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An unprecedented outbreak investigation for nosocomial and community-acquired legionellosis in Hong Kong

Chinese Medical Journal 2012年第23期125卷 4283-4290页

作者： CHENG Vincent Chi-chung WONG Samson Sai-yin CHEN Jonathan Hon-kwan chan Jasper Fuk-woo TO Kelvin Kai-wang POON Rosana Wing-shan WONG Sally Cheuk-ying chan kwok-hung TAI Josepha Wai-ming HO Pak-leung TSANG Thomas Ho-fai YUEN kwok-yung Department of Microbiology Queen Mary Hospital Hong Kong China Infection Control Team Queen Mary Hospital Hong Kong China Centre for Health Protection Department of Health Hong Kong China

Background The environmental sources associated with community-acquired or nosocomial legionellosis were not always detectable in the mainland of China and Hong Kong, China. The objective of this study was to illustrate the control measures implemented for nosocomial and community outbreaks of legionellosis, and to understand the environmental distribution of legionella in the water system in Hong Kong, China. Methods We investigated the environmental sources of two cases of legionellosis acquired in the hospital and the community by extensive outbreak investigation and sampling of the potable water system using culture and genetic testing at the respective premises. Results The diagnosis of nosocomial legionellosis was suspected in a patient presenting with nosocomial pneumonia not responsive to multiple beta-lactam antibiotics with subsequent confirmation by Legionella pneumophila serogroup 1 antigenuria. High counts of Legionella pneumophila were detected in the potable water supply of the 70-year-old hospital building. Another patient on continuous ambulatory peritoneal dialysis presenting with acute community-acquired pneumonia and severe diarrhoea was positive for Legionella pneumophila serogroup 1 by polymerase chain reaction （PCR） testing on both sputum and nasopharyngeal aspirate despite negative antigenuria. Paradoxically the source of the second case was traced to the water system of a newly commissioned office building complex. No further cases were detected after shock hyperchlorination with or without superheating of the water systems. Subsequent legionella counts were drastically reduced. Point-of-care infection control by off-boiled or sterile water for mouth care and installation of water filter for showers in the hospital wards for immunocompromised patients was instituted. Territory wide investigation of the community potable water supply showed that 22.1% of the household water supply was positive at a mean legionella count of 108.56 CFU/ml （rang

关键词： outbreak nosocomial legionellosis community-acquired legionellosis

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早期发现和筛选鼻咽癌的EB病毒血清学检测(英文)

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癌症 2006年第2期25卷 250-256页

作者：吴文翰陈国雄吴子柏宗永生香港大学医学院微生物系中山大学中山医学院病理学教研室广东广州510089

鼻咽癌是中国人,特别是中国南方人的一种常见癌症;世界上除其他少数族群具有中等程度的发病率以外,它是一种罕见的癌症。鼻咽癌多见于男性,男女发病率之比约为3∶1,且好发于中年人。现今已有令人信服的证据,支持EB病毒(国际癌症研究协... 详细信息

鼻咽癌是中国人,特别是中国南方人的一种常见癌症;世界上除其他少数族群具有中等程度的发病率以外,它是一种罕见的癌症。鼻咽癌多见于男性,男女发病率之比约为3∶1,且好发于中年人。现今已有令人信服的证据,支持EB病毒(国际癌症研究协会归属为第一类人体肿瘤病毒)是鼻咽癌的致病因子,肯定参与鼻咽癌的多阶段、多因素发生过程。本文简要地复阅了EB病毒在鼻咽癌发病机理中的作用,重点地介绍了EB病毒抗体和EB病毒DNA作为鼻咽癌标志的主要应用;根据由鼻咽癌导致的EB病毒抗体反应的现代知识,并考虑到目前可采用的检测技术,提出了促进有效地早期发现鼻咽癌的血清学筛选策略。

关键词：鼻咽肿瘤/病因学 EB病毒血清学检测

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Heterogeneous Structure Design to Strengthen Carbon-Containing CoCrFeNi High Entropy Alloy

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Acta Metallurgica Sinica(English Letters) 2021年第11期34卷 1503-1510页

作者： Xiaomeng Qin chan hung Shek Department of Materials Science and Engineering City University of Hong KongKowloonHong Kong SAR 999077China

A carbon-containing CoCrFeNi high entropy alloy(HEA)with heterogeneous structures was obtained through thermomechanical treatments,which induced concurrent recrystallization and carbide precipitation in the alloy.A combination of high yield strength(556 MPa)and large uniform elongation(45%)was achieved in the investigated *** enhancement of the strength is attributed to the combined effects of grain refinement,precipitation strengthening and microstructural *** work demonstrated that the heterogeneity design could be realized by thermomechanical processes,which provided a practical strategy for producing HEAs with high performance.

关键词： High entropy alloy Heterogeneous structures Mechanical properties Interstitial

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Numerical characteristics of the full operator hybrid simulation method

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Earthquake Engineering and Engineering Vibration 2011年第3期10卷 453-463页

作者： Chung-chan hung Yong-Song Chen Department of Civil Engineering Central University （NCU） Chinese Taipei Department of Mechanical Engineering Chung Cheng University （NCCU） Chinese Taipei

The full operator method （FOM） has been proposed to overcome some of the shortcomings of the commonly used operator splitting method （OSM）. In particular, the FOM is improved by increasing the accuracy of both the predictor and corrector using the estimated tangent stiffness of the tested structure. The numerical characteristics of the FOM, including stability and accuracy, are investigated in this study. It is shown that FOM is conditionally stable. The stability and accuracy characteristics are dependent on the accuracy of the estimated tangent stiffness and the parameters associated with the acceleration variation in the time-stepping integration method. Mass-spring systems with different types of nonlinearity, including hardening, stiffening, and softening behavior, are used to evaluate the performance of the FOM. It is found that the FOM can capture these types of nonlinearity with satisfactory accuracy. Using a prototype 12-story composite coupled wall system, the influences of the strong nonlinearity of the system as well as the displacement control errors from hydraulic actuators on the performance of the FOM are explored. The results show that the FOM is capable of generating reasonably accurate results despite the presence of strong structural nonlinearity and displacement control errors.

关键词： hybrid simulation tangent stiffness numerical characteristic composite coupled wall system collapse behavior nonlinear behavior

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An overview on the chemistry, pharmacology and anticancer properties of tetrandrine and fangchinoline(alkaloids) from Stephania tetrandra roots

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Journal of Integrative Medicine 2021年第4期19卷 311-316页

作者： Eric Wei Chiang chan Siu Kuin Wong hung Tuck chan Faculty of Applied Sciences UCSI UniversityKuala Lumpur 56000Malaysia School of Foundation Studies Xiamen University MalaysiaSelangor 43900Malaysia Secretariat of the International Society for Mangrove Ecosystems(ISME) Faculty of AgricultureUniversity of the RyukyusOkinawa 903-0129Japan

Tetrandrine(TET) and fangchinoline(FAN) are dominant bisbenzylisoquinoline(BBIQ) alkaloids from the roots of Stephania tetrandra of the family Menispermaceae. BBIQ alkaloids comprise two benzylisoquinoline units linked by oxygen bridges. The molecular structures of TET and FAN are exactly the same, except that TET has a methoxy(-OCH3) group, while FAN has a hydroxyl(-OH) group at C7. In this overview,the current knowledge on the chemistry, pharmacology and anticancer properties of TET and FAN have been updated. The focus is on colon and breast cancer cells, because they are most susceptible to TET and FAN, respectively. Against colon cancer cells, TET inhibits cell proliferation and tumor growth by inducing apoptosis and G1 cell cycle arrest, and suppresses adhesion, migration and invasion of *** breast cancer cells, FAN inhibits cell proliferation by inducing apoptosis, G1-phase cell cycle arrest and inhibits cell migration. The processes involve various molecular mechanisms and signaling pathways. Some insights on the ability of TET and FAN to reverse multi-drug resistance in cancer cells and suggestions for future research are provided.

关键词： Tetrandrine Fangchinoline Alkaloids Pharmacology Anticancer Multi-drug resistance

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Casticin from Vitex species: a short review on its anticancer and anti-inflammatory properties

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Journal of Integrative Medicine 2018年第3期16卷 147-152页

作者： Eric Wei Chiang chan Siu Kuin Wong hung Tuck chan Faculty of Applied Sciences UCSI University School of Science Monash University Secretariat of International Society for Mangrove Ecosystems Faculty of Agriculture University of the Ryukyus

This short review provides an update of the anticancer and anti-inflammatory properties of casticin from Vitex species. Casticin is a polymethylflavone with three rings, an orthocatechol moiety, a double bond,two hydroxyl groups and four methoxyl groups. Casticin has been isolated from various tissues of plants in the Vitex genus： fruits and leaves of V. trifolia, aerial parts and seeds of V. agnus-castus and leaves of ***. Studies have reported the antiproliferative and apoptotic activities of casticin from Vitex *** compound is effective against many cancer cell lines via different molecular mechanisms. Studies have also affirmed the anti-inflammatory properties of casticin, with several molecular mechanisms identified. Other pharmacological properties include anti-asthmatic, tracheospasmolytic, analgesic, antihyperprolactinemia, immunomodulatory, opioidergic, oestrogenic, anti-angiogenic, antiglioma, lung injury protection, rheumatoid arthritis amelioration and liver fibrosis attenuation activities. Clinical trials and commercial use of the casticin-rich fruit extract of V. agnus-castus among women with premenstrual syndrome were briefly discussed.

关键词： Vitexicarpin Polymethylflavone Apoptosis Molecular mechanisms

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Phenolic constituents and anticancer properties of Morus alba(white mulberry) leaves

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Journal of Integrative Medicine 2020年第3期18卷 189-195页

作者： Eric Wei Chiang chan Siu Kuin Wong Joseph Tangah Tomomi Inoue hung Tuck chan Faculty of Applied Sciences UCSI University56000 CherasKuala LumpurMalaysia School of Foundation Studies Xiamen University Malaysia43900 SepangSelangorMalaysia Forest Research Centre Sabah Forestry Department90009 SandakanSabahMalaysia Centre for Environmental Biology and Ecosystem Studies National Institute for Environmental Studies(NIES)OnogawaTsukuba 305-0053Japan Secretariat of International Society for Mangrove Ecosystems(ISME) Faculty of AgricultureUniversity of the RyukyusOkinawa 903-0129Japan

Flavonoids are by far the most dominant class of phenolic compounds isolated from Morus alba leaves(MAL). Other classes of compounds are benzofurans, phenolic acids, alkaloids, coumarins, chalcones and stilbenes. Major flavonoids are kuwanons, moracinflavans, moragrols and morkotins. Other major compounds include moracins(benzofurans), caffeoylquinic acids(phenolic acids) and morachalcones(chalcones). Research on the anticancer properties of MAL entailed in vitro and in vivo cytotoxicity of extracts or isolated compounds. Flavonoids, benzofurans, chalcones and alkaloids are classes of compounds from MAL that have been found to be cytotoxic towards human cancer cell lines. Further studies on the phytochemistry and anticancer of MAL are suggested. Sources of information were Pub Med,Pub Med Central, Science Direct, Google, Google Scholar, J-Stage, Pub Chem and China National Knowledge Infrastructure.

关键词： Flavonoids Benzofurans Cytotoxic Moracins Morachalcones Chalcomoracin

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An Overview of Chemical Constituents, Medicinal Properties, Clinical Trials, and Patents of Twigs of Morus alba(Ramulus Mori)

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World Journal of Traditional Chinese Medicine 2024年第2期10卷 149-158页

作者： Eric Wei Chiang chan hung Tuck chan Siu Kuin Wong Department of Food Science and Nutrition Faculty of Applied SciencesUCSI UniversityCherasKuala LumpurMalaysia Secretariat of International Society for Mangrove Ecosystems Faculty of AgricultureUniversity of the RyukyusOkinawaJapan School of Foundation Studies Xiamen University MalaysiaSepangSelangorMalaysia

The rich chemical constituents and diverse pharmacological properties of Ramulus Mori(RM) or the twig of Morus alba with evidence supported by clinical trials and patents are reviewed. Known as Sangzhi in Chinese, RM is widely used in traditional Chinese medicine to treat gout, arthritis, and rheumatism. Chemical constituents include flavonoids, benzofurans, alkaloids, stilbenes, chalcones, phenolic acids, and coumarins. Bioactivities of RM include antidiabetic, anti-obesity, anti-inflammatory, antityrosinase, neuroprotective, antioxidant, hepatoprotective, cytoprotective, renoprotective, antihyperuricemic, analgesic, antifungal, DNA protective, anticancer, gastroprotective, cardioprotective, anti-hair aging, anti-arthritic, and antiplatelet aggregation properties. The most active compounds from RM are mulberrin, oxyresveratrol, and mulberroside A. All four clinical trials on RM are focused on the treatment of diabetes. The patents entail using RM extracts as cosmetics for skin whitening and as agents for hypoglycemia. Topics for further research on RM are suggested.

关键词： Clinical trials mulberrin mulberroside A oxyresveratrol patents Sangzhi

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Alpinia zerumbet, a ginger plant with a multitude of medicinal properties： An update on its research findings

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Journal of Chinese Pharmaceutical Sciences 2017年第11期26卷 775-788页

作者： Eric Wei Chiang chan Siu Kuin Wong hung Tuck chan Faculty of Applied Sciences UCSI University Cheras 56000 Kuala Lumpur Malaysia School of Science Monash University Sunway Petaling Jaya 46150 Selangor Malaysia Secretariat International Society for Mangrove Ecosystems c/o Faculty of Agriculture University of the Ryukyus 903-0129 Okinawa Japan

In this review, the botany and uses of Alpinia zerumbet(yan shan jiang) are described, and the current knowledge of its phytochemistry, pharmacological properties, and clinical trials is summarized. An important ginger crop in East Asia, A. zerumbet has many uses, both medicinal and non-medicinal. Leaves are used to produce essential oils and herbal teas. Rhizomes are consumed as spices, and stem fibers are made into paper, fabrics, and handicrafts. In Brazil, tea from A. zerumbet leaves is believed to have hypotensive, diuretic, and anti-ulcerogenic properties. This species possesses many medicinal properties due to its chemical constituents, including flavonoids, phenolic acids, phenylpropanoids, kava pyrones, sterols, and terpenoids. Extracts of A. zerumbet display antioxidant, antimicrobial, insecticidal, anthelmintic, tyrosinase and melanogenesis inhibitory, anti-atherogenic, anti-aging, anti-glycation, integrase and neuraminidase inhibitory, lifespan prolongation, hair growth promotion, anticancer, antidepressant, anxiolytic, anti-obesity, analgesic, anti-inflammatory, hypolipidemic, anti-ulcerogenic, anti-platelet, osteoblastic, osteogenic, thrombolytic, and cardiac arrhythmogenic activities. Essential oils of A. zerumbet leaves have antimicrobial, larvicidal, antinociceptive, hypotensive, vasorelaxant, myorelaxant, antispasmodic, antidepressant, anxiolytic, anti-neuraminidase, anti-atherogenic, anti-aging, anti-melanogenic, anti-tyrosinase, cytoprotective, cardiodepressive, antipsychotic, analgesic, anti-inflammatory, and tissue healing activities. Clinical trials conducted in Brazil showed that extracts of A. zerumbet have hypotensive and diuretic effects whereas topical application of the essential oil has positive therapeutic effects on patients with fibromyalgia. Spanning two continents of Asia and South America, A. zerumbet is truly a multi-purpose ginger plant with promising medicinal properties.

关键词： Alpinia zerumbet Shell ginger Phytochemistry Pharmacology Clinical trials

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Genipin and geniposide from Gardenia jasminoides:An overview of their anti-cancer and other pharmacological properties

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Journal of Chinese Pharmaceutical Sciences 2022年第1期31卷 1-12页

作者： Eric Wei Chiang chan Siu Kuin Wong hung Tuck chan Faculty of Applied Sciences UCSI University56000 CherasKuala LumpurMalaysia School of Foundation Studies Xiamen University MalaysiaBandar Sunsuria43900 SepangSelangorMalaysia Secretariat of International Society for Mangrove Ecosystems(ISME) Faculty of AgricultureUniversity of the RyukyusOkinawa 903-0129Japan

Genipin and geniposide are iridoids from the fruits of Gardenia *** compounds have a methyl acetate(-COOCH_(3))group at C4 and a hydroxyl(-OH)group at *** an iridoid glucoside with a glucose moiety at C1,geniposide is also known as genipin-1-O-β-*** the glucose moiety,genipin is an iridoid and the aglycone of ***-OH group at C1 of genipin is responsible for its cytotoxic *** without the-OH group at C1 lacks the cytotoxic *** are more publications on the anti-cancer properties of genipin than *** have reported the potentiation of genipin when used in combination with anti-cancer *** anti-cancer properties of geniposide have been investigated using human intestinal microflora that hydrolyzes geniposide to *** genipin and geniposide exert antiproliferative and apoptotic activities via different molecular targets and *** pharmacological properties of genipin and geniposide include antidepressant,antidiabetic,anti-inflammatory,anti-obesity,anti-thrombotic,hepatoprotective,and neuroprotective *** research on genipin and geniposide is suggested.

关键词： Iridoid Iridoid glucoside Anti-cancer Cytotoxicity

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