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1.
J Hypertens ; 2024 Apr 23.
Article in English | MEDLINE | ID: mdl-38690935

ABSTRACT

OBJECTIVE: Proliferation and migration of vascular smooth muscle cells (VSMCs) contribute to vascular remodeling. Asprosin, a newly discovered protein hormone, is involved in metabolic diseases. Little is known about the roles of asprosin in cardiovascular diseases. This study focused on the role and mechanism of asprosin on VSMC proliferation and migration, and vascular remodeling in a rat model of hypertension. METHODS AND RESULTS: VSMCs were obtained from the aortic media of 8-week-old male Wistar-Kyoto rats (WKY) and spontaneously hypertensive rats (SHR). Asprosin was upregulated in the VSMCs of SHR. For in vitro studies, asprosin promoted VSMC proliferation and migration of WKY and SHR, and increased Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX) activity, NOX1/2/4 protein expressions and superoxide production. Knockdown of asprosin inhibited the proliferation, migration, NOX activity, NOX1/2 expressions and superoxide production in the VSMCs of SHR. The roles of asprosin in promoting VSMC proliferation and migration were not affected by hydrogen peroxide scavenger, but attenuated by superoxide scavenger, selective NOX1 or NOX2 inhibitor. Toll-like receptor 4 (TLR4) was upregulated in SHR, TLR4 knockdown inhibited asprosin overexpression-induced proliferation, migration and oxidative stress in VSMCs of WKY and SHR. Asprosin was upregulated in arteries of SHR, and knockdown of asprosin in vivo not only attenuated oxidative stress and vascular remodeling in aorta and mesentery artery, but also caused a subsequent persistent antihypertensive effect in SHR. CONCLUSIONS: Asprosin promotes VSMC proliferation and migration via NOX-mediated superoxide production. Inhibition of endogenous asprosin expression attenuates VSMC proliferation and migration, and vascular remodeling of SHR.

2.
IEEE Trans Pattern Anal Mach Intell ; 46(6): 4206-4217, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38261480

ABSTRACT

It is important to understand how dropout, a popular regularization method, aids in achieving a good generalization solution during neural network training. In this work, we present a theoretical derivation of an implicit regularization of dropout, which is validated by a series of experiments. Additionally, we numerically study two implications of the implicit regularization, which intuitively rationalizes why dropout helps generalization. First, we find that input weights of hidden neurons tend to condense on isolated orientations trained with dropout. Condensation is a feature in the non-linear learning process, which makes the network less complex. Second, we find that the training with dropout leads to the neural network with a flatter minimum compared with standard gradient descent training, and the implicit regularization is the key to finding flat solutions. Although our theory mainly focuses on dropout used in the last hidden layer, our experiments apply to general dropout in training neural networks. This work points out a distinct characteristic of dropout compared with stochastic gradient descent and serves as an important basis for fully understanding dropout.

3.
Eur J Pharmacol ; 936: 175343, 2022 Dec 05.
Article in English | MEDLINE | ID: mdl-36306926

ABSTRACT

Chemerin is an adipokine involved in regulating energy homeostasis and reproductive function. Excessive sympathetic activity contributes to hypertension, chronic heart failure and chronic renal disease. Hypothalamic paraventricular nucleus (PVN) is crucial in regulating sympathetic activity and blood pressure. The present study is designed to investigate the roles of chemerin in the PVN in regulating sympathetic activity and blood pressure and underlying mechanisms. Microinjections were performed in the bilateral PVN in male adult rats under anesthesia. Renal sympathetic nerve activity (RSNA) and mean arterial pressure (MAP) were continuously recorded. The PVN microinjection of chemerin-9, an active fragment of chemerin, increased RSNA and MAP, which were abolished by chemokine-like receptor 1 (CMKLR1) antagonist α-NETA, a superoxide scavenger tempol, antioxidant N-acetylcysteine (NAC), NADPH oxidase inhibitor diphenyleneiodonium chloride (DPI) and apocynin. Immunofluorescence analyses showed that N-methyl-D-aspartate (NMDA) receptors existed in most of cells of the PVN, and some of them co-existed with chemerin. The effects of chemerin-9 on RSNA and MAP were prevented by glutamate-binding site antagonist L-phenylalanine, NMDA receptor antagonist MK-801, and calcium channel blocker verapamil or nifedipine, but only attenuated by non-NMDA receptor antagonist CNQX. Moreover, chemerin-9 increased NADPH oxidase activity and superoxide production, which were prevented by α-NETA, MK-801, or verapamil. These results indicate that chemerin-9 in the PVN increases sympathetic activity and blood pressure via CMKLR1-dependent calcium influx, and glutamate receptor-mediated NADPH oxidase activation and subsequent superoxide production.


Subject(s)
Paraventricular Hypothalamic Nucleus , Superoxides , Animals , Male , Rats , Blood Pressure , Dizocilpine Maleate/pharmacology , NADPH Oxidases/metabolism , Rats, Sprague-Dawley , Reactive Oxygen Species , Receptors, Chemokine , Receptors, Glutamate , Sympathetic Nervous System , Verapamil/pharmacology
4.
Int J Mol Sci ; 23(20)2022 Oct 20.
Article in English | MEDLINE | ID: mdl-36293450

ABSTRACT

Asprosin is a newly discovered adipokine that is involved in regulating metabolism. Sympathetic overactivity contributes to the pathogenesis of several cardiovascular diseases. The paraventricular nucleus (PVN) of the hypothalamus plays a crucial role in the regulation of sympathetic outflow and blood pressure. This study was designed to determine the roles and underlying mechanisms of asprosin in the PVN in regulating sympathetic outflow and blood pressure. Experiments were carried out in male adult SD rats under anesthesia. Renal sympathetic nerve activity (RSNA), mean arterial pressure (MAP), and heart rate (HR) were recorded, and PVN microinjections were performed bilaterally. Asprosin mRNA and protein expressions were high in the PVN. The high asprosin expression in the PVN was involved in both the parvocellular and magnocellular regions according to immunohistochemical analysis. Microinjection of asprosin into the PVN produced dose-related increases in RSNA, MAP, and HR, which were abolished by superoxide scavenger tempol, antioxidant N-acetylcysteine (NAC), and NADPH oxidase inhibitor apocynin. The asprosin promoted superoxide production and increased NADPH oxidase activity in the PVN. Furthermore, it increased the cAMP level, adenylyl cyclase (AC) activity, and protein kinase A (PKA) activity in the PVN. The roles of asprosin in increasing RSNA, MAP, and HR were prevented by pretreatment with AC inhibitor SQ22536 or PKA inhibitor H89 in the PVN. Microinjection of cAMP analog db-cAMP into the PVN played similar roles with asprosin in increasing the RSNA, MAP, and HR, but failed to further augment the effects of asprosin. Pretreatment with PVN microinjection of SQ22536 or H89 abolished the roles of asprosin in increasing superoxide production and NADPH oxidase activity in the PVN. These results indicated that asprosin in the PVN increased the sympathetic outflow, blood pressure, and heart rate via cAMP-PKA signaling-mediated NADPH oxidase activation and the subsequent superoxide production.


Subject(s)
Paraventricular Hypothalamic Nucleus , Superoxides , Male , Rats , Animals , Paraventricular Hypothalamic Nucleus/metabolism , Reactive Oxygen Species/metabolism , Superoxides/metabolism , Adenylyl Cyclases/metabolism , Antioxidants/pharmacology , Acetylcysteine/pharmacology , Rats, Sprague-Dawley , Sympathetic Nervous System , Blood Pressure , NADPH Oxidases/metabolism , Cyclic AMP-Dependent Protein Kinases/metabolism , Adipokines/metabolism , RNA, Messenger/metabolism
5.
PLoS One ; 17(6): e0270191, 2022.
Article in English | MEDLINE | ID: mdl-35737694

ABSTRACT

Motivated by the impressive success of deep learning in a wide range of scientific and industrial applications, we explore in this work the application of deep learning into a specific class of optimization problems lacking explicit formulas for both objective function and constraints. Such optimization problems exist in many design problems, e.g., rotor profile design, in which objective and constraint values are available only through experiment or simulation. They are especially challenging when design parameters are high-dimensional due to the curse of dimensionality. In this work, we propose a data-informed deep optimization (DiDo) approach emphasizing on the adaptive fitting of the the feasible region as follows. First, we propose a deep neural network (DNN) based adaptive fitting approach to learn an accurate DNN classifier of the feasible region. Second, we use the DNN classifier to efficiently sample feasible points and train a DNN surrogate of the objective function. Finally, we find optimal points of the DNN surrogate optimization problem by gradient descent. To demonstrate the effectiveness of our DiDo approach, we consider a practical design case in industry, in which our approach yields good solutions using limited size of training data. We further use a 100-dimension toy example to show the effectiveness of our approach for higher dimensional problems. Our results indicate that, by properly dealing with the difficulty in fitting the feasible region, a DNN-based method like our DiDo approach is flexible and promising for solving high-dimensional design problems with implicit objective and constraints.


Subject(s)
Neural Networks, Computer , Computer Simulation
6.
Eur J Neurosci ; 52(7): 3790-3802, 2020 10.
Article in English | MEDLINE | ID: mdl-32533744

ABSTRACT

Cortical networks are complex systems of a great many interconnected neurons that operate from collective dynamical states. To understand how cortical neural networks function, it is important to identify their common dynamical operating states from the probabilistic viewpoint. Probabilistic characteristics of these operating states often underlie network functions. Here, using multi-electrode data from three separate experiments, we identify and characterize a cortical operating state (the "probability polling" or "p-polling" state), common across mouse and monkey with different behaviors. If the interaction among neurons is weak, the p-polling state provides a quantitative understanding of how the high dimensional probability distribution of firing patterns can be obtained by the low-order maximum entropy formulation, effectively utilizing a low dimensional stimulus-coding structure. These results show evidence for generality of the p-polling state and in certain situations its advantage of providing a mathematical validation for the low-order maximum entropy principle as a coding strategy.


Subject(s)
Neural Networks, Computer , Neurons , Animals , Brain , Entropy , Mice , Models, Neurological , Probability
7.
Biomed Res Int ; 2019: 8270187, 2019.
Article in English | MEDLINE | ID: mdl-31687400

ABSTRACT

PURPOSE: To detect the responsiveness and predictive ability of the Chinese version Action Research Arm Test (C-ARAT) in participants within the first 3 months after cerebral infarction. METHODS: Ninety-seven individuals (75 men, mean age 59.87 ± 10.94 years) with a first cerebral infarction were enrolled in this study. The participants were evaluated by two outcome measures: C-ARAT and the Barthel Activities of Daily Living Index (BI) at five time points: 0D, 3W, 3M, 6M and 1Y after enrolment. The standardised response mean (SRM) and the Wilcoxon signed rank test were used to analyse responsiveness. Predictive validity was determined by using Spearman's rank correlation coefficients. The predicted performance of C-ARAT on activities of daily living (ADLs) was measured by linear regression model. Floor and ceiling effects were estimated by counting the proportion of subjects falling outside the 5% lower or upper boundary, respectively. RESULTS: The C-ARAT showed moderate to large responsiveness in detecting changes over time (SRM = 0.58-0.84). The C-ARAT subscales showed small to large responsiveness (SRM = 0.44-0.90). The C-ARAT at 0D showed moderate to good correlation with the BI scores at 3W, 3M and 6M (ρ = 0.561-0.624, p < 0.001), and exhibited fair correlation with the BI score 1Y after enrolment (ρ = 0.384, p < 0.05). C-ARAT was a good predictor (adjusted R 2 = 0.185-0.249) of BI within 3M follow-up. The C-ARAT total score showed a notable floor effect at 0D and 3W and a notable ceiling effect at 3M, 6M and 1Y. CONCLUSION: The results of this study support the use of the C-ARAT as a measurement of upper extremity function in individuals with a first cerebral infarction.


Subject(s)
Arm/physiopathology , Cerebral Infarction/physiopathology , Activities of Daily Living , Adult , Aged , Aged, 80 and over , Disability Evaluation , Female , Hand Strength/physiology , Health Services Research/methods , Humans , Male , Middle Aged , Motor Activity/physiology , Recovery of Function/physiology , Reproducibility of Results , Statistics, Nonparametric , Stroke/physiopathology , Stroke Rehabilitation/methods
8.
Phys Rev E ; 99(2-1): 022409, 2019 Feb.
Article in English | MEDLINE | ID: mdl-30934291

ABSTRACT

In many realistic systems, maximum entropy principle (MEP) analysis provides an effective characterization of the probability distribution of network states. However, to implement the MEP analysis, a sufficiently long-time data recording in general is often required, e.g., hours of spiking recordings of neurons in neuronal networks. The issue of whether the MEP analysis can be successfully applied to network systems with data from short-time recordings has yet to be fully addressed. In this work, we investigate relationships underlying the probability distributions, moments, and effective interactions in the MEP analysis and then show that, with short-time recordings of network dynamics, the MEP analysis can be applied to reconstructing probability distributions of network states that is much more accurate than the one directly measured from the short-time recording. Using spike trains obtained from both Hodgkin-Huxley neuronal networks and electrophysiological experiments, we verify our results and demonstrate that MEP analysis provides a tool to investigate the neuronal population coding properties for short-time recordings.


Subject(s)
Entropy , Models, Neurological , Electrophysiological Phenomena , Neurons/cytology , Probability
9.
Biomed Res Int ; 2019: 5416560, 2019.
Article in English | MEDLINE | ID: mdl-30805366

ABSTRACT

PURPOSE: This study aimed to translate the English version of the Action Research Arm Test (ARAT) into Chinese and to evaluate the initial validation of the Chinese version (C-ARAT) in patients with a first stroke. METHODS: An expert group translated the original ARAT from English into Chinese using a forward-backward procedure. Forty-four patients (36 men and 8 women) aged 22-80 years with a first stroke were enrolled in this study. The participants were evaluated using 3 stroke-specific outcome measures: C-ARAT, the upper extremity section of the Fugl-Meyer assessment (UE-FMA), and the Wolf Motor Function Test (WMFT). Internal consistency was analysed using Cronbach's α coefficients and item-scale correlations. Concurrent validity was determined using Spearman's rank correlation coefficients. Floor and ceiling effects were considered to be present when more than 20% of patients fell outside the preliminarily set lower or upper boundary, respectively. RESULTS: The C-ARAT items yielded excellent internal consistency, with a Cronbach's α of 0.98 (p < 0.001) and item-total correlations ranging from 0.727 to 0.948 (p < 0.001). The C-ARAT exhibited good-to-excellent correlations with the UE-FMA and WMFT functional ability (WMFT-FA) scores, with respective ρ values of 0.824 and 0.852 (p < 0.001), and an excellent negative correlation with the WMFT performance time (WMFT-time), with a ρ value of -0.940 (p < 0.001). The C-ARAT subscales generally exhibited good-to-excellent correlations with stroke-specific assessments, with ρ values ranging from 0.773 to 0.927 (p < 0.001). However, the gross subscale exhibited moderate-to-good correlations with the UE-FMA and WMFT-FA scores, with respective ρ values of 0.665 and 0.720 (p < 0.001). No significant floor effect was observed, and a significant ceiling effect was observed only on the WMFT-time. CONCLUSIONS: The C-ARAT demonstrated excellent internal consistency and good-to-excellent concurrent validity. This test could be used to evaluate upper extremity function in stroke patients without cognitive impairment.


Subject(s)
Recovery of Function/physiology , Stroke/physiopathology , Upper Extremity/physiopathology , Adult , Aged , Aged, 80 and over , Disability Evaluation , Female , Hand Strength/physiology , Health Services Research/methods , Humans , Male , Middle Aged , Motor Activity/physiology , Psychometrics/methods , Reproducibility of Results , Statistics, Nonparametric , Stroke Rehabilitation/methods , Young Adult
10.
Entropy (Basel) ; 21(1)2019 Jan 16.
Article in English | MEDLINE | ID: mdl-33266793

ABSTRACT

Maximum entropy principle (MEP) analysis with few non-zero effective interactions successfully characterizes the distribution of dynamical states of pulse-coupled networks in many fields, e.g., in neuroscience. To better understand the underlying mechanism, we found a relation between the dynamical structure, i.e., effective interactions in MEP analysis, and the anatomical coupling structure of pulse-coupled networks and it helps to understand how a sparse coupling structure could lead to a sparse coding by effective interactions. This relation quantitatively displays how the dynamical structure is closely related to the anatomical coupling structure.

11.
Front Neurol ; 9: 185, 2018.
Article in English | MEDLINE | ID: mdl-29632510

ABSTRACT

OBJECTIVE: The aim of this study was to detect the key changes during sit-to-stand (STS) movement cycle in hemiparetic stroke survivors using a five-phase kinematic and kinetic analysis. METHODS: Twenty-five subacute stroke survivors and 17 age-matched healthy adults participated in this study. The kinematic and kinetic parameters during STS cycle were measured using three-dimensional motion analysis system with force plates. The five standard phases of STS cycle were identified by six timing transitional points. RESULTS: Longer total time as well as larger changes were observed at the initial phase (phase I, 0.76 ± 0.62 VS 0.43 ± 0.09 s; p = 0.049) and at the end of hip and knee extension phase (phase IV, 0.93 ± 0.41 VS 0.63 ± 0.14 s; p = 0.008) in the stroke group than healthy group. Time to maximal knee joint moment was significantly delayed in the stroke group than in the control group (1.14 ± 1.06 VS 0.60 ± 0.09 s, p < 0.001). The maximal hip flexion was lower during the rising phase from seated position on the affected side in the stroke group than in the control group (84.22° ± 11.64°VS 94.11° ± 9.40°; p = 0.022). Ground reaction force was lower (4.61 ± 0.73 VS 5.85 ± 0.53 N, p < 0.001) in the affected side of the stroke group than in the control group. In addition, knee joint flexion was significantly lower at just-standing phase (T4) and at end point (T5) (5.12° ± 5.25° VS 8.21° ± 7.28°, p = 0.039; 0.03° ± 5.41° VS 3.07° ± 6.71°, p = 0.042) on the affected side than the unaffected side. Crucial decrease of knee joint moment at abrupt transitory (T2) and the maximal moment was also observed on the affected side in comparison with the unaffected side (0.39 ± 0.29 VS 0.77 ± 0.25 Nm/kg, p < 0.001; 0.42 ± 0.38 VS 0.82 ± 0.24 Nm/kg, p < 0.001). CONCLUSION: The findings of movement decomposition analysis provided useful information to clinical evaluation of STS performance, and may potentially contribute to the design of rehabilitation intervention program for optimum functional recovery of STS after stroke.

13.
Biomed Res Int ; 2016: 7309272, 2016.
Article in English | MEDLINE | ID: mdl-28053988

ABSTRACT

Objective. To critically evaluate the studies that were conducted over the past 10 years and to assess the impact of virtual reality on static and dynamic balance control in the stroke population. Method. A systematic review of randomized controlled trials published between January 2006 and December 2015 was conducted. Databases searched were PubMed, Scopus, and Web of Science. Studies must have involved adult patients with stroke during acute, subacute, or chronic phase. All included studies must have assessed the impact of virtual reality programme on either static or dynamic balance ability and compared it with a control group. The Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the included studies. Results. Nine studies were included in this systematic review. The PEDro scores ranged from 4 to 9 points. All studies, except one, showed significant improvement in static or dynamic balance outcomes group. Conclusions. This review provided moderate evidence to support the fact that virtual reality training is an effective adjunct to standard rehabilitation programme to improve balance for patients with chronic stroke. The effect of VR training in balance recovery is less clear in patients with acute or subacute stroke. Further research is required to investigate the optimum training intensity and frequency to achieve the desired outcome.


Subject(s)
Physical Therapy Modalities , Postural Balance/physiology , Stroke Rehabilitation/methods , Stroke/therapy , Computer Simulation , Humans , Stroke/physiopathology , User-Computer Interface
15.
Zhonghua Wai Ke Za Zhi ; 49(8): 707-11, 2011 Aug 01.
Article in Chinese | MEDLINE | ID: mdl-22168934

ABSTRACT

OBJECTIVES: To summarize the experiences in clinical application of neuronavigation in transsphenoidal microsurgery of specific pituitary adenomas, and to discuss its indications. METHODS: From January 2006 to December 2010, 138 cases of transsphenoidal microsurgery for specific pituitary adenomas under neuronavigation were reviewed. The indications for neuronavigation in transsphenoidal microsurgery includes: recurrent or regrowth of residual pituitary adenomas after former transsphenoidal surgery in 36 cases, invasive pituitary adenomas in 45 cases, extremely laterally or deeply situated microadenomas in 45 cases, poor pneumatization of the sphenoid in 4 cases, skull base anomalies due to osteodysplasia fibrosa in 3 cases, narrow space between bilateral internal carotid arteries in 4 cases, distortion of nasal septum in 1 case. RESULTS: In the recurrence group, 12 were totally removed, 9 subtotally removed; postoperative complications included hematoma within the tumor cavity in 2 cases, cerebrospinal fluid (CSF) leakage in 4 cases among which 3 developed intracranial infection and 2 communicating hydrocephalus, oculomotor paralysis in 1 case and hypopituitarism in 3 cases; 9 were cured and 8 remission. In the invasive group, 5 were totally removed, 27 subtotally removed; postoperative complications included hematoma within the tumor cavity in 1 case, CSF leakage and intracranial infection in 1 case; 2 were cured and 22 remission. None of the 30 invasive hormone-secreting adenomas were cured or remission. The 45 cases of hormone-secreting microadenomas were all totally removed, among which 38 were cured. Among the poor sphenoid pneumatization group, total and subtotal tumor removal were achieved in 2 cases respectively with only one cured. In the skull base anomaly group, 2 were totally removed and 1 subtotally removed, with only one cured. For the cases with narrow space between bilateral internal carotid arteries and distortion of nasal septum, all were totally removed and cured. CONCLUSIONS: Transsphenoidal microsurgery under neuronavigation can be applied for pituitary adenomas in above specific indications. It is an accurate, safe and effective approach for specific pituitary adenomas, which can not only expand the indication of transsphenoidal microsurgery for pituitary adenomas, but also reduce the harmful exposure of X-rays for the operating staff.


Subject(s)
Adenoma/surgery , Neuronavigation , Pituitary Neoplasms/surgery , Adolescent , Adult , Aged , Child , Female , Humans , Male , Middle Aged , Retrospective Studies , Sphenoid Sinus/surgery , Young Adult
16.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 32(3): 332-5, 2010 Jun.
Article in Chinese | MEDLINE | ID: mdl-20602890

ABSTRACT

OBJECTIVE: To summarize the diagnosis and treatment of pulmonary thromboembolism (PTE) in post-operative neurosurgical patients. METHODS: We retrospectively analyzed the clinical data of 7 patients who experienced pulmonary thromboembolism after neurosurgical operations in our department from October 2009 to March 2010. RESULTS: Of these 7 patients, 6 were confirmed with computed tomographic pulmonary angiography (CTPA) and 1 was diagnosed according to the clinical manifestations and other diagnostic examinations. All the patients were treated initially with low-dose heparin or low-molecular-weight heparin and then with warfarin. Two patients were implanted with permanent inferior vena cava filters before anticoagulation. One received anticoagulant therapy and died of respiratory failure due to pulmonary embolism on the fourth post-operative day. Six patients were discharged after significant improvement. CONCLUSIONS: Many risk factors may cause PTE peri-operatively. Post-operative CTPA may be indicated. Anticoagulation and other management strategies may be applied to improve the outcome.


Subject(s)
Postoperative Complications , Pulmonary Embolism/diagnosis , Pulmonary Embolism/therapy , Adult , Aged , Female , Humans , Male , Middle Aged , Neurosurgical Procedures , Postoperative Complications/diagnosis , Postoperative Complications/therapy , Pulmonary Embolism/etiology , Retrospective Studies
17.
Zhonghua Wei Chang Wai Ke Za Zhi ; 13(4): 294-7, 2010 Apr.
Article in Chinese | MEDLINE | ID: mdl-20422489

ABSTRACT

OBJECTIVE: To study the academic level of randomized controlled trials (RCT) published in the Chinese Journal of Gastrointestinal Surgery between 2003 and 2009. METHODS: Published RCTs in the 42 issues of the Chinese Journal of Gastrointestinal Surgery was searched for relevant articles published between 2003 and 2009. Data extracted for analysis included the time at manuscript received, publication time, total number of citations, number of citations in Chinese, number of citations in English, author's affiliations, single- or multi- center study, positive conclusions from RCTs, number of patients recruited in RCTs, research funding source, the start time, the finish time and the number of authors in RCTs. RESULTS: During the past seven years, a total of 80 clinical RCTs were published in the Chinese Journal of Gastrointestinal Surgery, accounting for 12% of all the clinical studies published in the journal, and the average number of RCTs in each issue was 1.6. The average delay time before publication was 208 days. The total number of citations and the total number of patients in RCTs were 685 and 9402. The average number of citations, the average number of patients recruited in each RCT, and the average research period in RCTs were 8.6, 118 and 29.2. There were 7 multi-center studies, and the number of single-center study was 73. All the RCT studies had significant conclusions, and 17 (21.3%) RCT studies were funded. Nanjing general hospital of Nanjing military command had the largest number of RCTs (n=6). CONCLUSION: The Chinese Journal of Gastrointestinal Surgery puts emphasis on clinical studies of high evidence level such as RCT, which provide evidence for making the clinical guidelines in the specialty of gastrointestinal surgery.


Subject(s)
Digestive System Surgical Procedures , Periodicals as Topic , Randomized Controlled Trials as Topic
18.
Zhonghua Wai Ke Za Zhi ; 46(4): 293-5, 2008 Feb 15.
Article in Chinese | MEDLINE | ID: mdl-18683769

ABSTRACT

OBJECTIVE: To analyze the transsphenoidal microsurgical results of non-invasive prolactinomas, in order to provide reference for their treatment choice. METHODS: To review the transsphenoidal microsurgical results of 234 non-invasive prolactinomas treated in our department in recent 10 years, and to analyze the prognostic factors. There were 18 males and 216 females, aged between 13 and 58 years, averaged (31.1 +/- 8.5) years. The course ranged from half a month to 20 years, averaged (47.3 +/- 44.9) months. The preoperative serum PRL level ranged between 41 and 8406 ng/ml, averaged (400.5 +/- 888.0) ng/ml, with a median of 164.1 ng/ml. The primary symptoms were amenorrhea, galactorrhea and/or infertility in 211 cases. The tumor size was small (< 1 cm) in 100, large (> or = 1 cm) in 116 and giant (> or = 3 cm) in 18 cases. All the patients received transsphenoidal microsurgery and were followed-up for 12 to 132 months, averaged (43.8 +/- 35.0) months. RESULTS: There was no mortality. One hundred and twenty-seven (54.3%) cases had transient postoperative imbalance of water and electrolytes. One hundred and eighty-eight cases (80.3%) were cured, 12 (5.1%) experienced clinical remission, 20 (8.5%) were improved, and 14 (6.0%) were ineffective. The male patient, the giant prolactinomas and those with higher preoperative serum PRL level had a relative poor postoperative prognosis. While the other factors had no influence on prognosis, including the course, preoperative bromocriptine intake, tumor texture, tumor apoplexy and intraoperative descending extent of the diaphragm of sella. The overall operative expense for transsphenoidal microsurgery ranged from 8323.8 to 22898.5 yuan, averaged (12912.0 +/- 2361.2) yuan. CONCLUSIONS: Transsphenoidal microsurgery may be chosen as the primary therapy for non-invasive prolactinomas, with the purposes of therapeutical efficacy, facilitating the patients, re-establishing the patients' self-confidence and reducing the overall expense.


Subject(s)
Hypophysectomy/methods , Pituitary Neoplasms/surgery , Prolactinoma/surgery , Adolescent , Adult , Female , Follow-Up Studies , Humans , Male , Microsurgery , Middle Aged , Retrospective Studies , Sphenoid Sinus/surgery , Treatment Outcome
19.
Zhongguo Ying Yong Sheng Li Xue Za Zhi ; 22(4): 497-500, 2006 Nov.
Article in Chinese | MEDLINE | ID: mdl-21155285

ABSTRACT

AIM: To study effect of soybean isoflavones (SI) on spleen in radiated mice. METHODS: 90 male mice were randomly divided into control group, radiated group, radiated plus 0.5% dose SI group. After 2-week feeding, the mice received 4.0 Gy 137Cs gamma-radiation, the cell cycles, cell apoptosis and proliferation on the spleen and the spleen index were observed in radiated after 12 h, 24 h, 1 week and 2 weeks. RESULTS: After the mice were radiated, the spleen were significantly atrophy, the rate of the cell apoptosis and the cell cycles of G0-G1 phase in splenocytes were significantly increased (P < 0.01), the cell cycles rate of S phase and the proliferation index were significantly decreased in spleen (P < 0.05). Compared with radiated group, the spleen atrophy and the rate of the cell cycles of G0-G1 phase were significantly decreased (P < 0.05), and the cell cycles of G2-M phase and the proliferation index were significantly increased (P < 0.05) in the mice supplied 0.5% soybean isoflavones. CONCLUSION: The soybean isoflavones could significantly increase spleen radioprotective effect in mice.


Subject(s)
Apoptosis/drug effects , Cell Cycle/drug effects , Glycine max , Isoflavones/pharmacology , Animals , Apoptosis/radiation effects , Cell Cycle/radiation effects , Cellular Structures , Male , Mice , Mice, Inbred Strains , Radiation, Ionizing , Spleen/cytology
20.
Zhongguo Ying Yong Sheng Li Xue Za Zhi ; 22(3): 358-61, 2006 Aug.
Article in Chinese | MEDLINE | ID: mdl-21158090

ABSTRACT

AIM: To investigate the effects of pumpkin polysaccharides on blood glucose and lipids levels in diabetic rats. METHODS: Diabetic rats induced by alloxan through intraperitoneal injection were randomly divided into three groups, diabetes, xiaoke pill and pumpkin polysaccharides group, according to weight and blood glucose level. And the normal control group was founded at the same time. The normal control group and diabetes group were lavaged with distilled water, other two groups were respectively lavaged with xiaoke pill or pumpkin polysaccharides. Weighed once a week, and analyzed fasting blood glucose, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, and free fatty acid level in serum after 4 weeks. RESULTS: In diabetes group, weight and high density lipoprotein level decreased, and fasting blood glucose, total cholesterol, triglyceride, low density lipoprotein, and free fatty acid level in serum increased significantly. But, all of the indexes changed oppositely in xiaoke pill group and pumpkin polysaccharides group, and effects of pumpkin polysaccharides were better. CONCLUSION: Pumpkin polysaccharides can increase the weight, decrease the blood glucose and lipids levels in diabetic rats, and have some good effects to diabetes and diabetes complications.


Subject(s)
Blood Glucose/metabolism , Cucurbita/chemistry , Diabetes Mellitus, Experimental/blood , Lipids/blood , Polysaccharides/pharmacology , Animals , Hypoglycemic Agents/pharmacology , Male , Rats , Rats, Wistar
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