1.Ethical Issues and Strategies for Medical Examinations and Treatments Using Equipment
Chinese Medical Ethics 2015;(1):80-82
In this paper, the importance of using advanced medical equipment to check treatment was ana-lyzed, and then pointed out that nowadays there were the following problems: the medical staff had excessive de-pendence on medical equipment; medical equipment inspection treatment of irrationality; medical equipment in-spection treatment with humanity was not enough; medical equipment management of dereliction of duty. Put for-ward to strengthen medical personnel professional moral education;to strengthen the medical students' ethical edu-cation;regular hospital manage concept;improve the cognitive level of medical staff of medical equipment.
2.Effects of prenatal stress on learning and memory of the rat offspring
Jie WU ; Tianbao SONG ; Zhengyu ZHANG ; Wenjin ZHU
Journal of Xi'an Jiaotong University(Medical Sciences) 2003;0(06):-
Objective To determine the effect of chronic restraint stress during the late pregnancy on the behavior parameters of learning and memory of the rat offspring. Methods Stress was inflicted each day of pregnancy from day 13 to day 20. Pregnant females were individually restrained for 45 min three times a day. After delivery, one-month-old and three-month-old female and male rats were examined in Morris water maze to analyze the effect of exposure to prenatal restraint stress on the spatial learning and memory. Results In comparison to the control group, the latency to find the platform in the prenatally stressed group was significantly prolonged in both one-month-old and three-month-old offsprings (P
3.RoIes of Caspase Inhibitors in CochIear Hair CeIIs SurvivaI and Preventing Age-ReIated Hearing Loss
Shengii LI ; Yuhu WANG ; Minyan ZHANG ; Baiya LI ; Qingyin ZHENG ; Wenjin ZHU ; Hongiiang ZHU
Journal of Audiology and Speech Pathology 2015;(1):50-56
Objective In this study ,we investigated the apoptosis of hair cell in the cochlea of age -related hearing loss(AHL) generated by ENU mutagenesis ,and to study a pan caspase inhibitor (z-VAD -FMK) which is to protect the cochlea hair cells from hearing loss induced by age-related hearing loss(AHL) .Methods Through z-VAD-FMK intraperitoneal injection and round window membrane (RWM) drug were delivered into the Cdh23 nmf308 nmf/nmf mice 5(postnatal days 2 -32) inner ear .ResuIts The results showed that the nmf308 mice with progressive hair cell loss along a base to apex gradient with age-related hearing loss .The cochlear OHCs reduced from 5% ~10% at 1 month to 100% at 3 month in the basal region .Substantial amounts of TUNEL -positive OHCs nuclei appeared at 1 month age ,and activated caspase-3 labeling demonstrated that most OHCs appeared at 2 months age .These suggested that DNA single strand break was attributed primarily to apoptosis of cochlear le_sions ,whereas in the later stage of lesion ,the expansion led to activation of caspase-3 activity reduced with further progression of nuclear condensation in age-related hearing loss .ConcIusion The addition of a pan caspase inhibitor (z -VAD -FMK ) significantly protected the cochlea against the hair cell loss induced by apoptosis .Our study showed that aspase inhibitor ,Z-VAD-FMK appeared to play a prominent role in age-related hearing loss media_ted hair cell death loss induced by apoptosis .Our study showed that aspase inhibitor ,Z-VAD -FMK appeared to play a prominent role in age-related hearing loss mediated hair cell death .
4.Correlation between neuronal injury and the expression of caspase-3 and caspase-activated deoxyribonuclease and effect of cnspase-3 particular inhibitor after focal cerebral ischemia-reperfusion in rats
Chunxiao YANG ; Yonghua JIN ; Wei LIU ; Wenjin CAI ; Qingcheng LIANG ; Dan ZHU
Chinese Journal of Neurology 2009;42(8):546-550
Objective To investigate the correlation between neuronal injury and the expression of caspase-3 and caspase-activated deoxyribonuclease (CAD) after focal cerebral ischemia-reperfusion in rats, also to study the effect of caspase-3 particular inhibitor. Methods The focal cerebral ischemia model (occluding middle cerebral artery of the rats) was made by using modified inserting thread method and reperfusion after embolizing for one hour. Using HE staining, TUNEL staining and microscopy to observe the morphological changes of ischemic neurons at six different time points including 6,12,24,48 and 72 h, using immunohistochemistry to observe the changes of caspase-3 and CAD protein in two groups (model group and interfere group). Results There was no significant difference between the two groups using HE staining and microscopy. While there was difference of TUNEL staining positive cells in all time points, except 6 h time point; Both the two groups reached the expression peak of caspase-3 in 24 h, and the number was 2. 360± 0. 318 and 0. 804 ± 0. 206 respectively(t' = 10. 039, P < 0. 01), there was statistical significance from 12 h to 48 h between the two groups ; The expression peak time of CAD protein in two groups was 48 h, and the number was 3.061 ± 0. 567 and 0. 812 ± 0. 240 respectively (t' = 8. 960, P < 0. 01), there was statistical significance from 12 to 72 h between two groups. Conclusions Caspase-3-CAD-DNA degradation is one important way of neuronal injury in cerebral ischemia-reperfusion of rats, caspase-3 inhibitor can protect neuron in a certain degree.
5.Establishing tumor-bearing animal models at different sites of the head and neck and their growing and metastatic characteristics
Wenjin LI ; Jinliang NIU ; Li ZHU ; Tao WANG ; Yu WANG ; Jiali YU
Chinese Journal of Tissue Engineering Research 2016;20(5):748-753
BACKGROUND:To establish a tumor-bearing animal model of the head and neck is of clinical significance for further studying pathogenesis and transfer mechanisms and for actively finding an effective diagnosis and therapeutic regimen. OBJECTIVE:To compare the growth, lymphatic metastasis and distant metastasis characteristics of head and neck tumors in animals. METHODS:VX2 tumor cel lines were resuscitated and passaged to establish tumor-bearing rabbit models. Under anesthesia, the tumor was stripped from the tumor-bearing site to make tumor cel suspension. Then, thecel suspension was injected into the thigh muscle of rabbits and then passaged 2 weeks later. Tumor samples were harvested from the thigh of passage rabbits to make VX2 tumor cel suspension that was injected into the ear, tongue and nasopharynx of rabbits to make a VX2 tumor model of the head and neck in the rabbit. RESULTS AND CONCLUSION: The three groups of rabbits had significant differences in spirit, diet, activity and so on. Rabbits with tumor xenograft of the ear were significantly better than those with tumor xenograft of the tongue and nasopharynx. At 2 weeks after injection of VX2 tumor cel suspension, the VX2 tumor models of the head and neck were made successfuly in rabbits, and the tumor formation rate was 100% (15/15) at the ear, 93% (14/15) at the tongue and nasopharynx. VX2 tumors at different sites experienced rapid growth period, central necrosis period, surface ulceration period, and the life cycle was about 4-6 weeks. Lymph node metastasis in head and neck and pulmonary metastasis were found in the al three groups. Hematoxylin-eosin staining showed that VX2 tumor tissues and metastatic lymph nodes were confirmed as moderately to poorly differentiated squamous cel carcinoma. These findings indicate that tumor-bearing rabbit models of the head and neck established by VX2 cel suspension are characterized by short modeling cycle, good stability, easy to repeat, high tumor formation rate and simple operation. VX2 tumors in the different sites of the head and neck of rabbits have different characteristics, so we can choose the different implanting sites according to the different research purposes.
6.Analysis of the Quality of Prepared Slices of Herba Ephedrae
Kang CHEN ; Wenjin LIN ; Li LIN ; Chenchen ZHU ; Mudan ZHANG ; Chongyu ZHAO
Traditional Chinese Drug Research & Clinical Pharmacology 2000;0(05):-
Objective To compare the quality of prepared slices of Herba Ephedrae from different producing areas and to establish reference quality criterion of Herba Ephedrae.Methods Determined the content of Ephedrine and Pseudoephedrine in Herba Ephedra Prepared Herbal by HPLC.According to Chinese Pharmacopeia of 2000-year edition,extract,ash,water,impurity and foreign substance were detected; accelerated stability test was performed according to experience.Results The content of Ephedrine in Herba Ephedra is 0.995 %~1.589 %,honey-fried HerbaEphedra is 0.855 %~1.557 %;the content of Pseudoephedrine in Herba Ephedra is 0.560 %~2.087 %,honey-fried Herba Ephedra is 0.508 %~1.902 %; water-soluble extract was 8.83 %~18.30 %and 14.81%~27.45 %, alcohol-soluble extract was 7.74 %~18.83 %and 14.15 %~27.34 %, the total ash content was 6.49 %~10.29 %and 6.34 %~10.24 %and acid-insoluble ash was 0.19 %~0.42 %and 0.18 %~0.42 %in Herba Ephedrae and honey-prepared Herba Ephedrae respectively.The average water content was 8.10 %(s=0.3961)and 4.02 %(s=0.4674)and average content of impurity and foreign substance was 2.02 %(s=0.1954)and 2.01 %(s=0.2209)in Herba Ephedrae and honey-prepared Herba Ephedrae respectively.Conclusion This research will provide a reference criterion for the quality control of prepared slices of Herba Ephedrae.
7.The relationship between men hip geometric structure and body composition in Shanghai area
Yanping DU ; Hanmin ZHU ; Xiaoying ZHU ; Xuemei ZHANG ; Sihong XUE ; Huilin LI ; Wei HONG ; Wenjin TANG ; Qun CHENG
Chinese Journal of Endocrinology and Metabolism 2014;(8):643-649
correlation with cross-sectional area and negative correlation with bucking ratio. The effect of fat mass on hip geometric parameters at the three regions was inconsistent. (3) Fat mass and percentage of body fat ( Fat%) showed negative correlation with cross-sectional area and average cortical thickness and positive correlation with bucking ratio in young group. However, the negative contribution produced by fat mass and Fat% to hip geometric structure became weaker gradually in middle-aged and older groups. ( 4 ) Limb lean mass yielded the largest positive contribution to cross-sectional area and average cortical thickness at all three regions in young group. However, the contribution produced by trunk lean mass became the largest positive contribution to cross-sectional area and average cortical thickness in older group. Conclusions Among all the body composition parameters, hip BMD has showed the most marked correlation with hip geometric structure. Lean mass is ranked the second in the correlation. The impacts of fat mass and lean mass on hip geometry are changing with aging and their different tissue distributions.
8.Infusion of clenbuterol into infralimbic cortex attenuates cue-induced reinstatement of heroin-seeking behavior
Yiqi WANG ; Weisheng CHEN ; Wenjin XU ; Dingding ZHUANG ; Shuaien TANG ; Huaqiang ZHU ; Miaojun LAI ; Wenhua ZHOU ; Huifen LIU
Chinese Journal of Pharmacology and Toxicology 2015;(5):794-800
OBJECTIVE To investigate the effect of injection of β2-adrenergic receptor agonist clenbuterol into the infralimbic cortex(IL) on drug-seeking behavior triggered by conditioned cues. METHODS Adult male SD rats were trained to self-administer heroin under a FR1 schedule for consecutive 14 d,followed by 2-h extinction training. Cue-induced heroin seeking was measured for 2 h. Clenbuterol was microinjected bilaterally into the IL(8 ng/side)of rats 15 min prior to reinstatement test. Meanwhile,locomotor activity was detected 15 min after clenbuterol or artifial cerebrospinal fluid(mod?el group) was microinjected bilaterally into IL. Western blotting was used to detect the expression of phosphorylated cyclic AMP response element-binding protein(p-CREB)in the prelimbic cortex(PL), IL,nucleus accumbens core (NACc) and shell (NACsh) of rats immediately after reinstatement test. RESULTS After heroin administration training for 14 consecutive days,these animals exhibited reliable heroin self-administration,indicated by the increase in active nose poke responses and infusions. The rats that had received infusion of clenbuterol into the IL had significantly lower active pokes (8 ± 3)than those in model group(45±10)in cue-induced reinstatement(P<0.01),but there was no significant differ?ence between clenbuterol group and vehicle group in the locomotor activity. The expression of p-CREB in either IL or NACsh was significantly decreased in clenbuterol group compared with model group(P<0.01,P<0.05),but significantly increased in NACc(P<0.01). CONCLUSION Microinjection of clenb?uterol into the IL can attenuate the cue-induced reinstatement of heroin-seeking behavior in rats. The underlying mechanism might be related to the regulation of p-CREB expression in the NACc and NACsh.
9.Anterior circulation and posterior circulation ischemic stroke in young adults: a comparison of risk factors, etiologies, imaging features, and long-term outcomes
Shuanggen ZHU ; Hongbing CHEN ; Shujin TANG ; Wenjin SHANG ; Aiwu ZHANG ; Wusheng ZHU
International Journal of Cerebrovascular Diseases 2017;25(12):1057-1065
Objective To investigate the differences of risk factors,imaging features,etiologies,and long-term outcomes in young adults with anterior and posterior circulation ischemic stroke.Methods Consecutive young patients (15-45 years) with ischemic stroke were divided into an anterior circulation group and a posterior circulation group.They were followed up regularly for a long term,and the endpoint events included stroke,cardiovascular events,and death.Results A total of 289 patients were enrolled in the study,including 220 males.Their mean age was 38.0 ±6.5 years.There were 213 patients (73.7%) in the anterior circulation group and 76 (26.3%) in the posterior circulation group.In terms of risk factors,valvular heart disease was more common in the anterior circulation group (6.6% vs.0.0%;Fisher's exact test,P =0.025),while hypertension (51.3% vs.36.6%;x2 =5.021,P=0.025) and prodromic infection (6.6% vs.1.4%;Fisher's exact test,P =0.018) were more common in the posterior circulation group.In the etiologies of stroke,large-artery atherosclerosis was more common in the anterior circulation group (32.4% vs.13.2%;x2 =10.435,P =0.001),while small vessel occlusion (26.3% vs.15.5%;x2 =4.381,P =0.036) and arterial dissection (19.7% vs.9.9%;x2 =5.012,P =0.025) were more common in the posterior circulation group.There was no significant difference in the incidence of 5-year cumulative end-point events between the anterior circulation group and the posterior circulation group (20.2% vs.18.5%;log-rank test P =0.614).Multivariate Cox proportional hazards regression analysis showed that after adjusting for age and gender,the independent predictors of end-point events in the posterior circulatory group included hypercholesterolemia (hazard ratio [HR] 3.622,95% confidence interval [CI] 1.216-17.766;P =0.030),old infarction (HR 6.045,95% CI 1.602-29.580;P =0.016),and CE (HR 8.256,95% CI 1.398-27.302;P=0.029).Conclusion There were significant differences in the risk factors,etiologies,and influencing factors of long-term outcome between the anterior circulation and posterior circulation in Chinese young patients with ischemic stroke,suggesting that the different diagnosis and treatment strategies should be adopted for the two types of patients.
10.Clinical,imaging features and long-term outcomes in isolated anterior cerebral artery territory infarction:comparison of atherosclerotic stroke and non-atherosclerotic stroke
Shuanggen ZHU ; Hongbing CHEN ; Shujin TANG ; Wenjin SHANG ; Aiwu ZHANG ; Wusheng ZHU
International Journal of Cerebrovascular Diseases 2017;25(10):885-893
Objective To investigate clinical, imaging features, and long-term outcomes in patients with isolated anterior cerebral artery (ACA) territory infarction due to ACA atherosclerosis, and compare with isolated ACA territory infarction due to other etiologies. Methods The consecutive patients with acute isolated ACA territory infarction confirmed by diffusion-weighted imaging were enrolled prospectively. According to their stroke etiology, they were divided into ACA atherosclerotic stroke and non-ACA atherosclerotic stroke. The infarction patterns were classified as single infarction including perforating artery infarction (PAI), small branch infarction (SBI) and cortical branch infarction(CBI), and multiple infarctions (a combination of PAI,SBI or CBI).The clinical,imaging features and long-term outcomes were compared between the ACA atherosclerotic stroke group and the non-ACA atherosclerotic stroke group. Results A total of 86 patients (47 males) were enrolled, ages ranging from 39 to 88 years (mean 67.5 ± 12.5 years). There were 56 patients in the ACA atherosclerotic stroke group, and 30 patients in the non-ACA atherosclerotic stroke group (12 carotid atherosclerosis, 6 cardioembolism, 2 internal carotid artery dissection, 10 undetermined etiology). The proportions of females (53.6% vs. 30.0%; P= 0.043), progressive onset of stroke(58.9% vs. 20.0%;P=0.001),SBI alone(21.4% vs. 3.3%;P=0.029)and infarction involving small branches(80.4% vs. 46.7%;P=0.001)in the ACA atherosclerotic stroke group were higher than those in the non-ACA atherosclerotic stroke group, and CBI alone (17.9% vs. 55.3%, P=0.001) was lower. The follow-up times in the ACA atherosclerotic stroke group and the non-ACA atherosclerotic stroke group were 29.8 ± 16.5 months and 30.4 ± 18.5 months, respectively (P=0.534). Five-year cumulative incidence of adverse events (stroke, cardiovascular events and death) in the ACA atherosclerotic stroke group and the non-ACA atherosclerotic stroke group were 36.3% and 69.9% respectively(log rank test,P=0.021).Conclusions ACA atherosclerosis is the common etiology for isolated ACA territory infarction. The isolated ACA territory infarction due to ACA atherosclerosis had distinctive infarction patterns and a lower long-term incidence of adverse events compared with those due to non-ACA atherosclerosis.