Objective To analyze the distribution ,antibiotic resistance of the pathogens isolated from patients with stroke‐associated pneumonia (SAP) in Department of Respiratory Medicine for better clinical medication .Methods The SAP patients who were treated in the hospital from January 2007 to January 2014 were included in this study .The pathogens were cultured and isolated .Antimicrobial susceptibility of these pathogens was analyzed retrospectively .The multidrug resistant bacteria were identified .Pathogen distribution was compared between the pneumonia associated with cerebral hemorrhage and that associated with cerebral infarction .Results A total of 50 strains of bacterial pathogens were isolated from 40 (12 .3% ) of all the 325 SAP patients ,including 46 strains of gram negative bacilli (92 .0% ) (mainly P . aeruginosa ,15 ;E . coli ,11 ;A . baumannii ,5 ;and S .marcescens ,5) and 4 (8 .0% ) strains of S .aureus ,all resistant to methicillin (MRSA) .P .aeruginosa isolates were not resistant to imipenem or aminoglycoside antibiotic ,but highly resistant to the third generation cephalosporins . E .coli strains were not resistant to imipenem or piperacillin‐tazobactam .A .baumannii strains were all multi‐drug resistant . At least 40% of these strains were resistant to imipenem ,aminoglycosides or the fourth generation cephalosporins .All the 4 were gram negative bacilli in Department of Respiratory Medicine ,mainly non‐fermentative bacteria and Enterobacteriaceae , most of which were multi‐drug resistant .MRSA is becoming an important pathogenic bacteria .The prevalence of E .coli is significantly different between the pneumonia associated with cerebral hemorrhage and that associated with cerebral infarction .

Objective To investigate the levels of hypersensitive C-reactive protein(hs-CRP)and serum lipid in patients with acute cerebral infarction.Methods A total of 300 patients with acute cerebral infarction and 300 healthy subjects (normal controls)were included in this study.The levels of hypersensitive C -reactive protein and serum lipid were measured and analyzed via statistics soft.Results The levels of hs-CRP,total cholesterol, triglyceride,low density lipoprotein and high density lipoprotein in the research group were (25.9 ±5.2)mmol/L, (7.5 ±2.3)mmol/L,(2.8 ±0.21)mmol/L,(0.8 ±0.1)mmol/L and (3.3 ±0.2)mmol/L respectively;The levels of hs-CRP,total cholesterol,triglyceride,low density lipoprotein and high density lipoprotein in the control group were (6.3 ±1.2)mmol/L,(4.2 ±0.2)mmol/L,(1.5 ±0.2)mmol/L,(2.2 ±1.5)mmol/L and(2.5 ±0.5)mmol/Lrespectively.There was a significant statistically difference between the two groups(t =5.9,5.1,4.8,4.6 and 4.5,all P <0.05).Multivariate Logistic regression analysis showed that total cholesterol,triglyceride,low density lipoprotein and high density lipoprotein hs-CRP were independent risk factors for the acute cerebral infarction (beta respectively 0.53,0.68,0.69,1.20,0.69;S.E were 0.23,0.16,0.28,0.24,0.25,OR values were 5.6,4.8,6.2,7.8,9.2;95%CI were 0.69 -36.8,0.57 -35.7,0.58 -38.5,0.68 -44.2,0.21 -48.2,all P <0.01).Conclusion The abnormal metabolism of serum lipid and C -reactive protein were independent risk factors in patients with acute cere-bral infarction,which should be positively treated about this.

AIM: To study the chemical constituents from the stem bark of Aegiceras Corniculatum. METHODS: The compounds were extracted by alcohol and isolated by silica gel column chromatography,and their structures were elucidated by means of spectral analysis. RESULTS: Six compounds were identified as ?-sitosterol(Ⅰ),protocatechuic acid(Ⅱ), Vanillic acid(Ⅲ),daucosterol(Ⅳ),schimpefinone(Ⅴ),Primulagenin A(Ⅵ). CONCLUSION: All the compounds were isolated from this plant and reported for the first time.

BACKGROUND:Owing to containing large amounts of growth factors, platelet-rich plasma has been widely used in bone regeneration, wound healing, and so on, while few studies have been reported on cartilage tissue engineering. OBJECTIVE:To explore the effects of platelet-rich plasma on the proliferation and differentiation of chondrocytes, and the feasibility of constructing tissue-engineered cartilage by the combination of chondrocytes and platelet-rich plasma. METHODS:We detected the concentrations of transforming growth factor-β, insulin-like growth factor-1, platelet-derived growth factor and epidermal growth factor BB in the whole blood, platelet-rich plasma, and activated platelet-rich plasma. The rabbit articular chondrocytes were cultured in 10%, 15%, 20%, 30%platelet-rich plasma for 7 days, then the cellproliferation was tested by cellcounting kit-8, and cartilage-related genes (col agen type II, Aggrecan, Sox-9) were determined using QT-PCR. The chondrocytes/platelet-rich plasma composite was implanted subcutaneously into the rabbits, and the samples were harvested after 6 weeks of transplantation for histological examination. RESULTS AND CONCLUSION:The levels of different growth factors in the platelet-rich plasma were higher than those in the whole blood (P<0.05), but lower than those in the activated platelet-rich plasma (P<0.05). Platelet-rich plasma at different concentrations promoted the proliferation of chondrocytes. When the concentration of platelet-rich plasma was no more than 20%, the proliferation of chondrocytes showed a concentration-dependent manner. The 20%platelet-rich plasma showed the best effects to promote the expression of col agen type II (P<0.05), while the 15%platelet-rich plasma could maximize the expression of Sox-9 and Aggrecan (P<0.05). After transplantation of chondrocytes/platelet-rich plasma composite, cartilage-like tissue formed with cartilage lacuna-like structures, and rich extracellular matrix was found, which indicates platelet-rich plasma can be used as an injective scaffold in cartilage tissue engineering.

In order to understand the academic attitude of medical postgraduates,a questionnaire survey was conducted among full-time postgraduate students.The impacts of working experience,gender,marriage status and source on the academic attitude were analyzed,and the improved suggestion and presumption for academic attitude were provided.

Adult ; Herpesvirus 4, Human ; Humans ; Lymphohistiocytosis, Hemophagocytic ; virology ; Male ; Nose Neoplasms ; virology ; Paranasal Sinus Neoplasms ; virology

Objective To investigate the effect of MT-1 and MT-2 in liver damage in chronic inorganic arsenate exposure mice and to explore the mechanism of arsenic-induced liver damage. Methods The male Kunming mice were randomly divided into control and exposed groups. The control group was given ordinary feed and tap water. The exposed group was given ordinary feed and 300 mg/L of sodium arsenite solution by drinking water. After 10 months of treatment, the activity of serum alanine aminotransferase (ALT), aspartate aminotransferase(AST) and globulin (Glb) content were determined. The total RNA was extracted by the TRIzol-phenol-chlorofor-method from the liver tissue. The quantity of the RNA was determined by spectrophotometry and its purity was judged at a ratio of A260/A280. Then real-time PCR(RT-PCR) was used to measure the mRNA expression of MT-1 and MT-2. Results Compared with the control group, serum ALT, AST activity and Glb content were higher and the MT-1 and MT-2 mRNA content was lower in the exposed group (P

Purpose:To investigate effect on bcl-2 and bax expression in apoptic PGCl_(3) cells and to study the mechanism of apoptosis of PGCl_(3) cells induced by death associated protein kinase(DAPK).Methods:Eukaryotic express vector pcDNA3.1-DAPK was tranfected into High-metastasis Non-small Lung Cancer Cell PGCl_(3).Changes of bcl2 and bax expression were detected with RT-PCR.Phospharation of Bcl-2 was examined with Westernblotting.Results:It was demonstrated that bcl-2 expression was down regulated,but bax expression did not change in apoptosis of PGCl_(3) cells induced by DAPK.Level of Phospharation of Bcl-2 increased.Conclusions:Apoptosis of PGCl_(3) cells induced by over-expression of DAPK may be associated with down regulating of bcl-2 expressio and increase of phospharation of Bcl-2.

Objective:According to the existing hospital static mixing method, the problem of dynamic allocation model for half a year period is put forward, in order to solve emergency equipment safe are deployed in a timely manner. Methods: The hospital can allocate all emergency equipment evaluation, grade and tabulation, according to the score for sorting, system of sorting table provides emergency center allocate use half a year. Results: According to the deployment of table realized in emergency equipment safety in time in case of major events are deployed and able to skillfully use effect. Conclusion: The use of emergency equipment dynamic allocation model can not only improve the social benefit of the hospital, and reduce the pressure of the functions of the hospital departments.

Objective:To compare the sleep behaviors and the coping styles between chronic insomniacs and normal sleepers.Methods:The self-made questionnaire of sleep behaviors (including the irrational beliefs and attitudes toward sleep, the dysfunctional sleep behaviors and anxiety on evening),the coping styles and the internal-external locus of control(I-E) score were administered to 62 chronic insomniacs and 62 normal sleeper matched by age and sex.Results:The irrational beliefs and attitudes toward sleep, the dysfunctional sleep behaviors, the anxiety on evening, and the scores of I-E and of the self-blame in coping style were higher in the chronic insomniacs than in normal controls. The scores of problem-solving of the chronic insomniacs were lower than that of the normal controls. Regression analysis indicated the irrational beliefs about sleep and the dysfunctional sleep behaviors were associated with problem-solving and I-E scores.Conclusions:Chronic insomnia group has irrational beliefs and attitudes toward sleep, they have more dysfunctional sleep behaviors and higher anxiety on evening. Their ability of problem-solving is impaired and they incline to attribute their fate to external control.