BACKGROUND Mild cognitive impairment(MCI)has a high risk of progression to Alzheimer’s disease.The disease is often accompanied by sleep disorders,and whether sleep disorders have an effect on brain function in patie...BACKGROUND Mild cognitive impairment(MCI)has a high risk of progression to Alzheimer’s disease.The disease is often accompanied by sleep disorders,and whether sleep disorders have an effect on brain function in patients with MCI is unclear.AIM To explore the near-infrared brain function characteristics of MCI with sleep disorders.METHODS A total of 120 patients with MCI(MCI group)and 50 healthy subjects(control group)were selected.All subjects underwent the functional near-infrared spec-troscopy test.Collect baseline data,Mini-Mental State Examination,Montreal Cognitive Assessment scale,fatigue severity scale(FSS)score,sleep parameter,and oxyhemoglobin(Oxy-Hb)concentration and peak time of functional near-infrared spectroscopy test during the task period.The relationship between Oxy-RESULTS Compared with the control group,the FSS score of the MCI group was higher(t=11.310),and the scores of Pittsburgh sleep quality index,sleep time,sleep efficiency,nocturnal sleep disturbance,and daytime dysfunction were higher(Z=-10.518,-10.368,-9.035,-10.661,-10.088).Subjective sleep quality and total sleep time scores were lower(Z=-11.592,-9.924).The sleep efficiency of the MCI group was lower,and the awakening frequency,rem sleep latency period,total sleep time,and oxygen desaturation index were higher(t=5.969,5.829,2.887,3.003,5.937).The Oxy-Hb concentration at T0,T1,and T2 in the MCI group was lower(t=14.940,11.280,5.721),and the peak time was higher(t=18.800,13.350,9.827).In MCI patients,the concentration of Oxy-Hb during T0 was negatively correlated with the scores of Pittsburgh sleep quality index,sleep time,total sleep time,and sleep efficiency(r=-0.611,-0.388,-0.563,-0.356).It was positively correlated with sleep efficiency and total sleep time(r=0.754,0.650),and negatively correlated with oxygen desaturation index(r=-0.561)and FSS score(r=-0.526).All comparisons were P<0.05.CONCLUSION Patients with MCI and sleep disorders have lower near-infrared brain function than normal people,which is related to sleep quality.Clinically,a comprehensive assessment of the near-infrared brain function of patients should be carried out to guide targeted treatment and improve curative effect.展开更多
The management of patients with colorectal cancer(CRC)mainly lies on the use of magnetic resonance imaging(MRI)technique as a diagnostic tool for both staging and restaging.AIM To explore the preoperative value of qua...The management of patients with colorectal cancer(CRC)mainly lies on the use of magnetic resonance imaging(MRI)technique as a diagnostic tool for both staging and restaging.AIM To explore the preoperative value of quantitative parameters of dynamic contrastenhanced MRI(DCE-MRI)in evaluating clinical stages of CRC.METHODS A total of 86 CRC patients undergoing DCE-MRI examinations were included and then classified into CRC group(n=46)and benign tumor group(n=40)according to surgical and pathological results.Quantitative parameters of DCE-MRI,including volume transfer constant(Ktrans),rate constant(Kep)and extravascular extracellular volume fraction(Ve),were analyzed between two groups and among CRC at different stages.Receiver operating characteristic(ROC)curves with of quantitative parameters of DCE-MRI for clinical diagnosis and preoperative staging of CRC were plotted.RESULTS The CRC group had 9 cases with tumor in the upper segment,21 cases in the middle segment,16 in the low segment,10 cases with well differentiation,27 cases with moderate differentiation,and 9 cases with poor differentiation.The Ktrans,Kep,and Ve in the CRC group were higher than those in the benign tumor group(P<0.05).The ROC curves indicated that the optimal cutoff values of Ktrans,Kep and Ve for diagnosing CRC were 0.905 minute-1,0.225 minute-1 and 0.585%,respectively.The Ktrans,Kep and Ve as a combined tool to diagnose CRC yielded 0.863 of area under the curve and 82.60%of sensitivity,and both values were higher than those yielded by Ktrans,Kep,or Ve alone(P<0.05).The Ktrans,Kep and Ve in CRC patients at T3-T4 stage or N1-N2 stage were higher than those at T1-T2 stage or N0 stage(P<0.05).Results of Spearman correlation analysis showed that the Ktrans,Kep and Ve were correlated with advanced T and N stages in CRC patients(P<0.05).The ROC results indicated that the Ktrans produced a higher specificity(81.48%)and sensitivity(94.70%)in evaluating preoperative T stage of CRC.The Kep generated a higher specificity(96.00%)and sensitivity(81.00%)in evaluating preoperative N stage of CRC.CONCLUSION The study suggests that the values of Ktrans,Kep and Ve of DCE-MRI exhibit good performance in diagnosing CRC and preoperative assessment of clinical stages.However,relatively small sample size should be considered for data interpretation.展开更多
Aim Dental biofilms are complex communities composed largely of harmless bacteria. Certain pathogenic species including Streptococcus mutans （S. mutans） can become predominant when host factors such as dietary sucro...Aim Dental biofilms are complex communities composed largely of harmless bacteria. Certain pathogenic species including Streptococcus mutans （S. mutans） can become predominant when host factors such as dietary sucrose intake imbalance the biofilm ecology. Current approaches to control S. mutans infection are not pathogen-specific and eliminate the entire oral community along with any protective benefits provided. Here, we tested the hypothesis that removal of S. mutans from the oral community through targeted antimicrobial therapy achieves protection against subsequent S. mutans colonization. Methodology Controlled amounts of S. mutans were mixed with S. mutans-free saliva, grown into biofilms and visualized by antibody staining and cfu quantization. Two specifically-targeted antimicrobial peptides （STAMPs） against S. mutans were tested for their ability to reduce S. mutans biofilm incorporation upon treatment of the inocula. The resulting biofilms were also evaluated for their ability to resist subsequent exogenous S. mutans colonization. Results S. mutans colonization was considerably reduced （9 ± 0.4 fold reduction, P=0.01） when the surface was preoccupied with saliva-derived biofilms. Furthermore, treatment with S. mutans-specific STAMPs yielded S. mutans-deficient biofilms with significant protection against further S. mutans colonization （5 minutes treatment： 38 ± 13 fold reduction P=0.01; 16 hours treatment： 96 ± 28 fold reduction P=0.07）. Conclusion S. mutans infection is reduced by the pre- sence of existing biofilms. Thus maintaining a healthy or ＂normal＂ biofilm through targeted antimicrobial therapy （such as the STAMPs） could represent an effective strategy for the treatment and prevention of S. mutans colonization in the oral cavity and caries progression.展开更多
文摘BACKGROUND Mild cognitive impairment(MCI)has a high risk of progression to Alzheimer’s disease.The disease is often accompanied by sleep disorders,and whether sleep disorders have an effect on brain function in patients with MCI is unclear.AIM To explore the near-infrared brain function characteristics of MCI with sleep disorders.METHODS A total of 120 patients with MCI(MCI group)and 50 healthy subjects(control group)were selected.All subjects underwent the functional near-infrared spec-troscopy test.Collect baseline data,Mini-Mental State Examination,Montreal Cognitive Assessment scale,fatigue severity scale(FSS)score,sleep parameter,and oxyhemoglobin(Oxy-Hb)concentration and peak time of functional near-infrared spectroscopy test during the task period.The relationship between Oxy-RESULTS Compared with the control group,the FSS score of the MCI group was higher(t=11.310),and the scores of Pittsburgh sleep quality index,sleep time,sleep efficiency,nocturnal sleep disturbance,and daytime dysfunction were higher(Z=-10.518,-10.368,-9.035,-10.661,-10.088).Subjective sleep quality and total sleep time scores were lower(Z=-11.592,-9.924).The sleep efficiency of the MCI group was lower,and the awakening frequency,rem sleep latency period,total sleep time,and oxygen desaturation index were higher(t=5.969,5.829,2.887,3.003,5.937).The Oxy-Hb concentration at T0,T1,and T2 in the MCI group was lower(t=14.940,11.280,5.721),and the peak time was higher(t=18.800,13.350,9.827).In MCI patients,the concentration of Oxy-Hb during T0 was negatively correlated with the scores of Pittsburgh sleep quality index,sleep time,total sleep time,and sleep efficiency(r=-0.611,-0.388,-0.563,-0.356).It was positively correlated with sleep efficiency and total sleep time(r=0.754,0.650),and negatively correlated with oxygen desaturation index(r=-0.561)and FSS score(r=-0.526).All comparisons were P<0.05.CONCLUSION Patients with MCI and sleep disorders have lower near-infrared brain function than normal people,which is related to sleep quality.Clinically,a comprehensive assessment of the near-infrared brain function of patients should be carried out to guide targeted treatment and improve curative effect.
文摘The management of patients with colorectal cancer(CRC)mainly lies on the use of magnetic resonance imaging(MRI)technique as a diagnostic tool for both staging and restaging.AIM To explore the preoperative value of quantitative parameters of dynamic contrastenhanced MRI(DCE-MRI)in evaluating clinical stages of CRC.METHODS A total of 86 CRC patients undergoing DCE-MRI examinations were included and then classified into CRC group(n=46)and benign tumor group(n=40)according to surgical and pathological results.Quantitative parameters of DCE-MRI,including volume transfer constant(Ktrans),rate constant(Kep)and extravascular extracellular volume fraction(Ve),were analyzed between two groups and among CRC at different stages.Receiver operating characteristic(ROC)curves with of quantitative parameters of DCE-MRI for clinical diagnosis and preoperative staging of CRC were plotted.RESULTS The CRC group had 9 cases with tumor in the upper segment,21 cases in the middle segment,16 in the low segment,10 cases with well differentiation,27 cases with moderate differentiation,and 9 cases with poor differentiation.The Ktrans,Kep,and Ve in the CRC group were higher than those in the benign tumor group(P<0.05).The ROC curves indicated that the optimal cutoff values of Ktrans,Kep and Ve for diagnosing CRC were 0.905 minute-1,0.225 minute-1 and 0.585%,respectively.The Ktrans,Kep and Ve as a combined tool to diagnose CRC yielded 0.863 of area under the curve and 82.60%of sensitivity,and both values were higher than those yielded by Ktrans,Kep,or Ve alone(P<0.05).The Ktrans,Kep and Ve in CRC patients at T3-T4 stage or N1-N2 stage were higher than those at T1-T2 stage or N0 stage(P<0.05).Results of Spearman correlation analysis showed that the Ktrans,Kep and Ve were correlated with advanced T and N stages in CRC patients(P<0.05).The ROC results indicated that the Ktrans produced a higher specificity(81.48%)and sensitivity(94.70%)in evaluating preoperative T stage of CRC.The Kep generated a higher specificity(96.00%)and sensitivity(81.00%)in evaluating preoperative N stage of CRC.CONCLUSION The study suggests that the values of Ktrans,Kep and Ve of DCE-MRI exhibit good performance in diagnosing CRC and preoperative assessment of clinical stages.However,relatively small sample size should be considered for data interpretation.
文摘Aim Dental biofilms are complex communities composed largely of harmless bacteria. Certain pathogenic species including Streptococcus mutans （S. mutans） can become predominant when host factors such as dietary sucrose intake imbalance the biofilm ecology. Current approaches to control S. mutans infection are not pathogen-specific and eliminate the entire oral community along with any protective benefits provided. Here, we tested the hypothesis that removal of S. mutans from the oral community through targeted antimicrobial therapy achieves protection against subsequent S. mutans colonization. Methodology Controlled amounts of S. mutans were mixed with S. mutans-free saliva, grown into biofilms and visualized by antibody staining and cfu quantization. Two specifically-targeted antimicrobial peptides （STAMPs） against S. mutans were tested for their ability to reduce S. mutans biofilm incorporation upon treatment of the inocula. The resulting biofilms were also evaluated for their ability to resist subsequent exogenous S. mutans colonization. Results S. mutans colonization was considerably reduced （9 ± 0.4 fold reduction, P=0.01） when the surface was preoccupied with saliva-derived biofilms. Furthermore, treatment with S. mutans-specific STAMPs yielded S. mutans-deficient biofilms with significant protection against further S. mutans colonization （5 minutes treatment： 38 ± 13 fold reduction P=0.01; 16 hours treatment： 96 ± 28 fold reduction P=0.07）. Conclusion S. mutans infection is reduced by the pre- sence of existing biofilms. Thus maintaining a healthy or ＂normal＂ biofilm through targeted antimicrobial therapy （such as the STAMPs） could represent an effective strategy for the treatment and prevention of S. mutans colonization in the oral cavity and caries progression.
