Multi-slice spiral computerized tomography image characteristics of coal workers with pneumoconiosis

BackgroundMulti-slice spiral computerized tomography (MSCT) can be used as an auxiliary diagnosis of chest radiography in diagnosis of pneumoconiosis, but there are few studies on the correlations between interstitial images and stage classification of coal workers' pneumoconiosis in the existing literature. ObjectiveTo present MSCT imaging manifestations and distribution characteristics of coal workers' pneumoconiosis and complications, evaluate correlations between coal workers' pneumoconiosis stages and pulmonary interstitial lesions, and provide a reliable imaging diagnosis basis for pneumoconiosis interstitial lesions. MethodsFrom June 2022 to June 2023, a total of 1002 patients with coal workers' pneumoconiosis confirmed by the pneumoconiosis diagnostic and identification group in the Department of Occupational Diseases of the Emergency General Hospital were enrolled. MSCT was used to observe the abnormal imaging manifestations of the lungs of coal workers' pneumoconiosis patients and the diseases of pulmonary fibrosis related to their own diseases (thickening of the interlobular septum, bronchial perivascular interstitial mass thickening, parenchymal banding, subpleural line, intralobular interstitial thickening, honeycomb, and subpleural interstitial thickening), the occurrence of coal workers' pneumoconiosis and complications (old tuberculosis, active tuberculosis, pneumonia, atelectasis, lung cancer, bronchiectasis), and the density, size, and location of pneumoconiosis nodules. Imaging data were analyzed and statistically processed. ResultsAll 1002 patients were male, with an average age of (60.71±6.87) years and an average dust exposure time of (23.01±7.80) years. Among them, there were 470 patients with stage I, 422 patients with stage II, and 110 patients with stage III. There were significant differences in the distribution of thickening of the interlobular septum, bronchial perivascular interstitial mass thickening, parenchymal banding, intralobular interstitial thickening, subpleural interstitial thickening, and honeycomb across different stages (P<0.05). Statistically significant differences in p, q, and r subsets of round nodules were found in patients with pneumoconiosis at different stages (P<0.05). Observed nodule types included solid nodules, pure ground-glass shadow nodules, and partial solid nodules. There were statistically significant differences in pulmonary tuberculosis and bronchiectasis among different stages of coal workers' pneumoconiosis (P<0.05). There were statistically significant differences in interstitial shadows and patches combined with interstitial shadows among different stages of pneumoconiosis complicated with pneumonia (P<0.05). ConclusionMSCT provides images of the progression of coal workers' pneumoconiosis and have a certain relationship with the stages of coal workers' pneumoconiosis, which is conducive to the formulation of reasonable treatment plans in the early clinical stage. Therefore, in the diagnosis and treatment of pneumoconiosis, a great attention should be paid to the imaging technology of chest computerized tomography, especially the use of MSCT examination

Changes in intestinal flora of coal workers' pneumoconiosis patients after tetrandrine intervention

BackgroundPneumoconiosis is a widespread occupational disease in China at present. As a type of lung diseases, its pathological damage is mainly irreversible fibrotic changes in the lungs. Several studies have shown that the occurrence and development of lung diseases such as coal workers' pneumoconiosis are closely related to intestinal flora. ObjectiveTo observe intestinal flora of coal workers' pneumoconiosis patients based on the results of 16SrDNA high-throughput sequencing and evaluate the changes of intestinal flora after treatment with tetrandrine tablets. MethodsA total of 80 patients with coal workers' pneumoconiosis attending the outpatient clinic of the Department of Occupational Diseases of the Emergency General Hospital from April to July 2022 were enrolled. All patients were treated with tetrandrine tablets for 4 weeks, with group A before the treatment of tetrandrine tablets and group B after the treatment. In the same period, 24 healthy controls (group C) were set up. Stool samples were collected before and after the treatment. Using 16SrDNA high-throughput sequencing, gene V3-V4 sequencing technology, and bioinformatic analysis platform, we evaluated the intestinal flora after treatment by groups. ResultsThe dominant flora at the phylum level and genus level were the same across three groups. The relative abundances of phylum Bacteroidetes, Bifidobacterium, Bacteroides, and Facealibacterium in groups B and C were higher than those in group A, and the relative abundances of phy-lum Actinobacteria, genus Blautia, and genus Romboutsia in groups B and C were lower than those in group A (P＜0.05). The relative abundances of genus Clostridium, genus Megamonas, and genus Lactobacillus in group C was lower than that in groups A and B (P＜0.05). The alpha diversity analysis showed that the Chao1 index was higher in group A than in group C (P＜0.01). Compared with group A, the Shannon index was higher in group B, and the increases of Simpson index were all statistically significant in stage I patients (P＜0.05), but the differences in Chao1 index were not statistically significant (P＞0.05). The differences in the values of Chao1 index, Shannon index, and Simpson index in stage Ⅱ and stage III patients were not statistically significant (P＞0.05). The beta diversity analysis showed that the difference in flora structure between group A and group C was statistically significant (P＜0.05); the differences in flora structure before and after treatment in the same stage patients were statistically significant (P＜0.05). The partial least squares discriminant analysis (PLS-DA) showed that there were significant differences between group A and group C, and between group A and group B. The LEfSe analysis showed that the significant markers contributing to the differences were basically the same in stage I, stage Ⅱ, and stage Ⅲ after treatment, which were mainly phylum Bacteroidetes and its subordinate groups, class Negativicutes, or-der Selenomonas, and genus Facealibacterium. ConclusionThere are differences in the distribution of flora between coal workers' pneumoconiosis patients and healthy individuals, and the structure and relative abundance of intestinal flora are changed and the number of beneficial flora is increased after treatment with tetrandrine tablets

Differential metabolites of bronchoalveolar lavage fluid from coal worker's pneumoconiosis patients

Background It is a research hotspot to study the changes of metabolites and metabolic pathways in the process of coal worker's pneumoconiosis (CWP) by metabonomics and to explore its pathogenesis. ObjectiveTo study the change of metabolites in bronchoalveolar lavage fluid (BALF) of patients with CWP and explore the metabolic regulation mechanism of the disease. MethodsPatients with CWP who met the national diagnostic criteria according to Diagnosis of occupational pneumoconiosis (GBZ 70-2015) and underwent massive whole lung lavage were selected as the case group, and patients with tracheostenosis who underwent bronchoscopy were selected as the control group. BALF samples were collected from the cases and the controls. After filtering out large particles and mucus, the supernatant was stored in a −80 ℃ refrigerator. The samples were detected and analyzed by liquid chromatography-mass spectrometry after adding extraction solution, cold bath ultrasonication, and high-speed centrifugation, and the metabolic profiles and related data of CWP patients were obtained. The differential metabolites related to the occurrence and development of CWP were screened by multiple statistical analysis; furthermore, we searched the Kyoto Encyclopedia of Genes and Genomes (KEGG) database for potential metabolic pathways involved in the progression. ResultsThere was no significant difference in the general conditions of the subjects, such as weight, height, age, and length of service among the stage I group, the stage II group, the stage III group, and the control group (P˃0.05). When comparing the CWP stage I group with the control group, 48 differential metabolites were screened out, among which 14 were up-regulated and 34 were down-regulated. A total of 66 differential metabolites were screened out between the patients with CWP stage II and the controls, 14 up-regulated and 52 down-regulated differential metabolites. Compared with the control group, 63 differential metabolites were screened out in the patients with CWP stage III, including 11 up-regulated and 52 down-regulated differential metabolites. There were 36 differential metabolites that may be related to the occurrence of CWP, among which 11 differential metabolites were up-regulated, and 25 were down-regulated. Four significant differential metabolic pathways were identified through KEGG database query: linoleic acid metabolic pathway, alanine metabolic pathway, sphingolipid metabolic pathway, and glycerophospholipid metabolic pathway. ConclusionThe metabolomic study of BALF show that there are 36 different metabolites in the occurrence and development of CWP, mainly associating with linoleic acid metabolism, alanine metabolism, sphingolipid metabolism, and glycerophospholipid metabolism pathways

Fast Method for OTA Performance Testing of Transmit-Receive Cofrequency Mobile Terminal

This paper provides a novel method for measuring of a wireless user equipment, when the equipment uses the same frequency for both transmitting and receiving. The proposed method is based on the fact that the total radiated power (TRP) and the total isotropic sensitivity patterns are complementary for transmit-receive cofrequency mobile terminals. Thus, the proposed method only requires a full TRP test and an accurate efficient isotropic sensitivity test to complete a total OTA performance measurement, resulting in improved test accuracy and decreased measurement time compared to the traditional test method defined in the OTA testing standard. The proposed method is suitable for OTA testing of transmit-receive cofrequency and single-input single-output radio systems, such as cellular communication, Wi-Fi, ZigBee, and Bluetooth

OTA Measurement for IoT Wireless Device Performance Evaluation: Challenges and Solutions

The explosion of applications of Internet of Things (IoT) wireless devices urgently requires over-the-air (OTA) performance evaluations. However, the challenges mainly due to the fact that the ubiquitous IoT device applications have made it necessary for OTA measurements to be operated in accurate, fast, and cost-effective ways. This paper proposes a series of solutions for improving the standard OTA measurements to meet the IoT OTA requirements. For single-input single-output (SISO) terminals, three test techniques are introduced for speeding up their total isotropic sensitivity tests and improving the test accuracy. For IoT multi-input multioutput (MIMO) devices, the radiated two-stage (RTS) method is introduced. The detailed theories are described mathematically, including the pattern measurement error elimination and the inverse matrix auto-solving. The advantages of the RTS on MIMO system diagnosis are outlined. Besides, a smart test system was introduced, which is suitable for a general office building. Both SISO and MIMO can be conducted in this chamber, resulting in great cost saving. Thus, with innovations on hardware and methodologies, the OTA evaluations can be accommodated and helpful for the IoT industry

Several Major Methods for OTA Performance Testing of Mobile Terminal

Several major methods for Over the Air (OTA) performance measurement of wireless devices are presented, detailed and compared in this paper, the power-stepping down method defined in the Cellular Telecommunications and Internet Association (CTIA) test plan [1], the RSS-based method and the RSS-curve based method proposed in [2-4], and the transmit-receive co-frequency based method. The derivations of the theoretical foundations for all methods were detailed and the results given by all methods were compared in this paper. Those methods are suitable for receiver sensitivity measurement of single input, single output radio systems such as cellular communication, WiFi, ZigBee and Bluetooth systems

Fast and Accurate TIS Testing Method for Wireless User Equipment with RSS Reporting

A fast and accurate total isotropic sensitivity (TIS) testing method for wireless user equipment based on radiated sensitivity measurement and received signal strength (RSS) reporting is proposed in this paper. Innovative techniques for avoiding the effects of RSS reporting errors on TIS accuracy and reducing the total TIS measurement time are presented and incorporated into the testing procedures. The proposed method is suitable for receiver sensitivity testing of single input, single output radio systems having RSS reporting such as cellular communication, WiFi, and Bluetooth systems