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Biomedical subjects

Wei Zhang

Publications and source records attributed to Wei Zhang.

At least 307 records · Page 17Linked to original sources
PubMed2006

[Clinical analysis of 942 cases of Kawasaki disease].

OBJECTIVE: The study was designed to investigate the clinical characteristics and the effects of therapeutic proposal on Kawasaki disease (KD). METHODS: Clinical features, diagnosis and treatment for totally 942 patients with KD hospitalized during Jan, 2000 to Dec, 2004 were reviewed. Clinical features of typical and incomplete KD were compared. Also, influential factors for KD resistant to intravenous immune globulin (IVIG) therapy were analyzed. Five hundred and ten cases were followed up for analyzing the prognosis of coronary artery lesion (CAL). RESULTS: (1) 774 cases were diagnosed as typical KD, and 168 cases as incomplete KD. The incidence of infants with incomplete KD was higher than that of infants with typical KD (18.5% vs. 10.1%, P < 0.01). As compared with typical KD, the cases of incomplete KD had a long duration of fever before final diagnosis [(7.7 +/- 2.9) d vs. (7.0 +/- 2.4) d, P < 0.01], high hemoglobin level [Hb, (106.6 +/- 13.4) g/L vs. (103.5 +/- 12.3) g/L, P < 0.01], high hematocrit [Hct, (32.0 +/- 4.3)% vs. (31.0 +/- 4.0)%, P < 0.01], and high prevalence of CAL (23.8% vs. 16.8%, P < 0.05), respectively. The occurrence rate and emerging time of clinical manifestations in incomplete KD and in typical KD were presented, respectively: non-exudative conjunctivitis [occurrence rate, 64.9% vs. 93.5%; emerging time, (4.4 +/- 1.4) d vs. (4.0 +/- 1.6) d, respectively (P < 0.05 or P < 0.01)], erythema and cracking of lips [occurrence rate, 50.6% vs. 94.8%; emerging time, (4.9 +/- 1.4) d vs. (4.5 +/- 1.6) d, respectively (P < 0.05 or P < 0.01)], rash [occurrence rate, 35.1% vs. 87.7%; emerging time, (3.9 +/- 1.9) d vs. (3.4 +/- 1.7) d, respectively (P < 0.05 or P < 0.01)], erythema and edema of extremity [occurrence rate, 26.8% vs. 71.4%; emerging time, (6.7 +/- 1.5) d vs. (5.3 +/- 1.7) d, respectively (P < 0.01)], cervical lymphadenopathy [occurrence rate, 34.5% vs. 68.0%; emerging time, (4.3 +/- 2.5) d vs. (3.6 +/- 2.2) d, respectively (P < 0.05 or P < 0.01)], strawberry tongue [occurrence rate, 31.0% vs. 59.8%; emerging time, (5.6 +/- 2.2) d vs. (4.9 +/- 1.8) d, respectively (P < 0.05 or P < 0.01)], membranous desquamation of fingertips [occurrence rate, 34.5% vs. 56.3%; emerging time, (11.7 +/- 3.3) d vs. (10.3 +/- 2.7) d, respectively (P < 0.01)], and desquamation peri-anus [occurrence rate, 42.9% vs. 50.0%; emerging time, (6.7 +/- 2.7) d vs. (6.9 +/- 2.5) d, respectively (P > 0.05)]. Except for peri-anus desquamation, other clinical manifestations in incomplete KD were sporadical as compared to typical KD. (2) Six per cent (51/857) of cases were resistant to the IVIG therapy. As compared to the group responding to IVIG therapy, high prevalence of CAL (31.4% vs. 17.1%, P < 0.05), long fever duration [(10.6 +/- 3.9) d vs. (7.5 +/- 2.3) d, P < 0.01], low Hb level [(99.9 +/- 14.1) g/L vs. (104.3 +/- 12.4) g/L, P < 0.01], low Hct [(30.1 +/- 4.5)% vs. (31.2 +/- 4.0)%, P < 0.05], low platelet [PLT, (256.9 +/- 142.4) x 10(9)/L vs. (309.7 +/- 131.5) x 10(9)/L, P < 0.05], and low albumin level [ALB, (27.8 +/- 8.4) g/L vs. (33.5 +/- 6.7) g/L, P < 0.01] were found in the group resistant to IVIG therapy, respectively. (3) In patients who received IVIG 1 g/kg and 2 g/kg, the recovery rates from CAL were 83.1% and 89.7% (P > 0.05), respectively. The prevalence of CAL in those without CAL in acute and subacute stages was 0.9% and 3.5% (P > 0.05), respectively, during 2 year-follow-up period. CONCLUSION: (1) Infants appeared to have more chances to suffer from incomplete KD. Incomplete KD had high prevalence of CAL. The peri-anus desquamation might be an important clue for early diagnosis of incomplete KD. (2) In acute stage, the influential factors for KD resistance to IVIG therapy included prolonged fever, non-elevated PLT, and persistent decrease in Hb, Hct and ALB levels. (3) Children receiving IVIG 1 g/kg and 2 g/kg had the similar effects on recovery and prevention from CAL within the first two years after KD onset.

Adolescent↗
PubMed2006

[Clinical study of mechanical ventilation in acute cardiogenic pulmonary edema patients].

OBJECTIVE: To study the application of mechanical ventilation in acute cardiogenic pulmonary edema (ACPE), and compare the changes in hemodynamics between continuous positive airway pressure proportional pressure support (CPAP-PPS) with continuous positive airway pressure-pressure support ventilation (CPAP-PSV). METHODS: Non-invasive and invasive ventilation were performed in 77 ACPE patients. At the initiation of invasive ventilation and the phase of low assist ventilation in 61 patients who were treated with mechanical ventilation longer than 24 hours, hemodynamics was monitored by partial CO(2) rebreathing method (non-invasive cardiac output, NICO) cardiopulmonary management system, and then compared the changes in the two kinds of ventilation under medicinal intervention. RESULTS: Among 33 of 61 ACPE patients underwent non-invasive ventilation, 24 were successful, and the ratio was 72.7%. Among 33 patients with invasive ventilation (including 5 in whom ventilation was switched to non-invasive mode), 11 failed. Biphasic positive airway pressure/pressure support ventilation (BIPAP/PSV) was used in pressure controlled ventilation, with high pressure (Phigh) 16-24 cm H(2)O (1 cm H(2)O=0.098 kPa), time of high pressure (Thigh) 1.5 seconds, positive end expiratory pressure (PEEP) 6-15 cm H(2)O, fractional concentration of inspired oxygen (FiO(2)) 0.5, cardiac output (CO)/cardiac index (CI) was significantly improved compared with those of initial ventilation in successful ones in invasive group, and the improvement was more significant in PPS compared with PSV in low assist ventilation (all P<0.001). Those in whom invasive ventilation was failed had a low CI (<1.5 L.min(-1).m(-2)) even under drug intervention. CONCLUSION: Hemodynamic monitoring should be performed when medicinal intervention and non-invasive/invasive ventilation are given to ACPE patients. Pressure controlled ventilation is recommended, and PEEP should be individualized (normally 6-15 cm H(2)O). Spontaneous ventilation should be restored as soon as possible, CPAP-PPS mode is practicable in patients in whom weaning of mechanical ventilation is difficult.

Acute Disease↗
PubMed2006

[Clinical study of the setting of positive end expiratory pressure in patients with acute cardiogenic pulmonary edema during mechanical ventilation].

OBJECTIVE: To compare the effects on hemodynamics and lung mechanics when different positive end expiratory pressure (PEEP) levels were used in acute cardiac pulmonary edema. METHODS: Thirty-nine patients with respiratory failure and treated with mechanical ventilation were divided into two groups according to cardiac index (CI). The changes of hemodynamics [including cardiac output (CO), CI, pulmonary capillary blood flow (PCBF), central venous pressure (CVP), surround vascular resistance (SVR)], lung mechanical variables [intrinsic positive end expiratory pressure (PEEPi), peak inspiratory pressure (Ppeak), mean of airway pressure (Pmean), minute volume (MV), alveolar tidal volume (Vtalv)], percutaneous saturation of oxygen (SpO(2)) and blood pressure (BP) were determined with when selected different PEEP levels under the bi-level positive airway pressure (BIPAP) mode in normal cardiac function group (n=18, CI> or =2.0 L.min(-1).m(-2)) and poor cardiac function group (n=20, CI<2.0 L.min(-1)xm(-2)). RESULTS: In normal cardiac function group, PEEP has no effect on hemodynamics when varied from 0-13 cm H(2)O (1 cm H(2)O=0.098 kPa), and Ppeak and PEEPi increased with the elevation of PEEP. Resistance of airway (R) fell when PEEP was increased. However, in poor cardiac function group SVR, CO, CI showed curvilinear changes with an increase in PEEP, and CO, CI were high when PEEP changed from 0 to 7 cm H(2)O, but dropped markedly when PEEP was increased in 13 cm H(2)O, while the changes of SVR was the reverse of CO and CI. The effects on lung mechanics varied relatively smaller range when PEEP was set between 5-7 cm H(2)O, and the burden of breathing was slight. CONCLUSION: The mode of artificial ventilation should be adjusted according to the changes in hemodynamics and lung mechanics. PEEP should be individualized, and 5-7 cm H(2)O (normally below 10 cm H(2)O) is suitable.

Acute Disease↗
PubMed2006

[A novel genetic defect in a Chinese family with inherited coagulation factor XIII deficiency].

OBJECTIVE: To identify the genetic defect of inherited coagulation factor (F) deficiency in a Chinese family and to explore its molecular mechanism. METHODS: The activity and antigen of plasma F were measured by photometric test and enzyme-linked immunosorbent assay, and rocket-electrophoresis, respectively. All the exons and exon-intron boundaries of the FA subunit gene were amplified by PCR and then DNA sequencing was performed. Restriction endonuclease analysis was used for the PCR products of the family members and 80 healthy donors to exclude gene polymorphism. RESULTS: Rapid dissolution of the proband's fibrin clot occurred within 30 minutes, and antigen of his plasma F was significantly decreased, two compound heterozygous missense mutations (a C to T transition at nucleotide 177,246 which caused Arg703Trp, and a A to G transition at nucleotide 177,286 which caused His716Arg) in exon 15 of FA subunit gene were found. The possibility of gene polymorphism was excluded by restriction endonuclease analysing. Each of these two missense mutations was respectively found in his mother and father. Molecular modeling based on 3D crystallographic data predicted that the mutant protein decreased stability and was likely to be rapidly degraded. CONCLUSIONS: The inherited F deficiency in the Chinese family is caused by two compound heterozygous missense mutations-Arg703Trp and His716Arg in the FA subunit, which to our knowledge, are reported for the first time.

Base Sequence↗
PubMed2006

[Effect of anti-Helicobacter pylori ureB monoclonal antibody on platelet aggregation and activation, and its mechanism study].

OBJECTIVES: To study the effect of monoclonal antibody (McAb) against helicobacter pylori (Hp) ureB, 1F11 on platelet aggregation and activation, and its mechanism. METHODS: The relativity between human platelet glycoproteins (GPs) and Hp ureB was identified by Western blot and FCM. Platelet aggregation was measured by turbidimetry, and P-selectin and TXB2 assay by ELISA. RESULTS: 1F11 could bind to platelet GPIIIa, and ADP-induced platelet aggregation was inhibited by 1F11 in a dose-dependent manner. However, 1F11 had no effect on plasma P-selectin and TXB2 induced by ADP. The FCM results show that the positive rates of platelet binding to FITC-SZ21 was decreased from 99.5% to 77.4% after addition of 1F11. CONCLUSION: McAb against Hp ureB 1F11 inhibits platelet aggregation through binding to platelet GPIIIa but does not block platelet activation. There might be crossed-epitopes on Hp ureB and platelet GPIIIa, and Hp infection might be involved in ITP immunopathology.

Antibodies, Bacterial↗
PubMed2006

[Advances and thinking about prevention and treatment of inflammatory bowel diseases by acupuncture and moxibustion].

OBJECTIVE: To provide scientific foundations for clinical and acupoints researches on acupuncture for treatment of inflammatory bowel diseases. METHODS: Review the correlated documents of clinical experimental researches issued from 1995 to 2005, and the clinical and experimental documents about remedy of inflammatory bowel diseases by acupuncture and moxibustion were summarized and analyzed. RESULTS: Acupuncture and moxibustion had significant therapeutic effects on inflammatory bowel diseases, and the studies on the mechanisms have achieved some progresses, but the designs and the methods of these studies need to be improved. CONCLUSION: Afterwards, the specificity of acupoints, and factors of influencing the specificity should be studied via effective diseases treated with acupuncture and moxibustion, so as sum up common regularity, rich and develop the theory about specificity of acupoints to guide clinical treatment of acupuncture and moxibustion.

Acupuncture Points↗
PubMed2006

[Determination of trace selenium in edible fungi with graphite furnace atomic absorption spectroscopy].

In the present article, samples were digested by a quartz high-pressure digestion pot, reducing the loss of selenium in digestion. The content of selenium in edible fungi was determined by using graphite furnace atomic absorption spectroscopy, and the results showed that when the content of selenium in edible fungi was determined by using 1% Ni(NO3)2 as a matrix modifier, ashing temperature of 500 degreed C, and atomization temperature of 2 500 degrees C, and rectifying background by deuterium light, the recovery was in the range of 92.1%-115.5%, the relative standard deviation of the method was 1.28%, and the limit of detection was 15.8 microg x L(-1). The method was suitable for the determination of trace selenium in edible fungi with the advantages of being simple, rapid, sensitive, stable and accurate etc., and the results were satisfactory.

Agaricales↗
PubMed2006

[Comparative study on GOD-trinder method for measuring glucose in serum with different benzene-original phenols].

Comparative studies were carried out on GOD-trinder method for measuring glucose in serum with four different kinds of benzene-original phenols-phenyl hydroxide, 2,4-dichlorophenol, 2,6-dichlorophenol and resorcinol. It is shown that when the three coloring systems-phenyl hydroxide, 2,4-dichlorophenol or resorcinol coupling with glucose oxidase-peroxidase-4-a minoantipyrine-hydrogen peroxide (GOD-POD-4-AA-H2O2) respectively were used for clinical assay of glucose in serum, the determination results showed no significant differences (P > 0.05). Compared with phenyl hydroxide, the coloring system of 2,4-dichlorophenol is better in the aspects of sensitivity, precision and accuracy; the resorcinol system has lower sensitivity with the advantage of faster detecting velocity, and larger linear range, and can be used for on-line rapid analysis of samples with more concentrated glucose in industry.

Blood Glucose↗
PubMed2006

[Study on the method of using ICP-MS to determine Se in the edible fungi].

The sample was digested by the quartzose digestion pot at high-pressure under relatively low temperature, reducing the loss of Se during the digestion process. Study on the method of using ICP-MS to determine Se in the edible fungi shows that it exhibits positive correlation between the concentration of sample and integration time, and the response value. When the concentration of Se in the sample is higher than 50 microg x L(-1), the integration time can be 0.1 s; or it can be 2.0 s when the concentration of Se is lower than 5 microg L(-1). The standard curve was accomplished for 1.0-500 microg x L(-1) when determining the content of Se in the edible fungi. The recoveries are in the range of 99.96%-102.7%. This method has advantages of simplicity, speediness, delicacy, high stability, high accuracy, etc. It is suitable for the determination of trace Se in the edible fungi.

Agaricales↗
PubMed2006

[X-ray absorption spectroscopy study on nanowires and nanotubes of carbon and silicon].

Due to the different sampling depth, the total electron yield (TEY) is sensitive to the surface and near surface region, while the fluorescence yield (FLY) probes the information of the bulk. Thus the combined use of TEY and FLY provides a powerful evidence for identifying the whole sample whether or not it is a nanoscale material, and is a supplement of the conventional methods for characterizing nanoscale materials, such as TEM and XRD. With analyses of X-ray absorption spectra recorded in TEY and FLY mode, it could be used for studying the mechanism of growth, orientation, chemical bonding, defect and helicity of nanowires and nanotubes exactly and reliably. Therefore, it is believed that X-ray absorption spectroscopy is a powerful characterization tool for the study of nanoscale materials, which has some super advantages over conventional methods.

English Abstract↗
PubMed2006

[Study of the expression profile of immunogenesis associated genes in allergic rhinitis complicated with asthma by microarray].

OBJECTIVE: To explore the difference of gene expression profile in allergic rhinitis complicated with asthma patients. METHOD: mRNA levels of peripheral blood mononuclear cells (PBMC) in allergic rhinitis complicated with asthma patients and health controlled people were compared by cDNA microarray. Paired mRNAs from allergic rhinitis complicated with asthma cases and healthy were labeled with different fluorochromes during cDNA probe synthesis in a reverse transcription reaction. The signal intensity of each spot was measured by laser scanner and gene expression was quantified as the rhinitis-to-normal fluorescence ratio (R:N ratio). The gene was defined as over expression when the A:N ratio was greater than 2.0 and under expression when the ration was less than 0.5. RESULT: Among 4,000 immunogenesis associated genes there were 351 differences, 191 genes were upregulated and 160 genes were downregulated. The differential expressed genes involved in the functions of signal conduct, immunology, metabolism, DNA transcript and others, and they had potential value in allergic rhinitis complicated with asthma study. CONCLUSION: The immunogenesis of allergic rhinitis complicated with asthma involves multigenetic expression changes. The results provide new insight for understanding of the pathogenic mechanisms of allergic rhinitis complicated with asthma and exploring new therapeutic strategies.

Adult↗
PubMed2006

[Antigen measurement and biomechanical characteristics of the inbred-line Banna mini-pig acellular bone matrix].

In this study, we prepared the acellular bone matrix of the inbred-line Banna mini-pig by using tissue engineering method and evaluated its possible application in bone tissue engineering. Histological analysis, xenoantigen expression and biomechanical measurement were performed on the matrix. HE staining and scanning electron microscopy showed the cellular components were almost removed. Immunohischemical result demonstrated that the xenoantigen, alpha-gal,was also eliminated. There was no statistically significant difference between the acellular bone matrix group and control group. The acellular bone matrix can provide appropriate space structure and strength for grafts. In conclusion, our data suggest that acellular bone matrix is a new kind of ideal bone scaffold material.

Animals↗
PubMed2006

[Molecular typing on Vibrio parahaemolyticus isolates from Hangzhou, China, during 2000-2002].

OBJECTIVE: To study the molecular epidemiology of Vibrio parahaemolyticus isolates from clinical and environmental samples collected in Hangzhou area during 2000 and 2002. METHODS: V. parahaemolyticus isolates from food-poisoning, sporadic diarrhea patients and seafood in market in Hangzhou during 2000 and 2002 were serotyped. From clinical isolates of serotype O3:K6 and environmental isolates of serotype O3:KUT, virulence genes, tdh and trh, were examined by PCR. Molecular typings [including ribotyping, random amplified polymorphic DNA analysis (RAPD), enterobacterial repetitive intergenic consensus PCR (ERIC-PCR)], were also performed. RESULTS: Among 13 food-poisoning outbreaks caused by V. parahaemolyticus, O3:K6 strains with tdh positive and trh negative were detected in 11 episodes (84.6%), and O4:K8 strains with tdh positive and trh negative were responsible for other 2 outbreaks (15.4%). In 34 V. parahaemolyticus isolates from sporadic diarrhea patients, O3:K6, O4:K8, and O1:KUT strains with tdh positive and trh negative were detected with proportions of 26.5% (9/34), 17.6% (6/34), and 38.2% (13/34), respectively, and other 6 strains were not able to be serotyped. Of 64 isolates from seafood in which both tdh and trh were negative except trh was positive in one O1:KUT strain, 37 belonged to 7 serotypes except O3:K6 or O4:K8, and 9 were not able to be serotyped. The fingprintings of ribotyping, ERIC-PCR, and RAPD showed that almost all of O3:K6 isolates from food-poisoning and sporadic diarrhea patients were genetically close to each other and there were obviously genetical difference between O3:K6 isolates from clinic and O3:KUT isolates from environment. CONCLUSION: There was a distinct serotype distribution between V. parahaemolyticus isolates from clinic patients and seafood. One group of close related V. parahaemolyticus O3:K6 strains with tdh positive and trh negative seemed to be prevailing in Hangzhou in those years.

China↗
PubMed2006

[Determination of nine trace elements in Dioscorea opposita thumb by flame atomic absorption spectrophotometry].

The contents of the potassium, calcium, sodium, magnesium, copper, zinc, iron, manganese, strontium and nickel in Dioscorea opposita thumb were determined. The relative standard deviation(RSD) of the first eight contents is 0.43%, 1.10%, 4.41%, 0.68%, 1.44%, 1.88%, 1.29% and 0.03% respectively, and the percentage recovery is 90.0%-111.0%. The method is convenient and accurate. It can be used to determine the trace elements simultaneousy in Dioscorea opposita thumb.

Dioscorea↗
PubMed2006

[Study on specific cellular immunity of enhance intracellular survival antigen of Mycobacterium tuberculosis in patients with pulmonary tuberculosis].

OBJECTIVE: To investigate the level of specific cellular immunity in patients with active pulmonary tuberculosis and its potential relationship with severity of the disease. METHODS: Thirty active pulmonary tuberculosis patients with positive tubercle bacilli in sputum were enrolled for the study. Immune responses including lymphocytes proliferation enhanced by enhance intracellular survival (EIS) antigen and cytokine production including interferon-gamma (IFN-gamma) and interleukin-10 (IL-10), were assayed. Cell proliferation was determined by methyl thiazolyl tetrazolium (MTT), while cytokine production was quantified by enzyme linked immunoadsorbent assay (ELISA). The results were compared to those of 20 healthy individuals and 16 persons recovered from tuberculosis. RESULTS: Cell proliferation response and IFN-gamma production were significantly higher in patients convalescent from tuberculosis compared to patients with active pulmonary tuberculosis, EIS antigen was found to elicit a dominant Th2 cytokine response. CONCLUSION: Impaired Th1 immune response to EIS is observed in patients with active pulmonary tuberculosis. Induction of imbalance of Th1/Th2 immune response may be the main action of EIS, which may be a factor of pathogenesis of tuberculosis.

Acetyltransferases↗
PubMed2006

[Prevalence and risk factors of social anxiety disorder in high schools and universities in Chengdu].

OBJECTIVE: To explore the prevalence and risk factors of social anxiety disorder (SAD) in high schools and universities in Chengdu. METHODS: 2279 students in Chengdu sampled by optimum distributing delaminating grouping method were interviewed one-to-one by the trained psychiatrists according to SCID. Both the cooperated SAD patients (n=156) and the normal counterparts (NC, n=156) in the 2279 students completed Egma Minnen av Bardndosnauppforstran (EMBU), State-Trait Anxiety Inventory (STAI-Form Y), Fear of Negative Evaluation Scale (FNE) and Defense Style Questionnaire (DSQ). RESULTS: There were 179 SAD patients, 88 female ones and 91 male ones, in the 2279 students of the high schools and universities in Chengdu. Statistical analysis reveals that the SAD patients differ from the NC in seven aspects, i.e. growing circumstances (P = 0.049), family economical status(P = 0.000), family history of psychiatric disorder, scales of EMBU,STAI, FNE and DSQ. CONCLUSION: The total prevalence of SAD in the students of high schools and universities in Chengdu was 8.15%, the female prevalence 8.35%, and the male prevalence 7.62%. The possible risk factors were: growing up in the countryside, low family economic state, parental rearing pattern being deficient in emotional warmth, understanding, trust and encouragement but excessive in refuse, denial and overprotection, having anxiety trait, feeling fear of negative evaluation, more likely to use neurotic and immature defense mechanism while less likely to use mature defense mechanism, having positive family mental disorder history.

Adolescent↗