1.In vitro heat insulation efficacy of 5% dextrose versus 0.9% saline during radiofrequency ablation
Yanping MA ; Jinfen WANG ; Tao WU ; Bowen ZHENG ; Tinghui YIN ; Yufan LIAN ; Jie REN
Ultrasonography 2024;43(5):376-383
Purpose:
This study compared the efficacy of heat insulation between 5% dextrose and 0.9% saline in radiofrequency ablation (RFA). Accordingly, temperature variations and maximum temperatures were assessed at identical distances and heat field distributions.
Methods:
Cubes of porcine liver tissue, measuring 10 mm across, were selected to precisely align the ablation boundary with the tissue boundary. An 18-gauge electrode with a 7-mm tip was inserted into each cube (10 per group) in a stainless-steel cup containing 40 mL of 5% dextrose or 0.9% saline. Fixed ablation was performed for 3 minutes using continuous mode at 30 W, simulating the typical thermal environment during thyroid RFA. Real-time temperature measurements were recorded by sensors positioned 0, 1, 3, and 5 mm from the cube’s edge. A comparative analysis was conducted to assess the maximum temperature, temperature variation, and duration of temperatures exceeding 42℃.
Results:
In both groups, the temperature curve declined with increasing distance from the edge of the ablated tissue. However, 0.9% saline exhibited higher maximum temperatures at 1, 3, and 5 mm compared to 5% dextrose (1 mm: 44.55°C±5.25°C vs. 34.68°C±3.07°C; 3 mm: 39.64°C±2.53°C vs. 29.22°C±2.21°C; 5 mm: 38.86°C±2.14°C vs. 28.74°C±2.51°C; all P<0.001). Considering a nerve injury threshold of 42°C, the 0.9% saline also displayed a greater proportion of samples reaching this temperature and a longer duration of temperatures exceeding it (P<0.05).
Conclusion
The heat insulation efficacy of 5% dextrose at 1-5 mm exceeds that of 0.9% saline at identical distances and in a common thermal environment during thyroid RFA.
2.In vitro heat insulation efficacy of 5% dextrose versus 0.9% saline during radiofrequency ablation
Yanping MA ; Jinfen WANG ; Tao WU ; Bowen ZHENG ; Tinghui YIN ; Yufan LIAN ; Jie REN
Ultrasonography 2024;43(5):376-383
Purpose:
This study compared the efficacy of heat insulation between 5% dextrose and 0.9% saline in radiofrequency ablation (RFA). Accordingly, temperature variations and maximum temperatures were assessed at identical distances and heat field distributions.
Methods:
Cubes of porcine liver tissue, measuring 10 mm across, were selected to precisely align the ablation boundary with the tissue boundary. An 18-gauge electrode with a 7-mm tip was inserted into each cube (10 per group) in a stainless-steel cup containing 40 mL of 5% dextrose or 0.9% saline. Fixed ablation was performed for 3 minutes using continuous mode at 30 W, simulating the typical thermal environment during thyroid RFA. Real-time temperature measurements were recorded by sensors positioned 0, 1, 3, and 5 mm from the cube’s edge. A comparative analysis was conducted to assess the maximum temperature, temperature variation, and duration of temperatures exceeding 42℃.
Results:
In both groups, the temperature curve declined with increasing distance from the edge of the ablated tissue. However, 0.9% saline exhibited higher maximum temperatures at 1, 3, and 5 mm compared to 5% dextrose (1 mm: 44.55°C±5.25°C vs. 34.68°C±3.07°C; 3 mm: 39.64°C±2.53°C vs. 29.22°C±2.21°C; 5 mm: 38.86°C±2.14°C vs. 28.74°C±2.51°C; all P<0.001). Considering a nerve injury threshold of 42°C, the 0.9% saline also displayed a greater proportion of samples reaching this temperature and a longer duration of temperatures exceeding it (P<0.05).
Conclusion
The heat insulation efficacy of 5% dextrose at 1-5 mm exceeds that of 0.9% saline at identical distances and in a common thermal environment during thyroid RFA.
3.In vitro heat insulation efficacy of 5% dextrose versus 0.9% saline during radiofrequency ablation
Yanping MA ; Jinfen WANG ; Tao WU ; Bowen ZHENG ; Tinghui YIN ; Yufan LIAN ; Jie REN
Ultrasonography 2024;43(5):376-383
Purpose:
This study compared the efficacy of heat insulation between 5% dextrose and 0.9% saline in radiofrequency ablation (RFA). Accordingly, temperature variations and maximum temperatures were assessed at identical distances and heat field distributions.
Methods:
Cubes of porcine liver tissue, measuring 10 mm across, were selected to precisely align the ablation boundary with the tissue boundary. An 18-gauge electrode with a 7-mm tip was inserted into each cube (10 per group) in a stainless-steel cup containing 40 mL of 5% dextrose or 0.9% saline. Fixed ablation was performed for 3 minutes using continuous mode at 30 W, simulating the typical thermal environment during thyroid RFA. Real-time temperature measurements were recorded by sensors positioned 0, 1, 3, and 5 mm from the cube’s edge. A comparative analysis was conducted to assess the maximum temperature, temperature variation, and duration of temperatures exceeding 42℃.
Results:
In both groups, the temperature curve declined with increasing distance from the edge of the ablated tissue. However, 0.9% saline exhibited higher maximum temperatures at 1, 3, and 5 mm compared to 5% dextrose (1 mm: 44.55°C±5.25°C vs. 34.68°C±3.07°C; 3 mm: 39.64°C±2.53°C vs. 29.22°C±2.21°C; 5 mm: 38.86°C±2.14°C vs. 28.74°C±2.51°C; all P<0.001). Considering a nerve injury threshold of 42°C, the 0.9% saline also displayed a greater proportion of samples reaching this temperature and a longer duration of temperatures exceeding it (P<0.05).
Conclusion
The heat insulation efficacy of 5% dextrose at 1-5 mm exceeds that of 0.9% saline at identical distances and in a common thermal environment during thyroid RFA.
4.In vitro heat insulation efficacy of 5% dextrose versus 0.9% saline during radiofrequency ablation
Yanping MA ; Jinfen WANG ; Tao WU ; Bowen ZHENG ; Tinghui YIN ; Yufan LIAN ; Jie REN
Ultrasonography 2024;43(5):376-383
Purpose:
This study compared the efficacy of heat insulation between 5% dextrose and 0.9% saline in radiofrequency ablation (RFA). Accordingly, temperature variations and maximum temperatures were assessed at identical distances and heat field distributions.
Methods:
Cubes of porcine liver tissue, measuring 10 mm across, were selected to precisely align the ablation boundary with the tissue boundary. An 18-gauge electrode with a 7-mm tip was inserted into each cube (10 per group) in a stainless-steel cup containing 40 mL of 5% dextrose or 0.9% saline. Fixed ablation was performed for 3 minutes using continuous mode at 30 W, simulating the typical thermal environment during thyroid RFA. Real-time temperature measurements were recorded by sensors positioned 0, 1, 3, and 5 mm from the cube’s edge. A comparative analysis was conducted to assess the maximum temperature, temperature variation, and duration of temperatures exceeding 42℃.
Results:
In both groups, the temperature curve declined with increasing distance from the edge of the ablated tissue. However, 0.9% saline exhibited higher maximum temperatures at 1, 3, and 5 mm compared to 5% dextrose (1 mm: 44.55°C±5.25°C vs. 34.68°C±3.07°C; 3 mm: 39.64°C±2.53°C vs. 29.22°C±2.21°C; 5 mm: 38.86°C±2.14°C vs. 28.74°C±2.51°C; all P<0.001). Considering a nerve injury threshold of 42°C, the 0.9% saline also displayed a greater proportion of samples reaching this temperature and a longer duration of temperatures exceeding it (P<0.05).
Conclusion
The heat insulation efficacy of 5% dextrose at 1-5 mm exceeds that of 0.9% saline at identical distances and in a common thermal environment during thyroid RFA.
5.In vitro heat insulation efficacy of 5% dextrose versus 0.9% saline during radiofrequency ablation
Yanping MA ; Jinfen WANG ; Tao WU ; Bowen ZHENG ; Tinghui YIN ; Yufan LIAN ; Jie REN
Ultrasonography 2024;43(5):376-383
Purpose:
This study compared the efficacy of heat insulation between 5% dextrose and 0.9% saline in radiofrequency ablation (RFA). Accordingly, temperature variations and maximum temperatures were assessed at identical distances and heat field distributions.
Methods:
Cubes of porcine liver tissue, measuring 10 mm across, were selected to precisely align the ablation boundary with the tissue boundary. An 18-gauge electrode with a 7-mm tip was inserted into each cube (10 per group) in a stainless-steel cup containing 40 mL of 5% dextrose or 0.9% saline. Fixed ablation was performed for 3 minutes using continuous mode at 30 W, simulating the typical thermal environment during thyroid RFA. Real-time temperature measurements were recorded by sensors positioned 0, 1, 3, and 5 mm from the cube’s edge. A comparative analysis was conducted to assess the maximum temperature, temperature variation, and duration of temperatures exceeding 42℃.
Results:
In both groups, the temperature curve declined with increasing distance from the edge of the ablated tissue. However, 0.9% saline exhibited higher maximum temperatures at 1, 3, and 5 mm compared to 5% dextrose (1 mm: 44.55°C±5.25°C vs. 34.68°C±3.07°C; 3 mm: 39.64°C±2.53°C vs. 29.22°C±2.21°C; 5 mm: 38.86°C±2.14°C vs. 28.74°C±2.51°C; all P<0.001). Considering a nerve injury threshold of 42°C, the 0.9% saline also displayed a greater proportion of samples reaching this temperature and a longer duration of temperatures exceeding it (P<0.05).
Conclusion
The heat insulation efficacy of 5% dextrose at 1-5 mm exceeds that of 0.9% saline at identical distances and in a common thermal environment during thyroid RFA.
7. Nutritional physical indexes, obesity status and their warning effect on hypertension among Blang, Deang and Va ethnic groups in Yunnan
Zi-Shan WANG ; Yu CHENG ; Xing-Hua ZHANG ; Ke-Li YU ; Lian-Bin ZHENG ; Xing-Hua ZHANG ; Ke-Li YU ; Lian-Bin ZHENG ; Fei XU ; Yu CHENG
Acta Anatomica Sinica 2023;54(6):730-737
Objective To analyze the nutritional level, obesity status and the prevalence of frypertension in Blang, Deang and Va ethnic groups in Yunnan, to explore the relationship among nutritional physical index, obesity indicators and blood pressure, and use the cutoff value of related indicators to warn frypertension. Methods This paper was based on a statistical analysis of the 7 nutritional pfrysical indexes, 5 types of obesity status and frypertension status of 766 Blang, 570 Deang and 565 Va. Results We found that the nutritional pfrysique index of man)' items (4 items for men and 4 items for women) of Blang was significantly higher than that of Deang and Va (P<0. 05), the Erismann' s index and Pelidisi' s index of Deang female were significantly higher than those of Blang female and Va female (P<0. 05). The differences in the obesity rates determined by the three obesity determination indexes of waist circumference (WC), waist-to-hip ratio (WHR) and percent of bod)' fat (PBF) were statistically significant among the three ethnic groups (P < 0. 05), and the obesity rates determined by the three indexes of bod)' mass index (BMI), body adiposity index (BAI) and PBF were all the highest in the Blang, and the central obesity rates determined by the two indexes of WC and WHR were all the highest in Va. The rank of the prevalence of hypertension was Va > Blang > Deang and the difference was statistically significant (P<0. 05). Conclusion Pelidisi' s index, WHR, and PBF all have good early warning effects on frypertension in all three ethnic groups.
9.Analysis of Daily Steps Threshold Corresponding to Pregnancy Physical Activity Recommendation Based on Accelerometer
Han-qing CHEN ; Casper J.P. ZHANG ; Wai-kit MING ; Zi-lian WANG
Journal of Sun Yat-sen University(Medical Sciences) 2022;43(5):788-794
ObjectivesThis study aims to use accelerometer to objectively evaluate daily physical activity (PA) and steps of single pregnant women, and preliminarily explore the threshold of daily steps in line with the recommended PA during pregnancy, so as to provide PA guidance for pregnant women. MethodsWomen with singleton pregnancies who had prenatal examination in the the First Affiliated Hospital of Sun Yat-sen University from April 2018 to September 2019 continuously wore an accelerometer for 7 days for three times to measure daily PA. A total of 178 cases were included in this study with the average age 30.0 ± 3.0 years. Data were downloaded by supporting software, and the relationship between daily steps and PA (total PA, light PA and moderate PA) were analyzed by linear correlation analysis. Linear regression analysis and receiver operator characteristic curve (ROC) analysis were both used to explore the threshold steps corresponding to the physical activity recommendation. ResultsThere was no difference in daily total PA, light PA and sedentary behavior time during the three trimesters (P > 0.05). But the moderate PA decreased with the pregnancy stages increased (25.1±16.1 vs. 23.6±16.5 vs. 21.5±16.1,min/d, P = 0.001). There was a positive correlation between total PA and daily steps during the three trimesters (The correlation coefficients r of the early pregnancy, mid pregnancy and late pregnancy were 0.87, 0.83 and 0.86, respectively, P < 0.001); and there was a positive correlation with light PA (r of the three trimesters were 0.79, 0.72 and 0.77, respectively, P < 0.001). The relationship between moderate PA and daily steps during the three trimesters also had similar results (r of the three trimesters were 0.62, 0.53 and 0.55, respectively, P < 0.001). The thresholds of daily steps to reach the recommended PA during pregnancy in the early, mid and late pregnancy were 10 925 steps, 11 372 steps and 11 170 steps, respectively. According to ROC analysis, the thresholds of daily steps in the three trimesters were 10 856 steps, 10 480 steps and 9 819 steps, respectively, and the areas under the curve were 0.81, 0.73 and 0.74, respectively (P < 0.001). ConclusionsThe daily physical activity is mainly walking during pregnancy. Based on accelerometer evaluation, daily walking 9 800 to 11 500 steps could reach the physical activity recommendation during pregnancy.
10.Pattern of Inhalant and Food Allergens in Patients with Allergic Rhinitis By Gender in Guangzhou
Wei-hao WANG ; Wei-feng KONG ; Rui ZHENG ; Yu-lian CHEN ; Qin-tai YANG ; Xue-kun HUANG
Journal of Sun Yat-sen University(Medical Sciences) 2022;43(1):10-17
ObjectiveTo analyze the characteristics of the pattern of inhalant and food allergens in patients with allergic rhinitis (AR) by gender in Guangzhou. MethodsBy collecting the results of serum allergen specific IgE (sIgE) test of 7 284 suspected AR patients visiting the ENT outpatient in the Third Hospital of SunYat-sen University from 2016 to 2020. The characteristics of the pattern of inhalant and food allergens in definite AR patients, especially the gender difference in allergen pattern, was compared. ResultsA total of 5 980 patients were confirmed as AR with a 82.10% positive rate (95%CI=81.22%, 82.98%) in allergen serum sIgE test. The mean age of male patients was 19.01±13.17 vs. 23.67±13.40 in female. The mean age of female patients was older than that of the male patients (P<0.001). Compared with the female patients, the positive rate was higher in the male AR patients (83.35% vs. 80.61%, P<0.05). The common inhalant allergens in Guangzhou were house dust mites (78.93%), house dust (17.71%) and mold groups (17.16%), and milk (20.45%), cashew nut (20.35%) and crab (18.28%) were the common food allergens. The positive rates of house dust mites and dog dander were higher in males than those in females (all of P<0.05), while the positive rate of mold groups was higher in females than that in males (P<0.001). The positive rates of egg, milk, shrimp, beef, crab and cashew nut were higher in male patients than those of the female patients (all of P<0.05). In minor group, the positive rate of inhalant allergen serum sIgE was higher in males (93.25%) than that in females (90.25%, P<0.05), while the positive rate of food allergen serum sIgE was higher in adult male patients (54.66%) than that in the adult female patients (49.23%, P=0.002). ConclusionsThere exist significant difference by gender in the positive rates of allergen among house dust mites, mold groups, dog dander, egg, milk, shrimp, beef, crab and cashew nut. Adult male AR patients seem to be more vulnerable to suffering from food allergy, suggesting the importance of the precise management for AR patients involving the gender characteristics.

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