1.Effect of FK506 and Leflunomide on T-cell subsets after islet xenotransplantation
Lei ZHANG ; Shiguang SHAN ; Dequan WU
Chinese Journal of Organ Transplantation 1996;0(04):-
Objective To assess the preventive effects of FK506 and Leflunomide (Lef) on islet xenograft acute rejection in rat-to-mouse models. Methods The islets of rat were transplanted under the kidney capsule of streptozotocin-induced diabetic mouse. The recipients were randomly divided into control group, un-treatment group, mono-therapy group and combination-therapy group. All immunosuppressants were administrated daily from 0 to 9 days. CD4 +\, CD8 + T-cell subsets and IL-2 were examined on the 5?th day after transplantation. Results Compared with un-treatment group, xenoislet survival could be significally prolonged in mono-therapy group. Combination-therapy of FK506 with Lef could significantly prolong the survival of xenoislet when compared with FK506 or Lef used alone. The number of CD4 + T-cells in mono-therapy group and combination-therapy group was much less than in un-treatment group. Conclusion Both FK506 and Lef can suppress proliferation of CD4 + T-cells and prevent or delay islet xenograft rejection.
2.Effect of remnant preservation on vascularization of grafts in anterior cruciate ligament reconstruction
Bo WU ; Shiguang LI ; Zongqiao ZHAO ; Lei SUN
Chinese Journal of Trauma 2013;(5):470-473
Objective To investigate influence of preservation of remnant ligament on vascularization of grafts in anterior cruciate ligament (ACL) reconstruction.Methods Seventy-eight New Zealand rabbits were involved and both knees of the rabbits received one-stage ACL reconstruction simultaneously.One knee was reconstructed with preservation of residual fibers (remnant preservation group),and the contralateral one was treated with conventional debridement of residual fibers (remnant removal group).Blood flow of grafts was evaluated in vivo by laser doppler flow meter,expression of CD34 in vessels of grafts was measured by immunofluorescence method,growth of vessels surrounding grafts was observed with ink perfusion under stereomicroscope at 6,12,18,and 24 weeks after reconstruction.Results Laser doppler flow meter showed blood flow of grafts was significantly larger in remnant preservation group than in remnant removal group (P < 0.01).Immunofluorescence testing revealed positive expression of CD34 of grafts was notably higher in remnant preservation group than in remnant removal group (P < 0.05).Ink perfusion showed that the number of vessels surrounding grafts was much more in remnant preservation group than that in remnant removal group (P < 0.05).Conclusion Remnant preservation benefits the vascularization of grafts in early stage after ACL reconstruction.
3.Analysis on application effect of scale score of treatment compliance of pulmonary tuberculosis patients in Guizhou province
Wei CHEN ; Shiguang LEI ; Yang LI ; Qunfeng SONG ; Zhu AN ; Lang YU ; Jing CHEN ; Yawen LI
Chongqing Medicine 2015;(6):816-818
Objective To verify the accuracy of ARS scale.Methods A cohort study was conducted in 10 counties (city)the in-troduction of the ARS scale from 2013 November to 2014 May (6 months),the registrations were undertake score,and score < 4 were compliance group,more than 4 cent were nonadherence group.Follow-up observation include review at the end of 2nd month after treatment and medicine compliance.Results There was no significant difference in age,gender,nationality and whether the floating population between the compliance group and non compliance group (P >0.05),initial treatment and retreatment was sta-tistically significant (P <0.05).1 824 patients had a mean score of 3.40±1.40,including compliance group mean score was 2.34± 0.73,is not in compliance with group mean score was 4.69±0.81.Mainly concentrated in the 2-5 scores accounted for 86%.The ARS score of 2 at the end of the packet and judge review the results of test,the Kappa coefficient was 0.403 (P <0.05).The sensi-tivity was 71.1%,specificity was 70.2%,the correct index 0.41.Multivariate Logistic and review the compliance of patients re treatment ARS score,at the beginning of the results of regression analysis showed that ARS score,under the same conditions,re-treatment review compliance was initially treated patients with difference (OR=0.41,P <0.05);in the initial treatment and retreat-ment premise under the same circumstances,review of compliance with the ARS score less than 4 points.It′s 5.65 times greater than or equal to 4 points (P <0.05).Conclusion The ARS scale can accurately judge the patient compliance,with high sensitivity and specificity,suitable for application in Guizhou Province,but we should consider other interference factors of promotion.
4.Prevalence and associated factors of anemia in children aged from 6 months to 5 years old in monitoring points of Guizhou province
ZHENG Yiyang, LIU Yiya,LI Xin, SONG Shenchao, LEI Shiguang
Chinese Journal of School Health 2019;40(2):270-272
Objective:
To understand the prevalence of anemia among children aged 6 months to 5 years old in Guizhou Province, providing a scientific basis for anemia intervention.
Methods:
A total of 853 children aged 6 months to 5 years old and their families were chosen through a multi-stage stratified cluster sampling method. All the participants were surveyed with relevant questionnaires and hemoglobin testing. Unconditional logistic regression analysis was used to explore the associated factors.
Results:
The anemia rate among 853 children aged 6 months to 5 years old in Guizhou was 14.9%, among which mild, moderate and severe anemia accounted for 70.08%, 29.13% and 0.79%, respectively, and the detection rate of anemia decreased with the growth of age(χ2=27.87,P<0.01). Logistic regression analysis showed that anemia was negatively correlated with regular growth monitoring. Children with complementary food supplements after 6 months old were less likely to develop anemia than children with complementary food supplements younger than 4 months; Compared with 6-12-month-old group, older children were less likely to develop anemia; Delayed weaning increased the risk for childhood anemia.
Conclusion
The prevalence of anemia among children aged 6 months to 5 years old in monitoring area of Guizhou province is still alerting. Introducing scientific feeding practice to parents, regular growth monitoring, deep cooperation among the government, medical institutions and the family, are vital parts in effectively reducing childhood anemia.
5.Characteristics of school food poisoning incident in Guizhou Province during 2011 to 2018
DING Ling, ZHU Shu, LEI Shiguang, JIANG Weijia, SONG Shenchao, YU Chuanning, ZHOU Yajuan
Chinese Journal of School Health 2019;40(12):1873-1876
Objective:
To analyze the rule and characteristics of school food poisoning incident in Guizhou Province during 2011-2018.
Methods:
Data of school food poisoning incidents were collected from the Foodborne Disease Outbreak Surveillance System in Guizhou Province during 2011-2018 and statistically analyzed.
Results:
A total of 78 cases of food poisoning occurred in schools in Guizhou Province during 2011-2018. Among the 1 506 cases, 869 hospitalized and 1 died. May was peak time for school food poisoning. Most of the incidents (83.33%, 65/78) occurred in the school canteens. Plant origin products (50%, 39/78), especially spoiled rice, were the most common types of food poisoning in school(16.67%, 13/78).
Conclusion
Primary and secondary school students were the largest group for school food poisoning in Guizhou province. It was necessary to strengthen the supervision and management of school canteens and surrounding places, as well as to improve the food safety awareness of food operators and students, preventing similar incidents from happening again.
6.Analysis of plant and poisonous mushroom poisoning events among people aged 0-19 in Guizhou Province from 2015 to 2019
DING Ling, ZHOU Yajuan, ZHU Shu, SONG Shenchao, LEI Shiguang
Chinese Journal of School Health 2021;42(4):619-622
Objective:
To analyze the epidemiological characteristics of plant and mushroom poisoning events among people aged 0-19 in Guizhou Province from 2015 to 2019, so as to provide the basis for prevention and control of food poisoning events among children and adolescents.
Methods:
Data of people aged 0 to 19 involved in plant and mushroom poisoning incidents reported by the foodborne disease outbreak surveillance system in Guizhou Province from 2015 to 2019 were collected, verified, sorted and statistically analyzed.
Results:
From 2015 to 2019, there were 590 cases of plant and mushroom poisoning among people aged 0 to 19 in Guizhou Province, 1 441 people were poisoned and 5 died. In May and September, family and collective dining halls were the places with the highest incidence of plant and poisonous mushroom poisoning incidents, accounting for 90.68% (535/590) of the total incidents. Poisonous mushrooms and masanberry accounted for 71.69% (423/590) of the food poisoning causes, and 5 people died of poisoning were caused by poisonous mushrooms.
Conclusion
In the cases of plant and mushroom poisoning among people aged 0-19 years in Guizhou Province,preschool primary and middle school students in rural areas are most vulnerable population of poisoning, so it is necessary to strengthen the publicity and education on the prevention and control of toxic plant and mushroom poisoning among children and teenagers in rural areas, so as to reduce the occurrence of relevant poisoning incidents.