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Wu S.,Affiliated Hospital of Hainan Medical College
Medical Ultrasonography | Year: 2013

Atypical bladder leiomyoma is a rare bladder tumor that is difficult to be correctly identified by imaging techniques or cystoscopy. we present the imaging characteristics of an atypical bladder leiomyoma and review the relative literature, with the aim of enhancing awareness of the differential diagnosis of bladder leiomyoma, to avoid and reduce misdiagnosis. the imaging characteristics of the atypical leiomyoma were the cauliflower shaped, abundant vascularity, and calcification foci on the surface of the tumor. the patient was misdiagnosed with bladder cancer after an imaging study. the histopathological study established the definitive diagnosis. Source


Li Q.,Affiliated Hospital of Hainan Medical College
Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi | Year: 2012

This paper generalizes the seizures characterized with paroxysmal generalized spike and wave discharges (GSWDs) in the EEG. Recent studies showed that GSWDs disrupt specific neural networks only rather than the entire brain homogenously. Simultaneous EEG and functional MRI (EEG-fMRDI) provides a high spatiotemporal resolution method for uncovering the regions of the brain showing changes in metabolism and blood flow during epileptic activity. Human EEG-fMRI studies to date have revealed the blood oxygenation level dependent (BOLD) signal changes in response to GSWDs in some specific brain regions. Most studies have noted similar BOLD signals decrease in the bilateral cortical regions including frontal, frontal-parietal, posterior cingulated and precuneus cortex, as well as in the basal ganglia, and BOLD signals increase in the bilateral thalamic. Further studies demonstrated that BOLD signals in different regions were dynamic changes in the time course of GSWDs and BOLD changes in the cortical areas occurred before in the thalamus. These cortical-subcortical structures may form the neural networks associated with GSWDs generation and maintenance. More sophisticated analytic techniques will be developed to explore the BOLD time-course of GSWDs and identify the brain structures involved in seizure onset and discharges propagation respectively. The sub-network associated with different behavioral deficits between interical and ictal GSWDs, and the different subtypes of generalized seizures will be further studied. The functional connectivity of the nodes of the neural network of GSWDs can also be further investigated. A better understanding of the neural network responsible for GSWDs generation may help to develop new therapeutic interventions. Source


Xu F.,Chongqing Medical University | Lin S.-H.,Chongqing Medical University | Yang Y.-Z.,Affiliated Hospital of Hainan Medical College | Guo R.,Chongqing Medical University | And 2 more authors.
International Immunopharmacology | Year: 2013

Curcumin has the potential to treat inflammatory diseases. This study investigated its effect on sepsis-induced acute lung injury (ALI) in a rat model. 125 healthy rats were randomly divided into five groups, including normal group, sham-operated group, sepsis group, dimethyl sulfoxide group, and curcumin-treated group (25 rats in each subgroup). Sepsis-induced acute lung injury was affected by cecal ligation and puncture surgery. At 0, 6, 12, 24, and 48 h after treatment, the lungs were harvested for histological and protein expression examinations. 24 h after the initial treatment, real-time PCR and Western blot analysis showed that the expression of TGF-β1 and SMAD3-dependent signaling pathway was significantly decreased in the curcumin-treated group than other control groups (P < 0.05). Therefore, curcumin played a protective role in sepsis-induced ALI, possibly through the inhibition of the expression of TGF-β1/SMAD3 pathway which may provide a new strategy for the treatment of sepsis-induced ALI. © 2013 Elsevier B.V. All rights reserved. Source


Xie B.-G.,Jinan University | Jin S.,Affiliated Hospital of Hainan Medical College | Zhu W.-J.,Jinan University
Experimental and Therapeutic Medicine | Year: 2013

Toll-like receptors (TLRs) are pattern recognition receptors and play an important role in innate immune responses and the occurrence of inflammatory disease. TLR4 is a member of the TLR family and its activation is capable of inducing inflammatory responses, reflecting a relationship between the innate and adaptive immune systems. However, whether TLR4 is expressed in patients with gestational diabetes mellitus (GDM) has not been elucidated. The aim of the present study was to investigate whether TLR4 is expressed in maternal peripheral blood monocytes of patients with GDM. A case-control study, using standard quantitative polymerase chain reaction and western blotting, was performed to assess the TLR4 expression in 30 females with GDM and 32 healthy pregnant females at similar gestational ages. Serum tumor necrosis factor (TNF)-α levels were assessed using ELISA in all the females. The TLR4 expression levels in the maternal peripheral blood monocytes and the serum TNF-α levels were increased in females with GDM compared with healthy pregnant females (P<0.05). Additionally, there was a positive correlation between the TLR4 expression level in peripheral blood monocytes and serum TNF-α levels in all the females. These results indicate that TLR4-mediated release of inflammatory cytokines may represent one factor leading to increased glucose levels in patients with GDM. In addition, TLR4 may be involved in the pathogenesis of GDM. Source


Sun Y.,Oklahoma Medical Research Foundation | Sun Y.,Texas Tech University Health Sciences Center | Tan Y.,Oklahoma Medical Research Foundation | Tan Y.,Affiliated Hospital of Hainan Medical College | And 3 more authors.
Neurogastroenterology and Motility | Year: 2014

Background: Gastric electrical stimulation (GES) has been suggested as a potential treatment for patients with gastric motility disorders. The aim of this study was to examine the effects and mechanisms of GES on visceral pain in awaken rats. Methods: Under anesthesia, acetic acid was injected into the submucosal layer of the stomach wall in Sprague-Dawley (SD) male rats. Each rat was chronically placed with an intragastric balloon and two pairs of electrodes on gastric serosa for GES and at the neck muscles for electromyography (EMG) recordings respectively. The study was composed of four experiments. Exp 1 was designed to determine optimal GES parameters in reducing EMG response to gastric distention (GD). Exp 2 was performed to investigate the effect of GES on gastric tone/accommodation. Exp 3 was to investigate if the opioid pathway was involved in the analgesic effects of GES. Exp 4 was to assess the effectiveness of GES on the spinal cord neurons (T9-T10) responding to GD. Key Results: (i) Gastric electrical stimulation with a train on of 0.1 s and off of 0.4 s, 0.25 ms, 100 Hz, and 6 mA significantly reduced GD-induced EMG responses at GD 40, 60, and 80 mmHg. (ii) The inhibitory effects of GES on the GD-induced EMG responses were blocked by Naloxone. (iii) GES inhibited 90% of high-threshold (HT) spinal neurons in response to GD. However, GES with the same parameters only suppressed 36.3% low-threshold (LT) neuronal response to GD. Conclusions & Inferences: Gastric electrical stimulation with optimal parameters inhibits visceral pain; the analgesic effect of GES on visceral pain is mediated via the endogenous opioid system and the suppression of spinal afferent neuronal activities. © 2013 John Wiley & Sons Ltd. Source

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