Objective To explore the function of 120 command information systems for emergency medical rescue in the 5· 12 Wenchuan Earthquake. Method To analyze various functions of Chengdu 120 command center information systems during the disaster resulted from the catastrophic earthquakes. Results As soon as 38 minutes after the Wenchuan earthquake with the magnitude of 8 (measured 8 on the Richter scale) happened at 14:28:04,calls flooded the Chengdu 120 center for help as many as 3-4 times the usual in a brief period. Immediately , the center opened 8 spare Alarm Reception stations, launching all sorts of function of both wire and wireless digital trucking systems,keeping track of database information, taking LED, road monitoring system, GIS, GPS for visual tracking and displaying vehicles and the messages about casualties. They received 6479 SOS calls and 14 749 calls within 58 hours.The first 58 hours after the earthquake happened, 120 center had dispatched ambulances 1184 time and sents 705 medical teams of more than 3000 medical staff for relief to hardest quake-hit region , which more than 6000 casualties were rescued and transported. The following 20 days, assigned 244 hospitals, 2526 rescuer vehicles at 5 airports, railway stations and Zipinpu Reservoir to pick up the injuries of 1518 persons and transfer 2151 persons to other province for medical treatment. Conclusions The 120 communication modalities and command development should be diversified and the command information systems construction should meet both peacetime and wartime needs with gradual, scienlifical, reasonable and flexible improvements. Provided that those improvements are well done,we shall ensure 120-lifeline going smoothly just in case the disasters occurs.

BACKGROUND:Fluoride treatment of osteoporosis has been controversial.Literatures addressing the effect of fluoride on bone bio-mechanical parameters of femur in young rats are few.OBJECTIVE:To study the effects of fluoride on bone biomechanical parameters of femur in young rats.METHODS:Ninety 2-month-old SPF Sprague Dawley rats,half male and female,were randomly divided into 9 groups:control group(young,adult and long-time)and drug-administered group(young high-fluoride,young low-fluoride,adult high-fluoride,adut low-fluoride,long-term high-fluoride and long-term low-fluoride).Rats in the control group were orally administered with physiological saline,while in the drug-administered group were given orally with different dose fluoride at the corresponding times.After experiment,rats were sacrificed under anaesthesia.Three-point bending test was performed at the left femur.The effects of fluoride on maximum load and rigidity of femur were measured.RESULTS AND CONCLUSION:Compared with young control group,the maximum load and the rigidity of femur in the young high-fluoride group were decreased by 13.18%and 13.61%,respectively(P＜0.05),which had no dramatically difference in the young low-fluoride group.Compared with long-term high-fluoride group,the maximum load and the rigidity offemur in the young high-fluoride were decreased by 17.22%and 17.17%(P＜0.05),which were obvious increased in the long.term low-fluoride grou by 18.33%and 19.15%,respectively(P＜0.05).The maximum load and the rigidity of femur were strengthened in the adult high-fluoride and adult low-fluoride groups(P＜0.05).The results suggested that young rats are more sensitive to high-dose fluoride,which can reduce bone quality in rats.The negative effects on bone quailty of rats were gradually displayed as the prolongation of the period of fluoride.

AIM: To evaluate the influence of radiofrequency (RF) hyperthermia on immunity function in mice. METHODS: The expression pattern of T helper type 1 (Th1) and T helper type 2 (Th2) cytokines in splenocyte culture supernatants, mainly the expression levels of IFN-?, IL-2, IL-4 and IL-10 in splenocyte culture supernatants of mice in tumor-bearing group, surgical resection group, RF therapy group and normal control group were detected by enzyme-linked immunoadsordent assay (ELISA). RESULTS: IL-2 concentration in two weeks after RF therapy group was higher than that in two weeks after surgical resection and normal control groups (P0.05). CONCLUSION: RF hyperthermia may activate the transformation from Th2 to Th1 and facilitate the excretion of Th1 type cytokines that play an important role in the anti-tumor immunity.

BACKGROUND:The mechanical properties of monkeys are the closest to the human body.Monkey is the ideal animal model of osteoporosis research.OBJECTIVE:To explore the biomechanical properties of the long bones and vertebrae in rhesus monkeys.DESIGN.TIME AND SETTING:The mechanics experiment for the study was based on monkeys,which was completed in the South Medical University,Key Laboratory of Medical Biomechanics in Octobor 2006.MATERIALS:Four male macaca mulattas aged 17.5 years on average and three female crab-eating monkeys aged 9 years on average.METHODS:Long bones(femur,tibia,fibula,humerus,radius and ulna)and the third and fourth lumbar vertebrae of three adult crab-eating monkeys and four old macaca mulattes were teken to do four-point bending test,torsion test,indentation test and compression test respectively.MAIN OUTCOME MEASURES:①The results of compression experiments and indentation experiments in monkey vertebrae.②The maximum load and the rigidity factor in left side of long bone of monkeys.③The maximum torque(N·m)in the right side of long bone of monkeys.RESULTS:①In the four-point bending tests,the maximum Ioad of the left ulna,fibula,humerus,femur,tibia and radius in macaca mulattas were(574.16±163.53),(179.98±38.32),(1487.9±965.12),(1928.60±336.23),(1303.23±969.35),(559.92±1.12)N,respectively.While the rigidity factor of the left femur,tibia,fibula,humerus,radius and ulna in macaca mulattas were (53.49±14.22),(28.41±5.86),(114.22±13.24),(142.16±18.56).(101.11±15.46),(69.13±5.54)N/mm,respectively.The maximum load of the left femur,tibia.fibula,humerus,radius and ulna in crab-eating monkeys were(179.93±19.38),(53.82±5.31),(631.61±225.81),(726.07±245.69),(424.52±49.s0),(1 91.97±67.73)N,respectively;however,the rigidity factor of the left femur,tibia,fibula,humerus,radius and ulna in crab-eating monkeys were(21.45±2.63),(16.25±6.66),(68.5±12.22),(76.79±14.01),(41.80±2.79),(64.31±15.89)N/mm,respectively.②In the torsion test,the maximum torque of the right fibula,humerus,femur and tibia in macaca mulattas were(1.55±0.82),(22.26±4.26),(30.93±6.54),(17.49±4.04)N·m,respectively.The maximum torqua of the right fibula,humerus,femur,tibia in crab-eating monkeys were(0.81±0.15),(10.34±2.06),(11.58±0.76),(6.68±1.34)N·m,respectively;③In the compression test,the maximal compression load and the rigidity factor of L4 in macaca mulattas were (2811.21±403.90)N,and(69.47±8.92)N/mm,respectively;the maximal compression load and the rigidity factor of L4 in crab-eating monkeys were(1659.90±339.08)N,and(36.29±6.61)N/mm,respectively.④In the indentation test,the maximal indentation and the maximal anti-pressure of L_3 in macaca mulattas were(521.90±38.94)N,and(699.16±43.46)MPa,respectively;the maximal indentation and the maximal anti-pressure of L_3 in crab-eating monkeys were(614±145.94)N,and (815.92±193.69)MPa,respectively.CONCLUSION:Experimental data derived from the experiments demonstrated that rhesus monkeys as a kind of nonhuman primate animals have an important reference value in the animal studies of osteoporosis.

Objective To investigate psychosocial factors for post-stroke depression (PSD). Methods 405 in-pa-tients with stroke were first screened for depression using Comprehensive International Diagnostic Interview-3.0. 22 pa-tients with depression were recruited as the depression group. From 383 patients without depression, 44 patients were se-lected and served as the non depression controlled group according to the sex and age paired with 1:2. Both groups were measured by using questionnaires including Life Event Scale, Simplified Coping Style Questionnaire, Social Support Rat-ing Scale, Activities of Daily Living Scale and Quality of Life Enjoyment and Satisfaction Questionnaire, Short Form. Re-sults The score of passive coping was significantly higher in depression group than in non depression group [(1.2 ± 0.5) vs. (0.8±0.7), P<0.05]. The score of subjective support was significantly lower in depression group than in non depression group [(17.5±4.0) vs. (20.7±4.6), P<0.05]. Logistic regression analysis showed, minority nationality (OR=2.564, 95%CI:1.039~6.327) and passive coping style (OR=2.223, 95%CI:1.052~5.192) were risk factors for PSD, while subjective sup-port was protective factor for PSD (OR=0.884, 95%CI:0.793~0.986). Conclusions Passive coping style and low subjec-tive support may be the important psychosocial factors of PSD.

This study was aimed to detect the effects of alcohol on bone metabolism and biomechanical property of growing mice. Thirty KM mice were randomly divided into 3 groups, namely basal control group (mice were killed at the beginning), normal control group (with distilled water given by gastrogavage), and 50% (V/V) alcohol group (with alcohol given by gastrogavage at the dose of 4 g x kg(-1) x d(-1) for 60 days). All mice were killed and their proximal tibia and tibial diaphysis were processed by undecalcified sections and measured by bone histomorphometry. The biomechanical properties of lumbar vertebra and femur were tested. Compared with normal control, the index of trabecular bone area (% Tb. Ar) of proximal tibial metaphysis (PTM) and the static parameter of cortical bone( Ct. Ar) both decreased obviously (P < 0.05) in alcohol group. Bone formation rate (BFR/TV) of trabecular bone and cortical bone dropped also (P < 0.05). The maximal resistibility of lumbar vertebra and structural mechanical strength of proximal femoral neck both declined significantly (P < 0.01) in alcohol group. Low dose of alcohol inhibited the bone formation rate of growing mice , thus leading to a disorder of bone metabolism and a decrease in biomechanical quality.
Animals ; Biomechanical Phenomena ; Bone Density ; drug effects ; Bone and Bones ; drug effects ; metabolism ; Ethanol ; adverse effects ; pharmacology ; Female ; Male ; Mice ; Random Allocation

Neuro-osteological interactions have an important role in the regulation of bone metabolism and regeneration. Neuropeptides combined with porous biphasic calcium phosphates (BCP) using protein adsorption may contribute to the acceleration of bone formation. In the present study, we investigated the effect of BCP combined with nerve growth factor (NGF) on the growth of osteoblasts in vitro and the combinational therapeutic effect on the repair of calvarial defects in vivo. NGF was separated and purified from Chinese cobra venom using a simplified three-step chromatography method. BCP combined with NGF exerted a potent effect on osteoblast differentiation, as evidenced by enhanced cell proliferation, increased ALP activity and the up-regulated expression of osteogenesis-related genes and proteins. Further, combinational therapy with BCP and NGF improved calvarial regeneration, which was superior to treatment with therapy alone, as observed using imageological and morphological examination and histological and immunohistochemical staining. The results confirmed the effect of neuro-osteological interactions through combinatorial treatment with NGF and BCP to promote osteogenesis and bone formation, which may provide an effective and economical strategy for clinical application.
Acceleration ; Adsorption ; Asian Continental Ancestry Group ; Calcium Phosphates ; Cell Proliferation ; Ceramics* ; Chromatography ; Cobra Venoms ; Elapidae* ; Humans ; In Vitro Techniques ; Metabolism ; Methods ; Nerve Growth Factor* ; Neuropeptides ; Osteoblasts ; Osteogenesis ; Regeneration ; Therapeutic Uses*

Extremity compartment syndrome can cause neuromuscular ischemia and deposition of metabolites in the compartment,leading to irreversible lesions which harm limb functions in the end.It is a great challenge for surgeons to make a timely and accurate diagnosis of the syndrome in adults and children.The key is evaluation of the clinical symptoms and intracompartmental pressure.In this paper we summarize the epidemiology,etiology,pathophysiology,and current diagnosis and treatment of acute extremity compartment syndrome of the upper and lower extremities in adults and children.

Objective To investigate clinicians'practice and opinions on sedation therapy in end-stage patients at Peking Union Medical College Hospital.Methods From August,2022 to April,2023,an online questionnaire survey was conducted among clinicians involved in end-stage patient management.Results A total of 205 questionnaires were distributed,with an effective response rate of 56.1% .Among the clinicians,55.7% of them had experience of applying sedation therapy in end-stage patients;85.2% of clinicians believed that se-dation could relieve the suffering of terminal patients from physical refractory symptoms;75.7% of clinicians considered that sedation therapy could be used to relieve agony from psycho-existential distress.Most clinicians had concerns about sedation therapy due to the lack of legal support(86.1% )and the lack of understanding of patients or families(59.1% ).The majority(90.4% )of clinicians were willing to receive training on palliative sedation.Conclusions A majority of clinicians agree that sedation therapy could relieve the physical distress and psycho-existential distress in end-stage patients.However,most clinicians have concerns about the application of sedation therapy due to the lack of legal support.It is necessary to enhance the training on palliative sedation.

OBJECTIVE：To study the current situation of pharmacovigilance work in large ，medium and small-scale pharmaceutical manufacturers in Jiangsu Province ，and to provide reference for the pharmacovigilance development of drug manufacturers with different scales. METHODS ：The situation of pharmacovigilance work in 108 manufacturers in Jiangsu province was investigated through a questionnaire survey and related websites. The pharmacovigilance work （organization，personnel and training，document，computer system ），drug safety monitoring （case report ，regular safety update report ，post-marketing safety research） and drug risk management （signal management ， risk management plan ， risk control measures ， drug safety communication）of different manufacturers were investigated to put forward the suggestions. RESULTS & CONCLUSIONS ：There was no significant difference in the organizational structure （independently established specialized agencies ）among manufacturers of different scales （P＝0.60）. Most of the manufacturers had less than 50％ of the proportion in the independent establishment of specialized institutions for pharmacovigilance. There was significant difference in personnel and training （situation and number of full-time staff in charge ，medical and clinical pharmacy personnel number ），document（formulating training management system ， entrusted management and key monitoring procedures ），computer system （P＜0.05）. There was no difference in the main collection ways of case reports among manufacturers of different scales ；however，the number of independent reports in 2019（P＜ 0.01），the proportion of quality control process for regular safety update reports （P＝0.01），and the proportion of carrying out post-marketing safety research in recent five years （P＜0.01）in large-scale manufacturers were all significantly higher than small- and medium-scale manufacturers. The proportions of large-scale manufacturers （70.00％） and medium-scale manufacturers （84.38％），which considered “lack of technical guidelines ”as an important factor affecting signal management ，were higher than that of small-scale manufacturers （53.57％）（P＝0.01）；the proportions of large-scale manufacturers （60.00％）and medium-scale manufacturers（50.00％），which had carried out risk management plans in the past five years ，were higher than that of small-scale manufacturers（30.36％）（P＝0.04）；the proportion of large-scale manufacturers （50.00％），which adopted the measures in recent 5 year，was higher than medium-scale manufacturers （37.50％）and small-scale manufacturers （25.00％）；the proportions of large-scale manufacturers （70.00％ ） and medium-scale manufacturers （59.38％ ）， which carried out communication for pharmacists，were higher than small-scale manufacturers （32.14％）（P＜0.01）. Large-scale manufacturers outperformed small- and medium-scale manufacturers in terms of pharmacovigilance system ，drug safety monitoring and drug risk management. Large-scale manufacturers had a certain degree of lack of initiative on performing risk management plans ，medium-scale manufacturers on full-time staffs in charge ，and small-scale manufacturers on pharmacovigilance system. So ，it is recommended that large-scale manufacturers take effective control of variety risk as the goal and actively risk management ；medium-scale manufacturers should continuously enhance the awareness of responsibility and improve the investment of resources on pharmacovigilance work ； small-scale manufacturers should pay more attention to improving the pharmacovigilance system and the compliance of specific work.