Detection

检测
  • 文章类型: Journal Article
    黑斑壳病是一种尚未解决的疾病,会降低珍珠质量并威胁珍珠牡蛎的生存。在以往的研究中,细菌Tenacibaculumsp.从患病的Akoya珍珠牡蛎Pinctadafucata中分离出菌株Pbs-1,和一个快速的,具体,建立了灵敏的环介导等温扩增(LAMP)检测方法。该技术对于牡蛎孵化场和/或珍珠养殖场中的Pbs-1菌株的常规诊断具有相当大的潜力;因此,在环境样品中识别可能抑制LAMP的物质并找到可以减少LAMP抑制的添加剂是至关重要的。在这项研究中,我们调查了六种化学物质或蛋白质的影响,也称为常规PCR抑制剂,在灯上,使用菌株Pbs-1的DNA作为模板:腐殖酸,尿素,氯化铁(III)六水合物,黑色素,肌红蛋白,和乙二胺-N,N,N\',N'-四乙酸,二钠盐,二水合物(EDTA;pH6.5)。接下来,为了减少已确定的抑制剂的作用,我们测试了将牛血清白蛋白(BSA)或T4基因32蛋白(gp32)添加到LAMP测定中。当使用50ng的DNA模板时,4ng/μL腐殖酸,0.05%黑色素,10mM的EDTA(pH6.5)抑制LAMP反应,而肌红蛋白,尿素,和FeCl3没有影响。当使用50pg的DNA模板时,4ng/μL腐殖酸,0.05%黑色素,4μg/μL肌红蛋白,10μg/μL尿素,和10mMEDTA抑制LAMP反应。因此,研究表明,黑色素的基因扩增抑制作用,腐殖酸,可以通过向LAMP反应混合物中加入BSA或gp32来还原尿素。这项技术可以作为防止珍珠牡蛎大量死亡的协议的一部分;此外,结果增强了我们对抑制LAMP的物质和减少抑制的方法的了解,很少有报道。
    Black-spot shell disease is an unresolved disease that decreases pearl quality and threatens pearl oyster survival. In previous studies, the bacterium Tenacibaculum sp. strain Pbs-1 was isolated from diseased Akoya pearl oysters Pinctada fucata, and a rapid, specific, and sensitive loop-mediated isothermal amplification (LAMP) assay for detecting this pathogen was established. This technology has considerable potential for routine diagnosis of strain Pbs-1 in oyster hatcheries and/or pearl farms; therefore, it is vital to identify substances in environmental samples that might inhibit LAMP and to find additives that can reduce the inhibition. In this study, we investigated the effects of six chemicals or proteins, otherwise known as conventional PCR inhibitors, on LAMP, using the DNA of strain Pbs-1 as template: humic acid, urea, iron (III) chloride hexahydrate, melanin, myoglobin, and Ethylenediamine-N,N,N\',N\'-tetraacetic acid, disodium salt, dihydrate (EDTA; pH 6.5). Next, to reduce the effects of identified inhibitors, we tested the addition of bovine serum albumin (BSA) or T4 gene 32 protein (gp32) to the LAMP assay. When 50 ng of DNA template was used, 4 ng/μL of humic acid, 0.05% melanin, and 10 mM of EDTA (pH 6.5) inhibited the LAMP reaction, whereas myoglobin, urea, and FeCl3 had no effect. When 50 pg of DNA template was used, 4 ng/μL of humic acid, 0.05% melanin, 4 μg/μL of myoglobin, 10 μg/μL of urea, and 10 mM of EDTA inhibited the LAMP reaction. Thus, it was shown that the gene-amplification inhibitory effect of melanin, humic acid, and urea could be reduced by adding BSA or gp32 to the LAMP reaction mixture. This technique could be applied as part of a protocol to prevent mass mortalities of pearl oysters; moreover, the results enhance our knowledge about substances that inhibit LAMP and methods to reduce the inhibition, which have rarely been reported.
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  • 文章类型: Journal Article
    胎儿生长受限(FGR)影响5%-10%的妊娠,并且与死亡率和发病率的增加的风险相关。尽管在多达50%的FGR婴儿中观察到不利的神经发育结果,FGR的诊断并不表明个别婴儿的风险水平,因此这些婴儿不接受常规随访以评估神经发育结局.确定FGR婴儿的神经发育不良结局风险增加将大大有助于早期提供适当的支持和干预措施。从而改善结果。然而,目前检测出生前后脑损伤的方法缺乏检测与FGR相关的更细微改变所需的灵敏度。血液生物标志物具有这种潜力。本系统综述评估了目前关于血液生物标志物的文献,用于识别出生后>12个月的不良神经发育结局风险增加的FGR婴儿。从开始到2024年2月22日搜索了四个数据库。两名审稿人评估了文章是否符合纳入标准。使用诊断准确性研究质量评估2评估纳入的文章的质量。由于确定的荟萃分析文章不足,因此提供了研究结果的摘要。排除重复项,筛选了1,368条记录,只有9篇文章考虑进行全文审查。只有一篇文章符合所有纳入标准。质量评估表明偏倚风险较低。在这项研究中调查了两种血液生物标志物,神经元特异性烯醇化酶和S100B,在2年时证明与神经发育评估呈负相关。四项研究不符合所有纳入标准,但确定了代谢物和细胞因子的有希望的发现,在这里讨论。这些发现支持了进一步研究的需要,并强调了血液生物标志物预测不良后果的潜力。
    https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=369242,标识符CRD42022369242。
    Fetal growth restriction (FGR) impacts 5%-10% of pregnancies and is associated with increased risk of mortality and morbidity. Although adverse neurodevelopmental outcomes are observed in up to 50% of FGR infants, a diagnosis of FGR does not indicate the level of risk for an individual infant and these infants are not routinely followed up to assess neurodevelopmental outcomes. Identifying FGR infants at increased risk of adverse neurodevelopmental outcomes would greatly assist in providing appropriate support and interventions earlier, resulting in improved outcomes. However, current methods to detect brain injury around the time of birth lack the sensitivity required to detect the more subtle alterations associated with FGR. Blood biomarkers have this potential. This systematic review assessed the current literature on blood biomarkers for identifying FGR infants at increased risk of adverse neurodevelopmental outcomes at >12 months after birth. Four databases were searched from inception to 22 February 2024. Articles were assessed for meeting the inclusion criteria by two reviewers. The quality of the included article was assessed using Quality Assessment of Diagnostic Accuracy Studies-2. A summary of findings is presented as insufficient articles were identified for meta-analysis. Excluding duplicates, 1,368 records were screened with only 9 articles considered for full text review. Only one article met all the inclusion criteria. Quality assessment indicated low risk of bias. Both blood biomarkers investigated in this study, neuron specific enolase and S100B, demonstrated inverse relationships with neurodevelopmental assessments at 2 years. Four studies did not meet all the inclusion criteria yet identified promising findings for metabolites and cytokines which are discussed here. These findings support the need for further research and highlight the potential for blood biomarkers to predict adverse outcomes.
    UNASSIGNED: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=369242, Identifier CRD42022369242.
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  • 文章类型: Journal Article
    用于同时检测多种目标化学物质的纳米酶(NZ)的开发在食品和健康科学领域获得了最重要的关注,和废物管理行业。纳米酶(NZ)有效地补偿了天然酶的环境脆弱性。考虑到新西兰应用多样化的发展差距,我们合成了多才多艺的席夫碱配体遵循一个简单的路线和容易获得的起始试剂(戊二醛,氨基吡啶)。DPDI,合成的配体之一,在环境条件下容易与过渡金属离子(特别是Cu2,Ag1,Zn2)反应,产生相应的纳米颗粒/MOF。使用各种分析技术证实了配体及其产物的结构。DPDI-Cu的酶促功效(km0.25mM=,Vmax=10.75µM/sec)超过了Tremeteseversicolor漆酶功效(km0。5mM=,Vmax=2.15µM/sec)。此外,DPDI-Cu被证明对pH变化有弹性,温度,离子强度,有机溶剂,和与漆酶相比的储存时间,并提供可重用性。DPDI-Cu被证明可用于多巴胺的比色检测,肾上腺素,儿茶酚,四环素,还有槲皮素.经由过程LC/MS剖析研讨了TC的氧化检测机理。DPDI-Cu-膨润土复合材料可有效吸附四环素,最大Langmuir吸附量为208mg/g。此外,DPDI/Cu和DPDI-Ag纳米颗粒具有抗真菌活性,对黄曲霉的最低抑制浓度为400µg/mL和3.12µg/mL。荧光染料示踪和SEM/TEM分析证实,DPDI-Ag引起质膜破坏,并在真菌细胞中引发ROS产生和凋亡样死亡。小麦种子的DPDI-Ag涂层处理证实了Ag-NP的非植物毒性。
    The development of nanozymes (NZ) for the simultaneous detection of multiple target chemicals is gaining paramount attention in the field of food and health sciences, and waste management industries. Nanozymes (NZ) effectively compensate for the environmental vulnerability of natural enzymes. Considering the development gap of NZ with diverse applications, we synthesized versatile Schiff\'s base ligands following a facile route and readily available starting reagents (glutaraldehyde, aminopyridines). DPDI, one of the synthesized ligands, readily reacted with transition metal ions (Cu+2, Ag+1, Zn+2 in specific) under ambient conditions, yielding the corresponding nanoparticles/MOF. The structures of ligands and their products were confirmed using various analytical techniques. The enzymatic efficacy of DPDI-Cu (km 0.25 mM=, Vmax = 10.75 µM/sec) surpassed Tremetese versicolor laccase efficacy (km 0. 5 mM=, Vmax = 2.15 µM/sec). Additionally, DPDI-Cu proved resilient to changing pH, temperature, ionic strength, organic solvent, and storage time compared to laccase and provided reusability. DPDI-Cu proved promising for colorimetric detection of dopamine, epinephrine, catechol, tetracycline, and quercetin. The mechanism of oxidative detection of TC was studied through LC/MS analysis. DPDI-Cu-bentonite composite efficiently adsorbed tetracycline with maximum Langmuir adsorption of 208 mg/g. Moreover, DPDI/Cu and DPDI-Ag nanoparticles possessed antifungal activity exhibiting a minimum inhibitory concentration of 400 µg/mL and 3.12 µg/mL against Aspergillus flavus. Florescent dye tracking and SEM/TEM analysis confirmed that DPDI-Ag caused disruption of the plasma membrane and triggered ROS generation and apoptosis-like death in fungal cells. The DPDI-Ag coating treatment of wheat seeds confirmed the non-phytotoxicity of Ag-NPs.
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  • 文章类型: Journal Article
    Cronobacter物种是可能污染婴儿配方奶粉的潜在病原体。Sakazakii和malonaticus是与感染相关的Cronobacter的最常见物种。本研究通过使用比较基因组方法挖掘了新的分子靶标,用于检测sakazakii和malonaticus。获得了特定的靶基因mngB和ompR,并用于检测sakazakii和malonaticus,分别。一种新颖的检测方法,称为梯形解链温度等温扩增(LMTIA),进行了开发和评估。纯的SakazakiiDNA的检测极限为每个反应1μg,而对于马洛氏梭菌,每个反应1μg。theC.Sakazaki,C.malonaticus,和参考染色都被正确识别。当在反应中使用羟基萘酚蓝染料(HNB染料)时,扩增子可以通过肉眼成功地可视化和鉴定。因此,本研究中开发的LMTIA测定法显示了在微生物鉴定和检测中的潜在应用。
    Cronobacter species are potential pathogens that can contaminate powdered infant formula. C. sakazakii and C. malonaticus are the most common species of Cronobacter associated with infections. This study mined new molecular targets for the detection of C. sakazakii and C. malonaticus by using comparative genome approaches. Specific target genes mngB and ompR were obtained and used to detect C. sakazakii and C. malonaticus, respectively. A novel detection method, termed ladder-shape melting temperature isothermal amplification (LMTIA), was developed and evaluated. The detection limit for pure C. sakazakii DNA was 1 pg per reaction and 1 fg per reaction for C. malonaticus. The C. sakazakii, C. malonaticus, and the reference stains were all correctly identified. The amplicons can be successfully visualized and identified by naked eyes when hydroxy naphthol blue dye (HNB dye) was used in the reaction. Therefore, the LMTIA assays developed in this study showed potential application for microorganism identification and detection.
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  • 文章类型: Journal Article
    一种新的环保传感器,合成了3-((6-((4-氯苄基)氨基)吡啶-2-基)亚氨基)吲哚啉-2-酮(CBAPI),并对其进行了表征。CBAPI传感器用于检测Zn2+和Fe3+离子。在pH6.0时,Zn2离子的检出限为2.90,Fe3离子的检出限为3.59nmolL-1。该传感器表现出对其他干扰阳离子的高选择性。此外,高的结合常数反映了传感器对Zn2和Fe3离子的亲和力。为了进一步验证其对Zn2+离子的定量能力,合成的CBAPI传感器用于测定人头发样品中的锌含量,并使用原子吸收光谱法(AAS)证实了结果。使用AGREE度量工具来评估该方法的环境影响和实际适用性。这些积极的结果表明,检测Zn2和Fe3离子的新方法对环境友好且对人类安全。开发的CBAPI传感器代表了金属离子检测的潜在发展,结合灵敏度,选择性,和速度。
    A new eco-friendly sensor, 3-((6-((4-chlorobenzylidene)amino)pyridin-2-yl)imino)indolin-2-one (CBAPI) was synthesized and well characterized. The CBAPI sensor was employed for detecting Zn2+ and Fe3+ ions. It exhibited a low limit of detection at pH 6.0, with values of 2.90, for Zn2+ and 3.59 nmol L-1 for Fe3+ ions. The sensor demonstrated high selectivity over other interfering cations. Additionally, the high binding constants reflect the great affinity of sensor towards Zn2+ and Fe3+ ions. To further validate its quantification ability for Zn2+ ions, the synthesized CBAPI sensor was used to determine Zn levels in human hair samples, and the results were confirmed using atomic absorption spectroscopy (AAS). The AGREE metric tool was used to assess the method\'s environmental impact and practical applicability. These positive outcomes indicated that the new method for detecting Zn2+ and Fe3+ ions is environmentally friendly and safe for humans. The developed CBAPI sensor represents a potential development in metal ion detection, combining sensitivity, selectivity, and rapidity.
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  • 文章类型: Journal Article
    产油真菌因其积累大量脂质(超过生物质干重的20%)和多不饱和脂肪酸(PUFA)的能力而引起了极大的兴趣。具有多种工业和生物应用。植物和动物来源的脂质与一些限制有关,因此引起了人们对含油微生物作为可靠替代资源的关注。脂质传统上是细胞内生物合成的,并参与各种细胞区室的构建结构。在产油真菌中,在一定的生长培养基中碳比升高和氮减少的条件下,通过将整个中心碳代谢转换为脂肪酸合成代谢而发生的代谢途径的变化,随后导致高脂质积累。本综述阐述了生物脂质结构,脂肪酸类别和产油真菌内的生物合成与某些关键酶,以及产油真菌相对于其他脂质生物来源的优势。用于检测含油微生物的脂质积累能力的定性和定量技术,包括视觉,和分析(方便和不方便)进行了辩论。影响脂质生产的因素,以及不同的方法来提高含油酵母和真菌中的脂质含量,包括优化,利用具有成本效益的废物,共同培养,以及代谢和基因工程,进行了讨论。更好地了解含油真菌的筛选,检测,使用不同的策略最大化脂质含量可以帮助发现新的有效的含油分离物,开发和回收低成本废物,并提高具有生物技术意义的生物脂质累积效率。
    Oleaginous fungi have attracted a great deal of interest for their potency to accumulate high amounts of lipids (more than 20% of biomass dry weight) and polyunsaturated fatty acids (PUFAs), which have a variety of industrial and biological applications. Lipids of plant and animal origin are related to some restrictions and thus lead to attention towards oleaginous microorganisms as reliable substitute resources. Lipids are traditionally biosynthesized intra-cellularly and involved in the building structure of a variety of cellular compartments. In oleaginous fungi, under certain conditions of elevated carbon ratio and decreased nitrogen in the growth medium, a change in metabolic pathway occurred by switching the whole central carbon metabolism to fatty acid anabolism, which subsequently resulted in high lipid accumulation. The present review illustrates the bio-lipid structure, fatty acid classes and biosynthesis within oleaginous fungi with certain key enzymes, and the advantages of oleaginous fungi over other lipid bio-sources. Qualitative and quantitative techniques for detecting the lipid accumulation capability of oleaginous microbes including visual, and analytical (convenient and non-convenient) were debated. Factors affecting lipid production, and different approaches followed to enhance the lipid content in oleaginous yeasts and fungi, including optimization, utilization of cost-effective wastes, co-culturing, as well as metabolic and genetic engineering, were discussed. A better understanding of the oleaginous fungi regarding screening, detection, and maximization of lipid content using different strategies could help to discover new potent oleaginous isolates, exploit and recycle low-cost wastes, and improve the efficiency of bio-lipids cumulation with biotechnological significance.
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  • 文章类型: Journal Article
    这篇综述研究了基于纳米技术的化学传感器在识别环境有毒离子中的应用。近几十年来,创造用于化学传感的纳米级材料,生物医学,生物分析已经成为一种有希望的途径。纳米材料在提高化学传感器的灵敏度和选择性方面起着至关重要的作用,从而使它们成为监测和评估环境污染的有效工具。这是由于它们高度可调的大小和形状依赖性的化学和物理性质。纳米材料具有独特的表面化学,热稳定性,高表面积,单位质量的孔体积大,可以用于传感器开发。讨论包括化学传感器设计中使用的不同类型的纳米材料,LOD,它们的传感机制,以及它们在检测特定有毒离子方面的功效。此外,审查探讨了取得的进展,面临的障碍,以及这个快速发展的领域的未来前景,强调纳米技术对建立强大的环境监测传感平台的潜在贡献。
    This review examines the utilization of nanotechnology-based chemosensors for identifying environmental toxic ions. Over recent decades, the creation of nanoscale materials for applications in chemical sensing, biomedical, and biological analyses has emerged as a promising avenue. Nanomaterials play a vital role in improving the sensitivity and selectivity of chemosensors, thereby making them effective tools for monitoring and evaluating environmental contamination. This is due to their highly adjustable size- and shape-dependent chemical and physical properties. Nanomaterials possess distinct surface chemistry, thermal stability, high surface area, and large pore volume per unit mass, which can be harnessed for sensor development. The discussion encompasses different types of nanomaterials utilized in chemosensor design, LOD, their sensing mechanisms, and their efficacy in detecting specific toxic ions. Furthermore, the review explores the progress made, obstacles faced, and future prospects in this rapidly evolving field, highlighting the potential contributions of nanotechnology to the creation of robust sensing platforms for environmental monitoring.
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  • 文章类型: Journal Article
    白血病是一种罕见但致命的血液癌症。这种癌症是由异常的骨髓细胞引起的,需要及时诊断以进行有效的治疗和积极的患者预后。传统的诊断方法(例如,显微镜,流式细胞术,和活检)在准确性和时间上都面临挑战,要求对深度学习(DL)模型的开发和使用进行探究,如卷积神经网络(CNN),这可以提供更快,更准确的诊断。使用特定的,客观标准,DL可能有望成为医生诊断白血病的工具。这篇综述的目的是报告有关使用DL诊断白血病的相关已发表文献。使用系统审查和荟萃分析(PRISMA)指南的首选报告项目,使用Embase搜索了2010年至2023年发表的文章,OvidMEDLINE,和WebofScience,搜索术语“白血病”和“深度学习”或“人工神经网络”或“神经网络”和“诊断”或“检测”。“在使用预先确定的资格标准筛选检索到的文章后,由于该现象的新生性质,最终审查中包括了20篇文章,并按时间顺序进行了报告。最初的研究为随后的创新奠定了基础,说明了利用DL技术进行白血病检测从专门方法到更通用方法的过渡。对最近DL模型的总结揭示了向集成架构的范式转变,显著提高了准确性和效率。模型和技术的不断完善,再加上强调简单和效率,将DL定位为白血病检测的有前途的工具。在这些神经网络的帮助下,白血病检测可以加快,改善长期前景和预后。需要使用现实生活中的情景进行进一步的研究,以确认DL模型可能对白血病诊断产生的变革性影响。
    Leukemia is a rare but fatal cancer of the blood. This cancer arises from abnormal bone marrow cells and requires prompt diagnosis for effective treatment and positive patient prognosis. Traditional diagnostic methods (e.g., microscopy, flow cytometry, and biopsy) pose challenges in both accuracy and time, demanding an inquisition on the development and use of deep learning (DL) models, such as convolutional neural networks (CNN), which could allow for a faster and more exact diagnosis. Using specific, objective criteria, DL might hold promise as a tool for physicians to diagnose leukemia. The purpose of this review was to report the relevant available published literature on using DL to diagnose leukemia. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, articles published between 2010 and 2023 were searched using Embase, Ovid MEDLINE, and Web of Science, searching the terms \"leukemia\" AND \"deep learning\" or \"artificial neural network\" OR \"neural network\" AND \"diagnosis\" OR \"detection.\" After screening retrieved articles using pre-determined eligibility criteria, 20 articles were included in the final review and reported chronologically due to the nascent nature of the phenomenon. The initial studies laid the groundwork for subsequent innovations, illustrating the transition from specialized methods to more generalized approaches capitalizing on DL technologies for leukemia detection. This summary of recent DL models revealed a paradigm shift toward integrated architectures, resulting in notable enhancements in accuracy and efficiency. The continuous refinement of models and techniques, coupled with an emphasis on simplicity and efficiency, positions DL as a promising tool for leukemia detection. With the help of these neural networks, leukemia detection could be hastened, allowing for an improved long-term outlook and prognosis. Further research is warranted using real-life scenarios to confirm the suggested transformative effects DL models could have on leukemia diagnosis.
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  • 文章类型: Journal Article
    囊样黄斑水肿(CME)是一种威胁视力的疾病,通常与炎症和糖尿病相关。早期检测对于防止不可逆的视力丧失至关重要。人工智能(AI)已显示出通过光学相干断层扫描(OCT)成像自动化CME诊断的前景。但是它的效用需要严格的评估。这篇系统综述评估了人工智能在诊断CME中的应用,特别关注疾病,如术后CME(IrvineGass综合征)和视网膜色素变性无明显血管病变,使用OCT成像。在6个数据库中进行了全面搜索(PubMed,Scopus,WebofScience,威利,ScienceDirect,和IEEE)从2018年到11月,2023年。23篇文章符合纳入标准,并被选中进行深入分析。我们评估AI在CME诊断中的作用及其在“检测”中的表现,OCT视网膜图像的“分类”和“分割”。我们发现,基于卷积神经网络(CNN)的方法始终优于其他机器学习技术,从OCT图像中检测和识别CME的平均准确率超过96%。尽管存在某些限制,如数据集大小和道德问题,人工智能和OCT之间的协同作用,特别是通过CNN,有望显著推进CME诊断。
    Cystoid macular edema (CME) is a sight-threatening condition often associated with inflammatory and diabetic diseases. Early detection is crucial to prevent irreversible vision loss. Artificial intelligence (AI) has shown promise in automating CME diagnosis through optical coherence tomography (OCT) imaging, but its utility needs critical evaluation. This systematic review assesses the application of AI to diagnosis CME, specifically focusing on disorders like postoperative CME (Irvine Gass syndrome) and retinitis pigmentosa without obvious vasculopathy, using OCT imaging. A comprehensive search was conducted across 6 databases (PubMed, Scopus, Web of Science, Wiley, ScienceDirect, and IEEE) from 2018 to November, 2023. Twenty-three articles met the inclusion criteria and were selected for in-depth analysis. We evaluate AI\'s role in CME diagnosis and its performance in \"detection\", \"classification\" and \"segmentation\" of OCT retinal images. We found that convolutional neural network (CNN)-based methods consistently outperformed other machine learning techniques, achieving an average accuracy of over 96% in detecting and identifying CME from OCT images. Despite certain limitations such as dataset size and ethical concerns, the synergy between AI and OCT, particularly through CNNs, holds promise for significantly advancing CME diagnostics.
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  • 文章类型: Journal Article
    背景:可卡因可用于在经鼻气管插管前消除鼻粘膜充血,但是,如果患者在手术后不久驾驶汽车时发现可卡因,患者将面临刑事犯罪。我们旨在评估经鼻气管插管的患者在给药后24小时唾液中的苯甲酰基野果宁水平是否超过临界点,以及在手术后1和24小时的血液样本中是否可以检测到可卡因高于丹麦法定固定限值。
    方法:我们在当地研究伦理委员会和国家医药机构批准后进行了一项前瞻性研究。从所有患者获得书面知情同意书。我们纳入了计划在全身麻醉下经鼻气管插管手术的患者。在诱导和经鼻气管插管前5分钟,他们接受了80毫克可卡因作为鼻喷雾剂。主要结果是对鼻用可卡因给药后24小时测量的唾液样品中的苯甲酰芽子碱水平进行二分法评估,临界值为200ng/mL。次要结果是在给予鼻用可卡因后1和24小时测量的全血样品中可卡因的二分评估,其截止极限为0.01mg/kg。
    结果:总体而言,可卡因给药后24小时,70例患者有有效唾液样本,75例患者有有效血液样本。在9/70的患者中,唾液中的苯甲酰孕激素可追溯到超过临界值(13%;CI95%:6%至23%),在2/75例患者中,血液中的可卡因检测到超过临界值(3%;CI95%:0.3%至9%)。
    结论:我们发现,在服用80毫克鼻用可卡因24小时后,13%的患者唾液中可追踪到苯甲酰野果碱,3%的患者血液中可追踪到可卡因。接受可卡因时应告知患者,并建议至少24小时内不要开车。
    BACKGROUND: Cocaine may be applied to decongest the nasal mucosa before nasotracheal intubation, but patients risk a criminal offence if cocaine is detected when patients drive a car shortly after surgery. We aimed to evaluate whether benzoylecgonine levels in saliva exceeded the cut-off point 24 h after administration in patients undergoing nasotracheal intubation and whether cocaine would be detectable above the Danish legal fixed limit in blood samples 1 and 24 h after surgery.
    METHODS: We conducted a prospective study following approval from the local research ethics committee and the national medicine agency. Written informed consent was obtained from all patients. We included patients scheduled for surgery under general anaesthesia with nasotracheal intubation. They received 80 mg cocaine as a nasal spray 5 min before induction and nasotracheal intubation. The primary outcome was a dichotomous assessment of benzoylecgonine levels in saliva samples measured 24 h after administration of nasal cocaine with a cut-off limit of 200 ng/mL. Secondary outcomes were dichotomous assessments of cocaine in whole blood samples measured 1 and 24 h after administration of nasal cocaine with a cut-off limit of 0.01 mg/kg.
    RESULTS: Overall, 70 patients had valid saliva samples and 75 had valid blood samples 24 h after cocaine administration. Benzoylecgonine in saliva was traceable above the cut-off in 9/70 patients (13%; CI95%: 6% to 23%), and cocaine in blood was detected above the cut-off in 2/75 patients (3%; CI95%: 0.3% to 9%).
    CONCLUSIONS: We found benzoylecgonine traceable in saliva in 13% of patients and cocaine traceable in blood in 3% of patients 24 h after administration of 80 mg nasal cocaine. Patients should be informed when receiving cocaine and advised not to drive for at least 24 h.
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