PPV

PPV
  • 文章类型: Journal Article
    网状内皮组织增生症病毒(REV)的核酸序列在抗逆转录病毒(APV)中的整合已变得司空见惯。在这项研究中,太原市收集的4株疑似鸡痘病毒(FPV)和1株疑似鸽痘病毒(PPV),山西省鸡胚培养,并通过PCR扩增4b核心蛋白基因,并通过序列分析确定同一性和基因组相似性。然后扩增FPV和PPV的ORF201结束和ORF203开始之间的序列,测序,并进行序列比较以确定基因组相似性。结果表明,分离株分别为4株FPV和1株PPV。4株FPV分离株属于A1型病毒,彼此之间以及与吉林分离的FWPV-09-吉林菌株具有100%的同一性,中国,与B2型病毒TNPV5/NZL/2009的同一性最低,仅为74%。PPV属于A2型病毒,与鸡痘病毒本地株的同一性为90.1%,与PPH和ROPI/W370/ON/2012和ow_2017_3菌株的最高同一性为100%,也属于A2型鸽痘病毒,与TNPV5/NZL/2009(一种B2型病毒)的同一性最低,为73.7%。扩增整合到FPV和PPV中的REV序列的完整基因组,测序和串联后获得5个REV核酸序列,长度范围从7942到8005bp。同一性分析结果表明,该菌株与中国东北分离株具有较高的同一性,广东,和中国的广西地区。基于其gp90蛋白基因,整合到痘病毒中的REV属于III型,与APC-566和1111等菌株的最高同一性为99.9,与REV-Anhui1的同一性最低,为95.4%。不同的REV菌株之间pol基因的长度不同,其编码的氨基酸在675位之后发生显着变化,并缺失和改变。这项研究表明,太原市分离的所有禽痘病毒,山西省整合了整个REV基因序列,他们之间的高度认同。同时,这表明鸽痘病毒分离株也整合了整个REV基因序列,并且与鸡痘病毒中整合的REV基因序列具有最高的同一性。
    Integration of nucleic acid sequences of Reticuloendotheliosis virus (REV) in Avipoxvirus(APV) has become commonplace. In this study, 4 strains of suspected Fowlpox virus (FPV) and 1 strain of suspected Pigeonpox virus (PPV) collected in Taiyuan, Shanxi Province were cultured in chicken embryos, and the 4b core protein gene was amplified by PCR, and the identity and genome similarity were determined by sequence analysis. The sequences between the end of ORF201 and the beginning of ORF203 of FPV and PPV were then amplified, sequenced, and subjected to sequence comparison to determine genome similarity. The results showed that the isolates were 4 strains of FPV and 1 strain of PPV. The 4 isolated strains of FPV belong to type A1 virus, with 100 % identity to each other and to the FWPV-09-Jilin strain isolated in Jilin, China, and the lowest identity to the type B2 virus TNPV5/NZL/2009, which is only 74 %. PPV belongs to type A2 virus, and its identity with local strain of fowlpox virus was 90.1 %, with the highest identity of 100 % with PPLH and ROPI/W370/ON/2012 and ow_2017_3 strains, which also belong to type A2 pigeonpox virus, and the lowest identity of 73.7 % with TNPV5/NZL/2009, a type B2 virus. The complete genome of REV sequences integrated into FPV and PPV were amplified, and 5 REV nucleic acid sequences were obtained after sequencing and concatenation, with lengths ranging from 7942 to 8005 bp. The identity analysis results indicate that it has high identity with isolates from Northeast China, Guangdong, and Guangxi regions in China. Based on its gp90 protein gene, the REV integrated into the poxvirus belong to type III, with the highest identity of 99.9% with strains such as APC-566 and CY1111, and the lowest identity with REV-Anhui1, at 95.4 %. The length of the pol gene varies among different strains of REV, and its encoded amino acid changes significantly after position 675, with deletions and alterations. This study indicates that all fowlpox viruses isolated in Taiyuan, Shanxi Province have integrated the entire REV gene sequence, with high identity between them. At the same time, it indicates that the pigeonpox virus isolate has also integrated the entire REV gene sequence, and has the highest identity with the integrated REV gene sequence in fowlpox virus.
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  • 文章类型: Journal Article
    目的:评估产前无细胞DNA筛查染色体非整倍体的阳性预测值(PPV),无论是在IVF/PGT周期中的单个整倍体移植还是单个未测试胚胎移植后,并评估产前cfDNA筛查和PGT-A结果的一致性。
    方法:单中心回顾性队列研究主题:最常见三体(T)的2973例产前cfDNA筛查结果(T13,T18,T21,X,Y)和微缺失(1p36;4p16.3;5p15.2;15q11.2;22q11.2)来自单胎妊娠,分为两组:PGT-A组(n=1204)单个整倍体移植后的妊娠和非PGT-A组(n=1769)单个未测试胚胎移植后的妊娠,2016年至2023年。
    方法:主要结局指标是产前无细胞DNA筛查的准确性。产前无细胞DNA筛查结果阳性和阴性,随后的产前或产后诊断测试用于将每个阳性的产前无细胞DNA筛查结果分类为真阳性或假阳性.次要终点是评估PGT-A和产前无细胞DNA筛查结果的一致性,并评估用于产前无细胞DNA筛查报告的无细胞DNA胎儿分数的差异研究组之间。
    结果:产前无细胞DNA筛查在平均11.3±1.8周孕龄(GA)进行,并在99.9%的患者中获得了结果(取消率0.1%)。PGT-A测试和未测试的妊娠之间的胎儿分数没有差异(9.5%±4%vs10.3%±4%)。13阳性产前无细胞DNA筛查结果(2-T21,2-X0,4-XXX,1-XYY,1-不确定的性别,2-22q11del/dup,PGT-A组收到1-15q11.2)。羊膜穿刺术和胎儿尸检仅证实1例(22q11dup),给予7.7%的异常产前cfDNA筛查的PPV,其余的结果与PGT-A一致。产前无细胞DNA筛查和PGT-A结果之间的性染色体是100%一致的,对于性染色体,PGT-A给予100%PPV,非整倍体给予100%NPV。产前无细胞DNA筛查阳性结果来自未测试胚胎的27例妊娠(1.5%),对21人进行了选择性的随访测试,其中8人确认了产前无细胞DNA筛查结果,给予非PGT-A组38%的PPV。
    结论:这项研究表明,接受IVF/PGT和单整倍体胚胎移植的患者在孕早期可以可靠地进行产前无细胞DNA筛查。PGT-A测试胚胎后的单胎妊娠中的胎儿分数与未测试胚胎的妊娠没有区别。整倍体胚胎移植后异常的产前无细胞DNA筛查结果的PPV低得令人放心(7.7%)。PGT-A可靠地选择与胎儿性别100%一致的非整倍体。
    OBJECTIVE: To evaluate the positive predictive value (PPV) of prenatal cell-free DNA screening for chromosomal aneuploidies in pregnancies achieved either after single euploid transfer in IVF/PGT cycles or transfer of single untested embryo, and to assess the concordance of prenatal-cfDNA-screening and PGT-A results.
    METHODS: Single centre retrospective cohort study SUBJECTS: 2973 prenatal-cfDNA-screening results for the most common trisomies(T)(T13,T18,T21,X,Y) and microdeletions(1p36;4p16.3;5p15.2;15q11.2;22q11.2) from singleton pregnancies allocated into 2 groups: PGT-A group (n=1204) pregnancy after single euploid transfer and non-PGT-A group (n=1769) pregnancy after transfer of single untested embryo, between 2016 and 2023.
    METHODS: Primary outcome measure was accuracy of prenatal-cell-free-DNA-screening. Positive and negative prenatal-cell-free-DNA-screening results, and subsequent prenatal or postnatal diagnostic testing were used to classify each positive prenatal-cell-free-DNA-screening result as a true or a false positive. Secondary endpoints were to evaluate the concordance of PGT-A and prenatal-cell-free-DNA-screening results and to assess the differences of the fetal fraction of cell-free-DNA used for prenatal-cell-free-DNA-screening report between the study groups.
    RESULTS: Prenatal-cell-free-DNA-screening was performed at mean 11.3±1.8weeks gestational age (GA) and yielded results in 99.9% of the patients (0.1% cancellation rate). There was no difference in the fetal fraction between PGT-A tested and not tested pregnancies (9.5%±4% vs 10.3%±4%). 13 positive prenatal-cell-free-DNA-screening results (2-T21,2-X0,4-XXX,1-XYY, 1-indeterminate sex, 2-22q11 del/dup, 1-15q11.2) were received for PGT-A group. Only one (22q11 dup) was confirmed with amniocentesis and fetal autopsy, giving a PPV for an abnormal prenatal-cfDNA-screening of 7.7%, the rest had results concordant with PGT-A. Sex chromosomes were 100% concordant between prenatal-cell-free-DNA-screening and PGT-A results, giving a 100% PPV for PGT-A for sex chromosomes and 100% NPV for aneuploidies. Positive prenatal-cell-free-DNA-screening results were received for 27 pregnancies from untested embryos (1.5%), follow up testing was electively performed for 21, and 8 had confirmed the prenatal-cell-free-DNA-screening result, giving a PPV for the non-PGT-A group of 38%.
    CONCLUSIONS: This study demonstrates that patients undergoing IVF/PGT and single euploid embryo transfer can reliably do prenatal-cell-free-DNA-screening during their first trimester. Fetal fraction in singleton pregnancies after PGT-A tested embryos is not different from pregnancies with untested embryos. PPV for an abnormal prenatal-cell-free-DNA-screening result after euploid embryo transfer was reassuringly low (7.7%). PGT-A reliably selects against aneuploidy with 100% concordance with fetal sex.
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  • 文章类型: Journal Article
    评估二进制诊断测试的性能,包括人工智能分类算法,涉及测量灵敏度,特异性,正预测值,和阴性预测值。特别是在比较应用于同一组患者的两种诊断测试的性能时,这些指标对于识别更准确的测试至关重要。然而,比较预测值提出了统计挑战,因为它们的分母取决于测试结果,不同于敏感性和特异性的比较。本文回顾了现有的比较预测值的方法,并提出了使用置换检验。置换测试是直观的,适用于小样本数据集的非参数方法。我们使用来自MRI的数据集以及乳房X线照相术和超声的组合模式来证明每种方法诊断乳腺癌。
    Evaluating the performance of a binary diagnostic test, including artificial intelligence classification algorithms, involves measuring sensitivity, specificity, positive predictive value, and negative predictive value. Particularly when comparing the performance of two diagnostic tests applied on the same set of patients, these metrics are crucial for identifying the more accurate test. However, comparing predictive values presents statistical challenges because their denominators depend on the test outcomes, unlike the comparison of sensitivities and specificities. This paper reviews existing methods for comparing predictive values and proposes using the permutation test. The permutation test is an intuitive, non-parametric method suitable for datasets with small sample sizes. We demonstrate each method using a dataset from MRI and combined modality of mammography and ultrasound in diagnosing breast cancer.
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  • 文章类型: Journal Article
    猪巨细胞病毒(PCMV)感染在世界范围内普遍存在,在猪群中的流行率较高,特别是在养猪生产密集的国家。PCMV是人畜共患的,可以影响异种移植。这是已知的第三种人畜共患的猪病毒,猪流感病毒(甲型流感)和戊型肝炎病毒3型(HEVgt3或HEV-3)。野猪,作为各种病原体的蓄水池,包括PCMV,对养猪业和公众健康都构成风险。本研究旨在使用实时PCR技术调查塞尔维亚野猪的PCMV感染并评估其他病毒感染。我们还测试了样品中是否存在其他病毒感染:Aujeszky病病毒(ADV),猪细小病毒(PPV)与猪繁殖呼吸综合征(PRRSV)对来自3个地区的50只野猪的样品进行了测试。结果显示PCMVDNA的阳性率为8%,女性的感染率更高。在56%的样本中检测到猪细小病毒(PPV),猪繁殖呼吸综合征病毒(PRRSV)不存在。在18%的样本中发现了ADV,主要是年轻的动物。这项研究有助于了解塞尔维亚野猪的PCMV患病率,并强调监测野生种群病毒感染的重要性。考虑到潜在的人畜共患和经济影响。
    Porcine cytomegalovirus (PCMV) infection is widespread worldwide and has a high prevalence in swine herds, especially in countries with intensive swine production. PCMV is zoonotic and can impact xenotransplants. It is the third swine virus known to be zoonotic, following swine influenza virus (influenza A) and hepatitis E virus genotype 3 (HEVgt3 or HEV-3). Wild boars, serving as reservoirs for various pathogens, including PCMV, pose a risk to both the pig industry and public health. This study aimed to investigate PCMV infection in Serbian wild boars using real-time PCR and assess other viral infections. We also tested samples for the presence of other viral infections: Aujeszky disease virus (ADV), Porcine parvovirus (PPV) and Porcine reproductive respiratory syndrome (PRRSV). Samples from 50 wild boars across 3 districts were tested. Results showed 8% positivity for PCMV DNA, with females showing higher infection rates. Porcine parvovirus (PPV) was detected in 56% of samples, while Porcine reproductive respiratory syndrome virus (PRRSV) was absent. ADV was found in 18% of samples, primarily in younger animals. This research contributes to understanding PCMV prevalence in Serbian wild boars and emphasizes the importance of monitoring viral infections in wild populations, considering the potential zoonotic and economic implications.
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  • 文章类型: Journal Article
    背景:正确诊断结核(TB)淋巴结炎对其治疗和预防至关重要。细针穿刺细胞学(FNAC)是埃塞俄比亚结核病淋巴结炎诊断的主要方法;然而,埃塞俄比亚东部地区尚未评估FNAC的绩效。这项研究旨在评估FNAC和Ziehl-Neelsen(ZN)染色与GeneXpert染色相比在诊断TB淋巴结炎中的表现。
    方法:使用FNAC检查了从291例怀疑患有TB淋巴结炎的患者中收集的细针抽吸(FNA)标本,ZN,和GeneXpert诊断结核淋巴结炎。Gene-Xpert被认为是用于比较的参考标准方法。敏感性,特异性,阳性预测值(PPV),负预测值(NPV),使用SPSS版本25确定κ系数。
    结果:灵敏度,特异性,PPV,ZN诊断结核淋巴结炎的NPV为73.2%,97.4%,96.2%,分别为80.1%。ZN和GeneXpert之间的一致性较差(Kappa=-0.253)。敏感性,特异性,PPV,FNAC的净现值为83.3%,94.8%,93.5%,分别为86.3%。FNAC和GeneXpert之间有适度的一致性(Kappa=0.785)。
    结论:细针穿刺细胞学检查(FNAC)是诊断结核淋巴结炎比ZN更敏感的检查方法。FNAC显示与GeneXpert测定的中等一致性。这项研究建议FNAGeneXpertMTB/RIF测试优先于FNAC来诊断TB淋巴结炎,以避免对涂片阴性的TB淋巴结炎的漏诊。
    BACKGROUND: Proper diagnosis of tuberculosis (TB) lymphadenitis is critical for its treatment and prevention. Fine needle aspirate cytology (FNAC) is the mainstay method for the diagnosis of TB lymphadenitis in Ethiopia; however, the performance of FNAC has not been evaluated in the Eastern Region of Ethiopia. This study aimed to evaluate the performance of FNAC and Ziehl-Neelsen (ZN) staining compared with that of GeneXpert for the diagnosis of TB lymphadenitis.
    METHODS: Fine needle aspiration (FNA) specimens collected from 291 patients suspected of having TB lymphadenitis were examined using FNAC, ZN, and GeneXpert to diagnose TB lymphadenitis. Gene-Xpert was considered the reference standard method for comparison. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and kappa coefficient were determined using SPSS version 25.
    RESULTS: The sensitivity, specificity, PPV, and NPV of ZN for diagnosing TB lymphadenitis were 73.2%, 97.4%, 96.2%, and 80.1% respectively. There was poor agreement between ZN and GeneXpert (Kappa=-0.253). The sensitivity, specificity, PPV, and NPV of FNAC were 83.3%, 94.8%, 93.5%, and 86.3% respectively. There was moderate agreement between the FNAC and GeneXpert (Kappa = 0.785).
    CONCLUSIONS: The fine needle aspiration cytology (FNAC) is a more sensitive test for the diagnosis of TB lymphadenitis than ZN. The FNAC showed a moderate agreement with the GeneXpert assay. This study recommends the FNA GeneXpert MTB/RIF test in preference to FNAC for the diagnosis of TB lymphadenitis to avoid a missed diagnosis of smear-negative TB lymphadenitis.
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  • 文章类型: Journal Article
    为了研究网状内皮增生病病毒(REV)在鸽痘病毒(PPV)中的整合,我们收集了可疑的猪痘病材料,扩增了PPV的4b核心蛋白基因,REV的gp90基因,以及从PPV的ORF201片段的末端到REV的LTR的开始的整合序列片段,并对这些基因进行了测序。结果表明,扩增出332bp的4b核心蛋白片段,鉴定为鸽痘病毒,它被命名为SX/TY/LTR01/2023。序列分析表明,该鸽痘病毒分离株属于与国产CVL株最接近的A2基因型,99.4%的身份。从REV的gp90基因中扩增出1191bp的条带,命名为SX/TY/PPV-REV01/2023,序列分析表明REV属于基因型III。序列分析表明,REV属于基因型III,与国内分离株JSRD0701和LNR0801属于同一大分支,同一性为99.3%。整合的序列片段被扩增为637bp的条带,这确定REV序列整合在PPV中,而不是两种病毒的混合感染。这表明REV集成在PPV的隔离中,这表明鸽子养殖场在预防鸽子痘的同时需要预防网状内皮增生。
    In order to study the integration of reticuloendotheliosis virus (REV) in pigeonpox virus (PPV), we collected suspected pigeonpox disease material, amplified the 4b core protein gene of PPV, the gp90 gene of REV, and the integrated sequence fragments from the end of the ORF201 segment of PPV to the beginning of the LTR of REV, and sequenced these genes. The results showed that a 4b core protein fragment of 332 bp was amplified and identified as pigeonpox virus, which was named SX/TY/LTR 01/2023. Sequence analysis showed that the pigeonpox virus isolate belonged to genotype A2, which was the closest to the domestic CVL strain, with a identity of 99.4%. A band of 1191 bp was amplified from the gp90 gene of REV, named SX/TY/PPV-REV01/2023, and sequence analysis indicated that REV belonged to genotype III. The sequence analysis showed that REV belonged to genotype III, and belonged to the same large branch as the domestic isolates JSRD0701 and LNR0801, with 99.3% identity. The integrated sequence fragment was amplified to a band of 637 bp, which determined that the REV sequence was integrated in the PPV rather than a mixed infection of the two viruses. This indicates that REV was integrated in this isolation of PPV, suggesting that pigeon farms need to prevent reticuloendotheliosis at the same time when preventing pigeonpox.
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  • 文章类型: Journal Article
    钻爆法是露天矿山常用的开采技术,爆破振动引起的粒子速度峰值(PPV)是评价爆破开采设计参数合理性的重要指标。为了建立有效的PPV预测模型,使用Runge-Kutta优化算法(RUN)结合极限梯度提升(XGBoost)实现了参数自优化RUN-XGBoost预测模型。影响PPV预测的因素,包括最大爆炸(ME),总炸药(TE),爆破中心距离(BCD),爆破孔深度(BHD),以及测量位置和爆炸位置之间的高度差(DH),被选为影响指标。在RK露天矿铜钴矿测量了188条爆破作业数据。然后,研究了PPV的RUN-XGBoost预测模型,并与Sadovsky经验公式进行了比较,传统的XGBoost模型,PSO-XGBoost模型,和一些传统的机器学习模型(Ridge,拉索,SVM,和SVR)使用R2、RMSE、VAF,MAE,和MBE作为模型预测结果的评价指标。最后,采用Shapley加性解释(SHAP)方法评价不同影响指标对PPV预测结果的贡献。结果表明,RUN-XGBoost预测模型对PPV的预测效果明显优于其他机器学习模型和Sadovsky经验公式,进一步证明RUN-XGBoost预测模型能够处理多因素的非线性特征,简单,和有效的PPV预测模型,形成了露天开采爆破振动的快速预测和评价方法。
    The drill-blasting method is a commonly used mining technique in open-pit mines, and the peak particle velocity (PPV) caused by blasting vibrations is an important indicator for evaluating the rationality of blasting mining design parameters. To develop an effective PPV prediction model, a parameter self-optimizing RUN-XGBoost prediction model is implemented using the Runge-Kutta optimization algorithm (RUN) combined with extreme gradient boosting (XGBoost). The factors affecting the prediction of PPV, including maximum explosive (ME), total explosive (TE), blast center distance (BCD), blast hole depth (BHD), and height difference between the measurement location and the blast location (DH), are selected as the influencing indicators. 188 pieces of blasting operation data were measured at the RK open pit copper-cobalt mine. Then, the RUN-XGBoost prediction model for PPV is studied and compared with the Sadovsky empirical formula, traditional XGBoost model, PSO-XGBoost model, and some traditional machine learning models (Ridge, LASSO, SVM, and SVR) using R2, RMSE, VAF, MAE, and MBE as evaluation indicators for model prediction results. Finally, the Shapley Additive Explanations (SHAP) method is used to evaluate the contribution of different influencing indicators to the PPV prediction results. The results show that the RUN-XGBoost prediction model is significantly better than other machine learning models and the Sadovsky empirical formula in the prediction of PPV, further demonstrating that the RUN-XGBoost prediction model can handle the nonlinear features of multiple factors and provide a reliable, simple, and effective PPV prediction model, forming a rapid prediction and evaluation method for blasting vibrations in open-pit mining.
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  • 文章类型: Journal Article
    南部非洲第二领土(SAT2)口蹄疫(FMD)近年来已越过长期的区域边界,进入中东。然而,现有的疫苗对该领域的流行菌株提供较差的交叉保护。因此,在预期SAT2口蹄疫病毒(FMDV)大流行时,迫切需要一种替代的疫苗设计方法.猪细小病毒(PPV)VP2蛋白可以将外源表位嵌入其表面的四个环,组装成病毒样颗粒(VLP),并诱导针对PPV和外源表位的抗体和细胞因子。在这项研究中,使用Sf9和HF细胞中的杆状病毒的重组pFastBac™双重载体产生表达FMDVSAT2的结构蛋白VP1的T和/或B细胞表位的嵌合猪细小病毒VP2VLP(嵌合PPV-SAT2-VLP)。我们使用Bac-to-Bac系统构建重组杆状病毒。VP2-VLP-SAT2嵌合体展示了SATFMDVVP1的嵌合T细胞表位(VP1的氨基酸21-40)和/或B细胞表位(氨基酸135-174),通过取代PPVVP2蛋白的N末端(氨基酸2-23)和/或环2和/或环4的相应区域,分别。在老鼠身上,嵌合PPV-SAT2-VLP诱导针对PPV和SAT2FMDV的VP1蛋白的特异性抗体。VP2-VLP-SAT2嵌合体诱导针对PPV的特异性抗体和FMDVSAT2的VP1蛋白特异性表位。在这项研究中,作为一个概念证明,成功地产生了表达FMDVSAT2的结构蛋白VP1表位的嵌合PPV-VP2VLP,该表位具有预防猪中FMDVSAT2和PPV感染的潜力。
    Southern Africa Territories 2 (SAT2) foot-and-mouth disease (FMD) has crossed long-standing regional boundaries in recent years and entered the Middle East. However, the existing vaccines offer poor cross-protection against the circulating strains in the field. Therefore, there is an urgent need for an alternative design approach for vaccines in anticipation of a pandemic of SAT2 Foot-and-mouth disease virus (FMDV). The porcine parvovirus (PPV) VP2 protein can embed exogenous epitopes into the four loops on its surface, assemble into virus-like particles (VLPs), and induce antibodies and cytokines to PPV and the exogenous epitope. In this study, chimeric porcine parvovirus VP2 VLPs (chimeric PPV-SAT2-VLPs) expressing the T-and/or B-cell epitopes of the structural protein VP1 of FMDV SAT2 were produced using the recombinant pFastBac™ Dual vector of baculoviruses in Sf9 and HF cells We used the Bac-to-Bac system to construct the recombinant baculoviruses. The VP2-VLP--SAT2 chimeras displayed chimeric T-cell epitope (amino acids 21-40 of VP1) and/or the B-cell epitope (amino acids 135-174) of SAT FMDV VP1 by substitution of the corresponding regions at the N terminus (amino acids 2-23) and/or loop 2 and/or loop 4 of the PPV VP2 protein, respectively. In mice, the chimeric PPV-SAT2-VLPs induced specific antibodies against PPV and the VP1 protein of SAT2 FMDV. The VP2-VLP-SAT2 chimeras induced specific antibodies to PPV and the VP1 protein specific epitopes of FMDV SAT2. In this study, as a proof-of-concept, successfully generated chimeric PPV-VP2 VLPs expressing epitopes of the structural protein VP1 of FMDV SAT2 that has a potential to prevent FMDV SAT2 and PPV infection in pigs.
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  • 文章类型: Randomized Controlled Trial
    背景:肥胖会增加外科手术过程中的发病率和死亡率。目标导向液体治疗(GDFT)是围手术期液体管理的新概念,已被证明可以改善患者预后。本研究旨在探讨Pleth变异性指数(PVI)的作用,收缩压变异(SPV),腹腔镜袖状胃切除术(LSG)患者在GDFT管理期间维持组织灌注和肾功能的脉压变化(PPV)。
    方法:我们的前瞻性随机对照临床试验纳入了210例患者。人口统计数据,血液动力学参数,生化参数,术中施用的晶体液和胶体液的量,并记录所使用的目标导向液体管理技术.患者随机分为三组:PVI(n=70),PPV(n=70),和SPV(n=70),根据目标导向的流体管理技术。术后恶心呕吐,肠道运动恢复的时间,并记录住院时间。
    结果:在所有三组中施用的晶体数量之间没有统计学上的显着差异。然而,SPV组的胶体给药量明显低于PVI组,而其他各组间差异无统计学意义。统计上,两组之间的血浆乳酸没有显着差异,血尿素,和肌酐水平。
    结论:在LSG中,动态测量技术,如PVI,SPV,PPV可用于病态肥胖患者,不会引起术中和术后并发症。PVI可能优于其他侵入性方法,因为它是非侵入性的。
    BACKGROUND: Obesity increases the risk of morbidity and mortality during surgical procedures. Goal-directed fluid therapy (GDFT) is a new concept for perioperative fluid management that has been shown to improve patient prognosis. This study aimed to investigate the role of the Pleth Variability Index (PVI), systolic pressure variation (SPV), and pulse pressure variation (PPV) in maintaining tissue perfusion and renal function during GDFT management in patients undergoing laparoscopic sleeve gastrectomy (LSG).
    METHODS: Two hundred ten patients were enrolled in our prospective randomized controlled clinical trial. Demographic data, hemodynamic parameters, biochemical parameters, the amount of crystalloid and colloid fluid administered intraoperatively, and the technique of goal-directed fluid management used were recorded. Patients were randomly divided into three groups: PVI (n = 70), PPV (n = 70), and SPV (n = 70), according to the technique of goal-directed fluid management. Postoperative nausea and vomiting, time of return of bowel movement, and hospital stay duration were recorded.
    RESULTS: There was no statistically significant difference between the number of crystalloids administered in all three groups. However, the amount of colloid administered was statistically significantly lower in the SPV group than in the PVI group, and there was no significant difference in the other groups. Statistically, there was no significant difference between the groups in plasma lactate, blood urea, and creatinine levels.
    CONCLUSIONS: In LSG, dynamic measurement techniques such as PVI, SPV, and PPV can be used in patients with morbid obesity without causing intraoperative and postoperative complications. PVI may be preferred over other invasive methods because it is noninvasive.
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  • 文章类型: Randomized Controlled Trial
    目的:在高危腹部手术患者中,使用目标导向液体疗法(GDFT)已被证明可以减少并发症并改善预后。然而,脉压变异(PPV)引导下GDFT在腹腔镜手术中的应用仍是一个有争议的话题.我们假设,与常规液体治疗相比,利用PPV指导GDFT可以优化接受腹腔镜结直肠癌根治术的老年患者的短期预后。
    方法:将接受腹腔镜结直肠癌根治术的老年患者随机分为PPV引导下的GDFT或常规液体治疗,并探讨与常规液体治疗相比,PPV引导下的GDFT是否能优化接受腹腔镜结直肠癌根治术的老年患者的短期预后。
    结果:与对照组相比,PPV组的并发症发生率显着降低(32.8%vs.57.1%,P=.009)。此外,PPV组胃肠功能障碍发生率较低(19.0%vs.39.3%,P=0.017)和术后肺炎(8.6%vs.23.2%,P=0.033)比对照组。
    结论:采用PPV作为GDFT的监测指标可改善老年患者腹腔镜结直肠癌根治术的近期预后。
    背景:ChiCTR2300067361;注册日期:2023年1月5日。
    OBJECTIVE: The use of goal-directed fluid therapy (GDFT) has been shown to reduce complications and improve prognosis in high-risk abdominal surgery patients. However, the utilization of pulse pressure variation (PPV) guided GDFT in laparoscopic surgery remains a subject of debate. We hypothesized that utilizing PPV guidance for GDFT would optimize short-term prognosis in elderly patients undergoing laparoscopic radical resection for colorectal cancer compared to conventional fluid therapy.
    METHODS: Elderly patients undergoing laparoscopic radical resection of colorectal cancer were randomized to receive either PPV guided GDFT or conventional fluid therapy and explore whether PPV guided GDFT can optimize the short-term prognosis of elderly patients undergoing laparoscopic radical resection of colorectal cancer compared with conventional fluid therapy.
    RESULTS: The incidence of complications was significantly lower in the PPV group compared to the control group (32.8% vs. 57.1%, P = .009). Additionally, the PPV group had a lower occurrence of gastrointestinal dysfunction (19.0% vs. 39.3%, P = .017) and postoperative pneumonia (8.6% vs. 23.2%, P = .033) than the control group.
    CONCLUSIONS: Utilizing PPV as a monitoring index for GDFT can improve short-term prognosis in elderly patients undergoing laparoscopic radical resection of colorectal cancer.
    BACKGROUND: ChiCTR2300067361; date of registration: January 5, 2023.
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