[Typing and diagnosis of mixed acid-base disorders].
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Biomedical subjects
Publications and source records attributed to G Qian.
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A new HPLC method has been developed for analysis of Icariine in four Chinese patent medicines. The symmetric peak of Icariine and good resolution were gotten, when ODS was used as analytical column (30 degrees C) MeOH-KH2PO4 (pH = 2.7, adjusted with H3PO4) (57:43) as a mobile phase; the detective wavelength was 268 nm. The contents of Icariine in Bushen-qiangshen-wan, Guiling-ji, Zhuang-gu-guanjie-wan and Qianliening-chongji were 0.105, 0.0995, 0.0566 and 0.313% respectively.
The authors studied the changes of gastric acid secretion and determined the levels of somatostatin (SS) and gastrin (Gn) in blood, gastric juice and pyloric antrum in 28 patients Roux-en-Y with cholangiojejunostomy (CJR-Y). Gastric acid hypersecretion was identified, and the level of SS was found dropped while the content of Gn increased in these specimens. It was considered that the reduction of SS synthesis and secretion might have a key effect on the mechanism of secondary gastric acid hypersecretion in patients after CJR-Y.
The changes of the structure, content and anion transport function as well as the blood gases and electrolytes inside and outside the erythrocytes were investigated in 3 groups of subjects: type I respiratory failure patients (group 1, n = 40); type II respiratory failure patients (group 2, n = 40) and controls (group 3, n = 37). The results showed that (1) anion transport function impairment of erythrocyte membrane band 3 protein and HCO3-/Cl- exchange restrain may be the reasons that aggravate CO2 retention and respiratory acidosis in cor pulmonale patients with type II respiratory failure. (2) band 3 protein anion transport function impairment in patients of cor pulmonale with type II respiratory failure is reversible. Therefore, it was necessary to supply oxygen to cor pulmonale patients with hypoxemia in time, which may contribute to the recovery of anion transport function.
Twelve patients with iatrogenic bile duct injuries occurred during laparoscopic cholecystectomy (LC) were treated from June 1992 to May 1994. All the patients underwent re-operation and were cured. The causes and characteristics of the injuries were: (1) perforation of the common hepatic or common bile duct caused by dissecting hook (3 cases); (2) necrosis and perforation of the common hepatic duct due to diathermic injury (1 case); (3) clamping of the common hepatic duct by Ti clip (1 case); (4) secondary high bile duct stricture following a failed end-to-end anastomosis or hepatico-cholangio-jejunostomy of the amputated common hepatic duct (5 cases); (5) delayed high bile duct stricture (2 cases). It is emphasized that the severity of bile duct injuries by LC be should not overlooked, and more experience in this field be accumulated to avoid this serious complication.
The skin external expander has been used to produce extra skin and soft tissue by continuous traction of the skin. The computer image measurement technique was designed to accurately measure the extra skin. The paper describes the technique and its clinical applications.
In order to explore the effect of drugs on band 3 protein anion transport function and its clinical significance, several common drugs such as furosemide, hydrochlorothiazide, etc, were tested. The results demonstrated that furosemide, hydrochlorothiazide and valium could inhibit rapidly and reversibly the anion transport function of band 3 protein and led to HCO-3/Cl- exchange restriction. The mechanism of action of the drugs was thought to be an interaction between drugs and the two sites of band 3 protein anion transport system. The reason that pulmonary encephalopathy was induced by diuretics and sedatives may be related to the inhibition of anion transport by the drugs and reduced CO2 elimination. It was necessary to be careful in using these drugs in patients with impaired lung function, especially the patients of cor pulmonale with type II respiratory failure.
Human herpesvirus 6 (HHV-6) is a lymphotropic herpesvirus, and in vitro, it can productively infect human CD4+ T cells as HIV-1. Co-infection of T cells by HIV-1 and HHV-6 can lead to both activation of the HIV-1 promoter and acceleration of the cytopathic effects. An HHV-6 (GS) cDNA clone, pCD41, encoding for a 41-kDa nuclear protein was identified and characterized previously (Chang and Balachandran, J. Virol. 65, 2884-2894 and 7085, 1991). Sequence analyses show that this protein has significant homology with the human cytomegalovirus UL44 gene coding for the ICP36 family of early-late-class phosphoprotein. Using this cDNA as the probe, a 3.8-kb EcoRI genomic fragment encoding the HHV-6(GS)P41 was cloned and designated as pGD41. When cotransfected with the HIV LTR CAT into CV-1 cells, both the pCD41 and pGD41 clones trans-activated the HIV LTR. Sequence analyses of pCD41 indicate that there are two potential open reading frames (ORFs), A and B, which are homologous to the ORFs found in the genomic clone pGD41. Deletion constructs of the pCD41 clone demonstrated that ORF-A was critical for the HIV LTR activation. Deletion analyses of the pCD41 ORF-A and the use of promoter constructs further mapped an internal functional promoter within the pCD41 sequence that can direct the synthesis of the trans-activating protein. By using HIV LTR deletion mutants, the NF-kappa B binding sites were found to be critical for response to the pCD41 trans-activation.
Sequence analysis of an 8-kb BamHI-G DNA fragment from human herpesvirus-6 variant A strain GS (HHV-6A(GS)) has identified a gene encoding a glycoprotein homologous to glycoprotein gH of other herpesviruses and this gene was designated as HHV-6 gH (Josephs et al., J. Virol. 65, 5597). The open reading frame (ORF) of HHV-6A(GS) gH gene was amplified by polymerase chain reaction and was expressed as a trpE fusion protein in bacteria. Stable fusion protein was made only with constructs containing amino acids 15 to 469 of the ORF and this fusion protein was used to raise rabbit antisera. In the in vitro transcription-translation analysis of the gH gene, addition of microsomal membranes resulted in the processing of an unprocessed precursor to a polypeptide product of about 108 K. These in vitro-synthesized precursor and product forms were immunoprecipitated by the rabbit antibodies against the gH fusion protein. Rabbit anti-gH antibodies neutralized the infectivity of both HHV-6 variant A strain GS and variant B strain Z-29, and immunoprecipitation reactions identified a virion envelope-associated 102 K polypeptide as the glycoprotein gH of HHV-6 variants A and B. In addition to the 102 K glycoprotein, nonglycosylated polypeptides of about 58 and 164 K with different partial peptide maps were also consistently coimmunoprecipitated from [35S]methionine-labeled HHV-6A(GS)-infected cells, but not from HHV-6B(Z-29)-infected cells. The similarity in the molecular weights of glycoprotein gH among the two strains belonging to the two variant groups of HHV-6 and neutralization of infectivity of both groups by rabbit antibodies against HHV-6A(GS) gH suggests conserved functions of glycoprotein gH among the two variant groups of HHV-6.
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To better our ability to analyze the facial disproportions of patients of Chinese ancestry, we compared the validity of four neoclassical canons of facial proportion in Chinese and North American Caucasians populations. We tested the frequency of four horizontal facial canons and their eight variations in 206 healthy adults (105 males and 101 females, 18-25 years old) belonging to the predominant ethnic group (Han: 400 million) of the Chinese population, and compared them to those of 103 healthy young North American Caucasian adults. The nose width corresponded to one-quarter of the face width (the nasofacial canon) significantly more frequently in Chinese participants (51.5%) than in Caucasian adults (36.9%). The nose was narrower than one-quarter of the face width in 38.8% of North American Caucasians and in 21.8% of Chinese; this difference was also statistically significant. In defiance of the naso-oral canon, the mouths of Chinese people were significantly more often narrower than 1.5 times the nose width (71.8%), while in North American Caucasian ethnics the mouth was significantly more frequently wider (60.2%).