• 文章类型: Journal Article
    光作为调节植物生长和发育各个方面的关键环境线索,包括种子萌发,幼苗去黄化,避免阴凉。在这个监管框架内,称为植物色素相互作用因子(PIFs)的基本螺旋-环-螺旋转录因子在协调对光刺激的反应中起重要作用。植物色素,充当红色/远红光受体,启动导致PIF降解的级联(PIF7除外),从而触发转录重编程以促进光形态发生。最近的研究揭示了多种调节PIF丰度和/或活性的翻译后修饰,包括磷酸化,去磷酸化,泛素化,去泛素化和磺酰化。此外,有趣的发现表明,PIF可以影响染色质修饰。这些包括组蛋白3赖氨酸-9乙酰化(H3K9ac)的调节,以及H2A等组蛋白变体的占用。Z(与基因抑制相关)和H3.3(与基因激活相关),从而复杂地调节下游基因表达以响应环境线索。这篇综述总结了在理解PIF在调节各种信号通路中的作用方面的最新进展,主要关注光形态发生。
    Light serves as a pivotal environmental cue regulating various aspects of plant growth and development, including seed germination, seedling de-etiolation, and shade avoidance. Within this regulatory framework, the basic helix-loop-helix transcription factors known as PHYTOCHROME INTERACTING FACTORS (PIFs) play an essential role in orchestrating responses to light stimuli. Phytochromes, acting as red/far-red light receptors, initiate a cascade leading to the degradation of PIFs (except PIF7), thereby triggering transcriptional reprogramming to facilitate photomorphogenesis. Recent research has unveiled multiple post-translational modifications that regulate the abundance and/or activity of PIFs, including phosphorylation, dephosphorylation, ubiquitination, deubiquitination and SUMOylation. Moreover, intriguing findings indicate that PIFs can influence chromatin modifications. These include modulation of Histone 3 Lysine-9 acetylation (H3K9ac), as well as occupancy of histone variants such as H2A.Z (associated with gene repression) and H3.3 (associated with gene activation), thereby intricately regulating downstream gene expression in response to environmental cues. This review summarizes recent advances in understanding PIFs\' role in regulating various signaling pathways with a major focus on photomorphogenesis.
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  • 文章类型: Journal Article
    纳米技术最重要的领域之一是将纳米粒子(NPs)用于各种环境和生物应用,银纳米粒子(Ag-NP)由于其独特的性质而受到广泛关注。目前的研究涉及从双翅目叶提取物中合成Ag-NP,并确定其抗氧化剂,抗微生物潜力及其对小麦种子萌发和生长的影响。紫外可见光谱在442nm处显示出突出的吸收峰,阐明Ag-NP合成的构象。扫描电子显微镜(SEM)显示独特的三角形,锥体,不规则的形状。X射线衍射(XRD)证明了它们的结晶性质,Ag-NP的平均微晶尺寸在20.52nm处测量。傅里叶变换红外光谱(FT-IR)进一步证实了官能团的存在,如酚(O-H拉伸),过渡金属羰基化合物N-H,=C-H,C=N,C=C,C-Cl,表面Ag-NP上的C-Br和O-H键。Ag-NP对枯草芽孢杆菌的抗菌活性最明显,在1000μg/mL(45%抑制)的浓度下,抑制区(ZOI)测量为11mm±0.57。同样,与在相同浓度下显示(76%)的标准品(抗坏血酸)相比,Ag-NP在100μg/mL时显示出最高的抗氧化潜力(73.2%)。此外,在高浓度(200-300ppm)下,柴胡杜鹃花介导的Ag-NP对小麦种子生长和发芽的影响最大。总之,柴胡苷介导的Ag-NP显示安全,具有成本效益和环境友好的合成,可用作抗菌剂和抗氧化剂,以及在全球范围内增强作物种子的生长和种子发芽。研究重点:纳米技术是生物和环境应用纳米粒子的研究。Ag-NP以及其他NP由于其独特的性质而受到广泛关注。柴胡苷Ag-NP:45%抗菌,73.2%抗氧化剂,增强小麦发芽。柴胡D.介导的Ag-NP既具有成本效益又对环境有益。
    One of the most important areas of nanotechnology is the use of nanoparticles (NPs) for a variety of environmental and biological applications, with silver nanoparticles (Ag-NPs) gaining a lot attention due to their distinct properties. The current study deals with the synthesis of Ag-NPs from Dicliptera bupleuroides Nees leaf extract and to determine their antioxidant, antimicrobial potential and effects on wheat seed germination and growth. UV-Visible spectrum revealed a prominent absorption peak at 442 nm, elucidating the conformation of the Ag-NPs synthesis. Scanning electron microscopy (SEM) showed distinctive triangular, pyramidal, and irregular shape. X-ray diffraction (XRD) demonstrated their crystalline nature, with average crystallite size of the Ag-NPs measured at 20.52 nm. Fourier-transform infrared spectroscopy (FT-IR) further confirmed the presence of functional groups such as Phenols (O-H stretch), transition metal carbonyls N-H, ≡C-H, C ≡ N, C ≡ C, C-Cl, C-Br and O-H bonds on the surface Ag-NPs. The antibacterial activity of the Ag-NPs was most pronounced against Bacillus subtilis, with a zone of inhibition (ZOI) measuring 11 mm ± 0.57 at a concentration of 1000 μg/mL (45% inhibition). Likewise, Ag-NPs exhibited highest antioxidant potential (73.2%) at 100 μg/mL compared with standard (ascorbic acid) which showed (76%) at the same concentration. Furthermore, the effect of D. bupleuroides mediated Ag-NPs on wheat seeds growth and germination was recorded maximum at high concentrations (200-300 ppm). In conclusion, D. bupleuroides mediated Ag-NPs showed safe, cost effective and environmentally friendly synthesis which can be used as an antibacterial and antioxidant agent as well as for enhancing the growth and seed germination of crop seeds globally. RESEARCH HIGHLIGHTS: Nanotechnology is the study of nanoparticles for biological and environmental applications. Ag-NPs among other NPs have received broad attention because of their unique properties. D. bupleuroides Ag-NPs: 45% antibacterial, 73.2% antioxidant, enhance wheat germination. D. bupleuroides-mediated Ag-NPs are both cost-effective and environmentally beneficial.
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  • 文章类型: Journal Article
    目的:尽管存在不对称感音神经性耳聋(ASNHL)患者的筛查方案,没有明确的指导原则。特别是,已经提出了各种听力损失程度的阈值,这应该促使MRI研究,但这个话题仍未得到充分研究。该项目旨在比较从业者遵循的协议,以指导他们的成像实践。
    方法:基于Web的调查。
    方法:学术医疗中心的耳鼻喉科教师。
    方法:530名耳鼻喉科医师(276名耳科/神经科专家,254名普通耳鼻喉科医师)被汇编。一项由三个部分组成的调查:人口统计学,一般实践模式,并分发了模拟患者病例。
    结果:共成功分发了468份调查,导致88(18.8%)的响应。大多数受访者(63.8%)自我报告他们对ASNHL的定义为“在一个频率下>30dB听力不对称或在两个连续频率下>20dB听力不对称或在三个连续频率下>10dB听力不对称。“总的来说,普通耳鼻喉科医师更有可能观察到单用串行听力图的不对称结果,而耳科/神经专家更有可能获得影像学检查。
    结论:在管理ASNHL患者方面,提供者之间存在显著差异,循证指南在指导影像学实践方面将是有用的。
    方法:N/A喉镜,2024.
    OBJECTIVE: Although screening protocols for patients who present with asymmetric sensorineural hearing loss (ASNHL) exist, there are no clear guidelines to direct practitioners. In particular, various thresholds have been proposed for the degree of hearing loss that should prompt MRI studies, but the topic remains understudied. This project aims to compare protocols followed by practitioners to guide their imaging practices.
    METHODS: Web-based survey.
    METHODS: Otolaryngology faculty at academic medical centers.
    METHODS: A list of 530 otolaryngologists (276 otology/neurotology specialists, 254 general otolaryngologists) was compiled. A survey consisting of three parts: demographics, general practice patterns, and simulated patient cases was distributed.
    RESULTS: A total of 468 surveys were successfully distributed, resulting in 88 (18.8%) responses. The majority of respondents (63.8%) self-reported their definition of ASNHL as \">30 dB hearing asymmetry at one frequency OR >20 dB hearing asymmetry at two continuous frequencies OR >10 dB hearing asymmetry at three contiguous frequencies.\" Overall, general otolaryngologists were more likely to observe asymmetric findings with serial audiogram alone, whereas otology/neurotology specialists were more likely to obtain imaging.
    CONCLUSIONS: There is significant variability between providers with regard to managing patients with ASNHL and evidence-based guidelines would be useful in guiding imaging practices.
    METHODS: N/A Laryngoscope, 2024.
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  • 文章类型: Journal Article
    本研究旨在检验UltraScan650™的有效性和可靠性,便携式超声波设备,用于测量1/3半径位置的BMD。使用DXA(前臂,股骨,腰椎,和整体)和UltraScan650™。还使用DXA评估脂肪和瘦体重。皮尔逊相关性,Bland-Altman阴谋,t检验,和线性回归用于评估有效性。使用类内相关系数(ICC)来评估可靠性。评分者间的可靠性和重复性良好(ICC=0.896[0.818;0.942],p<0.001)和优秀(ICC=0.917[0.785;0.989],p<0.001),分别。UltraScan650™测得的BMD与DXA弱相关(r=0.382[0.121;0.593],p=0.0052)。Bland-Altman地块显示UltraScan650™低估了BMD(-0.0569g/cm2),这通过显著的配对t检验(p<0.001)得到证实.进行线性回归(0.4744×UltraScan650™+0.4170)以提供关于协议问题的更多信息。布兰德-奥特曼的阴谋显示出微不足道的偏见,由配对t检验支持(p=0.9978)。皮尔逊相关性揭示了一种显著的关系(r=-0.771[-0.862;-0.631],调整后的UltraScan650™-DXA与两次扫描的平均值之间的p<0.0001)(即,调整后的UltraScan650™和DXA),这表明UltraScan650™在测量BMD时存在比例恒定误差和比例恒定可变性。UltraScan650™不是用于诊断目的的DXA的有效替代品;但是,如果采用线性变换,UltraScan650™可用作临床和研究环境中的筛选工具。
    This study aims to examine the validity and reliability of the UltraScan650™, a portable ultrasound device, used to measure BMD at the 1/3rd radius position. Fifty-two female first responders and healthcare providers were assessed using DXA (forearm, femur, lumbar, and total body) and the UltraScan650™. Fat and lean mass were also assessed using the DXA. Pearson correlations, Bland-Altman plots, t-tests, and linear regressions were used to assess validity. Intra-class correlation (ICC) coefficients were used to assess reliability. Inter-rater reliability and repeatability were good (ICC = 0.896 [0.818; 0.942], p < 0.001) and excellent (ICC = 0.917 [0.785; 0.989], p < 0.001), respectively. BMD as measured by the UltraScan650™ was weakly correlated to the DXA (r = 0.382 [0.121; 0.593], p = 0.0052). Bland-Altman plots revealed that the UltraScan650™ underestimated BMD (-0.0569 g/cm2), this was confirmed with a significant paired t-test (p < 0.001). A linear regression was performed (0.4744 × UltraScan650™ + 0.4170) to provide more information as to the issue of agreement. Bland-Altman plots revealed a negligible bias, supported by a paired t-test (p = 0.9978). Pearson\'s correlation revealed a significant relationship (r = -0.771 [-0.862; -0.631], p < 0.0001) between adjusted UltraScan650™-DXA and the average of the two scans (i.e., adjusted UltraScan650™ and DXA), suggesting a proportional constant error and proportional constant variability in measurements of BMD from the UltraScan650™. The UltraScan650™ is not a valid alternative to DXA for diagnostic purposes; however, the UltraScan650™ could be used as a screening tool in the clinical and research setting given the linear transformation is employed.
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  • 文章类型: Journal Article
    背景:在过去十年中,全球范围内观察到了大型登革热(DENV)和基孔肯雅热(CHIKV)爆发,以及非流行地区的局部传播越来越受到血液安全的关注。这项研究的目的是评估和比较核酸测试(NAT)检测DENV和CHIKVRNA的敏感性。
    方法:使用DENV1至4国际标准,通过两种NAT测定的概率分析计算的检测限(LOD);比较了cobasCHIKV/DENV测定(RocheDiagnostics)和Procleix登革病毒测定(Grifols).此外,评估cobasCHIKV/DENV测定的CHIKV-RNALOD。
    结果:对于登革热,cobas测定的95%LOD介于4.10[CI95%:2.70-8.19]IU/mL(DENV-2)和7.07[CI95%:4.34-14.89]IU/mL(DENV-4)之间,和2.19[CI95%:1.53-3.83]IU/mL(DENV-3)和5.84[CI95%:3.84-10.77]IU/mL(DENV-1)之间的Procleix测定。Procleix测定法对DENV-3的LOD显着降低(2.19vs.5.89IU/mL),与cobas测定法(p=0.005)相比。cobas测定的CHIKV-RNA检测的95%LOD为4.76[CI95%:3.08-8.94]IU/mL。
    结论:在本研究中评估的为献血者筛选开发的两种NAT测定法显示出高且相似的分析性能。经过适当的风险收益评估,它们可用于在流行地区或非流行地区爆发期间支持血液安全,作为在可能影响血液供应的局部传播期间推迟献血者的替代方案。多重测定的发展有望优化实验室组织。
    BACKGROUND: The large dengue (DENV) and chikungunya (CHIKV) outbreaks observed during the last decade across the world, as well as local transmissions in non-endemic areas are a growing concern for blood safety. The aim of this study was to evaluate and compare the sensitivity of nucleic acid tests (NAT) detecting DENV and CHIKV RNA.
    METHODS: Using DENV 1 to 4 International Standards, the limits of detection (LODs) calculated by probit analysis of two NAT assays; the cobas CHIKV/DENV assay (Roche Diagnostics) and the Procleix Dengue Virus Assay (Grifols) were compared. In addition, CHIKV-RNA LOD of the cobas CHIKV/DENV assay was evaluated.
    RESULTS: For dengue, the 95% LOD of the cobas assay ranged between 4.10 [CI95%: 2.70-8.19] IU/mL (DENV-2) and 7.07 [CI95%: 4.34-14.89] IU/mL (DENV-4), and between 2.19 [CI95%: 1.53-3.83] IU/mL (DENV-3) and 5.84 [CI95%: 3.84-10.77] IU/mL (DENV-1) for Procleix assay. The Procleix assay had a significant lower LOD for DENV-3 (2.19 vs. 5.89 IU/mL) when compared to the cobas assay (p = 0.005). The 95% LOD for CHIKV-RNA detection of the cobas assay was 4.76 [CI95%: 3.08-8.94] IU/mL.
    CONCLUSIONS: The two NAT assays developed for blood donor screening evaluated in this study demonstrated high and similar analytical performance. Subject to an appropriate risk-benefit assessment, they can be used to support blood safety during outbreaks in endemic areas or in non-endemic areas as an alternative to deferring blood donors during local transmission likely to affect the blood supply. The development of multiplex assays is expected to optimize laboratory organization.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    虽然碳阴离子,通常被认为是活性物质和强大的金属化试剂,可以通过选择替代模式来稳定,它们很少被考虑用于弱配位阴离子(WCA)的设计。这里,我们报告了通过计算方法评估一系列不同取代的碳阴离子作为WCA的潜力。这导致我们合成了具有三氟甲基和3,5-双(三氟甲基)苯基(ArF)部分的水和空气稳定的烯丙基阴离子1,即使在克尺度上也可以高产率分离。单晶X射线晶体学和NMR研究通过显示与不同阳离子的可忽略或仅弱相互作用来证实阴离子的弱配位能力。该性质使得能够在反应性基团14和15阳离子的稳定中应用1。除了磷阳离子的结晶,据报道,第一种具有非芳香族碳负离子的全碳盐,这表明它是一种方便的氢化物提取试剂,例如从硅烷中提取。总的来说,这项工作证明了碳阴离子作为WCA迄今尚未开发的潜力,可与各种不同的阳离子为各种应用。
    Although carbanions, which are usually regarded as reactive species and powerful metalation reagents, can be stabilized through choice of the substitution pattern, they have rarely been considered for the design of weakly coordinating anions (WCA).  Here, we report on an evaluation of the potential of a series of differently substituted carbanions to serve as WCA by computational methods. This led us to the synthesize the water- and air-stable allyl anion 1 with triflyl and 3,5-bis(trifluoromethyl)phenyl (ArF) moieties, which can be isolated in high yields even on a gram-scale. Single crystal X-ray crystallography and NMR studies confirmed the weak coordination ability of the anion by showing negligible or only weak interactions with different cations. This property enabled the application of 1 in the stabilization of reactive group 14 and 15 cations. In addition to the crystallization of a phosphenium cation, the first all-carbon salt with a non-aromatic carbanion is reported, which revealed to be a convenient reagent for hydride abstraction such as from silanes. Overall, this work demonstrates the so far untapped potential of carbanions as WCA, that are accessible with a variety of different cations for various applications.
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  • 文章类型: Journal Article
    解剖元素之间的空间相互作用有助于识别形态变异背后的拓扑因素,可以通过网络分析进行研究。这里,黑猩猩的全脑网络模型(Panroglodytes,布卢门巴赫1776)提出,基于宏观解剖学划分,并与以前的人脑等效模型进行了比较。目的是对比这两个物种大脑的几何平衡中哪些区域是必不可少的,为了比较空间变异的潜在表型模式,并了解这些模式如何影响人类大脑形态的进化。人类和黑猩猩的大脑共享形态复杂的下内侧区域,并且拓扑结构与周围脑箱施加的空间约束相匹配。这些共享的拓扑特征很有趣,因为它们可以追溯到黑猩猩-人类最后的共同祖先,7-10百万年前。然而,在人类和黑猩猩的大脑中发现了一些关键的差异。在人类中,颞叶,特别是其深层和内侧边缘方面(海马旁回),是拓扑复杂性的关键节点。同时,在黑猩猩身上,小脑是,在这个意义上,更多的嵌入在一个复杂的空间位置。这些信息有助于解释化石原始人的大脑宏观解剖学变化。
    Spatial interactions among anatomical elements help to identify topological factors behind morphological variation and can be investigated through network analysis. Here, a whole-brain network model of the chimpanzee (Pan troglodytes, Blumenbach 1776) is presented, based on macroanatomical divisions, and compared with a previous equivalent model of the human brain. The goal was to contrast which regions are essential in the geometric balance of the brains of the two species, to compare underlying phenotypic patterns of spatial variation, and to understand how these patterns might have influenced the evolution of human brain morphology. The human and chimpanzee brains share morphologically complex inferior-medial regions and a topological organization that matches the spatial constraints exerted by the surrounding braincase. These shared topological features are interesting because they can be traced back to the Chimpanzee-Human Last Common Ancestor, 7-10 million years ago. Nevertheless, some key differences are found in the human and chimpanzee brains. In humans, the temporal lobe, particularly its deep and medial limbic aspect (the parahippocampal gyrus), is a crucial node for topological complexity. Meanwhile, in chimpanzees, the cerebellum is, in this sense, more embedded in an intricate spatial position. This information helps to interpret brain macroanatomical change in fossil hominids.
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  • 文章类型: Journal Article
    在这项研究中,我们评估了维生素Eδ-生育三烯酚(DT3)和阿司匹林对人结肠癌干细胞(CCSCs)中Wnt信号传导的影响,以及在APCmin/+小鼠中预防腺瘤形成的影响。我们发现,结肠腺瘤性息肉病(APC)基因的敲除导致结肠上皮细胞(NCM460-APCsiRNA)中Wnt信号的随后激活和β-catenin及其下游靶蛋白c-MYC的诱导,cyclinD1和survivin。当阿司匹林和DT3联合使用时,结肠上皮细胞和CCSCs的细胞生长和存活被抑制,凋亡被诱导。然而,DT3和/或阿司匹林对对照正常结肠上皮细胞(NCM460-NCsiRNA)几乎没有或没有影响。凋亡的诱导与半胱天冬酶8的激活和BID裂解为截短的BID直接相关。此外,DT3和/或阿司匹林诱导的细胞凋亡与切割的PARP相关,细胞溶质细胞色素c和BAX水平升高,以及CCSCs中抗凋亡蛋白BCl-2的消耗。阿司匹林和DT3的组合抑制了自我更新能力,Wnt/β-catenin受体活性,β-catenin及其下游靶标c-MYC的表达,CCSCs中的cyclinD1和survivin。我们还发现,用DT3单独或与阿司匹林联合治疗显著抑制肠腺瘤的形成和Wnt/β-catenin信号传导,并诱导细胞凋亡。与车辆相比,在APCmin/+小鼠中。我们的研究证明了进一步研究DT3和阿司匹林联合用于预防和治疗结直肠癌的基本原理。
    In this study, we evaluated the effects of vitamin E δ-tocotrienol (DT3) and aspirin on Wnt signaling in human colon cancer stem cells (CCSCs) and in the prevention of adenoma formation in APCmin/+ mice. We found that knockdown of the adenomatous polyposis coli (APC) gene led to subsequent activation of Wnt signaling in colon epithelial cells (NCM460-APCsiRNA) and induction of β-catenin and its downstream target proteins c-MYC, cyclin D1, and survivin. When aspirin and DT3 were combined, cell growth and survival were inhibited and apoptosis was induced in colon epithelial cells and in CCSCs. However, DT3 and/or aspirin had little or no effect on control normal colon epithelial cells (NCM460-NCsiRNA). The induction of apoptosis was directly related to activation of caspase 8 and cleavage of BID to truncated BID. In addition, DT3 and/or aspirin-induced apoptosis was associated with cleaved PARP, elevated levels of cytosolic cytochrome c and BAX, and depletion of anti-apoptotic protein BCl-2 in CCSCs. The combination of aspirin and DT3 inhibited the self-renewal capacity, Wnt/β-catenin receptor activity, and expression of β-catenin and its downstream targets c-MYC, cyclin D1 and survivin in CCSCs. We also found that treatment with DT3 alone or combined with aspirin significantly inhibited intestinal adenoma formation and Wnt/ β-catenin signaling and induced apoptosis, compared to vehicle, in APCmin/+ mice. Our study demonstrated a rationale for further investigation of the combination of DT3 and aspirin for colorectal cancer prevention and therapy.
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  • 文章类型: Journal Article
    背景:弯曲指数(BI)和归一化声门间隙面积(NGGA)用于量化ARVA中的声带形态;但是,柔性喉镜透镜和目标区域之间的距离的影响是未知的。目的是测试在柔性视频喉镜检查(VLS)期间,内窥镜距离是否会影响ARVA患者的声带形态测量。
    方法:纳入接受VLS的ARVA患者。图像分为近(靠近会厌叶柄)和远(鼻咽以下,舌根和整个会厌可见)状况。BI是使用移动应用程序计算的,和使用ImageJ测量NGGA。
    结果:本研究纳入23例患者,平均年龄77±7岁。在近距离测量的平均BI高于远距离,平均差为1.94(95%CI:0.92-2.96,p=0.001)。NGGA显示随距离变化的差异-0.24(95%CI:-0.48至0.01,p<0.05)。当根据中位数BI测量将患者分为两组时,近条件和远条件之间有统计学上的显著差异,高于中位数(p<0.05)的患者的近期BI增加,但是BI低于中位数的患者的远近状况没有差异。
    结论:在柔性VLS期间,BI和NGGA受到内镜距离的影响。近条件下的BI明显高于远条件。当声带弯曲较大时,近条件和远条件之间的BI差异更为明显。这些发现要求在柔性喉镜检查期间提高对内窥镜距离继发的测量差异的认识。
    方法:二级喉镜,2024.
    BACKGROUND: The bowing index (BI) and normalized glottal gap area (NGGA) are used to quantify vocal fold morphology in ARVA; however, the influence of the distance between the flexible laryngoscope lens and the target area is not known. The goal is to test whether the endoscopic distance impacts vocal fold morphology measurements in patients with ARVA during flexible video laryngostroboscopy (VLS).
    METHODS: Patients with ARVA who underwent VLS were included. Images were classified into near (close to the petiole of the epiglottis) and far (below nasopharynx, with tongue base and entire epiglottis visible) conditions. BI was calculated using a mobile application, and NGGA was measured using ImageJ.
    RESULTS: This study included 23 patients; the mean age was 77 ± 7 years. Mean BI measured at the near distance was higher than far distances with a mean difference of 1.94 (95% CI: 0.92-2.96, p = 0.001). NGGA showed difference with changed distance -0.24 (95% CI: -0.48 to 0.01, p < 0.05).When stratifying patients into two groups based on median BI measurement, there was a statistically significant difference between near and far conditions, with increased BI in the near condition for patients above the median (p < 0.05), but no difference between the near and far condition for patients with BI below the median.
    CONCLUSIONS: The BI and NGGA were impacted by the endoscopic distance during flexible VLS. BI was significantly higher in the near condition compared with the far condition. The difference in BI between the near and far conditions was more pronounced when the vocal fold bowing was greater. These findings call for heightened awareness of measurement discrepancies secondary to the endoscopic distance during flexible laryngostroboscopy.
    METHODS: Level 2 Laryngoscope, 2024.
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