Objective To investigate the mechanism of bone morphogenetic protein 4(BMP4) in the genesis of Barrett′s esophagus.Methods Human esophageal epithelial cell (HEEC) and MRC-5 were cultured.The effects of different concentration of BMP4 and different pH value of hydrochloric acid or glycocholic acid on the expression of caudal-related homeobox transcription factor 2(CDX2) in HEEC were detected by real time polymerase chain reaction.The effects of different pH value of hydrochloric acid or glycocholic acid on BMP4 expression in MRC-5 were also investigated.Independent sample t test was performed for statistical analysis.Results After HEEC stimulated by BMP4 at 0.1, 1.0, 10.0 and 100.0 ng/mL, the relative quantity expressions of CDX2 were 1.617±0.246, 2.489±0.455, 5.629±0.449 and 13.670±1.689, respectively, which were higher than those of control group (1.000±0.043, 1.029±0.094, 1.001±0.002 and 1.049±0.051, respectively), and the differences were statistically significant (t=2.47, 3.14, 10.31, 7.47;all P<0.05).After MRC-5 stimulated by acid at pH four or five, or glycocholic acid at pH four or five, the relative quantity expressions of BMP4 were 2.430±0.105, 2.394±0.145, 125.900±12.620 and 2.128±0.215, respectively, which were higher than those of control group(1.025±0.095, 0.999±0.007, 1.060±0.138 and 0.893±0.110,respectively), and the differences were statistically significant (t=9.94, 9.59, 9.89, 5.11;all P<0.01).Conclusion BMP4 can increase the expression of CDX2 in HEEC, which promote the genesis of Barrett′s esophagus.

OBJECTIVETo study the characteristics of dry matter accumulation and N, P, K, Ca and Mg accumulation and distribution of Chrysanthemum morifolium.

METHODThe sampling were carried out on the different growing time of C. morifolium, and the amount of dry matter and the content of N, P, K, Ca and Mg in all parts of the plant were measured.

RESULTThe dry matter accumulation was lineally increased with the absorption and accumulation of N, P, K, Ca, and Mg. In different growing periods, the accumulation and distribution of mineral nutrition were different in C. morifolium. The mineral nutrition was mostly in the leaf of the plant in the vegetative period. When the growth changed from vegetative growth to reproductive growth, the mineral nutrition was transferred and distributed into bud, flower and root shoot. And the period of flower bud differentiation of C. morifolium was the period of maximal accumulation of dry matter and showed the maximum efficiency of N, P and K nutrition. For production of 100 kg dry flower 4.13 kg N, 0.37 kg P, 5.03 kg K, 3.03 kg Ca and 0.81 kg Mg were needed. And the ratio of them was 1:0.09:1.22:0.73:0.20.

CONCLUSIONThe period of flower bud differentiation is the most crucial period in the growth of C. morifolium. And it must pay attention to the supply of mineral nutrition and moisture of plant to promote flower formation and dry matter accumulation in this period. It is strongly recommended that the phosphorus and potassium fertilizers should be early applied, the nitrogenous fertilizer should be applied dividedly, and the calcium magnesium fertilizers are also applied properly.

Calcium ; metabolism ; Chrysanthemum ; chemistry ; growth & development ; metabolism ; Nitrogen ; metabolism ; Phosphorus ; metabolism ; Plant Structures ; chemistry ; growth & development ; metabolism ; Potassium ; metabolism

Flavonoids are an important effective component of traditional Chinese medicine, which are widely distributed in the plant kingdom. The biosynthesis of flavonoid in plants is affected and regulated by various environmental factors. For a necessary environmental factor to plant growth and development, mineral nutrients are paid more and more attention on the regulation to the metabolism of flavonoids in medicinal plants. In this paper, an overview of flavonoids biosynthetic pathway, and the macroelements, microelements and rare earth elements on the metabolism of flavonoids in medicinal plants are presented. And the regulation mechanism of them are also analyzed and discussed.
Flavonoids ; analysis ; metabolism ; Minerals ; analysis ; metabolism ; Nutrition Assessment ; Plants, Medicinal ; chemistry ; metabolism

OBJECTIVEIn order to provide a scientific fertilizer application for the standardized cultivation, the effects of phosphate (P) fertilizer on the active ingredients and antioxidant activities of Chrysanthemum morifolium were studied.

METHODPot experiment was adopted to study the effects of P supply on the yield and the content of flavonoids, chlorogenic acid, soluble sugar, soluble amino acids and crude protein of C. morifolium flower. And effects of P supply on the hydroxyl radical scavenging activity, superoxide anion radical scavenging activity, and 2, 2-diphenyl-1-picrylhydrazyl hydrate (DPPH) free radical scavenging activity of flower were researched too.

RESULTThe yield of C. morifolium dry flower increased 129. 94% when P fertilizer was applied. Appropriate application of P fertilizer could also significantly improve the content and accumulation of total flavonoids, chlorogenic acid and soluble sugar in C. morifolium. Thus, the inhibition rates of hydroxyl radical, superoxide anion radical and DPPH free radical of C. morifolium was increased. When the level of P supply exceeded 0.20 g P2O5 per plant, P had also negative influence on the yield and the content of active ingredients and the scavenging activity of hydroxyl radical, superoxide anion radical and DPPH free radical of C. morifolium. Furthermore, there were significant positive correlations between the content of total flavonoids and chlorogenic acid and the inhibition rate of hydroxyl radical, superoxide anion radical and DPPH free radical, respectively.

CONCLUSIONAppropriate application of P fertilizer could be beneficial to the increase the active components and antioxidant activity of C. morifolium. And recommended level of P fertilizer is 0.26-0.28 g x kg(-1).

Antioxidants ; analysis ; metabolism ; Chrysanthemum ; chemistry ; metabolism ; Fertilizers ; analysis ; Phosphates ; metabolism ; Plant Extracts ; analysis ; metabolism

OBJECTIVETo study ecology suitability rank dividing of Polygonum capitatum for selecting artificial planting base and high-quality industrial raw material in Guizhou province.

METHODBased on the investigation of PCB and DEM data of Guizhou province, the relationship between the gallic acid content in P. capitatum and topographical conditions was analyzed by statistical analysis. The geographic information systems (GIS)-based assessment and landscape ecological principles were applied to assess ecology suitability areas of P. capitatum in Guizhou.

RESULT AND CONCLUSIONslope, aspect and altitude are main topographical factors that affect the content of gallic acid in P. capitatum. The gallic acid content of P. capitatum is higher in the lower altitude, shady slope and smaller slope areas. The gallic acid content is higher in the eastern areas of Guizhou province.

Adaptation, Biological ; China ; Ecology ; Gallic Acid ; analysis ; Geographic Information Systems ; Polygonum ; chemistry ; physiology ; Topography, Medical

At present the shortage of the resources of wild and rare medicinal plants is very serious in China. So grasping the situation and change tendency of medicinal plant resources comprehensive and real-timely, is vital significance to realize the sustainable using of medicinal plant resources. In order to use the remote sensing monitor technology and method to study the resources of the wild and rare medicinal plants, this article discusses the principle, method, technology and the principle and standard based on the operation and experiment of remote sensing monitor on the resources of wild rare medicinal plant.
China ; Conservation of Natural Resources ; methods ; Plants, Medicinal ; chemistry ; Satellite Communications

Objective To re-evaluate the potential risk of small gastric stromal tumor ( diameter less than 2 cm), and to assess the safety and efficacy of endoscopic resection and further treatment strategy for small gastric stromal tumor. Methods Data of 584 patients undergoing endoscopic submucosal dissection ( ESD) and diagnosed as gastric submucosal tumor ( SMT) in Tianjin Medical University General Hospital from September 2008 to December 2015 were retrospectively analyzed. The clinical and pathological features and potential risk of small gastric stromal tumor were analyzed. The therapeutic outcomes, complications and follow-up results of ESD were summarized, and the follow-up results of patients undergoing ESD were compared with 45 patients who were suspected as small gastric stromal tumor and followed-up regularly by endoscopic ultrasonography ( EUS) in the same period. Results Among 584 cases of gastric SMT, stromal tumor ( 239 cases, 40. 9％) was the most common type, of which small gastric stromal tumor was found in 203 cases (84. 9％, 203/239). The mitotic index of all cases was no more than 5/50 high power field. However, adverse factors under EUS, mainly including strong echo and heterogeneity, were reported in 94 (46. 3％) out of 203 cases and were confirmed to be related to tumor size (P=0. 000). ESD was successfully performed in 203 patients with small gastric stromal tumor, and no serious complication or perioperative death occurred. Symptoms of 81. 4％ ( 144/177 ) patients were improved after ESD, and no stromal tumor recurrence or metastasis was observed during a follow-up of 12-84 months. Of the 45 patients followed-up regularly by EUS, 38 (84. 4％) patients had gastrointestinal symptoms and 84. 2％ (32/38) were not relieved during follow-up, and 12 (26. 7％) had a heavier psychological burden, seriously affecting the quality of life. Conclusion The incidence of adverse factors under EUS is high in patients with small gastric stromal tumor, and increased with tumor size. ESD is safe and effective for small gastric stromal tumor, which contributes to the diagnosis, further improves therapeutic effects and reduces psychological pressure.

Objective To evaluate the effect of enhanced recovery after surgery (ERAS) on immune function and clinical signs in patients with acute abdomen.Methods From March 2016 to March 2017,patients with acute abdominal admitted in the Emergency Care Center of the First Affiliated Hospital of Zhengzhou University were collected and randomized into ERAS group and conventional peri-operative management group (CPM group).In addition to clinical signs (the time of bowel movemtn recovery,the time of first postoperative ingestion and ambulation,hospital stay,complication rates),the celluar immunity (CD4 +,CD8 +,CD4 +/CD8 +) were determined during peri-operation period.Results A cohort of 240 patients were in ERAS group and 192 patients in CPM group.There was no significant difference in general condition between the two groups (P ＞ O.05).On the first day after operation,the levels of CD4 +,CD4 + /CD8 + decreased in both groups (P ＜ 0.05),but the CPM group had lower levels of CD4 +,CD4 +/CD8 +than the ERAS groups.On the 3rd and 7th days after surgery,the ERAS groups had higer levels of CD4+,CD4+/CD8+ than the CPM groups,(the levels of CD4+,CD4+/CD8+ recovery on the 3rd and 7th day after operation,and the ERAS group was significantly better than the CPM group) (P ＜ 0.05).Compared with CPM group,the recovery of bowel movement appeared earlier after operation in ERAS group with sooner resuming ingestion and ambulation after operation,shorter hospital stay,and lower WHO pain rating scale and complication rates (P ＜ O.05).Conclusions ERAS for patients with acute abdomen can alleviate postoperative suppression of immunity,preserving immune function intact and accelerating postoperative rehabilitation.

To investigate the safety and clinical efficacy of endoscopic submucosal dissection (ESD) in the treatment of gastrointestinal neuroendocrine neoplasms (GI-NENs). Methods: The clinical and pathological features of 39 patients with GI-NENs who were treated with ESD, the efficacy of ESD treatment, complications, and follow-up results were analyzed retrospectively. Results: The 39 cases of GI-NENs were all neuroendocrine tumors (NETs). According to histopathology and proliferative activity, there were 37 cases of G1, two cases of G2, and no cases of G3, including 23 cases of cancer in the rectum, 12 in the stomach, 4 in the duodenum. Thirty-five lesions invaded the mucosa or submucosa, four invaded the muscularis propria, one perforated in the ESD, and two were associated with bleeding. After 6 to 90 months of follow-up, new lesions were found in 1 patient with g-NETs in different parts of the stomach at 5 and 34 months after operation, followed by ESD treatment and further follow-up. No lymph node and distant metastases were found, and the survival rate of the patients was 100%. Conclusions: For GI-NENs without lymph node and distant metastases, the lesion is con-fined to the submucosa, and a diameter≤1.0 cm is an absolute indication of ESD. For rectal neuroendocrine neoplasms that have non-invasive muscularis propria with diameters between 1 and 1.5 cm, or for patients with Type 1 gastric neuroendocrine tumors (T1-GNETs) that are predicted to be T2, ESD treatment should be prioritized to preserve gastrointestinal volume and function.

Objective To develop nurses'knowledge,attitude and practice questionnaire on medication management for patients with dysphagia,and test its reliability and validity.Methods Based on the evidence-based summary of the best evidence of medication management for patients with dysphagia,guided by the the-ory of knowledge,attitude and practice,the basic dimensions and item pool of the questionnaire were deter-mined through group discussion,Delphi expert consultation and pre-investigation.In order to revise the ques-tionnaire,437 nurses from 10 tertiary hospitals in Jiangsu Province were conveniently selected for investigation,and the reliability and validity of the questionnaire were tested according to the survey results.Results The nurses'knowl-edge,attitude and practice questionnaire on medication management for patients with dysphagia included 43 items in three dimensions.The three dimensions were analyzed by exploratory factors,and six common factors with characteristic roots>1 were extracted.Two factors were extracted from the knowledge dimension,and the cumulative variance contribution rate was 74.958%,One factor was extracted from the attitude dimen-sion,and the cumulative variance contribution rate was 77.655%.Three factors were extracted from the prac-tice dimension,and the cumulative variance contribution rate was 72.274%.The factor load of each item was 0.618-0.902,Cronbach's α coefficient of the total questionnaire was 0.949,and the test-retest reliability was 0.909.The overall content validity coefficient of the questionnaire was 0.922,and the content validity coeffi-cient for each item was 0.800-1.000.Conclusion The nurses'knowledge,attitude and practice questionnaire on medication management for patients with dysphagia developed in this study has good reliability and validi-ty,and could be used as an effective tool to evaluate the status quo of nurses'medication management for pa-tients with dysphagia.