1.Influence of Six Exogenous Pathogenic Factors on Asthma in Children and Observation on Microscopic Indexes in Cold- and Heat-Type Asthma
Yongxia ZHOU ; Jiemin HONG ; Kejin CHEN
Journal of Guangzhou University of Traditional Chinese Medicine 2001;0(03):-
To investigate the influence of six exogenous pathogenic factors on asthma in children and to observe the changes of microscopic indexes in cold- and heat-type asthma. Logistic regression analysis was applied to analyze the influence of six exogenous pathogenic factors and the changes of serum level of IgE, eosinophil (EOS) counting, contents of third component of complement (C3) and C-reactive protein (CRP) were observed. The exogenous factors of wind, cold, damp, wind-cold mixture and cold-damp mixture were the risky factors of asthma. Serum levels of IgE and EOS were higher in cold-type asthma and serum contents of C3 and CRP were higher in heat-type asthma (P
2.Changes of Oscillatory Potentials of Electroretinogram after Methanol Intoxication in Rats
Dongmei LIU ; Shu ZHOU ; Jiemin CHEN ; Shuya PENG ; Wentao XIA
Journal of Forensic Medicine 2014;(3):178-180
Objective To study the characters of oscillatory potentials (OPs) of electroretinogram (ERG) after methanol intoxication in rats. Method The SD rat models of methanol intoxication were established and divided into control group, 3-day intoxication group, 7-day intoxication group. The changes of OPs of ERG were recorded in a dark room. Results The total amplitudes of 3-day and 7-day intoxication groups decreased approximately 50% compared with that of the control group, while the schedule de-layed approximately 16% and 61%, respectively. Conclusion The characters of methanol intoxication in rats included delay in schedule and decline in the total amplitude of OPs.
3.Characteristics and risk factors of lymphatic metastasis in early gastric cancer
Jiemin WANG ; Liya ZHOU ; Sanren LIN ; Shigang DING
Chinese Journal of Internal Medicine 2010;49(4):297-300
Objective To summarize the characteristics of regional lymph node metastasis in patients with early gastric cancer and analyze the risk factors for lymphatic metastasis. Methods 103 cases surgically treated for early gastric cancer in the Third Hospital of Peking University between March, 1988 and March, 2009 were analyzed retrospectively. Several clinicalpathologic variables including patients' age, gender, size of tumor, tumor location, macroscopic type, histological type, invasion depth were investigated by using chi-square test and logistic regression analysis for the possible relationship to lymphatic metastasis. Results The rate of lymph node metastasis in early gastric cancer was 17.5% (18/103), which in mucosal cancer was 4. 1% (2/49). Submucosal cancer had a lymph node metastatic rate of 29. 6% (16/54). Logistic regression indicated that invasion to submucosa and tumor size > 2 em were independent risk factors for lymph node metastasis of early gastric cancer. Metastatic cases of mucosal cancer were all signet ring cell cancer with diameters more than 2 cm. Lymph node metastatic rate in submueosal cancers within 2 cm was 16. 1% (5/31), that in > 2 cm submucosal cancers was 47. 8% (11/23) (P = 0. 012). Rate of lymph node metastasis in well-differentiated cancers was 0 (0/13), that in moderately-differentiated, poorly differentiated and signet ring cell cancers were 18. 2% (4/22), 16. 7% (5/30) and 23.7% (9/38) respectively (P = 0. 294). Patients' age, gender, tumor location and macroscopic type showed no relationship with lymph node state. Conclusion The tumor size and invasion depth are related with lymph node metastasis in early gastric cancer, considering these factors and assessing lymph node state is essential to appropriate therapeutic options for early gastric cancer.
4.Study of metabolic syndrome prevalence and its risk factors of patients with type 2 diabetes in special care unit
Lei ZHANG ; Jiemin PAN ; Jian ZHOU ; Yuqian BAO ; Weiping JIA
Clinical Medicine of China 2014;30(4):392-396
Objective To investigate the prevalence and risk factors of metabolic syndrome (MS) in patients with type 2 diabetes in special care unit.Methods Two thousand three hunrded and sixty patients with type 2 diabetes were selected as our subject in The Sixth People's Hospital Affiliated to Shanghai Jiaotong University from Jan.2010 to Jul.2012.Among these patients,462 patients from special care unit were served as special care group and 1 898 patients from endocrinology ward were assigned to control group.The disease history information was recorded and physical examination and biochemical tests,including blood lipids,blood pressure,fasting glucose,glycosylated hemoglobin,serum insulin,C peptide were measured.Results (1) In special care group,there were 335 male (72.5%) and the prevalence of smoking,alcohol drinking and the proportion of the high income people were 40.5%,24.9%,76.6% respectively,higher than that of control group (56.6%,24.6%,10.7%,12.7% ;x2 =32.1,16.9,12.3,32.8 ;P < 0.01).The body mess index (BMI),levels of waist circumference,alanine aminotransferase (ALT),gamma glutamyhransferase (γ-GT),triglyceride (TG),serum uric acid and fasting C peptide in special care group were ((25.6 ± 3.7) kg/m2,(91.0 ± 9.5) cm,(27.8 ±19.7) U/L,(34.1 ±26.3) U/L,(2.35 ±2.31) mmol/L,(333.7 ±85.5) μmol/L,(2.11 ±1.04) μg/L) higher than those of control group ((24.8 ± 3.5) kg/m2,(89.1 ± 10.3) cm,(23.0 ± 16.1) U/L,(29.2 ±23.2) U/L,(1.82 ±1.64) mmol/L,(317.1 ±85.2) μ mol/L,(1.74 ± 1.05) μg/L;F =11.44,6.90,16.65,8.35,18.23,7.34,21.21 ; P < 0.01).The age,duration of diabetes,systolic blood pressure,level of serum high-density lipoprotein-cholesterol (HDL-C),and glycosylated hemoglobin were ((52.9 ± 11.1) years,5 (2,10) years,(126.7 ± 15.2) mmHg,(1.02 ± 0.32) mmol/L,(8.44 ± 1.99) %) lower than those of control group((60.4 ± 12.2) years,7 (2,12) years,(131.9 ± 17.3) mmHg,(1.10 ± 0.32) mmol/L,(9.16 ±2.32)%;F =79.41,12.71,18.93,12.78,18.52; P < 0.01); (2) The rate of overweight/obesity,dyslipidemia and MS prevalence rates in special care group were 55.6%,68.4%,60.2%,significantly higher than the control group(46.1%,52.9%,50.6% ;x2 =7.59,18.76,7.18,P < 0.01).While the prevalence of hypertension in special care group was significantly lower than control group(39.6% vs 50.7%,x2 =10.15,P =0.01).There was on significant difference between male and female in term of the prevalence of the MS in the special care group(61.2% vs 57.5%,x2 =0.01,P =0.92).According to age,patients in special care group were divided into three groups and that were <45 years group,45-59 years group and ≥60 years group.With the increase of age group of female,the prevalence of MS was increasing(33.3%,48.0%,74.1% ;x2 =4.43,P =0.04).Among the male patients,there was no significant different was seen among three groups (58.8%,62.5%,55.6% ;x2 =0.05,P =0.87).(3) Multiple Logistic regression analysis showed that the independent risk factors of MS in special care group including age(OR =1.071,95% CI(1.027-1.117),P =0.01),BMI (OR =1.391,95% CI(1.112-1.739) ; P =0.013),waist circumference (OR =1.126,95% CI(1.039-1.222) ; P =0.004),TG (OR =1.747,95 % CI(1.124-2.717) ; P =0.013) and diastolic blood pressure (OR =1.111,95%CI(1.045-1.180);P =0.001).HDL-C(OR=0.048,95%CI(0.005-0.464) ;P =0.009) were protective factors of MS in special care group.Conclusion Approximately 3/5 patients with diabetes in special care unit got MS.The factors including age,BMI,waist circumference,diastolic blood pressure,TG,HDL-C were related to MS occurrence.
5.Expression and Mechanism of αB-crystallin in Retina and Extraocular Tissues and Organs
Dongmei LIU ; Shu ZHOU ; Jiemin CHEN ; Shuya PENG ; Wentao XIA
Journal of Forensic Medicine 2014;(6):470-473
αB-crystallin is the structural protein of vertebrate lens, w hich is w idely expressed in non-lens tissue. As one of the heat shock protein fam ily m em bers,αB-crystallin possesses biological proper-ties of m olecular chaperones and anti-apoptotic effects. Multi-factor injuries, such as retinopathy, inflam-m ation and nervous system diseases, have a closely relationship w ith αB-crystallin. T his paper review s the research progress of the expression and m echanism ofαB-crystallin in retina and extraocular tissues and organs.
6.Distribution of Formic Acid after Methanol Intoxication in Rats
Dongmei LIU ; Shu ZHOU ; Jiemin CHEN ; Wentao XIA
Journal of Forensic Medicine 2015;(6):450-453
Objective To investigate concentration and distribution in blood and tissues of form icacid after m ethanol intoxication in rats. Methods The Sprague-Dawley rats were divided into groups for con-trol group and 3-day and 7-day intoxication treatm ent groups. The experim ental groups were adm inis-tered m ethanol by gavage with the initial dose of 8 m L/kg and followed with 4 m L/kg supplem ental dose 24 h later. After 3 days and 7 days later, rats were killed by decapitation. Then sam ples of cardiac blood, liver, kidney, brain, heart and stom ach of each group were collected. Form icacid concentrations were detected by high perform ance liquid chrom atography. Results Form icacid concentrations in tissues were higher than in blood. Com pared with 3-day intoxication group, there was an increase form icacid of concentration in brain and stom ach in 7-day intoxication group, while a decrease in liver and kidney (P<0.05). Conclusion H igh perform ance liquid chrom atography could be used to accurately detect form icacid. As the m etabolite of m ethanol, form icacid accum ulates in rat blood and tissues after intoxication and the concentrations in organs and tissues are obviously higher than in blood.
7.Correlation between Contrast Vision and Sweep Visual Evoked Potential Acuity
Shuya PENG ; Jiemin CHEN ; Dongmei LIU ; Shu ZHOU ; Meng WANG ; Wentao XIA
Journal of Forensic Medicine 2015;(1):20-22,27
Objective To compare the correlation between contrast vision (CV) and sweep visual evoked potential acuity (SVEP-A) among people with emmetropia, mild myopia, and moderate myopia. Meth-ods The CV and SVEP-A were tested individually in 96 eyes from healthy young volunteers, including 37 eyes of emmetropia, 27 eyes of mild myopia, and 32 eyes of moderate myopia. The statistic analysis was done by ANOVA analysis and rank sum test. Results (1) With the decrease of contrast, CV and SVEP-A decreased in every group. (2) At 100% contrast, the difference of CV between emmetropia and mild myopia had statistical significance (P<0.05). At 100%, 25% and 10% contrast, the difference of CV between emmetropia and moderate myopia had statistical significance (P<0.05). (3) In the same group, the difference of 100% and 25% contrast had statistical significance (P<0.05). So was between 100% and 10% contrast. (4) At 100% and 10% contrast, the difference of CV and SVEP-A had statis-tical significance (P<0.05). Conclusion The CV of myopia relates to many factors including ametropia and fundus lesions. The correction of ametropia is important to the values of CV and SVEP-A.
8.Interventional therapy for acute hepatic artery thrombosis after liver transplantation
Hua ZHANG ; Jianhua WANG ; Zhiping YAN ; Jiemin CHENG ; Rong LIU ; Sheng QIAN ; Jian ZHOU
Fudan University Journal of Medical Sciences 2017;44(2):181-185,212
Objective To evaluate the short-term and long-term efficacy of interventional therapy for acute hepatic artery thrombosis.Methods We analyzed retrospectively the interventional treatment and long-term follow-up data of 34 patients with acute hepatic artery thrombosis in Zhongshan hospital of Fudan University from March 2003 to October 2015.Results Thirty-four patients with acute hepatic artery thrombosis were performed with urokinase thrombolytic therapy.Twenty-one patients were implanted stents in the thrombolytic therapy.Splenic artery embolization were performed in 3 patient with splenic artery steal syndrome.Technical and clinical success rates were 91% (31/34).The complication associated with interventional procedures were observed in 2 patients.The patency rates of hepatic artery in 1,2,3 and 5 years were 82%,73%,57% and 57% respectively.The median obstruction free time was 94 months.Conclusions Good short-term and long-term effect have been obtained in interventional treatment for acute hepatic artery thrombosis,which can be used as the first treatment for acute hepatic artery thrombosis after liver transplantation.
9.Evaluation of concurrent operation for benign prostatic hyperplasia with inguinal hernia
Yuanyuan ZHOU ; Tingting CHEN ; Bilan SU ; Yibin HUANG ; Jiemin WU ; Qiuyuan SU
Chinese Journal of Primary Medicine and Pharmacy 2015;(8):1210-1211,1212
Objective To summarize the operation period in the treatment of elderly patients with benign prostatic hyperplasia(BPH)clinical effect with inguinal hernia.Methods 60-96years old in elderly patients with BPH complicated with inguinal hernia in 53 cases,transurethral plasmakinetic resection of prostate (TUREP)or open operation for the treatment of benign prostatic hyperplasia,while using bard tension-free repair of inguinal hernia, disposable operation treatment of BPH complicated with inguinal hernia,the clinical effect and safety were observed. Results 53 cases were cured all operation,followed up for 6months to 2years,there were no recurrence of hernia operation,incision infection and other complications of operation.Micturition was apparent improvement.The average postoperative hospital stay was 7.6days,14 863 yuan for hospitalization.Conclusion It is safe and effective for sim-ultaneous TURP andinguinal hernia repair,which can avoid pain,and two times the risk of operation and anesthesia, especially has the positive significance in aged patients.
10.Analysis of complications of high intensity focused ultrasound in treatment of uterine leiomyoma
Wuwei YANG ; Baorang ZHU ; Jing LI ; Wenxiu XIA ; Ying LIU ; Lühua GAI ; Jiemin ZHOU ; Jifang SUN
Chinese Journal of Obstetrics and Gynecology 2010;45(12):913-916
Objective To analysis complications and its associated risk factors of high intensity focused ultrasound (HIFU) in treatment of uterine leiomyoma for selecting rationale indicated patients and reducing complications. Methods Medical documents of 171 patients with 231 leiomyomas in total treated by HIFU were studied retrospectively. Common complications were categorized and analyzed, the relationship between risk factors and complications were studied. Results Common complications in treatment of uterine leiomyomas by HIFU were 71.9% (123/171) of abdominal pain, 17.5% (30/171) of vaginal bloody discharge, 8.2% (14/171) of sacroiliac or buttock pain, 7. 6% (13/171) of skin blister,4. 7% (8/171) of leg pain, 2. 9% (5/171) of hematuria and 1.8% (3/171) of febrile. By logistic regression analysis, the factor correlated with abdominal pain included diameter of uterine leiomyomas,sonication time and average power (P < 0. 05). The factor correlated with sacroiliac or buttock pain was uterine leiomyomas located in posteriors of uterine wall(P <0. 05); the factors correlated with vaginal bloody discharge were sonication time and type of uterine leiomyomas (submucous > intramural > subserous, P <0. 05); the factors correlated with skin blister was sonication time (P < 0. 05). There were no statistical relationship between multiple factors and leg pain, hematuria, febrile (P > 0. 05). Conclusion The modality of high-power and short-term treatment might reduce complications of HIFU ablation.