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Biomedical subjects

Y Hu

Publications and source records attributed to Y Hu.

At least 217 records · Page 12Linked to original sources
PubMed2000

[Complications of massive allografts after segmental resection of malignant bone tumors].

OBJECTIVE: To analyze the postoperative complications of bone and joint allografting for the reconstruction of massive bone defect after the resection of malignant bone tumors and its management. METHODS: Bone-joint allografting for the reconstruction of massive bone defect after the resection of malignant bone tumors with different internal fixations was performed in 106 patients with complete follow-up data. Bone healing time, complication rate, and final results in different allografts were compared. Operation indications, complications and internal fixation were also analyzed. The final results were determined according to the Mankin's standard. RESULTS: Allografts Alcohol immersed were more susceptible to infection, non-union, etc. Allografts and combined prosthesis were superior to semi-articular transplantation. Complications included deep infection (10%), skin necrosis (12.2%), local recurrence (14.4%), and delayed union or non-union (15.6%). Dynamic interlocked intramedullary nailing was superior to conventional intramedullar nailing and compression plates. CONCLUSIONS: Allografting is acceptable for the reconstruction of massive bone defect after tumor resection. Its results are encouraging after proper management of complications caused by surgical technique, internal fixation and soft tissue repair.

Adolescent↗
PubMed2000

[T1, T2 squamous or adenocarcinoma of the lung:characteristics of lymph node metastasis and its clinical significance].

OBJECTIVES: To investigate the frequency, distribution and features of lymph node metastasis in T(1)/T(2) squamous or adenocarcinoma of the lung, and to provide evidence for extensive dissection of lymph nodes. METHODS: 254 patients with T(1)/T(2) squamous or adenocarcinoma of the lung underwent R2 surgery plus extensive dissection of hilar, interlobular and mediastinal lymph nodes according to the grouping system proposed by Naruke. RESULTS: 1 685 groups of lymph nodes were dissected. The metastatic rates of N(1) and N(2) was 20.0% and 10.2% respectively. Significant difference existed between T(1) and T(2) tumors (P < 0.01). No N(2) metastasis was found in T(1) squamous cell carcinoma. N(2) metastatic rates were 22.0% in squamous cell carcinoma and 40.9% in adenocarcinoma (P < 0.01). 64.3% of squamous carcinoma spread to only one group of N(2) nodes, and over 3 groups of lymph nodes were positive in 46.2% of adenocarcinoma. Saltatory metastasis accounted for 57.5% of N(2) metastasis. 13.6% of N(2)-positive tumors in upper lobes metastasized to the lower mediastinum, whereas 51.6% of N(2)-positive cancers in the lower lobes spread to the upper mediastinum. CONCLUSIONS: The frequency of lymph nodes metastasis increases with the growth of tumors. Metastasis in adenocarcinoma occurs more frequently than in squamous carcinoma. Tumor at any site can metastasize to the distant mediastinum. Except for T(1) squamous cancer, radical surgery can be achieved only by extensive dissection of ipsilateral intrapulmonary and mediastinal lymph nodes.

Adenocarcinoma↗
PubMed2000

[Early arthroscopic reconstruction in treatment of acute complete rupture of anterior cruciate ligament].

OBJECTIVE: To early reconstruct acute and complete rupture of anterior cruciate ligament (ACL) and treat combined injuries for the recovery of knee joint stability. METHODS: Ten cases of acute complete rupture of anterior cruciate ligament and medial collateral ligament were treated arthroscopically by anterior cruciate ligament reconstruction using patellar tendon autograft fixed with interference screw from February 1998 to March 1999. RESULTS: Follow-up ranged from 5 months to 1 year and 3 months (average 10 months). Clinical results showed that the stability of knee joint was satisfactory in the early stage. CONCLUSIONS: Acute the ACL rupture can be reconstructed arthroscopically in the early stage and the injuries were moderate, combined injuries could be treated at the same time, and the stability of knee joint could recover in the early stage after operation.

Adolescent↗
PubMed2000

[The development of degenerative disc animal model in rhesus monkey].

OBJECTIVE: To develop the degenerative disc animal model with histological and MRI observation. METHODS: Eight adult Rhesus monkeys were divided randomly into two groups after the lumbar discs MRI scan. The operated group, 6 monkeys, was subjected to annulus resection. A 5 mm x 3 mm cut was made in the left anterolateral part of the fibrosus annulus on L(4,5), L(5,6) and L(6,7) discs. The operated discs were scanned with MRI at 1 week, 4 weeks, 8 weeks, 13 weeks and 20 weeks postoperatively and observed histologically at 4 weeks, 8 weeks and 20 weeks after operation. RESULTS: The histological structure of Rhesus monkey was similar to that of human being. The percentage of high signal intensity area in the operated discs reduced significantly at 8, 13, 20 weeks after operation (P < 0.05). The fibroplasia outside the annular tear could be observed in all 6 operated discs at 4 weeks postoperatively. Two of 6 operated discs underwent fibroplasia at 20 weeks after operation. No heal evidence in the inner tear was showed after operation. CONCLUSIONS: The animal model for human lumbar disc degeneration could be obtained by anterio-lateral annulus resection. The early-stage degenerative evidence could be observed without injury by measuring the percentage of the high intensity area of the operated discs on T2WI of MRI.

Animals↗
PubMed2000

[Treatment of spondylolisthesis with pedicle screw instrumentation and anterior or posterior lumbar interbody fusion].

OBJECTIVE: To investigate the treatment of spondylolisthesis with pedicle screw instrumentation and anterior or posterior lumbar interbody fusion. METHODS: 26 patients, 14 males and 12 females, underwent spinal instrumentation with RF or SOCON instrumentation and anterior or posterior interbody fusion with TFC. Among them, 6 patients underwent RF instrumentation and posterior interbody fusion with TFC, 15 SOCON instrumentation and posterior interbody fusion with TFC, and 5 RF instrumentation and anterior interbody fusion with composite cortical ring. RESULTS: All the patients were followed up for an average of 22 months (range 6 - 18 months) after operation. The reduction of spondylolisthesis was 88%, and the fusion rate 89%. There was no recurrence of spondylolisthesis. CONCLUSIONS: High quality SOCON instrumentation may be reliable for the treatment of spondylolisthesis. Implantation of TFC into the interbody space can stabilize the fused segments, prevent the collapse of the interbody space, avoid bone resorption, remain or increase the heights of the interbody space, facilitate the union of the fused segments, and allow early mobilization.

Adult↗
PubMed2000

[Regulating effects of transforming growth factor-beta (TGF-beta) on gene expression of collagen type II in human intervertebral discs].

OBJECTIVE: To assess the regulating effects of TGF-beta on gene expression of collagen type II in the human intervertebral discs. METHODS: In situ hybridization was used to investigate the effect of TGF-beta1 on collagen mRNA in confluent primary and passaged monolayer cell cultures of annulus fibrosus (AF) as well as nucleus pulposus (NP). The mean photodensitometry of cell smears as semi-quantitative analysis was evaluated by VIDAS software. RESULTS: In primary cultures, 1 ng/ml and 10 ng/ml TGF-beta1 inhibited the collagen type II mRNA levels by 74.6% and 60.2% respectively in AF; they also inhibited the mRNA levels by 69.6% and 55.5% respectively in NP. In passaged cultures in which the notochordal cells and chondrocytes were in dedifferentiation status, 1 ng/ml and 10 ng/ml TGF-beta1 increased the collagen type II mRNA levels by 151% and 166% respectively in AF and also increased the mRNA levels by 145% and 198% respectively in NP. CONCLUSIONS: The regulation effect of TGF-beta on collagen type II gene expression is dependent on whether the cells are fully differentiated or undergoing phenotype loss, and TGF-beta may play an important role in the repair process during early disc degeneration, especially in nucleus pulposus.

Cells, Cultured↗
PubMed2000

Lymph node metastasis of T1, T2 squamous carcinoma and adenocarcinoma of lung: characteristics and clinical significance.

OBJECTIVES: To investigate the frequency, distribution and features of lymph nodes metastasis in T(1)/T(2) squamous carcinoma and adenocarcinoma of lung, and to provide evidence for extensive dissection of lymph nodes. METHODS: 254 patients with T(1)/T(2) squamous carcinoma and adenocarcinoma of lung underwent R2 surgery plus extensive dissection of hilar, interlobular and mediastinal lymph nodes according to the grouping system proposed by Naruke. RESULTS: A total of 1 685 groups of lymph nodes were dissected. The metastatic rates of N(1) and N(2) were 20.0% and 10.2%. The difference was very significant between T(1) and T(2) (P < 0.01). No, N(2) metastasis was found in T(1) squamous carcinoma. N(2) metastatic rates were 22.0% in squamous carcinoma and 40.9% in adenocarcinoma (P < 0.01). 64.3% of squamous carcinomas spread to only one group of N(2) nodes, and over 3 groups of lymph nodes were positive in 46.2% of adenocarcinomas. Saltatory metastasis accounted for 57.5% of N(2) metastasis. 13.6% of N(2)-positive tumors in the upper lobes metastasized to the lower mediastinum, whereas 51.6% of N(2)-positive tumors in the lower lobes spread to the upper mediastinum. CONCLUSIONS: The frequency of lymph node metastasis increases with the growth of tumors. Metastasis occurs more frequently in adenocarcinoma than in squamous carcinoma. Tumor at any site can metastasize to the distant mediastinum. Except for T(1) squamous carcinoma, radical surgery can be achieved only by extensive dissection of ipsilateral intrapulmonary and mediastinal lymph nodes.

Adenocarcinoma↗
PubMed2000

[Community -based comprehensive prevention and control of hypertension in China (CCPACH Study)-prevalence and epidemiological characteristics in urban and rural area].

OBJECTIVE: To understand the epidemiological features and prevalence of essential hypertension in the rural communities. METHODS: A community-based survey on essential hypertension was carried out in urban and rural areas involving 280,000 population. RESULTS: The prevalence rate of hypertension in age 35 years and over was 31.7% and 32.9% in urban and rural respectively; the average age of the patients' in urbans was significantly higher than in rural areas. Among non-hypertensive cases, more than 50% of the population having risk factors of hypertension in both urban and rural areas. Rates of treatment and control awareness of hypertension were 56.3%, 26.8% and 4.4% respectively in urban; comparing to 40.3%, 17.5% and 2.6% respectively, in the rural areas. More than half of the diagnosed patients before survey did not take antihypertensive medicine for treatment in both areas. The proportions the classification of hypertension were similar in both areas with majority of them, mild and isolated systolic hypertension. CONCLUSIONS: It was demonstrated that there is an urgent need to carry out comprehensive prevention and control for hypertension in urban and rural area.

Adult↗
PubMed2000

[The epidemiological characteristics of multiple metabolic disorders in hypertensive patients in the communities].

OBJECTIVES: To describe the epidemiological characteristics of multiple metabolic disorders on hypertensive patients living in the communities. METHODS: The characteristics of metabolic disorders in the hypertensives from one community in Shanghai urban area were analyzed. Metabolic disorders would include dyslipidemia (high cholesterol and/or high triglycerides and/or low HDL cholesterol), diabetes and obesity. RESULTS: 59.2% of the hypertensives at least had one metabolic disorder. Proportionally, 83.9%, 15.5%, 0.6% of the patients would combine one, two, or all of the disorders. The percentages of patients combined with dyslipidemia, diabetes and obesity were 53.0%, 9.7%, 6.3%, respectively. 74.0% of patients with metabolic disorders were combined with dyslipidemia while 9.1% were combined with both dyslipidemia and diabetes. The standardized prevalence rate of male patients with metabolic disorders was 58.1%, higher than the rate of women (54.5%). The prevalence rate of postmenopausal female patients with metabolic disorders was 67.6%, significantly higher than that of the premenopausal women (44.4%) (chi(2) = 37.49, P < 0.01). CONCLUSION: Nearly 60% of the total patients combined with metabolic disorders. Dyslipidemia occurred in more than half of the patients in total. The proportion of senile patients with metabolic disorders was higher than the younger patients. Results suggested that attempts to maintain the coronary heart disease at low levels in the population should include treatment of dyslipidemia to keep lipid and diabetes prevalence at low levels other than regular antihypertensive therapy.

Adult↗
PubMed2000

[Evaluation on the effects of community-based comprehensive prevention and control of hypertension in the rural areas in China].

OBJECTIVE: To explore the strategies and measures of community-based comprehensive prevention and control of hypertension in the rural areas. METHODS: Community-based comprehensive prevention and control of hypertension was put in practice in 120,000 people in Fangshan District of Beijing during the period of "The Ninth Five-Year Plan (1996 - 2000)". RESULTS: After intervention, blood pressure of the whole subjects were under control and kept the level of baseline data; the rate of increase of prevalence in the intervention areas was below the rate of that from 1979 to 1991 in China (the former was 14.7%, while the latter was 53.7%); the incidence rate of the subjects was 1.4%, close to the average rate of age 15 and above in China; the rates of awareness, treatment and control were above the levels of baseline data; SBP and DBP of the patients decreased by 2.9% and 5.6%, respectively; while the rate of having high risk factors reduced by 13.4% on average. CONCLUSION: The community-based comprehensive strategies and measures played an important and effective role in prevention and control of hypertension in rural areas.

Adult↗
PubMed2000

[Evaluation on the effect of Benazepril for hypertension through postmarketing surveillance].

OBJECTIVE: To evaluate the efficacy and safety of Benazepril used among the essential hypertensives. METHODS: 1 831 essential hypertensive patients aged 35 to 75 were randomly selected from a community and followed for 18 months. The level of blood pressure, status of taking Benazepril and side effects were sequencially collected. RESULTS: 1/3 of the patients had taken antihypertensive drug before the study and the rate of compliance was over 96%. The effective rate of Benazepril was 73.6% at three months and increased to 84.7% at 18 months. Comparing with the baseline data, SBP and DBP declined 10.8 mmHg and 6.7 mmHg respectively. The rate of side effect was 22.7%. Cough was most commonly seen among side effects. The peak of first recording on side effect occurred at three months including 60% of them mild. CONCLUSION: Results showed that Benazepril had good efficacy and safety for the essential hypertension patients in a long-term observation.

Adult↗
PubMed2000

[A case-control study on the relationship between abnormal homocysteine metabolism and essential hypertension].

OBJECTIVE: To examine the relationship between abnormal homocysteine metabolism and essential hypertension in a Chinese population, a community-based case-control study was conducted. METHODS: 127 essential hypertensive patients aged 35 to 75 were randomly selected from a community. Another 170 control subjects with blood pressure < 140/90 mmHg were selected from the same community. Serum homocysteine was determined using HPLC. Folate and vitamin B(12) were measured by radioimmunoassay. MTHFR genotypes were identified by PCR and restriction fragment length polymorphism analysis with Hinf I digestion. RESULTS: After adjusting for age and sex, the mean homocysteine level was 10.56 micromol/L for hypertensive patients and 10.34 micromol/L for controls (F = 0.234, P = 0.63). No association between either SBP or DBP and Hcy concentration was found in subjects without anti-hypertensive medications. The prevalence of homozygousity for thermolabile MTHFR variant for this population was 13.1%, and the mutant allele frequency was 38.7%. There was no significant difference on genotype distributions and the mutant allele frequency for the two studied groups. However, the concentrations of folate and B(12) for the hypertensive subjects were generally higher than the controls. CONCLUSIONS: The present study did not discover that the elevation of Hcy levels or MTHFR mutation were independent risk factors for essential hypertension. The higher folate and B(12) in the hypertensive subjects might contribute to a lower risk.

Adult↗
PubMed2000

[An genetic epidemiology study of MTHFR gene and blood level (sibpair linkage analysis)].

OBJECTIVE: To explore the relationship between MTHFR gene and blood pressure. METHODS: A total of 142 sibpairs were collected from rural communities of CCPACH. MTHFR gene genotypes were determined by an assay based on the polymerase chain reaction. Phenotype of this study was the level of blood pressure. Covariates were measured by questionnaire, physical examination and clinical indices. Sibpair linkage analysis was used to analyse data by SAGE software. RESULTS: In this study, prevalence of TT genotype of MTHFR gene was 9.3%, while CT was 41%. There was no evidence for linkage of the MTHFR gene with either systolic or diastolic blood pressure identified. CONCLUSION: In our study population, MTHFR gene did not seem to be not related to blood pressure.

Adult↗
PubMed2000

[Effects of B-ultrasonic radiation during pregnancy on reproductive outcome].

OBJECTIVE: To study the effects of B-ultrasonic scanning during pregnancy on reproductive outcome, including pregnant outcome and neonatal status. METHODS: Data of reproductive outcome and B-ultrasonic examination were extracted from the questionnaires and obstetric records of 12,224 primigravidas in eight hospitals of Beijing during May 1992 to April 1993. Their reproductive outcomes were analyzed according to frequency and gestational weeks they had B-ultrasonic examination taken, adjusted for potential confounding factors, such as age at pregnancy, smoking and drinking during pregnant period and history of spontaneous abortion, by logistic regression. RESULTS: There was no statistically significant difference in reproductive outcomes between groups, who had B-ultrasonic examination taken for two, three and four times or more and who had only once, respectively, who had more than four times and who had less than three times, and who had their first examination before and after the eighth week of gestation, or before and after the 12th week of gestation. CONCLUSION: No adverse reproductive outcome due to exposure to diagnostic dose of B-ultrasound radiation during pregnancy has been found.

Abortion, Spontaneous↗
PubMed2000

[Malignant transformation of mouse embryonic fibroblast induced by mitochondrial DNA fragments].

OBJECTIVE: To investigate the malignant transforming effect and mechanism of mitochondrial DNA (mtDNA) fragments. METHODS: Tumorigenicity of mtDNA-transformed mouse embryonic fibroblast (NIH3T3) in nude mice was studied using transgenic techniques. Transformed tumors were detected by pathological examination and hybridization signals of mtDNA probe were analyzed by fluorescence in situ hybridization (FISH) techniques. RESULTS: Hybridization signals were observed on the nuclei of 18% - 20% NIH 3T3 cells 1 week after mtDNA fragments transforming. Tumor from mtDNA-transformed NIH 3T3 cells was developed in all 8 nude mice (8/8) respectively 2 weeks after the transformation. The pathological characteristics of the tumors developed were similar to that of fibrosarcoma. CONCLUSIONS: Auto-integration of mtDNA fragments into nuclear genome is a new factor involved in carcinogenesis.

Animals↗
PubMed2000

[The dynamic changes of postburn complement activation and its effects on the secretory function of macrophages in severely burned mice].

OBJECTIVE: To study the dynamic changes of postburn complement activation and its effects on the secretory function of macrophages in severely burned mice, so as to help explore the mechanism of postburn immunological disturbance. METHODS: The mice inflicted with 18% TBSA III degree scalding were employed as the model and randomly divided into normal control, decomplementizing control, scalding and decomplementizing scalding groups. The chemotactic activity of plasma, the production of nitride oxide (NO) and tumor necrosis factor alpha (TNFalpha) by peritoneal macrophages (MPhi) cultured by plasma from every groups were examined. RESULTS: The chemotactic activity of plasma complements increased quickly within 30 min. postburn, reached the summit level at 6 postburn hour (PBH) and declined since 12 PBH. Plasma from injured mice could induce peritoneal MPhis to produce more NO and TNFalpha. CONCLUSION: Complements were immediately activated postburn. The MPhis were activated by active complements. As a result, immunological active products increased significantly.

Animals↗
PubMed2000

[Preliminary study on the effects of coagulation factor XII on fibrinolysis].

OBJECTIVE: To study the effects of FXII on fibrinolysis in patients with cerebral thrombosis. METHODS: Plasma level of FXII:C, FXII:Ag, FXIIa and beta FXIIa and fibrinolysis activities were examined by ELISA. Screening of FXII gene mutation by MOEA. RESULTS: FXII:C in 22 of 107 patients with cerebral thrombosis decreased, which was similar to the feature of FXII cross-reacting material positive (FXII CRM(+)). There were significant increase in plasma levels of PLG:A and alpha(2)AP:A and decrease in D-dimer, moreover, plasma levels of FXIIa and betaFXIIa were lower in patients than in controls. FXII gene mutation was not found in 22 of 107 patients. CONCLUSION: Decrease of FXII:C may play an important role in cerebral thrombosis by reducing activation of plasminogen. The gene mutation of FXII CRM(+)-like abnormal FXII was different from the known FXII gene mutation. Mutations in the regions of FXII Arg (334) and Arg (353) may be more important for the reducing of FXIIa, beta FXIIa levels and fibrinolysis activities. FXII assay should be included in thrombotic disorder screening.

Adult↗