1
|
Zhu HM, Gao L, Xie B, Jiao W, Sun XL. [Investigation and influencing factors on pelvic floor muscle strength of 929 adult females in gynecological outpatient department]. Zhonghua Fu Chan Ke Za Zhi 2023; 58:351-358. [PMID: 37217342 DOI: 10.3760/cma.j.cn112141-20230306-00100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Objective: To investigate the present situation of pelvic floor muscle strength, and to analyze the factors affecting pelvic floor muscle strength. Methods: The data of patients who were admitted into the general outpatient department of gynecology, Peking University People's Hospital from October 2021 to April 2022 were collected, and the patients who met the exclusion criteria were included in this cross sectional study. The patient's age, height, weight, education level, defecation way and defecation time, birth history, maximum newborn birth weight, occupational physical activity, sedentary time, menopause, family history and disease history were recorded by questionnaire. Morphological indexes such as waist circumference, abdomen circumference and hip circumference were measured with tape measure. Handgrip strength level was measured with grip strength instrument. After performing routine gynecological examinations, the pelvic floor muscle strength was evaluated by palpation with modified Oxford grading scale (MOS). MOS grade>3 was taken as normal group and ≤3 as decreased group. Binary logistic regression was used to investigate the related factors of deceased pelvic floor muscle strength. Results: A total of 929 patients were included in the study, and the average MOS grade was 2.8±1.2. By univariate analysis, birth history, menopausal time, defecation time, handgrip strength level, waist circumference and abdominal circumference were related to the decrease of pelvic floor muscle strength (all P<0.05). By binary logistic regression analysis, the level of handgrip strength (OR=0.913, 95%CI: 0.883-0.945; P<0.001) was correlated with normal pelvic floor muscle strength; waist circumference (OR=1.025, 95%CI: 1.005-1.046; P=0.016), birth history (OR=2.224, 95%CI: 1.570-3.149; P<0.001), sedentary time> 8 hours (OR=2.073, 95%CI: 1.198-3.587; P=0.009) were associated with the decrease of pelvic floor muscle strength. Conclusions: The level of handgrip strength is related to the normal pelvic floor muscle strength of females, while the waist circumference, birth history and sedentary time>8 hours are related to the decrease of pelvic floor muscle strength of females. In order to prevent the decrease of pelvic floor muscle strength, it is necessary to carry out relevant health education, enhance exercise, improve the overall strength level, reduce daily sedentary time, maintain symmetry, and carry out comprehensive overall intervention to improve pelvic floor muscle function.
Collapse
Affiliation(s)
- H M Zhu
- Department of Sports Medicine and Rehabilitation, Beijing Sports University, Beijing 100084, China Department of Obstetrics and Gynecology, Peking University People's Hospital, the Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China
| | - L Gao
- Department of Obstetrics and Gynecology, Peking University People's Hospital, the Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China
| | - B Xie
- Department of Obstetrics and Gynecology, Peking University People's Hospital, the Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China
| | - W Jiao
- Department of Sports Medicine and Rehabilitation, Beijing Sports University, Beijing 100084, China
| | - X L Sun
- Department of Obstetrics and Gynecology, Peking University People's Hospital, the Key Laboratory of Female Pelvic Floor Disorders, Beijing 100044, China
| |
Collapse
|
2
|
Zhang CJ, Su YJ, Chen Y, Wang ZJ, Hu SL, Xu HH, Liu YP, Li XY, Zhu HM, Yi HL, Guan J, Teng YC, Yin S. [Sleep quality and sleep disturbances in Chinese pregnant women: a multicenter cross-sectional study]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57:308-316. [PMID: 35325943 DOI: 10.3760/cma.j.cn115330-20210603-00326] [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: 06/14/2023]
Abstract
Objective: This study aims to investigate the sleep quality of pregnant women in Xuhui District, Shanghai, and the related factors of sleep disturbances during pregnancy. Methods: From February 2019 to February 2021, we used online integrated sleep questionnaire (including PSQI, BQ, ESS, AIS) in Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, The International Peace Maternity and Child Health Hospitals of China Welfare Institution, and Shanghai Eighth People's Hospital, to investigate the sleep quality across pregnancy. We also collected maternal physical examination results, childbearing history, sociodemographic, and other clinical data. The prevalences and related factors of various sleep disturbances in pregnant women were analyzed, including insufficient/excessive nighttime sleep, low sleep efficiency, difficulty falling asleep, poor sleep quality, insomnia, daytime sleepiness, and high risk of sleep-disordered breathing (SDB). Results: This study includes 1 898 cases in the first trimester (T1), 3 099 cases in the second trimester (T2), and 1 539 cases in the third trimester (T3). Poor sleep quality (38.6%), daytime sleepiness (mild 41.9%, moderate 17.7%, severe 2.1%), and suspicious insomnia (32.3%) are most prevalent among women in T1 (P<0.01). In comparison, short sleep time (2.7%), long sleep time (8.6%), difficulty falling asleep (12.2%), poor sleep efficiency (35.4%), very poor sleep quality (6.7%), clinical insomnia (21.8%), and high-risk SDB (6.4%) are most prevalent among women in T3 (P<0.05). During pregnancy, late gestation (OR=1.016, 95%CI: 1.006-1.025) and multiple induced/drug abortions (OR=1.329, 95%CI: 1.043-1.692) are risk factors for poor sleep quality (PSQI>5), while multiple full-term deliveries (OR=0.800, 95%CI: 0.675-0.949) is its protective factor. Advanced maternal age (OR=0.976, 95%CI: 0.956-0.997), multiple full-term deliveries (OR=0.808, 95%CI: 0.680-0.959), late gestation (OR=0.983, 95%CI: 0.974-0.992) and hypertension (OR=0.572, 95%CI: 0.401-0.814) are protective factors for daytime sleepiness (ESS>6). The high-risk pregnancy category (OR=9.312, 95%CI: 1.156-74.978) is a risk factor for insomnia (AIS≥4), while multiple full-term deliveries (OR=0.815, 95%CI: 0.691-0.961) is its protective factor. High BMI (OR=1.334, 95%CI: 1.270-1.402) and hypertension (OR=4.427, 95%CI: 2.539-7.719) are risk factors for high-risk SDB in pregnant women. Conclusions: The prevalences of various sleep disturbances are high throughout pregnancy. Noticeably, symptoms of maternal SDB develop along with pregnancy. Different types of sleep disturbances are associated with different factors. Women of high-risk pregnancy category, in late gestation, with high BMI, hypertension, a history of induced/drug abortion, or without a history of full-term delivery can be at high risk of sleep disturbances during pregnancy.
Collapse
Affiliation(s)
- C J Zhang
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China Otorhinolaryngology Institute of Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - Y J Su
- Otorhinolaryngology Institute of Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China Department of Nursing, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China
| | - Y Chen
- Department of Obstetrics, the International Peace Maternity and Child Health Hospitals of China Welfare Institution, Shanghai 200233, China
| | - Z J Wang
- Department of Gynecology and Obstetrics, Shanghai Eighth People's Hospital, Shanghai 200233, China
| | - S L Hu
- Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China Department of Nursing, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China
| | - H H Xu
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China Otorhinolaryngology Institute of Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - Y P Liu
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China Otorhinolaryngology Institute of Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - X Y Li
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China Otorhinolaryngology Institute of Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - H M Zhu
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China Otorhinolaryngology Institute of Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - H L Yi
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China Otorhinolaryngology Institute of Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - J Guan
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China Otorhinolaryngology Institute of Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - Y C Teng
- Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China Department of Gynecology and Obstetrics, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China
| | - Shankai Yin
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai 200233, China Otorhinolaryngology Institute of Shanghai Jiao Tong University, Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| |
Collapse
|
3
|
Zhang P, Jiang CQ, Xiong ZG, Zheng YB, Fu YF, Li XM, Pang DF, Liao XF, Tong X, Zhu HM, Yang ZH, Gong GW, Yin XP, Li DL, Li HJ, Chen HL, Jiang XF, He ZJ, Lu YJ, Shuai XM, Gao JB, Cai KL, Tao KX. [Diagnosis and treatment status of perioperative anemia in patients with gastrointestinal neoplasms: a multi-center study in Hubei Province]. Zhonghua Wai Ke Za Zhi 2022; 60:32-38. [PMID: 34954944 DOI: 10.3760/cma.j.cn112139-20210405-00160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the incidence and treatment of perioperative anemia in patients with gastrointestinal neoplasms in Hubei Province. Methods: The clinicopathological data of 7 474 patients with gastrointestinal neoplasms in 62 hospitals in 15 cities (state) of Hubei Province in 2019 were collected in the form of network database. There were 4 749 males and 2 725 females. The median age of the patients was 62 years (range: 17 to 96 years). The hemoglobin value of the first time in hospital and the first day after operation was used as the criterion of preoperative anemia and postoperative anemia. Anemia was defined as male hemoglobin <120 g/L and female hemoglobin <110.0 g/L, mild anemia as 90 to normal, moderate anemia as 60 to <90 g/L, severe anemia as <60 g/L. The t test and χ2 test were used for inter-group comparison. Results: The overall incidence of preoperative anemia was 38.60%(2 885/7 474), and the incidences of mild anemia, moderate anemia and severe anemia were 25.09%(1 875/7 474), 11.37%(850/7 474) and 2.14%(160/7 474), respectively. The overall incidence of postoperative anemia was 61.40%(4 589/7 474). The incidence of mild anemia, moderate anemia and severe anemia were 48.73%(3 642/7 474), 12.20%(912/7 474) and 0.47%(35/7 474), respectively. The proportion of preoperative anemia patients receiving treatment was 26.86% (775/2 885), and the proportion of postoperative anemia patients receiving treatment was 14.93% (685/4 589). The proportions of preoperative anemia patients in grade ⅢA, grade ⅢB, and grade ⅡA hospitals receiving treatment were 26.12% (649/2 485), 32.32% (85/263), and 29.93% (41/137), and the proportions of postoperative anemia patients receiving treatment were 14.61% (592/4 052), 22.05% (73/331), and 9.71% (20/206). The proportion of intraoperative blood transfusion (16.74% (483/2 885) vs. 3.05% (140/4 589), χ²=434.555, P<0.01) and the incidence of postoperative complications (17.78% (513/2 885) vs. 14.08% (646/4 589), χ²=18.553, P<0.01) in the preoperative anemia group were higher than those in the non-anemia group, and the postoperative hospital stay in the preoperative anemia group was longer than that in the non-anemia group ((14.1±7.3) days vs. (13.3±6.2) days, t=5.202, P<0.01). Conclusions: The incidence of perioperative anemia in patients with gastrointestinal neoplasms is high. Preoperative anemia can increase the demand for intraoperative blood transfusion and affect the short-term prognosis of patients. At present, the concept of standardized treatment of perioperative anemia among gastrointestinal surgeons in Hubei Province needs to be improved.
Collapse
Affiliation(s)
- P Zhang
- Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - C Q Jiang
- Department of Colorectal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
| | - Z G Xiong
- Department of Gastrointestinal Surgery, HuBei Cancer Hospital, Wuhan 430079, China
| | - Y B Zheng
- Department of Gastrointestinal Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China
| | - Y F Fu
- Department of Gastrointestinal Surgery, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China
| | - X M Li
- Department of Gastrointestinal Surgery, Central Hospital of Edong Healthcare Group, Hubei Polytechnic University, Huangshi 435000, China
| | - D F Pang
- Department of Gastrointestinal Surgery, Jingzhou Central Hospital, Jingzhou 434020, China
| | - X F Liao
- Department of General Surgery, Xiangyang Central Hospital, Hubei College of Liberal Arts and Sciences, Xiangyang 441021, China
| | - X Tong
- Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - H M Zhu
- Department of Gastrointestinal Surgery, People's Hospital of Macheng, Huanggang 438300, China
| | - Z H Yang
- Department of Gastiointestinal Surgery, Institute of Digestive Disease, China Three Gorges University, Yichang Central People's Hospital, Yichang 443000, China
| | - G W Gong
- Department of Gastrointestinal Surgery, Xiaogan Hospital of Wuhan University of Science and Technology, Xiaogan 432600, China
| | - X P Yin
- Department of Gastrointestinal Surgery Ⅱ Ward, Xianning Central Hospital, Hubei University of Science and Technology, Xianning 437100, China
| | - D L Li
- Department of Gastrointestinal Surgery, Xishui People's Hospital, Huanggang 438200, China
| | - H J Li
- Department of General Surgery, the First People's Hospital of Zaoyang, Xiangyang 441200, China
| | - H L Chen
- Department of General Surgery, Affiliated Hospital of Hubei Institute for Nationalities, Enshi 445000, China
| | - X F Jiang
- Department of Gastrointestinal Surgery, the First People's Hospital of Jingzhou, Jingzhou 434000, China
| | - Z J He
- Department of Gastrointestinal Surgery, Renmin Hospital of Hubei University of Medicine, Shiyan 442200, China
| | - Y J Lu
- Department of Gastrointestinal Surgery, Huanggang Central Hospital, Huanggang 438000, China
| | - X M Shuai
- Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - J B Gao
- Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - K L Cai
- Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - K X Tao
- Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| |
Collapse
|
4
|
Guo WB, Liu YP, Xu HH, Meng LL, Zhu HM, Wu HM, Guan J, Yi HL, Yin SK. [Obstructive sleep apnea and metabolic syndrome: an association study based on a large sample clinical database]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021; 56:1263-1269. [PMID: 34963213 DOI: 10.3760/cma.j.cn115330-20210531-00314] [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: 06/14/2023]
Abstract
Objective: To investigate the prevalence and associated risk factors of metabolic syndrome (MS) in patients with obstructive sleep apnea (OSA). Methods: From July 2007 to June 2017, a total of 8 155 adult subjects, including 6 484 males and 1 671 females, aged 18-90 (43.13±12.28), body mass index 14.61~59.56 (25.59±3.98) kg/m2,who were admitted to the Department of Otorhinolaryngology head and Neck surgery of The Sixth People's Hospital affiliated to Shanghai Jiao Tong University, were retrospectively analyzed. All patients underwent polysomnography and biochemical tests. Subjects were divided into four groups (non-OSA, mild OSA, moderate OSA, and severe OSA) according to OSA severity. The prevalence of MS was expressed as percentage, and the correlation between OSA and MS and its characteristic pathophysiological indicators was evaluated by logistic regression model after adjusting for factors such as gender, age, BMI, neck circumference, hip circumference, smoking and alcohol consumption, and was expressed by odds ratio (OR). SPSS 25.0 software was used for statistical analysis. Results: The overall prevalence of MS was 43.6%, and that of non-/mild/moderate/severe OSA group was 18.6%, 30.4%, 43.8%, 57.1%.Logistic regression showed that patients with mild/moderate/severe OSA had an increased risk of MS compared with non-OSA patients, with adjusted OR values and confidence intervals of 1.27 (1.05-1.54), 1.84 (1.53-2.22), and 2.08 (1.76-2.46), respectively (P<0.01).In addition, indicators of OSA anoxic burden [oxygen drop index(Toxygen=7.1), minimum blood oxygen(Tminimum=56.3), blood oxygen saturation below 90% cumulative time ratio (TCT90=10.6) ]were closely associated with MS disease(P<0.01), but sleep fragmentation index (arousals index) was not significantly associated with MS disease. Conclusion: The risk of MS gradually increases with the severity of OSA, and the indicators reflecting OSA hypoxia burden are closely related to MS disease.
Collapse
Affiliation(s)
- W B Guo
- Department of Otorhinolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - Y P Liu
- Department of Otorhinolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - H H Xu
- Department of Otorhinolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - L L Meng
- Department of Otorhinolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - H M Zhu
- Department of Otorhinolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - H M Wu
- Department of Otorhinolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - J Guan
- Department of Otorhinolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - H L Yi
- Department of Otorhinolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| | - S K Yin
- Department of Otorhinolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai 200233, China
| |
Collapse
|
5
|
Zhu HM, Zhang Y, Tang Y, Yuan H, Li ZX, Long Y. Acute coronary syndrome with severe atherosclerotic and hyperthyroidism: A case report. World J Clin Cases 2021; 9:8127-8134. [PMID: 34621871 PMCID: PMC8462219 DOI: 10.12998/wjcc.v9.i27.8127] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Revised: 06/16/2021] [Accepted: 07/22/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Acute coronary syndrome (ACS) encompasses a spectrum of cardiovascular emergencies arising from the obstruction of coronary artery blood flow and acute myocardial ischemia. Recent studies have revealed that thyroid function is closely related to ACS. However, only a few reports of thyrotoxicosis-induced ACS with severe atherosclerosis have been reported.
CASE SUMMARY A 33-year-old man, who had a history of hyperthyroidism without taking any antithyroid drugs and no history of coronary heart disease, experienced neck pain with occasional heart palpitations starting 3 mo prior that were aggravated after an activity. As the symptoms worsened at 21 d prior, he went to a hospital for treatment. The electrocardiogram examination showed a multilead ST segment elevation and pathological Q waves. Based on these findings and his symptoms, the patient was diagnosed with a suspected myocardial infarction and transferred to our hospital on July 2, 2020. He was diagnosed with a rare case of ACS due to coronary artery atherosclerosis in the anterior descending artery complicated by hyperthyroidism. A paclitaxel-coated drug balloon was used for treatment to avoid the use of metal stents, thus reducing the time of antiplatelet therapy and facilitating the continued treatment of hyperthyroidism. The 9-mo follow-up showed favorable results.
CONCLUSION This case highlights that atherosclerosis is a cause of ACS that cannot be ignored even in a patient with hyperthyroidism.
Collapse
Affiliation(s)
- Hai-Mei Zhu
- Department of Pain, The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan Province, China
| | - Yi Zhang
- The Graduate School, Hunan University of Chinese Medicine, Changsha 410208, Hunan Province, China
| | - Yun Tang
- Department of Cardiology, The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan Province, China
| | - Hua Yuan
- Department of Cardiology, The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan Province, China
| | - Zhen-Xian Li
- The Graduate School, Hunan University of Chinese Medicine, Changsha 410208, Hunan Province, China
| | - Yun Long
- Department of Cardiology, The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan Province, China
| |
Collapse
|
6
|
Zhu HM, He Y, Huang SS, Tian JJ, Wang LS, Hao JD, Xie B, Ling JJ. Chlorin e6-loaded sonosensitive magnetic nanoliposomes conjugated with the magnetic field for enhancing anti-tumor effect of sonodynamic therapy. Pharm Dev Technol 2020; 25:1249-1259. [PMID: 32811263 DOI: 10.1080/10837450.2020.1810274] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
In sonodynamic therapy (SDT), when Chlorin e6 (Ce6) accumulates in tumor tissues, its anti-tumor effect can be achieved by ultrasound activation. To increase the local drug concentration of Ce6 in tumor cells, we had established a novel drug delivery system, Ce6-loaded sonosensitive magnetic nanoliposome (Ce6/SML), which realized the targeting delivery by the external magnetic field. It was worth mentioning that the targeting release of Ce6/SML and the activation on Ce6 could be achieved simultaneously by ultrasound of SDT. In our study, after Ce6 was loaded into the sonosensitive magnetic nanoliposome (SML), the values of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) in vitro and in vivo were determined, indicating the activation on Ce6 of ultrasound. The delivery system also displayed the tumor-targeting ability and anti-tumor activity, which associated with the determined tumor growth and expression levels of angiogenin (ANG), vascular endothelial growth factor (VEGF) and tumor necrosis factor-alpha (TNF-α). In conclusion, the Ce6/SML-SDT-Targeted delivery system could effectively enhance the anti-tumor activity of SDT and had a great potential application for the treatment of malignant tumors located in deep tissues.
Collapse
Affiliation(s)
- Hai-Mei Zhu
- The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, China.,School of Pharmaceutical Sciences, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Yi He
- Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China.,Hubei Province Academy of Traditional Chinese Medicine, Wuhan, China.,School of Pharmaceutical Sciences, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Su-Su Huang
- School of Pharmaceutical Sciences, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Jin-Jie Tian
- School of Pharmaceutical Sciences, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Li-Sheng Wang
- School of Pharmaceutical Sciences, Guangzhou University of Chinese Medicine, Guangzhou, China
| | | | - Bo Xie
- Department of Oncology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, China
| | - Jia-Jun Ling
- School of Pharmaceutical Sciences, Guangzhou University of Chinese Medicine, Guangzhou, China
| |
Collapse
|
7
|
Gui M, Sun YH, Peng Y, Zhu HM, Jin S, Du L, Peng Z. [Meeting minutes of chronic viral hepatitis symposium on high-precision detection]. Zhonghua Gan Zang Bing Za Zhi 2020; 28:719-720. [PMID: 32911915 DOI: 10.3760/cma.j.cn501113-20200714-00387] [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] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- M Gui
- Editorial Office of Chinese Journal of Hepatology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| | - Y H Sun
- Editorial Office of Chinese Journal of Hepatology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| | - Y Peng
- Editorial Office of Chinese Journal of Hepatology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| | - H M Zhu
- Editorial Office of Chinese Journal of Hepatology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| | - S Jin
- Editorial Office of Chinese Journal of Hepatology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| | - L Du
- Editorial Office of Chinese Journal of Hepatology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| | - Z Peng
- Editorial Office of Chinese Journal of Hepatology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
| |
Collapse
|
8
|
Zhu HM, Sun D, Wu GF, Hu JS, Qian QQ, Liu ZS. [Overlapping syndrome of myelin oligodendrocyte glycoprotein-antibody disease and anti-N-methyl-D-aspartate receptor encephalitis in two children]. Zhonghua Er Ke Za Zhi 2020; 58:324-326. [PMID: 32234141 DOI: 10.3760/cma.j.cn112140-20190916-00588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- H M Zhu
- Department of Neurology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430016, China
| | - D Sun
- Department of Neurology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430016, China
| | - G F Wu
- Department of Neurology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430016, China
| | - J S Hu
- Department of Neurology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430016, China
| | - Q Q Qian
- Department of Neurology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430016, China
| | - Z S Liu
- Department of Neurology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430016, China
| |
Collapse
|
9
|
Liu J, Chen X, Wang J, Zhou S, Wang CL, Ye MZ, Wang XY, Song Y, Wang YQ, Zhang LT, Wu RH, Yang HM, Zhu SD, Zhou MZ, Zhang XC, Zhu HM, Qian ZY. Biological background of the genomic variations of cf-DNA in healthy individuals. Ann Oncol 2020; 30:464-470. [PMID: 30475948 DOI: 10.1093/annonc/mdy513] [Citation(s) in RCA: 64] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Cell-free DNA (cf-DNA)-based liquid biopsy is emerging as a revolutionary new method in individualized cancer treatment and prognosis monitoring, although detecting early-stage cancers using cf-DNA remains challenging, partially because of the undefined biological background of cf-DNA. MATERIALS AND METHODS We investigated somatic mutations in the cf-DNA of 259 cancer-free individuals with a median age of 47 years using an endogenous barcoding duplex method with an ultralow base error rate (2 × 10-7) and compared the variant allele frequencies (VAFs) of these mutations between the cf-DNA and the corresponding blood cell DNA. RESULTS Sixty percent (155/259) of the samples showed at least one nonsynonymous mutation on either of two similar target panels covering 508 and 559 cancer-related genes. For individuals older than 50 years of age, the positive rate increased to 76%. Most cf-DNA mutations were also present at similar VAFs in the paired blood cell DNA. The most frequently mutated genes were driver genes of hematologic malignancies, including DNMT3A, TET2, AXSL1, and JAK2. However, the other 58.4% (192/329) of the mutations were likely 'passenger mutations' of clonal hematopoiesis, including mutations in NOTCH2, FAT3, EXT2, ERBB4, and ARID2, which are driver genes of solid tumors. CONCLUSION Hematopoietic clone-derived mutations, including 'driver mutations' and 'passenger mutations', are prevalent in the cf-DNA of both healthy individuals and cancer patients and may be a potential source of false positives in the liquid biopsy. Our results also suggest the ineffectiveness for distinguishing clonal hematopoietic mutations of low VAF (≤0.1%) from tumor-derived mutations using conventional next-generation sequencing of blood cell DNA. However, an error correction model with an ultralow error rate and high coverage depth is required for blood cell DNA sequencing, which is difficult and costly to achieve with current technologies.
Collapse
Affiliation(s)
- J Liu
- Tianjin Medical Laboratory, BGI-Tianjin, Tianjin; School of Bioscience and Bioengineering, South China University of Technology, Guangzhou
| | - X Chen
- Binhai Genomics Institute, BGI-Tianjin, Tianjin
| | - J Wang
- BGI-Shenzhen, Shenzhen; James D. Watson Institute of Genome Sciences, Hangzhou
| | - S Zhou
- Tianjin Medical Laboratory, BGI-Tianjin, Tianjin
| | - C L Wang
- Tianjin Medical Laboratory, BGI-Tianjin, Tianjin
| | - M Z Ye
- BGI-Guangzhou, BGI-Shenzhen, Guangzhou
| | - X Y Wang
- Tianjin Medical Laboratory, BGI-Tianjin, Tianjin
| | - Y Song
- Tianjin Medical Laboratory, BGI-Tianjin, Tianjin
| | - Y Q Wang
- Tianjin Medical Laboratory, BGI-Tianjin, Tianjin
| | - L T Zhang
- Tianjin Medical Laboratory, BGI-Tianjin, Tianjin
| | - R H Wu
- Tianjin Medical Laboratory, BGI-Tianjin, Tianjin
| | - H M Yang
- BGI-Shenzhen, Shenzhen; James D. Watson Institute of Genome Sciences, Hangzhou
| | | | - M Z Zhou
- BGI-Guangzhou, BGI-Shenzhen, Guangzhou
| | - X C Zhang
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - H M Zhu
- Binhai Genomics Institute, BGI-Tianjin, Tianjin.
| | - Z Y Qian
- Binhai Genomics Institute, BGI-Tianjin, Tianjin.
| |
Collapse
|
10
|
Zhu HM, Yi HL, Guan J, Xu HJ, Liu SR, Zou JY, Chen R. [Relationship between smoking and the severity of OSA]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019; 33:862-865;869. [PMID: 31446706 DOI: 10.13201/j.issn.1001-1781.2019.09.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Indexed: 11/12/2022]
Abstract
Objective:To explore the relationship between smoking and the severity of OSA. Method:There were 719 patients included in the study, who were accompanied by snoring, daytime sleepiness and other symptoms. Laboratory-based polysomnographic variables (including AHI, oxygen desaturation index and microarousal index, etc.), and anthropometric measurements (including weight, neck circumference, waist circumference, hip circumference etc.) were collected for all participants. The severity of OSA was determined by AHI. No OSA was defined as AHI<5, mild OSA as AHI of 5 to 15,moderate OSA as AHI of >15 to 30, and severe OSA as AHI of >30. Smoking severity was determined by the smoking index (SI). Light smoke was defined as SI<200, moderate smoke was as SI 200 to 400, and severe smoke as SI>400. Result:There were 138 cases of non-OSA and 581 cases of OSA. There were 381 non-smokers, 279 smokers and 59 quit smokers. The smoking rate of OSA group was significantly higher than that of non-OSA group (41.5% vs. 27.5%,P<0.01). After excluding 59 quit smokers, the remaining 660 subjects were divided into four groups according to the severity of smoking, then each group was further divided into four groups according to OSA severity. Unadjusted analysis showed that OSA severity positively correlated with smoking severity (r=0.203,P<0.01). The positive correlation remained significant after further adjustment for age, BMI and waist-hip ratio. In addition, logistic regression analysis showed that compared to non-smokers, the odd ratios for OSA in moderate smokers were 1.72 (95%CI 1.08-2.75) and in severe smokers were 2.68 (95%CI 1.61-4.46), after adjustment for age, BMI and waist-hip ratio. Conclusion:The severity of smoking significantly correlated with the severity of OSA. There was increased risk of OSA in patients with severe smoke. The correlation was independent of some confounders such as age and obesity.
Collapse
Affiliation(s)
- H M Zhu
- Department of Respiratory Medicine,Second Affiliated Hospital of Suzhou University,Suzhou,215004,China.,Department of Otolaryngology Head and Neck Surgery,Shanghai Jiaotong University Affiliated Sixth People's Hospital
| | - H L Yi
- Department of Otolaryngology Head and Neck Surgery,Shanghai Jiaotong University Affiliated Sixth People's Hospital
| | - J Guan
- Department of Otolaryngology Head and Neck Surgery,Shanghai Jiaotong University Affiliated Sixth People's Hospital
| | - H J Xu
- Department of Otolaryngology Head and Neck Surgery,Shanghai Jiaotong University Affiliated Sixth People's Hospital
| | - S R Liu
- Department of Otolaryngology Head and Neck Surgery,Shanghai Jiaotong University Affiliated Sixth People's Hospital
| | - J Y Zou
- Department of Otolaryngology Head and Neck Surgery,Shanghai Jiaotong University Affiliated Sixth People's Hospital
| | - R Chen
- Department of Respiratory Medicine,Second Affiliated Hospital of Suzhou University,Suzhou,215004,China
| |
Collapse
|
11
|
Peng Z, Sun YH, Zhu HM, Gui M, Du L, Zhang DZ, Ren H. [Dynamic analysis of the academic influence in Chinese Journal of Hepatology from 2010 to 2016]. Zhonghua Gan Zang Bing Za Zhi 2019; 26:457-459. [PMID: 30317761 DOI: 10.3760/cma.j.issn.1007-3418.2018.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To dynamically analyze the discipline status, influence factors and key issues of Chinese Journal of Hepatology from 2010 to 2016 and explore the development rules of citation indexes. Methods: We collected information published by the China Institute of Scientific and Technological Information [China Science and Technology Journal Citation Report (Core Edition)] and Wanfang Database Periodicals statistical analysis platform from 2010 to 2016. A bibliometric analyses on article volume, citation frequency, citation rate, h-index, ratio of fund-aided papers, periodical influence, key number published period, number of relevant articles, and so on were analyzed for annual's impact factor. Results: According to the data released by the China Institute of Science and Technology Information, from 2010 to 2011, the impact factor of Chinese Journal of Hepatology was at leading level in the field of internal medicine and ranked sixth in the Journal of Internal Medicine. From 2012 to 2016, the overall comprehensive assessment score and citation frequency score of Chinese Journal of Hepatology were ranked first in the Journal of Gastroenterology. Core impact factors kept the discipline ahead. Indexes such as immediacy index, h- index, cited half-life and all other indicators were increased. Citation rate was >90% and cited issue number had greatly increased. Conclusion: Chinese Journal of Hepatology has a leading position in the Journal of Gastroenterology and credited by inland readers and authors of digestive and infectious fields. It has played a positive role in promoting the development of the discipline.
Collapse
|
12
|
Zhu HM, Gu JH, Xie Y, Xie B, Ling JJ. Hydroxycamptothecin liposomes based on thermal and magnetic dual-responsive system: preparation, in vitro and in vivo antitumor activity, microdialysis-based tumor pharmacokinetics. J Drug Target 2017; 26:345-356. [DOI: 10.1080/1061186x.2017.1380654] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Hai-Mei Zhu
- Department of pharmacy, College of Chinese Traditional Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Jin-Hui Gu
- Department of pharmacy, College of Chinese Traditional Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Yi Xie
- Department of pharmacy, College of Chinese Traditional Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Bo Xie
- Department of Oncology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, China
| | - Jia-Jun Ling
- Department of pharmacy, College of Chinese Traditional Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China
| |
Collapse
|
13
|
Huang CQ, Li W, Wu B, Chen WM, Chen LH, Mo GW, Zhang QF, Gong L, Li J, Zhang HC, Zhu HM, Zeng QZ. Pheretima aspergillum decoction suppresses inflammation and relieves asthma in a mouse model of bronchial asthma by NF-κB inhibition. J Ethnopharmacol 2016; 189:22-30. [PMID: 27184188 DOI: 10.1016/j.jep.2016.05.028] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Revised: 02/19/2016] [Accepted: 05/11/2016] [Indexed: 06/05/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE AND AIM OF THE STUDY Guang-Pheretima, the live form of the earthworm Pheretima aspergillum, is a traditional Chinese medicine commonly used for the treatment of asthma, cough, stroke, epilepsy and other diseases due to its anti-inflammatory, anti-asthmatic, anti-seizure, thrombolytic and diuretic properties. Although Guang-Pheretima is effective in the relief of asthma, its pharmacological activity and the underlying molecular mechanisms are not fully understood. Hence, we investigated the effects of a Pheretima aspergillum decoction (PAD) against inflammation in a model of ovalbumin (OVA)-induced asthma in BALB/c mice, as well as the nuclear factor-κB (NF-κB) pathway involved in this process. MATERIALS AND METHODS OVA was used to sensitize and challenge the airway of the mice, and PAD was administrated by gavage. We measured airway hyperresponsiveness (AHR) in the mice 24h following a final methacholine challenge with whole-body plethysmography. The bronchoalveolar lavage fluid (BALF), serum and pulmonary tissues were collected 48h after the last challenge. The levels of inflammatory factors and the related mRNAs were determined by enzyme-linked immunosorbent assay (ELISA) and real-time polymerase chain reaction (RT-PCR), respectively. The number of differential inflammatory cells in the BALF was counted. Serum total and OVA-specific IgE levels were measured with ELISA. The activation of NF-κB signaling in the lung was detected by western blotting. In addition, the lung tissues were stained with hematoxylin and eosin or periodic acid Schiff stain for histopathological examination. RESULTS PAD treatment significantly alleviated AHR in the asthmatic mice, decreased the mRNA and protein levels of IL-4, IL-5 and IL-13 and downregulated IgE. In addition, PAD treatment attenuated mucus secretion and infiltration of inflammatory cells in the lung while inhibiting the activation of NF-κB signaling. CONCLUSIONS PAD effectively inhibited the activation of NF-κB signaling in the lungs of mice with OVA-induced asthma, and mitigated AHR and Th2 type inflammatory reactions. Therefore, PAD may serve as a drug candidate for asthma treatment.
Collapse
Affiliation(s)
- Chuan-Qi Huang
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| | - Wei Li
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China.
| | - Bo Wu
- School of Pharmacy, Guangzhou Medical University, Guangzhou 511436, China
| | - Wei-Ming Chen
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| | - Li-Hong Chen
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| | - Guan-Wen Mo
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| | - Qiu-Feng Zhang
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| | - Ling Gong
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| | - Jing Li
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| | - Hong-Chao Zhang
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| | - Hai-Mei Zhu
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| | - Qing-Zhong Zeng
- School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou 510006, China
| |
Collapse
|
14
|
Zhu HM, Qin L, Garnero P, Genant HK, Zhang G, Dai K, Yao X, Gu G, Hao Y, Li Z, Zhao Y, Li W, Yang J, Zhao X, Shi D, Fuerst T, Lu Y, Li H, Zhang X, Li C, Zhao J, Wu Q, Zhao SJ. The first multicenter and randomized clinical trial of herbal Fufang for treatment of postmenopausal osteoporosis. Osteoporos Int 2012; 23:1317-27. [PMID: 21505910 DOI: 10.1007/s00198-011-1577-2] [Citation(s) in RCA: 75] [Impact Index Per Article: 6.3] [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] [Received: 07/29/2010] [Accepted: 01/22/2011] [Indexed: 10/18/2022]
Abstract
UNLABELLED This multicenter and randomized clinical trial showed that daily oral herbal formula Xian Ling Gu Bao (XLGB) was safe in postmenopausal women over a 1-year treatment. Those patients (n ∼ 50) treated with XLGB at the conventional dose demonstrated a statistically significant increase in dual-energy X-ray absorptiometry (DXA) bone mineral density (BMD) at lumbar spine at 6 months and a numerically increased BMD at 12 months. INTRODUCTION The aim of this study was to examine the safety and efficacy of a herbal formula XLGB in postmenopausal women (ChiCTR-TRC-00000347). METHODS One hundred eighty healthy postmenopausal women (≥60 years old) with BMD T-score ≤ -2.0 (lumbar spine or femoral neck) were recruited from four clinical centers to receive low-dose (conventional dose) XLGB (L-XLGB group, 3 g/day, n = 61) or high-dose XLGB (H-XLGB group, 6 g/day, n = 58) or placebo (CON group, n = 61). Women received daily calcium (500 mg) and vitamin D (200 IU) supplementation. Primary endpoints were lumbar spine BMD and safety; secondary endpoints were femoral neck BMD and bone turnover markers measured at baseline and at 6 and 12 months. RESULTS Of 180 women recruited, 148 completed the study. The compliance in each group was comparable. Prominent adverse events were not observed in either group. In the L-XLGB group at 6 months, lumbar spine BMD by DXA increased significantly from baseline (+2.11% versus CON +0.58%, p < 0.05), but femoral neck BMD did not; at 12 months, BMD in the L-XLGB group decreased from 6-month levels yet remained higher than baseline, but without difference from the CON group. There was no dose-dependent response. Bone turnover marker levels declined during the first 6 months after XLGB treatment. There was no significant difference in the overall incidence of side effects among treatment and control groups. CONCLUSION XLGB over 1-year treatment at the conventional dose demonstrated safe and only a statistically significant increase in BMD at lumbar spine at 6 months in postmenopausal women.
Collapse
Affiliation(s)
- H M Zhu
- Centre of Osteoporosis, Shanghai Hua Dong Hospital, Fu Dan University, Shanghai, China.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
15
|
Yan JH, Zhu HM, Jiang XG, Chi Y, Cen KF. Analysis of volatile species kinetics during typical medical waste materials pyrolysis using a distributed activation energy model. J Hazard Mater 2009; 162:646-651. [PMID: 18579296 DOI: 10.1016/j.jhazmat.2008.05.077] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2008] [Revised: 05/14/2008] [Accepted: 05/15/2008] [Indexed: 05/26/2023]
Abstract
The complex reactions of typical medical waste materials pyrolysis and the evolution of different volatile species can be well represented by a Distributed Activation Energy Model (DAEM). In this study, A thermogravimetric analyser (TGA), coupled with Fourier transform infrared analysis of evolving products (TG-FTIR), were used to perform kinetic analysis of typical medical waste materials pyrolysis. A simple direct search method was used for the determination of DAEM kinetic parameters and the yield of individual pyrolysis products under any given heating condition. The agreement between the model prediction and the experimental data was generally good. The results can be used as inputs to a pyrolysis model based on first-order kinetic expression with a Gaussian Distribution of Activation Energies as a sub-model to CFD code.
Collapse
Affiliation(s)
- J H Yan
- State Key Laboratory of Clean Energy Utilization, Zhejiang University, 38# Zheda Road, Hangzhou 310027, Zhejiang Province, PR China
| | | | | | | | | |
Collapse
|
16
|
Zhu HM, Yan JH, Jiang XG, Lai YE, Cen KF. Study on pyrolysis of typical medical waste materials by using TG-FTIR analysis. J Hazard Mater 2008; 153:670-6. [PMID: 17936504 DOI: 10.1016/j.jhazmat.2007.09.011] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2007] [Revised: 08/27/2007] [Accepted: 09/01/2007] [Indexed: 05/22/2023]
Abstract
Pyrolysis of certain medical waste materials was studied using thermogravimetric analyzer coupled with Fourier transform infrared spectroscopy (TG-FTIR). Pyrolysis characteristics of three common materials were discussed. The pyrolysis of absorbent cotton turned out to be the most concentrative, followed by medical respirator and bamboo stick. From TG and DTG curves, pyrolysis of these three materials occurred in single, two and three stages respectively. Evolved volatile products from all these three materials included 2-butanone, benzaldehyde, formic acid, acetic acid, hydrocarbon, carbon dioxide, carbon monoxide, and water; whereas no sulphur dioxide, ammonia and hydrogen cyanide was detected. There are several differences in yield among them. However, the study in this paper is essential for medical waste pyrolysis model, the TG-FTIR approach is potential to provide valuable inputs for predictive modeling of medical waste pyrolysis. More studied are needed to get the kinetic parameters and pyrolysis models that can predict yields and evolution patterns of selected volatile products for CFD applications.
Collapse
Affiliation(s)
- H M Zhu
- State Key Laboratory of Clean Energy Utilization, Zhejiang University, Zhejiang Province, Hangzhou, PR China.
| | | | | | | | | |
Collapse
|
17
|
Zhu HM, Chen WZ, Wang CX. Binding modes of two highly potent and nontoxic inhibitors of HIV-1 integrase. Conf Proc IEEE Eng Med Biol Soc 2007; 2004:3003-6. [PMID: 17270910 DOI: 10.1109/iembs.2004.1403851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
The complex structures of Human Immunodeficiency Virus Type 1 (HIV-1) integrase binding two highly potent and nontoxic inhibitors, lithospermic acid (M/sub 5/22) and lithospermic acid B (M/sub 5/32), were obtained using docking calculations. Docking results provided detailed information of their binding modes. The binding sites of M/sub 5/22 and M/sub 5/32 were similar to the inhibitor 5-CITEP. The lowest docking energies for HIV-1 integrase binding M/sub 5/22 and M/sub 5/32 are in agreement with their corresponding lower IC/sub 50/ values. Our results on the chemical structure difference between M/sub 5/22 and M/sub 5/32 show that the carboxyl and hydroxyl groups on the side-chain of M/sub 5/32 are important chemical groups which could help to increase the effect against HIV-1 IN replication.
Collapse
Affiliation(s)
- H M Zhu
- Coll. of Life Sci. & Bioeng., Beijing Univ. of Technol., China
| | | | | |
Collapse
|
18
|
Zhu HM, Zou YD. [Inhibition of in vitro translation of esterase mRNA of dipterex-resistant mosquito (Culex pipiens pallens) by antisense nucleic acids]. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi 2003; 19:333-5. [PMID: 12572062] [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: 02/28/2023]
Abstract
OBJECTIVE To examine the inhibitory effect of antisense nucleic acid on the in vitro translation of esterase mRNA from dipterex-resistant Culex pipiens pallens. METHODS 18-mer nucleic acid was synthesized and complementary to the translation initiation site of mRNA of dipterex-resistant mosquitoes. The ODNs were annealed to the corresponding mRNA molecules and they were added to rabbit reticulocyte cell-free system. The translation products were analyzed by SDS-PAGE. After fixing, the gel was exposed to X-ray film by autoradiography for analysis of protein synthesis. RESULTS Six mumol/L of ODNs elicited a 50% reduction in specific protein expression, and 20 mumol/L of ODNs inhibited the expression of esterase by 80%. The SDS-PAGE showed that the band of reduced amounts of 65 kDa protein for resistant mosquito was almost the same as that for sensitive sample. CONCLUSION Antisense oligonucleic acids to the esterase mRNA of dipterex-resistant mosquito could effectively inhibit its in vitro translation.
Collapse
Affiliation(s)
- H M Zhu
- Department of Etiologic Biology, Second Military Medical University, Shanghai 200433
| | | |
Collapse
|
19
|
Wang LS, Zhu HM, Zhou DY, Wang YL, Zhang WD. Influence of whole peptidoglycan of bifidobacterium on cytotoxic effectors produced by mouse peritoneal macrophages. World J Gastroenterol 2001; 7:440-3. [PMID: 11819808 PMCID: PMC4688740 DOI: 10.3748/wjg.v7.i3.440] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Affiliation(s)
- L S Wang
- Department of Gastroenterology, Shenzhen Municipal People's Hospital, Jinan University of Medical Sciences, Shenzhen 518020, Guangdong Province, China.
| | | | | | | | | |
Collapse
|
20
|
Everitt DL, Zhu T, Zhu HM, Zhu XD. Experimental determination of the boundary condition for diffuse photons in a homogeneous turbid medium. J Opt Soc Am A Opt Image Sci Vis 2000; 17:1284-1287. [PMID: 10883981 DOI: 10.1364/josaa.17.001284] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
We present a simple experimental method that permits an empirical determination of the effective boundary condition and the extrapolated end point for the diffuse photon density in a homogeneous turbid medium.
Collapse
Affiliation(s)
- DL Everitt
- Department of Physics, University of California at Davis, 95616-8677, USA
| | | | | | | |
Collapse
|
21
|
Abstract
One hundred and sixty centenarians were discovered and followed up for 7 years (1982-88) in Shanghai. The proportion of centenarians in the population was non-significantly greater in the urban than in the rural area and centenarians were in general increasing in both areas over the years. The factors promoting longevity were good medical care and benevolent attention from family members. Autopsy was performed in eight centenarians revealing the main causes of death as pneumonia and cancer.
Collapse
Affiliation(s)
- Z X Zheng
- Shanghai Institute of Geriatrics, Hua Dong Hospital, Shanghai, People's Republic of China
| | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Hou JW, Liu CH, Wang TR, Zhu HM, Jiang S, Sciorra LJ, Lee ML. Mosaic ring chromosome 13 analyzed by fluorescence in situ hybridization: report of a case. J Formos Med Assoc 1992; 91:1108-11. [PMID: 1363214] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2023] Open
Abstract
A five-year-old boy with psychomotor retardation, microcephaly, bilateral cataracts, hearing impairment and hypospadia with microphallus was found to have multiple cell lines from peripheral blood: 46,XY/46,XY, -13,+r(13)/46, Xy, -13, +dic r(13) in the ratio of 35%/61%/4% by trypsin-Giemsa, and C-bandings. Using fluorescence in situ hybridization (FISH) with biotin-labeled alpha-satellite probe (D21Z1/D13Z1) and fluorescence staining (FITC), we confirmed that the ring originated from chromosome 13. To elucidate changes in the chromosome ends in the ring originated from chromosome 13. To elucidate changes in the chromosome ends in the ring formation, we used human telomere-specific probes for FISH study; it showed an absence of telomeres on the ring chromosome, although Ag-NOR staining was positive. These findings yielded different breaking points on the ends of both the short and long arms of chromosome 13 from those reported in the literature.
Collapse
Affiliation(s)
- J W Hou
- Department of Pediatrics, National Taiwan University Hospital, Taipei, R.O.C
| | | | | | | | | | | | | |
Collapse
|
23
|
Zhu HM. [Short-term results of intratumor BCG injection for rectal carcinoma]. Zhonghua Zhong Liu Za Zhi 1990; 12:40-2. [PMID: 2364870] [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: 12/31/2022]
Abstract
Twelve patients with rectal carcinoma were treated by intratumor BCG injection concurrently with drugs which antagonize Ts cells, inactivate suppressor macrophages and depress PGE-2 production. Remarkable results were obtained with mild side effects. Four patients achieved complete response and 8 partial response. There was a significant difference (P less than 0.005) between combined treatment and intratumor BCG injection alone. The local reactions of BCG injection, their relation to therapeutic effects and pathology are discussed. The observation of single, degenerated cancer cell encapsulated by epithelioid cells is an evidence that the cancer cell is directly killed by mononuclear cells.
Collapse
Affiliation(s)
- H M Zhu
- Yukuangding Hospital, Yantai, Shandong
| |
Collapse
|