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Current status and recent advances on the use of ultrasonography in pediatric rheumatic diseases

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World Journal of Pediatrics 2020年第1期16卷 52-59页

作者： Li-Xia Zou Mei-Ping Lu Lawrence Kwok leung Jung Department of Rheumatology Immunology and Allergy Children's HospitalZhejiang University School of Medicine57 Zhugan LaneHangzhou 310003China Division of Rheumatology Children's National Medical Center in Washington D.C.111 Michigan Avenue NWWashingtonD.C.20010USA

Background Ultrasonography has become a useful tool in the clinical rheumatology settings in the last two decades,but its use has only recently been explored by pediatric *** aim of this article is to review the literature on the current status and recent advances on the use of ultrasound in pediatric rheumatic *** sources We have retrieved and reviewed the relevant articles from MEDLINE/PubMed databases published so far,on the applications of ultrasound in juvenile idiopathic arthritis(JIA),systemic lupus erythematosus,dermatomyositis,enthesitis,Sjogren's syndrome,and other rheumatic *** addition,articles on novel ultrasound imaging technology of potential use in pediatric rheumatology are also *** In JIA,ultrasound can be used to detect subclinical synovitis,to improve the classification of patients in JIA subtypes,to capture early articular damage,to monitor treatment response,and to guide intraarticular *** is also considered useful in other rheumatic disorders for the evaluation of musculoskeletal symptoms,assessment of parotid gland pathology,and measurement of skin thickness and *** ultrasound techniques developed to augment the functionality of ultrasonography may also be applicable in pediatric rheumatic *** Ultrasound shows great promise in the assessment and management of children with rheumatologic ***,standardization and validation of ultrasound in healthy children and in patients with rheumatic diseases are still needed.

关键词： Dermatomyositis Juvenile arthritis Lupus Pediatric rheumatic diseases Sonoelastography Ultrasound

A study to investigate needle insertion at Shenshu(BL23) to puncture psoas major muscle

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Journal of Integrative Medicine 2016年第2期14卷 128-133页

作者： Kwan leung Chia Rainer Viktor Haberberger School of Medicine Flinders University Anatomy and Histology School of Medicine Flinders University

OBJECTIVE： It is unknown whether the psoas major muscle, thought to be a key muscle for treatment of lower back pain, can be punctured at Shenshu（BL23）.METHODS： Twelve dissected specimens were used for studying the needling pathway of BL23 by perpendicularly inserting the depth-measuring blade of a vernier caliper at BL23. Dimensions of psoas muscle were measured. Correlation studies were conducted. In addition, our samples were grouped by gender and underlying medical conditions for ***： Half（50%） of the needle insertions successfully punctured psoas muscle. The mean depth of needle insertion to puncture psoas muscle（D_（min）） in the group with short-term underlying medical conditions was 38.0 mm（interquartile range 29.0–51.8 mm）, approximately 6 mm deeper than 32.0（29.3–42.5） mm in the group with long-term health problems（P = 0.041）. The cross-sectional area（CSA） of psoas muscle in the former group was on average approximately 1.5 times that of the latter group（P = 0.04）. When the data were analysed by gender, the thickness of psoas muscle in the male group was 19.0（6.5–24.0） mm compared to 19.5（5.8–34.8） mm in the female group（P = 0.02）. The age in the female group（P = 0.04） and the body length of the total group（P = 0.04） negatively correlated to D_（min）.CONCLUSION： Needle insertion at BL23 might be able to puncture psoas muscle. Differences in the CSA of psoas muscle and D_（min） were observed in groups with short-term and long-term underlying medical conditions.

关键词： needle insertion point BL23(Shenshu) psoas muscles

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Risk of gastric cancer development after eradication of Helicobacter pylori

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World Journal of Gastrointestinal Oncology 2018年第5期10卷 115-123页

作者： Ka-Shing cheung Wai K leung Department of Medicine The University of Hong Kong Queen Mary Hospital

Helicobacter pylori(H. pylori) infection is the most important risk factor for gastric cancer(gc) development through the correa's gastric carcinogenesis cascade. However, H. pylori eradication alone does not eliminate gc, as pre-neoplastic lesions(atrophic gastritis, intestinal metaplasia and dysplasia) may have already developed in some patients. It is therefore necessary to identify patients at high-risk for gastric cancer after H. pylori eradication to streamline the management plan. If the patients have not undergone endoscopy with histologic assessment, the identification of certain clinical risk factors and non-invasive testing(serum pepsinogen) can predict the risk of atrophic gastritis. For those with suspected atrophic gastritis, further risk stratification by endoscopy with histologic assessment according to validated histologic staging systems would be advisable. Patients with higher stages may require long-term endoscopic surveillance. Apart from secondary prevention to reduce deaths by diagnosing gc at an early stage, identifying medications that could potentially modify the gc risk would be desirable. The potential roles of a number of medications have been suggested by various studies, including proton pump inhibitors(PPIs), aspirin, statins and metformin. However, there are currently no randomized clinical trials to address the impact of these medications on gc risk after H. pylori eradication. In addition, most of these studies failed to adjust for the effect of concurrent medications on gc risk. Recently, large population-based retrospective cohort studies have shown that PPIs were associated with an increased gc risk after H. pylori eradication, while aspirin was associated with a lower risk. The roles of other agents in reducing gc risk after H. pylori eradication remain to be determined.

关键词： Gastric adenocarcinoma Stomach cancer Helicobacter pylori Chemoprevention Intestinal metaplasia

Comparison of population estimators and indices for monitoring house mice in sorghum crops

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Integrative Zoology 2010年第1期5卷 53-62页

作者： Shahram KABOODVANDPOUR Carissa FREE Luke K.-P.leung Department of Environment Sciences Kurdistan UniversitySanandajKurdistanIran School of Animal Studies University of QueenslandGattonAustralia

House mice(Mus musculus domesticus Schwarz&Schwarz,1943)are monitored in Australia and China to track changes in mouse population densities and forecast their potential damage to cereal *** present study compared population indices based on the number of different mice caught and overall trap success from live-trapping with an oil card index(OC)and a tracking index(T)for monitoring mice in sorghum crops immediately before crop maturation.T was measured as the percentage of track board covered with mouse footprints night-1,and OC as the percentage of card removed by mice *** reliability of these abundance indices was quantified by Pearson correlation coefficient with the trappable population size(Ñ),which was estimated by capture-recapture over eight consecutive nights on 175×5 trapping grids,in sorghum crops on two properties on the Darling Downs,*** of differences among individual mice in capture probability,Model Mh of program MARK was used to account for such heterogeneity and to estimate the size of each mouse *** number of individual animals caught was more strongly correlated withÑthan trap success and,therefore,might be a more reliable index;the data suggest that three trapping occasions provide optimal precision for this index.T correlated significantly withÑonly at sites where the canopy of sorghum plants was closed,and its use should,therefore,be restricted to this *** did not correlate withÑbecause none or very little of the cards was eaten at low to moderate mouse densities.T and the number of animals caught over three trapping nights are recommended for monitoring mice in sorghum crops immediately prior to crop maturation.

关键词： house mouse live-trapping oil card index sorghum track index

Chinese topical herbal medicine gives additive effect on pharmaceutical agent on fracture healing

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Journal of Traditional Chinese Medicine 2019年第6期39卷 853-860页

作者： Siu Wing Sum Shiu Hoi Ting Shum Wai Ting Ko Chun Hay Lau Clara Bik San Hung leung Kim leung Ping Chung Institute of Chinese Medicine The Chinese University of Hong KongShatinNew TerritoriesHong Kong China State Key Laboratory of Research on Bioactivities and Clinical Applications of Medicinal Plants The Chinese University of Hong KongShatinNew TerritoriesHong Kong China Department of Orthopaedics and Traumatology The Chinese University of Hong KongShatinNew TerritoriesHong Kong China

OBJECTIVE:To investigate the efficacy on the combination of oral strontium ranelate(Sr R)with a topical Chinese herbal paste on facilitation of fracture ***:An open fracture was created at the mid-shaft of the right tibia of rat.A herbal pastecalled CDR containing Honghua(Flos Carthami),Chuanxuduan(Radix Dipsaci Asperoidis)and Dahuang(Radix Et Rhizoma Rhei Palmati)was *** rats were treated with either CDR topically on the fracture site,or Sr R orally,or their *** turnover biochemical markers in serum were *** of the fracture was analyzed using micro-CT after 14 and 28 d,followed by histomorphometrical ***:Micro-computed tomography analysis revealed that the combined treatment of CDR with600 mg/g Sr R significantly increased the total callus density,mineralized callus volume fraction,mineralized callus mineral content and mineralized callus density of the callus after 28 d of *** result was consistent with the histomorphometrical analysis on the osteoid *** of biochemical markers showed that the combined treatments reduced the bone resorption that occurs temporarily after ***:This study demonstrated that the combined treatment of oral Sr R and topical CDR is effective to promote fracture healing by their additive effect on promoting bone formation and retarding bone resorption.

关键词： Fracture healing Osteogenesis Bone resorption Medicine,Chinese Traditional Integrative medicine Strontium ranelate

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Urocortin and cardiovascular protection

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Acta Pharmacologica Sinica 2004年第3期25卷 3-11页

作者： Chi-wai LAU,Yau-chi CHAN,Suk-ying TSANG,Franky leung CHAN The Chinese University of Hong Kong Hong Kong China Department of Anatomy The Chinese University of Hong Kong Hong Kong China Department of Anatomy The Chinese University of Hong Kong Hong Kong China Department of Anatomy The Chinese University of Hong Kong Hong Kong China Department of Anatomy

Urocortin and other hypothalamus corticotropin-releasing factor (CRF) polypeptides play biologically diverse roles in the stress, cardiovascular and inflammatory responses by acting on central and peripheral CRF receptors. Urocortin shows a significantly high sequence homology to CRF, and the concurrent expression of type-2 CRF (CRF2) receptors with urocortin in the heart suggests that urocortin may play a physiological role in the cardiac function. Urocortin is thought to be the endogenous agonist producing the cardiovascular actions previously attributed to CRF. This review highlights the current novel findings on the molecular and cellular mechanisms by which urocortin may exert its cardiovascular protective action.

关键词： urocortin corticotropin-releasing hormone vascular smooth muscle heart vasodilaion second messenger system protein kinases

A Novel Approach for QoS Prediction Based on Bayesian Combinational Model

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China Communications 2016年第11期13卷 269-280页

作者： Pengcheng Zhang Yingtao Sun Hareton leung Meijun Xu Wenrui Li College of Computer and Information Hohai University Department of Computing Hong Kong Polytechnic University School of Mathematics & Information Technology Nanjing Xiaozhuang University

As an important factor in evaluating service,QoS(Quality of Service) has drawn more and more concerns with the rapid increasing of Web services. However,due to the great volatility of services in Mobile Internet environments,such as internet of vehicles,Web services often do not work as announced and thus cause unacceptable problems. QoS prediction can avoid failure before it takes place,which is considered a more effective way to assure quality. However,Current QoS prediction approaches neither consider the highly dynamic of Web services,nor maintain good prediction performance all the time. Consequently we propose a novel Bayesian combinational model to predict QoS by continuously adjusting credit values of the basic models so as to keep good prediction accuracy. QoS attributes such as response time,throughput and reliability are used to validate the proposed model. Experimental results show that the model can provide stable prediction results in Mobile Internet environments.

关键词： internet of vehicles web service quality of service bayesian combinational model

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Hematopoietic cell transplantation for Crohn’s disease;is it time?

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World Journal of Gastroenterology 2006年第41期12卷 6665-6673页

作者： Y leung M Geddes J Storek R Panaccione PL Beck Gastrointestinal Mucosal Inflammation and Immunology Research Groups.Department of MedicineUniversity of Calgary CalgaryAlbertaCanada

AIM： To review all studies in the literature that have assessed Hematopoietic cell transplantation （HCT） and Crohn＇s disease （CD） with the ultimate aims of determining if this is a viable treatment option for those with CD. A secondary aim was to review the above literature and determine if the studies shed further light on the mechanisms involved in the pathogenesis of CD. METHODS： An extensive Medline search was performed on all articles from 1970 to 2005 using the keywords; bone marrow transplant, stem cell, hematopoietic cell, Crohn＇s disease and inflammatory bowel disease. RESULTS： We identified one case in which a patient developed CD following an allogeneic HCT from a sibling suffering with CD. Evidence for transfer of the genetic predisposition to develop CD was also identified with report of a patient that developed severe CD following an allogeneic HCT. Following HCT it was found that the donor （that had no signs or symptoms of CD） and the recipient had several haplotype mismatches in HLA class 111 genes in the IBD3 locus including a polymorphism of NOD2/CARD15 that has been associated with CD. Thirty three published cases of patients with CD who underwent either autologous or allogeneic HCT were identified. At the time of publication 29 of these 33 patients were considered to be in remission. The median follow-up time was seven years, and twenty months for allogeneic and autologous HCT respectively. For patients who underwent HCT primarily for treatment of their CD there have been no mortalities related to transplant complications. CONCLUSION： Overall these preliminary data suggest that both allogeneic and autologous HCT may be effective in inducing remission in refractory CD. This supports the hypothesis that the hematolymphatic cells play a key role in CD and that resetting of the immune system may be a critical approach in the management or cure of CD.

关键词： Crohn's disease Inflammatory bowel disease Bone marrow transplant Stem cells Hematopoietic cell transplantation

Fatal thrombotic complications of hepatic cystic compression of the inferior vena: A case report

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World Journal of Gastroenterology 2005年第11期11卷 1728-1729页

作者： Ting-Kai leung Chi-Ming Lee Hsin-Chi Chen Department of Diagnostic Radiology

Of 5% of patients who develop liver cysts, only 10-15%of them come for medical attention, typically because of dull right upper quadrant pain, abdominal bloating or early satiety. We treated a 77-year-old female with a rare complication of inferior vena cava thrombosis. The patient expired due to septic shock and multiple organ failure.

关键词： Liver cyst Inferior vena cava thrombosis Non-parasitic cyst Cellulitis IVC compression Sepsis