3.Prognosis after fertility-sparing management with oralprogestin for women with complex endometrial hyperplasia and endometrial cancer
Yan LI ; Ming CHEN ; Ying JIN ; Ying SHAN ; Lingya PAN
Basic & Clinical Medicine 2017;37(4):436-442
Objective To investigate the oncologic and reproductive outcomes after progestin treatment of complex endometrial hyperplasia(CEH) and grade 1 endometrial carcinoma(EC).Methods In a retrospective study, data were obtained for patients with CEH or grade 1 EC at presumed stage IA(without myometrial invasion) who wished to preserve fertility and were treated at the Peking Union Medical College Hospital, China, between January 1, 2000 and December 31, 2011.Patients had received oral medroxyprogesterone acetate(250-500 mg/d) or megestrol acetate(160-480 mg/d) for at least 6 months.Results Among 55 included patients, median age was 32 years(range 21-41 years).41(75%) achieved complete response after a median period of 6(3-24) months.Complete response was less frequent among obese than nonobese patients(4/12 [33%] vs 37/43 [86%];P=0.001).Disease recurrence was recorded in 10(24%) patients with complete response;the 5-year recurrence-freesurvival rate was 71%.Among the 33 patients who retained a desire to conceive, 17(52%) became pregnant.Conclusions Fertility-sparing management with oral progestin is effective and safe.Obesity is associated with a lower probability of long-term success.
4.Target volume definition, verification and correction in image-guided conformal intensity-modulated radiotherapy for non-small cell lung cancer.
Ying-Jie ZHANG ; Jian-Bin LI ; Jin-Ming YU
Chinese Journal of Oncology 2008;30(4):241-244
Carcinoma, Non-Small-Cell Lung
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diagnostic imaging
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pathology
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radiotherapy
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Cone-Beam Computed Tomography
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Humans
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Lung Neoplasms
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diagnostic imaging
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pathology
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radiotherapy
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Radiotherapy Planning, Computer-Assisted
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methods
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Radiotherapy, Conformal
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methods
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Radiotherapy, Intensity-Modulated
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methods
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Tomography, X-Ray Computed
6.Promethazine should not be used for infants.
Feng-ling XU ; Ya-ming ZHANG ; Ying-ji JIN
Chinese Journal of Pediatrics 2010;48(7):557-557
9.Establishing the System of Academic Assessment and Evaluation on Introduced Talented Personnel
hai-ying, ZHU ; li-jin, CHEN ; xu-ming, ZHU
Journal of Shanghai Jiaotong University(Medical Science) 2006;0(09):-
Objective To evaluate the system of academic assessment and evaluation on introduced talented personnel so as to establish a consummate talented personnel introduction mechanism and to further standardize the introduction work. Methods On the basis of referring to document papers and soliciting management as well as human resource experts iteratively,the research method of expert consultation was adopted.(Results)The index system of academic assessment and evaluation on introduced talented personnel in school of medicine was preliminary established,and the objective index and subjective evaluation were scientifically combined to form the method of academic assessment and evaluation on introduced talented personnel. Conclusion Through simulative assessment and evaluation as well as probational demonstration,there exits definite scientificality and applicability on this academic assessment and evaluation index system,and it can provide a properly objective evaluation and essential reference foundation in the aspect of introducing more advanced talented personnel in the near future.
10.Changes in expression of sodium channel?subunit mRNA in dorsal root ganglion in a rat model of neuropathic pain
Ying-Wei WANG ; Jin-Jun BIAN ; Xiao-Ming DENG ;
Chinese Journal of Anesthesiology 1994;0(06):-
Objective To examine the changes in the expression of voltage-gated sodium channel?subunit mRNA in the dorsal root ganglion(DRG)and the role it plays in the neuropathie pain.Methods Thirty- two male SD rats weighing 250-400g were randomly divided into 2 groups:groupⅠneuropathic pain(SNL,n= 20)and groupⅡsham operation(n=12).Neuropathic pain was produced by ligation of right sciatic nerve according to Seltzer.Paw withdrawal latency to noxious thermal(PWHL)and mechanical(PWML)stimulation were measured before(baseline)and 1,2,3,5,8,11,14,28 day after sciatic nerve ligation(SNL).DRG at L_(4,5) was isolated on the 14th day after SNL in 8 SNL and 4 sham-operated animals for determination of sodium channel?subunit mRNA expression(by in-situ hybridization).Results PWHL and PWML were significantly decreased on the 2nd-28th day after SNL as compared to the baseline in SNL group.There was no significant difference in?_1 subunit mRNA expression between the 2 groups.The?_2 subunit mRNA expression in DRG was hardly detectable.The?_3 subunit mRNA expression in DRG on the operated side was significantly higher in SNL group than in sham-operation group.Conclusion The up-regulation of sodium channel?_3 subunit mRNA expression in DRG may play an important role in neuropathic pain.