1.Diagnosis and treatment of congenital/inherited renal tubular diseases in children
Chinese Journal of Applied Clinical Pediatrics 2015;30(17):1285-1289
Hereditary renal diseases (inherited kidney diseases) include glomerular diseases,tubular diseases and cystic diseases.The incidence of inherited kidney diseases is relatively low, but the variety of clinical insufficient understanding of the disease, the means test about inherited kidney diseases is also not standardized, easily lead to missed diagnosis and misdiagnosis.As the common clinical manifestation of hereditary renal disease and congenital/hereditary renal disease are mainly low blood potassium, kidney stones, polyuria, growth retardation, and may develop renal failure without treatment.Therefore, clinicians should pay special attention to the diagnosis of congenital/hereditary renal disease, and early interventions are recommended.
2.The role of renal tubule remodeling in acute kidney injury
Journal of Clinical Pediatrics 2014;(9):895-897
Acute kidney injury (AKI) has emerged as a major public health problem that leads to decreased survival. Renal tubular epithelial cells are mainly damaged cells in AKI. Renal tubular epithelial cell remodeling plays a vital role in AKI. The regulatory mechanism of renal tubule remodeling is not yet clear. This review is written to address the renal tubule remodeling regulation mechanism of AKI.
3.Acute kidney injury and cell cycle regulation
International Journal of Pediatrics 2014;41(3):331-333,336
Acute kidney injury(AKI) has emerged as a major public health problem that leads to decreased survival.In AKI,cell hyperplasia,hypertrophy and apoptosis are related to the cell cycle control.Two supervisory restriction points,G1/S and G2/M checkpoints,are responsible for cell-cycle control.Furthermore,cell cycle regulatory proteins are also involved in the regulation of the cell cycle in AKI.This review focuses on the cell cycle regulation mechanism of AKI.
4.Association between methylation status of apoptosis-related genes and chemosensitivity of lung adenocarcinoma cell line P15
Weisong GAO ; Wenyan HUANG ; Kaishan LIU
Chinese Journal of Pathophysiology 2015;(8):1451-1456
AIM:Toinvestigatetheassociationbetweenmethylationstatusofapoptosis-relatedgenesandche-mosensitivity in the lung adenocarcinoma cell line P 15.METHODS: Methylation-specific PCR was applied to detect the methylation status of p73, p14ARF, p16INK4a and bax genes of P15 cells in untreated control group and decitabine (DAC) treatment group.RT-PCR was used to detect the expression of p 73, bcl-xL, bad, bax, p14ARF and p16INK4a at mRNA level. Colony formation assay and cell growth inhibition assay were used to detect the sensitivity of P 15 cells to cis-diaminedichlo-roplatinum ( C-DDP) before and after DAC treatment .DAPI staining was used to determine the apoptosis of P 15 cells ex-posed to C-DDP before and after DAC treatment .RESULTS:p73, p16INK4a and bax were expressed in the methylation sta-tus.After DAC treatment, p16INK4a expression was decreased , and the expression of p73 and bax disappeared .The expres-sion of p73, p16INK4a and bax in the unmethylated status was weak , but the enhanced expression was observed following DAC treatment.After P15 cells were treated with DAC and C-DDP, the colony formation rate of the P15 cells was signifi-cantly decreased as compared with untreated control group .The apoptotic P15 cells in DAC+C-DDP treatment group were significantly higher than those in untreated control group (P<0.05).CONCLUSION:After treated with DAC, the sensi-tivity of P15 cells to C-DDP is increased due to the activation of silenced pro-apoptotic genes .DAC and C-DDP synergisti-cally promote tumor cell apoptosis .They have significant anti-tumor effect .
5.Therapeutic Observation of Grain-sized Moxibustion plus Acupuncture for Plantar Fasciitis
Yumei CAI ; Jifan ZHENG ; Wenyan HUANG
Shanghai Journal of Acupuncture and Moxibustion 2015;(11):1111-1113
Objective To observe the clinical efficacy of grain-sized moxibustion plus acupuncture in treating plantar fasciitis. Method Forty patients with plantar fasciitis were randomized into a treatment group and a control group, 20 in each group. The treatment group was intervened by grain-sized moxibustion plus acupuncture, while the control group was by ordinary acupuncture. Visual Analogue Scale (VAS) was used to observe the morning heel pain degree before and after the treatment, and the clinical efficacies were compared.Result The VAS scores were significantly changed after treatment in the two groups (P<0.05). After treatment, VAS score in the treatment group was significantly different from that in the control group (P<0.05). The recovery rate and total effective rate were respectively 45.0% and 95.0% in the treatment group, versus 10.0% and 90.0% in the control group, and there was a significant difference in comparing the recovery rates (P<0.01).Conclusion Grain-sized moxibustion plus acupuncture is an effective method in treating plantar fasciitis.
6.Establishment and practice of military psychological behavior training class in military medical college
Jie YANG ; Fei YANG ; Wenyan HUANG
Chinese Journal of Medical Education Research 2013;(11):1111-1114
Psychological behavior training curriculum in military medical college was recon-structed after investigating psychological behavior training class in 45 military colleges. The measures taken included:establishing scientific management model, optimizing the teaching object and content, reforming the teaching method and improving multiple assessment methods. Self rating symptom scale symptom checklist 90(SCL-90) was used to test the psychological condition of students before and af-ter the teaching experiment. Results showed that seven factors were of statistical significance for stu-dents. Factors of fear and paranoia were statistically insignificant.
7.Clinical Observation of Combined Acupuncture and Herbs in Treating Parkinson's Disease
Wenyan HUANG ; Guifang XI ; Xuegui HUA
Journal of Acupuncture and Tuina Science 2009;7(1):33-36
Objective:To observe the clinical efficacy of linear scalp-acupuncture combined with herbs in the treatment of Parkinson's disease(PD).methods:One hundred and fifty PD cases were randomized into four groups in the sequence ofvisit.Eighty-eight cases in group A,were treated by linear scalp.acupuncture and herbs effective to nourish the liver and kidneys,activate blood and remove wind,and acupuncture was performed every other day and 10 treatments made uP one course;20 cases in group B,were treated only by linear scalp-acupuncture;20 cases in group C,were treated by herbs effective to nourish the liver and kidneys,activate blood and remove wind;22 cases in group D,were treated by Dopamine.All groups were treated for three months.Resuits:The total response rate was 89.8%in group A,similarto 86.4%in group D(P>0.05),and higherthan 65.0%in group C(P<0.01).Conclusion:Linear scalp-acupuncture combined with herbs is quite effective in the treatment of PD.
8.Traditional Chinese medicine in treatment of Parkinson's disease
Qiujuan ZHANG ; Yunyun ZHANG ; Wenyan HUANG
Journal of Integrative Medicine 2004;2(1):75-7
Parkinson's disease is a commonly encountered central nervous retrograde affection in elder persons. According to the theories of traditional Chinese medicine, Parkinson's disease is characterized by deficiency in the Ben (root) and excess in the Biao (branch). The Ben (root) is insufficiency of liver and kidney and deficiency of qi and blood; and the Biao (branch) is wind, fire, phlegm and stasis. Good therapeutic effects have been obtained by treatment based on syndrome differentiation, treatment with specific prescriptions and acupuncture. The further study on literatures, standardized criterion of symptoms differentiation and therapeutic effect determination as well as the screening and further research on the effective prescriptions and herbs should be paid more attention, meanwhile, the integration of herbs and acupuncture will be conducive to raise the therapeutic effect.
9.Evaluation of the application of folate receptor mediated (FRD) multifunctional acetic acid white solution inspection with liquid based cytology screening for cervical cancer
Cui DENG ; Jiali KANG ; Wenyan JIANG ; Miaoling NIE ; Xiaohui HUANG
Journal of Chinese Physician 2014;16(8):1064-1067
Objective To explore the folate receptor mediated (FRD) check and multi-function acetic acid white solution liquid based cervical cytology (TCT) application value in cervical cancer screening.Methods A total of 602 cases of patients was tested with FRD multi-function acetic acid white solution check,and TCT and cervical biopsy pathology examination.With the used of histopathological results as the gold standard,FRD multi-function acetic acid white analysis was compared with the TCT screening inspection results.Results For a total 602 patients with TCT screening,the positive rate was 21.8% (131/602),including 36 cases of CIN Ⅰ level,41 cases of CIN Ⅱ level,24 cases of CIN Ⅲ level,and 30 cases of cervical invasive carcinoma.For the FRD multifunction white acetate solution screening,its positive rate was 23.8% (143/602).No statistically significant difference was found between TCT and FRD screening (P > 0.05).The missed diagnosis rate of FRD multi-function white acetate solution screening was 2.6% in inflammation,and 21.1% in cervical invasive cancer,and 3.8 % in CIN.The missed diagnosis rate of TCT screening was 7.2% in inflammation,5.3% in CIN Ⅰ,4.9% in CIN Ⅱ,and 58.6% in CIN Ⅲ]; whereas,its detection coincidence rate was 100% in squamous cells carcinoma (SCC) and adenocarcinoma (AC).FRD multi-function acetic acid white solution screening had a sensitivity 80.92%,specificity 92.14%,positive predictive value 74.13%,and negative predictive value 95.59%.TCT examination had a sensitivity 90.84%,specificity 90.23%,positive predictive value 72.12%,and negative predictive value 97.25%.No significant difference was found between FRD and TCT methods (P > 0.05).Conclusions FRD and TCT methods were both efficient in screening and evaluation for cervical lesions and cervical cancer.Because FRD method is limited in the deep tube for examination of cervical lesions; it cannot completely replace the TCT examination.However,FRD method is reliable,economic,and simple operation; it is suitable for primary hospitals census of cervical cancer
10.Pulmonary manifestation in children with systemic lupus erythematosus
Sheng HAO ; Juan WANG ; Weixun HE ; Wenyan HUANG ; Guanghua ZHU
Chinese Journal of Applied Clinical Pediatrics 2014;29(21):1628-1631
Objective To observe the incidence,clinical types,and prognosis of pulmonary involvement in children with systemic lupus erythematosus(SLE),and to probe the relationship between the relative factors.Methods The clinical data of 61 children with SLE,who treated in Children's Hospital of Shanghai from Jan.2006 to Dec.2011 were analyzed retrospectively.The lung manifestations of the patients were classified according to their clinical symptoms and signs,and lung imaging examination (chest X-ray and CT).Other data of the SLE patients with lung injury or without lung injury were collected,including the course of the disease,activity index [SLE disease activity index (SLEDAI) scoring 0-4 was divided into no activity,5-9 was divided into low activity,10-14 was divided into moderate activity,and more than 15 as severe activity],blood sedimentation,the values of serum complement and the positive rate of dsDNA in autoantibody,and a comparison was made and statistical analysis was performed.Results Pulmonary injury occurred in 17 cases with an incidence rate of 27.9% (17/61 cases),and the average course of the disease was (8.76 ± 6.96) months.The clinical manifestations of 17 cases included fever,cough,dyspnea,hypoxemia,chest pain,lower breath sound,and lung rale,which were not non-specificity.According to imageological examination,in 17 cases there were 2 cases with pulmonary hypertension (the incidence rate was 11.8%),4 cases with acute lupus pneumonitis (the incidence rate was 23.5%),6 cases with interstitial pneumonia (the incidence rate was 35.3%),7 cases with lesion of pleura (the incidence rate was 41.2%),10 cases with pulmonary infection (the incidence rate was 58.8%).There were no statistical differences between patients with and without lung injury(infectious and non-infectious)in the course,the values of serumn complement,the positive rate of dsDNA and activity index.Lung lesions of the 17 patients recovered quickly after early diagnosis and active treatment.Conclusions Pulmonary manifestation in children with SLE is not uncommon,and it can happen at any stage of the disease,not just on the stage of lupus activity,but it usually indicates disease was not controlled.Pulmonary manifestation of SLE in children involve many parts of lung,including pulmonary parenchyma,interstitial,blood vessels,pleura,etc.Early diagnosis and active treatment can improve the short-term prognosis of lung injury with lupus,and long-term outcome remains to be observed.