1.Dynamic change of PCT,hs-CRP and WBC count in neonatal infection and its clinical significance
Qiling ZHANG ; Qing ZHAO ; Shufen HUO
International Journal of Laboratory Medicine 2015;(24):3537-3540
Objective To investigate the dynamic change of procalcitonin (PCT ) and hypersensitive C‐reactive protein (hs‐CRP) in neonatal infection and its clinical significance .Methods 176 neonates with infection in our hospital from August 2013 to July 2014 were selected and treated by the routine therapy of anti‐infection ,oxygen inhalation ,etc .,and divided into the improvement group(89 cases) ,non‐change group(48 cases) and deterioration group(39 cases) according to the curative effect after 20 d therapy . Serum PCT and hs‐CRP levels were detected before treatment(T0) ,on 5 d(T1) ,10 d(T2) ,15 d(T3) and 20 d(T4) of treatment by adopting the enzyme linked immunosorbent assay(ELISA) .Results The PCT ,hs‐CRP levels and WBC count before treatment had no significant difference among 3 groups(P>0 .05);the PCT and hs‐CRP levels after treatment in the improvement group showed the significantly declining trend ,which reached the lowest at T4 (P<0 .05) ,while the PCT and hs‐CRP levels in the deterioration group showed the obviously rising trend ,which reached the highest at T4 (P<0 .05) ,but which in the non‐change group had no significant change (P>0 .05) .In terms of WBC count ,the WBC count in all the cases showed a rising first and then decreasing trend ,the WBC count at T4 in the improvement group was lower than before treatment(P<0 .05) ,while which in the deterioration group was higher than before treatment (P<0 .05) ,but which in the non‐change group had no significant change between before and after treatment(P>0 .05);the Spearman analysis results after treatment showed that the serum PCT ,hs‐CRP levels and WBC count were negatively correlated with efficacy (r1 = -0 .764 ,P1 <0 .05;r2 = -0 .724 ,P2 <0 .05 ;r3 = -0 .573 ,P3 <0 .05) .Conclu‐sion PCT and hs‐CRP can effectively reflect the therapeutic effect of neonatal infection ,and is closely correlated with the patient′s own immune status ,which can be taken as one of reference indicators for formulating the treatment scheme and evaluating progno‐sis ,and is worth for further clinical promotion .
2.The clinical significance of procalcitonin and hypersensitive c-reactive protein test in ;early newborn infection
Qiling ZHANG ; Qing ZHAO ; Shufen HUO
China Medical Equipment 2015;(4):68-70,71
Objective:To discuss the clinical significance of procalcitonin(PCT) and hypersensitive c-reactive protein(hs-CRP) test in early newborn infection. Methods:Sixty cases of our hospital treatment confirmed infection early newborn children were selected from June 2007 to July 2007,according to the condition was divided into severe infection group and local infection group, at the same time, 30 cases of our new pediatric infection in early neonatal were chosen as control group, to collect the moderate amount of peripheral blood of three groups before and after the treatment, detected and analyzed the levels of PCT and hs-CRP in the serum, Used Pearson correlation analysis to analysis the correlation of PCT and hs-CRP in the serum. Results: Severe infection group serum PCT, hs CRP levels and positive rate higher than that of local infection group, local infection group of PCT, hs CRP levels and positive rate is higher than the control group, the difference was statistically significant; Infection group before treated with serum PCT and hs-CRP levels and positive rate were higher than after treated(x2=7.248, x2=6.934; P<0.05); Pearson correlation analysis show that, according to the results of PCT and hs-CRP were positively correlated (r=0.533, P<0.533). Conclusion:Procalcitonin and hypersensitive c-reactive protein plays an important role in the infections of early neonatal children, PCT and hs-CRP were positively correlated, it can be used as an important index of early diagnosis of early neonatal infectious diseases.
3.Function of bombesin in reducing body temperature of febrile rats and its relativity with PGE_2
Liang ZHANG ; Yanyang SU ; Shufen ZHAO
Chinese Pharmacological Bulletin 2003;0(09):-
Aim To study the effect of bombesin on body temperature thermothreshold.Methods With IL-1?-induced febrile rats as research subject,the content of PGE2 in hypothalamus and plasma was detected with radioimmunoassay.Results(1) Induced by i.c.v.injection of IL-1?(0.1 ?g),the content of PGE2 in hypothalamus and plasma of the febrile rats significantly increased(P
4.Effects of naloxone on IL-1?-induced fever and the content of cAMP and HSP70 in hypothalamus in rats
Xin QIN ; Yu CAO ; Huiling WANG ; Hongyan ZHAO ; Shufen ZHAO
Chinese Pharmacological Bulletin 2003;0(10):-
Aim To study the role and mechanism of opioid receptor on IL-1?-induced fever.Methods Rats were dealed with intracerebreventricular administration of naloxone and/or IL-1?.Changes in body temperature were measured.The content of cAMP and HSP70 expression in hypothalamus were detected.Results Naloxone can limit IL-1?-induced fever and decrease the content of cAMP and HSP70 expression in hypothalamus(P
5.Effects of heat stress on TNF-?-induced fever and the content of cAMP in rat hypothalamus
Lidan LIU ; Yan LI ; Xiaolan WU ; Yu CAO ; Shufen ZHAO
Chinese Pharmacological Bulletin 2003;0(09):-
Aim To explore the effects of heat stress on TNF-?-induced fever and the content of cAMP in rat hypothalamus. Methods ①We examined the peak time of HSP70 expression in hypothalamus after heat stress; ②We studied the change of TNF-?-induced fever and the content of cAMP in hypothalamus after heat stress. Result The maximum expression of HSP70 in hypothalamus was attained at 12 h after heat stress. Heat stress limited TNF-?-induced fever and decreased the content of cAMP in hypothalamus. Conclusion Heat stress can inhibit TNF-?-induced fever in rats, and this effect may be related with the inhibition of cAMP synthesis induced by high expression HSP70 in hypothalamus.
6.A comparative study on thyroid function during late pregnancy and of fertile women in iodine excess area
Zhongna SANG ; Wei WEI ; Shufen ZHANG ; Hua LIU ; Guiqin ZHANG ; Na ZHAO ; Long TAN ; Wanqi ZHANG
Chinese Journal of Endocrinology and Metabolism 2011;27(8):667-670
To explore the influences of pregnancy and iodine intake on thyroid function and immune functions, 210 pregnant women and 290 fertile women were chosen from iodine excess area, and the average ages of them were (27. 69±4. 73 )and (30. 62±6. 01 )years respectively. Fasting blood and urine were collected in the morning. The urinary iodine level was determined by arsenic-cerium catalytic contact. Serum free triiodothyronine ( FT3 ), free thyroxine ( FT4 ), and sensitive thyroid-stimulating hormone ( sTSH ) levels were measured by chemiluminescence.Thyroid peroxidase antibody (TPOAb)and thyroglobulin antibody (TGAb)were measured by radioimmunoassay. The median urinary iodine in the pregnant and fertile women were I 240. 70 and 949. 21 μg/L, respectively. There were 84. 3% pregnant women and 81.0% fertile women admitting excess iodine intake. The prevalence of overall thyroid diseases was 22. 9% in the pregnant women and 30. 3% in the fertile women. The prevalence of hyperthyroidism,subclinical hyperthyroidism, hypothyroidism, and subclinical hypothyroidism was0. 5%, 1.9%, 0. 5%, and 20. 0% in the former group, and 2. 8%, 0. 3%, 0. 3%, and 26. 9% in the latter. Both FT3 and FT4 levels of the pregnant women were lower than those of fertile women [(4. 03±0. 59 vs 4. 71 ± 1.04)pmol/L, ( 13. 35 ± 1.59 vs 14. 27 ±3.63 )pmol/L,both P<0. 01], and the positive rate of TGAb of pregnant women was also lower than that of fertile women (7. 1% vs14. 1%, P=0. 014). The prevalence of thyroid diseases and positive rate of thyroid autoantibodies is high in women with excess iodine intake. Compared with fertile women, pregnancy may lead to decreas~s in level of thyroid hormones and positive rate of TGAb. Their iodine intake should be controlled, and the thyroid function and autoimmunity antibodies should be monitored.
7.Inhibition of BN IL-1?-induced fever and effects on cAMP in POA and plasma
Lei TONG ; Liang ZHANG ; Xiaolan WU ; Yan LI ; Lidan LIU ; Shufen ZHAO
Chinese Pharmacological Bulletin 2003;0(11):-
Aim To study the effects of Bombesin(BN) on hypothermia of rats and its relation with cAMP.Methods SD male rats were dealed with intracerebroventricular administration of bombesin and IL -1?. Change in body temperature was measured and content of cAMP in hypothalam us and plasma was detected. Results ①In the febrile rats induced by icv. injection of IL-1?, cAMP level in POA and plasma was significantly higher (P
8.The role of video-based education combined with teach-back method in improving health literacy and blood pressure control of elderly patients with hypertension
Yanping ZHONG ; Fei ZHAO ; Shufen HU ; Wei LIU ; Jianwen LIANG
Modern Clinical Nursing 2018;17(2):40-45
Objective To explore the effect of video-based education and teach-back method on health literacy and blood pressure control of elderly patients with hypertension. Methods 50 elderly hypertensive patients hospitalized in our hospital during May and December 2016 were enrolled as control group and anther 50 elderly hypertensive patients hospitalized in our hospital during January and May 2017 were assigned as the experimental group.On the basis of routine health education as in the control group,the experimental group was educated by video-based education combined with teach-back method.The health literacy and blood pressure control level of the two groups were compared before and after intervention. Result After intervention,the level of health literacy of the experimental group was significantly better than that of the control group,and the level of blood pressure control was significantly better than that of the control group as well (P<0.001 and P<0.05). Conclusions Video-based education combined with teach-backmethod is an effective way for health education.It has good effect on improving health literacy and blood pressure control level of elderly patients with hypertension.
9.Identification of 3-demethylchuangxinmycin from Actinoplanes tsinanensis CPCC 200056.
Lijie ZUO ; Wei ZHAO ; Zhibo JIANG ; Bingya JIANG ; Shufen LI ; Hongyu LIU ; Liyan YU ; Bin HONG ; Xinxin HU ; Xuefu YOU ; Linzhuan WU
Acta Pharmaceutica Sinica 2016;51(1):105-9
Chuangxinmycin (CM) from Actinoplanes tsinanensis was an antibiotic discovered by Chinese scientists about 40 years ago. It contains a new heterocyclic system of indole fused with dihydrothiopyran, whose biosynthetic mechanism remains unclear. CM is used as an oral medicine in the treatment of bacterial infections in China. The simple structure makes CM as an attractive candidate of structure modification for improvement of antibacterial activity. Recently, we analyzed the secondary metabolites of Actinoplanes tsinanensis CPCC 200056, a CM producing strain, as a natural CM analogue. We discovered the first natural CM analogue 3-demethylchuangxinmycin (DCM) as a new natural product. Compared to CM, DCM exhibited a much weaker activity in the inhibition of the bacterial strains tested. The finding provides valuable information for the structure-activity relationship in the biosynthesis of CM.
10.The regulation of ischemic postconditioning on metabolic disorders of type 2 diabetes mellitus combined with cerebral ischemia in tree shrews
Ling ZHAO ; Shufen TAN ; Tingyu KE ; Shuqing LI
Chinese Journal of Endocrinology and Metabolism 2019;35(1):58-66
Objective To establish tree shrew model of type 2 diabetes mellitus (T2DM) combined with cerebral ischemia (IS),and to explore the regulatory mechanism of ischemic postconditioning (PC) on gene differential expression in cerebral cortex under metabolic abnormalities and cerebral ischemia condition.Methods Seventy tree shrews were divided into control,T2DM,IS,T2DM+IS and T2DM +IS +PC groups (n =14 each group).The experimental diabetes model was established by the combined use of high fat diet breeding with streptozocin injection in tree shrew.The local cerebral thrombosis was induced by photochemical reaction in tree shrews,and ischemic PC was established at 4h after cerebral ischemia followed by clipped ipsilateral common carotid artery three times (5 min/time).The metabolic status of tree shrews was measured by serum biochemical markers.TTC staining,HE staining,and electron microscopy were used to observe the changes of the body's metabolic status at 24h after IS.RNA-seq was used to analyze differentially expressed genes.Results The ultrastructure of brain cells was abnormal and the cerebral infarction area was the largest in T2DM+IS tree shrews (P<0.01).Compared with control group,body weight of tree shrews in T2DM + IS group was significantly reduced (P< 0.01) while blood glucose,total cholesterol,low density lipoprotein-cholesterol,triglyceride,and C-reactive protein (CRP) levels were markedly increased(all P<0.01).The RNA-seq analysis showed that there were 1 629 differentially expressed genes (1 109 up-regulated genes and 520 down-regulated genes) in T2DM + IS group vs control group.However,ischemic PC deceased the cortical infarction area (P<0.01)and reduced blood glucose,lipid and CRP levels (P<0.05),with 520 differential expression genes (203 up-regulated genes and 317 down-regulated genes).Conclusion Ischemic PC improves the metabolic disturbance-aggravated ischemic brain injury in T2DM tree shrews,which may be related to its regulation on gene expression in cerebral cortex.