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Yang XQ, Rao Z, Wei HK, Xue ZC, Liu HY, Duan QF, Sun XW, Wang W. [Enhancing survival outcomes in stage Ⅲ gastric/esophagogastric junction cancer: a retrospective study of immune checkpoint inhibitors and adjuvant chemotherapy based on real-world data]. Zhonghua Wei Chang Wai Ke Za Zhi 2024; 27:395-402. [PMID: 38644245 DOI: 10.3760/cma.j.cn441530-20240208-00064] [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: 04/23/2024]
Abstract
Objective: To explore the efficacy of immune checkpoint inhibitors combined with adjuvant chemotherapy in patients with phase III gastric cancer and esophagogastric junction cancer. Methods: This study used a retrospective cohort study method based on real-world data. Clinical data of 403 patients with stage III gastric/esophagogastric junction cancer who underwent gastrectomy followed by adjuvant therapy in the Department of Gastric Surgery at Sun Yat-sen University Cancer Center from January 2020 to December 2023 were retrospectively collected. The study cohort comprised 147 (36.5%) patients with stage IIIA, 130 (32.3%) with stage IIIB, and 126 (31.3%) with stage IIIC gastric/esophagogastric junction cancer. Of them, 15 (3.7%) were HER-2 positive, 25 (6.2%) dMMR, and 22 (5.5%) patients Epstein-Barr virus encoding RNA (EBER) positive. Based on treatment plans, the patients were divided into immune checkpoint inhibitor combined with chemotherapy group (immune therapy group, n=110, 71 males and 39 females, median age 59 years old) and chemotherapy alone group (chemotherapy group, n=293, 186 males and 107 females, median age 60 years old). All patients in the immunotherapy group received immune checkpoint inhibitors targeting the programmed cell death protein-1 (PD-1) and its ligand (PD-L1). Of them, 85 received pembrolizumab, 10 received sintilimab, 8 received tislelizumab, 4 received camrelizumab, 2 received toripalimab, and 1 received pabocizumab. The adjuvant chemotherapy regimens used among the chemotherapy alone group includes SOX regimen (132 cases), XELOX (102 cases), S-1 monotherapy (44 cases), and other regimens (15 cases). The 3-year DFS rate of the two groups was compared, and subgroup analysis was conducted based on different ages, molecular phenotypes, pTNM staging, extranodal infiltration, and tumor length. Results: The median follow-up was 20.5 months (range 3.1~46.3), with a 3-year overall DFS rate of 61.4% for the entire 403 patients. The 3-year DFS rate for the immunotherapy group was 82.7%, higher than the chemotherapy alone group (58.8%), with a statistically significant difference (P=0.021). Multivariate analysis showed that postoperative immunotherapy was a protective factor for DFS (HR=0.352, 95%CI: 0.180~0.685). Subgroup analysis showed that stage IIIC (HR=0.416, 95%CI: 0.184~0.940), aged ≥60 years (HR=0.336, 95%CI: 0.121~0.934) and extranodal invasion (HR=0.378, 95%CI: 0.170~0.839) were associated with benefit from the combined immune adjuvant chemotherapy, while no association was observed for MMR, HER-2 or EBER status. Conclusion: Stage III gastric/esophagogastric junction cancer patients may benefite from postoperative immune checkpoint inhibitor combined with adjuvant chemotherapy in real-world settings.
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Affiliation(s)
- X Q Yang
- Department of Gastric Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - Z Rao
- Department of Gastric Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - H K Wei
- Department of Gastric Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - Z C Xue
- Department of Gastric Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - H Y Liu
- Department of Gastric Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - Q F Duan
- Department of Gastric Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - X W Sun
- Department of Gastric Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
| | - W Wang
- Department of Gastric Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China
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Yang SJ, Yu B, Dong S, Cai CW, Liu HY, Ye TT, Jia P. [Progress in complex network theory-based studies on the associations between health-related behaviors and chronic non-communicable diseases]. Zhonghua Liu Xing Bing Xue Za Zhi 2024; 45:408-416. [PMID: 38514318 DOI: 10.3760/cma.j.cn112338-20230715-00006] [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: 03/23/2024]
Abstract
In recent years, the research focus on health-related behavior and chronic non-communicable diseases has shifted from the analysis on independent effects of multiple causes on a single outcome to the evaluation the complex relationships between multiple causes and multiple effects. Complex network theory, an important branch of system science, considers the relationships among factors in a network and can reveal how health-related behaviors interact with chronic diseases through a series of complex network models and indicators. This paper summarizes the definition and development of complex network theory and its commonly used models, indicators, and case studies in the field of health-related behavior and chronic disease to promote the application of complex network theory in the field of health and provide reference and tools for future research of the relationship between health-related behavior and chronic disease.
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Affiliation(s)
- S J Yang
- West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China Affiliated Hospital of Chengdu University, Chengdu 610081, China International Institute of Spatial Lifecourse Health, Wuhan University, Wuhan 430072, China
| | - B Yu
- West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China Institute for Disaster Management and Reconstruction, Sichuan University-the Hong Kong Polytechnic University, Chengdu 610207, China
| | - S Dong
- West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China
| | - C W Cai
- West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China
| | - H Y Liu
- West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China
| | - T T Ye
- West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China
| | - P Jia
- International Institute of Spatial Lifecourse Health, Wuhan University, Wuhan 430072, China School of Resource and Environmental Sciences, Wuhan University, Wuhan 430072, China School of Public Health, Wuhan University, Wuhan 430071, China
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Liu HY, Wei X, Ling JQ. [Application and exploration of artificial intelligence for caries management]. Zhonghua Kou Qiang Yi Xue Za Zhi 2024; 59:37-44. [PMID: 38172060 DOI: 10.3760/cma.j.cn112144-20231017-00200] [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: 01/05/2024]
Abstract
With the advent of big data era and improvement of computer performance, the artificial intelligence (AI) technology has rapidly boosted in the field of stomatology. Dental caries is one of the cutting-edge research domains in stomatology. The application of AI in dental caries is expected to promote intelligent, precise and high-efficient diagnosis and treatment of caries. This article focuses on the application of AI in medical-aided diagnosis, treatment and risk prediction of caries and discusses their challenges.
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Affiliation(s)
- H Y Liu
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - X Wei
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - J Q Ling
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
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Liu HY, Larson AR, Strong SA, Parekh R, Gautam M, Flores LE, Silver JK. Workforce Diversity, Equity, and Inclusion: A Crucial Component of Professionalism in Psychiatry. Child Adolesc Psychiatr Clin N Am 2024; 33:17-32. [PMID: 37981333 DOI: 10.1016/j.chc.2023.06.003] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
Abstract
Documented disparities have profoundly impacted the training and careers of physicians from socially and historically marginalized groups, including women, people with disabilities, people who identify with racial and ethnic minority groups, and the lesbian, gay, bisexual, transgender, and queer or questioning+ community. Professionalism is a core component of medical training and practice, yet a focus on workforce diversity, equity, and inclusion is often absent. This report aims to encourage the adoption of workforce diversity, equity, and inclusion as a crucial component of professionalism, with an emphasis on the field of psychiatry.
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Affiliation(s)
- Howard Y Liu
- University of Nebraska Medical Center, 985578 Nebraska Medical Center, Omaha, NE 68198-5578, USA.
| | - Allison R Larson
- Georgetown University, MedStar Washington Hospital Center, 5530 Wisconsin Ave, Suite 660, Chevy Chase, MD 20815, USA
| | - Sheritta A Strong
- University of Nebraska Medical Center, 985578 Nebraska Medical Center, Omaha, NE 68198-5578, USA
| | - Ranna Parekh
- The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA
| | - Mamta Gautam
- Psychosocial Oncology Program, The Ottawa Hospital Cancer Center, TOH General Campus, 501 Smyth Road, Ottawa, ON K1H 8L6, Canada
| | - Laura E Flores
- College of Allied Health Professions, University of Nebraska Medical Center, 984035 Nebraska Medical Center, Omaha, NE 68198-4035, USA
| | - Julie K Silver
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 USA
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Liu HY, Stewart AJ. Fostering Mental Health Workforce Diversity with Courage and Creativity. Child Adolesc Psychiatr Clin N Am 2024; 33:xi-xv. [PMID: 37981342 DOI: 10.1016/j.chc.2023.09.008] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
Affiliation(s)
- Howard Y Liu
- Department of Psychiatry, University of Nebraska Medical Center, 985575 Nebraska Medical Center, Omaha, NE 68198-5575, USA.
| | - Altha J Stewart
- Division of Public and Community Psychiatry, Center for Youth Advocacy and Well-Being, Women's National Basketball Association, University of Tennessee Health Science Center, 66 North Pauline Street, Suite 205, Memphis, TN 38163, USA.
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Liu HY, Azeem MW, Imran N, Ng B, Bazaid K, Dalal PK, Mahalingappa SS, Isaac M, Javed A. WPA Working Group on Medical Students: new accomplishments and online resources. World Psychiatry 2023; 22:491-492. [PMID: 37713567 PMCID: PMC10503927 DOI: 10.1002/wps.21132] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/17/2023] Open
Affiliation(s)
- Howard Y Liu
- WPA Working Group on Medical Students
- University of Nebraska Medical Center, Omaha, NE, USA
| | - Muhammad Waqar Azeem
- WPA Working Group on Medical Students
- Sidra Medicine, Weill Cornell Medicine, Doha, Qatar
| | - Nazish Imran
- WPA Working Group on Medical Students
- King Edward Medical University, Mayo Hospital, Lahore, Pakistan
| | - Bernardo Ng
- WPA Working Group on Medical Students
- Sun Valley Behavioral Medical and Research Center, Imperial, CA, USA
| | - Khalid Bazaid
- WPA Working Group on Medical Students
- Royal Ottawa Mental Health Center, University of Ottawa, Ottawa, ON, Canada
| | - Pronob K Dalal
- WPA Working Group on Medical Students
- King George's Medical University, Lucknow, India
| | | | - Mohan Isaac
- WPA Working Group on Medical Students
- University of Western Australia, Fremantle Hospital, Fremantle, WA, Australia
| | - Afzal Javed
- WPA President
- Pakistan Psychiatric Research Centre, Fountain House, Lahore, Pakistan
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7
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Jia XM, Liu HY, Zhong XY. [Research progress on systemic effects of endometriosis]. Zhonghua Fu Chan Ke Za Zhi 2023; 58:712-715. [PMID: 37724387 DOI: 10.3760/cma.j.cn112141-20221226-00777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/20/2023]
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Lin LL, Liu HY, Luo X, Zheng Q, Shi B, Gong M, Li CH. [Untargeted metabolomics study of dexamethasone-induced congenital cleft palate in New Zealand rabbits]. Zhonghua Kou Qiang Yi Xue Za Zhi 2023; 58:938-943. [PMID: 37659853 DOI: 10.3760/cma.j.cn112144-20230627-00254] [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: 09/04/2023]
Abstract
Objective: To investigate the metabolic disorders in placental tissues of dexamethasone induced cleft palate mode. Methods: Twelve pregnant rabbits were randomly divided into dexamethasone group (experimental group, 8) and saline control group (4), and a certain amount of dexamethasone and saline were administered intramuscularly to the experimental and control groups respectively from embryonic days (ED) 13 to 16, and placental tissue samples were collected on day 21 of gestation. The corresponding profiles of the embryonic placental tissue samples were obtained by liquid chromatography-triple tandem quadrupole(LC-MS), and the metabolites of the embryonic placental tissues were characterized by principal component analysis among the dexamethasone-treated group with cleft palate (D-CP group), the dexamethasone-treated group without cleft palate (D-NCP group) and the control group. Results: There were significant metabolic differences among the D-CP group, D-NCP group and control group, with a total of 133 differential metabolites (VIP>1, P<0.05) involving in important metabolic pathways including vitamin B6 metabolism, lysine metabolism, arginine anabolic metabolism, and galactose metabolism. The four metabolites, vitamin B6, galactose, lysine and urea, differed among the three groups (P<0.05). There were significant differences in vitamin B6 (0.960±0.249, 0.856±0.368, 1.319±0.322), galactose (0.888±0.171, 1.033±0.182, 1.127±0.127), lysine (1.551±0.924, 1.789±1.435, 0.541±0.424) and urea (0.743±0.142, 1.137±0.301, 1.171±0.457, respectively) levels among control group, D-NCP group and D-CP group (F=5.90, P=0.008; F=5.59, P=0.009; F=4.26, P=0.025; F=5.29, P=0.012). Conclusions: The results indicated that dexamethasone induced cleft palate may be highly correlated with metabolic disorders including vitamin B6 metabolism, lysine metabolism, arginine anabolic metabolism and galactose metabolism.
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Affiliation(s)
- L L Lin
- Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Chengdu 610041, China
| | - H Y Liu
- Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Chengdu 610041, China
| | - X Luo
- Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Chengdu 610041, China
| | - Q Zheng
- Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Chengdu 610041, China
| | - B Shi
- Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Chengdu 610041, China
| | - M Gong
- Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Chengdu 610041, China
| | - C H Li
- Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Chengdu 610041, China
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Ji XY, Liu CY, Gao X, Zheng C, Li YT, Wu HY, Zhong YP, Liu HY. [A case report of multiple myeloma with nasal cavity mass as extramedullary manifestation]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2023; 58:710-711. [PMID: 37455117 DOI: 10.3760/cma.j.cn115330-20220802-00478] [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: 07/18/2023]
Affiliation(s)
- X Y Ji
- Department of Otorhinolaryngology Head and Neck Surgery, Laixi People's Hospital, Laixi 266600, China Department of Otorhinolaryngology Head and Neck Surgery, Qingdao Hospital, University of Health and Rehabilitation (Qingdao Municipal Hospital), Qingdao 266000, China
| | - C Y Liu
- Department of Otorhinolaryngology Head and Neck Surgery, Qingdao Hospital, University of Health and Rehabilitation (Qingdao Municipal Hospital), Qingdao 266000, China
| | - X Gao
- Department of Otorhinolaryngology Head and Neck Surgery, Qingdao Hospital, University of Health and Rehabilitation (Qingdao Municipal Hospital), Qingdao 266000, China
| | - C Zheng
- Department of Otorhinolaryngology Head and Neck Surgery, Qingdao Hospital, University of Health and Rehabilitation (Qingdao Municipal Hospital), Qingdao 266000, China
| | - Y T Li
- Department of Otorhinolaryngology Head and Neck Surgery, Qingdao Hospital, University of Health and Rehabilitation (Qingdao Municipal Hospital), Qingdao 266000, China
| | - H Y Wu
- Department of Hematology, Qingdao Hospital, University of Health and Rehabilitation (Qingdao Municipal Hospital), Qingdao 266000, China
| | - Y P Zhong
- Department of Hematology, Qingdao Hospital, University of Health and Rehabilitation (Qingdao Municipal Hospital), Qingdao 266000, China
| | - H Y Liu
- Department of Pathology, Qingdao Hospital, University of Health and Rehabilitation (Qingdao Municipal Hospital), Qingdao 266000, China
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Liu HY, Chi BY, Shao P, Wang FF, Fang Y, Zhang HH. [Progression of high resolution esophageal manometry in children's digestive diseases]. Zhonghua Er Ke Za Zhi 2023; 61:659-662. [PMID: 37385814 DOI: 10.3760/cma.j.cn112140-20221213-01042] [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: 07/01/2023]
Affiliation(s)
- H Y Liu
- Department of Gastroenterology, the Affiliated Children's Hospital of Xi'an Jiaotong University, National Regional Medical Center for Children (Northwest), Xi 'an 710003, China
| | - B Y Chi
- Clinical Medicine Institute of Xi'an Medical University, Xi'an 710068, China
| | - P Shao
- Department of Gastroenterology, the Affiliated Children's Hospital of Xi'an Jiaotong University, National Regional Medical Center for Children (Northwest), Xi 'an 710003, China
| | - F F Wang
- Department of Gastroenterology, the Affiliated Children's Hospital of Xi'an Jiaotong University, National Regional Medical Center for Children (Northwest), Xi 'an 710003, China
| | - Y Fang
- Department of Gastroenterology, the Affiliated Children's Hospital of Xi'an Jiaotong University, National Regional Medical Center for Children (Northwest), Xi 'an 710003, China
| | - H H Zhang
- Department of Gastroenterology, the Affiliated Children's Hospital of Xi'an Jiaotong University, National Regional Medical Center for Children (Northwest), Xi 'an 710003, China
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Li W, Jiang LN, Zhao BK, Liu HY, Zhao JM. [Analysis of clinical characteristics and risk factors of hepatic fibrosis in children with chronic hepatitis B combined with metabolic-related fatty liver disease]. Zhonghua Gan Zang Bing Za Zhi 2023; 31:601-607. [PMID: 37400384 DOI: 10.3760/cma.j.cn501113-20220905-00458] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 07/05/2023]
Abstract
Objective: To compare the clinical and pathological features of children with chronic viral hepatitis B combined with metabolic-associated fatty liver disease (CHB-MAFLD) and chronic viral hepatitis B alone (CHB alone), and to further explore the effect of MAFLD on the progression of hepatic fibrosis in CHB. Methods: 701 initially treated CHB children confirmed by liver biopsy admitted to the Fifth Medical Center of the PLA General Hospital from January 2010 to December 2021 were collected continuously. They were divided into CHB-MAFLD and CHB-alone groups according to whether they were combined with MAFLD. A retrospective case-control study was conducted. CHB-MAFLD was used as the case group, and 1:2 propensity score matching was performed with the CHB alone group according to age and gender, including 56 cases in the CHB-MAFLD group and 112 cases in the CHB alone group. The body mass index (BMI), metabolic complications, laboratory indicators, and pathological characteristics of liver tissue were compared between the two groups. The related factors affecting liver disease progression in CHB were analyzed by a binary logistic regression model. The measurement data between groups were compared using the t-test and rank sum test. The χ (2) test was used for the comparison of categorical data between groups. Results: Alanine aminotransferase (ALT, P = 0.032) and aspartate aminotransferase (AST, P = 0.003) levels were lower in the CHB-MAFLD group than those in the CHB alone group, while BMI (P < 0.001), triglyceride (TG, P < 0.001), total cholesterol (P = 0.016) and the incidence of metabolic syndrome (P < 0.001) were higher in the CHB alone group. There were no statistically significant differences in HBsAg quantification or HBV DNA load between the two groups (P > 0.05). Histologically, the proportion of significant liver fibrosis (S2-S4) was higher in the CHB-MAFLD group than that in the CHB alone group (67.9% vs. 49.1%, χ (2) = 5.311, P = 0.021). Multivariate regression results showed that BMI (OR = 1.258, 95% CI: 1.145 ~ 1.381, P = 0.001) and TG (OR = 12.334, 95% CI: 3.973 ~ 38.286, P < 0.001) were the risk factors for hepatic steatosis occurrence in children with CHB. MAFLD (OR = 4.104, 95% CI: 1.703 ~ 9.889, P = 0.002), liver inflammation (OR = 3.557, 95% CI: 1.553 ~ 8.144, P = 0.003), and γ-glutamyl transferase (OR = 1.019, 95% CI: 1.001 to 1.038, P = 0.038) were independent risk factors for significant hepatic fibrosis in children with CH. Conclusion: MAFLD occurrence is related to metabolic factors in children with CHB. Additionally, the combination of MAFLD may promote liver fibrosis progression in CHB patients.
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Affiliation(s)
- W Li
- The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China Department of Pathology and Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
| | - L N Jiang
- Department of Pathology and Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
| | - B K Zhao
- Department of Hepatology, the First Hospital of Jilin University, Changchun 130032, China
| | - H Y Liu
- Department of Pathology and Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
| | - J M Zhao
- The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China Department of Pathology and Hepatology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
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Hao RN, Ye XL, Xu BL, Sun Y, Liu HY, Rao F, Xue JJ. [Application and advances of nanozyme-loaded tissue engineering scaffolds in wound repair]. Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi 2023; 39:591-595. [PMID: 37805777 DOI: 10.3760/cma.j.cn501225-20220806-00337] [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: 10/09/2023]
Abstract
At present, effective reconstruction of the integrity and functionality of damaged skin tissue remains an important medical problem in the field of wound repair. In recent years, the rapid development of nanozymes and tissue engineering scaffolds in the field of regenerative medicine has made it possible to develop new skin wound repair materials. Based on the process of skin wound repair and regeneration, this review briefly describes the nanozymes and its catalytic mechanism. At the same time, the common tissue engineering scaffolds loaded with nanozymes and their manufacturing strategies are introduced, the application of tissue engineering scaffolds loaded with nanozymes during the stages of anti-bacteria and anti-inflammation in the process of wound repair is summarized, and their future development direction is discussed.
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Affiliation(s)
- R N Hao
- State Key Laboratory of Organic-Inorganic Composites, Beijing Laboratory of Biomedical Materials, Center of Advanced Elastomer Materials, College of Materials Science and Engineering, Beijing University of Chemical Technology, Beijing 100029, China
| | - X L Ye
- State Key Laboratory of Organic-Inorganic Composites, Beijing Laboratory of Biomedical Materials, Center of Advanced Elastomer Materials, College of Materials Science and Engineering, Beijing University of Chemical Technology, Beijing 100029, China
| | - B L Xu
- Beijing Advanced Innovation Center for Soft Matter Science and Engineering, Bionanomaterials & Translational Engineering Laboratory, Beijing Key Laboratory of Bioprocess, Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing 100029, China
| | - Y Sun
- Beijing Advanced Innovation Center for Soft Matter Science and Engineering, Bionanomaterials & Translational Engineering Laboratory, Beijing Key Laboratory of Bioprocess, Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing 100029, China
| | - H Y Liu
- Beijing Advanced Innovation Center for Soft Matter Science and Engineering, Bionanomaterials & Translational Engineering Laboratory, Beijing Key Laboratory of Bioprocess, Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing 100029, China
| | - F Rao
- Trauma Center, Peking University People's Hospital, National Center for Trauma Medicine, Beijing 100044, China
| | - J J Xue
- State Key Laboratory of Organic-Inorganic Composites, Beijing Laboratory of Biomedical Materials, Center of Advanced Elastomer Materials, College of Materials Science and Engineering, Beijing University of Chemical Technology, Beijing 100029, China
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Feng XN, Liu HY, Wei LF. Waveguide Mach-Zehnder interferometer to enhance the sensitivity of quantum parameter estimation. Opt Express 2023; 31:17215-17225. [PMID: 37381461 DOI: 10.1364/oe.487793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 04/02/2023] [Indexed: 06/30/2023]
Abstract
The waveguide Fabry-Perot interferometer (FPI) (see, e.g., in Phys. Rev. Lett.113, 243601 (2015)10.1103/PhysRevLett.115.243601 and Nature569, 692 (2019)10.1038/s41586-019-1196-1), instead of the free space's one, have been demonstrated for the sensitive quantum parameter estimations. Here, we propose a waveguide Mach-Zehnder interferometer (MZI) to further enhance the sensitivity of the relevant parameter estimations. The configuration is formed by two one-dimensional waveguides coupled sequentially to two atomic mirrors, which are served as the beam splitters of the waveguide photons to control the probabilities of the photons being transferred from one waveguide to another. Due to the quantum interference of the waveguide photons, the acquired phase of the photons when they pass through a phase shifter can be sensitively estimated by measuring either the transmitted or reflected probabilities of the transporting photons. Interestingly, we show that, with the proposed waveguide MZI the sensitivity of the quantum parameter estimation could be further optimized, compared with the waveguide FPI, in the same condition. The feasibility of the proposal, with the current atom-waveguide integrated technique, is also discussed.
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14
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Liu HY, Zhao JM. [Intrahepatic and extrahepatic clinical manifestations and treatment progress for hepatitis type E]. Zhonghua Gan Zang Bing Za Zhi 2023; 31:471-476. [PMID: 37365022 DOI: 10.3760/cma.j.cn501113-20230301-00088] [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: 06/28/2023]
Abstract
Hepatitis type E virus (HEV) is one of the main causes of acute hepatitis globally and has thus gained attention as a public health issue. The diverse clinical manifestations of hepatitis type E are typically acute and self-limiting with mild symptoms, but populations with underlying liver disease or immunocompromised patients can have severe and chronic symptoms. Severity and chronicity can arise and manifest as fulminant hepatitis, chronic hepatitis, or even hepatic failure. HEV infection-induced hepatic failure (acute-on-chronic liver failure), based on the different backgrounds of chronic liver disease, is a clinical phenotype of severe HEV infection that requires attention. In addition, HEV infection can exhibit extrahepatic clinical manifestations of multi-system and organ involvement like neurological diseases (Guillain-Barré syndrome), renal diseases (membranous/membranous proliferative glomerulonephritis, cryoglobulinemia), and blood diseases (thrombocytopenia). At home or abroad, there are no antiviral drugs approved, particularly for HE treatment. Since most acute HE can resolve spontaneously, no special treatment is required clinically. However, in patients with severe or chronic HE, ribavirin (RBV) monotherapy and/or pegylated interferon-combination therapy have achieved certain antiviral effects. Combined small-molecule drugs and RBV have been attempted to treat HEV, but high-level evidence-based treatment is still lacking. Thus, new, highly effective anti-HEV drugs are clinical priorities to address these concerns. Severe and chronic HEV infections' clinical phenotype, early detection, mechanism, intervention, and outcome need additional study.
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Affiliation(s)
- H Y Liu
- The Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
| | - J M Zhao
- The Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
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15
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Wang KL, Zhang M, Li Q, Kan H, Liu HY, Mu YT, Li ZG, Cao YM, Dong Y, Hu AQ, Zheng YJ. [Association between gestational diabetes mellitus and preterm birth subtypes]. Zhonghua Liu Xing Bing Xue Za Zhi 2023; 44:809-815. [PMID: 37221072 DOI: 10.3760/cma.j.cn112338-20220927-00815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Objective: To investigate the association between gestational diabetes mellitus (GDM) and preterm birth subtypes. Methods: Based on the cohort of pregnant women in Anqing Prefectural Hospital, the pregnant women who received prenatal screening in the first or second trimesters were recruited into baseline cohorts; and followed up for them was conducted until delivery, and the information about their pregnancy status and outcomes were obtained through electronic medical record system and questionnaire surveys. The log-binomial regression model was used to explore the association between GDM and preterm birth [iatrogenic preterm birth, spontaneous preterm birth (preterm premature rupture of membranes and preterm labor)]. For multiple confounding factors, the propensity score correction model was used to compute the adjusted association. Results: Among the 2 031 pregnant women with a singleton delivery, the incidence of GDM and preterm birth were 10.0% (204 cases) and 4.4% (90 cases) respectively. The proportions of iatrogenic preterm birth and spontaneous preterm birth in the GDM group (n=204) were 1.5% and 5.9% respectively, while the proportions in non-GDM group (n=1 827) were 0.9% and 3.2% respectively, and the difference in the proportion of spontaneous preterm birth between the two groups was significant (P=0.048). Subtypes of spontaneous preterm were further analyzed, and the results showed that the proportions of preterm premature rupture of membranes and preterm labor in the GDM group were 4.9% and 1.0% respectively, while the proportions in the non-GDM group were 2.1% and 1.1% respectively. It showed that the risk of preterm premature rupture of membranes in GDM pregnant women was 2.34 times (aRR=2.34, 95%CI: 1.16-4.69) higher than that in non-GDM pregnant women. Conclusions: Our results showed that GDM might increase the risk of preterm premature rupture of membranes. No significant increase in the proportion of preterm labor in pregnant women with GDM was found.
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Affiliation(s)
- K L Wang
- Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, Key Laboratory for Health Technology Assessment, National Commission of Health/School of Public Health, Fudan University, Shanghai 200032, China
| | - M Zhang
- Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, Key Laboratory for Health Technology Assessment, National Commission of Health/School of Public Health, Fudan University, Shanghai 200032, China
| | - Q Li
- Department of Obstetrics and Gynecology, Anqing Prefectural Hospital, Anhui Province, Anqing 246003, China
| | - H Kan
- Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, Key Laboratory for Health Technology Assessment, National Commission of Health/School of Public Health, Fudan University, Shanghai 200032, China
| | - H Y Liu
- Department of Clinical Laboratory, Anqing Prefectural Hospital, Anhui Province, Anqing 246003, China
| | - Y T Mu
- Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, Key Laboratory for Health Technology Assessment, National Commission of Health/School of Public Health, Fudan University, Shanghai 200032, China
| | - Z G Li
- Department of Clinical Laboratory, Anqing Prefectural Hospital, Anhui Province, Anqing 246003, China
| | - Y M Cao
- Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, Key Laboratory for Health Technology Assessment, National Commission of Health/School of Public Health, Fudan University, Shanghai 200032, China
| | - Y Dong
- Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, Key Laboratory for Health Technology Assessment, National Commission of Health/School of Public Health, Fudan University, Shanghai 200032, China
| | - A Q Hu
- Department of Clinical Laboratory, Anqing Prefectural Hospital, Anhui Province, Anqing 246003, China
| | - Y J Zheng
- Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, Key Laboratory for Health Technology Assessment, National Commission of Health/School of Public Health, Fudan University, Shanghai 200032, China
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Zhu JS, Wang R, Li Y, Fu YJ, Liu HY, Li JQ, Yao GX, Guan SZ. [The mediating effect of perceived social support in the relationship between maternal personality traits and pregnancy-related anxiety]. Zhonghua Yu Fang Yi Xue Za Zhi 2023; 57:187-192. [PMID: 36797575 DOI: 10.3760/cma.j.cn112150-20220504-00438] [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: Exploring the mediating effect of perceived social support between the maternal personality traits and pregnancy-related anxiety. Methods: Singleton pregnant women who underwent antenatal checkups in the obstetrics department of general hospital affiliated to Ningxia Medical University from July to December 2021 were enrolled in this study to investigate perceived social support, pregnancy-related anxiety and conscious personality traits. Pearson correlation analysis was used to analyze the association between the maternal personality traits, perceived social support, and pregnancy-related anxiety, and the mediating effect of perceived social support was analyzed using Bootstrap method. Results: A total of 1 259 subjects were included in the study, of which 170 (13.50%) pregnant women felt introverted. The total score of perceived social support was (46.37±8.38), and 31.45% of pregnant women had high perceived social support. The total score of pregnancy-related anxiety was (21.48±5.53). The score of worry about fetal health was (10.09±3.24), and 368 (29.23%) of pregnant women had pregnancy-related anxiety. Maternal personality traits and pregnancy-related anxiety were negatively correlated (r=-0.076, P<0.05) and positively correlated with perceived social support during pregnancy (r= 0.127, P<0.05). Perceived social support during pregnancy and pregnancy-related anxiety were negatively correlated (r=-0.236, P<0.05). Perceived social support partially mediated the relationship between the maternal personality traits and pregnancy-related anxiety, with a relative effect value of 37.50%. Conclusion: The maternal personality traits, level of perceived social support and pregnancy-related anxiety are all related. Perceived social support could mediate the relationship between the maternal personality traits and pregnancy-related anxiety.
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Affiliation(s)
- J S Zhu
- School of Public Health and Management, Ningxia Medical University/Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - R Wang
- School of Public Health and Management, Ningxia Medical University/Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - Y Li
- School of Public Health and Management, Ningxia Medical University/Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - Y J Fu
- School of Public Health and Management, Ningxia Medical University/Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - H Y Liu
- School of Public Health and Management, Ningxia Medical University/Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - J Q Li
- School of Public Health and Management, Ningxia Medical University/Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - G X Yao
- School of Public Health and Management, Ningxia Medical University/Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - S Z Guan
- School of Public Health and Management, Ningxia Medical University/Ningxia Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
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Gong QM, Mai S, Quan JJ, Huang LJ, Liu HY, Wei X. [A preliminary study on the construction and application of the smart classroom teaching mode in endodontics]. Zhonghua Kou Qiang Yi Xue Za Zhi 2022; 57:1237-1242. [PMID: 36509524 DOI: 10.3760/cma.j.cn112144-20220919-00492] [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: 12/15/2022]
Abstract
Objective: To evaluate the application effect of smart classroom teaching mode in undergraduate teaching of endodontics. Methods: Through micro-lecture and massive open online course which were closely integrated with clinical practice and frontier advances, we build a new smart classroom teaching mode of endodontics relying on information technology such as the medical education cloud APP platform. The mode was applied to the undergraduate teaching of grade 2017 (110 students) and grade 2018 (107 students) in 2020 and 2021 respectively (experimental group). The theoretical examination was conducted for the grade 2016 (control group, 111 students applied traditional teaching methods) in 2019, and for two experimental grades in 2020 and 2021 respectively. A questionnaire survey was conducted for the 2018 undergraduates to investigate the experience of the smart classroom teaching mode, and the application effect of the smart classroom teaching mode was evaluated by comparing the offline theoretical test scores of grades 2016, 2017 and 2018. Results: The results of the questionnaire showed that students in grade 2018 recognized the overall form of smart classroom teaching mode, and 75.2% (79/105) of the students satisfied with the teaching process, considering that it could enhance learning interest and enthusiasm, improve self-learning ability, facilitate the understanding and memory of knowledge points, as well as increase the extension and expansion of professional knowledge. Thirty-seven point one percent (39/105) of the students thought that smart classroom teaching mode was not conducive to the interaction between teachers and students and couldn't improve learning efficiency. Comparing the final theoretical examination scores of students in three years, it was found that the average scores of 2021 (78.79±9.88) and 2020 (76.45±8.33) were significantly higher than that of 2019 (67.67±10.58) (t=6.77, P<0.001; t=8.51, P<0.001). The average score in 2021 was higher than that in 2020, although the difference was not significant (t=1.79, P=0.223). Conclusions: The application of smart classroom mode improved the teaching effect of endodontics, which is worthy of further promotion to provide a positive reference in improving the educating effects of oral medicine.
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Affiliation(s)
- Q M Gong
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - S Mai
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - J J Quan
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - L J Huang
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - H Y Liu
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
| | - X Wei
- Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
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Silver JK, Booth GS, Chatterjee A, Crusto CA, El-Sayed N, Fleming TK, Gavini N, Golden SH, Jacobs JW, Jagsi R, Larson AR, Liu HY, Lorello GR, Muir R, Shim RS, Spector ND, Stanford FC, Verduzco-Gutierrez M, Zafonte RD. Organizations in science and medicine must hold each other accountable for discriminatory practices. Cell 2022; 185:3073-3078. [PMID: 35985283 PMCID: PMC9924297 DOI: 10.1016/j.cell.2022.06.043] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 06/14/2022] [Accepted: 06/22/2022] [Indexed: 01/24/2023]
Abstract
Many organizations persist in working with others that engage in known, remediable structural discrimination. We name this practice interorganizational structural discrimination (ISD) and argue it is a pivotal contributor to inequities in science and medicine. We urge organizations to leverage their relationships and demand progress from collaborators.
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Affiliation(s)
- Julie K Silver
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA.
| | - Garrett S Booth
- Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Archana Chatterjee
- Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA
| | - Cindy A Crusto
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
| | - Nuha El-Sayed
- Department of Medicine, Harvard Medical School, Boston, MA, USA
| | - Talya K Fleming
- Department of Physical Medicine and Rehabilitation, JFK Johnson Rehabilitation Institute at Hackensack Meridian Health, Edison, NJ, USA
| | - Nara Gavini
- Massachusetts General Hospital Institute of Health Professions, Charlestown Navy Yard, Boston, MA, USA
| | - Sherita Hill Golden
- Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, Office of Diversity, Inclusion, and Health Equity, Johns Hopkins Medicine, Baltimore, MD, USA
| | - Jeremy W Jacobs
- Department of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA
| | - Reshma Jagsi
- Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Allison R Larson
- Department of Dermatology, Georgetown University School of Medicine and MedStar Health, Washington, DC, USA
| | - Howard Y Liu
- Department of Psychiatry, University of Nebraska Medical School, Omaha, NE, USA
| | - Gianni R Lorello
- Department of Anesthesiology and Pain Medicine, University of Toronto, Toronoto, ON, Canada
| | - Roshell Muir
- Division of Infectious Diseases and HIV Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, PA, USA
| | - Ruth S Shim
- Department of Psychiatry and Behavioral Sciences, University of California, Davis School of Medicine, Sacramento, CA, USA
| | - Nancy D Spector
- Department of Pediatrics, Executive Leadership in Academic Medicine®, Drexel University College of Medicine, Philadelphia, PA, USA
| | | | - Monica Verduzco-Gutierrez
- Department of Rehabilitation Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Ross D Zafonte
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA
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Liu HY, Li J, Huang DR, Feng K, Liu JH, He QN, Guo KY, Ding GY, Lou Y, Wang Y. [Early warning of low maternal unconjugated estriol level by prenatal screening for fetus with X-linked ichthyosis]. Zhonghua Fu Chan Ke Za Zhi 2022; 57:407-412. [PMID: 35775247 DOI: 10.3760/cma.j.cn112141-20220125-00043] [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 analyze the characteristic of prenatal serological screening in fetus with X-linked ichthyosis (XLI), and to explore the relationship between unconjugated estriol (uE3) levels and XLI. Methods: A total of 56 fetuses with Xp22.31 microdeletion indicated by prenatal diagnosis and 70 fetuses diagnosed with trisomy 21 and 26 fetuses with trisomy 18 in Henan Provincial People's Hospital and Affiliated Hospital of Weifang Medical College from September 2016 to June 2021 were collected. The multiples of median (MoM) values of uE3, alpha-fetoprotein (AFP), and human chorionic gonadotropin (hCG) during the second trimester of pregnancy were retrospectively analyzed. Prenatal diagnosis was made by amniotic fluid karyotype analysis and genome copy number variant analysis, parent genetic verification and pathogenicity analysis were performed, and maternal and infant outcomes were followed up. Results: Of 56 pregnant women with fetal Xp22.31 microdeletion, 43 underwent serological screening during the second trimester of pregnancy, of which 42 were abnormal (39 male fetuses and 3 female fetuses). The median uE3 MoM value of 39 male fetuses [0.06 (0.00-0.21)] was lower than the normal value and significantly lower than that of fetuses with trisomy 21 [0.71 (0.26-1.27)] and fetuses with trisomy 18 [0.36 (0.15-0.84)], the difference was statistically significant (Z=99.96, P<0.001). While the MoM values of AFP and hCG were all within the normal range. Among the 56 fetuses carrying Xp22.31 microdeletion, 45 were male fetuses and 11 were female fetuses, and the deletion fragments all involved STS gene. Eighty-nine percent (50/56) were inherited from mother (49 cases) or father (1 case), and 11% (6/56) were de novo mutations. Follow-up showed 48 live births (38 males and 10 females) and 8 chose to terminate pregnancy (7 males and 1 female). Among the 38 male newborns, 37 presented with scaly skin changes from 1 to 3 months of age, and one had no clinical manifestations until 4 months after birth. Ten female newborns had no obvious clinical manifestations. Conclusions: The decrease levels of uE3 MoM on maternal serological screening is closely related to the higher risk of XLI in male fetuses. For pregnant women with low uE3 in serological screening or with family history of ichthyosis, in addition to chromosomal karyotype analysis, joint detection of genomic copy number variant analysis should be recommended.
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Affiliation(s)
- H Y Liu
- Department of Medical Genetics Center, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - J Li
- Department of Medical Genetics Center, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - D R Huang
- Department of Medical Genetics Center, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - K Feng
- Department of Medical Genetics and Prenatal Diagnosis, Affiliated Hospital of Weifang Medical University, Weifang 261000, China
| | - J H Liu
- Department of Obstetrics and Gynecology, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - Q N He
- Department of Medical Genetics Center, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - K Y Guo
- Department of Medical Genetics Center, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - G Y Ding
- Department of Medical Genetics Center, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - Y Lou
- Department of Medical Genetics Center, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
| | - Yue Wang
- Department of Obstetrics and Gynecology, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China
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Wu LW, Wang L, Wen ZL, Ma H, Ou QF, Wu C, Gao X, Shi L, Li HW, Xia F, Song S, Zhu ZQ, Liu HY, Chen XC, Zhang SL, Huang JY, Song YZ. [Screening and preliminary validation of biomarkers in sputum-negative pulmonary tuberculosis based on positron emission tomography/computed tomography and transcriptomics]. Zhonghua Jie He He Hu Xi Za Zhi 2022; 45:567-572. [PMID: 35658381 DOI: 10.3760/cma.j.cn112147-20211207-00864] [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 screen and perform preliminary clinical validation of biomarkers of activity based on positron emission tomography/computed tomography (PET-CT) and transcriptomics in sputum-negative pulmonary tuberculosis lesion tissue. Methods: Nine patients with sputum-negative pulmonary tuberculosis treated surgically at the Shanghai Public Health Clinical Center for Thoracic Surgery from January 1, 2017 to December 31, 2019 were retrospectively collected as the discovery group, including four males and five females, aged 20-57 years (mean 36 years). All of the patients underwent PET-CT scanning before surgery, and the resected specimens were postoperatively classified according to preoperative PET-CT. The resected specimens were divided into areas with increased fluorodeoxyglucose (FDG) metabolism (SUVmax>3) and areas with normal FDG metabolism (SUVmax ≤ 3) according to the preoperative PET-CT performance. After sample processing, total RNA was extracted from the tissues of different regions, and then whole gene transcriptome sequencing was performed. Bioinformatics analysis of the two sets of data was performed to discover the expression profiles of the differences in whole gene transcriptome data between the two regions and to screen for candidate biomarkers. Eighty patients with sputum-negative pulmonary tuberculosis admitted to Shanghai Public Health Clinical Center from January 1, 2019 to January 1, 2021 were retrospectively collected as the validation group, including 37 males and 43 females, aged 20-62 years, with an average age of 39 years. The validation group was divided into a group with increased SUV (n=40) and a group without lesions on CT imaging (n=40). Enzyme-linked immunosorbent assay (ELISA) was used to determine the protein levels of candidate biomarkers in the peripheral plasma of patients. The effect of biomarkers was assessed using subject operating characteristic (ROC) curves. Student's t-test was used to determine whether the difference in protein levels between the two groups was statistically significant. Results: Bioinformatics analysis revealed that the expression levels of C1QB, CCL19, CCL5 and HLA-DMB correlated with the metabolic activity of sputum-negative tuberculosis lesion tissue. Further screening and validation by the validation group confirmed that the difference in C1QB protein levels in the peripheral plasma of patients was statistically significant between the group with increased SUV and the group without lesions on CT imaging [(3.55±0.34) mg/L vs. (2.75±0.21) mg/L, t=4.12, P<0.001]. And the ROC curve showed that the area under the curve for C1QB protein levels was 0.731, which had potential clinical value. Conclusion: The C1QB protein level can be used to assess the activity of lesions in patients with sputum-negative tuberculosis and is a potential biomarker.
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Affiliation(s)
- L W Wu
- Department of Thoracic Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
| | - L Wang
- Department of Thoracic Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
| | - Z L Wen
- Department of Scientific Research, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
| | - H Ma
- Department of Scientific Research, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
| | - Q F Ou
- Department of Tuberculosis, Wuxi No.5 People's Hospital, Wuxi 214007, China
| | - C Wu
- Department of Tuberculosis, Changchun Infectious Disease Hospital, Changchun 130123, China
| | - X Gao
- Department of PET-CT, Universal Medical Imaging, Shanghai 200233, China
| | - L Shi
- Department of Thoracic Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
| | - H W Li
- Department of Thoracic Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
| | - F Xia
- Department of Lung Disease, the Navy's 905th Hospital, Shanghai 200050, China
| | - S Song
- Department of Pathology, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
| | - Z Q Zhu
- Department of Laboratory, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
| | - H Y Liu
- Institute of Pathogen Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100006, China
| | - X C Chen
- School of Basic Medicine, Medicine Collage, Shenzhen University, Shenzhen 518060, China
| | - S L Zhang
- School of Basic Medicine, Medicine Collage, Shanghai Jiaotong University, Shanghai 200025, China
| | - J Y Huang
- Department of Scientific Research, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
| | - Y Z Song
- Department of Thoracic Surgery, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201052, China
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21
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Liu HY, Larson AR, Strong SA, Parekh R, Gautam M, Flores LE, Silver JK. Workforce Diversity, Equity, and Inclusion: A Crucial Component of Professionalism in Psychiatry. Psychiatr Clin North Am 2022; 45:243-258. [PMID: 35680240 DOI: 10.1016/j.psc.2022.02.001] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Documented disparities have profoundly impacted the training and careers of physicians from socially and historically marginalized groups, including women, people with disabilities, people who identify with racial and ethnic minority groups, and the lesbian, gay, bisexual, transgender, and queer or questioning+ community. Professionalism is a core component of medical training and practice, yet a focus on workforce diversity, equity, and inclusion is often absent. This report aims to encourage the adoption of workforce diversity, equity, and inclusion as a crucial component of professionalism, with an emphasis on the field of psychiatry.
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Affiliation(s)
- Howard Y Liu
- University of Nebraska Medical Center, 985578 Nebraska Medical Center, Omaha, NE 68198-5578, USA.
| | - Allison R Larson
- Georgetown University, MedStar Washington Hospital Center, 5530 Wisconsin Ave, Suite 660, Chevy Chase, MD 20815, USA
| | - Sheritta A Strong
- University of Nebraska Medical Center, 985578 Nebraska Medical Center, Omaha, NE 68198-5578, USA
| | - Ranna Parekh
- American College of Cardiology, 2400 N Street NW, Washington, DC 20037, USA
| | - Mamta Gautam
- Psychosocial Oncology Program, The Ottawa Hospital Cancer Center, TOH General Campus, 501 Smyth Road, Ottawa, ON K1H 8L6, Canada
| | - Laura E Flores
- College of Allied Health Professions, University of Nebraska Medical Center, 984035 Nebraska Medical Center, Omaha, NE 68198-4035, USA
| | - Julie K Silver
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 USA
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Zhang T, Rao QM, He YY, Cai JT, Liu HY, Lin YL. [Association of SCN2A, ABCB1 and CYP2C19*3 with genetic susceptibility to major depressive disorder]. Zhonghua Yu Fang Yi Xue Za Zhi 2022; 56:287-294. [PMID: 35381649 DOI: 10.3760/cma.j.cn112150-20211021-00973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: Due to genetic factors might increase the risk of depression, this study investigated the genetic risk factors of depression in Chinese Han population by analyzing the association between 13 candidate genes and depression. Methods: 439 depression patients and 464 healthy controls were included in this case-control study. Case group consisted of 158 males and 281 females, aged (29.84±14.91) years old, who were hospitalized in three departments of the affiliated Brain Hospital of Guangzhou Medical University including Affective Disorders Department, Adult Psychiatry Department and Geriatrics Department, from February 2020 to September 2021. The control group consisted of 196 males and 268 females, aged (30.65±12.63) years old. 20 loci of 13 candidate genes in all subjects were detected by MALDI-TOF mass spectrometry. Age difference was compared using the student's t-test, the distributions of gender and genotype were analyzed with Pearson's Chi-square test. The analyses of Hardy-Weinberg equilibrium, allele frequency and the genetic association of depression were conducted using the corresponding programs in PLINK software. Results: PLINK analysis showed that SCN2A rs17183814, ABCB1 rs1045642, CYP2C19*3 rs4986893 and NAT2*5A rs1799929 were associated with depression before Bonferroni correction (χ2=10.340, P=0.001; χ2=11.010, P=0.001; χ2=9.781, P=0.002; χ2=4.481, P=0.034). The frequencies of minor alleles of above loci in the control group were 12.07%, 43.64%, 2.59% and 3.88%, respectively. The frequencies of minor alleles of loci mentioned above in the case group were 17.43%, 35.99%, 5.47% and 6.04%, respectively. OR values were 1.538, 0.726, 2.178 and 1.592, respectively. After 1 000 000 permutation tests using Max(T) permutation procedure, the four loci were still statistically significant, the empirical P-value were 0.002, 0.001, 0.003 and 0.042, respectively. However, only three loci including SCN2A rs17183814, ABCB1 rs1045642 and CYP2C19 rs4986893 had statistical significance after Bonferroni correction, the adjusted P-value were 0.026, 0.018 and 0.035, respectively. Conclusion: SCN2A rs17183814, ABCB1 rs1045642 and CYP2C19*3 rs4986893 were associated with depression's susceptibility in Chinese Han population. The A allele of SCN2A rs17183814 and CYP2C19*3 rs4986893 were risk factors for depression, while the T allele of ABCB1 rs1045642 was a protective factor for depression.
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Affiliation(s)
- T Zhang
- Clinical Laboratory, Brain Hospital Affiliated to Guangzhou Medical University, Guangzhou 510370,China
| | - Q M Rao
- Clinical Laboratory, Brain Hospital Affiliated to Guangzhou Medical University, Guangzhou 510370,China
| | - Y Y He
- Clinical Laboratory, Brain Hospital Affiliated to Guangzhou Medical University, Guangzhou 510370,China
| | - J T Cai
- Clinical Laboratory, Brain Hospital Affiliated to Guangzhou Medical University, Guangzhou 510370,China
| | - H Y Liu
- Clinical Laboratory, Brain Hospital Affiliated to Guangzhou Medical University, Guangzhou 510370,China
| | - Y L Lin
- Clinical Laboratory, Brain Hospital Affiliated to Guangzhou Medical University, Guangzhou 510370,China
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23
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Yang LL, Jiang B, Chen SH, Liu HY, Chen TT, Huang LH, Yang M, Ding J, He JJ, Li JJ, Yu B. Abnormal keratin expression pattern in prurigo nodularis epidermis. Skin Health Dis 2022; 2:e75. [PMID: 35665210 PMCID: PMC9060049 DOI: 10.1002/ski2.75] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Revised: 09/13/2021] [Accepted: 09/14/2021] [Indexed: 12/11/2022]
Abstract
Background Prurigo nodularis (PN) is a highly pruritic, chronic dermatosis and difficult to treat. PN lesions are characterized by existence of many hyperkeratotic, erosive papules and nodules. However, the pathogenesis of PN still remains unelucidated. Aim To clarify the keratin role in the epidermis hyperproliferation, the keratin expression pattern in the PN lesional skin. Methods In this study, we enrolled 24 patients with PN and 9 healthy control volunteers. K1/K10, K5/K14, K6/K16/K17 expression pattern were investigated by using immunohistochemical staining. Results The lesional skin consists of the thickened spinous layers, in which active cell division was found. K5/K14 were upregulated in PN lesional epidermis, the staining signal localized in the basal layer and lower suprabasal layers. Hyperproliferation‐associated K6 was found in all layers of epidermal lesional skin, especially in the spinous layers. In contrast, K16 was only detected in the basal and lower suprabasal layers, K17 was observed in the basal and spinous layers. Terminal differential keratins K1/K10 were upregulated, detected in the pan‐epidermis, but spared in the basal and low suprabasal layers. Conclusion The keratinocytes enter an alternative differentiation pathway, which are responsible for the activated keratinocyte phenotype, abnormal keratins expression potentially contributes to the keratinocytes proliferation, subsequently lead to increased lesional skin epidermis thickness, hyperkeratiosis and alteration of skin barrier properties.
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Affiliation(s)
- L L Yang
- Department of Dermatology Peking University Shenzhen Hospital Shenzhen Guangdong China.,Huzhou Center Hospital Huzhou China
| | - B Jiang
- Department of Dermatology Peking University Shenzhen Hospital Shenzhen Guangdong China
| | - S H Chen
- Department of Dermatology Peking University Shenzhen Hospital Shenzhen Guangdong China
| | - H Y Liu
- Department of Dermatology Peking University Shenzhen Hospital Shenzhen Guangdong China
| | - T T Chen
- Department of Dermatology Affiliated Shenzhen Longhua People's Hospital of Southern Medical University Shenzhen Guangdong China
| | - L H Huang
- Guanghe Hui Shenzhen Guangdong China
| | - M Yang
- National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Shenzhen Guangdong China
| | - J Ding
- Department of Dermatology Shenzhen Baoan Maternal and Child Health Hospital Shenzhen Guangdong China
| | - J J He
- Department of Plastic and Cosmetic Surgery Peking University Shenzhen Hospital Shenzhen Guangzhou China
| | - J J Li
- Department of Dermatology Peking University Shenzhen Hospital Shenzhen Guangdong China
| | - B Yu
- Department of Dermatology Peking University Shenzhen Hospital Shenzhen Guangdong China
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24
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Li HL, Liu HY, Yang ML, Deng JM. [Clinical features of 19 cases of lower respiratory papillomatosis]. Zhonghua Jie He He Hu Xi Za Zhi 2022; 45:177-182. [PMID: 35135087 DOI: 10.3760/cma.j.cn112147-20210722-00519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective: To explore the clinical characteristics and prognosis of lower respiratory papilloma(LRP)and therefore to improve clinical diagnosis and treatment. Methods: We performed a retrospective analysis of patients who were diagnosed with LRP in our department from October 2008 to October 2020. Results: Nineteen patients were enrolled and 12 were male and 7 were female. The average age of the 7 adult patients was (41.3±17.5)years and that of the 12 pediatric patients was (5.5±3.5)years. Ten (83.3%)of the pediatric patients showed disease onset at an age of less than 5 years. The main symptoms were cough and sputum production (13/19), dyspnea (15/19), hoarseness (10/19) and signs of stridor or wheezing (7/19). Chest CT examination was performed in 9 patients, which showed nodules or masses (9/9), cystic thin-walled cavity (4/9), obstructive pneumonia (2/9), atelectasis (2/9), and spicule sign (1/9). The upper respiratory tract was affected in all the pediatric patients (12/12) and 3/7 of the adult patients. Eighteen cases (18/19) were diagnosed by bronchoscopy, 1 (1/9) by thoracoscopy. Eighteen cases (18/19) showed mulberry-like and papillary lesions under bronchoscopy. All the cases were histologically confirmed as squamous cell papilloma, with 17 cases(17/19)showing tissue HPV6/11(+), 2 negative (2/19). The positive rate of HPV6 was 36.8%, ant that of HPV11 was 21.1%, while the double positive rate of HPV6/11 was 31.6%, and HPV16/18 were negative in all the 19 cases. Isolated respiratory papillomatosis was found in 4 cases (4/19), and multiple papillomatosis in 15 cases (15/19). Seventeen cases (17/19) underwent endoscopic interventional therapy, and the result showed that 15 cases relapsed, and 2 cases had no recurrence. One patient was treated with thoracoscopic lobectomy, and died 4 months after surgery. One patient gave up treatment. Conclusions: LRP is a rare clinical disease with a chronic course, and isolated LRP is even rarer. Young patients often suffer from upper respiratory tract involvement, and the main symptoms are cough, sputum production, dyspnea and hoarseness. CT scanning showed nodules and masses, cystic thin-walled cavities or signs of airway obstruction. Bronchoscopy often demonstrates papillary lesions. The diagnosis depends on pathology, with squamous cell papilloma being the most common, and most tests are positive for HPV6/11. It is suggested that the incidence is associated with low-risk HPV infection. Endoscopic resection is the main treatment, which is prone to relapse. The treatment should take into account the pathological changes of upper respiratory tract, and the etiological treatment of HPV should be stressed.
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Affiliation(s)
- H L Li
- Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
| | - H Y Liu
- Department of Respiratory and Critical Care Medicine, People's Hospital of Hezhou, Hezhou 542800, China
| | - M L Yang
- Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
| | - J M Deng
- Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
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Larson AR, Englander MJ, Youmans QR, Verduzco-Gutierrez M, Stanford FC, Strong SA, Liu HY, Silver JK. Analysis of Physician Compensation Studies by Gender, Race, and Ethnicity. Health Equity 2022; 6:59-71. [PMID: 36186614 PMCID: PMC9518798 DOI: 10.1089/heq.2021.0098] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/05/2021] [Indexed: 11/13/2022] Open
Abstract
Purpose: This report investigated physician compensation studies by gender, race, and ethnicity. Methods: Published U.S. physician compensation studies were assessed. Results: Of the 47 data sets within 46 studies, 36 analyzed compensation by gender and 32 (88.9%) found disparities. Thirteen and eight analyzed for race and ethnicity, with disparities found in four (30.8%) and none, respectively. The sample sizes of the four data sets with differences by race were among the largest in the subset. Conclusion: Most studies demonstrate pay disparities for women, but not for people who identify with underrepresented race/ethnic groups; however, small sample sizes may affect results.
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Affiliation(s)
- Allison R. Larson
- Department of Dermatology, Georgetown University Medical Center and MedStar Health, Washington, DC, USA
| | | | - Quentin R. Youmans
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
| | - Monica Verduzco-Gutierrez
- Department of Rehabilitation Medicine, Joe R. and Teresa Lozano Long School of Medicine at UT San Antonio, San Antonio, Texas, USA
| | - Fatima Cody Stanford
- Massachusetts General Hospital, MGH Weight Center, Department of Medicine-Division of Endocrinology-Neuroendocrine, Department of Pediatrics-Division of Endocrinology, Nutrition Obesity Research Center at Harvard (NORCH), Boston, Massachusetts, USA
| | - Sheritta A. Strong
- Department of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA
| | - Howard Y. Liu
- Department of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA
| | - Julie K. Silver
- Department of Physical Medicine and Rehabilitation, Harvard Medical School, Massachusetts General Hospital, Spaulding Rehabilitation Hospital, Brigham and Women's Hospital, Boston, Massachusetts, USA
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26
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Siva S, Bressel M, Wood ST, Shaw MG, Loi S, Sandhu SK, Tran B, A Azad A, Lewin JH, Cuff KE, Liu HY, Moon D, Goad J, Wong LM, LimJoon M, Mooi J, Chander S, Murphy DG, Lawrentschuk N, Pryor D. Stereotactic Radiotherapy and Short-course Pembrolizumab for Oligometastatic Renal Cell Carcinoma-The RAPPORT Trial. Eur Urol 2021; 81:364-372. [PMID: 34953600 DOI: 10.1016/j.eururo.2021.12.006] [Citation(s) in RCA: 64] [Impact Index Per Article: 21.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 11/08/2021] [Accepted: 12/03/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND Stereotactic ablative body radiotherapy (SABR) is an option for oligometastatic clear cell renal cell carcinoma (ccRCC) but is limited by a lack of prospective clinical trial data. OBJECTIVE The RAPPORT trial evaluated the safety and efficacy of total metastatic irradiation followed by short-course anti-programmed death receptor-1 immunotherapy in patients with oligometastatic ccRCC. DESIGN SETTING, AND PARTICIPANTS RAPPORT was a single-arm multi-institutional phase I/II trial (NCT02855203). Patients with two or fewer lines of prior systemic therapy and one to five oligometastases from ccRCC were eligible. INTERVENTION A single fraction of 20 Gy SABR (or if not feasible, ten fractions of 3 Gy) was given to all metastatic sites, followed by pembrolizumab 200 mg administered Q3W for eight cycles. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS The endpoints were adverse events (AEs), disease control rate (DCR) for at least 6 mo, objective response rate (ORR), progression-free survival (PFS), and overall survival (OS). The Kaplan-Meier method was used for time-to-event endpoints. Freedom from local progression (FFLP) was assessed per lesion adding patient as a cluster effect. RESULTS AND LIMITATIONS Thirty evaluable patients, with a median age of 62 yr, were enrolled. The median follow-up was 28 mo. There were 44% of patients with intermediate-risk and 56% with favorable-risk disease. Eighty-three oligometastases were irradiated (median three per patient): eight adrenal, 11 bone, 43 lung, 12 lymph node, and nine soft tissue. Four patients (13%) had grade 3 treatment-related AEs: pneumonitis (n = 2), dyspnea (n = 1), and elevated alkaline phosphatase/alanine transaminase (n = 1). There were no grade 4 or 5 AEs. FFLP at 2 yr was 92%. ORR was 63% and DCR was 83%. Estimated 1- and 2-yr OS was 90% and 74%, respectively, and PFS was 60% and 45%, respectively. Limitations include a single-arm design and selected patient population. CONCLUSIONS SABR and short-course pembrolizumab in oligometastatic ccRCC is well tolerated, with excellent local control. Durable responses and encouraging PFS were observed, warranting further investigation. PATIENT SUMMARY The RAPPORT trial investigated the combination of high-dose precision radiotherapy and a short course of immunotherapy in patients with low-volume metastatic kidney cancer. We found that this treatment regimen was well tolerated, with excellent cancer control in sites of known disease. A proportion of patients were free from cancer relapse in the longer term, and these encouraging findings warrant further investigation.
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Affiliation(s)
- Shankar Siva
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; The Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia.
| | | | - Simon T Wood
- Princess Alexandra Hospital, Brisbane, QLD, Australia; University of Queensland, Brisbane, QLD, Australia
| | - Mark G Shaw
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - Sherene Loi
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; The Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia
| | - Shahneen K Sandhu
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; The Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia
| | - Ben Tran
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; The Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia
| | - Arun A Azad
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; The Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia
| | - Jeremy H Lewin
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - Katharine E Cuff
- Princess Alexandra Hospital, Brisbane, QLD, Australia; University of Queensland, Brisbane, QLD, Australia
| | - Howard Y Liu
- Princess Alexandra Hospital, Brisbane, QLD, Australia; University of Queensland, Brisbane, QLD, Australia
| | - Daniel Moon
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; Department of Surgery, University of Melbourne, Melbourne, VIC, Australia
| | - Jeremy Goad
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - Lih-Ming Wong
- Department of Surgery, University of Melbourne, Melbourne, VIC, Australia
| | | | - Jennifer Mooi
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - Sarat Chander
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - Declan G Murphy
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; The Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia
| | - Nathan Lawrentschuk
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; Department of Surgery, University of Melbourne, Melbourne, VIC, Australia
| | - David Pryor
- Princess Alexandra Hospital, Brisbane, QLD, Australia; Queensland University of Technology, Brisbane, QLD, Australia
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Zheng YJ, Liu HY, Yu B, Hu AQ, Dong Y, Guo Y. [Observation and experiment: a causal perspective]. Zhonghua Liu Xing Bing Xue Za Zhi 2021; 42:1863-1870. [PMID: 34814625 DOI: 10.3760/cma.j.cn112338-20201224-01437] [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
Observation and experiment and their related connotations and concepts remain vague, which affects the correct understanding of research design and the judgment of the validity of causal inference. This article borrows the concept of phase transition in physics, combines causal thinking and causal diagrams, firstly establishes the relationships among the attribute, state, event, and phenomenon, and then identifies two ways with the opposite causal structures to acquire phenomena-human observations and human manipulated experiments. In causal inference, the ways mentioned above, intervention and assignment of exposure are affected by their own causal mechanisms. Finally, intervention is a causal concept, a core link among known phenomena, unknown phenomena available for measurement, and natural causality. Based on this, the two strategies in classifying research design are analyzed, and intervention method and non-intervention method are proposed, as is comprehensive and concise. Observations and experiments provide the basis for all scientific knowledge and should be viewed as concepts with a unified connotation. The accurate classification of research designs based on the law of causality and measurement process may be one of the best options worthy of in-depth study.
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Affiliation(s)
- Y J Zheng
- Department of Epidemiology/Key Laboratory for Health Technology Assessment, National Health Commission/Key Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China
| | - H Y Liu
- Anqing Municipal Hospital of Anhui Province, Anqing 246003, China
| | - B Yu
- Peking University Shenzhen Hospital, Shenzhen 518036, China
| | - A Q Hu
- Anqing Municipal Hospital of Anhui Province, Anqing 246003, China
| | - Y Dong
- Department of Epidemiology/Key Laboratory for Health Technology Assessment, National Health Commission/Key Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China
| | - Y Guo
- Peking University Shenzhen Hospital, Shenzhen 518036, China
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28
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Liu HY, Zhong RQ, Zhang KP, Zhu TN, Zhong DR. [Clinicopathological features and prognosis of primary mediastinal large B-cell lymphoma: a series of sixty cases]. Zhonghua Bing Li Xue Za Zhi 2021; 50:1139-1144. [PMID: 34619867 DOI: 10.3760/cma.j.cn112151-20210115-00043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the clinicopathological features and prognostic factors of primary mediastinal large B-cell lymphoma (PMBL). Methods: The clinical data of 60 patients with PMBL including 44 biopsy cases and 16 consultation cases from September 2000 to November 2019 in the Department of Pathology, China-Japan Friendship Hospital (14 cases) and Peking Union Medical College Hospital (46 cases) were enrolled. Pathologic features, immunophenotype, immunoglobulin (Ig) gene rearrangement and microRNA expression profile were retrospectively studied. Results: Of the 60 patients, 23 were males and 37 were females, age ranged from 15 to 64 years (median 28 years). Immunohistochemical staining showed that the tumor cells were positive for pan-B cell antigens, CD30 (77.4%, 24/31), CD23 (73.1%, 19/26), MUM1 (45.8%, 11/24), Ki-67 index ≥70 % (90.6%, 29/32). EBER in situ hybridization was analyzed in 21 PMBL, only one case (4.8%) was positive. Ig gene rearrangement was performed in 20 cases, and seven were positive (35.0%). MicroRNA gene expression profiles were analyzed in seven cases of PMBL and nine cases of diffuse large B-cell lymphoma, and there were 33 microRNAs with significant difference (P<0.05). Univariate analysis indicated that the poor prognostic factors included serum lactate dehydrogenase (LDH) level,International Prognostic Index (IPI) score ≥3, stages Ⅲ-Ⅳ, chemotherapy not combined with rituximab and MUM1 positivity (P<0.05). Multivariate analysis showed that the treatment combined with rituximab was independently related to prognosis (P<0.05). Conclusions: PMBL is different from diffuse large B-cell lymphoma in clinicopathologic features, immunophenotypic presentation and molecular features. The prognostic factors, molecular genetics and immunological characteristics reveal that this study has enriched our understanding of the biology of PMBL, thus providing evidence and strategies for treatment.
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Affiliation(s)
- H Y Liu
- Department of Pathology, China-Japan Friendship Hospital, Beijing 100029, China
| | - R Q Zhong
- School of Life Sciences, Peking University, Beijing 100871,China
| | - K P Zhang
- School of Life Sciences, Peking University, Beijing 100871,China
| | - T N Zhu
- Department of Hematology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
| | - D R Zhong
- Department of Pathology, China-Japan Friendship Hospital, Beijing 100029, China
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29
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Fan YW, Chen WH, Wang XJ, Pu YY, Liu HY. [Analysis of the effect of modified cervical cerclage in the treatment of cervical insufficiency]. Zhonghua Fu Chan Ke Za Zhi 2021; 56:609-615. [PMID: 34547861 DOI: 10.3760/cma.j.cn112141-20210407-00178] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To discuss the surgical effect of modified cervical cerclage for the treatment of pregnant women with cervical insufficiency. Methods: The clinical data of 225 pregnant women who underwent modified cervical cerclage in Qilu Hospital (Qingdao) were selected for retrospective analysis from April 2014 to June 2020. Surgical success rate, full-term birth rate, preterm birth rate, prolonged pregnancy weeks and newborn birth weight were compared between singleton and twin pregnancies, preventive cerclage and emergency cerclage, surgery before and after 18 weeks, naturally and in vitro fertilization and embryo transfer (IVF-ET) conceived pregnant women respectively. Results: Among the 225 pregnant women, the gestational weeks of surgery were 14-24+5 weeks, mean gestational weeks of delivery were 38+2 weeks (35+5-39+3 weeks), the number of prolonged gestation were (20.3±5.2) weeks, and the newborn birth weight was (3 065±735) g; the overall surgical success rate was 92.9% (209/225), and the miscarriage rate was 7.1% (16/225); among the surviving newborns, the full-term birth rate was 73.7% (154/209), and the preterm birth rate was 26.3% (55/209). All cases had no intraoperative complications. Among the 225 pregnant women, 202 (89.8%, 202/225) cases were singleton pregnancies, and 23 (10.2%, 23/225) cases were twin pregnancies; 201 (89.3%, 201/225) cases underwent preventive cervical cerclage, and 24 (10.7%, 24/225) cases underwent emergency cervical cerclage; 190 (84.4%, 190/225) cases underwent the surgery before 18 weeks, and 35 (15.6%, 35/225) cases underwent the surgery after 18 weeks; 49 (21.8%, 49/225) cases were conceived by IVF-ET. There was no statistically significant difference in the overall surgical success rate of single and twin group (P>0.05). The full-term birth rate, newborn birth weight and prolonged pregnancy weeks of single group were higher than those of twin group (P<0.05). There were no statistical differences between preventive and emergency cerclage in overall surgical success rate, full-term birth rate, preterm birth rate, and newborn birth weight (all P>0.05). The pregnancy prolonged weeks of preventive cerclage was higher than that of emergency cerclage (P<0.05). There were no statistically significant differences in the overall surgical success rate, full-term birth rate, preterm birth rate and birth weight of newborns at different surgical timings (all P>0.05). The pregnancy prolonged week for those who underwent surgery before 18 weeks was higher than that of surgery after 18 weeks (P<0.05). The premature birth rate of IVF-ET was higher than that of naturally conceived pregnant women (P<0.05). Conclusion: The modified cervical cerclage could effectively prolong the gestational weeks of delivery, reduce the rate of preterm birth, and the operation is simple and easy to promote. It could be used as a surgical option for patients with cervical insufficiency.
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Affiliation(s)
- Y W Fan
- Department of Obstetrics, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao 266035, China
| | - W H Chen
- Department of Obstetrics, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao 266035, China
| | - X J Wang
- Department of Obstetrics, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao 266035, China
| | - Y Y Pu
- Department of Obstetrics, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao 266035, China
| | - H Y Liu
- Department of Obstetrics, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao 266035, China
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30
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Zhao TS, Liu HY, Zheng H, Han BF, Liu B, Liu J, Zhao CY, Li XJ, Yang SB, Du J, Huang NH, Lu QB, Liu YQ, Cui FQ. [Hesitancy of parents towards vaccines in national immunization program in three regions in China: a cross-sectional study]. Zhonghua Liu Xing Bing Xue Za Zhi 2021; 42:1615-1620. [PMID: 34814592 DOI: 10.3760/cma.j.cn112338-20210108-00017] [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 investigate the incidence and determinants of vaccine hesitancy towards national immunization program in China and understand the current status of parents' hesitancy to different vaccines used in national immunization program. Methods: A cross-sectional survey was conducted in Beijing, Sichuan and Gansu. The methods of proportional probability sampling and convenience sampling were used to select the eligible study subjects for questionnaire surveys. Results: A total of 3 592 parents were enrolled in the study, in whom 38.22% fully accepted all the vaccines, 59.35% agreed to let their children to receive all the vaccines but showed slight concern, and 2.42% had hesitancy to the vaccines. The vaccine with the most hesitancy was polio vaccine (0.89%), followed by diphtheria pertussis tetanus vaccine (0.70%) and hepatitis A vaccine (0.64%). The dominant reason for vaccine hesitancy was the risk-benefit perception of vaccination (31.03%), followed by the low awareness of the parents (21.84%) and the inconvenience caused by distance and time (21.84%). Conclusions: The incidence of vaccine hesitancy towards national immunization program was low in parents in China, but over 50% of the parents showed concern to the vaccines. It is essential to improve the service quality of national immunization program and strengthen the health education about the vaccination to reduce the incidence of vaccine hesitancy in parents.
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Affiliation(s)
- T S Zhao
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
| | - H Y Liu
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - H Zheng
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - B F Han
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - B Liu
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - J Liu
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - C Y Zhao
- Tongzhou District Center for Disease Control and Prevention, Beijing 101100, China
| | - X J Li
- Jinjiang District Center for Disease Control and Prevention, Chengdu 610021, China
| | - S B Yang
- Jingyuan County Center for Disease Control and Prevention, Jingyuan 730699, China
| | - J Du
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - N H Huang
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - Q B Lu
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - Y Q Liu
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - F Q Cui
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing 100191, China Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
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31
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Ma Q, Li WN, Liu HY, Zhang HY, Dong JY, Tian XL. Expression of NLR and IL-1β and their predictive efficacy value in acute myocardial infarction patients treated with aspirin combined with clopidogrel. J BIOL REG HOMEOS AG 2021; 35:28. [PMID: 34435480 DOI: 10.23812/21-88-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Q Ma
- Department of Cardiology, People's Hospital of Rizhao, Rizhao, China
| | - W N Li
- Department of Pharmacy, People's Hospital of Rizhao, Rizhao, China
| | - H Y Liu
- Sterilization and Supply Center, Qingdao Central Hospital Affiliated to Qingdao University, Qingdao, China
| | - H Y Zhang
- Department of Clinical Laboratory, People's Hospital of Rizhao Lanshan, Rizhao, China
| | - J Y Dong
- Department of Radiotherapy, Zhangqiu District People's Hospital, Jinan, China
| | - X L Tian
- Department of Emergency, the Third People's Hospital of Qingdao, Qingdao, China
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Shanker MD, Moodaley P, Soon W, Liu HY, Lee YY, Pryor DI. Stereotactic ablative radiotherapy for hepatocellular carcinoma: A systematic review and meta-analysis of local control, survival and toxicity outcomes. J Med Imaging Radiat Oncol 2021; 65:956-968. [PMID: 34396706 DOI: 10.1111/1754-9485.13309] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Accepted: 07/26/2021] [Indexed: 12/13/2022]
Abstract
There is a growing body of literature supporting the use of stereotactic ablative body radiotherapy (SABR) in the management of primary hepatocellular carcinoma (HCC). This systematic review and meta-analysis of the current published evidence for SABR for HCC assessed the impact of treatment dose, fractionation and tumour size on the outcomes of local control (LC), overall survival (OS) and toxicity. A systematic search was independently performed by two authors for articles published in peer-reviewed journals between January 2005 and December 2019. A DerSimonian and Laird random effects model was used to assess pooled results. A multivariate meta-regression analysis incorporated the effect of explanatory variables (radiation dose in EQD2[10], fractionation and tumour size) on outcomes of OS, LC and toxicity. Forty-nine cohorts involving 2846 HCC patients with 3088 lesions treated with SABR were included. Pooled 1-, 2- and 3-year LC rates were 91.1% (95% confidence interval [CI] 88.3-93.2), 86.7% (95% CI 82.7-89.8) and 84.2% (95% CI 77.9-88.9) respectively. Pooled 1-, 2- and 3-year OS rates were 78.4% (95% CI 73.4-82.6), 61.3% (55.2-66.9) and 48.3% (95% CI 39.0-57). Population-weighted median grade 3 toxicity rates were 6.5% (IQR 3.2-16) and mean grade 4/5 rates were 1.4% (IQR 0-2.1). Within EQD2[10] ranges of 40 to 83.33 Gy corresponding to common dose-fractionation regimens of 30-50 Gy in 5 fractions, there was a multivariate association between superior LC and OS with increasing EQD2[10] , with a proportionately smaller increase in grade 3 toxicity and no association with grade 4/5 toxicity. Stereotactic ablative body radiotherapy is a viable treatment option for HCC with high LC rates and low rates of reported grade 3/4 toxicity. Increasing EQD2[10] was associated with improvements in LC and OS with a comparatively smaller increase in toxicity. Prospective randomised trials are warranted to define optimal patient selection and dose-fractionation regimens.
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Affiliation(s)
- Mihir D Shanker
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
| | - Pereshin Moodaley
- Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.,Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Wei Soon
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
| | - Howard Y Liu
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
| | - Yoo Young Lee
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
| | - David I Pryor
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
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33
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Han BF, Huang NH, Chen LY, Zhao TS, Liu HY, Zhang SH, Wang Y, Zheng H, Liu B, Wang C, Liu YQ, Lu QB, Cui FQ. [Development and outlook on human challenge trial of vaccine]. Zhonghua Liu Xing Bing Xue Za Zhi 2021; 42:1371-1375. [PMID: 34814556 DOI: 10.3760/cma.j.cn112338-20210506-00368] [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
Human challenge trial (HCT) is a test in which human volunteers are intentionally infected with pathogens in order to evaluate the efficacy of candidate preventive or therapeutic drugs. During the COVID-19 pandemic, the HCT of vaccines has aroused people's attention due to its significant advantages over clinical trial. This paper introduces the concept, development and application of HCT, the advantages and limitations of HCT for vaccine evaluation, and the consideration of future HCT of COVID-19 vaccine in China.
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Affiliation(s)
- B F Han
- School of Public Health, Peking University, Beijing 100191, China
| | - N H Huang
- School of Public Health, Peking University, Beijing 100191, China
| | - L Y Chen
- School of Public Health, Peking University, Beijing 100191, China
| | - T S Zhao
- School of Public Health, Peking University, Beijing 100191, China
| | - H Y Liu
- School of Public Health, Peking University, Beijing 100191, China
| | - S H Zhang
- School of Public Health, Peking University, Beijing 100191, China
| | - Y Wang
- School of Public Health, Peking University, Beijing 100191, China
| | - H Zheng
- School of Public Health, Peking University, Beijing 100191, China National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China
| | - B Liu
- School of Public Health, Peking University, Beijing 100191, China
| | - C Wang
- School of Public Health, Peking University, Beijing 100191, China
| | - Y Q Liu
- School of Public Health, Peking University, Beijing 100191, China
| | - Q B Lu
- School of Public Health, Peking University, Beijing 100191, China
| | - F Q Cui
- School of Public Health, Peking University, Beijing 100191, China
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34
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Yang AX, Liu CY, Liu HY, Li TT, Ren BF, Qiao PP. The role of lutein in cerebral ischemia-reperfusion injury in rats and its mechanism. J BIOL REG HOMEOS AG 2021; 35:3. [PMID: 34346197 DOI: 10.23812/21-si1-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- A X Yang
- Outpatient Department, The Central Hospital Affiliated to Shaoxing University, Shaoxing, China
| | - C Y Liu
- Department of Neurology, Rizhao Central Hospital, Rizhao, China
| | - H Y Liu
- Department of Emergency, Jiyang People's Hospital, Jinan, China
| | - T T Li
- Operation Room, Zhangqiu District People's Hospital, Jinan, China
| | - B F Ren
- Medical Insurance Department, Zhangqiu District People's Hospital, Jinan, China
| | - P P Qiao
- Department of Neurology, The Third People's Hospital of Qingdao, Licang District, Qingdao, China
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35
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Xing HS, Liu XD, Zhang L, Liu HY, Du XL, Ma YQ. Expression of miR-129-2 and miR-127-3p in glioma tissue and the clinical diagnostic value. J BIOL REG HOMEOS AG 2021; 35:5. [PMID: 34346199 DOI: 10.23812/21-si1-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- H S Xing
- Department of Neurosurgery, Weifang People's Hospital, Weifang, China
| | - X D Liu
- Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng, China
| | - L Zhang
- Outpatient Office, Weifang People's Hospital, Weifang, China
| | - H Y Liu
- Department of Neurosurgery, Weifang People's Hospital, Weifang, China
| | - X L Du
- Department of Neurosurgery, Weifang People's Hospital, Weifang, China
| | - Y Q Ma
- Department of Neurosurgery, Weifang People's Hospital, Weifang, China
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36
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Liu Q, Zhao JY, Liu HY, Li TT, Guo YX, Liu YH. Diagnostic value and correlation of miRNA-499 and miR-18A in patients with acute myocardial infarction. J BIOL REG HOMEOS AG 2021; 35:1059-1065. [PMID: 34013685 DOI: 10.23812/20-722-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Q Liu
- Department of Cardiovascular Medicine, People's Hospital of Rizhao Lanshan, Rizhao, China
| | - J Y Zhao
- Department of Cardiology, Jiyang People's Hospital, Jinan, China
| | - H Y Liu
- Disinfection Supply Center, Qingdao Central Hospital, Qingdao University, Qingdao, China
| | - T T Li
- Operation Room, Zhangqiu District People's Hospital, Jinan, China
| | - Y X Guo
- Department of Respiratory, Zhangqiu District People's Hospital, Jinan, China
| | - Y H Liu
- Department of Cardiology, Zhangqiu District People's Hospital, Jinan, China
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37
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Goldstone LW, DiPaula BA, Werremeyer A, Botts S, Hepburn B, Liu HY, Duckworth K, Young AS, Kelly DL. The Role of Board-Certified Psychiatric Pharmacists in Expanding Access to Care and Improving Patient Outcomes. Psychiatr Serv 2021; 72:794-801. [PMID: 33940946 DOI: 10.1176/appi.ps.202000066] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Although approximately 20% of adults in the United States experience a mental health condition annually, there continues to be a gap in the provision of care because of a shortage of behavioral health providers. The National Council for Behavioral Health Medical Director Institute has recommended that the number of board-certified psychiatric pharmacists (BCPPs), who are clinical pharmacists with advanced specialized training and experience in the treatment of patients with psychiatric and substance use disorders, be expanded to help meet this need. Although BCPPs currently assist in expanding care access, improving medication-related outcomes, and reducing health care costs by working collaboratively with physicians and other health care providers, BCPPs are often underutilized. This lack of utilization results in lost opportunity to better address the needs of persons with psychiatric or substance use disorders and to meet these needs in a timely manner. Here, the authors bring attention to five key areas-opioid use disorder, antipsychotic use among children, long-acting injectable antipsychotics, clozapine use, and transitions of care and care coordination-in which BCPPs, along with other pharmacists, provide evidence-based care and could be more extensively used as a collaborative solution to the mental health and substance use disorder crisis in the United States.
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Affiliation(s)
- Lisa W Goldstone
- School of Pharmacy, University of Southern California, Los Angeles (Goldstone); School of Pharmacy (DiPaula) and School of Medicine (Kelly), University of Maryland, Baltimore; School of Pharmacy, North Dakota State University, Fargo (Werremeyer); Kaiser Permanente and Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Denver (Botts); National Association of State Mental Health Program Directors, Alexandria, Virginia (Hepburn); University of Nebraska Medical Center, Lincoln (Liu); National Alliance on Mental Illness, Arlington, Virginia (Duckworth); Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Young); Maryland Psychiatric Research Center, Baltimore (Kelly)
| | - Bethany A DiPaula
- School of Pharmacy, University of Southern California, Los Angeles (Goldstone); School of Pharmacy (DiPaula) and School of Medicine (Kelly), University of Maryland, Baltimore; School of Pharmacy, North Dakota State University, Fargo (Werremeyer); Kaiser Permanente and Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Denver (Botts); National Association of State Mental Health Program Directors, Alexandria, Virginia (Hepburn); University of Nebraska Medical Center, Lincoln (Liu); National Alliance on Mental Illness, Arlington, Virginia (Duckworth); Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Young); Maryland Psychiatric Research Center, Baltimore (Kelly)
| | - Amy Werremeyer
- School of Pharmacy, University of Southern California, Los Angeles (Goldstone); School of Pharmacy (DiPaula) and School of Medicine (Kelly), University of Maryland, Baltimore; School of Pharmacy, North Dakota State University, Fargo (Werremeyer); Kaiser Permanente and Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Denver (Botts); National Association of State Mental Health Program Directors, Alexandria, Virginia (Hepburn); University of Nebraska Medical Center, Lincoln (Liu); National Alliance on Mental Illness, Arlington, Virginia (Duckworth); Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Young); Maryland Psychiatric Research Center, Baltimore (Kelly)
| | - Sheila Botts
- School of Pharmacy, University of Southern California, Los Angeles (Goldstone); School of Pharmacy (DiPaula) and School of Medicine (Kelly), University of Maryland, Baltimore; School of Pharmacy, North Dakota State University, Fargo (Werremeyer); Kaiser Permanente and Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Denver (Botts); National Association of State Mental Health Program Directors, Alexandria, Virginia (Hepburn); University of Nebraska Medical Center, Lincoln (Liu); National Alliance on Mental Illness, Arlington, Virginia (Duckworth); Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Young); Maryland Psychiatric Research Center, Baltimore (Kelly)
| | - Brian Hepburn
- School of Pharmacy, University of Southern California, Los Angeles (Goldstone); School of Pharmacy (DiPaula) and School of Medicine (Kelly), University of Maryland, Baltimore; School of Pharmacy, North Dakota State University, Fargo (Werremeyer); Kaiser Permanente and Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Denver (Botts); National Association of State Mental Health Program Directors, Alexandria, Virginia (Hepburn); University of Nebraska Medical Center, Lincoln (Liu); National Alliance on Mental Illness, Arlington, Virginia (Duckworth); Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Young); Maryland Psychiatric Research Center, Baltimore (Kelly)
| | - Howard Y Liu
- School of Pharmacy, University of Southern California, Los Angeles (Goldstone); School of Pharmacy (DiPaula) and School of Medicine (Kelly), University of Maryland, Baltimore; School of Pharmacy, North Dakota State University, Fargo (Werremeyer); Kaiser Permanente and Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Denver (Botts); National Association of State Mental Health Program Directors, Alexandria, Virginia (Hepburn); University of Nebraska Medical Center, Lincoln (Liu); National Alliance on Mental Illness, Arlington, Virginia (Duckworth); Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Young); Maryland Psychiatric Research Center, Baltimore (Kelly)
| | - Ken Duckworth
- School of Pharmacy, University of Southern California, Los Angeles (Goldstone); School of Pharmacy (DiPaula) and School of Medicine (Kelly), University of Maryland, Baltimore; School of Pharmacy, North Dakota State University, Fargo (Werremeyer); Kaiser Permanente and Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Denver (Botts); National Association of State Mental Health Program Directors, Alexandria, Virginia (Hepburn); University of Nebraska Medical Center, Lincoln (Liu); National Alliance on Mental Illness, Arlington, Virginia (Duckworth); Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Young); Maryland Psychiatric Research Center, Baltimore (Kelly)
| | - Alexander S Young
- School of Pharmacy, University of Southern California, Los Angeles (Goldstone); School of Pharmacy (DiPaula) and School of Medicine (Kelly), University of Maryland, Baltimore; School of Pharmacy, North Dakota State University, Fargo (Werremeyer); Kaiser Permanente and Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Denver (Botts); National Association of State Mental Health Program Directors, Alexandria, Virginia (Hepburn); University of Nebraska Medical Center, Lincoln (Liu); National Alliance on Mental Illness, Arlington, Virginia (Duckworth); Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Young); Maryland Psychiatric Research Center, Baltimore (Kelly)
| | - Deanna L Kelly
- School of Pharmacy, University of Southern California, Los Angeles (Goldstone); School of Pharmacy (DiPaula) and School of Medicine (Kelly), University of Maryland, Baltimore; School of Pharmacy, North Dakota State University, Fargo (Werremeyer); Kaiser Permanente and Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Denver (Botts); National Association of State Mental Health Program Directors, Alexandria, Virginia (Hepburn); University of Nebraska Medical Center, Lincoln (Liu); National Alliance on Mental Illness, Arlington, Virginia (Duckworth); Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Young); Maryland Psychiatric Research Center, Baltimore (Kelly)
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38
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Babar A, Woody NM, Ghanem AI, Tsai J, Dunlap NE, Schymick M, Liu HY, Burkey BB, Lamarre ED, Ku JA, Scharpf J, Prendes BL, Joshi NP, Caudell JJ, Siddiqui F, Porceddu SV, Lee N, Schwartzman L, Koyfman SA, Adelstein DJ, Geiger JL. Outcomes of Post-Operative Treatment with Concurrent Chemoradiotherapy (CRT) in High-Risk Resected Oral Cavity Squamous Cell Carcinoma (OCSCC): A Multi-Institutional Collaboration. ACTA ACUST UNITED AC 2021; 28:2409-2419. [PMID: 34209302 PMCID: PMC8293216 DOI: 10.3390/curroncol28040221] [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] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 06/13/2021] [Accepted: 06/23/2021] [Indexed: 11/25/2022]
Abstract
Adjuvant chemoradiation (CRT), with high-dose cisplatin remains standard treatment for oral cavity squamous cell carcinoma (OCSCC) with high-risk pathologic features. We evaluated outcomes associated with different cisplatin dosing and schedules, concurrent with radiation (RT), and the effect of cumulative dosing of cisplatin. An IRB-approved collaborative database of patients (pts) with primary OCSCC (Stage I–IVB AJCC 7th edition) treated with primary surgical resection between January 2005 and January 2015, with or without adjuvant therapy, was established from six academic institutions. Patients were categorized by cisplatin dose and schedule, and resultant groups compared for demographic data, pathologic features, and outcomes by statistical analysis to determine disease free survival (DFS) and freedom from metastatic disease (DM). From a total sample size of 1282 pts, 196 pts were identified with high-risk features who were treated with adjuvant CRT. Administration schedule of cisplatin was not significantly associated with DFS. On multivariate (MVA), DFS was significantly better in patients without perineural invasion (PNI) and in those receiving ≥200 mg/m2 cisplatin dose (p < 0.001 and 0.007). Median DFS, by cisplatin dose, was 10.5 (<200 mg/m2) vs. 20.8 months (≥200 mg/m2). Our analysis demonstrated cumulative cisplatin dose ≥200 mg/m2 was associated with improved DFS in high-risk resected OCSCC pts.
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Affiliation(s)
- Arslan Babar
- Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA;
| | - Neil M. Woody
- Department of Radiation Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH 44195, USA; (N.M.W.); (N.P.J.); (S.A.K.)
| | - Ahmed I. Ghanem
- Department of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI 48202, USA; (A.I.G.); (M.S.); (F.S.)
- Alexandria Clinical Oncology Department, Alexandria University, Alexandria 00203, Egypt
| | - Jillian Tsai
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA; (J.T.); (N.L.)
| | - Neal E. Dunlap
- Department of Radiation Oncology, University of Louisville Hospital, Louisville, KY 40202, USA; (N.E.D.); (S.V.P.)
| | - Matthew Schymick
- Department of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI 48202, USA; (A.I.G.); (M.S.); (F.S.)
| | - Howard Y. Liu
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia;
| | - Brian B. Burkey
- Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA; (B.B.B.); (E.D.L.); (J.A.K.); (J.S.); (B.L.P.)
| | - Eric D. Lamarre
- Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA; (B.B.B.); (E.D.L.); (J.A.K.); (J.S.); (B.L.P.)
| | - Jamie A. Ku
- Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA; (B.B.B.); (E.D.L.); (J.A.K.); (J.S.); (B.L.P.)
| | - Joseph Scharpf
- Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA; (B.B.B.); (E.D.L.); (J.A.K.); (J.S.); (B.L.P.)
| | - Brandon L. Prendes
- Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA; (B.B.B.); (E.D.L.); (J.A.K.); (J.S.); (B.L.P.)
| | - Nikhil P. Joshi
- Department of Radiation Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH 44195, USA; (N.M.W.); (N.P.J.); (S.A.K.)
| | - Jimmy J. Caudell
- Department of Radiation Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA;
| | - Farzan Siddiqui
- Department of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI 48202, USA; (A.I.G.); (M.S.); (F.S.)
| | - Sandro V. Porceddu
- Department of Radiation Oncology, University of Louisville Hospital, Louisville, KY 40202, USA; (N.E.D.); (S.V.P.)
| | - Nancy Lee
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA; (J.T.); (N.L.)
| | - Larisa Schwartzman
- Department of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH 44195, USA; (L.S.); (D.J.A.)
| | - Shlomo A. Koyfman
- Department of Radiation Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH 44195, USA; (N.M.W.); (N.P.J.); (S.A.K.)
| | - David J. Adelstein
- Department of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH 44195, USA; (L.S.); (D.J.A.)
| | - Jessica L. Geiger
- Department of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH 44195, USA; (L.S.); (D.J.A.)
- Correspondence:
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Li XH, Hao X, Deng YH, Liu XQ, Liu HY, Zhou FY, Fan R, Guo YB, Hou JL. [Application of aMAP score to assess the risk of hepatocarciongenesis in population of chronic liver disease in primary hospitals]. Zhonghua Gan Zang Bing Za Zhi 2021; 29:332-337. [PMID: 33979959 DOI: 10.3760/cma.j.cn501113-20210329-00144] [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: The aMAP score is a hepatocellular carcinoma (HCC) risk prediction model based on an international cooperative cohort, which can be applied to various liver diseases. The aim of this study is to use the aMAP score to stratify the risk of HCC in patients with chronic liver disease (combined or non-combined metabolic diseases) admitted to People's Hospital of Yudu County, Ganzhou City, Jiangxi Province, in order to guide personalized HCC screening. Methods: The demographic information, laboratory test results (platelets, albumin, and total bilirubin) and combined disease information of patients with chronic liver disease who were admitted to People's Hospital of Yudu from January 2016 to December 2020 were collected, and the aMAP score was calculated to stratify HCC risk in this population. Results: A total of 3629 cases with chronic liver disease were included in the analysis, including 3 452 (95.1%) cases with hepatitis B virus (HBV) infection, 177 (4.9%) cases with fatty liver, and 22 (0.6%) cases with HBV infection and fatty liver. There were 2 679 (73.8%) male and the median age was 44 (35, 54). In the overall population, low, medium and high risk of HCC accounted for 52.6%, 29.0%, and 18.4% respectively. In the HBV-infected population, the proportion of high risk of HCC was significantly higher than that of fatty liver (18.9% vs. 9.6%, P = 0.001). The proportion of chronic liver disease patients with combined hypertension or diabetes was significantly higher than that of those with non-combined metabolic diseases (combined hypertension: 32.3% vs. 17.9%, P < 0.001; combined diabetes: 36.5% vs. 18.1%, P < 0.001). Moreover, the proportion of high-risk population with two metabolic diseases was significantly higher than that with one and no metabolic diseases (40.9% vs. 31.8% vs. 17.7%, P < 0.001). Conclusion: The aMAP score can be used as a simple tool for HCC screening and management of chronic liver disease in primary hospitals, and it is helpful to improve the personalized follow-up management system of chronic liver disease population. Chronic liver disease patients with metabolic diseases have a higher risk of HCC, and people with high risk of HCC should be given special priority in follow-up visits, so as to improve the rate of HCC early diagnosis and reduce the mortality rate.
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Affiliation(s)
- X H Li
- Department of Infectious Diseases, Health Screening Center, The People's Hospital of Yudu County, Gangzhou 342300, China
| | - X Hao
- Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Guangzhou 510515, China
| | - Y H Deng
- Department of Infectious Diseases, Health Screening Center, The People's Hospital of Yudu County, Gangzhou 342300, China
| | - X Q Liu
- Department of Infectious Diseases, Health Screening Center, The People's Hospital of Yudu County, Gangzhou 342300, China
| | - H Y Liu
- Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Guangzhou 510515, China
| | - F Y Zhou
- Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Guangzhou 510515, China
| | - R Fan
- Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Guangzhou 510515, China Shenzhen Hospital, Southern Medical University, Shenzhen 518110, China
| | - Y B Guo
- Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Guangzhou 510515, China
| | - J L Hou
- Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Guangzhou 510515, China Shenzhen Hospital, Southern Medical University, Shenzhen 518110, China
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Liu HY, Wei X, Zhao TS, Han BF, Liu B, Yang L, Cui FQ. [Review on immunogenicity, safety and social value of combined vaccines for children used both at home and abroad]. Zhonghua Liu Xing Bing Xue Za Zhi 2021; 42:948-954. [PMID: 34814494 DOI: 10.3760/cma.j.cn112338-20201021-01258] [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
Combined vaccines contain two or more antigens. Research suggested that combined vaccines could prevent multi diseases and reduce the frequency of vaccination. This article focus on combined vaccines for children used both at home and abroad, such as diphtheria-pertussis-tetanus vaccine (DTaP), measles-rubella-mumps vaccine (MMR), etc. and summarizes their immunogenicity, safety and social values, including benefits to families, vaccination workers and health services, to provide evidence for promoting the research, development and use of combined vaccines in China. We found that combined vaccines can not only ensure the immunogenicity and safety, but also give convenient and lower cost vaccination to families, and using combined vaccines can improve the work efficiency of vaccination workers, reduce the impact of the epidemic on immunization services and improve vaccination coverage and timeliness. At present, the promotion of combined vaccines in China is restricted by many technical bottlenecks, high prices, and low awareness among people. It is recommended that research on the safety, effectiveness and health economics of combined vaccines should be strengthened, and the value of combined vaccines should be scientifically evaluated; the public's awareness and trust in combined vaccines should be enhanced, as well as the development and application of multi-linked multivalent vaccines should be promoted. The government should improve regulations to assist the development and application of combined vaccines.
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Affiliation(s)
- H Y Liu
- School of Public Health, Peking University, Beijing 100191, China
| | - X Wei
- School of Public Health, Peking University, Beijing 100191, China
| | - T S Zhao
- School of Public Health, Peking University, Beijing 100191, China
| | - B F Han
- School of Public Health, Peking University, Beijing 100191, China
| | - B Liu
- School of Public Health, Peking University, Beijing 100191, China
| | - L Yang
- Center for Health Policy and Technology Evaluation, Peking University Health Science Center, Beijing 100191, China
| | - F Q Cui
- School of Public Health, Peking University, Beijing 100191, China
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Shanker MD, Liu HY, Lee YY, Stuart KA, Powell EE, Wigg A, Pryor DI. Stereotactic radiotherapy for hepatocellular carcinoma: Expanding the multidisciplinary armamentarium. J Gastroenterol Hepatol 2021; 36:873-884. [PMID: 32632941 DOI: 10.1111/jgh.15175] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 06/23/2020] [Accepted: 07/01/2020] [Indexed: 12/14/2022]
Abstract
Hepatocellular carcinoma (HCC) is the fifth most common malignancy worldwide and the third most common cause of cancer-related death. Long-term prognosis remains poor with treatment options frequently limited by advanced tumor stage, tumor location, or underlying liver dysfunction. Stereotactic ablative body radiotherapy (SABR) utilizes technological advances to deliver highly precise, tumoricidal doses of radiation. There is an emerging body of literature on SABR in HCC demonstrating high rates of local control in the order of 80-90% at 3 years. SABR is associated with a low risk of radiation-induced liver disease or decompensation in appropriately selected HCC patients with compensated liver function and is now being incorporated into guidelines as an additional treatment option. This review outlines the emerging role of SABR in the multidisciplinary management of HCC and summarizes the current evidence for its use as an alternative ablative option for early-stage disease, as a bridge to transplant, and as palliation for advanced-stage disease. We outline specific considerations regarding patient selection, toxicities, and response assessment. Finally, we compare current international guidelines and recommendations for the use of SABR and summarize ongoing studies.
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Affiliation(s)
- Mihir D Shanker
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
| | - Howard Y Liu
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
| | - Yoo Young Lee
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
| | - Katherine A Stuart
- Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.,Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
| | - Elizabeth E Powell
- Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.,Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
| | - Alan Wigg
- Hepatology and Liver Transplantation Medicine Unit, Flinders Medical Centre, Adelaide, South Australia, Australia
| | - David I Pryor
- Department of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
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Zhao F, Guan SZ, Wang K, Fu YJ, Liu HY, Chen XH, Qi FQ, Liu ZH. [Effects of chronic stress during pregnancy on composition and diversity of intestinal microbiota in female rats and offspring]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2021; 39:161-168. [PMID: 33781029 DOI: 10.3760/cma.j.cn.121094-20200310-00121] [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 effect of chronic stress of pregnant rats on the gut microbiota of female rats and offspring, and explore the role of intestinal microbiota in chronic stress during pregnancy. Methods: In November 2019, SPF-grade healthy adult SD rats were selected. 16 female rats were randomly divided into control group and model group, with 8 in each group; 12 male rats were randomly divided into model mating group (8) and control mating group (4) . A model of chronic unpredictable mild stress (CUMS) during pregnancy was established. Blood samples were collected from the iliac vein of the female rats 1 day before and 1, 7, and 14 days after the CUMS protocol, and measured for plasma corticosterone content by radioimmunoassay. After the stress was completed, fresh feces of the female rats were collected for testing. The offspring's fresh stool samples were collected on postnatal day 20 (PND20) , and they were divided into control offspring group and model offspring group samples. The sequence of 16S rRNAV3-V4 regions of microorganisms in the feces of offspring was determined by Illumina MiSeq technique; and the interaction between microbial community structure and diversity were analyzed. Results: The content of plasma corticosterone in the model group was higher than that in the control group on the 7th and 14th day of stress (P<0.05) . Compared with the control group, the Sobs index, Chao index, ACE index and Shannon index of the model group were decreased (P<0.05) . The number of unique species abundance (OTU) in the control group was 130, and 91 in the model group. The relative abundance of female Firmicutes in the control group (64.87%) was higher than that in the model group, and the relative abundance of Bacteroides (31.72%) was lower than that of the model group (46.35%) . The Sobs index, Chao index, ACE index, Simpson index and Shannon index of the control offspring group were higher than those of the model offspring group (P<0.05) . The number of unique OTUs in the model offspring group was 75, and 93 in the control offspring group. The relative abundance of Firmicutes (60.24%) in the control offspring group was higher than that of the model offspring group (52.95%) . Conclusion: Chronic stress during pregnancy can not only lead to the disorder of intestinal flora in female rats, but also lead to the change of intrauterine environment, thus affecting the diversity of intestinal flora in offspring.
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Affiliation(s)
- F Zhao
- School of Public Health and Management, Ningxia Medical University, Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - S Z Guan
- School of Public Health and Management, Ningxia Medical University, Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - K Wang
- School of Public Health and Management, Ningxia Medical University, Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - Y J Fu
- School of Public Health and Management, Ningxia Medical University, Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - H Y Liu
- School of Public Health and Management, Ningxia Medical University, Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - X H Chen
- School of Public Health and Management, Ningxia Medical University, Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - F Q Qi
- School of Public Health and Management, Ningxia Medical University, Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
| | - Z H Liu
- School of Public Health and Management, Ningxia Medical University, Key Laboratory of Environmental Factors and Chronic Disease Control, Yinchuan 750004, China
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Liu HY, Wang KY, Fan R, Hou JL. [New progress in the diagnosis and treatment of hepatocellular carcinoma: a decade of grinding sword]. Zhonghua Gan Zang Bing Za Zhi 2021; 29:111-115. [PMID: 33685077 DOI: 10.3760/cma.j.cn501113-20210205-00069] [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
Globally, hepatocellular carcinoma (HCC) is one of the most highly morbid, fatal, and malignant tumors, with a poor prognosis in advanced stage. In the past decade, new advances have been emerged in the field of HCC therapy, including surgery, ablation, transvascular intervention, external radiotherapy, and systemic therapy. Among them, systemic treatments, particularly targeted and immune checkpoint drugs have made outstanding progress, significantly improving the five-year survival rate of liver cancer patients. In addition, the management of liver cancer patients, especially the screening management and multidisciplinary collaborative diagnosis and treatment of high-risk populations, has significantly increased the early diagnosis rate and improved the overall treatment efficacy. Considering our country's condition and the development of existing treatment, the most effective strategy to reduce HCC mortality in the future is to accurately identify high-risk populations, increase the early diagnosis rate, and formulate personalized treatment strategies.
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Affiliation(s)
- H Y Liu
- Hepatology Unit and Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - K Y Wang
- Hepatology Unit and Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - R Fan
- Hepatology Unit and Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - J L Hou
- Hepatology Unit and Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China Hepatology Unit, Shenzhen Hospital, Southern Medical University, Shenzhen 518133, China
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Hu ZH, Zhao TS, Liu HY, Lin QX, Tu GG, Yang BW. Synthesis and receptor dependent 4D-QSAR studies of 4,5-dihydro-1,3,4-oxadiazole derivatives targeting cannabinoid receptor. SAR QSAR Environ Res 2021; 32:175-190. [PMID: 33618568 DOI: 10.1080/1062936x.2021.1879256] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 01/18/2021] [Indexed: 06/12/2023]
Abstract
Cannabinoid receptor has been shown to be overexpressed in various types of cancers, especially non-small cell lung cancer. As a result, it could be used as novel target for anticancer treatments. Because receptor-dependent 4D-QSAR generates conformational ensemble profiles of compounds by molecular dynamics simulations at the binding site of the enzyme, this work describes the synthesis, biological activity evaluation and 4D-QSAR studies of 4,5-dihydro-1,3,4-oxadiazole derivatives targeting cannabinoid receptor. Compared with WIN55,212-2, compound 5 f showed the best antiproliferative activity. The receptor-dependent 4D-QSAR model was generated by multiple linear regression method using QSARINS. Leave-n-out cross-validation and chemical applicability domain were performed to analyse the independent test set and to verify the robustness of the model. The best 4D-QSAR model showed the following statistics: r2 = 0.8487, Q2LOO = 0.7667, Q2LNO = 0.7524, and r2Pred = 0.8358.
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Affiliation(s)
- Z H Hu
- Department of Medicinal Chemistry, School of Pharmaceutical Science, NanChang University, Nanchang, China
| | - T S Zhao
- Department of Medicinal Chemistry, School of Pharmaceutical Science, NanChang University, Nanchang, China
| | - H Y Liu
- Department of Traditional Chinese Medicine, Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi, China
| | - Q X Lin
- Department of Traditional Chinese Medicine, Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi, China
| | - G G Tu
- Department of Medicinal Chemistry, School of Pharmaceutical Science, NanChang University, Nanchang, China
| | - B W Yang
- Department of Medicinal Chemistry, School of Pharmaceutical Science, NanChang University, Nanchang, China
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Liu HY, Li X, Zhu X, Dong WG, Yang GQ. Soybean oligosaccharides attenuate odour compounds in excreta by modulating the caecal microbiota in broilers. Animal 2021; 15:100159. [PMID: 33573977 DOI: 10.1016/j.animal.2020.100159] [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] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 11/30/2020] [Accepted: 12/01/2020] [Indexed: 10/22/2022] Open
Abstract
Abatement of odour emissions in poultry production is important to ensure the quality and safety in the poultry industry as well as for the benefit of the environment. This study was conducted to compare the effects of supplementation with different amounts of dietary soybean oligosaccharides (SBO) and chlortetracycline (CHL) on the major odour-causing compounds in the excreta and on the caecal microbiota in broiler chickens. One-day-old broiler chickens were subjected to a 42-day experiment involving 6 treatments with 6 replicates per treatment (10 birds/cage). The treatments were as follows: negative control (NC; basal diet), positive control (PC; basal diet supplemented with CHL) and basal diet supplemented with 0.5, 2.0, 3.5 and 5.0 g/kg SBO (0.5SBO, 2.0SBO, 3.5SBO and 5.0SBO, respectively). Fresh excreta were sampled for the analysis of odour compounds by HPLC. Caecum content was collected for the caecal microbiota analysis through 16S rRNA sequencing. Results showed that on day 42, the excreta indole concentration in the broilers fed with 2.0SBO, 3.5SBO and 5.0SBO and PC was significantly decreased (P < 0.01) compared with that in the NC-fed broilers. The excreta skatole concentration (P < 0.001) and pH (P < 0.05) were also decreased by SBO and CHL, and they were lowest in birds fed with 3.5SBO. The formate concentrations in birds fed with 3.5SBO and 5.0SBO were higher than those in birds fed with the other diets (P < 0.001). Similarly, acetate concentration (P = 0.003) was increased in birds fed with 3.5SBO. Deep sequencing of 16S rRNA revealed that the composition of the caecal microbial digesta was slightly or significantly changed by the SBO or by the CHL supplementation, respectively. The SBO supplementation decreased the abundance of Bacteroides, Bilophilaand Escherichia, which were associated with the skatole and indole concentrations in the excreta. By contrast, the CHL supplementation demonstrated a strong tendency to enrich Ruminococcus and to reduce the abundance of Rikenella. These results indicated that supplementation with dietary SBO is beneficial in attenuating the concentration of odour-causing compounds and that it modulates the composition of caecal microbiota in broiler chickens.
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Affiliation(s)
- H Y Liu
- College of Animal Science and Veterinary Medicine, Shenyang Agricultural University, Dongling Road 120, Shenyang, Liaoning Province 110866, China
| | - X Li
- College of Animal Science and Veterinary Medicine, Shenyang Agricultural University, Dongling Road 120, Shenyang, Liaoning Province 110866, China
| | - X Zhu
- College of Animal Science and Veterinary Medicine, Shenyang Agricultural University, Dongling Road 120, Shenyang, Liaoning Province 110866, China
| | - W G Dong
- College of Animal Science and Veterinary Medicine, Shenyang Agricultural University, Dongling Road 120, Shenyang, Liaoning Province 110866, China
| | - G Q Yang
- College of Animal Science and Veterinary Medicine, Shenyang Agricultural University, Dongling Road 120, Shenyang, Liaoning Province 110866, China.
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Wang B, Zhang T, Liu HY, Chen RR, Zhang XY, Zhang HL, Zhai ZG, Zhong DR. [Clinicopathological characteristics of pulmonary artery intimal sarcoma]. Zhonghua Bing Li Xue Za Zhi 2021; 50:38-43. [PMID: 33396985 DOI: 10.3760/cma.j.cn112151-20200413-00313] [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 describe the clinicopathological features of pulmonary artery intimal sarcoma (PAIS), and to understand its molecular alterations. Methods: Sixty cases of pulmonary artery endarterectomy performed at the China-Japan Friendship Hospital, Beijing, China from January 2017 to January 2020 were reviewed. Clinical data of 5 patients with pulmonary artery intimal sarcoma were collected. Hematoxylin-eosin staining, immunohistochemistry staining and fluorescence in situ hybridization (FISH) were performed to evaluate the pathological features. RNA sequencing was conducted to assess the fusion gene changes in PAIS. Results: The detection rate of PAIS was 8.3% (5/60), with the median age of 49 years and a female predominance. Their clinical manifestations were non-specific. Histopathological examination showed that the tumors were composed of malignant spindle or epithelioid cells, with various degrees of atypia. Focal heterologous osteosarcomatous or leiomyosarcomatous differentiation was noted. The tumor cells could express PDGFRA, CDK4 and MDM2 with co-amplification of MDM2, CDK4 and EGFR genes. RNA sequencing detected multiple in-frame fusions in the tumors. Conclusions: PAIS is a rare, highly heterogeneous, and poorly-or un-differentiated sarcoma accompanied by complex changes of multiple genes.It has no known effective treatments, and thus has a poor prognosis.
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Affiliation(s)
- B Wang
- Department of Pathology, China-Japan Friendship Hospital, Beijing 100029, China
| | - T Zhang
- Department of Pathology, China-Japan Friendship Hospital, Beijing 100029, China
| | - H Y Liu
- Department of Pathology, China-Japan Friendship Hospital, Beijing 100029, China
| | - R R Chen
- Geneplus-Beijing Ltd., Beijing 102206, China
| | - X Y Zhang
- Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing 100029, China
| | - H L Zhang
- Department of Pathology, China-Japan Friendship Hospital, Beijing 100029, China
| | - Z G Zhai
- Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing 100029, China
| | - D R Zhong
- Department of Pathology, China-Japan Friendship Hospital, Beijing 100029, China
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Zhang HH, Zhao C, Liu HY, Li N, Wang YH, Sun JH, Lu L. [Establishment of Mathematical Models for Skeletal Age Determination of Extremitas Sternalis of Clavicle in Shanxi Adolescents]. Fa Yi Xue Za Zhi 2020; 36:631-635. [PMID: 33295162 DOI: 10.12116/j.issn.1004-5619.2020.05.005] [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] [MESH Headings] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Indexed: 06/12/2023]
Abstract
Objective To develop mathematical models for skeletal age determination with multiple statistic method based on the correlation between age and the growth of the epiphysis of extremitas sternalis of clavicle in Shanxi adolescents. Methods The 562 Shanxi sternoclavicular joint samples (454 cases of modelling, 108 cases of external verification) were scanned by the thin-section computed tomography. After volume rendering was obtained, indicators such as area of epiphysis, area of metaphysis, longest diameter of epiphysis and longest diameter of metaphysis of both extremitas sternalis of clavicle were collected. Indicators such as the ratio of area of epiphysis to area of metaphysis, and the ratio of longest diameter of epiphysis to longest diameter of metaphysis of both sides were calculated. Then multiple linear regression and random forest discriminant models were used to build mathematical models for age determination of adolescents. Results The obtained indicators exhibited a strong correlation with age (r>0.85). The multiple linear regression model for males and females (all 4 indicators entering the model) based on the ratio of longest diameter of epiphysis to longest diameter of metaphysis and the ratio of area of epiphysis to area of metaphysis had an internal validation accuracy rate (±1.0 year) of over 92% and 108 cases had an external validation accuracy rate of over 70% (±1.0 year). The out of bag error rates of random forest discriminant models were less than 2% for people over 18.0 years old (≥18.0 years old) and under 18.0 years old. The external validation accuracy rates of the 108 cases were over 80%. Conclusion The regression and discriminant models established in this study have certain reliability and accuracy and can be used in age determination of Shanxi adolescents.
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Affiliation(s)
- H H Zhang
- Shanxi Medical University, Taiyuan 030001, China
- Department of Image, Taiyuan Central Hospital,Taiyuan 030009, China
| | - C Zhao
- Xiaodian Branch of Taiyuan Public Security Bureau, Taiyuan 030032, China
| | - H Y Liu
- Department of CT Room, Children's Hospital of Shanxi, Taiyuan 030013, China
| | - N Li
- Shanxi Medical University, Taiyuan 030001, China
| | - Y H Wang
- 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
| | - J H Sun
- Shanxi Medical University, Taiyuan 030001, China
| | - L Lu
- Shanxi Medical University, Taiyuan 030001, China
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Wang H, Zou YW, Liu HY, Li YJ, Zhang W, Jiang YX. [Pure small cell carcinoma of the urinary bladder: a clinicopathologic and prognostic study]. Zhonghua Bing Li Xue Za Zhi 2020; 49:928-930. [PMID: 32892560 DOI: 10.3760/cma.j.cn112151-20200326-00259] [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)
- H Wang
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
| | - Y W Zou
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
| | - H Y Liu
- Department of Pathology, Qingdao Municipal Hospital, Qingdao 266011, China
| | - Y J Li
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
| | - W Zhang
- Department of Pathology, the 971 Hospital of People's Liberation Army Navy, Qingdao 266071, China
| | - Y X Jiang
- Department of Pathology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
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Shi HB, Tai DM, Wang C, Liu JX, Loor JJ, Liu HY. Short communication: The antilipogenic effect of trans-10,cis-12 conjugated linoleic acid in bovine mammary epithelial cells is associated with proteasome activity and ATP production. J Dairy Sci 2020; 103:9096-9101. [PMID: 32828501 DOI: 10.3168/jds.2019-17872] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Accepted: 06/01/2020] [Indexed: 01/24/2023]
Abstract
Proteasomes play a widespread role in the control of protein abundance via degrading ubiquitinated proteins. Activity of proteasomes is regulated by constitutive ATPases that respond to intracellular concentrations of ATP. Although recent data suggest a role of proteasomes in fatty acid metabolism, whether lipogenic activity in mammary cells is responsive to ATP concentrations and proteasome activity is unknown. To investigate whether proteasomes play a role in milk fat depression induced by trans-10,cis-12 conjugated linoleic acid (t10,c12 CLA), a bovine mammary epithelial cell line was treated with t10,c12 CLA for 24 h before analysis of lipogenic protein abundance. Western blot analysis of inactive sterol response element-binding protein-1 (pSREBP1) and active (nSREBP1) fragments indicated a decrease in abundance induced by exogenous t10,c12 CLA. At 150 nM t10,c12 CLA, abundance of both pSREBP1 and nSREBP1 was lowest, and decreased from basal levels by 16 and 64%, respectively. Exogenous t10,c12 CLA had no effect on abundance of peroxisome proliferator-activated receptor-gamma (PPARγ), but at 150 and 300 nM it decreased abundance of SREBF chaperone (SCAP). Inhibition of proteasome activity via incubation with MG-132 (a proteasome inhibitor) alone had no effect on pSREBP1, nSREBP1, PPARγ, or SCAP abundance. However, when cells were pre-incubated with MG-132, treatment with t10,c12 CLA reduced pSREBP1 (∼27%) and nSREBP1 (∼41%) abundance without affecting PPARγ or SCAP. Compared with the control, exogenous t10,c12 CLA increased ATP concentrations, and MG-132 alone had no effect. However, ATP concentration decreased markedly in cells incubated with both MG-132 and t10,c12 CLA. Combined with the alteration of SCAP and nSREBP1, the increase of ATP concentrations with t10,c12 CLA suggested that this fatty acid influenced the function of the SREBP1-SCAP complex through altering proteasome activity. Collectively, the current data highlight a role of proteasomes and intracellular ATP concentrations in the antilipogenic effect induced by t10,c12 CLA that leads to milk fat depression.
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Affiliation(s)
- H B Shi
- Institute of Dairy Science, College of Animal Sciences, Zhejiang University, Hangzhou 310058, China
| | - D M Tai
- Institute of Dairy Science, College of Animal Sciences, Zhejiang University, Hangzhou 310058, China
| | - C Wang
- College of Animal Sciences and Technology, Zhejiang A and F University, Lin'an 311300, China
| | - J X Liu
- Institute of Dairy Science, College of Animal Sciences, Zhejiang University, Hangzhou 310058, China
| | - J J Loor
- Mammalian NutriPhysioGenomics, Department of Animal Sciences and Division of Nutritional Sciences, University of Illinois, Urbana 61801
| | - H Y Liu
- Institute of Dairy Science, College of Animal Sciences, Zhejiang University, Hangzhou 310058, China.
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Gao TJ, Zhang HH, Wu HY, Liu HY, Fang Y. [CARD9 gene mutation in a patient with intestinal histoplasmosis]. Zhonghua Er Ke Za Zhi 2020; 58:600-601. [PMID: 32605347 DOI: 10.3760/cma.j.cn112140-20191231-00843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- T J Gao
- Department of Gastroenterology, Xi'an Children's Hospital, Xi'an 710003, China
| | - H H Zhang
- Department of Gastroenterology, Xi'an Children's Hospital, Xi'an 710003, China
| | - H Y Wu
- Department of Cardiology, Shaanxi Provincial People's Hospital, Xi'an 710068, China
| | - H Y Liu
- Department of Gastroenterology, Xi'an Children's Hospital, Xi'an 710003, China
| | - Y Fang
- Department of Gastroenterology, Xi'an Children's Hospital, Xi'an 710003, China
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