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Table of Content

      
    10 March 2020
    Volume 58 Issue 3
    Diagnosis, management, prevention and control for suspected cases of coronavirus disease 2019, Qilu Hospital criteria
    Consensus Group of Diagnosis and Treatment for Coronavirus Disease 2019, Qilu Hospital of Shandong University
    Journal of Shandong University (Health Sciences). 2020, 58(3):  1-7.  doi:10.6040/j.issn.1671-7554.0.2020.176
    Abstract ( 566 )   PDF (998KB) ( 67 )   Save
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    To establish a standardised method of screening, diagnosis and management of suspected cases with coronavirus disease 2019(COVID-19)so as to enhance management of COVID-19 suspected cases, the recent literatures and relevant documents about COVID-19 made by the national and provincial health committees were reviewed. By incorporating the most recent knowledge on COVID-19 and our local practices, the protocol that includes diagnostic criteria, and prevention and control measures for this infectious disease was devised. The protocol has been drafted and extensively reviewed by Consensus Group of Diagnosis and Treatment for Coronavirus Disease 2019, Qilu Hospital of Shandong University. The diagnostic and managements criteria of COVID-19 were proposed with clinical classifications. The protocol reviewed the procedure of 2019 novel coronavirus(2019-nCoV)nucleic acids test and focused on the clinical management of any suspected fever patients. It also highlights the procedure for dealing with close contacts of infected individuals and the discharge criteria of suspected cases. This consensus will contribute to the on-going provincial and national effort on prevention and control of COVID-19.
    Strategy and practice of coronavirus disease 2019 prevention and control system in Qilu Hospital of Shandong University
    Working Team of Prevention and Control for Coronavirus Disease 2019, Qilu Hospital of Shandong University
    Journal of Shandong University (Health Sciences). 2020, 58(3):  8-18.  doi:10.6040/j.issn.1671-7554.0.2020.174
    Abstract ( 694 )   PDF (3408KB) ( 207 )   Save
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    Since the outbreak of coronavirus disease 2019(COVID-19)in Wuhan in December 2019, the epidemic has spread rapidly and posed great challenge to hospitals. As the main battlefield fighting against the epidemic, hospitals’ quick, organized and effective response is critical to deal with the crisis efficiently. As one of the designated hospitals, Qilu Hospital of Shandong University highly emphasized the prevention and control of the epidemic, established a comprehensive management system, and played full role in the containment of outbreak. Based on our first-hand experience, we push forward the prevention and control strategies against COVID-19, hoping to provide reference and help for our colleagues.
    Latest research advances on novel coronavirus pneumonia
    LI Shixue, SHAN Ying
    Journal of Shandong University (Health Sciences). 2020, 58(3):  19-25.  doi:10.6040/j.issn.1671-7554.0.2020.205
    Abstract ( 2144 )   PDF (1479KB) ( 434 )   Save
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    The epidemic of novel coronavirus pneumonia has aroused worldwide concern and caused a huge social and economic burden. In the current resumption of work and production, departments involved should take scientific measures of prevention, control and quarantine. Due attention should be attached to every stage of public health efforts. Specific measures for prevention and control in different regions and at different levels should be made clear to prevent recurrence of the epidemic. Based on the current status of epidemic development and research progress, this article reviews the literature concerning virus characteristics, epidemiological characteristics, treatment and prevention and control, so as to improve readers awareness of this disease and enhance self-protection awareness. Meanwhile, a comprehensive review of literature can provide reference for the effective control of the disease and help to win the battle in a scientific way.
    Coronavirus disease 2019 infection associated kidney injury
    HU Zhao, WANG Qiang
    Journal of Shandong University (Health Sciences). 2020, 58(3):  26-31.  doi:10.6040/j.issn.1671-7554.0.2020.206
    Abstract ( 638 )   PDF (1359KB) ( 19 )   Save
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    Coronavirus disease 2019(COVID-19)is the third knowing high pathogenic coronavirus after SARS and MERS. It challenged the public health in China and even all over the world. Since the breakout of COVID-19 in Wuhan, the recognition of human to this coronavirus has been improving, however, the recognition and attention of kidney injury due to COVID-19 are remain insufficient. Kidney is one of the main target infected by COVID-19. The infection of COVID-19 induced cytokine storm, inflammatory cell infiltration, and direct attack on kidney would cause kidney injury. High kidney injury ratio has been showed in clinical evidence. The makers of renal injury including AKI(elevated serum creatinine and urea nitrogen), proteinuria and hematuria are independent risk factors for in-hospital death. The early intervention of continuous renal replacement therapy(CRRT)would improve the outcome of severe patients. Kidney injury has great roles in screening of the infected patients, epidemic prevention, the evaluation of disease condition and prognosis.
    Potential mechanism and research progress of mesenchymal stem cells in the treatment of 2019 novel coronavirus pneumonia
    JU Xiuli
    Journal of Shandong University (Health Sciences). 2020, 58(3):  32-37.  doi:10.6040/j.issn.1671-7554.0.2020.224
    Abstract ( 668 )   PDF (1361KB) ( 119 )   Save
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    The current spread of 2019 novel coronavirus pneumonia(2019-nCoV)seriously endangers human health, socio-economic development, as well as the global medical and public health system. The 2019-nCoV is highly contagious and lethal, characterized by long incubation period and difficulty control. More importantly, there is no specific and effective treatment for this disease so far. The cytokine storm caused by excessive immune response is a key factor leading to acute respiratory distress syndrome, septic shock, multiple organ failure, and even death. As mesenchymal stem cells(MSCs)have powerful anti-inflammatory and immunoregulatory potentials, which can inhibit the occurrence and development of cytokine storms and repair tissue damage, MSCs are expected to reduce lung injury, severe complications and mortality. The academic institutes in China have initiated several clinical research projects on MSCs for the treatment of 2019-nCoV, and have preliminarily confirmed its safety, effectiveness and clinical prospect.
    Management strategy of pregnant women during the outbreak of 2019 coronavirus disease
    MA Yuyan
    Journal of Shandong University (Health Sciences). 2020, 58(3):  38-43.  doi:10.6040/j.issn.1671-7554.0.2020.279
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    The 2019 coronavirus disease(COVID-19)is a highly infectious disease with general susceptibility. Pregnant women are especially susceptible. As there is no specific treatment and vaccine yet, the result is serious once pregnant women are affected. Therefore, reasonable and feasible maternal guidance and management are highly necessary to prevent affection during pregnancy to obtain favorable maternal and infant outcomes.
    Clinical characteristics and treatment effect of 537 cases of novel coronavirus pneumonia in Shandong Province
    ZHOU Shengyu, WANG Chunting, ZHANG Wei, WANG Ximing, DONG Liang
    Journal of Shandong University (Health Sciences). 2020, 58(3):  44-51.  doi:10.6040/j.issn.1671-7554.0.2020.179
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    Objective To provide valuable references for improving the diagnosis and treatment of novel coronavirus pneumonia in Shandong Province. Methods Clinical data of novel coronavirus pneumonia(NCP)patients in Shandong Province until February 15, 2020 were summarized and analyzed to investigate their epidemiological and clinical features and treatment effect. Furthernore, the clinical data of four typical cases were presented in detail. Results The characteristics of the epidemic, clinical symptoms and treatment were basically consistent with the national data. The vast majority of patients were mild, a few were severe, and very few were critically ill because of severe underlying diseases. Clinical features were mainly fever, dry cough, normal or decreased levels of white blood cells, about 50 percent of cases with reduced lymphocyte count, and ground glass opacity in lung in the early stage. The treatment effect was generally satisfactory. Senility and underlying diseases were important risk factors for severe illness. Closely observing the signs of disease progression and early intervention could reduce mortality. Coclusion The incidence of NCP in Shandong Province is relatively high, but the majority are common type, and the severe type is lower than the national average level outside Hubei Province. The survival rate of severe case is high, and the mortality is lower than the national average level outside Hubei Province. The therapeutic experience of Shandong Province should be promoted and applied in China.
    Reflection and epidemiological characteristics of coronavirus disease 2019 in Jinan City
    CUI Liangliang, GENG Xingyi, ZHAO Xiaodong, YANG Guoliang, CHANG Caiyun, ZHAO Mengjiao, LI Zhan, WANG Chunrong, LIU Lanzheng, RUAN Shiman
    Journal of Shandong University (Health Sciences). 2020, 58(3):  52-57.  doi:10.6040/j.issn.1671-7554.0.2020.230
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    Objective There were 47 confirmed cases of coronavirus disease 2019(COVID-2019)reported in Jinan City from January 23 to February 11, 2020. Since February 25, 2020, there were no confirmed cases reported in Jinan City for 14 consecutive days. In order to provide reference for future epidemic prevention and control, we analyzed the current epidemic situation and epidemiological characteristics. Methods The demographic, clinical and epidemiological characteristics of confirmed cases in Jinan City were evaluated with descriptive analysis and family clusters were traced. Results 74.5% of 47 confirmed cases were clinical common type, and 24(51.1%)were cured and discharged. No death occurred. Fever(66.0%)was the first dominant symptom. CT showed 82.1% of the cases were bilateral pneumonia. The distribution of cases was similar between male and female. Most patients(70.2%)aged 20 to 59 years, 83.0% lived in the central urban area, and 40.4% had a history of Wuhan exposure before onset. Five of 10 family cluster outbreaks were sourced from Wuhan exposure. 70.2%(33 cases)of 47 cases were related to the family cluster outbreaks. Conclusion The epidemic prevention and control work in Jinan City has achieved phased results. Preventing importation from surrounding areas and high incidence risk areas is still the focus of future efforts.
    Severe novel coronavirus pneumonia: a case report and literature review
    WEN Peng, DONG Liang, WANG Xin, WEI Min, LIU Yan, XU Yurong, SUN Wenqing, ZHOU Mingxiang
    Journal of Shandong University (Health Sciences). 2020, 58(3):  58-61.  doi:10.6040/j.issn.1671-7554.0.2020.214
    Abstract ( 422 )   PDF (4262KB) ( 26 )   Save
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    Objective To describe the diagnosis and treatment of a patient with severe novel coronavirus pneumonia, and to improve the understanding and management of clinicians on novel coronavirus pneumonia. Methods The onset, development, treatment and outcome of a patient with severe 2019 novel coronavirus pneumonia were retrospectively analyzed and relevant literatures were reviewed. Results At the beginning of the disease, the patient presented fever and dry cough, and later the disease progressed to dyspnea. Chest CT showed bilateral exudation of the lung. Lopinavir/ritonavir, IFN-α and immunoglobulin were given to the patient according to the expert groups opinion. The pneumonia was cured and the patient was discharged two weeks later. Conclusion Appropriate management strategies are effective on diagnosis and treatment of new coronavirus pneumonia.
    Clinical characteristics of novel coronavirus pneumonia in children in Jinan
    ZHANG Xiaoguo, MA Yan, XIAO Jiaan, ZHANG Zhongfa
    Journal of Shandong University (Health Sciences). 2020, 58(3):  62-64.  doi:10.6040/j.issn.1671-7554.0.2020.180
    Abstract ( 584 )   PDF (2615KB) ( 42 )   Save
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    Objective To enhance the understanding of novel coronavirus pneumonia(NCP)in children, to provide reference for the early diagnosis and treatment and to prevent misdiagnosis. Methods A retrospective analysis was performed to review the clinical characteristics of children diagnosed with NCP treated at Jinan Infectious Diseases Hospital, Shandong University during 00: 00, Jan. 23 and 12: 00, Feb. 13, 2020. Results A total of 10 cases were involved, including 3 boys and 7 girls, median age 4 years, average 4.9 years. Of the 10 cases, 3 were mild and 7 were ordinary. The time from onset to diagnosis was 0-20 days. Fever was the initial symptom, and some patients had no symptoms. Laboratory tests showed normal/decreased white blood cell count, and normal/increased/decreased lymphocyte count. Chest CT showed bronchitis in 2 cases, pneumonia in 7 cases, and no obvious abnormality in 1 case. Conclusion NCP in children in Jinan is mainly ordinary type, fever is the initial symptom, and some patients have no clinical symptoms. NCP should be distinguished from other diseases to avoid misdiagnosis and disease progression.
    Application of adeno-associated virus on thalamic striatum pathway in rats
    HE Tianqi, LI Min, WANG Xuenan, WANG Yanan, LI Yuchuan, SUN Shuang, ZHAO Hailong, WANG Hao, CHEN Dadian, ZHU Meijia, WANG Xiaojun, WANG Min, LI Xiuhua
    Journal of Shandong University (Health Sciences). 2020, 58(3):  65-74.  doi:10.6040/j.issn.1671-7554.0.2019.1369
    Abstract ( 578 )   PDF (16734KB) ( 76 )   Save
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    Objective To investigate the neuronal projection of adeno-associated virus(AAV2/9-GFP)in parafascicular nucleus-striatum pathway and its effect on tissues. Methods A total of 136 adult male Wistar rats were randomly divided into parafascicular nucleus(PF)group (n=64), dorsolateral striatum(DLS)group(n=64), PF control group(n=4)and DLS control group (n=4)to conduct stereotactic localization experiments. Based on stereotactic localization experiments, behavior experiments were performed in PF behavior group(n=12)and behavior control group(n=4). After stereotactic localization experiments, the neuron counting experiments were conducted in PF counting group (n=16), 山 东 大 学 学 报 (医 学 版)58卷3期 -何天齐,等.腺相关病毒在大鼠丘脑纹状体通路中的应用 \=- DLS counting group(n=16), PF counting control group(n=4)and DLS counting control group(n=4). After different doses of AAV2/9-GFP were injected into the PF group and DLS group for different durations, the transfection efficiency was analyzed, and the optimal dose and transfection period were screened. The transfected neurons and neuronal projection pathways between the two nuclei were observed. The behavioral changes of rats and number and morphology of neurons were analyzed. SPSS Statistics 21.0 software was used for statistical analysis. Results With the increase of transfection doses and time, the PF optical density value increased (Fdoses=55.617, P<0.001; Ftime=65.288, P<0.001), and the transfection area increased (Fdoses=202.443, P<0.001; Ftime=224.064, P<0.001), showing an upward trend. With the increase of transfection doses and time, the DLS optical density value increased (Fdoses=117.062, P<0.001; Ftime=155.792, P<0.001), and transfection area increased (Fdoses=240.422, P<0.001; Ftime=304.571, P<0.001), showing an upward trend. The optimal dose of PF for viral transfection was 0.4 μL and the optimal duration was 4 weeks. The optimal dose of DLS transfection was 0.6 μL and the optimal duration was 4 weeks. When AAV2/9-GFP was injected into PF, it was projected to the dorsolateral striatum, motor cortex and insular lobe. When AAV2/9-GFP was injected to DLS, it was projected to the motor cortex, hypothalamic nucleus, parafascicular nucleus and substantia nigra. AAV2/9-GFP had damage to neurons, which was characterized by a decreased number of neurons (P<0.05), irregular morphology, enlarged cell body, and shallower staining of nucleoli and Nissl bodies. Conclusion There is a close neuronal projection relationship between PF, DLS, motor cortex, hypothalamic nucleus and substantia nigra. AAV2/9-GFP is an effective neural tracer and harmful to neurons, so it should be cautiously used in clinical practice.
    Daglixamine inhibits renal fibrosis in rats with diabetic nephropathy via Klotho/TGF-β1 signaling pathway
    DING Hualin, LI Yangyang, YU Fengyuan, ZHAN Weiwei, YU Suguo
    Journal of Shandong University (Health Sciences). 2020, 58(3):  75-80.  doi:10.6040/j.issn.1671-7554.0.2019.1510
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    Objective To investigate the effect of daglicaten on renal fibrosis in rats with diabetes-related nephropathy(DN)and to explore the possible mechanism. Methods A total of 20 male SD rats were randomly divided into the normal control group, model group, metformin group and daglipetide group, with 5 rats in each group. After models were established, the rats were divided into different groups for intervention. The renal function indexes were detected after 12 weeks, including blood urea nitrogen(BUN), serum creatinine(Scr)and 24-hour urine protein(24 h UP). The morphological changes were observed with HE staining. The expressions of Klotho protein and transforming growth factor β1(TGF-β1)in serum and kidney tissues were detected with ELISA and immunohistochemistry. Results The model group had significantly higher BUN, Scr, and 24 h UP than the normal control group(P<0.01); the metformin group had significantly lower BUN, Scr, and 24 h UP than the model group(P<0.05); the dagalegrin group had lower BUN, Scr, and 24 h UP than the metformin group(P<0.05). The model group had worse renal tubular injury than the normal group(9.4±0.55 vs 2.8±1.00, P<0.01); the metformin group had less renal tubular injury than the model group 山 东 大 学 学 报 (医 学 版)58卷3期 -丁华琳,等.达格列净通过Klotho/TGF-β1通路抑制糖尿病肾病大鼠肾纤维化的作用 \=-(7.0±0.90 vs 9.4±0.55, P<0.05); the daglicaten group had less renal tubular injury than the metformin group(5.6±1.0 vs 7.0±0.90, P<0.05). The model group had lower Klotho protein but higher TGF-β1 levels than the normal control group; the metformin group had higher Klotho protein but lower TGF-β1 levels than the model group; the daglicaten group had higher Klotho protein but lower TGF-β1 levels than the metformin group; all differences were statistically significant(P<0.05). Conclusion Daglipine inhibits TGF-β1-mediated fibrosis signaling by up-regulating Klotho protein expression and thus attenuates renal fibrosis in rats with diabetes-related nephropathy.
    Effect of CD151-MUT mutation on migration of lung adenocarcinoma cell line A549 and its mechanism
    YANG Xiuting, LIU Qigong, ZUO Ping, LIU Zhengxiang, ZUO Houjuan
    Journal of Shandong University (Health Sciences). 2020, 58(3):  81-86.  doi:10.6040/j.issn.1671-7554.0.2019.1257
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    Objective To study the effect of CD151-MUT on migration of lung adenocarcinoma cell line A549 and the mechanism involved. Methods pAAV-CD151, pAAV-CD151-MUT and pAAV-GFP were constructed and transfected into A549, and named as CD151 group, CD151-MUT group and GFP group. Meanwhile, Control group and Reagent group were set up. The migration of A549 was detected by modified Boyden chamber assay. Protein expression levels of CD151,p-focal adhesion kinase(FAK)and p-P130Cas were measured by Western blotting. Results (1)Compared with the Control group(1.03±0.15), GFP group(1.18±0.13)and Reagent group(1.22±0.11), the expression of CD151 protein was increased both in the CD151 group(2.23±0.22)and CD151-MUT group(2.15±0.17)with statistical difference(F=39.8,P<0.001), but there was no significant difference of the CD151 protein expression between CDC151 and CDC151-CDC151-MUT groups(q=1.007,P=0.628). (2) The CD151 group significantly promoted cells migration compared with the Control group, GFP group and Reagent group(F=15.3, P=0.007). However, compared with the CD151 group, the migration and invasion of A549 cells were decreased in CD151-MUT group(q=6.760,P=0.010). (3) Overexpression of the CD151 protein could promote the expressions of p-FAK and p-P130Cas proteins(F=16.3,P<0.001; F=10.9,P=0.001), while the protein expressions were reduced in the CD151-MUT group compared with CD151 group(q=8.620,P=0.010; q=6.859,P=0.009). Conclusion CD151-MUT mutation impairs the formation of CD151-integrin and inhibits the tumor metastasis. The CD151-α3/α6 integrins complex is functionally important.
    MiR-222-5p promotes osteo/odontogenic differentiation of stem cells from human apical papilla
    SONG Mengxiao, WANG Yan, LIU Jinzhong
    Journal of Shandong University (Health Sciences). 2020, 58(3):  87-93.  doi:10.6040/j.issn.1671-7554.0.2019.1367
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    Objective To investigate the role of miR-222-5p in osteo/odontogenic differentiation of human stem cells from apical papilla(SCAP)and the related mechanism. Methods The expression of 19 miRNAs in osteo/odontogenic differentiation of SCAP was verified with qPCR. The mRNA expressions of DSPP and Runx2 were measured after SCAP was transfected with 19miRNAs to induce osteo/odontogenic differentiation. The protein expressions of DSPP and Runx2 in the high-expression miR-222-5p group were determined with Western blotting. The potential target gene of miR-222-5p was predicted with bioinformatics analysis. The wild-type(WT)/mutant-type(Mut)reporter vector was constructed to co-transfect HEK293T cells with miR-222-5p. The luciferase activities were evaluated using the dual-luciferase reporter assay system to prove the relationship between miR-222-5p and the target gene. Then the expression of the target gene was tested with Western blotting after overexpression of miR-222-5p. The effects of miR-222-5p and target gene on osteo/odontogenic differentiation of SCAP were further explored. Results The expression of 19 miRNAs detected by qPCR was consistent with that detected by microarray in which miR-222-5p was highly expressed. The mRNA and protein expressions of DSPP and Runx2 were upregulated in miR-222-5p transfected group. Bioinformatics analysis and dual luciferase reporter assay identified SFRP4 as the direct target gene of miR-222-5p, and overexpression of miR-222-5p could inhibit SFRP4 expression. SFRP4 knockdown could effectively reverse the inhibitory effect of miR-222-5p inhibitor on the mRNA expression of DSPP. Conclusion miR-222-5p targetsd SFRP4 and promoted osteo/odontogenic differentiation of SCAP.
    Expressions of miR-122 and miR-33a in patients with type 2 diabetes complicated with coronary artery disease
    JIN Haiyan, ZHANG Yan, MA Xiaoli, HAN Yu, ZHAO Huichen, LIU Yuantao, ZHANG Yuchao
    Journal of Shandong University (Health Sciences). 2020, 58(3):  94-98.  doi:10.6040/j.issn.1671-7554.0.2019.1405
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    Objective To investigate the expressions and diagnostic significance of serum miR-122 and miR-33a in patients with type 2 diabetes mellitus(T2DM)complicated with coronary artery heart disease(CAD). Methods Fast bloods samples were collected from 32 healthy volunteers(NC group), 32 T2DM patients(T2DM group), 32 CAD patients(CAD group)and 32 patients with T2DM and CAD(T2DM+CAD group). The expressions of miR-122 and miR-33a were detected with real-time quantitative PCR. Specificity and sensitivity of the association between miR-122 in T2DM and CAD were evaluated with receiver operating characteristic(ROC)and area under the curve(AUC). Results Compared with the NC group, the other three groups had significantly higher expressions of miR-122(P<0.05). Compared with T2DM group, the CAD and T2DM+CAD groups had significantly higher expression of miR-122(P<0.05). The AUC of miR-122 in CAD group and T2DM+CAD group was 0.72±0.05 and 0.77±0.04, respectively. There were no significant differences in the miR-33a expression among the four groups(P>0.05). Conclusion Serum miR-122 can serve as a good diagnostic marker for T2DM complicated with CAD.
    A mechanism study on the association of type 2 diabetes and high-density lipoprotein
    TANG Bo, SHAO Jing, CUI Jing, SUN Jianping
    Journal of Shandong University (Health Sciences). 2020, 58(3):  99-106.  doi:10.6040/j.issn.1671-7554.0.2019.1396
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    Objective To explore the molecular mechanism of type 2 diabetes(T2DM)and high-density lipoprotein(HDL)by bioinformatics. Methods Genes of T2DM and HDL were obtained from GEO database and Comparative Toxicogenomics Database(CTD)to screen the same differentially expressed genes(DEGs). Gene function enrichment analysis of gene ontology(GO)and KEGG pathway in DEGs were analyzed with DAVID online software. Protein-protein interaction(PPI)network about DEGs was analyzed with String online software and MCODE of Cytoscape. 山 东 大 学 学 报 (医 学 版)58卷3期 -唐博,等.2型糖尿病发病与高密度脂蛋白关系的机制研究 \=- Results There were 13 DEGs associated with T2DM and HDL, which played a role in cholesterol metabolic process. The DEGs were involved in HIF-1 signaling pathway, Toll-like receptor signaling pathway and cGMP-PKG signaling pathway. All 13 DEGs were involved in the PPI network, which had 27 edges, with average protein node degree of 4.15 and local clustering coefficient of 0.74. The PPI network had a significant difference (P<0.001). The PPI network associated with T2DM and HDL was composed of 6 node proteins, including LEPR, MAPK3, AKT1, NOS3, APOE and SCARB1. Conclusion The pathogenesis of T2DM involves abnormal HDL through cholesterol metabolic process, HIF-1 signaling pathway, Toll-like receptor signaling pathway and cGMP-PKG signaling pathway. Further studies are needed to clarify the possible causal association between lipid and T2DM.
    Effects of inhaled allergens on pulmonary function in children with adenoid hypertrophy complicated with bronchial asthma
    YANG Liping, MU Tingting, YANG Yujuan, ZHANG Yu, SONG Xicheng
    Journal of Shandong University (Health Sciences). 2020, 58(3):  107-112.  doi:10.6040/j.issn.1671-7554.0.2019.1325
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    Objective To explore the effects of inhaled allergens on pulmonary function in children with adenoid hypertrophy complicated with bronchial asthma. Methods A total of 50 children with adenoid hypertrophy with a history of asthma treated during Dec. 2018 and May 2019 were enrolled as the study group, and another 170 children with adenoid hypertrophy but with no history of asthma served as controls. All patients received inhaled allergens serum-specific IgE test(sIgE)and pulmonary function tests at admission, and the different sensitization patterns of inhaled allergens sIgE were compared, including the percentage of forced expiratory volume in 1 second(FEV1)as a percentage of predicted value(FEV1% pre), the ratio of FEV1 to forced vital capacity(FVC)as a percentage of predicted value(FEV1/FVC% pre), maximum ventilation(MVV)as a percentage of predicted value(MVV% pre), instantaneous expiratory 山 东 大 学 学 报 (医 学 版)58卷3期 -杨丽萍,等.吸入性变应原对腺样体肥大合并支气管哮喘患儿肺功能影响 \=-flow(FEF75%%)when forced to exhale 75% of vital capacity(FEF75%% pre), instant call when forced exhalation of 50% vital capacity Airflow(FEF50%%)as a percentage of predicted value(FEF50%% pre), maximum expiratory mid-flow flow(MMEF)as a percentage of predicted value(MMEF% pre). Results There were no significant differences in gender, age, and allergen positive rate between the two groups (P>0.05). The study group had lower FEV1% pre, FEV1/FVC% pre, MVV% pre, FEF75%% pre, FEF50%% pre and MMEF% pre than the control group(t=8.219, 14.106, 5.101, 9.95, 12.006 and 10.933, respectively, all P=0.000). In the study group, 21 had positive sIgE and 29 had negative sIgE, and there were no significant differences among the positive single allergen group, positive multiple allergens group and negative allergen group(P>0.05). The FEV1% pre of lower inhaled allergens group(<3)and higher inhaled allergens group(≥3)were significantly lower than the negative inhaled allergens group(F=3.596, P=0.035). There was correlation between the inhaled allergens level and pulmonary function(FEV1% pre)in the study group(P=0.028, R2=0.568). Conclusion Inhaled allergens level is closely related to severity of pulmonary function abnormalities in children with adenoid hypertrophy and asthma. Allergen testing can preliminarily predict pulmonary function impairment and contribute to airway assessment and intervention.
    Effect of tailored bowel preparation on bowel preparation quality
    LI Pan, LI Yueyue, LI Yanqing
    Journal of Shandong University (Health Sciences). 2020, 58(3):  113-117.  doi:10.6040/j.issn.1671-7554.0.2019.1286
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    Objective To investigate the effect of Dik VK predictive model in guiding bowel preparation. Methods A total of 409 patients who underwent colonoscopy were randomly assigned to tailored group and control group. Patients in the tailored group were assessed with Dik VK predictive model. Those with high risk of inadequate bowel preparation were prescribed a regimen of 4L polyethylene glycol(PEG), while those with low risk were given a normal dose of 2L PEG. Patients in the control group were prescribed a normal dose of 2L PEG. The bowel preparation quality and poly detection rate were recorded during colonoscopy. Continuous variables were analyzed using student-t test and categorical variables were analyzed using Pearson χ2 test. Results Seven patients cancelled colonoscopy appointment for personal reasons and finally 402 patients received colonoscopy and were included into ITT analysis(202 cases in tailored group, 200 cases in control group). The tailored group had higher adequate bowel preparation rate than the control group(89.6% vs 77.5%, P=0.002), higher total Boston Bowel Preparation Score(BBPS)(7.12±1.43 vs 6.64±1.71, P=0.002), higher scores for the separate three colon segments(P=0.004, P=0.030, P=0.022), and larger number of polyps detected per patient(0.74±1.23 vs 0.49±0.87, P=0.020). There were no differences in adverse reactions and degree of satisfaction between the two groups. Conclusion Tailored bowel preparation guided by the predictive model for inadequate bowel preparation significantly improves the overall quality of bowel preparation.
    Clinical manifestation and prognosis of adenomatoid odontogenic tumor: an analysis of 15 cases
    YU Lu, WANG Caijiao, LIU Chao, SUN Mingxia, PENG Huahai, YU Wenqian, XU Xin, TAN Wanye
    Journal of Shandong University (Health Sciences). 2020, 58(3):  118-124.  doi:10.6040/j.issn.1671-7554.0.2020.052
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    Objective To explore the clinical manifestation, diagnosis, treatment and prognosis of adenomatoid odontogenic tumor(AOT). Methods The clinical data of AOT patients treated during July 2011 and July 2019 were retrospectively analyzed, including clinical manifestation, diagnosis, treatment and prognosis. The patients were divided into maxillary group and mandible group based on the site of tumor. The association among tumor size, tumor site, patients gender and age was analyzed with Fishers exact probability test. Results Altogether 15 cases were enrolled, including 7 male and 8 female. There were 9 in the maxillary group and 6 in the mandible group. Statistical analysis revealed thattumor with diameters >3 cm were more likely to occur in the mandible. All cases received curettage and had good treatment effects. During the follow-up of 5 months to 8 years, all patients showed good prognosis, and no serious complications or recurrence were observed. Conclusion Adenomatoid odontogenic tumor is rare and pathological examination is necessary for confirmation. Curettage is an effective treatment which has favorable therapeutic effects.