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A NORTHWEST DATABASE MODEL OF SHORT TANDEM REPEAT LOCI IN FORENSIC MEDICINE 被引量:1
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作者 王振原 朱波峰 +6 位作者 刘雅诚 严江伟 霍振义 金天博 李涛 樊拴良 方杰 《Journal of Pharmaceutical Analysis》 SCIE CAS 2003年第1期93-96,110,共5页
Objective To establish the northwest database of short tandem repeat(STR) loci in forensic medicine. Methods Bloodstains or whole blood samples were collected from the unrelated prisoners in Xi'an city. Genetic ... Objective To establish the northwest database of short tandem repeat(STR) loci in forensic medicine. Methods Bloodstains or whole blood samples were collected from the unrelated prisoners in Xi'an city. Genetic distribution for 13 STR loci and amelogenin locus were determined in prisons based on GeneScan. One primer for each locus was labeled with the fluorescent by 5 FAM, JOE, or NED. The forensic database were generated by using multiple amplification, GeneScan, genotype, and genetic distribution analysis. Results 113 alleles and 302 genotypes were observed, with the corresponding frequency between 0.0050-0.5250 and 0.0100-0.4100. The mean H was 0.7667. The accumulative DP was 0.9999999,. The accumulative EPP was 0.9999999. The scope of PIC was 0.6036- 0.8562 . PM was less than 10 -11 . The observed and expected genotype frequencies were evaluated using χ 2 test and all were in accordance with Hardy Weinberg equilibrium ( P > 0.05 ). Conclusion STR loci is an ideal genetic marker with powerful polymorphism and stable heredity. It can be used for individual identification and paternity in forensic medicine. The forensic DNA database model can be established successfully. 展开更多
关键词 short tandem repeat(STR) DNA database GENESCAN polymerase chain reaction GENOTYPE
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Characteristics of Pattern Visual Evoked Potential in Two Eyes with Varying Visual Acuity in One Eye and Forensic Application 被引量:5
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作者 Fu-quan JIA Yu-guang LIANG +4 位作者 Xin-yuan ZHANG Fang-liang LUO Yan-he XIONG Long-long CHENG Ji-hui LIU 《Current Medical Science》 SCIE CAS 2018年第2期342-348,共7页
In this study, we aimed to study the pattern visual evoked potentials (P-VEPs) in two eyes with varying visual acuity in one eye and to provide an objective estimation of visual acuity by comparing P-VEPs in one and... In this study, we aimed to study the pattern visual evoked potentials (P-VEPs) in two eyes with varying visual acuity in one eye and to provide an objective estimation of visual acuity by comparing P-VEPs in one and two eyes. Thirty subjects were chosen, who had one eye with an acuity of 5.0, 4.85, 4.6, 4.0, or scieropia and obstructed vision and the other eye with an acuity of 5.0, respectively. P-VEPs were detected under the large grating stimuli at 3x4 spatial frequency, moderate grating stimuli (12× 16 spatial frequency) and small grating stimuli (48×64 spatial frequency). Under large grating stimuli, there was no significant difference in P100 peak latency between the groups, nor was there a significant difference between the amplitude of two eyes and the amplitude of one normal-vision eye. Under moderate and small grating stimuli, there was a significant difference in P100 peak latency between the group with both eyes having an acuity of 5.0 and the group with visual acuity below 4.0 in one eye. There was a significant difference in P100 amplitude between the group with visual acuity of 5.0 in both eyes and the group with one normal-vision eye. There was no significant difference in the amplitude of two eyes and the amplitude of one normal-vision eye between any other two groups. In forensic identification, characteristics and variability of P-VEPs in one and two eyes can be used to identify malingering or decline in visual acuity. 展开更多
关键词 visual evoked potential decline in visual acuity two eyes FORENSICS
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Forensic Study on Objective Evaluation of Visual Acuity of Ametropia with the Event-related Potential P3
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作者 Fu-quan JIA Fang-liang LUO +3 位作者 Yan-he XIONG Long-long CHENG Zhi-qiang DANG Ji-hui LIU 《Current Medical Science》 SCIE CAS 2023年第3期609-614,共6页
Objective In this study,we aimed to assess the characteristics of the P3 component from an event-related potential(ERP)that was induced by visual acuity(VA)processing.Furthermore,we sought to provide electrophysiologi... Objective In this study,we aimed to assess the characteristics of the P3 component from an event-related potential(ERP)that was induced by visual acuity(VA)processing.Furthermore,we sought to provide electrophysiological evidence for the objective evaluation of VA.Methods We recruited 32 participants with myopia-related ametropia.They reported no other ocular diseases and had an uncorrected VA of 4.0 in both eyes.We used the block letter“E”at different visual angles and orientations as the graphic stimuli.The oddball paradigm,consisting of 4 modules,was used for ERP analysis.The standard stimuli of each module were identical,with a visual angle of 1°15′.The visual angles of the target stimuli were 1°15′,55′,24′,and 15′.The VA test was performed on each eye separately for all participants,and all characteristics of the P3 component were analyzed.Results There was no significant difference in the P3 peak letencies between the target stimulation angle 1°15′group and the 55′group,or between the target stimulation angle 24′group and the 15′group.There was a significant difference in the P3 peak letencies between the target stimulation angle 1°15′group and the 24′group as well as the 15′group.There was a significant difference in the P3 peak letencies between the target stimulation angle 55′group and the 24′group as well as the 15′group.No significant differences were observed in the P3 amplitude between modules.Conclusion In the oddball paradigm,P3 elicitation indicated a cognitive response to the target stimuli.These data showed that the characteristics of P3 can be used as an objective evaluation of VA. 展开更多
关键词 event-related potential P3 visual acuity forensic medicine AMPLITUDE
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Association of Five SNPs at the PARK16 locus as a Suscepti- bility Locus with Parkinson's Disease for Forensic Application
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作者 CUI Hong-gang TIAN Xiao-fei +5 位作者 LUO Xiao-guang LI Feng-rui ZHU Lan-hui ZHOU Yi-shu REN Yan PANG Hao 《法医学杂志》 CAS CSCD 2013年第3期185-189,共5页
To investigate the association of five SNPs(rs823083,rs708723,rs4951261,rs823076 and rs16856110) at the PARK16 locus with Parkinson's disease(PD),and to potentiate its forensic application.The genomic DNAs of 215 ... To investigate the association of five SNPs(rs823083,rs708723,rs4951261,rs823076 and rs16856110) at the PARK16 locus with Parkinson's disease(PD),and to potentiate its forensic application.The genomic DNAs of 215 PD patients and 212 matched controls from the northern Han Chinese population were amplified in two independent PCR systems and subsequently genotyped by digestion with the three endonucleases(Hinf Ⅰ,Nco Ⅰ and Msp Ⅰ).The genetic parameters and association studies were carried out with SPSS 13.0,Haploview version 4.2 and PLINK 1.07 softwares.We detected accurately all genotypes in the five SNPs with multiplex PCR-RFLP and mismatched multiplex PCR-RFLP techniques.The genotypes of four SNPs,except for rs823083,were in Hardy-Weinberg equilibrium.The four SNPs,rs16856110,rs4951261,rs708723 and rs823076,which were in linkage equilibrium,should not be associated with PD(P-values ranging from 0.077 to 0.544).The SNPs investigated at the PARK16 locus were not found to be involved in PD-associated blocks in the northern Han Chinese population.The allele distributions of rs708723,rs4951261,rs823076 and rs16856110 in the northern Han Chinese population can be highly polymorphic,which can be applied to genetic analysis and forensic practices. 展开更多
关键词 法学 研究 PD GWAS
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Improving DNA Data Capacity:Forensic Parameters and Genetic Structure Analysis of Jinjiang Han Population with the Microreader^(TM) Y Prime Plus ID System
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作者 Lu-yao LI De-qing WU +3 位作者 Li-lan YAO Feng LI Chao LIU Fu-quan JIA 《Current Medical Science》 SCIE CAS 2022年第2期462-466,共5页
Objective Population genetic analysis based on genetic markers harbors valuable forensic applications.In this regard,it is informative and imperative to explore Han groups as they are the largest population of China.I... Objective Population genetic analysis based on genetic markers harbors valuable forensic applications.In this regard,it is informative and imperative to explore Han groups as they are the largest population of China.In particular,there is a largely underrepresented amount of information from recent decades regarding the southeast costal Han Chinese.Therefore,the aim of this study is to investigate the available genetic characteristics of the Han population living in the Jinjiang,Fujian Province,Southeastern China.Methods We sampled 858 saliva samples and used the commercially available Microreader^(TM) Y Prime Plus ID System to identify population data of Y-short tandem repeat(STR)loci of this region.Results A total of 822 different haplotypes were observed.The overall haplotype diversity,discriminatory power and haplotype match probability were 0.9999,0.9999 and 0.0012,respectively.Conclusion Our results showed that the Jinjiang Han population was closely genetically related to Han groups of China.Overall,we identified a set of 37 Y-STRs that are highly polymorphic,and that can provide meaningful information in forensic practice and human genetic research. 展开更多
关键词 forensic genetics Y-short tandem repeat Jinjiang Han haplotype diversity Microreader^(TM)Y Prime Plus ID System
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A mouse model of Crimean-Congo hemorrhagic fever virus-induced coagulopathy
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作者 Hui Zhang Ziyang Jiang +5 位作者 Haidang Liao Jiang Li Manli Wang Yiwu Zhou Zhihong Hu Jia Liu 《Virologica Sinica》 2025年第3期499-502,共4页
Dear Editor,Crimean–Congo hemorrhagic fever(CCHF),caused by the CCHF virus(CCHFV),is a severe tick-borne illness with a wide geographical distribution,posing a significant threat with case fatality rates ranging from... Dear Editor,Crimean–Congo hemorrhagic fever(CCHF),caused by the CCHF virus(CCHFV),is a severe tick-borne illness with a wide geographical distribution,posing a significant threat with case fatality rates ranging from 5%to 70%(Hawman and Feldmann,2023).Due to the lack of approved vaccines and therapeutics,the World Health Organization(WHO)has listed CCHF as one of the priority diseases(Semper et al.,2024).CCHF initially presents as a nonspecific febrile illness,characterized by fever,malaise,myalgia,and nausea,which can rapidly progress to hemorrhagic disease.The hemorrhagic stage is particularly pronounced in severe cases,with rapid progression to disseminated intravascular coagulation(DIC),overt bleeding,kidney or liver failure,and shock(Frank et al.,2024).Up to date,there is an absence of a suitable animal model that can accurately mimic the coagulopathy and bleeding associated with CCHFV infection.Consequently,our understanding of the pathogenic mechanisms underlying these conditions remains limited(Rodriguez et al.,2022). 展开更多
关键词 mouse model BLEEDING cchf virus cchfv COAGULOPATHY Crimean Congo hemorrhagic fever virus disseminated intravascular coagulation pathogenic mechanisms hemorrhagic fever cchf caused
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Genotype Identification of Complete Hydatidiform Moles without a Maternal Component:Attempts at a Novel 26-plex STR System
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作者 Yi-na Jiang Lu-yao Li +2 位作者 Peng-fei Nan Fu-quan Jia Li-qin Chen 《Current Medical Science》 2025年第4期889-900,共12页
Objective Current autosomal short tandem repeat(STR)assays can analyze the zygotic composition by comparing the allelic genes at each locus of complete hydatidiform moles(CHM),with a maternal genotype serving as an es... Objective Current autosomal short tandem repeat(STR)assays can analyze the zygotic composition by comparing the allelic genes at each locus of complete hydatidiform moles(CHM),with a maternal genotype serving as an essential reference for comparative analysis.However,their application in pathology represents a challenge because of deficiency or contamination of maternal-origin tissues.This study aimed to develop a novel STR genotyping method for identifying CHM genotypes without a maternal component.Methods Samples with the pathologic description of molar pregnancy were collected.Routine hematoxylin–eosin(HE)staining and p57 immunohistochemistry staining were conducted in accordance with standard guidelines.A novel 26-plex system was explored to classify CHM and diploid pregnancies.The system combined 22 STRs on chromosomes 21/18/13/X,3 sex loci,and 1 quality control marker(TAF9L),enabling molecular diagnosis in the absence of maternal tissue.At last,traditional DNA typing based on villi and decidua(maternal component)of each case was used for result consistency analysis.Results CHM and nonmolar abortus could not be distinguished by the basic HE staining with no fetal evidence or other prominent features.DNA typing was successfully processed for all cases according to the novel 26-plex and traditional system.CHM(46XX)diagnosis required single A-STR/X-STR peaks and absent Y-chromosome markers,excluding chromosomal abnormalities via TAF9L analysis.When the villous tissue analysis revealed single peaks at X-STR/SRY loci,a 1:1 amelogenin ratio,and a 2:1 TAF9L peak ratio,these results overlapped with those of 46XY hydropic abortus or CHM.Notably,p57 immunohistochemical staining resolved the ambiguity.Consistency with traditional DNA genotyping confirmed system accuracy.This multiplex assay enhanced reliability in mole diagnosis,supporting clinical differentiation and genetic counseling.Conclusion This study presents a rapid and cost-effective assay for the genotypic identification of CHM without the need for a maternal component.The method combined the characteristics of STR loci distributed across different chromosomes and developed the clinic application of forensic biomarkers. 展开更多
关键词 Forensic biomarkers Short tandem repeat Complete hydatidiform moles GENOTYPE TAF9L
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Molecular Mechanisms of Gemcitabine Resistance in Cholangiocarcinoma
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作者 Sonexai Kidoikhammouan Charupong Saengboonmee +1 位作者 Sopit Wongkham Wunchana Seubwai 《Oncology Research》 2025年第12期3679-3699,共21页
Cholangiocarcinoma(CCA)is an aggressive cancer originating from bile duct epithelium.Surgical resection remains the primary curative treatment for CCA.However,most CCA patients are diagnosed at an advanced stage,which... Cholangiocarcinoma(CCA)is an aggressive cancer originating from bile duct epithelium.Surgical resection remains the primary curative treatment for CCA.However,most CCA patients are diagnosed at an advanced stage,which limits the applicability of surgical resection.Gemcitabine is widely used as a first-line chemotherapeutic agent for unresectable CCA.Its efficacy is often compromised by the development of drug resistance,which leads to poor clinical outcomes and low survival rates of CCA patients.At present,the mechanisms underlying gemcitabine resistance in CCA remain unclear.This review aimed to comprehensively summarize the current knowledge on the molecular mechanisms underlying gemcitabine resistance in CCA and highlight emerging therapeutic strategies that may overcome this resistance.Gemcitabine resistance arises through multiple mechanisms,including reduced drug uptake and increased efflux,impaired drug activation,enhanced DNA repair,apoptosis evasion,aberrations in cellcycle progression,induction of epithelial–mesenchymal transition,metabolic reprogramming,alteration of tumor,and activation of oncogenic pathways contributes to gemcitabine resistance.A deeper understanding of gemcitabine resistance mechanisms highlights the need for combining gemcitabine with pathway-specific inhibitors,which hold promise for overcoming resistance and improving patient outcomes. 展开更多
关键词 CHOLANGIOCARCINOMA GEMCITABINE drug resistance molecular mechanisms bile duct cancer CHEMOTHERAPY
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3D Jones-matrix thesiography of biological fluid facies
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作者 Alexander Ushenko Iryna Soltys +8 位作者 Alexander Dubolazov Yuriy Ushenko Viacheslav Bilookyi Olexander Bilookyi Olexandra Litvinenko Ivan Mikirin Jun Zheng Zhebo Chen Lin Bin 《Journal of Innovative Optical Health Sciences》 2025年第2期76-93,共18页
A new polarization–interference biomedical diagnostic three-dimensional(3D)Jones-matrix technology with digital Fourier reconstruction of layered maps of optical anisotropy(thesiograms)of dehydrated films(facies)of b... A new polarization–interference biomedical diagnostic three-dimensional(3D)Jones-matrix technology with digital Fourier reconstruction of layered maps of optical anisotropy(thesiograms)of dehydrated films(facies)of biological fluids of human organs is presented and experimentally tested.An original model of layered phase scanning of polycrystalline architectonics of supramolecular networks of biological fluid facies is proposed for the purpose of theoretical justification and prognostic use of the obtained results.On its basis,algorithms of Jones-matrix reconstruction of thesiograms of birefringence and dichroism of facies of synovial fluid,bile and blood are found.As a result,layered thesiograms of linear and circular birefringence and dichroism of facies with different spatial–angular architectonics of supramolecular networks are experimentally obtained for the first time.Within the framework of statistical analysis of experimental data,new objective markers(asymmetry and excess of optical anisotropy parameter distributions)for diagnostics of pathological changes in the optical anisotropy of biological fluid facies were defined and clinically tested.As a result,an excellent level of balanced accuracy of the developed polarization–interference Jones-matrix method of layer-by-layer reconstruction of thesiograms of polycrystalline supramolecular networks in differential diagnostics of bile facies(cholelithiasis),synovial fluid(reactive synovitis–septic arthritis)and whole blood(follicular adenoma–papillary thyroid cancer)was achieved. 展开更多
关键词 POLARIZATION INTERFERENCE FOURIER microscopic image optical anisotropy facies of biological liquids statistical moments
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Forensic investigative genetic genealogy:expanding pedigree tracing and genetic inquiry in the genomic era
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作者 Mengge Wang Hongyu Chen +6 位作者 Lintao Luo Yuguo Huang Shuhan Duan Huijun Yuan Renkuan Tang Chao Liu Guanglin He 《Journal of Genetics and Genomics》 2025年第4期460-472,共13页
Genetic genealogy provides crucial insights into the complex biological relationships within contemporary and ancient human populations by analyzing shared alleles and chromosomal segments that are identical by descen... Genetic genealogy provides crucial insights into the complex biological relationships within contemporary and ancient human populations by analyzing shared alleles and chromosomal segments that are identical by descent to understand kinship,migration patterns,and population dynamics.Within forensic science,forensic investigative genetic genealogy(FIGG)has gained prominence by leveraging next-generation sequencing technologies and population-specific genomic resources,opening useful investigative avenues.In this review,we synthesize current knowledge,underscore recent advancements,and discuss the growing role of FIGG in forensic genomics.FIGG has been pivotal in revitalizing dormant inquiries and offering genetic leads in numerous cold cases.Its effectiveness relies on the extensive single-nucleotide polymorphism profiles contributed by individuals from diverse populations to specialized genomic databases.Advances in computational genomics and the growth of human genomic databases have spurred a profound shift in the application of genetic genealogy across forensics,anthropology,and ancient DNA studies.As the field progresses,FIGG is evolving from a nascent practice into a more sophisticated and specialized discipline,shaping the future of forensic investigations. 展开更多
关键词 Forensic genomics Genetic genealogy Genomic databases Long-range familial searches Identity-by-descent
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Prognostic role of Ki-67 in colorectal carcinoma:Development and evaluation of machine learning prediction models
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作者 Da-Tong Zeng Ming-Jie Li +7 位作者 Rui Lin Wei-Jian Huang Shi-De Li Wan-Ying Huang Bin Li Qi Li Gang Chen Jia-Shu Jiang 《World Journal of Clinical Oncology》 2025年第8期185-200,共16页
BACKGROUND Ki-67 is a routine test item in clinical pathology departments.However,its prognostic value requires further investigation,especially in the context of research using machine learning(ML),which remains rela... BACKGROUND Ki-67 is a routine test item in clinical pathology departments.However,its prognostic value requires further investigation,especially in the context of research using machine learning(ML),which remains relatively underdeveloped.AIM To investigate the prognostic value of Ki-67 in cases of colorectal carcinoma(CRC)and explore the potential application of ML algorithms to predict the Ki-67 index.METHODS Case data and pathological sections from two centers were systematically collected.To analyze the prognostic value of the Ki-67 index in CRC,multiple cutoff values were established.Meanwhile,by virtue of the histological features presented in the hematoxylin and eosin-stained CRC images,three mainstream ML algorithms,support vector machine(SVM),random forest(RF),and eXtreme gradient boosting(XGBoost)were employed to construct prediction models.Subsequently,the potential of these algorithms to classify and predict the Ki-67 index was explored.RESULTS Non-parametric tests revealed that Ki-67≥40%correlated with a high histological grade(P=0.017),deficient mismatch repair protein status associated with≥50%-90%cutoffs(all P≤0.028),and≥80%linked to lymph node metastasis(P=0.006).Kaplan-Meier analysis showed that Ki-67≥50%predicted higher survival(log-rank P=0.0299,hazard ratio=2.142),with no differences for other cutoffs.COX regression identified the Ki-67 positive rate as a significant predictor(P=0.027,hazard ratio=2.583),while other variables had no association.In algorithmic model predictions,the SVM,RF,and XGBoost models achieved training area under the curve(AUC)values of 0.851,0.948,and 0.872,respectively,with corresponding test set AUC values of 0.795,0.755,and 0.750,respectively.During external validation,their AUC values for predicting Ki-67 status reached 0.757,0.749,and 0.783,respectively.CONCLUSION In algorithmic model predictions,the SVM,RF,and XGBoost models achieved training AUC values of 0.851,0.948,and 0.872,respectively,with corresponding test set AUC values of 0.795,0.755,and 0.750,respectively.During external validation,their AUC values for predicting Ki-67 status reached 0.757,0.749,and 0.783,respectively. 展开更多
关键词 Machine learning Colorectal carcinoma KI-67 PROGNOSIS PREDICTION
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Global burden of benign prostatic hyperplasia,urinary tract infections,urolithiasis,bladder cancer,kidney cancer,and prostate cancer from 1990 to 2021
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作者 Hao Zi Meng-Yang Liu +13 位作者 Li-Sha Luo Qiao Huang Peng-Cheng Luo Hang-Hang Luan Jiao Huang Dan-Qi Wang Yong-Bo Wang Yuan-Yuan Zhang Ren-Peng Yu Yi-Tong Li Hang Zheng Tong-Zu Liu Yu Fan Xian-Tao Zeng 《Military Medical Research》 2025年第7期1007-1022,共16页
Background:The burden of common urologic diseases,including benign prostatic hyperplasia(BPH),urinary tract infections(UTI),urolithiasis,bladder cancer,kidney cancer,and prostate cancer,varies both geographically and ... Background:The burden of common urologic diseases,including benign prostatic hyperplasia(BPH),urinary tract infections(UTI),urolithiasis,bladder cancer,kidney cancer,and prostate cancer,varies both geographically and within specific regions.It is essential to conduct a comprehensive and precise assessment of the global burden of urologic diseases.Methods:We obtained data on incidence,prevalence,mortality,and disability-adjusted life-years(DALYs)for the aforementioned urologic diseases by age,sex,location,and year from the Global Burden of Disease(GBD)2021.We analyzed the burden associated with urologic diseases based on socio-demographic index(SDI)and attributable risk factors.The trends in burden over time were assessed using estimated annual percentage changes(EAPC)along with a 95%confidence interval(CI).Results:In 2021,BPH and UTI were the leading causes of age-standardized incidence rate(ASIR)and age-standardized prevalence rate(ASPR),with rates of 5531.88 and 2782.59 per 100,000 persons,respectively.Prostate cancer was the leading cause of both age-standardized mortality rate(ASMR)and age-standardized DALYs rate(ASDR),with rates of 12.63 and 217.83 per 100,000 persons,respectively.From 1990 to 2021,there was an upward trend in ASIR,ASPR,ASMR,and ASDR for UTI,while urolithiasis showed a downward trend.The middle and low-middle SDI quintile levels exhibited higher incidence,prevalence,mortality,and DALYs related to UTI,urolithiasis,and BPH,while the high and high-middle SDI quintile levels showed higher rates for the three cancers.The burden of these 6 urologic diseases displayed diverse age and sex distribution patterns.In 2021,a high body mass index(BMI)contributed to 20.07%of kidney cancer deaths worldwide,while smoking accounted for 26.48%of bladder cancer deaths and 3.00%of prostate cancer deaths.Conclusions:The global burden of 6 urologic diseases presents a significant public health challenge.Urgent international collaboration is essential to advance the improvement of urologic disease management,encompassing the development of effective diagnostic screening tools and the implementation of high-quality prevention and treatment strategies. 展开更多
关键词 Benign prostatic hyperplasia(BPH) Urinary tract infections(UTI) UROLITHIASIS Bladder cancer Kidney cancer Prostate cancer Disability-adjusted life-years(DALYs) Burden of disease
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Efficacy of free-flap-transfer and plate-fixation for Gustilo ⅢB fractures in type Ⅱ diabetic patients:A retrospective study
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作者 Qi Bao Sun-Wen Pan +5 位作者 Xiao-Kang Gong Bo Wang Zhi-Nan Wei Yong-Qing Xu Yue-Liang Zhu Zhen Shi 《World Journal of Clinical Cases》 2025年第28期30-42,共13页
BACKGROUND Managing Gustilo type ⅢB fractures in patients with type 2 diabetes is challenging due to delayed healing and elevated complication risks.This retro-spective study highlights the successful use of free-fla... BACKGROUND Managing Gustilo type ⅢB fractures in patients with type 2 diabetes is challenging due to delayed healing and elevated complication risks.This retro-spective study highlights the successful use of free-flap transfer combined with plate fixation,contributing insights into effective management strategies for these complex cases.AIM To evaluate free-flap transfer with plate fixation for managing Gustilo ⅢB fractures in diabetic patients,focusing on outcomes.METHODS A retrospective analysis of six cases was conducted with a minimum follow-up period of three years.Patients underwent free-flap transfer and plate fixation for fracture management.Outcomes assessed included bone union,flap viability,and complications requiring intervention or plate removal.The follow-up period ranged from three to four years.Persistent infections beneath the flap developed in two patients,necessitating daily wound care.RESULTS Bone healing occurred within 17 to 34 months,with plate removal required in three patients after fracture consolidation.Traumatic osteomyelitis was observed in at least one patient.Despite challenges such as sinus formation and variations in flap pedicle anatomy,successful bone union and flap viability were achieved in all cases.Freeflap transfer combined with plate fixation shows promise for treating Gustilo type ⅢB fractures in patients with diabetes.While infection and the need for plate removal surgeries were observed,consistent success in bone healing and flap viability highlights the potential of this approach.CONCLUSION Free-flap transfer with plate fixation effectively manages Gustilo ⅢB fractures in diabetics,achieving bone/flap healing despite infection risks.Careful patient selection and further validation are critical. 展开更多
关键词 Free flap GustiloⅢB fractures Plate fixation TypeⅡdiabetes Soft tissue defect
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Paleolithic divergence and multiple Neolithic expansions of ancestral nomadic emperor-related paternal lineages
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作者 Mengge Wang Qiuxia Sun +17 位作者 Yuhang Feng Lan-Hai Wei Kaijun Liu Lintao Luo Yuguo Huang Kun Zhou Haibing Yuan Hongliang Lv Yu Lu Jing Cheng Shaoqing Wen Chuan-Chao Wang Renkuan Tang Fengxiao Bu Chao Liu Huijun Yuan Zhiyong Wang Guanglin He 《Journal of Genetics and Genomics》 2025年第4期502-512,共11页
The reconstruction of demographic history using ancient and modern genomic resources reveals extensive interactions and admixture between ancient nomadic pastoralists and the social organizations of the Chinese Centra... The reconstruction of demographic history using ancient and modern genomic resources reveals extensive interactions and admixture between ancient nomadic pastoralists and the social organizations of the Chinese Central Plain.However,the extent to which Y-chromosome genetic legacies from nomadic emperor-related ancestral lineages influence the Chinese paternal gene pool remains unclear.Here,we genotype 2717 ethnolinguistically diverse samples belonging to C2a lineages,perform whole-genome sequencing on 997 representative samples,and integrate these data with ancient genomic sequences.We reconstruct the evolutionary histories of Northern Zhou-,Qing emperor-,and pastoralist-related lineages to assess their genetic impact on modern Chinese populations.This reassembled fine-scale Ychromosome phylogeny identifies deep divergence and five Neolithic expansion events contributing differently to the formation of northern Chinese populations.Phylogeographic modeling indicates that the nomadic empires of the Northern Zhou and Qing dynasties genetically originated from the Mongolian Plateau.Phylogenetic topology and shared haplotype patterns show that three upstream ancestors of Northern Zhou(C2a1a1b1a2a1b-FGC28857),Donghu tribe(C2a1a1b1-F1756),and Qing(C2a1a3a2-F10283)emperor-related lineages expanded during the middle Neolithic,contributing significantly to genetic flow between ancient northeastern Asians and modern East Asians.Notably,this study reveals limited direct contributions of Emperor Wu of Northern Zhou’s lineages to modern East Asians. 展开更多
关键词 Paternal lineage Founding lineage Genetic origin Emperor lineage Y-CHROMOSOME
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Protocol for a global electronic Delphi on integrating artificial intelligence into solid organ transplantation
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作者 Rowan Abuyadek Sara A Ghitani +6 位作者 Ramy Shaaban Muhammad AbdelAziz Quoritem Mohammed S Foula Rodaina Osama Abdel Majid Manar Mokhtar Yasir Ahmed Mohammed Elhadi Amr Alnagar 《World Journal of Transplantation》 2026年第1期9-16,共8页
Artificial intelligence(AI)is increasingly recognized as a transformative force in the field of solid organ transplantation.From enhancing donor-recipient matching to predicting clinical risks and tailoring immunosupp... Artificial intelligence(AI)is increasingly recognized as a transformative force in the field of solid organ transplantation.From enhancing donor-recipient matching to predicting clinical risks and tailoring immunosuppressive therapy,AI has the potential to improve both operational efficiency and patient outcomes.Despite these advancements,the perspectives of transplant professionals-those at the forefront of critical decision-making-remain insufficiently explored.To address this gap,this study utilizes a multi-round electronic Delphi approach to gather and analyses insights from global experts involved in organ transplantation.Participants are invited to complete structured surveys capturing demographic data,professional roles,institutional practices,and prior exposure to AI technologies.The survey also explores perceptions of AI’s potential benefits.Quantitative responses are analyzed using descriptive statistics,while open-ended qualitative responses undergo thematic analysis.Preliminary findings indicate a generally positive outlook on AI’s role in enhancing transplantation processes,particularly in areas such as donor matching and post-operative care.These mixed views reflect both optimism and caution among professionals tasked with integrating new technologies into high-stakes clinical workflows.By capturing a wide range of expert opinions,the findings will inform future policy development,regulatory considerations,and institutional readiness frameworks for the integration of AI into organ transplantation. 展开更多
关键词 Artificial intelligence Solid organ transplantation Electronic Delphi Expert consensus Donor matching Digital health
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Early expressions of hypoxia-inducible factor 1alpha and vascular endothelial growth factor increase the neuronal plasticity of activated endogenous neural stem cells after focal cerebral ischemia 被引量:18
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作者 Seung Song Jong-Tae Park +4 位作者 Joo Young Na Man-Seok Park Jeong-Kil Lee Min-Cheol Lee Hyung-Seok Kim 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第9期912-918,共7页
Endogenous neural stem cells become "activated" after neuronal injury, but the activation sequence and fate of endogenous neural stem cells in focal cerebral ischemia model are little known. We evaluated the relatio... Endogenous neural stem cells become "activated" after neuronal injury, but the activation sequence and fate of endogenous neural stem cells in focal cerebral ischemia model are little known. We evaluated the relationships between neural stem cells and hypoxia-inducible factor-1α and vascular endothelial growth factor expression in a photothromobotic rat stroke model using immunohistochemistry and western blot analysis. We also evaluated the chronological changes of neural stem cells by 5-bromo-2′-deoxyuridine(BrdU) incorporation. Hypoxia-inducible factor-1α expression was initially increased from 1 hour after ischemic injury, followed by vascular endothelial growth factor expression. Hypoxia-inducible factor-1α immunoreactivity was detected in the ipsilateral cortical neurons of the infarct core and peri-infarct area. Vascular endothelial growth factor immunoreactivity was detected in bilateral cortex, but ipsilateral cortex staining intensity and numbers were greater than the contralateral cortex. Vascular endothelial growth factor immunoreactive cells were easily found along the peri-infarct area 12 hours after focal cerebral ischemia. The expression of nestin increased throughout the microvasculature in the ischemic core and the peri-infarct area in all experimental rats after 24 hours of ischemic injury. Nestin immunoreactivity increased in the subventricular zone during 12 hours to 3 days, and prominently increased in the ipsilateral cortex between 3–7 days. Nestin-labeled cells showed dual differentiation with microvessels near the infarct core and reactive astrocytes in the peri-infarct area. BrdU-labeled cells were increased gradually from day 1 in the ipsilateral subventricular zone and cortex, and numerous BrdU-labeled cells were observed in the peri-infarct area and non-lesioned cortex at 3 days. BrdU-labeled cells rather than neurons, were mainly co-labeled with nestin and GFAP. Early expressions of hypoxia-inducible factor-1α and vascular endothelial growth factor after ischemia made up the microenvironment to increase the neuronal plasticity of activated endogenous neural stem cells. Moreover, neural precursor cells after large-scale cortical injury could be recruited from the cortex nearby infarct core and subventricular zone. 展开更多
关键词 nerve regeneration brain ischemia neural stem cell neural precursor cell hypoxia-inducible factor vascular endothelial growth factor MICROENVIRONMENT PHOTOTHROMBOSIS neural regeneration
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Expression of macrophage migration inhibitory factor is associated with enhanced angiogenesis and advanced stage in gastric carcinomas 被引量:31
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作者 Chia-Tung Shun Jaw-Town Lin +2 位作者 Shih-Pei Huang Min-Tsan Lin Ming-Shiang Wu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第24期3767-3771,共5页
AIM: Macrophage migration inhibitory factor (MIF) was reported to inactivate p53 and play an essential role in the growth and angiogenesis of tumors that arise at sites of chronic inflammation. Gastric inflammation is... AIM: Macrophage migration inhibitory factor (MIF) was reported to inactivate p53 and play an essential role in the growth and angiogenesis of tumors that arise at sites of chronic inflammation. Gastric inflammation is a prerequisite for the development of gastric carcinoma (GC), which has recently been linked to Helicobacter pylori (H pylori) infection. This study aimed to investigate dinicopathological significance of MIF expression in GCs. METHODS: We selected 90 consecutive patients with GCs for investigation of the relation among MIF status, clinicopathological parameters, p53 expression and angiogenesis. MIF and p53 expression was assessed by immunohistochemistry as positive and negative groups. Tumor vascularity was evaluated by counting microvessel density on anti-CD34 stained sections. Expression status of MIF was correlated with determined dinicopathological data, p53 immunoreactivity and microvessel counts. RESULTS: Strong immunostainings of MIF were observed in the cytoplasm of cancerous cells in 40% (36/90) of cases but not in normal or metaplastic epithelia. There was no statistically significant correlation between MIF expression and age, gender, H pylori infection, tumor location, histological subtypes, lymph node metastasis or p53 expression. Early GC less frequently overexpressed MIF as compared to advanced GCs (4/20 vs 32/70, P= 0.04). A remarkably increased microvessel count was noted in GCs with MIF expression than those without MIF expression (55.1±30.1 vs 31.3±28.8, P= 0.0001). CONCLUSION: Our results suggest that expression of MIF may contribute to the progression and enhanced angiogenesis in a substantial portion of GCs. 展开更多
关键词 Gastric cancer H pylori ANGIOGENESIS
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Insights on augmenter of liver regeneration cloning and function 被引量:13
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作者 Elisavet Gatzidou Gregory Kouraklis Stamatios Theocharis 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第31期4951-4958,共8页
Hepatic stimulator substance (HSS) has been referred to as a liver-specific but species non-specific growth factor. Gradient purification and sequence analysis of HSS protein indicated that it contained the augmente... Hepatic stimulator substance (HSS) has been referred to as a liver-specific but species non-specific growth factor. Gradient purification and sequence analysis of HSS protein indicated that it contained the augmenter of liver regeneration (ALR), also known as hepatopoietin (HPO). ALR, acting as a hepatotrophic growth factor, specifically stimulated proliferation of cultured hepatocytes as well as hepatoma cells in vitro, promoted liver regeneration and recovery of damaged hepatocytes and rescued acute hepatic failure in vivo. ALR belongs to the new Erv1/Alr protein family, members of which are found in lower and higher eukaryotes from yeast to man and even in some double-stranded DNA viruses. The present review article focuses on the molecular biology of ALR, examining the ALR gene and its expression from yeast to man and the biological function of ALR protein. ALR protein seems to be non-liver-specific as was previously believed, increasing the necessity to extend research on mammalian ALR protein in different tissues, organs and developmental stages in conditions of normal and abnormal cellular growth. 展开更多
关键词 Hepatic stimulator substance Augmenter of liver regeneration Liver regeneration Molecular biology
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Expressions of Osteopontin (OPN),αVβ3 and Pim-1 Associated with Poor Prognosis in Non-small Cell Lung Cancer (NSCLC) 被引量:9
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作者 Yi Jin Da-yue Tong +4 位作者 Lu-ying Tang Jian-ning Chen Jing Zhou Zhi-ying Feng Chun-kui Shao 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2012年第2期103-108,共6页
Objective: To examine the expressions ot osteopontin (OPN), αvP3 and Pim-1 in non-small cell lung cancer (NSCLC), and investigate their potential pathogenic roles in the development of NSCLC. Methods: Immunohi... Objective: To examine the expressions ot osteopontin (OPN), αvP3 and Pim-1 in non-small cell lung cancer (NSCLC), and investigate their potential pathogenic roles in the development of NSCLC. Methods: Immunohistochemistry was used to examine the expressions of OPN, αve3 and Pim-1 in cohort (136 cases) of NSCLC samples and their adjacent normal lung tissue specimens. Statistical analysis was performed to evaluate the relationships among expressions of OPN, αve3 and Pim-1 and their associations with patients clinico- pathological parameters. Results: The expressions of OPN and Pim-1 were predominantly observed in cytoplasm. The expression of αve3 was mostly detected in cytoplasm and/or membrane. In NSCLC samples, the positive rates of OPN, αve3 and Pim-1 expressions were 68.4% (93/136), 77.2% (105/136) and 57.4% (78/136), respectively. In normal lung tissues, in contrast, the positive rates of OPN, αve3 and Pim-1 were 24.0% (12/50), 26.0% (13/50) and 16.0% (8/50), respectively. There were significant differences of the positive expression rates of OPN, αve3 and Pim-1 between NSCLCs samples and normal lung tissues (P〈O.01). In addition, the positive expression of OPN, αve3 and Pim-1 in NSCLCs samples was significantly associated with increased pathological grade, lymph node metastasis and advanced clinical stage (P〈O.01), and they were independent of other clinicopathological parameters (P〉0.05). Furthermore, a significantly positive correlation between the expression of OPN and αve3 (r=0.38, P〈O.O1), OPN and Pim-1 (r=0.37, P〈O.01), or av133 and Pim-1 (r=0.20, P〈0.05) was evaluated in our NSCLC cohort. Conclusion: OPN, αve3 and Pim-1 proteins are frequently overexpressed in NSCLC, and they may play important roles in the development and/or progression of NSCLC. 展开更多
关键词 NSCLC OPN αvl33 PIM-1 IMMUNOHISTOCHEMISTRY
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