response. Splenectomy is the main therapy for patients failing to respond to corticosteroids for decades, and about two-thirds of patients achieve a long-lasting response. Although some new drugs are developed to treat ITP as second-line therapies in recent years, splenectomy is still the better choice with less cost and more efficiency. Laparoscopic splenectomy(LS) for ITP proves to be a safe technique associated with lower morbidity and faster recovery and similar hematological response when compared to traditional open splenectomy. Based on the unified hematological outcome criteria by current international consensus, the response rate of splenectomy should be reassessed. So far, there are not widely accepted preoperative clinical indicators predicting favorable response to LS. Since the patients undergoing surgery take the risk of complications and poor hematological outcome, the great challenge facing the doctors is to identify a reliable biomarker for predicting longterm outcome of splenectomy which can help make the decision of operation.

Wilson disease associated with immune thrombocytopenia: A case report and review of the literature

BACKGROUND Wilson disease (WD) is a genetic disorder of hepatic copper excretion,leading to copper accumulation in various tissues.The manifestations are quite variable,and hemolytic anemia is the most common hematological presentation.WD associated with thrombocytopenia is very rare.CASE SUMMARY We report the case of an 11-year-old Chinese girl with WD that was associated with immune thrombocytopenia (ITP).Thrombocytopenia was the initial chief complaint for her to visit a hematologist,and ITP was diagnosed based on the results of a bone marrow biopsy and positive antiplatelet autoantibodies.About two weeks before the thrombocytopenia was found,the patient developed drooling.Tremors developed in her right hand about one week after being diagnosed with ITP,after which she was admitted to our hospital.Further evaluations were performed.Ceruloplasmin was decreased,with an increased level of copper in her 24-h urine excretion.Kayser Fleischer's ring (K-F ring) was positive.The ultrasound showed liver cirrhosis,and brain magnetic resonance imaging showed that the lenticular nucleus,caudate nucleus,and brainstem presented a low signal intensity in T1-weighted images and high signal intensity in T2-weighted images.WD was diagnosed and a genetic analysis was performed.A compound heterozygous mutation in ATP7B was detected;c.2333G>T (p.Arg778Leu) in exon 8 and c.3809A>G (p.Asn1270Ser) in exon 18.The former was inherited from her father and the latter from her mother.However,her parents showed normal liver function and negative K-F rings.Such a compound mutation in a case of WD associated with ITP in children has not been published previously.CONCLUSION WD can associate with thrombocytopenia but the mechanism is still unclear.We recommend that antiplatelet autoantibodies should be tested in WD patients with thrombocytopenia in future to verify the association.

Thrombocytopenia in cirrhosis:Impact of fibrinogen on bleeding risk

AIMTo investigate the relationship between baseline platelet count, clauss fibrinogen, maximum amplitude (MA) on thromboelastography, and blood loss in orthotopic liver transplantation (OLT). METHODSA retrospective analysis of our OLT Database (2006-2015) was performed. Baseline haematological indices and intraoperative blood transfusion requirements, as a combination of cell salvage return and estimation of 300 mls/unit of allogenic blood, was noted as a surrogate for intraoperative bleeding. Two groups: Excessive transfusion (> 1200 mL returned) and No excessive transfusion ( RESULTSOf 322 OLT patients, 77 were excluded due to fulminant disease; redo transplant or baseline haemoglobin (Hb) of P ≤ 0.001), platelet count (P = 0.005), clauss fibrinogen (P = 0.004) and heparinase MA (P = 0.001) were all statistically significantly different. Univariate logistic regression with a cut-off of platelets 9/L as the predictor and Haemorrhage as the outcome showed an odds ratio of 1.393 (95%CI: 0.758-2.563; P = 0.286). Review of receiver operating characteristic curves showed an area under the curve (AUC) for platelet count of 0.604 (95%CI: 0.534-0.675; P = 0.005) as compared with AUC for fibrinogen level, 0.678 (95%CI: 0.612-0.744; P ≤ 0.001). A multivariate logistic regression shows United Kingdom model for End Stage Liver Disease (P = 0.006), Hb (P = 0.022) and Fibrinogen (P = 0.026) to be statistically significant, whereas Platelet count was not statistically significant. CONCLUSIONPlatelet count alone does not predict excessive transfusion. Additional investigations, e.g., clauss fibrinogen and viscoelastic tests, provide more robust assessment of bleeding-risk in thrombocytopenia and cirrhosis.

Severe immune thrombocytopenia after peg-interferonalpha2a, ribavirin and telaprevir treatment completion: a case report and systematic review of literature

Mild to moderate autoimmune thrombocytopenia(AITP) is a common finding in patients receiving interferonbased antiviral treatment, due to bone marrow suppression. Here we report the case of a patient with chronic genotype 1b hepatitis C virus(HCV) infection treated with pegylated-interferon alpha-2a, ribavirin and telaprevir for 24 wk; the patient developed severe AITP three weeks after treatment withdrawal. We performed a systematic literature search in order to review all published cases of AITP related to HCV antiviral treatment. To our knowledge, this is the second case of AITP observed after antiviral treatment withdrawal. In most published cases AITP occurred during treatment; in fact, among 24 cases of AITP related to interferonbased antiviral treatment, only one occurred after discontinuation. Early diagnosis of AITP is a key factor in order to achieve an early interferon discontinuation; in the era of new direct antiviral agents those patients have to be considered for interferon-free treatment regimens. Prompt prescription of immuno-suppressant treatment(i.e., corticosteroids, immunoglobulin infusion and even rituximab for unresponsive cases) leads to favourable prognosis in most of cases. Physicians using interferonbased treatments should be aware that AITP can occur both during and after treatment, specially in the new era of interferon-free antiviral treatment. Finally, in the case of suspected AITP, presence of anti-platelet antibodies should be checked not only during treatment but alsoafter discontinuation.

Acute brucellosis as unusual cause of immune thrombocytopenia:a case report and review of the literature

A 25 year-old male patient was admitted to the causality with complaints of fever,joints pain,epislaxis and gingival bleeding,for the last week,the complete blood count revealed pancytopenia.Serological test for brucella was reported positive as 1/320,but the patient failed to respond lo brucella treatment for 4 d.On day 5th the diagnosis of immune thrombocytopenia was confirmed after bone marrow aspiration.Steroid was initiated on 6th day after admission and on the 3rd day of steroid therapy thrombocytes count was raised to 55×10~9/L and came up to 180×10~9/L on 12 th day after admission.Brucella-induced immune thrombocytopenia should be considered in patient presenting with bleeding and febrile illness especially in endemic region.

基于HS-GC-IMS分析爆珠香精挥发性风味成分差异

采用顶空气相色谱-离子迁移谱(HS-GC-IMS)技术,对不同清新玫瑰爆珠样品中的香精挥发性成分进行鉴定,并通过感官评价,结合主成分分析(PCA)、偏最小二乘判别分析(PLS-DA)、偏最小二乘回归法(PLSR)等多元统计方法识别判定不同样品的主要风味成分差异。结果表明:①感官评价显示该爆珠样品风格特征主要以花香、果香、木香为主,并辅以青香、甜香与酒香香韵,不同样品在花香、果香属性上呈显著差异(p<0.05);②GC-IMS非靶向定性出样品中22种主要的挥发性风味组分,其中醇类8种、酯类3种、酮类3种、醛类3种、烯烃类3种、酸类1种、吡嗪类1种,且指纹图谱直观显示出挥发性较强的醇类、酯类等香气化合物在样品间差异明显;③PCA、PLS-DA能对不同样品进行有效区别,并筛选出10个特征差异组分(VIP>1),PLSR得出样品感官差异主要与2-甲基丁酸乙酯、丁酸乙酯、环己酮、苯乙酮、辛醛、正丙醇和芳樟醇有关。该方法可有效区分不同清新玫瑰爆珠样品,其判定结果与感官评价结果一致,具有准确可靠、可视化强等特点,能够为烟用爆珠产品感官质量快速检验提供技术支持。

Gastric cancer with severe immune thrombocytopenia: A case report

BACKGROUND Primary immune thrombocytopenia(ITP) is a rare autoimmune disease associated with a high bleeding risk. For those patients with gastric cancer, surgical treatment may be the only option for therapy. Here, we present the first case of gastric cancer with severe and medically refractory ITP treated by radical resection of the gastric cancer and splenectomy. CASE SUMMARY A 54-year-old female patient was admitted to our surgical department with a 2 mo history of decreased appetite, nausea, vomiting, and weight loss, which progressed to difficulty in feeding 3 d prior to her visit. According to her medical history, she was diagnosed with refractory ITP [platelets(PLT), 3000-8000/μL] 10 years ago. After admission, the patient underwent a splenectomy and a distal subtotal gastrectomy(D2 radical resection) with Roux-en-Y reconstruction simultaneously. She had an uneventful postoperative course with a slight increase in her PLT count. This case is unique in terms of the patient's complication of severe and medically refractory ITP.CONCLUSION Simultaneous splenectomy, preoperative PLT transfusion, and early enteral nutrition were important treatment methods for helping this patient recover.

BIM技术在产业园建设项目厂房机电安装中的应用研究

建筑信息模型(Building Information Modeling,BIM)技术能够优化工程流程,减少返工和浪费,降低错误率和成本,提升项目的整体性能。同时,BIM技术还促进各方协同合作,提高沟通协调效率,减少信息丢失和误解。介绍BIM技术在厂房机电安装中的应用现状,分析了BIM技术在产业园建设项目厂房机电安装方面的优势和问题,给出了扬州新能源产业园东区建设项目中应用BIM的具体案例和实施建议。

Association of IL-17A and IL-17F Gene Polymorphisms with Acute Immune Thrombocytopenia in Egyptian Children

Background: IL-17 is an inflammatory cytokine that plays a crucial role in many autoimmune diseases. Aim: To investigate the association of IL-17A rs2275913 and IL-17F rs763780 gene polymorphisms with acute immune thrombocytopenic purpura (ITP) in Egyptian children. Patients and methods: We examined 80 patients (male/female, 33/47;median age, 7 years old) diagnosed with acute ITP and 55 healthy controls (male/female, 28/27;median age, 7 years old). Genotyping was determined using the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) technique. Results: In the acute ITP group compared to control, statistical analysis of the genotype frequencies (GG, AG, AA) of the IL-17A rs2275913 polymorphism and its alleles (A, G) showed no significant difference between the two groups (p > 0.05). Interestingly, the IL17A rs2275913 GG genotype was associated with early recovery (p = 0.04). As regard the genotype frequencies of the IL-17F rs763780 polymorphism, there was statistical significant difference in the TT and TC genotype frequencies between the case and control groups (p = 0.001 and p = 0.003, respectively). The number of IL-17F rs763780 T alleles was significantly higher in acute ITP patients as compared with children in the control group (p Conclusion: The present findings indicate that the IL-17 polymorphism IL-17F rs763780, but not IL-17A rs2275913 may be associated with a higher risk of acute ITP in Egyptian children.

Helicobacter pylori-associated immune thrombocytopenia:Clinical features and pathogenic mechanisms

Immune thrombocytopenia (ITP) is an autoimmune disease mediated by anti-platelet autoantibodies. There is growing evidence that the eradication of Helicobacter pylori (H. pylori) effectively increases platelet count in a considerable proportion of ITP patients infected with this bacterium. In the majority of ITP patients responding to H. pylori eradication therapy, the anti-platelet autoantibody response is completely resolved with no relapse for more than 7 years, indicating that the disease is cured. Therefore, adult patients with suspected ITP should be examined for H. pylori infection, and eradication therapy is recommended if the infection is present. Notably, however, the efficacy of H. pylori eradication therapy in ITP patients varies widely among countries, with a higher response rate in Japan compared with the United States and European countries other than Italy. The pathogenesis of H. pylori-associated ITP is still uncertain, although the mechanisms are known to involve multiple factors. H. pylori may modulate the Fc&#x003b3;-receptor balance of monocytes/macrophages in favor of activating Fc&#x003b3; receptors, and H. pylori components may mimic the molecular makeup of platelet antigens. Further studies of the pathogenic process of H. pylori-associated ITP may be useful for the development of new therapeutic strategies for ITP.

基于HS-GC-IMS分析陇南主栽品种初榨橄榄油的风味特征成分

旨在为我国甘肃陇南产区初榨橄榄油(VOO)的快速鉴别以及工业生产过程中的风味品质评价提供数据支撑和理论依据,采用HS-GC-IMS技术对甘肃陇南主栽品种莱星(LX)、佛奥(FO)、科拉蒂(KLD)、皮削利(PXL)、鄂植8号(EZ8)以及LX与KLD的混合品种(HH)6种VOO中的风味特征成分进行定性和差异分析。结果表明:6种VOO中共检测出39种风味特征物质,定性出22种,其中醛类(9种)、酮类(5种)化合物为主要的风味特征成分,此外还包括酯类(3种)、醇类(3种)、萜烯类(1种)和呋喃类(1种)等物质;6种VOO中含有的风味特征物质均存在不同程度的差异,其中,LX、KLD和HH中的风味特征物质较为相似,其2-甲基丁醛、3-甲基丁醛、(E)-2-戊烯醛、辛醛和2-正戊基呋喃含量较高,FO中的正戊醇、正己醛和3-戊酮含量较高,PXL中的(Z)-3-己烯乙酸酯、α-松油烯、2-己酮的含量较高,EZ8中的乙酸乙酯含量最高,HH中的2-丁酮、丙酮、(E)-2-庚烯醛的含量较高。综上,采用HS-GC-IMS可以有效检测VOO中的风味特征物质,定性出的风味特征物质可作为区分6种VOO的依据之一。

Study on the Biological Basis of Qi, Blood, and Vessel in Immune Thrombocytopenia Patients With Syndrome of Qi Failing to Govern Blood Based on the Theory of Qi and Blood

Objective: To investigate the biological basis of qi, blood and vessel in immune thrombocytopenia(ITP) patients with syndrome of qi failing to govern blood(SQFGB) based on traditional Chinese medicine.Methods: A total of 52 ITP patients with SQFCB were enrolled and divided into bleeding group(38 cases) and non-bleeding group(14 cases).Bleeding group was further divided into mild qi deficiency group(25 cases) and moderate/severe qi deficiency group(13 cases) based on Chinese Medicine syndrome score.20 healthy volunteer were recruited as control group.The count of platelet(PLT) was taken as the blood related indicator.The expressions of cytokines including IL-1β, IL-17 A, TNF-α, CD40 L, and TGF-β, detected by Aim Plex Multiple Immunoassays for Flow, were taken as the qi related indicators.The expressions of VEGF-A, detected by Aim Plex Multiple Immunoassays for Flow and NO, NOS, and ET-1 detected by ELISA, were taken as the vessel related indicators.Results: As compared to the control group, the count of PLT, taken as the blood related indicator, was significantly lower in ITP group patients with SQFCB(P<0.05).The expression levels of IL-17 A and TNF-α, taken as the qi related indicators, were significantly higher, while those of CD40 L, IL-1β, and TGF-β, also taken as the qi related indicators, were significantly lower in ITP patients with SQFCB, respectively(P<0.05).The expression levels of NO and ET-1, taken as the vessel related indicators, were significantly higher, while the expression levels of NOS and VEGF-A also taken as the vessel related indicators, were significantly lower in ITP patients with SQFCB, respectively(P<0.05).The count of PLT, taken as the blood related indicator, was significantly lower in moderate/severe group than those in mild group(P<0.05).The expression levels of CD40 L and TGF-β, taken as the qi related indicators, were also significantly lower in moderate/severe group than those in mild group, respectively(P<0.05).Conclusion: The count of PLT might be the biological basis of blood.The expressions of NO, NOS, ET-1 and VEGF-A might be the biological basis of vessel.The expressions of IL-1β, IL-17 A, TNF-α, TGF-β, and CD40 L may be the biological basis of qi.The expressions of CD40 L and TGF-β could reflect the degree of qi deficiency in ITP patients based on the theory of qi and blood.

Visual analysis of research hotspots and trends in the treatment of immune thrombocytopenia with traditional Chinese medicine

Objective Through bibliometrics and visual analysis of the related studies on traditional Chinese medicine(TCM)treatment of immune thrombocytopenia(ITP),this study aims to sort out the overall research progress,hotspots,and trends in this field,and provide reference for further research in ITP.Methods The articles on ITP treated by TCM were retrieved from China National Knowledge Infrastructure(CNKI),Wanfang Database,China Science and Technology Journal Database(VIP),Web of Science Core Collection(WOSCC),and PubMed.The retrieval time was from the establishment of the databases to July 31,2022.VOSviewer,CiteSpace,Carrot2,and Note-Express were used for data analysis of the articles in terms of their quantities,types,and journals,and for visualization of research hotspots,authors,institutions,and keywords.Results 1493 Chinese articles and 40 English articles were included.The articles in Chinese mainly focus on clinical trial research and clinical experience summary,while the English articles mainly focus on clinical trial research and animal research.The Chinese articles were published in 317 Chinese journals,while English articles were published in 29 English journals.Research hotspots include the clinical syndrome differentiation of ITP,the therapeutic effect of TCM compounds on ITP,and the mechanism of ITP treatment.Keyword analysis shows that there are many research achievements in integrated traditional Chinese and western medicine treatment,clinical research,famous doctors’experience,TCM treatment,cellular immunity,and humoral immunity.The authors with the most articles in Chinese and English are Professor CHEN Xinyi and Professor MA Rou,respectively,and the research institutions with the most articles are Dongzhimen Hospital of Beijing University of Chinese Medicine and Xiyuan Hospital of China Academy of Chinese Medical Sciences.Chinese herbs often used to treat ITP clinically include Xianhecao(Agrimoniae Herba),Nvzhenzi(Ligustri Lucidi Fructus),Mohanlian(Ecliptae Herba),Zhongjiefeng(Sarcandrae Herba),etc.,and the prescription usually used to treat ITP include Guipi Decoction(归脾汤),Xijiao Dihuang Decoction(犀角地黄汤),Bazhen Decoction(八珍汤),Erzhi Pill(二至丸),and Xiaochaihu De-coction(小柴胡汤).The main development trends toward retrospective study,TCM treatment mechanism,and data mining.

基于GC-IMS技术分析五种市售不同工艺油莎豆油理化品质与风味差异

为研究市售不同工艺油莎豆油理化品质与风味的差异性,采用气相离子迁移谱(Gas Chromatography-Ion Mobility Spectroscopy,GC-IMS)技术结合主成分分析法对比不同工艺(物理压榨、热榨、亚临界萃取、高压冷榨和冷榨工艺)油莎豆油挥发性化合物之间的差异性。GC-IMS结果显示,不同工艺油莎豆油中共鉴定出76种挥发性化合物,其中包括酯类12种、醇类16种、醛类29种、酮类9种、酸类5种、呋喃类3种、吡嗪类1种、硫类1种。热榨组醛类、酯类和呋喃类物质相对含量较高(53.54%,13.06%,5.41%)。不同工艺油莎豆油风味差异性主要来源于四种关键风味物质:1-烯-3-辛醇、壬醛、(E)-2-辛烯醛和己醛。主成分分析(Principal Component Analysis,PCA)结果表明PC1和PC2分别为48.7%和30.1%,累计差异贡献率为78.8%,不同工艺油莎豆油风味物质差异显著,能够对不同工艺油莎豆油良好区分。Pearson相关性分析结果表明不同工艺油莎豆油b*值与酸价、过氧化值、p-丙二醛值和1-烯-3-辛醇之间呈显著正相关(0.57<r<0.88,P<0.05)。本研究结对市售油莎豆油生产加工、理论研究和质量检测等领域具有一定的参考价值。

Association between Immunological Thrombocytopenia and Thrombosis, Is It an Exotic Phenomenon?—A Case Report

Immunologic thrombocytopenia (ITP) is an autoimmune disease associated with the production of autoantibodies against specific platelet membrane glycoproteins. A thrombotic event as an unusual occurrence during ITP is becoming more and more frequent. In fact, several recent studies have shown an increased thrombotic risk in this situation. The case presented here is that of a fifty-one-year-old woman with extensive cerebral venous thrombosis 2 years after her ITP diagnosis. During IT, thrombosis may be triggered by the release of pro-thrombotic platelet micro-particles and by platelet activation due to the interaction between autoantibodies and platelet glycoproteins. Immunosuppressive therapy has also been linked in several studies to the thrombotic phenomenon. Increased thromboembolic risk should be taken into account in all ITP patients.

Albumin–bilirubin grade as a predictor of survival in hepatocellular carcinoma patients with thrombocytopenia

BACKGROUND The models for assessing liver function,mainly the Child–Pugh(CP),albuminbilirubin(ALBI),and platelet–ALBI(PALBI)classifications,have been validated for use in estimating the prognosis of hepatocellular carcinoma(HCC)patients.However,thrombocytopenia is a common finding and may influence the prognostic value of the three models in HCC.AIM To investigate and compare the prognostic performance of the above three models in thrombocytopenic HCC patients.METHODS A total of 135 patients with thrombocytopenic HCC who underwent radical surgery were retrospectively analyzed.Preoperative scores on the CP,ALBI and PALBI classifications were estimated accordingly.Kaplan–Meier curves with logrank tests and Cox regression models were used to explore the significant factors associated with overall survival(OS)and recurrence-free survival(RFS).RESULTS The preoperative platelet counts were significantly different among the CP,ALBI and PALBI groups.After a median follow-up of 28 mo,39.3%(53/135)of the patients experienced postoperative recurrence,and 36.3%(49/135)died.Univariate analysis suggested thatα-fetoprotein levels,tumor size,vascular invasion,and ALBI grade were significant predictors of OS and RFS.According to the multivariate Cox regression model,ALBI was identified as an independent prognostic factor.However,CP and PALBI grades were not statistically significant prognostic indicators.CONCLUSION The ALBI grade,rather than CP or PALBI grade,is a significant prognostic indicator for thrombocytopenic HCC patients.