Since 1975, 340 patients were treated by tracheal sleeve resection for tracheal or subglottic laryngeal iatrogenic stenoses in our unit. Preoperative iterative Nd YAG laser sessions have usually been performed, without success. The length of the sleeve specimen was an average of 3 1/4 cm. Twelve patients died on the post operative course (3.5%), 3 more patients died later after failure of the procedure (0.9%) and nineteen had recurrent stenoses treated with use of a tracheostomy tube, a permanent Montgomery tube, or an endotracheal stent (5.6%). Three hundred and six patients are definitely cured (90%), at the first attempt for 265 patients, after a laser session for granulomas for 20 patients, after a second tracheal resection for 6 patients and after a temporary Montgomery tube for 15 patients. Providing there is a good selection of the patients, tracheal sleeve resection is the best treatment for iatrogenic stenosis. 相似文献
Angiostatin is a potent inhibitor of tumor angiogenesis and the growth of metastatic foci. Recent studies have indicated that neoplastic cells can generate angiostatin directly or in cooperation with tumor-associated macrophages. In studies reported here, we determined whether angiostatin is generated in mice under non-neoplastic settings. Utilizing murine RAW264.7 macrophages and thioglycollate-elicited peritoneal macrophages, we demonstrate that angiostatin-like fragments are generated as a byproduct of the proteolytic regulation of membrane-bound plasmin. Plasmin proteolysis and subsequent loss in membrane-bound plasmin activity requires active plasmin but was unaffected by inhibitors of metalloproteinases. Lysine binding fragments of plasmin, isolated from macrophage-conditioned media utilizing affinity chromatography, appeared as a major (48 kDa) and two minor bands (42 and 50 kDa) in SDS-polyacrylamide gel electrophoresis and were immunoreactive with anti-kringle 1-3 IgG. Each peptide begins with Lys77 and contains the entire sequence of angiostatin. The affinity isolated plasmin fragments inhibited bFGF-induced endothelial cell proliferation. Lavage fluid recovered from the peritoneal cavities of mice previously injected with thioglycollate contained angiostatin-like plasmin fragments similar to those generated in vitro. This is the first demonstration that angiostatin-like plasmin fragments are generated in a non-neoplastic inflammatory setting. Thus, in addition to regulating pericellular plasmin activity, proteolysis of plasmin generates inactive kringle-containing fragments expressing angiostatic properties. 相似文献
The effects of composition and substrate temperature during evaporation and annealing, on the electron spin resonance spectra of co-evaporated SiOx/SnO (300 nm) thin films have been investigated. The spin density is observed to decrease with increasing SnO content. This effect is attributed to the saturation of some of the paramagnetic defects such as dangling bonds and other structural defects like E1 centres. The decrease in spin density in the composite thin films of SiOx/SnO of constant thickness and composition with annealing and with increase in the substrate temperature during evaporation, is related to the conversion of some of the paramagnetic E1 centres to E1 (probable non-paramagnetic precursor of E1) centres as well as to the saturation of some of the dangling bonds. 相似文献
Safety and reliability are absolutely important for modern sophisticated systems and technologies. Therefore, malfunction monitoring capabilities are instilled in the system for detection of the incipient faults and anticipation of their impact on the future behavior of the system using fault diagnosis techniques. In particular, state-of-the-art applications rely on the quick and efficient treatment of malfunctions within the equipment/system, resulting in increased production and reduced downtimes. This paper presents developments within Fault Detection and Diagnosis (FDD) methods and reviews of research work in this area. The review presents both traditional model-based and relatively new signal processing-based FDD approaches, with a special consideration paid to artificial intelligence-based FDD methods. Typical steps involved in the design and development of automatic FDD system, including system knowledge representation, data-acquisition and signal processing, fault classification, and maintenance related decision actions, are systematically presented to outline the present status of FDD. Future research trends, challenges and prospective solutions are also highlighted.
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