1.Clinical Study on the Treatment of Adriamycin-induced Cardiotoxicity with the Method of Nourishing Yin
International Journal of Traditional Chinese Medicine 2009;31(5):401-403
Objective To investigate the preventive effect of treating cardiotoxicity induced by adriamycin (ADM) with the method of nourishing yin. Methods 90 cancer patients underwent adriamycin therapy were randomly recruited intoa treatment group (45 cases) and a control group (45 cases). The treatment group was treated with Wushen decoction, while the control group was treated with antioxidant drugs. The changes of ECG, blood SOD, GSH-Px, MDA content etc were observed after one course of four weeks' treatment. Results The incidence of cardiactoxicity was 15.56% in the treatment group and 40.00% in the control group, showing significant difference ( U=2.02, P<0.05 ) ; the incidence of ECG abnormalities was 13.33% in the treatment group and 37.78%, in the control group, showing significant difference (U= 2.18, P< 0.05 ) : the effective rate was 82.22% in the treatment group and 62.22% in the control group, showing significant difference ( U=2.18, P <0.05) ; and SOD, GSH-Px, MDA content at the 1, 7, 14, and 28days between the two groups also demonstrated significant differences (P<0.05) . Conclusion The method of nourishing yin has excellent attenuation to adriamycin-induced cardiotoxicity, besides it enhances therapeutic effects of chemotherapy.
2.Clinical implications of thyrotropin receptor antibody measurement
Yu YANG ; Ang ZHENG ; Chao LIU ; Keying CAI
Chinese Journal of Endocrinology and Metabolism 2011;27(4):360-364
It has been 50 years since the discovery of thyrotropin receptor autoantibody (TRAb). Advances in the knowledge of thyrotropin receptor ( TSHR) structure and function, combined with the elucidation of TSHR signaling and TSHR-autoantibody interaction have greatly facilitated our understanding of TRAb and their clinical applications. Measurement of TRAb activity plays an important role in the diagnosis of Graves' disease ( GD) and Graves' opthalmopathy. It has also been well recognized that TRAb is an effective predictor of GD relapse or remission after antithyroid drug and radioactive iodine treatment. TRAb test is of particular help in pregnant women and lactating mothers with recent iodine load, where radioactive iodine or technetium tests are contraindicated. In addition, it is useful in the diagnosis and differential diagnosis of fetal and neonatal hyperthyroidism as well as some rare forms of thyrotoxicosis in clinical practice. Accumulating evidence also indicates the possible correlation between thyroid cancer occurring in GD patients with positive TRAb and adverse outcomes. However, further innovation and standardization of TRAb tests are required to help pave the way for clinical applications.
3.Nutritional Support in the Treatment of Cancer
Jun LV ; Jun ZHANG ; Jiaqiang ZHU ; Ang CAI ; Jia HU
International Journal of Traditional Chinese Medicine 2008;30(5):375-377
Objective To investigate nutritional support in the treatment of cancer in recent years.Methods Seperately diSCUSS on application conditions of enteral nutrition and parenteral nutrition in the treatment of cancer and its advantages and disadvantages.Results Enteral nutrition can improve digestive funcdon,reduce costs and enhance immunity.Parenmral nutrition can supplement insufficiency of enteral niltrition and inhibit tumor growth by selecting the kinds of nuWients to support a normal body function.Conclusion Enteral nutrition combined witll parenteral nutrition iS a suitable means of nutritional support in the treatment ofcancer.
4.Daily calorie restriction and alternate day fasting for type 2 diabetes prevention
Ang ZHENG ; Guofang CHEN ; Keying CAI ; Chao LIU
Chinese Journal of Endocrinology and Metabolism 2016;32(5):433-436
[Summary] Lifestyle intervention is one of the important strategies for the prevention of type 2 diabetes. Recently, caloric restriction regimen has become a hot topic as one of the cornerstone of lifestyle intervention. The alternate day fasting regimen is simple, and increases the patient compliance. Both daily calorie restriction and alternate day fasting regimen can reduce body-weight significantly in pre-diabetes subjects, and reduce the visceral fat mass and the fasting insulin levels, and improve the insulin sensitivity, as well as maintain the lean mass, though the effect on fasting blood glucose was not significant. Nevertheless, the most recent studies have demonstrated that daily calorie restriction,in particular, alternate day fasting regimens can be effective in individuals with pre-diebates in order to prevent type 2 diabetes.
5.Correlation between image quality and radiation dose on screening mammography
Ying MIAO ; Junfeng SONG ; Weifei CHEN ; Bailin WANG ; Xuwen XIANG ; Cong CAI ; Liqing ANG
Chinese Journal of Radiological Medicine and Protection 2011;31(5):606-609
Objective To obtain the matched parameters between image quality and radiation dose by exploring the influence of the exposure parameters of screening mammography on both the image quality and radiation dose.Methods The correlation between the exposure parameters and average glandular doses to 507 patients undergoing screening mammography were retrospectively analyzed.The influence of breast compression thickness on radiation dose by exposing different thickness of PMMA was obtained.The correlation with image quality was analyzed by combined testing of contrast detail test mode ( CDMAM3.4 )and different thickness of PMMAs.Results The groups aged 30 to 49 years were the main groups in 507examined patients,up to 67.06% of the total.The mean value of average gland doses ( AGD ) in contrastprior mode was the highest in three kinds of exposure modes,accounting for 137.5% of standard mode.In standard mode,target material/filtration board combination was Mo/Mo,Mo/Rh and Rh/Rh,accounting for 1/3 respectively.Mo/Rh and Rh/Rh were selected in dose-prior mode,accounting for 50% respectively.Mo/Mo was mainly selected in contrast-prior,accounting for 52%.Breast compression thickness was positively correlated with average gland doses.Image quality figure inverse (IQFinv) under three kinds of modes (STD,DOSE,CNT) was 98.32,95.41 and 107.02,respectively,and IQFinv of contrast-prior mode was the highest among them.IQFinv was in general agreement in the three kinds of exposure modes when the thickness of PMMA plates plates was greater than or equal to 5 cm.Conclusions In clinical practice,when the breast is of density type and pressed thickness is less than 4 em,the dose-prior mode should be selected.When the pressed thickness is between 4 and 6 cm,the standard exposure mode should be selected.When the pressed thickness is larger than 6 cm,the manual mode should be selected.
6.Effect of Chinese Herbs on ?-Globin Gene Cluster Locus Control Hepersensitive site 2 Site Binding with Nucleoprotein
li-min, CHAI ; zhi-kui, WU ; xin-hua, ZHANG ; zhi-ang, LIU ; hui-guo, CAI
Journal of Applied Clinical Pediatrics 1993;0(03):-
Objective To explore molecular mechanism and the curative effect of Yisuishengxue powder and its function of the hepersensitive site 2 (HS2) in ?-globin gene cluster locus control region binding with nucleoprotein.Methods After 3 months treatment of Yisuishengxue powder, nucleoprotein was extracted from the morrow cell before and after treatment. The HS2 DNA probes was combined with nucleoproteins.Electrophoresis gel mobile lag was utilized for observing the mobile velocity of DNA segment.Observe the mobile velocity of DNA probes.Results The mobile velocity of probes combined with nucleoproteins before treatment was different form that of the controls, while it was very close to the controls after treatment.Conclusions It is suggested that this compounding medicine might affect the DNA segment of HS2 site in ?-LCR binding with nucleoprotein GATA-1, which may be one molecular mechanism of Chinese herb therapy.
7.Effects of CBT on children with disruptive behaviour disorders: findings from a Singapore study
Yoon Phaik Ooi ; Rebecca P. Ang ; Daniel S. S. Fung ; Geraldine Wong ; Yiming Cai
ASEAN Journal of Psychiatry 2007;8(2):71-81
Objective: The study examines the effectiveness of a CBT treatment programme over and
above that of Treatment As Usual (TAU), with children who were referred to an outpatient
child psychiatric clinic for disruptive behaviour disorders in Singapore. Methods: One hundred
and three children aged 8 to 12 (mean±SD=10.22±1.31) who participated in the study
were assigned to either the CBT+TAU (n= 51) or TAU group (n=52). Children in both the
CBT+TAU and TAU groups received a standard and typical service offered to children at the
outpatient child psychiatric clinic. In addition, children in the CBT+TAU group attended the
CBT treatment programme that consisted of nine 1.5 hour weekly sessions. Results: Findings
from ANCOVA indicated that children in the CBT+TAU treatment group showed significantly
lower levels of aggression and significantly lower levels of parental stress at posttreatment
and at 3-month follow-up in comparison to the TAU group. Conclusions: Findings
from the present study provided some evidence of the effects of CBT in reducing aggressive
behaviour and parental stress among children with disruptive behaviour disorders. Interpretation
of the findings, recommendations for future research, and implications of the present
study were presented.
9.Analysis of risk factors and a predictive model of malnutrition in disabled stroke patients
Ang CAI ; Yi LI ; Liugen WANG ; Heping LI ; Xi ZENG
Chinese Journal of Physical Medicine and Rehabilitation 2023;45(1):24-28
Objective:To analyze the risk factors for malnutrition among disabled stroke survivors and devise a prediction model.Methods:A total of 373 disabled stroke survivors treated in the Department of Rehabilitation Medicine, the First Affiliated Hospital of Zhengzhou University in 2021 formed a control group ( n=102) and a malnutrition group ( n=271) according to their nutritional status. Univariate correlation analysis and multivariate logistic regression were used to analyze the risk factors for malnutrition and their predictive value. Results:Age, dysphagia, pulmonary infection, disability score and feeding style were found to be related significantly to the occurrence of malnutrition. Multivariate logistic regression confirmed that age, pulmonary infection, dysphagia, low total intake and a low Barthel index were useful predictors of malnutrition in such persons. Moreover, patients who had received nasogastric tube feeding were at much higher risk of malnutrition than those with intermittent oroesophageal tube feeding. The area under the receiver operating characteristics curve of the Barthel index combined with dysphagia to predict malnutrition was 0.84. The critical value was 0.67 with a sensitivity of 88% and a specificity of 72.5%.Conclusions:Age, pulmonary infection, dysphagia, feeding method, total intake and disability score are risk factors for malnutrition in disabled stroke survivors. The Barthel index combined with dysphagia has good predictive power for the occurrence of malnutrition in such persons.
10.Creation of Consistent Burn Wounds: A Rat Model.
Elijah Zhengyang CAI ; Chuan Han ANG ; Ashvin RAJU ; Kong Bing TAN ; Eileen Chor Hoong HING ; Yihua LOO ; Yong Chiat WONG ; Hanjing LEE ; Jane LIM ; Shabbir M MOOCHHALA ; Charlotte A E HAUSER ; Thiam Chye LIM
Archives of Plastic Surgery 2014;41(4):317-324
BACKGROUND: Burn infliction techniques are poorly described in rat models. An accurate study can only be achieved with wounds that are uniform in size and depth. We describe a simple reproducible method for creating consistent burn wounds in rats. METHODS: Ten male Sprague-Dawley rats were anesthetized and dorsum shaved. A 100 g cylindrical stainless-steel rod (1 cm diameter) was heated to 100degrees C in boiling water. Temperature was monitored using a thermocouple. We performed two consecutive toe-pinch tests on different limbs to assess the depth of sedation. Burn infliction was limited to the loin. The skin was pulled upwards, away from the underlying viscera, creating a flat surface. The rod rested on its own weight for 5, 10, and 20 seconds at three different sites on each rat. Wounds were evaluated for size, morphology and depth. RESULTS: Average wound size was 0.9957 cm2 (standard deviation [SD] 0.1845) (n=30). Wounds created with duration of 5 seconds were pale, with an indistinct margin of erythema. Wounds of 10 and 20 seconds were well-defined, uniformly brown with a rim of erythema. Average depths of tissue damage were 1.30 mm (SD 0.424), 2.35 mm (SD 0.071), and 2.60 mm (SD 0.283) for duration of 5, 10, 20 seconds respectively. Burn duration of 5 seconds resulted in full-thickness damage. Burn duration of 10 seconds and 20 seconds resulted in full-thickness damage, involving subjacent skeletal muscle. CONCLUSIONS: This is a simple reproducible method for creating burn wounds consistent in size and depth in a rat burn model.
Animals
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Burns*
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Erythema
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Extremities
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Hot Temperature
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Humans
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Male
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Models, Animal*
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Muscle, Skeletal
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Rats
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Rats, Sprague-Dawley
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Skin
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Viscera
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Water
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Wounds and Injuries*