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We detected the expressions of hsa_circRNA_000121 and hsa_circRNA_ 004183 in papillary thyroid microcarcinoma (PTMC) and explored their relationship with the invasiveness of PTMC. PTMC patients with (n = 30; metastasis group) and without lymph node metastasis (n = 30; nonmetastasis group) were included. The levels of hsa_circRNA_000121, hsa_circRNA_004183, hsa-miR-4763, hsa-miR-6775, sarcoma gene (SRC), and MMP-14 were detected with real-time polymerase chain reaction. Receiver-operating characteristic (ROC) analyzed the diagnostic value of hsa_circRNA_000121 and hsa_circRNA_004183. Binary logistic regression analysis evaluated the relationship of gene expression with PTMC invasiveness. In PTMC tissue samples, compared with the metastasis group, the expression of hsa_circRNA_000121, hsa_circRNA_004183, SRC, and MMP-14 in the nonmetastasis group decreased, while the expression of hsa-miR-4763 and hsa-miR-6775 increased. In peripheral blood, compared with the metastasis group, the expression of hsa_circ_000121 and hsa_circRNA_004183 in the nonmetastasis group decreased. Both hsa_circRNA_000121 and hsa_circRNA_004183 had good sensitivity and specificity for diagnosing PTMC lymph node metastasis, with a cut-off value of 0.796 and 0.938, respectively. However, the gene expressions were not significantly associated with PTMC lymph node metastasis. Hsa_circRNA_000121 may upregulate SRC expression through hsa-miR-4763, while hsa_circRNA 000121 may upregulate MMP-14 expression through hsa-miR-6775, thereby promoting the aggressiveness of PTMC and ultimately leading to cervical lymph node metastasis. hsa_circRNA_000121 and hsa_circRNA_004183 may become potential biomarkers of PTMC aggressiveness.

Objective: To investigate the effect of Epalrestat combined with Huoxue Huayu preparation on early diabetic retinopathy and its effect on serum oxidative stress and inflammatory factors. Methods: 132 patients with early diabetic retinopathy from June 2017 to July 2019 in our hospital were randomly divided into the control group (66 cases) and the observation group (66 cases); The control group was treated with epalrestat, and the observation group was treated with epalrestat combined with ginkgo damo injection; The treatment effect, blood rheology indexes, serum oxidative stress indexes and inflammatory factor indexes of the two groups were compared. Results: The treatment efficiency of the observation group (96.96%) was significantly higher than that of the control group (84.84%) (P

Objective: To observe the effects of preoperative right stellate ganglion block on perioperative atrial fibrillation in patients undergoing lung lobectomy. Methods: Two hundred patients who underwent a scheduled lobectomy were randomly divided into the S and C groups. The S group was injected with 4 mL of 0.2% ropivacaine under ultrasound guidance, and the C group did not receive stellate ganglion block. The patients underwent continuous ECG monitoring, and the incidences of atrial fibrillation and other types of arrhythmias were recorded from the start of surgery to 24 hours after surgery. Results: The respective incidences of atrial fibrillation in the S group and the C group were 3% and 10% (p = 0.045); other atrial arrhythmias were 20% and 38% (p = 0.005); and ventricular arrhythmia were 28% and 39% (p = 0.09). Conclusions: The results of the study indicated that preoperative right stellate ganglion block can effectively reduce the incidence of intraoperative and postoperative atrial fibrillation. Resumo: Objetivo: Observar os efeitos do bloqueio do gânglio estrelado na fibrilação atrial no período perioperatório em pacientes submetidos a lobectomia pulmonar. Método: Duzentos pacientes programados para lobectomia foram divididos aleatoriamente nos grupos S e C. O grupo S recebeu infusão de 4 mL de ropivacaína a 0,2% orientada por ultrasom e o grupo C não foi submetido a bloqueio do gânglio estrelado. Os pacientes foram submetidos à monitoração contínua de ECG, e as incidências de fibrilação atrial e outros tipos de arritmias foram registradas do início da cirurgia até 24 horas depois da cirurgia. Resultados: As incidências de fibrilação atrial no grupo S e no grupo C foram 3% e 10%, respectivamente (p = 0,045); as de outras arritmias atriais foram 20% e 38% (p = 0,005); e de arritmias ventriculares 28% e 39% (p = 0,09). Conclusões: Os resultados do estudo indicaram que o bloqueio do gânglio estrelado no pré-operatório pode ser efetivo na redução da incidência de fibrilação atrial nos períodos intra- e pós-operatório.

Resumo Objetivo Observar os efeitos do bloqueio do gânglio estrelado na fibrilacao atrial no periodo perioperatorio em pacientes submetidos a lobectomia pulmonar. Metodo Duzentos pacientes programados para lobectomia foram divididos aleatoriamente nos grupos S e C. O grupo S recebeu infusao de 4 mL de ropivacaina a 0,2% orientada por ultrassom e o grupo C nao foi submetido a bloqueio do gânglio estrelado. Os pacientes foram submetidos a monitoracao continua de ECG, e as incidencias de fibrilacao atrial e outros tipos de arritmias foram registradas do inicio da cirurgia ate 24 horas depois da cirurgia. Resultados As incidencias de fibrilacao atrial no grupo S e no grupo C foram 3% e 10%, respectivamente (p = 0,045); as de outras arritmias atriais foram 20% e 38% (p = 0,005); e de arritmias ventriculares, 28% e 39% (p = 0,09). Conclusoes Os resultados do estudo indicaram que o bloqueio do gânglio estrelado no pre‐operatorio pode ser efetivo na reducao da incidencia de fibrilacao atrial nos periodos intra‐ e pos‐operatorio.

Objective The aim of this study was to explore whether remifentanil could inhibit the stress response in emergent trauma surgery more effectively than sufentanil. Patients and methods Sixty trauma patients for emergent surgery were randomly divided into remifentanil group (R group, n = 30) or sufentanil group (S group, n = 30). The patients in the R group were continuously intravenously infused with remifentanil, while those in the S group were administrated with sufentanil. The plasma contents of cortisol (COR), epinephrine (E), norepinephrine (NE), and blood glucose were measured before anesthesia induction (T1), 5 minutes after intratracheal intubation (T2) and 5 minutes (T3), 30 minutes (T4), and 1 hour (T5) after surgery, respectively. The blood pressure (BP) and the heart rate (HR) at these time points were recorded as well. Results The results showed that the patients in the R group had more stable hemodynamics during the surgery and had a significantly lower HR at T2‐T5 than those in the S group. The plasma levels of norepinephrine at time points T3‐T5 and levels of cortisol at T4‐T5 in the R group were significantly lower than those in the S group (P

To understand epidemiological features of pulmonary tuberculosis in urban Giangzhou and tendency of its registered cases.Registered data of pulmonary tuberculosis cases in urban Guangzhou during 1994 to 2000 were collected and analyzed comprehensively with method of descriptive epidemiology.Incidence of recently smear-positive registered rate (IRSPRR) increased from 16.68 per 100,000 in 1994 to 26.27 per 100,000 in 2000, with an average annual increase of 7.86%. The highest standardized IRSPRR was 33.70 per 100,000 in Fangcun District. Average IRSPRR was 30.50 per 100,000 in males and 11.60 per 100,000 in females. IRSPRR increased with age, with a peak of 61.22 per 100,000 at age over 70, double as that at age of 50 - 69. Recently smear-positive registered case of pulmonary tuberculosis was highest in unemployment population, reaching 2529, accounting for 35.12% of the total. And, smear-positive registered rate decreased from 8.37 per 100,000 to 5.34 per 100,000, with an average annual reduction of 6.96%. Mortality of pulmonary tuberculosis decreased from 6.84 per 100,000 to 4.41 per 100,000.It is necessary to keep in minds that highly prevalent area was extended from tuberculous epidemics. It is possible that unemployment people would be fallen into high-risk population. Potential source of infection should be found out as soon as possible.