AIM: To evaluate the vessel grafts (VG) used to reconstruct the middle hepatic vein (MHV) tributaries with ultrasonography. METHODS: Twenty-four patients undergone living donor liver transplantation were enrolle...AIM: To evaluate the vessel grafts (VG) used to reconstruct the middle hepatic vein (MHV) tributaries with ultrasonography. METHODS: Twenty-four patients undergone living donor liver transplantation were enrolled in our study. MHV tributaries larger than 5 mm in diameter were reconstructed with interposition VG. Blood flow of the graft and interposition VG was checked by Doppler ultrasonography daily in the first 2 postoperative weeks and monthly followed up after discharge. The sensitivity of VG detected by ultrasonography was assessed using surgical records as references. Student's t test was used to compare the velocity of VG and occluded VG in chronic patents (〉 3 mo). RESULTS: Thirty-one VG were used to reconstruct the MHV tributaries. Ultrasonography identified 96.7% (30/31) of large MHV tributaries and 90.3% (28/31) of VG. The diameter of VG was 5.6 ± 0.8 mm and the velocity of VG was 19.7 ± 8.1 cm/s. Two VG (2/31, 6.5%) were occluded on the first postoperative day in one patient who suffered from persistent ascites and had a prolonged recovery of liver function. Twenty-six VG (26/31, 83.9%) were patent 2 wk after operation. Six (6/31, 19.4%) VG were patent over 3 mo after operation. Intrahepatic venous collaterals were detected in 29.2% (7/24) patients. The velocity of VG and occluded VG was 30.1 ± 5.6 cm/s, 16.5 ± 5.8 cm/s, respectively, in chronic patents. The difference between two groups was statistically significant (P 〈 0.001). CONCLUSION: Our results indicate that most VG are patent in the first postoperative week while only a small portion with a higher velocity remains patent after 3 mo. Intrahepatic venous collaterals can be observed in some patients after occlusion of VG.展开更多
Fecal incontinence is not a diagnosis but a frequent and debilitating common final pathway symptom resulting from numerous different causes. Incontinence not only impacts the patient’s self-esteem and qual...Fecal incontinence is not a diagnosis but a frequent and debilitating common final pathway symptom resulting from numerous different causes. Incontinence not only impacts the patient’s self-esteem and quality of life but may result in significant secondary morbidity, disability, and cost. Treatment is difficult without any panacea and an individualized approach should be chosen that frequently combines different modalities. Several new technologies have been developed and their specific roles will have to be defined. The scope of this review is outline the evaluation and treatment of patients with fecal incontinence.展开更多
AIM: TO evaluate the status of anorectal function after repeated transanal endoscopic microsurgery (TEN). METHODS: Twenty-one patients undergoing subtotal colectomy with ileorectal anastomosis were included. There...AIM: TO evaluate the status of anorectal function after repeated transanal endoscopic microsurgery (TEN). METHODS: Twenty-one patients undergoing subtotal colectomy with ileorectal anastomosis were included. There were more than 5 large (〉 1 cm) polyps in the remaining rectum (range: 6-20 cm from the anal edge). All patients, 19 with villous adenomas and 2 with low-grade adenocarcinomas, underwent TEM with submucosal endoscopic excision at least twice between 2005 and 2011. Anorectal manometry and a question- naire about incontinence were carried out at week 1 before operation, and at weeks 2 and 3 and 6 mo after the last operation. Anal resting pressure, maxi- mum squeeze pressure, maximum tolerable volume (MTV) and rectoanal inhibitory reflexes (RAIR) were recorded. The integrity and thickness of the internal anal sphincter (IAS) and external anal sphincter (EAS) were also evaluated by endoanal ultrasonography. We determined the physical and mental health status with SF-36 score to assess the effect of multiple TEM on patient quality of life (QoL). RESULTS: All patients answered the questionnaire. Apart from negative RAIR in 4 patients, all of the anorectal manometric values in the 21 patients were normal before operation. Mean anal resting pressure decreased from 38±5 mmHg to 19±3 mmHg (38±5 mmHg vs 19±3 mmHg, P = 0.000) and MTV from 165± 19mLto60± 11mL(165± 19mLvs60± 11 mL, P = 0.000) at month 3 after surgery. Anal resting pressure and MTV were 37 ± 5 mmHg (38 ± 5 mmHg vs 37 ± 5 mmHg, P = 0.057) and 159 ± 19 mL (165 ± 19 mL vs 159 ± 19 mL, P = 0.071), respectively, at month 6 after TEM. Maximal squeeze pressure de- creased from 171 ± 19 mmHg to 62 ± 12 mmHg (171 ± 19 mmHg vs 62 ± 12 mmHg, P = 0.000) at week 2 after operation, and returned to normal values by postoperative month 3 (171 ± 19 vs 166 ± 18, P = 0.051). RAIR were absent in 4 patients preoperatively and in 12 (χ2 = 4.947, P = 0.026) patients at month 3 after surgery. PAIR was absent only in 5 patients at postoperative month 6 (χ2 = 0.141, P = 0.707). Endo- sonography demonstrated that IAS disruption occurred in 8 patients, and 6 patients had temporary inconti- nence to flatus that was normalized by postoperative month 3. IAS thickness decreased from 1.9 ± 0.6 mm preoperatively to 1.3 ± 0.4 mm (1.9 ± 0.6 mm vs 1.3 ± 0.4 mm, P = 0.000) at postoperative month 3 and increased to 1.8 ± 0.5 mm (1.9 ± 0.6 mm vs 1.8 ± 0.5 mm, P = 0.239) at postoperative month 6. EAS thickness decreased from 3.7 ± 0.6 mm preoperatively to 3.5 ± 0.3 mm (3.7 ± 0.6 mm vs 3.5 ± 0.3 mm, P = 0.510) at month 3 and then increased to 3.6 ± 0.4 mm (3.7 ± 0.6 mm vs 3.6 ± 0.4 mm, P = 0.123) at month 6 after operation. Most patients had frequent stools per day and relatively high Wexner scores in a short time period. While actual fecal incontinence was exceptional, episodes of soiling were reported by 3 pa- tients. With regard to the QoL, the physical and mental health status scores (SF-36) were 56.1 and 46.2 (50 in the general population), respectively.CONCLUSION: The anorectal function after repeated TEM is preserved. Multiple TEM procedures are useful for resection of multi-polyps in the remaining rectum.展开更多
In the present study, ultrasonic extraction technique (UET) is used to improve the yield of polysaccharides from Lami- naria japonica (LJPs). And their antioxidative as well as glycosidase inhibitory activities ar...In the present study, ultrasonic extraction technique (UET) is used to improve the yield of polysaccharides from Lami- naria japonica (LJPs). And their antioxidative as well as glycosidase inhibitory activities are investigated. Box-Behnken design (BBD) combined with response surface methodology (RSM) is applied to optimize ultrasonic extraction for polysaccharides. The optimized conditions are obtained as extraction time at 54 min, ultrasonic power at 1050 W, extraction temperature at 80℃ and ratio of material to solvent at 1:50 (g mL-1). Under these optimal ultrasonic extraction conditions, an actual experimental yield (5.75% + 0.3%) is close to the predicted result (5.67%) with no significant difference (P〉0.05). Vitro antioxidative and glycosidase inhibitory activities tests indicate that the crude polysaccharides (LJP) and two major ethanol precipitated fractions (LJP1 and LJP2) are in a concentration-dependent manner. LJP2 (30%-60% ethanol precipitated polysaccharides) possesses the strongest α-glucosidase in- hibitory activity and moderate scavenging activity against hydroxyl radicals (66.09% ±2.19%, 3.0 mg mL-l). Also, the inhibitory activity against a-glucosidase (59.08% ± 3.79%, 5.0 mg mL-1) is close to that of acarbose (63.99% ± 3.27%, 5.0 mg mL-l). LJP 1 (30% ethanol precipitated polysaccharides) exhibits the strongest scavenging activity against hydroxyl radicals (99.80%q-0.00%, 3.0mg mL-1) and moderate a-glucosidase inhibitory activity (47.76%± 1.92%, 5.0 mgmL-1). LJP shows the most remarkable DPPH scav- enging activity (66.20%±0.11%, 5.0mgmL-1) but weakest a-glucosidase inhibitory activity (37.77%±1.30%, 5.0mgmL-1). How- ever, all these LJPs exert weak inhibitory effects against a-amylase. These results show that UET is an effective method for extract- ing bioactive polysaccharides from seaweed materials. LJP 1 and LJP2 can be developed as a potential ingredient in hypoglycemic agents or functional food for the management of diabetes. This study provides scientific evidence and advances in the preparation technology and a hypoglycemic activities evaluation method for seaweed polysaccharides, especially glycosidase inhibition in com- bination with an antioxidative activity evaluation method.展开更多
Vocal individuality is widespread in social animals. Individual variation in vocalizations is a prereq- uisite for discriminating among conspecifics and may have facilitated the evolution of large complex societies. R...Vocal individuality is widespread in social animals. Individual variation in vocalizations is a prereq- uisite for discriminating among conspecifics and may have facilitated the evolution of large complex societies. Ring-tailed lemurs Lemur catta live in relatively large social groups, have con- spicuous vocal repertoires, and their species-specific utterances can be interpreted in light of source-filter theory of vocal production. Indeed, their utterances allow individual discrimination and even recognition thanks to the resonance frequencies of the vocal tract. The purpose of this study is to determine which distinctive vocal features can be derived from the morphology of the upper vocal tract. To accomplish this, we built computational models derived from anatomical measurements collected on lemur cadavers and compared the results with the spectrographic out- put of vocalizations recorded from ex situ live individuals. Our results demonstrate that the mor- phological variation of the ring-tailed lemur vocal tract explains individual distinctiveness of their species-specific utterances. We also provide further evidence that vocal tract modeling is a power- ful tool for studying the vocal output of non-human primates.展开更多
Free radicals, which are generated in several biochemical reactions in the body, have been implicated as mediators of many diseases, including cancer, atherosclerosis and heart diseases. Although the endogenous antiox...Free radicals, which are generated in several biochemical reactions in the body, have been implicated as mediators of many diseases, including cancer, atherosclerosis and heart diseases. Although the endogenous antioxidants can scavenge these free radicals, they are often insufficient to maintain the in vivo redox balance. The antioxidant activity(AOA) was examined by addition of each tested antioxidants [alpha-tocopherol(α-T), beta-tocopherol(β-T), gamma-tocopherol(γ-T), delta-tocopherol(δ-T), butylated hydroxyanisole(BHA), 2,6-di-tert-butyl-4-methylphenol(BHT), and ascorbyle palmitate(AP)] to four types of different vegetable oils(sunflower oil, soybean oil, corn oil and olive oil). Moreover, content changes in fatty acids were then investigated every 3 months during the storage period. The results showed that the AOA was different among the tested antioxidants. The AOA for BHA was the most for different types of oil compared with other antioxidants, whereas the δ-T possessed the lowest AOA.展开更多
文摘AIM: To evaluate the vessel grafts (VG) used to reconstruct the middle hepatic vein (MHV) tributaries with ultrasonography. METHODS: Twenty-four patients undergone living donor liver transplantation were enrolled in our study. MHV tributaries larger than 5 mm in diameter were reconstructed with interposition VG. Blood flow of the graft and interposition VG was checked by Doppler ultrasonography daily in the first 2 postoperative weeks and monthly followed up after discharge. The sensitivity of VG detected by ultrasonography was assessed using surgical records as references. Student's t test was used to compare the velocity of VG and occluded VG in chronic patents (〉 3 mo). RESULTS: Thirty-one VG were used to reconstruct the MHV tributaries. Ultrasonography identified 96.7% (30/31) of large MHV tributaries and 90.3% (28/31) of VG. The diameter of VG was 5.6 ± 0.8 mm and the velocity of VG was 19.7 ± 8.1 cm/s. Two VG (2/31, 6.5%) were occluded on the first postoperative day in one patient who suffered from persistent ascites and had a prolonged recovery of liver function. Twenty-six VG (26/31, 83.9%) were patent 2 wk after operation. Six (6/31, 19.4%) VG were patent over 3 mo after operation. Intrahepatic venous collaterals were detected in 29.2% (7/24) patients. The velocity of VG and occluded VG was 30.1 ± 5.6 cm/s, 16.5 ± 5.8 cm/s, respectively, in chronic patents. The difference between two groups was statistically significant (P 〈 0.001). CONCLUSION: Our results indicate that most VG are patent in the first postoperative week while only a small portion with a higher velocity remains patent after 3 mo. Intrahepatic venous collaterals can be observed in some patients after occlusion of VG.
文摘Fecal incontinence is not a diagnosis but a frequent and debilitating common final pathway symptom resulting from numerous different causes. Incontinence not only impacts the patient’s self-esteem and quality of life but may result in significant secondary morbidity, disability, and cost. Treatment is difficult without any panacea and an individualized approach should be chosen that frequently combines different modalities. Several new technologies have been developed and their specific roles will have to be defined. The scope of this review is outline the evaluation and treatment of patients with fecal incontinence.
基金Supported by The Sixth People's Hospital Affiliated to Shanghai Jiao Tong University,Shanghai,China
文摘AIM: TO evaluate the status of anorectal function after repeated transanal endoscopic microsurgery (TEN). METHODS: Twenty-one patients undergoing subtotal colectomy with ileorectal anastomosis were included. There were more than 5 large (〉 1 cm) polyps in the remaining rectum (range: 6-20 cm from the anal edge). All patients, 19 with villous adenomas and 2 with low-grade adenocarcinomas, underwent TEM with submucosal endoscopic excision at least twice between 2005 and 2011. Anorectal manometry and a question- naire about incontinence were carried out at week 1 before operation, and at weeks 2 and 3 and 6 mo after the last operation. Anal resting pressure, maxi- mum squeeze pressure, maximum tolerable volume (MTV) and rectoanal inhibitory reflexes (RAIR) were recorded. The integrity and thickness of the internal anal sphincter (IAS) and external anal sphincter (EAS) were also evaluated by endoanal ultrasonography. We determined the physical and mental health status with SF-36 score to assess the effect of multiple TEM on patient quality of life (QoL). RESULTS: All patients answered the questionnaire. Apart from negative RAIR in 4 patients, all of the anorectal manometric values in the 21 patients were normal before operation. Mean anal resting pressure decreased from 38±5 mmHg to 19±3 mmHg (38±5 mmHg vs 19±3 mmHg, P = 0.000) and MTV from 165± 19mLto60± 11mL(165± 19mLvs60± 11 mL, P = 0.000) at month 3 after surgery. Anal resting pressure and MTV were 37 ± 5 mmHg (38 ± 5 mmHg vs 37 ± 5 mmHg, P = 0.057) and 159 ± 19 mL (165 ± 19 mL vs 159 ± 19 mL, P = 0.071), respectively, at month 6 after TEM. Maximal squeeze pressure de- creased from 171 ± 19 mmHg to 62 ± 12 mmHg (171 ± 19 mmHg vs 62 ± 12 mmHg, P = 0.000) at week 2 after operation, and returned to normal values by postoperative month 3 (171 ± 19 vs 166 ± 18, P = 0.051). RAIR were absent in 4 patients preoperatively and in 12 (χ2 = 4.947, P = 0.026) patients at month 3 after surgery. PAIR was absent only in 5 patients at postoperative month 6 (χ2 = 0.141, P = 0.707). Endo- sonography demonstrated that IAS disruption occurred in 8 patients, and 6 patients had temporary inconti- nence to flatus that was normalized by postoperative month 3. IAS thickness decreased from 1.9 ± 0.6 mm preoperatively to 1.3 ± 0.4 mm (1.9 ± 0.6 mm vs 1.3 ± 0.4 mm, P = 0.000) at postoperative month 3 and increased to 1.8 ± 0.5 mm (1.9 ± 0.6 mm vs 1.8 ± 0.5 mm, P = 0.239) at postoperative month 6. EAS thickness decreased from 3.7 ± 0.6 mm preoperatively to 3.5 ± 0.3 mm (3.7 ± 0.6 mm vs 3.5 ± 0.3 mm, P = 0.510) at month 3 and then increased to 3.6 ± 0.4 mm (3.7 ± 0.6 mm vs 3.6 ± 0.4 mm, P = 0.123) at month 6 after operation. Most patients had frequent stools per day and relatively high Wexner scores in a short time period. While actual fecal incontinence was exceptional, episodes of soiling were reported by 3 pa- tients. With regard to the QoL, the physical and mental health status scores (SF-36) were 56.1 and 46.2 (50 in the general population), respectively.CONCLUSION: The anorectal function after repeated TEM is preserved. Multiple TEM procedures are useful for resection of multi-polyps in the remaining rectum.
基金supported by the Project of National Key Technology Research and Development Program for the 12th Five-year Plan(No.2012BAD33B10)Public Science and Technology Research Funds Projects of Ocean(No.201305018-2)+4 种基金the Innovative Development of Marine Economy Regional Demonstration Projects(Nos.SZHY2012-B01-004,GD2013-B03-001)the National Scien-ce Foundation for Young Scientists of China(No.31101271)the Natural Science Foundation of Guangdong Province(Nos.2014A030310338,2014A030310351)the Comprehensive Strategic Cooperation Programs between the Guangdong Province and Chinese Academy of Sciences(No.2011B090300057)the Frontier Science Program for Young Scientists of South China Sea Institute of Oceanology,Chinese Academy of Science(No.SQ 201017)
文摘In the present study, ultrasonic extraction technique (UET) is used to improve the yield of polysaccharides from Lami- naria japonica (LJPs). And their antioxidative as well as glycosidase inhibitory activities are investigated. Box-Behnken design (BBD) combined with response surface methodology (RSM) is applied to optimize ultrasonic extraction for polysaccharides. The optimized conditions are obtained as extraction time at 54 min, ultrasonic power at 1050 W, extraction temperature at 80℃ and ratio of material to solvent at 1:50 (g mL-1). Under these optimal ultrasonic extraction conditions, an actual experimental yield (5.75% + 0.3%) is close to the predicted result (5.67%) with no significant difference (P〉0.05). Vitro antioxidative and glycosidase inhibitory activities tests indicate that the crude polysaccharides (LJP) and two major ethanol precipitated fractions (LJP1 and LJP2) are in a concentration-dependent manner. LJP2 (30%-60% ethanol precipitated polysaccharides) possesses the strongest α-glucosidase in- hibitory activity and moderate scavenging activity against hydroxyl radicals (66.09% ±2.19%, 3.0 mg mL-l). Also, the inhibitory activity against a-glucosidase (59.08% ± 3.79%, 5.0 mg mL-1) is close to that of acarbose (63.99% ± 3.27%, 5.0 mg mL-l). LJP 1 (30% ethanol precipitated polysaccharides) exhibits the strongest scavenging activity against hydroxyl radicals (99.80%q-0.00%, 3.0mg mL-1) and moderate a-glucosidase inhibitory activity (47.76%± 1.92%, 5.0 mgmL-1). LJP shows the most remarkable DPPH scav- enging activity (66.20%±0.11%, 5.0mgmL-1) but weakest a-glucosidase inhibitory activity (37.77%±1.30%, 5.0mgmL-1). How- ever, all these LJPs exert weak inhibitory effects against a-amylase. These results show that UET is an effective method for extract- ing bioactive polysaccharides from seaweed materials. LJP 1 and LJP2 can be developed as a potential ingredient in hypoglycemic agents or functional food for the management of diabetes. This study provides scientific evidence and advances in the preparation technology and a hypoglycemic activities evaluation method for seaweed polysaccharides, especially glycosidase inhibition in com- bination with an antioxidative activity evaluation method.
文摘Vocal individuality is widespread in social animals. Individual variation in vocalizations is a prereq- uisite for discriminating among conspecifics and may have facilitated the evolution of large complex societies. Ring-tailed lemurs Lemur catta live in relatively large social groups, have con- spicuous vocal repertoires, and their species-specific utterances can be interpreted in light of source-filter theory of vocal production. Indeed, their utterances allow individual discrimination and even recognition thanks to the resonance frequencies of the vocal tract. The purpose of this study is to determine which distinctive vocal features can be derived from the morphology of the upper vocal tract. To accomplish this, we built computational models derived from anatomical measurements collected on lemur cadavers and compared the results with the spectrographic out- put of vocalizations recorded from ex situ live individuals. Our results demonstrate that the mor- phological variation of the ring-tailed lemur vocal tract explains individual distinctiveness of their species-specific utterances. We also provide further evidence that vocal tract modeling is a power- ful tool for studying the vocal output of non-human primates.
文摘Free radicals, which are generated in several biochemical reactions in the body, have been implicated as mediators of many diseases, including cancer, atherosclerosis and heart diseases. Although the endogenous antioxidants can scavenge these free radicals, they are often insufficient to maintain the in vivo redox balance. The antioxidant activity(AOA) was examined by addition of each tested antioxidants [alpha-tocopherol(α-T), beta-tocopherol(β-T), gamma-tocopherol(γ-T), delta-tocopherol(δ-T), butylated hydroxyanisole(BHA), 2,6-di-tert-butyl-4-methylphenol(BHT), and ascorbyle palmitate(AP)] to four types of different vegetable oils(sunflower oil, soybean oil, corn oil and olive oil). Moreover, content changes in fatty acids were then investigated every 3 months during the storage period. The results showed that the AOA was different among the tested antioxidants. The AOA for BHA was the most for different types of oil compared with other antioxidants, whereas the δ-T possessed the lowest AOA.