ECI

EcI
  • 文章类型: Journal Article
    背景:基因表达模式的精细表征对于理解胚胎发育的许多方面至关重要。鸡胚胎是发育生物学的成熟且有价值的动物模型。从胚胎第三天到第六天(E3到E6)的时期对于许多器官发育至关重要。杂交链反应RNA荧光原位杂交(HCRRNA-FISH)使得能够在厚样品(包括各种动物模型的胚胎)中检测多重RNA。然而,它的使用受到组织不透明的限制。
    结果:我们优化了HCRRNA-FISH方案,以有效地标记从E3.5到E5.5的整装鸡胚胎中的RNA,并使其适应肉桂酸乙酯(ECi)组织清除。我们表明,ECi清除后HCRRNA-FISH的光片成像可以以良好的灵敏度和空间分辨率对胚胎组织内的RNA表达进行分析。最后,可以在HCRRNA-FISH之后进行整体免疫荧光,例如可以测定轴突与其环境之间的复杂空间关系或监测GFP电穿孔的神经元。
    结论:我们可以通过优化HCRRNA-FISH并将其与组织清除和3D成像相结合,将HCRRNA-FISH的使用扩展到老年雏鸡胚胎。免疫染色的整合使基因表达与经典细胞标记相结合成为可能。将表达与形态分化相关联,并在功能获得或丧失的情况下描绘基因表达。总之,这种组合程序进一步扩展了HCRRNA-FISH技术在鸡胚胎学中的潜力.
    BACKGROUND: Fine characterization of gene expression patterns is crucial to understand many aspects of embryonic development. The chicken embryo is a well-established and valuable animal model for developmental biology. The period spanning from the third to sixth embryonic days (E3 to E6) is critical for many organ developments. Hybridization chain reaction RNA fluorescent in situ hybridization (HCR RNA-FISH) enables multiplex RNA detection in thick samples including embryos of various animal models. However, its use is limited by tissue opacity.
    RESULTS: We optimized HCR RNA-FISH protocol to efficiently label RNAs in whole mount chicken embryos from E3.5 to E5.5 and adapted it to ethyl cinnamate (ECi) tissue clearing. We show that light sheet imaging of HCR RNA-FISH after ECi clearing allows RNA expression analysis within embryonic tissues with good sensitivity and spatial resolution. Finally, whole mount immunofluorescence can be performed after HCR RNA-FISH enabling as exemplified to assay complex spatial relationships between axons and their environment or to monitor GFP electroporated neurons.
    CONCLUSIONS: We could extend the use of HCR RNA-FISH to older chick embryos by optimizing HCR RNA-FISH and combining it with tissue clearing and 3D imaging. The integration of immunostaining makes possible to combine gene expression with classical cell markers, to correlate expressions with morphological differentiation and to depict gene expressions in gain or loss of function contexts. Altogether, this combined procedure further extends the potential of HCR RNA-FISH technique for chicken embryology.
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  • 文章类型: Journal Article
    在器官发育过程中,组织干细胞首先通过对称分裂进行扩增,然后切换到不对称分裂,以最大限度地减少获得成熟组织的时间。在果蝇中肠,肠干细胞在蛹中发育时从对称到不对称,产生肠内分泌细胞。然而,启动此开关的信号是未知的。这里,我们将信号识别为蜕皮类固醇。在蜕皮激素的存在下,EcR和Usp促进E93的表达以抑制Br的表达,导致不对称分裂。令人惊讶的是,蛹蜕皮激素的主要来源不是来自前胸腺,而是来自背侧内斜肌(DIOM),一组短暂的骨骼肌,是羽化所必需的。遗传分析表明,DIOM在mTOR介导的肌肉重塑过程中分泌蜕皮类固醇。我们的发现确定了骨骼肌的顺序内分泌和机械作用,这确保了肠干细胞及时的不对称分裂。
    During organ development, tissue stem cells first expand via symmetric divisions and then switch to asymmetric divisions to minimize the time to obtain a mature tissue. In the Drosophila midgut, intestinal stem cells switch their divisions from symmetric to asymmetric at midpupal development to produce enteroendocrine cells. However, the signals that initiate this switch are unknown. Here, we identify the signal as ecdysteroids. In the presence of ecdysone, EcR and Usp promote the expression of E93 to suppress Br expression, resulting in asymmetric divisions. Surprisingly, the primary source of pupal ecdysone is not from the prothoracic gland but from dorsal internal oblique muscles (DIOMs), a group of transient skeletal muscles that are required for eclosion. Genetic analysis shows that DIOMs secrete ecdysteroids during mTOR-mediated muscle remodeling. Our findings identify sequential endocrine and mechanical roles for skeletal muscle, which ensure the timely asymmetric divisions of intestinal stem cells.
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  • 文章类型: Journal Article
    环境恶化是当今世界面临的主要问题之一。另一方面,世界各地的几个团体努力发起保护地球的努力,如可持续发展目标。因此,拟议目标的首要职责是在发展和环境问题之间取得平衡。这项研究考察了65个“一带一路”倡议(BRI)经济体,包括经济复杂性指数,城市化,ICT,高等教育,绿色创新,在可持续发展的情况下影响碳排放。分析中使用了2000年至2020年的年度时间序列数据。本研究采用CC-EMG来确定变量之间关联的持久性。使用AMG和分位数GMM回归估计来测试结果的稳健性和再现性。结果表明,高等教育和绿色创新有助于降低碳排放,而经济复杂性指数和城市化有利于增加经济活动和推进信息通信技术。经济复杂性指数,ICT,和高等教育都受到绿色创新的负面影响。还提供了计算系数对选定市场和其他发展中市场在规划通往可持续环境的合适道路时的重要政策含义。
    Environmental deterioration is one of the major problems the globe is facing in the modern period. On the other hand, several groups around the world have endeavored to launch efforts to protect the planet, such as the Sustainable Development Goals. Therefore, the proposed objectives\' primary duty is to strike a balance between development and environmental concerns. This study looked at 65 Belt and Road Initiative (BRI) economies to see how factors, including the economic complexity index, urbanization, ICT, higher education, and green innovation, affected carbon emissions in the presence of sustainable development. Annual time series data from 2000 to 2020 have been used in the analysis. This study employs the CC-EMG to determine the durability of the association between the variables. AMG and quantile GMM regression estimations were used to test the robustness and reproducibility of the results. The results reveal that higher education and green innovation help lower carbon emissions, whereas the economic complexity index and urbanization are beneficial for increasing economic activity and advancing information and communication technologies. The economic complexity index, ICT, and higher education are all negatively impacted by green innovation. Important policy implications of the computed coefficients for the selected and other developing markets in planning a suitable path forward to a sustainable environment are also provided.
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  • 文章类型: Journal Article
    昆虫类固醇激素蜕皮激素在昆虫发育中起着至关重要的作用。最近的几项研究表明,蜕皮激素通过有机阴离子转运多肽(OATPs)进入昆虫细胞,例如苍蝇和蚊子。然而,这种机制在其他节肢动物中的保守性以及这种转运蛋白在典型蜕皮激素途径中的作用研究较少。在此,我们从两种主要的农业蛾害虫中对推定的蜕皮激素进口商(EcI)进行了功能鉴定:棉铃虫(棉铃虫)和Spodopterafrugiperda(秋季粘虫)。对整个超类动物的OATP转运蛋白的系统发育分析表明,EcI可能仅出现在节肢动物谱系的根部。Frugiperda中EcI的部分破坏降低了胚胎孵化率和幼虫存活率,这表明该基因对体内发育至关重要。鳞翅目细胞系RP-HzGUT-AW1(MG)中EcI的耗尽和再表达证明了该蛋白在基因调控中控制蜕皮激素介导的信号传导的能力,它在蜕皮激素介导的细胞死亡中的作用,以及它对利福平的敏感性,一种众所周知的有机阴离子转运蛋白抑制剂。总的来说,这项工作揭示了昆虫物种中蜕皮激素的摄取机制,并扩大了我们对OATPs在内源性底物运输中的生理作用的认识。
    The insect steroid hormone ecdysone plays a critical role in insect development. Several recent studies have shown that ecdysone enters cells through Organic Anion Transporting Polypeptides (OATPs) in insects such as flies and mosquitoes. However, the conservation of this mechanism across other arthropods and the role of this transporter in canonical ecdysone pathways are less well studied. Herein we functionally characterized the putative ecdysone importer (EcI) from two major agricultural moth pests: Helicoverpa armigera (cotton bollworm) and Spodoptera frugiperda (fall armyworm). Phylogenetic analysis of OATP transporters across the superphylum Ecdysozoa revealed that EcI likely appeared only at the root of the arthropod lineage. Partial disruption of EcI in S. frugiperda decreased embryo hatching rate and larval survival, suggesting that this gene is essential for development in vivo. Depletion and re-expression of EcI in the lepidoptera cell line RP-HzGUT-AW1(MG) demonstrated this protein\'s ability to control ecdysone mediated signaling in gene regulation, its role in ecdysone mediated cell death, and its sensitivity to rifampicin, a well-known organic anion transporter inhibitor. Overall, this work sheds light on ecdysone uptake mechanisms across insect species and broadens our knowledge of the physiological roles of OATPs in the transportation of endogenous substrates.
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  • 文章类型: Journal Article
    斜纹夜蛾Fab.是一种多食害虫,对许多农作物造成损害,导致产量损失。反复使用合成农药来控制这种害虫导致了抗药性的发展。从穿心莲的叶子中分离出植物来源的二萜化合物穿心莲内酯。通过气相色谱-质谱分析并通过HPLC定量。评估了营养指标和消化酶谱。第三,用不同浓度的穿心莲内酯处理第四龄和第五龄幼虫。在3、6和9ppm处理的浓度下,幼虫显示RGR降低,RCR,ECD、ECI值随AD的不良增长而增长。与对照相比,消化酶被显着抑制。引人注目的是,穿心莲内酯通过抑制酶的分泌和食物的摄入,显示出明显的litura死亡率。穿心莲内酯与CYTP450的结合能力显示出高亲和力和低结合能。穿心莲内酯有可能被用作生物防治剂,以对抗作为生态友好型农药的斜纹夜蛾。
    Spodoptera litura Fab. is a polyphagous pest causing damage to many agriculture crops leading to yield loss. Recurrent usage of synthetic pesticides to control this pest has resulted in resistance development. Plant-derived diterpenoid compound andrographolide was isolated from the leaves of Andrographis paniculata. It was analysed by gas chromatography-mass spectroscopy and quantified by HPLC. Nutritional indices and digestive enzymatic profile were evaluated. Third, fourth and fifth instar larvae were treated with different concentrations of andrographolide. At 3, 6 and 9 ppm-treated concentrations the larvae showed decreased RGR, RCR, ECI, ECD values with adverse increase in AD. The digestive enzymes were significantly inhibited when compared with control. Conspicuously, andrographolide showed pronounced mortality of S. litura by inhibition of enzyme secretion and intake of food. The binding ability of andrographolide with CYTP450 showed high affinity with low binding energy. Andrographolide has the potential to be exploited as a biocontrol agent against S. litura as an eco-friendly pesticide.
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  • 文章类型: Journal Article
    几十年来,人类操作员对技术系统的控制一直是研究的对象。数字时代的复杂性日益增加,使得系统与操作员之间的交互优化变得尤为必要。在本期专题中,提出了十篇示例性文章,从观测领域研究到高度复杂的导航模拟器中的实验工作。对于人类操作员来说,注意力的过程起着至关重要的作用,通过眼动追踪设备在本主题问题中列出的贡献中捕获。几十年来,在汽车驾驶过程中的眼睛跟踪已经被广泛地研究(例如6;5)。在本期特刊中,CvahteOjsteršek和Topolšek(4)对139项调查驾驶员分心的眼动追踪研究进行了文献综述和科学分析。对于未来的研究,作者推荐了更广泛的干扰刺激,大量的测试参与者,研究人员的跨学科性日益增强。除了大多数调查自下而上的覆盖注意力过程的研究,Tuhkanen,Pekkanen,Lehtonen&Lappi(10)包括在主动视觉运动转向任务中对自上而下的明显注意力过程的实验控制。结果表明,与转向任务引起的自上而下的扫视计划相互作用,偏置刺激输入的光流的自下而上的过程。技术发展的扩展领域涉及自动驾驶,其中人类操作员的动作直接与车辆的编程反应相互作用。自动驾驶要求,然而,对整个视觉输入进行更广泛的探索,并减少了对道路中心的凝视。施内贝伦,Charron&Mars(9)在这一领域进行了实验研究,并得出结论,注视动力学在区分手动和自动驾驶方面发挥了最重要的作用。通过将先进的视线跟踪系统与最新的车辆环境传感器相结合,Bickerdt,Wendland,盖斯勒,Sonnenberg&Kasneci(2021)在驾驶模拟器中对50名参与者进行了一项研究,并提出了一种新颖的方法来确定适用于现实驾驶场景的感知极限。眼睛-计算机交互(ECI)是一种通过眼睛参数直接控制技术设备的交互式方法。在这种情况下,牛,高,Xue,Zhang和Yang(8)进行了两个实验,以探索ECI中的最佳目标尺寸和凝视触发停留时间。他们的结果对未来的界面设计具有示例性的应用价值。飞机训练和飞行员选择通常在模拟器上进行。这使得研究人类能力及其与模拟技术系统相互作用的局限性成为可能。根据他们的方法发展和实验结果,弗拉契奇,克涅泽维奇,曼达尔,Roenkov&Vitsas(11)提出了一种网络方法,有三个目标指标,描述了本研究参与者的个人扫视策略。在他们对飞行员认知负荷的分析中,巴布,JeevithaShree,Prabhakar,Saluja,Pashilkar&Biswas(3)研究了14名飞行员在模拟器中以及在飞机对地攻击训练期间的试飞过程中的眼睛参数。他们的结果表明,在不同的飞行条件下,眼部参数存在显着差异,并且在空地潜水训练任务中与高度梯度显着相关。在海事培训中,根据国际法规,必须使用模拟。毛,Hildre&Zhang(7)对起重机吊装进行了研究,并对新手和专家操作员进行了比较。概述并讨论了新手和专家之间眼睛行为的相似性和差异性。Atik&Arslan(2)的研究涉及在模拟演习中捕获和分析具有海上经验的船员的眼动数据,以评估能力。专家和新手船员的电子导航能力之间存在显着差异。作者证明,眼动追踪技术是评估电子导航能力的宝贵工具。Atik(1)的研究重点是评估和培训海军桥梁资源管理中的舰员的态势感知。研究表明,眼睛跟踪为评估者提供了基于模拟器的海上训练中的重要新数据,例如关注的焦点,是影响桥梁资源管理培训效果的决定性因素。在这个特殊主题问题的不同文章中提出的研究涵盖了许多不同的应用领域,并涉及来自不同领域的专家,但是他们集中在通过眼球运动或使用凝视参数控制复杂技术设备来测量注意力过程的有用性的反复演示中。一起,他们的共同目标是通过使技术适应人类的能力和局限性来提高数字时代技术的潜力和安全性。
    The control of technological systems by human operators has been the object of study for many decades. The increasing complexity in the digital age has made the optimization of the interaction between system and human operator particularly necessary. In the present thematic issue, ten exemplary articles are presented, ranging from observational field studies to experimental work in highly complex navigation simulators. For the human operator, the processes of attention play a crucial role, which are captured in the contributions listed in this thematic issue by eye-tracking devices. For many decades, eye tracking during car driving has been investigated extensively (e.g. 6; 5). In the present special issue, Cvahte Ojsteršek & Topolšek (4) provide a literature review and scientometric analysis of 139 eye-tracking studies investigating driver distraction. For future studies, the authors recommend a wider variety of distractor stimuli, a larger number of tested participants, and an increasing interdisciplinarity of researchers. In addition to most studies investigating bottom-up processes of covered attention, Tuhkanen, Pekkanen, Lehtonen & Lappi (10) include the experimental control of top-down processes of overt attention in an active visuomotor steering task. The results indicate a bottom-up process of biasing the optic flow of the stimulus input in interaction with the top-down saccade planning induced by the steering task. An expanding area of technological development involves autonomous driving where actions of the human operator directly interact with the programmed reactions of the vehicle. Autonomous driving requires, however, a broader exploration of the entire visual input and less gaze directed towards the road centre. Schnebelen, Charron & Mars (9) conducted experimental research in this area and concluded that gaze dynamics played the most important role in distinguishing between manual and automated driving. Through a combination of advanced gaze tracking systems with the latest vehicle environment sensors, Bickerdt, Wendland, Geisler, Sonnenberg & Kasneci (2021) conducted a study with 50 participants in a driving simulator and propose a novel way to determine perceptual limits which are applicable to realistic driving scenarios. Eye-Computer-Interaction (ECI) is an interactive method of directly controlling a technological device by means of ocular parameters. In this context, Niu, Gao, Xue, Zhang & Yang (8) conducted two experiments to explore the optimum target size and gaze-triggering dwell time in ECI. Their results have an exemplary application value for future interface design. Aircraft training and pilot selection is commonly performed on simulators. This makes it possible to study human capabilities and their limitation in interaction with the simulated technological system. Based on their methodological developments and experimental results, Vlačić, Knežević, Mandal, Rođenkov & Vitsas (11) propose a network approach with three target measures describing the individual saccade strategy of the participants in this study. In their analysis of the cognitive load of pilots, Babu, Jeevitha Shree, Prabhakar, Saluja, Pashilkar & Biswas (3) investigated the ocular parameters of 14 pilots in a simulator and during test flights in an aircraft during air to ground attack training. Their results showed that ocular parameters are significantly different in different flying conditions and significantly correlate with altitude gradients during air to ground dive training tasks. In maritime training the use of simulations is per international regulations mandatory. Mao, Hildre & Zhang (7) performed a study of crane lifting and compared novice and expert operators. Similarities and dissimilarities of eye behavior between novice and expert are outlined and discussed. The study of Atik & Arslan (2) involves capturing and analyzing eye movement data of ship officers with sea experience in simulation exercises for assessing competency. Significant differences were found between electronic navigation competencies of expert and novice ship officers. The authors demonstrate that the eye tracking technology is a valuable tool for the assessment of electronic navigation competency. The focus of the study by Atik (1) is the assessment and training of situational awareness of ship officers in naval Bridge Resource Management. The study shows that eye tracking provides the assessor with important novel data in simulator based maritime training, such as focus of attention, which is a decisive factor for the effectiveness of Bridge Resource Management training. The research presented in the different articles of this special thematic issue cover many different areas of application and involve specialists from different fields, but they converge on repeated demonstrations of the usefulness of measuring attentional processes by eye movements or using gaze parameters for controlling complex technological devices. Together, they share the common goal of improving the potential and safety of technology in the digital age by fitting it to human capabilities and limitations.
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  • 文章类型: Journal Article
    Interactive feedback of interface elements and low level of spatial accuracy are two main key points for the interaction research in the Eye-computer interaction system. This study tried to solve these two problems from the perspective of human-computer interactions and ergonomics. Two experiments were conducted to explore the optimum target size and gaze-triggering dwell time of the eye-computer interaction (ECI) system. Experimental Series 1 was used as the pre-experiment to identify the size that has a greater task completion rate. Experimental Series 2 was used as the main experiment to investigate the optimum gaze-triggering dwell time by using a comprehensive evaluation of the task completion rate, reaction time, and NASA-TLX (Task Load Index). In Experimental Series 1, the optimal element size was determined to be 256 × 256p x 2. The conclusion of Experimental Series 2 was that when the dwell time is set to 600 ms, the efficiency of the interface is the highest, and the task load of subjects is minimal as well. Finally, the results of Experiment Series 1 and 2 have positive effects on improving the usability of the interface. The optimal control size and the optimal dwell time obtained from the experiments have certain reference and application value for interface design and software development of the ECI system.
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  • 文章类型: Journal Article
    重度抑郁症(MDD)的特征是普遍的情绪障碍以及情绪处理缺陷,反应性,和监管。有越来越多的证据表明,MDD的特征是与环境脱离一致的情绪模式,正如积极和消极的情绪反应减弱所反映的那样,与情绪语境不敏感(ECI)理论一致。然而,MDD个体在情感反应模式中表现出特定变化的程度上差异很大。情绪很复杂,跨多个功能域和分析级别调用响应的多组件过程,包括主观经验,行为,自主调节,认知,和神经处理。在这篇文章中,我从ECI的角度回顾了有关情绪反应和MDD的文献的现状。我专注于从发展和环境的多个层次分析中评估情感指数的重要性。我还讨论了可能导致不一致发现的方法和测量问题。特别是,我强调心理生理措施如何帮助阐明作为综合和情境化方法的一部分的MDD病理生理学基础的情绪过程。
    Major depressive disorder (MDD) is characterized by pervasive mood disturbance as well as deficits in emotional processing, reactivity, and regulation. There is accumulating evidence that MDD is characterized by emotional patterns consistent with environmental disengagement, as reflected in attenuated positive and negative emotional reactivity, consistent with Emotion Context Insensitivity (ECI) theory. However, MDD individuals vary considerably in the extent to which they exhibit specific alterations in patterns of emotional responding. Emotions are complex, multicomponent processes that invoke responses across multiple functional domains and levels of analysis, including subjective experience, behavior, autonomic regulation, cognition, and neural processing. In this article, I review the current state of the literature on emotional responding and MDD from the lens of ECI. I focus on the importance of assessing emotional indices from multiple levels of analysis across development and contexts. I also discuss methodological and measurement issues that may contribute to inconsistent findings. In particular, I emphasize how psychophysiological measures can help elucidate emotional processes that underlie the pathophysiology of MDD as part of an integrated and contextualized approach.
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  • 文章类型: Journal Article
    Összefoglaló. A malignus csonttumorok sebészi ellátása során kialakuló szegmentális csontdefektusok pótlása fontos szempont a végtagmegtartó sebészetben. Felnőttkorban a megoldás rendszerint tumorprotézis beültetése, 10 évesnél fiatalabb gyermekeknél azonban ez nehezen alkalmazható módszer a kis csontméret és az igen magas várható szövődményarány miatt. A bemutatott, hazánkban még ritkán alkalmazott beavatkozás, a tumoros csontszegmentum műtét alatti sugárkezelése, visszaültetése megfelelő rekonstrukciós lehetőség a végtag funkciójának megtartása mellett, csökkentve a későbbi reoperációk, protézisrevíziók számát. Célkitűzés: A hazánkban eddig az ismertetett módon végzett műtétek bemutatása, az eredmények összevetése nemzetközi irodalmi adatokkal. Módszer: Magyaroszágon eddig 12 alkalommal végeztünk végtagmegtartó műtétet malignus csonttumor miatt 12 évesnél fiatalabb gyermekeknél, és e műtétek során biológiai rekonstrukciós módszerként extracorporalis irradiatiót, autograft-reimplantatiót (ECRT, ECI) végeztünk. A műtétek mindegyike primer malignus csonttumor (Ewing-sarcoma 7 esetben, osteosarcoma 4 esetben, chondrosarcoma 1 esetben) miatt történt. Betegeink átlagéletkora 9 (3-12) év volt, az átlagos utánkövetési idő 32,5 (2-73) hónap. A felmérés során fizikális vizsgálat, valamint minden alkalommal röntgenfelvételek készítése történt, szükség esetén szövettani mintavétellel, vérelemzéssel vagy egyéb képalkotással kiegészítve. Eredményeinket nemzetközi irodalmi adatokkal hasonlítottuk össze. Eredmények: Lokális tumorkiújulást egyetlen esetben sem észleltünk, másik csontot érintő skip (\'ugró\') metastasis miatt egy alkalommal amputatiót végeztünk. A szövődmények tekintetében eredményeink megfelelnek a nemzetközi irodalomban leírtaknak. Két esetben jelentkezett szeptikus szövődmény (16,7%). A resectiós sík radiológiai átépülése 3-9 hónap alatt történt meg az esetek 60%-ában. Álízület, grafttörés, graft részleges elhalása miatt 3 esetben végeztünk reoperációt, kétszer újabb allograft felhasználásával, egy esetben pedig tumorprotézis beültetésével. Betegeink szubjektív véleménye a módszerről pozitív, a legtöbb esetben megőrizték jó fizikai aktivitásukat, az esetleges reoperációk ellenére végtagjukat terhelik, akár sporttevékenységet is végeznek. Következtetések: Vizsgálatunk alapján az extracorporalis irradiatio hasznos biológiai rekonstrukciós módszer 12 évesnél fiatalabb gyermekek esetében szegmentális csontdefektusok pótlására tumoros indikációval. A felmerülő szövődmények aránya alatta marad a hasonló korban beültetett tumorprotézisek szövődményarányainak, ideális esetben pedig több, további kiterjesztett műtét elkerülhető vele. Szövődmény esetén a későbbiekben tumorprotézis-beültetés mint végtagmegtartó vészmegoldás még mindig elvégezhető. Orv Hetil. 2020; 161(45): 1914-1919.

    Reconstruction of massive segmental bone defects is a crucial point of limb salvage surgeries after malignant bone tumor resections. Megaendoprostheses implantation is a commonly used method for adult patients, but hardly usable for children below 12 years old, because of the small size of the host bone and multiple mechanic complications.
    Extracorporeal irradiation and allograft reimplantation (ECRT, ECI) are promising methods for these young children for limb salvage, reducing the number of prostheses revisions, reoperations.
    In Hungary, we performed limb salvage surgery for malignant bone tumor in 12 cases in children under 12 years old, using extracorporeally irradiated autografts as biological reconstruction. All cases were primary bone tumors (Ewing\'s sarcoma: 7, osteosarcoma: 4, chondrosarcoma: 1). The average age of our patients was 9 (3-12) years, the average follow-up was 32.5 (2-73) months. At follow-up, we performed physical examination, X-ray, and other imaging methods if they were necessary. Our results were compared to international publications.
    We observed no local recurrence, but in one case we had to perform above-knee amputation, due to a skip metastasis in the proximal tibia. The complication rates were similar to those reported in other papers. Septic complications were treated in two cases (16.7%). Total union of the resection lines was observed at 3-9 months in 60% of all cases. Reoperations were performed due to nonunion, or allograft fracture/partly desorganization in 3 cases, twice with new allograft, and with prostheses in one case. The subjective opinion of our patients is positive, they walk with full weightbearing, some of them do even light sporting activities.
    We found extracorporeal irradiation a useful and safe method for children under 12 years old for biological reconstruction after malignant bone tumor resection. Complication rate stays under the rate of growing prostheses complications, in optimal cases further radical, and extensive surgeries may be avoided. In the case of major complications, megaendoprostheses implantation later on is still an option as salvage procedure with limb salvage. Orv Hetil. 2020; 161(45): 1914-1919.
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  • 文章类型: Journal Article
    早期担心婴儿ASD症状的家庭有限地获得有经验的专业人员进行筛查和指导。远程医疗已被用于减少其他儿科人群的访问差异,并在父母实施的ASD干预措施中显示出希望。我们调查了婴儿早期社会交往和ASD症状的新型2级远程健康评估的可行性,婴儿发展远程健康评估(TEDI)。11名6-12个月大的婴儿的父母被指导使用特定的半结构化行为探针。初步可行性,可靠性,并达到可接受性基准。这些发现表明通过远程健康筛查婴儿的可行性,并支持进一步的大规模努力,以验证这种方法在社区环境中有症状的婴儿的纵向监测。
    Families with early concerns about infant symptoms of ASD have limited access to experienced professionals for screening and guidance. Telehealth has been used to reduce access disparities in other pediatric populations and has shown promise in parent-implemented interventions for ASD. We investigated the feasibility of a novel level-2 telehealth assessment of infants\' early social communication and ASD symptoms, the Telehealth Evaluation of Development for Infants (TEDI). Parents of eleven infants aged 6-12 months were coached to administer specific semi-structured behavioral probes. Initial feasibility, reliability, and acceptability benchmarks were met. These findings suggest the feasibility of screening infants via telehealth, and are supportive of further large-scale efforts to validate this method for longitudinal monitoring of symptomatic infants in community settings.
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