1.Advances in multimodality neuroimaging studies of autism spectrum disorders
Chinese Journal of Applied Clinical Pediatrics 2014;29(12):883-888
Autism spectrum disorders (ASD) is a complex,behaviorally defined,mental disorder with uncertain causes although it is more likely caused by the interaction of genetic and environmental factors.ASD's heterogeneity in pathology and phenotype makes it difficult to accurately diagnose individual patients.Therefore,it is an urgent need to develop effective tools for screening susceptible individuals for early diagnosis and treatment.This paper reviews recent neuroimaging and imaging genetic studies of ASD.The existing results indicate that proper combination of multimodal neuroimaging techniques and genetic technology is expected to reveal the pathological mechanism of ASD and might help find objective biomarkers for achieving an early and accurate diagnosis of ASD.
6.Morphological observation of hairs in two patients with loose anagen hair syndrome
Zhuo CHEN ; Zhongming LI ; Weixin FAN
Chinese Journal of Dermatology 2013;(1):56-57
Objective To observe the morphological changes of hairs in two patients with loose anagen hair syndrome.Methods Light microscopy,scanning electron microscopy and transmission electron microscopy were used to observe the morphology of hair shaft and follicles from two patients,including a 3-year-old girl child and her mother,with loose anagen hair syndrome.Results Light microscopy revealed that hair bulb was deformed,hair shaft was distorted,damaged,and even disrupted,and hairs tapered in diameter at their distal end.Scanning electron microscopy showed deformed or distorted hair shaft and wave-like edge of hair cuticles.Transmission electron microscopy revealed that pathological changes were mainly localized in the inner root sheath with vacuolization in both inner and outer root sheath cells.Intercellular adhesion was weak with a decrease or disappearance of desmosomes.Conclusion The pathological changes of hairs are mainly localized in the inner root sheath in patients with loose anagen hair syndrome.
7.Methods and effects of abdominal and pelvic shielding for pediatric chest CT examinations
Jianhua GU ; Xiuliang LU ; Weihai ZHUO ; Dunhuang FAN
Chinese Journal of Radiological Medicine and Protection 2014;34(4):298-301
Objective To investigate the methods and effects of abdominal and pelvic shielding for pediatric chest CT examinations.Methods The 705-D phantom made by Computerized Imaging Reference Systems (CIRS) was used to replace a 5-year-old child,thermoluminescent dosimeters were set in the abdomen and pelvis to measure the organ and tissue doses.Chest scans were conducted with the routine protocol for pediatric chest CT examinations.Doses to main organs and tissues in the abdomen and pelvis were measured after chest CT scans without lead apron,with lead apron covering anterior of the abdomen and pelvis and with apron wrapping same part,respectively.Results Absorbed doses to some abdominal organs near the irradiation field were up to several mGy in a procedure of pediatric chest CT examination.There were statistically significant differences among the dose values for three different scans at the same location (x2 =16.00,P < 0.05).Statistically significant difference was also found between the dose values for scans,which were measured with wrapping and covering approaches (Z =-2.52,P < 0.05).Compared to the doses in the condition of no shielding,the doses in testis and colon reduced by 71.2% and 42.3%,respectively,if the abdomen and pelvis was wrapped with a lead apron (0.35 mm Pb),and reduced by 55.9% and 26.1%,respectively,if the same lead apron was used to cover the anterior of the abdomen and pelvis.Conclusions In pediatric chest CT examinations,the use of a lead apron can effectively shield the abdomen and pelvis,and plays an important role in protection of the gonad and colon.The wrapping measure is worth being recommended.
8.Estimation of the indoor external γ-dose rate from decorative stones
Qiang WANG ; Weihai ZHUO ; Yan KONG ; Chao ZHAO ; Dunhuang FAN
Chinese Journal of Radiological Medicine and Protection 2014;34(5):376-380
Objective To establish an accurate method for estimating the indoor gamma dose rate from decorative stones.Methods Combining a room model with decorating conditions,the gamma dose rates and dose rate conversion factors (DCF) at 1 m above the floor in the room center were calculated with the Monte Carlo simulations,and the calculation results were verified through experiments.Based on the results,the limit of radionuclide contents in stone materials was further discussed.Results The DCF increases with the increase of area or thickness of decorative stones in the same room.The increase of DCF with the thickness of decorative stone is approximately linear.The DCF also increases with the area of decorative stones,but the increasing trend slows down.For the same decorative stones,the smaller the room,the larger the increase of gamma dose rate.Experimental results were consistent with the simulation results within ± 20%.Conclusions The increase of indoor gamma dose rate depends not only on the radionuclide contents,but also on the area and thickness of the decorative stones as well as the room size.The method used in this study can be used to estimate,more accurately than ever,the additional external exposure to residents due to decorative stones,and it provides a theoretical basis for revising the limit standard on radionuclide contents in decorative materials.
9.Application of damage control resuscitation in treatment of severe multiple injuries combined with traumatic hemorrhagic shock
Jianlin FAN ; Huigang QIAN ; Mejia ZHUO ; Guangan CHEN ; Wanle QI
Chinese Journal of Trauma 2010;26(7):620-623
Objective To investigate the clinical value of damage control resuscitation ( DCR) in the treatment of severe multiple injuries combined with traumatic hemorrhagic shock. Methods A retrospective analysis was done on 27 patients with severe multiple injuries combined with traumatic hemorrhagic shock treated by DCR. Another 32 patients treated with traditional aggressive/normotensive fluid resuscitation were used as control. Lactic acid clearance time, coagulation, diffuse intravascular coagulation (DIC) morbidity, and mortality were observed and compared between two groups. Results Compared with traditional aggressive/normotensive fluid resuscitation, DCR had better curative effect, shorter clearance time of lactic acid, more rapid recovery of blood coagulation function and lower incidence of DIC morbidity and lower mortality for patients with severe multiple injuries combined with traumatic hemorrhagic shock. Conclusions In the treatment of severe multiple injuries combined with traumatic hemorrhagic shock, the use of DCR can remarkably improve the survival rate of patients and also provide a new way for resuscitation and rescue of other types of shock patients.
10.Early intervention impact on neurodevelopmental outcome of very preterm infants and VLBW infants at 1 year corrected age
Xin YUAN ; Xia LI ; Xue LI ; Yue ZHUO ; Xiufang FAN
International Journal of Pediatrics 2015;42(5):556-559
Objective To evaluate neurodevelopmental outcome of very preterm(gestational age < 32 weeks) and very low birth weight infant (VLBWI) (weight < 1 500 g) and to examine the effectiveness of an early intervention program till 12 months corrected age.Methods Seventy followed-up very preterms and VLB-WI in Jinan Maternity and Childcare Hospital were enrolled in this study from January 2012 to and were divided into two groups by birth weight.All infants received 20 items of behavioral neurological assessment at 1 to 12 months corrected age and tested mental and psychomotor development with the use of CDCC at 6,12 months corrected age.The preterms who were abnomal in the 20 items of behavioral neurological assessment would receive early intervention (including kinesitherapy, physiotherapy, cereal circulation therapeutic equipment) by physiotherapists and their parents who received an intervention program training and were strongly encouraged to participate in the intervention sessions.The intervention method was adjusted according to the neurological assessment.The SPSS statistical software package for Windows, version 15.0, was used to run Fisher's exact test and t-test on the data presented,and P value of less than 0.05 was regarded as statistically significant.Results The average gestational age of infants was (30.4 ± 1.8) weeks,and average birth weight (1 463.7 ± 307.5) g.The incidence of extrauterine growth restriction was 57.1% at first follow-up.The incidence of neurodevelpmental impairment NDI) and cerebral palsy tendency at 6 corrected months were 14.3% ,8.6% respectively.At 12 months corrected age,the incidence of NDI decreased to 2.9% and cerebral palsy to 2.9%.There was significant difference in the incidence of NDI between 6 and 12 corrected months.There was no significant difference in the incidence of psychomotor developmental index < 70, mental developmental index < 70, NDI and cerebral palsy between the two groups.Conclusion The early intervention program can improve VLBWI neurodevelopmental outcomes at 12 months' corrected age and reduce the incidence of cerebral palsy.