2.Hip Abnormities in Patients with Spinal Cord Injury (review)
Chinese Journal of Rehabilitation Theory and Practice 2014;(8):742-744
Patients with spinal cord injury would suffer many complications including hip abnormities. Few reports on spinal cord injury with hip dislocation had been published because of a lower incidence and difficulty to be found in clinical practice. This paper reviewed epidemiology, etiology, diagnosis, prevention and treatment of hip dislocation after spinal cord injury.
3.Hyperprolactinemia in Female Patients with Spinal Cord Injury (review)
Chinese Journal of Rehabilitation Theory and Practice 2016;22(3):290-292
Some female spinal cord injured patients may present a raise of serum prolactin which is irrelevant with pregnancy, and re-sults in irregular menstruation and galactorrhea. Hyperprolactinemia may even happen in men after spinal cord injury. This kind of hyperpro-lactinemia does not relate with the level or severity of spinal cord injury, and maintains for various time. The hypersensitivity to thyrotro-pin-releasing hormone may relate to the elevatory serum prolactin and amenorrhea. In addition, there are some suspicious factors, such as chest wall injury, pituitary body contusion, enkephalins increasing, the stimulation of spinal neural pathways, stress, and so on. Bromocripti-ne has been tried for it.
4.Animal models of spinal cord injury:application and research progress of evoked potentials
Chinese Journal of Tissue Engineering Research 2014;(49):8026-8030
BACKGROUND:With the development of industrial society and traffic, the incidence of spinal cord injury has gradualy increased. In addition to radiological laboratory examinations, the neurophysiological test also becomes an effective way of auxiliary examination. Due to the high accuracy and easy operating, neurophysiological test is widely used and the evoked potentials play a role in this project. OBJECTIVE:To summarize the application of somatosensory evoked potentials and motor evoked potentials in rabbits of spinal cord injury. METHODS:A computer-based online research of CNKI and PubMed databases was performed with the key words of “spinal cord injury; evoked potentials; animal models” in Chinese and English. Finaly 33 articles were included in the analysis according to the inclusion and exclusion criteria. RESULTS AND CONCLUSION:The operational approach, waveform analysis, application value, influencing factor of somatosensory evoked potentials and motor evoked potentials were determined in details, the correlation between evoked potentials and prognosis assessment in animals was also detected. Somatosensory evoked potentials is a good indicator for the evaluation of dorsal funiculus of spinal cord, it is easy to operate and reflects the changes of sensory functions. Motor evoked potentials can provide sensitive diagnosis of spinal cord diseases, and they wil be used as a means to assess the spinal cord injury during rehabilitation. The combination of the two can provide a more accurate result.
5.Optimization of Formula and Preparation Process of Metronidazole Vaginal Thermosensitive in situ Gel by Orthogonal Tests
China Pharmacist 2017;20(5):911-913,952
Objective: To optimize the formula and preparation process of metronidazole thermosensitive in situ gel.Methods: The temperature of gelation and 24-h cumulative release were used as the evaluation indices, and the orthogonal tests were carried out to investigate the amounts of poloxamer 407 (P407), poloxamer 188 (P188), sodium alginate and polyethylene glycol 4000 (PEG 4000) to screen the best formula of thermosensitive in situ gel.The in vitro release of metronidazole thermosensitive in situ gel was determined by HPLC and compared with that of commercially available gel.Results: The optimum formula of thermosensitive in situ gel was P407 of 20%, P188 of 18%, sodium alginate of 0.1% and PEG 4000 of 1.5%.The release rate of metronidazole thermosensitive in situ gel was high, and the temperature of gelation was suitable.Compared with that of the commercially available gel, the vaginal retention of the in situ gel was significantly improved.Conclusion: The formula of the in situ gel is reasonable and the preparation process is feasible.
6.Research progress of brain-computer interface technology
International Journal of Biomedical Engineering 2013;36(4):250-253,后插1
Brain computer interface (BCI) is an interactive communication technology which can be achieved independent of human peripheral nerves and muscles.It provides a man-machine communication and control channel,without using muscular tissue,and makes the communication with outside world possible.This review describes the composition and working principle of the BCI system on the basis of the pervious research results.Then,it focuses on the comparative analysis of physiological parameter and the methods of feature extraction of visual evoked potential technology,spontaneous MU rhythm technology,slow cortical potential technology and so on.At last,the application of BCI technology and the prospect of its development are summarized.
7.Relationships among the expression of VEGF, MMP-2 , MMP-9 and metastasis in breast carcinoma
Junwei ZHANG ; Yi ZHANG ; Changzheng MU
Journal of Chinese Physician 2010;12(11):1490-1493
Objective To study the expression of VEGF, MMP-2 and MMP-9 in benign and malignant lesions of breast and their effects on breast carcinoma's invasiveness and metastasis. Methods VEGF,MMP-2 and MMP-9 expression was detected by SP method in 20 breast fibroadenoma and 12 normal breast specimens taken from non-cancerous regions adjacent to breast cancer tissue and 38 breast carcinomas. Results The expression rate of VEGF, MMP-2 and MMP-9 in breast carcinoma was remarkably higher than those in normal breast tissue and breast fibrogdenoma (63.2% vs 25.0% and 30. 0% ,78. 95% vs 33.3% and 35.0% and 71.1% vs 41.7% and 45.0% ,respectively; P <0.05). There was a correlation between VEGF, MMP-2 and MMP-9 expression and nodal metastasis ( P <0.05). High expression of VEGF, MMP-2 and MMP-9 was correlated with pathological grade ( P < 0.05, respectively). The overexpression of VEGF was related with those of MMP-2 and MMP-9 in breast cancer( VEGF and MMP-2:rs =0.541, P <0.01 ;VEGF and M M P-9: rs = 0.11, P < 0.01; MMP-2and M MP-9: rs= 0P < 0.01 ). Conclusion VEGF,MMP-2 and MMP-9 overexpression is strongly related to the invasiveness and metastasis of breast carcinoma, which might be valuable in evaluating tumor invasion and metastasis.
8.Chemoembolization with MMC-Iipiodol or ADM-lipiodol mixture for the treatment of bronchogenic carcinoma
Kun LU ; Junwei ZHANG ; Bing WANG
Chinese Journal of Primary Medicine and Pharmacy 2009;16(8):1390-1391
Objective To study the clinical value of transbronchial arterial chemoembolization with MMC-li piodol or ADM-lipiodol mixture in the treatment of lung cancer.Methods In this study 32 cases with lung cancer,bronchial arteriography were adopted to identify the tumor-feeding branch.After perfusing 500~1000mg 5-Fu and 60 ~80mg CDDP through microcatheter,embolization with the mixture of 3 ~10ml lipiodol and 20mg MMC or 40mg ADM was performed.Results Short-term effectiveness;complete response(CR)was achieved in 1 case,while partial response(PR)in 19 cases,steady disease(SD)in 11 cases and process disease(PD)in 1 case.The total effectiverate (CR plus PR)was up to 62.5%(20/32).Complications included S cases of the chest pain and 2 cases of the chest wall epidermis pain,which were relieved after symptomatic management.1 case produced spinal injury,which was partially recovered after symptomatic management.Conclusion Transbronchial arterial chemoembolization with MMC-li piodol or ADM-lipiodol mixture has good short-term effect in the treatment of lung cancer.The procedure should be carried out carefully to avoid severe complications.
9.Teratogenesis and gene targets of 17alpha-ethynylestradiol on embryonic development in zebrafish.
Junwei TONG ; Jingpu ZHANG ; Jie MENG
Acta Pharmaceutica Sinica 2011;46(1):50-7
The pharmaceutical ethynylestradiol (EE) is a potent endocrine modulator. Application enlargement of ethynylestradiol in clinics and abuse in livestock farming and fishing make it important to explore ethynylestradiol toxicological action on vertebrate embryonic development and to establish an in vivo method for EE toxicity detection efficiently and conveniently. In the present study, using a model animal zebrafish and 17alpha-ethynylestradiol as a representative compound, we have investigated EE2 teratogenicity, target tissues and target genes on zebrafish embryo. The results show that median teratogenesis concentration (TC50) of EE2 is 0.8 microg x mL(-1), and median lethal dose (LD50) is 3.3 microg x mL(-1). Targets of EE2 action were implicated in brain, eyes, heart, muscle, skeleton, pigment and viscera. Embryonic cardiac arrhythmia caused by EE2 is probably resulted from heart abnormal structure. The embryonic stage sensitive to EE2 mainly started at cleavage and last up to the organogenesis with time-accumulating effect. RT-PCR results indicate that EE2 treatment disturbed gene expression pattern at the early period of zebrafish embryonic development by suppressing transcription of gene boz that promotes brain development, upregulating genes for trunk and tail, such as ntl, spt, shh, and perturbing Nodal signal expression of TGFbeta superfamily, for example, cyc, sqt and oep. Using zebrafish, an efficient in vivo method for quick evaluation of EE toxicity on embryonic development has been developed.
10.Effect analysis of three-dimensional and two-dimensional laparoscopic radical resection of colorectal cancer
Junwei BAI ; Chao ZHANG ; Huanzhou XUE
Chinese Journal of Digestive Surgery 2016;15(9):897-901
Objective To explore the clinical effect of three-dimensional (3D) and two-dimensional (2D) laparoscopic radical resection of colorectal cancer.Methods The retrospective cohort study was adopted.The clinical data of 83 patients who underwent laparoscopic radical resection of colorectal cancer at the People's Hospital of Zhengzhou University from March 2014 to November 2015 were collected.Forty-two patients undergoing 2D laparoscopic radical resection of colorectal cancer between March 2014 and December 2014 were allocated into the 2D group and 41 patients undergoing 3D laparoscopic radical resection of colorectal cancer between January 2015 and November 2015 were allocated into the 3D group.All the patients in the 2 groups underwent 2D or 3D laparoscopic radical resection of colorectal cancer based on the principles of lymph node dissection and tumor-free survival.Observation indicators included:(1) surgical situations:operation time,volume of intraoperative blood loss,number of lymph node dissected,(2) postoperative recovery:recovery time of gastrointestinal function,postoperative complications,duration of postoperative hospital stay,hospital expenses,(3) postoperative pathological situations:length of colorectal specimens,distance from tumor to distal incision margin,(4) follow-up.All the patients were followed up to detect postoperative survival,tumor metastasis and recurrence using outpatient examination and telephone interview up to March 2016.Measurement data with normal distribution were presented as x-± s and comparison between groups was analyzed using the t test.Count data were analyzed using chi-square test or Fisher exact probability.Results (1) Surgical situations:all the patients underwent successful laparoscopic radical resection of colorectal cancer,without conversion to open surgery and perioperative death.Operation time,volume of intraoperative blood loss and number of lymph node dissected were (171 ±18) minutes,(112±18)mL,14.0 ± 1.4 in the 2D group and (125 ± 13) minutes,(101 ± 16)mL,14.6 ± 0.9 in the 3D group,respectively,with statistically significant differences between the 2 groups (t =-13.091,-2.962,-3.623,P <0.05).(2) Postoperative recovery:recovery time of gastrointestinal function was (3.0 ± 0.6) days in the 2D group and (3.0 ± 0.6) days in the 3D group,respectively,with no statistically significant difference between the 2 groups (t =3.423,P > 0.05).Incidence of postoperative complications in the 2D and 3D groups was 7.1% (3/42) and 4.9% (2/41),respectively,with no statistically significant difference between the 2 groups (P >0.05).One,1,1 patients in the 2D group were respectively complicated with anastomotic fistula,intra-abdominal hemorrhage and intra-abdominal infection,1 and 1 patients in the 3D group were respectively complicated with anastomotic fistula and intestinal paralysis,and they were improved by symptomatic treatment.Duration of postoperative hospital stay and hospital expenses was (10.0 ±0.8)days,(7.0 ± 1.4) × 104 yuan in the 2D group and (10.0 ±0.6)days,(7.3 ± 1.5) x 104 yuan in the 3D group,respectively,with no statistically significant difference between the 2 groups (t =15.716,0.941,P > 0.05).(3)Postoperative pathological situations:length of colorectal specimens and distance from tumor to distal incision margin were (18 ± 7) cm,(4.7 ± 0.6) cm in the 2D group and (20 ± 8) cm,(4.9 ± 0.7)cm in the 3D group,respectively,with no statistically significant difference between the 2 groups (t =0.742,1.401,P >0.05).(4)Follow-up:of 83 patients,82 were followed up for 5-24 months with a median time of 12 months.During the follow-up,there was no occurrence of tumor-related death and recurrence and metastasis of sites of puncture.Intra-abdominal tumor recurrence,recurrence of anastomotic tumor and tumor distant metastasis were detected in 3,2,1 patients in the 2D group and 2,1,1 patients in the 3D group,with no statistically significant difference between the 2 groups (P > 0.05).Conclusion Compared with 2D laparoscopic radical resection of colorectal cancer,3D laparoscopic radical resection of colorectal cancer is safe and feasible,and it can also reduce intraoperative blood loss and increase the rate of lymph node dissected,with a good short-term outcome.