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Hua YF, Zhang YR, Guo L. Retrospective study of patellar fractures and damage of accessory soft tissue based on MRI. PLoS One 2024; 19:e0295671. [PMID: 38466690 PMCID: PMC10927098 DOI: 10.1371/journal.pone.0295671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 11/28/2023] [Indexed: 03/13/2024] Open
Abstract
BACKGROUND To better understand the pathophysiological mechanisms of patellar fractures, MRI was utilized to identify the imaging signs of various types of patellar fractures. METHODS A retrospective study was performed using MRI images of 52 patients with patellar fractures. Observing the development of patellar and femoral morphology and the imaging manifestations of different fracture types, such as fracture displacement, and damage to accessory ligaments, tendons, and meniscus, type of joint cavity effusion, and damage to surrounding accessory bones were identified. RESULTS There were 21 tangential fractures (40.4%), 8 transverse fractures (15.4%), 8 longitudinal fractures (15.4%), 4 oblique fractures (7.7%), and 11 comminuted fractures (21.2%) among the 52 patients with patellar fracture. Tangential fractures begin at a younger age than the other four forms of fractures. When tangential fractures were compared to other types of fractures, medial patellar retinaculum and anterior and posterior cruciate ligament injuries were statistically significant (P< 0.05). The detection rate of trochlear dysplasia, type II and type III patellar was higher in patients with tangential fractures than in other fractures. CONCLUSIONS Tangential fractures are less common to cause anterior and posterior cruciate ligament injuries than other types of fractures, but they are more likely to cause medial patellar retinaculum injuries.
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Affiliation(s)
- Yi-Fan Hua
- Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R. China
- Department of School Infirmary, Yunnan Minzu University, Kunming, Yunnan, P.R. China
| | - Yu-Rou Zhang
- Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R. China
| | - Li Guo
- Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R. China
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Lu SY, Hua YF, Guo L. Hypereosinophilic syndrome with massive liver infarction: A case report. Medicine (Baltimore) 2023; 102:e35903. [PMID: 37986393 PMCID: PMC10659708 DOI: 10.1097/md.0000000000035903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 10/12/2023] [Indexed: 11/22/2023] Open
Abstract
RATIONALE Liver infarction caused only by hepatic artery occlusion is rare. Elevated levels of eosinophils in the blood and tissue can have devastating consequences. PATIENT CONCERNS Male, 21 years old, presented with persistent abdominal distension and discomfort for more than ten days without an apparent cause. Laboratory findings showed an eosinophil percentage of 32.5% (normal range 0.5%-5%). Computed tomographic angiography of the hepatic artery and its branches did not show any enhancement, only the common hepatic artery was visible. DIAGNOSIS The patient in this case had a peripheral blood eosinophil count of ≥1.5 × 109/L in multiple examinations over 6 months, and eosinophilic leukemia and secondary causes such as parasitic infections, allergic diseases, or tumors were ruled out, confirming the diagnosis of hypereosinophilic syndrome (HES). INTERVENTIONS The patients were treated with interventional therapy, glucocorticoid pulse therapy and anti-infection therapy. OUTCOMES After interventional therapy, glucocorticoid pulse therapy, and anti-infection treatment, the patient was reexamined 2 months later. The CT scan showed that the range of the original infarction in the liver had shrunk compared to before, and the remaining liver had enlarged with good compensation; Laboratory tests improved compared with baseline: eosinophil percentage of 0.1%. LESSONS This article discusses a rare case of hepatic artery occlusion and liver infarction in a young male patient with HES. The cause of hepatic artery embolism and hepatic infarction may be related to the abnormal increase in eosinophils, which can lead to hypercoagulation and thrombus formation. The article emphasizes the importance of timely diagnosis and treatment of HES to prevent life-threatening thrombotic events and describes the successful management of the patient condition through anticoagulation, anti-infection, liver protection, and glucocorticoid therapy.
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Affiliation(s)
- Shan-Yu Lu
- Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R. China
| | - Yi-Fan Hua
- Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R. China
| | - Li Guo
- Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R. China
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Feng RL, Hua YF, Guo L, Tao YP. Primary adrenal angiosarcoma: A case report. Asian J Surg 2023; 46:3936-3938. [PMID: 37045632 DOI: 10.1016/j.asjsur.2023.03.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 03/30/2023] [Indexed: 04/14/2023] Open
Affiliation(s)
- Run-Lin Feng
- Department of Pathology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, 650101, PR China.
| | - Yi-Fan Hua
- Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, 650101, PR China.
| | - Li Guo
- Department of Radiology, Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, 650101, PR China.
| | - Yan-Ping Tao
- Department of Emergency, The Third People's Hospital of Kunming, Kunming, Yunnan, 650101, PR China.
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Yang ZD, Hua YF, Guo L. Confirmation of the third lumbar transverse process syndrome by clinical treatment and magnetic resonance imaging: a case description. Quant Imaging Med Surg 2023; 13:1260-1263. [PMID: 36819236 PMCID: PMC9929382 DOI: 10.21037/qims-22-520] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 12/07/2022] [Indexed: 01/09/2023]
Affiliation(s)
- Zhen-Dong Yang
- Department of Orthopedics, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Yi-Fan Hua
- Department of Radiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Li Guo
- Department of Radiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
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Wang J, Hua YF, Qin JY, He MR, Ju ZC, Lyu P, Deng SZ, Dai XL. Effects of the timing of epibrassinolide spraying on yield and nitrogen use efficiency of wide-belt sowing wheat. Ying Yong Sheng Tai Xue Bao 2023; 34:99-106. [PMID: 36799382 DOI: 10.13287/j.1001-9332.202301.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
In this study, we investigated the effects of epibrassinolide spraying at different growth stages on grain yield and nitrogen use efficiency (NUE), and uptake efficiency (UPE) of wide-belt sowing wheat. The results showed that epibrassinolide spraying enhanced wheat grain yield by increasing the number of kernels per spike and (or) 1000-kernel weight, and improved NUE by promoting aboveground nitrogen accumulation and improving UPE. However, the magnitudes of such enhancements in yield and NUE differed among spraying times. Spraying epibrassinolide at the erecting and filling stages, jointing and filling stages, erecting, jointing, and filling stages, as well as erecting, flowering, and filling stages, produced the greatest increase in the number of kernels per spike and 1000-kernel weight, which led to substantial yield increases (12.8%-14.0%), and the greatest increase in aboveground nitrogen accumulation, which improved UPE by 16.4%-18.8%, and resulted in a significant improvement in NUE. Therefore, spraying epibrassinolide at the erecting and filling stage or jointing and filling stages could achieve high yield and NUE in wide-belt sowing wheat.
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Affiliation(s)
- Jie Wang
- College of Agronomy, Shandong Agricultural University/State Key Laboratory of Crop Biology/Key Laboratory of Crop Ecophysiology and Farming System, Ministry of Agriculture and Rural Affairs, Tai'an 271018, Shandong, China
| | - Yi-Fan Hua
- College of Agronomy, Shandong Agricultural University/State Key Laboratory of Crop Biology/Key Laboratory of Crop Ecophysiology and Farming System, Ministry of Agriculture and Rural Affairs, Tai'an 271018, Shandong, China
| | - Ji-Yuan Qin
- College of Agronomy, Shandong Agricultural University/State Key Laboratory of Crop Biology/Key Laboratory of Crop Ecophysiology and Farming System, Ministry of Agriculture and Rural Affairs, Tai'an 271018, Shandong, China
| | - Ming-Rong He
- College of Agronomy, Shandong Agricultural University/State Key Laboratory of Crop Biology/Key Laboratory of Crop Ecophysiology and Farming System, Ministry of Agriculture and Rural Affairs, Tai'an 271018, Shandong, China
| | - Zheng-Chun Ju
- Shandong Agricultural Technology Extending Center, Jinan 250100, China
| | - Peng Lyu
- Shandong Agricultural Technology Extending Center, Jinan 250100, China
| | - Shu-Zhen Deng
- Feicheng Agricultural and Rural Bureau, Feicheng 271600, Shandong, China
| | - Xing-Long Dai
- College of Agronomy, Shandong Agricultural University/State Key Laboratory of Crop Biology/Key Laboratory of Crop Ecophysiology and Farming System, Ministry of Agriculture and Rural Affairs, Tai'an 271018, Shandong, China
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Zhou YM, Mi HC, Jiang W, Jiang Y, Hua YF, Lu CJ, Wang CN, Lu CD. [Impact of regional positive lymph node ratio of gallbladder carcinoma on prognosis]. Zhonghua Zhong Liu Za Zhi 2022; 44:1202-1207. [PMID: 36380669 DOI: 10.3760/cma.j.cn112152-20210612-00446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Objective: To study the impact of regional positive lymph node ratio (LNR) on prognosis of patients with gallbladder carcinoma. Methods: The clinicopathological and survival data of 53 patients with gallbladder carcinoma who underwent radical resection with regional lymph node metastasis in Ningbo University Affiliated Lihuili Hospital from May 2012 to December 2020 were collected, and receiver operating characteristic curve (ROC) was used to determine the optimal cut-off value of LNR for predicting postoperative survival status in patients with gallbladder carcinoma. According to the critical value, the patients were divided into low LNR group and high LNR group. The clinicopathological features and prognosis of the two groups were compared. Log rank test was used for univariate analysis of prognostic factors in patients with gallbladder carcinoma, and Cox proportional hazards model was used for multivariate analysis. Results: A total of 417 regional lymph nodes were dissected in 53 patients, of which 144 lymph nodes were positive, with a positive rate of 34.5%. The optimal cut-off value of LNR for predicting postoperative survival status of patients with gallbladder carcinoma was 0.33. According to this cut-off value, patients were divided into low LNR group (LNR≤0.33, 28 cases) and high LNR group (LNR>0.33, 25 cases). The recurrence rates were 64.3% (18/28) and 88.0 % (22/25) in low LNR group and high LNR group, respectively. The median recurrence-free survival (RFS) was 8 and 7 months, respectively (P=0.032). In the low LNR group, the 1-, 3-, and 5-year survival rates were 56.2%, 38.4%, and 32.0%, respectively, and the median overall survival (OS) was 16 months. In the high LNR group, the 1-, 3-, and 5-year survival rates were 37.9%, 5.4%, and 0, respectively, and the median OS was 9 months. The postoperative survival rate of patients in the low LNR group was better than that in the high LNR group (P=0.008). Univariate analysis showed that LNR was even associated with RFS and OS in patients with gallbladder carcinoma (P<0.05). Multivariate analysis showed that LNR>0.33 was an independent risk factor for postoperative RFS (HR=1.977, 95% CI: 1.045-3.740), but not for OS (HR=1.561, 95% CI: 0.685-3.553). Conclusion: On the basis of clearing a sufficient number of regional lymph nodes, patients with gallbladder carcinoma with regional LNR>0.33 are more likely to relapse after operation, but the predictive value of LNR>0.33 OS is insufficient.
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Affiliation(s)
- Y M Zhou
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo University Affiliated Lihuili Hospital, Ningbo 315000, China
| | - H C Mi
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo University Affiliated Lihuili Hospital, Ningbo 315000, China
| | - W Jiang
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo University Affiliated Lihuili Hospital, Ningbo 315000, China
| | - Y Jiang
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo University Affiliated Lihuili Hospital, Ningbo 315000, China
| | - Y F Hua
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo University Affiliated Lihuili Hospital, Ningbo 315000, China
| | - C J Lu
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo University Affiliated Lihuili Hospital, Ningbo 315000, China
| | - C N Wang
- Ningbo Clinical Diagnostic Pathology Center, Ningbo 315000, China
| | - C D Lu
- Department of Hepatobiliary and Pancreatic Surgery, Ningbo University Affiliated Lihuili Hospital, Ningbo 315000, China
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Chen YL, Zhang M, Hua YF, He GQ. [Studies on polysaccharide alkaloids and minerals from Dendrobium moniliforme (L.) Sw]. Zhongguo Zhong Yao Za Zhi 2001; 26:709-10, 4. [PMID: 12776324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
OBJECTIVE To explore contents of active substances in different part of Dendrobium monilifrome and the quality influenced by different drying processes. METHOD Contents of alkaloids and polysaccharides in upper, middle, lower-stem and root part of Dendrobium moniliforme were determined by uv-spectrophotometer method. Contents of essential trace elements were determined by ICP method. RESULT Contents of polysaccharides and alkaloids were highest in the upper-stem of D. montiliforme. Contents of active substances in different part of D. moniliforme were unequal. Distributions of polysaccharides and alkaloids in different parts were greatly influenced by drying procedures. CONCLUSION Dendrobium moniliforme has higher contents of active ingredients, such as essential tract elements, alkaloids and polysaccharides. The ideal drying process after harvesting is to be the way dried by fire at a high temperature and desiccated at a temperature of 60 degreeC.
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Affiliation(s)
- Y L Chen
- College of Life Science, Zhejiang University, Hangzhou 310012, Zhejiang, China
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