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Fang Z.-L.,Sun Yat Sen University | Zhang L.-Y.,Guangdong Academy of Medical science Guangdong General Hospital | Huang Y.-M.,Sun Yat Sen University | Qing Y.,Sun Yat Sen University | And 3 more authors.
Infection, Genetics and Evolution | Year: 2014

To investigate the mechanisms involved in imipenem resistance of Pseudomonas aeruginosa in southern China, 61 imipenem-resistant P. aeruginosa clinical isolates were collected from 4 hospitals between October 2011 and June 2012. All isolates were resistant to imipenem, whereas 21.3% were susceptible or intermediate to meropenem. Variable degrees of resistance to other β-lactam and non-β-lactam antimicrobials were observed. PFGE revealed high-level of clonal diversity. Among the 61 isolates, 50 isolates had OprD loss by disrupted oprD mutations, including 43 with frameshift mutations of oprD and 7 with a premature stop codon by single point mutation. Six isolates were oprD-negative by PCR, suggestive of a major disruption of oprD genes. Five isolates had intact oprD but had reduced expression of oprD genes. In addition, only one isolate with disrupted oprD mutation by a premature stop codon was confirmed to be a metallo-β-lactamase producer (IMP-9). Our results show that the loss of OprD, as well as reduced expression of oprD and MBL production, were the predominant mechanisms of imipenem resistance in P. aeruginosa in southern China. © 2013 Elsevier B.V. Source


Feng H.,Guangdong Academy of Medical science Guangdong General Hospital | Huang M.,Guangdong Academy of Medical science Guangdong General Hospital | Ma F.,Guangdong Academy of Medical science Guangdong General Hospital | Sun P.,Guangdong Academy of Medical science Guangdong General Hospital
Nan fang yi ke da xue xue bao = Journal of Southern Medical University | Year: 2015

OBJECTIVE: To investigate the effect of the biofeedback in regulating the myoelectric activities of the masseter muscles.METHODS: Twenty orthodontic patients aged from 10 to 14 years with Angle Class II malocclusion, retrusive mandible, and an ANB angle > 6° were enrolled in this study. The muscular activities of the anterior temporal muscle and the masseter muscle were evaluated before, during, and after biofeedback treatment by assessing the average integrated electromyogram and temporal/masseter (T/M) ratio in the clenching status.RESULTS: The patients' myoelectric activities of the anterior temporal muscle was significantly increased after biofeedback treatment (P<0.05). The patients' T/M ratio in the clenching status was increased after the treatment (1.76 ± 1.46 before treatment, 4.71 ± 4.03 immediately after treatment, and 2.57 ± 2.07 at 1 day after treatment; t=4.86, P<0.05).CONCLUSION: Biofeedback treatment can regulate the activities of the anterior temporal and masseter muscles and increase the T/M ratio in the clenching status. Source


Zhang S.-X.,Guangdong Academy of Medical science Guangdong General Hospital | Chen W.-B.,Guangdong Academy of Medical science Guangdong General Hospital | Liang C.-H.,Guangdong Academy of Medical science Guangdong General Hospital | Huang B.,Guangdong Academy of Medical science Guangdong General Hospital
Turkish Neurosurgery | Year: 2014

Aim: The aim of this study was to evaluate the use of Resovist in perfusion-weighted imaging (PWI) of rat hyperacute cerebral infarction. Material and Methods: 30 Wistar rats were randomly divided into 2 groups. Group A was intravenously injected with 8 μmol Fe/kg body weight of Resovist, whilst Group B was injected with 0.2 mmol/kg body weight of Gd-DTPA. These dosages were chosen to provide comparable maximum signal changes in normally perfused brain. CBV, CBF and MTT parameter profiles were obtained for the core diseased region and the penumbra of brain ischemia and compared between the two groups. These results were then correlated with pathological findings and TTC staining.Results: In our rat stroke model, signal-time curves were similar between Gd-DTPA and Resovist, both in the core area with severe ischemia and in the penumbra area with moderate ischemia. The CBV, MTT, and TTP values of PWI for ischemic penumbra in Groups A and B showed no statistical disparity.Conclusion: The efficacy of Resovist in MR PWI is similar to Gd-DTPA in the diagnosis of perfusion reduction in the rat stroke model. Source


Cao C.,Southern Medical University | Cao C.,Guangdong Academy of Medical science Guangdong General Hospital | Wang Z.,First Peoples Hospital of Chenzhou | Huang J.,First Peoples Hospital of Chenzhou | And 6 more authors.
Cardiology (Switzerland) | Year: 2016

Objective: The aim of this work was to evaluate the feasibility and safety of transcatheter closure procedures for the treatment of atrial septal defects (ASDs) with insufficient rims. Methods: A total of 507 secondary ASDs were divided into two groups based on whether they had deficient rims or not (152 vs. 355 cases, respectively). Any complications, including residual shunt, heart arrhythmia, occluder translocation, etc., were followed up for 1-3 years. Results: There were no differences in gender, weight, exposure time, ECG states, pulmonary pressure, the intervention success rate, occurrence of residual shunt, the operation time and occurrence of residual shunt during follow-up between the two groups (p > 0.05). However, the occurrence of rhythm disorders was significantly different between the two groups; ASDs with deficient rims were at an elevated risk (p < 0.05). Specifically, there was a significantly higher incidence in the occurrence of arrhythmia in the deficient rims group at 24 h postoperation, but no differences in arrhythmia incidence at any of the other follow-up time points (1, 3, 6, 12 and 36 months; p > 0.05). Conclusions: Patients with deficient rims experience a high success rate of ASD intervention and low rate of complications when the procedures are performed by experienced operators. © 2016 S. Karger AG, Basel. Source


Zhang B.,Guangdong Academy of Medical science Guangdong General Hospital | Zhang B.,Southern Medical University | Liang L.,Guangdong Academy of Medical science Guangdong General Hospital | Liang L.,Southern Medical University | And 3 more authors.
PLoS ONE | Year: 2015

Background: Nephrogenic systemic fibrosis (NSF) is a rare but serious disorder disease affecting patients with advanced renal disease. Although multiple studies have indicated an association between gadolinium-based contrast agents (GBCAs) and NSF, some studies published after 2007 found no association. We therefore performed a meta-analysis to evaluate the association and analyze related (co)factors. Methods: Studies for analysis were identified by searching PubMed, Embase, and the Cochrane Central Register of Controlled Trials through December 2014. Pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated using the fixed-effects model. Statistical heterogeneity was assessed by Q statistics and the I2 test. Publication bias was evaluated using Begg's test, Egger's test, funnel plot, and classic fail-safe N. Study quality was assessed using the Newcastle-Ottawa Scale. We also conducted sensitivity analyses, subgroup analyses and a cumulative meta-analysis. All statistical analyses were performed using Comprehensive Meta-Analysis 2.0. Results: A total of 14 studies (6,398 patients) met the inclusion criteria, but 3 were excluded since they reported no NSF events. Meta-analysis of controlled trials indicated a significant association between GBCAs and NSF development (OR = 16.504; 95% CI: 7.455-36.533; P < 0.001) and between gadodiamide and NSF (OR = 20.037; 95% CI: 3.725-107.784; P < 0.001). No statistical heterogeneity was observed across studies (P = 0.819, I2 = 0%; P = 0.874, I2 = 0%, respectively). Cumulative analysis demonstrated that the pooled ORs for association between GBCAs and NSF decreased post-2007 compared to pre-2007 (OR = 26.708; 95% CI: 10.273-69.436; P<0.001). Conclusions: Although this updated meta-analysis found a significant association between GBCAs and the incidence of NSF in patients with advanced renal disease, the association decreased after 2007. More studies, especially randomized controlled trials, are warranted to examine the potential association between GBCAs other than gadodiamide and NSF. © 2015 Zhang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Source

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