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Wan DY, Lai W, He M, Zhong-Wei Z. Hyperornithinemia-hyperammonemia-homocitrullinuria syndrome: A neonate receiving liver transplantation. Asian J Surg 2024:S1015-9584(24)00405-6. [PMID: 38443250 DOI: 10.1016/j.asjsur.2024.02.143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Accepted: 02/23/2024] [Indexed: 03/07/2024] Open
Affiliation(s)
- Ding-Yuan Wan
- West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Wei Lai
- Department of Pediatric Intensive Care Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Min He
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.
| | - Zhang Zhong-Wei
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.
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Wang YC, Jin XY, Lei Z, Liu XJ, Liu Y, Zhang BG, Gong J, Wang LT, Shi LY, Wan DY, Fu X, Wang LP, Ma AJ, Cheng YS, Yang J, He M, Jin XD, Kang Y, Wang B, Zhang ZW, Wu Q. Gastrointestinal manifestations of critical ill heatstroke patients and their associations with outcomes: A multicentre, retrospective, observational study. World J Gastroenterol 2024; 30:346-366. [PMID: 38313238 PMCID: PMC10835541 DOI: 10.3748/wjg.v30.i4.346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 12/17/2023] [Accepted: 01/09/2024] [Indexed: 01/26/2024] Open
Abstract
BACKGROUND Extreme heat exposure is a growing health problem, and the effects of heat on the gastrointestinal (GI) tract is unknown. This study aimed to assess the incidence of GI symptoms associated with heatstroke and its impact on outcomes. AIM To assess the incidence of GI symptoms associated with heatstroke and its impact on outcomes. METHODS Patients admitted to the intensive care unit (ICU) due to heatstroke were included from 83 centres. Patient history, laboratory results, and clinically relevant outcomes were recorded at ICU admission and daily until up to day 15, ICU discharge, or death. GI symptoms, including nausea/vomiting, diarrhoea, flatulence, and bloody stools, were recorded. The characteristics of patients with heatstroke concomitant with GI symptoms were described. Multivariable regression analyses were performed to determine significant predictors of GI symptoms. RESULTS A total of 713 patients were included in the final analysis, of whom 132 (18.5%) patients had at least one GI symptom during their ICU stay, while 26 (3.6%) suffered from more than one symptom. Patients with GI symptoms had a significantly higher ICU stay compared with those without. The mortality of patients who had two or more GI symptoms simultaneously was significantly higher than that in those with one GI symptom. Multivariable logistic regression analysis revealed that older patients with a lower GCS score on admission were more likely to experience GI symptoms. CONCLUSION The GI manifestations of heatstroke are common and appear to impact clinically relevant hospitalization outcomes.
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Affiliation(s)
- Yu-Cong Wang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Xin-Yang Jin
- School of Pharmacy, Macau University of Science and Technology, Macau 999078, China
| | - Zheng Lei
- Department of Critical Care Medicine, The First People's Hospital of Ziyang City, Ziyang 641399, Sichuan Province, China
| | - Xiao-Jiao Liu
- Department of Critical Care Medicine, The First People's Hospital of Guanghan City, Chengdu 618399, Sichuan Province, China
| | - Yu Liu
- Department of Critical Care Medicine, Lezhi County Traditional Chinese Medicine Hospital, Chengdu 641599, Sichuan Province, China
| | - Bang-Guo Zhang
- Department of Critical Care Medicine, Chengdu Qingbaijiang District People's Hospital, Chengdu 610399, Sichuan Province, China
| | - Jian Gong
- Department of Critical Care Medicine, Ziyang People's Hospital, Chengdu 641399, Sichuan Province, China
| | - Lie-Tao Wang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Lv-Yuan Shi
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Ding-Yuan Wan
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Xin Fu
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Lu-Ping Wang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Ai-Jia Ma
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Yi-Song Cheng
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Jing Yang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Min He
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Xiao-Dong Jin
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Yan Kang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Bo Wang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Zhong-Wei Zhang
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
| | - Qin Wu
- Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
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Liu S, Li J, Wan DY, Li R, Qu Z, Hu Y, Liu J. Effectiveness of eHealth Self-management Interventions in Patients With Heart Failure: Systematic Review and Meta-analysis. J Med Internet Res 2022; 24:e38697. [PMID: 36155484 PMCID: PMC9555330 DOI: 10.2196/38697] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 08/02/2022] [Accepted: 09/06/2022] [Indexed: 11/13/2022] Open
Abstract
Background Heart failure (HF) is a common clinical syndrome associated with substantial morbidity, a heavy economic burden, and high risk of readmission. eHealth self-management interventions may be an effective way to improve HF clinical outcomes. Objective The aim of this study was to systematically review the evidence for the effectiveness of eHealth self-management in patients with HF. Methods This study included only randomized controlled trials (RCTs) that compared the effects of eHealth interventions with usual care in adult patients with HF using searches of the EMBASE, PubMed, CENTRAL (Cochrane Central Register of Controlled Trials), and CINAHL databases from January 1, 2011, to July 12, 2022. The Cochrane Risk of Bias tool (RoB 2) was used to assess the risk of bias for each study. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria were used to rate the certainty of the evidence for each outcome of interest. Meta-analyses were performed using Review Manager (RevMan v.5.4) and R (v.4.1.0 x64) software. Results In total, 24 RCTs with 9634 participants met the inclusion criteria. Compared with the usual-care group, eHealth self-management interventions could significantly reduce all-cause mortality (odds ratio [OR] 0.83, 95% CI 0.71-0.98, P=.03; GRADE: low quality) and cardiovascular mortality (OR 0.74, 95% CI 0.59-0.92, P=.008; GRADE: moderate quality), as well as all-cause readmissions (OR 0.82, 95% CI 0.73-0.93, P=.002; GRADE: low quality) and HF-related readmissions (OR 0.77, 95% CI 0.66-0.90, P<.001; GRADE: moderate quality). The meta-analyses also showed that eHealth interventions could increase patients’ knowledge of HF and improve their quality of life, but there were no statistically significant effects. However, eHealth interventions could significantly increase medication adherence (OR 1.82, 95% CI 1.42-2.34, P<.001; GRADE: low quality) and improve self-care behaviors (standardized mean difference –1.34, 95% CI –2.46 to –0.22, P=.02; GRADE: very low quality). A subgroup analysis of primary outcomes regarding the enrolled population setting found that eHealth interventions were more effective in patients with HF after discharge compared with those in the ambulatory clinic setting. Conclusions eHealth self-management interventions could benefit the health of patients with HF in various ways. However, the clinical effects of eHealth interventions in patients with HF are affected by multiple aspects, and more high-quality studies are needed to demonstrate effectiveness.
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Affiliation(s)
- Siru Liu
- Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States
| | - Jili Li
- West China School of Medicine, Sichuan University, Chengdu, China
| | - Ding-Yuan Wan
- West China School of Medicine, Sichuan University, Chengdu, China
| | - Runyi Li
- College of Computer Science, Sichuan University, Chengdu, China
| | - Zhan Qu
- West China School of Medicine, Sichuan University, Chengdu, China
| | - Yundi Hu
- School of Data Science, Fudan University, Shanghai, China
| | - Jialin Liu
- Department of Medical Informatics, West China Hospital, Sichuan University, Chengdu, China
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Dong W, Wan DY, Yang X, Fu M, Liu X, Li H, Xie XQ. Delayed onset of fat embolus in the cerebral venous system after breast and hip augmentation: a case report. BMC Neurol 2021; 21:411. [PMID: 34702212 PMCID: PMC8549338 DOI: 10.1186/s12883-021-02419-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Accepted: 09/29/2021] [Indexed: 02/08/2023] Open
Abstract
Background Cerebral fat embolism (CFE) is a subtype of fat embolism syndrome which tends to cause ischemic cerebral infarction. Fat embolism in the cerebral venous system have not been reported. We hereby present a rare case of fat embolus formed in the cerebral venous system 10 days after cosmetic surgery, and describe our management of this patient. Case presentation A 26-year-old woman with the disturbance of consciousness and recurrent convulsions of the right upper extremity over a 21-h period was admitted to our hospital. The patient was initially diagnosed with haemorrhagic infarction, and cerebral venous thrombosis (CVT) was suspected based on computed tomography (CT). A diagnosis of CFE was confirmed based on surgical findings. Breast and hip augmentation performed 10 days ago was considered the underlying cause. Drug-induced hypothermia, low molecular weight heparin, atorvastatin, dexamethasone, piperacillin/tazobactam, valproic acid, and mannitol were applied. On hospital day 30, she was discharged with a Montreal Cognitive Assessment score of 25. Conclusions Fat embolism can occur in the cerebral venous system, and may mimic CVT symptoms rather than CFE symptoms. Early identification of the nature of the embolus is essential. The use of heparin may prevent secondary thrombus formation, and accelerate fat embolus decomposition.
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Affiliation(s)
- Wei Dong
- Department of Neuro-intensive Care Unit, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Ding-Yuan Wan
- West China School of Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Xiang Yang
- Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Min Fu
- Department of Neuro-intensive Care Unit, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Xing Liu
- Department of Intensive Care Unit, Mianyang 404 Hospital, Mianyang, 621000, China
| | - Hao Li
- Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Xiao-Qi Xie
- Department of Neuro-intensive Care Unit, West China Hospital, Sichuan University, Chengdu, 610041, China.
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Zeng SW, Yin XM, Herng TS, Han K, Huang Z, Zhang LC, Li CJ, Zhou WX, Wan DY, Yang P, Ding J, Wee ATS, Coey JMD, Venkatesan T, Rusydi A, Ariando A. Oxygen Electromigration and Energy Band Reconstruction Induced by Electrolyte Field Effect at Oxide Interfaces. Phys Rev Lett 2018; 121:146802. [PMID: 30339445 DOI: 10.1103/physrevlett.121.146802] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Indexed: 06/08/2023]
Abstract
Electrolyte gating is a powerful means for tuning the carrier density and exploring the resultant modulation of novel properties on solid surfaces. However, the mechanism, especially its effect on the oxygen migration and electrostatic charging at the oxide heterostructures, is still unclear. Here we explore the electrolyte gating on oxygen-deficient interfaces between SrTiO_{3} (STO) crystals and LaAlO_{3} (LAO) overlayer through the measurements of electrical transport, x-ray absorption spectroscopy, and photoluminescence spectra. We found that oxygen vacancies (O_{vac}) were filled selectively and irreversibly after gating due to oxygen electromigration at the amorphous LAO/STO interface, resulting in a reconstruction of its interfacial band structure. Because of the filling of O_{vac}, the amorphous interface also showed an enhanced electron mobility and quantum oscillation of the conductance. Further, the filling effect could be controlled by the degree of the crystallinity of the LAO overlayer by varying the growth temperatures. Our results reveal the different effects induced by electrolyte gating, providing further clues to understand the mechanism of electrolyte gating on buried interfaces and also opening a new avenue for constructing high-mobility oxide interfaces.
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Affiliation(s)
- S W Zeng
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
| | - X M Yin
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
- Singapore Synchrotron Light Source (SSLS), National University of Singapore, 5 Research Link, Singapore 117603, Singapore
- SZU-NUS Collaborative Innovation Center for Optoelectronic Science & Technology, Key Laboratory of Optoelectronic Devices and Systems of Ministry of Education and Guangdong Province, College of Optoelectronic Engineering, Shenzhen University, Shenzhen 518060, China
| | - T S Herng
- Department of Materials Science and Engineering, National University of Singapore, Singapore 117576, Singapore
| | - K Han
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
| | - Z Huang
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
| | - L C Zhang
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
| | - C J Li
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Materials Science and Engineering, National University of Singapore, Singapore 117576, Singapore
| | - W X Zhou
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
| | - D Y Wan
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
| | - P Yang
- Singapore Synchrotron Light Source (SSLS), National University of Singapore, 5 Research Link, Singapore 117603, Singapore
| | - J Ding
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Materials Science and Engineering, National University of Singapore, Singapore 117576, Singapore
| | - A T S Wee
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
- Centre for Advanced 2D Materials and Graphene Research, National University of Singapore, Singapore 117546, Singapore
| | - J M D Coey
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- School of Physics and CRANN, Trinity College, Dublin 2, Ireland
| | - T Venkatesan
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
- Department of Materials Science and Engineering, National University of Singapore, Singapore 117576, Singapore
- Department of Electrical and Computer Engineering, National University of Singapore, Singapore 117576, Singapore
- National University of Singapore Graduate School for Integrative Sciences and Engineering (NGS), 28 Medical Drive, Singapore 117456, Singapore
| | - A Rusydi
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
- Singapore Synchrotron Light Source (SSLS), National University of Singapore, 5 Research Link, Singapore 117603, Singapore
| | - A Ariando
- NUSNNI-NanoCore, National University of Singapore, Singapore 117411, Singapore
- Department of Physics, National University of Singapore, Singapore 117542, Singapore
- National University of Singapore Graduate School for Integrative Sciences and Engineering (NGS), 28 Medical Drive, Singapore 117456, Singapore
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Wan DY, Cerklewski FL, Leklem JE. Increased plasma pyridoxal-5'-phosphate when alkaline phosphatase activity is reduced in moderately zinc-deficient rats. Biol Trace Elem Res 1993; 39:203-10. [PMID: 7509177 DOI: 10.1007/bf02783190] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
It is generally believed that the zinc metalloenzyme alkaline phosphatase is required to hydrolyze phosphorylated forms of vitamin B-6 prior to their use. To test this hypothesis, rats were fed a liquid diet containing either adequate or moderately low zinc during gestation and lactation. Zinc deficiency was produced in dams evidenced by significant reductions in zinc concentration of plasma (49%), liver (25%), and femur (24%), and plasma alkaline phosphatase activity (48%). Plasma pyridoxal-5'-phosphate (PLP), which significantly increased (61%) in these same rats, was negatively correlated (r = -0.74, P < 0.02) with plasma alkaline phosphatase activity. Maternal liver PLP concentration was unaffected by zinc status. The zinc and vitamin B-6 relationship seen in dams was less observable in offspring. Stimulation of erythrocyte alanine aminotransferase activity by exogenously added PLP in vitro tended to be higher in both moderately zinc-deficient mothers and their offspring, but the difference was not significant. Our results support the hypothesis that alkaline phosphatase activity is required for the hydrolysis of plasma PLP. Our results also suggest that zinc status as alkaline phosphatase activity should be defined in an individual if plasma PLP is to be used as an indicator of vitamin B-6 status.
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Affiliation(s)
- D Y Wan
- Oregon State University, Department of Nutrition and Food Management, Corvallis 97331-5103
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Liu CJ, Zhao ZH, Wan DY. [Chemical constituents of Parthenocissus thomsonii (Laws.) Planch]. Zhongguo Zhong Yao Za Zhi 1992; 17:672-3, 703. [PMID: 1301754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Five compounds (1-5) were isolated from the leaves of Parthenocissus thomsonii collected in Henan. On the basis of chemical reaction and spectroscopic studies, 1, 2 and 3 were identified as friedelin, epifriedelanol and quercetin respectively.
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Affiliation(s)
- C J Liu
- Henan Provincial Institute of Medical Sciences, Zhengzhou
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