Five-Year Follow-Up Results of a Randomized Controlled Trial Comparing Bipolar Plasmakinetic and Monopolar Transurethral Resection of the Prostate

Chang-Ying Xie,Xing-Huan Wang,Guang-Bin Zhu,Xiang-Bin Liu 연세대학교의과대학 2012 Yonsei medical journal Vol.53 No.4

Purpose: To report the 5-year follow-up results of a randomized controlled trial comparing bipolar transurethral resection of the prostate (TURP) with standard monopolar TURP for the treatment of benign prostatic obstruction (BPO). Materials and Methods: A total of 220 patients were randomized to bipolar plasmakinetic TURP (PK-TURP) or monopolar TURP (M-TURP). Catheterization time was the primary endpoint of this study. Secondary outcomes included operation time, hospital stay, as well as decline in postoperative serum sodium and hemoglobin levels. All patients were assessed preoperatively and followed-up at 1, 6, 12, 24, 36, 48, and 60 months postoperatively. Parameters assessed included quality of life, transrectal ultrasound, serum prostate-specific antigen level, postvoid residual urine volume, maximum urinary flow rates (Qmax), and International Prostate Symptom Score. Patient baseline characteristics, perioperative data including complications, and postoperative outcomes were compared. Complication occurrence was graded according to the modified Clavien classification system. Results: PK-TURP was significantly superior to M-TURP in terms of operation time, intraoperative irrigation volume, resected tissue weight, decreases in hemoglobin and sodium, postoperative irrigation volume and time, catheterization time, and hospital stay. At 5 years postoperatively, efficacy was comparable between arms. No differences were detected in safety outcomes except that the clot retention rate was significantly greater after M-TURP. Conclusion: Our results indicate that PK-TURP is equally as effective in the treatment of BPO, but has a more favorable safety profile in comparison to M-TURP. The clinical efficacy of PK-TURP is long-lasting and comparable with M-TURP.

Research on self-propulsion simulation of a polar ship in a brash ice channel based on body force model

Xie Chang,Zhou Li,Ding Shifeng,Lu Mingfeng,Zhou Xu 대한조선학회 2023 International Journal of Naval Architecture and Oc Vol.15 No.-

Main engine power prediction is important for polar ships operating in brash ice channels, which is one of the most important concerns of shipowners. Self-propulsion simulation is an efficient method to predict the developed power. At present, such models as the discretized propeller model (DPM) and the body force model (BFM) are used for self-propulsion simulation. However, these models are often limited to open water. There is little research on self-propulsion calculations in ice-infested water. This paper presents the BFM to carry out selfpropulsion simulations in a brash ice channel. Research on simulation strategy for open water performance based on the BFM is carried out. Ship–ice–water interactions are simulated using computational fluid dynamicsdiscrete element method (CFD-DEM) coupling method. Both loaded and ballast conditions are considered in the model-scale self-propulsion simulations. Numerical results based on the BFM are compared with the simulation results based on the DPM, as well as model test results. Ship–propeller–ice interactions and propeller suction effects are also compared with photographs taken at an ice tank test. The results show that the differences of the developed power based on the BFM for both loaded and ballast conditions are 8.94% and 15.25%, respectively. The prediction accuracies of the developed power based on the BFM for both loaded and ballast conditions are 1.56% and 7.01%, respectively; lower than those based on the DPM. However, the computation efficiency based on the BFM is 12 times higher than that based on the DPM. To conclude, the proposed BFM could be used as an effective means to calculate the developed power and to evaluate the trend of hull-line optimization at the development stage.

Stray capacitances influences of various parallel primary windings in input‑series transformer‑integration flyback converters

Junjie Xie,Yichen Chang,Tao Meng 전력전자학회 2023 JOURNAL OF POWER ELECTRONICS Vol.23 No.12

In this paper, the influences of stray capacitances are explored for various parallel arrangements of primary windings (PWs) in input-series transformer-integration (ISTI) flyback converters. On this basis, selecting the principle of the basic parallel PWs arrangements is clarified in the design process. First, the influences caused by the energy changes of stray capacitances are analyzed for PWs in ISTI converter. Based on this, the arrangements of single PWs and various parallel PWs are presented. Second, the energy influences of both the inner and inter-winding capacitances are analyzed and compared for two basic parallel PWs in an ISTI converter. In addition, selecting the principle of these PWs arrangements is summarized. Finally, four integrated transformers with various PW arrangements are designed, and experimental comparisons are implemented on a 1000 Vdc/48 W ISTI flyback converter. Through the obtained results, the validity of theoretical analysis is verified.

Isolation and Cloning of Porcine SLC27A2 Gene and Detection of Its Polymorphism Associated with Growth and Carcass Traits

Wang, Tao,Liu, Chang,Xiong, Yuan-Zhu,Deng, Chang-Yan,Zuo, Bo,Xie, Hong-Tao,Xu, De-Quan Asian Australasian Association of Animal Productio 2007 Animal Bioscience Vol.20 No.8

The protein encoded by SLC27A2 gene is an isozyme of long-chain fatty-acid-coenzyme A ligase family, and it converts free long-chain fatty acids into fatty acyl-CoA esters, and thereby plays a key role in lipid biosynthesis and fatty acid degradation. In the present study, SLC27A2 located on human chromosome 15 was selected as candidate gene and we isolated and cloned partial fragments of mRNA sequence and genomic fragments of porcine SLC27A2 gene. The coding region of the gene as determined by alignments shared 90% and 82% identity with human and mouse cDNAs, respectively. Detection in LargeWhite and Meishan breeds showed that a single nucleotide polymorphism (SNP) ($A{\rightarrow}G$) existed in exon 7, which caused corresponding amino acid changed for encoding. In LargeWhite pigs it encoded for Val while in Meishan pigs it encoded for Ile, so we developed the PCR-RFLP genotype method for detection of this polymorphism. Association study in 135 $F_2$ reference family indicated that significant correlation existed between the polymorphism and growth and carcass traits.

초피 추출물을 이용한 친환경 항균 실내 직물 블라인드 소재 개발

시에 리루에이(Li Rui Xie),전도연(Do Youn Jun),박주은(Ju Eun Park),권기현(Gi Hyun Kwon),조봉근(Bonggeun Cho),박현우(Hyun Woo Park),이창우(Chang Woo Lee),김창영(Chang Young Kim),정효일(Hyo-Il Jung),김영호(Young Ho Kim) 한국생명과학회 2016 생명과학회지 Vol.26 No.8

본 연구는 초피의 항균 활성 소재의 산업화 타진 연구로 초피과피 정유 성분의 경우 높은 생산단가로 인해 그 활용이 제한적이다. 이에 초피잎을 대상으로 항균 활성소재를 탐색하고 초피의 천연 방향성과 항균력을 이용하여 실내 환경 개선 소재 특히 친환경 항균블라인드 개발에 대한 활용 가능성을 타진하였다. 그 결과, 초피잎 추출물의 항균 활성은 초피과피 추출물보다 약하게 나타났지만, K. pneumoniae, S. aureus와 S.mutans 균에 대하여 IC50 값은 0.5 mg/ml, 0.1 mg/ml와 1.0 mg/ml로 운향과 유래 타 Zanthoxylum 속 보다 항균력이 강한 것으로 나타났다. 항균력이 강하게 확인된 초피잎 EtOH 추출물과 EtOAc 추출물의 GC-MS 분석을 통해 초피잎 유래의 항균력 관련 화합물로서 quinic acid, 3,5-dihydroxy-6-methyl-2,3-dihydro-4H-pyran-4-one과 kaempferol 등을 확인할 수 있었다. 또한, International Standard Fabrics Test Method에 준하여 초피 추출물을 처리한 블라인드 소재의 항균력을 조사한 결과, 1% 농도의 초피잎 EtOH 추출물을 처리한 직물 블라인드 소재의 경우는 항생제 내성균 S. aureus의 생육을 99.9% 저해하였고, 2% 농도의 처리에 의해서는 K. pneumoniae 생육도 완전히 저해하였다. 이러한 연구결과는, 고가인 초피과피에 비해 농산폐자원으로 폐기되고 있는 초피잎의 항균력을 이용하여 친환경 기능성 항균 직물 블라인드 및 실내 창호 소재를 개발한다면 최근 급증하는 실내 환경성 질환의 예방 및 제어에 매우 유용할 수 있음을 시사한다. As the incidence of environmental diseases is increasing due to harmful environmental factors, there is a rising interest in developing eco-friendly materials for housing. In this study, we sought to develop antimicrobial interior fabric blind materials by employing ethanol extract of a medicinal plant Zanthoxylum piperitum DC. As determined by the disc diffusion method, the zones of inhibition of the pericarp ethanol extract at a concentration of 5 mg/disc against Klebsiella pneumoniae, Staphylococcus aureus, and Streptococcus mutans were 13.5±1.5 mm, 14.0±0.5 mm and 15.0±0.1 mm, respectively, whereas the leaf ethanol extract (5 mg/disc) against K. pneumoniae, S. aureus, and S. mutans were 12.8± 0.3 mm, 13.5±1.0 mm, and 12.0±0.1 mm, respectively. The IC50 of the leaf ethanol extract against K. pneumoniae, S. aureus and S. mutans were about 0.5 mg/ml, 0.1 mg/ml and 1.0 mg/ml respectively. To examine whether the leaf ethanol extract possessing antibacterial activity of Z. piperitum DC can be applicable to production of antimicrobial fabric blind materials, the fabrics treated with either 1.0% or 2.0% of the leaf ethanol extract were tested for antibacterial activity against K. pneumoniae and S. aureus using International Standard Fabrics Test Method. The results indicate that the fabric treated with the ethanol extract of Z. piperitum DC possesses an excellent antimicrobial activity against both pathogenic bacteria. These results suggest that Z. piperitum DC may be applicable to producing functional fabrics which are effective in reducing the harmful bacterial factors in indoor environments.

β-elemene Induces Caspase-dependent Apoptosis in Human Glioma Cells in vitro through the Upregulation of Bax and Fas/FasL and Downregulation of Bcl-2

Li, Chen-Long,Chang, Liang,Guo, Lin,Zhao, Dan,Liu, Hui-Bin,Wang, Qiu-Shi,Zhang, Ping,Du, Wen-Zhong,Liu, Xing,Zhang, Hai-Tao,Liu, Yang,Zhang, Yao,Xie, Jing-Hong,Ming, Jian-Guang,Cui, Yu-Qiong,Sun, Ying Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.23

Background: ${\beta}$-elemene, extracted from herb medicine Curcuma wenyujin has potent anti-tumor effects in various cancer cell lines. However, the activity of ${\beta}$-elemene against glioma cells remains unclear. In the present study, we assessed effects of ${\beta}$-elemene on human glioma cells and explored the underlying mechanism. Materials and Methods: Human glioma U87 cells were used. Cell proliferation was determined with MTT assay and colony formation assay to detect the effect of ${\beta}$-elemene at different doses and times. Fluorescence microscopy was used to observe cell apoptosis with Hoechst 33258 staining and change of glioma apoptosis and cell cycling were analyzed by flow cytometry. Real-time quantitative PCR and Western-blotting assay were performed to investigated the influence of ${\beta}$-elemene on expression levels of Fas/FasL, caspase-3, Bcl-2 and Bax. The experiment was divided into two groups: the blank control group and ${\beta}$-elemne treatment group. Results: With increase in the concentration of ${\beta}$-elemene, cytotoxic effects were enhanced in the glioma cell line and the concentration of inhibited cell viability ($IC_{50}$) was $48.5{\mu}g/mL$ for 24h. ${\beta}$-elemene could induce cell cycle arrest in the G0/G1 phase. With Hoechst 33258 staining, apoptotic nuclear morphological changes were observed. Activation of caspase-3,-8 and -9 was increased and the pro-apoptotic factors Fas/FasL and Bax were upregulated, while the anti-apoptotic Bcl-2 was downregulated after treatment with ${\beta}$-elemene at both mRNA and protein levels. Furthermore, proliferation and colony formation by U87 cells were inhibited by ${\beta}$-elemene in a time and does-dependent manner. Conclusions: Our results indicate that ${\beta}$-elemene inhibits growth and induces apoptosis of human glioma cells in vitro. The induction of apoptosis appears to be related with the upregulation of Fas/FasL and Bax, activation of caspase-3,-8 and -9 and downregulation of Bcl-2, which then trigger major apoptotic cascades.

Effect of track defects on track deformations for high-speed railway bridge

Hongye Gou,Rui Xie,Chang Liu,Wei Guo,Bing Han,Yi Bao 국제구조공학회 2021 Steel and Composite Structures, An International J Vol.41 No.3

Track defects can change the interaction between layers and affect the nonlinear contact between the beam and base slab, causing deformations in the rail. This study proposes a theoretical model to clarify the influence mechanism of track defects on the track irregularity of high-speed railway bridges under pier settlement. The investigated track defects include the void under slab, interlayer debonding, and fastener fracture. The elongation coefficient of track deformation is used to describe the mapping characteristics of the interlayer parameters to track geometric under the additional bridge deformation. The geometric characteristics and changing trend of the rail surface are quantified under the influence of the failure position and critical length. Finally, the fundamental mechanisms of track deformation are elucidated, which lays a theoretical basis for further study of the long-term evolution of infrastructure.

Association Between C-reactive Protein and Risk of Cancer: A Meta-analysis of Prospective Cohort Studies

Guo, Yong-Zhong,Pan, Lei,Du, Chang-Jun,Ren, Dun-Qiang,Xie, Xiao-Mei Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.1

Background: Associations between elevated C-reactive protein (CRP) and cancer risk have been reported for many years, but the results from prospective cohort studies remains controversial. A meta-analysis of prospective cohort studies was therefore conducted to address this issue. Methods: Eligible studies were identified by searching the PubMed and EMBASE up to October 2012. Pooled hazard ratios (HR) was calculated by using random effects model. Results: Eleven prospective cohort studies involving a total of 194,796 participants and 11,459 cancer cases were included in this meta-analysis. The pooled HR per natural log unit change in CRP was 1.105 (95% confidence interval (CI): 1.033-1.178) for all-cancer, 1.308 (95% CI: 1.097-1.519) for lung cancer, 1.040 (95% CI: 0.910-1.170) for breast cancer, 1.063 (95% CI: 0.965-1.161) for prostate cancer, and 1.055 (95% CI: 0.925-1.184) for colorectal cancer. Dose-response analysis showed that the exponentiated linear trend for a change of one natural log unit in CRP was 1.012 (95% CI: 1.006-1.018) for all-cancer. No evidence of publication bias was observed. Conclusions: The results of this meta-analysis showed that the elevated levels of CRP are associated with an increased risk of all-cancer, lung cancer, and possibly breast, prostate and colorectal cancer. The result supports a role of chronic inflammation in carcinogenesis. Further research effort should be performed to identify whether CRP, as a marker of inflammation, has a direct role in carcinogenesis.

Coronary Atherosclerosis T₁-Weighed Characterization With Integrated Anatomical Reference

Xie, Y.,Kim, Y.J.,Pang, J.,Kim, J.S.,Yang, Q.,Wei, J.,Nguyen, C.T.,Deng, Z.,Choi, B.W.,Fan, Z.,Bairey Merz, C.N.,Shah, P.K.,Berman, D.S.,Chang, H.J.,Li, D. Elsevier Science B.V. Amsterdam 2017 JACC CARDIOVASCULAR IMAGING Vol.10 No.6

Objectives: The aim of this work is the development of coronary atherosclerosis T<SUB>1</SUB>-weighted characterization with integrated anatomical reference (CATCH) technique and the validation by comparison with high-risk plaque features (HRPF) observed on intracoronary optical coherence tomography (OCT) and invasive coronary angiography. Background: T<SUB>1</SUB>-weighted cardiac magnetic resonance with or without contrast media has been used for characterizing coronary atherosclerosis showing promising prognostic value. Several limitations include: 1) coverage is limited to proximal coronary segments; 2) spatial resolution is low and often anisotropic; and 3) a separate magnetic resonance angiography acquisition is needed to localize lesions. Methods: CATCH acquired dark-blood T<SUB>1</SUB>-weighted images and bright-blood anatomical reference images in an interleaved fashion. Retrospective motion correction with 100% respiratory gating efficiency was achieved. Reference control subjects (n = 13) completed both pre- and post-contrast scans. Stable angina patients (n = 30) completed pre-contrast scans, among whom 26 eligible patients also completed post-contrast scans. After cardiac magnetic resonance, eligible patients (n = 22) underwent invasive coronary angiography and OCT for the interrogation of coronary atherosclerosis. OCT images were assessed and scored for HRPF (lipid-richness, macrophages, cholesterol crystals, and microvessels) by 2 experienced analysts blinded to magnetic resonance results. Results: Per-subject analysis showed none of the 13 reference control subjects had coronary hyperintensive plaques (CHIP) in either pre-contrast or post-contrast CATCH. Five patients had CHIP on pre-contrast CATCH and 5 patients had CHIP on post-contrast CATCH. Patients with CHIP had greater lipid abnormality than those without. Per-segment analysis showed elevated pre- and post-contrast plaque to myocardium signal ratio in the lesions with HRPF versus those without. Positive correlation was observed between plaque to myocardium signal ratio and OCT HRPF scoring. CHIP on pre-contrast CATCH were associated with significantly higher stenosis level than non-CHIP on invasive coronary angiography. Conclusions: CATCH provided accelerated whole heart coronary plaque characterization with simultaneously acquired anatomical reference. CHIP detected by CATCH showed positive association with high-risk plaque features on invasive imaging studies.

Endovascular Treatment of Traumatic Pseudoaneurysm Presenting as Intractable Epistaxis

Chang wei Zhang,Xiao dong Xie,Chao You,Bo yong Mao,Chao hua Wang,Min He,Hong Sun 대한영상의학회 2010 Korean Journal of Radiology Vol.11 No.6

Objective: To investigate the clinical efficacy of individual endovascular management for the treatment of different traumatic pseudoaneurysms presenting as intractable epistaxis. Materials and Methods: For 14 consecutive patients with traumatic pseudoaneurysm presenting as refractory epistaxes, 15 endovascular procedures were performed. Digital subtraction angiography revealed that the pseudoaneurysms originated from the internal maxillary artery in eight patients; and all were treated with occlusion of the feeding artery. In six cases, they originated from the internal carotid artery (ICA); out of which, two were managed with detachable balloons, two with covered stents, one by means of cavity embolization, and the remaining one with parent artery occlusion. All of these cases were followed up clinically from six to 18 months, with a mean follow up time of ten months; moreover, three cases were also followed with angiography. Results: Complete cessation of bleeding was achieved in all the 15 instances (100%) immediately after the endovascular therapies. Of the six patients who suffered from ICA pseudoaneurysms, one presented with a permanent stroke and one had an episode of rebleeding requiring intervention. Conclusion: In patients presenting with a history of craniocerebral trauma, traumatic pseudoaneurysm must be considered as a differential diagnosis. Individual endovascular treatment is a relatively safe, plausible, and reliable means of managing traumatic pseudoaneurysms. Objective: To investigate the clinical efficacy of individual endovascular management for the treatment of different traumatic pseudoaneurysms presenting as intractable epistaxis. Materials and Methods: For 14 consecutive patients with traumatic pseudoaneurysm presenting as refractory epistaxes, 15 endovascular procedures were performed. Digital subtraction angiography revealed that the pseudoaneurysms originated from the internal maxillary artery in eight patients; and all were treated with occlusion of the feeding artery. In six cases, they originated from the internal carotid artery (ICA); out of which, two were managed with detachable balloons, two with covered stents, one by means of cavity embolization, and the remaining one with parent artery occlusion. All of these cases were followed up clinically from six to 18 months, with a mean follow up time of ten months; moreover, three cases were also followed with angiography. Results: Complete cessation of bleeding was achieved in all the 15 instances (100%) immediately after the endovascular therapies. Of the six patients who suffered from ICA pseudoaneurysms, one presented with a permanent stroke and one had an episode of rebleeding requiring intervention. Conclusion: In patients presenting with a history of craniocerebral trauma, traumatic pseudoaneurysm must be considered as a differential diagnosis. Individual endovascular treatment is a relatively safe, plausible, and reliable means of managing traumatic pseudoaneurysms.