1.A Comparative Study on HIV/AIDS Knowledge, Attitude and Behavior for Undergraduates from Different Universities in Kunming
Zheng ZHANG ; Shangwen WANG ; Jun FENG ; Li JIN
Journal of Kunming Medical University 2016;37(11):130-133
Objective To investigate the HIV/AIDS knowledge,attitude and behavior among undergraduates from different universities in Kunming and to provide scientific basis for health education strategy.Methods Stratified random cluster sampling method was applied and an anonymous questionnaire was conducted in 879 first and second year students from three universities in Kunming (Kunming Medical University,Yunnan University and Yunnan Art Institute).Results Undergraduates from different universities in Kunming performed differently on cognition of HIV/AIDS knowledge.Cognitive level in Yunnan Art Institute was relatively low while no obvious difference was found in Kunming Medical University and Yunnan University.No significant difference in the attitude toward HIV/AIDS was found in the three universities.Differences were found in protective behaviors and attitudes on preventing HIV/AIDS infection among three universities.Conclusion There are different cognition on HIV/AIDS knowledge,attitude and behavior among undergraduates from different type universities in Kunming.Cognition on HIV/AIDS related knowledge is relatively weak among Art college students,who should be targeted to strengthen health education.
2.The therapeutical effect and toxicity of home-made paclitaxel and cisplatin combination in metastatic breast cancer
Yonghong WAN ; Zhicong ZHANG ; Yanxia LI ; Xia LI ; Xiaolan WANG ; Shangwen LI
Chinese Journal of Postgraduates of Medicine 2012;35(24):25-27
ObjectiveTo evaluate the therapeutical effect and toxicity of home-made paclitaxel and cisplatin combination in metastatic breast cancer.Methods Home-made paclitaxel 175 mg/m2,d1 intravenous drip,cisplatin 80 mg/m2,d1-3 intravenous drip,21-28 d was one cycle,all patients continuous course treatment for 2-6 cycles,then the effect was evaluated.ResultsAll the patients received meso-cycle were 4 (2-6) cycles chemotherapy.The total effective rate was 56.60% (30/53),disease control rate was 81.13%(43/53 ).The rates of internal organ metastasis and non-internal organ metastasis,before menopause and after menopause had no significant difference [56.76% (21/37) vs.56.25% (9/16),59.09% (13/22) vs.54.84% ( 17/31 ),P > 0.05 ].The median existence time for all the patients was 18.8 ( 12-27 ) months.The survival rate was 56.60% (30/53) and 30.19% (16/53) for 1 and 2 years respectively.The major toxieities were gastrointestinal reaction,alopeoia and myelosuppression,the rates of nerve and heart toxicities were less,15.09% (8/53) and 7.55% (4/53) respectively.ConclusionThe therapeutic effect of home-made paclitaxel and cisplatin combination in metastatic breast cancer is good,it is to be worth to spread in clinic.
3.Simultaneous Determination of Phenobarbital,Ibuprofen and Nikethamide in the Biomaterial with GC-MS
Shangwen WANG ; Chen ZHU ; Yuwen LI ; Huifangjie LI ; Kairun YANG ; Runfang XIE ; Bo CHEN
Journal of Kunming Medical University 2016;37(5):132-135
Objective The study aimed to establish a kind of simple,rapid,accurate and reliable method in order to simultaneous determine the phenobarbital,ibuprofen and nikethamide in the biomaterial. Methods The biomaterial were pre-treated with ethanol(v/v 95%)at pH 3~4 and then was extracted with ethyl acetate at pH 3~4 and 10~11,respectively. Finally,phenobarbital,ibuprofen and nikethamide in the biomaterial were simultaneous detected by GC-MS. The retention times and relevant characteristic fragment ions of the three substances in the total ion current(TIC)and the mass spectrogram could be used as the basis of qualitative analysis. Results The method was simple and easy operation. It has the characteristics of low background interference,good separation effect and fast analytical speed. The retention times of phenobarbital,ibuprofen and nikethamide were 8.472 min,7.087 min and 6.655 min,respectively. The characteristic fragment ions of phenobarbital were 204 and 232(m/z),of ibuprofen were 161 and 206(m/z),and of nikethamide were 106 and 177(m/z). Conclusion The method showed a satisfactory result that it could be applied to simultaneous determine phenobarbital,ibuprofen and nikethamide of the biomaterial for forensic toxicological analysis.
4.Forensic Analysis of 9 Cases with Enterovirus 71 Infection
Ming LI ; Jianyun YU ; Zhen LI ; Yongqiang QU ; Huan ZHANG ; Shuxue MA ; Shangwen WANG
Journal of Kunming Medical University 2013;(10):145-147
Objective To investigate the forensic characteristics of death cases of EV71 through retrospective analysis of 9 death forensic cases of Enterovirus 71 (EV71) . Methods Nine cases of EV71 death cases were collected,and the population characteristics, histopathological change,toxicology,pathology and causes of death of these cases were discussed. Results All 9 patients had fever, cough, emesis, and were treated as influenza or hand-foot and mouth disease (HFMD) in local hospitals, the condition was still deteriorating and finally died. The 9 autopsy cases were diagnosed as brain stem encephalitis and death in forensic diagnose. Conclusion The HFMD disease caused by EV71 infection progresses rapidly often leads to medical disputes, the patient's family and hospital's opinions on the causes of death in patients are often different,identifying the cause of death is conducive to resolve the disputes.
5.Expression of nephrin, TGF-β1 and WT1 in adriamycin-induced-nephropathy rat model and its significance
Weina YANG ; Shuting REN ; Shaoli CHENG ; Yaojie ZHANG ; Linhua YU ; Shangwen GUO ; Hengli LI
Journal of Xi'an Jiaotong University(Medical Sciences) 2010;31(2):172-176
Objective To investigate podocyte number, the expression of nephrin and transforming growth factor-β1(TGF-β1) in adriamycin-induced-nephropathy rat model and its significance. Methods The rat adriamycin nephrosis model was constructed to detect blood and urine biochemical indicators and observe the pathological changes of renal tissues by light microscope and electron microscope. The expression levels of nephrin and TGF-β1 as well as the podocyte number were examined at different time points by immunohistochemistry. Results The pathological changes of the renal tissues were obvious. Nephrin presented a weak signal at the end of the first week (P<0.05). TGF-β1 started to increase (P<0.05) while the podocyte number started to decrease at the end of the eighth week (P<0.05). Expression of nephrin was negatively correlated with the P<0.05) and serum creatinine (r=-0.71, P<0.05). Expression of TGF-β1 was blood urea nitrogen (r=0.62, P<0.05) and serum creatinine (r=0.59, urinary protein (r=-0.63, P<0.05), blood urea nitrogen (r=-0.72, P<0.05) and serum creatinine (r=-0.76, P<0.05); it was positively correlated with nephrin (r=0.78, P<0.01) but negatively correlated with TGF-β1 (r=-0.64, P<0.05). Conclusion The acute and chronic adriamycin nephrosis models were twice every two weeks. The genesis and development of proteinuria are closely related to the abnormal expression of nephrin. Focal segmental glomerulosclerosis occurs when the podocyte number decreases and TGF-β1 accelerates it.
6.Evaluation of stageⅠB cervical cancer by apparent diffusion coefficient histogram of MR diffusion weighted imaging
Yuning LIN ; Hui LI ; Ziqian CHEN ; Ping NI ; Qun ZHONG ; Ming MA ; Shangwen XU
Chinese Journal of Radiology 2015;(5):349-353
Objective To investigate the diagnostic value of ADC histogram obtained from MR DW imaging for stage ⅠB cervical cancer. Methods Seventy three patients diagnosed by cervical smear screening as cervical cancer without priortreatment were included prospectively in the patient group, and staged according to the international federation of gynecology and obstetrics (FIGO) staging system. Forty three patients with uterine leiomyoma detected by gynecologic examination, ultrasonography or CT and with negative result of cervical smear screening who were scheduled for hysterectomy were included prospectively in the control group. The patients of both groups underwent routine pelvic MR sequences, dynamic contrast enhanced imaging and DWI before hysterectomy. ADC histograms of the entire tumor and cervix volume were generated by post-processing software. Features of ADC histogram for the 2 groups were observed. Histogram parameters such as mean ADC (ADCmean), median ADC (ADCmedian), the 25th percentile of ADC (ADC_25th), the 75th percentile of ADC (ADC_75th), skewness and kurtosis were recorded. Student's t test or Mann-Whitney U test depending on homogeneity of variance was employed for the comparison of
those parameters. ROC analysis was employed for assessing the diagnostic performance of ADC histogram in distinguishing the 2 groups. Results Thirty five patients in the patient group were staged as FIGO IB. Five patients in the control group ended up with pathologic findings of cervical intraepithelial neoplasia grade 3. Therefore 38 patients in the control group were investigated. ADC histograms of the patient group were mostly skewed positively, while the curves were largely skewed negatively. ADCmean, ADCmedian, ADC_25th, ADC_75th, skewness and kurtosis for the IB stage patient group were (1.10±0.21)×10-3mm2/s, (1.05±0.21)× 10-3 mm2/s, (0.90 ± 0.19) × 10-3mm2/s, (1.26 ± 0.23) × 10-3mm2/s, 0.83 (median) and 1.25 (median) respectively. ADCmean, ADCmedian, ADC_25th, ADC_75th, skewness and kurtosis for the control group were (1.62 ± 0.25)×10-3mm2/s, (1.64±0.24)×10-3mm2/s, (1.42±0.24)×10-3mm2/s, (1.84±0.27)×10-3mm2/s,-0.11(median) and 0.29 (median) respectively. All parameters showed statistically different (t values were -9.693,- 11.117, -10.255, and -9.988 for ADCmean, ADCmedian, ADC_25th and ADC_75th respectively;Z values were -6.360 and -4.445 for skewness and kurtosis respectively; P< 0.01). ROC analysis indicated that ADCmedian had the highest diagnostic accuracy for differentiating the 2 groups, with the area under the curve being 0.97, a cutoff value of 1.21×10-3mm2/s, and a sensitivity of 95.6%and a specificity of 89.3%. Conclusion ADC histogram of DWI may be valuable for diagnosing stage IB cervical cancer by distinguishing stage IB cervical cancer from normal cervix or cervical benign lesions.
7.Forensic Analysis of 27 Death Cases of Acute Interstitial Pneumonia
Huan ZHANG ; Ming LI ; Yongqiang QU ; Jianyun YU ; Shuxue MA ; Shangwen WANG
Journal of Kunming Medical University 2013;(8):147-149
Objective To investigate the forensic characteristics of death cases of Acute Interstitial Pneumonia (AIP), so as to provide references for forensic assessment of AIP. Methods The data of 27 AIP death cases were retrospectively analyzed. The data included the population characteristics, toxicology, pathology and causes of death. Results All 27 patients had clinical symptoms including fever, cough and chest tightness, 25 patiens of them were treated as upper respiratory tract infection in local hospital, and finally died of deteriorating condition. The forensic diagnosis after autopsy showed the 27 cases were died of respiratory failure caused by AIP. Conclusion AIP is a disease with rapid progression and often leads to medical disputes,the patient's families often have different opinion on the death cause of patients with the hospital,so forensic identification of the cause of death is conducive to resolve the disputes.
8.Expression of nephrin,TGF-?1 and WT1 in adriamycin-induced-nephropathy rat model and its significance
Weina YANG ; Shuting REN ; Shaoli CHENG ; Yaojie ZHANG ; Linhua YU ; Shangwen GUO ; Hengli LI
Journal of Xi'an Jiaotong University(Medical Sciences) 1981;0(02):-
Objective To investigate podocyte number,the expression of nephrin and transforming growth factor-?1(TGF-?1) in adriamycin-induced-nephropathy rat model and its significance.Methods The rat adriamycin nephrosis model was constructed to detect blood and urine biochemical indicators and observe the pathological changes of renal tissues by light microscope and electron microscope.The expression levels of nephrin and TGF-?1 as well as the podocyte number were examined at different time points by immunohistochemistry.Results The pathological changes of the renal tissues were obvious.Nephrin presented a weak signal at the end of the first week(P
9.The comparison of the extraction of beta wave from EEG between FFT and wavelet transform.
Haowen WANG ; Zhiyu QIAN ; Hongjing LI ; Chunxiao CHEN ; Shangwen DING
Journal of Biomedical Engineering 2013;30(4):704-709
In order to choose a fast and efficient real-time method in beta wave information extraction, we compared the result and the efficiency of the information separation of both fast Fourier transform (FFT) and wavelet transform of EEG beta band in the present paper. Our work provides the basis for the EEG data come from the real-time health assessment of 3DTV. We took the EEGs of 5 healthy volunteers before, after and during the process of watching 3DTV and meanwhile recorded the results. The trends of the relative energy and the time cost of two methods were compared by using both the FFT and wavelet packet transform (WPT) which was to extract the feature of EEG beta wave. It demonstrated that (1) Results of the two methods were consistent in the trends of watching 3DTV; (2) Results of the differences in two methods were consistent before and after watching 3DTV; (3) FFT took less time than the wavelet transform in the same case. It is concluded that the results of both FFT and Wavelet transform are consistent in feature extraction of EEG, and a fast method to work with the large quantities of EEG data obtained in the experiments can be offered in the future.
Algorithms
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Brain
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physiology
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Electroencephalography
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methods
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Fourier Analysis
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Humans
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Male
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Signal Processing, Computer-Assisted
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Television
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Wavelet Analysis
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Young Adult
10.Research on an in vivo near-infrared real-time monitoring system and its application in pharmacokinetics.
Ningkun DENG ; Zhiyu QIAN ; Weitao LI ; Lidong XING ; Shangwen DING
Journal of Biomedical Engineering 2012;29(2):365-369
The real-time in vivo measurement method has been urgently needed in the research of pharmacokinetics. In the present paper a new in vivo detection method based on fluorescence spectroscopy has been proposed and the monitoring system has been built which is used for pharmacokinetics studies in rats. The relationship between fluorescence intensity and concentration was obtained. By detecting the fluorescent dye Cypate in real-time in rats, the properties of the system have been validated by comparing with the fluorescence imaging system in vitro. The results showed that the system could be feasible for: (1) The linear regression equation of Cypate concentration in the range of 0.098-25 microg/ml is y = 73.249x + 130.97 (R2 = 0.9991 and P < 0.001). RSD of high, medium and low concentration is 1.23%, 6.29% and 13.48%, respectively, and the detecting sensitivity is 0.0981 g/ml; (2) The fluorescent dye concentration from the system is consistent (r = 0.9925) with the fluorescence imaging system in vitro. The fluorescent dye metabolism in rats can be well detected. It can be concluded that a new real-time in vivo detecting method in the paper can be used in pharmacokinetics research.
Animals
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Fluorescent Dyes
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pharmacokinetics
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Rats
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Spectrometry, Fluorescence
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methods
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Spectroscopy, Near-Infrared
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methods