1.Diagnosis and surgical treatment for liver cavernous hemangioma in 31 cases
Kaixing AI ; Xuexing WANG ; Yuyao HUANG
Journal of Clinical Surgery 2002;0(S1):-
Objective To evaluate the value of the methods of diagnosis and surgical intervention of liver cavernous hemangioma(LCH).Method The clinical data of 31 cases undergoing surgical treatment for LCH were retrosprectively analysed.Results Out of 31 cases,21 has only one focus each,the others has 2 or more foci each.The LCH were located only in the right lobe in 19 cases,only in the left in 9,and in both in 3.The diameter of the tumors were 10 cm(n=6).The correct diagnostic rate of BUS, CT, and Nuclear Imaging(NI) was 90.3%,95%,and 100%,respectively.Hepatectomy were performed on all 31 patients.There was no motality,and the complicative rate was 19.4%(6/31).Conclusions BUS and enhanced CT are important in discovering,diagnosing and differentiating LCH.We think that hepatectomy is the saftest and effective method for patients with LCH over 5 cm in diameter,especially for those with symtoms.
2.Effects of folic acid deficiency on plasma homocysteine level and arterial lesions in rats
Xuexing MA ; Wangming LIU ; Yuming WANG
Chinese Journal of Geriatrics 2000;0(04):-
Objective To observe effects of the folic acid deficient diet on plasma homocysteine(Hcy) level and lesions of aorta in rats. Methods Twenty male Wistar rats were divided into two groups, folic acid deficent group (FD) and control group (Ctl).The rats were fed with folic acid deficient diet and normal diet for 3 months,respectively. The levels of serum folic acid and plasma Hcy as well as the activities of superoxide dismutase(SOD) and glutathione peroxidase (GPX) in erythrocytes were measured.The histological changes of aorta were also examined by light microscope. Results After 3 months treated with folic acid deficient diet, serum folic acid level 〔(6 08?1 84)?g/L〕 decreased significantly in rats of FD group compared either with pre experimental level 〔(13 32?2 02)?g/L〕 or with control one 〔(12 17?1 67)?g/L〕. Meanwhile, plasma homocycteine level increased significantly in rats of FD group 〔(28 66?6 07)?mol/L〕 compared either with pre experimental level 〔(9 75?1 86)?mol/L〕 or with control one 〔(9 49?1 77)?mol/L〕. The activity of erythrocytic SOD increased but GPX decreased obviously. The morphology lesions were also observed in aortic tissue. Conclusions Folic acid deficient diet induced hyperhomocysteinemia and arterial lesions.The high oxidant stress induced by hyper homocysteinemia may be one of mechanisms of arterial lesion.
3.Packaging of Rift Valley fever virus pseudoviruses and establishment of a neutralization assay method
Yuetao LI ; Yongkun ZHAO ; Cuiling WANG ; Xuexing ZHENG ; Hualei WANG ; Weiwei GAI ; Hongli JIN ; Feihu YAN ; Boning QIU ; Yuwei GAO ; Nan LI ; Songtao YANG ; Xianzhu XIA
Journal of Veterinary Science 2018;19(2):200-206
Rift Valley fever (RVF) is an acute, febrile zoonotic disease that is caused by the RVF virus (RVFV). RVF is mainly prevalent on the Arabian Peninsula, the African continent, and several islands in the Indian Ocean near southeast Africa. RVFV has been classified by the World Organisation for Animal Health (OIE) as a category A pathogen. To avoid biological safety concerns associated with use of the pathogen in RVFV neutralization assays, the present study investigated and established an RVFV pseudovirus-based neutralization assay. This study used the human immunodeficiency virus (HIV) lentiviral packaging system and RVFV structural proteins to successfully construct RVFV pseudoviruses. Electron microscopy observation and western blotting indicated that the size, structure, and shape of the packaged pseudoviruses were notably similar to those of HIV lentiviral vectors. Infection inhibition assay results showed that an antibody against RVFV inhibited the infective ability of the RVFV pseudoviruses, and an antibody neutralization assay for RVFV detection was then established. This study has successfully established a neutralization assay based on RVFV pseudoviruses and demonstrated that this method can be used to effectively evaluate antibody neutralization.
Africa
;
Animals
;
Blotting, Western
;
HIV
;
Indian Ocean
;
Islands
;
Methods
;
Microscopy, Electron
;
Product Packaging
;
Rift Valley fever virus
;
Rift Valley Fever
;
Zoonoses
4.Identification of neonatal hyperbilirubinemia by using a jaundice color card
Guochang XUE ; Xuexing DING ; Na CHEN ; Xiufang CHENG ; Xiaodan MA ; Jiaojiao WANG ; Mingxing REN
Chinese Journal of Applied Clinical Pediatrics 2018;33(22):1731-1734
Objective To evaluate the role of a color jaundice card (6 colors) as a possible screening tool for detecting neonatal hyperbilirubinemia.Methods During February 1,2016 and May 31,2017,neonates were enrolled in the study,with gestational age ≥35 weeks,birth weight ≥2 000 g,postnatal age 3-28 days,who were the outpatients or inpatients of the 9th People's Hospital of Wuxi Affiliated to Soochow University and the People's Hospital of Anyang.In a well-lighted room,the card measurements were performed at the infants' forehead,the cheek and the sternum.The skin was pressed with a finger for 2 seconds and left quickly,and then the card was used to compare with the exposed yellow skin.Within 2 hours after jaundice card measurement,blood was obtained by venipuncture and total serum bilirubin (TSB) levels were measured.The sensitivity,specificity,positive predictive value (PPV),negative predictive value (NPV),positive likelihood ratio (PLR) and negative likelihood ratio (NLR) were calculated at each measurement sites.Results One hundred and thirty-two neonates were enrolled,of whom 68 cases (51.5%) were male and 64 cases(48.5%) were female and 18 cases (13.6%) were preterm and 114 cases (86.4%) were term neonates.Among all neonates,TSB was <5.00 mg/dL(1 mg/dL =17.1 μmol/L) in 21 cases (15.9%),5.00-9.99 mg/dL in 26 cases (19.7%),10.00-14.99 mg/dL in 34 cases (25.8%),15.00-19.99 mg/dL in 37 cases (28.0%) and ≥ 20.00 mg/dL in 14 cases (10.6%).The card had the highest cap ability to recognize jaundice at the cheek,slightly lower at the sternum and the worst in the forehead.The cut-off of ≥ 12 on the six-color card at the cheek had a sensitivity of 95.95%,specificity of 74.14%,PPV of 82.56%,NPV of 93.48%,PLR of 3.710 and NLR of 0.055 for identifying neonates with TSB ≥ 12 mg/dL,with sensitivity being 98.08%,specificity 57.50%,PPV 60.00%,NPV 97.87%,PLR 2.308 and NLR 0.033 for TSB≥ 15 mg/dL.The identification rate was as follows:sensitivity of 100.00%,specificity of 46.00%,PPV of 37.21%,NPV of 100.00% and PLR of 1.852 for predicting TSB ≥ 17 mg/dL.In addition,in the forehead,cheeks and sternum,the sensitivity of the cut-off of ≥ 12 on the card was 100.00% for identifying neonates with TSB≥20 mg/dL.In the cheeks and the sternum,the cut-off of ≥ 15 on the card was with a sensitivity of 100.00% for predicting TSB ≥ 20 mg/dL.Conclusion The six-color jaundice card is a potential screening tool for neonatal hyperbilirubinemia,and the cheek is the best measurement site.