1.Different influences of pre-and/or postnatal hypoxia on thyroid hormones of newborns
Chinese Pediatric Emergency Medicine 2010;17(3):236-237
Objective To investigate the different influences of pre-and/or postnatal hypoxia on the thyroid function of newborns. Methods Newborn infants of fetal hypoxia and/or birth asphyxia diagnosed and treated in pediatric department of Tianjin Medical University Genera] Hospital during last 5 years ,were assigned into intrauterine distress group (group B,n =87) ,birth asphyxia group (group C,n =36) and both of birth asphyxia and intrauterine distress group (group D,n = 75 ). Normal neonates born during the same period served as control group( group A,n =30). Blood concentrations of T3 ,T4 and TSH were detected by radioimmunoassay. Results The serum levels of T3 ,T4 and TSH in A,B,C,and D groups were (0. 86±0. 22) μg/L, (0. 62±0.21)μg/L,(0. 46±0. 19)μg/L,(0. 54±0. 19)μg/L; (125. 13±36.37)μg/L, (107.46±32.21)μg/L,(74.60±26.52)μg/L, (102.23±30.29) μg/L; (6.28±1.96) μg/L, (4.91±1.69) mIU/L, (8.66±2. 00) mIU/L, (5. 64±1.17 mIU/L). There were significant differences among the 4 groups ( P < 0. 01 ). As compared to A group,the serum T3 and T4 concentrations of B ,C and D groups were significantly decreased (P <0. 01 ,P <0. 05 ). No difference of TSH concentrations was found between A and D groups( ( P > 0. 05),but there was significant decrease in B group and significant increase in C group( P <0. 01 ). Conclusion Preand postnatal hypoxia results in decreases of T3 and T4 values,it is likely that newborns of intrauterine distress have decreased TSH, whereas those of birth asphyxia have increased TSH.
2.Significance of changes in inositol requiring enzyme 1, apoptosis signal regulating kinase 1 and c-Jun N-terminal kinase levels in peripheral blood CD4+ T cells of children with acute paraquat poisoning
Yueyun SHANG ; Hui ZHANG ; Shuxiang LIN ; Jianbo SHU
Chinese Journal of Applied Clinical Pediatrics 2017;32(6):447-450
Objective To explore the changes in inositol requiring enzyme 1 (IRE1),apoptosis signal regulating kinase 1 (ASK1) and c-Jun N-terminal kinase (JNK) mRNA levels in peripheral blood CD4+ T cells of children with acute paraquat (PQ) poisoning.Methods Blood samples of 30 cases of acute PQ poisoning (PQ group),who visited Tianjin Children's Hospital from June 2014 to June 2016,with 18 male and 12 female,aged from 2 to 14 years old,were collected,and the clinical and laboratory data were documented.Peripheral venous blood samples were collected after paraquat was taken.Thirty healthy children at the same age and of the same sex were selected as a healthy control group,18 male and 12 female,aged from 2 to 14 years old.CD4+ T cells in the peripheral blood were separated,and IRE1,ASK1 and JNK mRNA levels in peripheral blood CD4+ T cells were measured by real time polymerase chain reaction (Real-time PCR) method.Specificity of PCR products was validated through agarose gel electrophoresis.The data were statistically analyzed by SPSS 13.0 software.Results All of the 30 children had mucosal lesions,nausea,vomiting and abdomen pain,19 cases with oliguria and anuria,16 cases with alimentary tract bleeding,12 cases with headache and dizziness,11 cases with short of breath,dyspnea and difficult breathing,8 cases with convulsion,5 cases with jaundice.The IRE1,ASK1 and JNK mRNA levels in PQ group were significantly higher than those in healthy control group (1.70 ± 0.16 vs.1.02 ± 0.18,3.56 ± 0.85 vs.1.05 ± 0.31,5.22 ± 0.87 vs.1.01 ± 0.33,t =15.26,15.21,24.78,all P < 0.01).Conclusions PQ increased the expressions of IRE1,ASK1 and JNK in peripheral blood CD4+ T cells,which may be related to PQ-induced oxidative stress and immune activation and lead to a complex cytokine network via endoplasmic reticulum stress and CD4+ T cell apoptosis and then results in the occurrence and development of multiple organ failure.
3.Quality assurance of clinical biochemistry testing:a mualti-center study based reference interval for clinical chemistry tests in the Chinese population
Chuanbao ZHANG ; Xianzhang HUANG ; Lanlan WANG ; Runqing MU ; Baishen PAN ; Jie ZHANG ; Wenxiang CHEN ; Junha ZHUANG ; Hengjian HUANG ; Yueyun MA ; Xiaoou YU ; Wei GUO ; Rui QIAO ; Hong SHANG
Chinese Journal of Laboratory Medicine 2015;(5):301-305
Objective To verify and monitor the performance of accuracy, precision and comparability of 26 clinical biochemical analytes (29 methods) in the six centers involved in multi-centers reference intervals research, and to ensure the reliability of theirmeasurement results.Methods During the period of the systems evaluating, two levels of commercial quality control materials and fresh frozen human serum reference materials were applied to verify the performance of inter-laboratory precision and accuracy of analysis systems. During the period of samples testing, the commercial quality control materials were measured whenever samples were analysed, the fresh frozen serum reference materials were measured once a month.The coefficient of variations (CVs), bias and total errors were calculated to assess the precision, accuracy and comparability.Results Verification of precision and accuracy: ( 1 ) the ranges of CVs of 29 methods in the six laboratory laboratories were 0.4%-6.0%, the CVs of all 29 methods met the criterion . (2) The overall average bias of the analysis systems of 21 analytes (24 methods) ranged from -5.15%( ALT) to 4.46% ( Ur ) .Among 24 methods the overall average bias of TP, Glu-GOD, Ur, Cl, Ca exceeded the acceptable range.The quality assessment during the period of samples testing:(1) The overall average bias ranged from -1.95%(Ca) to 2.92%(Ur), median 1.26%, they all met the requirements of relevant standards.( 2 ) When commercial control materials were tested, the requirements of CVs were fulfilled for most methods in the six laboratories,and the CVs of TP, Alb, Cl, Ca exceeded the acceptable range.The overall average TE of all methods met the quality specification for the C-N controls material.For the C-P control material, only the overall average TE of TP (5.05%) exceeded thearceptable range while the other methods met the requirement in criterion.Conclusions The performance of precision and accuracy of the analysis systems used in the six laboratories passed the verification.During the period of sample testing, the performance of precision and accuracy of the most methods in the 6 laboratories met the requirements of quality specifications, and the overall performance was good.Because of the limitation of current technology the performance of some methods didn't fulfill the requirement of specifications, and need to be improved.
4.Applications and spproved projects of general program, young scientist fund and fund for less developed region of national natural science funds in discipline of Chinese materia medica, NSFC in 2011.
Liwei HAN ; Yueyun WANG ; Wenbin HE ; Junjie ZHANG ; Minggang BI ; Hongcai SHANG ; Deyang SHANG ; Chang'en WANG
China Journal of Chinese Materia Medica 2012;37(5):545-548
The applications accepted and approved by general program, young scientist fund and fund for less developed region of national natural science funds in the discipline of Chinese materia medica, NSFC in 2011 have been introduced. The character and problems in these applications have been analyzed to give a reference to the scientists in the field of Chinese material medica.
China
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Foundations
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Materia Medica
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Natural Science Disciplines
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Research Support as Topic