1.Three-year treatment of HAART regimen in 43 hemophilia patients co-infected with HIV and HCV
Hongqing SUN ; Shanming WU ; Liang CHEN
Chinese Journal of Infectious Diseases 1999;0(01):-
Objective To observe the efficacy and safety profile of three-year treatment of HAART in 43 Hemophilia patients co-infected with HIV and HCV. Methods 43 hemophilia patients co-infected HIV and HCV were treated with HAART for 3 years. CD4、 CD3、 CD8 and NK cell counts of the patients were detected by FCM, and the viral load in the plasma was detected with FDA recommended bDNA method. Results The average CD4 count of the 43 patients increased to 257/mm3 (P
2.PREVENTION OF FAT OXIDATION IN DRY MIXED RATIONS
Shanming CHEN ; Cheh SUN ; Yuehting KUNG ; Yinglai WANG
Acta Nutrimenta Sinica 1956;0(01):-
Experiments with lard show that the addition of 10% crude soya bean oil gives a protective index approaching that obtained by the addition of 0.005% of either propyl gallate or tetrahydroxyl-dimethyl-biphenyl (TDBP). In the presence of cupric or ferric salts, however, the percentage of soya bean oil has to be raised in order to obtain satisfactory protection of the lard against oxidation.Dry mixed rations prepared from wheat flour, soya flour, egg powder, dried carrot powder, sesame seeds, sucrose, salt and a suitable concentration of either crude soya bean oil, refined soya bean oil, lard, or lard plus 10% crude soya bean oil, have been kept at 30℃ for over three years without fat deterioration. The rations containing lard or lard plus crude soya bean oil did not give any indication of rancidity even after 160 weeks at 40℃. Under temperatures of 50? and 60℃, they only became rancid after 90 and 52 weeks respectively. Addition of either propyl gallate or TDBP gives only slight improvement in the keeping quality of the rations compounded with crude soya bean oil or refined soya bean oil, and somewhat greater improvement in the ration made with lard.The wrapping material has been shown to exert a profound influence on the keeping quality of the dry rations. Of the 9 different wrapping materials tested, cellophane has been found to be the best; aluminium foil and gum guaiac-treated paper were found also to be excellent, while waxed paper, propyf gallate-treated paper and ordinary untreated wrapping paper greatly accelerate the appearance of rancidity of the rations.
3.Analysis of Correlation of Insulin Resistance With Incidence and Recurrence of Colorectal Adenoma
Lei ZONG ; Wei WANG ; Shilin QIU ; Xinling ZHOU ; Shanming SUN
Chinese Journal of Gastroenterology 2018;23(10):606-610
Background:Reduction of incidence and recurrence rates of colorectal adenoma (CRA)are the keys for reducing the incidence of colorectal cancer. Studies have shown that insulin resistance is involved in this process. Aims:To investigate the correlation of insulin resistance with incidence and recurrence of CRA. Methods:Clinical data of 238 CRA patients were collected,and 200 patients with normal colonoscopy results were served as controls. Waist to hip ratio (WHR), fasting blood glucose (FPG),total cholesterol (TC),triglyceride (TG),high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C),adiponectin,fasting insulin (FINS),HOMA-IR were compared between the two groups. Correlation of insulin resistance with incidence and recurrence of CRA was analyzed. Results:WHR,FPG, TG,FINS,adiponectin and HOMA-IR were statistically different between CRA group and controls (P<0.05),however, no significant differences in BMI,DBP,TC,HDL-C,LDL-C were found between the two groups. Incidence rate of CRA (80.1% vs. 41.4%)and recurrence rate of CRA (62.4% vs. 46.3%)were significantly increased in patients with insulin resistance than those in patients without insulin resistance. Logistic regression analysis showed that family history, metabolic syndrome and HOMA-IR were independent risk factors for incidence of CRA (P <0. 05 ),and metabolic syndrome,family history of adenoma,adenoma number,adenoma size,pathological type and HOMA-IR were independent risk factors for recurrence of CRA (P<0.05). Conclusions:The incidence and recurrence rates of CRA are higher in patients with insulin resistance than those without insulin resistance.
4.Comparison between white light endoscopy and narrow-band imaging endoscopy in predicting histological healing of ulcerative colitis in remission
Tao HE ; Lingyu ZHU ; Peng PAN ; Lei LI ; Qiuye WANG ; Shilin QIU ; Liyan ZHANG ; Hui GAO ; Lianqiang SONG ; Shanming SUN
Chinese Journal of Digestive Endoscopy 2023;40(2):140-145
Objective:To investigate the predictive value of mucosal vascular pattern (MVP) under narrow-band imaging (NBI) enteroscopy in patients with ulcerative colitis (UC) in clinical remission for histological healing and clinical recurrence.Methods:A total of 142 patients with UC in clinical remission who visited the First Affiliated Hospital of Weifang Medical University from January 2018 to January 2021 were included in the study and underwent colonoscopy. The white light and NBI endoscopic images were collected and biopsies were obtained. The Mayo endoscopic score (MES) was calculated based on white light images, and MVP staging was evaluated based on mucosal vascular patterns under NBI. Nancy index (NI) was used to evaluate histological healing and patients were followed up for 1 year. The Spearman correlation coefficients of MES and MVP with histological healing and recurrence were calculated. The receiver operator characteristic (ROC) curve was plotted and the area under curve (AUC) was applied to evaluate the accuracy of white light and NBI endoscopy for predicting histological healing of UC in clinical remission.Results:According to the MVP criteria, 47 were defined as clear, 63 blurred, and 32 invisible. Spearman correlation analysis showed a significant correlation between MVP under NBI and histological healing ( r=0.549, P<0.001) and a moderate correlation between MES under white light and histological healing ( r=0.462, P<0.001). Spearman correlation analysis showed a moderate correlation between MVP under NBI and clinical recurrence ( r=0.451, P<0.001) and a moderate correlation between MES under white light and clinical recurrence ( r=0.352, P<0.001). AUC of NBI for diagnosing histological healing of UC in clinical remission was 0.809 (95% CI: 0.738-0.879), with a sensitivity of 84.6% (77/91) and specificity of 64.7% (33/51), superior to the white light endoscopy, of which AUC, sensitivity and specificity were 0.763 (95% CI: 0.678-0.848), 81.3% (74/91) and 66.7% (34/51). Conclusion:MVP staging under NBI could predict histological healing of UC patients in clinical remission and is superior to white light endoscopy.