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1.
Acta Academiae Medicinae Sinicae ; (6): 513-520, 2020.
Article in Chinese | WPRIM | ID: wpr-826332

ABSTRACT

To compare the short-and long-term effect of two minimal invasive surgical therapies including keyhole approach endoscopic surgery(KAES)and stereotactic aspiration plus urokinase(SAU)in treating basal ganglia hypertensive intracerebral hemorrhage(hICH). The clinical data of 117 hICH patients(63 received KAES and 54 received SAU)were retrospectively analyzed.The operation time,blood loss during surgery,and drainage time were compared between two groups.The residual hematoma volume,hematoma clearance rate(HCR),Glasgow coma scale(GCS)score,and National Institute of Health Stroke Scale(NIHSS)score were recorded at baseline and in the ultra-early stage,early stage,and sub-early stage after surgery.The 30-day mortality and serious adverse events were assessed and the 6-month modified Rankin scale(mRS)score was rated. Baseline data showed no significant difference between these two groups.Compared with the SAU group,the KAES group had significantly longer operation time,more intraoperative blood loss,and shorter drainage time(all 0.05).In the ultra-early and early stage,the GCS and NIHSS scores showed no significant differences between two groups(all >0.05),whereas in the sub-early stage,the NIHSS score was better in the SAU group(=0.034).The 30-day mortality and incidences of serious adverse events showed no significant difference(all >0.05).The good recovery(mRS≤3)at 6-months follow-up showed no significant difference between the two groups(=0.413). Both KAES and SAU are safe and effective in treating basal ganglia hICH.In the ultra-early stage after surgery,KAES achieves better residual hematoma volume and HCR,and patients undergoing SAU quickly catch up.The short-and long-term effectiveness of SAU is comparable or even superior to KAES.


Subject(s)
Humans , Basal Ganglia , Intracranial Hemorrhage, Hypertensive , Retrospective Studies , Treatment Outcome , Urokinase-Type Plasminogen Activator
2.
Journal of Medical Postgraduates ; (12): 304-308, 2018.
Article in Chinese | WPRIM | ID: wpr-700823

ABSTRACT

Objective Critical hand foot and mouth disease(HFMD)progresses from severe type to critical type very fast with high mortality rate.The article was to explore the significance of pediatric early warning score and common inflammatory markers in early diagnosis of critical HFMD cases. Methods A retrospective analysis was conducted on 236 HFMD cases in Hainan Provincial People's Hospital from January 2014 to December 2016. According to HFMD diagnosis and treatment guidelines(2010 Edition)formulated by the Ministry of Health,the selected cases were divided into the general group(n=88),the severe group(n=128)and the critical group(n=20). The white blood cells(WBC),neutrophils(PMN), serum C reactive protein(CRP),procalcitonin(PCT)and other la-boratory parameters were collected at admission,along with Pediatric Early Warning score(PEWS)and Pediatric Critical Illness Score(PCIS). The data of each group were compared by ROC curve analysis. Results The median number of WBC and PMN in the criti-cal group was 15.36×109/L and 10.09×109/L,respectively,which were significantly higher than those of severe group(P<0.05). However,no significant difference was found between general group and severe group(P>0.05). The serum levels of CRP and PCT in general group were higher than those in severe group and critical group,and the difference was statistically significant(P<0.05). The PEWS[(6.1±2.42)vs(0.99±0.77)]and PCIS[(78.7±13.6)vs(99.03±2.12)]in critical group were significantly higher than those in severe group,which were of statistically significance(P<0.05). According to the ROC analysis,the area under the ROC curve of PEWS early warning score for children was(0.962~1.000),(P<0.05)and the best diagnosis limit PEWS was 3.5. The PEWS and PCIS correlation analysis showed the Pearson correlation coefficient was -0.885(P<0.05). Conclusion Common clini-cal inflammatory markers can not be taken as quantitative indicators for the early diagnosis of critical HFMD. The PEWS is an ideal quantitative index for early diagnosis of critical HFMD.

3.
Journal of Preventive Medicine ; (12): 757-761, 2017.
Article in Chinese | WPRIM | ID: wpr-792641

ABSTRACT

Objective To investigate the genetic toxicity of methyl tert-butyl ether (MTBE) to lymphocytes and to provide reference for establishing the occupational population exposure limit of MTBE. Methods The human B lymphocytes in the logarithmic growth phase were respectively exposed to MTBE at concentrations of 0, 1.25, 2.5, 5, 10 and 12.5 μmol/L. The percentage of tail DNA and Olive tail moment of human B lymphocytes were evaluated after 24 h exposure by using comet assay. Apoptosis was tested by Annexin V-FITC/PI double-staining flow cytometry. The contents of MDA and 8-OHdG, as well as GSH-Px activity were measured by ELISA kit. Sixty workers from a petrochemical factory in Zhejiang were selected as the occupational exposure population, and 55 non-occupational exposure workers were selected as the control population. And 5 mL heparin anticoagulant peripheral blood was collected, and the number of micronucleus of peripheral blood lymphocytes was measured by micronucleus test, and the percentages of tail DNA as well as Olive tail moment of peripheral blood lymphocytes were measured by comet assay. The contents of MDA and 8-OhdG and GSH-Px activity in peripheral blood plasma were measured by ELISA kit. Results After 24 h exposure, the percentage of tail DNA and Olive tail moment in human B lymphocytes at concentrations of 10-12.5 μmol/L were significantly higher than those in the control group (P<0.05), and the percentage of early apoptosis cells was significantly increased at concentrations of 10-12.5 μmol/L (P <0.01) . The results of population-based study indicated no statistically significant difference in micronucleus positive rate, and the contents of MDA and 8-OhdG, and GSH-Px activity between the exposure group and the control group, but the Olive tail moment was significantly higher in the exposure group compared with the control group (P=0.000) . Conclusion The results of vitro study showed that exposure to 10-12.5 μmol/L MTBE could cause genetic toxicity to human B lymphocytes. Olive tail moment of peripheral blood lymphocytes of occupational exposure workers was significantly higher than that of non-occupational exposure group.

4.
Chinese Medical Journal ; (24): 4295-4300, 2013.
Article in English | WPRIM | ID: wpr-327584

ABSTRACT

<p><b>BACKGROUND</b>There is no validated blood biomarker available for glioma management. Invasive growth is the key feature of glioma. We assessed the clinical usefulness of plasma tissue inhibitor of metalloproteinase 1 (TIMP-1), which has less molecular weight than metalloproteinases, as a potential blood biomarker for glioma.</p><p><b>METHODS</b>A total of 285 patients and 59 normal subjects were studied. Plasma concentration of TIMP-1 was measured with enzyme-linked immunosorbent assay. Plasma TIMP-1 was compared between normal and glioma patients, between patients with different pathological grades, and between patients with different prognoses. Longitudinal changes in plasma TIMP-1 during treatment were also evaluated. Plasma matrix metalloproteinase (MMP)-9 level was also assayed and its clinical usefulness was compared with that of TIMP-1.</p><p><b>RESULTS</b>Plasma TIMP-1 and MMP-9 were both increased in glioma patients compared with normal controls (TIMP-1: P < 0.001; MMP-9: P = 0.007). Plasma TIMP-1 increases with increased tumor grade. In Grade IV gliomas, plasma TIMP-1 significantly increased after "successful removal" of the tumor (paired samples t-test, before operation vs. during chemotherapy without recurrence, t = -2.131, P = 0.038), but did not change significantly at the time of tumor recurrence (during chemotherapy without recurrence vs. after tumor recurrence, t = -0.652, P = 0.632). High plasma TIMP-1 level correlated with better survival in Grade IV glioma patients (hazard ratio: 0.550, 95% CI: 0.101-1.000, P = 0.036). In Grade IV gliomas, patients with higher plasma TIMP-1 had significantly longer survival time than those with lower plasma TIMP-1 level (25.23 vs. 18.95 months, log-rank P = 0.045). Plasma MMP-9 did not show significant association with either the pathological grade or the prognosis of glioma patients.</p><p><b>CONCLUSIONS</b>Plasma TIMP-1 is associated with the diagnosis and prognosis of glioma patients. It appears to have better usefulness for guiding clinical decision making than plasma MMP-9. Further studies in an expanded patient population are needed to better define its clinical usefulness.</p>


Subject(s)
Adult , Female , Humans , Male , Middle Aged , Biomarkers, Tumor , Case-Control Studies , Glioma , Blood , Diagnosis , Tissue Inhibitor of Metalloproteinase-1 , Blood
5.
Chinese Medical Journal ; (24): 3042-3048, 2011.
Article in English | WPRIM | ID: wpr-292757

ABSTRACT

<p><b>BACKGROUND</b>Previous studies have shown that glioma patients have lower blood IgE levels than controls. To evaluate its potential as a surrogate biomarker for glioma, we measured plasma IgE levels in glioma patients and healthy controls, and correlated them with clinicopathological factors and the patients' outcome.</p><p><b>METHODS</b>We used enzyme-linked immunosorbant assay (ELISA) to determine the plasma IgE levels of 25 normal subjects and 252 glioma patients (85 patients with grade II glioma, 46 patients with grade III glioma, and 121 patients with glioblastoma). We also collected longitudinal plasma samples from glioblastoma patients and compared the plasma IgE levels before operation, one week after operation, in the middle of radiotherapy, after two cycles of chemotherapy, and after recurrence. The correlations between plasma IgE levels and the outcomes of the patients were determined.</p><p><b>RESULTS</b>Plasma IgE levels were significantly lower in glioma patients (P = 0.004); patients with low-grade glioma have lower IgE levels than patients with high-grade glioma do (P = 0.029). In 24 patients with both preoperative plasma and two-cycle chemotherapy plasma samples, IgE levels increased after successful removal of the tumor (P = 0.021), and the increase correlated with the patients' survival (increase > 100 ng/ml vs. ≤ 100 ng/ml, 127.5 weeks vs. 62.3 weeks. P = 0.012, log-rank). Plasma IgE level increase of > 100 ng/ml has a specificity of 80% and a sensitivity of 78% to predict the patients' long survival (> 18 months).</p><p><b>CONCLUSIONS</b>Our results suggest that plasma IgE level correlates with clinical and pathological factors in glioma patients. It has the potential to be a biomarker for glioma patients.</p>


Subject(s)
Adult , Female , Humans , Male , Biomarkers , Blood , Enzyme-Linked Immunosorbent Assay , Glioblastoma , Blood , Therapeutics , Glioma , Blood , Therapeutics , Immunoglobulin E , Blood , Sensitivity and Specificity , Treatment Outcome
6.
Journal of Forensic Medicine ; (6): 252-258, 2008.
Article in Chinese | WPRIM | ID: wpr-983388

ABSTRACT

OBJECTIVE@#To develop medicolegal expertise standard to assess skeletal age of Chinese male adolescents by joint X-ray.@*METHODS@#Radiographs of male adolescent aged 11 to 20 years were obtained in Southern, Central, and Eastern China. The bone development process were graded according to morphology characteristics in radiograph based on the appearance of secondary ossification centers and the arrest of epiphysises. All statistical analysis was carried out with SPSS and SAS.@*RESULTS@#Most indexes were correlated to age. Optimization multiple regression equation was created to estimate age of adolescent. Discriminatory equations were established to distinguish the age of 14, 16 or 18 years.@*CONCLUSION@#More anatomical site evaluation and more index application can improve the accuracy rate. The methods can be used in age determination by skeleton in Chinese male adolescents.


Subject(s)
Adolescent , Humans , Male , Age Determination by Skeleton/methods , Asian People , Bone and Bones/diagnostic imaging , Discriminant Analysis , Forensic Anthropology , Regression Analysis
7.
Journal of Forensic Medicine ; (6): 110-113, 2008.
Article in Chinese | WPRIM | ID: wpr-983363

ABSTRACT

OBJECTIVE@#To establish mathematical models which are used to assess bone age of living subjects in Chinese Han female teenagers.@*METHODS@#Radiographs were taken from 838 normal Chinese female subjects aged from 11 to 20 years old including sternal end of clavical and the left side of shoulder, elbow, carpal, hip, knee and ankle joints,which were from Middle China, South China and East China. Then read and grade the 24 osteal loci in accordance with the grading criteria of skeletal growth of teenagers. Meanwhile, the influencing factors such as: height, body mass and location are all taken into account. To explore the associativity between each index and chronological age, all the statistic procedures were finished by SAS 8.1 and SPSS 11.0.@*RESULTS@#To construct several combining multiple regression mathematical models that use the arrested extent of epiphysis of sternal end of clavical and six joints to assess the chronological age of living subjects in Chinese Han female teenagers, and establish some Fisher's discriminatory analysis equations which are used to determine whether the chronological age of Chinese Han female teenagers has been to 14, 16 and 18 years old or not.@*CONCLUSION@#These mathematical models which used to assess the age of living subjects has profused the methods of forensic bone age identification of living subjects. It also made the methods and conclusions much more scientific and accurate.


Subject(s)
Adolescent , Child , Female , Humans , Young Adult , Age Determination by Skeleton/methods , Bone and Bones/diagnostic imaging , China/ethnology , Forensic Medicine , Models, Theoretical
8.
Journal of Forensic Medicine ; (6): 18-24, 2008.
Article in Chinese | WPRIM | ID: wpr-983347

ABSTRACT

OBJECTIVE@#To establish staging criteria for teenager's skeletal growth by examining osteoarticular X-rays.@*METHODS@#Review publications on skeletal growth staging systems by domestic and overseas authorities. Abided by the staging principles on theory of cartilage epiphyseal growth and X-ray images of skeletal growth, X-ray imaging characteristics were studied through three hundred male and female teenagers epiphyseal growth of both sternal ends of clavicle and the left side of shoulder, elbow, carpal, hip, knee and ankle joints transversally and longitudinally. The subjects were from 11 to 20 years old, selected from Henan, Hainan and Zhejiang province in China. Twenty-four skeletal growth indexes were selected closely related to age.@*RESULTS@#Based on regular changing characteristics of epiphyseal growth at different joints, 24 skeletal development indexes were divided into 2 to 8 stages. The stage number of different indexes of the single joint were similar. It was shown that the time of different epiphyseal growth in identical joints had isochromism.@*CONCLUSION@#These staging criteria have merits of extensive skeletal growth indexes, and are applicable to wide age range with a strong maneuverability. It provides a favorable fundamental platform for forensic evaluating skeletal age in living subjects in China.


Subject(s)
Adolescent , Child , Female , Humans , Male , Young Adult , Age Determination by Skeleton/methods , Arthrography , Bone Development/physiology , Bone and Bones/diagnostic imaging , Epiphyses/diagnostic imaging , Forensic Anthropology/methods
9.
Chinese Journal of Contemporary Pediatrics ; (12): 173-178, 2008.
Article in Chinese | WPRIM | ID: wpr-252134

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the effects of astragalus on tubulointerstitial lesions in rats with IgA nephropathy (IgAN) and to explore the possible mechanism.</p><p><b>METHODS</b>Twenty-eight Sprague-Dawley rats were randomly assigned to three groups. The rat model of IgA nephropathy was induced by intragastric administration of bovine serum albumin and injections of LPS and CC14. Six weeks later, the rats with IgAN were randomly treated with oral astragalus (3 g/kg/d, for 6 weeks) or normal saline. Normal control rats which were not subjected to IgAN were treated with normal saline. The number of urinary erythrocytes and urinary protein and B-D-N-Acetyl glucosaminidase (NAG) contents were determined by Pan-automatic biochemistry analyzing meter. Expression of monocyte chemotactic protein-1 (MCP-1) and nuclear factor-kappa B (NF-kappaB) in tubulointerstitial tissues were analyzed by immunohistochemistry. A semiquantitative score was used to evaluate the degree of renal pathologic lesions.</p><p><b>RESULTS</b>The number of urinary erythrocytes (74.02+/-16.58 / microL vs 383.23+/-4.94 /microL) and urinary protein (13.88+/-4.94 vs 59.82+/-14.73 mg/L) and NAG contents (2.84+/-0.31 vs 5.24+/-0.80 U/L) in the astragalus-treated IgAN rats decreased remarkably compared with those in the IgAN rats without astragalus treatment (P<0.01). Expression of the NF-kappaB and MCP-1 in the renal tissues in the IgAN rats without astragalus treatment was significantly higher than that in the astragalus-treated IgAN rats and normal control rats (P<0.01). There were significant differences in the scores of renal pathologic lesions between the IgAN rats with or without astragalus treatment (6.03+/-0.46 vs 10.57+/-1.23; P<0.01).</p><p><b>CONCLUSIONS</b>Astragalus can decrease the number of urinary erythrocytes and urinary protein and NAG contents, and relieves tubulointerstitial lesions, possibly through the down-regulation of NF-kappaB and MCP-1 expression in rats with IgAN.</p>


Subject(s)
Animals , Rats , Astragalus Plant , Chemokine CCL2 , Glomerulonephritis, IGA , Drug Therapy , Metabolism , Pathology , Immunohistochemistry , Kidney Tubules , Pathology , Rats, Sprague-Dawley , Transcription Factor RelA
10.
Chinese Journal of Pediatrics ; (12): 55-60, 2008.
Article in Chinese | WPRIM | ID: wpr-249459

ABSTRACT

<p><b>OBJECTIVE</b>To study the regulattory effect of Astragalus membranaceus on immune disturbance of the rats with IgA nephropathy.</p><p><b>METHODS</b>Rats IgA nephropathy (IgAN) model was duplicated by oral feeding of bovine serum albumin (BSA), subcutaneous injection of carbon tetrachloride (CCl4) and injection of lipopolysaccharide (LSP) into vena caudalis. The rats were divided into three groups randomly for the normal, IgAN model group and the group treated with Astragalus membranaceus (treatment group). The treatment group was given the Astragalus membranaceus granules via intragastric administratsion, the normal group and the IgAN model group were given the equal amount of aqua destillata by gastric perfusion. The rats were examined for albuminuria, hematuria and pathological changes of renal tissue and the distribution of TGF-beta and interleukin-5 in renal tissue was determined by immunohistochemistry and the IFN-gamma and IL-4 of cytokine of Th1 and Th2 types were detected in rats IgA nephropathy model by sandwich enzyme linked immunosorbent assay (ELISA).</p><p><b>RESULTS</b>(1) The hematuria in rats with IgA nephropathy significantly increased compared with normal control group and Astragalus treatment group (P < 0.05). There was significant increase in albuminuria in rats with IgA nephropathy, compared with normal control group and astragalus treatment group (P < 0.01). (2) The pathological change of glomerular mesangium, renal tubules and renal interstitia became serious in rats IgA nephropathy model when compared with normal control group and astragalus treatment group. Immumofluorescence showed renal IgA density in rats IgA nephropathy model was significantly higher than that in the normal control group (P < 0.001) and astragalus treatment group (P < 0.001). (3) The result of immuno histochemistry showed that there was only weak expression of TGF-beta and interleukin 5 in normal renal tissue. The expression of TGF-beta and interleukin 5 in IgA nephropathy model was significantly stronger than those in normal control group (P < 0.05) and astragalus treatment group (P < 0.05). (4) The serum IL-4 levels were (33.74 +/- 7.52) pg/ml in rats IgA nephropathy model, significantly higher than that in normal control group (2.36 +/- 0.85) pg/ml and astragalus treatment group (3.24 +/- 1.13) pg/ml. The IFN-gamma level in serum of rats IgA nephropathy model was (18.79 +/- 3.80) pg/ml, which was significantly higher than that in normal control group (46.53 +/- 5.56) pg/ml and astragalus treatment group (41.28 +/- 2.95) pg/ml.</p><p><b>CONCLUSIONS</b>The astragalus could lower the level of hematuria and 24 hours-albuminuria of the IgAN model, and amelioratse the change of the renal pathology and reduce the deposit of IgA in glomerular mesangium. The possible mechanism of the effect is that astragalus could regulate the derangement of Th1, Th2, accordingly could improve the level of IL-4 and IFN-gamma in the serum and diminish the expression of cytokine Th2 TGF-beta1 and IL-5 of the renal tissue, and thereby could postpone the development of IgAN.</p>


Subject(s)
Animals , Cattle , Rats , Astragalus propinquus , Chemistry , Allergy and Immunology , Drugs, Chinese Herbal , Pharmacology , Glomerulonephritis, IGA , Allergy and Immunology , Interleukin-4 , Pharmacology , Interleukin-5 , Pharmacology , Kidney Tubules , Transforming Growth Factor beta , Allergy and Immunology , Transforming Growth Factor beta1 , Pharmacology
11.
Chinese Journal of Contemporary Pediatrics ; (12): 129-132, 2007.
Article in Chinese | WPRIM | ID: wpr-312759

ABSTRACT

<p><b>OBJECTIVE</b>This study investigated the clinical manifestations and renal pathological findings of 95 children with Henoch-Schonlein purpura nephritis (HSPN) in order to explore the relationship between clinical manifestations and renal pathology in HSPN.</p><p><b>METHODS</b>According to clinical manifestations, 95 HSP patients were classified into six clinical groups: 1) normal urine analysis; 2) isolated hematuria or proteinuria; 3) proteinuria with hematuria; 4) acute nephritis; 5) nephrotic syndrome; 6) acute nephritis with over 50 mg/(kg.d) of proteinuria. The severity of the renal pathological findings was determined based on the classification of the International Study of Kidney Disease (ISKDC), including grades I-VI. The relationship between clinical manifestations and the severity of renal pathological findings was studied.</p><p><b>RESULTS</b>Nephrotic syndrome was the most common clinical diagnosis (26 cases), followed by proteinuria with hematuria (23 cases), normal urine analysis (20 cases), isolated hematuria or proteinuria (15 cases), acute nephritis with over 50 mg/(kg.d) of proteinuria (7 cases) and acute nephritis (4 cases). Twenty-five out of 26 patients with nephrotic syndrome had an ISKDC classification of grade III-IV. All of the four patients with acute nephrits had a classification of grade IIIb. The 7 cases of acute nephritis with over 50 mg/(kg.d) of proteinuria had a classification of grade IIIa-V. The 20 patients with normal urine analysis had a classification of grade Iia- IIIb. There were no significant differences in ISKDC classification among the patients with normal urine analysis, isolated hematuria or proteinuria, and hematuria plus proteinuria. As the course progressed, the degree of renal pathological changes in patients with isolated hematuria or proteinuria and hematuria plus proteinuria became more serious. Of all the 95 patients, 58% had co-deposition of immunoglobulins A, G and M. The percentage of co-deposition of immunoglobulins A, G and M was related to the disease course and the severity of renal pathological findings.</p><p><b>CONCLUSIONS</b>HSPN children with nephrotic syndrome or acute nephritis with or without proteinuria had relatively severe renal pathological changes. The clinical manifestations were not always in parallel with the severity of renal pathological findings in HSPN children. With the course progressing, the renal pathological changes tended to be serious. The severe renal pathological manifestations came with co-deposition of immunogolobulins A, G and M in the glomerulin.</p>


Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Male , Antigen-Antibody Complex , Kidney , Pathology , Nephritis , Allergy and Immunology , Pathology , IgA Vasculitis , Allergy and Immunology , Pathology
12.
Acta Academiae Medicinae Sinicae ; (6): 61-63, 2006.
Article in Chinese | WPRIM | ID: wpr-281262

ABSTRACT

<p><b>OBJECTIVE</b>To study the correlation between the lung pixel indexes of multi-slice spiral CT (MSCT) and pulmonary function test (PFT), and to explore the CT features of histograms of lung attenuation.</p><p><b>METHODS</b>MSCT scan and pulmonary function test (PFT) were separately performed in 127 subjects within one week. The total lung was scanned with MSCT at full inspiration, full expiration, and normal respiration. The lung pixel indexes were measured by Pulmo pulmonary quantitative software. These indexes include PI(-910Huin), PI(-960HUEX), PI(-910Huin), PI(-960Huex), PI(-910(Hun), PI(-960Hun), PI(910Huex/in), and the histograms of lung attenuation.</p><p><b>RESULTS</b>Correlation existed between all the lung pixel indexes of MSCT and PFT. PI(-910Huex/in showed the best correlation with FEV1/FVC (r = 0.901, P < 0.01). Three distribution patterns were found in the histograms of lung attenuation of total lung, including double-peak distribution (n = 28), similar normal distribution (n = 81), and partial distribution (n = 18).</p><p><b>CONCLUSION</b>The lung pixel indexes of MSCT have significant correlation with PFT and can be used to assess the pulmonary function.</p>


Subject(s)
Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Lung , Diagnostic Imaging , Respiratory Function Tests , Tomography, Spiral Computed
13.
Acta Academiae Medicinae Sinicae ; (6): 64-67, 2006.
Article in Chinese | WPRIM | ID: wpr-281261

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the morphological features of benign and malignant solitary pulmonary nodules (SPNs) and explore the radiological evidences for the differentiation of SPNs.</p><p><b>METHODS</b>With SPN Dicom View software, we analyzed and compared images obtained from 23 patients with malignant SPNs and 22 patients with benign SPNs who received CT scanning with or without contrast medium injection.</p><p><b>RESULTS</b>The enhancement in malignant SPNs group was significantly higher than in the benign SPNs group (P < 0.0001). The irregular enhancement in malignant SPNs group was significantly higher than in the benign SPNs group (P = 0. 0084). The mean range of enhancement was (45.04 +/- 26.76) HU in malignant SPNs group, which was significantly higher than that in the benign SPNs group [(15.70 +/- 17.84) HU, P = 0.033]. The mean peak enhancement value was (136.09 +/- 41.72) HU in malignant SPNs group, which was significantly higher than in benign SPNs group [ (60.60 +/- 60.27) HU, P = 0.007]. The mean enhancement area was (21.69 +/- 21.01)% in malignant SPNs group and (8.61 +/- 10.83)% in benign SPNs group (P = 0.203).</p><p><b>CONCLUSION</b>The enhancement range and peak enhancement value as well as the morphologically irregular enhancement of SPNs may provide useful information in the clinical radiological diagnosis of SPNs.</p>


Subject(s)
Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Diagnosis, Differential , Lung Neoplasms , Diagnostic Imaging , Sensitivity and Specificity , Solitary Pulmonary Nodule , Diagnostic Imaging , Tomography, Spiral Computed
14.
China Journal of Chinese Materia Medica ; (24): 138-141, 2004.
Article in Chinese | WPRIM | ID: wpr-276597

ABSTRACT

<p><b>OBJECTIVE</b>Detect the pathogenicity of fungi isolated from American ginseng seeds and select new fungicides against the pathogenic seed-born fungi.</p><p><b>METHOD</b>inoculate the isolates to American ginseng seedlings to detect the pathogenicity, and seeded the hyphae disk at the center of agar plate containing chemicals to do fungicide bioassay.</p><p><b>RESULT</b>Fusarium sp. isolate 5 and Alternara sp. isolate 13 had pathogenicity to American ginseng seedling. Sportak had the strongest inhibition to the two isolates, Carbendazim had better inhibition and Celest had weak inhibition.</p><p><b>CONCLUSION</b>Sportak and Celest could be used as efficacious candidate chemicals to treat or coat the American ginseng seeds, and substitute Carbendazim, which has been used for many years, to control the diseases occurring in seedling stage of American ginseng.</p>


Subject(s)
Alternaria , Benzimidazoles , Pharmacology , Carbamates , Pharmacology , Fungicides, Industrial , Pharmacology , Fusarium , Panax , Microbiology , Plants, Medicinal , Microbiology , Seedlings , Microbiology , Seeds , Microbiology
15.
China Journal of Chinese Materia Medica ; (24): 714-718, 2003.
Article in Chinese | WPRIM | ID: wpr-282260

ABSTRACT

<p><b>OBJECTIVE</b>To study the Biological effect of seed-coating in Carthamus tinctorins.</p><p><b>METHOD</b>Two kinds of seedcoating chemicals SCF1 and SCF2 were used in this experiment, the seed YM-99 and 27981-99 were coated by three kinds of ratio of seedcoating chemicals to seed. It was investigated that the germination energy and germination percentage in the room and the emergence rate, seedling stage growing, pest in the field.</p><p><b>RESULT</b>Seedoating can improve the emergence rate and seedling stage growing, it also can effectively control aphid, rust and virosis during the growing period in C. tinctorins.</p><p><b>CONCLUSION</b>Seedcoating has significant biological effect in C. tinctorins.</p>


Subject(s)
Carthamus , Delayed-Action Preparations , Germination , Pesticides , Pharmacology , Plant Diseases , Plant Growth Regulators , Pharmacology , Plants, Medicinal , Seeds
16.
China Journal of Chinese Materia Medica ; (24): 658-661, 2002.
Article in Chinese | WPRIM | ID: wpr-271814

ABSTRACT

<p><b>OBJECTIVE</b>The quantity and genus of fungi on 13 samples of American ginseng seed from Beijing and Northeast area in China were detected.</p><p><b>METHOD</b>Washing and surface sterilization were used to isolate the fungi existed on seed surface and inside of the seed, respectively.</p><p><b>RESULT</b>The genera of the fungi in embryo and shell of the seeds mainly belonged to Fusarium spp., Alternaria spp., Penicilium spp., Cephalosporium sp., Rhizopus spp., and a small quantity of Mucor, Aspergillus, Tritroderma, Doratomyces and so on. The isolated fungal frequencies on the shell and in the embryo were 36%-100% and 40%-100% respectively.</p><p><b>CONCLUSION</b>The fungal frequency of American ginseng seed was higher. There were significant differences among different seed samples, the main fungal genera and isolation frequency in the seed embryo were identical with the results from the seed shell.</p>


Subject(s)
Alternaria , China , Fusarium , Mitosporic Fungi , Panax , Classification , Microbiology , Plants, Medicinal , Microbiology , Rhizopus , Seeds , Microbiology
17.
China Journal of Chinese Materia Medica ; (24): 819-823, 2002.
Article in Chinese | WPRIM | ID: wpr-271801

ABSTRACT

<p><b>OBJECTIVE</b>To Provide the scientific basis for controlling the lycium pests.</p><p><b>METHOD</b>The kinds and number of pests and their natural enemies were investigated at regular intervals and on the fixed trees.</p><p><b>RESULT</b>There are 13 kinds of lycium pests and 17 kinds of natural enemies, the occurrence of which are closely related.</p><p><b>CONCLUSION</b>Natural enemies can control aphids and psyllidae effectively, but ten-spotted lema and Epithrix sp. must be controlled by pesticides.</p>


Subject(s)
Animals , Aphids , Coleoptera , Ecosystem , Hemiptera , Lepidoptera , Lycium , Pest Control, Biological , Pesticides , Seasons
18.
Chinese Journal of Radiology ; (12)2001.
Article in Chinese | WPRIM | ID: wpr-679675

ABSTRACT

Objective To explore the feasibility of evaluating the lung function by MSCT in emphysema.Methods The MSCT scan and pulmonary function tests(PFF)were respectively performed in 147 receptors within one week.They were randomly divided into 2 groups:group A(120 receptors), including normal,mild,moderate and severe abnormal pulmonary function based on the PFT,for comparing the correlation between pulmonary quantitative indexes of MSCT pulmonary function and PFT and settingup the primary grade criteria of abnormal pulmonary function in emphysema,group B(27 receptors)for evaluating the diagnostic accuracy in group A.The total lung was respectively scanned at the full inspiration and full expiration with MSCT.The pulmonary quantitative indexes of MSCT were measured with Siemens Pulmo pulmonary quantitative software.Results There was correlation between pulmonary quantitative indexes of MSCT and PFF.The Piex/in_(-910)showed best correlation with FEV_1%(r=-0.905,P

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