1.Impacts of different therapies on medical and physical health of breast cancer patients
Fanyu LIN ; Fenglan XIE ; Juan YU
Modern Clinical Nursing 2015;14(9):6-9
Objective To investigate the impacts of different therapies on medical and physical health of breast cancer patients and put forward the measures for health education. Methods The MOS 36 items short form health survey (SF-36) and a self-designed questionnaire on general data were designed to investigate 93 breast cancer patients with different therapies. All of them had undergone surgery and were divided into two groups as in the following: 21 receiving only surgery were set as only surgery group, 51 receiving surgery plus chemotherapy as another group, 11 of them receiving surgery plus radiotherapy as another group and 10 receiving surgery plus chemotherapy and radiotherapy as the last group. Results There were significant differences between all the groups in terms of the score on physical health ( P<0 . 05 ) and so it was with the only surgery group and the surgery plus chemotherapy group (P<0.05); the surgery plus chemotherapy group and the surgery plus chemotherapy and radiotherapy group (P<0.05). There were significant differences among all the groups in terms of the score of mental health (P<0.05) and so it was with the comparison among the surgery group and surgery plus chemotherapy and radiotherapy group (P<0.05). Conclusions The patients who have surgery plus chemotherapy and radiotherapy are in poor condition physically and mentally. Health education should focus on improving the general and physical health. So we should understand the effect of different therapies on patients physically and mentally. In this way, we can individualize the health education and help the patients with breast cancer to live in a better mental and physical condition.
2.Choroidal thickness and the relevant factors of high myopia amblyopic among Chinese children
Juan, WAN ; Yu, TIAN ; Yan-Wen, XIE
International Eye Science 2015;(2):211-214
To compare posterior choroidal thickness in high myopia amblyopia eyes at different points to high myopia and normal eyes of Chinese children and investigate the relationships between choroidal thickness, axial length and age.METHODS: Fifty Chinese children (65 eyes) with age 4~15 years ( mean 9. 91 ± 3. 41 years) were recruited. By atropine optometry they were divided into high myopia amblyopia group ( 24 eyes ) , high myopia group ( 19 eyes ) , and normal group ( 22 eyes ) . Choroidal scans were obtained for all eyes using enhanced depth imaging spectral-domain optical coherence tomography ( EDl-OCT) . Subfoveal choroidal thickness (SFCT), macular thinkness, choroidal thickness and retinal thickness at 0. 5, 1. 0, 1. 5, 2.0, 2.5, 3.0mm superior (S, 12:00 position), temporal ( T, 9:00 position) , inferior ( l, 6:00 position) , nasal ( N, 3:00 position) were measured. Meanwhile, axial lengths of all eyes were measured by A-Scan. RESULTS: Compared high myopia group and emmetropia group, SFCT and the thickness of choroids on each position were thinnest in high myopic amblyopia group, with statistically significant differences (P<0. 05). There was a significant negative correlation between SFCT and axial length in high myopic amblyopia group (r=-0. 531, R2 =0. 282, F=7. 476, P=0. 013), with no relative in age (r=-0. 292, R2=0. 085, F=2. 044, P=0. 167).CONCLUSlON: The choroidal thickness thinning in high myopic amblyopia shows a negative correlation with axial length.
3.AnaIysis on retinaI thickness and its reIevant factors in high myopia ambIyopic chiIdren
Juan, WAN ; Yu, TIAN ; Yan-Wen, XIE
International Eye Science 2015;(3):436-439
·AlM:To investigate the retinal thickness change of high myopia amblyopic children, so as to discuss the relationships between the retinal thickness of central fovea of macula and the factors of axis oculi and age. · METHODS:Thirty-nine children ( 65 eyes ) with the average age of ( 9.91 3.41 ) years were recruited.All eyes were ruled out the pathological changes of fundus diseases and front section. After a tropine optometry, they were divided into three groups: high myopia amblyopic group ( 24 eyes ) , high myopia group ( 19 eyes) and normal group ( 22 eyes ) .Retinal scans were obtained for all eyes using Heidelberg optical coherence tomography ( OCT ) . Subfoveal macular thickness, retinal thickness at 0.5mm, 1.0mm, 1.5mm, 2.0mm, 2.5mm, 3.0mm superior ( S, 12∶00 position), temporal (T, 9∶00 position), inferior (l, 6∶00 position) and nasal (N, 3∶00 position) from the fovea were measured and axial length was also surveyed by A -ultrasound. Statistical analyses were performed to evaluate retinal thickness at each location and to correlate subfoveal macular thickness with axial length and age.
·RESULTS:The average subfoveal macular thinkness of the high myopia amblyopic group was thinner than high myopia group but thicker than normal group.There was no statistical difference between three groups (P>0.05). Retinal thickness inferior to the fovea at 0.5mm temporal and superior to the fovea in the high myopia amblyopic group at 1.0mm temporal were both thinner than normal group which had statistically significant ( P <0.05 ). Retinal thickness on nasal, superior, temporal, and inferior at 1.5mm, 2.0mm, 2.5mm, 3.0mm from the fovea were measured, high myopia amblyopic group were the thinnest in the three groups, and there was statistically significant between three groups ( P<0.05). There was no correlation between the average subfoveal macular thickness and axial length, age in high myopia amblyopic group.
· CONCLUSlON:There are significant abnormalities of macula retinal structure in high myopia amblyopic children.
4.Retinal nerve fiber layer thickness measurements and the relevant factors in high myopia amblyopic Chinese children eyes
Juan, WAN ; Yu, TIAN ; Yan-Wen, XIE
International Eye Science 2015;(4):614-617
AIM: To research the peripapillary retinal nerve fiber layer ( RNFL ) thickness change in high myopia amblyopic children and to discuss the relationships among RNFL thickness, axial length and age.
METHODS:Thirty-five Chinese children (59 eyes) with a mean age of ( 9. 59 ±2. 90 ) years were recruited. All eyes were ruled out the pathological changes of fundus diseases and front section. By atropine optometry after they were divided into: high myopia amblyopia group (22 eyes), high myopia group (15 eyes), normal group (22 eyes) . RNFL scans were obtained for all eyes using optical coherence tomography and axial length was also surveyed by A - ultrasound. Statistical analyses were performed to evaluate RNFL thickness at each location with axial length and age.
RESULTS:The peripapillary RNFL thickness in temporal of high myopia amblyopia group was thinner than that in
high myopia group, and thicker than that in normal group. The peripapillary RNFL thickness in nasal, superior, inferior and the average thickness of high myopia amblyopia group were thinner than those in high myopia and normal gruops. The peripapillary RNFL thickness in inferior and average thickness of high myopia amblyopia group were significantly thinner than those of high myopia (P<0. 05). The peripapillary RNFL thickness in nasal, superior, inferior and the average thickness of high myopia amblyopia group were significantly thinner than those of normal (P<0. 01). The peripapillary RNFL thickness in temporal of high myopia group was significantly thicker, and in nasal, superior, inferior and the average thickness were significantly thinner than those of normal (P<0. 05). The thickness of peripapillary RNFL in inferior showed a negative correlation with axial length in high myopia amblyopia group (R=0. 474, R2=0. 225, F=4. 933, P=0. 040). The thickness of peripapillary RNFL in superior showed a negative correlation with axial length in high myopia group (R=0. 642, R2=0. 412, F=9. 104,P=0. 010). These were no correlation between the peripapillary RNFL thickness and age in high myopia amblyopia, myopia amblyopia and normal.
CONCLUSION:There are significant abnormalities of retinal structure in high myopia amblyopia.
5.Effects of ondansetron on morphine physical dependence in mice
Hehui XIE ; Meilin XU ; Juan YU ; Chonghong CHEN ; Changxi YU ;
Chinese Pharmacological Bulletin 1987;0(01):-
AIM To investigate the effects of ondansetron, a selective 5 Hydroxytryptamine3 (5 HT 3) receptor antagonist, on morphine physical dependence. METHODS The morphine dependent models in mice and in isolated Guinea pig ileum were used. RESULTS Pretreatment of ondansetron for 12 days significantly reduced morphine withdrawal symptoms in mice ,such as body weight loss(Groups 2~100 ?g?kg -1 ?d -1 ) or reduced both body weight loss and jumping times (Group 100 ?g?kg -1 ?d -1 ). In addition, concomitant treatment with ondansetron(1~20 ?mol?L -1 ) dose dependently suppressed the contraction induced by naloxone in Guinea pig ileum. CONCLUSION The chronic pretreatment of ondansetron can prevent morphine physical dependence to some extent.
6.Retrospective study on the treatment of severe asthma
Wei LONG ; Gang LU ; Juan XIE ; Wei LU ; Yu ZHANG
Clinical Medicine of China 2008;24(7):700-701
Objective To evaluate the effect for the treatment of severe asthma. Methods The data of 47 patients with severe asthma who were admitted to emergency department were retrospectively anayzed. Results Of total 47 patients ,45 were rescued, with the survival rate of 95.7%. Arterial blood gas was improved after treatment (P < 0.01). Conclusion Appropriate commencement, mode, strategy, and early weaning of mechanical ventilation, combined with the administration of bronchodilators and eorticosteroids are the important way to rescue patients with severe asthma.
7.The value of serum procalcitonin in the treatment of acute exacerbation of asthma
Wei LONG ; Jianguo TANG ; Juan XIE ; Yu ZHANG ; Yicui ZHANG
Chinese Journal of Emergency Medicine 2010;19(9):927-930
Objective To evaluate the value of serum procalcitonin (PCT) in antibiotics used for the treatment of acute exacerbation of asthma. Method From February 2007 to July 2009, a total of 158 patients with asthma were randomly (random number) assigned to PCT group ( n = 77) or to control group ( n = 81 ). The PCT levels of all patients were measured. On the bases of routine treatment, the employment of antibiotics in control group was determined by the guidebook, and patients in the PCT group were treated with antibiotics guided by the levels of serum PCT. The antibiotics treatment was employed as PCT level >0.25 ng/mL, and was not employed as PCT level < 0.25 ng/mL. The rates of antibioties employment were observed. Results The rate of antibiotics employment in PCT group (45.4%) was lower than that of the control group (77.8%) (x2 = 17.15,P =0.000). Conclusions PCT could be used safely as guidance of antibiotics employment for the treatment of patients with acute exacerbation of asthma, leading to appropriate use of antibiotcs.
8.Mechanism of BVT. 2733 and pioglitazone In the improvement of insulin resistance
Yu XIE ; Ting ZHU ; Yi ZHONG ; Juan LIU ; Jing YU ; Juanming ZHA ; Wenjuan DI ; Guoxian DING
Chinese Journal of Internal Medicine 2008;47(11):938-941
Objective To investigate the mechanism of BVT. 2733 on insulin resistance, by using diet-induced obese (DIO) mice model. Methods After having been balanced for 3 days, the C57BL/6J mice were randomly divided into a normal diet group and a high-fat diet (HFD) group. After 20 weeks, the obese mice were further randomly divided into an obese control group, a BVT. 2733 group and a pioglltazone (PGZ) group and they were orally administered with placebo, BVT. 2733 and PGZ separately for two weeks.Adiponectin and leptin mRNA expression levels from adipose tissue were analyzed with real-time quantitative PCR. The levels of plasma glucose, serum insulin and adiponectin were measured with biochemical technology, radioimmunoassay and ELISA. Adipocyte sizes were observed with immunohistocbemistry.Results The body weight, plasma glucose and serum insulin levels raised(P<0.05)in the HFD group and the adipocyte sizes were bigger. Serum insulin levels significantly reduced (P<0.05) and adipocyte sizes reduced, while plasma adiponectin level raised (P<0.01)in the two treatment groups as compared with those in obese controls. Both the mRNA expressions of adiponectin and leptin upregulated(P<0.05)in the PGZ group, but their expressions in the BVT. 2733 group did not alter significantly. The body weight of the mice reduced significantly in the BVT. 2733 group. Conclusion BVT. 2733 can reduce body weight significantly and improve insulin resistance, but cannot influence the expression of adipocytokines.
9.Evaluation criteria for rat skin anaphylactoid test.
Li-jing KANG ; Jia-jun XIE ; Lin ZHAO ; Juan-juan YI ; Yu-sa HUANG ; Ke-feng RUAN
China Journal of Chinese Materia Medica 2015;40(20):4044-4051
This study is to explore characteristic indexes in evaluation criteria for rat skin anaphylactoid test comparing skin blue spot OD values at the treated position and the control position in the same animal. Common contrast agents, traditional Chinese medicine injections and injections' active pharmaceutical ingredients or excipients in the existing clinical anaphylactoid reaction reports were taken as test drugs in the rat skin anaphylactoid test to define the K value: K > 2 represents positive anaphylactoid reaction, 1.2 ≤ K ≤ 2 represent doubtable anaphylactoid; K < 1.2 represents negative anaphylactoid reaction, which were taken as the criteria for evaluating anaphylactoid of tested drugs. The evaluation result and that for classic criteria were compared to study the applicability of K value. According to the comparison, K value, as the evaluation criteria in the rat skin anaphylactoid test, can more truly reflect the actual situation of skin aizen and minimize the error caused by animal individual factors. Compared with positive and negative two-level criteria for blue spot diameter, K value's positive, doubtable and negative three-level criteria are more objective and accurate. Therefore, K value can be used as the evaluation criteria in the rat skin anaphylactoid test.
Animals
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Drug Hypersensitivity
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immunology
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Drugs, Chinese Herbal
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adverse effects
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Female
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Humans
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Rats
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Rats, Sprague-Dawley
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Skin Tests
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methods
10.The value of serum procalcitonin in treatment of community acquired pneumonia in outpatient
Wei LONG ; Xingqi DENG ; Jianguo TANG ; Juan XIE ; Yicui ZHANG ; Yu ZHANG ; Yuyao GAO ; Gang LU
Chinese Journal of Internal Medicine 2009;48(3):216-219
Objective To evaluate the value of serum procalcitonin (PCT)on antibiotic use in treatment of community acquired pneumonia (CAP) in outpatient. Methods From November 2006 to February 2008, a total of 127 patients with CAP in outpatient were randomly assigned into two groups:PCT group(n=63)and control group(n =64). PCT levels of all patients were measured after study admission. On the base of similarly normal treatment, the control group received antibiotics according to the attending physicians and the PCT group were treated with antibiotics according to serum PCT levels: antibiotic treatment was applied with PCT level ≥ 0. 25 μg/L and was discouraged with PCT level < 0.25 μg/L. Clinical efficacy, rate of antibiotics use, duration courses and costs of antibiotics were observed. Results Clinical efficacy of the PCT group was similar with the control group (92.1% vs 87.5%, P >0.05) ;rate and costs of antibiotics use was lower, antibiotic duration of the PCT group was shorter than that ofthecontroigroup(P<0.05,P<0.001,P<0.001).Conclusion PCT could be used in treatment of CAP for antibiotic use in outpatient, which may reduce antibiotic use, shorten antibiotic duration and lower costs of antibiotic.