[Operative correction of pectus accompany with atrial septal defect].
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Biomedical subjects
Publications and source records attributed to W X Zhang.
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A field demonstration was performed in which nanoscale bimetallic (Fe/Pd) particles were gravity-fed into groundwater contaminated bytrichloroethene and other chlorinated aliphatic hydrocarbons at a manufacturing site. With diameters on the order of 100-200 nm, the nanoparticles are uniquely suited to rapidly degrade redox-amenable contaminants and for optimal subsurface delivery and dispersion. Approximately 1.7 kg of the nanoparticles was fed into the test area over a 2-day period, resulting in minimal clogging of the injection well. The test area was located within a well-characterized region of the contaminant plume and included an injection well and three piezometer couplets spaced 1.5 m apart. Despite the low nanoparticle dosage, trichloroethene reduction efficiencies of up to 96% were observed over a 4-week monitoring period with the highest values observed at the injection well and adjacent piezometers. Data from the field assessment were consistent with the results of pre-injection laboratory studies, which showed rapid dechlorination of target chlorinated compounds accompanied by a sharp decrease of standard oxidation potential and an increase in pH.
The ternary semiconductor CdIn(2)S(4) nanorods were synthesized by a method based on CdS nanorods via the hydrothermal route, in which CdS nanorods were converted by reaction with InCl(3) and thiourea in aqueous solution. Transmission electron microscopy (TEM) images revealed that the typical sizes of the CdIn(2)S(4) nanorods were 10-30 nm in diameter and 200-1000 nm in length. X-ray photoelectron spectra (XPS) analysis of the surface stoichiometry (CdIn(2.03)S(4.15)) and room-temperature Raman spectrum (RS) were recorded. The influences of reaction temperature, time, and sulfur sources on the formation for CdIn(2)S(4) nanorods were investigated. A possible formation mechanism of the CdIn(2)S(4) nanorods was also proposed.
OBJECTIVE: To analyze the relation of the design parameters and appraise the heat removing characteristic of liquid cooling garment (LCG) using thermal manikin. METHOD: To appraise the design of LCG, the thermal manikin wearing LCG and heat insulation garment was put in the temperature cabin, then the inlet and outlet temperature of cooling liquid in the LCG were measured and the heat removed was calculated. RESULT: The relationship between the design parameters and heat removed, and also that between the design parameters and temperature ratio efficiency were found. And the heat removed was calculated. It provided a reasonable basis for appraisal of LCG. CONCLUSION: The design of the LCG for the EVA space suit was found to be reasonable. The flow rate regulation range was too narrow, and the change of heat removing capacity depended on the change of inlet temperature.
OBJECTIVE: The purpose of this study was to attempt to simulate the push-pull maneuver on a single-axis human centrifuge using lower body positive pressure (LBPP), and to observe the effect of the push-pull maneuver on +Gz tolerance. METHODS: Six volunteers participated in the experiment. They were subjected to LBPP of up to 300 mm Hg for 1 min. Blood pressure (BP) and heart rate (HR) were monitored before, during and after LBPP. Immediately after LBPP, +Gz tolerance was measured on a human centrifuge. RESULTS: During LBPP, systolic BP (SBP) and diastolic BP (DBP) increased significantly, mean arterial pressure (MAP) increased but not significantly, and HR decreased significantly. After LBPP, SBP and MAP decreased significantly, while DBP and HR decreased but not significantly. In all subjects, +Gz tolerance decreased after LBPP. The decreased value was 0.70 +/- 0.06 G, maximum 1.0 G and minimum 0.5 G. CONCLUSION: The push-pull maneuver can be simulated on a single-axis human centrifuge using LBPP. The physiologic effects of LBPP were similar to those of -Gz. We observed that +Gz tolerance decreased after LBPP, which confirmed the push-pull effect from the experiment.
The T-box is a strongly conserved protein domain, 174 to 186 amino acids in length, that binds DNA. Many genes from many species have been shown to encode T-box domain-containing proteins. Here we report the cloning and characterization of a novel T-box gene, TBX21. The human cDNA contains an open reading frame encoding a 535-amino-acid protein with a predicted molecular mass of 58.3 kDa. Except for the T-box sequence, database searches revealed no significant homology to any known sequences at the nucleotide or protein level. In addition to the human cDNA sequence, we report the cDNA sequence of the murine homologue, the structure and organization of the murine Tbx21 gene, and its localization to mouse chromosome 11. TBX21 expression was detected in peripheral blood lymphocytes, spleen, lung, and natural killer cells.
OBJECTIVE: Out aim is to study the effects of inhaling nitric oxide(NO) on the pulmonary ischemia/reperfusion injury during cardiopulmonary bypass surgery. METHODS: Cardiac valve replacement was performed on twenty patients with chronic rheumatic heart valve disease under cardiopulmonary bypass, and they were randomly divided into two groups: control group(n = 10) and NO group(n = 10). We monitored the following: mean pulmonary arterial pressure(MPaP), pulmonary vascular resistance(PVR), peak airway pressure (PAP), cyclic guanosine monophosphate(cGMP), inter-cellular adhesion molecule-1(ICAM-1), xanthinoxidase (XOD), malondialdehyde(MDA), PaO2 and the duration of post-operative mechanical ventilation. RESULTS: The PAP, MPaP and PVR in the control group were much higher than those in NO group after reperfusion(P < 0.05). The durations of postoperative mechanical ventilation in NO group were shorter than those in the control group(P < 0.01). The cGMP and PaO2 after reperfusion in NO group were higher(P < 0.01), and the ICAM-1, XOD, MDA were lower(P < 0.05) than those in the control group. CONCLUSIONS: 1. If aortic clamp time is over 1 h, lung ischemia/reperfusion injury may occur during cardio-pulmonary bypass surgery. 2. Inhaling 20 ppm NO in the early phase of reperfusion has protective effects on the lung ischemia/reperfusion injury during cardio-pulmonary bypass surgery. 3. The mechanisms of the protective effects may be related with the increase of cGMP and the decrease of ICAM-1, XOD, MDA.
Vascular endothelial growth factor (VEGF) is a potent promoter of angiogenesis that has been shown to enhance revascularization of ischemic tissues, including skin flaps. This study was designed to investigate the value of a single topical application of recombinant human VEGF to accelerate flap viability in a rat model of a non-ischemic prefabricated flap. Prefabricated flaps were created in 48 Sprague-Dawley rats. An autologous tail artery loop was anastomosed to the femoral artery and vein, and implanted subcutaneously in the lower abdomen. Flaps were divided into two groups of 24 each. At the time of loop implantation the control group received 0.9 percent NaCl or a 16 percent vol/wet polyvinyl alcohol (PVA) solution: the treatment group received VEGF in 0.9 percent NaCl or VEGF in PVA. The PVA gel was used to facilitate topical application In each group, 3- x 4-cm flaps nurtured by the tail artery pedicle were elevated and resutured into place after 3, 4, and 5 weeks. The percentage of surviving skin of each flap was determined by planimetry 7 days after flap elevation. Mean skin survival areas at 3, 4, and 5 weeks were control group 0 percent. 8 percent and 17.5 percent; and VEGIF-treated group, 6 percent, 40 percent, and 66.7 percent respectively VEGF significantly improved flap survival by 5 weeks (p = 0.02). These results suggest that VEGF can accelerate maturation of prefabricated flaps. This approach could expand the application of flap prefabrication as a resource for reconstructive surgery.
Techniques of arterial injury commonly used in animals to mimic endovascular procedures are not suitable for small mouse arteries. This has limited examination of the response to arterial injury in genetically modified mice. We therefore sought to develop a model of transluminal injury to the mouse femoral artery that would be reproducible and result in substantial levels of intimal hyperplasia. Mice of the C57BL/6 strain underwent bilateral femoral artery denudation by passage of an angioplasty guidewire. Intimal hyperplasia was observed in 10% of injured arteries at 1 week, in 88% at 2 weeks, and in 90% at 4 weeks. The mean intimal-to-medial area ratio reached 1.1+/-0.1 at 4 weeks. No intimal proliferation was found in control sham-operated arteries. One hour after injury, the denuded surface was covered with platelets and leukocytes, predominantly neutrophils. This was associated with the accumulation of P-selectin, intercellular adhesion molecule-1, and vascular cell adhesion molecule-1. Expression of these adhesion molecules was not seen in the underlying medial smooth muscle cells. At 24 hours, few neutrophils remained on the denuded surface. At 1 week, macrophages and platelets were present in the vessel wall, partially covered by regenerated endothelium. Transluminal wire injury to the mouse femoral artery induces abundant intimal hyperplasia formation by 2 and 4 weeks and elicits the rapid accumulation of leukocytes and adhesion molecules on the denuded luminal surface. This model will be a valuable tool to study arterial injury in genetically modified mouse models.
BACKGROUND: The push-pull effect (PPE) has been suspected of causing many aircraft accidents. The perfusion and then withdrawal of cerebral blood during the PPE may change the state of the cerebral blood vessel. HYPOTHESIS: During head-down tilt (HDT) cerebral vasoconstriction occurs in response to the elevated perfusion pressure to maintain cerebral blood flow, and during subsequent head-up tilt (HUT) the increased resistance of the cerebral blood vessel recovers slowly. METHODS: Ten healthy male non-pilots were exposed to the following protocol using a rotating-table to simulate the push-pull maneuver: HUT (+1 Gz) for 1 min followed by transition to HDT (-1 Gz) 10 s followed by transition to HUT (+1 Gz) 1 min. Cerebral blood flow velocity and pulsatility indices in the left middle cerebral artery were continually measured with a transcranial Doppler (TCD) instrument. RESULTS: Mean blood flow velocity (Vm) increased significantly by 10%, during the first 5 s of HDT, recovered to baseline during HDT 5 10 s, and remained unchanged during subsequent HUT. Systolic blood flow velocity (Vs) increased by 9% during HDT 5-10 s and 11% during HUT 0-5 s. Diastolic blood flow velocity (Vd) decreased by -9% during HDT 5-10 s, and -22% during HUT 0-5 s. Vs-Vd increased by 26% during HDT 5 10 s, and 41%, during HUT 0-5 s. Pulsatile indices (PI) and resistance index (RI) increased by 26%) and 15% during HDT 5-10 s, and by 40% and 27% during HUT 0-5 s, respectively. Vs, Vs-Vd, PI, and RI remained at the higher level, and Vd remained at the lower level to HDT 15-20 s. CONCLUSIONS: The results indicate that cerebral vasoconstriction occurred to prevent brain over-perfusion during HDT. During HUT, the elevated resistance of the cerebral vessel remained at the higher level for about 20 s, and may have worsened the cerebral perfusion from exposure to +Gz. This may be one of the mechanisms of PPE.
Objective. To sum up the experiences and to find the regularity of centrifuge examinations. Method. The data of nine years of centrifuge examination (from 1988 to 1996) of pilots who suffered from black out or LOC frequently were analyzed. Result. There were totally 492 times centrifuge examinations. First centrifuge examination included 229 pilots, 49 qualified, 180 unqualified. Second centrifuge examination included 263 pilots, 50 qualified, 213 unqualified. The pilots were all male. The average age of first centrifuge examination was 29.27 +/- 4.87 years. Average flying time was 1015.24 +/- 131.89 h. 68.7% of their plane was JJ-6 or above. Conclusion. Most pilots undergoing centrifuge examination these nine years were 26-35 year old, and had flown for 601-1200 h. The planes they flew are mostly high-performance fighter aircraft. Close attention must be paid to pilots under similar condition by the flight surgeon. It is recommended that the special equipment of G-tolerance training should be added to the fighter aircraft units.
Objective. To establish the heat transfer model for liquid cooling garment (LCG) and, basing on this model, to find the relations between the design parameters and heat removing, as well as that between the design parameters and heat transfer efficiency. Method. Heat transfer process of the LCG was analyzed according to engineering facts. Result. The relations between the design parameters and heat removing, and also that between the design parameters and heat transfer efficiency were interelative and the optimal values of the parameters were essential to the design of LCG. Conclusion. The results might be useful in the design of LCG in extra vehicular activity (EVA) space suit.
OBJECTIVE: To investigate the change and regulation of cerebral circulation during rotating-table simulated push-pull maneuver. METHOD: A special rotating-table was used to simulate the push-pull maneuver. 10 healthy adults were subjected to a series of "head-up stand (+1Gz) 1 min head-down stand (-1Gz) 10 s and head-up stand (+1Gz) 1 min" changes. Cerebral blood flow velocity and pulsatility indices in the left middle cerebral artery were constantly measured with a TC2020TCD using Transcranial Doppler [correction of Transcanial Dopplor] instrument. RESULT: During 10 s head-down stand (-1Gz) systolic velocity (Vs) increased, diastolic velocity (Vd) decreased, and the pulsatility indices (PI and RI) increased significantly in the left middle cerebral artery. During subsequent head-up stand (+1Gz), these changes didn't resume immediately and maintained for at least 20 s. CONCLUSION: This result implied that the push-pull maneuver increased the resistance of the cerebral vessels, which might be one of the mechanisms of the push-pull effect.
Activation of phospholipase D occurs in response to a wide variety of hormones, growth factors, and other extracellular signals. The initial product of phospholipase D, phosphatidic acid (PA), is thought to serve a signaling function, but the intracellular targets for this lipid second messenger are not clearly identified. The production of PA in human neutrophils is closely correlated with the activation of NADPH oxidase, the enzyme responsible for the respiratory burst. We have developed a cell-free system, in which the activation of NADPH oxidase is induced by the addition of PA. Characterization of this system revealed that a multi-functional cytosolic protein kinase was a target for PA, and that two NADPH oxidase components were substrates for the enzyme. Partial purification of the PA-activated protein kinase separated the enzyme from known protein kinase targets of PA. The partially purified enzyme was selectively activated by PA, compared to other phospholipids, and phosphorylated the oxidase component p47-phox on both serine and tyrosine residues. PA-activated protein kinase activity was present in a variety of hematopoietic cells and cell lines and in rat brain, suggesting it has widespread distribution. We conclude that this protein kinase may be a novel target for the second messenger function of PA.
The authors investigated the optimal period of maturation following the creation of arteriovenous (AV) loops using polyterafluoroethylene (PTFE) in a white rat model, which were subsequently used to support free-tissue transfer The AV loops in Group 1 (n = 17) were allowed to mature for 3 days prior to creation of the flap, while those from Group 2 (n = 14) were allowed to mature for 5 days. Results were compared to those from a previous study in which the authors reported an 80 percent initial patency rate (n = 30) and a 67 percent viability rate, based on 12 patent loops after 7 days. In the present study, patency rates were 59 percent for the 3-day group and 79 percent for the 5-day group; viability rates were 50 and 64 percent, respectively. Considering both patent and nonpatent loops, the overall viability rates were 29 and 50 percent respectively. Maturation periods longer than 3 days for AV loops constructed from PTFE micrografts were determined to be preferable for subsequent free-tissue transfer.
OBJECTIVE: In this study, a nonimmunogenic, acellular, dermal collagen matrix termed XenoDerm (LifeCell Corp., The Woodlands, TX) was examined for use as a dural replacement material in a porcine model. This model was used to investigate whether AlloDerm (LifeCell), an almost identical material made from human dermis, could be safely used in neurological surgery. METHODS: Bilateral temporoparietal dural defects were surgically created in 12 Yucatan minipigs. One side was repaired with autologous pericranium, and the other was repaired with XenoDerm. The pigs were killed after 1, 3, or 6 months, and the areas of dural repair were collected and examined macroscopically and histologically. XenoDerm is derived from porcine skin collected in thin sheets. It is processed so that the epidermis and all dermal cells are removed without disruption of the collagen matrix, rendering the material immunogenically inert and resistant to calcification. It is packaged as a freeze-dried sheet and is easily rehydrated at the time of surgery. RESULTS: There were no postoperative complications, and all pigs survived. Both grafts performed well as dural replacements in all cases. There was no macroscopic evidence of inflammation or cerebrospinal fluid leakage. The XenoDerm grafts were intact, retained their original dimensions, and resembled the surrounding dura. The autologous pericranial grafts, in contrast, were thicker than when implanted and had bony excrescences firmly adhering to their surfaces. Again, however, there was no evidence of cerebrospinal fluid fistulae. There was no gross adherence to the underlying meninges or brain tissue in any specimen. Repopulation by fibroblasts and neovascularization were evident in the XenoDerm grafts as early as 1 month after surgery; by 3 months, the XenoDerm had been remodeled to assume the connective tissue appearance of the surrounding dura. CONCLUSION: In this porcine model, an allograft of acellular dermis is a nearly ideal dural replacement. AlloDerm, the human equivalent of XenoDerm, would be an allograft of acellular dermis after implantation in human subjects. On the basis of this study and previous work with AlloDerm in other reconstructive applications, it is proposed that this material could be similarly used for duraplasty in human subjects.
This article uses RFLP to analyze the mitochondrial DNA(mtDNA) variation in geographic populations of Drosophila immigrans from 6 regions of mainland of China. With the use of fourteen restriction endonucleases, we only discoveried a total of 11 mtDNA haplotypes among 46 isofemale lines. The mean value of I is 0.833, the mean value of J is 0.797, and the estimated Gst value is only 16.8%. We recognized that the genetic structures among the geographic populations of D. immigrans are highly uniform, and the genetic differentiation rate is low. The UPGMA analysis of nucleotide diversity of the 6 populations shows specific characteristics of mtDNA variation in population of Huayang, Qinling Mountains Regions. From the haplotypes special included in each population, the event that the population spread into the high altitute localities of Yunnan perhaps happened more recently. Referring other references, we inferred the population of D. immigrans distributed in mainland of China is more original than that in Chinese Taiwan and Japan.
Objective. To investigate the integrated protection capability afforded by a new type capstan anti-G equipment and anti-G straining maneuver, as a result we discussed the feasibility of protection for 8 G 10 s (rapid onset runs at 2 G/s) acceleration using an associated precept with the above both anti-G measures. Method. This study was accomplished using the human centrifuge with rapid onset at 2 G/s. First, we determined the relaxed +Gz tolerance of nine male aviation students, and then determined theirs most + Gz tolerance while thereinto the five aviation students using a new type capstan anti-G suit (NKH) + a new type anti-G valve (NKT) + L-1 anti-G straining maneuver (L-1) and the other four aviation students using a new type capstan counterpressure suit (NDC) + the new type anti-G valve (NKT) + L-1. Result. The most +Gz tolerance of five students was 8.80 +/- 0.27 G while using NKH + NKT + L-1 and was higher than their relaxed +Gz tolerance at 4.60 +/- 0.42 G (P< 0.01) and that the most +Gz tolerance of four students was 8.75 +/- 0.50 G while using NDC + NKT + L-1 and was higher than their relaxed +Gz tolerance at 4.50 +/- 0.46 G (P< 0.01). Conclusion. Pilot will be capable against the 8 G 10 s (rapid onset runs at 2 G/s) effectively using the new type capstan anti +/- G equipment and anti +/- G straining maneuver, and the provided precept has availability.