Objective To analysis the clinical efifcacy of blue-ray combined with Yinzhihuang Keli for newborn pathological jaundice. Method 120 newborns with neonatal jaundice were randomly divided into control group(traditional treatment group, took enzyme inducers phenobarbital and continuous blue-ray radiation for 8 h everyday)60 cases and treatment group(Yinzhihuang Keli combined with traditional treatment group)60 cases,7 days for a course of treatment , then the efifcacy of two groups were compared. Results After 7 days treatment, we found compared with control group, the speed of decline of serum bilirubin of treatment group was much faster, the degree of decline was much bigger and the average time of jaundice subside was much shorter, all P<0.05.The total efifciency of treatment group was 98.33%which was signiifcantly higher than the control group which was 91.67%, P<0.05.Conclusion Compared with conventional treatment methods, blue-ray combined with Yinzhihuang Keli for neonatal jaundice would get a better efifcacy, faster speed of jaundice subside and smaller side effects.

The experiences of surgical treatment of valvular heart diseases in children were reported. Cardiac valve operations were performed in 87 children including 58 males and 29 females between the age of 4 to 14 years ( mean 10 2 years) . Of the 87 patients, 36 underwent mitral valve replacement, 13 aortic valves replacement, 6 mitral and aortic valves replacement, 13 aortic valvuloplasty, and 29 mitral valvuloplasty. Associated cardiac lesions were simultaneously managed. Postoperative complications included low cardiac output syndromes in 7 patients, respiratory failure in 3, and arrhythmia in 5 patients. The operative mortality was 4 60% (4 patients). Follow up was 0 5 to 14 5 years (mean 6 51 years). Late mortality was 3 61% (3 patients). The valvuloplasty operations were first choice for cardiac valve operations in children. It was advisable to use cardiac valve prosthesis of larger size(adult) for valve replacement in children.Anticoagulation with Warfarin was routinely used and the treatment of rheumatic fever should be emphasized postoperatively.

Objective To evaluate the efficacy of video-assisted thoracoscopic surgery for loop ligation in patients with spontaneous pneumothorax.Methods From April 2004 to December 2006,90 consecutive cases of spontaneous pneumothorax were subjected to video-assisted thoracoscopic surgeries for loop ligation in our department.The pulmonary bullae of the patients(

Objective:To clone the outer membrane protein hopX gene of Helicobacter pylori(Hp)and to perform sequencing and analysis of biological information.Methods:Polymerase chain reaction(PCR)was used to amplify the hopX gene from Hp chromosomal DNA.Then the target gene was digested by restricted endonuclease enzyme of BamH I,and inserted into the prokaryotic expression vector pQE30 digested by corresponding restricted endonuclease enzyme.The recombinant vector was used to select and transform for nucleotide sequence analysis.The biological property at the amino acid level was analyzed by Omiga 2.0 and Antheprot v 5.0.The transformant colony was induced with IPTG and the fusion protein was analyzed by SDS-PAGE and Western blot.Results:The recombinant plasmid was constructed.DNA sequence analysis showed the sequence of hopX was 1 284 bp.The homology of the strains in nucleotide acid was 96%～97%.Their homogeneity in the amino acids was 97%～99%.We get a GeneBank accession number EF208122.Omiga 2.0 software predicted its relative molecular mass(Mr.)was 47 kD and possessed good antigencity.The expressed product contained about 37% of total somatic proteins and Western blot method showed good antigenicity of the recombinant protein.Conclusion:A confirmed gene hopX has been obtained,providing a good foundation for recombination,expression and related study.The corresponding peptide of the gene performed the structural characteristics of some typical antigen molecules,which suggest that it might be a novel vaccine candidate.

Objective : To investigate the incidence of new HIV infection and its influencing factors among men who have sex with men ( MSM ) in China, so as to provide the evidence for formulating the AIDS control strategy. Methods : Cohort studies pertaining to new HIV infections among Chinese MSM populations were retrieved in Chinese and English electronic databases, including CNKI, Wanfang Data, VIP, PubMed, Web of Science, Embase and Cochrane Library, and the retrieval time was set to build the database until May 2021. A meta-analysis was performed to investigate the incidence of new HIV infection and its influencing factors among Chinese MSM populations. The publication bias was assessed using funnel plot and Egger's test, and the stability of outcome parameters was evaluated using sensitivity analysis. Results : A total of 850 publications were retrieved, and 43 eligible literatures ( 44 studies ) were included in the final analysis. The pooled incidence of new HIV infection was 4.93 ( 95%CI: 4.15 to 5.72) per 100 person-years among Chinese MSM populations. Egger's test showed a publication bias ( t=2.411, P=0.021). Subgroup analysis revealed high incidence of new HIV infection in east ( 5.21 per 100 person-years ), north ( 5.30 per 100 person-years ) and southwest (4.84 per 100 person-years) China, and the lowest incidence in northwest China ( 2.87 per 100 person-years ), and showed higher incidence in first-tier cities ( 5.12 per 100 person-years ) than in nonfirst-tier cities ( 3.89 per 100 person-years ). Syphilis infection ( HR=3.41 ), unprotected anal sex ( HR=2.52 ), multiple sexual partners ( HR=3.51 ), seeking sex partners in bars, public baths and parks ( HR=3.44 ), age of > 25 years ( HR=0.44 ), Han Ethnicity ( HR=0.35 ), awareness of AIDS-related knowledge ( HR=0.20 ) and provision of HIV preventive services ( HR=0.18 ) were associated with new HIV infection in Chinese MSM populations. In addition, publication bias was found in studies reporting syphilis infection ( t=4.841, P<0.001 ), unprotected anal sex ( t=4.114, P=0.006 ) and ethnicity ( t=-5.018, P=0.038 ). Conclusions The incidence of new HIV infection is high among Chinese MSM populations. Interventions targeting the factors affecting new HIV infections are required to reduce in the incidence of new HIV infections among Chinese MSM populations.

Objective To study the early clinical outcome of patients undergone minimally invasive direct coronary bypass(MIDCAB) surgery,and the mid-term patency of left internal mammary artery(LIMA)-left anterior descending(LAD) anastomosis.Methods From Jannuary 2007 to May 2014,47 cases underwent MIDCAB surgery in our department,with 35 males and 12 females,aged 48-76 years,with the average of (62.9 ± 8.1) years old.Types of LAD lesions were as followed:1 case was ostial total obstruction,28 severe stenosis at proximal segment,10 long and severe stenosis,3 calcified lesion with severe stenosis,5 myocardial bridge.All patients had symptomatic angina,typical myocardial ischemia could be detected by electrocardiogram for all patients with myocardial bridge.Comorbidities included:hypertension 38 cases,27 diabetes mellitus,3 COPD and 3 chronic kidney disease.Results All surgery went well without transfer to mid-sternotomy.LIMA harvest time was 38-53 minutes,mean LIMA flow rate was(22 ± 6) ml/min after anastomosis.Surgery duration was 117-143 minutes,blood loss was less than 100 ml for each operation.No blood transfusion was required.Tracheal intubation time was 4-16 hours,ICU stay time was 22-45 hours,hospital stay time was 6-10 days.There was no peri-operative death,either no myocardial infarction or cerebral vessel accident.During follow-up,all LIMA-LAD appeared to be patent by coronary CT angiography.Conclusion High patency rate of LIMA-LAD anastomosis could also be obtained during MIDCAB surgery.It was reserved as a safe and effective surgery for well-selected patients.

BACKGROUND:The technique of vacuum sealing drainage, initialy used for better wound healing, has been widely applied to al kinds of refractory wounds. OBJECTIVE:To summarize the research progress in vacuum sealing drainage for treatment of severe soft tissue injury. METHODS: An electronic retrieve was performed in Wanfang database, VIP database and PubMed database from January 1989 to August 2014 was performed for papers regarding the vacuum sealing drainage technology with the key words of “vacuum sealing drainage technology; injury; gentamicin; hyperbaric oxygen; nerve growth factor; chymotrypsin” in Chinese or English. Finaly 48 articles were involved in the final analysis according to the inclusion criteria. RESULTS AND CONCLUSION:Vacuum sealing drainage is a highly effective treatment technique to promote wound healing which can promote wound blood circulation, reduce sweling, inhibit bacterial growth, stimulate growth of granulation tissue by mechanical stress, inhibit cel apoptosis, thereby helping wound healing. Compared to conventional open-dressings, vacuum sealing drainage has a faster wound healing speed, lower infection rate, and fewer dressing change frequency. With recent advances in medicine, vacuum sealing drainagetechnology cannot be simply used for treatment of skin soft tissue damage, but in combination with gentamicin, hyperbaric oxygen, nerve growth factor and chymotrypsin to achieve better therapeutic effects.

Objective: Based on Dincer model, the drying characteristic of Chaenomeles sinensis under different drying condition was investigated in order to provide theoretical foundation for applying Dincer model to analyze heat and mass transfer during Chinese herbs drying process and select suitable drying technology and process. Methods: C. sinensis slice of thickness 12 mm was dried by the three different drying methods, namely air impingement drying, medium and short infrared waved drying and pulsed vacuum drying. Also, 9, 12 and 15 mm C. sinensis slices were dried under air impingement drying method. The drying characteristic, color value, rehydration ration, vitamin C (VC), general flavone, and microstructure were studied. Results: At the same drying temperature, the drying rate sorted in order of size was air impingement drying, medium and short infrared waved drying and pulsed vacuum drying and the drying activation energy was 43.10, 36.95 and 20.37 kJ/mol in corresponding. Decreasing slice thickness enhanced drying rate. The Weibull distribution model simulation result showed that the scale parameter α ranged from 47.85 to 324.51. Smaller α value meant short drying time. The shape parameter β was between 1.218 7 and 1.290 8 under air impingement drying as well as medium and short infrared waved drying method, which showed that drying was falling rate process controlled by internal moisture diffusion. However, the shape parameter β was between 1.218 7 and 1.290 8 under pulsed vacuum drying method, which illustrated that drying was controlled both by internal moisture diffusion and surface moisture evaporation. The calculated moisture diffusion coefficient was ranged from (1.66 × 10-8) to (1.13 × 10-7) m2/s and decreased as α increased. The Dincer model simulation result showed that the lag factor (G) was range from 1.135 6 to 1.337 6, which declared that there was a short raising rate drying period during the initial drying process. Heat transfer Biot number (Bi) value was between 1.171 4 and 136.041 2 and decreased as drying temperature increased. Effective moisture diffusion (Deff) value calculated by Diner model was range from (3.26 × 10-9) to (6.33 × 10-8) m2/s. At the same drying temperature, (Deff) value was larger than (D*), but smaller than (Dcal). Mass transfer (k) was ranged from (9.02 × 10-6) to (8.82 × 10-5) m/s and increased as drying temperature increased. Air impingement drying method was suitable for C. sinensis slice drying, and drying temperature of 60 ℃ and thickness of 12 mm was the most optimum drying process. Under above drying circumstance, the drying time, brightness L*, color difference value ΔE, VC, general flavone and rehydration ratio were 5 h, 62.80 ± 1.70, 19.62 ± 2.60, (1.107 8 ± 0.005 0) mg/g, (36.74 ± 0.60) mg/g and 7.11 ± 0.24, respectively. Conclusion: Such investigation result can provide theoretical foundation for applying Dincer model to describe heat and mass transfer characteristics during Chinese herbs drying and filtrating suitable C. sinensis slice drying method and process.

Objective: Taking Panacis Quinquefolii Radix (PQR) as study object, the drying characteristic and quality was investigated under constant relative humidity (RH) and step-down RH drying method in order to provide foundation for improving drying efficient and quality of PQR. Methods: At drying temperature 55 ℃, the effect of constant RH (20%, 30%, and 40%), step-down RH, when RH 40% was kept for 1, 5, and 9 h and then decreased to 20%, and continuously dehumidification drying conditions on drying characteristic, moisture effective diffusion coefficient, rehydration ratio, shrinkage ratio, total ginsenoside content and microstructure were investigated. Results: With constant RH drying condition, the lower the RH was, the higher the drying rate was. When RH was 20%, the drying time was shortened by 6.8% compared with RH of 40%. With step-down RH drying condition, when RH 40% was held for 5 h and then decreased to 20%, the drying time was shortened by 3.4% compared with dehumidification drying method. Also, a transient increasing drying rate phase was appeared. Moisture effective diffusion coefficient ranged from 1.49 × 10-10 to 2.50 × 10-10 m2/s. Rehydration ratio mainly depended on the damage degree of the PQR cellular structure and the moisture content before rehydrating. Additionally, the rehydration ratio and shrinkage ratio increased with the increase of RH. High RH was benefit for reserving and transferring of ginsenoside content. The microstructure results showed that under continuous dehumidification drying process, the PQR surface was crusted so that the drying time was prolonged and rehydration ratio was decreased. On the other hand, step-down RH drying method was benefit for porous structure formation, which was helpful for shortening drying time and improving rehydration ratio. When RH 40% was kept for 5 h and then decreased to 20%, the comprehensive score of this drying condition achieved its maximum value as (0.61 ± 0.01). Such drying condition was regarded as the best drying process with the rehydration ratio, shrinkage ratio and total ginsenoside content of 2.23 ± 0.12, 0.26 ± 0.06, and (5.01 ± 0.04)%, respectively. Conclusion: Step-down RH drying method can improve PQR drying efficient and quality and such conclusion provided theoretical foundation and technical support for how to adjust RH during hot air drying of PQR.

Background The retina ischemia reperfusion injury (RIRI) can lead to apoptosis,which is associated with many genes.It is very significant to explore the protection of drugs on RIRI-induced apoptosis.Objective This study was to explore the relationship between the expression of Nogo-A and the cell apoptosis as well as the therapeutic effect of NEP1-40 in RIRI retina.Methods The device of raising intraocular pressure (IOP)was used to elevate the IOP for 60 minutes and then restore the IOP to normal for the establishment of RIRI models.Seventy-eight SD rats were randomized to the normal group,RIRI group and NEP1-40 group.PBS of 5 ml/(kg · d)was injected intraperitoneally in the rats of the RIRI group,and NEP1-40 of 8 mg/(L · kg) was used in the same way in the NEP1-40 group.The rats were sacrificed in overdose anesthesia at 6 hours,12 hours and 1 day,2,3,7 days after RIRI to prepare the retinal specimens.The ultrastructure of rat retinas was examined under the transmission electron microscope.Cell apoptosis was assessed by the TUNEL method,and the apoptotic index (AI) was calculated.The expressions of Nogo-A protein and mRNA in rat retinas were detected by immunohistochemistry and semiquantitative reverse transcription PCR (RT-PCR).Results The ultrastructure of retinal cells were normal in the normal group.Retinal cell organelle dissolution,mitochondria swelling,cavitation,chromatin edge heterochromatin and apoptotic body were seen in the rats of the RIRI group from 12 hours through 7 days after injection.However,only the slight loose of outer membranous disk,inner and outer nuclear layer and retinal ganglion cells,the nucleus gap broadening,shortness of some mitochondrial cristae in the NEP1-40 group.TUNEL-positive cells appeared 6 hours after RIRI and reached peak in 1 day,and gradually declined after that in the RIRI group.A similar pattern was seen in the rats of the NEP1-40 group with a more mild manifestation.Significant differences were seen in the AI values among the different groups at various time points (Fgroup =100.850,P =0.000 ; Ftime =34.309,P =0.000),and the AI values were significantly higher in the RIRI group and NEP1-40 group compared with normal group;while the AI values in the NEP1-40 group was lower than those of the RIRI group (all at P＜0.05).The expressions of Nogo-A protein and mRNA showed a coincident pattern with apoptosis procedure,with a gradually elevated level from 6 hours through 7 days after RIRI and a peak in 2 days,and those in the NEP1-40 group were weaker in comparison with the RIRI group in various time points.Significant differences were detected in the expression of Nogo-A protein and the expression of Nogo-A mRNA among different groups and various time points(protein:Fgroup =164.139,P =0.000;Ftime =21.772,P =0.000.mRNA:Fgroup =93.889,P =0.000 ; Ftime =6.349,P =0.000).Conclusions Nogo-A probably plays an important role in RIRI.NEP1-40 can protect retinal cells from apoptosis following RIRI through down-regulating the expression of Nogo-A.