ObjectiveTo study the relationship between serum-asicites albumin gradient(SAAG) and the portal hypertensive ascites in order to appreciate the value of SAAG on the prediction of esophageal-gastric fundus variceal bleeding.Methods34 patients with cirrhotic ascites were examined with endoscopy.The patients were classified as high-gradient group and low-gradient group by the SAAG value of 11g/L.The relationship between SAAG and esophageal-gastric fundus varices was studied by Pearson correlation analyasis.Among the 34 patients studied,10 patients had esophageal-gastric fundus variceal bleeding and 24 patients had no esophageal-gastric fundus variceal bleeding.ResultsIn the 30 patients classified as high-gradient group,22 patients had esophageal-gastric fundus variceas.In the 4 patients classified as low-gradient group,no patient had esophageal-gastric fundus variceas.The results showed the direct correlation between the level of SAAG and the degree of esophageal-gastric fundus variceas ( r =0.81,P ＜0.01 ).The mean level of SAAG in bleeding group,consisting 10 patients,was (24.18 ±7.36) g/L.The mean level of SAAG in non-bleeding group,consisting 24 patients,was ( 18.19 ± 6.18)g/L.The results showed sig nificant difference between the bleeding group and non-bleeding group(P ＜0.05).ConclusionThere is correlation between the level of SAAG and the portal venous pressure.The level of SAAG is valueable on the prediction of esophageal-gastric fundus variceal bleeding.

Objective To exlpore the effect and safety of endoscopic pneumatic dilation in the treatment of the benign stricture of esophagus and carclia.Methods 35 patients with the benign stricture of esophagus,eardia and anastomosis were treated with painless endoscopic pneumatic balloon dilation.Results The rate of stricture improvement was 100％,and the entire anastomosis diameter was extended over 12 am,at the first time,difficulty in swallowing was obviously relieved.Following up three months,the total effecttive percentage of stricture improvement was 88.6％,and no serious complication occurred in all cases.Conclusion Endoscopic pneumatic balloon dilation is effective and safe to treat the benign stricture of esophagus and cardia

BACKGROUND: Thymus is an important central immune organ of human body, which is the place where T cells grow, develop and mature. Thymus is the first organ of senescence in human body, gradually atrophy and degeneration after puberty, followed by the gradual decline of immune function. OBJECTIVE: To investigate the effect of bone marrow mesenchymal stem cells on the structure and function of thymus in the aging macaques. METHODS: Bone marrow was collected from female macaques with an average age of 3 years by bone marrow aspiration. Bone marrow mesenchymal stem cells were obtained by differential adherent culture. Five young macaques with an average age of 3 years were used as the young group. Ten aging macaques with an average age of 25 years were randomly divided into elderly group (n=4) and elderly treatment group (n=6). The macaques in the elderly treatment group were infused with bone marrow mesenchymal stem cells (1 × 107 cells/kg) through the femoral vein, and were infused every other day for three consecutive times. Macaques of the young group and the elderly group were infused with the same volume of saline at the same time. The changes of output and secretion levels of the subgroup of thymocytes in the elderly treatment group after infusion, thymic index, thymic tissue structure and collagen fiber deposition in each group were analyzed. RESULTS AND CONCLUSION: Bone marrow mesenchymal stem cell transplantation increased thymus index, T cell output level and reduced regulatory T cells, improved thymus secretion function, increased thymosin alpha and thymosin II secretion. The thymus parenchyma area increased; the skin and medulla junction appeared; part of the thymus tissue was regenerated and transformed to normal structure; the degree of thymus tissue fibrosis was reduced; and collagen fiber deposition was reduced. These results indicate that bone marrow mesenchymal stem cell transplantation can improve the structure and function of thymus in aging macaques.

Objective: To investigate the effect of nicotinamide mononucleotide adenosyl transferase 3 (NMNAT3) on the mitochondrial function and anti-oxidative stress of rabbit bone marrow mesenchymal stem cells (BMSCs) under oxidative stress in vitro by regulating nicotinamide adenine dinucleotide (NAD +) levels. Methods: The bone marrow of femur and tibia of New Zealand white rabbits were extracted. BMSCs were isolated and cultured in vitro by density gradient centrifugation combined with adherent culture. The third generation cells were identified by flow cytometry and multi-directional induction. Overexpression of NMNAT3 gene was transfected into rabbit BMSCs by enhanced green fluorescent protein (EGFP) labeled lentivirus (BMSCs/Lv-NMNAT3-EGFP), and then the expression of NMNAT3 was detected by real-time fluorescence quantitative PCR (qRT-PCR) and Western blot and cell proliferation by cell counting kit 8 (CCK-8) method. BMSCs transfected with negative lentivirus (BMSCs/Lv-EGFP) and untransfected BMSCs were used as controls. The oxidative stress injury cell model was established by using H 2O 2 to treat rabbit BMSCs. According to the experimental treatment conditions, they were divided into 4 groups: Group A was normal BMSCs without H 2O 2 treatment; untransfected BMSCs, BMSCs/Lv-EGFP, and BMSCs/Lv-NMNAT3-EGFP in groups B, C, and D were treated with H 2O 2 simulated oxidative stress, respectively. The effects of NMNAT3 on the mitochondrial function of BMSCs under oxidative stress [changes of mitochondrial membrane potential, NAD + and adenosine triphosphate (ATP) levels], the changes of anti-oxidative stress ability of BMSCs [reactive oxygen species (ROS) and malondialdehyde (MDA) levels, manganese superoxide dismutase (Mn-SOD) and catalase (CAT) activities], and the effects of BMSCs on senescence and apoptosis [senescence associated-β-galactosidase (SA-β-gal) staining and TUNEL staining] were detected after 24 hours of treatment. Results: The rabbit BMSCs were successfully isolated and cultured in vitro. The stable strain of rabbit BMSCs with high expression of NMNAT3 gene was successfully obtained by lentiviral transfection, and the expressions of NMNAT3 gene and protein significantly increased ( P<0.05). There was no significant difference in the trend of cell proliferation compared with normal BMSCs. After treatment with H 2O 2, the function of mitochondria was damaged and apoptosis increased in all groups. However, compared with groups B and C, the group D showed that the mitochondrial function of BMSCs improved, the membrane potential increased, the level of NAD + and ATP synthesis of mitochondria increased; the anti-oxidative stress ability of BMSCs enhanced, the levels of ROS and MDA decreased, and the activities of antioxidant enzymes (Mn-SOD, CAT) increased; and the proportion of SA-β-gal positive cells and the rate of apoptosis decreased. The differences in all indicators between group D and groups B and C were significant ( P<0.05). Conclusion: NMNAT3 can effectively improve the mitochondrial function of rabbit BMSCs via increasing the NAD + levels, and enhance its anti-oxidative stress and improve the survival of BMSCs under oxidative stress conditions.

Photoperiod plays an important role in transformation from vegetative growth to reproductive growth in plants. CONSTANS (CO), as a unique gene in the photoperiod pathway, responds to changes of day length to initiate flowering in the plant. In this study, the expression level of FaCONSTANS (FaCO) gene under long-day, short-day, continuous light and continuous darkness conditions was analyzed by real-time quantitative PCR. We constructed the over-expression vector p1300-FaCO and infected into Arabidopsis thaliana by Agrobacterium-mediated method. We constructed the silencing vector p1300-FaCO-RNAi and infected into Festuca arundinacea by Agrobacterium-mediated method. The expression of FaCO gene was regulated by photoperiod. The over-expression of FaCO promoted flowering in wild type of Arabidopsis thaliana under long day condition and rescued the late flowering phenotype in co-2 mutant of Arabidopsis thaliana. Silencing FaCO gene in Festuca arundinacea by RNAi showed late-flowering phenotype or always kept in the vegetative growth stage. Our understanding the function of FaCO in flowering regulation will help further understand biological function of this gene in Festuca arundinacea.
Arabidopsis/metabolism* ; Arabidopsis Proteins/genetics* ; Festuca/metabolism* ; Flowers/genetics* ; Gene Expression Regulation, Plant ; Photoperiod

OBJECTIVE: To investigate the prevalence and influencing factors of work-related musculoskeletal disorders(WMSDs) among workers in a cement plant. METHODS: A total of 196 workers in a cement plant were selected as study subjects using a judgment sampling method. A revised Musculoskeletal Injury Questionnaire was used to investigate the occurrence of WMSDs in workers in the past year. RESULTS: The detection rate of WMSDs in different parts of the body of workers in the cement plant was 18.4%-32.1%. The detection rates of WMSDs in all parts of the body from high to low was as follows: shoulder(32.1%), neck(30.6%), upper back(24.0%), ankle/foot(24.0%), lower back(23.5%), hip/thigh(22.4%), wrist/hand(21.4%), elbow(18.4%), and knee(18.4%). Multivariate logistic regression analysis results showed that keeping the neck in the same posture for a long time was a risk factor for neck WMSDs [odds ratio(OR)=2.29, P<0.05). Frequent turning around was a risk factor for WMSDs on the neck and lower back(waist)(OR were 3.06 and 3.32, P<0.05). Maintaining the same posture for a long time on the back was a risk factor for shoulder and upper back WMSDs(OR were 3.22 and 2.34, P<0.05). Hard work was a risk factor for shoulder and upper back WMSDs(OR were 2.60 and 2.58, P<0.05). Driving a vehicle was a risk factor for lower back(waist) and ankle/foot WMSDs(OR were 2.54 and 3.17, P<0.05). Carrying objects heavier than 20 kilograms and frequent overtime working were risk factors for ankle/foot WMSDs(OR were 3.03 and 2.54, P<0.05). CONCLUSION: The most frequent parts of the body having WMSDs in the cement production workers are shoulders and necks. Occupational factors(turning around or keeping the same posture of neck and back) are risk factors of WMSDs on shoulder and neck.

OBJECTIVE:To explore mechanism,prevention and treatment of thrombosis following implantation of coronary artery stent.METHODS:The first author used computer to retrieve Vip Database (http://www.cqvip.com/) for articles concerning thrombosis following implantation of coronary artery stent published from January 2000 to October 2009.The key words included "coronary artery,stent implantation,thrombus".The data were primarily screened,and references of each article were checked.Inclusion criteria:mechanism and risk factor of thrombosis in stent;prevention and treatment of thrombosis in stent.Exclusion criteria:articles addressing duplicated or old contents.Finally,28 articles were included.RESULTS:Thrombosis in stent was a severe complication in interventional therapy of coronary artery disease,could induce severe outcomes for the body.Compared with common mental stent,drug eluting stents can significantly reduce restenosis rate and revascularization rate of target lesions.Following stent implantation,thrombosis in stent can occur in early,late and extremely late phases.The mechanisms are different.Antiplatelet,anticoagulation and lipid-lowering therapy can diminish the occurrence rate of thrombosis in stent.Individual surgery and individual drug therapy not only can solve revascularization in the coronary artery,but also decrease restenosis rate and occurrence rate of thrombosis in stent.CONCLUSION:With the expectation of novel stents,various risk factors for thrombosis in stent should be assessed in detail to achieve individual surgery and individual drug therapy.During revascularization in the coronary artery,restenosis rate and occurrence rate of thrombosis in stent should be reduced.

OBJECTIVE: To establish a UPLC-MS/MS method for the determination of ropivacaine and sufentanil plasma concentration in neonate and maternal. METHODS: Ropivacaine and sufentanil were extracted from plasma by ethyl acetate and ethyl ether (1:1, V/V), and determined by LC-MS /MS using bupivacaine as the internal standard. Separation was carried on Waters BEH C18 column (2.1 mm × 50 mm, 1.7 μm) with a mobile phase of 0.1% formic acid acetonitrile -0.1% formic acid water. The flow rate was 0.35 mL·min-1 and column temperature was maitained at 45℃. ESI source was applied and operated in positive ion mode. Quantitative determination was performed using multiple reaction monitoring (MRM) of m/z 275.2→m/z 126.0 for ropivacaine, and m/z 387.1→m/z 238.1 for sufentanil. RESULTS: There were good linearity of ropivacaine (0.25-202.0 ng·mL-1) and sufentanil (0.165-133.6 ng·mL-1), and the correlation coefficient (r2) were greater than 0.995. The extraction recovery for ropivacaine and sufentanil were more than 71.62%, while the intra-day precision (RSD) were lower than 13.86%. CONCLUSION: The method is accurate and high sensitive, providing a good analysis mean for monitoring neonate and maternal blood concentration of ropivacaine and sufentanil.

Objective To prepare oxymatrine (OMT) phospholipid complex (PC) self-emulsifying drug delivery system (OMT-PC- SEDDS), and evaluate its quality and release in vitro. Methods The emulsifiers, co-emulsifiers and ratio of emulsifier to co-emulsifier (Km) were selected through the pseudo-ternary phase diagram method, using emulsified area as selection index, investigation of oil phase by solubility was determined to optimize the prescription. The appearance, average particle diameter, self-emulsification time, in vitro release characteristics, and stability of OMT-PC-SEDDS were evaluated. Results The optimum prescription of OMT-PC-SEDDS was emulsifier Kolliphor HS 15 and co-emulsifier ethanol mass ratio of 2:1, the mass ratio of medium chain triglyceride (MCT) to the total mass of Kolliphor HS 15 and ethanol was 2:8. The appearance of OMTPC-SEDDS was translucent clear liquid with good stability. OMT-PC-SEDDS diluted with water to form milky and pale blue emulsion. The emulsion was observed to be spherical by transmission electron microscopy and distributed evenly with average particle size of (355.00 ± 19.50) nm and Zeta potential of (-12.80 ± 0.66) mV. In pH 6.8 phosphate buffer, the in vitro release, the in vitro release of OMT, OMT-PC, and OMT-PC-SEDDS respectively reached 93.84%, 88.39%, and 88.61% at 4 h. Conclusion The prepared OMT-PC-SEDDS by optimum formulation of this study has a good particle size and good stability.

Ocular accommodation refers to the process by which the ciliary muscle creates a clear image of the object in the retina by changing the refractive power of the lens. When the accommodation ability of the eye is insufficient, the imaging focus falls on the region behind the retina and hyperopic defocus is easily formed, resulting in axial growth and leading to the development of myopia, and it is found that most myopic patients usually have some accommodation dysfunction. Myopia has become a public health problem in China, and the prevalence of adolescents has increased dramatically. How to prevent and stop the occurrence and development of myopia is a major challenge. Previous studies have found that ocular accommodation dysfunction is associated with the occurrence and development of myopia, and the measurement of parameters related to accommodation function has certain guiding significance for the prevention and control of myopia. The purpose of this paper is to review the correlation between myopia and ocular accommodation function, with a view to providing new ideas for the prevention, control and treatment of myopia.