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Li YN, Shi GC, Guan J. [Advances in chest imaging in early chronic obstructive pulmonary disease]. Zhonghua Jie He He Hu Xi Za Zhi 2023; 46:1266-1271. [PMID: 38044057 DOI: 10.3760/cma.j.cn112147-20230922-00190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 12/05/2023]
Abstract
Chronic obstructive pulmonary disease(COPD)is a heterogeneous and complex disease, and is characterized by exertional dyspnea and chronic cough. For many years, lung function testing have been used to diagnose COPD, but the sensitivity of lung function testing is low, so there is an urgent need for more sensitive diagnostic methods that show early changes in pathology. In recent years, with the rapid development of HRCT, quantitative CT, new magnetic resonance imaging technology, optical coherence tomography (OCT), artificial intelligence, electrical impedance tomography, etc, it provides a basis for the early diagnosis of COPD. This article reviewed the progress in imaging studies of early COPD in recent years.
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Affiliation(s)
- Y N Li
- Department of Pulmonary and Critical Care Medicine, the People's Hospital of Suzhou High Tech Zone, Suzhou 215000, China
| | - G C Shi
- Department of Pulmonary and Critical Care Medicine, Institute of Respiratory Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025 China
| | - J Guan
- Department of Pulmonary and Critical Care Medicine, the People's Hospital of Suzhou High Tech Zone, Suzhou 215000, China
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2
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Li YN, Jing J, Cong BB, Yu XX, Zhang WY. [Diagnosis and treatment of a case of severe oral mucosal traumatic ulcer in a child with Tourette syndrome]. Zhonghua Kou Qiang Yi Xue Za Zhi 2023; 58:1155-1158. [PMID: 37885188 DOI: 10.3760/cma.j.cn112144-20230905-00139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Subscribe] [Scholar Register] [Indexed: 10/28/2023]
Affiliation(s)
- Y N Li
- Department of Periodontology and Oral Mucosal Disease, Qingdao Stomatological Hospital Affiliated to Qingdao University, Qingdao 266001, China
| | - J Jing
- Department of Periodontology and Oral Mucosal Disease, Qingdao Stomatological Hospital Affiliated to Qingdao University, Qingdao 266001, China
| | - B B Cong
- Department of Central Laboratory, Qingdao Stomatological Hospital Affiliated to Qingdao University, Qingdao 266001, China
| | - X X Yu
- Department of Periodontology and Oral Mucosal Disease, Qingdao Stomatological Hospital Affiliated to Qingdao University, Qingdao 266001, China
| | - W Y Zhang
- Department of Periodontology and Oral Mucosal Disease, Qingdao Stomatological Hospital Affiliated to Qingdao University, Qingdao 266001, China
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3
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Wang SS, Pan XY, Li YN, Li W. [Efficacy and safety of new systemic therapies in moderate-to-severe atopic dermatitis in the elderly: meta-analysis]. Zhonghua Yi Xue Za Zhi 2023; 103:2509-2515. [PMID: 37650197 DOI: 10.3760/cma.j.cn112137-20230212-00196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Objective: To systematically evaluate the efficacy and safety of new systemic therapies (biological agents and JAK inhibitors) in moderate-to-severe elderly atopic dermatitis. Methods: The database of Embase, PubMed, Web of Science,Cochrane, the Global Resource of Eczema Trials database, ClinicalTrials. Gov, CNKI, Wanfang, VIP were used to search for literatures of randomized controlled trials (RCTs) and real-world studies of the treatment of moderate-to-severe AD with the new systemic therapies from January 2014 to February 2023. Two reviewers independently screened the literature, extracted the data and evaluated the risk of bias included in the study. Data were analyzed by Review Manager 5.3 software for meta-analysis and odds ratio (OR) and 95% confidence interval were used as the effect statistics. The heterogeneity and publication bias were assessed. Results: A total of five studies (523 elderly patients and 802 young patients) using dupilumab were included for meta-analysis. Dupilumab showed good efficacy in elderly AD, with 74.6%(390/523) of patients whose EASI reached 75, which there was no significant difference with young patients (OR=0.79, 95%CI:0.58-1.07, P=0.122); the proportion of elderly patients with NRS improvement≥4 was 68.7%(244/355), and there was no significant difference with young patients (OR=0.79, 95%CI:0.55-1.14, P=0.213). The most common adverse reactions were conjunctivitis, facial and neck erythema and injection site reactions, and there are no serious adverse events in both groups. The incidence of adverse events in elderly patients was 24.3%(65/267), which was not significantly different from that in young patients (OR=1.07, 95%CI:0.65-1.77, P=0.789). There are few studies on other biological agents and JAK inhibitors in elderly AD patients. We only found 4 studies of elderly AD patients using JAK inhibitors (2 studies on abrocitinib and 2 studies on upadacitinib). The clinical efficacy of abrocitinib in the elderly was not significantly different from that in the young. The incidence of serious adverse events of abrocitinib and upadacitinib increased in the elderly and was dose-related. Conclusion: The efficacy and safety of dupilumab in elderly AD patients were similar to those in the young patients, and the JAK inhibitor needs to be further studied and verified.
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Affiliation(s)
- S S Wang
- Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China
| | - X Y Pan
- Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China
| | - Y N Li
- Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China
| | - W Li
- Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China
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4
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Li WQ, Bai XQ, Li YN. [A case of multisystem inflammatory syndrome in children]. Zhonghua Er Ke Za Zhi 2023; 61:558-559. [PMID: 37312470 DOI: 10.3760/cma.j.cn112140-20230115-00035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- W Q Li
- Department of Pediatric Respiratory, the First Bethune Hospital of Jilin University, Changchun 130061, China
| | - X Q Bai
- Department of Pediatric Respiratory, the First Bethune Hospital of Jilin University, Changchun 130061, China
| | - Y N Li
- Department of Pediatric Respiratory, the First Bethune Hospital of Jilin University, Changchun 130061, China
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5
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Jia HL, Hu JA, Li YN, Jie WP, Xu Y. [Study on the construction and quality evaluation of courses for ideological and political education in the course of oral histology and pathology]. Zhonghua Kou Qiang Yi Xue Za Zhi 2023; 58:462-467. [PMID: 37082851 DOI: 10.3760/cma.j.cn112144-20220928-00509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 04/22/2023]
Abstract
To give full play to the important role of courses for ideological and political education in moral cultivation, teaching group in the course of oral histology and pathology in Zhejiang University systematically studied the teaching model of which ideological and political education integrated into the course of oral histology and pathology, and put forward a quality evaluation index system of the course. This paper emphatically introduces the general framework of the course, as well as the experience and practices in the aspects of resource mining, teaching design, curriculum evaluation, etc. The quality of the course was evaluated by using the system, which showed that the grade of the course was AAA (excellent) and 95.5% (275/288) students agreed to integrate ideological and political content into the course. The teaching group believes that the integration of the ideological and political content in the course reflects the complementary effect of "teaching" and "educating", and the ideological and political quality as well as the professional level of the teachers are the primary factor to determine the quality of the course. This paper aims at providing a reliable reference for promoting the construction of courses for ideological and political education in the area of oral medical education.
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Affiliation(s)
- H L Jia
- Organization Office of the Organization Department, the Communist Party of China Zhejiang University Committee, Hangzhou 310012, China
| | - J A Hu
- Department of Pathology, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine & Clinical Research Center for Oral Diseases of Zhejiang Province & Key Laboratory of Oral Biomedical Research of Zhejiang Province & Cancer Center of Zhejiang University, Hangzhou 310058, China
| | - Y N Li
- Department of Pathology, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine & Clinical Research Center for Oral Diseases of Zhejiang Province & Key Laboratory of Oral Biomedical Research of Zhejiang Province & Cancer Center of Zhejiang University, Hangzhou 310058, China
| | - W P Jie
- Department of Pathology, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine & Clinical Research Center for Oral Diseases of Zhejiang Province & Key Laboratory of Oral Biomedical Research of Zhejiang Province & Cancer Center of Zhejiang University, Hangzhou 310058, China
| | - Y Xu
- School of Stomatology, Zhejiang University School of Medicine, Hangzhou 310012, China
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Bai XQ, Wang CX, Zhao PL, Li YN. [The role and molecular mechanism of pyroptosis in bronchiolitis obliterans]. Zhonghua Er Ke Za Zhi 2023; 61:373-376. [PMID: 37011988 DOI: 10.3760/cma.j.cn112140-20221116-00978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Affiliation(s)
- X Q Bai
- Department of Pediatric Respiratory, the First Hospital of Bethune, Jilin University, Changchun 130021, China
| | - C X Wang
- Department of Pediatric Respiratory, the First Hospital of Bethune, Jilin University, Changchun 130021, China
| | - P L Zhao
- Department of Pediatric Respiratory, the First Hospital of Bethune, Jilin University, Changchun 130021, China
| | - Y N Li
- Department of Pediatric Respiratory, the First Hospital of Bethune, Jilin University, Changchun 130021, China
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Li YN, Ren YQ, Wang WX, Zhou C, Li XJ, Wang XJ, Zhao BD. [Clinical evaluation of antral septal maxillary sinus floor elevation by the disk-up sinus reamer]. Zhonghua Kou Qiang Yi Xue Za Zhi 2023; 58:258-264. [PMID: 36854427 DOI: 10.3760/cma.j.cn112144-20220708-00368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
Objective: To investigate the clinical effect of disk-up sinus reamer (DSR) in maxillary sinus floor elevation with maxillary sinus septum. Methods: Twenty-four patients were included between January 2019 to January 2020 in Department of Oral Implantology, The Affiliated Hospital of Qingdao University. There were 10 males and 14 females with the age of (39.3±11.7) years old (range 22-56 years). Pre-operative(T0) cone-beam CT (CBCT) was taken for measurement and analysis. All patients were divided into group E (easy situations, septum located anterior to the zygo-matic process), group M (moderate situations, septum located pos-terior to the zygo-matic process) and group D (difficult situations, sagittally oriented septum). The maxillary sinus floor was grafted through the crestal approach by DSR and implants were placed simultaneously. Permanent repair was performed 6-8 months after operation. All patients underwent CBCT before surgery, after surgery immediately (T1), 6 months after surgery(T2), 1 year after surgery(T3), 2 year after surgery(T4). The residual bone height (RBH) and the vertical bone height (VBH) were analyzed. The mucosal perforation rate, implant survival rate were counted. Results: All the 24 patients completed the Maxillary sinus lift surgery successfully and 24 implants were placed simultaneously. All patients had no headache, dizziness. The mucosal perforation rate was 0. The survival rate of implants during the healing period was 100%(24/24). The RBH was (5.81±2.56) mm pre-operation, the VBHT1, VBHT2, VBHT3 and VBHT4 were (11.82±1.09), (10.98±0.52), (10.66±0.44) and (10.40±0.33) mm, respectively. The differences between the groups by pairing test were statistically significant (F=187.70, P0.001), expect VBHT3 and VBHT4 (P=0.071). Bone resorption and remodeling mainly occurred 1 year after surgery. One patient developed peri-implantitis 18 months after surgery. Conclusions: With the RBH of implant site>2 mm and existence of maxillary sinus septum, using DSR for sinus floor elevation has a high success rate. It can obtain enough bone height and complete the simultaneous implantation to form a good osseointegration. The DSR is simple, safe and controllable, and can shorten the operation time.
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Affiliation(s)
- Y N Li
- Department of Oral Implantology, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
| | - Y Q Ren
- Qingdao Stomatological Hospital, Qingdao 266000, China
| | - W X Wang
- Department of Oral Implantology, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
| | - C Zhou
- Department of Oral Implantology, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
| | - X J Li
- Department of Oral Implantology, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
| | - X J Wang
- Department of Oral Implantology, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
| | - B D Zhao
- Department of Oral Implantology, The Affiliated Hospital of Qingdao University, Qingdao 266000, China
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Li LL, Li XN, Jia FY, Chi MZ, Wen ZH, Yang F, Li YN, Ha LJ, Yang Y, Long XL, Fang SF, Xie L, Zhang HF, Yu X. [Standardization of clinical application of mass spectrometry method for measurement of vitamin D in capillary blood of children: a multicenter study]. Zhonghua Er Ke Za Zhi 2022; 60:1282-1287. [PMID: 36444431 DOI: 10.3760/cma.j.cn112140-20220731-00689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Objective: To establish the norms and clinical application standards of mass spectrometry method to measure vitamin D in capillary blood. Methods: Following the "Province-City-Hospital" sampling procedure, a cross-sectional sample of 1 655 healthy children under 7 years of age were recruited from 12 provinces, autonomous regions, or municipalities in China from November 2020 to December 2021. Both venous and capillary blood samples from the same individual were collected, for which serum 25(OH)D levels were measured by high-performance liquid chromatography-mass spectrometry (HPLC-MS/MS) method. Pearson correlation analysis and linear regression analysis were used to detect the correlation and determine a correction algorithm. The agreement was analyzed using Bland-Altman plot and Kappa statistic. The sensitivity and specificity were evaluated using receiver operating characteristic (ROC) curve method. Results: Venous and capillary 25(OH)D levels of 1 655 healthy children under 7 years of age were 74.25 (59.50, 92.00) and 68.75 (54.44, 86.25) nmol/L, respectively, showed a significant difference(Z=22.14, P<0.001) as well as a highly significant correlation between venous and capillary 25(OH)D levels(r=0.95, P<0.001). Linear regression analysis was then performed to determine the correction algorithm: lg(corrected capillary 25(OH)D)=0.13+0.95×lg(capillary 25(OH)D)(R2=0.90,P<0.001). The deviation between venous and corrected capillary 25(OH)D levels was (0.50±17.50) nmol/L, a difference value that did not reach statistical significance (P>0.05). The cut-off values of capillary blood 25(OH)D values 30.00, 50.00, 75.00 nmol/L corresponding to venous blood 25(OH)D values were 26.59, 45.56, and 69.84 nmol/L, respectively. Good consistency was observed between venous and corrected capillary 25(OH)D levels in clinical diagnosis (Kappa value 0.68-0.81). Corrected capillary 25(OH)D showed a high clinically predictive value (area under curve 0.97-0.99,sensitivity 0.72-0.92,specificity 0.89-0.99). Conclusion: The standardized capillary HPLC-MS/MS method can be used to detect 25(OH)D levels in children clinically.
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Affiliation(s)
- L L Li
- Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine, Shanghai 200127,China
| | - X N Li
- Department of Child Health Care, Children's Hospital of Nanjing Medical University, Nanjing 210008, China
| | - F Y Jia
- Department of Developmental and Behavioral Pediatrics, the First Hospital of Jilin University, Changchun 130021, China
| | - M Z Chi
- Department of Child Health Care, the First Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Z H Wen
- Department of Pediatrics, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
| | - F Yang
- Department of Child Health Care, West China Second University Hospital, Sichuan University,Chengdu 610041, China
| | - Y N Li
- Department of Pediatrics, the First Hospital of Lanzhou University, Lanzhou 730013, China
| | - L J Ha
- Department of Child Health Care, Yinchuan Maternity and Child Health Care Hospital, Yinchuan 750000, China
| | - Y Yang
- Department of Child Health Care and Neurological Rehabilitation, Sports Center Branch of Dalian Municipal Women and Children's Medical Center (Group), Dalian 116033, China
| | - X L Long
- Department of Pediatrics, Boai Hospital of Zhongshan, Zhongshan 528405, China
| | - S F Fang
- Department of Child Health Care, Children's Hospital of Zhengzhou University, Zhengzhou 450007, China
| | - L Xie
- Department of Pediatrics, Kunming Maternity and Child Health Care Hospital, Kunming 650031, China
| | - H F Zhang
- Department of Pediatrics, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
| | - Xiaodan Yu
- Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine, Shanghai 200127,China
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Wang HY, Bao ZL, Yang D, Li YN, Bu L, Ding WW, Zhang J. [Clinical characteristics and pregnancy outcomes of pregnant women with left ventricular non-compaction]. Zhonghua Fu Chan Ke Za Zhi 2022; 57:332-338. [PMID: 35658323 DOI: 10.3760/cma.j.cn112141-20220126-00049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To investigate the clinical characteristics and pregnancy outcomes in pregnant women with left ventricular non-compaction (LVNC). Methods: The clinical data of seven pregnant women with LVNC from January 2011 to December 2021 in Beijing Anzhen Hospital,Capital Medical University were retrospectively analyzed, including age, gestational age of symptom first occured, LVNC history, clinical symptoms, New York Heart Association (NYHA) cardiac function class, echocardiography, blood brain natriuretic peptide (BNP), treatment and the maternal and fetal outcomes. Results: Five cases were diagnosed before pregnancy, of which there were three women with medication; one case diagnosed in the month of pregnancy; one case diagnosed at 36 weeks of gestation. NYHA cardiac function was grade Ⅰ in four cases and grade Ⅱ in three cases before or during the first trimester of pregnancy. Of the five pregnant women who underwent echocardiography, there were one case of left ventricular insufficiency, three cases of mild left ventricular dysfunction and one case of normal left ventricular function before or during the first trimester of pregnancy. Of the five pregnant women to the second and third trimester of pregnancy, there were one case of grade Ⅳ, one case of grade Ⅲ, two cases of grade Ⅱ-Ⅲ and one case of grade Ⅱ in NYHA class ; three cases of left ventricular insufficiency, two cases of normal left ventricular function by echocardiography four cases had cardiac symptoms at 15-24 weeks of gestation and were treated with medication. In four cases, blood BNP increased to 214-1 197 ng/L during pregnancy, and were 89-106 ng/L after termination of pregnancy. There were 4 cases with arrhythmia. Indications for termination of pregnancy: LVNC complicated with heart failure in two cases, LVNC complicated with decreased cardiac function and threatened preterm birth in one case, complicated with pregnancy at full term in two cases, LVNC complicated with severe pulmonary hypertension in one case, and left ventricular dysfunction in one case. Cesarean section in four cases in the third-trimester, in one case in the second-trimester, and forceps curettage in two cases were taken. Two full-term infants,two preterm infants were born without LVNC. Conclusions: Women diagnosed with LVNC and low left ventricular ejection fraction before pregnancy are more prone to decreased cardiac function during pregnancy. Carrying out pregnancy risk assessment and strengthening the multi-disciplinary team management of high risk factors in pregnancy are conducive to achieve good pregnancy outcomes.
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Affiliation(s)
- H Y Wang
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
| | - Z L Bao
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
| | - D Yang
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
| | - Y N Li
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
| | - L Bu
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
| | - W W Ding
- Pediatric Cardiology Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
| | - J Zhang
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
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Li LL, Li XN, Jia FY, Chi MZ, Wen ZH, Yang F, Li YN, Ha LJ, Yang Y, Long XL, Fang SF, Zhang HF, Yu X. [Analysis of vitamin D status among children under 7 years of age in some regions of China]. Zhonghua Er Ke Za Zhi 2022; 60:413-420. [PMID: 35488634 DOI: 10.3760/cma.j.cn112140-20220126-00087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To explore current vitamin D status and influential factors of vitamin D deficiency and insufficiency among children under 7 years of age in 11 provinces, autonomous regions or municipalities of China. Methods: According to the "province-city-hospital" sampling technical route, a total of 1 531 healthy children under 7 years of age were sampled from 11 provinces, autonomous regions or municipalities in China by the cluster random sampling method from November 2020 to November 2021. The demographic information, family conditions, behavior and living habits and feeding behaviors were collected using unified questionnaire. Serum 25-hydroxyvitamin D(25(OH)D) levels were measured by liquid chromatography-tandem mass spectrometry. Serum 25(OH)D<30 nmol/L was considered deficient and 30-50 nmol/L was considered insufficient. With 25(OH)D≤50 nmol/L as the dependent variable, multivariate Logistic regression was applied to analyze the association between vitamin D deficiency and insufficiency and potential influential factors. Results: The prevalence of vitamin D deficiency and insufficiency among children under 7 years of age in 11 provinces, autonomous regions or municipalities of China was 14.0% (215/1 531), 3.8% (25/664) and 21.9% (190/867) in 0-<3 and 3-<7 of age years, respectively. Compared to children aged 0-<3 years, children aged 3-<7 years had a 2.6-fold increased risk of vitamin D deficiency and insufficiency (OR=3.60, 95%CI 1.93-6.72, P<0.001). Frequent sunlight exposure (OR=0.46, 95%CI 0.29-0.73, P=0.001), vitamin D supplementation (sometimes, OR=0.33, 95%CI 0.21-0.51, P<0.001; daily, OR=0.20, 95%CI 0.11-0.36, P<0.001) and infant formula intake(4-7 times per weeks, OR=0.43, 95%CI 0.28-0.68, P<0.001) were protective factors for vitamin D deficiency and insufficiency. Conclusion: Vitamin D deficiency and insufficiency are common among children under 7 years of age in 11 provinces, autonomous regions or municipalities of China, which is affected by age, sunlight exposure, vitamin D supplementation and infant formula intake.
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Affiliation(s)
- L L Li
- Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
| | - X N Li
- Department of Child Health Care, Children's Hospital of Nanjing Medical University, Nanjing 210008, China
| | - F Y Jia
- Department of Developmental and Behavioral Pediatrics, the First Hospital of Jilin University, Changchun 130021, China
| | - M Z Chi
- Department of Child Health Care, the First Hospital of Wenzhou Medical University, Wenzhou 325000, China
| | - Z H Wen
- Department of Pediatrics, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
| | - F Yang
- Department of Child Health Care, West China Second University Hospital, Sichuan University, Chengdu 610041, China
| | - Y N Li
- Department of Pediatrics, the First Hospital of Lanzhou University, Lanzhou 730013, China
| | - L J Ha
- Department of Child Health Care, Yinchuan Maternity and Child Health Care Hospital, Yinchuan 750000, China
| | - Y Yang
- Department of Child Health Care and Neurological Rehabilitation, Sports Center Branch of Dalian Municipal Women and Children's Medical Center (Group), Dalian 116033, China
| | - X L Long
- Department of Pediatrics, Boai Hospital of Zhongshan, Zhongshan 528405, China
| | - S F Fang
- Department of Child Health Care, Children's Hospital of Zhengzhou University, Zhengzhou 450007, China
| | - H F Zhang
- Department of Pediatrics, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
| | - Xiaodan Yu
- Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
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Zhao H, Zhang J, Zhang HF, Yang D, Li YN. [Clinical analysis of pregnancy with cardiovascular diseases for a decade of Beijing Anzhen Hospital]. Zhonghua Fu Chan Ke Za Zhi 2021; 56:528-536. [PMID: 34420284 DOI: 10.3760/cma.j.cn112141-20210327-00156] [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: 11/05/2022]
Abstract
Objective: To analyze the clinical data of pregnant women complicated with cardiovascular disease in our center in the past 10 years, and to explore the trend of incidence, clinical diagnosis, and treatment of the disease. Methods: Clinical data of pregnant women with cardiovascular disease who delivered in Beijing Anzhen Hospital, Capital Medical University from 2010 to 2019 were collected and analyzed retrospectively. According to the time of the establishment of multidisciplinary team (MDT) in the center, the pregnant women were divided into the first 5-year group (2010-2014) and the second 5-year group (2015-2019). The general data, the composition of pregnancy complicated with cardiovascular disease and the changes of maternal and infant outcomes of the two groups were analyzed. Results: (1) During 2010-2019, there were 2 267 cases of pregnancy complicated with cardiovascular disease (836 cases in the first 5-year group and 1 431 cases in the second 5-year group), with a total incidence of 10.2% (2 267/22 334). Among all kinds of cardiovascular diseases, arrhythmia (41.0%, 930/2 267) and congenital heart disease (38.2%, 865/2 267) were more common. (2) There were 212 cases (25.4%, 212/836) and 426 cases (29.8%, 426/1 431) classified as Ⅲ or Ⅳ by modified WHO cardiovascular risk classification in the first 5-year group and the second 5-year group, respectively, and the difference was statistically significant (χ²=5.076,P=0.024). Among all kinds of cardiovascular diseases, there were 111 cases (13.3%, 111/836) and 159 cases (11.1%, 159/1 431) with valvular disease in the first 5-year group and the second 5-year group, respectively. The change of the component ratio was -16.5% (the difference was significant when the absolute value of change>10%), showing a significant decreasing trend. Aortic disease was found in 16 cases (1.9%, 16/836) and 56 cases (3.9%, 56/1 431), respectively, with a significant upward trend of 105.3%. (3) The mortality rate of pregnant women with cardiovascular disease was 1.0% (22/2 267), and 1.2% (10/836) and 0.8% (12/1 431) in the first 5-year grouop and the second 5-year group, respectively. There was no significant difference between the two groups (χ²=0.702,P=0.402). ICU occupancy rates in the first 5-year group and the second 5-year group were 25.6% (214/836) and 20.7% (296/1 431), respectively, and the difference between the two groups was statistically significant (χ²=7.306,P=0.007). There were no significant differences in cesarean section rate, mortality rate and incidence of adverse events between the two groups of pregnant women, and there were no significant differences in birth weight, preterm birth rate, mortality rate and asphyxia rate between the two groups of newborns (all P>0.05). Conclusions: Pregnancy complicated with cardiovascular disease is a common cause of adverse obstetric outcomes. There are various types of specific cardiovascular diseases, and the prognosis varies greatly. In recent years, the disease composition ratio has changed, and the severity and complexity of diseases have increased. Hierarchical management, MDT and individual management could improve the treatment level and reduce adverse outcomes.
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Affiliation(s)
- H Zhao
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
| | - J Zhang
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
| | - H F Zhang
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
| | - D Yang
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
| | - Y N Li
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Obstetrics and Gynecology Center for Severe Cardiovascular Diseases, Beijing 100029, China
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Lu W, Li YN, Shi HB. [Efficacy evaluation of vestibular rehabilitation based on mobile internet in patients with otogenic vertigo]. Zhonghua Yi Xue Za Zhi 2021; 101:2081-2084. [PMID: 34275243 DOI: 10.3760/cma.j.cn112137-20210105-00019] [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: 11/05/2022]
Abstract
Twenty-five patients diagnosed with otogenic vertigo at the outpatient clinic of the Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital from January to June 2020 were selected. Among them, 8 cases were male and 17 cases were female, aged (48±13) years. All the patients underwent internet combined with offline follow-up vestibular rehabilitation for 12 weeks, which included vestibulo-ocular reflex exercises, proprioceptive exercises and static/dynamic balance exercises. Computerized dynamic posturography (CDP) and dizziness handicap inventory (DHI) scores were compared before and after rehabilitation. The DHI score improved significantly after 12 weeks of vestibular rehabilitation (48.3±15.9 vs 26.7±17.9, t=5.319, P<0.001). Meanwhile, the sensory organization test (SOT) score was also improved (73.3±8.1 vs 76.1±6.6, t=2.066, P=0.050), while the difference of motor control test (MCT) latent stage score before and after rehabilitation was not statistically significant (140±13 vs 141±16, t=0.791, P=0.436). The current study demonstrates that vestibular rehabilitation based on mobile internet is convenient, economical and effective, and patients can benefit from it.
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Affiliation(s)
- W Lu
- Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital/Otolaryngological Institute of Shanghai Jiao Tong University, Shanghai 200233, China
| | - Y N Li
- Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital/Otolaryngological Institute of Shanghai Jiao Tong University, Shanghai 200233, China
| | - H B Shi
- Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital/Otolaryngological Institute of Shanghai Jiao Tong University, Shanghai 200233, China
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Li Y, Wang XJ, Li YN, Wang XH, Shi YQ, Chen M. [Clinical characteristics and survival analysis of primary intestinal extranodal NK/T-cell lymphoma, nasal type]. Zhonghua Xue Ye Xue Za Zhi 2021; 41:818-821. [PMID: 33190438 PMCID: PMC7656077 DOI: 10.3760/cma.j.issn.0253-2727.2020.10.005] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To retrospectively analyze the clinical features and survival analysis of primary intestinal extranodal NK/T-cell lymphoma nasal type(ENKTL). Methods: Patients with intestinal lymphoma at the First Affiliated Hospital of Air Force Military Medical University were collected from January 2009 to December 2019, and those with primary intestinal ENKTL screened. The general situation, main symptoms, ECOG scale, lactic dehydrogenase(LDH), and β(2)-microglobulin(β(2)-MG)in the serum, lesion site and form, numbers of extranodal invasion, Lugano stage, pathological features, and lifetime and survival outcomes were evaluated. Results: In total, 34 patients with confirmed diagnosis of primary intestinal ENKTL were identified. The incidence rate of primary intestinal ENKTL is 16.2% (34/210). A total of 26 patients were men and 8 were women with the median age at diagnosis of 45 (range, 20-69)years and patients younger than 60 years account for 85.3%. It included abdominal pain (76.5%), diarrhea(20.6%), hematochezia(29.4%), and abdominal mass(2.9%), 85.3% with B-symptoms, and abnormally elevated LDH in the serum(73.5%). The lesion sites included large intestine(52.9%), small intestine(29.4%), and both of them(17.7%). The lesion forms were featured by mass(8.8%), ulcer(32.4%), diffuse infiltration(2.9%), and hybrid(55.9%). Lugano stage included stage Ⅰ/Ⅱ (70.6%)24 patients and stage Ⅳ(29.4%)10 patients. About 94.1% patients were EBER positive. The median survival time was 60 days. The overall survival rate had significant differences on ECOG scale, LDH in the serum, IPI score and complications(P=0.037, 0.009, 0.002, and 0.000, respectively). Conclusion: Primary intestinal ENKTL was commonly observed in men at young or middle age, and the most common symptom was abdominal pain, often with B-symptoms, abnormally elevated LDH in the serum. The most common site was the large intestine. The lesion forms were mainly featured by the hybrid and ulcer. It seemed that patients with IPI low-risk group and without any complication would have longer survival time.
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Affiliation(s)
- Y Li
- Department of Gastroenterology, the First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China; Department of Gastroenterology, the Affiliated Hospital of Qinghai University, Xining 810001, China
| | - X J Wang
- Department of Gastroenterology, the First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China
| | - Y N Li
- Department of Gastroenterology, the First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China
| | - X H Wang
- Department of Gastroenterology, the Affiliated Hospital of Qinghai University, Xining 810001, China
| | - Y Q Shi
- Department of Gastroenterology, the First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China
| | - M Chen
- Department of Gastroenterology, the First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China
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Li YN, Xu Y, Yu ZJ, Chen XP, Hu JA. [Discussion on teaching reform of oral histopathology in multiple classes]. Zhonghua Kou Qiang Yi Xue Za Zhi 2020; 55:673-676. [PMID: 32878404 DOI: 10.3760/cma.j.cn112144-20200128-00027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
In the information age, teaching methods are undergoing tremendous changes, and the traditional teaching methods are difficult to draw students' attention. As the core course of stomatology, oral histopathology is an important foundation for oral students. Along with the rapid development of medical science, it is imperative to deepen the reform of teaching. This article discussed the diversified teaching methods conducted in oral histopathology course in Zhejiang University School of Stomatology in the past 10 years with the core teaching theory of "learning before teaching" including the exploration design course, case based learning, journal club, etc. Diversified teaching methods activated students' subjective initiative, which laid a foundation for the next stage of clinical study, and provided a guiding framework for the future teaching reforms.
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Affiliation(s)
- Y N Li
- Department of Pathology, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Zhejiang University School of Stomatology & Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310058, China
| | - Y Xu
- Department of Pathology, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Zhejiang University School of Stomatology & Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310058, China
| | - Z J Yu
- Department of Pathology, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Zhejiang University School of Stomatology & Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310058, China
| | - X P Chen
- Department of Orthodontics, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Zhejiang University School of Stomatology & Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310058, China
| | - J A Hu
- Department of Pathology, The Affiliated Stomatology Hospital, Zhejiang University School of Medicine, Zhejiang University School of Stomatology & Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310058, China
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Chen L, Wang YJ, Sun X, Zhang N, Li YN, Fan ZM, Wang MM, Wang HB. [Analysis of prognostic factors of low-frequency type of sudden sensorineural hearing loss]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 55:652-657. [PMID: 32668873 DOI: 10.3760/cma.j.cn115330-20191212-00756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the prognostic factors of patients with low-frequency type of sudden sensorineural hearing loss. Methods: From February 2017 to February 2019, adult patients with unilateral low-frequency type of sudden sensorineural hearing loss in Department of Otological Medicine, Shandong Provincial ENT Hospital, Shandong University were selected. All patients were examined by audiology, vestibular function evaluation, imaging examination and serum thyroid function test; the same treatment program was given, the curative effect was recorded and followed up for more than 3 months. SPSS 20.0 software was used to analyze concomitant symptoms (tinnitus, ear tightness, echo, rotatory vertigo), degree of deafness, inducement of deafness, basic disease, vestibular function (caloric test), electrocochleogram, inner ear gadolinium enhanced MRI radiography and thyroid function on prognosis of patients. Results: Among the 155 patients, 76 cases were cured (49.0%), 1 case was markedly effective (0.6%), 19 cases were effective (12.3%), and 59 cases were ineffective (38.1%). The total effective rate was 61.9%. Among them, 24 cases (15.5%) had hearing fluctuations during follow-up, and 1 case (0.6%) developed Meniere's disease. Univariate analysis showed that vestibular function, electrocochleogram and inner ear MRI were correlated with prognosis. Multivariate logistic analysis showed that ear tightness, vestibular function, electrocochleogram and inner ear MRI were correlated with the prognosis of the patients. The two analyses showed that tinnitus, echo, rotational vertigo, degree of deafness, predisposing factors and underlying diseases were not significantly correlated with the prognosis of the patients (all P>0.05). Rotational vertigo was closely related to gender, and women had a high incidence. There was a significant correlation between the degree of deafness and prognosis in patients with course of less than 1 week (P<0.05). The abnormal rate of vestibular function in patients with course of disease ≤ 1 week was significantly different from that>1-≤2 and>2-≤4 weeks (P<0.05). The rate of abnormal thyroid function was significantly higher than that of normal people (P<0.05), but there was no significant correlation between thyroid dysfunction and hearing prognosis (χ(2)=0.009, P=0.923) . Conclusions: The prognosis of low-frequency sudden sensorineural hearing loss is not related to clinical symptoms, inducements, underlying diseases and serological abnormalities of thyroid function, but the degree of deafness is positively related to the prognosis within 1 week from onset. Abnormal thyroid function is one of the risk factors of happening with low-frequency descending sudden deafness. Abnormal vestibular caloric test, electrocochleogram and endolymph hydrops are the factors of poor prognosis.
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Affiliation(s)
- L Chen
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China; Shandong Institution of Otolaryngology, Jinan 250022, China
| | - Y J Wang
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China
| | - X Sun
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China
| | - N Zhang
- Shandong Institution of Otolaryngology, Jinan 250022, China
| | - Y N Li
- Shandong Institution of Otolaryngology, Jinan 250022, China
| | - Z M Fan
- Department of Otology Center, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China
| | - M M Wang
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China; Shandong Institution of Otolaryngology, Jinan 250022, China
| | - H B Wang
- Department of Otology Center, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China
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Li YN, Shao SH, Zhao H, Xin FJ, Pan Y, Zhao P. [Solitary Langerhans cell histiocytosis of the stomach: report of a case]. Zhonghua Bing Li Xue Za Zhi 2020; 49:631-633. [PMID: 32486547 DOI: 10.3760/cma.j.cn112151-20191008-00545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Y N Li
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China; Department of Medicine, Qingdao University, Qingdao 266003, China
| | - S H Shao
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
| | - H Zhao
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
| | - F J Xin
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
| | - Y Pan
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China; Department of Medicine, Qingdao University, Qingdao 266003, China
| | - P Zhao
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
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Yang QZ, Ma XB, Li YH, Li YN, Zhong YC, Zhang XW. [Correlation analysis of Sema4D with rheumatoid arthritis disease activity, bone destruction and rheumatoid arthritis-related interstitial lung disease]. Zhonghua Yi Xue Za Zhi 2020; 100:1567-1572. [PMID: 32450646 DOI: 10.3760/cma.j.cn112137-20191130-02613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Objective: To explore the correlation between Semaphorin 4D (Sema4D) and rheumatoid arthritis (RA) clinical manifestations, laboratory indexes, bone destruction and rheumatoid arthritis related interstitial lung disease(RA-ILD), and to analyze its significance in evaluating the severity of patients with rheumatoid arthritis. Methods: A total of 108 RA patients and 50 healthy controls from September 2018 to October 2019 were collected from the Department of Rheumatology and Immunology, Peking University People's Hospital and Beijing Haidian Hospital. According to the DAS 28 score, RA patients were divided into active disease group (DAS28>2.6) and stable disease group (DAS28 ≤ 2.6). Fifty healthy controls. The levels of Sema4D in serum were detected by enzyme-linked immunoassay method (ELISA), and their correlation with clinical manifestations of RA, laboratory indicators, degree of bone damage and RA-ILD were analyzed. Results: The level of serum Sema4D in RA active group was significantly higher than that in stable group and healthy control group (P<0.05). The concentration serum Sema4D was positively correlated with C-reactive protein(CRP) (r=0.28, P<0.05), rheumatoid factor(RF) (r=0.25, P<0.05) and the 28-joint disease activity score (DAS28) (r=0.45, P<0.01). The concentration serum Sema4D was positively correlated with β-Crosslaps(r=0.20, P<0.05) and Sharp-van der Heijde score (SHS)(r=0.13, P<0.05). The concentration serum Sema4D was positively correlated with Vascular endothelial growth factor (VEGF)(r=0.25, P<0.05) and Warrick score of chest CT in RA patients(r=0.27, P<0.05). The anti-cyclic citrullinated peptid(CCP) antibody, DAS28, VEGF and the incidence of RA-ILD were significantly higher than that in Sema4D negative group (P<0.05). Conclusions: Serum Sema4D level in RA patients is closely related to the disease activity, bone destruction and RA-ILD. Serum Sema4D can be used as an indicator of disease monitoring and prognosis evaluation in RA patients.
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Affiliation(s)
- Q Z Yang
- Department of Rheumatology and Immunology, People's Hospital of Peking University, Beijing 100044, China(Yang Qunzhi is working at the Department of Rheumatology and Immunology, Haidian District, the Third Hospital of Peking University, Beijing 100080, China)
| | - X B Ma
- Department of Rheumatology and Immunology, the First Hospital of Handan, Handan 056002, China
| | - Y H Li
- Department of Rheumatology and Immunology, People's Hospital of Peking University, Beijing 100044, China
| | - Y N Li
- Department of Rheumatology and Immunology, People's Hospital of Peking University, Beijing 100044, China
| | - Y C Zhong
- Department of Rheumatology and Immunology, People's Hospital of Peking University, Beijing 100044, China
| | - X W Zhang
- Department of Rheumatology and Immunology, People's Hospital of Peking University, Beijing 100044, China
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Li YN, Zhou L, Zhang J, Wang Y, Wang XY, Guo LP, Li SQ, Wang BM. [Characteristics of initial diagnosis in autoimmune liver disease: an 18-year, retrospective single-center study]. Zhonghua Nei Ke Za Zhi 2019; 58:366-371. [PMID: 31060145 DOI: 10.3760/cma.j.issn.0578-1426.2019.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Objective: To analyze the chorological changes of diagnosis in patients with autoimmune liver disease (AILD) and related factors for early diagnosis. Methods: A total of 581 patients with age ranged from 16 to 81 were retrospectively analyzed, who were admitted to Tianjin Medical University General Hospital with AILD during January 2000 to December 2017. Age at diagnosis, diagnostic method and cirrhosis at diagnosis were compared in different groups according to admission period as 2000-2005, 2006-2011, 2012-2017. Results: The diagnostic rate of AILD showed an upward trend during the past near two decades. The proportion of AILD patients diagnosed via health examination was increasing year by year mainly by elevated transaminases (P<0.001). The mean age at diagnosis in our AILD patients were younger at present, especially in men (P=0.044). The proportion of cirrhosis at diagnosis was gradually reduced in three different periods respectively [77.78%(21/27), 41.58% (79/190), 25.00%(91/364), P<0.001], which were coincident in patients with autoimmune hepatitis (AIH) and primary biliary cirrhosis (PBC) (P<0.001). The shrinking trend of cirrhosis at diagnosis was significantly correlated with the increasing application of health examination (r=-0.549, P<0.001). Conclusions: Extensive application of health examination expands the diagnostic rate of AILD. During the past 18 years, more young patients are diagnosed with AILD. The proportion of severe cases such as cirrhosis at diagnosis is decreasing. Screening of immunological examinations in patients with abnormal transaminases is needed and critical to the early diagnosis of asymptomatic AILD.
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Affiliation(s)
- Y N Li
- Department of Gastroenterology and Hepotology, Tianjin Medical University General Hospital, Tianjin 300052, China
| | - L Zhou
- Department of Gastroenterology and Hepotology, Tianjin Medical University General Hospital, Tianjin 300052, China
| | - J Zhang
- Department of Gastroenterology and Hepotology, Tianjin Medical University General Hospital, Tianjin 300052, China
| | - Y Wang
- Department of Gastroenterology and Hepotology, Tianjin Medical University General Hospital, Tianjin 300052, China
| | - X Y Wang
- Department of Gastroenterology and Hepotology, Tianjin Medical University General Hospital, Tianjin 300052, China
| | - L P Guo
- Department of Gastroenterology and Hepotology, Tianjin Medical University General Hospital, Tianjin 300052, China
| | - S Q Li
- Health Management Center, Tianjin Medical University General Hospital, Tianjin 300052, China
| | - B M Wang
- Department of Gastroenterology and Hepotology, Tianjin Medical University General Hospital, Tianjin 300052, China
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Liu YB, Yan L, Zhou Y, Bi SY, Du YF, Zhang L, Zhao JC, Zhang ML, Sun XH, Li YN, Huang XH. [Female reproductive system dysplasia: a clinical study of 924 cases]. Zhonghua Fu Chan Ke Za Zhi 2019; 54:166-172. [PMID: 30893717 DOI: 10.3760/cma.j.issn.0529-567x.2019.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the relationship between different types of female reproductive system dysplasia and age of visit, clinical manifestations, common types of combined malformations and endometriosis. Methods: The patient's medical records in the Second Hospital of Hebei Medical University from December 2002 to June 2016 were collected and retrospectively analyzed. Results: Among 924 cases of genital tract dysplasia, uterine dysplasia (65.3%, 824/1 261) was the most common, followed by vaginal dysplasia (28.3%, 357/1 261), hymen atresia and urogenital fistula (3.7%, 47/1 261), and cervical dysplasia (2.6%, 33/1 261). (1) The youngest age was in patients with hymen atresia and urogenital fistula, with a median of 14.5 years old, while the older age were in patients with uterine, vaginal and cervical dysplasia, with median age of 25.0, 24.0 and 23.0 years old, respectively. (2) The clinical manifestations were lack of specificity, mainly abnormal findings of physical examination or accessory examination, primary amenorrhea, lower abdominal pain, infertility, adverse pregnancy history. (3) About other systemic malformations, urological malformations were the most common (4.8%, 44/924), followed by spinal malformations (0.5%, 5/924), inguinal hernia (0.4%, 4/924), heart malformations (0.2%, 2/924), cleft lip and palate (0.2%, 2/924). Oblique vaginal septal syndrome and MRKH syndrome were the most likely to be associated with other system malformations. (4) About combination with endometriosis, there was no significant difference between obstructive genital tract malformations (2.3%, 9/385) and non obstructive genital tract malformations (1.7%, 9/539; P=0.469). Conclusions: Female reproductive system dysplasia is the most common in uterine dysplasia, followed by vaginal dysplasia, hymen atresia and urogenital fistula, and cervical dysplasia. The age of visit is generally older, often found by abnormal findings of physical examination or accessory examination, primary amenorrhea, lower abdominal pain, infertility, adverse pregnancy history;and could be combined with a variety of other system malformations, most seen by urinary system malformations,there is also the risk of endometriosis.
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Affiliation(s)
- Y B Liu
- Department of Obstetrics and Gynecology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
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Liu X, Li YN, Sun XL, Peng QL, Lu X, Wang GC. [Effects of integrin metalloproteinases on osteogenic differentiation]. Beijing Da Xue Xue Bao Yi Xue Ban 2018; 50:962-967. [PMID: 30562765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To study the effects of disintegrin and metalloproteinase (ADAM) 9, 15 and 17 on the osteogenic differentiation of bone marrow mesenchymal stem cells (BMMSCs). METHODS BMMSCs of ADAM9, ADAM15, ADAM17 conditional knockout mice and wild type mice (WT) were induced and cultured. Alkaline phosphatase (ALP) activity was measured by colorimetry, early osteogenic transcription factors Runx and Osterix were detected by Real-time PCR, and mineral formation was analyzed by alizarin red staining. RESULTS ALP activity was lower in ADAM9 group (8.08±0.34), ADAM15 group (6.46±3.40), ADAM17 group (9.30±2.30) than that in WT group (9.44±2.50), but there was no significant difference (P>0.05). Stimulated with bone morphogenetic protein 2(BMP2),there was significant difference (P<0.05) between ADAM9 group (14.22±3.25), ADAM15 group (10.14±2.40) and WT group (20.89±3.40), and ADAM 17 group (23.56±2.50) was higher than WT group (20.89±3.40), but no significant difference (P>0.05). Similarly, cultured by osteogenic induction medium (OST), compared with WT group (12.97±1.30), ADAM9 group (9.63±1.00) and ADAM15 group (7.75±1.30) were lower, ADAM17 group (20.09±1.68) was higher, and the difference was statistically significant (P<0.05). Using stimulated culture by BMP2 and OST combined, ADAM9 group (15.75±1.30), ADAM 15 group (12.43±1.30) were less than WT group (26.15 ±1.50), while ADAM17 group (29.55±2.10) was higher than WT group were statistically significant (P<0.05). The expression of Runx2 in ADAM9 group (2.02±0.24), ADAM15 group (3.09±0.19), ADAM17 group (3.89±0.91) had no significant difference compared with WT (2.02±0.21) group (P>0.05). ADAM9 group stimulated by BMP2 (7.00±0.23), ADAM15 group (6.04±0.23) were lower than WT group (12.6±0.23), ADAM17 group (18.52±1.39) was higher than WT group (12.6±0.23), and the difference was statistically significant (P<0.05). In non-stimulating culture, there was no significant difference in Osterix expression between ADAM9 group (9.60±3.87), ADAM17 group (12.40±3.00) and WT group (10.9±1.10, P>0.05), but in ADAM15 group (6.50±1.51) it was slightly lower than that in WT group (P<0.05). After BMP2 stimulation, ADAM9 group (39.20±3.23) and ADAM15 group (20.50±4.80) were less than WT group (60.30±5.93), while ADAM17 group (80.20±3.30) was higher than WT group (P<0.05). Alizarin red staining showed no obvious orange-red mass in the non-induction group. Local calcified nodules could be seen in the BMP2, OST, OST + BMP2 induction culture conditions in all the experimental groups, but there was no significant difference in quantitative analysis (P>0.05). CONCLUSION ADAM9, 15, 17 took part in the osteogenic differentiation of BMMSCs, and provided new targets for its regulation.
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Affiliation(s)
- X Liu
- Department of Rheumatology and Immunology, China-Japan Friendship Hospital, Beijing 100029, China
| | - Y N Li
- Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing 100044, China
| | - X L Sun
- Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing 100044, China
| | - Q L Peng
- Department of Rheumatology and Immunology, China-Japan Friendship Hospital, Beijing 100029, China
| | - X Lu
- Department of Rheumatology and Immunology, China-Japan Friendship Hospital, Beijing 100029, China
| | - G C Wang
- Department of Rheumatology and Immunology, China-Japan Friendship Hospital, Beijing 100029, China
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21
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Ke CW, Wu SD, Li YN. [Emergency cholecystectomy versus percutaneous transhepatic gallbladder drainage followed by delayed cholecystectomy in patients with moderate acute cholecystitis]. Zhonghua Yi Xue Za Zhi 2018; 98:768-772. [PMID: 29562403 DOI: 10.3760/cma.j.issn.0376-2491.2018.10.011] [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 analysis the curative effect of emergency cholecystectomy (EC) and percutaneous transhepatic gallbladder drainage (PTGBD) followed by delayed cholecystectomy (DC) on the patients with moderate acute cholecystitis. Methods: The perioperative dataof patients in EC group (n=47) and in PTGBD-DC group (n=49) were compared retrospectively. Results: Compared to PTGBD+ DC group, EC patients had a significantly more postoperative abdominal drainage time [(9.0±12.9) vs (3.4±2.1) days, P=0.041], more postoperative hospital stay after cholecystectomy [(8.2±3.2) vs (5.1±1.8) days, P=0.004], more intraoperative bleeding [(101±125) vs (33±37) ml, P=0.003], more patients of LC conversion to open cholecystectomy (OC) (19.1% vs 4.1%, P=0.021) and more patients of OC(14.9% vs 0, P=0.005). Also, there were higher incidence of respiratory failure(14.8% vs 2.0%, P=0.029), and admission for ICU(21.3% vs 2.0 %, P=0.003). Also, patients of total OC in non-biliary surgeons group were more than that of biliary surgeons group statistically(63.2% vs 14.3 %, P=0.001). Conclusion: PTGBD followed by DC in the treatment of moderate acute cholecystitis was better than EC, especially in patients with complicated comorbidities and in non-biliary surgeons.
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Affiliation(s)
- C W Ke
- Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, China
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22
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Sheng X, Bao Y, Zhang JS, Li M, Li YN, Xu QN, Zhang SH, Li CT. Research Progress on InDel Genetic Marker in Forensic Science. Fa Yi Xue Za Zhi 2018; 34:420-427. [PMID: 30465411 DOI: 10.12116/j.issn.1004-5619.2018.04.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Indexed: 11/30/2022]
Abstract
Genetic markers in forensic DNA typing experienced the variable number of tandem repeats (VNTR) sequences and the short tandem repeats (STR) sequences. With the emerge of sequencing technology, the third generation of genetic markers were found out, which usually have two alleles including single nucleotide polymorphism (SNP) and insertion/deletion (InDel), also known as biallelic genetic markers. Because of the insertions or deletions of DNA fragments, InDel genetic marker reveals DNA fragment length polymorphism and widely distributes across the whole genome. InDel genetic marker is numerous and has the characteristics of STR and SNP genetic markers, which has been applied in the fields of genetics and anthropology. This review focuses on the research progress of InDel genetic marker in forensic science, aiming to review and summarize the main research findings in recent years and provide clues for future researches.
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Affiliation(s)
- X Sheng
- Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China.,Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - Y Bao
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010030, China
| | - J S Zhang
- Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China.,Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - M Li
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, China
| | - Y N Li
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010030, China
| | - Q N Xu
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, China
| | - S H Zhang
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - C T Li
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
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23
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Chu DG, Su YC, Li YN, Zhang WW, Lyu TM, Wang LD. [Clinical applications of transcrestal around detached sinus floor elevation technique using osteotomes and sequential drills with stops]. Zhonghua Kou Qiang Yi Xue Za Zhi 2018; 53:645-647. [PMID: 30196629 DOI: 10.3760/cma.j.issn.1002-0098.2018.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Sinus floor elevation was needed in 11 patients having 15 implant sites with the residual bone height (RBH) was less than 10 mm in the posterior maxillary region from Feb to May 2017. The RBH ranged from 3.10 to 8.34 mm [averaged (6.18±1.60) mm]. RBH<6 mm was observed in 40% implant sites (6 implant sites) and RBH≥6 mm was observed in 60% implant sites (9 implant sites). The thickness of the sinus floor membrane correspond to the implant site measured by cone beam CT (CBCT) ranged from 0.50 to 4.24 mm [averaged (1.21±0.92) mm]. Sequential drills with stops were used to perforate the cortical bone of the sinus floor firstly, then the transcrestal around detached sinus floor elevation technique (TADSFET) was carried with osteotomes. Anorganic bovine bone was used as the augmentation material.Fifteen implants were placed in 15 implant sites. CBCT pictures showed that there was a smooth and continuous tent-shaped apophysis on each lifted site and no air fluid level was observed in the sinus immediately after operation. The mean elevated height of the 15 implant sites was (7.83±1.57) mm (ranged from 5.94 to 11.01 mm). The mean follow-up time was 7.91 months (7-10 months). The survival rate was 100% during the follow up period.
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Affiliation(s)
- D G Chu
- Departmant of Stomatology, ChuiYangLiu Hospital Affliated to Tsinghua University, Beijing 100022, China
| | - Y C Su
- Department of Stomatology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100032, China
| | - Y N Li
- Departmant of Stomatology, ChuiYangLiu Hospital Affliated to Tsinghua University, Beijing 100022, China (Present address: Department of Stomatology, Yantai Stomatological Hospital Affiliated to Binzhou Medical College, Yantai Shandong 264000, China)
| | - W W Zhang
- Departmant of Stomatology, ChuiYangLiu Hospital Affliated to Tsinghua University, Beijing 100022, China (Present address: Department of Stomatology, Beijing Jingbei Jianyong Stomatological Hospital, Beijing 101400, China)
| | - T M Lyu
- Departmant of Stomatology, ChuiYangLiu Hospital Affliated to Tsinghua University, Beijing 100022, China
| | - L D Wang
- Departmant of Stomatology, ChuiYangLiu Hospital Affliated to Tsinghua University, Beijing 100022, China
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Zhang NN, Peng FY, Li BN, Xu WM, Li YN. [Clinical analysis of chronic rhinosinusitis in the different age group patients]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 31:208-210. [PMID: 29871224 DOI: 10.13201/j.issn.1001-1781.2017.03.010] [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] [Received: 01/02/2016] [Indexed: 11/12/2022]
Abstract
Objective:To investigate the clinical materials of chronic rhinosinusitis (CRS) in the different age group patients and explore its clinical characteristics and prognosis.Method:A retrospective analysis was carried out in 395 CRS patients with surgical treatment in our hospital in the past three years. They were divided into the young group (18 to 39 years old ), the middle-aged group (40 to 59 years old ), and the old group (over 60 years old). The clinical symptoms, accompanying diseases and prognosis in CRS patients were analyzed.Result:Among the presenting symptoms,facial pain and rhinorrhea were most common in the young group (P< 0.05), while dysosmia was most common in the old group (P< 0.05). Allergy was more prevalent in the young group and the middle-aged group than the old group (P< 0.05). CRS without polyposis was the most common diagnosis in the young group and CRS with polyposis was the more common diagnosis in the middle-aged group and the old group (P< 0.05). Patients in the young group got higher rate of improvement in olfactory function while patients in the old group got higher rate of improvement in rhinorrhea following FESS (P< 0.05).Conclusion:CRS in different age groups had different clinical features and prognosis. We can improve the personalized treatment program to this disease through the classification and grading treatment.
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Affiliation(s)
- N N Zhang
- Department of Otorhinolaryngology, the Affiliated Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430034, China
| | - F Y Peng
- Class 1, Grade three, Wuhan No.11 High School
| | - B N Li
- Department of Otorhinolaryngology, the Affiliated Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430034, China
| | - W M Xu
- Department of Otorhinolaryngology, the Affiliated Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430034, China
| | - Y N Li
- Department of Otorhinolaryngology, the Affiliated Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430034, China
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25
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Liu Y, Su ZH, Xing JY, Li YN, Zhang H. P939Chronic hypoxia-induced CIRP hypermethylation attenuates hypothermic cardioprotection during cardiopulmonary bypass. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p939] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Y Liu
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China People's Republic of
| | - Z H Su
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China People's Republic of
| | - J Y Xing
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China People's Republic of
| | - Y N Li
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China People's Republic of
| | - H Zhang
- Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China People's Republic of
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26
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L M, Huang L, Wang XJ, Chen YL, Sheng X, Li YN, Bao Y, Jiang L, Zhu RX, Xu QN, Zhang JS, Li CT, Bian YN. [Assessment on Application of 24 Y-STR Loci in Forensic Science]. Fa Yi Xue Za Zhi 2018; 34:236-241. [PMID: 30051659 DOI: 10.12116/j.issn.1004-5619.2018.03.004] [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] [Received: 10/23/2017] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To select a Y-STR marker system with strong haplotype identification ability, appropriate mutation rate and high compatibility and to assess its forensic application. METHODS The 24 Y-STR loci were tested by self-built fluorescent multiplex system, and the forensic assessment was conducted by 139 pairs of father-son samples collected in Jinan, Shandong province. RESULTS Totally 176 alleles were identified among the 24 Y-STR loci in the sample of 139 unrelated individuals labeled with father, and the gene diversity (GD) distributed between 0.083 7 (DYS645)-0.966 9 (DYS385a/b). According to the 24 Y-STR loci, 139 different haplotypes were detected from 139 unrelated male individuals labeled with father in Han population of Shandong province and with no shared haplotype observed. The overall haplotype diversity (HD) was 1 and the discrimination capacity (DC) was 1. A total of 5 one-step mutations events were observed among the 24 Y-STR loci in 139 pairs of father-son. The average mutation rate was 0.001 5 [95% CI (0.000 5, 0.003 5)]. CONCLUSIONS The system of 24 Y-STR loci shows a strong individual recognition ability and low mutation rate in the population in Jinan, Shandong province, and it has good application value in forensic science.
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Affiliation(s)
- M L
- Department of Forensic Medicine, School of Basic Medical Sciences, Wenzhou Medical University, Wenzhou 325035, China.,Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - L Huang
- Shandong Provincial Public Security Department, Jinan 250001, China
| | - X J Wang
- Weifang Public Security Bureau, Weifang 261061, China
| | - Y L Chen
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,State Key Laboratory of Bioreactor Engineering, College of Biology Engineering, East China University of Science and Technology, Shanghai 200237, China
| | - X Sheng
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China
| | - Y N Li
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Inner Mongolia Medical University, Hohhot 010030, China
| | - Y Bao
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Inner Mongolia Medical University, Hohhot 010030, China
| | - L Jiang
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - R X Zhu
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - Q N Xu
- Department of Forensic Medicine, School of Basic Medical Sciences, Wenzhou Medical University, Wenzhou 325035, China.,Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - J S Zhang
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China
| | - C T Li
- Department of Forensic Medicine, School of Basic Medical Sciences, Wenzhou Medical University, Wenzhou 325035, China.,Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - Y N Bian
- Department of Forensic Medicine, School of Basic Medical Sciences, Wenzhou Medical University, Wenzhou 325035, China.,Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
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Bao Y, Sheng X, Zhang JS, Li M, Li YN, Xu QN, Li CT, Chen LQ. [Forensic Application of SiFaSTR™ 23plex DNA ID System in Han Population of Eastern China]. Fa Yi Xue Za Zhi 2018; 34:120-125. [PMID: 29923374 DOI: 10.3969/j.issn.1004-5619.2018.02.003] [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] [Received: 10/26/2017] [Indexed: 11/18/2022]
Abstract
OBJECTIVES To investigate the genetic polymorphism of 21 autosomal STR loci and DYS391 locus of SiFaSTR™ 23plex DNA ID system in Han population of eastern China and to evaluate its application value in forensic science. METHODS Typing test of 2 000 unrelated individuals was performed using SiFaSTR™ 23plex DNA ID system. The population genetic parameters of STR loci were statistically analysed. A total of 3 198 parentage confirmed cases were detected with that system and the mutation conditions were observed in 21 autosomal STR loci. RESULTS All the 21 autosomal STR loci showed no significant departure from Hardy-Weinberg equilibrium (P>0.05). The Ho ranged from 0.617 5 to 0.927 0. The DP ranged from 0.796 4 to 0.986 9, as well as the PIC distributed from 0.561 1 to 0.912 3. The CDP was 0.999 999 999 999 999. The CPEduo was 0.999 997 431 701 961, while CPEtrio was 0.999 999 999 654 865. Five alleles were detected in DYS391 locus, with the allele frequency from 0.004 0 to 0.729 0, and GD was 0.418 9. Except D13S317 and D10S1248, seventy-six mutation events were observed at the rest nineteen autosomal STR loci. Among them, seventy-five (98.68%) were one step mutation, and only one (1.32%) was three steps mutation. The mutation rate ranged from 0.246 5×10⁻³ to 2.711 4×10⁻³, and the averaged mutation rate was 0.892 1×10⁻³ (95% CI: 0.70×10⁻³-1.10×10⁻³). In 33 trio mutation cases, the proportion of the paternal mutation and the maternal mutation was 2.09:1. CONCLUSIONS The involved STRs are highly polymorphic in Eastern Han population with acceptable mutation rates by the SiFaSTR™ 23plex DNA ID system, which is suitable for paternity testing and individual identification.
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Affiliation(s)
- Y Bao
- School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010030, China.,Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - X Sheng
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China
| | - J S Zhang
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China
| | - M Li
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, China
| | - Y N Li
- School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010030, China.,Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - Q N Xu
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China.,Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, China
| | - C T Li
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - L Q Chen
- School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010030, China
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Li YN, Li M, Jiang L, Luan XH, Liang N, Xu QN, Zhang JS, Tang MC, Bian YN, Chen LQ. [Establishment of 43-plex SNP Typing System and Its Forensic Application]. Fa Yi Xue Za Zhi 2018; 34:126-131. [PMID: 29923375 DOI: 10.3969/j.issn.1004-5619.2018.02.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Indexed: 06/08/2023]
Abstract
OBJECTIVES To evaluate the application of 43-plex SNP typing system in forensic science. METHODS The typing of 43 SNP loci in 123 unrelated Han individuals from East China was detected by MALDI-TOF-MS. The application value of 43-plex SNP typing system was assessed according to the forensic parameters of population genetics. RESULTS All the 43 SNP loci of 123 individuals showed no significant departure from Hardy-Weinberg equilibrium (P>0.05). Excepted rs1355366, rs2270529, rs10776839 and rs938283, there were 39 SNP loci had minor allele frequencies (MAF), which were greater than 0.25. Among the 25 loci MAFs, 24 ranged from 0.4 to 0.5, while 3 were close to 0.4. The DP, CDP, PIC, Ho, PEtrio and PEduo of the 43 SNP loci were 0.290 1-0.654 4, 1-9.8×10⁻¹¹, 0.170 8-0.500 0, 0.155 7-0.593 5, 0.085 4-0.250 0 and 0.014 6-0.125 0, respectively. The CPEtrio and CPEduo were 0.999 986 and 0.992 436 1, respectively. CONCLUSIONS The 43-plex SNP typing system in present study shows a high polymorphism, which can be an effective supplement and verification for traditional STR genetic markers. It also can be used with other commercial kits for the forensic paternity testing and individual identification.
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Affiliation(s)
- Y N Li
- School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010030, China
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - M Li
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, China
| | - L Jiang
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - X H Luan
- Agena Bioscience (Shanghai) Co., Ltd., Shanghai 200032, China
| | - N Liang
- Agena Bioscience (Shanghai) Co., Ltd., Shanghai 200032, China
| | - Q N Xu
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, China
| | - J S Zhang
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
- Department of Forensic Medi- cine, Medical College of Soochow University, Suzhou 215123, China
| | - M C Tang
- Criminal Technology Branch, Daoli Branch of Harbin Public Security Bureau, Harbin 150070, China
| | - Y N Bian
- Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - L Q Chen
- School of Basic Medicine, Inner Mongolia Medical University, Hohhot 010030, China
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Xin X, Huo SP, Zhang Q, Li YN, Wang L, Wang QJ. [Effects of preconditioning with hypertonic saline solution on postoperative delirium in the aged]. Zhonghua Yi Xue Za Zhi 2017; 97:3072-3078. [PMID: 29081151 DOI: 10.3760/cma.j.issn.0376-2491.2017.39.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate and explore the mechanism of the effect of hypertonic pre-injection on postoperative delirium in the aged. Methods: From June 2016 to February 2017, participants scheduled hip arthroplasty surgery were randomly divided into four groups: Group 1 (H1) 30 patients pre-injected 4 ml/kg hypertonic solution were proceeded general anesthesia; Group 2 (H2) 30 patients pre-injected 4 ml/kg hypertonic solution were proceeded spinal canal anesthesia; Group 3 (C1) 30 patients pre-injected 4 ml/kg isotonic saline were proceeded general anesthesia; Group 4 (C2) 30 patients pre-injected 4 ml/kg isotonic saline were proceeded spinal canal anesthesia in Department of Anesthesiology, Third Hospital of Hebei Medical University.All these patients were operated after anesthesia.To avoid electrolyte disorder, the level of Na(+) , Ca(2+) , K(+) in the artery blood was analyzed.Peripheral venous blood was extracted to detect the concentration of inflammatory factors IL-1β, IL-6, IL-10, TNF-α and nerve injury factor S100β.In order to evaluate the relationship of these inflammatory fators with monocyte, we used flow cytometry to detect the number of mononuclear in peripheral venous blood.After operation 1 to 3 days, all these patients were assessed cognitive function by Nu-DESC. Results: Electrolytes fluctuationed in the normal range in four groups at different time points.Compared with before infusion, IL-6, IL-1β and TNF-α of four groups were significantly increased in postoperative.Compared with group H(H1 or H2), IL-1β, IL-6 and TNF-α were increased and IL-10 was decreased in group C(C1 or C2) after the surgery.S100β of group C(C1 and C2) was higher than before infusion.No significant changes were found in the cotykines mentioned above between group H1 and H2. The expression of monocytes CD14(+) CD16(+) /CD14(+ +) was decreased and the incidence of postoperative delirium was lower in group H than group C(13.3%, 10.0% vs 33.3%, 36.7%, P<0.05). Conclusion: Hypertonic saline can improve postoperative delirium of the aged and the mechanism may be related to the inhibition of monocyte cells secreting inflammatory factors.
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Affiliation(s)
- X Xin
- Department of Anesthesiology, Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
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Chen W, Hu FL, Liu HJ, Xu LL, Li YN, Li ZG. [Myeloid-derived suppressor cells promoted autologous B cell proliferation in rheumatoid arthritis]. Beijing Da Xue Xue Bao Yi Xue Ban 2017; 49:819-823. [PMID: 29045962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To investigate the effect of myeloid-derived suppressor cells (MDSC) on pro-liferation of B lymphocytes in rheumatoid arthritis (RA) patients. METHODS The peripheral blood specimens were collected from 15 healthy adults and 38 RA patients who were divided into high disease activity group, medium activity group and low activity group according to their 28-joint disease activity score (DAS28). And the frequencies of MDSC were determined by flow cytometry. Then, B cells and MDSC were isolated by flow cytometry, respectively. B cells were labeled with carboxyfluorescein diacetate succinimidyl ester (CFSE) and then were co-cultured with MDSC in the presence of 3 mg/L anti-CD40 antibody and 10 mg/L CpG, for 3 days. Flow cytometry was performed to investigate the proliferation of B cells. RESULTS MDSC expanded markedly in high disease activity patients (7.13% ±2.17%) compared with medium (5.35%±1.36%) and low disease activity patients (4.72%±1.08%) or healthy controls (4.79%±1.02%) (P<0.05), and there were no statistical differences between healthy controls, medium and low disease activity RA (P>0.05). Moreover, the frequencies of MDSC were positively correlated with the DAS28 (P<0.05). After co-culture, MDSC significantly promoted B cell proliferation (P<0.01). CONCLUSION Our studies showed that MDSC expanded obviously in high disease activity RA patients, and their frequencies were positively correlated with the disease activities. Furthermore, MDSC could promote autologous B cell proliferation remarkably in vitro. These findings suggest that MDSC might be involved in RA pathogenesis through regulating B cell functions.
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Affiliation(s)
- W Chen
- Department of Rheumatology and Immunology, Peking University People's Hospital & Beijing Key Laboratory for Rheumatism Mechanism and Immune Diagnosis, Beijing 100044, China; Department of Immunology, Chengdu Medical College, Chengdu 610500, China
| | - F L Hu
- Department of Rheumatology and Immunology, Peking University People's Hospital & Beijing Key Laboratory for Rheumatism Mechanism and Immune Diagnosis, Beijing 100044, China
| | - H J Liu
- Department of Rheumatology and Immunology, Peking University People's Hospital & Beijing Key Laboratory for Rheumatism Mechanism and Immune Diagnosis, Beijing 100044, China
| | - L L Xu
- Department of Rheumatology and Immunology, Peking University People's Hospital & Beijing Key Laboratory for Rheumatism Mechanism and Immune Diagnosis, Beijing 100044, China
| | - Y N Li
- Department of Rheumatology and Immunology, Peking University People's Hospital & Beijing Key Laboratory for Rheumatism Mechanism and Immune Diagnosis, Beijing 100044, China
| | - Z G Li
- Department of Rheumatology and Immunology, Peking University People's Hospital & Beijing Key Laboratory for Rheumatism Mechanism and Immune Diagnosis, Beijing 100044, China
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Wang Y, Li YN, Zhang J, Wang BM, Zhou L. [Advances in clinical differentiation between immunological and drug-induced liver injury]. Zhonghua Gan Zang Bing Za Zhi 2017; 25:717-720. [PMID: 29108197 DOI: 10.3760/cma.j.issn.1007-3418.2017.09.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The differentiation between autoimmune hepatitis (AIH) and drug-induced liver injury (DILI) is a difficult task in clinical practice. Some AIH patients had a medication history before disease onset, and some DILI patients may have positive serum antibody. In addition, these two groups of patients have similar clinical symptoms, serological examination results, and liver histopathology, which lead to the difficulties in differentiation. However, correct differential diagnosis is of great significance in making clinical treatment decisions and preventing liver cirrhosis. Therefore, it is necessary to investigate the association between immunological and drug-induced liver injury from the perspectives of pathogenesis, similarities and differences in clinical features, serological examination results, and histological changes, prospects of new biomarkers in differentiation, and the significance of hormone therapy and clinical follow-up in differential diagnosis and treatment, in order to provide a reference for clinical decision-making and research in future.
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Affiliation(s)
- Y Wang
- Department of Gastroenterology and Hepotology, Tianjin Medical University General Hospital, Tianjin 300052, China
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Ma BT, Yin HX, Wu H, Chang JB, Zhang X, Wang L, Leng XM, Ma WB, Li YN, Wang RZ, Wei JJ. [The diagnosis and treatment of systemic lupus erythematosus complicated with hydrocephalus]. Zhonghua Yi Xue Za Zhi 2017; 97:2120-2123. [PMID: 28763887 DOI: 10.3760/cma.j.issn.0376-2491.2017.27.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the pathogenesis and management of the hydrocephalus in patients with systemic lupus erythematosus (SLE). Methods: Eight cases of hospitalized lupus patients with hydrocephalus in Peking Union Medical College Hospital from Jan 1990 to Mar 2017 were analyzed retrospectively.We collected the patients' medical records including medical history, CT and/or MRI images and analysis of cerebrospinal fluid via lumbar puncture in order to investigate the pathogenesis of the hydrocephalus in patients with SLE and summarize treatment experience. Results: All the 8 patients with SLE complicated with hydrocephalus were treated with steroids or immunosuppressive agents, and 5 cases were diagnosed with the central nervous system infection. Three cases received ventriculoperitoneal shunt, 5 cases received treatment of medicine.They all were followed up for 2-12 months, of which 3 cases were markedly effective, 1 case effective and 4 cases dead. Conclusion: The pathogenesis of lupus combined with hydrocephalus may have a certain relationship with the central infection, should take effective anti-infection treatment.We recommend cerebrospinal fluid shunt surgery intervention.
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Affiliation(s)
- B T Ma
- Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
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Zhou HY, Li YN, Xu G, Cao J. [Application of voice acoustic analysis of surgical effect in children with benign hyperplastic vocal cord disease]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017; 31:1003-1005. [PMID: 29798163 DOI: 10.13201/j.issn.1001-1781.2017.13.008] [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] [Received: 04/26/2017] [Indexed: 11/12/2022]
Abstract
Objective:To evaluate the use of voice acoustic analysis in children with hyperplasia diseases of vocal cords. Method:The software developed by Dr.Speech was used to do acoustic analysis for 93 children patients with vocal cords hyperplasia diseases before the operation, 15 and 30 days after the operation, and 76 normal subjects were also analyzed as the controls. Result:The Jitter, Shimmer and NNE parameters were higher, and HNR, SNR parameters were significant lower in vocal cords hyperplasia diseases group than in normal controls (P<0.01). The Jitter, Shimmer and NNE decreased, HNR, SNR increased 15 days and 30 days after the operation in vocal cords hyperplasia diseases group. Compared with preoperative group, there was a highly statistically significant at 15 and 30 days after the operation (P<0.01). All the data returned to normal levels 30 days after surgery. Conclusion:Voice acoustic analysis can evaluate the quality of children voice and the surgical effect objectively and quantitatively.
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Affiliation(s)
- H Y Zhou
- Department of Otolaryngology, Puai Hospital of Wuhan, Wuhan, 430033, China
| | - Y N Li
- Department of Otolaryngology, Puai Hospital of Wuhan, Wuhan, 430033, China
| | - G Xu
- Department of Otolaryngology, Puai Hospital of Wuhan, Wuhan, 430033, China
| | - J Cao
- Department of Otolaryngology, Puai Hospital of Wuhan, Wuhan, 430033, China
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Wu H, Wei JJ, Ma BT, Chai WZ, Ma WB, Li YN, Liu XH, Han B, Zhu HD, Gan J, Liu JJ, Wang RZ. [Perioperative management and surgical treatment of neurosurgical critical patients with thrombocytopenia]. Zhonghua Yi Xue Za Zhi 2017; 96:1652-5. [PMID: 27290703 DOI: 10.3760/cma.j.issn.0376-2491.2016.21.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To study the perioperative management and surgical treatment of patients with neurosurgical critical diseases and thrombocytopenia. METHODS Eleven patients with the diagnosis of neurosurgical critical diseases and thrombocytopenia who received surgical treatment in Department of Neurosurgery, Peking Union Medical College Hospital from 2010 to 2015 were reviewed retrospectively. All eleven patients received platelet transfusions preoperatively. The safety and efficacy of surgical treatment were analyzed by GOS score at 6 months after operations. RESULTS Platelet counts of six patients who received minimally invasive surgery reached 80×10(9) /L by platelet transfusions preoperatively. Platelet counts of five patients who received Craniotomy and ventriculoperitoneal shunt reached 100×10(9) /L by platelet transfusions preoperatively. Eight patients received platelet transfusions postoperatively according to a low platelet count 24 hours after operations. Two patients died after surgery and one died after discharge. All other eight survival patients got well recovery with an average GOS score of 4.5 at six months after operations. CONCLUSIONS Patients with neurosurgical critical diseases and thrombocytopenia could receive surgical treatment in collaboration with relative departments.
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Affiliation(s)
- H Wu
- Department of Neurosurgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
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Meng FD, Jiang LL, Zhang ZH, Cui SJ, Duan JC, Wang SP, Luo CY, Wang Q, Zhou Y, Li XE, Zhang LR, Li BW, Dorji T, Li YN, Du MY. Changes in flowering functional group affect responses of community phenological sequences to temperature change. Ecology 2017; 98:734-740. [PMID: 27984640 DOI: 10.1002/ecy.1685] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2016] [Revised: 11/20/2016] [Accepted: 11/30/2016] [Indexed: 11/08/2022]
Abstract
Our ability to predict how temperature modifies phenology at the community scale is limited by our lack of understanding of responses by functional groups of flowering plants. These responses differ among species with different life histories. We performed a reciprocal transplant experiment along four elevation gradients (e.g., 3,200, 3,400, 3,600 and 3,800 m) to investigate the effects of warming (transferred downward) and cooling (transferred upward) on plant flowering functional groups (FFGs) and community phenological sequences (i.e., seven phenological events). Warming significantly decreased early-spring-flowering (ESF) plant coverage and increased mid-summer-flowering plant (MSF) coverage, while cooling had the opposite effect. All community phenological events were advanced by warming and delayed by cooling except for the date of complete leaf-coloring, which showed the opposite response. Warming and cooling could cause greater advance or delay in early-season phenological events of the community through increased coverage of MSF species, and warming could delay late-season phenological events of the community by increased coverage of ESF species. These results suggested that coverage change of FFGs in the community induced by temperature change could mediate the responses of the community phenological events to temperature change in the future. The response of phenological events to temperature change at the species level may not be sufficient to predict phenological responses at the community-level due to phenological compensation between species in the community.
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Affiliation(s)
- F D Meng
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China
| | - L L Jiang
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China
| | - Z H Zhang
- Key Laboratory of Adaptation and Evolution of Plateau Biota, Northwest Institute of Plateau Biology, Chinese Academy of Sciences, Xining, 810008, China
| | - S J Cui
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China.,CAS Center for Excellence in Tibetan Plateau Earth Science, Chinese Academy of Sciences, Beijing, 100101, China.,Naqu Integrated Observation and Research Station of Ecology and Environment, Tibet University;Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Lhasa, 850012, China.,Graduate University of Chinese Academy of Sciences, Beijing, 100049, China
| | - J C Duan
- Binhai Research Institute in Tianjin, Tianjin, 300457, China
| | - S P Wang
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China.,CAS Center for Excellence in Tibetan Plateau Earth Science, Chinese Academy of Sciences, Beijing, 100101, China.,Naqu Integrated Observation and Research Station of Ecology and Environment, Tibet University;Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Lhasa, 850012, China
| | - C Y Luo
- Key Laboratory of Adaptation and Evolution of Plateau Biota, Northwest Institute of Plateau Biology, Chinese Academy of Sciences, Xining, 810008, China
| | - Q Wang
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China.,Graduate University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Y Zhou
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China.,Graduate University of Chinese Academy of Sciences, Beijing, 100049, China
| | - X E Li
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China
| | - L R Zhang
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China
| | - B W Li
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China.,Graduate University of Chinese Academy of Sciences, Beijing, 100049, China
| | - T Dorji
- Key Laboratory of Alpine Ecology and Biodiversity, Institute of Tibetan Plateau Research, Chinese Academy of Sciences, Beijing, 100101, China.,CAS Center for Excellence in Tibetan Plateau Earth Science, Chinese Academy of Sciences, Beijing, 100101, China
| | - Y N Li
- Key Laboratory of Adaptation and Evolution of Plateau Biota, Northwest Institute of Plateau Biology, Chinese Academy of Sciences, Xining, 810008, China
| | - M Y Du
- Institute for Agro-Environmental Sciences, NARO, Tsukuba, 305-8604, Japan
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Chu L, Zhang J, Li YN, Li HY, Qin YW. [Clinical analysis of 24 cases of aortic dissection during pregnancy]. Zhonghua Fu Chan Ke Za Zhi 2017; 52:32-39. [PMID: 28190313 DOI: 10.3760/cma.j.issn.0529-567x.2017.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the management and perinatal outcome of aortic dissection during pregnancy. Methods: 24 pregnant women with aortic dissection who delivered in Beijing Anzhen Hospital Affiliated to Capital Medical University from January 1st, 2006 to February 29th, 2016 were recruited. The clinical data, the management and the perinatal outcome were analyzed retrospectively. Results: (1) Clinical features: The average age of the patients was (29±4) years old. The clinical symptoms occurred from 5 gestational weeks to 1 month after delivery. The major symptoms were chest pain, and some complained migratory or radiating pains. There were 17 Stanford type A cases and 7 type B cases. The aortic widths were 2.9-10.0 cm, with the average of (5.6±1.7) cm. D-dimer level was 448-6 421 μg/L, with the average of (1 097±1 209) μg/L, and the fibrin degradation products were 4.1-52.1 mg/L, with the average of (10.2±9.5) mg/L.The white blood cell ranged (6.8-36.4)×10(9)/L, with the average of (29.4±4.2)×10(9)/L; and the neutrophil rate was 76.0%-97.6%, with the average of (84.6±6.3) %. (2) The treatment: ①19 patients underwent aorta surgeries. The surgeries included aortic root replacement with total aortic arch replacement plus stented elephant trunk implantation (Bentall+Sun's surgery), aortic root replacement (Bentall surgery), stent implantation, thoracic and abdominal aorta replacement. The aortic operation time of the 19 patients were 5 gestational weeks to 1 month after delivery. The relation between aortic operation and the termination of pregnancy: 4 patients underwent aorta surgery after termination of pregnancy, 9 patients had cesarean section and aorta surgery at the same time, 6 patients underwent aorta surgery before cesarean section. ② 5 patients did not receive arota surgery, 2 patients of type A dissection and 1 patient of type B dissection died before the surgery; 2 cases of type B dissection underwent conservative treatment. The termination time of pregnancy was 6-37 gestational weeks, with the average of (26±10) weeks. (3)Maternal and fetal outcomes: 20 patients survived after treatment (83%, 20/24) and 4 patients died (17%, 4/24). 10 cases were live births, including 4 full-term infants and 6 preterm premature infants. The birth weight of the neonates was 1 080-3 800 g, with the average of (2 302±764) g. Three of them were very low birth weight infants and 1 was low birth weight infant; 3 neonates had mild asphyxia. The neonates were followed up for 0.5 to 10 years, with the average time of (1.4±1.7) years. So far the infants' development was good. Conclusions: Pregnancy with aortic dissection is pernicious. Early identification, prompt diagnosis and prompt interventing of the vascular surgery are necessary to the safety of mother and fetus.
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Affiliation(s)
- L Chu
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China
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Chu L, Zhang J, Li YN, Long DY. [Clinical analysis of 19 cases of pregnant women with rapid arrhythmia in the treatment of radiofrequency catheter ablation]. Zhonghua Fu Chan Ke Za Zhi 2016; 51:759-764. [PMID: 27788744 DOI: 10.3760/cma.j.issn.0529-567x.2016.10.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the risk of radiofrequency catheter ablation and maternal and infant in pregnant women with rapid arrhythmia during pregnancy. Methods: The clinical data of the 19 cases of pregnancy complicated with rapid arrhythmia were retrospectively analyzed and followed up, including the gestational week, the type of arrhythmia, the treatment, and the outcome of the mother and child in Beijing Anzhen Hospital of Capital Medical University from January 2002 to March 2016. Results: (1)Clinical characteristics: the ages of the 19 cases were(31±4)years old(ranged from 26 to 35 years old), the onset gestational ages were(21±4)weeks(ranged from 15 to 32 weeks). CLINICAL SYMPTOMS paroxysmal palpitation, chest tightness, dizziness, and blurred vision. Arrhythmia types: 1 case of atrial flutter and atrial tachycardia, 1 case of atrial flutter and atrial fibrillation, 1 case of atrial fibrillation, 3 cases of supraventricular tachycardia, 1 case of atrial tachycardia and supraventricular tachycardia, 4 cases of ventricular tachycardia, 3 cases of ventricular premature beats and ventricular tachycardia, and 5 cases of atrial tachycardia. All cases were treated by drugs, but all failed 2 cases of them were performed esophageal pacing and cardioversion and also failed.(2)Treatment plan: 19 cases after treatment of arrhythmia, completely terminated, the first 7 patients(from 2002 to 2014)were operated in a small amount of radiation under the guidance, the other 12 patients(after 2015)were carried out in the Ensite NavX mapping system, whichwere operated with zero radiation. Complications and adverse reactions: 1 case of uterine contraction end operation and was gived magnesium sulfate 3 days intravenous inhibition of uterine contractions, 1 case occurred vagal reflex caused by reduced blood pressure and was gived fluid infusion utill normal blood pressure.(3)Maternal and neonatal outcomes: in addition 1 case of pregnancy to give up, the remaining 18 cases were full-term pregnant women, including 4 cases of vaginal delivery and 14 cases of cesarean section. The survival neonates were followed up for 1 to 14 years, average(2.0 ± 2.9)years. The infants were well developed during the follow-up period. Conclution: Radiofrequency catheter ablation is a safe and effective method for the treatment of pregnancy complicated with rapid arrhythmia.
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Affiliation(s)
- L Chu
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China
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Zhang J, Jing Y, Li YN, Zhou L, Wang BM. [Programmed necrosis mediated by receptor-interacting protein 3: a new target for liver disease research]. Zhonghua Gan Zang Bing Za Zhi 2016; 24:716-720. [PMID: 27788734 DOI: 10.3760/cma.j.issn.1007-3418.2016.09.018] [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: 11/05/2022]
Abstract
Hepatocyte death mainly includes apoptosis and necrosis and is a critical process in the pathophysiological mechanism of liver injury caused by various reasons. Recent studies have shown that key regulatory molecules in the inhibition of apoptosis such as caspase cannot be used as targets for inhibiting disease progression in clinical practice. In recent years, programmed necrosis mediated by receptor-interacting protein 3(RIP3)becomes a new hot research topic. It not only plays an important role in inducing inflammatory response, but also is closely regulated by intracellular signal factors, and it is a type of active cell death which can be interfered with. Compared with apoptosis, programmed necrosis is accompanied by the release of various inflammatory factors, which significantly affects local immune microenvironment. RIP3-mediated programmed necrosis has been taken seriously in many diseases. Although its mechanism of action in liver disease remains unclear, the results of recent studies confirmed its important role in the development of liver disease. This article reviews the research advances in the role of RIP3-mediated programmed necrosis signaling pathway in liver disease of various causes and investigates the possibility of RIP3-mediated programmed necrosis as a new target in the treatment of liver disease.
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Affiliation(s)
- J Zhang
- Department of Gastroenterology and Hepatology. Tianjin Medical University General Hospital, Tianjin 300052, China
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Li YN, Li YC, Zhang M, Wang LM. [Progress in research of health-related quality of life]. Zhonghua Liu Xing Bing Xue Za Zhi 2016; 37:1311-1317. [PMID: 27655583 DOI: 10.3760/cma.j.issn.0254-6450.2016.09.024] [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: 11/05/2022]
Abstract
Health-related quality of life (HRQoL) is a multidimensional concept for the comprehensive assessment of people's physical and mental health status, which plays an irreplaceable role in clinical treatment, pharmaceutics research, prevention and health care, health policy decision and health economy evaluation, etc. This paper summarizes the connotation, research status, assessment scales and influencing factors of health-related quality of life in order to provide reference to improve the research of health-related quality of life in the future.
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Affiliation(s)
- Y N Li
- National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China; Honghe Prefecture Center for Disease Control and Prevention, Mengzi 661199, China
| | - Y C Li
- National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
| | - M Zhang
- National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
| | - L M Wang
- National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
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Chen SH, Zhang J, Li YN, Ding P, Wang QM. [Clinical results of transepithelial corneal collagen cross-linking in the treatment of keratoconus]. Zhonghua Yan Ke Za Zhi 2016; 52:525-5. [PMID: 27531114 DOI: 10.3760/cma.j.issn.0412-4081.2016.07.011] [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: 11/05/2022]
Abstract
OBJECTIVE To evaluate the effect of transepithelial corneal collagen cross-linking (CXL) in the treatment of keratoconus. METHODS Prospective study. Sixteen eyes of 16 patients with keratoconus underwent transepithelial CXL, and the fellow eyes were considered as the controls. The mean age was (22.4±6.5) years old. In the CXL group, topical anesthesia (0.1% tetracaine) was given for 15 minutes, and 0.5% riboflavin was applied until saturated in the anterior chamber. Then an ultraviolet A irradiance of 3 mW/cm(2) on the cornea was performed for 30 minutes. Postoperative corneal reepithelization time was recorded. Preoperative and postoperative examinations included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive error, topography, corneal biomechanical parameters, thinnest corneal thickness, and endothelial cell density. RESULTS The mean corneal reepithelization time was 1.0(1.0 to 2.0) days. In the transepithelial CXL group, at the end of the 12-month follow-up, CDVA and refractive outcomes were significantly improved (P<0.05). Maximum K-value, anterior and posterior elevations were significantly decreased by (-2.23 ± 2.82)D (t=-3.153, P=0.007), (-4.69 ± 4.99) μm (t=-3.758, P=0.002), and (-13.94 ± 25.81) μm (t=-2.160, P=0.047), respectively. Corneal hysteresis, corneal resistance factor, thinnest corneal thickness, and endothelial cell density showed no significant difference (P>0.05). The differences in the changes of UDVA, CDVA, spherical equivalent refraction, and maximum K-value between the CXL and control groups were significant at 12 months (P<0.05). CONCLUSION Transepithelial CXL is effective in optimizing the irregular corneal surface of keratoconus, and might halt its progression. (Chin J Ophthalmol, 2016, 52: 525-530).
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Affiliation(s)
- S H Chen
- The Affiliated Eye Hospital of Wenzhou Medical University, Wenzhou 325027, China
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Li YN, Zhou YZ, Zhang N, Wang HW. [Expression of phosphatase and tensin homology deleted on chromosometen (PTEN) in squamous-cell lung cancer and its clinical significance]. Zhonghua Jie He He Hu Xi Za Zhi 2016; 39:450-3. [PMID: 27289574 DOI: 10.3760/cma.j.issn.1001-0939.2016.06.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To explore the expression of PTEN in squamous-cell lung cancer(SQCLC) and its clinical significance. METHODS A total of 50 patients with SQCLC, including 43 males, 7 females, aged 40 to 83(average age 66 ) years, in Meitan General Hospital from May 2009 to July 2013 were included. Tumor adjacent tissues from 10 patients, including 9 males, 1 female, aged 42 to 79 (average age 59 )years, and 13 patients with benign pulmonary disease tissues, including 11 males, 2 females, aged 34 to 76 (average age 58 ) years were also included as the controls. The expression of PTEN protein was detected by using immunohistochemistry (S-P)method and compared among SQCLC tissues tumor adjacent tissues and benign disease tissues. The correlations of expression of PTEN protein with gender, age, smoking status, lymph node metastasis, clinical stages and differentiation grades were performed. RESULTS (1) PTEN expression was low in 50 cases SQCLC, while there was a high expression in the tumor adjacent tissues and benign disease tissues. The PTEN protein positive rate of the SQCLC cases (20%, 10/50) was significantly lower than that of cases of tumor adjacent tissues and benign disease tissues (8/10, 12/13), χ(2)=23.542, P<0.01. (2) In the SQCLC group, the expression of PTEN protein was significantly related to differentiation grades and lymph node metastasis (P<0.05), but not gender, age, smoking status, and clinical stages (P>0.05). CONCLUSIONS The lower expression of PTEN in SQCLC was associated with high degree of malignancy and lymph node metastasis. The lost of expression of PTEN may serve as a marker for evaluation of malignancy and an independent factor for prognosis.
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Affiliation(s)
- Y N Li
- Department of Respiratory Medicine, Meitan General Hospital, Beijing 100028, China
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Chu L, Zhang J, Li YN, Meng X, Liu YY. [Clinical treatment of infective endocarditis with vegetations in pregnant women and the outcomes of gestation]. Zhonghua Fu Chan Ke Za Zhi 2016; 51:331-8. [PMID: 27256439 DOI: 10.3760/cma.j.issn.0529-567x.2016.05.003] [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: 11/05/2022]
Abstract
OBJECTIVE To investigate the clinical treatment of infective endocarditis with vegetations in pregnant women and the outcomes of the gestation. METHODS Nine cases of pregnant women diagnosed as infective endocarditis with vegetations in Beijing Anzhen Hospital, Capital Medical University from January 2001 to October 2015 were enrolled in retrospective analysis. Consultations were held by doctors from department of obstetrics, anesthesiology, cardiology, cardial surgery and extracorporeal circulation to decide the individualized treatment plan for the 9 cases of pregnant women after admissions. Clinical treatments including general treatment, anti-infection treatment, cardiac surgery, and termination of pregnancy surgery were completed through collaboration among related departments. The clinical characters, therapeutic regimens, maternal and neonatal outcomes of the 9 cases were analyzed. RESULTS (1) Clinical characters: the ages of the 9 cases of pregnant women were from 25 to 36 years old. The onset gestational ages were from 19 to 36 weeks. CLINICAL SYMPTOMS fever, cough, sputum and progressive anemia were the main symptoms. Patients had cyanosis of lips, could not lie on the back or even be orthopnea, when heart failure happened. Heart murmur was audible and splenomegaly was touched in physical examination. Blood cultures were positive. Basic heart disease types: 7 cases of congenital heart diseases included 2 cases of aortic insufficiency, 1 case of mitral insufficiency, 1 case of patent ductus arteriosus, 1 case of right ventricular outflow tract stenosis and 2 cases of ventricular septal defect.Two cases of rheumatic heart diseases included 1 case of mitral stenosis, 1 case of mitral stenosis after artificial disc changed and jammed. According to endocardial vegetations attached position there were 3 cases of mitral valve vegetations, 2 cases of pulmonary valve vegetations, 3 cases of aortic vegetations and 1 case of right ventricular outflow tract neoplasm. Preoperative heart function classification: 1 case of level Ⅱ, 3 cases of level Ⅲ, 5 cases of level Ⅳ. (2) TREATMENTS: general treatment included oxygen uptake, rest in bed, cardiac strengthen and diuretic therapy, etc. Combined and adequate antibiotics were applied in anti-infection treatment according to drug sensitive test. Nine cases of pregnant women were all performed surgical treatment of heart diseases and removal of the endocardial vegetations. Caesarean sections were performed for 2 cases in second trimester and for 7 cases in last trimester. Cardiac surgery and caesarean section were operated in 6 cases at the same time among 22-34 weeks of pregnancy. Cardiac surgery were respectively operated in 2 cases 11 days and 32 days after the caesarean section at 33, 37 weeks of pregnancy. While Cardiac surgery was operated (at 26 weeks of pregnancy) before the caesarean section (at 37 weeks of pregnancy) in another 1 case. (3) Maternal and neonatal outcomes: 7 cases of pregnant women were rescued successfully, while 2 cases of pregnant women were death. Postoperative heart function classification: 1 case of level Ⅰ, 2 cases of level Ⅱ, 4 cases of level Ⅲ and 2 cases of level Ⅵ. Neonatal survivals were 6 cases including 2case of full-term infants, 4 cases of preterm infants. Stillbirth or neonatal death were 3 cases, which included 2 cases performed caesarean section in second trimester and 1 case of very low weight infant who was given up treatment by family because of severe asphyxia. Followed up periods were from 1 to 7 years with an average time of (2.0±1.6) years. Infants and young children grew and developed well during the period of follow up. CONCLUSIONS The risk is extremely high of pregnancy with infective endocarditis with vegetations. But there is still a way to save the maternal and neonatal life by using a multidisciplinary collaboration formulation and implementation of individualized treatment plan and selecting the appropriate time for heart surgery and the termination of pregnancy.
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Affiliation(s)
- L Chu
- Department of Obstetrics and Gynecology, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China
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Zhao XN, Li YN, Wang YT. Interleukin-4 regulates macrophage polarization via the MAPK signaling pathway to protect against atherosclerosis. Genet Mol Res 2016; 15:gmr7348. [PMID: 26910000 DOI: 10.4238/gmr.15017348] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Our study aimed to investigate the effects of interleukin-4 (IL-4) on macrophage polarization, as well as its role in the development of atherosclerosis. Human peripheral blood mononuclear cells (PBMCs) were isolated and randomly divided into 3 groups: control group, ox-LDL group, and ox-LDL + IL-4 groups. The expression of M1/M2 macrophage surface markers such as TNF-α, CD68, and CD206 were analyzed by western blot. Cell viability was determined using the MTT assay. Measurement of CD86/CD206 expression ratio (M1/M2 ratio) was performed via flow cytometry. In addition, ApoE(-/-) mice on a C57BL/6 background were subjected to high-fat diets, and were used as a model of atherosclerosis. Atherosclerotic lesion area was quantified after mice were treated with ox-LDL and IL-4. Finally, expression of phosphorylated MAPK signaling molecules such as p-ERK and p-JNK was quantified using western blot. The expression of TNF-α and CD86 markedly increased after cells were treated with ox-LDL, whereas the expression of CD206 markedly increased after PBMCs were treated with IL-4. It is possible that IL-4 could decrease ox-LDL-induced cell viability and the CD86/CD206 (M1/M2) ratio. Additionally, IL-4 intervention attenuated ox-LDL-induced atherosclerotic lesions in ApoE(-/-) mice, and decreased ox- LDL-induced expression of p-ERK and p-JNK. Our findings indicate that IL-4 may induce macrophages to take on an M2 phenotype in order to resolve inflammation via inhibition of MAPK signaling pathways, thereby protecting against atherosclerosis. IL-4 may serve as an intervention target for atherosclerosis.
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Affiliation(s)
- X N Zhao
- Department of Geriatric Cardiology, Chinese PLA General Hospital, Beijing, China
| | - Y N Li
- Department of Geriatric Gastroenterology, Chinese PLA General Hospital, Beijing, China
| | - Y T Wang
- Department of Geriatric Cardiology, Chinese PLA General Hospital, Beijing, China
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Li YN, Zhou YZ, Ma J, Wang HW. [Analysis of the mutations of EGFR and phosphatidylinositol 3-kinase catalytic α-polypeptide and their association with clinicopathological features]. Zhonghua Zhong Liu Za Zhi 2016; 38:130-132. [PMID: 26899333 DOI: 10.3760/cma.j.issn.0253-3766.2016.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- Y N Li
- Department of Medical Oncology, China Meitan General Hospital, Beijing 100028, China
| | - Y Z Zhou
- Department of Medical Oncology, China Meitan General Hospital, Beijing 100028, China
| | - J Ma
- State Key Laboratory of Molecular Oncology, Chinese Academy of Medical Sciences, Beijing 100021, China
| | - H W Wang
- Department of Medical Oncology, China Meitan General Hospital, Beijing 100028, China
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Li YN, Zhou Q, Yang B, Hu Z, Wang JH, Li QS, Cao WW. Mechanism of rat osteosarcoma cell apoptosis induced by a combination of low-intensity ultrasound and 5-aminolevulinic acid in vitro. Genet Mol Res 2015; 14:9604-13. [PMID: 26345893 DOI: 10.4238/2015.august.14.23] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
We investigated the killing effect of low-intensity ultrasound combined with 5-aminolevulinic acid (5-ALA) on the rat osteosarcoma cell line UMR-106. Logarithmic-phase UMR-106 cells were divided into a control group, ultrasound group and 5-ALA group. The cell apoptotic rate, production of reactive oxygen species, and the change in mitochondrial membrane potential were analyzed by flow cytometry; ultrastructural changes were observed by transmission electron microscopy. Using low-intensity ultrasound at 1.0 MHz and 2.0 W/cm(2) plus 5-ALA at a concentration of 2 mM, the apoptotic rate of the sonodynamic therapy group was 27.2 ± 3.4% which was significantly higher than that of the control group, ultrasound group, and 5-ALA group (P < 0.05). The production of reactive oxygen species was 32.6 ± 2.2% and the decrease in mitochondrial membrane potential was 39.5 ± 2.5%. The 33342 staining showed nuclear condensation and fragmentation in the ultrasound group and 5-ALA group. Structural changes in the cell membrane, mitochondria, Golgi apparatus, and other organelles observed by transmission electron microscopy included formation of apoptotic bodies. The killing effect of low-intensity ultrasound combined with 5-ALA on UMR-106 cells was significant. Cell apoptosis played a vital role in the killing effect, and the mitochondria pathway contributed to the apoptosis of UMR-106 cells.
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Affiliation(s)
- Y N Li
- School of Life Science and Technology, Harbin Institute of Technology, Harbin, China
| | - Q Zhou
- Laboratory of Photo-and Sono-Theranostic Technologies and Condensed Matter Science and Technology Institute, Harbin Institute of Technology, Harbin, China
| | - B Yang
- Laboratory of Photo-and Sono-Theranostic Technologies and Condensed Matter Science and Technology Institute, Harbin Institute of Technology, Harbin, China
| | - Z Hu
- Laboratory of Photo-and Sono-Theranostic Technologies and Condensed Matter Science and Technology Institute, Harbin Institute of Technology, Harbin, China
| | - J H Wang
- Laboratory of Photo-and Sono-Theranostic Technologies and Condensed Matter Science and Technology Institute, Harbin Institute of Technology, Harbin, China
| | - Q S Li
- Cardiovascular Institute, The First Affiliated Hospital of Dalian Medical University, Dalian, China
| | - W W Cao
- School of Life Science and Technology, Harbin Institute of Technology, Harbin, China
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Li YN, Xu WM, Zhang GQ. Effect of coupling agent on nano-ZnO modification and antibacterial activity of ZnO/HDPE nanocomposite films. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/1757-899x/87/1/012054] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Bian XL, Wang CZ, Wang Y, Li YN, Zhang LZ, Liu L. Analysis of postoperative PSA changes after ultrasound-guided permanent [125I] seed implantation for the treatment of prostate cancer. Genet Mol Res 2015; 14:7142-50. [PMID: 26125925 DOI: 10.4238/2015.june.29.8] [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: 11/03/2022]
Abstract
The aim of this study was to explore postoperative changes in prostate-specific antigen (PSA) levels and risk factors that influence the clinical effects of ultrasound-guided permanent [(125)I] seed implantation in the treatment of prostate cancer. From July 2009 to December 2012, 41 prostate cancer patients who underwent transrectal ultrasound-guided [(125)I] seed implantation were followed up for 3-56 months. The patients were divided into 2 groups according to their results: group A, benign rebound group, 31 cases; and group B, biochemical relapse group, 10 cases. A blood analysis of group A showed that the initial PSA rise after a nadir occurred postoperatively at 16.8 ± 1.2 months, and in 65.8% (27/41) patients the rise occurred during 15-27 weeks. For group B, the initial PSA rise after a nadir occurred postoperatively at 30.2 ± 2.1 months, and the difference in the time parameter of the initial PSA rise after the nadir was statistically significant between the 2 groups (P < 0.01). During treatment, age was shown to be a risk factor for group A (P = 0.0027, P < 0.01). Postoperative changes in PSA levels after ultrasound-guided permanent [(125)I] seed implantation contributed to the assessment of the clinical treatment effects.
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Affiliation(s)
- X L Bian
- Department of Ultrasound, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China
| | - C Z Wang
- Department of Ultrasound, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China
| | - Y Wang
- Department of Ultrasound, The Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China
| | - Y N Li
- Department of Cardiovascular Ultrasound, Henan Province People's Hospital, Zhengzhou, China
| | - L Z Zhang
- Department of Cardiovascular Ultrasound, Henan Province People's Hospital, Zhengzhou, China
| | - L Liu
- Department of Cardiovascular Ultrasound, Henan Province People's Hospital, Zhengzhou, China
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Wu HH, Wu XB, Li YN, Yang MH, Wang MY. [Management of pelvic injury associated with complete anterior sacroiliac joint dislocation]. Beijing Da Xue Xue Bao Yi Xue Ban 2015; 47:276-280. [PMID: 25882944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To investigate the management of pelvic injury associated with complete anterior sacroiliac joint dislocation. METHODS In the study, 6 cases of pelvic injury associated with complete anterior sacroiliac joint dislocation treated in Beijing Jishuitan Hospital from February 2008 to June 2014 were analyzed. We described the history and severity of injury, emergency treatment, and fracture radiology. In all the cases, the surgical treatment and postoperative functional exercise were performed. We followed up all the cases on an average of 1.6 years, assessed the postoperative recovery and summed up the treatment experience. RESULTS All the 6 patients with fractures recovered without infection and nerve symptoms after surgery. Their X-rays showed good reduction of sacroiliac joints. All the cases were followed up on an average of 1.6 years. Six months after surgery, the Majeed scores were perfect in 2 cases, good in 2, fair in 1, and poor in 1. The patients with poor scores suffered persistent pain, and decreased physical activity, and when walking long distances, they needed a walking stick. The 2 patients with low scores could not resume the original work. CONCLUSION Pelvic injury associated with complete anterior sacroiliac joint dislocation is a special type of the pelvic injury since the managements during the emergency phase are difficult.The surgery should be done as early as possible, and the anterior approach is available for the reduction and fixation.
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Affiliation(s)
- H H Wu
- Department of Orthopaedic Trauma, Beijing Jishuitan Hospital, Beijing 100035, China
| | - X B Wu
- Department of Orthopaedic Trauma, Beijing Jishuitan Hospital, Beijing 100035, China
| | - Y N Li
- Department of Orthopaedic Trauma, Beijing Jishuitan Hospital, Beijing 100035, China
| | - M H Yang
- Department of Orthopaedic Trauma, Beijing Jishuitan Hospital, Beijing 100035, China
| | - M Y Wang
- Department of Orthopaedic Trauma, Beijing Jishuitan Hospital, Beijing 100035, China
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Li YN, Hu FL, Dai YJ, Li R, Ma XX, Du Y, Feng M, Jia Y, Zhang CF, Zhu L, Ascherman DP, Li ZG. Serum anti-lipocalin 2 IgG is a novel biomarker in the diagnosis of systemic lupus erythematosus. Lupus 2014; 23:868-75. [PMID: 24704774 DOI: 10.1177/0961203314530484] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Accepted: 03/11/2014] [Indexed: 11/17/2022]
Abstract
BACKGROUND Previous work suggests that lipocalin 2 is involved in the pathogenesis of systemic lupus erythematosus (SLE) and that this novel antigen could serve as a high-quality renal biomarker of acute kidney injury in SLE. However, serum lipocalin 2 antibody levels remain unclear. We have therefore undertaken this study to assess the level of serum IgG antibody against lipocalin 2 in different disease states and to evaluate the diagnostic value of this potential biomarker in SLE. METHODS Serum levels of anti-lipocalin IgG antibodies were measured by ELISA in 103 SLE patients, 93 rheumatoid arthritis (RA) patients, 29 primary Sjögren's syndrome (pSS) patients, 13 systemic sclerosis (SSc) patients, and 91 healthy controls. Diagnostic properties of anti-lipocalin IgG were determined by receiver-operating characteristic (ROC) curve analysis. RESULTS The level of serum anti-lipocalin IgG in patients with SLE was significantly higher than in patients with RA, pSS, SSc, or healthy controls (p < 0.05), effectively distinguishing SLE from other conditions with high sensitivity and specificity (49.5% and 90.7%, respectively). In ROC curve analysis, the area under the curve (AUC) is 0.783, with a 95% confidence interval (CI) extending from 0.729 to 0.839. Anti-lipocalin antibodies were present in 48.1% of anti-Sm-negative SLE patients, and also occurred in SLE patients lacking anti-dsDNA (52%) or anti-nucleosome antibodies (46.3%) antibodies. Finally, SLE patients with positive anti-lipocalin IgG possessed higher levels of IgA and CRP than the negative group (p < 0.05), clearly demonstrating a positive correlation between anti-lipocalin IgG and these laboratory parameters. CONCLUSIONS Anti-lipocalin 2 IgG is a promising biomarker for the diagnosis of SLE, particularly when obtained in conjunction with anti-Sm, anti-dsDNA, and anti-nucleosome antibody levels.
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Affiliation(s)
- Y N Li
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
| | - F L Hu
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
| | - Y J Dai
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
| | - R Li
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
| | - X X Ma
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
| | - Y Du
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
| | - M Feng
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
| | - Y Jia
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
| | - C F Zhang
- Clinical Epidemiology & Biostatistics, Peking University People's Hospital, Beijing, China
| | - L Zhu
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
| | - D P Ascherman
- Department of Medicine, Division of Rheumatology, University of Miami Miller School of Medicine, USA
| | - Z G Li
- Department of Rheumatology & Immunology, Peking University People's Hospital, Beijing, China
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Yu YJ, Wu HL, Fu HY, Zhao J, Li YN, Li SF, Kang C, Yu RQ. Chromatographic background drift correction coupled with parallel factor analysis to resolve coelution problems in three-dimensional chromatographic data: quantification of eleven antibiotics in tap water samples by high-performance liquid chromatography coupled with a diode array detector. J Chromatogr A 2013; 1302:72-80. [PMID: 23827465 DOI: 10.1016/j.chroma.2013.06.009] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [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: 01/03/2013] [Revised: 05/14/2013] [Accepted: 06/07/2013] [Indexed: 11/26/2022]
Abstract
Chromatographic background drift correction has been an important field of research in chromatographic analysis. In the present work, orthogonal spectral space projection for background drift correction of three-dimensional chromatographic data was described in detail and combined with parallel factor analysis (PARAFAC) to resolve overlapped chromatographic peaks and obtain the second-order advantage. This strategy was verified by simulated chromatographic data and afforded significant improvement in quantitative results. Finally, this strategy was successfully utilized to quantify eleven antibiotics in tap water samples. Compared with the traditional methodology of introducing excessive factors for the PARAFAC model to eliminate the effect of background drift, clear improvement in the quantitative performance of PARAFAC was observed after background drift correction by orthogonal spectral space projection.
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Affiliation(s)
- Yong-Jie Yu
- State Key Laboratory of Chemo/Biosensing and Chemometrics, College of Chemistry and Chemical Engineering, Hunan University, Changsha 410082, China
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