1.Clinical manifestations and treatment of schistosomiasis hematobia
Haiyong HUA ; Guanghui REN ; Yousheng LIANG
Chinese Journal of Schistosomiasis Control 2014;(4):357-361
Schistosomiasis hematobia is one major human schistosomiasis. The disease is endemic in Africa and Mediterra-nean region,and is the main cause of urogenital diseases. Although only Schistosoma japonicum is spreading across the Main-land China,now more schistosomiasis hematobia cases are reported among aid projects and migrant workers to Africa,with the economy development and the increasing degree of foreign exchanges. Meanwhile,the relevant clinical data of schistosomiasis hematobia are rare in China. This article reviews the clinical manifestations and progress in diagnosis and treatment of the dis-ease.
2.Effects of testosterone on endothelial function and intimal proliferation after balloon injury in male rabbit abdominal aorta
Guoqing REN ; Congxin HUANG ; Guanghui SUN ; Jianmi HOU
Chinese Journal of Pathophysiology 2000;0(08):-
AIM: To investigate the effects of testosterone on endothelial function and intimal proliferation after balloon injury in male rabbit abdominal aorta. METHODS: 24 male New Zealand white rabbits were divided randomly into three groups: control group ( n =8, sham castration), hypotestosteronemia group ( n =8,castration) and testosterone replacement group (n =8,castration +testosterone undecanoate intramuscular injection,14 mg/kg). Abdominal aorta was injured with 3 mm PTCA balloon after testosterone undecanoate had been injected for three days. Two weeks later, blood samples were obtained for detection of plasma testosterone, lipids, metabolic product of nitric oxide (NO - 2/NO - 3), superoxide dismutase(SOD) and malondialdehyde (MDA),and all the abdominal aorta were excised to be analyzed by computer. RESULTS: The intimal area of hypotestosteronemia group were significantly larger than that of other two groups( P
3.Evaluation on effect of treatment and assistance to advanced schistosomia-sis patients in Hunan Province from 2004 to 2013
Shengming LI ; Zhengyuan ZHAO ; Zaizhi PENG ; Zhanghua WANG ; Yuan LI ; Fengying GUO ; Guanghui REN
Chinese Journal of Schistosomiasis Control 2014;(4):362-366
Objective To comprehensively evaluate the effect of the program of treatment and assistance to advanced schis-tosomiasis patients in Hunan Province from 2004 to 2013. Methods The fund investment of the program,the profits of hospi-tals and the improvement of the patients’health were investigated by data collection and questionnaire survey. The evaluation index system of treatment and assistance to advanced schistosomiasis in Hunan Province was constructed by the Delphi method and analytic hierarchy process,and the program was assessed comprehensively. Results The evaluation index system includ-ing 6 primary indices and 33 secondary indices was established. Among all the primary indices,the score of the treatment and assistance(22.25)was the highest,and that of the satisfaction assessment(8.15)was the lowest,and the score of the compre-hensive assessment was 87.06. The average cure rate of the patients was 13.08%from 2004 to 2013. More than 60%of the pa-tients’disease condition got better,and nearly 70%of the patients’psychological condition improved,and more than 70%of patients’self-help ability and social contact improved,as well as family happiness increased. In addition,the annual average cost for caretakers decreased by 2000 Yuan,and the profits of all the fixed-point hospitals for treatment and assistance in-creased. Conclusion The effectiveness and efficiency of the treatment and assistance to advanced schistosomiasis patients in Hunan Province is obvious,and the government should continuously invest in the program.
4.Selection of epidemic indicators for schistosomiasis GIS platform in Dongting Lake area
Fengying GUO ; Ping YI ; Zongchuan LIU ; Guangqiang LI ; Jinhua ZHU ; Junxiang LI ; Guanghui REN
Chinese Journal of Schistosomiasis Control 2014;(5):565-567
Dongting Lake area is one of the major marshland schistosomiasis endemic areas in China. In recent years spatial epidemiology is widely used in the research of schistosomiasis which is a new opportunity to break through the current wander-ing situation of schistosomiasis control. In this article both the generalized and Dongting-Lake-specific epidemic indicators of schistosomiasis are reviewed to provide the basis to construct the schistosomiasis Geographic Information System GIS database of Hunan Province.
5.Analysis of characteristics of medical assistance to advanced schistosomiasis patients in Hunan Province,2015
Feiyue LI ; Hongzhuan TAN ; Jie ZHOU ; Ruihong ZHOU ; Jinhua ZHU ; Xinting CAI ; Guanghui REN
Chinese Journal of Schistosomiasis Control 2017;29(3):281-285
Objective To understand the current distribution and characteristics of advanced schistosomiasis patients who accepted medical assistance in Hunan Province in 2015,so as to provide the evidence for perfecting the policy and measures of the medical assistance to advanced schistosomiasis patients. Methods The patients who had been diagnosed as advanced schis-tosomiasis were verified and confirmed according to the standard of the medical assistance to advanced schistosomiasis patients in Hunan Province in 2015. The epidemiological survey was conducted to investigate the demographic characteristics,history of diagnosis and treatment,and medical assistance to these persons. Results There were 3850 advanced schistosomiasis patients who accepted the medical assistance in Hunan Province in 2015,and among them,2664 patients were male(69.19%),and 1186 were female(30.81%). Most of them(92.82%)came from the main schistosomiasis endemic areas,such as Yueyang, Changde and Yiyang. There were 2369 cases of ascites(61.53%),1466 cases of splenomegaly(38.08%),15 cases of colon proliferation and dwarf(0.39%). The mean age of advanced schistosomiasis patients who accepted the medical assistance was (62.94 ± 11.67)years old,with 64.31% of them being more than 60 years old. The age of initial diagnosis of advanced schistoso-miasis was(53.85 ± 21.32)years old,and it was concentrated in 40-60 years old(68.57%). The mean duration of advanced schistosomiasis was(9.58 ± 10.06)years,and it was mainly distributed in 10 years(75.95%). The mean duration from initial diagnosis of schistosomiasis to advanced schistosomiasis was(22.33 ± 14.20)years. The priority of the medical assistance to ad-vanced schistosomiasis patients was given to the county hospitals(76.57%);and the effective rate of assistance was 94.46%. To-tally 86.57% of the patients with advanced schistosomiasis got the medical insurance(rural cooperative medical care,urban medical care,etc.). Conclusions The burden of the medical assistance to advanced schistosomiasis patients is still heavy be-cause of many patients and low cure rate in Hunan Province. The ascites patients and high age patients should be the important objects of the medical assistance.
6.Construction and application of network teaching platform for ocular fundus diseases
Guanghui LIU ; An LIU ; Yongzheng ZHENG ; Mingdong PAN ; Chaoyang XU ; Bingyi REN
Chinese Journal of Medical Education Research 2014;(7):751-754
In view of the deficiency of class hour and the limitations of classroom teaching in the course of ocular fundus disease, a network teaching platform, based on Browser/Server structure, was explored and constructed to assist classroom teaching. The network platform was constituted with teaching demonstration system, communication-test system, search system, and help system, mainly including 18 functional modules of learning-world et al. The students can be guided with the modules such as navigation, acting as a self-regulated learner through the modules such as learning-world, searching and downloading the related learning materials through the modules such as searching and discussing different learning topics with other students and their teachers through the modules such as forum. The network platform was used for classroom teaching of ocular fundus disease in auxiliary , and the result showed it was helpful to breaking the time and space constraints in conventional teach-ing, expanding the teaching content, solving the difficulties in teaching, improving the students' learning initiative, and realizing the interactive teaching.
7.Study on spatial-temporal characteristics of Schistosoma japonicum infec-tions among human in Hunan Province,2004-2011
Benjiao HU ; Zhengyuan ZHAO ; Meng XIA ; Guangping LI ; Guanghui REN ; Qingwu JIANG ; Yibiao ZHOU
Chinese Journal of Schistosomiasis Control 2017;29(4):406-411
Objective To explore the spatial-temporal characteristics and changing regularities of Schistosoma japonicum in-fections among human from 2004 to 2011. Methods The township level spatial databases of schistosomiasis in Hunan Province from 2004 to 2011 were established,and the related spatial analysis was performed by SPSS 17.0,ArcGIS 10.1 and SaTScan 7.03. Results The schistosome infection rate among human in Hunan Province sharply decreased from 3.0%in 2004 to 0.8%in 2011. However,the rate among residents in parts of some townships in 2011 was still hovering at a higher level (P90=2.12%),and the higher rate was distributed along the Oncomelania hupensis snail ridden areas outside embankment. The auto-correlation analysis showed that the global Moran's I for schistosome infection rate among human was 0.34 to 0.53 from 2004 to 2011,and was higher than the expected value(Z>8.71,P<0.05). The local G statistics indicated that the positive hotspot high-high clustering areas were mainly near the coast of Dongting Lake from 2004 to 2011,and the number of townships with schistosomiasis endemic in the clustering areas reached 30 to 70. The spatial scan analysis showed that the number of townships in the clustering areas ran up to 145 to 183 from 2004 to 2011. Conclusions The schistosome infection rate among human de-creased significantly in Hunan Province from 2004 to 2011. However,the rate in parts of some townships still remains at a com-paratively high level,and there are positive spatial correlation and spatial agglomerations in the schistosome infection rate among human,suggesting that the prevention and control work on schistosomiasis in these areas should be strengthened in the fu-ture.
8.Curative effect of Ruangan pills in treatment of schistosomiasis liver fibrosis
Huajie GE ; Dinghua BAI ; Xiaoling XIA ; Shating XU ; Fujun LUO ; Guanghui REN
Chinese Journal of Schistosomiasis Control 2014;(2):197-199,202
Objective To explore the efficacy,mechanism and safety of silibinin combined with Ruangan pills(a Chinese herbal preparation)in the treatment of schistosomiasis liver fibrosis. Methods A total of 200 patients with schistosomiasis liver fibrosis were randomly divided into a control group and a treatment group,and 100 patients in each group were respectively admin-istered with oral silibinin alone and oral silibinin combined with Ruangan pills,respectively. The curative effects in the two groups were evaluated in 3 months,6 months,9 months and 12 months respectively. Results The common five clinical symptoms of schistosomiasis liver fibrosis patients significantly relieved in the treatment group 12 months after the therapy,and the total effi-ciency reached more than 75%,which were significantly higher than that in the control group. In the treatment group and the con-trol group,there was no improvement in the liver B ultrasonic classification 3 months and 6 months after the therapy(P>0.05);however,in 9 months and 12 months,the liver B ultrasonic classification in the treatment group was better than that in the control group(P<0.05,P<0.01,respectively). For the four serum indexes of liver fibrosis,there was no significant differences between the two groups in 3 months,however,in 6 months,9 months,and 12 months,there was a significant improvement in the treat-ment group compared with the control group. There were no obviously adverse effects in two groups. Conclusion Silibinin com-bined with Ruangan pills has a better curative effect in the treatment of schistosomiasis liver fibrosis.
9.China's crop residues resources evaluation.
Guanghui XIE ; Xiaoyu WANG ; Lantian REN
Chinese Journal of Biotechnology 2010;26(7):855-863
The availability of crop residues in China is reviewed in this article. The definition of crop residues is clarified as the total byproducts of field production and processing industry thereafter, and methodology for evaluating crop residues is discussed. Based on literature, the progress on the crop residue assessment is addressed. The annual field crops residues in China from 1991 to 1999 were estimated between 6.0-6.8 hundred million tons, while the data for the process residues were not available. From 2000 to 2007, the annual crop residues were estimated between 5.9-7.3 hundred million tons, while the processing residues at the range of 0.9-1.1 hundred million tons. The reasons for the significant variations are due to the disagreement on crop residue definition, different, even inaccurate residue to grain ratio data used in the estimations, and the lacking of clear understanding on the statistical analysis and grain outputs related to the crop residue evaluation. With the complete statistic analysis method, the author's group evaluated the residues in 2006 and 2007 to be 7.4 hundred million tones in total, including 6.5 hundred million tons for field crop residues and 0.9 hundred million tons for process residues. Moreover, the geographic distribution of the field crop residues was analyzed based on the harvest indices (HI) tested within the near five years.
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10.Discussion on multidisciplinary treatment mode of advanced schistosomiasis and its standardized implementation
Weicheng DENG ; Yueyun ZHANG ; Guojian DING ; Jiaxin LIU ; Yonghui ZHU ; Hongbo WANG ; Fengqiu LUO ; Huaiyu BAO ; Guanghui REN
Chinese Journal of Schistosomiasis Control 2017;29(1):102-104
Advanced schistosomiasis is the most serious clinical type of schistosomiasis. Its diagnosis and treatment are relat?ed to many special departments,such as gastroenterology,general surgery,neurology,endocrinology,radiology,traditional Chinese medicine,blood purification,endoscopy,intervention,and ICU. It is necessary to apply a multidisciplinary treatment (MDT)mode. However,the mode has no universal standard and guide in practice. It is very important for the implementation of MDT mode of advanced schistosomiasis to form a treatment expert team,formulate the formal working procedures,and standard?ize the treatment schedules. The standardized implementation of MDT mode will be important to provide a more effective clinical decision on advanced schistosomiasis.