4.The expression changes of human telomerase reverse transcriptase-mRNA and p53 protein in thyroid carcinoma tissues in the elderly and their clinical significance
Qing CHANG ; Yaojie HU ; Chunyou CHEN ; Xin GUO
Chinese Journal of Geriatrics 2016;35(2):171-173
Objective To study the expression changes and significance of human telomerase reverse transcriptase (hTERT)-mRNA and mutant p53 protein in thyroid carcinoma tissues in the elderly.Methods The expression level of hTERT-mRNA was examined by in situ hybridization in 50 samples of thyroid carcinoma tissues from the elderly and 41 samples of thyroid carcinoma tissues from the non-elderly and 30 samples of thyroid benign lesions.The expression level of p53 was examined by immunohistochemistry in all subjects.Results The positive rate of hTERT-mRNA was 96.0% (48/50),85.3% (35/41) and 10.0% (3/30) in thyroid carcinoma tissues from the elderly,the non-elderly and thyroid benign lesions respectively,and there were significant differences between the three groups (x2=73.61,P=0.000).The positive rate of p53 was 92.0% (46/50),85.3% (35/41) and 13.3% (3/30) in thyroid carcinoma tissues from the elderly,the non-elderly and thyroid benign lesions respectively,and there were significant differences between the three groups (x2 =62.30,P =0.000).Conclusions The positive rates of hTERT-mRNA and p53 in thyroid carcinoma tissues are higher in the elderly than in the non-elderly,which can be used to evaluate the biological behavior and prognosis of thyroid carcinoma in the elderly,and they play the important roles for targeted therapy.
5.A clinical model to estimate risk factor of early BPF after pneumonectomy for NSCLC
Xuefei HU ; Gening JIANG ; Chang CHEN ; Jiaan DING ; Hao WANG
Chinese Journal of Thoracic and Cardiovascular Surgery 2013;29(8):463-465
Objective To evaluate prognostic factors for early bronchopleural fistula after pneumonectomy with non small cell lung cancer,and establish a validated clinical model to estimate the risk of early-BPF.Methods We reviewed the medical records of 429 patients who underwent pneumonectomy for NSCLC at our institution.We used univariate and multivariate analysis to identify potential independent risk factors for early-BPF after pneumonectomy for NSCLC.A model to estimate risk of early-BPF was developed by combining independent risk factors.Results The rate of early-BPF after pneumonectomy for NSCLC was 6.5% (28/429).Three factors were independently associated with early-BPF:neoadjuvant therapy (HR:2.406),bleeding (HR:2.171)and diabetes (HR:1.144).A scoring system for early-BPF was developed by assigning 2 points for each major risk factor (neoadjuvant therapy and bleeding) and 1 point for each minor risk factor(diabetes).Scores were grouped as low (0-1),intermediate (2-3),and high (3),yielding the rate of early-BPF was 14%,27%,and 43%,respectively.Conclusion This clinical model is established on the basis of independent risk factors.This model can be used as a predictive tool for early-BPF after pneumonectomy for NSCLC.
6.Application of an HPLC correction factor method in pharmaceutical analysis
Ting XIAO ; Chen WANG ; Shang-chen YAO ; Yan-chun FENG ; Chang-qin HU
Acta Pharmaceutica Sinica 2020;55(12):2854-2861
With the in-depth study of related substances and the development of consistency evaluation of generic drugs, relative correction factors are gaining increasing attention. By analyzing the domestic and foreign literature on correction factors in recent years, this paper describes the correction factor component, the current measurement method and its application. The rules and key points of use of an impurity correction factor and its determination and application are described, and some problems in its determination and application are discussed, providing a reference and basis for the standardization of research on impurity correction factors in the future.
7.Arachnoid adhesion caused by SURGICEL after operation for ventral spinal schwannoma.
Sheng-li CHEN ; Gang-li ZHANG ; Han-wei ZHANG ; Ting LEI ; Chang-chen HU
Chinese Medical Journal 2010;123(21):3167-3168
Arachnoid
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pathology
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surgery
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Bone Neoplasms
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surgery
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Humans
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Male
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Middle Aged
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Neurilemmoma
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surgery
8.Simultaneous determination of purity and potency of the components of gentamycin using high-performance liquid chromatography.
Li-Hong YANG ; Yan CHANG ; Shang-Chen YAO ; Chang-Qin HU
Acta Pharmaceutica Sinica 2012;47(12):1660-1666
The quality of some earlier developed antibiotics is usually ensured by the combination of HPLC purity and microbiological potency measurement in the pharmacopoeias of various countries because the relationship between their purity and potency is not clearly quantified. Due to potency is assessed using certain units of measurement, it can not be directly traced to the international system of units (SI unit). This has become a hotspot in the study of the quantitative relationship between purity and potency of antibiotics. It would be quite an achievement to simultaneously determine both purity and potency using HPLC methods during quality control. This study evaluated a multicomponent antibiotic product, gentamycin, as a test sample. First, pure samples of the C components of gentamycin: C1a, C2, C2a and C1 were prepared, separately. Second, quantitative relationship (theoretical potency) between the purity and potency of each C component of gentamycin were determined using 1H NMR, HPLC-ELSD and microbiological assay method. One milligram of gentamycin C1a, C2, C2a and C1 was equal to 1 286.98, 1 095.74, 1 079.52 and 739.61 gentamycin units, respectively. Finally, a method for the determination of gentamycin potency was established based on the proportion and content of C components of gentamycin. The unification of purity and potency for gentamycin was achieved using only HPLC-ELSD. It is also demonstrated that C components of gentamycin and micronomicin produce the same responses under ELSD, which means that it is not necessary to prepare separate reference standards for each C component of gentamycin and that quantitative testing can be performed accurately using only one micronomicin reference standard. This study simplified the previous method for the determination of the content of C components of gentamycin using HPLC-ELSD. The developed method is suitable for regular use as a part of quality control and can simplify the rigmarole quality control procedures provided in current pharmacopeias.
Chromatography, High Pressure Liquid
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Gentamicins
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chemistry
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pharmacology
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Magnetic Resonance Spectroscopy
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Microbial Sensitivity Tests
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methods
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Molecular Structure
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Quality Control
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Reference Standards
9.Damage to non-pulmonary organs like heart and kidney in SARS patients:An analysis of 330 cases
Yihui RONG ; Weihua CHANG ; Yanping LIU ; Xuemei MA ; Binxia CHANG ; Yongping YANG ; Zhengsheng ZOU ; Xianzhi ZHOU ; Liangping HU ; Jumei CHEN
Academic Journal of Second Military Medical University 2000;0(08):-
Objective:To analyze the features and clinical significance of damages to non pulmonary organs like the heart,kidney and peripheral blood in SARS patients.Methods:SPSS 11.0 and SDAS software packages were used to retrospectively analyze the damages to the heart,kidney and peripheral blood in 330 clinically confirmed SARS cases.Results:(1)The heart damage occurred within 1 week after SARS onset in mild cases; the rates of LDH,HBDH,CK and CK MB returning to normal were 74.2%,80.6%,100% and 100%,respectively.In severe cases,the heart damage usually occurred 1 week after SARS onset; the rates of LDH,HBDH,CK and CK MB returning to normal were 32.2%,29.5%,55.2% and 44.4%,respectively.Ten patients whose CK MB didnot return to normal died.(2) The changes of RBC count appeared after an average of 1 week (1 10 d) in 54.2% of the patients.It returned to normal in all the mild SARS cases after an average of 12.5(4 21) d but didnot in 18.4% of the severe cases ( P
10.Elastography in the detection of thyroid nodules:compared with pathology
Na HU ; Ling ZHANG ; Min CHEN ; Yi GAO ; Qinghai JI ; Cai CHANG
Chinese Journal of Ultrasonography 2012;21(10):851-854
Objective To discuss the clinical value of ultrasonic elastography for thyroid nodules,and compared with pathology.Methods 77 patients with 105 thyroid lesions were analyzed.Tissue stiffness on elastography was scored from one(greatest elastics train)to five (no strain).Results On elastography:scores 1 and 2 were found in 75% benign lesions.Scores 3 to 5 were found in 97.4% malignant lesions.There were statistically difference in the scores of elastography between the benign and malignant lesions (P <0.01).Conclusions The ultrasonic elastography had positive significance in differentiating benign and malignant thyroid nodules.If the score of elastography is more than or equal to 3,the thyroid nodule is highprobablely malignant.