1. Proposal for detection of 2019-nCoV nucleic acid in clinical laboratories
Yongqing TONG ; Ming WANG ; Wanzhou XU ; Bin QIAO ; Hongyun ZHENG ; Siqing MEI ; Xiaoyun HE ; Pingan ZHANG ; Yan LI
Chinese Journal of Laboratory Medicine 2020;43(0):E003-E003
In December, the outbreak of a novel coronavirus (2019-nCoV) in Wuhan, China, has attracted extensive global attention. On January 20, 2020,the Chinese health authorities upgraded the coronavirus to a Class B infectious disease in
2.Simultaneous Determination of 4 Components in Huanshao Capsules by HPLC
Xiangde ZHOU ; Xiaolan HUANG ; Wenwu YANG ; Hailing LI ; Nong ZHOU ; Longqiong ZOU ; Li WANG
China Pharmacy 2020;31(20):2508-2511
OBJECTIVE:To estab lish a me thod for simultaneous determination of morroniside ,loganin,echinacoside and acteoside in Huanshao capsules. METHODS :HPLC method was adopted. The determination was performed on Zhongpuhong RD-C18 column with mobile phase consisted of acetonitrile- 0.1% formic acid solution (gradient elution )at the flow rate of 1.0 mL/min. The detection wavelength was set at 240 nm (morroniside,loganin) and 330 nm (echinacoside,acteoside). The column temperature was set at 35 ℃,and sample size was 10 μL. RESULTS:The linear range were 5.29-105.80 μg/mL for morroniside, 4.49-89.88 mg/L for loganin ,16.26-325.25 mg/L for echinacoside and 16.31-326.25 mg/L for acteoside ,r values were 0.999 9. RSDs of precision ,stability (24 h),reproducibility and durability tests were all lower than 2.0% . The recoveries were 94.34% -96.23%(RSD=0.81% ,n=6),97.04% -98.89%(RSD=0.73% ,n=6),96.23% -98.08%(RSD=0.82% ,n=6), 95.40%-98.47%(RSD=1.23%,n=6),respectively. The contents of above 4 components in 11 batches of Huanshao Capsules were 0.190-0.704,0.439-0.857,2.723-4.475 and 0.589-1.035 mg/g,respectively. CONCLUSIONS :Established method is specific , precise and can be used for content determination of 4 components in Huanshao capsules.
3.Proposal for standardization of 2019-nCoV nucleic acid detection in clinical laboratories
Yongqing TONG ; Ming WANG ; Wanzhou XU ; Bin QIAO ; Hongyun ZHENG ; Siqing MEI ; Xiaoyun HE ; Ping'an ZHANG ; Yan LI
Chinese Journal of Laboratory Medicine 2020;43(3):209-212
In December, the outbreak of a novel coronavirus (2019-nCoV) in Wuhan, China, has attracted extensive global attention. On January 20, 2020, the Chinese health authorities upgraded the coronavirus to a Class B infectious disease in the Law of the People′s Republic of China on the Prevention and Treatment of Infectious Diseases, and considered it as Class A infectious diseases in disease control and prevention. On January 18, 2020, the 2019-nCoV nucleic acid detection test was listed as the diagnostic criteria in the "guidelines for diagnosis and treatment of pneumonia due to 2019-nCoV (Trial Version 2)" . Therefore, standardizing the operation process of the 2019-nCoV nucleic acid detection in clinical laboratories has become a top priority. It is of paramount importance to establish standard protocols for detection of the 2019-nCoV nucleic acids in clinical laboratories to improve the reliability of the results and ensure the biosafety of laboratory personnel.
4. Analysis of the effect of 3D-FS-SPGR sequence on diagnosis and classification of knee joint cartilage
Yong LIN ; Hong WANG ; Shengjie JIAN
Journal of Chinese Physician 2019;21(10):1513-1516
Objective:
To investigate the value of magnetic resonance image (MRI) sagittal three-dimensional fat suppression rapid phase shifting gradient echo (3D-FS-FSPGR) sequence in the diagnosis of knee joint cartilage injuries.
Methods:
42 cases (44 knees joint cartilage injuries )in our hospital from February 2016 to May 2017 were selected, MRI scan was performed by 3D-FS-FSPGR scan.Arthroscopy was performed within one week. At the same time, 11 knee joint cartilages of 10 patients were examined pathologically.
Results:
The sensitivity, specificity and accuracy of 3D-FS-SPGR sequence diagnosis for knee joint cartilage injuries were 96.67%, 96.57% and 92.05% respectively; The Kappa value of 3D-FS-SPGR sequence and arthroscopy knee joint cartilage classification were 0.803 (
5. Cranial measurement analysis of 3 406 infants aged 0 to 6 months in Chongqing
Wang YANG ; Jianping CHEN ; Wenzhi SHEN ; Bin HU ; Qin CHANG ; Kuilin LYU ; Qiuming PAN ; Hongxia LI ; Yuping ZHANG
International Journal of Pediatrics 2019;46(9):687-691
Objective:
The incidence and distribution of positional deformities(PD)were studied by measuring cranial types of infants aged 0-6 months of 3 hospitals in Chongqing, and the recommended values of local PD were discussed.
Methods:
Data of 3 406 infants with 0-6 months head size measurements were collected from the Second Affiliated Hospital of Army Military Medical University, Yongchuan Maternal and Child Health Care Hospital and Wanzhou Maternal and Child Health Care Hospital from September 1, 2017 to August 31, 2018, cranial vault asymmetry(CVA)and cranial index(CI)were calculated.According to different age groups, observe the distribution of cranial types, and use the current international common diagnostic criteria to understand the incidence of cranial abnormalities, and analyze the distribution of percentile values of CVA and CI in infants in Chongqing.
Results:
According to the current international standard diagnosis of PD, the incidence of simple brachycephaly was the highest(39.9%)in the overall cranial abnormalities of infants, followed by brachycephaly with plagiocephaly was the second(36.1%), simple plagiocephaly was the lowest(6.9%), and normal cranial type only accounted for 17.1%.The detection rates of plagiocephaly(36.9%)and brachycephaly(67.0%)were the lowest in the 0-2 months group, and the highest in the 3-4 months group(47.3%/83.3%), and then decreased in the 5-6 months group(46.6%/80.2%).
Conclusion
The basic values of cranial type measurement of full-term infants in chongqing were significantly different from international reports, mainly due to the large CI value.The general international diagnosis standard for positional deformities do not conform to Chinese infants.We suggest that the reference value for positional deformities in this region is as follows: CVA≥0.4 cm is abnormal, of which 0.4 cm≤CVA<0.6 cm for mild plagiocephaly, 0.6 cm≤CVA<1.0 cm for moderate plagiocephaly, CVA≥1.0 cm for severe plagiocephaly; 82%≤CI≤91% is abnormal, of which 91%≤CI<94% for mild brachycephaly; 94% ≤CI<99% for moderate brachycephaly; CI≥ 99% for severe brachycephaly.CI≤82% is scaphocephaly.
6.Association between exposure to air pollutants and sleep parameters in chronic obstructive pulmonary disease patients with or without obstructive sleep apnea.
Junyi WANG ; Wanlu SUN ; Wanzhou WANG ; Wenlou ZHANG ; Ying WANG ; Yongwei HUANG ; Jianli WANG ; Liqiang ZHANG ; Yahong CHEN ; Xinbiao GUO ; Furong DENG
Chinese Medical Journal 2022;135(16):2014-2016
7.Validity and Reliability of Chinese Physical Activity Questionnaire for Children Aged 10-17 Years.
Xi YANG ; Russell JAGO ; Yi ZHAI ; Zhen Yu YANG ; Yu Ying WANG ; Xiang SI ; Jun WANG ; Jian Fen GAO ; Jing Ron CHEN ; Ying Jie YU ; Wen Hua ZHAO
Biomedical and Environmental Sciences 2019;32(9):647-658
OBJECTIVE:
This study is aimed to report the development, the reliability and validity of the Chinese Children Physical Activity Questionnaire (CCPAQ) which was designed for the assessment of physical activity pattern in young population in China.
METHODS:
The CCPAQ was administered for two times in 119 children (mean age 13.1 ± 2.4 years; boys 47%) to examine reliability by using intraclass correlation coefficients. Validity was determined in 106 participants by agreement with the CCPAQ measures and the objective method, the ActiGraph accelerometer. Data on physical activity pattern including time spent on different intensities and total physical activity, sedentary behavior as well as physical activity energy expenditure were used to assess the validity with Spearman's correlation coefficient and the Bland-Altman plots.
RESULTS:
The reliability coefficient of the CCPAQ ranged from 0.63-0.93 (Intra-class correlation coefficient). Spearman's correlation coefficient for validity of time spent on total physical activity and sedentary behavior were all 0.32 (P < 0.001), and for physical activity energy expenditure was 0.58 (P < 0.001). Time spent on moderate-to-vigorous physical activity and light physical activity showed a relatively low correlation with the accelerometer (rho = 0.20, P = 0.040; rho = 0.19, P = 0.054).
CONCLUSION
The CCPAQ appears to be a promising and feasible method to assess physical activity pattern in Chinese children.
8.Simultaneous Determination of 7 Phenolic Acids in Lycopus lucidus var. hirtus Rhizome by HPLC-PDA
Xiao-lan HUANG ; Xu-feng HE ; Qin YANG ; Dong-qin GUO ; Qian WANG ; Nong ZHOU
Chinese Journal of Experimental Traditional Medical Formulae 2020;26(15):156-162
Objective:A high performance liquid chromatography-photo-diode array(HPLC-PDA) method for the simultaneous determination of the 7 phenolic acids including danshensu,protocatechuic acid,protocatechuic aldehyde,chlorogenic acid,caffeic acid,ferulic acid and rosemary acid in
9. Analysis of 8 274 cases of new coronavirus nucleic acid detection and co-infection in Wuhan
Ming WANG ; Qing WU ; Wanzhou XU ; Bin QIAO ; Jingwei WANG ; Hongyun ZHENG ; Shupeng JIANG ; Junchi MEI ; Zegang WU ; Yayun DENG ; Fangyuan ZHOU ; Wei WU ; Yan ZHANG ; Zhihua LYU ; Jingtao HUANG ; Xiaoqian GUO ; Zhen CHEN ; Lina FENG ; Zunen XIA ; Di LI ; Tiangang LIU ; Pingan ZHANG ; Yongqing TONG ; Zhiliang XU ; Yan LI
Chinese Journal of Laboratory Medicine 2020;43(0):E016-E016
Objective:
To investigate the positive rate for 2019-nCoV tests and co-infections in Wuhan district.
Methods:
A total of 8 274 cases in Wuhan were enrolled in this cross-sectional study during January 20 to February 9, 2020, and were tested for 2019-nCoV using fluorescence quantitative PCR. Both respiratory tract samples (nasopharynx, oropharynx, sputum and alveolar lavage fluid) and non-respiratory tract samples (urine, feces, anal swabs, blood and conjunctival sac swabs) were collected. If both orf1ab and N genes are positive, they are classified as nucleic acid test positive group; if both orf1ab and N genes are negative, they are classified as negative group; if single gene target is positive, they are classified as suspicious group. Individuals were divided into male group and female group according to sex. At the same time, 316 patients were tested for 13 respiratory pathogens by multiplex PCR.
Results:
Among the 8 274 subjects, 2 745 (33.2%) were 2019-nCoV infected; 5 277 (63.8%) subjects showed negative results in the 2019-nCoV nucleic acid test; and 252 cases (3.05%) was not definitive (inconclusive result). The age of cases with COVID-19 patients and inconclusive cases was significantly higher than that of cases without 2019-nCoV infection (40 vs 56,
10.Clinical value of routine contrast esophagram in the diagnosis of anastomotic leakage for three-incision esophagectomy with cervical anastomosis.
Xiao Feng DUAN ; Long Hai HE ; Xiao Bin SHANG ; Jie YUE ; Zhao MA ; Chuan Gui CHEN ; Chen ZHANG ; Da Wang QU ; Hong Jing JIANG
Chinese Journal of Surgery 2022;60(5):461-465
Objective: To examine the clinical value of routine contrast esophagram (RCE) for the diagnosis of anastomotic leakage (AL) after three-incision esophagectomy with cervical anastomosis. Methods: Clinical data of 1 022 patients with esophageal cancer who underwent McKeown three-incision esophagectomy with cervical anastomosis from January 2015 to December 2019 at Department of Minimally Invasive Esophageal Surgery, Tianjin Medical University Cancer Hospital and Institute were analyzed retrospectively. There were 876 males and 146 females, aging(M(IQR)) 48(16) years (range: 36 to 84 years). There were 253 patients (24.8%) with neoadjuvant therapy, and 817 patients (79.9%) with minimally invasive esophagectomy. According to the diagnosis and treatment habits of the attending surgeons, 333 patients were included in the RCE group, and RCE was performed on the 7th day postoperative, while 689 patients were included in the non-RCE group, and RCE was performed when the patients had suspicious symptoms. Taking clinical symptoms, RCE, CT, endoscopy and other methods as reference to the diagnosis of AL, the sensitivity and specificity were used to analyze and evaluate the efficacy of RCE for the diagnosis of AL. The data were compared by U test or χ² test between groups. Results: The incidence rate of AL after three-incision esophagectomy was 7.34% (75/1 022), including 30 cases in the RCE group and 45 cases in the non-RCE group (9.0%(30/333) vs. 6.5%(45/689), χ²=2.027, P=0.155). The diagnostic time of AL was 9(5) days postoperative (range: 4 to 30 days). Among them, 23 cases showed cervical leakages, 50 cases showed intro-thoracic leakages, and 2 cases both cervical and intro-thoracic leakages. The diagnostic time of patients with intro-thoracic leakages was longer than that of cervical leakages (10(4) days vs. 6(3) days, Z=-2.517, P=0.012). Among the 333 patients in the RCE group, 16 cases of RCE indicated leakages including 11 cases of true positive and 5 cases determined to be false positive, while 317 cases indicated no abnormalities including 19 cases developed leakages. The sensitivity and specificity of RCE to detect AL were 36.7%(11/30) and 98.3%(298/333), respectively. The Youden-index was 0.35, and the diagnostic accuracy was 92.8%(309/333). The positive and negative predictive value were 11/16 and 94.0%(298/317), respectively. Conclusions: Routine contrast esophagram after three-incision esophagectomy with cervical anastomosis has low sensitivity and high specificity in the diagnosis of AL. The diagnostic time of AL is the 9th day after surgery. It is necessary to prolong the observation time clinically, and combine RCE with CT, endoscopy and other inspection methods for diagnosis.
Anastomosis, Surgical/adverse effects*
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Anastomotic Leak/etiology*
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Esophageal Neoplasms/surgery*
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Esophagectomy/methods*
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Female
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Humans
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Male
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Retrospective Studies
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Surgical Wound/surgery*