1.Medical Career of Dr.Sun Yat-senn(Sun Zhongshan) and His Moral Character in Medical Ethics
Chinese Medical Ethics 1995;0(04):-
Dr. Sun Yat-senn had practiced medicine in maco after finishing five-year British medical training. He became a famous doctor in the local very soon.His excellent medical skill and high moral character attacted many countless patients. Dr.Sun Yat-senns sense of responsibility and sympothecic attitude towards patients, including what he did for others should be learned by us.
2.Research progress in animal models of food allergy
International Journal of Pediatrics 2017;44(5):320-323
Food allergy is a common allergic disease.The severity and incidence of food allergy reaction which increases gradually in recent years has seriously affected the healthy growth of infants and toddlers.Although the use of animal models to study the pathogenesis and prevention of food allergy has become the most important and common method because of the restrictions of clinical research,the international standard of food allergy model has not been established yet.Researchers often use milk,egg and peanuts which are very important food sources of infants and toddlers as allergens in animal models on the pathogenesis and control strategies.This article summarizes the research progress of animal models of milk,egg and peanuts,which will be helpful for researchers to choose animal model due to different purpose.
3.Role of Working Memory in Comprehension in Aphasia (review)
Jian YANG ; Hong WANG ; Zhuoming CHEN ; Chengju LIAO ; Zhenping LIN
Chinese Journal of Rehabilitation Theory and Practice 2014;20(11):1008-1010
In recent years, the relationship between working memory and language comprehension received more and more attention by many researchers, especially those of psychology and pedagogy. This article reviewed the researches on the working memory and language comprehension disorder in aphasia, including the theoretical model of working memory, assessment and brain positioning, etc., and discussed the process of working memory and comprehension disorder in rehabilitation.
4.Comparative study on the nutritional status effect of two different parenteral nutrition solutions in early preterm infants
Kuilin LYU ; Liyan WANG ; Wang YANG ; Chengju WANG ; Chao LI ; Zhangya YANG ; Yuping ZHANG
International Journal of Pediatrics 2014;41(6):648-651
Objective To compare the effects of two different parenteral nutrition solutions on nutritional status of premature infants,such as the early physical,serum prealbumin,retinol binding protein and albumin.Methods We collected 61 cases of premature infants in neonatal intensive care unit of the Third Military Medical University Xinqiao Hospital,which were divided into 2 groups of traditional parenteral nutrition (TTPN) and early parenteral nutrition (ETPN).Group TTPN geted 6% paediatric compound amino acid 0.5 g/(kg·d) at24 hours after birth,daily increasing 0.25 ~0.5 g/(kg·d),up to 3.0 g/(kg·d).The 20% long-chain fat emulsion 0.5 g/(kg ·d) was applied at 3 days after birth,daily increasing 0.25 ~ 0.5 g/(kg·d),up to 3.0 g/(kg·d).Group ETPN get 6% paediatric compound amino acid 1 g/(kg·d) at 12 ~24 hours after birth,daily increasing 0.5 g/(kg·d),up to 3.0 ~ 0.5 g/(kg· d).The 20% long-chain fat emulsion 0.5 ~ 1.0 g/(kg·d) was applied after 24 hours after birth,daily increasing 0.5 g/(kg· d),up to 3.0 g/(kg· d).We calculate calorie and amino acid intake of the two groups,and compared the weight,length,head circumference growth,serum prealbumin,retinol-binding protein and albumin levels of the two groups.Results The amino acid and total caloric intake of Group ETPN were significantly higher than those of Group TTPN (P < 0.05).No statistical differences in the albumin,prealbumin,and retinol binding protein level of the two groups at birth (P > 0.05).However,the prealbumin and retinol-binding protein level of group ETPN significantly higher than those of Group TTPN (P < 0.05) at 7 days after birth.Conclusion Early parenteral nutrition in early life can effectively improve physical growth and nutrient metabolism status of premature infants.Prealbumin and retinol-binding protein are sensitive to evaluate the protein nutritional status in premature infants.
5.The expression of BMP-2 mRNA of rat osteoblast cell sheets cultured with ascorbic acid
Chengju ZHOU ; Jianjiang ZHOU ; Hong YANG ; Jiufeng MAO ; Xiao ZENG ; Yuanyuan JIA ; Yuting WANG ; Qiang DONG
Journal of Practical Stomatology 2015;(3):305-308
Objective:To study the effects of ascorbic acid on BMP-2 mRNA expression of osteoblast cell sheets.Methods:Rat os-teoblasts were primaryly cultured and identified;osteoblast cell sheets were built by physical scraping method in vitro;the osteoblast cell sheets were cultured with 1 5,50 and 85 mg/L ascorbic acid for 1 and 2 weeks respectively,and the expression of BMP-2 mRNA of the cell sheets was detected by RT-qPCR.Results:The obtained cells were conformed to be osteoblasts.The osteoblast cell sheets could be rolled into tube in vitro.The expression of BMP-2 mRNA of osteoblast cell sheets in experiment group,whether in week one or week two was higher than that in control group,50 mg/L group showed the highest expression(first week P <0.05;second week P>0.05);the expression of any group in week two was higher than that in week one(P <0.05).Conclusion:Ascorbic acid may pro-mote the expression of BMP-2 mRNA in osteoblast cell sheets.
6.Complications following minimally invasive internal fixation for anterior pelvic ring injury: a Meta-analysis
Fuming WANG ; Ziyi ZHONG ; Zihang FENG ; Shiyuan LIN ; Chengju ZHONG ; Gang WANG
Chinese Journal of Orthopaedic Trauma 2019;21(3):199-206
Objective To summarize the complications and their incidences following Anterior Subcutaneous Internal Pelvic Fixation(ASIPF).Methods A comprehensive search was conducted of PubMed Library,Cochrane Library,Web of Science,SinoMed,Wanfang Data and China National Knowledge Internet for all articles addressing the postoperative complications of ASIPF published in English and Chinese from January 2009 to November 2018.A proportion Meta-analysis across the studies was performed for the complications after ASIPF (lateral femoral cutaneous nerve irritation,femoral nerve palsy,heterotopic ossification,infection and implant failure) using R software.Results This meta-analysis included 29 clinical studies involving a total of 825 patients.The complications following ASIPF were lateral femoral cutaneous nerve irritation,femoral nerve palsy,heterotopic ossification,infection and implant failure;their incidences were respectively 12% (95% CI:from 7% to 19%),3% (95% CI:from 2% to 4%),30% (95% CI:from 22% to 39%),4% (95% CI:from 3% to 6%) and 4% (95% CI:from 3% to 6%).Conclusions Lateral femoral cutaneous nerve irritation and heterotopic ossification are common complications following minimally invasive internal fixation for anterior pelvic ring injury.High-quality clinical research is needed into the factors leading to the complications and into their preventive countermeasures.
7.Finite element analysis of different internal fixation methods for acetabular T-shaped fractures
Ziyi ZHONG ; Kai TONG ; Xianjin XIE ; Shenglu CAO ; Qiangmao WANG ; Chengju ZHONG ; Gang WANG
Chinese Journal of Orthopaedic Trauma 2018;20(6):515-522
Objective To investigate the biomechanical stability of 5 kinds of internal fixation for acetabular T-shaped fractures using finite element analysis.Methods After a three-dimensional model of normal pelvis was reconstructed using Mimics software,the model of acetabular T-shaped fracture was divided by Solidworks software.Models of acetabular T-shaped fracture fixated by 5 methods were reconstructed:(A) a reconstruction plate for anterior column + lag screws for posterior column,(B) lag screws for anterior column + a reconstruction plate for posterior column,(C) a reconstruction plate for anterior column + a medial ilioischial plate for posterior column (combination plating),(D) retrograde lag screws for 2 columns,and (E) a reconstruction plate for anterior column + and a posterior ilioischial plate for posterior column.Valuation was conducted with software Ansys to simulate 600 N loading on the terminal plate of S1 vertebral body at standing and sitting positions.The biomechanical stabilities were compared between the 5 models of internal fixation.Results At standing and sitting positions,the displacements of anterior column in modelA (0.522±0.121 mmand0.762±0.181 mm),modelC (0.512±0.207mmand0.730±0.181mm) and model E (0.513 ± 0.184 mm and 0.733 ± 0.166 mm) were significantly smaller than those in model B (0.622±0.224 mmand 1.328±0.537 mm) and in modelD (0.655±0.174mm and 1.591± 0.270 mm) (P < 0.05).However,there were no statistically significant differences in anterior column displacements between models A,C and E or between models B and D (P > 0.05).At standing and sitting positions,the displacements of posterior column in model B (0.631 ± 0.151 mm and 0.572 ± 0.693 mm),in model C (0.621 ± 0.195 mm and 0.538 ± 0.075 mm) and in model E (0.625 ± 0.192 mm and 0.544 ± 0.063 mm) were significantly smaller than those in model A (0.742 ±0.140 mm and 0.715 ±0.072 mm)and in modelD (0.754±0.247 mm and 0.717 ± 0.071 mm) (P <0.05).However,there were no statistically significant differences in posterior column displacements between models B,C and E or between models A and D (P > 0.05).Conclusions In the treatment of acetabular T-shaped fractures,reconstruction plating has better stability than screwing.Reconstructive plating shows the best stability for anterior and posterior columns,followed by combination plating which is the best choice for reducing surgical injury.
8.Progress in evidence-based study on early diagnosis and treatment of cerebral palsy in children
International Journal of Pediatrics 2019;46(7):491-494
Cerebral palsy ( CP) describes a group of disorders of the development of movement and posture, causing activity limitation attributed to disturbances, which occurred brain injury in the fetal or infant. Etiology, early diagnosis and treatment of cerebral palsy are always difficult issues and hot topic in re-search of neuroscience and clinical science. Many new advances have been shown in genetic research and early e-valuation methods of cerebral palsy, standardized general movements assessment and brain magnetic resonance imaging also can show early signs of cerebral palsy, in order to early intervention and treatment manage-ment. This review summarizes the advances in etiology, early diagnosis and treatment on cerebral palsy.
9.Differentiation of anteroposterior pelvic compression type Ⅰ and Ⅱ injuries and severity evaluation
Kai TONG ; Shenglu CAO ; Lanwei XU ; Hongzhe LIU ; Ziyi ZHONG ; Chengju ZHONG ; Gang WANG
Chinese Journal of Trauma 2019;35(5):453-459
Objective To investigate the reliability of using the pubic symphysis diastasis of 25 mm and anterior separation distance of sacroiliac joint to differentiate anteroposterior compression (APC) type Ⅰ and Ⅱ injuries as well as assess the injury severity.Methods A total of 11 (seven males and four females) fresh cadaver specimens with 22 hemipelvis were collected.The pelvic APC injury test models including fixed hemipelvis (restricted group) and unfixed hemipelvis (non-restricted group) were established,with 11 hemipelvis in each group according to the random number table method.Meanwhile the specimens were divided into male group (14 hemipelvis) and female group (eight hemipelvis),simulating APC type injury external rotation hemipelvis.The public symophysis interval and anterior interval of sacroiliac joint of the original pelvis,the pubic symphysis diastasis and anterior diastasis of sacroiliac joint after anterior tibiofibular ligament failure,as well as the affected pelvis ligament and sacral ligament injury were recorded and compared between the restricted and non-restricted groups,male and female groups.Results There were no significant differences in the public symphysis interval of the original pelvis and anterior interval of sacroiliac joint between the restricted group and the non-restricted group (P > 0.05).The pubic symphysis interval of the original pelvis was [(5.13 ± 0.61) mm] in male group and (4.03 ± 0.84)mm] in female group (P < 0.05).When the anterior tibiofibular ligament ruptured,the pubic symphysis diastasis distance was (23.36 ± 7.27) mm,ranging from 12 to 41 mm,and the diastasis distance of anterior sacroiliac joint was (9.82 ± 3.25)mm,ranging from 5 to 18 mm.In terms of the public symphysis interval,there were no significant differences between male and female groups,restricted and the non-restricted groups (P > 0.05).In terms of anterior interval of sacroiliac joint,there was significant difference between male and female groups (P < 0.05) but no significant difference between the restricted and non-restricted groups (P > 0.05).In the restricted group,sacrotuberous ligament injuries were found in four patients,and sacrospinous ligament injuries in five,whhile there were no obvious sacrospinous ligament and sacrotuberous ligament injuries in non-restricted group.There were 10 specimens with the pubic symphysis diastasis ≥23.36 mm and 10 specimens with the diastasis distance of anterior sacroiliac joint ≥9.82 mm (46%),and there were 15 specimens with at least the pubic symphysis interval ≥ 23.36 mm or the anterior interval of sacroiliac joint ≥ 9.82 mm (68%).Conclusions The public symphysis interval ≥ 23.36 mm or anterior interval of sacroiliac joint ≥ 9.82 mm can distinguish anteroposterior compression Ⅰ from Ⅱ injuries,and the combination of the two criteria can be beneficial to assessment of pelvic injury severity.
10.DNA methylation and atherosclerosis
Xiaoting WANG ; Zhangyong XIA ; Chengju HUO ; Ru BAN ; Xin ZHAO ; Liuying ZHANG ; Guifeng ZHANG ; Li LI ; Caisheng LU ; Bo LIU
International Journal of Cerebrovascular Diseases 2018;26(6):473-477
Atherosclerosis is a chronic systemic inflammatory disease caused by the interaction of environment and genetic factors. Epigenetic modification is a bridge between environmental factors and genetic factors. DNA methylation is an important regulatory mode of epigenetic modification, which can regulate gene expression at the pre-transcriptional level. Studies have shown that DNA methylation plays an important role in the occurrence and development process of atherosclerosis. Therefore, atherosclerosis-related DNA demethylation, especially carotid atherosclerosis-related DNA demethylation, can be achieved by natural or synthetic DNA demethylases, thereby achieving the purpose of preventing or treating atherosclerotic cerebrovascular disease. This article reviews DNA methylation and its relationship with atherosclerosis and DNA demethylation therapy.