2.Evaluation of global and regional right ventricular systolic function in patients with pulmonary hypertension by real-time three-dimensional echocardiography
Dehong KONG ; Cuizhen PAN ; Leilei CHENG ; Daxin ZHOU ; Xianhong SHU
Chinese Journal of Ultrasonography 2011;20(9):747-751
Objective To evaluate right ventricular (RV) global and regional systolic function using real-time three-dimensional echocardiography (RT-3DE) in patients with pulmonary hypertension (PH).Methods Thirty patients with PH and 27 controls were studied.RT-3DE images were acquired on a Philipa iE33 system with an X3-1 probe,then analyzed with a new software(TomTec) to determine RV global and regional (inflow, body, outflow) end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV) and ejection fraction (EF).The difference of RT-3DE parameters between the two groups,as well as the correlation between RT-3DE and routine echoeardiography parameters was analyzed.Results In patients with PH ,RV global and regional EDV and ESV were significantly higher than those in normal controls (all P <0.05); RV global and regional EF were significantly lower than those in normal controls (all P <0.05).In the PH group, RV inflow EDV,SV and EF were higher than that of RV body and outflow part (P < 0.05) ;RV global EF was lower than that of RV inflow part and higher than that of RV body and outflow part.In the PH group, RV global and inflow EF correlated with pulmonary artery systolic pressure negatively (r = - 0.611, P <0.001 and r = - 0.576, P = 0.001 ,respectively) ,and with the ratio of peak velocity of tricuspid regurgitation over outflow time-velocity integral negatively (r = -0.772, P = 0.002and r = -0.721, P <0.001, respectively)Conclusions RV global and regional volume was enlarged and systolic function was impaired in patients with pulmonary hypertension.RV global and regional systolic function was changed in liner relationship with RV after-load.
4.Echocardiography in diagnosis of patent foramen ovale
Zheng LI ; Cuizhen PAN ; Dehong KONG ; Xianhong SHU
Chinese Journal of Medical Imaging Technology 2017;33(4):490-493
The prevalence of patent foramen ovale (PFO) in adults is up to 20%-25%.PFO is associated with cryptogenic stroke in young patients,transient ischemic attack and several other diseases.Echocardiography plays a critically important role in screening of PFO,guidance during percutaneous intervention and follow up.The diagnosis of PFO by echocardiography were reviewed in this article.
5.Quantitative analysis of left ventricular layer-specific strain using speckle tracking imaging in normal subjects
Jing SHI ; Cuizhen PAN ; Xianhong SHU ; Haiyan CHEN ; Dehong KONG
Chinese Journal of Ultrasonography 2015;(5):378-380,381
Objective To quantitatively evaluate left ventricular layer-specific strain using speckle tracking imaging,and their relationship with age and gender in nornal subj ects.Methods GE Vivid E9 equipment with EchoPAC BT1 2 workstation were used.One hundred and nineteen healthy subj ects were enrolled in this study.Results Left ventricular global longitudinal and circumferential strain was highest in the endocardium and lowest in the epicardium.Longitudinal and circumferential 3-layer strain was highest in the apex and lowest in the base.Age and gender had little influence on the left ventricular layer-specific strain.Conclusions Speckle tracking imaging can quantitatively assess left ventricular layer-specific strain, providing another useful modality for evaluating cardiac function.
6.Ethic Consideration on the Responsibility of the Scientific Research Morality of Medical Students
Ying SHENG ; Shu KONG ; Hongli JIANG ; Yinbi JIN
Chinese Medical Ethics 1994;0(05):-
There are many medical students who make artificial data in their scientific research and scientific paper.Therefore,it's very urgent to carry on the ethical education of scientific research to medical students.This article tries to make some ethical discussion on the responsibility of the scientific research monality of medical students.
7.Brief introduction of acupuncture needling and teaching keypoint.
Shu-wei HOU ; Li GUO ; Su-ping KONG
Chinese Acupuncture & Moxibustion 2014;34(9):915-918
We summarized our accumulated clinical and teaching experiences and explored the regularity of acupuncture needling and teaching. It is of great importance in pressing hand during inserting needle. Stroking and pressing are two crucial parts which deserve more attention, and seldom useage of pressing hand should be abolished. Operating hand needs practice before inserting needle, while it should fully relaxed during inserting. Blending "touching", "stretch" "gathering" "erupting" and "advancing" in single moment, applying appropriate dynamic mode of inserting needle such as "join 3 forces as one" "3 points in a line" expertly and naturally. In addition, enough attention should be paid on "altering direction" and "shifting point". Inserting deftly and powerfully, no/slight sensation, deqi when inserting needle are the highest reflection as an acupuncturist.
Acupuncture
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education
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Acupuncture Therapy
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instrumentation
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methods
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China
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Humans
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Teaching
8.Enzymatic cyclization of peptides using immobilized sortase A.
Shu-xiang ZHANG ; Min-zhi LIU ; Yan YANG ; Ke-di CHENG ; Jian-qiang KONG ; Wei WANG
Acta Pharmaceutica Sinica 2015;50(5):627-632
Peptide cyclization, a pivotal approach to modifying linear precursors of proteins and pepticles, has been used to enhance their biological activities and serum stabilities. Recently, sortase A (SrtA) from Staphyloccus aureus becomes a promising new technology for efficiently incorporating site specific modifications into proteins, conjugating the cell surface and cyclizing the linear peptides. In this study, we constructed two recombinant expression systems, one with chitin binding domain and the other with six-histidine tag and chitin binding domain on the N-terminal of SrtA, separately. The results of enzymatic kinetics indicate that the two recombinant tags do not impair the transpeptidase activity of SrtA compared with the standard reaction reported under the same reaction condition. The two synthesized peptides with N-ternimal three glycines and C-terminal penta-amino acid motif, LPETG, were cyclized using immobilized and recycled SrtA. The SrtA-based cyclization promises to represent a simple method for easy and efficient enzymatic synthesis of large cyclic peptides.
Aminoacyltransferases
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metabolism
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Bacterial Proteins
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metabolism
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Cyclization
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Cysteine Endopeptidases
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metabolism
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Enzymes, Immobilized
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metabolism
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Kinetics
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Peptides
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metabolism
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Peptides, Cyclic
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biosynthesis
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Staphylococcus aureus
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enzymology
9.Radiosynthesis and preliminary evaluation of 5-(11Cmethyloxy)-L-tryptophan as PET tumor imaging.
Shan-zhen HE ; Shu-xia WANG ; Kong-zhen HU ; Bao-guo YAO ; Gang-hua TANG
Acta Pharmaceutica Sinica 2015;50(5):565-568
The PET tracer 5-([11C]methyloxy)-L-tryptophan (5-(11)CMTP) was prepared by nucleophilic fluorination and alkylation reaction via a two-step procedure in order to develop specific tumor probe. The biodistribution and microPET imaging of 5-(11)CMTP were executed. The results unveiled that the overall radiochemical yield with no decay correction was (14.6 ±7.2) %, the radiochemical purity was more than 95% and high uptake and long retention time of 5-(11)CMTP in liver, kidney and blood were observed but low uptake in brain and muscle were found, furthermore, high uptake of 5-(11)CMTP in tumor tissue was observed. It seems that 5-(11)CMTP will be a potential amino acid tracer for tumors imaging with PET.
Amino Acids
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Animals
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Neoplasms
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diagnostic imaging
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Positron-Emission Tomography
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Radioactive Tracers
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Tissue Distribution
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Tryptophan
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analogs & derivatives
10.Evaluation of right ventricular global and regional volume and systolic function in patients with atrial septal defect using real-time three-dimensional echocardiography
Dehong KONG ; Xianhong SHU ; Cuizhen PAN ; Lili DONG ; Leilei CHENG ; Daxin ZHOU
Chinese Journal of Ultrasonography 2013;(1):6-11
Objective To evaluate right ventricular (RV) global and regional volume and systolic function in patients with secondum atrial septal defect (ASD) using real-time three-dimensional echocardiography (RT3DE),and to explore the relationship between parameters derived from RT3DE and parameters measured by conventional echocardiography.Methods RT3DE images were acquired from 22 patients with secundum ASD and 22 normal controls for evaluation and analysis to obtain RV global and regional end-diastolic volume (EDV),end systolic volume (ESV),systolic volume (SV) and ejection fraction (EF) in three compartments (inflow,body and outflow).RV dyssynehrony parameters were calculated as the standard deviation (SD) and maximum difference (dif) of time to minimum systolic volume (Tmsv) and Tmsv corrected by heart rate (Tmsv%) in three RV compartments.Conventional echocardiographic parameters including pulmonary artery systolic pressure (PASP),pulmonary vascular resistance (PVRe) and maximum diameter of ASD (ASD-D) were calculated and recorded.Results RV global and regional EDV,ESV and SV were larger (all P <0.001) and EF was lower (all P <0.05) in the ASD group than in the controls.RV regional volume and systolic function were changed to various degrees in different compartment in the patients group.There were no significant differences in Tmsv,Tmsv% and RV dyssynchrony parameters between the two groups.In patients with ASD,RV global and regional EDV,ESV and SV in the inflow compartment were positively correlated with ASD-D and PASP (r =0.463-0.704,all P < 0.05) ; RV global EF was negatively correlated with PVRe (r =-0.477,P < 0.05).Conclusions In patients with ASD,RV global and regional volume was enlarged and systolic function was impaired with distinct characteristics; RV global volume and regional volume in the inflow compartment were positively correlated with RV pre-load while RV global EF was negatively correlated with RV afterload.