Presently the gold standard diagnostic technique for rabies is the direct immunofluorescence assay (dFA) which is very expensive and requires a high level of expertise. There is a need for more economical and user f...Presently the gold standard diagnostic technique for rabies is the direct immunofluorescence assay (dFA) which is very expensive and requires a high level of expertise. There is a need for more economical and user friendly tests, particularly for use in developing countries. We have established one such test called the direct rapid immunohistochemical test (dRIT) for diagnosis of rabies using brain tissue. The test is based on capture of rabies nucleoprotein (N) antigen in brain smears using a cocktail of biotinylated monoclonal antibodies specific for the N protein and color development by streptavidin peroxidase-amino ethyl carbazole and counter staining with haematoxollin. The test was done in parallel with standard FAT dFA using 400 brain samples from different animals and humans. The rabies virus N protein appears under fight microscope as reddish brown particles against a light blue background. There was 100 % correlation between the results obtained by the two tests. Also, interpretation of results by dRIT was easier and only required a light microscope. To conclude, this newly developed dRIT technique promises to be a simple, cost effective diagnostic tool for rabies and will have applicability in field conditions prevalent in developing countries.展开更多
Aortoesophageal fistula(AEF)is a rare and fatal disorder. It is also a life-threatening cause of massive upper gastrointestinal hemorrhage.Thoracic aortic aneurysm is the most common cause of AEF.Management of a patie...Aortoesophageal fistula(AEF)is a rare and fatal disorder. It is also a life-threatening cause of massive upper gastrointestinal hemorrhage.Thoracic aortic aneurysm is the most common cause of AEF.Management of a patient with this disorder requires rapid diagnosis and immediate intervention,which is considered the best way to save the patient's life.We report a case of AEF misdiagnosed as esophageal polyp.展开更多
Although microscopy still remains the gold standard for the diagnosis of malaria, rapid diagnostic tests (RDTs) and PCR assays have been shown to be sensitive and specific. Very few comparative studies have been rep...Although microscopy still remains the gold standard for the diagnosis of malaria, rapid diagnostic tests (RDTs) and PCR assays have been shown to be sensitive and specific. Very few comparative studies have been reported of the three diagnostic methods on the same samples in vulnerable groups. Microscopy, RDTs and PCR assays were used for detection and speciation of Plasmodium falciparum (P)'), Plasmodium malariae (Pm) and Plasmodium ovale (Po) in patients in a rice culture savanna ecotype. Fifty four children and 16 pregnant women presenting with a fever were recruited. Bloods collected was used for thin and thick smears, perform RDTs and spotted blood on filter paper for DNA extraction and performance of a PCR. Mean parasitaemia was 37,619.06 (+ 33,599.04) p/pL and 7,512.5 (+ 12,446.11) p/μL for children and pregnant women, respectively. A total of 87.14% were positive by microscopy, 85.71% by RDTs and 90% by PCR. Distribution of Plasmodium species as identified by PCR was 72.86% Pf/Pm, 11.43% Pf/Pm/Po and 5.43% Pm while 10% were negative. Cohen's Kappa value for PCR and RDTs was K = 0.75 (CI = 0.28-1.22) while PCR and microscopy was K = 0.64 (CI = 0.18-1.10). Malaria infection in Bangolan was mostly due to mix infection predominantly P. falciparum/P, malariae.展开更多
Excavation and lining are two main important tasks in tunnel construction. Conventional sequential operations may not be appropriate due to time limit for a project and the high cost of construction. The authors devel...Excavation and lining are two main important tasks in tunnel construction. Conventional sequential operations may not be appropriate due to time limit for a project and the high cost of construction. The authors developed a new mode of tunnel construction that excavation and lining can be operated simultaneously. The new mode of tunnel construction has been successfully applied to Dahuofang Water Conveyance Project in Liaoning Province. This paper makes a comparison of Main Beam TBMs and Double Shield TBMs used in Dahuofang Water Conveyance Project, and the features of Full-ring Inner-through Lining Shutter Jumbo which solves the problem of interference between excavation and lining.展开更多
Background: HRP2-based Rapid Diagnostic Tests (RDTs) for malaria ensure a rational use of artemisinin-based combination therapy (ACT). The HRP2 antigen can go through the cerebrospinal fluid (CSF). Purpose: To...Background: HRP2-based Rapid Diagnostic Tests (RDTs) for malaria ensure a rational use of artemisinin-based combination therapy (ACT). The HRP2 antigen can go through the cerebrospinal fluid (CSF). Purpose: To assess the HRP2-based RDT in malaria and detect the HRP2 in CSF. Methods: From November 2006 to May 2007, all patients under 15 years showing clinical symptoms of malaria were included. RDT was performed on the CSF and peripheral blood. Results: Out of the 951 patients included, 131 (13.7%) were confirmed through RDT and 130 (13.6%) through thick blood smear. Sensitivity and specificity stood at 96.96% and 99.71% respectively, for uncomplicated cases and at 100% and 99.13% for severe cases. Tests to detect HRP2 in the CSF of 52 cases were negative. Conclusion: Tests to detect HRP2 in the CSF could make it possible to diagnose severe malaria cases when peripheral parasitemia would be below the detection threshold.展开更多
The behavior of matrix converter(MC) drive systems under the condition of MC short-circuit faults is comprehensively investigated. Two isolation strategies using semiconductors and high speed fuses(HSFs) for MC short-...The behavior of matrix converter(MC) drive systems under the condition of MC short-circuit faults is comprehensively investigated. Two isolation strategies using semiconductors and high speed fuses(HSFs) for MC short-circuit faults are examined and their performances are compared. The behavior of MC drive systems during the fuse action time under different operating conditions is explored. The feasibility of fault-tolerant operation during the fuse action time is also studied. The basic selection laws for the HSFs and the requirements for the passive components of the MC drive system from the point view of short-circuit faults are also discussed. Simulation results are used to demonstrate the feasibility of the proposed isolation strategies.展开更多
Rapid and reliable diagnostics and identification of pathogenic and symbiotic bacteria are at the top of the agenda. In the first case, they are important to control and prevent crop damages, and thus reduce economic ...Rapid and reliable diagnostics and identification of pathogenic and symbiotic bacteria are at the top of the agenda. In the first case, they are important to control and prevent crop damages, and thus reduce economic losses. In the second, it's necessary to design and monitor quality of biofertilizer to raise its effectiveness and crop capacity. Development of accurately, rapidly, technically and commercially accessible methods remains a critical problem for the bacteria with comprehensive phylogenetic structure. In this work, we investigated pathogenic Xanthomonas and Ralstonia and symbiotic Sinorhizobium. The aim of this investigation was to examine the applicability of the novel methods for phylogenetic study, identification and diagnostics of closely related species of these genera. The conventional phenotypic and genotypic (16S rRNA, gyrB) methods were applied as referents. Novel polymerase chain reaction (PCR)-based approaches, single-adapter amplified fragment length polymorphism (saAFLP) and comparative analyses of hin-region and Xcc0006-0007 sequences, were first employed for the investigations. Phenotypic tests, 16S rRNA and gyrB analysis distinguished bacteria at the genus level, but failed to identify them to the species robustly. The new methods identified bacteria at the inter-species level more precisely. This identification agreed with the accepted genera's classifications. The only exceptions were X. fuscans & X. cirri and X. perforance & X. euvesicatoria which clustered together. The further outcome of this study was achieved hin-region-based genus-specific PCR primers for the express-diagnostics of the genera. Summary, these new methods can be applied for genome-based phylogeny investigations and as convenient and accurate tools for identification and routine laboratory diagnostics of these comprehensive genera.展开更多
High-angle annular dark-field scanning transmission electron microscopy and selected area electron diffraction techniques were used to study the mechanism that underlies the influence of rapid cold-stamping deformatio...High-angle annular dark-field scanning transmission electron microscopy and selected area electron diffraction techniques were used to study the mechanism that underlies the influence of rapid cold-stamping deformation on the fracture behavior of the elongated nanoprecipitated phase in extruded Al−Cu−Mg alloy.Results show that the interface between the long strip-shaped S′phase and the aluminum matrix in the extruded Al−Cu−Mg alloy is flat and breaks during rapid cold-stamping deformation.The breaking mechanisms are distortion and brittle failure,redissolution,and necking.The breakage of the long strip S′phase increases the contact surface between the S′phase and the aluminum matrix and improves the interfacial distortion energy.This effect accounts for the higher free energy of the S′phase than that of the matrix and creates conditions for the redissolution of solute atoms back into the aluminum matrix.The brittle S′phase produces a resolved step during rapid cold-stamping deformation.This step further accelerates the diffusion of solute atoms and promotes the redissolution of the S′phase.Thus,the S′phase necks and separates,and the long strip-shaped S′phase in the extruded Al−Cu−Mg alloy is broken into a short and thin S′phase.展开更多
Objective:To evaluate the value of enhanced luminescence enzyme immunoassay in the diagnosis of Neisseria gonorrhea(NG) infection. Methods: Anti-catalase antibody for Neisseria gonorrheae combined with enhanced lumine...Objective:To evaluate the value of enhanced luminescence enzyme immunoassay in the diagnosis of Neisseria gonorrhea(NG) infection. Methods: Anti-catalase antibody for Neisseria gonorrheae combined with enhanced luminescence enzyme immunoassay were used to test for N. gonorrhea. Results: A minimum of 1×10^4/CFU of GC in genital tract secretions or urine could be detected with the technique of luminescence enzyme immunoassay. Conclusion : The enhanced luminescence enzyme immunoassay has the advantage of high sensitivity and specificity for diagnosing NG from genitourinary tract secretion and urine.展开更多
Acute leukemia is the most common childhood cancer and accounts for 31% of all cancers in children. There are two main types of acute leukemia. The most common is ALL (acute lymphoblastic leukemia) affecting the lym...Acute leukemia is the most common childhood cancer and accounts for 31% of all cancers in children. There are two main types of acute leukemia. The most common is ALL (acute lymphoblastic leukemia) affecting the lymphoid lineage, and the more rare AML (acute myeloid leukemia) affecting the myeloid linage. The intention of this thesis is to follow the course of treatment from the admission to the hospital until the last check up and also see how a child will react to the treatment and side effects in later life. We studied literature and my own case records from the period when I was treated for ALL. From the literature and my case records, we can see that children tolerate treatment quite well. Due to rapid diagnostics and the possibility to give high doses chemotherapy, the overall prognosis appears to be very good. Today, acute leukemias of paediatric patients have a really favourable prognosis. The overall survival rate for ALL is higher than 80% and for AML 65%. So the results are good, but there is still a long way to go before we can be satisfied. To date we do not have a contingency program for children treated for acute leukemia after 18 years of age (neither in Norway or Slovakia) so perhaps this should be a focus point in the future. It could be extended to follow up patients in adulthood in order to monitor late effects that may occur in later life after many years of treatment.展开更多
The main mission the HL-2A tokamak is of the experiments on to explore the divertor physics and to investigate the plasma confinement, transport and instabilities with high power auxiliary heating and advanced fuellin...The main mission the HL-2A tokamak is of the experiments on to explore the divertor physics and to investigate the plasma confinement, transport and instabilities with high power auxiliary heating and advanced fuelling, it is necessary to develop more new diagnostics and increase the spatial and temporal resolutions of the measurements for exist system. Up to now, about 30 diagnostic systems have been moved from HL-1M to HL-2A tokamak. Other 10 diagnostic systems are being designed and installed on the device. In developed in last 2 years, will be presented.展开更多
Objective: Tracheobronchial injuries are defined as injuries involving the trachea and/or bronchi from the level of the cricoid cartilage extending up to the division of the bronchi. We present a case series with mos...Objective: Tracheobronchial injuries are defined as injuries involving the trachea and/or bronchi from the level of the cricoid cartilage extending up to the division of the bronchi. We present a case series with most of the tracheobronchial injuries found to be sustained after penetrating trauma. Methods: A retrospective review was performed at the Aga Khan University, Karachi, Pakistan. From January 2004 to December 2009, 168 patients with thoracic trauma were treated, of whom 15 were recognized to have major tracheobronchial and pulmonary injuries. Results: The average age was 3 l years with most of the patients being male (14:1). Among them,11 patients had penetrating trauma as the main cause of injury, 3 patients had blunt trauma from road traffic accidents, only 1 patient had combined trauma (blunt and penetrating trauma). Eightpatients were diagnosed based on radiological findings. All the patients were treated surgically. Lobectomy was the most common intervention performed in 7 patients. The mortality rate was 7% (1 patient). Most patients survived with no sequelae (10 patients) while 5 survived with disability. We found that penetrating trauma was the leading cause of injury in our series. The severity of injury depends upon the weapon causing the trauma. Patients in our series had multiple injuries and required surgical management. Conclusions: Tracheobronchial injuries are rare but potentially life threatening. They require quick diagnosis and management. Diagnosis tends to be difficult since there are no specialised diagnostic modalities available at present.展开更多
Electron microscopy(EM) should be used in the front line for detection of agents in emergencies and bioterrorism,on accounts of its speed and accuracy.However,the number of EM diagnostic laboratories has decreased con...Electron microscopy(EM) should be used in the front line for detection of agents in emergencies and bioterrorism,on accounts of its speed and accuracy.However,the number of EM diagnostic laboratories has decreased considerably and an increasing number of people encounter difficulties with EM results.Therefore,the research on viral structure and morphology has become important in EM diagnostic practice.EM has several technological advantages,and should be a fundamental tool in clinical diagnosis of viruses,particularly when agents are unknown or unsuspected.In this article,we review the historical contribution of EM to virology,and its use in virus differentiation,localization of specific virus antigens,virus-cell interaction,and viral morphogenesis.It is essential that EM investigations are based on clinical and comprehensive pathogenesis data from light or confocal microscopy.Furthermore,avoidance of artifacts or false results is necessary to exploit fully the advantages while minimizing its limitations.展开更多
Rapid diagnosis is important for efficient treatment in clinical medicine.This study aimed at development of a method for rapid and reliable diagnosis using near-infrared(NIR)spectra of human serum samples with the he...Rapid diagnosis is important for efficient treatment in clinical medicine.This study aimed at development of a method for rapid and reliable diagnosis using near-infrared(NIR)spectra of human serum samples with the help of chemometric modelling.The NIR spectra of sera from 48 healthy individuals and 16 patients with suspected kidney disease were analyzed.Discrete wavelet transform(DWT)and variable selection were adopted to extract the useful information from the spectra.Principal component analysis(PCA),linear discriminant analysis(LDA)and partial least squares discriminant analysis(PLSDA)were used for discrimination of the samples.Classification of the two-class sera was obtained using LDA and PLSDA with the help of DWT and variable selection.DWT-LDA produced 93.8%and 83.3%of the recognition rates for the validation samples of the two classes,and 100%recognition rates were obtained using DWT-PLSDA.The results demonstrated that the tiny differences between the spectra of the sera were effectively explored using DWT and variable selection,and the differences can be used for discrimination of the sera from healthy and possible patients.NIR spectroscopy and chemometrics may be a potential technique for fast diagnosis of kidney disease.展开更多
文摘Presently the gold standard diagnostic technique for rabies is the direct immunofluorescence assay (dFA) which is very expensive and requires a high level of expertise. There is a need for more economical and user friendly tests, particularly for use in developing countries. We have established one such test called the direct rapid immunohistochemical test (dRIT) for diagnosis of rabies using brain tissue. The test is based on capture of rabies nucleoprotein (N) antigen in brain smears using a cocktail of biotinylated monoclonal antibodies specific for the N protein and color development by streptavidin peroxidase-amino ethyl carbazole and counter staining with haematoxollin. The test was done in parallel with standard FAT dFA using 400 brain samples from different animals and humans. The rabies virus N protein appears under fight microscope as reddish brown particles against a light blue background. There was 100 % correlation between the results obtained by the two tests. Also, interpretation of results by dRIT was easier and only required a light microscope. To conclude, this newly developed dRIT technique promises to be a simple, cost effective diagnostic tool for rabies and will have applicability in field conditions prevalent in developing countries.
文摘Aortoesophageal fistula(AEF)is a rare and fatal disorder. It is also a life-threatening cause of massive upper gastrointestinal hemorrhage.Thoracic aortic aneurysm is the most common cause of AEF.Management of a patient with this disorder requires rapid diagnosis and immediate intervention,which is considered the best way to save the patient's life.We report a case of AEF misdiagnosed as esophageal polyp.
文摘Although microscopy still remains the gold standard for the diagnosis of malaria, rapid diagnostic tests (RDTs) and PCR assays have been shown to be sensitive and specific. Very few comparative studies have been reported of the three diagnostic methods on the same samples in vulnerable groups. Microscopy, RDTs and PCR assays were used for detection and speciation of Plasmodium falciparum (P)'), Plasmodium malariae (Pm) and Plasmodium ovale (Po) in patients in a rice culture savanna ecotype. Fifty four children and 16 pregnant women presenting with a fever were recruited. Bloods collected was used for thin and thick smears, perform RDTs and spotted blood on filter paper for DNA extraction and performance of a PCR. Mean parasitaemia was 37,619.06 (+ 33,599.04) p/pL and 7,512.5 (+ 12,446.11) p/μL for children and pregnant women, respectively. A total of 87.14% were positive by microscopy, 85.71% by RDTs and 90% by PCR. Distribution of Plasmodium species as identified by PCR was 72.86% Pf/Pm, 11.43% Pf/Pm/Po and 5.43% Pm while 10% were negative. Cohen's Kappa value for PCR and RDTs was K = 0.75 (CI = 0.28-1.22) while PCR and microscopy was K = 0.64 (CI = 0.18-1.10). Malaria infection in Bangolan was mostly due to mix infection predominantly P. falciparum/P, malariae.
文摘Excavation and lining are two main important tasks in tunnel construction. Conventional sequential operations may not be appropriate due to time limit for a project and the high cost of construction. The authors developed a new mode of tunnel construction that excavation and lining can be operated simultaneously. The new mode of tunnel construction has been successfully applied to Dahuofang Water Conveyance Project in Liaoning Province. This paper makes a comparison of Main Beam TBMs and Double Shield TBMs used in Dahuofang Water Conveyance Project, and the features of Full-ring Inner-through Lining Shutter Jumbo which solves the problem of interference between excavation and lining.
文摘Background: HRP2-based Rapid Diagnostic Tests (RDTs) for malaria ensure a rational use of artemisinin-based combination therapy (ACT). The HRP2 antigen can go through the cerebrospinal fluid (CSF). Purpose: To assess the HRP2-based RDT in malaria and detect the HRP2 in CSF. Methods: From November 2006 to May 2007, all patients under 15 years showing clinical symptoms of malaria were included. RDT was performed on the CSF and peripheral blood. Results: Out of the 951 patients included, 131 (13.7%) were confirmed through RDT and 130 (13.6%) through thick blood smear. Sensitivity and specificity stood at 96.96% and 99.71% respectively, for uncomplicated cases and at 100% and 99.13% for severe cases. Tests to detect HRP2 in the CSF of 52 cases were negative. Conclusion: Tests to detect HRP2 in the CSF could make it possible to diagnose severe malaria cases when peripheral parasitemia would be below the detection threshold.
基金Project(50807002) supported by the National Natural Science Foundation of ChinaProject(SKLD10KM05) supported by Opening Fund of State Key Laboratory of Power System and Generation EquipmentsProject(201206025007) supported by the National Scholarship Fund,China
文摘The behavior of matrix converter(MC) drive systems under the condition of MC short-circuit faults is comprehensively investigated. Two isolation strategies using semiconductors and high speed fuses(HSFs) for MC short-circuit faults are examined and their performances are compared. The behavior of MC drive systems during the fuse action time under different operating conditions is explored. The feasibility of fault-tolerant operation during the fuse action time is also studied. The basic selection laws for the HSFs and the requirements for the passive components of the MC drive system from the point view of short-circuit faults are also discussed. Simulation results are used to demonstrate the feasibility of the proposed isolation strategies.
文摘Rapid and reliable diagnostics and identification of pathogenic and symbiotic bacteria are at the top of the agenda. In the first case, they are important to control and prevent crop damages, and thus reduce economic losses. In the second, it's necessary to design and monitor quality of biofertilizer to raise its effectiveness and crop capacity. Development of accurately, rapidly, technically and commercially accessible methods remains a critical problem for the bacteria with comprehensive phylogenetic structure. In this work, we investigated pathogenic Xanthomonas and Ralstonia and symbiotic Sinorhizobium. The aim of this investigation was to examine the applicability of the novel methods for phylogenetic study, identification and diagnostics of closely related species of these genera. The conventional phenotypic and genotypic (16S rRNA, gyrB) methods were applied as referents. Novel polymerase chain reaction (PCR)-based approaches, single-adapter amplified fragment length polymorphism (saAFLP) and comparative analyses of hin-region and Xcc0006-0007 sequences, were first employed for the investigations. Phenotypic tests, 16S rRNA and gyrB analysis distinguished bacteria at the genus level, but failed to identify them to the species robustly. The new methods identified bacteria at the inter-species level more precisely. This identification agreed with the accepted genera's classifications. The only exceptions were X. fuscans & X. cirri and X. perforance & X. euvesicatoria which clustered together. The further outcome of this study was achieved hin-region-based genus-specific PCR primers for the express-diagnostics of the genera. Summary, these new methods can be applied for genome-based phylogeny investigations and as convenient and accurate tools for identification and routine laboratory diagnostics of these comprehensive genera.
基金Project(19A131)supported by Key Scientific Research Project of Hunan Province,ChinaProject(2019JJ60050)supported by the Natural Science Foundation of Hunan Province,China。
文摘High-angle annular dark-field scanning transmission electron microscopy and selected area electron diffraction techniques were used to study the mechanism that underlies the influence of rapid cold-stamping deformation on the fracture behavior of the elongated nanoprecipitated phase in extruded Al−Cu−Mg alloy.Results show that the interface between the long strip-shaped S′phase and the aluminum matrix in the extruded Al−Cu−Mg alloy is flat and breaks during rapid cold-stamping deformation.The breaking mechanisms are distortion and brittle failure,redissolution,and necking.The breakage of the long strip S′phase increases the contact surface between the S′phase and the aluminum matrix and improves the interfacial distortion energy.This effect accounts for the higher free energy of the S′phase than that of the matrix and creates conditions for the redissolution of solute atoms back into the aluminum matrix.The brittle S′phase produces a resolved step during rapid cold-stamping deformation.This step further accelerates the diffusion of solute atoms and promotes the redissolution of the S′phase.Thus,the S′phase necks and separates,and the long strip-shaped S′phase in the extruded Al−Cu−Mg alloy is broken into a short and thin S′phase.
文摘Objective:To evaluate the value of enhanced luminescence enzyme immunoassay in the diagnosis of Neisseria gonorrhea(NG) infection. Methods: Anti-catalase antibody for Neisseria gonorrheae combined with enhanced luminescence enzyme immunoassay were used to test for N. gonorrhea. Results: A minimum of 1×10^4/CFU of GC in genital tract secretions or urine could be detected with the technique of luminescence enzyme immunoassay. Conclusion : The enhanced luminescence enzyme immunoassay has the advantage of high sensitivity and specificity for diagnosing NG from genitourinary tract secretion and urine.
文摘Acute leukemia is the most common childhood cancer and accounts for 31% of all cancers in children. There are two main types of acute leukemia. The most common is ALL (acute lymphoblastic leukemia) affecting the lymphoid lineage, and the more rare AML (acute myeloid leukemia) affecting the myeloid linage. The intention of this thesis is to follow the course of treatment from the admission to the hospital until the last check up and also see how a child will react to the treatment and side effects in later life. We studied literature and my own case records from the period when I was treated for ALL. From the literature and my case records, we can see that children tolerate treatment quite well. Due to rapid diagnostics and the possibility to give high doses chemotherapy, the overall prognosis appears to be very good. Today, acute leukemias of paediatric patients have a really favourable prognosis. The overall survival rate for ALL is higher than 80% and for AML 65%. So the results are good, but there is still a long way to go before we can be satisfied. To date we do not have a contingency program for children treated for acute leukemia after 18 years of age (neither in Norway or Slovakia) so perhaps this should be a focus point in the future. It could be extended to follow up patients in adulthood in order to monitor late effects that may occur in later life after many years of treatment.
文摘The main mission the HL-2A tokamak is of the experiments on to explore the divertor physics and to investigate the plasma confinement, transport and instabilities with high power auxiliary heating and advanced fuelling, it is necessary to develop more new diagnostics and increase the spatial and temporal resolutions of the measurements for exist system. Up to now, about 30 diagnostic systems have been moved from HL-1M to HL-2A tokamak. Other 10 diagnostic systems are being designed and installed on the device. In developed in last 2 years, will be presented.
文摘Objective: Tracheobronchial injuries are defined as injuries involving the trachea and/or bronchi from the level of the cricoid cartilage extending up to the division of the bronchi. We present a case series with most of the tracheobronchial injuries found to be sustained after penetrating trauma. Methods: A retrospective review was performed at the Aga Khan University, Karachi, Pakistan. From January 2004 to December 2009, 168 patients with thoracic trauma were treated, of whom 15 were recognized to have major tracheobronchial and pulmonary injuries. Results: The average age was 3 l years with most of the patients being male (14:1). Among them,11 patients had penetrating trauma as the main cause of injury, 3 patients had blunt trauma from road traffic accidents, only 1 patient had combined trauma (blunt and penetrating trauma). Eightpatients were diagnosed based on radiological findings. All the patients were treated surgically. Lobectomy was the most common intervention performed in 7 patients. The mortality rate was 7% (1 patient). Most patients survived with no sequelae (10 patients) while 5 survived with disability. We found that penetrating trauma was the leading cause of injury in our series. The severity of injury depends upon the weapon causing the trauma. Patients in our series had multiple injuries and required surgical management. Conclusions: Tracheobronchial injuries are rare but potentially life threatening. They require quick diagnosis and management. Diagnosis tends to be difficult since there are no specialised diagnostic modalities available at present.
基金supported by the Major Scientific and Technological Special Project of China(2009ZX10004-216)the National Natural Science Foundation of China(81100809,81271417)Fundamental Research Funds for the Central University of China(2011JBM124)
文摘Electron microscopy(EM) should be used in the front line for detection of agents in emergencies and bioterrorism,on accounts of its speed and accuracy.However,the number of EM diagnostic laboratories has decreased considerably and an increasing number of people encounter difficulties with EM results.Therefore,the research on viral structure and morphology has become important in EM diagnostic practice.EM has several technological advantages,and should be a fundamental tool in clinical diagnosis of viruses,particularly when agents are unknown or unsuspected.In this article,we review the historical contribution of EM to virology,and its use in virus differentiation,localization of specific virus antigens,virus-cell interaction,and viral morphogenesis.It is essential that EM investigations are based on clinical and comprehensive pathogenesis data from light or confocal microscopy.Furthermore,avoidance of artifacts or false results is necessary to exploit fully the advantages while minimizing its limitations.
基金supported by the National Natural Science Foundation of China(21475068)MOE Innovation Team (IRT13022) of China
文摘Rapid diagnosis is important for efficient treatment in clinical medicine.This study aimed at development of a method for rapid and reliable diagnosis using near-infrared(NIR)spectra of human serum samples with the help of chemometric modelling.The NIR spectra of sera from 48 healthy individuals and 16 patients with suspected kidney disease were analyzed.Discrete wavelet transform(DWT)and variable selection were adopted to extract the useful information from the spectra.Principal component analysis(PCA),linear discriminant analysis(LDA)and partial least squares discriminant analysis(PLSDA)were used for discrimination of the samples.Classification of the two-class sera was obtained using LDA and PLSDA with the help of DWT and variable selection.DWT-LDA produced 93.8%and 83.3%of the recognition rates for the validation samples of the two classes,and 100%recognition rates were obtained using DWT-PLSDA.The results demonstrated that the tiny differences between the spectra of the sera were effectively explored using DWT and variable selection,and the differences can be used for discrimination of the sera from healthy and possible patients.NIR spectroscopy and chemometrics may be a potential technique for fast diagnosis of kidney disease.