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Yu DD, Liu Y, Zheng ZY, Zhang J, Gao L, Zhang M, He C, Hao JL, Zhang KJ, Feng Y. [Efficacy observation and compliance analysis of pollen allergen drops in seasonal allergic rhinitis]. Zhonghua Yu Fang Yi Xue Za Zhi 2023; 57:1996-2001. [PMID: 38186147 DOI: 10.3760/cma.j.cn112150-20230711-00002] [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] [Subscribe] [Scholar Register] [Indexed: 01/09/2024]
Abstract
To study the efficacy and compliance analysis of pollen allergen drops in the treatment of allergic rhinitis. The method of single-center controlled was used to analyze the dates' results. From July 2021 to September 2021, 80 patients with seasonal allergic rhinitis were referred to the clinic of otorhinolaryngology in First Hospital of Shanxi Medical University.40 patients received sublingual immunotherapy (SLIT group), and the other 40 patients received symptomatic drug treatment as the control group. The total rhinoconjunctivitis symptom score (TRSS), the visual analogue scale(VAS), total medication score (TMS) and combined scores of medication and rhinoconjunctivitis symptoms (CSMRS) of the patient before the start of the treatment and after the first year of the treatment were compared to assess the efficacy of sublingual immunotherapy of Artemisia pollen. Follow the shedding during the study, the safety of the drug and the causes for compliance analysis were analyzed and recorded. The results of comparison with TRSS, VAS, TMS and CSMRS in two groups in the period of pretherapy were as follows: TRSS(12.393±3.023, 12.450±3.029, t=-0.077, P=0.939), VAS(8.357±1.026, 8.400±0.982, t=-0.173, P=0.862), TMS(3.214±0.568, 3.175±0.501, t=0.301, P=0.764), CSMRS (5.286±0.680, 5.253±0.677, t=0.199, P=0.843), there was no significant difference (P>0.05); lower observed symptom scores were got in the post-treatment pollen peak SLIT group compared to the control group, TRSS(3.964±1.551, 7.750±2.169, t=-7.918, P<0.05), VAS(2.893±0.956, 5.175±1.481, t=-8.286, P<0.05), TMS (1.821±0.863, 3.175±0.501, t=-8.163, P<0.05), CSMRS (2.489±0.921, 4.468±0.601, t=-10.723, P<0.05), and the differences between the groups were statistically significant (P<0.05); the SLIT group significantly reduced all symptom scores at the first peak compared to the starting, TRSS(12.393±3.023, 3.964±1.551, t=20.576, P<0.05), VAS (8.357±1.026, 2.893±0.956, t=30.070, P<0.05), TMS (3.214±0.568, 1.821±0.863, t=7.151, P<0.05), CSMRS(5.286±0.680, 2.489±0.921, t=14.533, P<0.05) and there was statistical difference (P<0.05). No significant adverse reactions occured during medication in the SLIT group. A total of 12 cases were shed in the SLIT group, so the compliance rate was 70%. The four reasons were that patients considered the course was long (4 cases, 33%); the drugs were expensive (3 cases, 25%); patients were busy with their work and life (3 cases, 25%); patients were affected by the outbreak (2 cases, 17%). In summary, Artemisia pollen sublingual drops may improve the symptoms of the patients who got allergic rhinitis caused by Artemisia pollen after the treatment for one year. However, due to the lack of sufficient understanding of immunotherapy or the difficulty in adhering to standardized medication, the compliance with sublingual immunotherapy is still poor, the compliance with sublingual immunotherapy needs to be further improved through patient education.
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Affiliation(s)
- D D Yu
- First Clinical Medical College, Shanxi Medical University, Taiyuan 030001, China
| | - Y Liu
- Department of Otolaryngology Head and Neck Surgery, First Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - Z Y Zheng
- Department of Otolaryngology Head and Neck Surgery, First Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - J Zhang
- First Clinical Medical College, Shanxi Medical University, Taiyuan 030001, China
| | - L Gao
- First Clinical Medical College, Shanxi Medical University, Taiyuan 030001, China
| | - M Zhang
- Department of Otolaryngology Head and Neck Surgery, First Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - C He
- Department of Otolaryngology Head and Neck Surgery, First Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - J L Hao
- First Clinical Medical College, Shanxi Medical University, Taiyuan 030001, China
| | - K J Zhang
- Department of Otolaryngology Head and Neck Surgery, First Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - Y Feng
- Department of Otolaryngology Head and Neck Surgery, First Hospital of Shanxi Medical University, Taiyuan 030001, China
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Yu DD, Liu W, Zhang L. [Pathophysiology, diagnosis, and therapy for the management of acquired clotting factor deficiency]. Zhonghua Xue Ye Xue Za Zhi 2023; 44:956-962. [PMID: 38185529 PMCID: PMC10753255 DOI: 10.3760/cma.j.issn.0253-2727.2023.11.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Indexed: 01/09/2024]
Affiliation(s)
- D D Yu
- State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin Key Laboratory of Gene Therapy for Blood Diseases, CAMS Key Laboratory of Gene Therapy for Blood Diseases, Tianjin 300020, China Tianjin Institutes of Health Science, Tianjin 301600, China
| | - W Liu
- State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin Key Laboratory of Gene Therapy for Blood Diseases, CAMS Key Laboratory of Gene Therapy for Blood Diseases, Tianjin 300020, China Tianjin Institutes of Health Science, Tianjin 301600, China
| | - L Zhang
- State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin Key Laboratory of Gene Therapy for Blood Diseases, CAMS Key Laboratory of Gene Therapy for Blood Diseases, Tianjin 300020, China Tianjin Institutes of Health Science, Tianjin 301600, China
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You LZ, Dai QQ, Zhong XY, Yu DD, Cui HR, Kong YF, Zhao MZ, Zhang XY, Xu QQ, Guan ZY, Wei XX, Zhang XC, Han SJ, Liu WJ, Chen Z, Zhang XY, Zhao C, Jin YH, Shang HC. Clinical evidence of three traditional Chinese medicine drugs and three herbal formulas for COVID-19: A systematic review and meta-analysis of the Chinese population. J Integr Med 2023; 21:441-454. [PMID: 37596131 DOI: 10.1016/j.joim.2023.08.001] [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] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 04/25/2023] [Indexed: 08/20/2023]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) continues to spread worldwide. Integrated Chinese and Western medicine have had some successes in treating COVID-19. OBJECTIVE This study aims to evaluate the efficacy and safety of three traditional Chinese medicine drugs and three herbal formulas (3-drugs-3-formulas) in patients with COVID-19. SEARCH STRATEGY Relevant studies were identified from 12 electronic databases searched from their establishment to April 7, 2022. INCLUSION CRITERIA Randomized controlled trials (RCTs), non-RCTs and cohort studies that evaluated the effects of 3-drugs-3-formulas for COVID-19. The treatment group was treated with one of the 3-drugs-3-formulas plus conventional treatment. The control group was treated with conventional treatment. DATA EXTRACTION AND ANALYSIS Two evaluators screened and selected literature independently, then extracted basic information and assessed risk of bias. The treatment outcome measures were duration of main symptoms, hospitalization time, aggravation rate and mortality. RevMan 5.4 was used to analyze the pooled results reported as mean difference (MD) with 95% confidence interval (CI) for continuous data and risk ratio (RR) with 95% CI for dichotomous data. RESULTS Forty-one studies with a total of 13,260 participants were identified. Our analysis suggests that compared with conventional treatment, the combination of 3-drugs-3-formulas might shorten duration of fever (MD = -1.39; 95% CI: -2.19 to -0.59; P < 0.05), cough (MD = -1.57; 95% CI: -2.16 to -0.98; P < 0.05) and fatigue (MD = -1.36; 95% CI: -2.21 to -0.51; P < 0.05), decrease length of hospital stay (MD = -2.62; 95% CI -3.52 to -1.72; P < 0.05), the time for nucleic acid conversion (MD = -2.92; 95% CI: -4.26 to -1.59; P < 0.05), aggravation rate (RR = 0.49; 95% CI: 0.38 to 0.64; P < 0.05) and mortality (RR = 0.34; 95% CI: 0.19 to 0.62; P < 0.05), and increase the recovery rate of chest computerized tomography manifestations (RR = 1.22; 95% CI: 1.14 to 1.3; P < 0.05) and total effectiveness (RR = 1.24; 95% CI: 1.09 to 1.42; P < 0.05). CONCLUSION The 3-drugs-3-formulas can play an active role in treating all stages of COVID-19. No severe adverse events related to 3-drugs-3-formulas were observed. Hence, 3-drugs-3-formulas combined with conventional therapies have effective therapeutic value for COVID-19 patients. Further long-term high-quality studies are essential to demonstrate the clinical benefits of each formula. Please cite this article as: You LZ, Dai QQ, Zhong XY, Yu DD, Cui HR, Kong YF, Zhao MZ, Zhang XY, Xu QQ, Guan ZY, Wei XX, Zhang XC, Han SJ, Liu WJ, Chen Z, Zhang XY, Zhao C, Jin YH, Shang HC. Clinical evidence of three traditional Chinese medicine drugs and three herbal formulas for COVID-19: A systematic review and meta-analysis of the Chinese population. J Integr Med. 2023; 21(5): 441-454.
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Affiliation(s)
- Liang-Zhen You
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China; Key Laboratory of Internal Medicine of Chinese Medicine, Ministry of Education, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Qian-Qian Dai
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China; Key Laboratory of Internal Medicine of Chinese Medicine, Ministry of Education, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Xiao-Ying Zhong
- School of Medical Information Engineering, Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong Province, China
| | - Dong-Dong Yu
- The First Affiliated Hospital, Anhui University of Chinese Medicine, Hefei 230031, Anhui Province, China
| | - He-Rong Cui
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Yi-Fan Kong
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Meng-Zhu Zhao
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Xin-Yi Zhang
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Qian-Qian Xu
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Zhi-Yue Guan
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Xu-Xu Wei
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Xue-Cheng Zhang
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Song-Jie Han
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Wen-Jing Liu
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Zhao Chen
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China; Institute of Clinical Basic Medicine of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China
| | - Xiao-Yu Zhang
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China; Institute of Clinical Basic Medicine of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China
| | - Chen Zhao
- Institute of Clinical Basic Medicine of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China
| | - Ying-Hui Jin
- Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China
| | - Hong-Cai Shang
- Dongzhimen Hospital Key Laboratory, Beijing University of Chinese Medicine, Beijing 100700, China; Key Laboratory of Internal Medicine of Chinese Medicine, Ministry of Education, Beijing University of Chinese Medicine, Beijing 100700, China.
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Chen WK, Zhou T, Yu DD, Li JP, Wu JG, Li LJ, Liang ZY, Zhang FB. Effects of major depression and bipolar disorder on erectile dysfunction: a two-sample mendelian randomization study. BMC Med Genomics 2023; 16:66. [PMID: 36997981 PMCID: PMC10061895 DOI: 10.1186/s12920-023-01498-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Accepted: 03/23/2023] [Indexed: 04/01/2023] Open
Abstract
BACKGROUND AND AIMS There are currently no clear conclusions about whether major depression (MD) and bipolar disorder (BD) increase the risk of erectile dysfunction (ED). In our study, we used a Mendelian randomization (MR) analysis to discover the causal associations between MD, BD and ED. METHODS We got single-nucleotide polymorphisms (SNPs) related to MD, BD and ED from the MRC IEU Open genome-wide association study (GWAS) datasets. After a series of selection, SNPs left were selected as instrumental variables (IVs) of MD and BD for the following MR test to evaluate the relationship of genetically predicted MD or BD with the incidence of ED. Among them, we used the random-effects inverse-variance weighted (IVW) method as the main analysis. Finally, sensitivity analyses were further performed using Cochran's Q test, funnel plots, MR-Egger regression, Leave-one-out method and MR- pleiotropy residual sum and outlier (PRESSO). RESULTS Genetically-predicted MD was causally related to the incidence of ED in the IVW methods (odds ratio (OR), 1.53; 95% confidence interval (CI), 1.19-1.96; p = 0.001), while no causal impact of BD on the risk of ED (OR = 0.95, 95% CI 0.87-1.04; p = 0.306). The results of sensitivity analyses supported our conclusion, and no directional pleiotropy were found. CONCLUSION The findings of this research found evidence of a causal relationship between MD and ED. However, we did not find a causal relationship between BD and ED in European populations.
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Affiliation(s)
- Wei-Kang Chen
- Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China
| | - Tao Zhou
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Dong-Dong Yu
- Department of Urology, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, China
| | - Jing-Ping Li
- Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China
| | - Jing-Gen Wu
- Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China
| | - Le-Jun Li
- Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China
| | - Zhong-Yan Liang
- Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China
| | - Feng-Bin Zhang
- Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
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Zhang H, Wu C, Yu DD, Su H, Chen Y, Ni W. Piperine attenuates the inflammation, oxidative stress, and pyroptosis to facilitate recovery from spinal cord injury via autophagy enhancement. Phytother Res 2023; 37:438-451. [PMID: 36114802 DOI: 10.1002/ptr.7625] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 08/26/2022] [Accepted: 09/02/2022] [Indexed: 11/08/2022]
Abstract
Spinal cord injury (SCI) is a serious injury that can lead to irreversible motor dysfunction. Due to its complicated pathogenic mechanism, there are no effective drug treatments. Piperine, a natural active alkaloid extracted from black pepper, has been reported to influence neurogenesis and exert a neuroprotective effect in traumatic brain injury. The aim of this study was to investigate the therapeutic effect of piperine in an SCI model. SCI was induced in mice by clamping the spinal cord with a vascular clip for 1 min. Before SCI and every 2 days post-SCI, evaluations using the Basso mouse scale and inclined plane tests were performed. On day 28 after SCI, footprint analyses, and HE/Masson staining of tissues were performed. On a postoperative Day 3, the spinal cord was harvested to assess the levels of pyroptosis, reactive oxygen species (ROS), inflammation, and autophagy. Piperine enhanced functional recovery after SCI. Additionally, piperine reduced inflammation, oxidative stress, pyroptosis, and activated autophagy. However, the effects of piperine on functional recovery after SCI were reversed by autophagy inhibition. The study demonstrated that piperine facilitated functional recovery after SCI by inhibiting inflammatory, oxidative stress, and pyroptosis, mediated by the activation of autophagy.
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Affiliation(s)
- Haojie Zhang
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, People's Republic of China.,The Second School of Medicine, Wenzhou Medical University, Wenzhou, People's Republic of China.,Key Laboratory of Orthopaedics of Zhejiang Province, Wenzhou Medical University, Wenzhou, People's Republic of China
| | - Chenyu Wu
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, People's Republic of China.,The Second School of Medicine, Wenzhou Medical University, Wenzhou, People's Republic of China.,Key Laboratory of Orthopaedics of Zhejiang Province, Wenzhou Medical University, Wenzhou, People's Republic of China
| | - Dong-Dong Yu
- Department of Urology, Huzhou Central Hospital, Huzhou, People's Republic of China
| | - Haohan Su
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, People's Republic of China.,The Second School of Medicine, Wenzhou Medical University, Wenzhou, People's Republic of China.,Key Laboratory of Orthopaedics of Zhejiang Province, Wenzhou Medical University, Wenzhou, People's Republic of China
| | - Yanlin Chen
- Spinal Surgery Department, The Central Hospital of Lishui City, Lishui, People's Republic of China
| | - Wenfei Ni
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, People's Republic of China.,The Second School of Medicine, Wenzhou Medical University, Wenzhou, People's Republic of China.,Key Laboratory of Orthopaedics of Zhejiang Province, Wenzhou Medical University, Wenzhou, People's Republic of China
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Shen MQ, Xiao X, Yu DD, Shi TL. [Knot-free suture and frenulum positioning combined with application positioning using a disposable circumcision suture device in circumcision]. Zhonghua Nan Ke Xue 2022; 28:1015-1019. [PMID: 37846118] [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: 10/18/2023]
Abstract
OBJECTIVE To explore the effect of knot-free suture and frenulum positioning combined with application positioning (KFS-FP + AP) in circumcision using a disposable circumcision suture device. METHODS We retrospectively analyzed the clinical data on 160 cases of circumcision for phimosis or redundant prepuce by KFS-FP + AP (the observation group, n = 80) or by routine circumcision (the control group, n = 80) with a disposable circumcision suture device from February 2021 to December 2021. We recorded the operation time, incidence of frenulum breve, incidence of frenulum dislocation, and Visual Analog Scale (VAS) scores at 6 hours after surgery, and compared them between the two groups of patients. RESULTS The operation time was longer in the observation than in the control group (8.00 [8.00, 9.00] min vs 5.00 [5.00, 5.00] min), and the incidence rates of frenulum breve (0 vs 8.75%, P < 0.05) and frenulum dislocation (0 vs 7.5%, P < 0.05) significantly lower in the former than in the latter group. There were no statistically significant difference in the VAS scores between the observation and the control groups (2.60 [2.00, 3.00] vs 2.55 [2.00, 3.00], P > 0.05). CONCLUSION KFS-FP + AP with a disposable circumcision suture device is a safe and effective method of circumcision, with high satisfaction of the patients and worthy of clinical promotion.
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Affiliation(s)
- Min-Qiang Shen
- Department of Urology, Huzhou Central Hospital, Huzhou, Zhejiang 313000, China
- Department of Urology, Central Hospital Affiliated to Huzhou Normal College, Huzhou, Zhejiang 313000, China
| | - Xin Xiao
- Department of Urology, Huzhou Central Hospital, Huzhou, Zhejiang 313000, China
- Department of Urology, Central Hospital Affiliated to Huzhou Normal College, Huzhou, Zhejiang 313000, China
| | - Dong-Dong Yu
- Department of Urology, Huzhou Central Hospital, Huzhou, Zhejiang 313000, China
- Department of Urology, Central Hospital Affiliated to Huzhou Normal College, Huzhou, Zhejiang 313000, China
| | - Tian-Li Shi
- Department of Urology, Huzhou Central Hospital, Huzhou, Zhejiang 313000, China
- Department of Urology, Central Hospital Affiliated to Huzhou Normal College, Huzhou, Zhejiang 313000, China
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Peng FS, Wu WT, Zhang L, Shen JH, Yu DD, Mao LQ. Cause of death during upper tract urothelial carcinoma survivorship: A contemporary, population-based analysis. Front Oncol 2022; 12:948289. [PMID: 36387214 PMCID: PMC9650258 DOI: 10.3389/fonc.2022.948289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Accepted: 10/07/2022] [Indexed: 11/28/2022] Open
Abstract
Background Very few studies have been published on the causes of death of upper tract urothelial carcinoma (UTUC). We sought to explore the mortality patterns of contemporary UTUC survivors. Methods We performed a retrospective cohort study involving patients with upper urinary tract carcinoma from the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) database (2000 and 2015). We used standardized mortality ratios (SMRs) to compare death rates among patients with UTUC in the general population and excess absolute risks (EARs) to quantify the disease-specific death burden. Results A total of 10,179 patients with UTUC, including 7,133 who died, were included in our study. In total, 302 (17.17%) patients with the localized disease died of UTUC; however, patients who died from other causes were 4.8 times more likely to die from UTUC (n = 1,457 [82.83%]). Cardiovascular disease was the most common non-cancer cause of death (n = 393 [22.34% of all deaths]); SMR, 1.22; 95% confidence intervals [CI], 1.1–1.35; EAR, 35.96). A total of 4,046 (69.99%) patients with regional stage died within their follow-up, 1,413 (34.92%) of whom died from UTUC and 1,082 (26.74%) of whom died from non-cancer causes. UTUC was the main cause of death (SMR, 242.48; 95% CI, 230–255.47; EAR, 542.47), followed by non-tumor causes (SMR, 1.18; 95% CI, 1.11–1.25; EAR, 63.74). Most patients (94.94%) with distant stage died within 3 years of initial diagnosis. Although UTUC was the leading cause of death (n = 721 [54.29%]), these patients also had a higher risk of death from non-cancer than the general population (SMR, 2.08; 95% CI, 1.67–2.56; EAR, 288.26). Conclusions Non-UTUC deaths accounted for 82.48% of UTUC survivors among those with localized disease. Patients with regional/distant stages were most likely to die of UTUC; however, there is an increased risk of dying from non-cancer causes that cannot be ignored. These data provide the latest and most comprehensive assessment of the causes of death in patients with UTUC.
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Affiliation(s)
- Fu-Sheng Peng
- Department of Urology, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, China
| | - Wan-Ting Wu
- Major of Clinical Medicine, Huzhou University, Huzhou, China
| | - Lu Zhang
- Major of Clinical Medicine, Huzhou University, Huzhou, China
| | - Jia-Hua Shen
- Department of Medical Insurance Fund Supervision Section, Huzhou Wu-xing District Medical Insurance Management Service Center, Huzhou, China
- *Correspondence: Li-Qi Mao, ; Dong-Dong Yu, ; Jia-Hua Shen,
| | - Dong-Dong Yu
- Department of Urology, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, China
- *Correspondence: Li-Qi Mao, ; Dong-Dong Yu, ; Jia-Hua Shen,
| | - Li-Qi Mao
- Department of Gastroenterology, The First People‘s Hospital of Huzhou, First Affiliated Hospital of Huzhou University, Huzhou, China
- *Correspondence: Li-Qi Mao, ; Dong-Dong Yu, ; Jia-Hua Shen,
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Zhuang Y, Lu M, Yu DD, Wang YX, Teng YC, Chao LQ, Ma TT. [Mechanism of acupuncture and moxibustion in ameliorating liver injury induced by DDP by regulating apoptosis factors Caspase-3, Caspase-8 and Caspase-9]. Zhen Ci Yan Jiu 2022; 47:587-591. [PMID: 35880274 DOI: 10.13702/j.1000-0607.20220065] [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: 06/15/2023]
Abstract
OBJECTIVE To investigate the mechanism of the effect of acupuncture and moxibustion on improving liver injury by observing the changes of cysteine protease (Caspase) associated with hepatocyte apoptosis based on cisplatin (DDP) induced liver injury model mice. METHODS Forty KM mice were randomly divided into control group, model group, acupuncture group and moxibustion group, with 10 mice in each group. The liver injury model was replicated by intraperitoneal injection of DDP. In the acupuncture group and the moxibustion group, acupuncture and moxibustion were performed at"Dazhui"(GV14), and bilateral "Ganshu"(BL18), "Shenshu"(BL23), and "Zusanli"(ST36), respectively, once per day for 5 d. General condition of mice in each group were observed;The activities of AST, ALT and GLDH in mice serum were detected by biochemical method. ELISA and Western blot assay were used to detect Caspase-3, Caspase-8 and Caspase-9 contents and protein expression in the liver tissues of each group of mice, respectively. RESULTS Compared with the control group, the general condition of the mice in the model group was poorer, and the Caspase-3, Caspase-8 and Caspase-9 contents and protein expressions in liver tissues and the activities of AST, ALT and GLDH in serum were increased (P<0.05). Compared with the model group, the general condition of the mice in the acupuncture and moxibustion groups improved, and the Caspase-3, Caspase-8 and Caspase-9 contents and protein expressions in liver tissues and activities of AST, ALT and GLDH in serum were decreased (P<0.05). CONCLUSION Acupuncture and moxibustion can reduce liver injury due to DDP chemotherapy by modulating the expression of apoptotic factors Caspase-3, Caspase-8 and Caspase-9 in liver tissues of DDP model mice and improving liver function, which may be one of the mechanisms of the effect of acupuncture and moxibustion to ameliorates liver injury after DDP chemotherapy.
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Affiliation(s)
- Yu Zhuang
- College of Acu-moxibustion and Tuina, Henan University of Chinese Medicine, Zhengzhou 450046, China
| | - Mei Lu
- College of Acu-moxibustion and Tuina, Henan University of Chinese Medicine, Zhengzhou 450046, China
| | - Dong-Dong Yu
- College of Acu-moxibustion and Tuina, Henan University of Chinese Medicine, Zhengzhou 450046, China; The Third Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450008
| | - Yong-Xin Wang
- College of Acu-moxibustion and Tuina, Henan University of Chinese Medicine, Zhengzhou 450046, China
| | - Ying-Chun Teng
- The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450001
| | - Li-Qin Chao
- Academy of Chinese Medical Sciences, Henan University of Chinese Medicine, Zhengzhou 450046
| | - Tian-Tian Ma
- College of Acu-moxibustion and Tuina, Henan University of Chinese Medicine, Zhengzhou 450046, China
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Yu DD, Chen WK, Wu CY, Wu WT, Xin X, Jiang YL, Li P, Zhang MH. Cause of Death During Renal Cell Carcinoma Survivorship: A Contemporary, Population-Based Analysis. Front Oncol 2022; 12:864132. [PMID: 35719910 PMCID: PMC9201523 DOI: 10.3389/fonc.2022.864132] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 05/05/2022] [Indexed: 11/17/2022] Open
Abstract
Background As the survival rates of patients with renal cell carcinoma (RCC) continue to increase, noncancer causes of death cannot be ignored. The cause-specific mortality in patients with RCC is not well understood. Objective Our study aimed to explore the mortality patterns of contemporary RCC survivors. Methods We performed a retrospective cohort study involving patients with RCC from the Surveillance, Epidemiology, and End Results (SEER) database. We used standardized mortality ratios (SMRs) to compare the death rates in patients with RCC with those in the general population. Results A total of 106,118 patients with RCC, including 39,630 who died (27%), were included in our study. Overall, compared with the general US population, noncancer SMRs were increased 1.25-fold (95% confidence intervals [CI], 1.22 to 1.27; observed, 11,235), 1.19-fold (95% CI, 1.14 to 1.24; observed, 2,014), and 2.24-fold (95% CI, 2.11 to 2.38; observed, 1,110) for stage I/II, III, and IV RCC, respectively. The proportion of noncancer causes of death increased with the extension of survival time. A total of 4,273 men with stage I/II disease (23.13%) died of RCC; however, patients who died from other causes were 3.2 times more likely to die from RCC (n = 14,203 [76.87%]). Heart disease was the most common noncancer cause of death (n = 3,718 [20.12%]; SMR, 1.23; 95% CI, 1.19–1.27). In patients with stage III disease, 3,912 (25.98%) died from RCC, and 2,014 (13.37%) died from noncancer causes. Most patients (94.99%) with stage IV RCC died within 5 years of initial diagnosis. Although RCC was the leading cause of death (n = 12,310 [84.65%]), patients with stage IV RCC also had a higher risk of noncancer death than the general population (2.24; 95% CI, 2.11–2.38). Conclusions Non-RCC death causes account for more than 3/4 of RCC survivors among patients with stage I/II disease. Patients with stage IV are most likely to die of RCC; however, there is an increased risk of dying from septicemia, and suicide cannot be ignored. These data provide the latest and most comprehensive assessment of the causes of death in patients with RCC.
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Affiliation(s)
- Dong-Dong Yu
- Department of Urology, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, China
| | - Wei-Kang Chen
- Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China
| | - Chen-Yu Wu
- Department of Orthopaedic Surgery, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Wan-Ting Wu
- Department of Clinical Medicine, Huzhou University, Huzhou, China
| | - Xiao Xin
- Department of Urology, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, China
| | - Yu-Li Jiang
- Department of Urology, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, China
| | - Peng Li
- Department of Urology, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, China
| | - Ming-Hua Zhang
- Department of Urology, Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, China
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Yu DD, Rutty M, Scott D, Li S. A comparison of the holiday climate index:beach and the tourism climate index across coastal destinations in China. Int J Biometeorol 2021; 65:741-748. [PMID: 32761265 PMCID: PMC7406217 DOI: 10.1007/s00484-020-01979-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 07/24/2020] [Accepted: 07/27/2020] [Indexed: 06/11/2023]
Abstract
Climatic resources are vitally important for tourism, driving major intra- and inter-regional travel flows for sun-sand-surf (3S) tourism around the world. The development of climate indices to measure the suitability of climate for major tourism market segments has evolved over three decades. This study provides the first application of the holiday climate index (HCI):Beach specification in the Asia-Pacific tourism region. The HCI is designed from international tourist climate preference studies and is compared with the tourism climate index (TCI), which is widely applied, but not based on tourist climate preferences. The index inter-comparison is conducted at 14 of the most popular beach resort destinations in China, which include four geographic regions of China with four different Köppen classifications. The results show key differences between the two indices in rating the climatic suitability of the selected beach destinations in China, with the TCI rating beach destinations in the north and south higher during the spring and fall seasons, which is not consistent with beach tourism visits. During the summer months, southern destinations have much higher HCI:Beach rating, reflecting the 3S tourists' desire for higher temperatures. The findings reinforce those from other tourism regions that indicate the TCI is not appropriate for assessing 3S tourism potential and that additional cross-cultural studies of tourist climate indices are needed to better inform market segment climate service development and to understand the potential impacts of future climate change.
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Affiliation(s)
- D D Yu
- School of Geographic Sciences, East China Normal University, Shanghai, China.
- Department of Geography and Environmental Management, University of Waterloo, Waterloo, Canada.
| | - M Rutty
- Faculty of Environment, University of Waterloo, Waterloo, Canada.
| | - D Scott
- Department of Geography and Environmental Management, University of Waterloo, Waterloo, Canada.
| | - S Li
- School of Geographic Sciences, East China Normal University, Shanghai, China
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Chen WK, Wu ZG, Xiao YB, Wang QQ, Yu DD, Cai J, Zhou CF. Prognostic Value of Site-Specific Metastases and Therapeutic Roles of Surgery and Chemotherapy for Patients With Metastatic Renal Pelvis Cancer: A SEER Based Study. Technol Cancer Res Treat 2021; 20:15330338211004914. [PMID: 33929915 PMCID: PMC8111551 DOI: 10.1177/15330338211004914] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background and Aims: There is a lack of research on metastatic renal pelvis cell carcinoma in the current literature. In this study, we aimed to detect distant metastatic patterns in renal pelvis cell carcinoma, and illustrated the affection of different metastatic sites, surgery to primary site and chemotherapy on prognosis outcomes in patients with diverse conditions. Methods: We collected data between 2010 and 2015 from the Surveillance, Epidemiology and End Results database. Kaplan–Meier analysis with log-rank test was used for survival comparisons. Multivariate Cox regression model was employed to analyze the effect of distant metastatic sites on overall survival (OS) and cancer-specific survival (CSS). Results: A total of 424 patients were included in the analysis, the median follow-up time was 5 months (interquartile range (IQR): 2-12) and 391 deaths (92.2%) in all patients were recorded. Among them, 192 (45.3%), 153 (36.1%), 137 (32.3%) and 127 (30.0%) patients were diagnosed with lung, bone, liver and brain metastases, respectively, while only 12 (2.8%) patients had brain metastases. The bi-organ, tri-organ and tetra-organ metastatic pattern was found in 135 (31.8%), 32 (7.5%) and 11 (2.6%) patients, respectively. The multivariate Cox analyses showed that distant lymph nodes (DL) metastases was not an independent prognostic factor for both OS and CSS (OS: Hazard ratios (HR) = 1.1, 95% CI = 0.8-1.4, P = 0.622; CSS: HR = 1.0, 95% CI = 0.8-1.3, P = 0.906). Besides, there was no significant difference of survival in patients with T3-T4 stage (OS: HR = 0.8, 95% CI = 0.5–1.2, P = 0.296; CSS: HR = 0.8, 95% CI = 0.5–1.2, P = 0.224), N2-3 stage (OS: HR = 0.8, 95% CI = 0.5–1.3, P = 0.351; CSS: HR = 0.7, 95% CI = 0.4–1.2, P = 0.259) and multi-organ metastases (OS: HR = 0.8, 95% CI = 0.5–1.3, P = 0.359; CSS: HR = 0.7, 95% CI = 0.4–1.2, P = 0.179) between surgery to primary site group and no-surgery to primary site group. Conclusion: we described the metastatic patterns of mRPCC and the prognosis outcomes of DL metastases, surgery to primary site and chemotherapy. Our findings provide more information for clinical therapeutic intervention and translational study designs.
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Affiliation(s)
- Wei-Kang Chen
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China
| | - Zhi-Gang Wu
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China
| | - Yun-Bei Xiao
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China
| | - Qin-Quan Wang
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China
| | - Dong-Dong Yu
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China
| | - Jian Cai
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China
| | - Chao-Feng Zhou
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China
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12
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Chen WK, Yu DD, Chen ZX, Li PF, Cai J, Liu YP, Wu ZG. Transurethral seminal vesiculoscopy for intractable hematospermia: experience from 144 patients. BMC Urol 2021; 21:48. [PMID: 33773582 PMCID: PMC8005245 DOI: 10.1186/s12894-021-00817-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Accepted: 03/17/2021] [Indexed: 11/13/2022] Open
Abstract
Purpose to describe the methodology of transurethral seminal vesiculoscopy and the anatomy of the area of the verumontanum, and to determine the safety of this procedure, especially in terms of postoperative complications. Methods This retrospective observational study enrolled 144 patients with intractable hematospermia from May 2011 and August 2019. A 4.5/6.5-Fr vesiculoscope was inserted into the seminal vesicle to deal with the positive findings. The solution of quinolones was used to rinse each seminal vesicle. Results In this study, Transurethral seminal vesiculoscopy was successfully performed in 139 patients (96.53%). Hematospermia was alleviated or disappeared in 116 (80.56%) patients by less than half a year after surgery. Common intraoperative manifestations were hemorrhage, stones, utricle polyps and cysts. The surgical approach in our study were categorized into four types, including 24 (16.7%), 73 (50.7%), 42 (29.2%), and 5 (3.5%) cases in Type A (natural opening of the ejaculatory duct), B (trans-duct fenestration), C (trans-utricle fenestration), and D (not founded), respectively. Sexual function change was recorded in 12 patients of 111 patients, all by the method of trans-utricle fenestration, including 8 (7.21%), 3 (2.70%), and 1 (0.90%) patients in shorter intravaginal ejaculatory latency time, worse erection hardness and loss of orgasm, respectively. Conclusion Transurethral seminal vesiculoscopy is an effective and safe procedure for the management of hematospermia. The anatomy of the distal seminal tract should be understood more deeply and Wu’method (uncover-curtain method) needs to be promoted to verify its universality and safety. Besides, the complications of the function dysfunction should be discussed in the future in multi-center clinical trials. Supplementary Information The online version contains supplementary material available at 10.1186/s12894-021-00817-4.
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Affiliation(s)
- Wei-Kang Chen
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China
| | - Dong-Dong Yu
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China
| | - Zhi-Xia Chen
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China
| | - Peng-Fei Li
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China
| | - Jian Cai
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China
| | - Yu-Peng Liu
- School of Public Administration and Health, Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China
| | - Zhi-Gang Wu
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China. .,Reproductive Health Research Center, Health Assessment Center of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China.
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13
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Chen WK, Yu DD, Wu ZG. [Application of transurethral seminal vesiculoscopy in uroandrology]. Zhonghua Nan Ke Xue 2020; 26:938-943. [PMID: 33382228] [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: 06/12/2023]
Abstract
With the continuous improvement of living conditions, increasing attention is being drawn to the genitourinary health of males, which has boomed the development of uroandrology in recent years. Refractory hemospermia, infertility, and perineal pain are commonly seen in some male patients, and mainly relied on medical imaging for diagnosis in the past, which, however, has a high pseudopositive rate and cannot give an etiological explanation. Patients with these diseases often adopt conservative treatments such as medication and physiotherapy, often with poor prognosis, and those suffering frequent recurrence used to be treated by transurethral resection, laparoscopic surgery or open surgery, which are now rarely employed due to their high rate of postoperative complications, slow recovery, and easy recurrence. In recent years, transurethral seminal vesiculoscopy has gained a wide application in the diagnosis and treatment of the above-mentioned uroandrological diseases and shown its advantages of high clinical effectiveness and low incidence of complications. The review updates on the indications, methods, skills and clinical application of transurethral seminal vesiculoscopy.
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Affiliation(s)
- Wei-Kang Chen
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China
| | - Dong-Dong Yu
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China
| | - Zhi-Gang Wu
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China
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Fang Y, Jiang ZQ, Wang JF, Jia JL, Yu DD, Feng LF, Shi L, Guo XN, Yu M, Xia HL, Yu M, Wang J, Li T, Ju L, Wang J, Lou JL. [Analysis of influencing factors of textile workers' occupational stress]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2020; 38:275-278. [PMID: 32447891 DOI: 10.3760/cma.j.cn121094-20190711-00294] [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: 11/05/2022]
Abstract
Objective: To explore the occupational stress status and influencing factors of workers in a textile factory in Zhejiang Provice. Methods: In October 2018, 505 workers from a textile factory in Zhejiang Province were selected as research objects by convenient sampling method. A total of 505 questionnaires were distributed, 495 of which were effective and the effective recovery rate was 98.0%. Job Content Questionnaire (JCQ) and Effort Reward Imbalance Questionnaire (REI) were used to investigate textile workers' occupational stress and analyze its influencing factors. The differences of the composition ratio of different groups were tested by χ(2) test. The influencing factors such as age, gender and occupation on occupational stress were analyzed by multivariate logistic regression. Results: ERI analysis results showed that the high and low occupational stress accounted for 30.1% and 69.9%, respectively. The differences of occupational stress among workers of different job types and working ages were statistically significant (P<0.05) . The detection rates of high occupational stress of paper workers and spinners were 47.8% (11/23) and 44.8% (30/67) , respectively, higher than other jobs. The detection rate of high occupational stress for workers with more than 5 years of service was 46.4% (13/28) . The results of JCQ analysis showed that there was no statistical significance in the differences of daily working hours and length of service between different gender, education levels, types of work patterns, and occupational stress (P>0.05) . Job types had significant effects on the occupational stress defined by ERI (P<0.05) , the risk of occupational stress was 2.151 times than that of the coiler. Conclusion: There are significant differences in occupational stress risk among workers of different types of work in textile industry, so different measures should be taken to prevent and control occupational stress in different jobs.
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Affiliation(s)
- Y Fang
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - Z Q Jiang
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China; Key Laboratory of Chemical Pollution and Health Safety, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - J F Wang
- Third People's Hospital of Tongxiang, Jiaxing 314500, China
| | - J L Jia
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - D D Yu
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - L F Feng
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - L Shi
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - X N Guo
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - M Yu
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - H L Xia
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - M Yu
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - J Wang
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - T Li
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - L Ju
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
| | - J Wang
- Institute of Occupational Health and Poisoning Control, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - J L Lou
- Institute of Occupational Disease Prevention, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China
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Yu DD, Dong H, Chen WK, Chen K, Wu ZG, Li CD, Cai J, Xiao YB. Development and validation of a nomogram for predicting survival in patients with non-metastatic primary adenocarcinoma of the bladder. Transl Cancer Res 2020; 9:5155-5165. [PMID: 35117882 PMCID: PMC8798190 DOI: 10.21037/tcr-20-354] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2020] [Accepted: 07/27/2020] [Indexed: 12/02/2022]
Abstract
Background To develop a nomogram for predicting cancer-specific survival (CSS) of patients with non-metastatic primary adenocarcinoma of the bladder (NMACB). Methods We used a retrospective cohort study design. Patient data were obtained from the SEER database, univariate and multivariate Cox regression analyses were performed to identify factors associated with CSS. A nomogram visualization model was established using R language software to predict survival rate. Harrell’s concordance index (C-index), area under the receiver operating characteristic (ROC) curve (AUC) in addition to calibration plots were used to assess the performance of the model. Results A total of 1,635 patients were included in the study. A multivariate Cox regression model indicated that age, histological type, grade, stage, and surgery were independent covariates associated with CSS. Using these prognostic factors, a nomogram was constructed. Harrell’s C indices for CSS were 0.729 in the training cohort and 0.716 in the validation cohort. AUC values were 0.769, 0.735 and 0.724 for 1, 3, and 5-year in the training cohort, and 0.738, 0.727 and 0.713 for 1, 3 and 5-year in the validation cohort, respectively. The AUC values and calibration plots indicated that the nomogram provided good predictive performance. Conclusions A nomogram for predicting CSS in patients with NMACB was developed to assist clinicians in the accurate prediction of mortality risk to allow them to recommend a personalized treatment modality.
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Affiliation(s)
- Dong-Dong Yu
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Hui Dong
- Department of Respiratory Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Wei-Kang Chen
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Kun Chen
- Department of Thoracic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Zhi-Gang Wu
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Cheng-Di Li
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Jian Cai
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Yun-Bei Xiao
- Department of Andrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
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Yu DD, You LZ, Huang WQ, Cao H, Wang FJ, Tang XQ, Fang ZH, Shen GM, Guan YX. Effects of traditional Chinese exercises on blood glucose and hemoglobin A1c levels in patients with prediabetes: A systematic review and meta-analysis. J Integr Med 2020; 18:292-302. [PMID: 32534937 DOI: 10.1016/j.joim.2020.04.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Accepted: 01/06/2020] [Indexed: 12/23/2022]
Abstract
BACKGROUND Traditional Chinese exercises (TCEs) have a positive effect on glycemic control and hemoglobin A1c (HbA1c), but there is no consensus on the benefits of TCEs for patients with prediabetes. OBJECTIVE The objective of this study was to systematically investigate the effects of TCEs on blood glucose control in patients with prediabetes. SEARCH STRATEGY Comprehensive retrieval of randomized controlled trials (RCTs) was carried out using PubMed, Cochrane Library, Embase, China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals, Wanfang Data Knowledge Service Platform, China Biology Medicine disc, Google Scholar and Baidu academic databases. The retrieval window ranged from the establishment of the database to December 2018, and references related to the included trials were searched without language restrictions. INCLUSION CRITERIA The study included RCTs with a clinical diagnosis of prediabetes that was also treated with TCEs. DATA EXTRACTION AND ANALYSIS Literature screening, data extraction and literature quality assessment were performed independently by two researchers. In the case of disagreement, a third party was invited to negotiate and make a decision. Standardized mean difference (SMD) was used to estimate the therapeutic effect. Meta-analysis was performed using Review Manager 5.3.5 and Stata 15.0. Heterogeneity was assessed using Q test and I2, and the source of heterogeneity was determined using Galbraith diagram and sensitivity analysis. A Q test resulting in P < 0.1 and I2 > 50% indicated significant difference and random effect model analysis was performed. Otherwise, a fixed effect model was applied. Begg's and Egger's tests were used to assess publication bias. RESULTS Nine RCTs involving 485 participants were included in this study. The results showed that TCEs could reduce fasting blood glucose (FBG), 2 h blood glucose (2hPBG) and HbA1c in patients with prediabetes. The treatment subgroup showed that an intervention of 6 months had better results, while the Gongfa subgroup showed that the TCE Baduanjin yielded better results. (1) FBG: SMD = -0.73, 95% confidence interval (CI) [-0.97, -0.50], P < 0.00001; Baduanjin: SMD = -0.83, 95% CI [-1.13, -0.53], P < 0.00001; 6 month treatment: SMD = -0.73, 95% CI [-1.20, -0.26], P = 0.002. (2) 2hPBG: SMD = -0.75, 95% CI [-0.94, -0.57], P < 0.00001; Baduanjin: SMD = -0.62, 95% CI [-0.91, -0.32], P < 0.00001; 6 month treatment: SMD = -0.91, 95% CI [-1.39, -0.44], P = 0.0002. (3) HbA1c: SMD = -0.56, 95% CI [-0.89, -0.23], P = 0.00008; Baduanjin: SMD = -0.46, 95% CI [-0.83, -0.08], P = 0.02; 6 month treatment: SMD = -0.77, 95% CI [-1.24, -0.29], P = 0.002. CONCLUSION TCEs had positive effects in improving blood glucose levels in patients with prediabetes. Hence, TCEs may be of potential therapeutic value for patients with prediabetes, as an adjuvant therapy along with other treatments. Although the evidence suggests that the intervention is effective for 6 months, the mechanism of TCEs on glycemic control, the minimum exercise dose and their safety remain to be further studied.
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Affiliation(s)
- Dong-Dong Yu
- Graduate School, Anhui University of Chinese Medicine, Hefei 230038, Anhui Province, China
| | - Liang-Zhen You
- Graduate School, Anhui University of Chinese Medicine, Hefei 230038, Anhui Province, China
| | - Wan-Qiu Huang
- Graduate School, Anhui University of Chinese Medicine, Hefei 230038, Anhui Province, China
| | - Hui Cao
- Graduate School, Anhui University of Chinese Medicine, Hefei 230038, Anhui Province, China
| | - Fan-Jing Wang
- Graduate School, Anhui University of Chinese Medicine, Hefei 230038, Anhui Province, China
| | - Xiu-Qin Tang
- Graduate School, Anhui University of Chinese Medicine, Hefei 230038, Anhui Province, China
| | - Zhao-Hui Fang
- Endocrinology Department, the First Affiliated Hospital, Anhui University of Chinese Medicine, Hefei 230031, Anhui Province, China
| | - Guo-Ming Shen
- Graduate School, Anhui University of Chinese Medicine, Hefei 230038, Anhui Province, China.
| | - Yu-Xiang Guan
- Endocrinology Department, the First Affiliated Hospital, Anhui University of Chinese Medicine, Hefei 230031, Anhui Province, China.
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Yu DD, Dong H, Wu ZG, Xiao YB, Zhou CF, Wang QQ, Cai J. U-shaped relationship of age at diagnosis and cancer-specific mortality in primary urachal adenocarcinoma: a cohort study. Transl Androl Urol 2020; 9:1073-1081. [PMID: 32676391 PMCID: PMC7354349 DOI: 10.21037/tau-19-863] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND To examine the association between age at diagnosis and cancer-specific mortality (CSM) in primary urachal adenocarcinoma. METHODS The data was obtained from the National Cancer Institute's Surveillance, Epidemiology, and End Results program (SEER). A total of 393 patients were included in the study. Smooth curve fitting and two-piecewise Cox proportional hazards models were used to identify the nonlinearity between the age at initial diagnosis and cancer-specific survival rate. Survival time between different groups was compared using Kaplan-Meier survival curves and the log-rank test. RESULTS Using smooth curve fitting we found that the relationship between age at diagnosis and cancer-specific survival takes on a U-shaped curve. The inflection point that we identified for the age at initial diagnosis was 60 years. The log-likelihood ratio test (P<0.05) indicated that the two-piecewise Cox regression model was more appropriate for fitting the correlation of age at diagnosis and CSM. The two-piecewise Cox regression model showed that when the age was <60 years, reduced risk of CSM was significantly associated with increased age (HR: 0.95, P=0.0002). Conversely, when age was >60 years, increased risk of CSM was significantly associated with increased age (HR: 1.05, P=0.0499). CONCLUSIONS In summary, our study suggested that the relationship between age at diagnosis and cancer-specific survival is nonlinear, and takes on a U-shaped curve. Both younger and older age at initial diagnosis age were associated with increased CSM.
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Affiliation(s)
- Dong-Dong Yu
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Whenzhou, China
| | - Hui Dong
- Department of Respiratory Medicine, The First Affiliated Hospital of Wenzhou Medical University, Whenzhou, China
| | - Zhi-Gang Wu
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Whenzhou, China
| | - Yun-Bei Xiao
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Whenzhou, China
| | - Chao-Feng Zhou
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Whenzhou, China
| | - Qin-Quan Wang
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Whenzhou, China
| | - Jian Cai
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Whenzhou, China
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Yu DD, Hui D, Chen WK, Xiao YB, Wu ZG, Wang QQ, Zhou CF, Chen ZX, Li CD, Cai J. Development and validation of a nomogram to predict survival in patients with metastatic testicular germ cell tumors. Transl Cancer Res 2020; 9:2402-2415. [PMID: 35117600 PMCID: PMC8799105 DOI: 10.21037/tcr.2020.03.59] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Accepted: 02/28/2020] [Indexed: 11/25/2022]
Abstract
Background To develop a nomogram to predict cancer-specific survival (CSS) in patients with metastatic testicular germ cell tumors (mTGCTs). Methods Data were obtained from the Surveillance, Epidemiology, and End Results database. Univariate and multivariate Cox regression models were used to identify factors associated with CSS. Survival times between different groups were compared using Kaplan-Meier survival curves and the log-rank test. A nomogram visualization model was established using the R language to predict survival rates. Harrell’s concordance index (C-index), the area under the receiver operating characteristic curve (AUC) and calibration plots were used to assess the performance of the model. Results We analyzed the data of 949 patients. The median follow-up time was 32 months (range 0 to 83 months), and 224 (23.60%) patients died before the last follow-up, of whom 193 (20.33%) died of mTGCTs. The site of distant metastases was an independent prognostic factor for CSS. Compared to patients without involvement of the corresponding organ, patients with bone, brain, liver, and lung involvement had worse CSS. We also found that age, histological type, surgery, radiation therapy, chemotherapy, metastatic site and insurance status affected the CSS of patients with mTGCTs. We used these prognostic factors to construct our nomogram. Harrell’s C-index for CSS was 0.739. The AUC and calibration plots indicated good performance of the nomogram. Conclusions A nomogram for predicting CSS in patients with mTGCTs has been developed, which can help patients and clinicians accurately predict mortality risk and recommend personalized treatment modalities.
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Affiliation(s)
- Dong-Dong Yu
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Dong Hui
- Department of Respiratory Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Wei-Kang Chen
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Yun-Bei Xiao
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Zhi-Gang Wu
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Qin-Quan Wang
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Chao-Feng Zhou
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Zhi-Xia Chen
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Cheng-Di Li
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Jian Cai
- Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
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You LZ, Yu DD, Huang WQ, Yin YD, Ye S, Fang ZH. [Mechanism of Danzhi Jiangtang Capsules in treatment of diabetic macrovascular disease in GK rats based on correlation between microRNAs and inflammatory factors]. Zhongguo Zhong Yao Za Zhi 2020; 44:4519-4528. [PMID: 31872641 DOI: 10.19540/j.cnki.cjcmm.20190416.401] [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: 11/18/2022]
Abstract
This study was aimed to investigate the mechanism of Danzhi Jiangtang Capsules( DJC) in the treatment of diabetic macrovascular disease in Goto-Kakizaki( GK) rats. The diabetic macrovascular disease rat model was induced by feeding high-fat and high-sugar combined with endothelial nitric oxide synthase( NOS) inhibitor N-nitro-L-arginine methyl ester( L-NAME)( 0. 1 g·L-1·d-1). According to the random array table,the model rats were randomly divided into the model group,DJC groups( 1 260,630,320 mg·kg-1),atorvastatin group( 105 mg·kg-1) and metformin group( 10 mg·kg-1),with 12 rats in each group. The rats received gavage administration for 8 weeks. Twelve Wistar rats were selected as the normal control group. The changes of body weight,water intake,blood glucose,plasma total cholesterol( TC),triglyceride( TG),high density lipoprotein( HDL-C),low density lipoprotein( LDL-C),interleukin( IL-1β),IL-6,tumor necrosis factor( TNF-α),nitric oxide( NO),endothelin( ET-1) were observed in these rats. Aortic tissue was taken and the pathological changes were observed by HE staining. RT-PCR was used to detect the mRNA levels of IL-1β,IL-6,and TNF-α in rat aorta. RT-PCR of the stem loop was used to detect the levels of miRNA-126,miRNA-155,miRNA-146 a,and miRNA-21 in rat plasma and aortic tissue. The canonical correlation between miRNAs and inflammatory factors was then analyzed. The results showed that DJC increased the rat body weight,lowered water intake,reduced the random blood glucose,reversed the rat aorta tissue damage,reduced serum TC,TG,LDL-C,ET-1,IL-1β,IL-6,TNF-α,as well as miRNA-155,miRNA-146 a and miRNA-21 levels in serum,elevated plasma HDL-C,NO content,reduced the aorta mRNA of IL-1β,IL-6,TNF-α,and the miRNA-155,miRNA-146 a and miRNA-21,elevated miRNA-126 expression in aorta. Aortic miRNA-126,miRNA-155,miRNA-146 a and miRNA-21 expression levels were typically correlated with the expression of inflammatory factors,among which miRNA-126 was negatively correlated,miRNA-155,miRNA-146 a and miRNA-21 were positively correlated with the factors. These results suggested that DJC had therapeutic effects on diabetic macrovascular diseases,and the mechanism of action may be related to the regulation of miRNA-126,miRNA-155,miRNA-146 a and miRNA-21 levels,as well as the reduction of inflammatory factors and vascular inflammatory response.
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Affiliation(s)
- Liang-Zhen You
- Graduate Institute,Anhui University of Chinese Medicine Hefei 230038,China Institute of Prevention and Treatment of Diabetes,Anhui Academy of Chinese Medicine Hefei 230038,China
| | - Dong-Dong Yu
- Graduate Institute,Anhui University of Chinese Medicine Hefei 230038,China
| | - Wan-Qiu Huang
- College of Life Sciences,Anhui University of Chinese Medicine Hefei 230038,China
| | - Yun-Dong Yin
- Graduate Institute,Anhui University of Chinese Medicine Hefei 230038,China Institute of Prevention and Treatment of Diabetes,Anhui Academy of Chinese Medicine Hefei 230038,China
| | - Shu Ye
- Graduate Institute,Anhui University of Chinese Medicine Hefei 230038,China College of Life Sciences,Anhui University of Chinese Medicine Hefei 230038,China
| | - Zhao-Hui Fang
- Department of Endocrinology,the First Affiliated Hospital of Anhui University of Chinese Medicine Hefei 230038,China Institute of Prevention and Treatment of Diabetes,Anhui Academy of Chinese Medicine Hefei 230038,China
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Zhao DY, Yu DD, Ren L, Bi GR. Ligustilide protects PC12 cells from oxygen-glucose deprivation/reoxygenation-induced apoptosis via the LKB1-AMPK-mTOR signaling pathway. Neural Regen Res 2020; 15:473-481. [PMID: 31571659 PMCID: PMC6921349 DOI: 10.4103/1673-5374.266059] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Autophagy has been shown to have a protective effect against brain damage. Ligustilide (LIG) is a bioactive substance isolated from Ligusticum chuanxiong, a traditional Chinese medicine. LIG has a neuroprotective effect; however, it is unclear whether this neuroprotective effect involves autophagy. In this study, PC12 cells were treated with 1 × 10–5–1 × 10–9 M LIG for 0, 3, 12 or 24 hours, and cell proliferation was evaluated using the 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) assay. Treatment with 1 × 10–6 M LIG for 3 hours had the greatest effect on cell proliferation, and was therefore used for subsequent experiments. PC12 cells were pre-treated with 1 × 10–6 M LIG for 3 hours, cultured in 95% N2/5% CO2 in Dulbecco’s modified Eagle’s medium without glucose or serum for 4 hours, and then cultured normally for 16 hours, to simulate oxygen-glucose deprivation/reoxygenation (OGD/R). Cell proliferation was assessed with the MTS assay. Apoptosis was detected by flow cytometry. The expression levels of apoptosis-related proteins, Bcl-2 and Bax, autophagy-related proteins, Beclin 1 and microtubule-associated protein l light chain 3B (LC3-II), and liver kinase B1 (LKB1)-5′-adenosine monophosphate-activated protein kinase (AMPK)-mammalian target of rapamycin (mTOR) signaling pathway-related proteins were assessed by western blot assay. Immunofluorescence staining was used to detect LC3-II expression. Autophagosome formation was observed by electron microscopy. LIG significantly decreased apoptosis, increased Bcl-2, Beclin 1 and LC3-II expression, decreased Bax expression, increased LC3-II immunoreactivity and the number of autophagosomes, and activated the LKB1-AMPK-mTOR signaling pathway in PC12 cells exposed to OGD/R. The addition of the autophagy inhibitor 3-methyladenine or dorsomorphin before OGD/R attenuated the activation of the LKB1-AMPK-mTOR signaling pathway in cells treated with LIG. Taken together, our findings show that LIG promotes autophagy and protects PC12 cells from apoptosis induced by OGD/R via the LKB1-AMPK-mTOR signaling pathway.
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Affiliation(s)
- Dan-Yang Zhao
- Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China; The First People's Hospital of Shenyang, Shenyang, Liaoning Province, China
| | - Dong-Dong Yu
- The First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning Province, China
| | - Li Ren
- The First People's Hospital of Shenyang, Shenyang, Liaoning Province, China
| | - Guo-Rong Bi
- Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China
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Zhu J, Hu J, Mao YF, Chen FY, Zhu JY, Shi JM, Yu DD, Hao SG, Tao R, Liu P, Gu SY, Hou J, He HY, Liang AB, Ding Y, Liu LG, Xie YH, Zhu Q, Yu YH, Yao YH, Chen W, Xu HL, Han XH, Wang C. [A multicenter, retrospective study of pathogenic bacteria distribution and drug resistance in febrile neutropenic patients with hematological diseases in Shanghai]. Zhonghua Xue Ye Xue Za Zhi 2019; 38:945-950. [PMID: 29224317 PMCID: PMC7342794 DOI: 10.3760/cma.j.issn.0253-2727.2017.11.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
目的 了解上海地区中性粒细胞缺乏(粒缺)伴发热血液病患者致病细菌的分布及耐药情况。 方法 回顾性分析2012年1月至2014年12月上海市12家医院血液科粒缺伴发热住院患者的临床分离菌株,用纸片扩散法进行药敏试验,WHONET 5.6软件分析病原菌分布及药敏数据。 结果 从上海地区粒缺伴发热患者中共分离出1 260株细菌,其中革兰阳性菌420株(33.3%),革兰阴性菌840株(66.7%)。排在前七位的分别是肺炎克雷伯菌158株(12.5%)、嗜麦芽窄食单胞菌120株(9.5%)、大肠埃希菌115株(9.1%)、铜绿假单胞菌109株(8.7%)、鲍曼不动杆菌83株(6.6%)、金黄色葡萄球菌70株(5.6%)和屎肠球菌63株(5.0%)。呼吸道分泌物标本中,非发酵菌占56.2%(350/623)。其中嗜麦芽窄食单胞菌占15.3%(95/623)。血液标本中,肠杆菌科细菌占42.3%(104/246),凝固酶阴性葡萄球菌占34.6%(85/246)。脓液标本中肠杆菌科细菌占39.4%(76/193),肠球菌属细菌占28.5%(55/193)。耐甲氧西林金黄色葡萄球菌葡萄球菌(MRSA)和耐甲氧西林凝固酶阴性葡萄球菌(MRCNS)的检出率分别为54.3%和82.5%,未发现耐利奈唑胺、万古霉素、替考拉宁葡萄球菌属菌株,耐万古霉素屎肠球菌的检出率为8.9%,肠球菌属未检出耐利奈唑胺的菌株。肠杆菌科细菌对碳青霉烯类药物高度敏感。铜绿假单胞菌对亚胺培南和美罗培南的耐药率已分别达34.1%和15.8%。嗜麦芽窄食单胞菌对米诺环素、左氧氟沙星、复方磺胺甲恶唑等药物敏感。鲍曼不动杆菌仅对头孢哌酮/舒巴坦的耐药率低于10.0%。肺炎克雷伯菌、嗜麦芽窄食单胞菌、铜绿假单胞菌、鲍曼不动杆菌等革兰阴性菌对大多常用抗菌药物的耐药率低于CHINET监测的数据。 结论 粒缺伴感染患者常见感染部位致病菌株分布有其特点,细菌耐药率整体低于CHINET全国医院大样本监测。
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Affiliation(s)
- J Zhu
- Department of Hematology, Shanghai Jiaotong University Affiliated Shanghai General Hospital, Shanghai 200080, China
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - C Wang
- Department of Hematology, Shanghai Jiaotong University Affiliated Shanghai General Hospital, Shanghai 200080, China
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Xiu SG, Yu DD, Wang YM, Gao SD. [Feasibility of single-staged Han-uvulopalatopharyngoplasty with septoplasty in adults with obstructive sleep apnea-hypopnea syndrome]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019; 52:592-596. [PMID: 28822412 DOI: 10.3760/cma.j.issn.1673-0860.2017.08.007] [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: 11/05/2022]
Abstract
Objective: To explore the feasibility and therapeutic effect of single-staged Han-uvulopalatopharyngoplasty with septoplasty in adults with obstructive sleep apnea-hypopnea syndrome. Methods: Ninety six cases with OSAHS were diagnosed by polysomnography, and they all had retropalatal obstruction and deviation of nasal septum. Patients were divided into study group(48 cases) and control group(48 cases) randomly. Cases in study group were simultaneously treated with Han-uvulopalatopharyngoplasty and septoplasty, while cases in control group were only treated with Han-uvulopalatopharyngoplasty. U saturation skill and coblation-assisted were applied in Han-uvulopalatopharyngoplasty. And nasal septum suture technique was applied in septoplasty. The observation index included the intranasal changes with acoustic rhinometry, the prevalence of common postoperation complications and curative effects after six months follow-up period. SPSS 18.0 was used for statistical analysis. Results: In study group the overall response rate was 83.33%(40/48), while in control group the overall response rate was 62.50%(30/48). There was statistical significance of response rate between test group and control group(χ(2)=5.275, P<0.05). There was no statistical significance on complication rate between study group and control group(P>0.05). There was no statistical significance on preoperative measurement data(P>0.05). Conclusion: For OSAHS patients with obstructive level at retropalatal plane and nasal plane, Han-uvulopalatopharyngoplasty combined with septoplasty in one stage is safe and effective.
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Affiliation(s)
- S G Xiu
- Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Yanbian University, Yanji 133000, China
| | - D D Yu
- Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Yanbian University, Yanji 133000, China
| | - Y M Wang
- Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Yanbian University, Yanji 133000, China
| | - S D Gao
- Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Yanbian University, Yanji 133000, China
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Pan JH, Yu DD, Song QB, Ruan CL, Fu JG, Wu B, Ma GD, Wang LZ, Lei Y, Han G. Comparison of geometrical uncertainties in the radiotherapy for various treatment sites with two different immobilization marking methods. J Xray Sci Technol 2019; 27:703-714. [PMID: 31227680 DOI: 10.3233/xst-180467] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVE The skin marking method (SMM) and bow-form-ruler marking method (BFRM) are two commonly used patient marking methods in mainland China. This study aims to evaluate SMM and BFRM by comparing the inter-fraction setup errors from using these two methods together with vacuum cushion immobilization in patients underwent radiotherapy for different treatment sites. MATERIALS AND METHODS Eighteen patients diagnosed with pelvic, abdominal and thoracic malignant tumors (with 6 patients per treatment site) were enrolled in this prospective study. All patients were immobilized with vacuum cushion. Each patient was marked by both SMM and BFRM before computed tomography (CT) simulation. Target location was verified by cone beam CT images with displacements assessed prior to each sampled treatment session. The localization errors in three translational and three rotational directions were recorded and analyzed. RESULTS Images from 108 fractions in 18 patients produced 324 translational and 324 rotational comparisons for SMM and BFRM. The setup errors of all treatment sites showed no difference in two marking methods in any directions (p > 0.05). In subgroups of treatment site analysis, SMM significantly lessened the lateral and yaw setup errors compared to BFRM in the pelvic sites (0.39±1.85 mm vs -1.28±1.13 mm, p < 0.01 and -0.19±0.59° vs -0.61±0.59°, p < 0.05). However, in the abdominal subgroup, BFRM was superior to SMM for reduced vertical errors (0.17±2.73 mm vs 2.28±3.16 mm, p < 0.05). For the underweight or obese patients (with Body Mass Index, BMI < 18.5 or BMI≥24), SMM resulted in less yaw errors compared to BFRM (-0.05±0.38° vs -0.43±0.48°, p < 0.05). No significant difference between SMM and BFRM in setup errors of normal weighted patients (18.5≤BMI < 24) was observed for all three studied treatment sites. CONCLUSIONS This study shows no significant difference in patient setup errors for various treatment sites between SMM and BFRM in general. SMM may be suitable for the pelvic tumor and patients with BMI < 18.5 or BMI≥24, while BFRM is recommended for the abdominal tumor sites.
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Affiliation(s)
- Jing-Hui Pan
- Department of Radiation Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Dong-Dong Yu
- Department of Radiation Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Qi-Bin Song
- Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Chang-Li Ruan
- Department of Radiation Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Jing-Guo Fu
- Department of Radiation Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Bing Wu
- Department of Radiation Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Guang-Dong Ma
- Department of Radiation Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Lu-Zhou Wang
- Department of Radiation Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Yu Lei
- Department of Radiation Oncology, University of Nebraska Medical Centre, Omaha, NE, USA
| | - Guang Han
- Department of Radiation Oncology, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Wu B, Teng L, He D, Yu DD, Jiang F. Dose-response relation between serum total cholesterol levels and overall cancer risk: evidence from 12 prospective studies involving 1,926,275 participants. Int J Food Sci Nutr 2018; 70:432-441. [PMID: 30481081 DOI: 10.1080/09637486.2018.1529147] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
This study aimed to clarify the association between serum total cholesterol (TC) levels and overall cancer risk. Study-specific relative risks (RR) and 95% confidence intervals (CI) were pooled using a random-effects model, and dose-response relation was also evaluated. Twelve prospective studies were identified with a total of 1,926,275 participants and 13,1676 cases. High levels of serum TC showed an inverse association with overall cancer risk (RR for the highest versus the lowest category: 0.87, 95% CI: 0.83 ∼ 0.90; I2 = 52.5%). A linear dose-response relation between serum TC levels and overall cancer risk was found (p = .004 for Wald test; I2 = 49.6%), and the pooled RR was 0.92 (95% CI: 0.89 ∼ 0.94) for 3 mmol/L, 0.86 (95% CI: 0.81 ∼ 0.90) for 5 mmol/L, 0.80 (95% CI: 0.74 ∼ 0.87) for 7 mmol/L. Our dose-response meta-analysis of 12 prospective studies indicated that higher serum TC levels were significantly associated with reduced cancer risk.
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Affiliation(s)
- Bing Wu
- a Department of Radiation Oncology , Renmin Hospital of Wuhan University , Wuhan , China
| | - Li Teng
- b Department of Gastrointestinal Surgery , The Central Hospital of Wuhan Tongji Medical College, Huazhong University of Science and Technology , Wuhan , China
| | - Du He
- c Department of Oncology , The Central Hospital of Enshi Autonomous Prefecture , Enshi , China.,d Enshi Clinical College of Wuhan University , Enshi , China
| | - Dong-Dong Yu
- a Department of Radiation Oncology , Renmin Hospital of Wuhan University , Wuhan , China
| | - Fan Jiang
- a Department of Radiation Oncology , Renmin Hospital of Wuhan University , Wuhan , China
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Han RL, Yu DD, Zhang M, Jin YD. [A case of laryngeal neuroendocrine carcinoma]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017; 31:564-565. [PMID: 29871313 DOI: 10.13201/j.issn.1001-1781.2017.07.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Indexed: 11/12/2022]
Abstract
The patient had a sore throat without any special incentive for 2 months, accompanied by irritating cough and white sputum. Dynamic laryngoscopy showed: the right side of laryngeal surface of epiglottis can be seen an uneven purple mass, considered the possibility of fibrous hemangioma or other benign tumor. Intraoperative we had seen the tumor was located on the right side of the laryngeal surface of epiglottis, the size about 1.0 cm×0.8 cm.Postoperative pathology reported: Syn (+), CgA (+), CD56 (focal +), CK (+). Diagnose:(epiglottis) neuroendocrine carcinoma.
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Yu DD, Xiu SG, Wang DD. [Typical carcinoid tumor in sphenoid sinus:a case report]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016; 30:1409. [PMID: 29798470 DOI: 10.13201/j.issn.1001-1781.2016.17.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 12/31/2015] [Indexed: 06/08/2023]
Abstract
We report a case of typical carcinoid tumor in sphenoid sinus.A 52-year-old woman presented with a history of nasal obstruction,nasal purulent discharge and occasionally accompanied with blood streaks and hyposmia.All laboratory examinations were normal.Sinus computed tomography showed soft tissue mass in the right nasal cavity,nasopharynx and sphenoid sinus,with thickened locoregional mucosa.No sign of bone erosion was observed.In conclusion the case was diagnosed as typical carcinoid tumor.
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Jia JJ, Lin BY, He JJ, Geng L, Kadel D, Wang L, Yu DD, Shen T, Yang Z, Ye YF, Zhou L, Zheng SS. ''Minimizing tacrolimus'' strategy and long-term survival after liver transplantation. World J Gastroenterol 2014; 20:11363-11369. [PMID: 25170223 PMCID: PMC4145777 DOI: 10.3748/wjg.v20.i32.11363] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2014] [Revised: 03/20/2014] [Accepted: 04/23/2014] [Indexed: 02/07/2023] Open
Abstract
AIM: To investigate the effect of the ‘‘minimizing tacrolimus’’ strategy on long-term survival of patients after liver transplantation (LT).
METHODS: We conducted a retrospective study of 319 patients who received LT between January 2009 and December 2011 at the First Affiliated Hospital of Zhejiang University School of Medicine. Following elimination of ineligible patients, 235 patients were included in the study. The relationship between early tacrolimus (TAC) exposure and survival period was analyzed by Kaplan Meier curves. Adverse effects related to TAC were evaluated by the χ2 test. Routine monitoring of blood TAC concentration (TC) was performed using the PRO-TracTM II Tacrolimus Elisa Kit (Diasorin, United States).
RESULTS: Of 235 subjects enrolled in the study, 124 (52.8%) experienced adverse effects due to TAC. When evaluating mean TC, the survival time of patients with a mean TC < 5 ng/mL was significantly shorter than that in the other groups (911.3 ± 131.6 d vs 1381.1 ± 66.1 d, 911.3 ± 131.6 d vs 1327.3 ± 47.8 d, 911.3 ± 131.6 d vs 1343.2 ± 83.1 d, P < 0.05), while the survival times of patients with a mean TC of 5-7, 7-10 and 10-15 ng/mL were comparable. Adverse effects due to TAC in all four groups were not significantly different. When comparing the standard deviation (SD) of TC among the groups, the survival time of patients with a SD of 2-4 was significantly longer than that in the other groups (1388.8 ± 45.4 d vs 1029.6 ± 131.3 d, 1388.8 ± 45.4 d vs 1274.9 ± 57.0 d, P < 0.05), while in patients with a SD < 2 and SD > 4, the survival time was not statistically different. Adverse effects experienced in all three groups were not statistically different. In Cox regression analysis, male patients and those with a primary diagnosis of benign disease, mean TC > 5 ng/mL and TC SD 2-4 had better outcomes.
CONCLUSION: The early ‘‘minimizing tacrolimus’’ strategy with a mean TC of 5-10 ng/mL and SD of 2-4 was beneficial in terms of long-term survival after LT.
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Teng YC, Yu DD, Lu M. [Case of sublingual cavernous hemangioma]. Zhongguo Zhen Jiu 2014; 34:40. [PMID: 24673053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Lu M, Zhang LF, Yuan Y, Yu DD. [Comparison on heat sensation degree of ginger-partition moxibustion and suspended moxibustion at different acupoints for different time]. Zhongguo Zhen Jiu 2011; 31:232-5. [PMID: 21644310] [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: 05/30/2023]
Abstract
OBJECTIVE To measure the threshold of feeling temperature, comfortable temperature and tolerant temperature to ginger-partition moxibustion and suspended moxibustion at different acupoints of healthy persons, and to instruct the clinical practice of moxibustion better. METHODS Forty-three healthy students were divided into a ginger-partition moxibustion group (22 cases) and a suspended moxibustion group (21 cases) randomly. Shenshu (BL 23), Zhongwan (CV 12), Zusanli (ST 36) and Waiguan (TE 5) were used in both groups. The feeling temperature, comfortable temperature and tolerant temperature in each group were measured by thermometer. SPSS 18.0 was used to analyze the data. RESULTS The feeling temperature, comfortable temperature and tolerant temperature rose in proper order and the difference was significant (all P < 0.05). The tolerant temperature of suspended moxibustion group ((40.69 +/- 1.85) degrees C) was lower than that of ginger-partition moxibustion group ((42.44 +/- 3.90) degrees C) (P < 0.05). The feeling temperature of ginger-partition moxibustion at Shengshu (BL 23) was 4-5 degrees C lower than that at other acupoints. CONCLUSION The heat sensations of different acupoints to ginger partition moxibustion and suspended moxibustion are different at different stages. The threshold of heat sensation of ginger-partition moxibustion is higher than that of suspended moxibustion. There is a best temperature zone for moxibustion which is a little higher than normal temperature between comfortable temperature and tolerant temperature. To improve effect, doctors should try to prolong the effective time of this zone in clinic. As the limiting temperature of patients, tolerant temperature can provide reference for the use of moxibustion safely in clinic.
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Affiliation(s)
- Mei Lu
- Henan University of TCM, Zhengzhou 450008, China.
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Liu QH, Li J, Zhang SC, Xiao ZZ, Ding FH, Yu DD, Xu XZ. Flow cytometry and ultrastructure of cryopreserved red seabream (Pagrus major) sperm. Theriogenology 2007; 67:1168-74. [PMID: 17321586 DOI: 10.1016/j.theriogenology.2006.12.013] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2006] [Revised: 11/15/2006] [Accepted: 12/15/2006] [Indexed: 11/27/2022]
Abstract
The objectives were to assess motility, fertilizing capacity, structural integrity, and mitochondrial function in fresh versus frozen-thawed (15% DMSO was used as a cryoprotectant) sperm from red seabream (Pagrus major). Mean (+/-S.D.) rates of motility, fertilization and hatching of frozen-thawed sperm were 81.0+/-5.4, 92.8+/-1.9, and 91.8+/-5.2%, respectively; for fresh sperm, they were 87.5+/-7.7, 95.8+/-2.4, and 93.8+/-4.2%. Although motility was lower in frozen-thawed versus fresh sperm (P<0.05), there was no effect (P>0.05) of cryopreservation on fertilization or hatching. Based on scanning and transmission electron microscopy, 77.8+/-5.6% of fresh sperm had normal morphology, whereas for frozen-thawed sperm, 63.0+/-7.2% had normal morphology, 20.6+/-3.1% were slightly damaged (e.g. swelling or rupture of head, mid-piece and tail region as well as mitochondria), and 16.4+/-4.2% were severely damaged. Sperm were stained with propidium iodide and Rhodamine 123 to assess plasma membrane integrity and mitochondrial function, respectively, and examined with flow cytometry. For fresh sperm, 83.9% had an intact membrane and functional mitochondria, whereas for frozen-thawed sperm, 74.8% had an intact membrane and functional mitochondria, 12.7% had a damaged membrane, 9.9% had nonfunctional mitochondria, and 2.6% had both a damaged membrane and nonfunctional mitochondria. In conclusion, ultrastructure and flow cytometry were valuable for assessment of frozen-thawed sperm quality; cryopreservation damaged the sperm but fertilizing ability was not significantly decreased.
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Affiliation(s)
- Q H Liu
- Center of Biotechnology R&D, Institute of Oceanology, Chinese Academy of Sciences, Qingdao 266071, PR China
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Martin TP, Reed JW, Legault C, Oberfeld SM, Jacoby BG, Yu DD, Dickens A, Johnson HP. Cataract formation and cataract extraction after penetrating keratoplasty. Ophthalmology 1994; 101:113-9. [PMID: 8302542 DOI: 10.1016/s0161-6420(13)31252-4] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
PURPOSE This retrospective study was done to identify risk factors for cataract formation and cataract extraction after penetrating keratoplasty to determine whether a combined procedure (simultaneous cataract extraction with keratoplasty) or penetrating keratoplasty alone should be performed. METHODS Variables from 342 phakic eyes having undergone penetrating keratoplasties were studied with univariate and multivariate analyses, including diagnosis, race, sex, age, preoperative lens opacities, preoperative vision, and length of follow-up. RESULTS For cataract formation, age was the only independent risk factor found by multivariate analysis (P = 0.0001). For cataract extraction after penetrating keratoplasty, independent risk factors included age, sex, diagnosis, and preoperative lens opacities (P < or = 0.03). For example, the probability of a 65-year-old patient with Fuchs dystrophy requiring a cataract extraction within 5 years of keratoplasty is 81%. CONCLUSION The likelihood of cataract formation and cataract extraction subsequent to penetrating keratoplasty increases greatly after 50 years of age, regardless of the diagnosis leading to the need for keratoplasty. The need for cataract extraction also is increased for female patients, for patients with Fuchs dystrophy, and for those with early preoperative lens opacity.
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Affiliation(s)
- T P Martin
- Department of Ophthalmology, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC 27157-1033
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Yu DD, Lemp MA, Mathers WD, Espy M, White T. Detection of varicella-zoster virus DNA in disciform keratitis using polymerase chain reaction. Arch Ophthalmol 1993; 111:167-8. [PMID: 8431148 DOI: 10.1001/archopht.1993.01090020021010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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Slusher MM, Greven CM, Yu DD. Posterior chamber intraocular lens implantation combined with lensectomy-vitrectomy and intraretinal foreign-body removal. Arch Ophthalmol 1992; 110:127-9. [PMID: 1731708 DOI: 10.1001/archopht.1992.01080130129042] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Two patients with intraretinal foreign bodies and traumatic cataracts were treated with pars plana lensectomy, vitrectomy, and removal of the foreign body. In each case, it was technically possible to preserve the anterior capsule despite small but obvious rents caused by the foreign body. This allowed support for the placement of a posterior chamber intraocular lens at the time of the initial repair. Posterior chamber intraocular lens implantation may be a useful adjunctive step in the treatment of selected patients with intraocular foreign bodies.
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Affiliation(s)
- M M Slusher
- Wake Forest University Eye Center, Bowman Gray School of Medicine, Winston-Salem, NC 27103
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Yu DD, Yeatts P, Leshin B. Methylene blue stain guiding layered excision in Mohs' micrographic surgery. Ophthalmic Surg 1991; 22:233-6. [PMID: 1711665] [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: 12/28/2022]
Abstract
Resection of a continuous layer of tissue by means of Mohs' micrographic surgery is problematic at several periorbital sites. We describe a technique in which methylene blue is used to identify instances of incomplete specimen removal and thus facilitate subsequent complete removal.
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Affiliation(s)
- D D Yu
- Department of Ophthalmology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27103
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