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Tang J, Huang JJ, Luo YL, Zhang LK, Wang QQ, Chen J, Liu ZY. [The clinicopathological features of adult thyroid tumors with DICER1 mutation]. Zhonghua Yi Xue Za Zhi 2024; 104:1623-1627. [PMID: 38742350 DOI: 10.3760/cma.j.cn112137-20231107-01031] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/16/2024]
Abstract
A total of 37 cases of thyroid tumors with pathological features suggestive of DICER1 gene mutation were selected to detect the DICER1 gene and BRAF gene using Sanger sequencing. A total of 10 patients (27.0%) exhibited DICER1 gene mutation all of whom were female with an age of [M(Q1, Q3)] 38.0 (30.5, 47.5) years. All patients had wild-type BRAFV600E gene. The ultrasound examination showed high-low echogenic well-demarcated intra-thyroidal nodules with abundant peripheral and internal blood flow signals in the DICER1 mutated thyroid tumor. The tumor was confined within the thyroid gland, with a diameter of (3.68±1.31) cm. The pathological features are as follows: the majority of tumors are encapsulated, which mainly composed of large follicles rich in colloid and some are small and micro follicles. The nucleus is round and deeply stained or slightly light stained, small to medium-sized, with occasional nuclear grooves and a lack of nuclear pseudoinclusion bodies within the nucleus. Immunohistochemical staining shows that Ki67 proliferation index of approximately 2%-10%. All cases were followed up for 11 to 18 months, and there was no recurrences or distant metastase. This study confirmed that the DICER1 gene mutation is mutually exclusive with the BRAFV600E gene mutation. The thyroid tumor with DICER1 mutation are in big size and are more common in young females with a good prognosis. Cases with the wild-type DICER1 gene may exhibit similar morphological features, and molecular testing is recommended. If somatic DICER1 mutation is confirmed, patients should undergo germline mutation testing to rule out DICER1 syndrome in order to define whether genetic counseling is necessary.
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Affiliation(s)
- J Tang
- Department of Pathology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
| | - J J Huang
- Department of Pathology, Linyi Traditional Chinese Medicine Hospital, Linyi 276002, China
| | - Y L Luo
- Department of Pathology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
| | - L K Zhang
- Department of Pathology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
| | - Q Q Wang
- Department of Pathology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
| | - J Chen
- Department of Pathology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
| | - Z Y Liu
- Department of Pathology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
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Liu ZT, Chen ZD, Bing YC, Yang YF, Zhang YN, Yang WX, Gao XB, Huang JJ, Lin MK, Yu MB. [Clinical presentation of acute primary angle-closure glaucoma during the 2019-nCoV epidemic of Omicron variants: a single-center retrospective study]. Zhonghua Yan Ke Za Zhi 2023; 59:838-845. [PMID: 37648680 DOI: 10.3760/cma.j.cn112142-20230330-00129] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Objective: To investigate the clinical presentation pattern of acute primary angle-closure glaucoma (PACG) during the 2019 novel coronavirus (2019-nCoV) pandemic over the past three years, and its relationship with 2019-nCoV infections of Omicron variants in Guangdong province. Methods: Ecological study.Patients who were newly diagnosed with acute PACG from February 2020 to January 2023 at the Zhongshan Ophthalmic Center of Sun Yat-sen University were included in the study, and their basic information was collected. Patients were divided into the 2020 group (diagnosed between February 1st, 2020 and January 31st 2021), the 2021 group (diagnosed between February 1st, 2021 and January 31st 2022), and the 2022 group (diagnosed between February 1st, 2022 and January 31st 2023). The clinical presentation pattern of newly diagnosed acute PACG was observed and compared between groups. The daily number of newly diagnosed 2019-nCoV infections in Guangdong province was obtained from the Chinese Center for Disease Control and Prevention. The correlation between the daily number of newly diagnosed acute PACG and that of newly diagnosed 2019-nCoV infections during the epidemic period of Omicron variants between December 2022 and January 2023 was assessed. Results: The study included 1 048 patients with newly diagnosed acute PACG, with 235 for the 2020 group, 274 for the 2021 group, and 539 for the 2022 group. Our results showed that the average weekly number of newly diagnosed acute PACG patients in 2022 [8 (5, 11)] was significantly larger than that in 2020 (4.52±1.95, P<0.05) and 2021 (5.27±2.76, P<0.05). The average weekly number increased to 22.11±20.84 between December 2022 and January 2023. The total number of newly diagnosed acute PACG patients during this period was 199, which was 36.9% (199/539) of the total number of the same year and was 6.63 and 6.42 times as many as that in the same period (December and January) of 2020 and 2021. The proportion of patients with bilateral eye involvement during this period in 2022 was significantly higher than that in 2020 and 2021 (P<0.05). Further analysis found that 88.6% (109/123) of cases had a history of 2019-nCoV infection 2 (0, 3) days before the onset of acute PACG symptoms in average. The estimated daily number of acute PACG onset increased rapidly, peaked on December 23th, 2022, and then dropped gradually. This trend was similar to that of the daily number of new 2019-nCoV infections in Guangdong province. Changes of the daily number of new 2019-nCoV infections in Guangdong province had a positive correlation with the estimated daily number of acute PACG onset (r=0.84, P<0.001). Conclusion: A dramatic increase in the clinical presentation of acute PACG was observed at Zhongshan Ophthalmic Center between December 2022 and January 2023, which was the epidemic period of Omicron variants. There is a correlation between the trend of the estimated daily number of acute PACG onset and that of new 2019-nCoV infections of Omicron variants in Guangdong province, but the exact reason remains to be further studied. (This article was published ahead of print on the official website of Chinese Journal of Ophthalmology on August 31, 2023).
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Affiliation(s)
- Z T Liu
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
| | - Z D Chen
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
| | - Y C Bing
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
| | - Y F Yang
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
| | - Y N Zhang
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
| | - W X Yang
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
| | - X B Gao
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
| | - J J Huang
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
| | - M K Lin
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
| | - M B Yu
- Zhongshan Ophthalmic Center, Sun Yat-sen University, State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
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Chen CW, Chen K, Li Z, Jiang YG, Qu GW, Liu Y, Li SS, Huang JJ, Wu XW, Ren JA. [Advances of hydrogel in early protection of exposed intra-abdominal organs after open abdomen]. Zhonghua Wei Chang Wai Ke Za Zhi 2023; 26:898-902. [PMID: 37709703 DOI: 10.3760/cma.j.cn441530-441530-20230613-00202] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 09/16/2023]
Abstract
The protection of open abdomen (OA) wound is a significant subject in the field of trauma surgery. The key technical challenge in the early stage of OA wound management involves promoting granulation tissue filling between intestinal segments, reducing intestinal wall abrasion, and preventing the development of enteroatmospheric fistulas (EAF). Hydrogels, characterized by their high water content and exceptional biocompatibility, serve as extracellular matrix-mimicking materials, and are extensively employed in various medical and healthcare applications. In this review, we discuss the application of hydrogel developed by natural biomaterials in OA wounds protection, taking into consideration the unique pathophysiological characteristics of the OA wounds. This review aims to provide valuable insights for the development of hydrogel materials for early-stage OA wound protection in future research.
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Affiliation(s)
- C W Chen
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - K Chen
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - Z Li
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - Y G Jiang
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - G W Qu
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - Y Liu
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - S S Li
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - J J Huang
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - X W Wu
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - J A Ren
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
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Wu XW, Huang JJ, Liu Y, Ren JA. [Interpretation of the Chinese expert consensus on open abdomen therapy (2023 edition)]. Zhonghua Wei Chang Wai Ke Za Zhi 2023; 26:824-826. [PMID: 37709689 DOI: 10.3760/cma.j.cn441530-20230616-00210] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 09/16/2023]
Abstract
Open abdomen therapy is an effective method for the treatment of severe intra-abdominal infections, abdominal hypertension and other critical abdominal diseases. Bases on systematic reviews of indications, classification and staging of wounds, principles and approaches of open abdomen therapy, abdominal closure measures, and management of enteroatmospheric fistula, the Chinese expert consensus on open abdomen therapy provides 12 recommendations with evidence and specific explanations. This consensus is the first systematic work in China to elaborate on open abdomen therapy, helping clinicians to standardize this technique and improve the treatment outcomes of critical abdominal diseases. In this review, we make interpretations on key points of this consensus one by one.
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Affiliation(s)
- X W Wu
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - J J Huang
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - Y Liu
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - J A Ren
- Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
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Guo ZT, Tao J, Li GQ, Wang Z, Wang T, Gu ZL, Liu XF, Xie F, Yan L, Huang JJ, Xie YQ, Yang YN. [Efficacy and safety of transcatheter aortic valve replacement in the treatment of severe aortic stenosis]. Zhonghua Yi Xue Za Zhi 2023; 103:1830-1835. [PMID: 37357188 DOI: 10.3760/cma.j.cn112137-20230111-00062] [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: 06/27/2023]
Abstract
Objective: To investigate the efficacy and safety of transcatheter aortic valve replacement (TAVR) in the treatment of severe aortic stenosis. Methods: The clinical data of patients with severe aortic stenosis who underwent TAVR at the People's Hospital of Xinjiang Uygur Autonomous Region between September 2016 and September 2022 were retrospectively analyzed. Changes in aortic transvalvular pressure gradients, valve orifice area, and activity tolerance of patients before and after the surgery were compared. Moreover, postoperative complications and follow-up results from 30 days to 6 years after the surgery were recorded. Results: A total of 76 patients were included in the study (50 males and 26 females), with an average age of (71.3±7.6) years, including 16 rheumatic valvular diseases, 60 senile degenerative diseases, 46 bicuspid valves and 30 tricuspid valves. The success rate of the operation was 96.1% (73/76). Compared with that before the operation, the mean aortic transvalvular pressure gradients decreased [(8.5±2.8) mmHg vs (68.5±19.2) mmHg (1 mmHg=0.133 kPa),P<0.001], but the valve orifice area increased [(1.91±0.31) cm2 vs (0.65±0.21) cm2, P<0.001]. Likewise, six-minute walking test (6MWT) showed that walking distance was longer after the surgery [(430±13) m vs (201±28) m, P<0.001]. There were 1 case of retroperitoneal hematoma, 1 case of stricture balloon dilatation after femoral artery suture concomitant with postoperative puncture site infection, 1 case of femoral artery surgical incision, 2 cases of valve-in-valve (ViV) and 5 cases of perivalvular leakage (4 cases were mild and 1 case was moderate) after the surgery, respectively. Moreover, acute left main artery occlusion during operation occurred in 1 case, ventricular rupture during operation occurred in 1 case and the patient was transferred to valve replacement surgery and finally dead, delayed coronary artery occlusion and death happened in 1 case, and all of the above-mentioned 3 cases were due to surgical failure. Postoperative pacemaker implantation due to third-degree atrioventricular block was performed in 5 cases. There were 1 case of pulmonary embolism, 1 case of transient right limb disorder, 1 case of gastrointestinal bleeding and 1 case of urethral bleeding after the surgery, respectively. The patients were followed up for (1.0±0.1) years (30 days to 6 years), and the results showed that 2 cases died, including 1 case died suddenly at home (the cause of death was unknown) and 1 case died of acute heart failure 8 months after the surgery. Chronic heart failure occurred repeatedly in 6 cases. The quality of life of other patients improved significantly. Conclusion: TAVR is effective and safe for patients with severe aortic stenosis.
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Affiliation(s)
- Z T Guo
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - J Tao
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - G Q Li
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - Z Wang
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - T Wang
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - Z L Gu
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - X F Liu
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - F Xie
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - L Yan
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - J J Huang
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
| | - Y Q Xie
- Department of Structural Heart Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Beijing 100037, China
| | - Y N Yang
- Department of Cardiology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
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Huang JJ, Guo X. [Research update on the association between gut microbiota and its metabolites with atherosclerosis]. Zhonghua Xin Xue Guan Bing Za Zhi 2023; 51:548-554. [PMID: 37198129 DOI: 10.3760/cma.j.cn112148-20221227-01016] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 05/19/2023]
Affiliation(s)
- J J Huang
- Department of Vascular Surgery, Tianjin Hospital, Tianjin 300211, China
| | - X Guo
- TEDA Institute of Biological Sciences and Biotechnology, Nankai University, Tianjin 300457, China
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Sui HJ, Zhen Z, Wang QG, Cong TC, Huang JJ, Hu Y. [A real world study of anti-IgE monoclonal antibody in the treatment of allergic united airway disease]. Zhonghua Yu Fang Yi Xue Za Zhi 2023; 57:273-280. [PMID: 36797588 DOI: 10.3760/cma.j.cn112150-20220808-00798] [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: 02/18/2023]
Abstract
Objective: To investigate the clinical efficacy and safety of anti-IgE monoclonal antibody (omazumab) in the treatment of allergic united airway disease (UAD) in the real-wold. Methods: Retrospective cohort study summarizes the case data of patients with allergic united airway disease who were treated with anti IgE monoclonal antibody (omalizumab) for more than 16 weeks from March 1, 2018 to June 30, 2022 in the Peking University First Hospital.The allergic UAD is defined as allergic asthma combined with allergic rhinitis (AA+AR) or allergic asthma combined with chronic sinusitis with nasal polyps (AA+CRSwNP) or allergic asthma combined with allergic rhinitis and nasal polyps (AA+AR+CRSwNP). The control of asthma was evaluated by asthma control test (ACT), lung function test and fractional exhaled nitric oxide (FeNO). The AR was assessed by total nasal symptom score (TNSS). The CRSwNP was evaluated by nasal visual analogue scale (n-VAS), sino-nasal outcome test-22 (SNOT-22), nasal polyps score (TPS) and Lund-Mackay sinus CT grading system. The global evaluation of omalizumab for the treatment of allergic UADwas performed by Global Evaluation of Treatment Effectiveness(GETE).The drug-related side effects were also recorded. Matched t test and Wilcoxon signed-rank test were used to compare the score changes of IgE monoclonal antibody (omazumab) before and after treatment, and multivariate logistic regression analysis was used to determine the influencing factors of IgE monoclonal antibody (omazumab) response. Results: A total of 117 patients with UAD were enrolled, ranging in age from 19 to 77 years; The median age of patients was 48.7 years; Among them, 60 were male, ranging from 19 to 77 years old, with a median age of 49.9 years; There were 57 females, ranging from 19 to 68 years old, with a median age of 47.2 years. There were 32 cases in AA+AR subgroup, 59 cases in AA+CRSwNP subgroup, and 26 cases in AA+AR+CRSwNP subgroup. The total serum IgE level was 190.5 (103.8,391.3) IU/ml. The treatment course of anti IgE monoclonal antibody was 24 (16, 32) weeks. Compared with pre-treatment, omalizumab increased ACT from 20.0 (19.5,22.0) to 24.0 (23.0,25.0) (Z=-8.537, P<0.001), increased pre-bronchodilator FEV1 from 90.2 (74.8,103.0)% predicted value to 95.4 (83.2,106.0)% predicted value (Z=-5.315,P<0.001), increased FEV1/FVC from 80.20 (66.83,88.38)% to 82.72 (71.26,92.25)% (Z=-4.483,P<0.001), decreased FeNO from(49.1±24.8) ppb to (32.8±24.4) ppb (t=5.235, P<0.001), decreased TNSS from (6.5±2.6)to (2.4±1.9) (t=14.171, P<0.001), decreased n-VAS from (6.8±1.2) to (3.4±2.0)(t=14.448, P<0.001), decreased SNOT-22 from (40.0±7.9) to (21.3±10.2)(t=15.360, P<0.001), decreased TPS from (4.1±0.8) to (2.4±1.0)(t=14.718, P<0.001) and decreased Lund-Mackay CT score from (6.0±1.3) to (3.1±1.6)(t=17.012, P<0.001). The global response rate to omalizumab was 67.5%(79/117). The response rate in AA+AR (90.6%,29/32) was significantly higher than that in AA+CRSwNP (61.0%,36/59) and AA+AR+CRSwNP (53.8%,14/26) subgroups (χ2=11.144,P=0.004). Only 4 patients (3.4%,4/117) had mild side effects. Conclusion: The real-world study showed favorable effectiveness and safety of anti-IgE monoclonal antibody for treatment of allergic UAD. To provide basis for preventing the progress and precise treatment of allergic UAD.
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Affiliation(s)
- H J Sui
- Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China
| | - Z Zhen
- Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China
| | - Q G Wang
- Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China
| | - T C Cong
- Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China
| | - J J Huang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
| | - Y Hu
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
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Hu Y, Sui HJ, Zhao ZT, Huang JJ, Wang GF. [Aspirin-exacerbated respiratory disease treated with omalizumab: 3 cases report and literature review]. Zhonghua Jie He He Hu Xi Za Zhi 2022; 45:1214-1220. [PMID: 36480853 DOI: 10.3760/cma.j.cn112147-20220311-00194] [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: 12/13/2022]
Abstract
Objective: To summarize the clinical data of aspirin-exacerbated respiratory disease (AERD) treated with omalizumab in Peking University First Hospital and reviewed the relative literatures. Methods: We analyzed retrospectively the clinical data of three cases of AERD treated with omalizumab in Peking University First Hospital from March 1, 2018 to December 31, 2021. The clinical researches on the treatment of AERD with omalizumab up to January 31, 2022 were retrieved in PubMed, China National Knowledge Infrastructure (CNKI) and Wanfang Data. Results: Our three patients of AERD treated with omalizumab for 32 to 68 weeks obtained relief of symptoms of upper and lower respiratory tract, improvement in lung function, and reduction in percentage of blood eosinophils. There were 14 clinical studies on treatment of AERD with omalizumab, including 3 randomized, double-blind and placebo-controlled studies and 11 self-controlled case series studies. The majority of studies showed that omalizumab contributed to improve the symptoms of AERD, decrease the frequency of asthma attacks and reduce systemic glucocorticoid use. Conclusion: Omalizumab can improve the disease control of AERD, but further studies are needed.
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Affiliation(s)
- Y Hu
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
| | - H J Sui
- Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China
| | - Z T Zhao
- Department of Dermatology and Venereology, Peking University First Hospital, Beijing 100034, China
| | - J J Huang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
| | - G F Wang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
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Shen Y, Ke X, Yang YC, Huang JJ, Liu J, Zhang M, Chen ZQ, Hong SL. [Clinical observation and preliminary economic study of rush immunotherapy in patients with allergic rhinitis]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57:1491-1496. [PMID: 36707955 DOI: 10.3760/cma.j.cn115330-20220104-00003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Objective: To observe the clinical efficacy, safety, compliance, and cost-effectiveness of rush immunotherapy (RIT) and conventional immunotherapy (CIT) in patients with allergic rhinitis (AR), so as to evaluate the clinical significance of CIT and preliminarily explore its economic value. Methods: A study was conducted on 72 AR patients who had received specific immunotherapy from Oct 2019 to Jun 2020 in the Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University, including 39 males and 33 females, aging 8 to 60 years. RIT or CIT was performed respectively according to the patients' wishes. There were 35 cases in the RIT group and 37 cases in the CIT group, all subjects were followed up for 1 year. Visual analysis scale (VAS) and effectiveness were used to evaluate the clinical efficacy. Systemic adverse reactions were used to assess safety. Failure rate was calculated to evaluate the compliance. The cost and cost-effectiveness ratio (CER) were conducted to evaluate the health economics preliminarily. Results: After half a year and one year's treatment, both RIT and CIT groups had significant clinical efficacy and RIT group had more significant clinical efficacy than CIT group at half a year (76.67% vs 46.67%, χ2=7.37, P=0.007). During the dose accumulation phase, there was no significant difference in the incidence of systemic adverse reactions between the two groups (8.57% vs 8.10%, χ2=0.05, P=0.943), while the drop-out rate in the RIT group was significantly lower than that in the CIT group (0 vs 13.51%, χ2=5.08, P=0.024). After one year, the costs in RIT group were significantly higher ((8 163.08±452.67) yuan vs (7 385.87±369.92) yuan, t=-2.78, P=0.009), while there was no statistical differences in CER between the two groups ((3 298.06±1 374.09) yuan/point vs (3 154.38±1 532.51) yuan/point, t=-0.36, P=0.418). Conclusions: Both RIT and CIT are beneficial for AR, and they have similar clinical efficacy, safety, and CER. RIT is more effective in the early stage, with higher patient compliance. Thus, RIT is worth promoting and exploring in clinic.
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Affiliation(s)
- Y Shen
- Department of Otorhinolaryngology Head and Neck Surgry, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - X Ke
- Department of Otorhinolaryngology Head and Neck Surgry, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - Y C Yang
- Department of Otorhinolaryngology Head and Neck Surgry, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - J J Huang
- Department of Otorhinolaryngology Head and Neck Surgry, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - J Liu
- Department of Otorhinolaryngology Head and Neck Surgry, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - M Zhang
- Department of Otorhinolaryngology Head and Neck Surgry, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - Z Q Chen
- Department of Otorhinolaryngology Head and Neck Surgry, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - S L Hong
- Department of Otorhinolaryngology Head and Neck Surgry, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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10
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Huang JJ, Tang C, Tang AZ, Tan ZG, Wu Z. [Intravenous gadolinium-enhanced inner ear MRI of a patient with Ménière's disease during a vertigo attack]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57:1240-1242. [PMID: 36319131 DOI: 10.3760/cma.j.cn115330-20211012-00658] [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: 06/16/2023]
Affiliation(s)
- J J Huang
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - C Tang
- Department of Radiology, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - A Z Tang
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - Z G Tan
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
| | - Zhenggui Wu
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
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11
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Jiang XQ, Huang JJ, Huang CS, Tian RM, Mao XX, He ZX, Huang P, Chen Y. [Clinical features and prognostic factors of severe hemophagocytic syndrome in children]. Zhonghua Yi Xue Za Zhi 2022; 102:2181-2188. [PMID: 35872582 DOI: 10.3760/cma.j.cn112137-20220214-00308] [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: 06/15/2023]
Abstract
Objective: To explore the clinical characteristics, prognostic risk factors and effective treatment of severe hemophagocytic syndrome (HPS) in children, so as to provide reference for the clinical diagnosis and treatment of the disease. Methods: The clinical data of 83 children with severe HPS admitted in Affiliated Hospital of Zunyi Medical University from January 2014 to April 2021 were collected, and their clinical characteristics, prognosis and prognostic risk factors were analyzed. The children were divided into central nervous system (CNS) dysfunction group and non-CNS dysfunction group according to whether they were accompanied with CNS dysfunction, and were divided into blood purification group and non-blood purification group according to whether they received blood purification, then the survival differences were compared. Results: Among the 83 children, there were 43 males and 40 females, aged[M(Q1,Q3)] 36(15,27)months. A total of 51 children were induced by infection, among which 41 children (80.4%) were infected with EB virus. All the children were accompanied by multiple organ dysfunction (MODS), and dysfunction of the blood system (72.3%), liver (71.1%), respiratory system (53.0%) and CNS (37.3%) were common. By the end of follow-up, 40 cases (48.2%) survived, 38 cases (45.8%) died, and 5 cases (6.0%) were lost to follow-up. CNS dysfunction was a risk factor (HR=3.358, 95%CI: 1.445-7.803, P=0.005) and blood purification was a protective factor (HR=0.362, 95%CI: 0.179-0.730, P=0.005) affecting the prognosis of children. The mortality of CNS dysfunction group was statistically higher than that of non-CNS dysfunction group (74.2% vs 28.8%) (P<0.001); The mortality of blood purification group was statistically lower than that of non-blood purification group (31.0% vs 61.0%) (P=0.010). Conclusions: Severe HPS in children was dangerous and had a poor overall prognosis. CNS dysfunction was a risk factor for death. Blood purification could significantly improve the prognosis and improve the survival rate of children.
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Affiliation(s)
- X Q Jiang
- Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Guizhou Children's Hospital, the Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University,Zunyi 563000, China
| | - J J Huang
- Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Guizhou Children's Hospital, the Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University,Zunyi 563000, China
| | - C S Huang
- Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Guizhou Children's Hospital, Zunyi 563000, China
| | - R M Tian
- Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Guizhou Children's Hospital, Zunyi 563000, China
| | - X X Mao
- Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Guizhou Children's Hospital, the Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University,Zunyi 563000, China
| | - Z X He
- Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Guizhou Children's Hospital, the Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University,Zunyi 563000, China
| | - P Huang
- Department of Laboratory of Hematological Oncology for Children, Affiliated Hospital of Zunyi Medical University, Guizhou Children's Hospital, the Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University,Zunyi 563000, China
| | - Yan Chen
- Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Guizhou Children's Hospital, the Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University,Zunyi 563000, China
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Li T, Huang JJ, Shang L, Jiang X, Lin Y, Liu XZ, Guo HW, Zhang W, Wang BX. [Characteristics and risk factors of functional constipation in children aged 0-4 years in Xi 'an]. Zhonghua Er Ke Za Zhi 2022; 60:647-654. [PMID: 35768351 DOI: 10.3760/cma.j.cn112140-20220309-00187] [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: 06/15/2023]
Abstract
Objective: To investigate the epidemiology, characteristics and risk factors of functional constipation (FC) in children aged 0-4 years in Xi'an. Methods: From October, 2020 to June, 2021, a prevalence survey was conducted among 2 615 children aged 0-4 years in Xi'an by group sampling. The related factors of FC were investigated by questionnaire designed based on Rome Ⅳ diagnostic criteria.The children were divided into FC group and non-FC group. The prevalence, symptoms and signs of FC were analyzed, and its risk factors were analyzed by multivariate Logistic regression. Results: A total of 2 985 valid questionnaires were handed out, and 2 711 (90.8%) were received back. A total of 2 615 questionnaires were valid, with an effective rate of 96.5%. There were 1 338 males (51.2%) and 1 277 females (48.8%). There were 260 cases in FC group and 2 355 cases in non-FC group. The prevalence of FC in children aged 0-4 years in Xi 'an was 10.6%.There were significant differences in FC prevalence among children of different ages and sex (χ2=14.58,4.39, both P<0.05), but not in urban or rural residence (χ2=3.29, P=0.070). The main symptoms of FC group in the last month were large-diameter feces (73.5%, 191/260), painful defecation or dry and hard defecation (65.8%, 171/260). In the last month, FC group had higher incidences of the Bristol type 1, 2 and 3 stool, fecal retention, prolonged defecation, abdominal pain and incomplete defecation compared with non-FC group, with statistical significance (all P<0.05). Parental history of childhood constipation (OR=2.13, 95%CI 1.55-2.92), fever in the last month (OR=1.86, 95%CI 1.32-2.63), history of constipation (OR=3.24, 95%CI 2.46-4.26) and taking probiotics in the last month (OR=1.45, 95%CI 1.11-1.91) were risk factors of FC in children aged 0-4 years. Stratified with age, the results showed that complementary feeding earlier than 5 months of age or later than 6 months of age (OR=2.42, 95%CI 1.13-5.20), dry stools during the complementary feeding (OR=11.27, 95%CI 5.15-24.66), history of constipation (OR=2.29, 95%CI 1.23-4.29) and taking probiotics in the last month (OR=1.88, 95%CI 1.10-3.23) were risk factors of FC in children aged 0-<1 year, and breastfeeding (OR=0.53, 95%CI 0.29-0.94) was a protective factor of FC in children aged 0-<1 year. Family members' recent constipation history (OR=2.02, 95%CI 1.06-3.85) and past history of constipation (OR=3.06, 95%CI 1.74-5.38) were FC risk factors for children aged 1-<2 years. Parental history of childhood constipation (OR=3.12, 95%CI 2.00-4.85), frequency of eating vegetables less than 3 times per week (OR=3.28, 95%CI 2.00-5.38), history of constipation (OR=3.66, 95%CI 2.42-5.53) and taking antibiotics in the last month (OR=1.65, 95%CI 1.06-2.55) were risk factors for FC in children aged 2-4 years. Conclusions: FC in children aged 0-4 years in Xi'an is mainly manifested with large-diameter feces and painful defecation or dry and hard defecation in the last month. It is associated with a variety of risk factors, which are different in different age groups.
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Affiliation(s)
- T Li
- Department of Pediatrics, Tangdu Hospital of Air Force Medical University, Xi'an 710000,China
| | - J J Huang
- Department of Pediatrics, Tangdu Hospital of Air Force Medical University, Xi'an 710000,China
| | - L Shang
- Department of Statistics, Air Force Medical University, Xi 'an 710000, China
| | - X Jiang
- Department of Pediatrics, Tangdu Hospital of Air Force Medical University, Xi'an 710000,China
| | - Y Lin
- Department of Pediatrics, Tangdu Hospital of Air Force Medical University, Xi'an 710000,China
| | - X Z Liu
- Department of Pediatrics, Tangdu Hospital of Air Force Medical University, Xi'an 710000,China
| | - H W Guo
- Department of Pediatrics, Tangdu Hospital of Air Force Medical University, Xi'an 710000,China
| | - W Zhang
- Department of Pediatrics, Tangdu Hospital of Air Force Medical University, Xi'an 710000,China
| | - B X Wang
- Department of Pediatrics, Tangdu Hospital of Air Force Medical University, Xi'an 710000,China
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13
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Liu GF, Cui P, Huang JJ. [0ne case report of Chlamydia psittaci pneumonia]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2022; 40:300-303. [PMID: 35545600 DOI: 10.3760/cma.j.cn121094-20210330-00176] [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] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
This paper reported a case of severe Chlamydia psittaci pneumonia. The patient had a clear history of contact with sick poultry. The clinical manifestations were dry cough, fever and respiratory failure. Chest CT showed consolidation in the lower lobe of the right lung, and a small amount of exudative ground-glass opacity in the left lung. Chlamydia psittaci was detected in bronchoalveolar lavage fluid (BALF) by metagenomic assay. After treatment with antibiotics such as nitroimidazoles and carbapenems, the patient was discharged with a better health condition.
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Affiliation(s)
- G F Liu
- Shandong Academy of Occupational Health and Occupational Medicine Occupational Pulmonary Disease Department, Jinan 250001, China
| | - P Cui
- Shandong Academy of Occupational Health and Occupational Medicine Occupational Pulmonary Disease Department, Jinan 250001, China
| | - J J Huang
- Shandong Academy of Occupational Health and Occupational Medicine Occupational Pulmonary Disease Department, Jinan 250001, China
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14
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Li JH, Zhou S, Huang JJ, Nie X. [Investigation on occupational hazard factors in teaching and research places of a university]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2022; 40:308-310. [PMID: 35545603 DOI: 10.3760/cma.j.cn121094-20200903-00513] [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] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To investigate and monitor the occupational hazards in the Teaching and Research Laboratory (hereinafter referred to as the place) of a university, so as to provide basis for the occupational health work in the university. Methods: November 2014, 46 places in a university were selected by stratified random sampling, and the occupational health risk factors were investigated. Results: Indoor temperature, humidity, sulfur dioxide, nitrogen dioxide, carbon monoxide and carbon dioxide were detected in 21 sites, xylene and hydrofluoric acid were detected in 6 sites, and colony count was detected in 18 sites, the power frequency electric field intensity was measured in 23 places, and the x-ray radiation dose was measured in 4 places. Noise was measured at 21 sites, with 7 sites exceeding the standards accounting for 33.3% (7/21) ; 21 sites were detected for illumination and 10 sites for nonconformity accounting for 47.6% (10/21) ; 10 sites for Microwave Radiation and 3 sites exceeding the standards accounting for 30% (3/10) ; and 25 sites were detected for outdoor air volume and air velocity, the percentage of unqualified was 72% (18/25) in 18 sites, among which the wind velocity was statistically significant in teaching, research and experimental sites (P=0.010) . Conclusion: The occupational hazards in the teaching and research places of a university should be paid attention to, and the engineering protection and personal protection should be strengthened in the experiment.
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Affiliation(s)
- J H Li
- Department of Disease Control and Prevention, 921st Hospital of the Joint Service Support Force, Changsha 410003, China
| | - S Zhou
- Department of Disease Control and Prevention, 921st Hospital of the Joint Service Support Force, Changsha 410003, China
| | - J J Huang
- Department of Disease Control and Prevention, 921st Hospital of the Joint Service Support Force, Changsha 410003, China
| | - X Nie
- Department of Disease Control and Prevention, 921st Hospital of the Joint Service Support Force, Changsha 410003, China
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15
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Muñoz-Castañeda R, Zingg B, Matho KS, Chen X, Wang Q, Foster NN, Li A, Narasimhan A, Hirokawa KE, Huo B, Bannerjee S, Korobkova L, Park CS, Park YG, Bienkowski MS, Chon U, Wheeler DW, Li X, Wang Y, Naeemi M, Xie P, Liu L, Kelly K, An X, Attili SM, Bowman I, Bludova A, Cetin A, Ding L, Drewes R, D'Orazi F, Elowsky C, Fischer S, Galbavy W, Gao L, Gillis J, Groblewski PA, Gou L, Hahn JD, Hatfield JT, Hintiryan H, Huang JJ, Kondo H, Kuang X, Lesnar P, Li X, Li Y, Lin M, Lo D, Mizrachi J, Mok S, Nicovich PR, Palaniswamy R, Palmer J, Qi X, Shen E, Sun YC, Tao HW, Wakemen W, Wang Y, Yao S, Yuan J, Zhan H, Zhu M, Ng L, Zhang LI, Lim BK, Hawrylycz M, Gong H, Gee JC, Kim Y, Chung K, Yang XW, Peng H, Luo Q, Mitra PP, Zador AM, Zeng H, Ascoli GA, Josh Huang Z, Osten P, Harris JA, Dong HW. Cellular anatomy of the mouse primary motor cortex. Nature 2021; 598:159-166. [PMID: 34616071 PMCID: PMC8494646 DOI: 10.1038/s41586-021-03970-w] [Citation(s) in RCA: 82] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Accepted: 08/27/2021] [Indexed: 12/24/2022]
Abstract
An essential step toward understanding brain function is to establish a structural framework with cellular resolution on which multi-scale datasets spanning molecules, cells, circuits and systems can be integrated and interpreted1. Here, as part of the collaborative Brain Initiative Cell Census Network (BICCN), we derive a comprehensive cell type-based anatomical description of one exemplar brain structure, the mouse primary motor cortex, upper limb area (MOp-ul). Using genetic and viral labelling, barcoded anatomy resolved by sequencing, single-neuron reconstruction, whole-brain imaging and cloud-based neuroinformatics tools, we delineated the MOp-ul in 3D and refined its sublaminar organization. We defined around two dozen projection neuron types in the MOp-ul and derived an input-output wiring diagram, which will facilitate future analyses of motor control circuitry across molecular, cellular and system levels. This work provides a roadmap towards a comprehensive cellular-resolution description of mammalian brain architecture.
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Affiliation(s)
| | - Brian Zingg
- UCLA Brain Research and Artificial Intelligence Nexus, Department of Neurobiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | | | - Xiaoyin Chen
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
- Allen Institute for Brain Science, Seattle, WA, USA
| | - Quanxin Wang
- Allen Institute for Brain Science, Seattle, WA, USA
| | - Nicholas N Foster
- UCLA Brain Research and Artificial Intelligence Nexus, Department of Neurobiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Anan Li
- Britton Chance Center for Biomedical Photonics, Wuhan National Laboratory for Optoelectronics, MoE Key Laboratory for Biomedical Photonics, Huazhong University of Science and Technology, Wuhan, China
- HUST-Suzhou Institute for Brainsmatics, JITRI, Suzhou, China
| | | | - Karla E Hirokawa
- Allen Institute for Brain Science, Seattle, WA, USA
- Cajal Neuroscience, Seattle, WA, USA
| | - Bingxing Huo
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | | | - Laura Korobkova
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Chris Sin Park
- Center for Neurobehavioral Genetics, Jane and Terry Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Young-Gyun Park
- Institute for Medical Engineering and Science, Department of Chemical Engineering, Picower Institute for Learning and Memory, Massachusetts Institute of Technology (MIT), Cambridge, MA, USA
| | - Michael S Bienkowski
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
- Department of Physiology and Neuroscience, Zilkha Neurogenetic Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA
| | - Uree Chon
- Department of Neural and Behavioral Sciences, College of Medicine, Penn State University, Hershey, PA, USA
| | - Diek W Wheeler
- Center for Neural Informatics, Structures and Plasticity, Bioengineering Department and Krasnow Institute for Advanced Study, George Mason University, Fairfax, VA, USA
| | - Xiangning Li
- Britton Chance Center for Biomedical Photonics, Wuhan National Laboratory for Optoelectronics, MoE Key Laboratory for Biomedical Photonics, Huazhong University of Science and Technology, Wuhan, China
- HUST-Suzhou Institute for Brainsmatics, JITRI, Suzhou, China
| | - Yun Wang
- Allen Institute for Brain Science, Seattle, WA, USA
| | | | - Peng Xie
- SEU-ALLEN Joint Center, Institute for Brain and Intelligence, Southeast University, Nanjing, China
| | - Lijuan Liu
- SEU-ALLEN Joint Center, Institute for Brain and Intelligence, Southeast University, Nanjing, China
| | - Kathleen Kelly
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | - Xu An
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
- Department of Neurobiology, Duke University School of Medicine, Durham, NC, USA
| | - Sarojini M Attili
- Center for Neural Informatics, Structures and Plasticity, Bioengineering Department and Krasnow Institute for Advanced Study, George Mason University, Fairfax, VA, USA
| | - Ian Bowman
- UCLA Brain Research and Artificial Intelligence Nexus, Department of Neurobiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | | | - Ali Cetin
- Allen Institute for Brain Science, Seattle, WA, USA
| | - Liya Ding
- SEU-ALLEN Joint Center, Institute for Brain and Intelligence, Southeast University, Nanjing, China
| | - Rhonda Drewes
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | | | - Corey Elowsky
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | | | | | - Lei Gao
- UCLA Brain Research and Artificial Intelligence Nexus, Department of Neurobiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Jesse Gillis
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | | | - Lin Gou
- UCLA Brain Research and Artificial Intelligence Nexus, Department of Neurobiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Joel D Hahn
- Department of Biological Sciences, University of Southern California, Los Angeles, CA, USA
| | - Joshua T Hatfield
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
- Department of Neurobiology, Duke University School of Medicine, Durham, NC, USA
| | - Houri Hintiryan
- UCLA Brain Research and Artificial Intelligence Nexus, Department of Neurobiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Junxiang Jason Huang
- Center for Neural Circuits and Sensory Processing Disorders, Zilkha Neurogenetics Institute (ZNI), Department of Physiology and Neuroscience, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Hideki Kondo
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | - Xiuli Kuang
- School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou, China
| | | | - Xu Li
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | - Yaoyao Li
- School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou, China
| | - Mengkuan Lin
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | - Darrick Lo
- UCLA Brain Research and Artificial Intelligence Nexus, Department of Neurobiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | | | | | - Philip R Nicovich
- Allen Institute for Brain Science, Seattle, WA, USA
- Cajal Neuroscience, Seattle, WA, USA
| | | | - Jason Palmer
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | - Xiaoli Qi
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | - Elise Shen
- Allen Institute for Brain Science, Seattle, WA, USA
| | - Yu-Chi Sun
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | - Huizhong W Tao
- Center for Neural Circuits and Sensory Processing Disorders, Zilkha Neurogenetics Institute (ZNI), Department of Physiology and Neuroscience, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | | | - Yimin Wang
- SEU-ALLEN Joint Center, Institute for Brain and Intelligence, Southeast University, Nanjing, China
- School of Computer Engineering and Science, Shanghai University, Shanghai, China
| | - Shenqin Yao
- Allen Institute for Brain Science, Seattle, WA, USA
| | - Jing Yuan
- Britton Chance Center for Biomedical Photonics, Wuhan National Laboratory for Optoelectronics, MoE Key Laboratory for Biomedical Photonics, Huazhong University of Science and Technology, Wuhan, China
- HUST-Suzhou Institute for Brainsmatics, JITRI, Suzhou, China
| | - Huiqing Zhan
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | - Muye Zhu
- UCLA Brain Research and Artificial Intelligence Nexus, Department of Neurobiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Lydia Ng
- Allen Institute for Brain Science, Seattle, WA, USA
| | - Li I Zhang
- Center for Neural Circuits and Sensory Processing Disorders, Zilkha Neurogenetics Institute (ZNI), Department of Physiology and Neuroscience, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Byung Kook Lim
- HUST-Suzhou Institute for Brainsmatics, JITRI, Suzhou, China
- Division of Biological Science, Neurobiology section, University of California San Diego, San Diego, CA, USA
| | | | - Hui Gong
- Britton Chance Center for Biomedical Photonics, Wuhan National Laboratory for Optoelectronics, MoE Key Laboratory for Biomedical Photonics, Huazhong University of Science and Technology, Wuhan, China
- HUST-Suzhou Institute for Brainsmatics, JITRI, Suzhou, China
| | - James C Gee
- Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA
| | - Yongsoo Kim
- Department of Neural and Behavioral Sciences, College of Medicine, Penn State University, Hershey, PA, USA
| | - Kwanghun Chung
- Institute for Medical Engineering and Science, Department of Chemical Engineering, Picower Institute for Learning and Memory, Massachusetts Institute of Technology (MIT), Cambridge, MA, USA
| | - X William Yang
- Center for Neurobehavioral Genetics, Jane and Terry Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Hanchuan Peng
- SEU-ALLEN Joint Center, Institute for Brain and Intelligence, Southeast University, Nanjing, China
| | - Qingming Luo
- Britton Chance Center for Biomedical Photonics, Wuhan National Laboratory for Optoelectronics, MoE Key Laboratory for Biomedical Photonics, Huazhong University of Science and Technology, Wuhan, China
- HUST-Suzhou Institute for Brainsmatics, JITRI, Suzhou, China
| | - Partha P Mitra
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA
| | | | - Hongkui Zeng
- Allen Institute for Brain Science, Seattle, WA, USA
| | - Giorgio A Ascoli
- Center for Neural Informatics, Structures and Plasticity, Bioengineering Department and Krasnow Institute for Advanced Study, George Mason University, Fairfax, VA, USA.
| | - Z Josh Huang
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.
- Department of Neurobiology, Duke University School of Medicine, Durham, NC, USA.
| | - Pavel Osten
- Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.
| | - Julie A Harris
- Allen Institute for Brain Science, Seattle, WA, USA.
- Cajal Neuroscience, Seattle, WA, USA.
| | - Hong-Wei Dong
- UCLA Brain Research and Artificial Intelligence Nexus, Department of Neurobiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
- USC Stevens Neuroimaging and Informatics Institute (INI), Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA.
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Chen X, Zou Q, Zhen RN, Xie ZJ, Huang JJ, Liu L, Huang Y, Ma Y, Li K, Wang H, Chen ZQ, Liu YF, Yuan J. [Establishment of index system for population based SARS-CoV-2 nucleic acid screening]. Zhonghua Liu Xing Bing Xue Za Zhi 2021; 42:1353-1359. [PMID: 34814553 DOI: 10.3760/cma.j.cn112338-20210209-00106] [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: 06/13/2023]
Abstract
Objective: To establish an index system of population based SARS-CoV-2 nucleic acid screening, and provide reference to determine the screening coverage appropriately. Methods: The literature review and brain storming sessions were used to develop the basic frame and index system of population based SARS-CoV-2 nucleic acid screening. Based on Delphi method and Analytic Hierarchy Process, 21 domestic experts were selected for two rounds of consultation to determine the index system of population based SARS-CoV-2 nucleic acid screening and its weight. Results: The positive indexes of experts in two rounds of consultations were both 100%. The experts' authority coefficients (Cr) were 0.88±0.08 and 0.89±0.07, respectively. And the range of coefficient of variation (CV) were (0.08, 0.24), (0.09, 0.25). The Kendall's W coordination coefficients were 0.34 and 0.22 respectively, which were statistically significant. The index system of population based SARS-CoV-2 nucleic acid screening was established, which had 4 first-level indexes, 11 second-level indexes and 58 third-level indexes. Besides, the weight of each index was determined. Conclusion: The index system of population based SARS-CoV-2 nucleic acid screening has been established, which can provide scientific reference for the health administration to determine the coverage of population based SARS-CoV-2 nucleic acid screening when local COVID-19 epidemic occurs.
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Affiliation(s)
- X Chen
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - Q Zou
- School of Public Health,Guangzhou Medical University, Guangzhou 511436, China
| | - R N Zhen
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - Z J Xie
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - J J Huang
- School of Public Health,Southern Medical University , Guangzhou 510515, China
| | - L Liu
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - Y Huang
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - Y Ma
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - K Li
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - H Wang
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - Z Q Chen
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - Y F Liu
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
| | - J Yuan
- Institute of Public Health, Guangzhou Medical University, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
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Xu ZY, Liu Y, Jiang YG, Huang JJ, Wu XW, Ren JA. [Establishment of mini-guts organoid and research on intestinal disease from the new perspective]. Zhonghua Wei Chang Wai Ke Za Zhi 2021; 24:638-643. [PMID: 34289550 DOI: 10.3760/cma.j.cn.441530-20200422-00236] [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] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Intestinal organoids, also named "mini-guts", reconstitute sophisticated three-dimensional architecture recapitulating diversified intestinal epithelial cell types and physiology, which is driven by the proliferative and self-assembling characteristics of crypt stem cells. The initiation of organoids study relies on the identification of Lgr5+ crypt stem cells from different intestinal segments and the key role of EGF, Wnt, BMP/TGF-β, Notch signal pathways within the microenvironment during the cultivation process. Besides constituting polarized crypt-villus structures, these "mini-guts" exhibit various effective functions of intestinal epithelium. Since 2009 when the culture system of small intestinal organoids was established by Sato et al, intestinal organoids excel conventional intestinal models depending on genetical mutation in multiple aspects and thus have become the hotspot among the research on intestinal diseases. Combined with genomics, material science and engineering, "mini-guts" have been widely applied to the research on intestinal development, intestinal transport physiology, epithelial barrier, pathogen-host interaction and the study on cystic fibrosis, infectious diarrhea, ulcerative colitis, Crohn's disease, intestinal cancer, etc. In this review, we summarize the new insights introduced by organoid into the research on intestinal diseases, and related research advances and applications.
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Affiliation(s)
- Z Y Xu
- Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China
| | - Y Liu
- Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China
| | - Y G Jiang
- Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China
| | - J J Huang
- Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China
| | - X W Wu
- Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China
| | - J A Ren
- Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China
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18
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Huang JJ, Bo L, Yang YS, Yang Y, Xu S. [Malignant peripheral nerve sheath tumor of the heart: report of a case]. Zhonghua Bing Li Xue Za Zhi 2021; 50:826-828. [PMID: 34405627 DOI: 10.3760/cma.j.cn112151-20201117-00846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- J J Huang
- Department of Pathology, Guizhou Medical University, Guiyang 550000, China
| | - L Bo
- Department of Pathology, the Affiliated Hospital of Guizhou Medical University, Guiyang 550000, China
| | - Y S Yang
- Department of Pathology, Guizhou Medical University, Guiyang 550000, China
| | - Y Yang
- Department of Pathology, Guizhou Medical University, Guiyang 550000, China
| | - S Xu
- Department of Pathology, Guizhou Medical University, Guiyang 550000, China
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Xu ZN, Huang JJ, Zhou J, Huang WS, Guo YJ, Cai MY, Zhou JW, Lin LT, Liang LC, Zhu KS. [Efficacy and safety of anti-PD-1 monoclonal antibody in advanced hepatocellular carcinoma after TACE combined with TKI therapy]. Zhonghua Nei Ke Za Zhi 2021; 60:630-636. [PMID: 34619840 DOI: 10.3760/cma.j.cn112138-20200928-00841] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate the efficacy and safety of anti-programmed cell death 1 (PD-1) receptor monoclonal antibody (MoAb) in patients with advanced hepatocellular carcinoma (HCC) after treatment of transcatheter arterial chemoembolization (TACE) combined with tyrosine kinase inhibitor (TKI). Methods: From February 2019 to February 2020, 56 HCC patients who relapsed after TACE-TKI treatment in Department of Interventional Radiology, The Second Affiliated Hospital of Guangzhou Medical University were enrolled. All patients received anti-PD-1 MoAb (sintilimab injection) and followed up every 6 weeks. According to mRECIST, the curative effect was evaluated as complete response (CR), partial response (PR), stable disease (SD) or progressive disease (PD). Objective response rate (ORR) and disease control rate (DCR), progression-free survival (PFS) and treatment-related adverse events (TRAEs) were recorded. Univariate analysis by Chi-square test and binary logistic regression model was used to determine the influencing factors of DCR. The Kaplan-Meier method and Cox proportional hazard regression model were used to analyze the survival data. Results: A total of 48 patients were enrolled in this study including 42 males and 6 females, with a median age of 55 years (29-71 years). ECOG scores comprised of 0 in 24 cases, 1-2 in 24 cases. Thirty-six patients were in Child-Pugh grade A of liver function and 12 cases were grade B. The median follow-up time was 4.5 months. There were 2 patients achieved CR, 12 patients with PR and 16 with SD. ORR was 29.2%, DCR was 62.5%. The independent influencing factors of DCR was ECOG score and AFP level (P=0.031, P=0.012). Median PFS was 4.1 months (95%CI 2.7-5.4 months), and ECOG score was the independent influencing factor of PFS (P=0.042). Treatment-related adverse events were reported in 70.8% (34/48) patients. Incidence of grade Ⅲ-Ⅳ TRAEs was 22.9% (11/48). Conclusion: In patients with HCC who relapse from TACE and TKI treatment, anti-PD-1 monoclonal antibody is efficacious safe especially in those with ECOG 0 score.
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Affiliation(s)
- Z N Xu
- Department of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China
| | - J J Huang
- Department of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China
| | - J Zhou
- Department of Pharmacy, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, China
| | - W S Huang
- Department of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China
| | - Y J Guo
- Department of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China
| | - M Y Cai
- Department of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China
| | - J W Zhou
- Department of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China
| | - L T Lin
- Department of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China
| | - L C Liang
- Department of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China
| | - K S Zhu
- Department of Interventional Radiology, the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China
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Gorham PW, Ludwig A, Deaconu C, Cao P, Allison P, Banerjee O, Batten L, Bhattacharya D, Beatty JJ, Belov K, Binns WR, Bugaev V, Chen CH, Chen P, Chen Y, Clem JM, Cremonesi L, Dailey B, Dowkontt PF, Fox BD, Gordon JWH, Hast C, Hill B, Hsu SY, Huang JJ, Hughes K, Hupe R, Israel MH, Liu TC, Macchiarulo L, Matsuno S, McBride K, Miki C, Nam J, Naudet CJ, Nichol RJ, Novikov A, Oberla E, Olmedo M, Prechelt R, Rauch BF, Roberts JM, Romero-Wolf A, Rotter B, Russell JW, Saltzberg D, Seckel D, Schoorlemmer H, Shiao J, Stafford S, Stockham J, Stockham M, Strutt B, Sutherland MS, Varner GS, Vieregg AG, Wang SH, Wissel SA. Unusual Near-Horizon Cosmic-Ray-like Events Observed by ANITA-IV. Phys Rev Lett 2021; 126:071103. [PMID: 33666466 DOI: 10.1103/physrevlett.126.071103] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Revised: 10/20/2020] [Accepted: 11/12/2020] [Indexed: 06/12/2023]
Abstract
ANITA's fourth long-duration balloon flight in 2016 detected 29 cosmic-ray (CR)-like events on a background of 0.37_{-0.17}^{+0.27} anthropogenic events. CRs are mainly seen in reflection off the Antarctic ice sheets, creating a phase-inverted waveform polarity. However, four of the below-horizon CR-like events show anomalous noninverted polarity, a p=5.3×10^{-4} chance if due to background. All anomalous events are from locations near the horizon; ANITA-IV observed no steeply upcoming anomalous events similar to the two such events seen in prior flights.
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Affiliation(s)
- P W Gorham
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - A Ludwig
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - C Deaconu
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - P Cao
- Department of Physics, University of Delaware, Newark, Delaware 19716, USA
| | - P Allison
- Department of Physics, Center for Cosmology and AstroParticle Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - O Banerjee
- Department of Physics, Center for Cosmology and AstroParticle Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - L Batten
- Department of Physics and Astronomy, University College London, WC1E 6BT London, United Kingdom
| | - D Bhattacharya
- Department of Mathematics, George Washington University, Washington, D.C. 20052, USA
| | - J J Beatty
- Department of Physics, Center for Cosmology and AstroParticle Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - K Belov
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, California 91109, USA
| | - W R Binns
- Department of Physics and McDonnell Center for the Space Sciences, Washington University in St. Louis, St. Louis, Missouri 63130, USA
| | - V Bugaev
- Department of Physics and McDonnell Center for the Space Sciences, Washington University in St. Louis, St. Louis, Missouri 63130, USA
| | - C H Chen
- Department of Physics, Graduate Institute of Astrophysics, and Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - P Chen
- Department of Physics, Graduate Institute of Astrophysics, and Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - Y Chen
- Department of Physics, Graduate Institute of Astrophysics, and Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - J M Clem
- Department of Physics, University of Delaware, Newark, Delaware 19716, USA
| | - L Cremonesi
- Department of Physics and Astronomy, University College London, WC1E 6BT London, United Kingdom
| | - B Dailey
- Department of Physics, Center for Cosmology and AstroParticle Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - P F Dowkontt
- Department of Physics and McDonnell Center for the Space Sciences, Washington University in St. Louis, St. Louis, Missouri 63130, USA
| | - B D Fox
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - J W H Gordon
- Department of Physics, Center for Cosmology and AstroParticle Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - C Hast
- SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - B Hill
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - S Y Hsu
- Department of Physics, Graduate Institute of Astrophysics, and Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - J J Huang
- Department of Physics, Graduate Institute of Astrophysics, and Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - K Hughes
- Department of Physics, Center for Cosmology and AstroParticle Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - R Hupe
- Department of Physics, Center for Cosmology and AstroParticle Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - M H Israel
- Department of Physics and McDonnell Center for the Space Sciences, Washington University in St. Louis, St. Louis, Missouri 63130, USA
| | - T C Liu
- Department of Electrophysics, National Yang-Ming Chiao Tung University, Hsinchu 30010, Taiwan
| | - L Macchiarulo
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - S Matsuno
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - K McBride
- Department of Physics, Center for Cosmology and AstroParticle Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - C Miki
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - J Nam
- Department of Physics, Graduate Institute of Astrophysics, and Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - C J Naudet
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, California 91109, USA
| | - R J Nichol
- Department of Physics and Astronomy, University College London, WC1E 6BT London, United Kingdom
| | - A Novikov
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
- National Research Nuclear University, Moscow Engineering Physics Institute, Moscow 115409, Russia
| | - E Oberla
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - M Olmedo
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - R Prechelt
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - B F Rauch
- Department of Physics and McDonnell Center for the Space Sciences, Washington University in St. Louis, St. Louis, Missouri 63130, USA
| | - J M Roberts
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - A Romero-Wolf
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, California 91109, USA
| | - B Rotter
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - J W Russell
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - D Saltzberg
- Department of Physics and Astronomy, University of California, Los Angeles, Los Angeles, California 90095, USA
| | - D Seckel
- Department of Physics, University of Delaware, Newark, Delaware 19716, USA
| | - H Schoorlemmer
- Max-Planck-Institute für Kernphysik, 69029 Heidelberg, Germany
| | - J Shiao
- Department of Physics, Graduate Institute of Astrophysics, and Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - S Stafford
- Department of Physics, Center for Cosmology and AstroParticle Physics, The Ohio State University, Columbus, Ohio 43210, USA
| | - J Stockham
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
| | - M Stockham
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
| | - B Strutt
- Department of Physics and Astronomy, University of California, Los Angeles, Los Angeles, California 90095, USA
| | - M S Sutherland
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - G S Varner
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - A G Vieregg
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - S H Wang
- Department of Physics, Graduate Institute of Astrophysics, and Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - S A Wissel
- Department of Physics, Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, Pennsylvania 16801, USA
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Feng DD, Huang JJ, Ke X, Liu J, Shen Y, Yang YC. [The correlation between the degree of anxiety/depression and the improvement of subjective and objective symptoms after functional endoscopic sinus surgery in chronic sinusitis]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 55:830-836. [PMID: 32911885 DOI: 10.3760/cma.j.cn115330-20200327-00249] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore whether the improvement of subjective symptoms and objective grades after endoscopic sinus surgery in patients with chronic sinusitis (CRS) are related to the degree of preoperative anxiety or depression and to provide reference for improving the effects of clinical treatment. Methods: The clinical data of one hundred and sixty patients with CRS treated by endoscopic sinus surgery in the First Affiliated Hospital of Chongqing Medical University from April 2018 to August 2019 were collected prospectively. The visual analogue scale (VAS) scores, self-rating anxiety scale (SAS) scores, self-rating depression scale (SDS) scores, Lund-Kennedy scores of nasal endoscopy and the Lund-Mackay scores of CT before and 6 months after surgery were used to analyse the correlation between the scores of anxiety or depression and the subjective and objective scores of patients before and after operation by grouping and layering. One hundred and one males (63.1%) and 59 females (36.9%) with an average age of 47.3 years (18-75 years) were included. Single-sample, independent or paired t-test, one-way ANOVA and rank-sum test were used for comparison and Pearson correlation analysis was used for the correlation between groups. Results: There was no statistical difference of anxiety or depression between different groups in terms of age, gender and course in the 160 effective patients (t values were -0.151, -0.487, -0.846, all P values>0.05; t values were -0.473, -1.302, -1.069, all P values>0.05). And the degree of preoperative anxiety or depression was positively correlated with the subjective scores, including overall discomfort, nasal obstruction, runny nose and olfactory decline (r values were 0.515, 0.606, 0.424, 0.306, all P values<0.01; r values were: 0.518, 0.584, 0.448, 0.308, all P values<0.01), but not significantly correlated with objective scores of Lund-Mackay and Lund-Kennedy (all P value>0.05). Moreover, as far as the symptoms of overall discomfort, nasal obstruction, headache and runny nose, the results of one-way ANOVA showed that the improvement of symptoms in patients with serious anxiety or depression was worse than that of the normal, mild and moderate patients (all P values<0.05). However, there was no significant difference in the scores of Lund-Kennedy 6 months after surgery between them (both P values>0.05). Conclusion: The state of anxiety or depression affects the improvement of symptoms after endoscopic sinus surgery for CRS patients. Compared with the patients with normal and mild to moderate anxiety or depression, the improvement of symptoms in patients with severe anxiety and depression is worse. It is necessary to evaluate the anxiety or depression of the patients with CRS who are going to undergo endoscopic sinus surgery.
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Affiliation(s)
- D D Feng
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - J J Huang
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - X Ke
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - J Liu
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - Y Shen
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
| | - Y C Yang
- Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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22
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Xia W, Wang SS, Hu H, Zhao FL, Xu F, Hong RX, Jiang KK, Yuan ZY, Shi YX, Zhao K, Huang JJ, Xue C, Bi XW, Lu QY, An X, Zhang JM. [Cost-effectiveness of primary prophylaxis with PEG-rhG-CSF in early-stage breast cancer patients receiving chemotherapy in China]. Zhonghua Zhong Liu Za Zhi 2020; 42:861-867. [PMID: 33113628 DOI: 10.3760/cma.j.cn112152-20200616-00565] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate the cost effectiveness of primary prophylaxis (PP) with pegylated recombinant human granulocyte colony stimulating factor (PEG-rhG-CSF), PP with recombinant human granulocyte colony stimulating factor (rhG-CSF) and no prophylaxis in women with early-stage breast cancer in China. Methods: Two phase Markov models were constructed for a hypothetical cohort of patients aged 45 with stage Ⅱ breast cancer. The first phase modelled costs and outcomes of 4 cycles docetaxel combined with cyclophosphamide [TC×4, febrile neutropenia (FN) risk>20%] chemotherapy, which assumptions based on literature reviews, including FN rates [base-case (deterministic sensitivity analysis range), 0.29 (0.24-0.35)] and related events [FN case-fatality, 3.4 (2.7-4.1)]. Second phase modelled the long term survival which was link with the relative dose intensity (RDI) [mortality hazard ratio (HR) of RDI < 85% vs ≥85%, 1.45 (1.00-2.32)]. Clinical effectiveness, therapeutic costs, and economic utilities were estimated from peer-reviewed publications and expert opinions in case of unavailability of published evidences. Results: Compared to rhG-CSF PP and no prophylaxis, the cost of PEG-rhG-CSF PP increased to 5 208.19 RMB and 5 222.73 RMB, respectively. The quality-adjusted life-years (QALYs) enhanced to 0.066 and 0.297, respectively. Accordingly, the incremental cost effectiveness ratios (ICERs) are 79 146.3 RMB and 17 558.77 RMB per QALY, which were both below the willingness to pay (WTP) threshold of three times GDP per capita (18, 000 RMB) recommended by the WHO. Sensitivity analysis suggested that the more clinically effective the primary prophylaxis with PEG-rhG-CSF is, the more cost-effective primary prophylaxis with PEG-rhG-CSF will be. And the lower the mortality HR of RDI<85% vs ≥85% is, the more cost-effective primary prophylaxis with PEG-rhG-CSF will be. Conclusion: Although the cost of PP PEG-rhG-CSF is higher, considering the additional benefits, the administrating of PP PEG-rhG-CSF is likely to be a cost-effective alternative to PP rhG-CSF and no prophylaxis in patients with early stage breast cancer whose FN risks are more than 20% in China.
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Affiliation(s)
- W Xia
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - S S Wang
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - H Hu
- China National Health Development Research Center, Beijing 100044, China
| | - F L Zhao
- School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, The University of Newcastle, Callaghan 2308, Australia
| | - F Xu
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - R X Hong
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - K K Jiang
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - Z Y Yuan
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - Y X Shi
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - K Zhao
- China National Health Development Research Center, Beijing 100044, China
| | - J J Huang
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - C Xue
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - X W Bi
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - Q Y Lu
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - X An
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - J M Zhang
- Department of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
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Ke X, Yang YC, Shen Y, Liu J, Huang JJ, Hong SL. [Application of the subjective and objective evaluation in functional rhinoplasty]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 55:223-229. [PMID: 32268690 DOI: 10.3760/cma.j.issn.1673-0860.2020.03.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the subjective and objective evaluation methods in functional rhinoplasty. Methods: Sixty-four patients who underwent rhinoplasty in the Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University were included in this study from January 2017 to October 2018. There were 32 males and 32 females, with the age ranging from 18 to 45 years old. Before and 6 months after operation, nasal ventilation function was evaluated by Visual Analogue Scale (VAS), Nasal Obstruction Symptom Evaluation (NOSE), nasal acoustic reflex and nasal resistance. Satisfaction with nasal appearance was evaluated by VAS, Rhinoplasty Outcome Evaluation (ROE) and facial proportions evaluation. Psychological state was assessed by Emotional Balance Scale and Rosenberg Self-esteem Scale. Finally, the Pearson correlation analysis of patient satisfaction was performed. SPSS 23.0 software was used for statistical analysis. Results: Compared with pre-operation, nasal obstruction VAS, NOSE scores, total nasal resistance and difference ratio of nasal resistance showed significantly decline after surgery (1.62±0.85 vs 7.56±1.44, 22.62±3.54 vs 69.75±7.85, (0.16±0.08) Pa·s/ml vs (0.31±0.43) Pa·s/ml, 0.33±0.28 vs 0.71±0.32, all P<0.05). VAS of appearance and ROE scores showed an increase after surgery (11.20±3.66 vs 2.70±0.97, 17.80±2.71 vs 7.50±1.12, all P<0.05). The measurement of the external nasal subunits showed that the length of the dorsum of the nose, the angle of the face to the nose, the angle of the frontal and the angle of the alar of the nose were obviously reduced ((29.33±4.26) mm vs (33.61±5.24) mm, (135.11±3.81)° vs (139.91±6.30)°, (130.63±2.88)° vs (136.74±5.72)°, (99.71±4.02)° vs (106.27±5.60)°, all P<0.05). The scores of postoperative Emotional Balance Scale and Rosenberg Self-esteem Scale increased significantly (5.88±1.54 vs 4.31±1.85, 28.31±2.64 vs 22.13±2.77, all P<0.05). The Pearson correlation analysis showed that patients' satisfaction was positively correlated with subjective score of nasal ventilation (VAS, NOSE), subjective score of nasal appearance (VAS, ROE) and emotional balance scale, while negatively correlated with nasal resistance, and not correlated with the measurement of external nasal subunit. There was a significant positive correlation between the subjective score of nasal ventilation and the measurement of nasal resistance, but there was no significant correlation between the subjective score of nasal appearance and the measurement of external nasal subunit. Conclusion: The subjective and objective evaluation of nasal ventilation function, aesthetics of nasal appearance and psychological state can evaluate the effect of functional rhinoplasty effectively.
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Affiliation(s)
- X Ke
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
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Yao Y, Huang JJ, Jin X, Zhao JX, Xia CJ, Tong Y, Gao Y, Yu LS, Fan YY. Function of IL-33 in Wound Age Estimation of Skin Wounds in Mice. Fa Yi Xue Za Zhi 2020; 36:192-198. [PMID: 32530166 DOI: 10.12116/j.issn.1004-5619.2020.02.009] [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] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Indexed: 11/30/2022]
Abstract
Abstract Objective To explore the application value of interleukin-33 (IL-33) in wound age estimation in forensic practice by observing the sequential changes of IL-33 after skin wound. Methods Skin wound models were generated on the back of mice with a round file of 5 mm in diameter. Skin samples of the same size were taken from the same parts of mice in control group and injury group 1 h, 3 h, 6 h, 12 h, 1 d, 3 d, 5 d, 7 d and 10 d after skin wound. Hematoxylin-eosin (HE) staining method was applied to observe the morphological changes in the recovering process after skin wound. Western blotting, immunohistochemistry staining and double immunofluorescence staining methods were applied to detect the expression changes of IL-33 in the skin wound samples. Results The results of Western blotting showed that the expression of IL-33 protein decreased slightly at 3 h after skin wound, increased gradually at 6 h after skin wound, and reached the peak value at 3 d, then decreased gradually. Immunohistochemistry staining results showed that faint positive expression of IL-33 was observed in epidermis, hair follicles, sebaceous glands and dermal resident cells of the control group skin. The positive cell rate of IL-33 increased at 3 h after skin wound and reached the peak value at 3 d, then decreased gradually. The results of double immunofluorescence staining showed that the majority of IL-33 positive cells from 1 d to 3 d after wound were macrophages, while the majority of IL-33 positive cells from 5 d to 7 d after wound were myofibroblasts. In addition, the results of HE staining showed that the wound healing process of the skin wound model was consistent with the pathological development law of inflammation. Conclusion IL-33 could become a reference index for wound age estimation of skin wound in forensic practice.
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Affiliation(s)
- Y Yao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - J J Huang
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - X Jin
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - J X Zhao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - C J Xia
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Tong
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Gao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - L S Yu
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Y Fan
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
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Gao YY, Guo JY, Zhang Z, Han ZC, Lei LJ, Sun CM, Huang JJ, Wang T. [Relationship of telomere length, mitochondrial DNA copy number of peripheral blood with hypertension in coal miners]. Zhonghua Liu Xing Bing Xue Za Zhi 2020; 41:727-732. [PMID: 32447915 DOI: 10.3760/cma.j.cn112338-20190930-00714] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the relationship of telomere length, mitochondrial DNA copy number of peripheral blood with hypertension and the interaction between telomere length and mtDNA-CN on hypertension in coal miners. Methods: A case control study was conducted in a coal mine of Shanxi province from July to December of 2013, in which 325 healthy workers were selected as the control group and 378 workers with hypertension as the case group. The information about general demographic characteristics and life behavior habits of the subjects were collected through questionnaire. Levels of telomere length and mtDNA-CN in peripheral blood were detected by real-time PCR. Unconditional logistic regression was used to examine the association between hypertension and telomere length, mtDNA-CN. The interaction test between telomere length and mtDNA-CN on hypertension was performed by adding the interaction term in the corresponding model. Results: The mean telomere length of the workers in the case group was (1.50±0.55) kb, and that of the control group was (2.01±0.62) kb, the difference between two groups was significant (t=11.68, P<0.001). The correlation analysis showed that telomere length was positively correlated with mtDNA-CN (r=0.157, P=0.002) in the case group. Multivariate analysis showed that telomere length (OR=4.408, 95%CI: 3.012-6.452), age (OR=0.417, 95%CI: 0.284-0.613), BMI (OR=1.357, 95%CI: 1.162-1.584), monthly household income level (OR=0.656, 95%CI: 0.553-0.778) and work duration (OR=1.249, 95%CI: 1.100-1.417) were influencing factors of hypertension. The multiply interaction between telomere length and mtDNA-CN was significant on hypertension (OR=1.267, 95%CI: 1.094-1.468). Conclusions: The results suggest shorter telomere length is a risk factor of hypertension. There is a multiply interaction between telomere length and mtDNA-CN on hypertension. However, the association between mtDNA-CN and hypertension was not found.
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Affiliation(s)
- Y Y Gao
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - J Y Guo
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - Z Zhang
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - Z C Han
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - L J Lei
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - C M Sun
- General Hospital of Datong Coal Mine Group, Datong 037000, China
| | - J J Huang
- General Hospital of Datong Coal Mine Group, Datong 037000, China
| | - T Wang
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
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Zhang W, Wang X, Hu Y, Huang JJ, Cheng Y, Jin Z, Wang GF. [Clinical features and prognosis of pneumocystis pneumonia in patients treated with rituximab for autoimmune diseases]. Zhonghua Yi Xue Za Zhi 2020; 100:614-618. [PMID: 32164117 DOI: 10.3760/cma.j.issn.0376-2491.2020.08.010] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To determine the clinical features and outcomes of pneumocystic pneumonia (PCP) in patients treated with rituximab for autoimmune diseases. Methods: PCP patients with autoimmune diseases as underlying diseases from January 2009 to April 2019 in Peking University First Hospital (male 67 cases, female 35 cases, age 17-79) were retrospectively reviewed. Patients were grouped as rituximab group and non-rituximab group based on the fact if they were treated with rituximab before the onset of PCP. Demographic data, clinical features, and outcomes of the two groups were analyzed. Results: There were 102 cases altogether, and 7 patients were treated with rituximab before the onset of PCP. Patients in rituximab group were relatively younger than that in non-rituximab group [(32.0±18.7) vs (52.4±14.9) years, P=0.010]. Patients in rituximab group had more CD3(+), CD4(+), CD8(+)T lymphocytes in peripheral blood samples than that in non-rituximab group [(1 306±596) vs (546±439)/μl, (674±401) vs (243±232)/μl, (616±249) vs (282±256)/μl, respectively, all P<0.01]. However, the B lymphocyte count and plasma level of IgG and IgM were significantly lower in rituximab group than that in non-rituximab group [0 (0, 0.2) vs 72 (50.0, 124.4)/μl, 4.0 (2.6, 5.8) vs 9.4 (5.3, 12.0) g/L, 0.3 (0.2, 1.0) vs 1.1 (0.6, 1.8) g/L, respectively, all P<0.05]. The incidence of Cytomegalovirus (CMV) pneumonia was significantly lower in rituximab group (0/7 and 57/95, P=0.007). Other demographic data, the use of corticosteroids, the incidence of severe PCP, mechanical ventilation, intubation, pneumothorax and mediastinal emphysema complications, as well as hospital mortality and length of stay in hospital in the two groups were comparable. Conclusions: In patients treated with rituximab for autoimmune diseases, the number of B lymphocytes in peripheral blood and the plasma level of immunoglobulins but not CD3(+), CD4(+), and CD8(+)T lymphocyte counts may play an important role in the pathogenesis of PCP. These patients are not vulnerable to be complicated with CMV pneumonia.
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Affiliation(s)
- W Zhang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
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Jin X, Zhao JX, Yao Y, Huang JJ, Zhang F, Li XB, Ye GH, Fan YY, Huang DP, Xia NZ, Zou DH, Liu NG, Yu LS. Application of Virtual Anatomy Technology in Postmortem Examination of Medical Dispute Cases. Fa Yi Xue Za Zhi 2020; 36:72-76. [PMID: 32250083 DOI: 10.12116/j.issn.1004-5619.2020.01.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Indexed: 11/30/2022]
Abstract
Abstract Objective To discuss the application value of CT scanning technology in cause of death determination of medical dispute cases. Methods From July 2017 to December 2018, postmortem CT imaging data of 12 medical dispute cases were collected. CT imaging diagnosis results and anatomy findings as well as differences between antemortem and postmortem CT diagnosis were compared. The advantages and disadvantages of CT routine tests of the cadavers in terms of the diagnosis of disease and damage were analyzed. Results The comparison between CT imaging diagnosis and anatomical findings showed that CT scans had advantages in the diagnosis of disease and damage with large differences in density changes, such as atelectasis, pneumonia, calcification, fracture and hemorrhage, etc. The comparison of CT diagnosis in antemortem and postmortem examination showed that the cadavers of medical dispute cases were well preserved and that postmortem CT scan was meaningful for the diagnosis of antemortem diseases. Conclusion Virtual anatomy technology has a relatively high application value in postmortem examination of medical dispute cases. It can provide effective information for the appraisers before the autopsy and can also provide a reference for cause of death analysis when the anatomy cannot be performed.
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Affiliation(s)
- X Jin
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Department of Pathology and Forensic Medicine, Jiaxing University Medical College, Jiaxing 314001, Zhejiang Province, China
| | - J X Zhao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Yao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - J J Huang
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - F Zhang
- Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - X B Li
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - G H Ye
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Y Fan
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - D P Huang
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, Zhejiang Province, China
| | - N Z Xia
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, Zhejiang Province, China
| | - D H Zou
- Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - N G Liu
- Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
| | - L S Yu
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
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Sun Q, Wang H, Qiao N, Zhang HX, Cui Y, Huang JJ, Wang T. [Association of dietary patterns and diabetes risk level among adult residents in Datong city of Shanxi Province]. Zhonghua Yu Fang Yi Xue Za Zhi 2020; 54:278-282. [PMID: 32187932 DOI: 10.3760/cma.j.issn.0253-9624.2020.03.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To explore the association of dietary pattern and type 2 diabetes mellitus (T2DM) risk. Methods: In 2013, 3 747 participants from 87 coalmine branches of a large coal mine group in Datong City, Shanxi Province were selected by using a two-stage cluster stratified sampling method. Data on demographic characteristics, smoking, drinking, and family history of diabetes were collected by using a self-made questionnaire, and the International Physical Activity Questionnaire was used to assess the level of physical activity. Physical, glucose and lipid metabolism indicators were measured and subjects were divided into high-risk groups and low-risk groups of T2DM according to the T2DM risk score. Dietary data were collected by using Semi-quantitative Food Frequency Questionnaire, and dietary patterns were derived by using the exploratory factor analysis and cluster analysis. The unconditional logistic regression model was used to assess the association of dietary patterns and T2DM risk. Results: The age of the subjects was(41.48±8.62) years old, and 2 843 of them were males (84.31%). A total of 1 819 subjects were in the high-risk group and 1 553 in the low-risk group. Four dietary patterns, healthy diet, high-salt diet, meats diet, and carbohydrate-rich diet, were identified in this study. The unconditional logistic regression analysis showed that compared with the healthy diet pattern, after the adjustment of demographic characteristics, smoking, and drinking, the OR (95%CI) of T2DM risk in high-salt diet, carbohydrate-rich diet and meats diet patterns was 1.54 (1.26-1.88), 1.80 (1.43-2.28) and 1.20 (0.99-1.46), respectively. Conclusion: High-salt diet and carbohydrate-rich diet were positively associated with T2DM risk, whereas there was no association of meats diet and T2DM risk.
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Affiliation(s)
- Q Sun
- Department of Epidemiology and Health Statistics, School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - H Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - N Qiao
- Department of Epidemiology, Shanxi Cancer Hospital, Taiyuan 030001, China
| | - H X Zhang
- Institute of Bacterial Disease Prevention and Disinfection, Hebei Provincial Center for Disease Control and Prevention, Shijiazhuang 050021, China
| | - Y Cui
- Department of Infectious Disease and Endemic Disease Control, Tongzhou District Center for Disease Control and Prevention, Beijing 101100, China
| | - J J Huang
- Department of Neurosurgery, General Hospital of Datong Coal Mining Group, Datong 037003, China
| | - T Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Shanxi Medical University, Taiyuan 030001, China
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Jiang HC, Huang JJ. [Non-technical skills for surgeons]. Zhonghua Wai Ke Za Zhi 2020; 58:81-84. [PMID: 32074803 DOI: 10.3760/cma.j.issn.0529-5815.2020.02.001] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The rapid development of professional technology not only brings great benefits to patients, but also reveals the problem of non-technical skills. Technical competence is not enough to avoid the occurrence of adverse medical events or to get optimal post-operative outcomes. The development of technology is endless, we are desperately in need of non-technical skills, such as situation awareness, decision making, communication and teamwork, leadership. The only way we could achieve in the assistance of the perfect surgical operation with the combination of excellent surgical techniques and solid non-technical skills, and therefore relieve the patients as much as possible.
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Affiliation(s)
- H C Jiang
- Department of Hepatobiliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
| | - J J Huang
- Department of Hepatobiliary Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
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Cao JN, Zhang DS, Huang JJ, Jiang N, Li HY, Bao KF, Ding J, Chen XL, Ma L, Hu XB, Li JS, Ren XW, Cheng N, Bai YN. [Incidence of chronic obstructive pulmonary disease and pneumoconiosis in different occupational positions among populations from jinchang cohort]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2019; 37:650-655. [PMID: 31594118 DOI: 10.3760/cma.j.issn.1001-9391.2019.09.003] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the incidence and rank of chronic obstructive pulmonary disease and pneumoconiosis to the workers in different occupational positions in Jinchang Cohort. Methods: In January 2014, a cohort of follow-up population in jinchang city was taken as the research object, 17843 individuals among follow-up populations in Jinchang Cohort Study, removed the individuals with chronic obstructive pulmonary disease and pneumoconiosis before 2013, and counted the new incidence individuals diagnosed by the A-Class hospital in Grade III in Jinchang City, Gansu Province, as the investigation objects to investigate the incidence rate & rank of chronic obstructive pulmonary disease and pneumoconiosis. The statistical significance was tested by chi-square test. Results: The 2-year incidence rate of Chronic Obstructive Pulmonary Disease and Pneumoconiosis in the population of Jinchang Cohort Study were 11.60‰, 13.51‰ for male and 8.46‰ for female. the ranks of 2-year incidence rates of chronic bronchitis, emphysema, pneumoconiosis and other phenotypes of chronic obstructive pulmonary disease were 7.06‰、3.42‰、0.84‰、0.34‰, respectively. Incidence rate of chronic bronchitis among administrators and executive staffs were 10.45‰; incidence rate of chronic bronchitis among service staffs were 10.45‰; incidence rate of pneumoconiosis among mining staffs were 3.44‰. Conclusion: The first incidence rank of chronic obstructive pulmonary disease and pneumoconiosis in Jinchang cohort is chronic bronchitis, and the risk factors are smoking and occupational exposure.
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Affiliation(s)
- J N Cao
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - D S Zhang
- Workers' Hospital, Jinchuan Group Co., Ltd, Jinchang 737102, China
| | - J J Huang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - N Jiang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - H Y Li
- Workers' Hospital, Jinchuan Group Co., Ltd, Jinchang 737102, China
| | - K F Bao
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - J Ding
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - X L Chen
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - L Ma
- Institute of Social Medicine & Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - X B Hu
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - J S Li
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - X W Ren
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - N Cheng
- School of Basic Medical Science, Lanzhou University, Lanzhou 730000, China
| | - Y N Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
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Yang XR, Wu XP, Li CF, Tan N, Huang JJ, Zhang SY, Zheng H. [Mesothelial/monocytic incidental cardiac excrescences: report of a case]. Zhonghua Bing Li Xue Za Zhi 2019; 48:818-820. [PMID: 31594052 DOI: 10.3760/cma.j.issn.0529-5807.2019.10.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- X R Yang
- Department of Pathology, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
| | - X P Wu
- Department of Ultrasound, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
| | - C F Li
- Department of Pathology, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
| | - N Tan
- Department of Pathology, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
| | - J J Huang
- Department of Pathology, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
| | - S Y Zhang
- Department of Pathology, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
| | - H Zheng
- Department of Pathology, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China
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Lo AWS, Nyaw SF, Mui WH, Huang JJ, Kam KM, Wong CS. Predictive Factors of Pseudoprogression in Vestibular Schwannoma Treated with Fractionated Stereotactic Radiotherapy. Hong Kong Journal of Radiology 2019. [DOI: 10.12809/hkjr1916934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- AWS Lo
- Department of Clinical Oncology, Prince of Wales Hospital, Shatin, Hong Kong
| | - SF Nyaw
- Department of Clinical Oncology, Tuen Mun Hospital, Tuen Mun, Hong Kong
| | - WH Mui
- Department of Clinical Oncology, Tuen Mun Hospital, Tuen Mun, Hong Kong
| | - JJ Huang
- Department of Clinical Oncology, Tuen Mun Hospital, Tuen Mun, Hong Kong
| | - KM Kam
- Comprehensive Oncology Centre, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong
| | - CS Wong
- Department of Clinical Oncology, Tuen Mun Hospital, Tuen Mun, Hong Kong
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Zhao JX, Jin X, Huang JJ, Yao Y, Yu LS, Fan YY. Time-dependent Expression and Distribution of AChE during the Skin Incised Wound Healing in Mice. Fa Yi Xue Za Zhi 2019; 35:143-148. [PMID: 31135106 DOI: 10.12116/j.issn.1004-5619.2019.02.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Indexed: 11/30/2022]
Abstract
Abstract Objective To study the time-dependent expression and distribution of acetylcholinesterase (AChE) during skin incised wound healing in mice, and discuss its effect in wound healing as well as the feasibility of using it as a reference index for wound age estimation. Methods A total of 45 C57BL/KsJ mice were randomly divided into one control group and eight incised groups. The skin incised wound model was established in the incised groups with samples of skin wounds taken at 6 h, 12 h, 1 d, 3 d, 5 d, 7 d, 10 d and 14 d post-injury respectively, while the uninjured skin tissue was extracted in the control group. Expression and distribution of AChE in skin samples were detected by immunohistochemistry, double immunofluorescence and Western blotting. Results Immunohistochemistry results indicated that AChE was mainly detected in infiltrating polymorphonuclear cells (PMNs) 6 to 12 h post-injury. A large number of AChE-positive mononuclear cells (MNCs) were observed 1 to 3 d post-injury. The AChE-positive cells were mainly fibroblastic cells (FBCs) 5 to 14 d post-injury. The ratio of the AChE-positive cells increased initially 6 h post-injury, and reached the peak at 1 d post-injury. Double immunofluorescent staining showed that the majority of AChE-positive MNCs and FBCs expressed macrophage marker and myofibroblast marker, respectively. Western blotting results showed that the relative expression level of AChE in the incised group was higher than that in the control group averagely, reached the peak at 1 d post-injury, then reached a second peak at 7 d post-injury. Conclusion The expression of AChE is found in PMNs, macrophages and myofibroblast during skin wound healing, which indicates it might be involved in the adjustment of inflammatory response and fibrotic repair after injury. Moreover, combined use of various methods for the detection of the expression of AChE would provide reference for skin wound age estimation.
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Affiliation(s)
- J X Zhao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - X Jin
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - J J Huang
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Yao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - L S Yu
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Y Fan
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
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34
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Huang JJ, Yao Y, Xia CJ, Zhao YD, Yu S, Gao Y, Ye GH, Yu LS, Fan YY. Relationship between the Number of Neutrophils and Myofibroblasts during Diabetic Wound Healing and Wound Age. Fa Yi Xue Za Zhi 2019; 35:149-153. [PMID: 31135107 DOI: 10.12116/j.issn.1004-5619.2019.02.004] [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] [Subscribe] [Scholar Register] [Received: 01/02/2019] [Indexed: 11/30/2022]
Abstract
Abstract Objective To investigate the sequential changes of the number of neutrophils and myofibroblasts during diabetic wound healing, and discuss its application value in wound age estimation. Methods Diabetic DB mice and mice of the same age in the normal control group were selected, a wound healing model was established, wound samples were taken at different time points, while the number of neutrophils and myofibroblasts during diabetic wound healing were determined by immunohistochemical staining technique. Results The number of infiltrated neutrophils in the wounds of control and diabetic groups reached the peak respectively at 12 h and 5 d after injury. Compared with the control group, the number of neutrophils in the diabetic group decreased significantly from 6 h to 1 d after injury, but increased markedly from 5 d to 14 d. From 5 d to 10 d after injury, the average number of neutrophils at high magnification in wounds of the diabetic group was over 30, while that of neutrophils in wounds of the control group was less than 20. Myofibroblasts appeared in wounds from 3 d to 14 d after injury in the control group and from 5 d to 14 d after injury in the diabetic group. The difference in the number of myofibroblasts in wounds between control group and diabetic group from 3 to 7 d after injury had statistical significance. Conclusion In comparison with normal wound healing, the number of neutrophils and myofibroblasts during diabetic wound healing shows different sequential changes. The results of this study can provide reference for wound age estimation of patients with severe diabetes.
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Affiliation(s)
- J J Huang
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Yao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - C J Xia
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y D Zhao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - S Yu
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Gao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - G H Ye
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - L S Yu
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Y Fan
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judical Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
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35
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Jin X, Zhao JX, Yao L, Huang JJ, Fan YY, Yu LS. Expression of Annexin A1 during Skin Incised Wound Healing in Mice. Fa Yi Xue Za Zhi 2019; 35:5-10. [PMID: 30896112 DOI: 10.12116/j.issn.1004-5619.2019.01.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 06/17/2018] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To investigate the expression changes of annexin A1 (ANXA1) during the process of skin incision healing, and to explore its expression and function during skin injury repair. METHODS The skin injury model of mice was prepared, and skin tissues of the controls and the injured group at 6 h, 12 h, 1 d, 3 d, 5 d, 7 d, 10 d and 14 d after injuries were taken. The morphological changes of the wound were observed by hematoxylin-eosin (HE) staining, and the expression of ANXA1 was detected by immunohistochemistry (IHC) and Western blotting. RESULTS HE staining showed normal healing of skin wounds. IHC results revealed that ANXA1 was expressed in the epidermis, hair follicle, sebaceous gland and vascular endothelium. In the injured group, the expression of ANXA1 was enhanced in epidermis and skin appendages around the wound 6-12 h after injury, and ANXA1 was also highly expressed in neutrophils and a small number of mononuclear cells. ANXA1 was mainly positively expressed in monocytes, neovascular endothelial cells and fibroblasts, and small amount of fibroblasts at 1-3 d, 5-10 d, and 14 d after injury, respectively. Western blotting showed that, compared with the controls, the expression of ANXA1 was significantly increased at 6 h after injury, peaked at 1 d, and then decreased gradually in the injured group. CONCLUSIONS ANXA1 may be involved in the regulation of skin damage repair, with time-dependent expression during skin wound healing, and thus is expected to be a biological marker for inferring the wound formation time.
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Affiliation(s)
- X Jin
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - J X Zhao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - L Yao
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - J J Huang
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - Y Y Fan
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
| | - L S Yu
- Department of Forensic Medicine, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Judicial Forensic Center, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China.,Institute of Forensic Science, Wenzhou Medical University, Wenzhou 325035, Zhejiang Province, China
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36
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Huang JJ, Zhang Y, Liu QF. [Focusing the application of hematopoietic stem cell transplantation in elderly acute myeloid leukemia]. Zhonghua Xue Ye Xue Za Zhi 2018; 39:1043-1046. [PMID: 30612411 PMCID: PMC7348226 DOI: 10.3760/cma.j.issn.0253-2727.2018.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Indexed: 11/05/2022]
Affiliation(s)
| | | | - Q F Liu
- Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
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37
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Huang JJ, Huang JL. Challenges to the adoption of risk algorithms for colorectal cancer screening programmes: perspectives for future research. Hong Kong Med J 2018; 23:661-3. [PMID: 29226840 DOI: 10.12809/hkmj177058] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- J J Huang
- The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong
| | - J Lw Huang
- The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong
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38
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Sheng Y, Hong SL, Ke X, Yang YC, Huang JJ, Liu J, Hu GH. [Rosai-Dorfman disease with nasal septum involvement:two cases report]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 31:718-720. [PMID: 29871357 DOI: 10.13201/j.issn.1001-1781.2017.09.019] [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] [Received: 11/17/2016] [Indexed: 11/12/2022]
Abstract
Clinical data of 2 cases with Rosai-Dorfman disease(RDD) originating from nasal septal mucosa were reported retrospectively,and the pertinent literature was reviewed. Without specific clinical features,RDD in nasal cavity could be misdiagnosed easily. Pathology revealed different morphologies of cell proliferation with engulfed lymphocytes,plasma cells and neutrophils. Immunohistochemical staining showed S-100(+),CD68(+),CD1(-).RDD disease generally has a benign course and is self-limited. Its diagnosis depends mainly on biopsy.As for the treatment of this disease,the strategies are not systemic and standard. Surgical treatment is used to excise the mass in nasal cavity,glucocorticoids treatment after surgery is inconclusive. The long-term effect need to be further observed..
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Gorham PW, Rotter B, Allison P, Banerjee O, Batten L, Beatty JJ, Bechtol K, Belov K, Besson DZ, Binns WR, Bugaev V, Cao P, Chen CC, Chen CH, Chen P, Clem JM, Connolly A, Cremonesi L, Dailey B, Deaconu C, Dowkontt PF, Fox BD, Gordon JWH, Hast C, Hill B, Hughes K, Huang JJ, Hupe R, Israel MH, Javaid A, Lam J, Liewer KM, Lin SY, Liu TC, Ludwig A, Macchiarulo L, Matsuno S, Miki C, Mulrey K, Nam J, Naudet CJ, Nichol RJ, Novikov A, Oberla E, Olmedo M, Prechelt R, Prohira S, Rauch BF, Roberts JM, Romero-Wolf A, Russell JW, Saltzberg D, Seckel D, Schoorlemmer H, Shiao J, Stafford S, Stockham J, Stockham M, Strutt B, Varner GS, Vieregg AG, Wang SH, Wissel SA. Observation of an Unusual Upward-Going Cosmic-Ray-like Event in the Third Flight of ANITA. Phys Rev Lett 2018; 121:161102. [PMID: 30387639 DOI: 10.1103/physrevlett.121.161102] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Revised: 06/14/2018] [Indexed: 06/08/2023]
Abstract
We report on an upward traveling, radio-detected cosmic-ray-like impulsive event with characteristics closely matching an extensive air shower. This event, observed in the third flight of the Antarctic Impulsive Transient Antenna (ANITA), a NASA-sponsored long-duration balloon payload, is consistent with a similar event reported in a previous flight. These events could be produced by the atmospheric decay of an upward-propagating τ lepton produced by a ν_{τ} interaction, although their relatively steep arrival angles create tension with the standard model neutrino cross section. Each of the two events have a posteriori background estimates of ≲10^{-2} events. If these are generated by τ-lepton decay, then either the charged-current ν_{τ} cross section is suppressed at EeV energies, or the events arise at moments when the peak flux of a transient neutrino source was much larger than the typical expected cosmogenic background neutrinos.
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Affiliation(s)
- P W Gorham
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - B Rotter
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - P Allison
- Department of Physics, Center for Cosmology and AstroParticle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - O Banerjee
- Department of Physics, Center for Cosmology and AstroParticle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - L Batten
- Department of Physics and Astronomy, University College London, London WC1E 6BT, United Kingdom
| | - J J Beatty
- Department of Physics, Center for Cosmology and AstroParticle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - K Bechtol
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - K Belov
- Jet Propulsion Laboratory, Pasadena, California 91109, USA
| | - D Z Besson
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
- National Research Nuclear University, MEPhI (Moscow Engineering Physics Institute), Kashirskoe shosse 31, Moscow 115409, Russian Federation
| | - W R Binns
- Department of Physics & McDonnell Center for the Space Sciences, Washington University in St. Louis, Missouri 63130, USA
| | - V Bugaev
- Department of Physics & McDonnell Center for the Space Sciences, Washington University in St. Louis, Missouri 63130, USA
| | - P Cao
- Department of Physics, University of Delaware, Newark, Delaware 19716, USA
| | - C C Chen
- Department of Physics, Graduate Institute. of Astrophysics, & Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - C H Chen
- Department of Physics, Graduate Institute. of Astrophysics, & Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - P Chen
- Department of Physics, Graduate Institute. of Astrophysics, & Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - J M Clem
- Department of Physics, University of Delaware, Newark, Delaware 19716, USA
| | - A Connolly
- Department of Physics, Center for Cosmology and AstroParticle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - L Cremonesi
- Department of Physics and Astronomy, University College London, London WC1E 6BT, United Kingdom
| | - B Dailey
- Department of Physics, Center for Cosmology and AstroParticle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - C Deaconu
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - P F Dowkontt
- Department of Physics & McDonnell Center for the Space Sciences, Washington University in St. Louis, Missouri 63130, USA
| | - B D Fox
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - J W H Gordon
- Department of Physics, Center for Cosmology and AstroParticle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - C Hast
- SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - B Hill
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - K Hughes
- Department of Physics, Center for Cosmology and AstroParticle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - J J Huang
- Department of Physics, Graduate Institute. of Astrophysics, & Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - R Hupe
- Department of Physics, Center for Cosmology and AstroParticle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - M H Israel
- Department of Physics & McDonnell Center for the Space Sciences, Washington University in St. Louis, Missouri 63130, USA
| | - A Javaid
- Department of Physics, University of Delaware, Newark, Delaware 19716, USA
| | - J Lam
- Department of Physics and Astronomy, University of California, Los Angeles, Los Angeles, California 90095, USA
| | - K M Liewer
- Jet Propulsion Laboratory, Pasadena, California 91109, USA
| | - S Y Lin
- Department of Physics, Graduate Institute. of Astrophysics, & Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - T C Liu
- Department of Physics, Graduate Institute. of Astrophysics, & Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - A Ludwig
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - L Macchiarulo
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - S Matsuno
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - C Miki
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - K Mulrey
- Department of Physics, University of Delaware, Newark, Delaware 19716, USA
| | - J Nam
- Department of Physics, Graduate Institute. of Astrophysics, & Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - C J Naudet
- Jet Propulsion Laboratory, Pasadena, California 91109, USA
| | - R J Nichol
- Department of Physics and Astronomy, University College London, London WC1E 6BT, United Kingdom
| | - A Novikov
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
- National Research Nuclear University, MEPhI (Moscow Engineering Physics Institute), Kashirskoe shosse 31, Moscow 115409, Russian Federation
| | - E Oberla
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - M Olmedo
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - R Prechelt
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - S Prohira
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
| | - B F Rauch
- Department of Physics & McDonnell Center for the Space Sciences, Washington University in St. Louis, Missouri 63130, USA
| | - J M Roberts
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - A Romero-Wolf
- Jet Propulsion Laboratory, Pasadena, California 91109, USA
| | - J W Russell
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - D Saltzberg
- Department of Physics and Astronomy, University of California, Los Angeles, Los Angeles, California 90095, USA
| | - D Seckel
- Department of Physics, University of Delaware, Newark, Delaware 19716, USA
| | - H Schoorlemmer
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - J Shiao
- Department of Physics, Graduate Institute. of Astrophysics, & Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - S Stafford
- Department of Physics, Center for Cosmology and AstroParticle Physics, Ohio State University, Columbus, Ohio 43210, USA
| | - J Stockham
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
| | - M Stockham
- Department of Physics and Astronomy, University of Kansas, Lawrence, Kansas 66045, USA
| | - B Strutt
- Department of Physics and Astronomy, University of California, Los Angeles, Los Angeles, California 90095, USA
| | - G S Varner
- Department of Physics and Astronomy, University of Hawaii, Manoa, Hawaii 96822, USA
| | - A G Vieregg
- Department of Physics, Enrico Fermi Institute, Kavli Institute for Cosmological Physics, University of Chicago, Chicago, Illinois 60637, USA
| | - S H Wang
- Department of Physics, Graduate Institute. of Astrophysics, & Leung Center for Cosmology and Particle Astrophysics, National Taiwan University, Taipei 10617, Taiwan
| | - S A Wissel
- Physics Department, California Polytechnic State University, San Luis Obispo, California 93407, USA
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Li J, Huang JJ. [Progress on the relationship between IL-35 and respiratory allergic disease]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 31:568-571. [PMID: 29871315 DOI: 10.13201/j.issn.1001-1781.2017.07.021] [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] [Received: 01/10/2017] [Indexed: 11/12/2022]
Abstract
Interleukin 35(IL-35), a new IL-12 family cytokine, is consisting of IL-12P35 and Epstein-Barr virus-induced gene 3(EBI3) and is required by regulatory T cells(Tregs) for maximal activity. IL-35 is regarded as a promising new type of anti -inflammatory treatment factor, by the in-vitro and mouse models studies confirmed, although the studies have not been able to elucidate the role of IL-35 in human respiratory allergic disease. This paper describes the IL-35 and respiratory allergic diseases of bronchial asthma, allergic rhinitis and research progress in nasal polyps.
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41
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Liang QF, Huang JJ, Cao K, Su GY, Wang ZQ, Zhang Y, Li B. [Histopathology manifestation and imaging characteristics of in vivo confocal microscopy for diagnosis of ocular surface squamous neoplasia]. Zhonghua Yan Ke Za Zhi 2018; 54:652-660. [PMID: 30220179 DOI: 10.3760/cma.j.issn.0412-4081.2018.09.004] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To study the histopathology manifestation and imaging characteristics of in vivo confocal microscopy (IVCM) for diagnosis of ocular surface squamous neoplasia (OSSN) and analyze the reliability of IVCM in differential diagnosis from OSSN cases. Methods: A prospective study. Twenty-three patients (23 eyes) with OSSN were collected from September 2015 to November 2017 in Beijing Tongren Eye center. They were underwent the examinations sequentially as follows: visual examination; slit-lamp microscope examination and ocular surface photography; color fundus image; anterior segment optical coherence tomography examination; IVCM examination and histopathology examination after surgery. With histopathology diagnosis, all subjects were divided into two groups: conjunctival intraepithelial neoplasm (CIN) and squamous cell carcinoma (SCC). Compared with histopathological findings, the IVCM results (cell morphology, cytoplasm and nucleus) of OSSN were analyzed. The difference analysis between the count data of two groups was carried out by the chi square test or Fisher's exact test. Receiver operating characteristic curve and area under the curve (AUC) were used to describe the accuracy of each parameter to differentiate SCC from OSSN. Results: There were 12 males and 11 females among the 23 patients aged (62±15) years. With the histopathological diagnosis, there were 15 cases (15 eyes) in the CIN group and 8 cases (8 eyes) in the SCC group. Eye redness, pain, foreign body sensation and tears were the symptoms of OSSN. There was no significant difference in clinical symptoms between the CIN and SCC groups. The size of tumors and the incidence of trophoblastic vessels in the SCC group were greater than those in the CIN group [8.5(6.5-15.5) mm vs. 5.8(4.0-8.5)mm, Z=4.702,P=0.029; 7/8 vs. 5/15, χ2=6.135, P=0.013). In histopathology, multilayered epithelia with cellular polymorphism, varied cytoplasm staining, and slightly thicker nuclei were observed in the CIN group. The corneal epithelial cells of SCC patients were markedly heterogeneous, and the intercellular bridge structure can be detected. Proliferative cells appeared with spindle shaped cells, nuclear mitotic figures and syncytial cells in the SCC group. The IVCM examination in the CIN group and SCC group showed that the cytoplasm was high and the ratio of nuclear plasma increased. There was no significant difference between the two groups in the size of epithelial cells, cytoplasm reflectivity, and nuclear cytoplasm ratio (P=0.053, 0.108, 0.067). The proportions of nuclear mitotic figures, spindle or chimeric cells, nests of whirlpool cells and the abnormal cells of the superficial stroma layer (8/8, 8/8, 8/8 and 8/8) in the SCC group was higher than those (2/15, 1/15, 4/15 and 0/15) in the CIN group, and the difference was statistically significant (P=0.001, 0.001, 0.003; P<0.001). Among these IVCM parameters, the abnormal cells of the superficial stroma layer had the highest diagnostic ability with the AUC value of 1.000, and the following AUC values were 0.933 for mitotic or double nuclei, 0.901 for spindle or chimeric cells, and 0.867 for the nests of whirlpool cells. Conclusions: The IVCM characteristics of OSSN are the dysplastic cells, hyper-reflective cytoplasm and increased nuclear plasma ratio in the corneal epithelium. Dysplastic cells appearing in the superficial stroma layer, nuclear mitotic figures and nests of vortex cells are the main IVCM parameters to support the malignant change of OSSN lesions. (Chin J Ophthalmol, 2018, 54: 652-660).
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Affiliation(s)
- Q F Liang
- Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab., Beijing 100005, China
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Huang JJ, Rong YM, Li RC, Li YL, Yang YX, Bao KF, Zhang JH, Liu YQ, Du XY, Zheng S, Bai YN. [Abuse of diphenoxylate and related factors of forced drug abstainer in Gansu province]. Zhonghua Liu Xing Bing Xue Za Zhi 2018; 39:1222-1227. [PMID: 30293314 DOI: 10.3760/cma.j.issn.0254-6450.2018.09.015] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the prevalence of diphenoxylate abuse and related factors of forced drug abstainer in Gansu province. Methods: By using a self-designed questionnaire, an epidemiologic investigation was carried out among 2 108 forced drug abstainer selected from the compulsory isolation detoxification center of Gansu province. A case-control study was conducted to analyze the factors related with diphenoxylate abuse. Results: The diphenoxylate abuse rate among forced drug abstainer in Gansu was 19.8% (406/2 046), ranking first in medical drug abuse. Multiple logistic regression analysis showed that factors as relieving withdrawal symptoms (OR=2.08, 95%CI: 1.01- 4.32), ways to obtain diphenoxylate (other ways: OR=1.00; regular clinic: OR=27.67, 95%CI: 2.64-289.82; friend: OR=0.01, 95%CI: 0.01-0.03), degree of euphoria (high: OR=1.00; medium: OR =3.36, 95%CI: 1.18-9.55; low: OR=26.16, 95%CI: 10.30-66.42), years of drug abuse (<5 years: OR=1.00; 10-15 years: OR=2.48, 95%CI: 1.02-6.04), abuse at home or in friend's house (OR=3.04, 95%CI: 1.08-8.68), abuse in car (OR=0.05, 95%CI: 0.00-0.68) and detoxification for the first time (OR=0.61, 95%CI: 0.43-0.86) were the possible influencing factors for diphenoxylate abuse. Conclusions: The prevalence of diphenoxylate abuse in forced drug abstainer in Gansu was relatively high. Reasons of abusing, the way to obtain diphenoxylate, whether using drug together with friends, degree of euphoria, years of abuse, abuse place and times for detoxification were related factors influencing the abuse of diphenoxylate.
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Affiliation(s)
- J J Huang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - Y M Rong
- Shandong Provincial Center for Adverse Drug Reaction Monitoring, Jinan 250014, China
| | - R C Li
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - Y L Li
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - Y X Yang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - K F Bao
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - J H Zhang
- Gansu Provincial Center for Drugs and Medical Devices Adverse Reaction Monitoring, Lanzhou 730000, China
| | - Y Q Liu
- Gansu Provincial Center for Drugs and Medical Devices Adverse Reaction Monitoring, Lanzhou 730000, China
| | - X Y Du
- Gansu Provincial Center for Drugs and Medical Devices Adverse Reaction Monitoring, Lanzhou 730000, China
| | - S Zheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - Y N Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
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Wang YY, Chen D, Chen L, Xiao L, Liu J, Shen Y, Ke X, Huang JJ, Hu GH, Yang YC. [Analysis of the clinical characteristics of fungus ball sphenoid sinusitis]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 31:48-51. [PMID: 29774685 DOI: 10.13201/j.issn.1001-1781.2017.01.013] [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] [Subscribe] [Scholar Register] [Received: 08/28/2016] [Indexed: 11/12/2022]
Abstract
Objective:To analyze the clinical characteristics of fungus ball sphenoid sinusitis(FBSS) and its differences from fungus ball maxillary sinusitis(FBMS). Method:A retrospective analysis was made for 50 patients with FBSS and 273 patients with FBMS in the corresponding period, which were confirmed by postoperative pathological diagnosis. And the related factors and clinical characteristics of them were analyzed. Result:FBSS were common disease in women around 50 years old. The left side FBSS was more common than the right side. About 40 percent of patients' disease course was less than half a year.FBSS had many presenting symptoms such as headache, nasal obstruction, nasal mucus with blood, smelly nasal secretions, eye ache bilges or nasion acheand tears spill. However, headache, eye ache bilges and tears spill were more common in FBSS compared with FBMS(P<0.05). The CT scan showed that there were calcification shadows in the diseased softtissue of sinus cavity.It could be accompanied by local bone thickening, sclerosis and coloboma. Only one case had a secondary surgery in 50 cases of FBSS. The surgery cure rate was as high as 98 percent. Conclusion:FBSS had various of clinical symptoms.Some presenting symptoms such as headache, eye ache bilges, and tears spill had relative specificity. CT diagnosis was more specific, and the endoscopic sphenoidotomy was the most effective treatment.
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Affiliation(s)
- Y Y Wang
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
| | - D Chen
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
| | - L Chen
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
| | - L Xiao
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
| | - J Liu
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
| | - Y Shen
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
| | - X Ke
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
| | - J J Huang
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
| | - G H Hu
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
| | - Y C Yang
- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University
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Wang X, Hu Y, Que CL, Zhang H, Huang JJ, Cao J, Jin Z, Wang GF, Zhang W. [Efficacy of extended-infusion of carbapenem plus sulbactam for ventilator-associated pneumonia caused by extensive drug-resistant Acinetobacter baumannii]. Zhonghua Yi Xue Za Zhi 2018; 97:2996-3000. [PMID: 29061006 DOI: 10.3760/cma.j.issn.0376-2491.2017.38.010] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate the efficacy of extended-infusion of carbapenem plus sulbactam for ventilator-associated pneumonia caused by extensive drug-resistant Acinetobacter baumannii (XDRAB). Methods: Clinical data of patients with ventilator-associated pneumonia caused by XDRAB who were treated with extended-infusion carbapenem plus sulbactam or tigecycline-based therapy in Peking University First Hospital from January 2015 to December 2016 were collected and reviewed in this retrospective study. Twenty-one patients were treated with extended-infusion carbapenem plus sulbactam, and 20 other patients received tigecycline combined with other antibiotics. The general status of the patient, microbiological eradication rate, superinfection rate, new microorganism colonization rate, clinical resolution rate on the third day, clinical cure rate and mortality during treatment were compared between the two groups. Results: The two groups shared similar characteristics except that patients in the carbapenem group were younger. Microbiological eradication was not observed. Superinfections occurred in 1 patients (4.8%) in the carbapenem group and 0 patients in the tigecycline group (P=1.000), the occurrences of new microorganisms colonization were 14.3% and 25.0% respectively (P=0.638). Clinical cure were achieved in 57.1% of the patients in the carbapenem group and 50.0% of the patients in the tigecycline group (P=0.647), the clinical resolution rates on the third day were 52.4% and 45.0% respectively (P=0.636). The mortality during treatment was 9.5% in carbapenem group, and 20.0% in tigecycline group (P=0.612). No serious adverse drug reactions occurred. Conclusions: Ventilator-associated pneumonia caused by XDRAB treated with either extended-infusion carbapenem plus sulbactam or tigecycline-based therapy has a similar clinical outcome.
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Affiliation(s)
- X Wang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
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Ho CHM, Chiang CL, Lee FAS, Choi HCW, Chan JCH, Yeung CSY, Huang JJ, Chan MKH, Blanck O, Wong FCS. Comparison of platelet-albumin-bilirubin (PALBI), albumin-bilirubin (ALBI), and child-pugh (CP) score for predicting of survival in advanced hcc patients receiving radiotherapy (RT). Oncotarget 2018; 9:28818-28829. [PMID: 29988960 PMCID: PMC6034750 DOI: 10.18632/oncotarget.25522] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [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: 03/06/2018] [Accepted: 05/12/2018] [Indexed: 01/27/2023] Open
Abstract
Purpose This work evaluated the prognostic performance of Child-Pugh (CP), albumin-bilirubin (ALBI) and platelet-albumin-bilirubin (PALBI) scores in hepatocellular carcinoma (HCC) patients undergoing radiotherapy (RT). Results The study included 174 consecutive patients with 63% at CP A5 (n = 110) and 34% at CP A6 (n = 64). The median ALBI score was −2.39 (range: −3.61 to −1.41) with 34.5% at grade A1 (n = 60) and 65.5% at grade A2 (n = 114). The median PALBI score was −2.39 (range −3.39 to −1.24) with 33.3% at grade 1 (n = 58), 41.4% at grade 2 (n = 72) and 25.3% at grade 3 (n = 44). With a median follow-up of 21.7 months, the median OS of the entire cohort was 22.2 months. OS was significantly associated with the PALBI grade (p = 0.002) and for the ALBI grade (p = 0.00495), but not for the CP score (p = 0.46). The PALBI grade has a significantly higher AUC compared than the ALBI grade or CP scores in predicting OS. The PALBI grade was predictive of CP score decline ≥2 (20% grade 3 vs. 5.3% grade 1/2 p = 0.05) but the ALBI and CP scores were not. Conclusion Among CP A HCC patients receiving radiotherapy, the PALBI and ALBI grade maybe a better prognostic tool than the CP score. The role of PALBI in predicting liver toxicity warranted further exploration. Methods We retrospectively reviewed HCC patients treated with individualized hypo-fractionated radiotherapy (IHRT) using stereotactic technique from 2006 to 2015. We collected CP, ALBI and PALBI scores prior to treatment and analyzed their correlation with overall survival (OS) and liver toxicity.
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Affiliation(s)
- Connie H M Ho
- Department of Clinical Oncology, Tuen Mun Hospital, Hong Kong (SAR), China
| | - Chi-Leung Chiang
- Department of Clinical Oncology, Tuen Mun Hospital, Hong Kong (SAR), China.,Department of Clinical Oncology, University of Hong Kong, Hong Kong (SAR), China.,University of Hong Kong-Shenzhen Hospital, Hong Kong, China
| | - Francis A S Lee
- Department of Clinical Oncology, Tuen Mun Hospital, Hong Kong (SAR), China
| | - Horace C W Choi
- Department of Clinical Oncology, University of Hong Kong, Hong Kong (SAR), China
| | - Jeffery C H Chan
- Department of Clinical Oncology, Queen Elizabeth Hospital, Hong Kong (SAR), China
| | - Cynthia S Y Yeung
- Department of Clinical Oncology, Tuen Mun Hospital, Hong Kong (SAR), China
| | - J J Huang
- Department of Clinical Oncology, Tuen Mun Hospital, Hong Kong (SAR), China
| | - Mark K H Chan
- Department of Radiation Oncology, Universitatsklinikum Schleswig-Holstein Campus Kiel, Kiel, Germany.,Department of Radiation Physics, Imperial College NHS Healthcare, Charing Cross Hospital, UK, London
| | - Oliver Blanck
- Department of Radiation Oncology, Universitatsklinikum Schleswig-Holstein Campus Kiel, Kiel, Germany
| | - Frank C S Wong
- Department of Clinical Oncology, Tuen Mun Hospital, Hong Kong (SAR), China
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Zuo HX, Niu YM, Zhang C, Huang JJ, Wang L, Du SM. [The clinical efficacy of coblation tonsillectomy and conventional tonsillectomy in China: A Meta analysis]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 32:269-278. [PMID: 29798503 DOI: 10.13201/j.issn.1001-1781.2018.04.007] [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] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Indexed: 11/12/2022]
Abstract
Objective:To systematically review the clinical efficacy of coblation tonsillectomy and conventional tonsillectomy in China. Method:Randomized controlled trials (RCT) of coblation tonsillectomy and conventional tonsillectomy were searched and retrieved through online databases (PubMed, Cumulative Index to Nursing and Allied Health, EMBASE, Cochrane Library, CBM, CNKI, VIP, WanFang, SUMsearch and Google search engine) and related literatures were reviewed up to 30 April, 2017. Two investigators independently screened literatures,extracted data and evaluated the risk of bias assessment tools for RCT using the Version 5.1.0 of Cochrane Handbook for Systematic Reviews of Interventions. Then, Meta analysis was performed using RevMan 5.3 software provided by the Cochrane Collaboration. Result:A total of 32 RCTs involving 3 197 tonsillectomy patients were included. The results of meta-analysis showed that: the operation time (MD=-17.03, 95%CI -19.78 to -14.28, P<0.00 001), intraoperative blood loss (MD=-27.00, 95%CI -30.44 to -23.56, P<0.00 001), postoperative pain in 24 hours (MD=-2.00, 95%CI -2.65 to -1.35, P<0.00 001), time needed to regain the normal diet (MD=-2.01, 95%CI -2.60 to -1.42, P<0.00001), formation time of white membrane (MD=-2.44, 95%CI -3.96 to -0.93, P=0.002) of patients in the coblation tonsillectomy group were all significantly lower than the conventional tonsillectomy group; while the exfoliation time of white membrane (MD=2.02, 95%CI 0.65 to 3.39, P=0.004) in the coblation tonsillectomy group was significantly longer than the conventional tonsillectomy group. Conclusion:Current evidence shows that, compared with the conventional tonsillectomy group, the coblation tonsillectomy group can significantly shorten the operation time, decrease intraoperative blood loss, alleviate postoperative pain degree during 24 hours, regain the normal diet early and form white membrane early, but delaye the exfoliation time of white membrane. Due to the limited kinds of literature and quality of the included studies, the above conclusions still need to be verified by carrying out more large scale samples and high quality randomized controlled trials (RCTs) studies.
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Affiliation(s)
- H X Zuo
- Department of Evidence-Based Medicine and Clinical Research, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, 442000, China
| | - Y M Niu
- Department of Evidence-Based Medicine and Clinical Research, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, 442000, China
| | - C Zhang
- Department of Evidence-Based Medicine and Clinical Research, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, 442000, China
| | - J J Huang
- Department of Otorhinolaryngology Head and Neck Surgery, Taihe Hospital Affiliated to Hubei University of Medicine
| | - L Wang
- Department of Evidence-Based Medicine and Clinical Research, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, 442000, China
| | - S M Du
- Department of Scientific Research, Taihe Hospital Affiliated to Hubei University of Medicine
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Guo JY, Lei LJ, Qiao N, Fan GQ, Sun CM, Huang JJ, Wang T. [Research on potential interaction between mitochondrial DNA copy number and related factors on risk of hypertension in coal miners]. Zhonghua Liu Xing Bing Xue Za Zhi 2017; 38:26-31. [PMID: 28100372 DOI: 10.3760/cma.j.issn.0254-6450.2017.01.005] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the effects of mitochondrial DNA (mtDNA) copy number in peripheral blood and related factors on the risk of hypertension in coal miners. Methods: A case-control study was conducted in 378 coal miners with hypertension and 325 healthy coal miners recruited from Datong Coal Mine Group. A standard questionnaire was used to collect their general information, such as demographic characteristics, habits and occupational history. Fluorescence quantitative PCR was performed to detect the copy number of mtDNA. Logistic regression model was applied for identifying the related risk factors of hypertension and analyzing the interaction between mtDNA copy number and risk factors. Results: The prevalence of hypertension of high mtDNA copy number was lower than mtDNA copy numberin 0-5.67 group, but the difference was not statistically significant (P=0.414). Alcohol drinking (OR=1.80, 95% CI: 1.26-2.56), family history of hypertension (OR=1.74, 95% CI: 1.20- 2.50), work shifts (OR=0.69, 95% CI: 0.48-0.99), education level (P=0.012) and family monthly income level (P=0.001) were related to the prevalence of hypertension. There were potential interactions between mtDNA copy number and alcohol drinking, family monthly income level, family history of hypertension, respectively. Alcohol drinking was a risk factor for hypertension [1.77 (1.25-2.50)]. Potential interactions between mtDNA copy number and alcohol drinking reduced the risk of hypertension (OR=1.20, 95% CI: 1.07-1.35). Family history of hypertension was a risk factor for hypertension [1.81(1.26-2.59)]. Potential interactions between mtDNA copy number and family history of hypertension reduced the risk of hypertension (OR=1.24, 95%CI: 1.09-1.41). Family monthly income level was a protect factor for hypertension [0.55(0.46-0.66)]. Potential interactions between mtDNA copy number and family monthly income level increased the protection role of hypertension (OR=0.90, 95% CI: 0.86-0.94). Conclusion: mtDNA copy number variation was not significantly associated with the prevalence of hypertension in coal miners, but mtDNA copy number showed multiplication interaction on the prevalence of hypertension with alcohol drinking, family monthly income level as well as family history of hypertension and made their influences weaken.
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Affiliation(s)
- J Y Guo
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - L J Lei
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - N Qiao
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - G Q Fan
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
| | - C M Sun
- General Hospital of Datong Coal Mine Group, Datong 037000, China
| | - J J Huang
- General Hospital of Datong Coal Mine Group, Datong 037000, China
| | - T Wang
- School of Public Health, Shanxi Medical University, Taiyuan 030001, China
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Huang JJ, Zhang H, Zhang W, Wang X, Gong YH, Wang GF. [Patient-related independent clinical risk factors for early complications following interventional pulmonology procedures]. Beijing Da Xue Xue Bao Yi Xue Ban 2016; 48:1006-1011. [PMID: 27987505] [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: 06/06/2023]
Abstract
OBJECTIVE To investigate the early complication rate and identify patient-related independent clinical risk factors for early complications in patients following interventional pulmonology procedures. METHODS In the period from December 2014 to December 2015, sufficient data of Peking University First Hospital Respiratory and Critical Care Medicine Department for analysis were identified in 218 subjects. Interventional pulmonology procedures were performed in all the patients. Early complications after the procedures were defined as newly respiratory failure, arrhythmia requiring treatment, severe hemoptysis, pneumothorax, pneumomediastinum, pulmonary edema, tracheoesophageal fistulae, bronchopleural fistulae, acute coronary syndrome, acute cerebrovascular accident, and death. Patient-related clinical risk factors were defined as coronary atherosclerotic heart disease, cerebral infarction, diabetes mellitus, cirrhosis, chronic kidney disease, arrhythmia, asthma, chronic obstructive pulmonary disease, hypertension, and previous interventional pulmonology treatment. The patient-related independent clinical risk factors which had close relations to the occurrence of early complications were analyzed by multivariate statistical analysis with Logistic regression. RESULTS There were 56.4% male and 43.6% female subjects in this study. There were 10.6% current smokers, 26.6% former smokers, and 62.8% non-smokers. The overall early complication rate was 8.3%. In all the subjects groups, the patient-related independent clinical risk factors for the early complication rate were coronary atherosclerotic heart disease (B=1.545, P=0.006, OR=4.686, 95% CI 1.568-14.006), chronic obstructive pulmonary disease (B=1.037, P=0.049, OR=2.820, 95% CI 1.675-11.790), and current smoking status (B=1.412, P=0.032, OR=4.139, 95% CI 1.134-15.109); for the newly respiratory failure rates were coronary atherosclerotic heart disease (B=2.207, P=0.004, OR=9.087, 95% CI 2.028-40.714), chronic obstructive pulmonary disease (B=1.646, P=0.048, OR=5.188, 95% CI 1.783-34.375), and lesions involving three central airways (B=1.899, P=0.032, OR=6.680, 95% CI 1.182-37.740). In the malignant group, the patient-related independent clinical risk factor for the early complication rate was current smoking status (B=2.953, P=0.006, OR=19.161, 95% CI 2.360-155.572). In the benign group, the patient-related independent clinical risk factor for the early complication rate was only coronary atherosclerotic heart disease (B=1.976, P=0.022, OR=7.214, 95% CI 1.324-39.298). CONCLUSION Closer monitoring of patients with identified clinical risk factors is advisable prior and immediately after interventional pulmonology procedures. In order to avoid or minimize early complications, special attention should be directed toward patients who are current smokers, or patients with lesions involving three central airways, or with coronary atherosclerotic heart disease or chronic obstructive pulmonary disease.
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Affiliation(s)
- J J Huang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
| | - H Zhang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
| | - W Zhang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
| | - X Wang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
| | - Y H Gong
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
| | - G F Wang
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
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Huang JJ, Li B, Liang QF, Xu XL, Gao F, Zhang ZB. [The clinical and histopathological analysis of 2 053 cases of conjunctival neoplasms]. Zhonghua Yan Ke Za Zhi 2016; 52:738-744. [PMID: 27760645 DOI: 10.3760/cma.j.issn.0412-4081.2016.10.005] [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: We aimed to identify and describe the clinical and histopathologic characteristics of conjunctival neoplasms. Methods: Retrospective case series study. We collected and analyzed the clinical and histopathologic data of the conjunctival neoplastic specimens including the age, gender, and histopathologic diagnosis of all patients obtained from Beijing Tongren Eye Center between October 2003 and October 2015. All the pathology diagnosis results were divided into two categories which were benign and malignant tumors, according to Shields histopathological classification methods and the pathology diagnosis results in our department. All cases were divided into four groups as 0-17 years old, 18-39 years old, 40-59 years old, aged 60 and above. The chi-square test was used for statistical analysis. Results: Of the 2 053 cases, 1 025 were males and 1 028 were females (male∶female=1∶1). 1660 cases (80.9%) were benign and 393 cases(19.1%) were premalignant or malignant. The average age at diagnosis was 30.5 years for benign lesions and 53.3 years for premalignant and malignant lesions, which was significant different (P<0.01). The most common benign lesions were nevus, cysts, dermoids and dermolipomas, inflammatory granulomas and squamous cell papillomas. The most common premalignant and malignant tumors were CIN, melanomas, lymphomas and squamous cell carcinoma. The constitution of males and females of cysts, squamous cell papillomas, primary acquired melanosis, CIN and lymphomas were significant different (P<0.01). Moreover, the most common benign and malignant neoplasm were dermoids and dermolipomas, melanomas respectively in group under 18 years old. And nevus and lymphomas were the most common benign and malignant tumors respectively in patients between 18 and 39 years old. While cysts and CIN were the most common benign and malignant tumors respectively in cases over 40 years old. Conclusions: The majority of tumors of the conjunctiva were benign, with the young people being most. The premalignant and malignant tumors were more frequent in the elderly. Nevus and CIN were the most common benign and malignant tumors, respectively.(Chin J Ophthalmol, 2016, 52: 738-744).
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Affiliation(s)
- J J Huang
- Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing TongRen Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab., Beijing 100005, China
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Huang JJ, Liang QF, Li B. [Role of in vivo confocal microscopy in the diagnosis of keratoconjunctival tumors]. Zhonghua Yan Ke Za Zhi 2016; 52:789-793. [PMID: 27760652 DOI: 10.3760/cma.j.issn.0412-4081.2016.10.018] [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
The diagnosis of keratoconjunctival tumors were mainly relied on the examination of the slit lamp microscope and histopathology till now. Making an accurate diagnosis to ocular surface tumor in time was very important for deciding the treatment method and evaluating the prognosis. In recent years, in vivo confocal microscopy (IVCM) has been used in ophthalmic clinical diagnosis as a new evaluation method. It was easy to detect cytological characteristics of ocular surface diseases safely in vivo. More and more researches results have shown that IVCM could provide powerful supports to the diagnosis and management of keratoconjunctival tumors, especially for the pigmented tumors and ocular surface squamous neoplasia. In this paper, the applications of IVCM for diagnosing keratoconjunctival tumors were reviewed. (Chin J Ophthalmol, 2016, 52: 789-793).
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Affiliation(s)
- J J Huang
- Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab., Beijing 100005, China
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