Publications by authors named "Sheng-yu Zhang"

Article Synopsis
  • Autoimmune enteropathy (AIE) is a rare and challenging disease to diagnose and manage in adults, with a study analyzing 16 cases over 12 years to better understand its characteristics and prognosis.
  • The study found common symptoms like secretory diarrhea, significant endoscopic findings (like edema and villous blunting), and specific histopathological changes such as reduced goblet and Paneth cells in biopsies.
  • While most patients initially responded to glucocorticoid therapy, the prognosis varied, with 62.5% relapse-free survival after 6 months, and some patients facing serious complications, including death and lymphoma diagnosis.
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Objectives: Cronkhite-Canada syndrome (CCS) is a rare nonhereditary gastrointestinal hamartomatous polyposis syndrome with a high risk of colorectal cancerogenesis. It is challenging to discriminate adenomas from nonneoplastic colorectal polyps macroscopically. This study aimed to explore the endoscopic features of different histopathological patterns of colorectal polyps in CCS.

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Article Synopsis
  • A high prevalence of diabetes mellitus (DM) is found in patients with autoimmune pancreatitis (AIP), but the effects of corticosteroid therapy (CST) on DM control are not well understood.
  • The study included 101 patients with type 1 AIP, classifying them into groups based on the timing of DM diagnosis, and assessed how their DM responded to CST.
  • Findings indicated that patients with diffuse pancreatic swelling and those diagnosed with concurrent DM had higher complications, and certain factors like elevated serum GGT levels and pancreatic atrophy negatively affected DM control after CST.
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The steroid hormone 20-hydroxyecdysone (20E) has been described to regulate fat body lipid metabolism in insects, but its accurate regulatory mechanism, especially the crosstalk between 20E-induced lipid metabolism and gluconeogenesis remains largely unclear. Here, we specially investigated the effect of 20E on lipid metabolism and gluconeogenesis in the fat body of Hyphantria cunea larvae, a notorious pest in forestry. Lipidomics analysis showed that a total of 1 907 lipid species were identified in the fat body of H.

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Background: Giant simple hepatic cysts causing intrahepatic duct dilatation and obstructive jaundice are uncommon. A variety of measures with different clinical efficacies and invasiveness have been developed. Nonsurgical management, such as percutaneous aspiration and sclerotherapy, is often applied.

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Background: Gallbladder perforation and gastrointestinal fistula are rare but serious complications of severe acute pancreatitis (SAP). However, neither spontaneous gallbladder perforation nor cholecysto-colonic fistula has been reported in acalculous acute pancreatitis patients.

Case Summary: A 31-year-old male presenting with epigastric pain was diagnosed with hypertriglyceridemia-related SAP.

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Objectives: Cronkhite-Canada syndrome (CCS) is a rare hamartomatous polyposis syndrome with a proposed association with chronic autoimmune inflammation. To date, genetic background of patients with CCS remains less investigated. In this study we aimed to explore the genomic landscape of CCS.

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Drug resistance is a major threat to the global health and a significant concern throughout the clinical treatment of diseases and drug development. The mutation in proteins that is related to drug binding is a common cause for adaptive drug resistance. Therefore, quantitative estimations of how mutations would affect the interaction between a drug and the target protein would be of vital significance for the drug development and the clinical practice.

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Objectives: To understand the current status of appraisal of post-concussion syndrome disability and the reasons for the changes in re-appraisal opinions.

Methods: The cases that were judged as "post-concussion syndrome and ten-level disability" in the first appraisal and re-appraised for psychiatric impairment by the Academy of Forensic Science in 2019 were analyzed retrospectively.

Results: There were 75 cases, including 58 cases with pre-hospital emergency medical records, among which 39 cases were clearly recorded to be without a history of coma; 74 cases had emergency medical records, among which 44 cases were recorded of having a history of coma; 43 cases had follow-up medical records, among which 24 cases had a history of psychiatric follow-up.

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Article Synopsis
  • The study focuses on the endoscopic ultrasound (EUS) features of newly diagnosed autoimmune pancreatitis (AIP) and highlights the differences between diffuse and focal types.
  • Researchers analyzed 285 patients with type 1 AIP using EUS before treatment, comparing typical AIP features and chronic pancreatitis (CP) traits.
  • Results showed more pronounced EUS features such as bile duct wall thickening and peripancreatic hypoechoic margin in diffuse AIP, while focal AIP had more cases of main pancreatic duct dilation and cholangitis-like changes.
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  • The study aimed to create a standardized white light gastroscopy (WLG) procedure for screening gastric issues, including early gastric cancer, in China, and evaluate its clinical effectiveness.
  • A total of 3,207 patients underwent both conventional and standardized WLG procedures across multiple hospitals, revealing that the standardized approach took longer but resulted in a higher detection rate of gastric lesions (52.5% vs 38.4%).
  • Participants and endoscopists reported greater satisfaction with the standardized procedure, indicating it is a more effective and feasible option for clinical practice despite the increased time required.
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  • The study examines the clinical features and effectiveness of endoscopic treatment for acute duodenal bleeding, emphasizing the role of ulcers and diverticula as common causes.
  • A total of 128 patients were reviewed, revealing that most (79.7%) had ulcers, with a significant proportion (41.4%) receiving endoscopic hemostasis, which showed a high success rate.
  • Factors affecting treatment success included the location and size of lesions, with specific risks associated with posterior wall lesions and larger lesions leading to higher chances of rebleeding.
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To investigate the association between chronic unpredictable mild stress (CUMS)-induced depressive-like behavior in rats and expressions of brain-derived neurotrophic factor (BDNF) and S100β in the hippocampal and prefrontal cortex. Rats were randomly assigned to three groups:saline control group,saline+CUMS group,and citalopram +CUMS group. CUMS was used for depression modeling in rats.

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Background: Lymphangioma is a benign lesion that rarely involves the gastrointestinal tract, especially in adults. Small bowel lymphangioma is a rare cause of gastrointestinal bleeding. Here, we report a case of an adult diagnosed with jejunal lymphangioma presenting with melena, anemia and hypogammaglobulinemia.

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Objective: To observe the effect of "Xingnao Kaiqiao" acupuncture(acupuncture technique for restoring consciousness) combined with hyperbaric oxygen in patients with hypoxic ischemic encephalopathy and assess its influence on blood rheology.

Methods: Forty patients with hypoxic ischemic encephalopathy were randomly divided into treatment group and control group with 20 cases in each group. The treatment group received "Xingnao Kaiqiao" acupuncture combined with hyperbaric oxygen, and the control group received hyperbaric oxygen only.

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Objective: To observe the clinical effect of vitalstim electroacupuncture (EA) combined with swallowing rehabilitation training in the treatment of stroke patients with dysphagia.

Methods: A total of 80 stroke patients with dysphagia were randomized into treatment and control groups (=40 in each group). Patients of the control group were treated by regular medication for anti-platelet aggregation and anti-coagulation, lipid-lowering, neuroprotection, blood glucose control and blood pressure control, etc.

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Article Synopsis
  • - The study explored the relationship between CACNA1C genetic variations and protein levels in schizophrenia among a Chinese population, involving 139 patients and 141 healthy controls.
  • - Key findings indicated that specific genotypes (TT of rs2238032 and G of rs2299661) may lower schizophrenia risk, while certain haplotypes were linked to an increased risk.
  • - In mice with schizophrenia, CACNA1C protein expression was elevated, supporting the connection between CACNA1C genetic factors and the severity of schizophrenia symptoms.
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Hypoxia is a characteristic of cancer and plays a key role in tumorigenesis, angiogenesis and resistance to cancer therapies. SiRNA treatment is effective against hypoxic tumors by gene silencing. However, siRNA delivery to the hypoxic regions of solid tumors still presents a challenge due to the distance from blood vessels and the increased presence of efflux transporters.

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Objective: To understand the assessment on the criminal responsibility of drug-induced mental disorders and judicial experts' opinions.

Methods: The judicial experts from institutes of forensic psychiatry in Shanghai were selected. They were asked to finish a self-made questionnaire of assessment on the criminal responsibility of drug-induced mental disorders by letters and visits.

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Background: Previous evidence has shown that adrenal androgens, dehydroepiandrosterone (DHEA) and its sulfate derivative (DHEAS) have significant functions related to the control of mood, affect, and anxiety. Changes in their expression levels are reportedly related to several psychiatric disorders. The objective of this meta-analysis was to explore the role of DHEAS protein expression in patients with depression.

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Objective: We performed the present meta-analysis in order to evaluate the influence of a common polymorphism (C825T, rs5443 C>T) in the GNB3 gene on the efficacy of antidepressants in the treatment of major depressive disorder (MDD).

Method: A relevant literature was searched using the PubMed, Embase, Web of Science, Cochrane Library, CISCOM, CINAHL, Google Scholar, CBM and CNKI databases without any language restrictions. STATA Version 12.

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Phenol-degrading bacteria were isolated from activated sludge which had been acclimated, and then bacterium solution was prepared. The effects of initiating phenol concentration, reactor temperature etc. and the velocity of membrane extraction and biodegradation were investigated in order to make the comparison of activated sludge and bacterium solution systems of extractive membrane bioreactor (EMB).

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