3.Value of brain natriuretic peptide and N-terminal pro-brain natriuretic peptide in diagnosis of heart failure in the elderly
Qin CAI ; Yuhua JIN ; Ningyuan FANG
Journal of Shanghai Jiaotong University(Medical Science) 2009;29(10):1226-1229
Objective To investigate the relationship between brain natriuretic peptide ( BNP)/ N-terminal pro-brain natriuretic peptide ( NT-proBNP) and New York Heart Association ( NYHA) classification, left ventricular structure and function, and explore the value of BNP/ NT-proBNP in the diagnosis of heart failure in the elderly. Methods Fifty-five elder patients with heart failure were selected (NYHA II, n = 15; NYHA III, n = 25; NYHA IV, n = 15) (heart failure group), and another 16 elder people with NYHA I were served as control group. The plasma mass concentrations of NT-proBNP and BNP were detected by electrochemiluminescence immunoassay and immunofluorescence method, respectively, and the structure and function of left ventricle were examined by echocardiography. Results The levels of plasma BNP and NT-proBNP increased with NYHA grades, were negatively correlated with LVEF (P <0.001), and were positively correlated with LVST, LVEDD, LAD and LVMI( P < 0.05). The area under the curve of BNP in diagnosis of heat failure was 0. 879 (P < 0.001), and that of NT-proBNP was 0.914(P < 0.001). Conclusion Both plasma BNP and NT-proBNP can be used to evaluate the heart function of patients with heart failure, and are useful tools for diagnosis of HF in the elderly.
4.Coronary CTA combined CT myocardial perfusion imaging in diagnosis of coronary artery disease:Meta-analysis
Xiangyi CAI ; Honglin LI ; Xueqin GUAN ; Jin FANG ; Quan ZHOU
Chinese Journal of Medical Imaging Technology 2017;33(9):1344-1348
Objective To assess the diagnostic value of coronary CTA (CCTA) combined myocardial CT perfusion imaging (CTP) in coronary artery disease (CAD) with Meta-analysis.Methods Chinese and English literatures evaluating CCTA combined CTP in diagnosis of CAD in PubMed,Wed of Science,Cochrane Library,China National Knowledge Infrastructure (CNKI) and Wanfang Periodical Database from inception to December 2016 were searched.The extraction was conducted according to the criteria for diagnostic recommended by Cochrane Method Group.The quality of included studies was assessed with quality assessment of diagnostic accuracy studies-2 instrument.The statistical analysis was performed by Meta-disc 1.4 software,the diagnosis efficacy was calculated and the symmetric receiver operating characteristic curves (SROC) was drawn to obtain the area under curve (AUC).Results Five studies involving a total of 611 vessels were included.The pooled sensitivity (SEN),specificity (SPE),diagnostic odds ratio (DOR),positive likelihood ratio (PLR),negative likelihood ratio (NLR) were 0.96 (95%CI [0.92,0.98]),0.91 (95%CI [0.88,0.94],206.14 (95%CI [100,424.94]),9.33 (95%CI [5.57,15.61]),0.06 (95%CI [0.03,0.13]),respectively.The AUC of SROC was 0.977.Conclusion CCTA combined CTP has significant value in diagnosis of CAD.
6.Study on Bilingual Teaching of Microbiology in Western College of China
Ming-Guo JIANG ; Li-Fang YANG ; Jin-Cai XUAN ;
Microbiology 1992;0(06):-
Bilingual teaching is one of education reform in China.The essay analyzed the necessity of bilingual teaching and clarified the reason why it can procced in microbiology.Search after the way in microbiology course according to the character of college in western China.The practice accumulated experience for bilingual teaching.
7.The development of foot microsurgery: the past and the future.
Chinese Journal of Traumatology 2003;6(1):45-53
Foot Diseases
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history
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surgery
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Foot Injuries
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history
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surgery
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Forecasting
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History, 20th Century
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Humans
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Microsurgery
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history
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trends
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Reconstructive Surgical Procedures
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history
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trends
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Surgical Flaps
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history
8.Perivascular epithelioid cell tumor (PEComa) of the uterine.
Mei-fu GAN ; Mei JIN ; Chun-kai YU ; Ju-fang CAI
Chinese Journal of Pathology 2006;35(5):314-315
Actins
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metabolism
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Adult
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Antigens, Neoplasm
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metabolism
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Diagnosis, Differential
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Epithelioid Cells
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chemistry
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pathology
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Female
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Humans
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Hysterectomy
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Immunohistochemistry
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Melanoma-Specific Antigens
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Mesenchymoma
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metabolism
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pathology
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surgery
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Neoplasm Proteins
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metabolism
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Uterine Neoplasms
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metabolism
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pathology
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surgery
9.Isolation, purification and osteoinduction differentiation of canine bone marrow mesenchymal stem cells: Feasibility of in vitro isolation using Ficoll density gradient centrifugation
Fang XIE ; Li TENG ; Lei CAI ; Jiajie XU ; Xiaolei JIN ; Ran XIAO ; Yilin CAO
Chinese Journal of Tissue Engineering Research 2010;14(6):951-956
BACKGROUND: Classic isolation method of bone marrow mesenchymal stem cells (BMSCs) is Percoll density gradient centrifugation. Blood cell component was removed. However, this method is complicated. Preparation density was needed when isolating dog bone marrow. Moreover, centrifugation was frequent, which had a great damage to cells. OBJECTIVE: To establish methods of the isolation, proliferation, culture and osteoinduction of canine BMSCs, and observe the in vitro proliferation and ability to osteoinduction differentiation. METHODS: 10 mL bone marrow was extracted from dog posterior superior iliac spine, heparin anticoagulation, diluted using Hanks juice, treated with 1.077 g/mL Ficoll solution 3 mL, and centrifuged at 2 000 r/min for 20 minutes. Karyocytes were absorbed to form white cloudlike layering interface, and then centrifuged twice using DMEM supplemented with fetal bovine serum, incubated at 12×10~4/cm~2 at 37 ℃ in a 5% CO_2 incubator. Following subculture, cells were incubated in DMEM containing dexamethasone, β-sodium phosphoglycerol and ascorbic acid 2-phosphate. Immunocytochemical staining and immunofluorescence staining were utilized to detect osteocalcin, osteopontin and type Ⅰ collagen expression in osteoblasts. Alkaline phosphatase staining and alizarin red staining were performed. RESULTS AND CONCLUSION: 1.077 g/mL Ficoll density gradient centrifugation was used to isolate karyocytes that were significant compared with Percoll solution. Obtained BMSCs had high purity, good growth and the mean doubling time was 24 hours. Following in vitro osteogenic incubation of dog BMSCs, osteocalcin, osteopontin and type Ⅰ collagen showed positive expression. Alkaline phosphatase staining demonstrated bluish-green cytoplasm. Alizarin red staining showed red nodes in extracellular matrix, and could differentiate into osteoblasts in vitro.
10.Diagnosis and surgical treatment of parathyroid carcinoma
Xi CHEN ; Weiyao CAI ; Yanggang HE ; Guang NING ; Jianmin LIU ; Wenqiang FANG ; Xiaolong JIN ; Hongwei LI
Chinese Journal of General Surgery 2001;0(09):-
Objective To evaluate the diagnosis and surgical treatment of parathyroid carcinoma (PTC). Methods Clinical data of 8 PTC cases were analyzed retrospectively. Results PTC accounted for 5. 7% of patients with primary hyperparathyroidism (PHPT) in our hospital. There were 4 men and 4 women. Male patients had younger mean onset age compared with female patients. The disease history of PTC was shorter than PHPT of benign causes. Six patients were admitted for acute hypercalcemia. Seven patients complained of palpable neck mass. Calcium level was 3.75?0.34 mmol/L,and PTH level was 1429.47?841.75 pg/ml. Frozen section established diagnosis in only one case. Four patients underwent radical en bloc resection. Other 4 cases received routine simple parathyroidectomy, 3 patients developed recurrence in 12 - 18 months postoperatively. Conclusions Acute hypercalcemia is common in PTC. Frozen biopsy diagnosis is not satisfactory. An initial en bloc resection of tumor and adjacent structures contributes most to the prognosis.