1.Analysis on results before and after implementing total quality control on blood culture
Zhonghua ZHU ; Maohai ZHANG ; Guihua ZHANG
International Journal of Laboratory Medicine 2016;37(7):933-934,937
Objective To observe the changes of the blood culture results before and after implementing the quality control on blood culture .Methods The blood culture results in 1 year before implementing the quality control and in 1 year after implementing the quality control were performed the contrastive analysis .Results After implementing the quality control on blood culture ,the positive rate of blood culture was elevated by 2 .4% and the pollution rate was decreased by 8 .6% after the quality control .Conclu‐sion Implementing the total quality control on blood culture can improve the positive rate of blood culture and reduces the pollu‐tion rate of blood culture .The determination of contamination bacteria must combine the laboratory detection data with the clinical situation for ensuring to provide accurate and effective antimicrobial agents for clinic .
2.Assessment of transmural distribution of myocardial perfusion by real-time myocardial contrast echocardiography
Guihua YAO ; Yun ZHANG ; Mei ZHANG
Chinese Journal of Ultrasonography 2003;0(11):-
Objective To explore the practicability of real-time myocardial contrast echocardiography (MCE) in assessing the transmural distribution of myocardial perfusion. Methods Three grades of left anterior descending coronary artery(LAD) stenoses were created in 6 open-chest dogs. Stenoses reduced LAD flow by 50%, 75% and 90% of hyperemia guided by flow probe. Low-energy MCE were performed at baseline, hyperemia reduced by dipyridamole, three different stenoses, reperfusion and complete occlusion, respectively, during continuously infusion of SonoVue. Regions of interest(ROI) were placed individually within endocardial and epicardial layers and myocardial signal intensity-versus-time plots just after high-energy FLASH frames were fitted to an exponential function to obtain values of A, ?, A??. The corresponding transmural gradients, defined as endocardial-epicardial ratios of A (A-EER),?(?-EER) and A??(A??-EER) were also calculated. Results The transmural distributions of A,? and A?? were more or less homogeneous at baseline,hyperemia and 50% reduced LAD flow, with their transmural gradients near 1. When LAD flow was reduced by 75%,? and A?? from endocardial layer decreased (P
3.Clinical study of quantitative tissue velocity imaging in evaluating segmental systolic function of left ventricle
Guihua YAO ; Yun ZHANG ; Pengfei ZHANG
Chinese Journal of Ultrasonography 2003;0(11):-
Objective To explore the value of quantitative tissue velocity imaging (QTVI) in quantitatively evaluating segmental systolic function of left ventricle. Methods Fifteen healthy volunteers(group A) and fifteen myocardial infarction patients (group B) were studied at apical four-chamber view, two-chamber view and apical longitudinal view using QTVI. Septal, lateral, anterior, inferior, ante-septal and posterior walls were divided into basal, middle and apical segments respectively, in total 18 segments. The systolic peak velocity (Vp), systolic peak displacement (D), systolic peak strain rate (SR) and strain (S) were measured respectively for each segment of both groups. Results For abnormal wall motion segments in group B, the value of Vp showed significant lower in 16(16/18) segments, D in 15(15/18) segments, SR in 17(17/18) segments and S in 16(16/18) segments than those in the corresponding segments of group A (all P
4.Evaluation of Sysmex Hematology Analyzers with Fresh Blood
Peng LI ; Ning ZHANG ; Guihua ZHUANG
Journal of Modern Laboratory Medicine 2014;(6):136-138
Objective To investigate comparability between Sysmex different hematology analyzers.The consistency of all he-matology analyzers with the same fresh sample.Methods Selected Sysmex XE-2100 as reference instrument which attend external quality assessment.Fresh high,medium and low blood were detected in Sysmex XS-800i,Sysmex XT-4000i and Sys-mex XT-1800i,compared results of WBC,RBC,HGB,HCT,MCV and PLT.Results The bias of XS-800i and XE-2100 was WBC 2.85%,RBC 1.44%,HGB 0.75%,HCT 2.11% and PLT 5.53%.The bias of XT-4000i and XE-2100 was WBC 1.26%,RBC 0.95%,HGB 0.68%,HCT 1.35% and PLT 2.68%.The bias of XT-1800i and XE-2100 was WBC 5.21%, RBC 1.96%,HGB 1.60%,HCT 1.96% and PLT 4.95%.It had good compatability.All various parameters was in the al-lowed range.Conclusion Should maintenance and compare the hematology analyzers periodically,found the problem then calibration instruments in time,ensure the consistency of measurement results between different instruments and guarantee accuracy of the results.
5.Progress in carriers of anticancer paclitaxel
Zhenlei YANG ; Sixi ZHANG ; Guihua HUANG
Chinese Journal of Biochemical Pharmaceutics 2015;(9):183-185
Objective To understand the progress of paclitaxel carriers, to provide theoretical support for research of paclitaxel carriers and clinical use of paclitaxel.Methods To study literatures on paclitaxel carriers recently and understand the research direction of paclitaxel carriers.Subsequently, the advantages and disadvantages of various paclitaxel carriers were analyzed and summarized.Results Paclitaxel as an effective anti-tumor chemotherapy drugs, had poorly water-soluble, serious toxicity and side effects, which limited the wide application of paclitaxel to some degree.Development of liposomes, micelles, microspheres, nanoparticles and other new dosage forms had broken these restrictions, which had vital significance.Conclusion Paclitaxel carriers can improve the solubility of the drug, reduce side effects, and develop toward multi-functional and finely targeted.
6.Clinical significance of survivin expression on exfoliated urothelial cells of patients with TCCB
Guihua CAO ; Xiaohou WU ; Yao ZHANG
Chinese Journal of Urology 2001;0(06):-
0.05.Only 1 of 28 (3.6%) showed positive survivin signal in the control group.The difference of the positive rate of survivin between groups of TCCB and control was significant ( P
7.Experimental study of real-time three-dimensional echocardiography in quantifying left ventricular volume and ejection fraction
Guihua YAO ; Yun ZHANG ; Yan WANG
Chinese Journal of Ultrasonography 2003;0(08):-
0.05). ④ High correlations were also found between 2-DE, RT-3DE derived LVEDV and TV (r= 0.80- 0.88), but 2-DE and RT-3DE 2-plane methods underestimated TV significantly (P
8.Postoperative follow-up of early gastric cancer in the elderly patients
Guihua GONG ; Ziqi ZHANG ; Jun WAN
Chinese Journal of Geriatrics 2000;0(06):-
Objective To evaluate the clinicopathological characteristics of early gastric carcinoma for prognosis and the long term consequences of gastrectomy for quality of life in the aged. Methods The clinicopathological features and late postoperative complications by follow up study for 71 patients during 1973 1999 with early gastric cancer were reviewed by using hospital records. Results Forty six cases(64.8%) were diagnosed by routine gastroscopic checkup. 56 cases out of 71 (74.6%) were mucosal cancer without lymph node metastasis, 18 cases were submucosal cancer with lymph node metastasis in 2 cases. By histological study, we found that 32 lesions (45.1%) were located at the antrum, differentiated tubular adenocarcinoma was found in 43 cases, and multiple primary carcinoma in 5 cases and gastric stump cancer in 3 cases. The disorders of gastric stump included anastomotic gastritis, empting disturbance, erosion, ulcer, reflux esophagitis were found in 31, 7, 6, 4 and 3 cases, respectively. Fourteen patients showed weight loss and 9 showed anemia. Patients with proximal gastrectomy suffered more from disoders than the patients with distal gastrectomy. Conclusions Our results suggest that special attention should be given to the patients with chronic atrophic gastritis diagnosed by routine gastroscopy. Lymph node metastasis, multiple primary cancer and gastric stump cancer might affect the prognosis. Our results support the fact that the incidence of disorders of gastric stump are high; and the surgical treatment with gastroscopic procedure is recommended for the mucosal cancer in order to improve the patients' quality of life.
9.Quantitative assessment of myocardium perfusion using real-time myocardial contrast echocardiography
Guihua YAO ; Yun ZHANG ; Shengzhuo SHI
Chinese Journal of Ultrasonography 1993;0(02):-
ObjectiveTo determine the possibility of r eal-time perfusion imaging in the quantitative evaluation of myocardial perfusion in various segments of left ventricle. MethodsImages of ten anesthetized dogs were obtained at the mid-papillary muscle short-axis view with a real-time imaging system. Mechanical index (MI) was adjusted to 0.1 , 0.2 and 0.4 respectively, and frame rate was set at 20 Hz. Optison was infused intravenously at a rate of 0.1 , 0.2 and 0.5 ml/min, respectively. Images were recorded for 150 real-time frames commencing immediately after a couple of Doppler bursts. Myocardial opacification was assessed both visually and quantitatively for six segments of left ventricle (antero- and infero-septum, inferior, posterior, lateral and anterior wall). Myocardial signal intensity versus real-time frame curves were made and fitted to an exponential function: Y=A(1-e -?t ). ResultsUsing low MI (MI= 0.1 or 0.2 ) and with continuously infusion of Optison at a rate of 0.2 or 0.5 ml/min, real-time imaging resulted in sufficient myocardial opacification and left ventricular endocardial border definition, and displayed myocardial thickening and wall motion simultaneously. ConclusionsReal-time imaging has a potential in the quantitative assessment of myocardial perfusion, and allows simultaneous assessment of perfusion and myocardial function.
10.Investigation on the Express of P15 and the P16 protein in the Brain Gliomas.
Guihua XING ; Xiaojie ZHANG ; Wei RONG
Journal of Medical Research 2006;0(02):-
Objective To investigate cancer suppressor Genes p16, p15 in the brain gliomas expression and its relations with the gliomas pathology graduation and the malignant degree.Methods P16 and P15 protein expression level in human brain gliomas from 63 surgery specimens were assayed by immunobistochemical S-P method.Results P16, the P15 protein expression rate the brain gliomas pathology graduation assumes the inverse correlation with, also compared with the high malignant group the low malignant group (Ⅰ~Ⅱ level) (Ⅲ~Ⅳ level) has the remarkable difference (P