1.Pilot application of statistical iterative reconstruction and automatic tube current modulation in adult low-dose pelvic CT
Wei LI ; Jiandong ZHANG ; Tao PANG ; Aiyin LI ; Hao SHI
Chinese Journal of Radiological Medicine and Protection 2014;34(6):470-473
Objective To investigate the feasibility of reducing the radiation dose in adult pelvic CT using automatic tube current modulation (ATCM) and adaptive statistical iterative reconstruction (ASIR).Methods Totally 45 patients who underwent routine and low-dose pelvic CT examination were enrolled in our study.Three groups of images were acquired:group A (routine scan with FBP reconstruction) ;group B1 (low-dose with ASIR0) and group B2 (low-dose with ASIR50%).The scores of image quality was abtained by two radiologists.Results The CTDIvol,DLP and E of group B were significantly reduced respectively(t =12.30,12.10,12.15,P < 0.05) compared with group A.Group B1 had higher noise(t =9.14,8.95,P < 0.05)and lower score,SNR and CNR(t =8.72,10.62,11.83 and 8.40,9.55,11.42,P < 0.05) than the others.And there was no difference in image quality between group A and group B2.Conclusions Using automatic tube current modulation and adaptive statistical iterative reconstruction could significantly reduce the noise but keep the image quality in adult pelvic CT examination.
2.Effect of dexmedetomidine on tracheal intubation under general anesthesia for abdominal surgery
Weihong HAO ; Chongfang HAN ; Jiandong HE
Chinese Journal of Primary Medicine and Pharmacy 2019;26(5):578-582
Objective To study the effect of dexmetomidine on tracheal intubation under abdominal anesthesia.Methods From January 2015 to January 2018,100 patients were selected to perform tracheal intubation under abdominal anesthesia in Shanxi Provincial Hospital of Taiyuan.A total of 100 patients under abdominal surgery were randomly divided into two groups,with 50 patients in each group.The observation group was given dexmetomidine intravenous injection during the operation,while the control group was not given dexmetomidine during the operation.The blood pressure and heart rate of the two groups were compared before and after anesthesia.The recovery time of spontaneous respiration,eye opening time,extubation time,incidence of adverse events,cough score and restlessness score were compared between the two groups,and the cognitive function of the two groups was compared.Results After anesthesia,the systolic blood pressure [(103.75 ± 2.26) mmHg],diastolic blood pressure [(71.92 ± 1.95) mmHg],heart rate[(70.91 ± 1.89) rpm] in the observation group were significantly higher than those in the control group [(100.37 ±2.91)mmHg,(70.27 ± 1.84)mmHg,(69.08 ±1.63)] (t =6.487,4.532,5.185,all P <0.05).The recovery time of spontaneous respiration [(7.14 ± 1.37) min],eye opening time [(9.85 ± 2.31) min] and extubation time[(20.57 ±2.94)min]in the observation group were significantly shorter than those in the control group[(8.75 ± 1.89)min,(12.41 ±2.97)min,(24.06 ±3.42)min] (t =4.877,4.811,5.472,all P <0.05).The incidence rate of adverse events in the observation group (8%) was lower than 24% in the control group (x2 =4.762,P < 0.05).The score of cough and the score of restlessness in the observation group were (4.09 ± 1.63) and (4.27 ± 1.96),respectively,which were significantly lower than those in the control group [(6.24 ± 2.18) and (6.51 ± 2.32)] (t =5.186,5.215,all P < 0.05).At 6 h after operation,the scores of MMSE,vocabulary memory,simple calculation and picture memory in the observation group were (23.95 ±2.13),(7.35 ± 1.08),(7.14 ± 1.12) and (7.26 ± 1.17),respectively,which were higher than those in the control group[(20.47 ± 1.91),(6.17 ± 0.94),(5.89 ± 1.04),(6.02 ± 0.89)] (t =8.601,5.828,5.783,5.965,all P < 0.05).Conclusion The application of dexmetomidine in patients under general anesthesia under tracheal intubation can effectively reduce the fluctuation of hemodynamic indicators after anesthesia,help to maintain the hemodynamic stability of patients,and promote the recovery of consciousness after operation.It can prevent adverse events during recovery of anesthesia and reduce the effect of anesthesia on cognitive function of patients.
3.The Effect of Coriaria Lactone on NMDA Receptor Mediated Currents in Rat Hippocampal CAI Neurons
Zhiping PANG ; Dianshi WANG ; Jishuo LI ; Jiandong HAO ; Changgeng ZHU ; Ajing WANG
Journal of Huazhong University of Science and Technology (Medical Sciences) 2000;20(1):6-9
To investigate the exact mechanism of epileptogenesis induced by coriaria lactone (CL), the effect of CL on NMDA receptor mediated current (Iasp) in rat hippocampal CAI neurons was investigated by using nystatin perforated whole-cell patch clamp. 10-6-10-4 mol/L Asp acted on NMDA receptors and elicited an inward current (Iasp) at a holding potential (VH) of -40mV in presence of 10-6 mol/L glycine and absence of Mg2+ extracellularly. CL enhanced NMDA receptor mediated current induced by Asp, but had no effect on threshold concentration, EC50,Hill coefficient as well as maximal-effect concentration and reversal potential of Iasp. The effect had no relationship with holding potential. These results showed that CL could enhance NMDA receptor mediated current to increase [Ca2+]I of neurons by acting on Gly site, thereby inducing epilepsy.
4.Screening of Novel Epilepsy-Related Genes and Isolation and Identification of cDNAs
Heming ZHU ; Changgeng ZHU ; Jiandong HAO ; Xiangwen MENG ; Lihua WANG ; Dequan CHEN
Journal of Huazhong University of Science and Technology (Medical Sciences) 2000;20(1):10-12
Twenty cDNA differential fragments were isolated from the hippocampus of rats in epileptic state using mRNA differential display technique. Four fragments were sequenced and compared with the known sequences in the Genebank, which showed that ERG8, ERG11, ERG12had no significant identity to any known sequences; ERG14 had 64%-69% identity to microtubulin-associated protein of the rat. Because the differential expression of these genes was caused by epilepsy inducer coriaria lactone (CL) and anti-epilepsy drug MK-801 and ERG8 might be a novel candidate epilepsy gene; ERG11 and ERG12 might be novel candidate anti-epilepsy genes.Since the microtubulin-associated protein is closely associated with the collateral sprouting of mossy fibers in the hippocampus of seizured rat, the high expression of ERG14 in the early stage of epilepsy might predict the growth of axon and formation of synapse.
5.The Effect of Coriaria Lactone on NMDA Receptor Mediated Currents in Rat Hippocampal CAI Neurons
Zhiping PANG ; Dianshi WANG ; Jishuo LI ; Jiandong HAO ; Changgeng ZHU ; Ajing WANG
Journal of Huazhong University of Science and Technology (Medical Sciences) 2000;20(1):6-9
To investigate the exact mechanism of epileptogenesis induced by coriaria lactone (CL), the effect of CL on NMDA receptor mediated current (Iasp) in rat hippocampal CAI neurons was investigated by using nystatin perforated whole-cell patch clamp. 10-6-10-4 mol/L Asp acted on NMDA receptors and elicited an inward current (Iasp) at a holding potential (VH) of -40mV in presence of 10-6 mol/L glycine and absence of Mg2+ extracellularly. CL enhanced NMDA receptor mediated current induced by Asp, but had no effect on threshold concentration, EC50,Hill coefficient as well as maximal-effect concentration and reversal potential of Iasp. The effect had no relationship with holding potential. These results showed that CL could enhance NMDA receptor mediated current to increase [Ca2+]I of neurons by acting on Gly site, thereby inducing epilepsy.
6.Screening of Novel Epilepsy-Related Genes and Isolation and Identification of cDNAs
Heming ZHU ; Changgeng ZHU ; Jiandong HAO ; Xiangwen MENG ; Lihua WANG ; Dequan CHEN
Journal of Huazhong University of Science and Technology (Medical Sciences) 2000;20(1):10-12
Twenty cDNA differential fragments were isolated from the hippocampus of rats in epileptic state using mRNA differential display technique. Four fragments were sequenced and compared with the known sequences in the Genebank, which showed that ERG8, ERG11, ERG12had no significant identity to any known sequences; ERG14 had 64%-69% identity to microtubulin-associated protein of the rat. Because the differential expression of these genes was caused by epilepsy inducer coriaria lactone (CL) and anti-epilepsy drug MK-801 and ERG8 might be a novel candidate epilepsy gene; ERG11 and ERG12 might be novel candidate anti-epilepsy genes.Since the microtubulin-associated protein is closely associated with the collateral sprouting of mossy fibers in the hippocampus of seizured rat, the high expression of ERG14 in the early stage of epilepsy might predict the growth of axon and formation of synapse.
7.Development of ultrasonic power meter.
Hongxin HUANG ; Changming HU ; Yan ZHENG ; Honglei XU ; Wohua ZHOU ; Ziwen WU ; Liudan YU ; Jiandong HAO ; Yifan LUO
Chinese Journal of Medical Instrumentation 2014;38(4):259-281
This article describes the design and development of an ultrasonic power meter which is consist of an electronic balance, a practice target, an acoustic enclosures and a blocking. The electronic balance mounted on the blocking is linked with the practice target by connecting rod. By adjusting the blocking makes the practice target suspended above ultrasound probe, and then the ultrasonic power can be measured. After initial tests, the ultrasonic power meter performanced with good stability and high precision.
Equipment Design
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Ultrasonics
8.Overexpression of synuclein-gamma confers resistance to antimicrotubule drugs against human hepatoma cells
Shixiang CHENG ; Sai ZHANG ; Hao ZHANG ; Danqing SONG ; Yuping WANG ; Yuhuan LI ; Xuefu YOU ; Yueming WANG ; Jiandong JIANG
Acta Pharmaceutica Sinica 2010;45(6):724-9
Liver cancer is one of the most common neoplastic diseases with high mortality in China. Currently, antimicrotubule drugs such as paclitaxel (PTX) and vincristine (VCR), are used as the common agents in the clinical chemotherapy for liver cancer. However, the responses of patients to these drugs vary markedly. Successful identification of intracellular factors influencing liver cancer's sensitivity to antimicrotubule drugs would be of great clinical importance. In this study, by engineering human hepatoma cell HepG2 to overexpress synuclein-gamma (SNCG), we investigated if SNCG is a molecular factor associated with the sensitivity to antimicrotubule drug treatment. Real-time RT-PCR and Western blotting assays showed SNCG was successfully overexpressed in HepG2/ SNCG cells compared with HepG2/Neo cells. The overexpressed SNCG altered the proliferation activity in HepG2 cells, which was 66% higher than that of HepG2/Neo cells through MTT method. The overexpressed SNCG also reduced sensitivity of HepG2 cells to antimicrotubule drugs: after PTX or VCR treatment, the proportion of HepG2/SNCG cells in G2/M arrest was significantly lower than that in HepG2/Neo cells. Correspondingly, HepG2/SNCG cells showed significantly lower mitotic index than HepG2/Neo cells. Meanwhile, HepG2/SNCG cells showed higher resistance to PTX and VCR than HepG2/Neo cells, with resistance index 21 and 15 respectively. Our studies suggested that the overexpression of SNCG could confer resistance to antimicrotubule drugs in hepatoma cells; and it indicated that SNCG may be as a potential response marker for antimicrotubule drugs in liver cancer chemotherapy.
9. FIGO 2018 staging of cervical cancer and related issues
Jiandong WANG ; Weimin KONG ; Hao JIANG
Chinese Journal of Oncology 2020;42(2):94-98
Globally, cervical cancer continues to be one of the most common cancers among females. Although screening for cervical cancer has been gradually carried out, the incidence and mortality of cervical cancer in China are still at a high level. So the prevention and treatment of cervical cancer in China still has lots of work to do. The International Federation of Obstetrics and Gynecology (FIGO) gynecological oncology committee revised the staging of cervical cancer in 2018. The new staging changed in terms of stage ⅠB and stage Ⅲ compared with previous FIGO staging. FIGO also provided prevention and treatment strategies and the treatment regimens of each stage, which had an important impact on the prevention and treatment of cervical cancer as well as an important enlightenment for China.
10.Metaanalysis of effectiveness of different exercises on inflammatory response in obese adolescents
LIU Jingqi, LU Jiandong, LIANG Tongjing, CHEN Shuning, SU Hao
Chinese Journal of School Health 2022;43(1):45-52
Objective:
To systematically evaluate effectiveness of exercises on inflammatory response among obese adolescents.
Methods:
By searching CNKI, PubMed, Web of Science, EBSCOhost and other databases, randomized controlled trials (RCTs) on the influence of different exercises on inflammatory indicators in obese adolescents were collected according to the inclusion and exclusion criteria. Cochrane evaluation tools were conducted methodological studies on the included literature quality evaluation, and RevMan 5.3 analysis software was used for statistical analysis.
Results:
A total of 21 RCTs were included, involving 1 020 subjects. The results of Meta analysis showed that aerobic training (AT) and aerobic plus resistance training (AT+RT) could significantly reduce BMI, serum C reactive protein (CRP) and leptin levels in obese adolescents. In addition, the effects of AT+RT on pro inflammatory CRP ( MD=-0.52, 95%CI=-0.75--0.30, P <0.01), leptin ( MD=-7.20, 95%CI=-10.45--3.94, P <0.01) and anti inflammatory adiponectin ( MD=1.28, 95%CI=1.01-1.55, P <0.01) were stronger than AT. High intensity interval training (HIIT) was associated with BMI reduction ( MD=-1.14, 95%CI=-1.92--0.36, P <0.01) and increased adiponectin in obese adolescents ( MD=1.79, 95%CI=1.09-2.50, P <0.01), and HIIT was superior in improving adiponectin level in obese adolescents than AT and AT+RT.
Conclusion
Long term and regular AT, AT+RT and HIIT can reduce inflammation in obese adolescents. HIIT is a notable exercise method for obese adolescents to resist inflammation.