1.Research on the Incentive Mechanism of Human Organ Donation
Jinping ZHAO ; Jufang WU ; Yunzhang LIU
Chinese Medical Ethics 1994;0(05):-
The lack of organs has been an crucial limiting factor for Chinese organ transplantation,thus it is in urgent need to effectively increase the number of donor organs.This article holds that,besides through publicity and education to promote unpaid voluntary organ donation,some incentive mechanisms are also required to serve as useful complements.Therefore,organs' origin can be expanded to a certain extent,and the intense supply and demand in organ transplantation can also be eased.Unifying organ transplantation practice in China,this paper explains the necessity of organ donation incentive mechanisms from both theoretical and practical significances,reveals the main elements of the incentive mechanisms,and explores the realization means.
2.Introspective reports of attention deficit hyperactivity disorder and its pathogenetic characteristics
Minhua FEI ; Jiangong LIN ; Chen HE ; Jufang ZHAO ; Songzhi JIANG
Chinese Journal of Tissue Engineering Research 2005;9(24):205-207
AIM:To reveal the characteristics and patterns of mental activity in the cerebral cortex of patients with attention deficit hyperactivity disorder (ADHD) and explore the pathogenetic characteristics of ADHD.METHODS: The ADHD patients were asked to record their mental activity, general health condition and obsessions before the onset of pathological symptoms by means of psychological introspective reports.RESULTS: The direct cause of attention distraction and failure of attention focus is the patients' inability to perform cognitive tasks (including perception, memory and recollection, imagination, association and thought)in a continuously ongoing manner in relaxation. The frequent stagnancy and pause during the course of recognition precipitated the patients in a stressful state, which contributed to the onset of various hyperactivities and also resulted in the acquisition of "silent verbal thinking". This is an important psychopathological phenomenon long been neglected. All theses abnormalities caused the patients much discomfort, which was naturally relieved by means of impulsive and irritable behaviors.CONCLUSION: A series of clinical symptoms of ADHD arises from the same pathogenic factor of difficulty in mental activity and inability to carry out the activities in the cerebral cortex in a relaxed manner. The difficulty in mental activity is the key problem of ADHD and the source of various synptoms, which should be ;reated for the first place. The cause of this key problem is possibly lowered metabolism of the cerebral cortex, and the effect of "instinct" can not be neglected in the attempt to explain the pathogenesis of ADHD.
3.Expression of hepatocyte growth factor and c-met stimulated by high glucose in human kidney fibroblast and its significance
Shan MOU ; Qingyi ZHANG ; Hanfang ZHAO ; Jufang TONG
Chinese Journal of Endocrinology and Metabolism 1986;0(04):-
Objective To observe high glucose induced expression of hepatocyte growth factor (HGF) and c met in human kidney fibroblast. Methods The effects of glucose concentrations on expression of HGF, c met and plasminogen activator inhibitor (PAI) 1 in cultured human kidney fibroblasts were observed by RT PCR. In the same system, the effect of exogenous HGF on the expression of PAI 1 was investigated. Results Human kidney fibroblasts cultured in high glucose concentration (25 mmol/L) showed higher HGF and c met expressions in the early stage and then manifested a gradient decrease of HGF and c met expressions, but PAI 1 expression was gradiently increased. Exogenous HGF resulted in inhibiting PAI 1 expression. Conclusion HGF is a potential anti fibrogenic factor and activates matrix degradation pathways in diabetic kidney by reducing PAI 1 expression.
5.Effect of Kun'an Granule on Serum Hormone Level in Rats with Hyperprolactinemia
Zhiling ZHANG ; Jufang LIU ; Huilin LI ; Hengxia ZHAO
Journal of Guangzhou University of Traditional Chinese Medicine 2000;0(04):-
[Objective] To investigate the effect of Kun'an Granule (KG) on serum hormone level in rats with hyperprolactinemia [ Methods ] Rats were randomized to five groups: group A ( mimic operation) , group B (model control), group C (bromocriptine), group D (low-dose KG) and group E (high-dose KG). Except group A, the other four groups were implanted with pituitary for modeling. Group C was treated with bromocriptine 1 mg/kg, group D with gastric infusion of KG 4 g/kg and group E with KG 12 g/kg. The treatment lasted 34 days. Serum levels of prolactin (PRL), testosterone (T), follicle-stimulating hormone (FSH), luteinizing hormone (LH) and estrogen (E2) were detected before and after treatment and the differences between groups were compared. [ Results ] Serum PRL and T levels were increased and LH, FSH and E2 levels decreased in group B (P
6.The value of MRI T1 W-SPACE in diagnosis of ischemic cerebrovascular disease
Jufang WU ; Jin LI ; Junxiong ZHAO ; Xiaorong FENG ; Zhijun CHEN ; Lihua LIANG
Journal of Practical Radiology 2016;32(8):1171-1173
Objective To evaluate the feasibility of the three-dimensional brain artery vessel wall imaging technology reverse rotation angle of fast spin echo (T1 W-SPACE)in the diagnosis of ischemic cerebrovascular disease by comparing it with TOF vascular imaging in magnetic resonance. Methods Patients undergoing stroke but stable condition,including 50,patients with transient cerebral ischemia (TIA)or a history of stroke,examined by TOF-MRA and routine MRI sequence first,then followed by T1 W-SPACE.Results In 43 of 50 cases,conventional MRI sequences detectiog was positive,TOF-MRA found the vascular stenosis in 76 branches,T1 W-SPACE found the vascular stenosis in 73 branches,there was no difference between the two groups(χ2 =0.625,P >0.05);Conventional TOF-MRA cannot detect the vascular wall, T1 W-SPACE found that arterial wall thickening,plaque in 48 branches.Conclusion Compared with the TOF-MRA,T1 W-SPACE can not only detect the vessel stenosis,but also the vessel wall and plaque,and can also type on plaque from pathology angle,has im-portant clinical significance for early prevention and treatment of stroke.
7.Abnormal spinal curvature in primary and secondary school students aged 10-14 years in Inner Mongolia in 2021
ZHAO Jing, GAO Sheng, YANG Tian, ZHAO Jufang, LI Guofeng, BA Teer, ZHANG Xiuhong
Chinese Journal of School Health 2022;43(12):1889-1892
Objective:
To understand prevalence and influencing factors of abnormal spinal curvature in primary and secondary school students aged 10-14 years in Inner Mongolia, and to provide reference for relevant measures.
Methods:
A total of 92 094 primary and secondary school students aged 10-14 years were selected by multi stage cluster sampling, and were investigated with questionnaire.
Results:
A total of 1 957 participants (2.13%) with abnormal spinal curvature were detected, including 1 768( 90.34 %) with scoliosis. Significant differences in the detection rate of abnormal spinal curvature were observed among students with different myopia status and posture of sitting and standing ( χ 2=23.82, 9.84, P <0.05). Logistic regression analysis showed that different ethnic groups, monitoring points, age and area were main factors for risk of spinal curvature abnormalities in primary and secondary school students aged 10-14 years; good nutritional status, left right rotation of class seats, seat height adjustment according to height were associated with lower rate of spinal curvature abnormalities ( P <0.05).
Conclusion
Various measures should be taken simultaneously to reduce the prevalence of abnormal spinal curvature in primary and middle school students aged 10-14 years.
8.Abnormal spinal curvature and its influencing factors among middle and high school students in Inner Mongolia Autonomous Region
YANG Tian, ZHANG Xiuhong, GAO Sheng, LI Guofeng, ZHAO Jing, ZHAO Jufang
Chinese Journal of School Health 2023;44(3):447-450
Objective:
To investigate the incidence of abnormal spinal curvature and related factors among middle school students in the Inner Mongolia Autonomous Region, so as to provide evidence for abnormal spinal curvature prevention and treatment.
Methods:
By using a random stratified cluster sampling method, 87 908 students of middle and high school students from all 12 counties(districts) were investigated via questionnaires for abnormal spinal curvature and health influencing factors in Inner Mongolia Autonomous Region. Chi square test was used to perform demographic characteristics and univariate analysis, and binary multivariate Logistic regression model was used to screen the risk factors for spinal curvature abnormalities in middle school students.
Results:
A total of 3 131(3.56%) students with spinal curvature abnormalities were detected, with boys (3.69%) higher than that of girls(3.44%), urban areas (6.15%) higher than that of the suburban counties (2.50%), and high school students ( 4.97 %) higher than that of junior high school(2.73%) students( χ 2=4.01, 702.19, 299.36, P <0.05). The detectable rate of spinal curvature abnormalities increased with grade ( χ 2 trend =309.29, P <0.05). Logistic regression analysis showed that factors influencing abnormal spinal curvature included myopia, overweight, obesity, the frequency of classroom seating arrangements, time spent on homework/reading after school every day, time spent in daytime outdoor activities, self imposed requirements for posture of sitting and standing, phase of studying, gender, and area ( OR =0.53-2.55, P <0.05).
Conclusion
Abnormal spinal curvature is strongly correlated to nutritional status, myopia, sitting posture when reading and writing, sedentary time, and time spent in outdoor activities. The collaboration of multiple departments is required to establish anenvironment to protect the spine, early detection and early intervention.
9.Spinal curvature disorders among primary and middle school students in Hohhot
ZHAO Jufang, WEI Nana, ZHAO Jing, YANG Tian, LI Guofeng, GAO Jianqiong, ZHANG Xiuhong
Chinese Journal of School Health 2023;44(2):295-298
Objective:
To investigate the incidence and associated factors of spinal curvature disorders among primary and middle school students in Hohhot, so as to provide reference for relevant prevention strategies.
Methods:
According to the monitoring and intervention work of students common diseases in Inner Mongolia Autonomous, 13 586 primary and middle school students in Hohhot were selected by random sampling method to carry out scoliosis examination in September 2021.
Results:
A total of 538( 4.0% ) students were found to have spinal curvature disorder. Multivariate Logistic regression analysis showed that monitoring site, phases of studying, and persistent back pain in the past 1 month were associated of spinal curvature disorder in primary and middle school students ( OR =0.33, 1.74, 1.28, 1.51, P <0.05).
Conclusion
Spinal curvature disorder is relatively common in primary and middle school students in Hohhot. Effective measures should be taken to reduce the burden of spinal curvature disorders in primary and middle school students.
10.Status of scoliosis and the related factors among 12yearold school students from Inner Mongolia Autonomous Region in 2021
ZHAO Jing, ZHANG Yifan, GAO Sheng, YANG Tian, ZHAO Jufang, LI Guofeng, BA Teer, ZHANG Xiuhong
Chinese Journal of School Health 2023;44(9):1399-1402
Objective:
To understand the current situation and influencing factors of scoliosis in 12-year-old students from Inner Mongolia Autonomous Region, so as to provide scientific basis for accurate prevention and control of abnormal spinal curvature.
Methods:
From October to November 2021, a total of 18 399 students aged 12 were selected by region and school level by stratified random cluster sampling method, and spinal curvature screening and questionnaire survey of common diseases and health influencing factors among students were carried out. Chi squared test was used for single factor analysis, and binary Logistic regression model was used for multi factor analysis.
Results:
A total of 397 students (2.2%) were detected with abnormal curvature of the spine, including 368 students (2.0%) with scoliosis. Among them, 205 cases were in the lumbar thoracic segment with a detection rate of 1.1%, 173 cases were in the thoracic segment with a detection rate of 0.9%, and 141 cases were in lumbar thoracic segment with a detection rate of 0.8%. Binary Logistic regression analysis showed that urban area, economic area(moderate), attending tutorial classes before primary school and class seats never changed regularly were positively correlated with the occurrence of scoliosis among 12 year old students ( OR =1.95,1.67,1.76,1.71, P <0.05). Obesity, attending an average of 3 or 4 physical education classes per week, attending physical fitness and beauty classes before primary school were negatively correlated with the occurrence of scoliosis among 12 year old students ( OR =0.69,0.31,0.36,0.71, P <0.05).
Conclusion
The prevalence of scoliosis among 12-year-old students in Inner Mongolia Autonomous Region is not optimistic. It should pay attention to the prevention and control of scoliosis in students before the age of 12, actively prevent the occurrence and progress of scoliosis.