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
    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
    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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  • 文章类型: Journal Article
    本研究旨在开发一种深度学习系统,以识别和区分甲状腺癌的转移性颈淋巴结(CLN)。
    从2014年1月至2020年12月,回顾性纳入3059例疑似甲状腺癌转移性CLN的连续患者。通过细针抽吸确认所有CLN。将患者随机分为训练组(1228个良性CLN和1284个转移性CLN)和测试组(307个良性CLN和240个转移性CLN)。使用灰度超声图像来开发和测试Y-Net深度学习模型的性能。我们使用Y-Net网络模型来分割和区分淋巴结。使用Dice系数来评估分割效率。灵敏度,特异性,准确度,阳性预测值(PPV),和阴性预测值(NPV)用于评估分类效率。
    在测试集中,Dice系数中位数为0.832。敏感性,特异性,准确度,PPV,净现值为57.25%,87.08%,72.03%,81.87%,和66.67%,分别。我们还使用Y-Net分类分支来评估LNs超声图像的分类效率。分类分支模型具有敏感性,特异性,准确度,PPV,净现值为84.78%,80.23%,82.45%,79.35%,和85.61%,分别。对于原始超声报告,灵敏度,特异性,准确度,PPV,净现值为95.14%,34.3%,64.66%,59.02%,87.71%,分别。Y-Net模型比原始超声报告具有更好的准确性。
    Y-Net模型可用于协助超声检查者提高转移性CLNs超声图像分类的准确性。
    UNASSIGNED: This study aimed to develop a deep learning system to identify and differentiate the metastatic cervical lymph nodes (CLNs) of thyroid cancer.
    UNASSIGNED: From January 2014 to December 2020, 3059 consecutive patients with suspected with metastatic CLNs of thyroid cancer were retrospectively enrolled in this study. All CLNs were confirmed by fine needle aspiration. The patients were randomly divided into the training (1228 benign and 1284 metastatic CLNs) and test (307 benign and 240 metastatic CLNs) groups. Grayscale ultrasonic images were used to develop and test the performance of the Y-Net deep learning model. We used the Y-Net network model to segment and differentiate the lymph nodes. The Dice coefficient was used to evaluate the segmentation efficiency. Sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) were used to evaluate the classification efficiency.
    UNASSIGNED: In the test set, the median Dice coefficient was 0.832. The sensitivity, specificity, accuracy, PPV, and NPV were 57.25%, 87.08%, 72.03%, 81.87%, and 66.67%, respectively. We also used the Y-Net classified branch to evaluate the classification efficiency of the LNs ultrasonic images. The classification branch model had sensitivity, specificity, accuracy, PPV, and NPV of 84.78%, 80.23%, 82.45%, 79.35%, and 85.61%, respectively. For the original ultrasonic reports, the sensitivity, specificity, accuracy, PPV, and NPV were 95.14%, 34.3%, 64.66%, 59.02%, 87.71%, respectively. The Y-Net model yielded better accuracy than the original ultrasonic reports.
    UNASSIGNED: The Y-Net model can be useful in assisting sonographers to improve the accuracy of the classification of ultrasound images of metastatic CLNs.
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  • 文章类型: Case Reports
    背景:报道一例玻璃体切除术后硅油意外进入Berger间隙(BS)的病例,探讨有效的治疗方法和可能的病因机制。
    方法:一名68岁男性接受玻璃体切割和硅油注射治疗右眼视网膜脱离(RD)。六个月后,我们注意到一个意想不到的晶状体状圆形半透明物质位于后晶状体囊后面,并诊断为BS填充硅油。随后,我们在第二次手术中进行了玻璃体切除术和BS中硅油的引流。3个月的随访显示显著的解剖恢复和视觉恢复。
    结论:我们的病例报告介绍了一例玻璃体切除术后硅油进入BS的患者,并从相对独特的角度提供了BS的照片。此外,我们阐述了手术治疗过程,揭示了硅油进入BS的可能病因和预防方法,这将为临床诊断和治疗提供很好的见解。
    BACKGROUND: To report a case in which silicone oil accidentally entered Berger\'s space (BS) after vitrectomy and to explore the effective treatments and possible etiological mechanisms.
    METHODS: A 68-year-old male underwent vitrectomy and silicone oil injection for the treatment of retinal detachment (RD) in the right eye. Six months later, we noticed an unexpected lens-like round translucent substance located behind the posterior lens capsule and diagnosed it as BS filled by silicone oil. Subsequently, we conducted vitrectomy and the drainage of the silicone oil in BS in the second surgery. A 3-month follow-up showed significant anatomic recovery and visual recovery.
    CONCLUSIONS: Our case report presents a patient with silicone oil entering BS after vitrectomy and provides photographs of BS from a relatively unique perspective. Furthermore, we illustrate the surgical treatment procedure and reveal the possible etiology and prevention method of silicon oil entering BS, which will provide good insights for clinical diagnosis and treatment.
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  • 文章类型: Journal Article
    采用新型瞬态卸载试验系统,对不同侧压力系数(k0)下的隧道瞬态开挖进行了数值模拟。结果表明,隧道的瞬态开挖会引起明显的应力重分布和集中,粒子对周围岩石的位移和振动。k0的减小增强了瞬态隧道开挖的动态扰动,特别是当k0=0.4和0.2时,可以在隧道顶部观察到拉应力。隧道顶部测量点的峰值粒子速度(PPV)随着隧道边界与测量点之间距离的增加而减小。在相同的卸载条件下,瞬态卸载波通常集中在振幅频谱中的较低频率上,特别是对于较低的k0值。此外,动态Mohr-Coulomb准则通过引入加载速率效应来揭示瞬态开挖隧道的破坏机理。发现隧道的开挖破坏区(EDZ)以剪切破坏为主。剪切破坏带的数量随着k0的减小而增加。瞬态开挖后隧道的EDZ随k0的减小而从环形到蛋形和X型剪切变化。瞬态卸载引起的EDZ演化与k0相关,即,围岩剪切破坏主要发生在高k0(1.0-0.7)下的应力重分布阶段,而k0≤0.6时,瞬态卸载过程后更容易发生围岩剧烈破坏。
    A novel transient unloading testing system was adopted to simulate the transient excavation of tunnels under different lateral pressure coefficients (k 0). The results show that the transient excavation of a tunnel induces significant stress redistributions and concentrations, particle displacements and vibrations to the surrounding rocks. The decrease of k 0 enhances the dynamic disturbance of transient tunnel excavation, and especially when k 0 = 0.4 and 0.2, the tensile stress can be observed on the top of the tunnel. The peak particle velocity (PPV) of the measuring points on the top of the tunnel decreases with the increasing distance between the tunnel boundary and measuring point. The transient unloading wave is generally concentrated on lower frequencies in the amplitude-frequency spectrum under the same unloading conditions, especially for lower k 0 values. In addition, the dynamic Mohr-Coulomb criterion was used to reveal the failure mechanism of a transient excavated tunnel by involving the loading rate effect. It is found that the excavation damaged zone (EDZ) of the tunnel is dominated by the shear failure, and the number of the shear failure zones increases with the decrease of k 0. The EDZ of tunnels after transient excavations varies from ring-shape to egg-shape and X-type shear with the decrease of k 0. The evolution of the EDZ induced by the transient unloading is associated with k 0, i.e., the shear failure of surrounding rocks mainly occurs in the stress redistribution stage under high k 0 (1.0-0.7), while the dramatic destruction of surrounding rocks is more prone to occur after the transient unloading process when k 0 ≤ 0.6.
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  • 文章类型: Journal Article
    目的:许多疾病和病症与线粒体DNA(mtDNA)突变有关,其中12S核糖体RNA基因中的m.155A>G和m.1494C>T突变导致全球范围内的氨基糖苷类诱导的和非综合征性的听力损失。
    方法:对76,842份合格的非侵入性产前(NIPT)样本进行mtDNA突变和单倍群分析。
    结果:我们检测到181m.155A>G和m.1494C>T突变,随后对其中的151个进行了测序,以进行全长线粒体基因组验证。m.155A>G和m.1494C>T突变的阳性预测值分别为90.78%和90.00%,分别,表现与新生儿听力筛查相当。此外,线粒体单倍群分析显示12SrRNA1555A>G突变在亚单倍型D5中富集[p=0,OR=4.6706(2.81-7.78)].
    结论:我们的研究结果表明,从母体血浆中获得的无细胞DNA的非侵入性产前检测可以成功检测到m.155A>G和m.1494C>T突变。
    OBJECTIVE: Numerous diseases and disorders are associated with mitochondrial DNA (mtDNA) mutations, among which m.1555A > G and m.1494C > T mutations in the 12 S ribosomal RNA gene contribute to aminoglycoside-induced and nonsyndromic hearing loss worldwide.
    METHODS: A total of 76,842 qualified non-invasive prenatal (NIPT) samples were subjected to mtDNA mutation and haplogroup analysis.
    RESULTS: We detected 181 m.1555A > G and m.1494C > T mutations, 151 of which were subsequently sequenced for full-length mitochondrial genome verification. The positive predictive values for the m.1555A > G and m.1494C > T mutations were 90.78% and 90.00%, respectively, a performance comparable to that attained with newborn hearing screening. Furthermore, mitochondrial haplogroup analysis revealed that the 12 S rRNA 1555A > G mutation was enriched in sub-haplotype D5[p = 0, OR = 4.6706(2.81-7.78)].
    CONCLUSIONS: Our findings indicate that the non-invasive prenatal testing of cell-free DNA obtained from maternal plasma can successfully detect m.1555A > G and m.1494C > T mutations.
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  • 文章类型: Systematic Review
    每搏输出量变化(SVV)和脉压变化(PPV)在腹腔镜手术中预测液体反应性的可靠性尚不清楚。我们进行了系统评价,以总结目前的证据。我们回顾了研究SVV和PPV在腹腔镜手术中的可靠性的研究。七项研究纳入最终分析。两项研究表明,SVV的受试者工作特征曲线下面积(AUROC)小于0.8,五项研究报告AUROC>0.8。SVV和PPV的合并AUROC大于0.8,纳入研究之间具有高度异质性。大多数个人研究表明,SVV和PPV对于预测腹腔镜手术期间的液体反应性足够可靠。然而,患者数量有限,用于定义流体响应性的各种设备,流体响应性的不同定义,以及在纳入的研究中用于执行流体挑战的不同流体使得关于SVV和PPV的可靠性的可靠结论不可能。
    The reliability of stroke volume variation (SVV) and pulse pressure variation (PPV) in predicting fluid responsiveness during laparoscopic surgery remains unclear. We conducted the present systematic review to summarize the current evidence. We reviewed studies that investigated the reliability of SVV and PPV in laparoscopic surgery. Seven studies were included in the final analysis. Two studies demonstrated that the area under the receiver operating characteristic curve (AUROC) for SVV was less than 0.8, and five studies reported that the AUROC was > 0.8. The pooled AUROC for SVV and PPV was more than 0.8 with high heterogeneities between the included studies. Most individual studies have suggested that SVV and PPV are sufficiently reliable for predicting fluid responsiveness during laparoscopic surgery. However, the limited number of patients, varied apparatus used to define fluid responsiveness, diverse definitions of fluid responsiveness, and different fluids used to perform fluid challenges in the included studies render firm conclusions about SVV\'s and PPV\'s reliability impossible.
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