2.Present situation of pain management for advanced cancer patients in community
Yanhui ZHAI ; Zhanhong GUAN ; Min WEI ; Ying LI
Chinese Journal of General Practitioners 2009;8(7):483-484
Data were collected from 236 patients with advanced ClllllCerB through questionnaire survey,home visit,oncology clinics and counseling service.The data were evaluated and classified according to VAS and NCCN aduh cancer pain practice guidelines.Two hundred and eleven in 236 advancad cancer patients(89.4%)Suffered from Cancer pain,with mild pain in 31,moderate in 83 and severe in 97.One hundred and seventeen patients(49.6%)received therapy for pain relief,among whom 78(66.7%)had complete remission(CR),26(22.2%)partial remission(PR)and 13 cages(11.1%)noremission.The main reason for declining pain relief wag being scared of morphine addiction.
4.The contrast research of sequencing nursing to shorten cataract operation time
Jin-Ying GUAN ; Min GUAN ; Yi LI ; Min WEI ; Chao QU
Chinese Journal of Modern Nursing 2010;16(3):277-278
Objective To explore the effect of sequencing nursing on shortening cataract operation time and accelerating turnover of patients.Methods A record of operation time and postoperative vision for 630 cataract patients in Neijiang and Ya' an was studied.The effect of sequencing nursing and the operation quality and speed were evaluated.Results The average visual acuity of two groups was (0.31±0.082),(0.33±0.067)respectively (t =0.695 ,P =0.487 >0.05) ; in the experiment group,average time of operation was (17.0±1.1)min,control group was (27.2±2.9)min (t =18.924,P <0.01).Conclusions The sufficient preoperative preparation and sequencing nursing could reduce operative time,and increase the efficiency of cataract operation obviously.
5.Establishment of sleeve gastrectomy model in diet-induced obese Sprague-Dawley rats.
Guan-jun MA ; Wei ZHANG ; Xiang-min ZHENG ; Ming QIU
Chinese Journal of Gastrointestinal Surgery 2012;15(1):43-46
OBJECTIVETo establish sleeve gastrectomy(SG) rats model of obese type 2 diabetes mellitus(T2DM) for the research of hypoglycemic mechanism.
METHODSNine male Sprague-Dawley (6-week-old) rats were fed with high-sucrose and high-fat diet for 4 weeks, developing diet-induced obesity (DIO) rats model. The rats were then randomly divided into two groups. Six rats of them underwent sleeve gastrectomy(SG) as the sleeve gastrectomy group[SGG, body weight (471.8±17.9) g] and the other three rats underwent a laparotomy and stomach manipulation as the sham operative group[SOG, body weight (467.0±8.4) g]. The body weight, caloric intake and peripheral blood concentration of total ghrelin of rats were recorded after operation.
RESULTSThe weight of all the rats declined progressively after operation. The weight of the rats in SOG began to rise on the 5th postoperative day(POD) and regain their preoperative levels on the average 22nd POD. However, the weight of the rats in SGG began to rise slowly from the 9th POD, but was still lower than that of SOG[(487.4±10.1) g] and preoperative levels[(471.8±17.9) g] on the 28th POD[(420.1±18.6) g](P=0.001). Average caloric intake of rats in SGG was significantly lower than that of SOG after operation, but there was no significant difference between the two groups(P=0.121). The ghrelin level of SGG showed a continuous decreasing trend after intervention, decreased by 17.4% compared with the preoperative level (1595.1±14.4 ng/L) on the 28th POD[(1316.8±14.8) ng/L]. The ghrelin level of SOG did not change obviously before and after operation and both groups differ statistically(P=0.000).
CONCLUSIONSA SG rat model is successfully established. This model can be used for the further study of mechanism analysis of T2DM resolution after surgery.
Animals ; Diabetes Mellitus, Type 2 ; pathology ; Disease Models, Animal ; Gastrectomy ; methods ; Ghrelin ; blood ; Male ; Obesity ; blood ; surgery ; Rats ; Rats, Sprague-Dawley
6.Correlation of YB-1 up-regulation and epithelial-mesenchymal transition during tumorigenesis and pro-gression of cervical carcinoma
Min LI ; Hong GUAN ; Xinrong HU ; Ying WANG ; Qian WEI ; Qingfeng YANG
Journal of International Oncology 2015;(5):331-335
Objective To investigate the clinicopathologic significance of Y-box binding protein-1 (YB-1)expression in cervical cancer and its correlation with epithelial-mesenchymal transition. Methods A series of 202 samples,including 50 cases of normal cervical tissues,100 cases of cervical intraepithelial neo-plasia(CIN)and 52 cases of squamous cell carcinoma(SCC),were examined YB-1 and E-cadherin by immu-nohistochemical staining. Results The E-cadherin cell membrane immunoreactivity for normal/ CINⅠ,CINⅡ-Ⅲ,and SCC tissues were 100% ,64% and 3. 85% ,respectively( χ2 = 40. 909;χ2 = 119. 088;χ2 =25. 274;P < 0. 05). The negative and aberrant expression of E-cadherin was higher in metastatic SCC (100. 0% ,20 / 20)than that in non-metastatic SCC(68. 75% ,22 / 32)(χ2 = 5. 857,P = 0. 016). 94. 23%(49 / 52)cases of SCC exhibited strong YB-1 cytoplasmic immunoreactivity. The positive rates in normal/ CINⅠand CINⅡ-Ⅲ were 0(0 / 100)and 10. 00%(5 / 50)(χ2 = 72. 591;χ2 = 139. 059;χ2 = 5. 857;P < 0. 05). The cytoplasmic expression of YB-1 was higher in metastatic SCC(100. 0% ,20 / 20)than that in non-metastatic SCC(59. 38% ,19 / 32)(χ2 = 10. 833,P = 0. 001). The rates were 60. 71%(17 / 28)and 91. 67%(22 /24)in early stage SCC and late stage SCC(χ2 = 6. 603,P = 0. 01). Conclusion YB-1 over-expression is as-sociated with the malignant transformation of cervical epithelium,stage progression and metastasis of cervical cancer. The up-regulation of YB-1 is also associated with the down-regulation of E-cadherin,and it may predict the malignant transformation of CIN and distal metastasis of cervical cancer.
7.Surgical treatment of the tumors of posterior part of third ventricle and pineal region
Liang, GUAN ; Bao-min, ZHANG ; Wei-Jian, SUN ; Wei-zhong, YANG ; Bao-guo, LIU ; FU-yu, WANG
Bulletin of The Academy of Military Medical Sciences 2001;25(1):54-56
Objective:To summarize the experiences of the surgical treatment of tumors in the posterior part of the third ventricle and pineal region. Methods: Twenty-seven patients with tumors in this region treated microsurgically from 1990 to 2000 were analyzed. The surgical indications, approaches, and operative key points were discussed. The prognostic factors were also analyzed. Results:Tumors were removed totally in 11 patients, removed subtotally in 7 and removed partially in 5. Biopsy and ventriculo-peritoneal shunt was performed in 4 patients. Of 17 patients in follow-up, 13 patients survived longer than 5 years. Conclusions: Most tumors in the posterior part of the third ventricle and pineal region can be surgically removed.Sufficient specimen obtained in the operation can confirm pathologic property of the tumor,guiding next chemotherapy and radiotherapy.
8.Paraneoplastic Eosinophilia in Clear Cell Renal Cell Carcinoma.
Wei-Wei ZHOU ; You-Yan GUAN ; Xin-Min LIU
Chinese Medical Journal 2015;128(16):2271-2272
9.Application of Fourier amplitude sensitivity test in Chinese healthy volunteer population pharmacokinetic model of tacrolimus.
Zheng GUAN ; Guan-min ZHANG ; Ping MA ; Li-hong LIU ; Tian-yan ZHOU ; Wei LU
Acta Pharmaceutica Sinica 2010;45(7):883-890
In this study, we evaluated the influence of different variance from each of the parameters on the output of tacrolimus population pharmacokinetic (PopPK) model in Chinese healthy volunteers, using Fourier amplitude sensitivity test (FAST). Besides, we estimated the index of sensitivity within whole course of blood sampling, designed different sampling times, and evaluated the quality of parameters' and the efficiency of prediction. It was observed that besides CL1/F, the index of sensitivity for all of the other four parameters (V1/F, V2/F, CL2/F and k(a)) in tacrolimus PopPK model showed relatively high level and changed fast with the time passing. With the increase of the variance of k(a), its indices of sensitivity increased obviously, associated with significant decrease in sensitivity index for the other parameters, and obvious change in peak time as well. According to the simulation of NONMEM and the comparison among different fitting results, we found that the sampling time points designed according to FAST surpassed the other time points. It suggests that FAST can access the sensitivities of model parameters effectively, and assist the design of clinical sampling times and the construction of PopPK model.
Administration, Oral
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Adult
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Asian Continental Ancestry Group
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Fourier Analysis
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Humans
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Immunosuppressive Agents
;
administration & dosage
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blood
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pharmacokinetics
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Models, Biological
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Nonlinear Dynamics
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Sensitivity and Specificity
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Tacrolimus
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administration & dosage
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blood
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pharmacokinetics
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Young Adult
10.Effect of different fertilizing levels on yields and efficiency components of Pinellia ternata from Sichuan.
Hao SHEN ; Wei WU ; Kai HOU ; Hongmei PAN ; Min LI ; Lingliang GUAN
China Journal of Chinese Materia Medica 2011;36(8):963-967
OBJECTIVEThe effect of the different fertilizing levels on yields and main active components of Pinellia ternata from Sichuan was studied under the cultivated condition, in order to provide theoretical basis for the standardized cultivation.
METHODUsing one of the wild populations of P. ternate from Sichuan as tested material, the experiment was performed with orthogonal designing methods L25 (5(3)). During growth and development period, agronomic traits such as number of sprouting, inflorescence and bulblets were counted. After harvesting, main chemical compositions, growth and proliferation rates were determined.
RESULTIn different fertilizing levels, the P. ternata from Sichuan showed the same growth rhythm, though there were significant difference (P < 0.05) among the average emergence rate,whereas extremely significant difference (P < 0.01) were detected among the average ratio of bolting, the average bulbils, individual growth rate, individual proliferation rate, beta-sitosterol and alkaloid content under different fertilizing levels. Nitrogenous fertilizer that affected the content of alkaloids and beta-sitosterol were extremely significant (P < 0.01), whereas phosphate and potassium fertilizer had no significant effect. The effect of fertilizer factor and inter effects on beta-sitosterol showed no significant effect, but have influence on other indexes.
CONCLUSIONThe optimum fertilizer composition was 315 kg x hm(-2) of nitrogen, 225 kg x hm(-2) of P2O5 and 270 kg x hm(-2) of K2O.
Alkaloids ; analysis ; Fertilizers ; Nitrogen Compounds ; analysis ; Phosphates ; analysis ; Phosphorus Compounds ; analysis ; Pinellia ; chemistry ; growth & development ; Potassium Compounds ; analysis ; Sitosterols ; analysis