0.05).(4)The para-operation pulmonary function indexes(VC,VC%,FEV1)of the patients who had the variation of ECG were significantly lower than those of no-complication patients.(P

This paper develops a portable,safe,convenient lifebuoy for single soldier. It is in shape"C" around wrist with quick and automatic gas-filled function for the single soldier to float in the sea when meeting an emergency. The lifebuoy is more convenient and of better permeability than the foamy life vest. The boxy lifebuoy is small,light,automatic gas filled and convenient to unfold. When opened,the lifebuoy is in shape "C",and is put up from the "gap" of C-shape. The filled lifebuoy is 18cm?18cm?90cm in volume and creates 11 kilogram buoyancy force when in water. Satisfactory marine training feedbacks were obtained for using the C-shape lifebuoy.

Objective To compare the air permeability,water absorption and water locking properties of two different foam dressings,thus to provide theoretical and experimental evidence to alternative optimization for acute and chronic wound.Methods Five Mepilex foam dressings(group 1) and PermaFoam Comfort dressings(group 2) each was selected.Simulated wound exudation was made by NaCl and CaCl·H2O.The water-absorbing rate of dressings at post immersion 24 h (PIH),the water-absorbing speed of dressings at post immersion 1,5,10,20 min,the diffusion diameter of exudation dripped on the surface of dressings for 5 min,the beaker filled with exudation was sealed tightly by dressing for 24 h,and the weight was gotten before and after 24 h.Statistical analysis was performed.Results (1) The water-absorbing rate:the group 1(616±19)% was significantly higher than (313±13)% of the group 2 (t=29.137,P<0.01);(2) The water-absorbing speed:the group 1 (119.68±2.59)g·s-1·m-2,(24.39±0.62)g·s-1·m-2,(12.33±0.29)g·s-1·m-2,(12.33±0.29)g·s-1·m-2 were significantly higher than those of the group 2[(65.85±4.37)g·s-1·m-2,(13.82±1.03)g·s-1·m-2,(7.16±0.41)g·s-1·m-2,(3.66±0.12)g·s-1·m-2,t=23.704,t=19.708,22.947,31.764,all P<0.01];(3) The water holding capacity:the group 1 (5.66±0.15)cm was significantly higher than (2.2±0.12)cm of the group 2,(t=39.089,P<0.01);(4) The air permeability:there was no statistically significant difference between the two groups(t=0.189,P>0.05).Conclusion The Mepilex foam dressing is more suitable for the early stage of acute wound with large exudation in short time,while the PermaFoam Comfort dressings is better for chronic wound or the later period of acute with less exudation in a relative slow seepage velocity.

ObjectiveTo investigate the protective effects and mechanism of ursodeoxycholic acid (UDCA) on α-naphthylisothi (ANIT)-induced cholestatic liver injury in rats.MethodsA total of 48 Sprague-Dawley (SD) rats were selected.Fouty-two rats were gavaged with ANIT (100 mg/kg) to induce acute liver injury,six rats were sacrificed 24 hours after the liver injury and the rats left were evenly divided into control group which were gavaged with saline and UDCA group which were gavaged with UDCA (20 mg/kg).Six rats were sacrificed at 48 hours,72 hours and 96 hours after modeling.The six untreated rats were set as blank control group.Serum and liver tissues of all rats were kept after sacrificed.Serum levels of alanine transaminase (ALT),aspartate transaminase (AST),total bilirubin (TBil) and total bile acid (TBA) were tested,interleukin-10 (IL-10),interleukin-6 (IL-6),and tumor necrosis factor-α (TNF-α) were detected by enzyme linked immunosorbent assay (ELISA).The expression of multidrug resistance associated protein2 (Mrp2) at mRNA level in liver tissue was measured by quantitative real-time polymerase chain reaction (qRT-PCR) and the inflammatory reaction activity of liver tissues was inspected with Haematoidin-Eosin (HE)staining under microscope.ResultsAt 48 hours after liver injury modeling,serum TBil (143.80± 12.08) μmol/L vs.(178.50±15.19) μmol/L,TBA (13.15±3.81) μmol/L vs.(21.68±7.93)mol/L,IL-10 (44.13±3.68,37.15±6.25 ng/L),IL-6(50.80±2.09,57.32±4.63 ng/L) and TNF-α (17.53±0.84) ng/L vs,(19.10±1.64) ng/L of UDCA group and control group were compared,and the differences were statistically significant (P ＜ 0.01 or P＜ 0.05).At 72 hours after liver injury modeling,serum ALT (721.67±97.54) U/L vs.(929.50±148.29) U/L and IL-10 (54.68±6.79)ng/L vs.(43.85±4.08) ng/L of UDCA group and control group were compared,and the differences were statistically significant (P＜0.01 or P＜0.05).At 96 hours after liver injury modeling,serum ALT (156.83±14.99) U/L vs.(250.67±42.29) U/L,AST (143.67±27.45) U/L vs.(206.00±63.94) U/L and TBil (23.53±5.08) μmol/L vs.(34.02±9.98) μmol/L of UDCA group and control group were compared,and the differences were statistically significant (P＜0.01 or P＜0.05).The differences of Mrp2 expression at mRNA level in liver tissues between UDCA group and control group at 48 hours (0.77 ± 0.21,0.46 ± 0.25),72 hours (2.27 ±0.84,1.10 ±0.38) and 96 hours (3.64±0.54,2.75±0.69) after liver injury modeling were statistically significant (P＜0.01 or P＜0.05).ConclusionThe mechanism of the protective effects of UDCA on ANIT-induced liver injury may be related with the regulation of serum cytokines and liver Mrp2 expression.

OBJECTIVETo study the effects of cardiovascular function in dental extraction on hypertensive patients by inhalation 50% nitrous oxide.

METHODSThe 30 hypertensive patients were randomly allocated into two groups: A group inhalation the 50% nitrous oxide and oxygen, B group inhalation the air and O(2). To measured the HR, BP, and SpO(2) in dental extraction.

RESULTSIn a group the changes of blood pressure and heart rate are more smoother than B group. Two groups were significant in HR, BP and SpO(2) (P < 0.01).

CONCLUSIONSInhalation with 50% nitrous oxide can keep the stability of cardiovascular system and it is a valid method in dental extraction on hypertensive patients.

Administration, Inhalation ; Aged ; Anesthetics, Inhalation ; administration & dosage ; pharmacology ; Blood Pressure ; drug effects ; Female ; Heart Rate ; drug effects ; Hemodynamics ; drug effects ; Humans ; Hypertension ; physiopathology ; Male ; Middle Aged ; Nitrous Oxide ; administration & dosage ; pharmacology ; Oxygen ; blood ; Partial Pressure ; Time Factors ; Tooth Extraction

OBJECTIVETo investigate the effect of Ganoderma lucidum polysaccharides (GLPs) on hemodynamic and antioxidation in the T2DM rats.

METHODSD rats were fed high-fat diet for 4 weeks and then were injected STZ (30 mg x kg(-1)) to induce the type 2 diabetes mellitus (T2DM). Once the T2DM models were set successfully, rats were randomized into six groups: normal group (NG), group of diabetes mellitus (DMG), groups of low dosage (GLPs-LG), middle dosage (GLPs-MG), high dosage (GLPs-HG) and berberine (BerG). They received GLPs with different dosages (200, 400, 800 mg x kg(-1)) and berberine (30 mg x kg(-1)) continually for 16 weeks. At 16th weekend, the following indices of rats were measured respectively: blood glucose, hemodynamic including LVSP, LVEDP, dp/dt(max) and -dp/dt(max) and the contents of NO, SOD, MDA, GSH-Px, CAT in cardiac tissue. Besides, myocardial ultrastructure was observed by electron microscope.

RESULTBoth the middle dosage and the high dosage of GLPs could low blood glucose effectively, and they could reduce LVEP but increase -dp/dt(max). Meanwhile, they could activate GSH-Px, CAT, SOD, NO, but reduce MDA in cardiac tissue and improve the myocardial ultrastructure. Compared to the DM group, the middle dosage, high dosage of GLPs and berberine showed significant improvement. Compared to the berberine group, the middle dosage showed the same effect, but the high dosage was more effective than berberine.

CONCLUSIONThere is a confirmed action of GLPs in improving the hemodynamic and antioxidation in cardiac tissue of T2DM rats.

Animals ; Antioxidants ; metabolism ; Catalase ; metabolism ; Diabetes Mellitus, Experimental ; drug therapy ; metabolism ; Diabetes Mellitus, Type 2 ; drug therapy ; metabolism ; Female ; Glutathione ; metabolism ; Hemodynamics ; drug effects ; Hypoglycemic Agents ; chemistry ; therapeutic use ; Male ; Malondialdehyde ; metabolism ; Microscopy, Electron, Transmission ; Myocardium ; metabolism ; ultrastructure ; Nitric Oxide ; metabolism ; Polysaccharides ; therapeutic use ; Rats ; Rats, Sprague-Dawley ; Reishi ; chemistry ; Superoxide Dismutase ; metabolism

Objective: To explore the influence of different inner dressings in negative-pressure wound therapy (NPWT) on escharectomy wound of full-thickness burn rabbits. Methods: Eighteen Japanese white rabbits were inflicted with full-thickness burn on unilateral back. They were divided into polymer dressing group (PD), biological dressing group (BD), and silver biological dressing group (SBD), according to the random number table, with 6 rabbits in each group. On 3 days post burn, the wounds were performed with escharectomy, and then wounds of rabbits in group PD were covered with polyurethane foam. Wounds of rabbits in group BD were covered with porcine acellular dermal matrix (ADM) and wounds of rabbits in group SBD were covered with silver porcine ADM. Then continuous NPWT was performed on rabbits of the three groups for 7 days. Immediately after surgery and on post surgery day (PSD) 7, general observation of wound was conducted and tissue around the wound was harvested for determination of dry to wet weight ratio. The content of bacteria was counted and the content of tumor necrosis factor α (TNF-α), interleukin-1β (IL-1β), and IL-6 in wound was determined by enzyme-linked immunosorbent assay. Fibroblasts in wound were counted after Masson staining and number of microvessels was counted after CD31 antibody immunohistochemical staining. Data were processed with analysis of variance for repeated measurement, LSD-t test, paired samples t test, and Bonferroni correction. Results: (1) Immediately after surgery, there was no granulation tissue in basal wound of rabbits in the three groups, with rich blood supply and obvious edema. On PSD 7, much granulation tissue was found in basal wound of rabbits in the three groups, with no or mild edema and no obvious redness and swelling in wound edge. (2) There were no significant differences in dry to wet weight ratios of tissue around the wound among and within the three groups immediately after surgery and on PSD 7 (with F values respectively 0.70 and 0.09, t values from 0.17 to 0.52, P values above 0.05). (3) Immediately after surgery, the content of bacteria in wounds of rabbits in groups PD, BD, and SBD was respectively (603.0±146.0) ×10^4, (573.0±63.0) ×10^4, and (590.0±100.0)×10⁴ colony-forming unit (CFU)/g, with no significant difference among them (F=0.13, P>0.05). On PSD 7, the content of bacteria in wounds of rabbits in groups PD, BD, and SBD were respectively (5.4±0.8) ×10^4, (4.6±0.9) ×10^4, and (3.5±0.9)×10⁴ CFU/g. Among them, the content of bacteria in wounds of rabbits in group SBD was lower than that in groups PD and BD, respectively (with t values respectively 3.78 and 2.29, P<0.05 or P<0.01). The content of bacteria in wounds of rabbits in the three groups on PSD 7 was decreased compared with that immediately after surgery (with t values from 10.05 to 21.81, P values below 0.01). (4) There was no significant difference in content of TNF-α, IL-1β, and IL-6 in wounds of rabbits in the three groups immediately after surgery and on PSD 7 (with F values from 0.10 to 1.89, P values above 0.05). The content of TNF-α in wounds of rabbits in the three groups on PSD 7 was significantly higher than that immediately after surgery (with t values from 2.93 to 5.01, P<0.05 or P<0.01). (5) There was no significant difference in amount of fibroblasts in wounds of rabbits in the three groups immediately after surgery and on PSD 7 (with F values respectively 0.01 and 0.81, P values above 0.05). The amount of fibroblasts in wounds of rabbits in the three groups on PSD 7 was larger than that immediately after surgery (with t values from 4.78 to 11.58, P values below 0.01). (6) There was no significant difference in number of microvessels in wounds of rabbits in the three groups immediately after surgery and on PSD 7 (with F values respectively 2.42 and 2.49, P values above 0.05). The number of microvessels in wounds of rabbits in the three groups on PSD 7 was larger than that immediately after surgery (with t values from 7.17 to 11.14, P values below 0.01). Conclusions SBD is better at inhibiting the growth of bacteria. PD, BD, and SBD have almost the same effects on reducing tissue edema and inflammatory reaction, and on promoting the accumulation of collagen fibers and tissue vascularization.

Objective Although aspirin resistance has been recognized to occur in patients with diabetes mellitus, the prevalence and related risk factors for aspirin resistance in elderly patients with diabetes mellitus have not been reported yet. The purpose of the present study was to evaluate the prevalence and potential risk factors for aspirin resistance in elderly patients with type 2 diabetes.Methods The 140 elderly patients [aged from 60 to 92 years, mean age (73.8±8. 0) years] with type 2 diabetes receiving daily aspirin therapy (≥ 75 mg) over one month were recruited. Platelet aggregation was measured by light transmittance aggregometry (LTA) and thrombelastograph (TEG)platelet mapping assay. Results By LTA, 6 patients (4.3%) of the diabetic patients were found to be resistant to aspirin therapy, 44 patients (31.4 %) were semi-responders. By TEG, 31 patients (22. 1%) were aspirin resistant. Among the 31 patients who were aspirin resistant by TEG, 3 were aspirin resistant by LTA. In the multivariate logistic regression analysis, female gender (OR= 5. 54,95%CI: 1.17-27.47, P=0.036) and homocysteine level (OR=1.15, 95%CI: 1.00-1.35, P=0. 043) were statistically significant risk factors for aspirin resistance by TEG. Conclusions The prevalence of aspirin resistance in elderly patients with type 2 diabetes is considerably higher in elderly female patients and in elderly patients with higher serum homocysteine level.

Objective:To explore the clinical application value of MRI in quantitative evaluation of anterior cruciate ligament mucoid degeneration (ACL-MD).Methods:From March to July 2020, 40 patients who were scheduled to undergo arthroscopic treatment were prospectively collected in the First Affiliated Hospital of Kunming Medical University.The anterior cruciate ligament tissue from the lateral edge of the tibial end was taken during the operation. Based on the pathologicalre sults, the patients were divided into the ACL-MD group ( n=19) and the normal group ( n=21). The sagittal plane three-dimensional steady-state rapid precession (3D-FIESTA), T 1 mapping, T 2 mapping, and T 2* mapping were performed before the knee joint surgery, and the scanned images were post-processed and analyzed to measure the T 1, T 2, and T 2* values of the tibial end of the anterior cruciate ligament.The relaxation time of the ACL-MD group and the normal group was compared using independent sample t test. The ROC curve was drawn using each parameter and the areas under the curve (AUC) for the diagnosis of ACL-MD were obtained.DeLong test was used to compare the differences of AUCs. Results:The T 1 [(1 291.9±273.4) ms], T 2 [(54.8±10.6) ms], and T 2* values [(30.6±6.4) ms] of anterior cruciate ligaments in the ACL-MD group were significantly higher than those in the normal group [ (1 087.0±121.0), (44.8±7.1), (20.4±4.8) ms; t=3.011, 3.473, 5.658, all P<0.001]. The AUCs of T 1, T 2, T 2* were 0.747, 0.764, 0.912, sensitivity of 63.2%, 63.2%, 100%, and the specificity of 100%, 95.2%, 76.2% in diagnosing ACL-MD. The AUC of the T 2* value was higher than those of the T 1 and T 2 values, and the differences were statistically significant ( Z=1.734, 2.162, P=0.043, 0.031). Conclusion:T 1, T 2, T 2*values measured by MRI quantitative imaging have high performance in assessing knee joint ACL-MD, and T 2* value has the largest AUC and the highest diagnostic efficiency.

Objective To explore the effects of different fluid resuscitation program on renal function in swine during shock stage of severe burn.Methods Twenty-four Guangxi Bama miniature swine were inflicted with 40％ total body surface area on the back,and then they were divided into four groups according to the random number table,with 6 swine in each group.At post injury hour (PIH) 2,swine in succinylated gelatin group (S),hydroxyethyl starch group (H),and allogeneic plasma group (A) were respectively resuscitated with succinylated gelatin,hydroxyethyl starch 130/0.4,and plasma according to burn shock “ domestic general” resuscitation formula,and swine in Parkland group (P) were resuscitated with lactated Ringer's solution according to Parkland formula.Hemodynamic indexes including heart rate,blood pressure,urine volume,pulmonary capillary wedge pressure,and central venous pressure before injury,at the first and second PIH 24 were recorded.The volume of resuscitation fluid was calculated at the first and second PIH 24.Blood and urine samples were collected before injury and at PIH 4,8,24,and 48,and then serum creatinine and urea nitrogen were detected by automatic biochemical analyzer,urine microalbumin and urine creatinine were detected by automated urine analyzer and the ratio of which was calculated.The renal tissue of swine in each group was obtained at PIH 48,and the pathologic changes were observed by optical microscopy and electron microscope.Data were processed with analysis of variance of repeated measurement,one-way analysis of variance,and LSD test.Results (1) The hemodynamic indexes of swine in each group were similar before injury and at the first and second PIH 24 (with P values above 0.05).Compared with those before injury,except that the heart rate of swine in group A had no significant change at the first PIH 24 (P ＞ 0.05),the heart rate of swine in each group was significantly increased at the first and second PIH 24 (with P values below 0.01);except that the systolic blood pressure of swine in group P was significantly increased at the first and second PIH 24 (P ＜0.05 orP ＜0.01),there were no significant changes of systolic blood pressure and diastolic blood pressure of swine in each group at the first and second PIH 24 (with P values above 0.05);except that urine volume of swine in groups S and A was significantly decreased at the first PIH 24 (P ＜ 0.05 or P ＜ 0.01),there were no significant change of urine volume of swine in each group at the first and second PIH 24 (with P values above 0.05);pulmonary capillary wedge pressure and central venous pressure of swine in each group were significantly increased at the first and second PIH 24 (P ＜ 0.05 or P ＜ 0.01).(2) Compared with that in group A,the volume of resuscitation fluid of swine in groups S and H had no significant change in the first and second PIH 24 (with P values above 0.05),while it was significantly increased in group P in the first PIH 24 and significantly decreased in the second PIH 24 (with P values below 0.05).(3) Compared with those in group A,except that serum creatinine of swine in group H was significantly increased at PIH 24 and significantly increased in group P at PIH 4,8,24,and 48,urea nitrogen of swine in group P was significantly decreased at PIH 4 and 8 and significantly increased at PIH 48,the ratio of urine microalbumin to urine creatinine of swine in group P was significantly increased at PIH 8,24,and 48 (P ＜ 0.05 or P ＜ 0.01),serum creatinine,urea nitrogen,and the ratio of urine microalbumin to urine creatinine of swine in each group had no significant change at each time point (with P values above 0.05).Serum creatinine of swine in group P was (125 ± 16) μmol/L at PIH 24,which was significantly higher than that before injury [(75 ± 13) μmol/L,P ＜ 0.05].Urea nitrogen of swine in group S was (2.90 ± 1.17) μmol/L at PIH 48,which was significantly lower than that before injury [(4.60 ±0.47) μmol/L,P ＜0.05];urea nitrogen of swine in group H was (4.82 ±0.82)μmol/L at PIH 4,which was significantly higher than that before injury [(3.80 ± 0.73) μmol/L,P ＜ 0.05];urea nitrogen values of swine in group A were respectively (4.80 ± 0.33),(4.92 ± 0.35),and (2.60 ± 0.27) μmol/L at PIH 4,8,and 48,while those at PIH 4,8 were significantly higher and at PIH 48 was significantly lower than the value before injury [(3.93 ± 0.32) μmol/L,with P values below 0.01].The ratios of urine microalbumin to urine creatinine of swine in group P were respectively (106.7 ±16.4) and (171.6 ± 36.9) mg/mmol at PIH 24 and 48,which were significantly higher than the ratio before injury [(59.0 ± 3.0) mg/mmol,with P values below 0.01].The serum creatinine,urea nitrogen,and the ratio of urine microalbumin to urine creatinine of swine in each group at the other time points were similar to those before injury (with P values above 0.05).(4) The renal tissue of swine in the four groups had no obvious pathological change.Conclusions According to the renal function results,fluid resuscitation with electrolyte and colloids are better than with lactated Ringer's solution in swine during shock stage of burn injury,while natural colloids and succinylated gelatin have similar effects,and both are superior to hydroxyethyl starch 130/0.4.