1.Investigation on the status of 3-14 years old children with cerebral palsy in Liaoning
Lijun GUAN ; Yaping MU ; Xiaoyin WANG ; Shuang WANG ; Di QU ; Runjie LI ; Kuo YU ; Yan JIN ; Dingbao DONG
Chinese Journal of Postgraduates of Medicine 2017;40(8):724-728
Objective To investigate the status on children of 3-14 years old who suffered from cerebral palsy in Liaoning province. Methods One thousand three hundred and twenty-three cases of children with cerebral palsy of 3-14 years old who received rehabilitation in city hospital, county hospital and community hospital were investigated from January 2013 to October 2016 in 14 cities in Liaoning Province. The proportion of cerebral palsy children in 3-4 years old, 4-5 years old, 8-9 years old, 5-6 years old , 6-7 years old and 7-8 years old was about 10%, and in the other age the proportion was about 7%. The proportion of men and women generally was 4:1;neonatal convulsion (252 cases, 19%), premature delivery (230 cases , 17.3%) and low birth weight infant (187 cases, 14.1%) were main risk factors and accounted for more than 10%. Spastic type cerebral palsy accounted for the highest proportion (54.35%, 719 cases)and ataxia cerebral palsy accounted for the lowest proportion (2.95%). In complications , lower intelligence accounted for the highest proportion (50.34%, 666 cases), followed by the language barrier (43.99% , 582 cases), and the other complications accounted for less than 10%.;gross motor function classification in most studied children was stageⅡ(35%) and stageⅢ(32.50%); 6.95% patients could go to school, and 84.96% patients had health insurance. Patients coming from city accounted for 69.01%, and patients coming from rural area accounted for 30.99%. Mothers′ education below primary school was 4.16% . 36.05% children received rehabilitation in comprehensive hospital, 60.09%in children′s hospital and 3.85%in maternal and child health hospital. Conclusions Spastic cerebral palsy is the main type of children with cerebral palsy in Liaoning.High risk factors include neonatal convulsions, premature birth and low birth weight infants. Most patients complicate with low intelligence and language barriers.This paper can be used as the basis of further research on prevention and treatment
2.Expression of ANLN in HCC and predictive value for long-term survival of patients after liver transplantation
Longhui ZHANG ; Zhao LI ; Dong WANG ; Gang WANG ; Dingbao CHEN ; Lei HUANG ; Jie GAO ; Xisheng LENG ; Jiye ZHU
Chinese Journal of Organ Transplantation 2018;39(5):259-264
Objective To explore the expression of ANLN in HCC and study the clinical value of ANLN expression for HCC patients after liver transplantation.Methods The protein and mRNA expression of ANLN was detected by immunohistochemistry and RNA-seq from TCGA respectively.Chi-square test and t test were used for correlation analysis between ANLN expression and clinicopathological characteristics.The predictive value of ANLN expression for HCC patients after liver transplantation was estimated by log-rank test and cox proportional hazards regression model.Results The positive protein expression rate of ANLN in HCC detected by immunohistochemistry was 37.0% (34/92),significantly higher than 6.5 % (6/92) in para-carcinoma non-tumor tissue (P<0.001,x2 =25.044).Upregulation of ANLN mRNA expression in HCC was also detected by the analysis of RNA-seq from the TCGA (P < 0.000 1).The positive ANLN protein expression was positively correlated with AFP>400 ng/L (P<0.001,x2 =11.952) and tumor size >8 cm (P =0.034,x2 =4.506).The independent risk factors for poorer 5-year survival of patients after liver transplantation were confirmed,including positive ANLN protein expression (P =0.031,OR =1.965,95 %CI =1.064-3.630),tumor size >8 em (P =0.003,OR =2.841,95 %CI =1.437-5.617),worse differentiation degree (P =0.001,OR =3.613,95% CI =1.646-7.928),peritumor intravascular cancer emboli (P =0.041,OR =1.896,95%CI =1.028-3.498) and tumor necrosis or hemorrhage (P=0.010,OR=2.195,95 %CI=1.211-3.979).Conclusion The expression of ANLN in HCC is upregulated and the positive protein expression indicates the poor prognosis for long-term survival of patients after liver transplantation.