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Chaoran Dou, Qin Li, Tao Ying, Yulin Yan, Xia Wang, Bing Hu
《医学前沿（英文）》 2018年 第12卷 第5期 页码 572-579 doi: 10.1007/s11684-017-0561-4
The dimension of the levator hiatus is a possible predictor of pelvic organ prolapse (POP). This retrospective study investigated 360 women who went to urogynecological clinic for pelvic floor discomfort. Levator hiatus dimensions were obtained by three-dimensional transperineal ultrasound and results were compared between women with and without significantly objective prolapse (International Continence Society POP quantification, grade 2 or higher). Receiver operating characteristic (ROC) curve analyses were performed to determine valid screening index for detecting abnormal levator hiatus distensibility. Women with significantly objective prolapse had significantly higher levator hiatus dimensions than those without (all P <0.001). ROC curve analyses confirmed that hiatal area (HA) of 19.5 cm2 during Valsalva maneuver can be used as single-screening index for abnormal levator hiatus distensibility with sensitivity of 0.80 and specificity of 0.70. In this study, we used a two-step method and achieved higher sensibility (0.80 vs. 0.87) without reducing specificity (0.70 vs. 0.71) compared with a single-screening index method. As a result, we suggest that HA≥19.5 cm2 during Valsalva maneuver is an indicator of abnormal levator hiatus distensibility in Chinese women and that the two-step method has higher sensitivity in detecting abnormal distensibility.
关键词： three-dimensional transperineal ultrasound levator hiatus levator ani muscle pelvic organ prolapse
用于器官芯片的工程化血管系统 Review
Abdellah Aazmi, 周竑钊, 李雨亭, 俞梦飞, 许晓斌, 吴钰桐, 马梁, 张斌, 杨华勇
《工程（英文）》 2022年 第9卷 第2期 页码 131-147 doi: 10.1016/j.eng.2021.06.020
器官芯片技术是一种很有前途的三维（3D）动态培养方法，可确保准确高效的细胞培养，在临床前试验中具有替代动物模型的巨大潜力。血管系统是人体内最丰富的器官，在氧气交换和物质传递中起着至关重要的作用，是组织器官生存的决定性因素。因此，必须将血管系统集成到器官芯片中，以重建组织和器官微环境及其生理功能。本文讨论了血管与新兴器官芯片技术之间的协同作用，为复现生理学和疾病特征提供了更好的可能性。此外，回顾了血管化的器官芯片制造过程的不同步骤，包括使用不同生物制造策略的结构制造和组织构建。最后，概述了这项技术在器官和肿瘤培养这个有极具吸引力且快速发展的领域的适用性。
A literature review of perishable medical resource management
《工程管理前沿（英文）》 页码 710-726 doi: 10.1007/s42524-023-0278-9
关键词： perishable medical resources organ transplant healthcare products decision analytics operations management
左炔诺孕酮宫内释放系统对胰岛素样生长因子-1的影响与预防盆腔炎的相关性研究
吴晓杰,刘霞,陶跃平,王洁
《中国工程科学》 2015年 第17卷 第6期 页码 4-7
目的：研究左炔诺孕酮宫内释放系统对子宫内膜组织胰岛素样生长因子-1（IGF-1）的影响及预防盆腔炎疗效分析。方法：选取2010―2013年在嘉兴市妇幼保健院行宫腔镜下子宫内膜息肉切除术患者450例进行随机分组，研究组术后子宫内即时放置左炔诺孕酮宫内释放系统，而对照组不予放置。分别对术前及术后6个月子宫内膜组织IGF-1的表达情况进行对比，且随访2年，了解患者盆腔炎发生情况。结果：所有手术均成功，研究组子宫内膜组织IGF-1表达术后明显低于术前，对照组术前及术后子宫内膜组织IGF-1表达变化无差异，二组相比，术后IGF-1表达差异有显著性。随访2年对照组224例患者中39例发生盆腔炎，复发率为10.89 %，而研究组184例发生盆腔炎12例，差异有显著性；研究组子宫内膜厚度术后明显小于术前，差异有显著性，对照组子宫内膜厚度术后与术前变化无差异性。结论：左炔诺孕酮宫内释放系统对子宫内膜的IGF-1表达存在抑制作用，可能是其抑制子宫内膜增生并减少盆腔炎发生的机制之一。
Piezoelectric pump with flexible venous valves for active cell transmission
《机械工程前沿（英文）》 2022年 第17卷 第4期 doi: 10.1007/s11465-022-0712-4
关键词： venous valve flexible venous valve cell transmission organ-on-a-chip system piezoelectric device
Emerging roles of podoplanin in vascular development and homeostasis
null
《医学前沿（英文）》 2015年 第9卷 第4期 页码 421-430 doi: 10.1007/s11684-015-0424-9
Podoplanin (PDPN) is a mucin-type O-glycoprotein expressed in diverse cell types, such as lymphatic endothelial cells (LECs) in the vascular system and fibroblastic reticular cells (FRCs) in lymph nodes. PDPN on LECs or FRCs activates CLEC-2 in platelets, triggering platelet activation and/or aggregation through downstream signaling events, including activation of Syk kinase. This mechanism is required to initiate and maintain separation of blood and lymphatic vessels and to stabilize high endothelial venule integrity within lymph nodes. In the vascular system, normal expression of PDPN at the LEC surface requires transcriptional activation of Pdpn by Prox1 and modification of PDPN with core 1-derived O-glycans. This review provides a comprehensive overview of the roles of PDPN in vascular development and lymphoid organ maintenance and discusses the mechanisms that regulate PDPN expression related to its function.
关键词： podoplanin CLEC-2 Prox1 O-glycosylation lymphatic vascular development and maintenance lymphoid organ homeostasis
Clinical significance of para-aortic lymph node dissection and prognosis in ovarian cancer
null
《医学前沿（英文）》 2014年 第8卷 第1期 页码 96-100 doi: 10.1007/s11684-014-0316-4
Lymph node metastasis has an important effect on prognosis of patients with ovarian cancer. Moreover, the impact of para-aortic lymph node (PAN) removal on patient prognosis is still unclear. In this study, 80 patients were divided into groups A and B. Group A consisted of 30 patients who underwent PAN+ pelvic lymph node (PLN) dissection, whereas group B consisted of 50 patients who only underwent PLN dissection. Analysis of the correlation between PAN clearance and prognosis in epithelial ovarian cancer was conducted. Nineteen cases of lymph node metastasis were found in group A, among whom seven cases were positive for PAN, three cases for PLN, and nine cases for both PAN and PLN. In group B, 13 cases were positive for lymph node metastasis. Our study suggested that the metastatic rate of lymph node is 40.0%. Lymph node metastasis was significantly correlated with FIGO stage, tumor differentiation, and histological type both in groups A and B (P<0.05). In groups A and B, the three-year survival rates were 77.9% and 69.0%, and the five-year survival rates were 46.7% and 39.2%, respectively. However, the difference was not statistically significant (P>0.05). The three-year survival rates of PLN metastasis in groups A and B were 68.5% and 41.4%, and the five-year survival rates were 49.7% and 26.4%, respectively. Furthermore, PLN-positive patients who cleared PAN had significantly higher survival rate (P=0.044). In group A, the three-year survival rates of positive and negative lymph nodes were 43.5% and 72.7%, and the five-year survival rates were 27.2% and 58.5%, respectively. The difference was statistically significant (P=0.048). Cox model analysis of single factor suggested that lymph node status affected the survival rate (P<0.01), which was the death risk factor. Consequently, in ovarian carcinoma cytoreductive surgery, resection of the para-aortic lymph node, which has an important function in clinical treatment and prognosis of patients with ovarian cancer, is necessary.
关键词： ovarian cancer para-aortic lymph node pelvic lymph node
Kan Wang, Chia-Che Ho, Chuck Zhang, Ben Wang
《工程（英文）》 2017年 第3卷 第5期 页码 653-662 doi: 10.1016/J.ENG.2017.05.013
医学模型或模具已广泛应用于医学培训和医患互动领域，同时也日益应用于手术规划、医学计算模型、算法核实和验证以及医疗器械的开发等方面。这种新应用需要高保真度、患者特异性及模拟组织结构的医学模具，其不仅能够模拟人体器官的几何结构，而且还具有器官的功能。随着三维（3D）打印和3D 生物打印技术的快速发展，许多研究人员已经开始使用增材制造技术来生产具有多种功能的医学模具。本文综述了3D 打印和3D 生物打印技术在制作功能性医学模具和生物结构方面的应用。特别讨论了3D 打印功能性医学模具（即组织模拟医学模具、放射性医学模具和生理医学模具）及被用于再生组织和器官的3D 生物打印模具的制备（即混合模式支架材料、可转换支架和集成传感器）工艺、发展现状以及未来发展趋势。
A novel intravenous general anesthetic--- emulsified isoflurane: from bench to bedside
null
《医学前沿（英文）》 2012年 第6卷 第4期 页码 381-387 doi: 10.1007/s11684-012-0229-z
Application of volatile anesthetics greatly alters modern medicine. There are obvious advantages of volatile anesthetics such as strong anesthetic potency, rapid onset and elimination through respiration system. Isoflurane is one of the most widely used volatile anesthetics in clinic. Emulsified isoflurane, the emulsion of isoflurane, is a novel intravenous general anesthetic. With the development of emulsified isoflurane in the past fifteen years, its utility has spread from intravenous general anesthesia to various fields including regional anesthesia, organ protection, as well as anesthetic pharmacological study. In this review, we will summarize literatures of emulsified isoflurane about its history, clinical application and future potential utility in the above mentioned fields.
关键词： emulsified isoflurane (EI) general anesthesia regional anesthesia organ protection anesthetic pharmacological study
State-of-the-art of intelligent minimally invasive surgical robots
Masakatsu G. Fujie, Bo Zhang
《医学前沿（英文）》 2020年 第14卷 第4期 页码 404-416 doi: 10.1007/s11684-020-0743-3
关键词： robot history medical robot surgical robot radiofrequency ablation organ model
Organ function support in patients with coronavirus disease 2019: Tongji experience
Yong Li, Fan He, Ning Zhou, Jia Wei, Zeyang Ding, Luyun Wang, Peng Chen, Shuiming Guo, Binhao Zhang, Xiaoning Wan, Wei Zhu, on behalf of Multidisciplinary Team for COVID-19, Optical Valley Branch of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan, China
《医学前沿（英文）》 2020年 第14卷 第2期 页码 232-248 doi: 10.1007/s11684-020-0774-9
关键词： COVID-19 severe and critical type organ function support
《环境科学与工程前沿（英文）》 2023年 第17卷 第7期 doi: 10.1007/s11783-023-1679-z
● Heavy metals and organic toxins may persist in legacy sites for a long time.
关键词： E-waste Human health risk Organ risk Heavy metal toxicity PBDE PCDD/F
张涤生
《中国工程科学》 2000年 第2卷 第10期 页码 21-25
组织工程是应用细胞生物学和工程学的原理研究和开发，以达到修复和重建损伤的组织或器官的外形和功能的生物替代物的一门新学科，是继细胞生物学和分子生物学后，人类生命科学发展史上又一新的里程碑，标志着医学将超越组织和器官移植的旧模式，进人制造组织和器官的新时代，将在21世纪中绽露头角。
文章简略介绍世界组织工程发展历史及各类组织和器官组织工程的研究现状，并介绍我国组织工程科研工作开展的最新情况。目前组织工程已有了迅猛发展，在不少方面已取得重大突破。由于其孕育的巨大科学价值_及广阔的研究和应用前景，因此加快我国组织工程的研究，尽早地投人临床应用，对我国医学科学事业和国民经济的发展具有重大意义。
张向卉,曲雯雯,黄薇,方 婕,吴凡子,周辛璇
《中国工程科学》 2015年 第17卷 第6期 页码 21-27
目的：宫内节育器（IUD）是目前常用的长效避孕措施之一，然而众多研究认为IUD的应用增加了盆腔炎性疾病（PID）的发生率。近年研究发现细菌生物膜（BF）与感染性疾病的发生息息相关，本研究拟探究无盆腔炎疾病妇女的不同类型宫内节育器表面是否存在BF，了解IUD是否为BF形成提供平台，是否增加盆腔炎性疾病的易感性。方法：不同类型IUD标本，根据表面清洁程度分别进行单独电子扫描电镜（SEM）观察，单独需氧、厌氧细菌培养，以及SEM观察+培养了解IUD表面是否存在BF。结果：共纳入IUD标本86例，85例非PID女性的IUD，同期1例盆腔感染性疾病患者的IUD。25例进行单独SEM观察，阳性1例，其余标本未见典型BF结构。单独细菌培养47例，需氧细菌培养阳性1例，见大面积菌苔覆盖，考虑污染可能性大，其余标本未见细菌生长。SEM联合培养14例，细菌培养阳性，电镜无阳性发现。其余培养及SEM观察阴性。结论：不论IUD的类型如何，非PID女性体内的IUD表面无BF存在，不同与其他体内医疗装置，BF的形成不能成为限制IUD应用的理由。
巨噬细胞在器官移植急性排斥反应中的双重作用 Review
谭亮, 郭易难, 冯畅, 侯仰潇, 谢续标, 赵勇
《工程（英文）》 2022年 第10卷 第3期 页码 21-29 doi: 10.1016/j.eng.2021.10.015
天然免疫细胞在移植免疫反应中发挥着重要作用。巨噬细胞是重要的天然免疫细胞；在发生排斥反应的同种异基因移植器官中，巨噬细胞也是浸润的众多免疫细胞之一。巨噬细胞的浸润与器官移植的短期和长期效果呈负相关。在功能方面，巨噬细胞具有异质性和可塑性。在器官移植排斥反应中，巨噬细胞可以为适应性免疫提呈同种异基因抗原以及提供共刺激信号和细胞因子，也可以直接损伤移植器官。此外，一些具有免疫调节功能的巨噬细胞亚群，可以通过抑制排斥反应和促进免疫耐受来保护移植器官。尽管目前研究人员已认识到巨噬细胞在移植器官损伤过程中的潜在作用，但他们对巨噬细胞在移植排斥反应中的不同作用关注不够。为此，本文就巨噬细胞在急性移植免疫反应中的独特作用以及免疫抑制剂对巨噬细胞的影响进行了综述和讨论。通过分析发现，对于巨噬细胞在移植免疫中的作用的相关研究中，应更多地关注其复杂性和关键功能，并应更多地致力于开发针对巨噬细胞的免疫抑制药物，并使之有利于提高移植器官的长期存活率和移植免疫耐受的建立。
标题 作者 时间 类型 操作
Determining “abnormal” levator hiatus distensibility using three-dimensional transperineal ultrasound in Chinese women
Chaoran Dou, Qin Li, Tao Ying, Yulin Yan, Xia Wang, Bing Hu
期刊论文
Clinical significance of para-aortic lymph node dissection and prognosis in ovarian cancer
null
期刊论文
State-of-the-art of intelligent minimally invasive surgical robots
Masakatsu G. Fujie, Bo Zhang
期刊论文
Organ function support in patients with coronavirus disease 2019: Tongji experience
Yong Li, Fan He, Ning Zhou, Jia Wei, Zeyang Ding, Luyun Wang, Peng Chen, Shuiming Guo, Binhao Zhang, Xiaoning Wan, Wei Zhu, on behalf of Multidisciplinary Team for COVID-19, Optical Valley Branch of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan, China
期刊论文
Legacies and health risks of heavy metals, polybrominated diphenyl ethers, and polychlorinated dibenzo-dioxins/furans at e-waste recycling sites in South China
期刊论文
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