1.Enteric motility alterations in experimental gallbladder cholesterol stones formation in guinea pigs
Zhenhua YIN ; Shuodong WU ; Ying FAN
Chinese Journal of General Surgery 2011;26(11):950-952
Objective To study the changes in small intestinal motility during the process of gallbladder cholesterol stone formation.Methods Forty guinea pigs were divided into two groups of 20 each,the experiment group fed on high cholesterol diet ( cholesterol 2% ),while the control group on normal diet.Animals were sacrificed at 8 weeks.Slow wave and tension of the isolated small intestinal muscle specimen were measured using a multi-channel physiological recorder,and its relation to gallstone formation was assessed.Results Compared with the control group,the frequency and amplitude of the slow wave significantly reduced in the experimental group (5.70 ± 1.05/min vs.17.45 ± 1.50/min and 0.23 ± 0.31 my vs.0.78 ±0.17 mv respectively,P <0.05).The t-value between the two groups were -27.083 and - 13.236 respectively; Frequency of contraction and muscle tension also reduced significantly (5.94 ± 1.25/min vs.15.85 ± 1.76/min and 0.78 ±0.002 g vs.1.20 ±0.11 g respectively,P <0.05).Thet-value between the two groups were - 19.448 and - 17.307 respectively.Conclusions Reduced small intestinal motility is present in guinea pigs fed on a lithogenous diet,and may have a role in the pathogenesis of cholesterol gallstone formation.
2.FUNCTIONAL TRAINING AFTER RECONSTRUCTION OF THE THUMB BY FREE TRANSPLANTATION OF SECOND TOE
Zhenhua FAN ; Xiner CHEN ; Danyun TU
Chinese Journal of Sports Medicine 1982;0(02):-
Since 1974, 39 cases, after thumb reconstruction by means of free transplantation of second toe, haveundergone functional training in the therapeutic gymnasium of Huaskan Hospital. Functional training consists of using intermittent traction with indigenous equipmints to moblize the thumb joints and using resistanceexercises with small rubber balls and wooden framed net of rubber bends to strengthen the thumb musclesThe training was carried out three sessions a week for a total of 18--219 sessions, averaging 49. 5 sessions. The distribution of cases in classes of basic function of the thumb was as follows: Before training: Good, 0; fair, 11; poor, 28; After training: Good, 2; fair. 32; poor, 5. Practical activities of the hand, such as selfserving. writing, sewing and using common tools were perfor-med satisfactorily when basic function of the thumb reached "good" or "fair" class.
3.Stability effect of augmentation pedicle screw fixation with polymethylmethacrylate on unstable osteoporotic spine
Shicai FAN ; Zhenhua JIANG ; Qingan ZHU
Chinese Journal of Trauma 1993;0(06):-
0.05) but was stronger than that under conditions of a and c ( P
4.Clinical analysis of 2776 patients with a chief complaint of nail abnormalities
Zhenhua NIE ; Zhiping ZHAN ; Xiangjun KONG ; Liping FAN ; Zhenhua LI ; Junyan LI
Chinese Journal of Dermatology 2011;44(8):593-594
Objective To investigate the distribution of nail disorders in patients with a chief complaint of nail abnormalities. Methods From May 2007 to May 2010, patients who attended the dermatology outpatient clinic with a chief complaint of nail abnormalities were included in this study. Routine dermatological examination together with fungal culture, microscopic and pathological examination of affected nails was carried out to clarify the diagnosis of nail disorders. The results were statistically analyzed. Results Of the 2776 cases,onychomycosis accounted for 45.28% (1257), followed by paronychia (479, 17.26%) and psoriasis (122,4.39%). Conclusion In this region, patients with a chief complaint of nail disorders are most likely to suffer from nail infections.
5.Association study between nonalcoholic fatty liver disease and metabolism or carotid intima-media thickness in type 2 diabetic patients
Chunhua JIN ; Nengguang FAN ; Wen ZHANG ; Zhenhua XIA ; Lijuan ZHANG
Clinical Medicine of China 2011;27(3):281-285
Objective To investigate the association between nonalcoholic fatty liver disease (NAFLD) and metabolism or carotid intima-media thickness (CIMT) in Type 2 diabetic(T2DM). Methods According to the liver B-ultrasonography, a total of 321 T2DM patients were divided into two groups, with or without NAFLD. Metabolic indexes such as BMI, BP, blood glucose, blood lipid, uric acid ( UA ), insulin, C-peptipe,insulin resistance index(HOMA-IR) between the two groups were compared, and the relationships between alanine aminotransferase (ALT) and the above indexes were analyzed. Furthermore,the CIMT of the two groups were compared, and the relationships between NAFLD, ALT and CIMT were investigated by correlation and regression analysis. Results Compared with the group without NAFLD, the patients with NAFLD had higher level of BMI, triglyceride ( TG ), UA, fasting blood glucose ( FBG ), fasting insulin ( FIns ), fasting C peptide (FCP) ,HOMA-IR,and lower level of high density lipoprotein ( HDL-C ) significantly; BMI ( OR = 1.25, P <0. 001 ), TG ( OR = 1.74, P = 0. 008 ) and HOMA-IR ( OR = 2. 33, P = 0.010) were independent risk factors of NAFLD while H DL-C was independent protective factor; ALT was positively correlated with BMI (r = 0. 255, P <0. 001 ) ,TG(r =0. 156,P <0. 018) ,UA(r =0. 239,P <0. 001 ) ,FIns(r =0. 213,P =0. 001) ,FCP(r =0. 199,P <0. 003), HOMA-IR ( r = 0. 247, P < 0. 001 ) and negatively correlated with HDL-C ( r = - 0. 199, P =0. 002) ,and BMI (β =0. 456,P =0. 048) ,UA (β =0. 021 ,P =0. 025) and HOMA-IR(β =3.634 ,P =0. 004)were independent associated facrors. The difference of CIMT between the two groups didn't reach statistical significance, while mutiple regression analysis revealed that ALT was independently associated with CIMT(β =0. 002,P = 0. 013). Conclusion T2DM patients with NAFLD show more serious disorder of metabolism and insulin resistance. ALT is an independent risk factor of CIMT in T2DM patients.
6.Usefulness of diffusion-weighted and perfusion-weighted MR in mouse C6 gliomas:correlation with histopathology
Guoguang FAN ; Peizhuo ZANG ; Fengdong JING ; Zhenhua WU ; Qiyong GUO
Chinese Journal of Radiology 1994;0(06):-
Objective Diffusion/perfusion-weighted MRI (DWI、PWI) was performed to evaluate growth and vascularity of implanted C6 rat gliomas. Methods 36 female Wistar rats were implanted of C6 glioma cells intracerebrally. Between 1 and 4 weeks after implantation, eight to ten different rats were imaged with T_1WI, T_2Weighted imaging, DWI, PWI, and postcontrast T_1WI at each weekly time point. After MRI, each rat brain was examined histologically using HE and immunohistochemical staining for CD34. Results On DWIs, statistical differences of apparent diffusion coefficient (ADC) values for both the solid tumor component and peritumoral region were present comparing 3-4 weeks with 1-2 weeks after implantation (P
7.Experimental Investigation of Correlation Between MSCT Perfusion and Blood Lipid in Steroid-induced Avascular Necrosis of Femoral Head
Yue DONG ; Feng WEN ; Zhenhua WU ; Guoguang FAN
Journal of Practical Radiology 2001;0(06):-
Objective To explore the correlation between change of blood lipid and MSCT perfusion imaging in steroid-induced femoral head necrosis in adult rabbits.Methods 20 rabbits 1~1.5 years old in age were divided into two group:16 rabbits in experimental group,8 mg/kg Methylprednisolone was injected twice a week;4 rabbits were used as control group.At 2,4,6,8 week after injection,4 rabbits in experimental group and 1 rabbit in contral group were killed respectively.Before killing the rabbits,the blood lipid was examined and MSCT perfusion imaging was done and the correlation between them was analysed.The index of TRIG,CHOL,Perfusion,PEI,TTP,MTT.All femoral heads were undergone pathological investigation.Results Two weeks after injection,blood lipid began increasing,then blood flow of femoral head decreasing obviously with prolongation of injection;PEI and MTT decrease only 4 weeks after injection.There were a negaitive correlation between blood lipid and blood flow of femoral head.Conclusion There were obviously correlation between the level of increasing blood lipid and blood flow decreasing in steroid-induced avascular necrosis of femoral head in rabbit.
8.Clinal analysis of 202 nasal bone fractures cases.
Zhenhua ZHONG ; Xihui FAN ; Zhuang LIAN ; Zexing CHENG ; Yuanling ZHUANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(23):1842-1844
OBJECTIVE:
To evaluate the age, sex, etiology, diagnosis and treatment time of nasal bone fractures.
METHOD:
Clinical data of 202 cases with nasal bone fractures treated in the hospital were retrospectively analysed.
RESULT:
A total of 202 cases,163 men (80. 7%) and 39 women (19. 3%). Fifty-two patients had a relationship with alcohol consumption, and all of them were males. The most frequent reasons of the injury were fight 46. 5% (94 cases) followed by falling-down 21. 3% (43 cases), traffic accidents 19. 3% (39 cases), works related 6. 5% (13 cases), sport injuries 5. 9% (12 cases) and others 0. 5% (1 cases). Patients distribution in seasons were: spring 54 cases (26.7%), summer 42 cases (20.8%), autumn 58 cases (28.7%), winter 48 cases (23. 8%). Diagnosis of nasal bone fractures were made positively by x-ray films in 79. 7% of cases, but 100% by CT. Positive predictive value of CT was superior to that of X-ray films in the diagnosis of nasal bone fracture.
CONCLUSION
High morbidity of nasal bone fracture was seen in the age group of 20-29 years, and predominantly in male. Fight was found to be the main etiologic factor. We think that CT is necessary for diagnosing nasal bone fracture.
Adult
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Facial Bones
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Female
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Fractures, Bone
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complications
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epidemiology
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Humans
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Male
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Nasal Bone
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injuries
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Nose Diseases
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Retrospective Studies
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Risk Factors
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Seasons
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Skull Fractures
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complications
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epidemiology
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Violence
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Young Adult
9.A study on hepatic perfusion parameter calculation.
Fan PENG ; Bixian SHEN ; Zhenhua LIAO ; Weiqiang LIU
Journal of Biomedical Engineering 2013;30(6):1250-1253
Hepatic perfusion parameters play an important role in detecting and diagnosing diffusion diseases of liver. Based on a hemodynamic model. In this study, we described a fast and accurate method to calculate the perfusion parameters. First, we used a dual-input one-compartment kinetics model to illustrate the distribution of the contrast agent concentration among the body. Then, we used the Gaussian function to fit the scatter concentration data of portal vein and aorta, to obtain a liver agent concentration on function of time. Finally, we solved the model parameters by using Levenberg-Marquardt algorithm, and calculated the perfusion parameters. The results showed that the method proposed in this study could calculate the parameters precisely, and had a prosperous future application possibility.
Algorithms
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Contrast Media
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Hemodynamics
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Humans
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Liver
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physiology
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Models, Biological
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Perfusion
10.Quantitative Study of MRI and~1H MRS in Normal Adult Brain
Guoguang FAN ; Zhenhua WU ; Wei ZHANG ; Yang DUAN ; Shinong PAN
Journal of Practical Radiology 2000;0(02):-
Objective:To evaluate magnetic resonance imaging(MRI) and 1 H magnetic resonance spectroscopy( 1HMRS)in the study of normal biochemical process of the brain as well as differentiation of normal senile brain from cerebral diseases related to senility.Methods:180 cases of healthy adults were selected to perform MR examination,in which,none of the subjects had the history of neurological and psychotic diseases according to MRI and clinical results.Meanwhile,60 healthy subjects were selected to perform 1 HMRS examination.The ages ranged from 18 to 80 years.They were divided into six age groups purposely.Point resolved spectroscopy sequence was required for 1 HMRS.The metabolites in the spectra included:N-acetylaspartate(NAA),choline compounds(CHO),creatine compounds(CR),myo-inosito(MI),glutamate and glutamine(Glu-n).Results:(1)In 180 cases of MRI,T 2 relation time was lowest in the deep gray matter in the same age group;T 1relation time was in low-high order,while T 2 relation time was decreased with the increase of age in the different age group.(2)The amplitudes in high-to-low order were as follows in 60 cases of 1 HMRS:NAA、CR、CHO、MI、Glu-n.No prominent difference of shape and peak arrangement was seen at the different ipsilateral site in the same age groups;while slight difference at the same site in the different age groups was present.The ratio of NAA/Cr and Glu-n CR was higher in senile age group;while that of MI/Cr was lower.The ratio of CHO/CR was in low-to high order with the difference of age.The ratio of NAA/CR and MI/CR was gradually lower from anterior to posterior part of the brain;the ratio of CHO/CR was highest in occipital cortex however,no definite changing rule was observed in the ration of Glu-n/CR.Correlation of T 1 relation time and partial metabolite ratio with age was present in gray matter.Conclusion:Quantitative study of MRI and 1 HMRS is essential for determination of normal myelinization and neuronal integrity and age-related biochemical changes in the brain.