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Biomedical subjects

Z Jiang

Publications and source records attributed to Z Jiang.

At least 271 records · Page 15Linked to original sources

In vivo stability and disposition of a self-stabilized oligodeoxynucleotide phosphorothioate in rats.

The use of antisense oligonucleotides represents a novel, genetically based therapy. The biostability and pharmacokinetics of a 33-mer self-stabilized oligodeoxynucleotide with significant anti-HIV activity was determined in rats after intravenous administration of [35S]oligodeoxynucleotide. Plasma disappearance of the labeled oligodeoxynucleotide could be described by a two-compartment model, with half-lives of 0.54 and 41.44 h. The oligodeoxynucleotide in plasma remained mainly intact. Urinary excretion represented the major elimination pathway, with approximately 27% of the administered dose excreted within 24 h and 57% over 240 h. The majority of radioactivity in urine was attached to degradative products. Fecal excretion was a minor elimination pathway. A wide tissue distribution of the oligonucleotide was observed, with the majority of radioactivity in most tissues being intact. Compared with other linear oligonucleotide phosphorothioates, the self-stabilized oligonucleotide was more stable in vivo, which may be important in development of antisense oligonucleotides as therapeutic agents.

Animals↗

[Nationwide survey of the distribution of human parasites in China--infection with parasite species in human population].

The infection rate of main species of parasites and their character by first nationwide survey of human parasites was made. The overall infection rate of human intestinal parasite and the infection rate of most species of parasites were higher in females than that in males. The infection rate according to the age group, the highest infection rate was found in the group aged 5-14 years. With regard to the relation between parasitic infections and occupations of the infected persons, the highest infection rates of Ascaris lumbricoides were exhibited in school children, of hookworm and Clonorchis sinensis were in halfpeasants and halfmerchant and vegetable grower; of Trichuris trichiura were in fishers, of Giardia lamblia, Entamoeba histolytica and Taenia were in herdsmen and halfherdsmen and halfpeasants. In this survey it is also shown that each nationality has their main species of parasites. The family clustering of some main parasites were proved by some province/autonomous region/municipality.

Adolescent↗

[Characteristics and recent trends in endemicity of human parasitic diseases in China].

An analysis of the nationwide survey of the distribution of human parasites in the light of the literature previously published, two major trends in the endemicity of parasitic diseases in China was observed. For one trend, the infection rate of E. histolytica, Fasciolopsis buski and soil-transmitted helminthasis etc. declined markedly. The second trend was that the prevalence of food-transmitted parasitic diseases (Trichinella spiralis, Clonorchis sinensis, Paragonimiasis, cysticercosis) and hydatidosis was increasing. The relationship between the social economic factors and the two trends were discussed.

Animals↗

[The change of gut barrier function and gene expression after surgical stress and parenteral nutrition].

Surgical stress and parenteral nutrition (PN) may cause gut mucosal atrophy and alter barrier function. Gene expression of growth factors and enzymes in small intestine may change. The effects of alanyl-glutamine dipeptide (Ala-Gln) on gut barrier and the gene expression of insulin-like factor I (IGF-I) and glutaminase in parenteral infusion rats with massive small intestine resection were investigated. Twenty Wistar rats were catheterized with 60% small bowel resectin. They were divided into two groups. Control group (n = 10) received traditional parenteral nutritional solution, and study group (n = 10) received Ala-Gln enriched nutritional solution (3% Ala-Gln). The rats were maintained with their respective diets for 7 days. The rats in the study group maintained serum glutamine concentration (844.0 +/- 13.2uMol: 640.4 +/- 17.2uMol, P < 0.05), mucosal architecture (mucosal thickness 591 +/- 12uM: 486 +/- 8uM, P < 0.05) and villus height (404 +/- 7uM: 303 +/- 5uM, P < 0.05). Bacterial translocation rate decreased in the study group (70%: 20%, P < 0.05). Ileal mucosal IGF-I mRNA and jejunal mucosal glutaminase mRNA in the study group increased twofold and threefold respectively. The results suggest that Ala-Gln may enhance gut growth and improve gut mucosa integrity and barrier function in part by means of stimulating IGF-I and glutaminase expression in surgical stress.

Animals↗

[Lymphatic metastasis in central direction and bowel axial direction in colonic cancers].

485 lymph nodes were founded by palpation in 44 R3 resected specimens of colonic cancers. In the bowel axial direction, the rate of lymphatic metastasis was 6.8%, which accound for 9.6% of the positive lymph node metastasis. All these positive nodes were limited from 10 cm proximal to 5 cm distal to the tumor. In the central direction, the rate of mesenteric lymphatic metastasis was 20.4%, and the rate of lymphatic metastasis at the root of mesentery was 4.5%, which accounted for 38.1% of the positive lymph node metastasis. Compared to the bowel axial direction, mesenteric lymphatic metastasis in the central direction was more common and should be carefully disseted during radical operation.

Adenocarcinoma↗

[A comparative study of fat emulsions clearance test using long chain triglycerides and medium chain triglycerides in volunteers].

Intravenous fat emulsions clearance test using long chain triglycerides (LCT) and medium chain triglycerides (50% MCT/LCT) were studied in ten healthy chinese volunteers. In the morning (8:00 AM) the lipid was infused continuously for 5 hours at rate of 0.17g.kg-1/h. There was an interval of two weeks between LCT and MCT/LCT. The peak concentration of serum triglyceride was smaller in MCT group. The area under concentration curve had significant difference between LCT and MCT groups (6108 +/- 461 vs 4495 +/- 362, P < 0.05). The serum free fatty acid was 628 +/- 42 in LCT and 1049 +/- 1 in MCT respectively in 5 hour (P < 0.001). The concentrations of very low-density lipoprotein (VLDL) in serum were increased in volunteers receiving LCT and MCT, but those of LDL and HDL were decreased. The blood sugar and cholesterol had no significant difference after lipids infusions. The study demonstrated that medium chain triglycerides was faster to be cleared than long chain triglycerides.

Adult↗

[Status and strategy of parasitosis control in preventive health care in China].

According to the result of nationwide human parasitic disease distribution survey, the public significance of parasitosis control was set forth in terms of preventive health care and economic impact as well as parasitosis control and primary health care. A suggestion was made on the control strategy aiming at the parasitosis of priorities listed in the above survey.

China↗

[A prospective randomized study of parenteral and enteral nutrition in postoperative patients].

To evaluate the metabolic effects of balanced enteral nutrition (EN) and standard parenteral nutrition (PN, without glutamine) in post-operative patients, we performed a prospective randomized trial in 24 patients after gastrectomy or semi-colectomy. All patients had normal liver, kidney, heart and lung functions. patients of the enteral nutrition group received liquid Ensure (Abbott-Ross) while patients of the parenteral nutrition group received standard parenteral nutrition. Parenteral nutrition solutions consist of amino acids, fat emulsions, glucose, electrolytes, vitamins and trace elements. Subjects of the two groups received iso-nitrogenous and isocaloric nutritional regime for seven days (from POD+5 to POD+11). Weight loss in the parenteral nutrition group and the enteral nutrition group was 1.7 +/- 0.2 kg and 0.8 +/- 0.31 kg respectively. Cumulative nitrogen balance was -82 +/- 51 mg.kg-1/d in the parenteral nutrition group vs +70 +/- 7 mg.kg-1/d in the enteral nutrition group (P < 0.05). The results showed that balanced enteral nutrition had less weight loss and better cumulative nitrogen balance than standard parenteral nutrition in this protocol. More patients study will be needed.

Adult↗

Cytolysin gene expression in the islets of diabetic BioBreeding/Worcester rats.

Diabetes prone (DP) BB/Wor rats develop spontaneous autoimmune diabetes mellitus caused by a T cell-dependent process that destroys pancreatic beta cells. Neither the inciting immune system defect nor the mechanism by which beta cells are destroyed is known with certainty. DP rats are severely deficient in certain T cell subsets including CD8+ cytotoxic T cells (Tc) and RT6+ T cells. Diabetes-resistant (DR) BB/Wor rats can be rendered diabetic if depleted of RT6+ T cells. To investigate the mechanisms of beta cell destruction in BB rat diabetes, we determined: 1) the relative abundance of Tc and NK cells in the islets of acutely diabetic DP and RT6-depleted DR rats and 2) expression of mRNA encoding cytolysin, a cytolytic pore-forming protein produced by both Tc and NK cells. We found that in the islets of acutely diabetic DP rats NK cells were about three times more abundant than in diabetic RT6-depleted DR rats. Conversely, in the islets of diabetic DR rats, Tc were three times more abundant than NK cells. In addition, cytolysin gene expression was detected in about 60% of the islets of both DP and DR rats. These data suggest that cytolysin may be a mechanism by which Tc and NK cells damage B cells in vivo.

Animals↗

The clinical correlates of high-titer IgG anti-GM1 antibodies.

Serum IgG anti-GM1 antibodies have been reported to occur in a variety of disorders, including Guillain-Barré syndrome and chronic polyneuropathies. Of over 5,000 serums tested in our laboratory, high titers of selective IgG anti-GM1 antibodies (> 1:1,000) and without binding to sulfatide were found in 35 patients. Clinical correlation revealed that almost all patients had axonal, motor neuropathies. One subgroup was comprised of individuals with an acute motor neuropathy, described either as an acute axonal Guillain-Barré-like syndrome that was occasionally associated with a prodrome of Campylobacter jejuni enteritis or as Chinese paralysis syndrome. A second group of patients had chronic asymmetric lower motor neuron (LMN) syndromes with no conduction block or other evidence of demyelination. The presence of selective high-titer IgG anti-GM1 antibody reactivity in serum is uncommon but when present is strongly associated with acute axonal motor neuropathies or chronic asymmetric LMN syndromes.

Antibodies↗

Clinical significance of coronary flow reserve: effect of papaverine and exercise.

BACKGROUND: The clinical significance of coronary flow reserve (CFR) was evaluated after pharmacological (papaverine) and physiological (exercise) vasodilation in patients with coronary artery disease (CAD). METHODS: CFR was determined using parametric imaging in 10 patients with normal coronary arteries (group 1) and in 10 with CAD (group 2). Contrast density and mean appearance time were measured (region of interest = 249 pixels) in the perfusion beds of the left circumflex and the left anterior descending coronary arteries at rest, 45 s after 10 mg intracoronary papaverine, and during supine bicycle exercise. CFR was calculated from coronary perfusion after papaverine divided by perfusion at rest and coronary perfusion during exercise divided by perfusion at rest. Perfusion zones in patients with CAD were subdivided into regions supplied by a non-stenosed (group 2a) and a stenosed (group 2b) coronary artery. RESULTS: In control patients, heart rate increased from 75 beats/min at rest to 125 beats/min during exercise, and in patients with CAD from 63 to 107 beats/min, respectively. Mean aortic pressure showed a significant increase during exercise in both groups. Mean pulmonary artery pressure increased significantly during exercise from 19 to 28 mmHg in control patients and from 22 to 42 mmHg in the CAD group (P < 0.001). Coronary driving pressure (mean aortic minus diastolic pulmonary artery pressure) tended to increase during exercise in the control group (from 90 to 101 mmHg, NS) and remained nearly unchanged in patients with CAD (from 92 to 94 mmHg, NS). In the control group, CFR was significantly higher during exercise than after papaverine (4.0 versus 3.5, respectively; P < 0.01). However, coronary resistance (coronary driving pressure divided by coronary flow index) was similar after papaverine and during exercise. In patients with CAD, papaverine-dependent CFR was significantly reduced in the perfusion zone of the stenosed (2.1) but not of the non-stenosed coronary artery (3.0). In contrast, CFR during exercise was significantly decreased in both perfusion zones (2.5 in non-stenosed arteries and 1.5 in stenosed vessels). CONCLUSIONS: In control patients, CFR is slightly but significantly larger during exercise than after papaverine because of the exercise-induced increase in coronary driving pressure. In contrast, CFR is smaller during exercise than after papaverine in patients with CAD, most probably as a result of secondary mechanisms such as exercise-induced narrowing of stenosed vessels or an increase in extravascular resistance. Thus, CFR based on papaverine appears to be of limited value for assessing the functional significance of a stenotic lesion.

Adolescent↗

Zamorano-Dujovny multipurpose neurosurgical image-guided localizing unit: experience in 866 consecutive cases of 'open stereotaxis'.

We describe the Zamorano-Dujovny localizing unit which consists of a ring-shaped headholder held on the patient's head by three or four variably placed fixation pins, thereby avoiding interference with the flap sites or craniotomy. The base ring is mounted intraoperatively on a special adapter that allows any patient positioning including supine, lateral prone, 3/4 prone, sitting, etc. Imaging studies, such as computed tomography, magnetic resonance imaging, x-ray, digital angiography, and digital subtraction angiography can be performed with the headholder anchored in place for multimodality image localization. Surgical draping can be done over the ring to provide a completely sterile field. An arc/quadrant localizing device can be mounted on any four alternative positions according to the neurosurgeon's preference. PC-compatible software gives the setting for any possible mounting. Intraoperatively the localizing unit can be used in a 'fixed' permanent setting or as a 'nonfixed' system to provide intraoperative three-dimensional orientation. Different types of instruments compatible with the unit extend its capabilities, such as 'bayonet'-type brain retractors (cylinders and speculum) that keeps the surgical corridor unobstructed from the arc. As an alternative, in the nonfixed setting, self-retaining arms are fixed to the base ring and brain retractors and conventional microsurgical techniques can be used without any mechanical obstruction.

Angiography, Digital Subtraction↗

Interactive intraoperative localization using an infrared-based system.

Conventional stereotactic surgery has evolved from a ring-based system with a simple software which calculated few parameters to frameless intraoperative localization systems that provide the surgeon with real-time localization and correlation with several imaging modalities. The localization system described in this paper is an opto-electronic system that uses infrared emitters and three precalibrated CCD cameras. The system was chosen among others for the following reasons: it tracks target points defined by up to 256 miniature light emitting diodes, and its accuracy in locating the spatial position of a diode marker in the operating volume 1.0 x 1.0 m at a distance of 2.0 m is 0.1 mm with a resolution better than 0.01 mm. Systems like this one can track and define the position and orientation of any object in the field view of the camera. This is done by attaching a few small infrared emitters (light emitting diodes) to the surface of each 'rigid body' (surgical instrument) being tracked. Subsequently, through a calibration process a corresponding rigid body file is created. This rigid body file represents this particular object (i.e. surgical tool, microscope) and defines a local coordinate system that identifies each translation and orientation of that tool with respect to the camera coordinate system. This in turn is transferred into the computed tomographic/magnetic resonance imaging coordinate system by a process referred to as coordinate matching. Fiducial markers are placed on the patient's head prior to image scanning.(ABSTRACT TRUNCATED AT 250 WORDS)

Angiography, Digital Subtraction↗

[The effect of nutrition support and recombinant growth hormone on body composition and muscle function in postoperative patients].

To determine the effects of nutritional support and recombinant human growth hormone (GH) on body composition and muscle function, we performed a randomized double-blind trial in 18 patients after elective gastrectomy or colectomy. Same amount of calories and amino acids were administered. Daily injection of GH or placebo was given during the first postoperative week. The GH dose was 0.2 IU/kg/d. The study of body composition demonstrated that control subjects lost lean body mass and fat 2.8 +/- 1.46kg and 0.49 +/- 1.3kg, respectively. In contrast, study group subjects lost the fat 0.95 +/- 0.46kg. Hand grip strength fell with time in the control group (P < 0.05). In contrast, grip strength of GH-treated subjects was significantly different from controls (P < 0.01). The study results demonstrated that nutritional support and growth hormone can maintain lean body mass and muscle function in postoperative patients.

Adult↗

[Report on the first nationwide survey of the distribution of human parasites in China. 1. Regional distribution of parasite species].

A nationwide (Taiwan Province not included) survey of the distribution of human parasites in China during 1988-1992 was conducted under the auspices of the Ministry of Public Health, with stratified masses randomly sampling. A total of 2,848 pilot sites in 726 counties with a population of 1,477,742 were surveyed, according to unified standard, unified diagnostic method and control quality. The overall infection rate of parasites was 62. 632%. Among them, the infection rate was over 50% in 17 provinces/autonomous regions/municipalities (P/A/M), over 80% in Hainan, Guangxi, Sichuan, Fujian, Zhejiang and Guizhou, being highest in Hainan (94. 735%). Altogether 56 species were detected. Centrocestus formosanus is reported for the first time at home, Echinochasmus liliputanus and Echinostoma angustitestis are reported for the first time at home and abroad. Echinochasmus fujianensis is a new species. E. histolytica, G. lamblia, A. lumbricoides, whipworm and pinworm were distributed nationwide, while Cysticercus (27 P/A/M), Taenia (27), hookworm (26), Balantidium coli (22), Clonorchis sinensis (22), Paragonimus westermani (21), H. diminuta (21), Echinococcus (18), H. nana (17), Fasciolopsis buski (16), T. spiralis (12) were distributed non-nationwide. A preliminary suggestion on intervention of the common and/or most detrimental parasitic diseases was submitted, including hydatidosis, taeniasis, cysticercosis, clonorchiasis, paragonimiasis, trichinellosis, hookworm disease, ascariasis, trichuriasis and enterobiasis.

Animals↗