AIM: TO assess the efficacy of intramuscular diclofenac and fluid replacement for prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis.METHODS: A prospective, placebo-controlled st...AIM: TO assess the efficacy of intramuscular diclofenac and fluid replacement for prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis.METHODS: A prospective, placebo-controlled study was conducted in 80 patients who underwent ERCP. Patients were randomized to receive parenteral diclofenac at a loading dose of 75 mg followed by the infusion of 5-10 mL/kg per hour isotonic saline over 4 h after the procedure, or the infusion of 500 mL isotonic saline as placebo. Patients were evaluated clinically, and serum amylase levels were measured 4, 8 and 24 h after the procedure.RESULTS: The two groups were matched for age, sex, underlying disease, ERCP findings, and type of treatment. The overall incidence of pancreatitis was 7.5% in the diclofenac group and 17.5% in the placebo group (12.5% in total). There were no significant differences in the incidence of pancreatitis and other variables between the two groups. In the subgroup analysis, the frequency of pancreatitis in the patients without sphincter of Oddi dysfunction (SOD) was significantly lower in the diclofenac group than in the control group (ρ = 0.047).CONCLUSION: Intramuscular diclofenac and fluid replacement lowered the rate of pancreatitis in patients without SOD.展开更多
Purpose:The aim of this study was to investigate the effects of flui replacement by water or sports drinks on serum heat shock protein 70(HSP70) levels and DNA damage during exercise at a high ambient temperature.M...Purpose:The aim of this study was to investigate the effects of flui replacement by water or sports drinks on serum heat shock protein 70(HSP70) levels and DNA damage during exercise at a high ambient temperature.Methods:Ten male college athletes with an athletic career ranging from 6 to 11 years were recruited from Yonsei University.The subjects ran on a treadmill at 75% of heart rate reserve during 4 different trials:thermoneutral temperature at 18℃(T),high ambient temperature at 32℃ without flui replacement(H),high ambient temperature at 32℃ with water replacement(HW),and high ambient temperature at 32℃ with sports drink replacement(HS).During each condition,blood samples were collected at the pre-exercise baseline(PEB),immediately after exercise(IAE),and60 min post-exercise.Results:Skin temperature significant y increased during exercise and was significant y higher in H compared to T and HS at IAE.Meanwhile,serum HSP70 was significant y increased in all conditions at IAE compared to PEB and was higher in H compared to T at the former time point.Significant y increased lymphocyte DNA damage(DNA in the tail,tail length,tail moment) was observed in all trials at IAE compared to PEB,and attenuated DNA damage(tail moment) was observed in HS compared to H at IAE.Conclusion:Acute exercise elevates serum HSP70 and induces lymphocyte DNA damage.Fluid replacement by sports drink during exercise at high ambient temperature can attenuate HSP response and DNA damage by preventing dehydration and reducing thermal stress.展开更多
The relationship between fluid density and saturation and sonic wave velocity of rock samples taken from the WXS Depression in the South China Sea was studied by an oil-water replacement experiment under simulated in-...The relationship between fluid density and saturation and sonic wave velocity of rock samples taken from the WXS Depression in the South China Sea was studied by an oil-water replacement experiment under simulated in-situ temperature and pressure conditions.Two kinds of low-density oils(0.691 and 0.749 g/cm^3) and two kinds of high-density oils(0.834 and 0.873 g/cm^3) were used to saturate the rock samples at different oil-saturation states,and the saturated P- and S-wave velocities were measured.Through Gassmann's equation,the theoretical P- and S-wave velocities were also calculated by the fluid replacement method.With the comparison of the measured values and the theoretical values, this study comes to the following conclusions.(1) With the increase of oil saturation and the decrease of water saturation,the P-wave velocity of rock samples saturated by low-density oil increases and the changing rule is in accord with the effective fluid theory;the P-wave velocity of rock samples saturated by high-density oil decreases and the changing rule goes against the theory.(2) With the increase of oil density(namely 0.691→0.749→0.834→0.873 g/cm^3) when oil saturation is unchanged,P-wave velocity increases gradually.(3) The S-wave velocity is always stable and is not affected by the change of oil density and saturation.The results can be used to constrain pre-stack seismic inversion,and the variation rule of sonic wave velocity is valuable for hydrocarbon identification in the study area.展开更多
文摘AIM: TO assess the efficacy of intramuscular diclofenac and fluid replacement for prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis.METHODS: A prospective, placebo-controlled study was conducted in 80 patients who underwent ERCP. Patients were randomized to receive parenteral diclofenac at a loading dose of 75 mg followed by the infusion of 5-10 mL/kg per hour isotonic saline over 4 h after the procedure, or the infusion of 500 mL isotonic saline as placebo. Patients were evaluated clinically, and serum amylase levels were measured 4, 8 and 24 h after the procedure.RESULTS: The two groups were matched for age, sex, underlying disease, ERCP findings, and type of treatment. The overall incidence of pancreatitis was 7.5% in the diclofenac group and 17.5% in the placebo group (12.5% in total). There were no significant differences in the incidence of pancreatitis and other variables between the two groups. In the subgroup analysis, the frequency of pancreatitis in the patients without sphincter of Oddi dysfunction (SOD) was significantly lower in the diclofenac group than in the control group (ρ = 0.047).CONCLUSION: Intramuscular diclofenac and fluid replacement lowered the rate of pancreatitis in patients without SOD.
基金supported by the Dong-A University research fund
文摘Purpose:The aim of this study was to investigate the effects of flui replacement by water or sports drinks on serum heat shock protein 70(HSP70) levels and DNA damage during exercise at a high ambient temperature.Methods:Ten male college athletes with an athletic career ranging from 6 to 11 years were recruited from Yonsei University.The subjects ran on a treadmill at 75% of heart rate reserve during 4 different trials:thermoneutral temperature at 18℃(T),high ambient temperature at 32℃ without flui replacement(H),high ambient temperature at 32℃ with water replacement(HW),and high ambient temperature at 32℃ with sports drink replacement(HS).During each condition,blood samples were collected at the pre-exercise baseline(PEB),immediately after exercise(IAE),and60 min post-exercise.Results:Skin temperature significant y increased during exercise and was significant y higher in H compared to T and HS at IAE.Meanwhile,serum HSP70 was significant y increased in all conditions at IAE compared to PEB and was higher in H compared to T at the former time point.Significant y increased lymphocyte DNA damage(DNA in the tail,tail length,tail moment) was observed in all trials at IAE compared to PEB,and attenuated DNA damage(tail moment) was observed in HS compared to H at IAE.Conclusion:Acute exercise elevates serum HSP70 and induces lymphocyte DNA damage.Fluid replacement by sports drink during exercise at high ambient temperature can attenuate HSP response and DNA damage by preventing dehydration and reducing thermal stress.
基金supported by the Science and Technology Research Key Project of Ministry of Education (Grant No.109035)the National Natural Science Foundation Key Project(Grant No.40830423)the Key Project of Students Extra-curricular Science and Technology Research Program of Schlumberger(Grant No.SLBX0908)
文摘The relationship between fluid density and saturation and sonic wave velocity of rock samples taken from the WXS Depression in the South China Sea was studied by an oil-water replacement experiment under simulated in-situ temperature and pressure conditions.Two kinds of low-density oils(0.691 and 0.749 g/cm^3) and two kinds of high-density oils(0.834 and 0.873 g/cm^3) were used to saturate the rock samples at different oil-saturation states,and the saturated P- and S-wave velocities were measured.Through Gassmann's equation,the theoretical P- and S-wave velocities were also calculated by the fluid replacement method.With the comparison of the measured values and the theoretical values, this study comes to the following conclusions.(1) With the increase of oil saturation and the decrease of water saturation,the P-wave velocity of rock samples saturated by low-density oil increases and the changing rule is in accord with the effective fluid theory;the P-wave velocity of rock samples saturated by high-density oil decreases and the changing rule goes against the theory.(2) With the increase of oil density(namely 0.691→0.749→0.834→0.873 g/cm^3) when oil saturation is unchanged,P-wave velocity increases gradually.(3) The S-wave velocity is always stable and is not affected by the change of oil density and saturation.The results can be used to constrain pre-stack seismic inversion,and the variation rule of sonic wave velocity is valuable for hydrocarbon identification in the study area.