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Biomedical subjects

C Wang

Publications and source records attributed to C Wang.

At least 415 records · Page 23Linked to original sources
PubMed2000

[Surgical treatment of patients with stage IV a liver carcinoma].

OBJECTIVE: To study the result of surgical treatment of patients with stage IV a primary liver carcinoma (PLC). METHODS: Twenty-seven patients with stage IV a PLC treated in 1989-1998 were retrospectively studied. The patients could be divided into 2 groups: (1) The resected group(19 cases) and (2) cytoreductive group(8 cases). Intra-operative B-ultrasound was used to prevent missing of any tumor nodules. Unresectable residual nodules were treated by ethanol injection. Multidisciplinary treatment was given in the perioperative period. RESULTS: The overall 1-, 2- and 3-year survival rate of the 27 patients was 71.4%, 55.6% and 7.7% respectively. The 1-, 2- and 3-year survival rate of the resected and cytoreductive group of patients was 73.3%, 58.3%, 10.0% and 66.7%, 50.0%, 0% (P > 0.05) respectively. Complications occurred in 22.0% of the treated patients. There was no operative and hospitalization mortality. CONCLUSIONS: Surgical resection or cytoreductive operation with adjuvant therapy is effective as the first choice of treatment for stage IV a PLC.

Adult↗
PubMed2000

[A study of influence of zafirlukast to anoxic pulmonary hypertension in rats].

OBJECTIVE: To investigate possible mechanism of the influence of zafirlukast to anoxic pulmonary hypertension in rats. METHODS: Forty wistar rats were divided into four groups in random: (1) control group; (2) anoxic pulmonary hypertension group; (3) zafirlukast preventive group; (4) zafirlukast therapeutic group. Pulmonary arterial pressure was measured, naemo kinitic indexes were recorded. RESULTS: In the anoxic group and control group, the difference of mPAP was remarkable, P < 0.01. When zafirlukast preventive group and the therapeutic group compared with the control group, there was no statistical difference, P > 0.05. When the preventive group and the therapeutic group compared with the hypoxia group, P < 0.01. In the hypoxia group, the content of NO in the plasma, broncho-alveolar lavage solution, and the lung tissue showed remarkable significance compared with that of control group, P < 0.01. The content of NO2-./NO3-. in the preventive group showed remarkable significance compared with hypoxia group, P < 0.05, P < 0.01. The content of NO2-./NO3-. in the therapeutic group showed remarkable significance compared with hypoxia group, P < 0.01. The content of collagen in hypoxia group was remarkable highened compared with that of control group, P < 0.01. The content of collagen in preventive group and therapeutic group showed remarkable significance compared with hypoxia group, P < 0.01, P < 0.05. CONCLUSIONS: The results indicate that zafirlukast can lower anoxic pulmonary hypertension, one of its mechanisms may be related with its depressing the sediment of collagen on lung tissue, adjusting NO level in rats and anti-damaging effect of free radicals.

Animals↗
PubMed2000

[Histopathological study of temporomandibular joint in early stage of polyarthritis rats].

OBJECTIVE: To furnish an experimental basis of the early effects of rheumatoid arthritis (RA) on the temporomandibular joint (TMJ) by observing the histopathological changes of TMJ in the early stage of polyarthritis (PA) rats. METHODS: The animal model of PA was established by injecting Freund's complete adjuvant (FCA) into rats. The histopathological changes of the rats' ankle joint and TMJ were studied. RESULTS: (1) The paw volume and the articular index of PA rats increased significantly, and symptoms of pronounced inflammation were present in the ankle joint specimens, which included proliferation of the synovium, infiltration with inflammatory cells, erosion into the articular cartilage and bone, and inflammatory exudation into the articular cavities. (2) The histopathology of TMJ of PA rats showed pronounced proliferation of the synovium cells, some lytic collagenous fibers and degenerative chondrocytes in the condyles, and exudated protein and desquamating cells in the articular cavities with some fibrinous adhesions. CONCLUSION: Pronounced inflammation occurs in bilateral TMJ in early stage of PA rats. The examination, protection and treatment of TMJ for RA patients should be taken into account in the early stage.

Animals↗
PubMed2000

[Effects of continuous tracheal gas insufflation during biphasic intermittent positive airway pressure ventilation on canine model of acute lung injury with spontaneous breathing].

OBJECTIVE: To study the possibility of using continuous tracheal gas insufflation (CTGI) in dogs with spontaneous breathing. METHODS: Eight canine with oleic acid induced lung injury which had spontaneous breathing were ventilated by Evita 2 (Drager Inc). The setting parameters were FiO(2) (60%), I/E (1:1), RR (20) and PEEP (5 cm H(2)O) in four different conditions: BIPAP (BIPAP group) and BIPAP with different CTGI flow rates (3, 6 and 9 L/min, T3, T6 and T9 group). Gas exchange, lung mechanics and hemodynamic status were monitored at the same level of PaCO(2) obtained by adjusting the high pressure (P high) of BIPAP. RESULTS: The peak inspiratory pressures in the T6 group (14 cm H(2)O +/- 4 cm H(2)O) and T9 group (11 cm H(2)O +/- 3 cm H(2)O) were significantly lower than that of BIPAP group (20 cm H(2)O +/- 5 cm H(2)O, P < 0.01), but significant differences were not found neither among T3, T6 and T9 groups, nor between T3 and BIPAP groups. PaO(2), hemodynamics and oxygenation remained unchanged in the four different conditions. CONCLUSION: BIPAP combined with CTGI in canine with spontaneous breathing could significantly decrease the airway pressure, with no influence on hemodynamics and oxygenation. Thus BIPAP with CTGI may be a useful support technique, especially for cases whose airway pressure should be limited.

Animals↗
PubMed2000

[Effects of somatostatin and its analogue on canine sphincter of Oddi motility].

OBJECTIVE: To investigate the effects of somatostatin and its synthetic analogue on canine sphincter of Oddi interdigestive motility. METHODS: Six dogs were used to establish the chronic manometry model to study the sphincter of Oddi motility, which were then classified into three groups: somatostatin, stilamin, and sandostatin groups. Each dog was studied weekly. The sphincter of Oddi manometry in fast and conscious state was undertaken with PC Polygraf HR before and after intravenous administration of agents to record the motility index (MI), basal pressure, and amplitude, duration and frequency of phasic contraction. RESULTS: Administration of somatostatin and stilamin of 0.5 nmol.kg(-1).h(-1) dose could induce phasic contraction of sphincter of Oddi and increase MI. The above two agents of 1 nmol.kg(-1).h(-1) dose could inhibit contractile activity of sphincter and decrease MI. Sandostatin of 0.5-1 nmol.kg(-1).h(-1) dose could induce phasic contraction of sphincter of Oddi; however, the agent of 0.5 nmol.kg(-1).h(-1) dose increased MI while 1 nmol.kg(-1).h(-1) dose had no effect on M. CONCLUSION: Effects of somatostatin and stilamin are biphasic in the regulation of sphincter of Oddi motility; small dose of the agents stimulates the sphincter motility while large dose inhibits the motility. Sandostatin regulates the sphincter of Oddi motility; the agent of small dose exerts excitatory role while large dose plays no significant role.

Animals↗
PubMed2000

[Compensation of external jugular vein to the reflux of cerebral blood after bilateral ligation of the internal jugular vein].

OBJECTIVE: To investigate the effects of conserving external jugular veins for compensating the back flow of intracranial veins. METHODS: The rhesus monkey was underwent bilateral radical neck dissection to simulate that performed in the human. In operation, the changes of intracranial pressure (ICP) after ligating these jugular veins was observed. RESULTS: The results indicate that ligation of the external and internal jugular veins will increase the ICP obviously, but conserving external jugular veins will reduce the increase of ICP and shorten the recovery time from increased ICP. CONCLUSIONS: The conservation of the external jugular veins will compensate the back flow of intracranial veins after RND. The experiment provides a simple and effective method for the prevention of intracranial complications and preservation of the flow of facial veins.

Animals↗
PubMed2000

[Long-term therapeutic effects of extended radical resection and radical resection of cancer of cardia and stomach fundus].

OBJECTIVE: To study the best range of radical resection in the treatment of cancer of the cardia and fundus of stomach. METHODS: 418 patients with cancer of the cardia and fundus of stomach underwent radical resection. Of them 192 were treated by extended radical resection (extended group), and 226 by radical resection (radical group). The 5-year and 10-year survival rates were followed up and compared in the two groups. RESULTS: Analysis failed to demonstrate significant difference between the two operations for TNM stage I and II (P > 0.05). For stage III, however, the 5-year and 10-year survival rates in the extended group increased by 14.2% and 15.9% as compared with those in the radical group (P < 0.05). The two groups survival rates were similar for stage IV (P > 0.05). CONCLUSIONS: To completely clean the lymph nodes of splenic hilus and artery and improve long-term survival rate, extended radical resection including spleen and body and tail of the pancreas should be recommended for stage III patients with cancer of the cardia and fundus of stomach when their serosa was involved or lymph node metastasis took place.

Cardia↗
PubMed2000

[Tissue engineered neo-cartilage using polymer substrates and chondrocytes: experimental study].

OBJECTIVE: To investigate the possibility of using poly beta-hydroxybutyrate (PHB) as a scaffold for chondrocytes and the feasibility of generating tissue engineered cartilage in rabbit animal model. METHODS: The articular cartilage from 4-week-old rabbits was enzymatically dissolved by type II collagenase, and chondrocytes were harvested and seeded into foams of PHB. After incubation for 1 week in vitro, chondrocyte-polymer constructs were implanted subcutaneously into rabbits. Two respective control groups were established by subcutaneous implantation of PHB foams and chondrocytes alone. The rabbits were killed at 4, 8, 12 weeks postoperatively, and the specimens were dissected and examined macroscopically, histologically and immunohistochemically. RESULTS: Specimens harvested from chondrocyte-polymer constructs and subjected to gross morphologic and histologic analysis demonstrated new cartilage formation, and those from control groups showed no cartilage formation. CONCLUSION: These findings demonstrate that the foam of PHB is not only a good "matrix" for cartilage tissue engineering, but also optimal scalffold for the seeding of chondrocytes to generate new cartilage that would be useful in plastic and reconstructive surgery.

Animals↗
PubMed2000

[Long-term effect on preoperative ulnaris arterial intubation chemotherapy in treatment of stage III breast cancer].

OBJECTIVE: To evaluate preoperative ulnaris arterial intubation chemotherapy as a step of multidisciplinary treatment of stage III breast cancer. METHODS: 109 patients with stage III breast cancer were studied. 64 patients (group A) were treated by preoperative ulnaris arterial intubation chemotherapy and others (group B) were not. The 5 and 10-year survival rates and disease-free survival rates were analyzed. RESULTS: In patients with stage III breast cancer, the overall response rate of group A was 76.6%, and the response rate to histological study was 89.1%. The 5-year and 10-year survival rates of group A were 64.0% and 47.9% respectively. The disease-free survival rate of group A was 59.4% at 5 years and 43.3% at 10 years. All were higher than the 5-year and 10-year survival rates (31.1%, 21.9%) and the 5-year and 10-year disease-free survival rates (22.2%, 12.5%) of group B (P < 0.05). CONCLUSION: Preoperative ulnaris arterial intubation chemotherapy is an effective measure for the treatment of stage III breast cancer. It can improve the long-term effects on stage III breast cancer and reduce local relapse and distant metastasis.

Antineoplastic Combined Chemotherapy Protocols↗
PubMed2000

[Iodine-125 labeled monoclonal antibody 3H11: in radioimmunoguided surgery for primary gastric cancer].

OBJECTIVE: To evaluate the clinical usefulness of iodine-125 labeled monoclonal antibody (MAb) 3H11 in radioimmunoguided surgery (RIGS) for patients with gastric cancer. METHODS: Thirty-five patients with primary gastric cancer were enrolled. Via endoscopy, iodine-125 labeled MAb 3H11 was injected into submucosa around the tumor. All patients underwent surgery 4 to 11 days after administration. Intraoperative radioimmunodetection was performed using a hand-held gamma-detecting probe. The counts of target sites were obtained, and tumor-to-normal tissue (T/NT) ratios were calculated. The T/NT ratio of 3.5:1 was taken as the lowest threshold value of positive gastric wall infiltration, and 3.0:1 for lymph node metastasis. Serial sections of those RIGS-positive lymph nodes, which were originally diagnosed as negative by routine histology, were made. Immunohistochemical staining was performed to detect the existence of lymphatic micrometastasis. RESULTS: Of thirty-five patients, 33 underwent RIGS successfully. The accuracy rate in detecting tumor infiltration of the incision margins was 97.0%, and the specificity 98.5%. In the group of patients with an interval of 6 to 8 days between injection and operation (n = 25), the RIGS results were satisfying. For the detection of lymphatic metastasis, the sensitivity of RIGS was 83.6%, the specificity 95.0%, and the accuracy 91.3%. The existence of lymphatic micrometastasis were verified immunohistochemically in 52.6% (10/19) of those RIGS positive but histologically negative lymph nodes. CONCLUSION: This study validates the use of iodine-125 labeled monoclonal antibody 3H11 for the intraoperative detection of carcinomatous lesions in gastric cancer.

Adult↗
PubMed2000

[Surgical treatment of recurrent dislocation of the patella in children].

OBJECTIVE: To study an operative method for repair of recurrent dislocation of the patella in children. METHODS: 36 children with recurrent patellar dislocation were treated surgically at an average age of 9.1 years. They were followed on average for 4 years and 4 months. Nine of the 36 children underwent bilateral repair, with 45 knees were treated. The combined soft tissue operations included lateral retinacular releasing, medial retinacular tightening of the knee, vastus medialis muscle transfer to the patella, medial and distal transfer of the half patellar tendon. RESULTS: 28 patients had stable knee joint and a full range of motion, and improved sports activity after operation. Seven children achieved satisfactory function of the knee joint but there was no significant difference between pre-and postoperative sports exercise ability. One child suffered from a redislocation of the patella. Wound infection was not seen and the range of knee joint motion was not restricted in all patients. CONCLUSIONS: The combined procedures for repair of recurrent dislocation of the patella in children risk free for growth disturbances secondary to iatrogenic injury to the proximal tibial physis. It is safe and effective for recurrent dislocation of the patella in skeletally immature children.

Adolescent↗
PubMed2000

[The survey of prevalence of HIV infection among paid blood donors in one county in China].

OBJECTIVE: To estimate the prevalence rate of HIV infection among paid blood donors and to analyse high risk factors. METHOD: All residents between 18 to 60 years old were selected from on county in March 1999. RESULTS: There were 210 paid blood donors among 730 interviewed subjects. The HIV prevalence rate among paid blood donors was higher (9.1% or 19/210) than that of others (0.6% or 3/520). The HIV prevalence rate was higher in plasma donors (25.9%) than that (2.6%) among 210 blood donors. Donors who donated blood/plasma more than 10 times each year had a higher prevalence rate (13.5%) than those who donated less than 10 times each year (2.8%). Donors who had donated blood but stopped donation before 1995 had a higher prevalence rate (18.3%) than those who started donation after 1996 (1.4%). The results of KAP survey showed that blood donors had a low knowledge about AIDS. CONCLUSION: There was a higher prevalence rate of HIV infection among paid blood donors in some regions. It should take measures to prevent further transmission HIV through paid blood donors.

Adolescent↗
PubMed2000

[Residual risk research of HIV infection after blood screening in one county in China].

OBJECTIVE: To estimate the risk of HIV infections from blood transfusions, to evaluate existing blood screening measures, and to make recommendations to improve current blood screening practices. METHODS: Research was conducted in a county blood station. A statistical model and retrospective method were used to analyse the data. RESULTS: Between June 1995 and March 1998, 19 blood donors tested positive for HIV antibodies and among them, 7 were repeat blood donors. Twenty - two blood recipients were identified from these 7 donors during six months, 9 are still alive today, while one patient was infected with HIV from a blood transfusion while undergoing an operation. The residual risk of the blood station using a statistical model and retrospective methods were 1/1,773 - 1/28,867 and 1/2,008 - 1/2,730 donations respectively. CONCLUSION: The residual risk of HIV after screening in the county blood station was high. We recommend further improvements to current blood screening practices.

AIDS Serodiagnosis↗
PubMed2000

[An observation of the immuno-persistence after inoculating with the domestic BRD II strain rubella vaccine among infants and young children].

OBJECTIVE: To study the immuno-persistence after inoculating with the domestic BRD II strain rubella vaccine among infants and young children. METHODS: Hemagglutination inhibition (HI) antibody detection method was used to test on children at age 6 to 18 months without rubella infection or rubella vaccine immunization in Yantai city of Shandong province and were selected for the observation of the immuno-persistence against the domestic BRD II strain rubella vaccine from 1995 to 1998. RESULTS: Positive rates of HI antibody among children of 6, 7, 8, 9, 12 and 18 month-old of inoculation were 94.44%, 97.22%, 96.67%, 100.00%, 100.00%, 100.00% and 93.10%, 93.55%, 96.77%, 96.97%, 100.00%, 100.00% (P > 0.05), in one or two years respectively. The geometric mean reverse titers (GMRTs) were about 50% lower than that after 1 month after 1 year. Similar results were found that after 2 years GMRTs was about 50% lower than that after 1 year of inoculation. There was highly significant difference on GMRTs of HI antibody between infants with 6 to 7 month-olds (29.89) and young children with 8 to 18 month-olds (53.00) after 2 years of inoculation (t = 3.58, P < 0.001). CONCLUSION: The immunization schedule at the first dose for BRD II strain rubella vaccine should be started when the child is 8 month old. For the second dose, the immunization schedule used in other developed countries should be referred adopted in China.

Antibodies, Viral↗
PubMed2000

[The epidemiological study of HIV infection among paid blood donors in one county of China].

OBJECTIVE: To observe the prevalence of HIV infection among paid blood donors and risk factors. METHODS: Selected the residents between 18 to 50 years old from two villages in one county of China in 1997. We observed the prevalence of HIV infection and keep following them to 2000. RESULTS: Nine hundred sixty-three residents were investigated and the prevalence of HIV was 1.8% (17/963). There were 88 paid blood donors among 963 interviewed subjects, the HIV prevalence was significantly higher (17.0% or 15/88) than those who didn't have the experiences of paid blood donations (0.2% or 2/875). Only one person out of 668 who were followed from 1997 to 2000 has converted to sero-positive, the incidence of HIV infection is 0.06 per 100 person-years. Nearly half of sero-negative and sero-positive people have the experiences of muscle injection. Among those with HIV-positive spouse, we found no one converted to sero-positive. The CD(4) count of those sero-positive people declined every year. HIV subtype and C2-V3 region sequence analysis were made for five HIV-positive people in 1998, the result indicated that all of them were infected with HIV-1 subtype B' and the genetic divergence rate was 2.4%. CONCLUSION: There was a high prevalence of HIV among paid blood donors in some regions, and paid blood (plasma) donations were the main risk factor for HIV infection. Although no evidence suggests that during the follow-up period the epidemic of HIV infection has spread locally, it still shall take measurements to prevent further transmission of HIV through paid blood donors.

Adolescent↗