1.Analysis of postoperative chemotherapy-related anemia in elderly cancer patients.
Su HE ; Zhang LINGYUN ; Liu YUNPENG
Chinese Journal of Oncology 2015;37(4):290-292
OBJECTIVEThis study was conducted to investigate the correlation between anemia and postoperative chemotherapy in elderly cancer patients.
METHODSOne hundred and fifty-seven elderly patients ( age ≥ 60) with pathologically confirmed breast, lung and digestive tract cancers, who had HGB ≥ 120 g/L and ECOG scores 0-2, were included in this study. We reviewed their clinicopathological data and analyzed the correlation of anemia in breast cancer patients after 1, 3 or 5 cycles and lung cancer patients after 1, 2 or 3 cycles of postoperative chemotherapy.
RESULTSAmong the 157 cases, the overall proportion of anemia was 31.8% (50/157) , with 18.8% in male and 47.2% in female patients (P < 0.001). After three cycles of chemotherapy, the proportion of anemia was 57.9% in lung cancer, 34.5% in breast cancer, 26.3% in gastric cancer and 9.3% in colorectal cancer patients (P < 0.001). The proportion of anemia during 5 cycles chemotherapy (three cycles in lung cancer) was gradually increasing. In the lung cancer patients, anemia was observed in 66.7% of patients who received vinorelbine plus cispiatin regimen and 25.0% of cases who received vinorelbine regimen chemotherapy (P = 0.044).
CONCLUSIONSIn most elderly patients with normal hemoglobin level and in good conditions, the chemotherapy-related anemia is mild and less frequent. Age should not limit the adjuvant chemotherapy in elderly cancer patients. Attention should be paid to the possibility of anemia in elderly female lung cancer patients receiving multiple cycle platinum-based chemotherapy regimens.
Aged ; Anemia ; chemically induced ; epidemiology ; Antineoplastic Agents ; adverse effects ; Breast Neoplasms ; drug therapy ; Chemotherapy, Adjuvant ; Cisplatin ; adverse effects ; Colorectal Neoplasms ; drug therapy ; Female ; Humans ; Lung Neoplasms ; drug therapy ; Male ; Middle Aged ; Stomach Neoplasms ; drug therapy ; Vinblastine ; adverse effects ; analogs & derivatives
2.A case of giant cavernous hemangioma of the nasal septum.
Huijuan MA ; Yunpeng BA ; Hongxia SU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(4):274-275
To report a case of an adult male with a huge cavernous hemangioma arising from the nasal septum, and the lesion was widely spread to hard palate, sphenoid sinus, ethmoid sinus and right maxillary sinus. After giving embolization, it was completely excised via transnasal endoscopic approach and lateral rhinotomy, histologic examination reported cavernous hemangioma. There was no recurrence at 1 year's follow-up.
Hemangioma, Cavernous
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Humans
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Male
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Middle Aged
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Nasal Septum
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Nose Neoplasms
3.Effect evaluation of AIDS health education among college students in Dali area
Yunpeng SU ; Yuanying SHEN ; Mei HE ; Jizheng LIU ; Hongyuan LI
Chongqing Medicine 2014;(35):4774-4776
Objective To evaluate the effect of AIDS health education in university students to provide the theoretical basis for AIDS prevention in the young college students .Methods In order to know about the situation of awareness HIV/AIDS ,a general survey of HIV/AIDS related knowledge was conducted in freshmen of Dali college by self‐made questionnaire In December 2010 , then various forms of health education was took for college students ,such as theoretical study ,lecture and so on .Investigation a‐mong students once again ,and compared with the baseline survey results in December 2012 .Results The accuracy of HIV/AIDS health knowledge in the young college students after had health education was higher significantly than that before(P<0 .05);The score of AIDS elated problem have been weighted ,and awareness was defined as≥60 ;Before health education ,2 619 students knew about AIDS related knowledge ,872 students did not ,the average score was (64 .50 ± 10 .22) ,the total awareness rate was 75 .67% ;after the health education ,3 323 students know about AIDS related knowledge ,138 students did not ,the average score was (84 .94 ± 12 .68) ,the total awareness rate was 96 .01% .After continuing health education ,the total score was significantly increased (P<0 .01) .Conclusion The awareness rate of AIDS could be improved by health education in various forms and that was impor‐tant for the prevention of AIDS among college students .
4.Analysis of the Local Immune Response in Papillary Thyroid Carcinoma
Yifeng CHEN ; Yunpeng HUANG ; Milong SU ; Yunzong LIAN ; Bailing ZHANG ;
Journal of Medical Research 2006;0(05):-
0.05).Conclusions The local cell-mediated immunity of PTC is in the status of obviously suppressed.But the local impaired immune response against carcinoma is not associated with lymph node metastasis of PTC.
5.The Evaluation of Anti-tumor Effect of CTL Induced by Oxidized Mannan-modified Tumor Cells Vaccine
Jia SU ; Yutong WANG ; Xinhui QI ; Yan LI ; Di WU ; Yunpeng LIU ; Youhong JIANG
Journal of China Medical University 2015;(5):420-424
Objective To study to take the oxidized Mannan?modified 786?0 in renal clear cell carcinom as tumor cells antigen to sensitize Dendrit?ic cells(DC)and to observe the its killing effect on renal clear cell carcinoma of CTLs induced. Methods Getting the peripheral blood mononucle?ar cells from the volunteers,and then to be stimulated to turn to be maturation by GM?CSF and IL?4 in vitro. Taking the clear renal carcinoma cell as the tumor antigen,and then making it to be modified by oxidized Mannan to acquire the tumor cell vaccine.Experimental groups include:blank group:DC?PBS group,control group:control?DC?786?0,experimental group:DC?Ox?Mannose?786?0 group. Taking the flow cytometry to detect the changes of DC phenotype,then taking the ELISA to detect the sencretion levels of supernatant of IL?12 of DC,then taking the CCK to detecte the cytotoxicity of lymphocytes(CTL)induced by DC of these experiment groups. Results Results by flow cytometry:the mature phenotype of DCs sensitized by Ox?Mannose?786?0 group included CD80,CD83,CD86 and HLA?DR expressed significantly higher than the other groups. As well as the secretion levels of IL?12. Meanwhile the cytotoxicity activity of lymphocytes(CTLs)induced by DCs which are sensitized by Ox?Mannose?786?0 increased more significantly than the other groups. Conclusion Glycosylated Antigens can be more effective in sensitizing antigen?presenting cells DC,and stimulating them to be maturation,while the killing effect to tumor cells also have noticeably improved.
6.Longitudinal study on association between sugar sweetened beverages consumption and insomnia among college students in Yunnan Province
SU Yingzhen, YANG Jieru, ZHANG Gaohong, TAO Jian, LU Qiuan, HU Dongyue, LIU Zihan, SU Yunpeng, XU Honglü ;
Chinese Journal of School Health 2024;45(10):1451-1454
Objective:
To study the relationship between sugar sweetened beverages consumption characteristics and insomnia of college students in Yunnan Province, so as to provide evidence for sleep quality improvement of college students.
Methods:
A cluster random sampling method was used to select 2 515 college students from two universities (Kunming University and Dali Nursing Vocational College) in Kunming and Dali in Yunnan Province for a longitudinal study, including baseline survey (T1, November 2021) and three follow up surveys (T2: June 2022, T3: November 2022, T4: June 2023). Sugar sweetened beverages consumption of college students was collected by Semi quantitative Food Frequency Questionnaire and insomnia was assessed by Insomnia Severity Index Scale. Sugarsweetened beverages consumption was analyzed by Kruskal-Wallis test. The Mann-Whiter U test and Kruskal-Wallis test were used to compare the detection rate of insomnia in college students with different population characteristics, and the generalized estimating equations model was established to analyze the association between sugar sweetened beverages consumption and insomnia.
Results:
The reported rate of insomnia among college students from T1 to T4 was 21.2%, 23.6%, 30.5 % and 36.0%, respectively. The median of sugar sweetened beverages consumption per week was 5 (1,9) bottles per person, and there were significant differences in sugar sweetened beverages (carbonated beverages, fruit beverages, tea beverages, milk beverages, energy beverages) consumption among college students with different insomnia status ( χ 2=42.91, 23.67, 29.98, 61.70, 30.82, P <0.01). The analysis of the generalized estimating equation model revealed that the consumption of carbonated beverages ( β= 0.04, 95%CI =0.00-0.08) and the consumption of milk beverages among college students ( β=0.04, 95%CI =0.00-0.09) were correlated with insomnia ( P <0.05). The stratified analysis indicated that consumption of carbonated beverages by female college students was associated with insomnia [ β(95%CI )=0.06(0.01-0.11)]; consumption of milk beverages among college students from middle income family was associated with insomnia [ β (95% CI )=0.05(0.00-0.10)], and consumption of carbonated beverages and fruit beverages from college students with high household economic status were both associated with insomnia [ β (95% CI )=0.35(0.23-0.46), 0.12(0.00-0.24)] ( P <0.05).
Conclusion
Sugar sweetened beverages, especially carbonated beverages, are associated with insomnia among college students in Yunnan Province.
7.Longitudinal association between processed food consumption and anxiety symptoms among college students in Yunnan Province
JIANG Yinghong, SU Yunpeng, SU Yingzhen, TAO Jian, CHEN Weiwei, HU Dongyue, YANG Junyu, XU Honglü ;
Chinese Journal of School Health 2024;45(2):178-182
Objective:
To explore the association between processed food consumption and anxiety symptoms among college students in Yunnan Province, so as to provide a reference for the prevention and treatment of anxiety symptoms in this population.
Methods:
A cluster random sample of 2 515 first year students from two universities in Yunnan Province was selected to carry out a longitudinal investigation which included a baseline survey (November 2021, T1) and three follow up visits (June 2022, T2; November 2022, T3; June 2023, T4). The food frequency questionnaire was administered to assess processed food consumption, and the Depression Anxiety Stress Scale-21 (DASS-21, Chinese version) was used to evaluate anxiety symptoms. A generalized estimation equation model was used to analyze the relationship between processed food consumption and anxiety symptoms.
Results:
The detection rates of T1-T4 anxiety symptoms among college students in Yunnan Province were 29.70%, 36.70%, 37.69% and 38.73 %, respectively, and the corresponding anxiety symptom scores were 4(0,8), 4(0,10), 4(0,12), 2(0,14). After controlling for demographic variables and confounding factors in the generalized estimation equation model, a statistically significant association was found between consumption of carbonated beverages ( β=0.06, 95%CI =0.03-0.08), and other processed snacks ( β= 0.04 , 95%CI =0.01-0.07) ( P <0.05). The stratified analysis by gender showed that the consumption of carbonated beverages ( β=0.08, 95%CI =0.05-0.12) and fast food ( β=0.03, 95%CI =0.00-0.06) was significantly associated with anxiety symptoms in female college students ( P <0.05). There was no significant association between processed food consumption and anxiety symptoms in male college students ( P >0.05).
Conclusions
Processed food consumption by college students in Yunnan Province may increase the risk of anxiety symptoms, particularly among female students. There is a need to strengthen guidance in respect to processed food consumption, so as to prevent and treat anxiety symptoms.
8.Association between eating at night and skipping breakfast with anxiety symptoms among freshman in colleges in Yunnan Province
LI Xiaoxiao, AO Ya, HUANG Guifan, ZHANG Xiaorong, WANG Luwei, LI Yijian, FENG Yunping, SU Yunpeng, XU Honglü ;
Chinese Journal of School Health 2023;44(2):274-277
Objective:
To study the association between eating at night and skipping breakfast with college students anxiety symptoms, and to provide reference basis for preventing and alleviating college students anxiety symptoms.
Methods:
A cross sectional survey was conducted among 9 960 freshman from three universities in Kunming and Dali, Yunnan Province. The dietary frequency questionnaire was used to evaluate the dietary behavior of college students. The Depression Anxiety Stress Scale-21 (DASS-21) was used to evaluate the anxiety symptoms of college students. The association of late night snack and breakfast skipping with the association of anxiety symptoms in college students used generalized linear model and Logistic regression model.
Results:
The proportion of college students who reported eating at night and breakfast skipping in the last month was 72.5%(7 217/9 960) and 61.6%(6 131/9 960) respectively. The detection rate of anxiety symptoms in college students was 28.9%(2 875/9 960). There was a statistical significance between eating at night with anxiety symptoms( OR =1.40-2.54), and breakfast skipping with anxiety symptoms( OR =1.23-1.60)( P <0.05). The interaction between eating late at night and breakfast skipping was positively correlated with college students anxiety symptoms (multiplicative interaction, β=0.06, 95%CI=0.02- 0.10 , P<0.01; additive interaction, OR=2.00, 95%CI=1.59-2.51, P <0.01).
Conclusion
The study suggests that the college students who eat at night and frequently skipped breakfast are more likely to have anxiety symptoms. It suggested to promote the formation of healthy eating habits of college students, so as to reduce the occurrence of anxiety sympotoms.
9.An alysis of postoperative chemotherapyr-elated anemia in elderly cancer patients
He SU ; Lingyun ZHANG ; Yunpeng LIU
Chinese Journal of Oncology 2015;(4):290-292
Objecit ve This study was conducted to investigate the correlation between anemia and postoperative chemotherapy in elderly cancer patients.Meth ods One hundred and fifty-seven elderly patients (age ≥60) with pathologically confirmed breast, lung and digestive tract cancers, who had HGB≥120 g/L and ECOG scores 0-2, were included in this study.We reviewed their clinicopathological data and analyzed the correlation of anemia in breast cancer patients after 1, 3 or 5 cycles and lung cancer patients after 1, 2 or 3 cycles of postoperative chemotherapy.Results Among the 157 cases, the overall proportion of anemia was 31.8%( 50/157) , with 18.8%in male and 47.2%in female patients ( P<0.001) .After three cycles of chemotherapy, the proportion of anemia was 57.9%in lung cancer, 34.5% in breast cancer, 26.3%in gastric cancer and 9.3%in colorectal cancer patients ( P<0.001) .The proportion of anemia during 5 cycles chemotherapy ( three cycles in lung cancer) was gradually increasing. In the lung cancer patients, anemia was observed in 66.7%of patients who received vinorelbine plus cispiatin regimen and 25.0%of cases who received vinorelbine regimen chemotherapy ( P=0.044) .Conlc usions In most elderly patients with normal hemoglobin level and in good conditions, the chemotherapy-related anemia is mild and less frequent.Age should not limit the adjuvant chemotherapy in elderly cancer patients.Attention should be paid to the possibility of anemia in elderly female lung cancer patients receiving multiple cycle platinum-based chemotherapy regimens.
10.Development and application of Beverage Addiction Scale for College Students
XU Honglü ; , TAO Shuman, YANG Jieru, SU Yunpeng, TU Xiaohong, TAO Fangbiao
Chinese Journal of School Health 2024;45(8):1166-1170
Objective:
The aim of the present study was to develop the beverage addiction scale for college students,so as to provide an effective tool for assessing college students beverage addiction.
Methods:
In November 2022, a cluster sample of 8 792 college students from three colleges in Yunnan and Jiangxi were surveyed by Beverage Addication Scale for College Students. After a through literature review, 12 items were proposed, including withdrawal symptoms, health effects and addiction symptoms, with 4 items each. The ttest and correlation analysis were used to filter the items, and exploratory factor analysis and confirmatory factor analysis were used to evaluate the structural validity of the questionnaire. In May 2023, 5 279 college students from the above three universities were surveyed again to evaluate the reliability and validity of the scale and the positive demarcation value of symptoms.
Results:
The scale fitted into a tool for measuring symptoms of beverage dependence in a college student population. The scale was composed of 11 items in accordance with withdrawal symptoms, health effects and addiction symptoms, with a cumulative contribution rate of variance was 74.51%. Cronbach α coefficients for the overall scale and three dimensions were 0.94, 0.88, 0.90 and 0.92, respectively. The correlation coefficient between each item and the total score ranged from 0.56 to 0.79, and the correlation coefficient with the dimension ranged from 0.71 to 0.92. The confirmatory factor analysis model was well fitted, and the RMSEA, CFI, TLI and SRMR value were 0.06, 0.95, 0.93 and 0.04, respectively. The application of the scale showed that scores on the scale and each dimension ≥P85 were positive for symptoms.
Conclusion
The reliability and validity of Beverage Addiction Scale for College Students is good, which can be used to evaluate the beverage addiction symptom of college students.