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Wang Y, Zhang X, Tang G, Deng P, Qin Y, Han J, Wang S, Sun X, Li D, Chen Z. The causal relationship between gut microbiota and bone mineral density: a Mendelian randomization study. Front Microbiol 2023; 14:1268935. [PMID: 37937216 PMCID: PMC10625988 DOI: 10.3389/fmicb.2023.1268935] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 10/09/2023] [Indexed: 11/09/2023] Open
Abstract
Background The gut microbiota has emerged as an intriguing and potentially influential factor in regulating bone health. However, the causal effect of the gut microbiota on bone mineral density (BMD) appears to differ throughout various life stages. Methods We conducted a Mendelian randomization (MR) analysis to investigate the potential causal relationship between gut microbiota and BMD in five distinct age groups: 0-15, 15-30, 30-45, 45-60, and 60 years and older. The analysis employed three different methods, namely MR-Egger, weighted median, and Inverse-variance weighting, to ensure the robustness of our findings, a series of sensitivity analyses were also conducted, such as horizontal pleiotropy tests, heterogeneity tests, and leave-one-out sensitivity tests. Results In the age group of 0-15 years, Eubacterium_fissicatena_group and Eubacterium_hallii_group were identified as risk factors for BMD. During the 15-30 age group, Phascolarctobacterium, Roseburia, and Ruminococcaceae_UCG_003 were found to be protective factors for BMD. In the 30-45 age group, Lachnospira genus demonstrated a protective effect on BMD, while Barnesiella and Lactococcus were identified as risk factors for BMD. Moving on to the 45-60 age group, Eubacterium_ventriosum_group, Lachnospiraceae_UCG_004, and Subdoligranulum were observed to be protective factors for BMD, while Eubacterium_coprostanoligenes_group, Fusicatenibacter, and Lactococcus were associated with an increased risk of BMD. In individuals aged 60 years and older, Fusicatenibacter and Ruminococcaceae_UCG_002 were also noted as risk factors for BMD. Conversely, Eubacterium_ruminantium_group, Ruminococcus_gauvreauii_group, Alistipes, and Coprococcus_3 were found to be protective factors for BMD, whereas Barnesiella and Sellimonas were identified as risk factors for BMD. Conclusion A robust causal relationship between gut microbiota and bone mineral density (BMD) exists throughout all stages of life, with Firmicutes phylum being the primary group associated with BMD across age groups. Gut microbiota linked with BMD primarily belong to the Firmicutes phylum across age groups. The diversity of gut microbiota phyla associated with BMD depicts relatively stable patterns during the ages of 0-45 years. However, for individuals aged 45 years and above, there is an observed increase in the number of gut microbiota species linked with BMD, and by the age of 60 years, a trend toward an increase in the Bacteroidetes phylum categories is proposed.
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Affiliation(s)
- Ying Wang
- Beijing University of Chinese Medicine, Beijing, China
- Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China
| | - Xuejian Zhang
- Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China
| | - Guangjun Tang
- Beijing University of Chinese Medicine, Beijing, China
- Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China
| | - Pin Deng
- Institute of Basic Theory of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, China
| | - Yuyan Qin
- Beijing University of Chinese Medicine, Beijing, China
- Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China
| | - Jinglu Han
- Beijing University of Chinese Medicine, Beijing, China
- Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China
| | - Shulong Wang
- Beijing University of Chinese Medicine, Beijing, China
- Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China
| | - Xiaojie Sun
- Beijing University of Chinese Medicine, Beijing, China
- Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China
| | - Dongxiao Li
- Beijing University of Chinese Medicine, Beijing, China
- Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China
| | - Zhaojun Chen
- Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China
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Harris W, Hellman S, Lin E, Kim K, Yorke ED, Santanam L, Platzman A, Kuligowski J, Tang G. Improving Patient Compliance for More Efficient Deep Inspiration Breath Hold Treatment through Innovation and Education. Int J Radiat Oncol Biol Phys 2023; 117:e391-e392. [PMID: 37785316 DOI: 10.1016/j.ijrobp.2023.06.1513] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Visual guidance has been widely proven to improve the reproducibility and stability of Deep Inspiration Breath Hold (DIBH) treatments. Here, we present a quality improvement project by implementing the use of visual guidance in a multi-campus institution to improve clinical efficiency, including the design of a novel mount for the visual aid and the creation of a patient education video to better prepare lung and GI patients for their DIBH treatments. MATERIALS/METHODS Prior to institution-wide implementation, the clinical feasibility of utilizing visual guidance for DIBH treatments was determined by a pilot study with 10 lung/GI patients. A commercial visual guidance device was used, which consisted of a tablet-like device, attached to a mount affixed to the treatment couch. The device is positioned over the patient's head, displaying the real-time vertical motion of a block with infrared markers on the patient's abdomen. The original mount for the device locks onto the superior end of the treatment couch, which occupies space used for immobilization devices and limits the number of patients eligible for visual guidance when the isocenter is inferior, as for GI patients. A novel in-house mount was designed to overcome this limitation. Also, a patient education video was created to introduce the concept of DIBH and the visual aid device. Visual guidance is offered at the first treatment; its use is optional, and patients may start or stop using it at any time. If the device is not used, the patient relies on audio coaching from the radiation therapists (RTTs), which is the standard practice in our clinic. RESULTS All 10 patients in the pilot who were offered the visual aid used it, found it helpful and continued to use it throughout their treatment, with no issues reported. The median number of fractions for all 10 patients was 5(3-15). The in-house mount was manufactured from 3D printed and machined components. The treatment couch was 3D scanned, and the mount was designed to clamp laterally on the couch top and align with the indexing indentations. The in-house mount is easy to use and is more versatile than the commercial mount, enabling use for patients with inferior isocenters. Prior to treatment, patients were encouraged to view the <3 min long patient education video that consisted of a combination of animation and real-actor content. Verbal instructions for use were also given by RTTs at the first treatment. Upon successful completion of the pilot study, the use of visual guidance was implemented institution-wide across 5 campuses for all lung and GI DIBH patients, being utilized on an average of 14 patients/week. CONCLUSION A quality improvement project was developed and successfully implemented to introduce the use of visual guidance for lung and GI DIBH patients at a large institution, improving the efficiency of DIBH treatment for both the patients and RTTs.
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Affiliation(s)
- W Harris
- Memorial Sloan Kettering Cancer Center, New York, NY
| | - S Hellman
- Memorial Sloan Kettering Cancer Center, New York, NY
| | - E Lin
- Memorial Sloan Kettering Cancer Center, New York, NY
| | - K Kim
- Memorial Sloan Kettering Cancer Center, New York, NY
| | - E D Yorke
- Memorial Sloan Kettering Cancer Center, New York, NY
| | - L Santanam
- Memorial Sloan Kettering Cancer Center, New York, NY
| | - A Platzman
- Memorial Sloan Kettering Cancer Center, New York, NY
| | - J Kuligowski
- Memorial Sloan Kettering Cancer Center, New York, NY
| | - G Tang
- Memorial Sloan Kettering Cancer Center, New York, NY
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3
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Tang G, Du B, Lan Y, Tian L. Pleomorphic Adenoma of Nasal Septum a Case Report. Indian J Otolaryngol Head Neck Surg 2023; 75:978-983. [PMID: 37206715 PMCID: PMC10188774 DOI: 10.1007/s12070-023-03530-w] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 01/23/2023] [Indexed: 02/12/2023] Open
Abstract
Introduction Pleomorphic adenoma is a common benign tumor of large and small salivary glands. It mainly occurs in the parotid gland, followed by the submandibular gland, sublingual gland and small salivary gland in the oral cavity. It is very rare in the nasal septum. Patient Concerns A 27-year-old female patient attended our clinic with Nasal congestion and a diminished sense of smell. Diagnoses Endoscopic examination revealed a mass within the right nasal passage. A pathological biopsy revealed pleomorphic adenoma. Interventions The nasal septum pleomorphic adenoma was resected by endoscopic approach. Outcomes No recurrence was observed for over 41 months of follow-up. Conclusion To prevent recurrence, extensive local resection with clear histological margins and long-term endoscopic follow-up with an endoscope are necessary.
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Affiliation(s)
- Guangjun Tang
- Department of otolaryngology head and neck surgery, People’s Hospital of Anshun City Guizhou Province, No. 140 of Huangguoshu Street, Xixiu District, 561000 Guizhou, Anshun City, Guizhou Province China
| | - Bo Du
- Department of otolaryngology head and neck surgery, People’s Hospital of Anshun City Guizhou Province, No. 140 of Huangguoshu Street, Xixiu District, 561000 Guizhou, Anshun City, Guizhou Province China
| | - Youxing Lan
- Department of otolaryngology head and neck surgery, People’s Hospital of Anshun City Guizhou Province, No. 140 of Huangguoshu Street, Xixiu District, 561000 Guizhou, Anshun City, Guizhou Province China
| | - Li Tian
- Department of Otolaryngology, Hospital of Chengdu University of Traditional Chinese Medicine, No. 39 of Shi’erqiao Road, Jinniu District, 610075, 610072 Chengdu, Chengdu, China
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Meng N, Yang H, Chen J, Qin Y, Lei Y, Huang Z, Tang G. [Honokiol reduces oxidative stress by activating the SIRT3-MnSOD2 pathway to alleviate hypertriglyceridemia-induced acute pancreatitis in rats]. Nan Fang Yi Ke Da Xue Xue Bao 2023; 43:405-411. [PMID: 37087585 PMCID: PMC10122730 DOI: 10.12122/j.issn.1673-4254.2023.03.10] [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: 04/24/2023]
Abstract
OBJECTIVE To determine how honokiol affects the sirtuin-3 (SIRT3)-MnSOD2 pathway and oxidative stress in rats with hypertriglyceridemia-induced acute pancreatitis (HTGP). METHODS Thirty 4-week-old male SD rats were randomly divided into two groups for normal feeding and high-fat feeding for 4 weeks, after which the rats with normal feeding were randomized into control group and acute pancreatitis (AP) group (n=6), and those with high-fat feeding were divided into hypertriglyceridemia group, HTGP group, and honokiol treatment group (n=6). In AP, HTGP, and honokiol groups, AP models were established by intraperitoneal injection of cerulean; in honokiol group, the rats received an intraperitoneal injection of 5 mg/kg honokiol 15 min after cerulean injection. Serum TG, IL-6, and TNF-α levels were measured 24 h after the treatments, and pathological changes in the pancreas were observed with HE staining; The levels of reactive oxygen species (ROS), malondialdehyde (MDA), and glutathione peroxidase (GSH) were measured, and SIRT3 and manganese superoxide dismutase (MnSOD2) expressions were detected using Western blotting and immunohistochemistry. Transmission electron microscopy was used to examine the ultrastructure of pancreatic acinar cells and mitochondria. RESULTS Compared with the those with normal feeding, the rats with high-fat feeding had significantly elevated serum TG level (P < 0.05). The rat models of AP showed significantly increased serum levels of IL-6, TNF-α, and MDA and decreased GSH level and expressions of SIRT3 and MnSOD2, with obvious edema and inflammatory cell infiltration and enhanced ROS fluorescence intensity in the pancreas and ultrastructural damages of the acinar cells and mitochondria. In rats with HTGP, honokiol treatment significantly decreased serum levels of IL-6, TNF-α, and MDA, increased GSH level and SIRT3 and MnSOD2 expressions, reduced ROS production, and alleviated ultrastructural damage of the acinar cells and mitochondria in the pancreas. CONCLUSION Honokiol reduce oxidative stress and alleviates pancreatic injuries in HTGP rats possibly by activating the SIRT3-MnSOD2 pathway.
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Affiliation(s)
- N Meng
- Department of Gastroenterology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - H Yang
- Department of Gastroenterology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - J Chen
- Endoscopy Center, Tumor Hospital of Guangxi Medical University, Nanning 530021, China
| | - Y Qin
- Department of Gastroenterology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - Y Lei
- Department of Gastroenterology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - Z Huang
- Department of Gastroenterology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - G Tang
- Department of Gastroenterology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
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Tang G, Wang N, Feng Y. WCN23-0546 RENAL HERB FORMULA PROTECTS AGAINST HYPERURICEMIC NEPHROPATHY BY INHIBITING APOPTOSIS AND INFLAMMATION. Kidney Int Rep 2023. [DOI: 10.1016/j.ekir.2023.02.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2023] Open
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Bai J, Song X, Wei J, Bai Y, Wang J, Tang G, Yu G. Study of the Deposition Characteristics of Particles on the Slag Wall of a Gasifier. Ind Eng Chem Res 2023. [DOI: 10.1021/acs.iecr.2c04156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
Affiliation(s)
- Jingyun Bai
- State Key Laboratory of High-Efficiency Utilization of Coal and Green Chemical Engineering, School of Chemistry and Chemical Engineering, Ningxia University, Yinchuan 750021, China
| | - Xudong Song
- State Key Laboratory of High-Efficiency Utilization of Coal and Green Chemical Engineering, School of Chemistry and Chemical Engineering, Ningxia University, Yinchuan 750021, China
| | - Juntao Wei
- Joint International Research Laboratory of Biomass Energy and Materials, Co-Innovation Center of Efficient Processing and Utilization of Forest Resources, College of Materials Science and Engineering, Nanjing Forestry University, Nanjing 210037, China
| | - Yonghui Bai
- State Key Laboratory of High-Efficiency Utilization of Coal and Green Chemical Engineering, School of Chemistry and Chemical Engineering, Ningxia University, Yinchuan 750021, China
| | - Jiaofei Wang
- State Key Laboratory of High-Efficiency Utilization of Coal and Green Chemical Engineering, School of Chemistry and Chemical Engineering, Ningxia University, Yinchuan 750021, China
| | - Guangjun Tang
- Yankuang Energy Group Company Limited, Jining 273500, Shandong, China
| | - Guangsuo Yu
- State Key Laboratory of High-Efficiency Utilization of Coal and Green Chemical Engineering, School of Chemistry and Chemical Engineering, Ningxia University, Yinchuan 750021, China
- Institute of Clean Coal Technology, East China University of Science and Technology, Shanghai 200237, China
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7
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Gomes AC, Baraniak IA, Lankina A, Moulder Z, Holenya P, Atkinson C, Tang G, Mahungu T, Kern F, Griffiths PD, Reeves MB. The cytomegalovirus gB/MF59 vaccine candidate induces antibodies against an antigenic domain controlling cell-to-cell spread. Nat Commun 2023; 14:1041. [PMID: 36823200 PMCID: PMC9950427 DOI: 10.1038/s41467-023-36683-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 02/13/2023] [Indexed: 02/25/2023] Open
Abstract
Vaccination against human cytomegalovirus (CMV) infection remains high priority. A recombinant form of a protein essential for CMV entry, glycoprotein B (gB), demonstrated partial protection in a clinical trial (NCT00299260) when delivered with the MF59 adjuvant. Although the antibody titre against gB correlated with protection poor neutralising responses against the 5 known antigenic domains (AD) of gB were evident. Here, we show that vaccination of CMV seronegative patients induces an antibody response against a region of gB we term AD-6. Responses to the polypeptide AD-6 are detected in >70% of vaccine recipients yet in <5% of naturally infected people. An AD-6 antibody binds to gB and to infected cells but not the virion directly. Consistent with this, the AD-6 antibody is non-neutralising but, instead, prevents cell-cell spread of CMV in vitro. The discovery of AD-6 responses has the potential to explain part of the protection mediated by gB vaccines against CMV following transplantation.
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Affiliation(s)
- A C Gomes
- Institute of Immunity & Transplantation, UCL, London, NW3 2PP, United Kingdom
| | - I A Baraniak
- Institute of Immunity & Transplantation, UCL, London, NW3 2PP, United Kingdom
| | - A Lankina
- Institute of Immunity & Transplantation, UCL, London, NW3 2PP, United Kingdom
| | - Z Moulder
- Institute of Immunity & Transplantation, UCL, London, NW3 2PP, United Kingdom
| | - P Holenya
- JPT Peptide Technologies GmbH, Berlin, Germany
| | - C Atkinson
- Institute of Immunity & Transplantation, UCL, London, NW3 2PP, United Kingdom
| | - G Tang
- Institute of Immunity & Transplantation, UCL, London, NW3 2PP, United Kingdom
| | - T Mahungu
- Institute of Immunity & Transplantation, UCL, London, NW3 2PP, United Kingdom
| | - F Kern
- JPT Peptide Technologies GmbH, Berlin, Germany
- Experimental Medicine, Brighton and Sussex Medical School, Brighton, United Kingdom
| | - P D Griffiths
- Institute of Immunity & Transplantation, UCL, London, NW3 2PP, United Kingdom
| | - M B Reeves
- Institute of Immunity & Transplantation, UCL, London, NW3 2PP, United Kingdom.
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8
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Tang G, Lan Y, Do B, Lu J, Yang K, Chai L, Chen F, Tian L. Observation on the efficacy of sublingual immunotherapy with dust mite allergen for perennial allergic rhinitis and the mechanism of action on ILCs with ILC1s and ILC2s and ILC3s. Medicine (Baltimore) 2022; 101:e32019. [PMID: 36482599 PMCID: PMC9726352 DOI: 10.1097/md.0000000000032019] [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] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Allergic rhinitis (AR) is considered to be 1 of the most difficult diseases to treat globally. It has a serious impact on the quality of life and social economy of patients and has become an important global health problem. Several drugs have been recommended to treat AR, but their effectiveness and mechanism of action in these patients remain unclear. The purpose of this study will be to compare the efficacy and mechanism of action of 2 drugs for the treatment of AR (moderate to severe): a Dermatophagoides Farinae Drops Sublingual Immunotherapy and a Momethasone Furoate nasal spray as an adjunct to the treatment of subjects with AR. METHODS A randomized, prospective, double-blind (patient and evaluator) clinical trial. The participants (n = 60) will be randomly distributed into 2 groups. The experimental group will receive a sublingual Immunotherapy for 3 months. The control group will receive the mometasone furoate nasal spray for 3 months. Before treatment, 1 month and 3 months after treatment, total nasal symptom score scale, Visual analogue Scale and Quality of Life questionnaire of rhinoconjunctivitis will be measured and Changes of the serums of IgE, interferon-γ, IL-4, IL-17, tumor necrosis factor-α, IL-5, IL-9, IL-13, IL-25, IL-33, vascular endothelial growth factor, TSLP and IL-22 in both groups. The measurements will be performed by the same researcher who was unaware of the participants' subgroup. DISCUSSION We believe that the treatment of perennial AR with sublingual Immunotherapy and nasal hormones will be more effective in these patients. Furthermore, the sublingual Immunotherapy mainly acts mostly on the cellular immunity, while nasal hormones mainly act on local inflammatory responses. We expect to clarify which treatments are more effective and how they work in improving perennial AR.
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Affiliation(s)
- Guangjun Tang
- Department of Otolaryngology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
- Department of Otolaryngology Head and Neck Surgery, Peoples Hospital of Anshun City Guizhou Province, Guizhou, China
| | - Youxing Lan
- Department of Otolaryngology Head and Neck Surgery, Peoples Hospital of Anshun City Guizhou Province, Guizhou, China
| | - Bo Do
- Department of Otolaryngology Head and Neck Surgery, Peoples Hospital of Anshun City Guizhou Province, Guizhou, China
| | - Jiafeng Lu
- Department of Otolaryngology Head and Neck Surgery, Peoples Hospital of Anshun City Guizhou Province, Guizhou, China
| | - Kai Yang
- Department of Otolaryngology Head and Neck Surgery, Peoples Hospital of Anshun City Guizhou Province, Guizhou, China
| | - Long Chai
- Department of Otolaryngology Head and Neck Surgery, Peoples Hospital of Anshun City Guizhou Province, Guizhou, China
| | - Fangming Chen
- Department of Otolaryngology Head and Neck Surgery, Peoples Hospital of Anshun City Guizhou Province, Guizhou, China
| | - Li Tian
- Department of Otolaryngology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Kannan P, Cheing G, Fung B, Leung WC, Tang G, Chung R, Chan P. A new biofeedback device to improve adherence to pelvic floor muscle training in women with urinary incontinence: a randomised controlled pilot trial (abridged secondary publication). Hong Kong Med J 2022; 28 Suppl 6:23-24. [PMID: 36535794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Affiliation(s)
- P Kannan
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University
| | - G Cheing
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University
| | - B Fung
- Physiotherapy Department, Kwong Wah Hospital
| | - W C Leung
- Department of Obstetrics and Gynaecology, Kwong Wah Hospital
| | - G Tang
- Department of Obstetrics and Gynaecology, Kwong Wah Hospital
| | - R Chung
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University
| | - P Chan
- The University of Hong Kong
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Yu A, Yim AY, Nyaw S, Li KM, Lau Y, Li S, Mok S, Tang G, Chang A, Prêtre V, Jin N, Kai A, Kan T, Lee H, Chan T, Wong CC, Cho W, Loong H. 312P ClinMatch: A clinical trial matching platform that improves trial accessibility among NSCLC patients through comprehensive genomic and clinical profiling. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.10.341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022] Open
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11
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Chen D, Yin H, Tang G, Lu L. Efficacy of low-dose of baricitinib in the treatment of patchy alopecia and sicca syndrome in an SLE patient. Scand J Rheumatol 2022; 51:428-430. [PMID: 35833272 DOI: 10.1080/03009742.2022.2087901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- D Chen
- Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - H Yin
- Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - G Tang
- Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - L Lu
- Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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12
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Yin H, Tang G, Lu L. The genetics of progressive pseudorheumatoid dysplasia. QJM 2022; 115:hcac107. [PMID: 35485200 DOI: 10.1093/qjmed/hcac107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 04/15/2022] [Accepted: 04/18/2022] [Indexed: 11/14/2022] Open
Affiliation(s)
- H Yin
- Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, 145 Middle Shandong Road, Shanghai 200001, China
| | - G Tang
- Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, 145 Middle Shandong Road, Shanghai 200001, China
| | - L Lu
- Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, 145 Middle Shandong Road, Shanghai 200001, China
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13
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Yang K, Yang Y, Kang Y, Liang Z, Wang F, Li Q, Xu J, Tang G, Chen R. The value of radiomic features in chronic obstructive pulmonary disease assessment: a prospective study. Clin Radiol 2022; 77:e466-e472. [DOI: 10.1016/j.crad.2022.02.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 02/17/2022] [Indexed: 12/17/2022]
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14
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Ludwig S, Ben AW, Duncan A, Weimann J, Nickenig G, Hausleiter J, Baldus S, Ruge H, Von Bardeleben RS, Walther T, Bleiziffer S, Kempfert J, Granada J, Tang G, Blankenberg S, Reichenspurner H, Modine T, Conradi L. Characteristics and Outcomes of Patients Undergoing Screening for Transcatheter Mitral Valve Implantation: Results from the CHOICE-MI Registry. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- S. Ludwig
- University Heart and Vascular Center Hamburg, Hamburg, Deutschland
| | - A. W. Ben
- Institute of Cardiology, Montreal, Canada
| | - A. Duncan
- Royal Brompton Hospital, London, United Kingdom
| | - J. Weimann
- University Heart and Vascular Center Hamburg, Hamburg, Deutschland
| | | | - J. Hausleiter
- Ludwig Maximilian University of Munich, München, Deutschland
| | - S. Baldus
- Department of Internal Medicine III, Heart Center Cologne, Köln, Deutschland
| | - H. Ruge
- Cardiovascular Surgery, German Heart Center Munich, Munich, Deutschland
| | | | - T. Walther
- Department of Cardiac, Thoracic and Thoracic Vascular Surgery, Frankfurt, Deutschland
| | | | - J. Kempfert
- German Heart Institute Berlin, Berlin, Deutschland
| | - J. Granada
- Cardiovascular Research Foundation, New York, United States
| | - G. Tang
- Mount Sinai Hospital, New York, United States
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Ludwig S, Ben AW, Duncan A, Weimann J, Nickenig G, Hausleiter J, Baldus S, Ruge H, Von Bardeleben RS, Walther T, Bleiziffer S, Kempfert J, Granada J, Tang G, Blankenberg S, Reichenspurner H, Modine T, Conradi L. 1-Year Outcomes after Transcatheter Mitral Valve Implantation: Results from the Global CHOICE-MI Registry. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- S. Ludwig
- University Heart and Vascular Center Hamburg, Hamburg, Deutschland
| | - A. W. Ben
- Institute of Cardiology, Montreal, Canada
| | - A. Duncan
- Royal Brompton Hospital, London, United Kingdom
| | - J. Weimann
- University Heart and Vascular Center Hamburg, Hamburg, Deutschland
| | | | - J. Hausleiter
- Ludwig-Maximilian University of Munich, München, Deutschland
| | - S. Baldus
- Department of Internal Medicine III, Heart Center Cologne, Köln, Deutschland
| | - H. Ruge
- Cardiovascular surgery, German Heart Center Munich, Munich, Deutschland
| | | | - T. Walther
- Department of Cardiac, Thoracic and Thoracic Vascular Surgery, Frankfurt, Deutschland
| | | | - J. Kempfert
- German Heart Institute Berlin, Berlin, Deutschland
| | - J. Granada
- Cardiovascular Research Foundation, New York, United States
| | - G. Tang
- Mount Sinai Hospital, New York, United States
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Catov JM, Muldoon MF, Gandley RE, Brands J, Hauspurg A, Hubel CA, Tuft M, Schmella M, Tang G, Parks WT. Maternal Vascular Lesions in the Placenta Predict Vascular Impairments a Decade After Delivery. Hypertension 2022; 79:424-434. [PMID: 34879703 PMCID: PMC9026545 DOI: 10.1161/hypertensionaha.121.18394] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [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: 02/03/2023]
Abstract
Women with adverse pregnancy outcomes later experience excess hypertension and cardiovascular disease, but how the events are linked is unknown. Examination of the placenta may provide clues to vascular impairments after delivery. Maternal vascular malperfusion lesions (MVMs) were abstracted from clinical reports, validated and characterized using clinical guidelines and severity score. A total of 492 women (170 with MVMs and 322 without MVMs) participated in a study visit 8 to 10 years after delivery to assess blood pressure, cardiometabolic factors, and sublingual microvascular features using sidestream dark field imaging. Covariates included age, race, adverse pregnancy outcomes (preeclampsia, small for gestational age, and preterm birth), and health behaviors. Women with versus without MVM had a distinct sublingual microvascular profile comprised of (1) lower microvascular density (-410 μm/mm2, P=0.015), (2) higher red blood cell filling as a marker of perfusion (2%, P=0.004), and (3) smaller perfused boundary region (-0.07 µm, P=0.025) as a measure of glycocalyx integrity, adjusted for covariates including adverse pregnancy outcomes. Women with MVM also had higher adjusted diastolic blood pressure (+2.6 mm Hg, P=0.021), total and LDL (low-density lipoprotein)-cholesterol (+11.2 mg/dL, P=0.016; +8.7 mg/dL, P=0.031). MVM associations with subsequent cardiovascular measures did not vary by type of adverse pregnancy outcome, except among women with preterm births where blood pressure was higher only among those with MVM. Results were similar when evaluated as MVM severity. A decade after delivery, women with placental vascular lesions had an adverse cardiovascular profile comprised of microvascular rarefaction, higher blood pressure and more atherogenic lipids. Placental histopathology may reveal a woman's early trajectory toward subsequent vascular disease.
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Affiliation(s)
- JM Catov
- Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Magee-Women’s Research Institute, University of Pittsburgh,Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pennsylvania
| | - MF Muldoon
- Cardiology Division, Department of Medicine, University of Pittsburgh School of Medicine, Pennsylvania
| | - RE Gandley
- Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Magee-Women’s Research Institute, University of Pittsburgh
| | - J Brands
- Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Magee-Women’s Research Institute, University of Pittsburgh
| | - A Hauspurg
- Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of Pittsburgh
| | - CA Hubel
- Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Magee-Women’s Research Institute, University of Pittsburgh
| | - M Tuft
- Graduate School of Public Health, University of Pittsburgh, Pennsylvania
| | - M Schmella
- School of Nursing, University of Pittsburgh, Pennsylvania
| | - G Tang
- Graduate School of Public Health, University of Pittsburgh, Pennsylvania
| | - WT Parks
- Department of Laboratory Medicine and Pathobiology, University of Toronto
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Tang G, Liao C, Tian L, Li S, Liang F, Wang D, Liu T, Zhang R, Zhang L, Liu H, Li D. Effectiveness of Low-temperature plasma tonsillectomy for chronic tonsillitis. A protocol of systematic review and meta-analysis. Ann Ital Chir 2022; 92:280-285. [PMID: 36052458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
AIM Recurrent episodes of chronic tonsillitis (CT) can affect a patient's quality of life, physical and mental health. Clinicians often perform surgeries to remove them. Traditional surgical methods are varied, despite their advantages. However, this remains controversial. This study aimed to examine both the safety and efficacy of low-temperature plasma tonsillectomy (LTPT) in treatment of chronic tonsillitis, which may provide a substitute for clinicians and compensate for the short supply of therapeutic procedures. METHODS AND ANALYSIS This protocol is guided by the Preferred Reporting Items for Systematic. REVIEW AND META-ANALYSIS Protocols (PRISMA-P) and by the Cochrane Collaboration Handbook. We will formulate strict inclusion and exclusion criteria in English databases (PubMed, EMBASE, and Web of Science) and search literature in different clinical registration platforms (Cochrane Library). The including articles were evaluated by the Cochrane RCT evaluation criteria. The primary main endpoints will include the duration of operation, blood loss during surgery, time of formation and exfoliation of the pseudomembrane, average pain and duration post-operation, and time for normal diet. The Secondary endpoints will include complications of postoperative bleeding and infection. Stata 15.0 will be used for data analysis. Subgroup analysis, sensitivity analysis, and meta-regression were used to detect the sources of heterogeneity. Begg's Test will quantitatively detect publication bias quantitatively. ETHICS AND DISSEMINATION The results of this meta-analysis and meta-regression will be disseminated through publication in a peer-reviewed journal. The data used in this meta-analysis will not contain individual patient data; therefore, ethical approval is not required. KEY WORDS Chronic tonsillitis, Low-temperature plasma tonsillectomy, Meta-analysis, Protocol, Systematic review.
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Jones JM, Hu YD, Eid MA, Sensenig CJ, Mehta KS, Goldwag JL, Barnes JA, Kang R, Barry MJ, Spangler EL, Nelson PR, Mureebe L, Tang G, Tzeng E, Alabi O, Halpern VJ, Stone DH, Brooke BS, Moore K, Henke P, Scali S, O'Connell J, Goodney PP. Short-Term Concerns Primarily Determine Patient Preference for Abdominal Aortic Aneurysm Repair. J Surg Res 2021; 269:119-128. [PMID: 34551368 DOI: 10.1016/j.jss.2021.07.019] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 06/26/2021] [Accepted: 07/22/2021] [Indexed: 10/20/2022]
Abstract
INTRODUCTION Abdominal aortic aneurysm (AAA) repair may be performed through open or endovascular approaches, but the factors influencing a patient's repair-type preference are not well characterized. Here we performed a qualitative analysis to better understand factors influencing patient preference within the Preference for Open Versus Endovascular Repair of AAA Trial. METHODS Open-ended responses regarding primary (n = 21) and secondary (n = 47) factors influencing patient preference underwent qualitative analysis using the constant comparative method with iterative reviews. Codes were used to generate themes and themes grouped into categories, with each step conducted via consensus agreement between three researchers. Relative prevalence of themes were compared to ascertain trends in patient preference. RESULTS Patient responses regarding both primary and secondary factors fell into four categories: Short-term concerns, long-term concerns, advice & experience, and other. Patients most frequently described short-term concerns (23) as their primary influence, with themes including post-op complications, hospitalization & recovery, and intraoperative concerns. Long-term concerns were more prevalent (20) as secondary factors, which included themes such as survival, and chronic management. The average age of patients voicing only long-term concerns as a primary factor was 11 years younger than those listing only short-term concerns. CONCLUSION Short-term concerns relating to the procedure and recovery are more often the primary factor influencing patient preference, while long term concerns play a more secondary role. Long-term concerns are more often a primary factor in younger patients. Vascular surgeons should consider this information in shared decision making to reach an optimal outcome.
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Affiliation(s)
- J M Jones
- The Geisel School of Medicine at Dartmouth College, Hanover, New Hampshire
| | - Y D Hu
- The Geisel School of Medicine at Dartmouth College, Hanover, New Hampshire
| | - M A Eid
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vermont
| | | | - K S Mehta
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vermont
| | - J L Goldwag
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vermont
| | - J A Barnes
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vermont
| | - R Kang
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire
| | - M J Barry
- Massachusetts General Hospital Center for Shared Decision Making, Boston, Massachusetts
| | | | - P R Nelson
- Muskogee VAMC, Muskogee, Okla; Tampa VAMC, Tampa Bay, Florida
| | | | - G Tang
- Seattle VAMC, Seattle, Washington
| | - E Tzeng
- Pittsburgh VAMC, Pittsburgh, Pennsylvania
| | - O Alabi
- Atlanta VAMC, Atlanta, Georgia
| | | | - D H Stone
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire
| | | | - K Moore
- The Geisel School of Medicine at Dartmouth College, Hanover, New Hampshire
| | - P Henke
- Ann Arbor VAMC, Ann Arbor, Michigan
| | - S Scali
- Gainesville VAMC, Gainesville, Florida
| | | | - P P Goodney
- Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; Department of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vermont.
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Patel B, Rivers CR, Koutroumpakis F, Ahsan M, Dueker J, Hashash J, Johnston E, Barrie A, Harrison J, Schwartz M, Babichenko D, Tang G, Binion D. 414 Treatment of refractory cutaneous Crohn’s disease with ustekinumab. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.02.437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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20
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Patel B, Rivers CR, Koutroumpakis F, Ahsan M, Dueker J, Hashash J, Johnston E, Barrie A, Harrison J, Schwartz M, Babichenko D, Tang G, Binion D. 262 Association of dermatologic manifestations of IBD with natural history and biomarkers of severity. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.02.284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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21
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Yang C, Hui Z, Zhu S, Wang X, Tang G, Lee DTF. 83 A Medication Self-Management Intervention to Improve Medication Adherence For Older People with Multimorbidity: A Pilot Study. Age Ageing 2021. [DOI: 10.1093/ageing/afab030.44] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Medication self-management support has been recognised as an essential element in primary health care to promote medication adherence and health outcomes for older people with chronic conditions. A patient-centred intervention empowering patients and supporting medication self-management activities could benefit older people. This pilot study tested a newly developed medication self-management intervention for improving medication adherence among older people with multimorbidity.
Method
This was a two-arm randomised controlled trial. Older people with multimorbidity were recruited from a community healthcare centre in Changsha, China. Participants were randomly allocated to either a control group receiving usual care (n = 14), or to an intervention group receiving three face-to-face medication self-management sessions and two follow-up phone calls over six weeks, targeting behavioural determinants of adherence from the Information-Motivation-Behavioural skills model (n = 14). Feasibility was assessed through recruitment and retention rates, outcome measures collection, and intervention implementation. Follow-up data were measured at six weeks after baseline using patient-reported outcomes including medication adherence, medication self-management capabilities, treatment experiences, and quality of life. Preliminary effectiveness of the intervention was explored using generalised estimating equations.
Results
Of the 72 approached participants, 28 (38.89%) were eligible for study participation. In the intervention group, 13 participants (92.86%) completed follow-up and 10 (71.42%) completed all intervention sessions. Ten participants (71.42%) in the control group completed follow-up. The intervention was found to be acceptable by participants and the intervention nurse. Comparing with the control group, participants in the intervention group showed significant improvements in medication adherence (β = 0.26, 95%CI 0.12, 0.40, P < 0.001), medication knowledge (β = 4.43, 95%CI 1.11, 7.75, P = 0.009), and perceived necessity of medications (β = −2.84, 95%CI -5.67, −0.01, P = 0.049) at follow-up.
Conclusions
The nurse-led medication self-management intervention is feasible and acceptable among older people with multimorbidity. Preliminary results showed that the intervention may improve patients’ medication knowledge and beliefs and thus lead to improved adherence.
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Affiliation(s)
- C Yang
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Z Hui
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - S Zhu
- Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, China
| | - X Wang
- Xiang Ya Nursing School, Central South University, Changsha, China
| | - G Tang
- Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha, China
| | - D T F Lee
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
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22
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Yang C, Hui Z, Zhu S, Wang X, Tang G, Lee DTF. 122 A Medication Self-Management Intervention to Improve Medication Adherence for Older People with Multimorbidity: A Pilot Trial. Age Ageing 2021. [DOI: 10.1093/ageing/afab030.83] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Medication self-management support has been recognised as an essential element in primary health care to promote medication adherence and health outcomes for older people with chronic conditions. A patient-centred intervention empowering patients and supporting medication self-management activities could benefit older people. This pilot study tested a newly developed medication self-management intervention for improving medication adherence among older people with multimorbidity.
Method
This was a two-arm randomised controlled trial. Older people with multimorbidity were recruited from a community healthcare centre in Changsha, China. Participants were randomly allocated to either a control group receiving usual care (n = 14), or to an intervention group receiving three face-to-face medication self-management sessions and two follow-up phone calls over six weeks, targeting behavioural determinants of adherence from the Information-Motivation-Behavioural skills model (n = 14). Feasibility was assessed through recruitment and retention rates, outcome measures collection, and intervention implementation. Follow-up data were measured at six weeks after baseline using patient-reported outcomes including medication adherence, medication self-management capabilities, treatment experiences, and quality of life. Preliminary effectiveness of the intervention was explored using generalised estimating equations.
Results
Of the 72 approached participants, 28 (38.89%) were eligible for study participation. In the intervention group, 13 participants (92.86%) completed follow-up and 10 (71.42%) completed all intervention sessions. Ten participants (71.42%) in the control group completed follow-up. The intervention was found to be acceptable by participants and the intervention nurse. Comparing with the control group, participants in the intervention group showed significant improvements in medication adherence (β = 0.26, 95%CI 0.12, 0.40, P < 0.001), medication knowledge (β = 4.43, 95%CI 1.11, 7.75, P = 0.009), and perceived necessity of medications (β = −2.84, 95%CI -5.67, −0.01, P = 0.049) at follow-up.
Conclusions
The nurse-led medication self-management intervention is feasible and acceptable among older people with multimorbidity. Preliminary results showed that the intervention may improve patients’ medication knowledge and beliefs and thus lead to improved adherence.
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Affiliation(s)
- C Yang
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Z Hui
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - S Zhu
- Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, China
| | - X Wang
- Xiang Ya Nursing School, Central South University, Changsha, China
| | - G Tang
- Department of Geriatrics, The Third Xiangya Hospital of Central South University, Changsha, China
| | - D T F Lee
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
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Bhadra OD, Vitanova K, Krane M, Tang G, Denti P, Zaid S, Modine T, Kaneko T, Bapat V, Reichenspurner H, Lange R, Conradi L. Outcomes of Mitral Valve Surgery after Edge-to-Edge Transcatheter Mitral Valve Repair: The Cutting-Edge Registry. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Liao C, Liu T, Zeng Z, Wang D, Tang G, Wang H, Tian L. Efficacy and safety of modified Yupingfeng formula in treating allergic rhinitis: A protocol for systematic review and meta analysis. Medicine (Baltimore) 2020; 99:e23698. [PMID: 33371114 PMCID: PMC7748353 DOI: 10.1097/md.0000000000023698] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 11/16/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Allergic rhinitis (AR) is a non-infectious chronic nasal mucosal disease mediated mainly by IgE, which affects 40% of the global population and has a recurrence rate of more than 50%. The modified Yupingfeng formula (MYPFF) is widely used in the treatment of allergic rhinitis in China. However, there is no evidence-based medical evidence for the efficacy and safety of MYPFF in the treatment of allergic rhinitis. METHODS Database as China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Chinese Scientific Journal Database (VIP database), Wan-Fang Database, the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, EMBASE, and Web of Science will be searched for relevant literature from inception to September 2020. Data extraction will be performed on the obtained literature. Then RevMan V.5.3 will be used for the assessment of the risk of bias and data synthesis. RESULTS The results will be published in a peer-reviewed journal. CONCLUSION The conclusion of the study will provide an evidence to efficacy and safety of MYPFF in treating allergic rhinitis, which will be of significant meaning for further research and clinical practice. OSF REGISTRATION NUMBER 10.17605/OSF.IO/RV9P4.
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25
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Wang D, Tian T, Liao C, Liu T, Tang G, Tian L. Effects of houttuynia cordata thunb. on rhinosinusitis by nasal irrigation: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2020; 99:e23634. [PMID: 33371097 PMCID: PMC7748356 DOI: 10.1097/md.0000000000023634] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 11/12/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The herba Houttuynia cordata Thunb. (HC) has anti-inflammatory, antibacterial and antiviral effects. Through nasal irrigation, the related preparation of HC is beneficial for treating rhinosinusitis or promoting recovery after an endoscopic sinus surgery. However, it remains controversial whether nasal irrigation with HC preparation can provide evidence-based clinical benefits for rhinosinusitis patients. METHODS With reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), 8 databases are perused to perform a methodical investigation of nasal irrigation with HC preparation and health-related results amongst rhinosinusitis patients. The main research purpose is to determine the influence of PRISMA standards on medical results pertaining to rhinosinusitis patients, including quantitative symptom recording and effective rate. With reference to the Cochrane Handbook, quality assessment of qualified papers is conducted using the Cochrane Risk Assessment Tool. RESULTS The results will be publicised through a peer-reviewed journal publication. CONCLUSION The results of the systematic review will summarise evidences for the efficacy of nasal irrigation with HC preparation in rhinosinusitis treatment. ETHICS AND DISSEMINATION Since this study involves a methodical investigation of issued medical papers, ethical authorisation and informed patient consent are not necessary.
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Affiliation(s)
- Dandan Wang
- Hospital of Chengdu University of Traditional Chinese Medicine
| | - Tian Tian
- Hospital of Chengdu University of Traditional Chinese Medicine
- Chengdu University of Traditional Chinese Medicine, Jinniu District, Chengdu, Sichuan Province, PR China
| | - Chao Liao
- Hospital of Chengdu University of Traditional Chinese Medicine
- Chengdu University of Traditional Chinese Medicine, Jinniu District, Chengdu, Sichuan Province, PR China
| | - Ting Liu
- Hospital of Chengdu University of Traditional Chinese Medicine
| | - Guangjun Tang
- Hospital of Chengdu University of Traditional Chinese Medicine
- Chengdu University of Traditional Chinese Medicine, Jinniu District, Chengdu, Sichuan Province, PR China
| | - Li Tian
- Hospital of Chengdu University of Traditional Chinese Medicine
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Wang D, Liu T, Liao C, Tang G, Tian T, Tian L. Is nasal septal suturing an alternative technique to nasal packing?: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2020; 99:e23535. [PMID: 33327302 PMCID: PMC7738143 DOI: 10.1097/md.0000000000023535] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 11/06/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Nasal septal suturing is a commonly used alternative treatment to nasal packing after septoplasty. Besides alleviating postoperative discomfort, extensive studies have shown that nasal septal suturing is more effective than nasal packing. However, its clinical benefits remain controversial. METHODS We will perform a systematic review of nasal packings effect-related outcome in comparison to nasal septum suture among septoplasty patients by searching 8 databases, based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). All eligible studies will be screened against the inclusion and exclusion criteria. Two independent reviewers will extract the data. Moreover, Review Manage 5.3 will be used for quality assessment and data analysis. Then, the random effects model or fixed effects model will be applied according to the heterogeneity. In conformity with the GRADE criteria, the merits of the evidence and recommended strength will be assessed. RESULTS This protocol will guide subsequent systematic reviews and meta-analyses. The differences in efficacy between nasal septal suturing and nasal packing after septoplasty will be evaluated in terms of efficiency, adverse reaction, comfort degree, and other factors. CONCLUSION This proposed study will explore the possibility of adopting nasal septal suturing as an alternative to nasal packing after septoplasty. OSF REGISTRATION NUMBER:: doi: 10.17605/OSF.IO/WF3GX.
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Affiliation(s)
- Dandan Wang
- Hospital of Chengdu University of Traditional Chinese Medicine
| | - Ting Liu
- Hospital of Chengdu University of Traditional Chinese Medicine
| | - Chao Liao
- Hospital of Chengdu University of Traditional Chinese Medicine
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, PR China
| | - Guangjun Tang
- Hospital of Chengdu University of Traditional Chinese Medicine
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, PR China
| | - Tian Tian
- Hospital of Chengdu University of Traditional Chinese Medicine
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, PR China
| | - Li Tian
- Hospital of Chengdu University of Traditional Chinese Medicine
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Yan Y, Tang G, Chambers E, Gillespie J, Wallace C, Trivedi Z, Chiu T, Godley A, Sher D, Choy H, Timmerman R, Jiang S. Use RTLS Assisted Electronic Checklist to Lifeguard Radiation Therapy Practice. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.1453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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28
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Wang D, Liu B, Tang G, Liu H, Li D, Tian L. [Progress of epithelial-derived thymic stromal lymphopoietin (TSLP) in allergic diseases: An update]. Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi 2020; 36:849-857. [PMID: 32967769] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Thymic stromal lymphopoietin (TSLP) is an important factor that affects the development of allergic diseases. Single nucleotide polymorphism of TSLP is closely related to the susceptibility, course and severity of allergic diseases. Following exposure to allergens, multiple signalling pathways in epithelial cells mediate TSLP expression and induce an immune cascade. TSLP affects epithelial physical barrier damage by inhibiting the expression of tight junctions, adhesion junctions and desmosomes and destroying the lipid layer. Two isomers of TSLP have antibacterial properties and can enhance the defence ability of the skin and mucosa. Moreover, TSLP plays a protective role by up-regulating the expression of tight junction proteins during early inflammation. In allergic diseases, TSLP participates in the proliferation and differentiation of various immune cells through the TSLP receptor pathway and releases pro-inflammatory and chemokine factors, thus mediating immune inflammation. Furthermore, TSLP is involved in airway remodelling in respiratory allergies by inducing fibrocyte migration and recruitment and promoting epithelial-mesenchymal transformation. Therefore, inhibition of TSLP may be a potential target for the treatment of allergic diseases. Research on biological agents targeted by TSLP is warranted for the treatment of allergic diseases in the future.
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Affiliation(s)
- Dandan Wang
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China
| | - Bao Liu
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China
| | - Guangjun Tang
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China
| | - Huixia Liu
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China
| | - Dongqi Li
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China
| | - Li Tian
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China. *Corresponding author, E-mail:
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Long L, Tang G, Han Y, Peng Q, Liu J, Chen X, Zhou Q. FRI0443 CLINICAL CHARACTERISTICS AND RELATED FACTORS OF COMMON RHEUMATIC DISEASES COMPLICATED WITH TUBERCULOSIS INFECTION. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.3717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and syndrome(SS) are common rheumatic diseases with high incidence. Patients with those rheumatic diseases are at high risk of tuberculosis (TB) infection. However, manifestations can be atypical and easily confused with those of rheumatic disease itself. For those patients, diagnosis is usually much more difficult and further make treatment delayed. Sometimes it may lead to mistreatment. Therefore, it is important to recognize the clinical characteristics of those patients.Objectives:To explore the clinical characteristics and high risk factors of common systemic rheumatism complicated with tuberculosis infection.Methods:A total of 3,906 cases of RA, SLE, and SS common systemic rheumatism diagnosed in the People’s Hospital of Sichuan Province from January 2007 to January 2017 were collected with carefully exclusion with other infectious diseases and neoplastic disease. One hundred and five patients with TB were included as infection group, including 42 cases of RA, 41 cases of SLE, and 22 cases of SS. In the control group, 84 patients with RA, 82 patients with SLE, and 44 patients with SS were randomly selected from the corresponding rheumatoid non-infected patients hospitalized during the same period.Results:Fever was the most common symptom among 42 cases of RA, 41 cases of SLE, and 22 cases of SS with TB, accounting for 83.3%, 92.7%, and 68.2%, respectively. Cough, weight loss or fatigue was less common. For 41 cases of SLE and 22 cases of SS with TB, the proportion of pulmonary was 46.3%, 59.01%, respectively.In TB infection group, 27 cases of RA, 21 cases of SLE, and 13 cases of SS with TB had two or more chest CT findings, accounting for 59%, 57%, 62%, respectively. Lesions located in the posterior or posterior segment which TB usually affected were 9 cases(33.3%),9cases(42.9%),6cases(27.2%),respectively.The daily average dose of hormones within 1 year in TB infection group was higher than that in the control group (P<0.05). For SLE patients, lower counts of CD4+TL were found in TB infection group (P<0.05), while no such differences were found in RA and SS group.Conclusion:Patients with RA who have TB infection are mainly pulmonary TB. For SLE and SS patients, the chance of pulmonary tuberculosis and extra-pulmonary tuberculosis is similar.Symptoms of RA, SLE, SS with TB, such as fever, cough, weight loss, fatigue, are similar with the primary disease or other infection. Chest imaging is diversity. It is difficult to diagnose.Daily average dose of hormone within one year may be a common risk factor for RA, SLE and SS patients with TB. Decreased CD4+TL may also be a risk factor for SLE patients with TB.References:[1]Cantini F, Nannini C, Niccoli L, et al. Risk of Tuberculosis Reactivation in Patients with Rheumatoid Arthritis, Ankylosing Spondylitis, and Psoriatic Arthritis Receiving Non-Anti-TNF-Targeted Biologics[J]. Mediators of Inflammation, 2017, 2017(6):1-15.[2]Ruangnapa K, Dissaneewate P, Vachvanichsanong P. Tuberculosis in SLE patients: rare diagnosis, risky treatment.[J]. Clinical & Experimental Medicine, 2015, 15(3):429-432.[3]Manuela D F, Bruno L, Martina S, et al. Lung Infections in Systemic Rheumatic Disease: Focus on Opportunistic Infections[J]. International Journal of Molecular Sciences, 2017, 18(2):293-315.[4]Disseminated tuberculosis masquerading as a presentation of systemic lupus erythematosus.Li JC, Fong W, Wijaya L, Leung YY.Int J Rheum Dis. 2017 Oct 2. doi: 10.1111/1756-185X.13195.[5]Handa R, Upadhyaya S, Kapoor S, et al. Tuberculosis and biologics in rheumatology: India – A special situation[J]. International Journal of Rheumatic Diseases, 2017, 51(2):115.Disclosure of Interests:None declared
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Han Y, Long L, Chen X, Tang G, Peng Q, Liu J, Zhou Q. SAT0209 PREVALENCE AND RELATED FACTORS OF SLEEP DISTURBANCE IN PATIENTS WITH PRIMARY SJÖGREN’S SYNDROME. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.6206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:The incidence of primary Sjögren’s syndrome(pSS) is increasing gradually,and it was ranking second among connective tissue diseases(CTDs)in China.Studies recently have shown that many patients with various CTDs have sleep disturbances,which seriously degraded the patient’s quality of life.As well known, Sleep is an important physiological process to maintain human metabolism, tissue repair,and homeostasis. At present,there are relatively several studies on sleep quality in patients with Rheumatoid arthritis(RA)and Systemic lupus erythematosus(SLE),but less reports on pSS in China have been published.Therefore,it is important to explore the quality of sleep and its influencing factors in such patients.Objectives:The purpose of this study is to evaluate the quality of sleep and related factors in China Mainland patients with primary Sjögren’s syndrome(pSS),and to provide reference and theoretical basis for constructing targeted sleep interventions and improve their quality of life.Methods:A all of 103 pSS patients and 40 matched healthy controls were enrolled in a comparative study of sleep quality using the Pittsburgh Sleep Quality Index(PSQI),and demographic,clinical,and laboratory data were collected from them.The patients completed questionnaires on the European League Against Rheumatism (EULAR)SS Patient Reported Index(ESSPRI), EULAR SS Disease Activity Index (ESSDAI),Xerostomia inventory(XI)with the help of researchers,Pain and fatigue were evaluated with a 100-mm visual analogue scale(VAS).Generalized Anxiety Disorder(GAD-7) and Patient Health Questionnaire(PHQ-9) were used to assess anxiety and depression separately,and whether they have autonomic symptoms (such as sweating, palpitations.)will be asked.Results:The PSQI score and the frequency of poor sleep quality(PSQI>7) were higher in the pSS patients (11.60±5.03,71.8%)than the healthy controls(5.98±3.85,25%).Poor sleepers had a significantly higher GAD-7,PHQ-9,XI,ESSPRI,pain and fatigue VAS,and longer disease duration than good sleepers.Additionally, poor sleepers show more frequent autonomic symptoms.Sleep quality of patients with pSS was positive correlated with GAD-7,PHQ-9,XI,ESSPRI,pain and fatigueVAS scores,but no correlation with disease activity.Meanwhile,depression is a independent factor of sleep quality.Conclusion:Our study showed that the sleep disturbance seen in patients with pSS may contribute to the depression associated with this disease,Future research should investigate that whether antidepressant treatment improve sleep and directly improve quality of life.References:[1]AustadC, Kvien TK, Olsen I C.Sleep disturbance in patients with rheumatoid arthritis is related to fatigue, disease activity,and other patient-reported outcomes[J]. Scandinavian journal of rheumatology, 2017, 46(2): 95-103.[2]Lewis I, Hackett K L,Ng W F,et al.A two-phase cohort study of the sleep phenotype within primary Sjögren’s syndrome and its clinical correlates[J].Clinical and experimental rheumatology,2019,37(3):78-82.[3]Chung S W, Hur J, Ha Y J, et al. Impact of sleep quality on clinical features of primary Sjögren’s syndrome[J]. The Korean journal of internal medicine, 2019,34(5):1154.[4]Liu X, Tang M, Hu L. Reliability and validity of the Pittsburgh sleep quality index[J].Chinese journal of psychiatry,1996,29:103-107.[5]Grabovac I,Haider S, Berner C,et al.Sleep quality in patients with rheumatoid arthritis and associations with pain, disability, disease duration, and activity[J].Journal of clinical medicine,2018,7(10):336.Disclosure of Interests:None declared
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Hou H, Zhang B, Huang H, Luo Y, Wu S, Tang G, Liu W, Mao L, Mao L, Wang F, Sun Z. Using IL-2R/lymphocytes for predicting the clinical progression of patients with COVID-19. Clin Exp Immunol 2020; 201:76-84. [PMID: 32365221 PMCID: PMC7267633 DOI: 10.1111/cei.13450] [Citation(s) in RCA: 99] [Impact Index Per Article: 24.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 04/28/2020] [Accepted: 04/28/2020] [Indexed: 12/27/2022] Open
Abstract
Effective laboratory markers for the estimation of disease severity and predicting the clinical progression of coronavirus disease-2019 (COVID-19) is urgently needed. Laboratory tests, including blood routine, cytokine profiles and infection markers, were collected from 389 confirmed COVID-19 patients. The included patients were classified into mild (n = 168), severe (n = 169) and critical groups (n = 52). The leukocytes, neutrophils, infection biomarkers [such as C-reactive protein (CRP), procalcitonin (PCT) and ferritin] and the concentrations of cytokines [interleukin (IL)-2R, IL-6, IL-8, IL-10 and tumor necrosis factor (TNF)-α] were significantly increased, while lymphocytes were significantly decreased with increased severity of illness. The amount of IL-2R was positively correlated with the other cytokines and negatively correlated with lymphocyte number. The ratio of IL-2R to lymphocytes was found to be remarkably increased in severe and critical patients. IL-2R/lymphocytes were superior compared with other markers for the identification of COVID-19 with critical illness, not only from mild but also from severe illness. Moreover, the cytokine profiles and IL-2R/lymphocytes were significantly decreased in recovered patients, but further increased in disease-deteriorated patients, which might be correlated with the outcome of COVID-19. Lymphopenia and increased levels of cytokines were closely associated with disease severity. The IL-2R/lymphocyte was a prominent biomarker for early identification of severe COVID-19 and predicting the clinical progression of the disease.
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Affiliation(s)
- H Hou
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - B Zhang
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - H Huang
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Y Luo
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - S Wu
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - G Tang
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - W Liu
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - L Mao
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - L Mao
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - F Wang
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Z Sun
- Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Ren R, Tang G, Tang C, Zhang J, Xiao X, Zhang Q. The Tai Chi training for middle-aged and elderly patients with knee osteoarthritis: A protocol for systematic review and meta analysis. Medicine (Baltimore) 2020; 99:e20242. [PMID: 32443360 PMCID: PMC7254839 DOI: 10.1097/md.0000000000020242] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Accepted: 04/14/2020] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Knee osteoarthritis (KOA) is a disabling joint disease with an increasingly prevalence among the older individuals. Tai Chi, one of the ancient meditative movements, has been recognized to have clinical benefits for KOA. We aim to evaluate the efficacy and safety of Tai Chi for patients with KOA through this systematic review. METHODS Five English databases (Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, AMED, and CINAHL), 4 Chinese databases (CBM, CNKI, CQVIP, and Wanfang), and 5 clinical trial registration databases (ClinicalTrials.gov, ANZCTR, EU-CTR, ChiCTR, and ICTRP) will be searched from establishment of the database until November 31, 2019. Grey literature will be searched in SIGLE, Grey Net, Microsoft Academic, Google Scholar, Open Aire, World Wide Science.org, and WorldCat. There will be no restrictions on language. The randomized controlled trials of Tai Chi training for patients with KOA will be included. The primary outcome will be assessed according to the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Meta-analysis will be conducted with the use of RevMan 5.3. The specific process will refer to the Cochrane Handbook 5.1 for Systematic Review. RESULTS High-quality synthesis of current evidence on the efficacy and safety of Tai Chi training for KOA will be provided in this study. CONCLUSION This systematic review aims to present evidence for whether Tai Chi training is an effective intervention which can improve both physical condition and life quality in patients suffering KOA.
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Tang G, Du Y, Jia JS, Yuan WJ. [The influence of gut microbiota on skeletal muscle metabolism in patients with chronic kidney disease and intervention strategies]. Zhonghua Nei Ke Za Zhi 2020; 59:326-328. [PMID: 32209203 DOI: 10.3760/cma.j.cn112138-20190214-00082] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- G Tang
- Department of Nephrology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China
| | - Y Du
- Department of Nephrology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China
| | - J S Jia
- Department of Nephrology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China
| | - W J Yuan
- Department of Nephrology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China
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Verstovsek S, Subbiah V, Masarova L, Yin CC, Tang G, Manshouri T, Asatiani E, Daver NG. Treatment of the myeloid/lymphoid neoplasm with FGFR1 rearrangement with FGFR1 inhibitor. Ann Oncol 2019; 29:1880-1882. [PMID: 29767670 DOI: 10.1093/annonc/mdy173] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Affiliation(s)
- S Verstovsek
- Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, USA.
| | - V Subbiah
- Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, USA
| | - L Masarova
- Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, USA
| | - C Cameron Yin
- Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, USA
| | - G Tang
- Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, USA
| | - T Manshouri
- Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, USA
| | - E Asatiani
- Department of Incyte Corporation, Wilmington, USA
| | - N G Daver
- Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, USA
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Pu X, Tang G, Cai K, Huang Y, Ping M, Peng Z, Qiu H. A parallel deep learning network framework for whole-body bone scan image analysis. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz423] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Zhou X, Tang G. Re: 'Hydroxymethylglutaryl-CoA reductase inhibitors (statins) for the treatment of sepsis in adults' by Pertzov et al. Clin Microbiol Infect 2019; 25:1570-1571. [PMID: 31170456 DOI: 10.1016/j.cmi.2019.05.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Revised: 05/07/2019] [Accepted: 05/09/2019] [Indexed: 11/25/2022]
Affiliation(s)
- X Zhou
- Emergency Department, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
| | - G Tang
- Emergency Department, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China
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Song SS, Tang G, Tang LX, Si LY, Xiong W. NAKα2 inhibits fibrosis formation and protects against cardiomyocyte hypertrophy by suppressing hypertrophy associated molecules and activating LTCC/NCX signaling pathway. Eur Rev Med Pharmacol Sci 2019; 23:3021-3033. [PMID: 31002153 DOI: 10.26355/eurrev_201904_17584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Cardiomyocyte hypertrophy is considered to be a compensatory process of heart suffering from pathological damages. This study aimed to evaluate effects of Na+/K+ APTaseα2 (NAKα2) on isoprenaline (ISO) induced cardiomyocyte hypertrophy. MATERIALS AND METHODS Mouse atrial cardiomyocytes were cultured and treated with ISO to establish cardiomyocyte hypertrophy model. NAKα2 over-expression and small interfere RNA (siRNA) plasmids were constructed and transfected to cardiomyocytes. Influx Ca2+ ([Ca2+]i) was measured using flow cytometry method. Fibrosis formation was examined with Masson staining. Transferase-mediated deoxyuridine triphosphate-biotin nick end labeling (TUNEL) staining was used to examine apoptosis. Major histocompatibility complex β (β-MHC), atrial natriuretic peptides (ANP), B-type natriuretic peptides (BNP) were evaluated with quantitative Real-time PCR (qRT-PCR). Western blot was used to detect β-MHC, ANP, BNP, Na+/Ca2+ exchanger (NCX) and L-type calcium channel (LTCC). RESULTS NAKα2 significantly inhibited NCX and LTCC expression compared to that in ISO-treated cardiomyocytes (p<0.05). NAKα2 significantly suppressed expression of β-MHC, ANP and BNP compared to that in ISO-treated cardiomyocytes (p<0.05). NAKα2 significantly alleviated fibrosis formation and inhibited apoptosis compared to that in ISO-treated cardiomyocytes (p<0.05). NAKα2 reduced intracellular calcineurin and activated phosphorylation of calcineurin-nuclear factor of activated T cells (NFAT) compared to ISO-treated cardiomyocytes (p<0.05). NAKα2 significantly strengthened effects of Klotho on ISO-induced up-regulation of hypertrophy associated molecules (p<0.05) by activating LTCC and NCX. Comparing to ISO-treated cardiomyocytes, NAKα2 combining Klotho treatment exhibited significantly better improvement of Ca2+ influx, alleviation of fibrosis and reduction of apoptosis by triggering LTCC/NCX signaling pathway. CONCLUSIONS Over-expression of NKAα2 suppressed fibrosis formation and protected against cardiomyocyte hypertrophy by inhibiting hypertrophy associated molecules, alleviating apoptosis and activating LTCC/NCX signaling pathway.
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Affiliation(s)
- S-S Song
- Geriatric Department of The First Hospital Affiliated To AMU, Chongqing, China.
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Mei JH, Tang G, Wang Q, Wen PQ, Xu MG, Cui D, Ma DL, Liu C, Wang GB. [Role of ash2 (absent, small, or homeotic)-like and Jumonji domain-containing protein 3 on histone methylation of interferon-gamma gene and their associations with vascular damage of Kawasaki disease]. Zhonghua Xin Xue Guan Bing Za Zhi 2019; 45:791-798. [PMID: 29036979 DOI: 10.3760/cma.j.issn.0253-3758.2017.09.012] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the impacts of ash2 (absent, small, or homeotic)-like (Ash2L) and Jumonji domain-containing protein 3 (Jmjd3) on histone methylation of interferon-gamma(IFN-γ) gene and association with vascular damage of Kawasaki disease (KD) in acute phase. Methods: This study was performed among 36 children with KD in acute phase (KD group) and 28 age-matched health children (control group), who were treated or underwent physical examination in our hospital between February 2015 and June 2016. Patients were further divided into KD groups with or without coronary artery lesions (KD-CAL(+) , 16 cases; KD-CAL(-), 20 cases). All KD patients were treated with intravenous immunoglobulin. The proportion of type 1 helper T(Th1) cells and protein levels of IFN-γ, T-box expressed in T cells(T-bet), phosphorylated signal transducer and activator of transcription 1(pSTAT1) and phosphorylated signal transducer and activator of transcription 4(pSTAT4) were analyzed by flow cytometry.Chromatin immunoprecipitation was performed to determine histone methylation (histone H3 tri-methyl K4(H3K4me3), histone H3 tri-methyl K27(H3K27me3)) and binding levels of Ash2L, Jmjd3 and Ezh2 associated with IFN-γ in CD4(+) T cells. Quantitative real-time PCR was used to determine mRNA levels of IFN-γ, interferon γ receptor 1(IFN-γR1), interferon γ receptor 2(IFN-γR2), interleukin 12 receptor subunit beta 1(IL-12Rβ1), interleukin 12 receptor subunit beta 2(IL-12Rβ2), interleukin 18 receptor subunit beta α(IL-18Rα), interleukin 18 receptor subunit beta β(IL-18Rβ), tumor necrosis factor receptor 1(TNFR1), toll-like receptor 4(TLR4), receptor interacting serine/threonine kinase 1(RIP-1) and myeloid differentiation primary response gene 88(MyD88) in CD4(+) T cells. Plasma concentrations of IFN-γ, interleukin 12(IL-12), interleukin 18(IL-18) and tumor necrosis factor α(TNF-α) were measured by enzyme-linked Immunosorbent assay. Results: (1)The proportion of Th1 and its protein level of IFN-γ were significantly higher in KD group than those in control group and higher in KD-CAL(+) group than in KD-CAL(-) group (all P<0.05), and lower after treatment than before treatment (all P<0.05). (2)Compared with control group, mRNA level of IFN-γ and IFN-γ-associating H3K4me3 was increased, while level of IFN-γ associating H3K27me3 in CD4(+) T cells was reduced in KD group (all P<0.05), which resulted in a higher rate of H3K4me3/H3K27me3 (P<0.05) in KD group, which was positively correlated with IFN-γ mRNA in KD group(r=0.55, P<0.05). Similar results were found between KD-CAL(+) group and KD-CAL(-) group (all P<0.05). Level of IFN-γ associating H3K27me3 was increased, and mRNA level of IFN-γ and IFN-γ associating H3K4me3 was decreased after treatment than before treatment (all P<0.05). (3)Expression of T-bet protein and binding levels of Ash2L and Jmjd3 with IFN-γ gene were significantly higher in KD group than those in control group(all P<0.05), higher in KD-CAL(+) group than those in KD-CAL(-) group (all P<0.05). These parameters were significantly lower after treatment than before treatment (all P<0.05). Binding level of Ezh2 with IFN-γ gene was similar among various groups (all P>0.05). (4)In comparison with control or after treatment, surface receptors(IFN-γR1/2, IL-12Rβ1/2, IL-18Rα/β, TNFR1 and TLR4) and its downstream molecules(pSTAT1, pSTAT4, RIP(1) and MyD88) in CD4(+) T cells, and plasma concentrations of inflammatory cytokines(IFN-γ, IL-12, IL-18 and TNF-α) were found to be higher in KD group(all P<0.05). These parameters were also higher in KD-CAL(+) group than in KD-CAL(-) group (all P<0.05). Conclusion: Aberrant histone methylation of IFN-γ associating H3K4me3 and H3K27me3 caused by over-binding of Ash2L and Jmjd3 might be involved in immune dysfunction and vascular damage in KD in the acute phase.
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Affiliation(s)
- J H Mei
- Shenzhen Institute of Pediatrics, Shenzhen Children's Hospital, Shenzhen 518038, China
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Yudi M, Tang G, Sharma S, Kini A. Coronary Angiography and Percutaneous Coronary Intervention Post Transcatheter Aortic Valve Implantation with Self-Expanding CoreValve. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Chen J, Chen Y, Wei Y, Tao X, Xu H, Liu Y, Zhu L, Tang G, Wen A, Lv D, Li X, Jiang Y. Activities Analysis and Polymorphisms Identification of GPIHBP1 Promoter Region in Porcine. RUSS J GENET+ 2018. [DOI: 10.1134/s1022795418060042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Zhou X, Ye Y, Tang G, Zhou X. Obesity and infection, accompanying phenomenon or causal association? Clin Microbiol Infect 2018; 24:668. [DOI: 10.1016/j.cmi.2017.10.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2017] [Revised: 10/28/2017] [Accepted: 10/30/2017] [Indexed: 01/09/2023]
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Tang G, Medeiros LJ, Wang SA. How I investigate Clonal cytogenetic abnormalities of undetermined significance. Int J Lab Hematol 2018; 40:385-391. [PMID: 29624895 DOI: 10.1111/ijlh.12826] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [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: 02/01/2018] [Accepted: 02/27/2018] [Indexed: 01/06/2023]
Abstract
Myelodysplastic syndromes are a group of hematopoietic stem cell diseases characterized by cytopenia(s), morphological dysplasia, and clonal hematopoiesis. In some patients, the cause of cytopenia(s) is uncertain, even after thorough clinical and laboratory evaluation. Evidence of clonal hematopoiesis has been used to support a diagnosis of myelodysplastic syndrome in this setting. In patients with cytopenia(s), the presence of clonal cytogenetic abnormalities, except for +8, del(20q) and -Y, can serve as presumptive evidence of myelodysplastic syndrome. Recent advances in next-generation sequencing have detected myeloid neoplasm-related mutations in patients who do not meet the diagnostic criteria for myelodysplastic syndrome. Various terms have been adopted to describe these cases, including clonal hematopoiesis of indeterminate potential (CHIP) and clonal cytopenia of undetermined significance (CCUS). Similarly, studies have shown that certain chromosomal abnormalities, including ones commonly detected in myelodysplastic syndrome, may not be associated necessarily with an underlying myelodysplastic syndrome. These clonal cytogenetic abnormalities of undetermined significance (CCAUS) are similar to CHIP and CCUS. Here, we review the features of CCAUS, distinguishing CCAUS from clonal cytogenetic abnormalities associated with myelodysplastic syndrome, and the potential impact of CCAUS on patient management.
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Affiliation(s)
- G Tang
- Department of Hematopathology, MD Anderson Cancer Center, University of Texas, Houston, TX, USA
| | - L J Medeiros
- Department of Hematopathology, MD Anderson Cancer Center, University of Texas, Houston, TX, USA
| | - S A Wang
- Department of Hematopathology, MD Anderson Cancer Center, University of Texas, Houston, TX, USA
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Wang W, Wang Z, Qin Y, Tang G, Cai G, Liu Y, Zhang J, Zhang P, Shen Q, Shen L, Yu W. Th17, synchronically increased with T regs and B regs , promoted by tumour cells via cell-contact in primary hepatic carcinoma. Clin Exp Immunol 2018; 192:181-192. [PMID: 29271479 DOI: 10.1111/cei.13094] [Citation(s) in RCA: 6] [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: 07/25/2017] [Revised: 12/09/2017] [Accepted: 12/13/2017] [Indexed: 01/14/2023] Open
Abstract
Documented reports about T helper type 17 (Th17) cells have revealed that Th17 plays a critical role in inflammation and autoimmunity diseases. However, the role of Th17 in cancer remains contradictory. The interplay between Th17 and tumour cells in the tumour microenvironment of primary hepatic carcinoma (PHC) needs to be explored further and the relationship between Th17, regulatory T cells (Tregs ) and regulatory B cells (Bregs ) has not been defined completely. In this study, numerous experiments were undertaken to elucidate the interaction of Th17 and Treg /Breg cells involved in PHC. Our work demonstrated that an increased Th17 was detected in the peripheral circulation and in tumour tissues in PHC patients. In addition, increases in peripheral blood Th17 corresponded with tumour-node-metastasis (TNM) stage progression. Also, further studies indicated that Th17 cells were promoted by tumour cells in the PHC tumour microenvironment through both contact-dependent and -independent mechanisms, but cell-contact played the major important role in promoting the production and proliferation of Th17. When isolated CD4+ CD25+ CD127low Tregs and CD4+ CD25- CD127+ non-Tregs were cultured with autologous tumour cells, it implied that the phenotype of Th17 and Tregs was modified by tumour cells in the tumour microenvironment. As well as this, Th17 cells were also found to correlate positively with CD4+ forkhead box protein 3+ Tregs and CD19+ CD5+ CD1dhi Bregs in PHC. Notably, Th17 increased synchronically with Tregs and Bregs in PHC. These findings may provide new clues to reveal the mechanisms of immune escape in PHC.
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Affiliation(s)
- W Wang
- Department of Clinical Laboratory, Xinhua Hospital, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Z Wang
- Department of Anesthesia, Eastern Hepatobiliary Hospital, Shanghai, China
| | - Y Qin
- Department of Laboratory Diagnosis, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - G Tang
- Department of Laboratory Diagnosis, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - G Cai
- Department of Laboratory Diagnosis, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Y Liu
- Department of Laboratory Diagnosis, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - J Zhang
- Department of Laboratory Diagnosis, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - P Zhang
- Department of Laboratory Diagnosis, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Q Shen
- Department of Laboratory Diagnosis, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - L Shen
- Department of Clinical Laboratory, Xinhua Hospital, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - W Yu
- Department of Anesthesia, Eastern Hepatobiliary Hospital, Shanghai, China
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44
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Wang W, Ji G, Chen Y, Wang J, Sun J, Tang G, Xie Z, Zhao H, Liu G, Tan S, Chen G, Xue H. Changes in DNA Methylation of Glucocorticoid-Induced Tumor Necrosis Factor Receptor and Its Ligand in Liver Transplantation. Transplant Proc 2017; 49:1824-1833. [PMID: 28923633 DOI: 10.1016/j.transproceed.2017.06.023] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 05/31/2017] [Accepted: 06/16/2017] [Indexed: 10/18/2022]
Abstract
Liver transplantation (LT) is the criterion standard of care in patients with end-stage liver disease and those with tumors of hepatic origin in the setting of liver dysfunction. Chronic immune rejection of the liver transplant can lead to bad prognosis for patients. Glucocorticoid-induced tumor necrosis factor receptor (GITR) play a key role in dominant immunologic self-tolerance maintained by CD25+/CD4+ regulatory T cells. Here, we investigated the DNA methylation variations of GITR and GITR ligand (GITRL) using pyrosequencing by analyzing blood DNA samples of patients after LT. Our results showed that the methylation level of certain CpGs, such as CpG_13, in GITRL was significantly reduced after LT. Furthermore, we found that the GITRL methylation statuses of cohorts with no chronic immune rejection were significantly lower compared with cohorts with chronic immune rejection after LT treatment. However, the methylation statuses of GITR were less varied. Using linear regression analysis, we further found that factors such as upper gastrointestinal hemorrhage, splenectomy, and creatinine might affect DNA methylation patterns in chronic immune rejection cohorts. These findings provide novel insights into the pivotal role of GITRL as a potential molecular biomarker for the triage of liver transplantation.
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Affiliation(s)
- W Wang
- Department of Liver Transplantation, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China
| | - G Ji
- Shenzhen E-Gene Tech Co, ShenZhen, Guangdong, People's Republic of China
| | - Y Chen
- Department of Liver Transplantation, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China
| | - J Wang
- Shenzhen E-Gene Tech Co, ShenZhen, Guangdong, People's Republic of China
| | - J Sun
- Department of Liver Transplantation, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China
| | - G Tang
- Department of Liver Transplantation, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China
| | - Z Xie
- Department of Liver Transplantation, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China
| | - H Zhao
- Department of Liver Transplantation, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China
| | - G Liu
- Department of Liver Transplantation, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China
| | - S Tan
- Hepatic Surgery Center, GuiLin Medical University, Guilin, GuangXi, People's Republic of China
| | - G Chen
- Department of Liver Transplantation, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China.
| | - H Xue
- Department of Liver Transplantation, Zhengzhou University People's Hospital, Zhengzhou, People's Republic of China.
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45
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Brezden-Masley C, Tang G, Hart R, Sholzberg M. Iron deficiency anemia in gastric cancer: A Canadian single site retrospective cohort study. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx369.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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46
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Li Y, Xu X, Qin X, Wang B, Liang M, He M, Tang G, Lin Z. EFFECT OF FOLIC ACID THERAPY ON RENAL FUNCTION IN HYPERTENSIVE ADULTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Y. Li
- National Clinical Research Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - X. Xu
- National Clinical Research Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - X. Qin
- National Clinical Research Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - B. Wang
- National Clinical Research Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - M. Liang
- National Clinical Research Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - M. He
- Department of Neurology, First People’s Hospital of Lianyungang, Lianyungang, China,
| | - G. Tang
- Institute for Biomedicine, Anhui Medical University, Hefei, China,
- School of Health Administration, Anhui Medical University, Hefei, China
| | - Z. Lin
- Department of Cardiology, Guangdong General Hospital, Guangzhou, China,
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47
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Huang X, Yang J, Qin X, Zhao M, Wang H, He M, Tang G, Wang X. THE INTERACTION OF THE MTHFR GENE AND FOLIC ACID ON HOMOCYSTEINE AMONG HYPERTENSIVE ADULTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- X. Huang
- Department of Cardiology, Second Affiliated Hospital, Nanchang University, Nanchang, China
| | - J. Yang
- National Clinical Research Study Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - X. Qin
- National Clinical Research Study Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - M. Zhao
- National Clinical Research Study Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China,
| | - H. Wang
- Centers for Metabolic Disease Research, Temple University School of Medicine, Philadelphia, Pennsylvania,
| | - M. He
- Department of Neurology, First People’s Hospital of Lianyungang, Lianyungang, China,
| | - G. Tang
- Institute of Biomedicine, Anhui Medical University, Hefei, China,
| | - X. Wang
- Johns Hopkins University, Baltimore, Maryland,
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48
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Pan M, Chai L, Xue F, Ding L, Tang G, Lv B. Comparisons of external fixator combined with limited internal fixation and open reduction and internal fixation for Sanders type 2 calcaneal fractures: Finite element analysis and clinical outcome. Bone Joint Res 2017; 6:433-438. [PMID: 28747337 PMCID: PMC5539306 DOI: 10.1302/2046-3758.67.2000640] [Citation(s) in RCA: 7] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES The aim of this study was to compare the biomechanical stability and clinical outcome of external fixator combined with limited internal fixation (EFLIF) and open reduction and internal fixation (ORIF) in treating Sanders type 2 calcaneal fractures. METHODS Two types of fixation systems were selected for finite element analysis and a dual cohort study. Two fixation systems were simulated to fix the fracture in a finite element model. The relative displacement and stress distribution were analysed and compared. A total of 71 consecutive patients with closed Sanders type 2 calcaneal fractures were enrolled and divided into two groups according to the treatment to which they chose: the EFLIF group and the ORIF group. The radiological and clinical outcomes were evaluated and compared. RESULTS The relative displacement of the EFLIF was less than that of the plate (0.1363 mm to 0.1808 mm). The highest von Mises stress value on the plate was 33% higher than that on the EFLIF. A normal restoration of the Böhler angle was achieved in both groups. No significant difference was found in the clinical outcome on the American Orthopedic Foot and Ankle Society Ankle Hindfoot Scale, or on the Visual Analogue Scale between the two groups (p > 0.05). Wound complications were more common in those who were treated with ORIF (p = 0.028). CONCLUSIONS Both EFLIF and ORIF systems were tested to 160 N without failure, showing the new construct to be mechanically safe to use. Both EFLIF and ORIF could be effective in treating Sanders type 2 calcaneal fractures. The EFLIF may be superior to ORIF in achieving biomechanical stability and less blood loss, shorter surgical time and hospital stay, and fewer wound complications.Cite this article: M. Pan, L. Chai, F. Xue, L. Ding, G. Tang, B. Lv. Comparisons of external fixator combined with limited internal fixation and open reduction and internal fixation for Sanders type 2 calcaneal fractures: Finite element analysis and clinical outcome. Bone Joint Res 2017;6:433-438. DOI: 10.1302/2046-3758.67.2000640.
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Affiliation(s)
- M Pan
- Orthopaedics Department, Southern Medical University Fengxian District Central Hospital, No. 6600, Nanfeng Road, Fengxian District, Shanghai, China
| | - L Chai
- Orthopaedics Department, The People's Hospital of Bozhou, Anhui Province, No. 3, Xuejia Alley, Qiaocheng District, Bozhou city, Anhui Province, China
| | - F Xue
- Orthopaedics Department, Southern Medical University Fengxian District Central Hospital, No. 6600, Nanfeng Road, Fengxian District, Shanghai, China
| | - L Ding
- Orthopaedics Department, Southern Medical University Fengxian District Central Hospital, No. 6600, Nanfeng Road, Fengxian District, Shanghai, China
| | - G Tang
- Orthopaedics Department, Southern Medical University Fengxian District Central Hospital, No. 6600, Nanfeng Road, Fengxian District, Shanghai, China
| | - B Lv
- Orthopaedics Department, Southern Medical University Fengxian District Central Hospital, No. 6600, Nanfeng Road, Fengxian District, Shanghai, China
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49
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Zhao M, Qin X, Wang B, Li J, He M, Tang G, Li X, Yin D. EFFICACY OF FOLIC ACID SUPPLEMENTATION ON REDUCING THE RISK OF STROKE AMONG HYPERTENSIVE PATIENTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- M. Zhao
- Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China,
- National Clinical Research Study Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
| | - X. Qin
- National Clinical Research Study Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - B. Wang
- National Clinical Research Study Center for Kidney Disease, Guangzhou, China,
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - J. Li
- Department of Cardiology, Peking University First Hospital, Beijing, China,
| | - M. He
- Renal Division, Nanfang Hospital, Southern Medical University, Guangzhou, China,
| | - G. Tang
- Institute for Biomedicine, Anhui Medical University, Hefei, China
| | - X. Li
- State Key Laboratory for Organ Failure Research, Guangzhou, China,
| | - D. Yin
- Department of Cardiology, First People’s Hospital of Lianyungang, Lianyungang, China,
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50
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Qin X, Tang G, Gao R, Guo Z, Liu Z, Yu S, Chen M, Tao Z, Li S, Liu M, Wang L, Hou L, Xia L, Cheng X, Han J, Qiu L. A multicenter study on PIVKA reference interval of healthy population and establishment of PIVKA cutoff value for hepatocellular carcinoma diagnosis in China. Int J Lab Hematol 2017; 39:392-401. [PMID: 28318145 DOI: 10.1111/ijlh.12639] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Accepted: 01/16/2017] [Indexed: 11/30/2022]
Affiliation(s)
- X. Qin
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
| | - G. Tang
- Department of Cardiology; Beijing Hospital of the Ministry of Health; Beijing China
| | - R. Gao
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
| | - Z. Guo
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
| | - Z. Liu
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
| | - S. Yu
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
| | - M. Chen
- Department of Clinical Laboratory; Third Affiliated Hospital of Third Military Medical University; Chongqing China
| | - Z. Tao
- Department of Clinical Laboratory; The Second Affiliated Hospital of Zhejiang University School of Medicine; Hangzhou China
| | - S. Li
- Department of Clinical Laboratory; The First Affiliated Hospital of Dalian Medical University; Dalian China
| | - M. Liu
- Department of Clinical Laboratory; The First Affiliated Hospital; Sun Yat-sen University; Guangzhou China
| | - L. Wang
- Department of Clinical Laboratory; Xinjiang Medical University; Urumuqi China
| | - L. Hou
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
| | - L. Xia
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
| | - X. Cheng
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
| | - J. Han
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
| | - L. Qiu
- Department of Clinical Laboratory; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Science; Beijing China
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