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vs. UA).
Considering various degrees of hypercoagulability and antiplatelet effects of clopidogrel among OMI and ACS patients post-PCI. More attention should be paid to personalized antiplatelet therapy according to individual's effects of P2Y12 receptor inhibitors.
Considering various degrees of hypercoagulability and antiplatelet effects of clopidogrel among OMI and ACS patients post-PCI. More attention should be paid to personalized antiplatelet therapy according to individual's effects of P2Y12 receptor inhibitors.
Endoscopic ultrasound (EUS)-guided radiofrequency ablation (RFA) is a novel modality in the treatment of solid tumours. The aim of the study is to evaluate the technical feasibility, safety and efficacy of multiple-round EUS-RFA with low ablation power for unresectable pancreatic cancer.
We conducted a retrospective analysis of eleven cases with unresectable pancreatic cancer who underwent EUS-RFA between November 2013 and November 2018. For each lesion, RITA 1500X radiofrequency generator was used to deliver 5-10 watts ablation power for 90 seconds, repeatedly. Eight cases underwent the same procedure one week later. Additionally, one patient with the lesion size of 29.7 mm underwent 8 total sessions of RFA every other week.
The procedure was successful in all cases and no major adverse events were observed. The post procedure imaging studies and serum CA19-9 level were performed 1 month after procedure, showing two patients had decreased lesion sizes and five patients had decreased serum CA19-9 level. Follow-up duration ranged 2 to 12 months. The patient who underwent 8 total sessions of RFA survived 12 months after followup and showed increased tumour apparent diffusion coefficient (ADC) value and 20% ablated area inside the tumour.
A multiple-round ablation with optimal RFA energy could be a technically feasible, safe and short-term efficacy option for those patients with unresectable pancreatic cancer.
A multiple-round ablation with optimal RFA energy could be a technically feasible, safe and short-term efficacy option for those patients with unresectable pancreatic cancer.
Percutaneous nephrolithotomy (PCNL), a minimally invasive technique, has gradually replaced traditional open surgery in the treatment of upper urinary tract stones. The aim of this study was to observe the effects of a new special position cushion for PCNL in the clinical application.
Four-hundred and fifty patients (229 males and 221 females, at the age of 47.03±8.9 years) after PCNL were randomly divided into two groups the control group and the experimental group (n=225/each group). Patients in the control group were treated with conventional hip sponge pads to prevent from pressure ulcers after PCNL, and patients in the experimental group used the postoperatively special position cushion which included a sacrococcygeal pad and a back pad. We observed and compared patient's position comfort, the incidence of renal hemorrhage, removal rate of the renal fistula, folding rate of the renal fistula and incidence of refractory pressure ulcer between two groups.
Compared to the control group, the position comfort of the experiment group was improved. The incidence of renal hemorrhage due to improper postoperative position (hereinafter referred to as the incidence of renal bleeding), the rate of devascularization of the renal fistula, the rate of tube folding of the renal fistula, and the incidence of postoperative pressure ulcers in the experiment group were decreased in comparison with the control group, with significant differences (P<0.05).
The special position cushion increases the patient's comfort, improves the fix effect of the renal fistula, and effectively reduces the occurrence of adverse reactions such as bleeding and pressure sore caused by improper PCNL postoperative position.
The special position cushion increases the patient's comfort, improves the fix effect of the renal fistula, and effectively reduces the occurrence of adverse reactions such as bleeding and pressure sore caused by improper PCNL postoperative position.
At the end of the last century, genome-wide association studies revealed a significant genetic association between bipolar disorder and autoimmune diseases. Subsequently, the theory of immune pathogenesis of bipolar disorder gradually formed, and the research on autoimmune diseases and bipolar comorbidities began to extend to other diseases, but their correlation is still controversial. To explore the differences in the prevalence of bipolar disorder in patients with autoimmune disease and normal healthy people through meta-analysis, and to examine the relationship between bipolar disorder and autoimmune disease by reviewing the relevant literature.
The Cochrane, PubMed, and Embase databases were searched by computer from the date of inception of the database to July 2020. The main topics of the search were based on common autoimmune diseases, including systemic lupus erythematosus, rheumatoid arthritis, psoriasis, multiple sclerosis, ulcerative colitis, Crohn's disease, ankylosing spondylitis, pemphigus,ore basic research is needed to verify the special significance of immune mechanisms in bipolar disorder.
The prevalence of bipolar disorder is markedly higher in patients with autoimmune disease. Hydroxychloroquine inhibitor Yet, more basic research is needed to verify the special significance of immune mechanisms in bipolar disorder.
High purity oxygen therapy has good clinical efficacy in the treatment of diabetic foot (DF), but its mechanism of promoting wound healing has been unclear.
Patients with DF were randomly divided into an experimental group and a control group. The experimental group was given local oxygen therapy (LOT) by a micro-oxygen therapy instrument, which administered uninterrupted >95% pure oxygen for 24 h at a flow rate of 3 mL/h. Six skin samples from the experimental group before and after treatment underwent RNA sequencing (RNA-seq), and the differentially expressed genes (DEGs) were screened.
The clinical results showed that the mean wound healing time of the experimental group was 26 days (P<0.05); the healing area of the experimental group was 3.1-15.3 cm3 , with a mean of 8.8 cm3 , and that of the control group was 2.4-10.4 cm3 (P<0.05). LOT promoted the healing of DF wounds mainly through the tumor necrosis factor (TNF) signaling pathway and the apoptosis pathway.
According to our results, LOT can promote DF healing mainly by inhibiting the local oxidative stress reaction of wound skin and by inhibiting the inflammatory and apoptotic pathways.
Homepage: https://www.selleckchem.com/products/hydroxychloroquine-sulfate.html
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