1.Expression of carbohydrate antigen72-4 in surgically removed lymph nodes and its diagnostic value on micrometastases in patients with gastric carcinoma
Peiwu LI ; Youcheng ZHANG ; Zhimin KOU
Chinese Journal of General Surgery 1993;0(03):-
ObjectiveTo study the relationship between the expression of carbohydrate antigen 72-4(CA72-4) in pathology negative lymph nodes from patients with gastric carcinoma and micrometastases. MethodsA total of 385 perigastric negative lymph nodes from 65 patients were immunohistochemically stained with tumor-associated glycoprotein by S-P. ResultsThe lymphatic micrometastases of gastric carcinoma were identified in 14 of 65 patients (21.5%) and in 26 of 385 negative-nodes (6.8%). The incidence of micrometastases was significantly higher in patients with diffuse type than intestinal type(35.5% vs. 8.8%,P
2.Diffuson-weighted MR Imaging of ring-enhancing intracerebral lesions
Youcheng LI ; Wei TIAN ; Jiance LI ; Zongfang LI
Chinese Journal of Radiology 2001;0(07):-
Objective To assess the diagnostic value of diffusion-weighted echo-planar MR Imaging (DWI) in ring-enhancing intracerebral lesions. Methods Magnetic resonance diffusion-weighted images of ninty-three patients presenting with ring-ehancing intracerebral lesions diagnosed by clinical or histopathologic findings were studied retrospectively, including 21 gliomas, 26 metastases, 13 pyogenic abscesses, 18 neurocysticercoses and 15 subacute intracerebral hematomas. The signal intensity ratio on diffusion-weighted images and exponential diffusion coefficient images was calculated respectively in ring walls, central contents, and perilesional edemas of ring-enhancing lesions, and normal contralateral cerebral parenchyma was used for comparison. ADC values of interest of lesions, contralateral cerebral parenchyma and CFS were calculated as well. Results In pyogenic abscesses and subacute intracerebral hematomas, the central content was always extremely hyperintense on diffusion-weighted images, and showed low ADCs[(0.56?0.20)?10~ -3 mm~2/s, (0.69?0.16)?10~ -3 mm~2/s, respectively]. On the other hand the central content of gliomas, metastases and neurocysticercoses was hypointense, and showed high ADCs [ (2.76?0.41)?10~ -3 mm~2/s, (2.31?0.39)?10~ -3 mm~2/s, (2.10?0.32)?10~ -3 mm~2/s, respectively]. The ADCs of the first two lesions were significantly lower than of the last three lesions (P
3.Protective effect of emodin on hepatic ischemia-reperfusion injury in the rat liver
Weihong ZHAO ; Youcheng ZHANG ; Xusheng LI ; Shuqin LI ; Zhiyong YANG
Chinese Journal of General Surgery 2001;0(08):-
Objective To study the protective effect of emodin on hepatic ischemia-reperfusion injury in the rat(liver). Methods Thirty Wistar rats were randomly devided into 3 groups:the sham-operatment group (Control group),the ischemia-reperfusion group (I/R group) and the emodin-treatment group (EMD group). By(clamping) the left and median lobes of the liver for 1 h and followed by 1 h of reperfusion,the(partial) (70%)(normothemic)(ischemia)-reperfusion injury model was established. The rats of emodin group received emodin [60mg/(kg?d)] by(oral) route for 3 days before ischemia. Blood and liver samples were obtained for(biochemical) and(histological) analysis 1 h after reperfusion. Some liver specimens were taken for flow cytometry(analysis) to assess the(mitochondrial)(membrane) potential (??m) . Rhodanmin123 and PI were used to label the cells.Results After reperfusion,(serum) levels of alanine transaminase(ALT) and liver contents of(malondialdehyde) (MDA) in the I/R group rats were increased significantly (P
4.Investigation and analysis of medical students' satisfaction degree of clinical practice
Man WU ; Xiaoming LI ; Yong ZHANG ; Xuan GAO ; Youcheng ZHANG
Chinese Journal of Medical Education Research 2012;11(2):154-157
Objectives To investigate medical students' satisfaction degree clinical practice,to find out the shortages of the clinical practice teaching,and to further put forward the measures of clinical practice.Methods By using a selfdesigned questionnaire,115 student interns were surveyed with anonymous questions,to collect data about the satisfaction degree of the hospital teaching conditions,conditions of teachers,practice quality of clinical departments,management department intern management work,the practical effect and views of clinical practice and other information.99 effective copies were retrieved using Excel analyze data.Results Interns' overall satisfaction with clinical practice is not high,and the satisfaction degree to the management department' work is the lowest,the satisfaction degree to the conditions of teachers of hospital is the highest.Conclusion Medical students'clin-ical practice satisfaction needs improving.To this end,we should improve the system and teaching conditions and strengthen management to meet the needs of students and improve their practice quality.
5.The effect of IGF- I receptor monoclonal antibody on human colorectal cancer cell lines
Yawu ZHANG ; Youcheng ZHANG ; Xiaoming ZHANG ; Zhimin KOU ; Xusheng LI
Chinese Journal of General Surgery 1993;0(03):-
Objective To explore the expression of insulin-like growth factors and their receptor (IGF- I R) in a human colorectal cancer cell line HT-29, and the effect of two IGF- I R monoclonal antibodies on the biological behavior of HT-29 cell lines. Methods Immunohistochemistry was used to test the expression of IGF- I R in HT-29 cell lines. MTT assay was used to determine the anti-proliferation effects of IGF- I R monoclonal antibody (McAb). Apoptosis percentage was estimated by flow cytometry ( FCM). Results IGF- I R was expressed in the membranes of HT-29 cell lines. McAb of IGH- I R can inhibit the proliferation of HT-29 cell lines in a dose-dependent manner. The apoptosis rate of HT-29 cells treated by IGF- I R McAb was higher than that of control group (P
6.Association of hepatitis C virus genotype with glycolipid iron metabolism in Gansu Han population.
Xiaorong MAO ; Xuebin PENG ; Youcheng ZHANG ; Linping LI
Journal of Zhejiang University. Medical sciences 2013;42(3):345-349
OBJECTIVETo investigate the association of hepatitis C virus (HCV) genotype with glycolipids iron metabolism in Gansu Han population.
METHODSThe genotypes of HCV 1b type and 2a type were detected in Gansu Han HCV carriers. The Glu, Insulin, CHOL, TG, UIBC, TRF, TIBC, SF, Serum Iron, AST, ALT, TBil, IBil, DBil, ALP, GGT were measured and compared between patients with different HCV genotypes.
RESULTSThere were 84 cases with HCV1b type and 136 cases with 2a type. There were significant differences in TG, ALT, TRF, TIBC between 1b type and 2a type genotype HCV carriers.
CONCLUSIONThe 2a type HCV carriers may be more inclined to develop hyperlipidemia and liver damage, and 1b type HCV carriers are likely to have iron metabolism defect.
Adult ; Blood Glucose ; metabolism ; China ; epidemiology ; Female ; Genotype ; Hepacivirus ; genetics ; Hepatitis C ; blood ; epidemiology ; Humans ; Iron ; blood ; Lipids ; blood ; Male ; Middle Aged
7.Ethical Thinking and Discussion on Advertising Media Operation in the Plastic and Cosmetic Industry——Based on Questionnaire Analysis in a University in Shaanxi Province
Zhuanli BAI ; Xiulin WEN ; Xiaomei LI ; Rui WANG ; Yuan GUO ; Youcheng HE ; Liang HAN
Chinese Medical Ethics 2017;30(7):869-871
Objective:To explore the propaganda methods and propagation path of advertising media cosmetology publicity in accordance with public demand and ethical principles,through understanding college students' acceptance level for advertising media cosmetology publicity and its influence on their choice forcosmetic ways.Methods:With the method of stratified cluster sampling,an anonymous questionnaire survey was conducted among 210 college students in a university in Shaanxi province.Results:The Internet has become the main way for college students to acquire cosmetology knowledge.A total of 44.7 % of the students thought most of the media cosmetology publicity was unbelievable,46.5% of the students thought that advertising media publicity mainly considered the interests of the beauty institution,72.9% of the students would not consider the beauty institution the media recommended,62.4% of the students would choose regular public hospitals,56.3% of the students would give up the idea of cosmetology due to the news of cosmetic failure,42.2% of the students could accept minimally invasive plastic surgery,and 68.5 % of the students expected to acquire the cosmetology knowledge through expert consultation.Concltusion:At current,the credibility of media cosmetology publicity is not optimistic enough.It should further strengthen the supervision for media cosmetology publicity.Cosmetology advertising media should construct the publicity mode based on ethics,law,governance,occupation,public welfare and social responsibility.
8.Application of Wy10 Fast Teeth Whitening Technique in Clinical Stomatology
Qian JIANG ; Jieyun LI ; Youcheng YU
Chinese Journal of Clinical Medicine 2014;(3):359-361
Objective:To study the clinical efficacy and sensitivity of Wy10 fast teeth whitening technique to all kinds of discolored teeth in stomatology clinic .Methods :Twenty cases of outpatients were randomly selected ,whose discolored teath were divided according to their pathogenesis .There were 180 age-related discolorationteeth ,120 extrinsic staining teeth ,60 tetracycline stained teeth and 40 teeth of dental fluorosis which were treated by Wy10 fast teeth whitening technology .The changes of teeth color were examined by Vita shade guide while probing and cold air were used to detect the degree of dental sensitivity ,immeddiately after the operation and a month later .Results:The effective ratios was 100% immediataly after the operation and up to 97 .2% and 97 .5% respectively after a month on the age-related discolored teeth and extrinsic staining teeth .The effective ratios were 96 .6% and 97 .5% respectively immediately after the operation and up to 93 .3% and 95%respectively on tetracycline stained teeth and dental fluorosis teeth after a month .No significant teeth discomfort except individ-ual mild discomfort which return to nomality in a month were detected .Conclusions :The Wy10 fast teeth whitening technigue is a safe and effective treatment for discolored teeth ,and its therapeutic effect on the age-related discolored teeth and extrinsic stained teeth is better than that on the tetracycline stained teeth and dental fluorosis teeth .
9.A cohort study on the association between gallstone, cholecystectomy and colorectal cancer in Gansu province inhabitants
Junmin ZHU ; Youcheng ZHANG ; Rui CHEN ; Ming NIU ; Yan ZHENG ; Jingtao WANG ; Xiaoyan MENG ; Dingjun CHEN ; Yun ZHANG ; Jilin MA ; Weigui YAO ; Xiaolin CUI ; Bingbing LI
Chinese Journal of General Surgery 2012;27(1):52-55
Objective To determine the association of gallstone,cholecystectomy and colorectal cancer.Methods From 2000 through 2007,a historical cohort study was carried out in the check analysis of the cumulative incidence of colorectal cancer of 3809 gallstone patients who had had cholecystectomies (cholecystectomy sub-group),1764 gallstone patients who had not had cholecystectomies(noncholecystectomy sub-group)and 8187 nongallstone patients(control group)were also included in the analysis of the incidence of colorectal cancer.Results(1)The cumulative incidence of colorectal cancer of the gall-stone group was 0.43 %(24/5573)while that of the control group was 0.13 %(11/8187)(x2 =11.879,P =0.001).(2)The cumulative incidence of colorectal cancer in cholecystectomy sub-group was 0.45%(17/3890)while that of the non-cholecystectomy sub-group was 0.40%(7/1764)(x2=0.069,P =0.793).(3)The cumulative incidence of colorectal cancer was 0.23%(8/3467)in gallstone patients with a conrse < 15 years,while that was 0.76%(16/2106)when the course ≥ 15 years(x2 =8.550,P =0.003).(4)Serum triglyceride level elevated in 20.83%(5/24)colorectal cancer cases of gallstone group,however serum triglyceride level elevated only in 5.86%(325/5549)of gallstone group with non-colorectal cancer cases(x2 =9.621,P =0.002).(5)The incidence of colorectal cancer in gallstone group was not related to gender,age,overweight,hypertension,diabetes mellitus and dysfunction of liver(x2 =1.444,P =0.229;x2=7.833,P=0.251;x2 =1.151,P=0.283;x2 =0.797,P=0.372;x2 =0.939,P=0.332;x2 =2.103,P =0.147).(6)The ratio of rectal cancer,right colonic cancer,left colonic cancer and multifocal carcinoma were 41%(10/24),38%(9/24),17%(4/24)and4%(1/24),respectively.Conclusions Gallstone is a high risk factor of colorectal cancer irrespective of whether or not a cholecystectomy is carried out.Over fifteen-years course of gallstone and hypertriglyceridemia significantly increases the risk of the colorectal cancer in gallstone patients.The incidence of rectal cancer and right colonic cancer is more frequently seen in gallstone related colorectal cancer.
10.Clinical study of the efficacies of ruxolitinib plus low-dose PTCY for acute GVHD prevention after haploidentical transplantation in malignant hematological diseases
Xiaoping LI ; Yu LI ; Lin LIU ; Zhongtao YUAN ; Youcheng WANG ; Yancheng DONG ; Dingsong ZHANG ; Jing FENG ; Yingnian CHEN ; Sanbin WANG
Chinese Journal of Hematology 2024;45(2):128-133
Objective:To investigate and verify a novel acute graft versus host disease (aGVHD) prevention protocol in the context of haploidentical hematopoietic stem cell transplantation (haplo-HSCT) .Methods:Patients who underwent haplo-HSCT in our center between January 2022 and December 2022 were included. All patients received reduced doses of cyclophosphamide, Rabbit anti-human tymoglobulin, ruxolitinib, methotrexate, cyclosporine, and MMF to prevent aGVHD. The transplantation outcomes, complications, and survival rate of all patients were investigated.Results:A total of 52 patients with haplo-HSCT were enrolled, 29 (55.8%) male and 23 (44.2%) female, with a median age of 28 (5-59) years. There were 25 cases of acute myeloid leukemia, 17 cases of acute lymphocyte leukemia, 6 cases of myelodysplastic syndrome, 2 cases of chronic myeloid leukemia and 2 cases of myeloproliferative neoplasms. 98.1% of patients had successful engraftment. The incidence of Ⅱ-Ⅳ aGVHD and Ⅲ-Ⅳ aGVHD was 19.2% (95% CI 8.2% -30.3% ) and 7.7% (95% CI 0.2% -15.2% ), respectively. No patients experienced severe gastrointestinal mucositis. The Epstein-Barr virus and CMV reactivation rates were 40.4% and 21.3%, respectively. 9.6% of patients relapsed during followup, with 1-year overall survival, progression-free survival, and non-relapse mortality rates of 86.5% (95% CI 76.9% -96.1% ), 78.8% (95% CI 67.4% -90.3% ) and 11.5% (95% CI 2.6% –20.5% ), respectively. Conclusion:Ruxolitinib combined with a low dose of PTCY is a safe and effective first-line aGVHD prevention strategy.