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无保护会阴正位接生配合拉玛泽呼吸法在自然分娩中的应用效果分析 被引量:8
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作者 邓海芬 梁翠瑛 《黑龙江医学》 2019年第7期762-764,共3页
目的探讨无保护会阴正位接生配合拉玛泽呼吸法在自然分娩中的应用效果。方法选取福建医科大学附属三明第一医院2018年1—12月符合阴道分娩的初产妇800例为研究对象随机分为观察组与对照组,每组各400例。观察组产妇实施无保护会阴正位接... 目的探讨无保护会阴正位接生配合拉玛泽呼吸法在自然分娩中的应用效果。方法选取福建医科大学附属三明第一医院2018年1—12月符合阴道分娩的初产妇800例为研究对象随机分为观察组与对照组,每组各400例。观察组产妇实施无保护会阴正位接生配合拉玛泽呼吸法,对照组产妇实施传统保护会阴接生法。比较两组产妇会阴侧切率、会阴裂伤程度、会阴水肿程度及伤口愈合情况;第二产程时间、产后2h出血量、新生儿Apgar评分情况。结果观察组产妇会阴侧切率、会阴裂伤程度、会阴水肿程度明显低于对照组,差异有统计学意义(P<0.01);两组产妇会阴伤口均为甲级愈合;两组产妇第二产程时间、产后2h出血量、新生儿Apgar评分情况比较差异无统计学意义(P>0.05)。结论采取无保护会阴正位接生配合拉玛泽呼吸法进行阴道助娩能显著降低会阴侧切率,减轻会阴裂伤程度及伤口肿胀程度,且不会延长第二产程时间,不会增加产后2h出血量,对新生儿Apgar评分没有影响,有利于促进产后恢复,减轻助产医师颈椎、腰椎肌肉及关节劳损,在自然分娩中具有较高的临床应用价值。 展开更多
关键词 无保护会阴 正位接生 拉玛泽呼吸法 会阴裂伤
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Rescue of p53 functions by in vitro-transcribed mRNA impedes the growth of high-grade serous ovarian cancer
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作者 Monika Raab Izabela Kostova +7 位作者 Samuel Peña-Llopis Daniela Fietz Monika Kressin Seyed Mohsen Aberoumandi Evelyn Ullrich Sven Becker Mourad Sanhaji Klaus Strebhardt 《Cancer Communications》 SCIE 2024年第1期101-126,共26页
Background:The cellular tumor protein p53(TP53)is a tumor suppressor gene that is frequently mutated in human cancers.Among various cancer types,the very aggressive high-grade serous ovarian carcinoma(HGSOC)exhibits t... Background:The cellular tumor protein p53(TP53)is a tumor suppressor gene that is frequently mutated in human cancers.Among various cancer types,the very aggressive high-grade serous ovarian carcinoma(HGSOC)exhibits the high-est prevalence of TP53 mutations,present in>96%of cases.Despite intensive efforts to reactivate p53,no clinical drug has been approved to rescue p53 func-tion.In this study,our primary objective was to administer in vitro-transcribed(IVT)wild-type(WT)p53-mRNA to HGSOC cell lines,primary cells,and ortho-topic mouse models,with the aim of exploring its impact on inhibiting tumor growth and dissemination,both in vitro and in vivo.Methods:To restore the activity of p53,WT p53 was exogenously expressed in HGSOC cell lines using a mammalian vector system.Moreover,IVT WT p53 mRNA was delivered into different HGSOC model systems(primary cells and patient-derived organoids)using liposomes and studied for proliferation,cell cycle progression,apoptosis,colony formation,and chromosomal instabil-ity.Transcriptomic alterations induced by p53 mRNA were analyzed using RNA sequencing in OVCAR-8 and primary HGSOC cells,followed by ingenuity path-way analysis.In vivo effects on tumor growth and metastasis were studied using orthotopic xenografts and metastatic intraperitoneal mouse models.Results:Reactivation of the TP53 tumor suppressor gene was explored in differ-ent HGSOC model systems using newly designed IVT mRNA-based methods.The introduction of WT p53 mRNA triggered dose-dependent apoptosis,cell cycle arrest,and potent long-lasting inhibition of HGSOC cell proliferation.Transcriptome analysis of OVCAR-8 cells upon mRNA-based p53 reactivation revealed significant alterations in gene expression related to p53 signaling,such as apoptosis,cell cycle regulation,and DNA damage.Restoring p53 function concurrently reduces chromosomal instability within the HGSOC cells,under-scoring its crucial contribution in safeguarding genomic integrity by moderating the baseline occurrence of double-strand breaks arising fro 展开更多
关键词 apoptosis cell cycle chromosomal instability HGSOC metastatic intraperitoneal mouse model HGSOC orthotopic Xenograft model high-grade serous ovarian cancer in vitro-transcribed p53-mRNA liposomal IVT mRNA delivery system patient-derived organoid patient-derived primary cancer cell
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A mitochondria-targeting lipid——small molecule hybrid nanoparticle for imaging and therapy in an orthotopic glioma model 被引量:1
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作者 Menghuan Tang Kai Lin +5 位作者 Mythili Ramachandran Longmeng Li Hongye Zou Huzhi Zheng Zhao Ma Yuanpei Li 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2022年第6期2672-2682,共11页
Hybrid lipid-nanoparticle complexes have shown attractive characteristics as drug carriers due to their integrated advantages from liposomes and nanoparticles.Here we developed a kind of lipid-small molecule hybrid na... Hybrid lipid-nanoparticle complexes have shown attractive characteristics as drug carriers due to their integrated advantages from liposomes and nanoparticles.Here we developed a kind of lipid-small molecule hybrid nanoparticles(LPHNPs) for imaging and treatment in an ortho topic glioma model.LPHNPs were prepared by engineering the co-assembly of lipids and an amphiphilic pheophorbide a-quinolinium conjugate(PQC),a mitochondria-targeting small molecule.Compared with the pure nanofiber self-assembled by PQC,LPHNPs not only preserve the comparable antiproliferative potency,but also possess a spherical nanostructure that allows the PQC molecules to be administrated through intravenous injection.Also,this co-assembly remarkably improved the drug-loading capacity and formulation stability against the physical encapsulation using conventional liposomes.By integrating the advantages from liposome and PQC molecule,LPHNPs have minimal system toxicity,enhanced potency of photodynamic therapy(PDT) and visualization capacities of drug biodistribution and tumor imaging.The hybrid nanoparticle demonstrates excellent curative effects to significantly prolong the survival of mice with the orthotopic glioma.The unique co-assembly of lipid and small molecule provides new potential for constructing new liposome-derived nanoformulations and improving cancer treatment. 展开更多
关键词 Lipid-small molecule nanoparticle Hybrid nanoparticle Mitochondria targeting Photodynamic therapy orthotopic glioma Tumor imaging Drug delivery Cancer therapy
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原位肝移植围术期混合静脉血氧饱和度改变及临床意义 被引量:11
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作者 刘德昭 黑子清 +4 位作者 陈信芝 罗晨芳 甘小亮 黎尚荣 罗刚健 《中国危重病急救医学》 CAS CSCD 北大核心 2006年第7期391-393,共3页
目的观察原位肝移植围术期混合静脉血氧饱和度(SvO2)的变化及其临床意义。方法20例终末期肝硬化患者接受原位肝移植术。采用心排仪持续监测围术期SvO2、氧供(DO2)、氧耗(VO2)、氧摄取率(ERO2)、体温、心排血量(CO)、平均动脉压(MAP)的变... 目的观察原位肝移植围术期混合静脉血氧饱和度(SvO2)的变化及其临床意义。方法20例终末期肝硬化患者接受原位肝移植术。采用心排仪持续监测围术期SvO2、氧供(DO2)、氧耗(VO2)、氧摄取率(ERO2)、体温、心排血量(CO)、平均动脉压(MAP)的变化,分析肝移植围术期SvO2与上述各指标的相关性。结果SvO2在无肝期前15min较术前增高(P<0.05),在无肝期30min较无肝期前15min显著降低(P<0.05),在新肝期30min和术毕较术前均显著增高(P均<0.05)。机体DO2、VO2在无肝期30min均显著降低(P均<0.05),而在进入新肝期后均显著增高(P均<0.05);ERO2进入新肝期后显著增加(P<0.05)。SvO2在各时间点均与VO2有显著相关性(P均<0.05),而与DO2、血红蛋白无相关性(P均>0.05);SvO2术前与CO有显著相关性(P<0.05),其他时间点均无相关性(P均>0.05)。结论原位肝移植围术期持续监测SvO2对于改善氧代谢具有重要的临床意义。 展开更多
关键词 肝移植 原位 混合静脉血氧饱和度 氧供 氧耗 心排血量 血流动力学 血氧代谢
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