Objective To investigate the effect of early intervention with education combined with treatment on developing intelligence of preterm infants. Methods Ninety seven preterm infants were assigned into the intervention group(n=49)and control group(n=48):Those in the former group were managed with early intervention by education combined with medical treatment and those in the latter were given routine preventive health service.The two groups were compared in terms of body length and weight at months 6,9 and 12 as well as the developmental quotient(DQ)with developmental screening test(DST). Result The scores on DQ in the intervention group were all significantly higher than those of the control at the three time points(all P<0.01).Conclusion The early intervention with education combined with treatment is effective for the early development of intelligence of preterm infants.

AIM:To explore whether miR-21 low expression enhances the effect of matrine ( MAT) on the ap-optosis of hepatocellular carcinoma cells .METHODS:Real-time fluorescence quantitative PCR ( RT-qPCR) was used to detect the expression of miR-21 in the HepG2 cells treated with different concentrations of MAT .The effect of miR-21 on MAT-induced HepG2 cell apoptosis was analyzed by flow cytometry .The mRNA and protein expression of Bcl-2 and Bax in the HepG2 cells treated with MAT was determined by RT-qPCR and Western blot .RESULTS:The expression of miR-21 increased with the increasing concentration of MAT .Low expression of miR-21 promoted MAT-induced apoptosis , and en-hanced the expression of Bax at mRNA and protein levels ( P<0.05 ) , while inhibited the expression of Bcl-2 at mRNA and protein levels (P<0.05).CONCLUSION:Low expression of miR-21 enhances MAT-induced HepG2 cell apoptosis by inhibiting the expression of Bcl-2 and promoting Bax expression .

Objective To observe the control effect of heat preservation infusion on incidence of infection after artificial abortion.Methods 168 cases of patients after artificial abortion were randomly divided into the heat preservation infusion group and normal infusion group with 84 cases in each group.The normal infusion group received routine nursing,and was intravenously infused fluid with non heat preservation method,the heat preservation infusion group was intravenously infused constant temperature liquid heated to 37℃.The incidence of infection was observed in two groups of patients after artificial abortion.Results The infection rate of the heat preservation group was significantly less than the normal infusion group.Conclusions Heat preservation infusion can effectively reduce the infection rate after artificial abortion.

Objective To investigate the application effect of evidence-based nursing(EBN) in family planning surgery,evaluate the clinical nursing value and improve the quality of clinical nursing.Methods 240 patients who received family planning surgery were randomly divided into the control and the observation groups (120 patients in each group).The conventional nursing model was used in the control group and evidence-based nursing was implemented in the observation group.Self-rating Anxiety Scale(SAS),patients satisfaction(PA) and adverse reaction rate(ARR) were adopted to assess the two groups after different nursing.Results The score of SAS and ARR were significantly lower in the observation group than those in the control group.The patients satisfaction was significantly higher in the observation group than the control group.Conclusions Application of evidence-based nursing plays a significant role in treatment,nursing and life quality improvement of patients with family planning surgery,which is worthy of wide application.

Objective To investigate the pathological types and features of lymph nodes in human immunodeficiency virus(HIV)/acquired immune deficiency syndrome(AIDS)patients with superficial lymphadenectasis.Methods The tissues of lymph nodes were obtained from 151 HIV/AIDS patients with superficial lymphadenectasis for pathological examination.The pathological results were observed by light microscope after Hematoxylin-Eosin(HE),acid-fast,periodic acid-Schiff (PAS),and digested-PAS(D-PAS)staining.The pathological results of lymph nodes were described and the correlation between pathological changes and CD4+T lymphocyte count was analyzed.Chisquare test was used for the statistic analysis.Results The benign lesions were found in 145 patients (96.0%),while the malignant tumors were found in 6 patients(4.0%).The pathological findings in the 151 HIV/AIDS patients included tuberculosis(72 patients),lymph node reactive hyperplasia(34patients),lymphatic fungal infections(23 patients,including penicillium diseases in 19 cases),AIDSrelated lymphadenectasis(14 cases),non-Hodgkin lymphoma(5 cases),benign fibrous histiocytoma (1 case).In addition,there were 83 patients(55.0%)with CD4+T lymphocyte count lower than 100×106/L.The frequency of penicillium diseases was higher in patients with lower CD4+T lymphocyte count(x2=7.757,P=0.021).Conclusions The major reasons for superficial lymphadenectasis in HIV/AIDS patients are infectious diseases,such as tuberculosis and fungal infections,which are common in patients with lower CD4+T lymphocyte counts.Non-Hodgkin lymphoma is the most common malignant tumor in this patient population.

BACKGROUND: Studies have shown that adipose-derived stem cells have pluripotent differentiation potential, but only 30%-40% of cells can differentiate into mature adipocytes with low adipogenic differentiation potential. Therefore, how to improve the adipogenic differentiation ability of adipose-derived stem cells is a key problem to be solved in the process of soft tissue regeneration. OBJECTIVE: To observe the relationship between the surface marker CD54 of rabbit adipose-derived stem cells and their adipogenic capacity, and to explore the adipogenic differentiation of CD54+/CD54- adipose-derived stem cells underthe same induction. METHODS: We successfully isolated and cultured the adipose-derived stem cells from inguinal subcutaneous fat pads (3 ml) of New Zealand white rabbits, aged 8-12 weeks, which were induced into multi-differentiation and used to detectsurface markers. We sorted the passage 3 adipose-derived stem cells by immunomagnetic beads and divided into two categories including CD54+ and CD54- adipose-derived stem cells. After 14 days of adipogenic induction, the cells in the two groups were subjected to oil red O staining and were compared by detecting the density of mature adipocytes and lipid droplet contenT.RESULTS AND CONCLUSION: The cultured adipose-derived stem cells possessed the characteristics of mesenchymal stem cells that could differentiate into mature adipocytes, osteoblasts and chondrocytes, with CD29, CD44, CD49d, CD54, CD73, CD90 and CD105 positive expression while CD31, CD34 and CD45 negative expression. Fourteen days after adipogenic induction, the density of mature adipocytes and the intracellular lipid droplet content in the CD54+ group were significantly higher than those in the CD54- group (P < 0.05). We also found that the mRNA expressions of PPARγ,ADD1, C/EBPα related to adipogenic differentiation in the CD54+ group were significantly higher than those in the CD54- group (P < 0.05). Taken together, CD54+ adipose-derived stem cells have excellent adipogenic differentiation capacity.

Objective To explore the constant temperature infusion on postoperative body temperature and blood coagulation of patients undergoing induced labor.Methods Eighty patients undergoing induced labor were divided into the observation group and the control group randomly:In the former the infusion was done using fluids constantly kept at the temperature of 36℃and in the latter,the infused fluid was kept at room temperature.The two groups were compared in terms of changes of body temperatures,loss of energy,postoperative blood loss and blood coagulation.Results The temperatures of the controls were declined to different extents after infusion and the temperatures of the observation group showed no significant change,but the difference between the two groups was significant(P<0.05).As for the blood coagulation,there were no significant differences in the prothrombin time(PT),activated partial thromboplastin time(APTT)and thrombin time(TT)between the two groups(P>0.05),but the platelet(PLT)and fibrinogen(FIB) content were significantly decreased(P<0.05)and the blood loss of the observation group was significantly less than those in the control group(P<0.05).Conclusion The constant temperature infusion may maintain the temperature and blood coagulation of the patients, reduce blood loss and prevent adverse reactions induced by induced labor.

BACKGROUND:There is no effective drug for idiopathic pulmonary fibrosis (IPF), because of a lack of the animal model imitating the complete pathogenesis of human IPF. Therefore, it is critical to establish an ideal animal IPF model used for investigating the underlying pathogenesis and developing a kind of effective drug. OBJECTIVE:To establish an animal model that can mimic more characters of human IPF. METHODS:Seventy male C57BL/6 mice were randomly divided into two groups, fol owed by subjected to the intraperitoneal injection of bleomycin (35 mg/kg) on days 1, 4, 8, 11, 15, 18, 22, and 25, twice (group A) or once (group B) a week. Mice were sacrificed at 2, 4, 6, 8, and 10 weeks after the eighth injection, and the lung tissues were moved used for hematoxylin-eosin, Masson and immunohistochemical stainings. RESULTS AND CONCLUSION:There were various degrees of alveolitis and pulmonary fibrosis in the two groups at different time points after the last injection. The scores of alveolitis and pulmonary fibrosis in the group A began to gradual y increase from the 2nd week and reached the highest level at the 6th-8th weeks until the 10th week. In contrast, the scores of alveolitis and pulmonary fibrosis in the group B peaked at the 2nd week, then fluctuately decreased, and were significantly lower than those in the group A at the 6th week (P<0.05). Immunohistochemistry showed that type I col agen deposition was mainly distributed in the subpleural region, peri-vascular region and alveolar septa, which was consistent with Masson staining findings. The expression levels of transforming growth factorβ1 (TGF-β1) andα-smooth muscle actin (α-SMA) in the regions developing alveolitis and pulmonary fibrosis were significantly increased. In the group A, the expression levels of type I col agen, TGF-β1,α-SMA, and the hydroxyproline content in the lung tissues reached the peak level at 6-8 weeks. However, in the group B, al above indicators reached the highest level at the 2nd week, but gradual y decreased thereafter. At the 4th week, the expression Levels of TGF-β1 andα-SMA in the group B were significantly lower than those in the group A (P<0.05). At the 6th week, the hydroxyproline and type I col agen levels in the group B were significantly lower than those in the group A (P<0.05). In conclusion, the mouse model of pulmonary fibrosis induced by intraperitoneal injection of 35 mg/kg bleomycin twice weekly can be used to mimic the repetitive wound healing process, pathological morphology and cytokine changes of human IPF, which is prone to administration, with better stability and repeatability. This model is of great significance for the study on IPF. Subject headings:Disease Models, Animal;Pulmonary Fibrosis;Bleomycin

BACKGROUND:It is particularly important to establish an ideal animal model of pulmonary fibrosis to investigate the underlying pathogenesis and screen effective drugs to prevent and control pulmonary fibrosis. OBJECTIVE: To establish a modified scheme of establishing mouse models that can reflect pulmonary fibrosis formation in humans. METHODS: Fifty-six male C57BL/6 mice were randomly divided into two groups: A (a single large-dose injection) and B (multiple smal-dose injections). Mice in group A were subjected to a single intravenous injection of bleomycin 200 mg/kgviathe tail vein; and mice in group B received intravenous injections of bleomycin 50 mg/kg via the tail vein per week, totaly for 6 weeks. 

Objective To explore the connections between psychological intervention and pregnancy outcome of preg nant women with advanced maternal age. Methods All 196 primipara with advanced maternal age who received antenatal examination and gave birth to children in our hospital were randomly allocated to observation group(n=98)and control group(n=98). The control group received routine nursing while the observation group received psychological interven-tion. Mental conditions, pregnancy outcome and related complications were compared and analyzed between the two groups of pregnant women before and after the intervention. Results Scores of SCL-90 and Athens insomnia scale in the observation group after the intervention were significantly lower than those in the control group (P<0.01);all new-borns delivered by primipara with advanced ma ter nal age were alive; rate of natural childbirth in observation group(70.41%)was significantly higher than that in the control group (27.55%),and the difference was statistically signifi-cant (χ2=21.562,P<0.01). Rate of cesarean section in the control group (68.37%) was significantly higher than that in the observation group (27.55%), and the difference was statistically significant (χ2=15.208, P<0.01). Incidence of complications such as hypertension, premature birth, postpartum hemorrhage and full-term infants with low birth weight in the observation group were all lower than those in the control group,and the differences were statistically sig-nificant(P<0.05). Conclusion Psychological intervention is capable of effectively improving the mental status of preg-nant women with advanced maternal age,and therefore ameliorates the pregnancy outcome.