cavity

空腔
  • 文章类型: Case Reports
    支气管心包瘘形成引起的心包积气是继发于坏死性肺炎的罕见并发症。由于不同的化脓性细菌感染,报告了几种此类病例。据报道,持续的瘘管沟通会导致张力性心包和血流动力学不稳定。需要紧急干预,如心包引流。一个41岁的男性病人,已知患有慢性肾病和糖尿病,出现急性呼吸道症状。一被录取,患者发热,需要通过鼻叉进行氧气支持。胸部X光显示右侧有纤维空洞改变,心脏轮廓周围有斑驳的空气阴影和连续的隔膜体征。对比增强计算机断层扫描(CECT)胸部显示出广泛的巩固区域,内部有坏死区域,形成一个薄壁空腔,包括右中瓣。此外,发现该腔与右心房心包腔的可疑连通,与最小的心包收集和空气病灶内。胸水培养显示肺炎克雷伯菌生长。根据抗生素敏感性报告,患者开始静脉注射美罗培南和庆大霉素治疗21天,同时监测肾功能.患者在抗生素方面的临床改善,随访放射学检查显示心包积气消退。在这个病人身上,心包积气轻度,并且没有证据表明存在张力性气包膜。因此,提供了抗生素的保守管理,成功的决议。不像这个案子,如果存在张力性心包气的证据,需要紧急减压干预,这些病例的预后会很差。此病例证明了对坏死性肺炎患者高度怀疑和早期诊断心包气的重要性。这些患者的及时治疗可以防止进一步危及生命的后遗症。
    Pneumopericardium due to bronchopericardial fistula formation is a rare complication secondary to necrotizing pneumonia. Several such cases are reported due to different suppurative bacterial infections. Persistent fistulous communication has been reported to lead to tension pneumopericardium and hemodynamic instability, requiring urgent intervention such as pericardial drainage. A 41-year-old male patient, known to have chronic kidney disease and diabetes mellitus, presented with acute respiratory symptoms. Upon admission, the patient was febrile and required oxygen support via nasal prongs. A chest X-ray showed fibrocavitatory changes on the right side, with patchy air shadowing around the cardiac silhouette and a continuous diaphragm sign. A contrast-enhanced computed tomography (CECT) thorax revealed extensive areas of consolidation with necrotic areas within, forming a thin-walled cavity involving the right middle lobe. Also, suspicious communication of this cavity with the pericardial cavity along the right atrium was seen, with minimal pericardial collection and air foci within. The pleural fluid culture showed growth of Klebsiella pneumoniae. According to the antibiotic sensitivity report, the patient was started on IV meropenem and gentamicin for 21 days while monitoring kidney functions. The patient clinically improved on antibiotics, and follow-up radiological investigations showed resolution of pneumopericardium. In this patient, pneumopericardium was mild, and there was no evidence of tension pneumopericardium. Thus, conservative management with antibiotics was provided, with successful resolution. Unlike this case, if evidence of tension pneumopericardium had been present, emergency interventions for decompression would have been required, and these cases would have had a poor prognosis. This case demonstrates the importance of high suspicion and early diagnosis of pneumopericardium in patients with necrotizing pneumonia. Prompt treatment in these patients can prevent further life-threatening sequelae.
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  • 文章类型: Case Reports
    阻塞肺动脉或其分支之一,通常由于下肢深静脉的血栓可能导致危及生命的疾病,称为肺栓塞。肺梗死,当肺部组织的血液供应受阻时,会发生肺栓塞的异常并发症,导致组织坏死.一名80岁的男子出现咳嗽,呼吸困难,和普遍的弱点。他非常稳定,没有氧气需求,这可能暗示了肺炎或肺结核等感染性病因。然而,小腿压痛的存在促使我们进行了静脉多普勒超声检查,显示深静脉血栓形成.这个,经胸超声心动图(2DECHO)观察到右心房和心室扩张以及中度肺动脉高压,导致我们推荐CT肺动脉造影。血管造影显示肺栓塞并伴有多发性肺梗塞的罕见表现。这里,我们记录了一个罕见的继发于肺栓塞的肺梗死病例,放射学上表现为具有无菌腔的巩固,罕见和非典型的三重事件。
    Obstruction of the pulmonary artery or one of its branches, often due to thrombi from the deep veins of the lower extremities can result in a life-threatening condition known as pulmonary embolism. Pulmonary infarction, an unusual complication of pulmonary embolism occurs when the blood supply to lung tissue is obstructed, leading to tissue necrosis. An 80-year-old man presented with a cough, breathlessness, and generalized weakness. He was vitally stable with no oxygen requirement, which could have suggested an infective etiology like pneumonia or tuberculosis. However, the presence of calf tenderness prompted us to perform a venous Doppler ultrasonography, which revealed deep venous thrombosis. This, combined with right atrial and ventricular dilation and moderate pulmonary artery hypertension observed on transthoracic echocardiography (2D ECHO), led us to recommend a CT pulmonary angiography. The angiography revealed an uncommon presentation of pulmonary embolism with multiple pulmonary infarcts. Here, we chronicle an unusual case of pulmonary infarction secondary to pulmonary embolism, which presented radiologically as consolidation with an aseptic cavity, a rare and atypical triple occurrence.
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  • 文章类型: Case Reports
    一名80岁的非吸烟妇女由于持续的痰液产生和呼吸困难而入院。她出现了呼吸衰竭,胸部影像学显示多灶性巩固和空洞。她的呼吸状态对抗菌治疗没有反应,并逐渐恶化,每天大约产生1升的大量痰,她在入院19天后死亡.根据死后的肺穿刺活检,该患者被诊断为浸润性粘液腺癌。临床医生在鉴别诊断存在大量支气管和弥漫性肺腔异常的患者时应考虑浸润性粘液腺癌。
    An 80-year-old non-smoking woman was admitted to hospital due to persistent sputum production and dyspnea. She developed respiratory failure, and chest imaging revealed multifocal consolidation and cavities. Her respiratory status did not respond to antimicrobial treatment and progressively worsened, with massive sputum production of approximately 1 L per day, and she died 19 days after admission. The patient was diagnosed with invasive mucinous adenocarcinoma based on a postmortem needle biopsy of the lung. Clinicians should consider invasive mucinous adenocarcinoma in the differential diagnosis of patients who present with massive bronchorrhea and diffuse pulmonary cavity abnormalities.
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  • 文章类型: Journal Article
    我们开发了一种利用同步加速器辐射X射线微型计算机断层扫描的无损三维微生物可视化方法,以更好地了解微生物与其周围栖息地之间的关系。使用无菌大肠杆菌和睾丸杆菌属的混合物对该方法进行了测试和优化。采用锇-硫代碳酰肼-锇法对所有微生物细胞进行染色,金原位杂交用于检测特定的系统发育微生物群。将染色的样品包埋在环氧树脂中用于显微层析分析。通过从L3后边缘图像中减去L3前边缘图像以可视化锇和金信号来计算X射线吸光度的差异。虽然我们成功地检测到有锇染色的细胞,那些贴有黄金标签的人没有被检测到,可能是因为微生物细胞中金原子的密度不足。然后,我们将开发的技术应用于厌氧颗粒,并可视化了微生物细胞和胞外聚合物的分布。突出显示空的空间以确定颗粒中的空腔分布。在颗粒中鉴定出许多不同大小的独立空腔。所开发的方法可应用于各种环境样品,以更深入地了解其栖息地中的微生物生命。
    目的:微生物生活在不同的环境中,并经常形成生物膜。影响其群落结构的一个因素是周围的物理环境。居住空间在形成的生物膜内的排列对物质的供应和运输起着至关重要的作用,以及代谢物的排出。传统方法,如扫描电子显微镜和共聚焦激光扫描显微镜结合荧光原位杂交,具有局限性,因为它们主要从生物膜表面和横截面提供信息。在这项研究中,我们开发了一种使用同步辐射X射线微型计算机断层扫描技术检测生物膜中微生物的方法。所开发的方法允许以单细胞分辨率(体素尺寸约为200nm)对生物膜进行无损三维观察,有助于理解微生物与其物理栖息地之间的关系。
    We developed a nondestructive three-dimensional microbial visualization method utilizing synchrotron radiation X-ray microscale computed tomography to better understand the relationship between microorganisms and their surrounding habitats. The method was tested and optimized using a mixture of axenic Escherichia coli and Comamonas testosteroni. The osmium-thiocarbohydrazide-osmium method was used to stain all the microbial cells, and gold in situ hybridization was used to detect specific phylogenetic microbial groups. The stained samples were embedded in epoxy resin for microtomographic analysis. Differences in X-ray absorbances were calculated by subtracting the pre-L3-edge images from the post-L3-edge images to visualize the osmium and gold signals. Although we successfully detected cells stained with osmium, those labeled with gold were not detected, probably because of the insufficient density of gold atoms in the microbial cells. We then applied the developed technique to anaerobic granules and visualized the distribution of microbial cells and extracellular polymeric substances. Empty spaces were highlighted to determine the cavity distribution in granules. Numerous independent cavities of different sizes were identified in the granules. The developed method can be applied to various environmental samples for deeper insights into microbial life in their habitats.
    OBJECTIVE: Microorganisms inhabit diverse environments and often form biofilms. One factor that affects their community structure is the surrounding physical environment. The arrangement of residential space within the formed biofilm plays a crucial role in the supply and transportation of substances, as well as the discharge of metabolites. Conventional approaches, such as scanning electron microscopy and confocal laser scanning microscopy combined with fluorescence in situ hybridization, have limitations as they provide information primarily from the biofilm surface and cross-sections. In this study, we developed a method for detecting microorganisms in biofilms using synchrotron radiation X-ray microscale computer tomography. The developed method allows nondestructive three-dimensional observation of biofilms at a single-cell resolution (voxel size of approximately 200 nm), facilitating an understanding of the relationship between microorganisms and their physical habitats.
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  • 文章类型: Journal Article
    树洞支持一个专门的物种丰富的动物区系。我们回顾了占据树木空洞的腐植酸(=依赖枯木的)无脊椎动物的栖息地要求。我们专注于量化物种发生模式与树木空洞特征之间的关系的研究,空心树,和周围的风景。我们还通过回顾种群的时空动态研究来探索影响物种发生模式的过程,包括它们的扩散和遗传结构。我们在Scopus数据库中的文献检索确定了52种相关出版物,所有这些都是来自欧洲的研究。所研究的主要分类群是甲虫。中空树木中的无脊椎动物通常更有可能记录在具有反映大量资源或稳定温暖的小气候特征的树木中,比如大直径,大量的木模(=松散的材料积累在空洞主要由腐烂的木材组成),高水平的阳光照射,入口孔很大,高度低或高,在干燥的凹陷中,入口不向上。稳定的小气候可能是某些类无脊椎动物被限制在树洞中的关键因素。与倒下的枯木相比,其他不同的因素是,距地面给定高度的空洞为地面捕食者提供了庇护所,凹陷持续更长时间,通过枯叶的积累可以提高营养物质的含量,昆虫弗拉斯,和死昆虫的遗骸。几项研究已经确定每棵树的物种占有率与周围景观中的栖息地数量之间存在正相关关系,随着空间尺度的变化,周围景观的特征在200到3000m的空间尺度上具有最强的影响。我们发现了灭绝阈值假说的经验支持,它预测,如果一定数量的树木聚集成几个大的空心树集群,而不是分布在许多小集群中,则每棵树的物种存在频率会更高。在物种发生模式中观察到的阈值可以通过殖民灭绝动力学来解释,每棵树的物种占有率受移民率变化的影响。与这个假设一致,实地研究表明,无脊椎动物占据树木空洞的扩散速率和范围可能很低,虽然在温暖的气候下较高。对于一个已经研究了25年种群动态的物种(Osmoremaeremita),观察到的种群动态具有“栖息地跟踪种群”的特征,因为树木的局部灭绝可能是因为这些树木变得不合适,以及由于小种群的随机过程。通过延长现有空心树的站立寿命,可以改善局限于树空洞的无脊椎动物的持久性。招募新一代空心树也很重要,最好靠近现有的较大群体的空心树。因此,中空树木的时空动态对于依赖它们的无脊椎动物动物区系至关重要。
    Tree hollows support a specialised species-rich fauna. We review the habitat requirements of saproxylic (= deadwood dependent) invertebrates which occupy tree hollows. We focus on studies quantifying relationships between species occurrence patterns and characteristics of tree hollows, hollow trees, and the surrounding landscape. We also explore the processes influencing species occurrence patterns by reviewing studies on the spatio-temporal dynamics of populations, including their dispersal and genetic structure. Our literature search in the database Scopus identified 52 relevant publications, all of which were studies from Europe. The dominant taxonomic group studied was beetles. Invertebrates in hollow trees were often more likely to be recorded in trees with characteristics reflecting a large amount of resources or a stable and warm microclimate, such as a large diameter, large amounts of wood mould (= loose material accumulated in the hollows mainly consisting of decaying wood), a high level of sun exposure, and with entrance holes that are large and either at a low or high height, and in dry hollows, with entrances not directed upwards. A stable microclimate is probably a key factor why some species of saproxylic invertebrates are confined to tree hollows. Other factors that are different in comparison to downed dead wood is the fact that hollows at a given height from the ground provide shelter from ground-living predators, that hollows persist for longer, and that the content of nutrients might be enhanced by the accumulation of dead leaves, insect frass, and remains from dead insects. Several studies have identified a positive relationship between species occupancy per tree and the amount of habitat in the surrounding landscape, with a variation in the spatial scale at which characteristics of the surrounding landscape had the strongest effect over spatial scales from 200 to 3000 m. We found empirical support for the extinction threshold hypothesis, which predicts that the frequency of species presence per tree is greater if a certain number of trees are aggregated into a few large clusters of hollow trees rather than distributed among many small clusters. Observed thresholds in species occurrence patterns can be explained by colonisation-extinction dynamics, with species occupancy per tree influenced by variation in rates of immigration. Consistent with this assumption, field studies suggest that dispersal rate and range can be low for invertebrates occupying tree hollows, although higher in a warmer climate. For one species in which population dynamics has been studied over 25 years (Osmoderma eremita), the observed population dynamics have characteristics of a \"habitat-tracking metapopulation\", as local extinctions from trees occur possibly because those trees become unsuitable as well as due to stochastic processes in small populations. The persistence of invertebrate fauna confined to tree hollows may be improved by prolonging the standing life of existing hollow trees. It is also important to recruit new generations of hollow trees, preferably close to existing larger groups of hollow trees. Thus, the spatio-temporal dynamics of hollow trees is crucial for the invertebrate fauna that rely upon them.
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  • 文章类型: Journal Article
    在这项研究中,一种新型的双重布朗斯特酸性-碱性纳米多孔有机聚合物催化剂,PC4RA@SiPr-Pip-BuSO3H,是通过不同的步骤合成的:制备多杯的3D网络,用(3-氯丙基)-三甲氧基硅烷改性,然后在规定的条件下用哌嗪和正丁基磺酸对聚合物进行官能化。通过FT-IR对催化剂进行表征,TGA,EDS,元素映射,PXRD,TEM,和FE-SEM分析,确认高化学稳定性,活动,可恢复性,和优异的官能团共价锚定。所以,所设计的催化剂被用于制备螺-乙炔和氨基-螺茚杂环,提供良好的性能和相应产品的高产率。因此,该催化剂可用于不同的有机转化。对聚合物催化剂的可回收性测试进行了必要的实验,结果表明,PC4RA@SiPr-Pip-BuSO3H催化剂可以重复使用10次,其活性和质量没有任何降低,具有优异的稳定性。使用1HNMR确认所得螺杂环的结构,13CNMR,和FT-IR。
    In this study, a novel dual Brønsted acidic-basic nano-scale porous organic polymer catalyst, PC4RA@SiPr-Pip-BuSO3H, was synthesized through various steps: preparation of a 3D network of polycalix, modification with (3-chloropropyl)-trimethoxysilane, then functionalization of polymer with piperazine and n-butyl sulfonic acid under the provided conditions. The catalyst characterization was performed by FT-IR, TGA, EDS, elemental mapping, PXRD, TEM, and FE-SEM analyses, confirming high chemical stability, activity, recoverability, and excellent covalent anchoring of functional groups. So, the designed catalyst was utilized for preparing spiro-acenaphthylene and amino-spiroindene heterocycles, providing good performance with a high yield of the corresponding products. Accordingly, this catalyst can be used in different organic transformations. Necessary experiments were conducted for the recyclability test of the polymeric catalyst, and the results showed the PC4RA@SiPr-Pip-BuSO3H catalyst can be reused 10 times without any decrease in its activity or quality with excellent stability. The structure of resultant spiro heterocycles was confirmed using 1H NMR, 13C NMR, and FT-IR.
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  • 文章类型: Case Reports
    包虫病是一种人畜共患的寄生虫病,尤其是细粒棘球蚴。肺是第二大部位,其次是肝脏,占病例的10%-30%。包虫囊肿破裂可进入胸膜或支气管。手术仍然是治疗肺包虫的主要手段。
    Hydatid disease is a zoonotic parasitic infestation caused by tapeworms, particularly Echinococcus granulosus. The lung is the second most site followed by liver accounting for 10%-30% of the cases. Rupture of hydatid cyst can occur into pleura or bronchus. Surgery remains the mainstay of treatment for pulmonary hydatid.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    小胶质细胞(MG),大脑驻留的巨噬细胞,通过多种细胞状态在健康和疾病中发挥重要作用。虽然胚胎MG表现出细胞分布和转录组状态的巨大异质性,它们的功能特征仍然很差。这里,我们发现MG在维持两个胎儿皮质边界的结构完整性中的作用.在不同方向生长的结构之间的这些边界处,胚胎MG积累,显示类似于产后轴突束相关小胶质细胞(ATM)的状态,并防止微腔进展为大空洞性病变,部分通过涉及ATM因子Spp1的机制。MG和Spp1还有助于病变的快速修复,共同强调保护功能,保护胎儿大脑免受生理形态发生应激和损伤。因此,我们的研究强调了胚胎MG和Spp1在形态发生过程中维持结构完整性的关键主要作用。对我们对MG功能和大脑发育的理解有重要意义。
    Microglia (MG), the brain-resident macrophages, play major roles in health and disease via a diversity of cellular states. While embryonic MG display a large heterogeneity of cellular distribution and transcriptomic states, their functions remain poorly characterized. Here, we uncovered a role for MG in the maintenance of structural integrity at two fetal cortical boundaries. At these boundaries between structures that grow in distinct directions, embryonic MG accumulate, display a state resembling post-natal axon-tract-associated microglia (ATM) and prevent the progression of microcavities into large cavitary lesions, in part via a mechanism involving the ATM-factor Spp1. MG and Spp1 furthermore contribute to the rapid repair of lesions, collectively highlighting protective functions that preserve the fetal brain from physiological morphogenetic stress and injury. Our study thus highlights key major roles for embryonic MG and Spp1 in maintaining structural integrity during morphogenesis, with major implications for our understanding of MG functions and brain development.
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  • 文章类型: Journal Article
    传统的统计调查主要集中在蛋白质腔的简单一维特征的比较,比如数字,表面积,和音量。这些研究未能辨别有助于蛋白质热稳定性的嗜热和嗜温蛋白质之间的空腔性质的关键区别。在这项研究中,空腔性质的意义,即,灵活性和位置,通过比较同源嗜热和嗜温蛋白之间的结构差异来研究蛋白质的热稳定性。蛋白质结构的三个维度分为三个区域(核心,边界,和表面),并使用该结构指数对空腔性能进行了比较分析。统计分析表明,空腔的柔韧性与蛋白质的热稳定性密切相关。嗜热蛋白的核心腔比嗜温蛋白的核心腔柔性低(平均B因子值,-0.6484和-0.5111),这对蛋白质热稳定性的危害可能较小。嗜热蛋白在边界和表面区域表现出更少的空腔。值得注意的是,嗜温蛋白中的空腔,在所有地区,比嗜热蛋白表现出更大的灵活性(>95%的概率)。嗜温蛋白的边界和表面区域中空腔的灵活性增加,与嗜热蛋白相反,可能会损害稳定性。最近涉及嗜温木聚糖酶和蛋白酶的蛋白质工程研究显示,结果与本研究的结果一致。这表明操纵表面区域的柔性空腔可以增强热稳定性。因此,我们的发现表明,在表面或边界区域设计柔性空腔的合理或计算方法可以作为增强嗜温蛋白热稳定性的有效策略。
    Conventional statistical investigations have primarily focused on the comparison of the simple one-dimensional characteristics of protein cavities, such as number, surface area, and volume. These studies have failed to discern the crucial distinctions in cavity properties between thermophilic and mesophilic proteins that contribute to protein thermostability. In this study, the significance of cavity properties, i.e., flexibility and location, in protein thermostability was investigated by comparing structural differences between homologous thermophilic and mesophilic proteins. Three dimensions of protein structure were categorized into three regions (core, boundary, and surface) and a comparative analysis of cavity properties using this structural index was conducted. The statistical analysis revealed that cavity flexibility is closely related to protein thermostability. The core cavities of thermophilic proteins were less flexible than those of mesophilic proteins (averaged B\' factor values, -0.6484 and -0.5111), which might be less deleterious to protein thermostability. Thermophilic proteins exhibited fewer cavities in the boundary and surface regions. Notably, cavities in mesophilic proteins, across all regions, exhibited greater flexibility than those in thermophilic proteins (>95% probability). The increased flexibility of cavities in the boundary and surface regions of mesophilic proteins, as opposed to thermophilic proteins, may compromise stability. Recent protein engineering investigations involving mesophilic xylanase and protease showed results consistent with the findings of this study, suggesting that the manipulation of flexible cavities in the surface region can enhance thermostability. Consequently, our findings suggest that a rational or computational approach to the design of flexible cavities in surface or boundary regions could serve as an effective strategy to enhance the thermostability of mesophilic proteins.
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