1.Implementing Quality Project to Create a New Situation in the Higher Education of Chongqing
Chinese Journal of Medical Education Research 2002;0(01):-
The article summarizes the achievement achieved in Chongqing higher education field since Chongqing became the municipality directly under the central goverment, esp. since the universities and colleges increased the enrolment, by transforming the modes of thoughts, developing education, adjusting the structure, improving quality and serving economy and society. It also puts foward the main measures to quicken the development of Chongqing higher education, improve its teaching quality and initiate a new situation at the beginning of the new era.
2.The early diagnostic and differential diagnostic value of auditory P_(300) to vascular dementia
Xinping CHENG ; Li ZHU ; Yan ZU
Journal of Clinical Neurology 1993;0(03):-
Objective To explore the value of P_ 300 in early diagnosis of vascular dementia (VD) and possibility of P_ 300 in the differential diagnosis between VD and Alzheimer's disease (AD).Methods Hasegawa Dementia Scale (HDS) and P_ 300 of oddball auditory evoked model were performed in 20 normal controls,20 patients with VD,24 patients with cerebral infarction without dementia (CI) and 20 patients with AD.Results The peak latency (PL) of target N_2 and P_3 in VD group was obviously longer than those in CI and NC groups,the difference was dramatic(all P
3.Correlation between P300 of auditory and age, sex in healthy people
Li ZHU ; Xinping CHENG ; Yan ZHU
Acta Universitatis Medicinalis Anhui 2001;(2):124-125
Objective To investigate the relationship between P300 of auditory event-related potential (ERP) and age, sex in healthy people. Methods Auditory P300 was tested in 60 healthy people of different ages and the results were analyzed by t-test and the linear correlation. Results The peak-latency (PL) and amplitude (Amp) of P300 were significantly different between the less than 59-year-old group and the more than 60-year-old group. For all subjects tested, age had positive linear correlation with PL of P300 and negative linear correlation with Amp of P300. There is no significantly sex difference in healthy people. Conclusion There is influence of age on auditory P300. The PL is increased and the Amp is decreased with aging.
4.Effect of depside salt from salvia miltiorrhiza on angina pectoris and platelet function
Ping YAN ; Xinping LUO ; Haiming SHI
Journal of Interventional Radiology 2004;0(S2):-
Objective To study the effect of Depside Salt from Salvia Miltiorrhiza on angina pectoris and platelet function.Methods The study group was comprised of 56 patients with stable angina,who were randomly divided into the high-dosage Depside Salt from Salvia Miltiorrhiza group,the low-dosage Depside Salt from Salvia Miltiorrhiza group and the Danshen control group. Before and after the 14-day treatment,the clinical symptom and serum level of PAG, P-selectin were measured,and exercise electrocardiography was performed. Results After treatment with Depside Salt from Salvia Miltiorrhiza,the symptom of angina pectoris was alleviated and exercise ECG was improved,while no significant difference was found compared with control group.Serum PAG and P-selectin were decreased after treatment with Depside Salt from Salvia Miltiorrhiza ,and significantly more than Danshen.Conclusion Depside Salt from Salvia Miltiorrhiza injection can remarkably inhibite the aggregation and activation of platelet,and is effective for angina pectoris.
5.Efficacy analysis of selective posterior rhizotomy at medullary conus for treatment of double lower extremities spastic cerebral palsy
Baofeng YAN ; Xinping LUAN ; Xia LU ; Bin LI
Chinese Journal of Applied Clinical Pediatrics 2016;31(23):1813-1816
Objective To investigate the clinical efficacy of L1 -S1 selective posterior rhizotomy (SPR)at the medullary conus level for the treatment of double lower extremities spastic cerebral palsy(CP).Methods A total of 1 09 double lower extremities spastic CP children underwent SPR at the level of medullary consul were selected in the Second Affiliated Hospital of Xinjiang Medical University from October 201 0 to May 201 4.The 4 groups were analyzed in terms of muscle tension and gross motor function of the lower limbs 6 months before and after operation,retrospective-ly.The SPSS 1 7.0 software was used for statistical analysis.Results Patients had different degrees of improvement in gross motor function and reduction of spasticity in all muscle groups of lower limbs after operation.Six months after the operation,the muscular tension of hip flexor,hip adductor,knee flexor and plantar flexors (modified Ashworth spastic scale score)were all improved compared with preoperation (t =1 6.635,27.41 1 ,31 .362,38.81 9,all P <0.01 ).Gross motor function of lower limbs (Gross Motor Function Measure)at 6 months after the operation was significantly im-proved compared with preoperation (51 .97 ±1 2.92 vs 41 .01 ±1 1 .46),and the difference was significant(t =26.67, P <0.01 ).The postoperative complications:intracranial hypotension headache (5 cases,4.59%),postoperative high fever (2 cases,1 .83%),incision fat liquefaction (2 cases,1 .83%),sensory barriers of lower limbs (1 case, 0.92%),and urine obstacles (1 case,0.92%).Conclusions SPR at the level of medullary conus has the advantages of minimal injury,rapid recovery and little influence on the stability of the spine.In addition,the procedure can relieve the spasticity of lower limbs of the CP patients effectively.
6.The effects of recombinant human erythropoietin on thoracic acute spinal cord compressive injury in rats: delayed treatment
Xinping YAN ; Liuzhu YANG ; Bo WU ; Zhong CHEN ; Wei TAN
The Journal of Practical Medicine 2015;31(14):2258-2261
Objective To investigate the neuroprotection of delayed treatment of thoracic acute spinal cord injury with recombinant human erythropoietin (rhEPO) in rat model of compressive injury. Methods Sixteen adult male Sprague-Dawley rats were randomly divided into two groups: control group (compressive injury group) and experimental group (rhEPO group), In the compressive injury group,the animals recived 0.9% saline treatment at 2 h, day 1 and day 3 after the injury, while in the rhEPO group, rhEPO (3 000 U/kg) was given to rats at 2 h, day 1 and day 3 after the injury. All the rats were observed in 4 days after the injury. The primary outcomes were evaluated by BBB scale, apoptotic index, inflammatory index and electron microscopy. Results Delayed treatment of thoracic acute spinal cord injury with rhEPO could reduce apoptosis, regulate inflammation, improve motor function and promote regeneration of the spinal cord. Conclusion Our study suggests that delayed treatment of thoracic spinal cord compressive injury with rhEPO could exert neuroprotection.
7.Investigation of skin prick test on patients with allergic rhinitis in Urumqi area.
Chunli WANG ; Hua ZHANG ; Xinping CHEN ; Yan ZHENG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(10):718-720
OBJECTIVE:
To investigate the geographic distribution of air-borne allergens which caused allergic rhinitis in Urumqi, and offer guide for prevention and treatment of the patients with allergic rhinitis.
METHOD:
Skin prick tests were performed on 350 patients with allergic rhinitis by assay of Novo-helisen depot (NHD) fluid.
RESULT:
The total positive rate of inhaled allergens among 350 patients was 78.86%. The most frequent of allergen was chenopodium 78.86% (255 cases). The other frequent allergens were ragweed 36.86% (128 cases), artemisir 28% (98 cases), timothy 27.14% (95 cases), elm 5.71% (90 cases), willow 25.14% (88 cases), poplar 18.86% (66 cases), cockroach 18.86% (66 cases), dust-mite 14.86% (62 cases), flour mite 14.86% (52 cases), alternaria spp 2.86% (10 cases). Allergen were multiple in most AR patients. There was not statistically significant difference between the sexes. There was statistically significant difference between the tribes.
CONCLUSION
Chenopodium, ragweed and artemisir were the main allergens in patients with allergic rhinitis in Urumqi.
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8.The value of 18F-FDG PET/CT in diagnosing giant cell arteritis presenting as fever of unknown origin
Yan LIU ; Wei ZHANG ; Zhaohui ZHU ; Xinping TIAN ; Huanling WANG
Chinese Journal of Internal Medicine 2014;53(9):701-705
Objective To evaluate the clinical diagnostic contribution of 18 F-FDG PET/CT in giant cell arteritis with initial presentation as fever of unknown origin (FUO).Methods Eight cases with initial presentation as FUO diagnosed with the contribution of PET/CT were retrospectively studied in Peking Union Medical College Hospital.The radiologic manifestations of PET/CT were analyzed.Results Eight patients (4 men and 4 women) with average (63 ± 7) years (range from 55-75 years) were included in our study based on the criteria.Non-specific clinical symptoms were common in these patients,including fatigue,night sweat and weight loss.They all suffered from anemia of chronic disease.Not surprisingly,the inflammatory parameters were elevated significantly in all patients.The medical history,physical examination and routine lab and radiologic examinations couldn't reveal the causes of fever.PET/CT was performed in all of them,which demonstrated intense 18F-FDG uptake in the area of aorta and its major branches with maximal standard uptake value (SUVmax) 2.1-4.6 (3.6 ± 0.9).Immunosuppressive agents were effective to control the inflammation activity.The SUV decreased significantly after treatment in the follow-up PET/CT.Conclusions PET/CT has demonstrated high yield of diagnostic contribution in giant cell arteritis with initial presentation as fever of unknown origin.As to elderly FUO patients presenting with prominent inflammatory reaction,PET/CT may provide potential value to differentiate diagnosis from maligancies.
9.Percutaneous kyphoplasty plus anti-osteoporosis drug for the treatment of acute osteoporotic vertebral compression fractures
Liuzhu YANG ; Zhong CHEN ; Xinping YAN ; Zunying XU ; Wei TAN
Chinese Journal of Tissue Engineering Research 2014;(39):6265-6270
BACKGROUND:Percutaneous kyphoplasty for the treatment of vertebral compression fractures has gained good clinical results and it is characterized as smal trauma, less bleeding and very low rate of complications. The vast majority of elderly patients can tolerate it, but this method cannot prevent fracture replase in the elderly. OBJECTIVE:To evaluate clinical outcomes of percutaneous kyphoplasty combined with anti-osteoporosis drug for the treatment of acute osteoporotic vertebral compression fractures METHODS:According to strict inclusion and exclusion criteria, 137 patients, including 26 males and 111 females, mean age of (75.55±6.96) years, with a total of 198 acute osteoporotic vertebral compression fractures treated by kyphoplasty that involves injection of polymethyl methacrylate cement under radiologic control into a treated vertebral body were conducted in this study. Al patients were asked to take anti-osteoporosis drugs for 3 post-treatment months. The primary outcomes were visual analogue scale, ertebral restoring rate, Oswestry disability index, Cobb angle at different time (pre-operation, 1 week and 3 months after operation). In addition, the rate of complications and the replase rate of vertebral compression fractures after operation were recorded. RESULTS AND CONCLUSION:There were significant differences in the mean visual analog scale scores, vertebral restoring rate, Oswestry disability index, Cobb angle at pre-procedure and post-procedure (at 1 week and 3 months) (P<0.001). In addition, the rate of postoperative complications was 0.7%and there were no vertebral compression fractures during 3-month fol ow-up period. Our study suggests that percutaneous kyphoplasty combined with anti-osteoporosis drug for the treatment of acute osteoporotic vertebral compression fractures can gain good clinical results.
10.Clinical analysis of 6 patients with drug-induced lupus
Nan ZHANG ; Xiaomei LENG ; Xinping TIAN ; Yan ZHAO ; Xiaofeng ZENG
Chinese Journal of Internal Medicine 2016;55(3):211-215
Objective To improve the understanding of drug-induced lupus (DIL) and the differences from systemic lupus erythematosus (SLE).Methods Clinical manifestation and treatment of patients with definite DIL were retrospectively analyzed.Results Six patients with DIL were enrolled in this study,including 4 females and 2 males.Two patients were diagnosed after receiving interferon,one after soluble tumor necrosis factor receptor fusion protein,one after propylthiouracil,one after penicillamine,and one after levofloxacin.High titer of antinuclear antibody was identified in all six patients,including 3 with positive anti-dsDNA antibody.One patient had positive anti-Sm antibody.One patient had positive anti-RNP antibody.One patient had anti-nucleosome antibody.One patient had anti-histone antibody.One patient had antimitochondrial antibodies-M2,and one patient had anticardiolipin antibodies.Conclusion Patients with DIL are not as severe as those with SLE.After cessation of suspected drugs and administration of standard treatment,the clinical outcome of DIL is satisfying.