1.A thought on establishing the course of comparative imaging medicine for graduate students
Journal of Medical Postgraduates 2004;0(01):-
This article discussed the necessity and method of setting up a comparative imaging medicine course, which is considered to be valuable for the future development and creativity of graduate students majored in nuclear medicine and imaging medicine.
2.Study on the stability of forsythiaside
Chinese Traditional Patent Medicine 1992;0(05):-
Objective: To study the stability of forsythiaside. Methods: The stability of forsythiaside was studied by using UV spectrum obsiving the changes of spectrums in different conditions. Results: Forsythiaside was very unstable under the condition of alkali (pH=9.40), relatively stable at the pH=6.86, 60?Cand stable at the pH= 4.03 . Conclusion: The stability of forsythiaside can be affected by the condition of the acid, alkali and temperatures obviously.
3.Effect of one-time exhaustive exercise on individual' s mood states
Chinese Journal of Behavioral Medicine and Brain Science 2011;20(10):929-931
Objective To study the changes of the mood states at different time point of one-time exhaustive exercise.Methods16 participants were tested by POMS at the moments before,at,after recovery and after recovery 20 min of one-time exhaustive exercise.Results The scores of the 7 subscales got by 4 measures were used for one-way repeated measures analysis of variance.The results were showed that tension subscale scores (F (3.45) =0.335,P>0.05,ES =0.022),anger subscale scores (F(3.45) =3.683,P>0.05,ES =0.197),fatigue subscale scores (F(3.45 =0.863,P>0.05,ES =0.054),depression subscale scores (F(3.45) =1.905,P> 0.05,ES =0.113 ),confusion subscale scores (F( 3.45) =0.601,P > 0.05,ES =0.039 ) and self-esteem subscale scores (F(3.45) =2.804,P > 0.05,ES =0.157 ) had no significant differences,but vigor subscale scores increased significantly (F(3.45) =8.778,P < 0.01,ES =0.369).Conclusion One-time exhaustive exercises enhanced individual' s positive mood states.
4.Therapeutic effect of nasal continuous positive airway pressure ventilation on treatment of neonates with severe respiratory disease and hypoxaemia
Lei ZHANG ; Jing GONG ; Liwei ZHANG
Modern Clinical Nursing 2015;(5):27-29
Objective To explore the effect of nasal continuous positive airway pressure ventilation on severe respiratory disease and hypoxaemia. Methods In 30 neonates with severe respiratory disease-induced hypoxemia were managed with nasal continuous positive airway pressure, and corresponding nursing. Nasal continuous positive airway pressure before and after treatment, 24h arterial partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PCO2), PaO2/FiO2 and pH value in children were observed. Result After nasal continuous positive airway pressure ventilation, the levels of PaO2, post-PCO2, PaO2/FiO2 and pH value of children were better than the positive pressure ventilation before treatment and positive pressure ventilation (P < 0.05). Conclusions Nasal continuous positive airway pressure ventilation has good therapeutic effect on severe respiratory disease in children with neonatal hypoxemia. Good ventilation pressure regulation, skin and mucosa protection, prevention of vomiting in children with nursing to ensure the positive significance of continuous positive airway pressure therapy.
5.Introduction of Evidence-based Medicine to Obstetrics and Gynecology Teaching
Liwei ZHANG ; Qin LOU ; Xinhua ZHANG
Chinese Journal of Medical Education Research 2003;0(04):-
This article aims to study the present condition and disadvantages of current obstetrics and gynecology teaching and discuss the urgent needs and methods of evidence-based medicine (EBM) introduction to it.
6.Transplanted pulmonary cancer model in experimental animals:recent progress in research
Liwei WANG ; Liyun ZHANG ; Zhongmin WANG
Journal of Interventional Radiology 2015;(7):645-649
Nowadays, lung cancer has become one of the most common malignant tumors. The animal models of lung cancer have played very important role in the research on the etiology, diagnosis and treatment of human lung cancers. According to the preparation method, the animal models of lung cancer can be divided into spontaneous, induced, transplanted and transgenic models. The transplanted animal models are most commonly used. Transplanted animal models can be classified into heterotopic transplantation model and orthotopic transplantation model, each has its own characteristics. This article aims to introduce the research progress of transplanted animal models of lung cancer in recent years, focusing on the establishment of animal model, the improvement of preparation of animal model, the application of imaging in vivo in evaluating the animal model, the use of transplanted animal model in the study of interventional therapy, etc.
7.Formulation of combined predictive indicators using logistic regression model in predicting sepsis and prognosis
Liwei DUAN ; Sheng ZHANG ; Zhaofen LIN
Chinese Critical Care Medicine 2017;29(2):139-144
Objective To explore the method and performance of using multiple indices to diagnose sepsis and to predict the prognosis of severe ill patients.Methods Critically ill patients at first admission to intensive care unit (ICU) of Changzheng Hospital, Second Military Medical University, from January 2014 to September 2015 were enrolled if the following conditions were satisfied: ① patients were 18-75 years old;② the length of ICU stay was more than 24 hours; ③ All records of the patients were available. Data of the patients was collected by searching the electronic medical record system. Logistic regression model was formulated to create the new combined predictive indicator and the receiver operating characteristic (ROC) curve for the new predictive indicator was built. The area under the ROC curve (AUC) for both the new indicator and original ones were compared. The optimal cut-off point was obtained where the Youden index reached the maximum value. Diagnostic parameters such as sensitivity, specificity and predictive accuracy were also calculated for comparison. Finally, individual values were substituted into the equation to test the performance in predicting clinical outcomes.Results A total of 362 patients (218 males and 144 females) were enrolled in our study and 66 patients died. The average age was (48.3±19.3) years old. ① For the predictive model only containing categorical covariants [including procalcitonin (PCT), lipopolysaccharide (LPS), infection, white blood cells count (WBC) and fever], increased PCT, increased WBC and fever were demonstrated to be independent risk factors for sepsis in the logistic equation. The AUC for the new combined predictive indicator was higher than that of any other indictor, including PCT, LPS, infection, WBC and fever (0.930 vs. 0.661, 0.503, 0.570, 0.837, 0.800). The optimal cut-off value for the new combined predictive indicator was 0.518. Using the new indicator to diagnose sepsis, the sensitivity, specificity and diagnostic accuracy rate were 78.00%, 93.36% and 87.47%, respectively. One patient was randomly selected, and the clinical data was substituted into the probability equation for prediction. The calculated value was 0.015, which was less than the cut-off value (0.518), indicating that the prognosis was non-sepsis at an accuracy of 87.47%. ② For the predictive model only containing continuous covariants, the logistic model which combined acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score and sequential organ failure assessment (SOFA) score to predict in-hospital death events, both APACHE Ⅱ score and SOFA score were independent risk factors for death. The AUC for the new predictive indicator was higher than that of APACHE Ⅱ score and SOFA score (0.834 vs. 0.812, 0.813). The optimal cut-off value for the new combined predictive indicator in predicting in-hospital death events was 0.236, and the corresponding sensitivity, specificity and diagnostic accuracy for the combined predictive indicator were 73.12%, 76.51% and 75.70%, respectively. One patient was randomly selected, and the APACHE Ⅱscore and SOFA score was substituted into the probability equation for prediction. The calculated value was 0.570, which was higher than the cut-off value (0.236), indicating that the death prognosis at an accuracy of 75.70%.Conclusion The combined predictive indicator, which is formulated by logistic regression models, is superior toany single indicator in predicting sepsis or in-hospital death events.
8.Tongue flap combined with local mucosal flap for repairing palate fistulae
Liwei DONG ; Binglun LU ; Zhaoxiang ZHANG
Chinese Journal of Medical Aesthetics and Cosmetology 2017;23(2):114-117
Objective To introduce a modified surgical technique for repairing palate fistulae.Methods Based on the clinical categories of palate fistulae,local mucosal flap was designed,if possible,to reduce the area of the fistulae and reshape the fistulae.Then the thin tongue flap with anterior pedicle was designed for repairing the palate fistulae,without much limitation of tongue movement and excessive tension of tongue flap pedicle short lingual frenulum correction was performed firstly to release the motion of tongue,if necessary.The donor site was closed directly.Three weeks later division of the tongue flap,as well as detailed appearance correction of tongue,was carried out at the same time.Results 12 cases were treated,and followed up for 6-12 months.For all the cases,the defect of fistulae was totally repaired,while aesthetics appearance of tongue was satisfactory,and no interference with speech with the use of tongue as donor site.Oral hygiene and mastication were unimpaired.No patient described disability of sensory or gustatory postoperatively.Conclusions Tongue flap has sufficient blood supply,while impairment of donor site is minimal.The planning and procedure of surgery are relatively simple.It is an ideal flap in treatment of palate fistulae.
9.Research of relationship between arthrochalasis and developmental dislocation of hip
Liwei SHI ; Qun ZHAO ; Lijun ZHANG
Orthopedic Journal of China 2006;0(13):-
[Objective] To study the relationship between arthrochalasis and developmental dislocation of hip(DDH).[Methods]One hundred and seventy-six patients with DDH treated from Jaunary 2006 to December 2006 in the Shengjing Hospital of China Medical University were evaluated retrospectively.The average age was 3.54 years old(range,from 6 months to 15 years),with 153 females and 23 males.Eighty-four patients had both,58 left and 34 right.Totally 192 normal children were controls,and the average age was 3.67 years old(range,from 4 months to 15 years).The diagnosis of DDH was depended on clinical manifestations,radiography and ultrasonography.The criteria of arthrochalasia were the standards proposed by Wynne Davies.SPSS version 10.0 for Windows was used to perform statistical analysis.?2 test and spearman test was conducted for obtained data.A P
10.Distribution and expression of PDGF-A in the ligamentum teres of children with developmental dislocation of the hip
Liwei SHI ; Qun ZHAO ; Lijun ZHANG
Orthopedic Journal of China 2006;0(13):-
[Objective] This study examined the distribution and the expression of platelet-derived growth factor-A (PDGF-A) in the ligamentum teres of children with developmental dislocation of the hip (DDH) and normal persons in order to investigate the roles of PDGF-A in hip joint laxity. [Methods]There were six pairs of joint laxity of children with DDH and normal children (control group) matched to gender and age. Immunohistochemistry (SP method) method was used to detect the location and distribution of the PDGF-A in the ligamentum teres,and to semi-quantify their content.Semiquantitative RT-PCR method was used to detect the PDGF-A in the ligamentum teres at mRNA level. The quantitative analysis of the PDGF-A was performed by professional image software and the results were analyzed with standard statistical methods.[Results]High density expression was observed in the synovial layer with fibroblast regularly arranged parallel to the joint surface in the ligamentum teres. PDGF-A distribution was decreased in the fibrous layer of the ligamentum teres. There were significant differences in the percentage of positive fibroblast and gray-scale density in the fibrous layer between DDH group and control group (P