Objective To explore the role of probiotics in the prevention of diarrhea in critically ill patients.Methods The patients receiving enteral nutrition from May 2009 to September 2010 in the Respiratory Intensive Care Unit were divided into routine feeding group (control group,n =38) and probiotic yogurt feeding group (yogury group,n =42).The control group accepted routine enteral nutrition liquid (Nutrison),while the yogurt group accepted conventional feeding plus probiotic yogurt.The incidence of dianhea,length of hospital stay,and other indicators were compared between these two groups.Results The incidence of diarrhea was lower in the yogurt group on the 5th,6th,and 7th days (P＜0.05).The cases of positive stool bacterial and fungal culture results in the yogurt group were less than those in the control group (P ＜ 0.05).In addition,the hospital stay was shorter [(13.17±3.79) d vs.(15.18±4.39) d,P=0.031],the cost was lower [(6307±2358) yuan vs.(8253±3186) yuan,P =0.002],and the satisfaction of the patients were higher in the yogurt group.Conclusion Probiotics may reduce the occurrence of diarrhea associated with enteral nutrition in critically ill patients.

Objective To investigate the cytotoxicity of ADM-PBCA-NP on L-02 cells.Methods L-02 cells were cultured in vitro and the LDH activity of supernatant liquid of culture cells was examined.The toxicity of ADM-PBCA-NP,ADM and PBCA-NP to L-02 cells by the MTT assay was also determined,and the haemolysis function of PBCA-NP with different concentrations was detected.Results The cytotoxicity of ADM-PBCA-NP,ADM and blank PBCA nanoparticles to L-02 cells under the 10-6 mol/L concentration range was not cytototic(grade 1).LDH activity of supernatant liquid of culture cells showed no differences between the 3 groups.Conclusions Nanoparticles of ADM-NP and PBCA-NP in the 10-6 mol/L concentration range have no significant toxic effect on L-02 hepatic cells;and in a certain concentration range,the cell compatibility is excellent and will not lead to hemolysis.

Objective To analyze the relevance between the nursing students′ sense of life meaning and death attitudes. Methods 181 nursing students were surveyed with the Purpose In Life Test (PIL) and Death Attitude Profile-Revised (DAP-R), and then did the relevant statistical analysis. Results The nursing undergraduates′overall average of PIL was (91.45 ± 10.54) points, and the neutral acceptance death attitude got the highest scores which were 24.14 ± 5.78, while escape acceptance got the lowest scores which were 11.76 ± 3.61. And there was a significant negative correlation (r =-0.257, P <0.05) between the sense of life meaning and death attitudes. Conclusions There was a significant negative correlation between the sense of life meaning and death attitudes, the more sense of life meaning was, the more positive attitudes toward death would be. So it′s of great importance to provide life-and-death education to improve the nursing students′sense of life meaning and death attitudes.

Nuclear factor kappa B(NF-?B) is a pleiotropic nuclear transcriptive factor widely expressed in the nervous system.Recently,studies have demonstrated that NF-?B is also expressed in neural stem cells and may play an important role in their proliferation,migration and differentiation.This article reviews the recent advances in this new research field.

Carcinoma ; pathology ; surgery ; Carcinoma, Papillary ; Humans ; Neck Dissection ; Thyroid Neoplasms ; pathology ; surgery

Objective To construct and identify recombinant vaccine Bifwlobacterium bifidum(Bb)pGEX-Sj14-3-3 of Schistosoma japonicum(Sj). Methods Total RNA was extracted from adult Sj, antigen encoding gene Sj14-3-3 was amplified by RT-PCR and cloned into Escherichia coli (E. coli)-Bb shuttle expression vector pGEX-1λT to construct recombinant plasmid pGEX-Sj14-3-3. The recombinant plasmid was transformed into E. coli BL21 (DE3).The plasmid was extracted and identified by using BamH I and EcoR I. Then pGEX-Sjl4-3-3 was electroporated into Bb to construct recombinant Bb (pGEX-Sj14-3-3) vaccine. The extracted plasmid of the recombinant Bb (pGEX-Sj14-3-3) vaccine was identified by PCR, and the size of the products was compared with Sj14-3-3 gene of adult worms.Results Sj14-3-3 of 399 bp in length was amplified by RT-PCR. The products were digested by BamH I and EcoR I , and the fragments length of plasmid pGEX-Sj14-3-3 vector was 4947 bp, and of Sj 14-3-3 gene was 399 bp.The product of 399 bp Sj14-3-3 gene was also amplified by PCR from template of the extracted plasmid of the recombinant Bb(pGEX-Sj14-3-3 ) vaccine. The size of the product obtained was just the same as expected.Conclusion The recombinant Bb(pGEX-Sj14-3-3) vaccine of Sj is successfully constructed.

Objective To investigate the effects of recombinant vaccine Bifidobacterium bifidum (Bb) pGEX-Sj14-3-3 on splenocyte apoptosis in BALB/c mice.Methods Ninety-six BALB/c mice were randomly divided into two groups according to their body mass:per os group (PO) and intranasal immunization group (IN),with 48 mice in each group.All mice were orally and intranasally immunized with recombinant vaccine Bb(pGEX-Sj14-3-3).Four mice in each group were sacrificed on weeks 0,2,4,6,8,10,12,14,16,18,20 and 22,respectively,after immunization,and splenocytes were separated and cultured with or without ConA stimulation.The apoptotic rates of splenocytes were detected by flow cytometry.Results It showed that apoptotic level of splenocytes in both groups remarkably increased after 2-4 weeks without ConA stimulation (PO:0.069 ± 0.005,0.076 ± 0.010; IN:0.037 ± 0.002,0.075 ± 0.002),and the value reached the peak on the 4th week,and the differences were statistically significant compared with that of week 0(all P ＜ 0.05).Apoptotic level of splenocytes in both groups with ConA stimulation increased after 2-6 weeks(PO:0.089± 0.006,0.098 ± 0.010,0.060±0.007; IN:0.054 ± 0.001,0.093 ± 0.003,0.058 ± 0.012),and the value also reached the peak after 4 week,respectively.The differences were statistically significant compared with that of week 0 (all P ＜ 0.05).Apoptotic level of splenocytes in each group with ConA stimulation was significantly higher than that without ConA stimulation.Conclusion It is suspected that the recombinant vaccine Bb(pGEX-Sj14-3-3) may inhibit apoptosis of splenocytes in mice immunized orally or intranasally.

ObjectiveTo study the dynamic changes of IgG,IgG subclasses,IgE and IgA in sera of BALB/c mice immunized with recombinant Bifidobacterium bifidum (Bb) pGEX-Sj14-3-3 vaccine of Schistosoma japonicum.MethodsNinty six BALB/c mice were randomly divided into two groups:oral immunization group and intranasal immunization group,48 mice in each group.Mice were orally and intranasally immunized with recombinant Bb(pGEX-Sj14-3-3) vaccine,respectively.Four mice from each group were sacrificed,respectively,on weeks 0,2,4,6,8,10,12,14,16,18,20 and 22 after immunization and their sera from the eyeballs were collected.The levels of IgG,IgG subclasses,IgE and IgA were assayed with routine Enzyme-linked immunosorbent assay(ELISA).ResultsThe titers of IgG,IgG1,IgG2a,IgG2b,IgG3,IgE and IgA in both groups increased during the 2 - 22th,2 - 14th,2 - 22th,2 - 22th,2 - 20th,2 - 22th,2 - 22th weeks,respectively.The values reached the highest level on weeks 8,6,6,4,8,10 and 6,respectively,in the oral group,and the values were (0.065 ±0.001,0.021 ± 0.002,0.011 ± 0.001,0.015 ± 0.003,0.014 ± 0.002,0.011 ± 0.001,0.013 ± 0.002),respectively,as compared with the values on week 0(0.032 ± 0.001,0.015 ± 0.002,0.005 ± 0.002,0.005 ± 0.001,0.006 ± 0.001,0.006 ± 0.001,0.005 ± 0.001 ),the differences were statistically significant(P ＜ 0.05 or ＜ 0.01 ) except that of IgG1 and IgG2b.In the intranasal group these values reached the highest levels on weeks 4,6,4,4,8,10 and 8,respectively,and the values were (0.064± 0.003,0.022 ± 0.002,0.012 ± 0.003,0.019 ± 0.001,0.013 ± 0.001,0.015 ± 0.001,0.014 ± 0.003),respectively,as compared with the value on week 0,the differences were statistically significant(P ＜ 0.05 or ＜ 0.01 ) except that of IgG1 and IgA.ConclusionsTypes Th1 and Th2 mixed type immune responses can be induced in mice by immunization with the recombinant Bb(pGEX-Sj14-3-3) vaccine by early period of immunization (2th - 10th week).

Carcinoid Tumor ; pathology ; Groin ; Humans ; Laryngeal Neoplasms ; pathology ; Lymphatic Metastasis ; Male ; Middle Aged