1.Analysis of therapeutic effect and safety of albumin combination furosemide in treatment of eld cerebral hemorrhage patients
Haorong JIANG ; Tianyi GU ; Haiquan XIA
Chinese Journal of Postgraduates of Medicine 2013;36(35):8-10
Objective To investigate the therapeutic effect and safety of albumin combination furosemide in treatment of eld cerebral hemorrhage patients,and provide evidence for clinical treatment of eld cerebral hemorrhage patients.Methods Two hundred eld cerebral hemorrhage patients were divided into control group (110 cases) and observation group (90 cases) by systematic sampling method.The two groups were given the monitor of vital signs,support of organ function,reduce of intracranial pressure and other conventional treatment,on the basis of which albumin (10 g,2 times/day) and furosemide (20 mg,intravenous injection) were given to observation group for 10 days.The levels of arterial blood lactate and vein serum C reactive protein (CRP) of 2 groups were compared at admission,treatment for 7 and 14 days.Moreover,the mortality rate of 2 groups at 14th day of treatment was also compared.Results There were no statistical differences in the condition of patients between the 2 groups at admission (P > 0.05).The levels of arterial blood lactate of control group at treatment for 7 and 14 days were significantly higher than those of observation group [(2.56 ± 0.63) and (1.98 ± 0.65) mmol/L vs.(1.91 ± 0.70) and (1.28 ± 0.68) mmol/L],there were statistical differences between the 2 groups (P<0.05).The levels of vein serum CRP of control group at treatment for 7 and 14 days were significantly higher than those of observation group [(120.02 ± 40.65) and (48.75 ± 30.11) mg/L vs.(60.52 ± 30.83) and (13.45 ± 6.02) mg/L],there were statistical differences between the 2 groups (P < 0.05).The mortality rate at 14th day of treatment of control group was significantly higher than that of observation group [22.73% (25/110) vs.13.33% (12/90)],there was statistical differences between the 2 groups (P < 0.05).Conclusion Albumin combination furosemide in treatment of eld cerebral hemorrhage patients can relieve the inflammatory reaction and decrease the mortality rate,it is expected to become the routine treatment in eld cerebral hemorrhage patients.
2.The comparison study of small bone flap craniotony and skull drill drainage in treatment of hypertensive cerebral hemorrhage
Haiquan XIA ; Haorong JIANG ; Tianyi GU ; Qiguo YANG
Chinese Journal of Postgraduates of Medicine 2011;34(35):8-10
Objective To compare the clinical effect of small bone flap craniotony and skull drill drainage in treatment of hypertensive cerebral hemorrhage.Methods Ninety -eight patients with hypertensive cerebral hemorrhage were classified into group A and group B by random number table with 49 cases in each.Group A was used small bone flap craniotony,and group B was used skull drill drainage.The clinical effects between two groups were compared.Results The short-term total effective rate in group A was 83.7%(41/49 ),which was significantly higher than that in group B with 65.3%(32/49 )(P < 0.05 ).The long-term good rate in group A was 55.1%(27/49),which was significantly higher than that in group B with 26.5% (13/49) (P < 0.05 ).Conclusion Both the short-term and long-term effective rate of small bone flap craniotony for hypertensive cerebral hemorrhage are better than skull drill drainage.
3.Selection and evaluation of materials for skull repairing
Fugang JIANG ; Qingrong XIONG ; Tianyi WANG ; Xiangcheng LI ; Ming CEN ; Xuewei XIA
Chinese Journal of Tissue Engineering Research 2010;14(16):2967-2970
OBJECTIVE: To summarize the classification, property of skull repair material and the processing of related complications in the application of repairing and remodeling the skull.METHODS: The PubMed database (http://www.ncbi.nlm.nih.gov/PubMed) and CNKI Database (www.cnki.net/index.htm) was searched by the first author using key words of "codubix, synmesh, and bone cement" both in English and Chinese. Articles whose content is related to the types, property, biocompatibility and its application effect of skull repairing materials were selected. In the same field, the articles published by authoritative journals or different races were preferred. The repetitive or obsolete literatures were excluded. After that 26 documents were included in this paper.RESULTS: The bone cement exhibited good histocompatibility, however, it is difficult to be absorbed, thus, it only be used for repairing part of skull defects. The study found that titanium had good biocompatibility and could combine with the skull. Its application had a promising prospect, but there are many inadequacies. With the continuous deepening of bio-engineering, bone tissue engineering, and cartilage tissue engineering, it will provide a broader perspective for the study of skull repair materials.CONCLUSION: There are many kinds of materials for skull repairing, and this paper only introduces some of the widely used ones. Actually, the selection of repairing materials should consider the pathogenetic condition, economic condition, local equipment and technical levels. If possible, titanium mesh and titanium screw are preferred, which is characterized by easy operation, few complication and beautiful appearance: When using autogenous bone or bone cements, if related complications can be reduced and handled effectively, the results will be satisfactory.
4.Expression of micro RNA-29a and 133a in myocardium of atrium of per-sistent atrial fibrillation model dog
Fapeng LI ; Jian ZHANG ; Guojun XU ; Tianyi GAN ; Baopeng TANG ; Yaodong LI ; Ting MAO ; Tao JIANG
Chinese Journal of Pathophysiology 2014;(9):1672-1676
AIM:To investigate the effects of microRNA-29a and 133a expression in the atrium on atrial fibril-lation (AF) and fibrosis.METHODS:Chronic rapid atrial pacing was used to establish the persistent AF dog model , and the sham group was also set up .The cardiac ultrasound measurement was used for determining the cardiac structure size . The Masson 3 color staining were used to evaluate the stage of fibrosis .The expression of microRNA-29a and 133a in the left atrium ( LA) was detected by real-time transcriptase polymerase chain reaction .RESULTS: Compared with before modeling , no statistical difference of atrial dilatation and decreased ejection fraction in the model dogs with persistent AF was observed (P>0.05).Compared with sham group, the degree of fibrosis and collagen volume fraction (CVF) in per-sistent AF model group were increased obviously (P<0.05).The expression of microRNA-29a and 133a were decreased obviously (P<0.01, P<0.05).CONCLUSION:Structural remodeling of the atrium and atrial fibrosis are the essential for development and maintenance of atrial fibrillation .Down-regulation of microRNA-29a and 133a expression may be very important molecular mechanism for atrial structural remodeling in the persistent AF model dogs .
5.Effects of biological rhythm disturbance on sedation induced by propofol in rats
Sen ZHANG ; Weidong YAO ; Huilian GUAN ; Li LIU ; Tianyi JIANG ; Mengya WANG
Chinese Journal of Anesthesiology 2015;35(4):438-440
Objective To evaluate the effects of biological rhythm disturbance on sedation induced by propofol in rats.Methods Thirty-two adult male Sprague-Dawley rats,weighing 180-220 g,were randomly divided into 4 groups (n =8 each) using a random number table:circadian rhythm + administration during night-time group (group CN),circadian rhythm + administration during day-time group (group CD),biological rhythm+administration during night-time group (group BN),and biological rhythm+administration during day-time group (group BD).In CN and CD groups,the rats were fed for 2 weeks in the experimental boxes in a 12 (7:00-19:00):12 h (19:00-7:00) light:dark cycle.While the rats were fed for 2 weeks in the experimental boxes in a 24 h light cycle.Propofol 75 mg/kg was intraperitoneally injected at 14:00 in CN and BN groups,or at 22:00 in CD and BD groups.The duration of loss of righting reflex was recorded.At 20 min after recovery of righting reflex,the cognitive function was assessed.The latency of passive avoidance was measured at 6,12,24 and 48 h after training.Results Compared with group CN,the duration of loss of righting reflex was significantly shortened,and the latency of passive avoidance was prolonged at 12 and 24 h after training in group CD,and the duration of loss of righting reflex and latency of passive avoidance at 12 and 24 h after training were shortened in group BN.Compared with group CD,no significant change was found in the duration of loss of righting reflex,and the latency of passive avoidance was significantly shortened at 24 h after training in group BD.There was no significant change between BN group and BD group in the duration of loss of righting reflex and latency of passive avoidance.Conclusion Biological rhythm disturbance can counteract circadian rhythmproduced effects on sedation induced by propofol in rats.
6.Study on pollen viability and stigma receptivity of 5 Iris plants.
Xiaofang YU ; Haiqin ZHANG ; Tianyi JIANG ; Yonghong ZHOU
China Journal of Chinese Materia Medica 2009;34(10):1204-1206
OBJECTIVETo increase the reproduction efficiency of Iris plants.
METHODPollen viability, stigmatic receptivity, the color of anther and stigma of 5 Iris plants were observed during blooming.
RESULT1. The highest pollen viability was in 4 hours after blooming; 2. The stigmatic receptivities of I. sichuanensis, I. leptophylla, I. lactea and I. goniocarpa were strong in 4 hours after blooming, while that of I. lactea var. chinensis was strong in 2 hours after blooming; 3. The color of anther could reflect the pollen viability, but could not indicate the viability level; 4. The stigma color could not reflect the receptivity of stigma.
CONCLUSIONThe optimum artificial pollination time of these five species were 12:00 -14:00.
Biological Evolution ; Color ; Flowers ; physiology ; Iris Plant ; physiology ; Odorants ; Plant Infertility ; Pollen ; growth & development ; Pollination ; physiology ; Reproduction ; physiology ; Species Specificity
7.Strategies for regulating multiple genes in microbial cell factories.
Tianyi JIANG ; Lixiang LI ; Cuiqing MA ; Ping XU
Chinese Journal of Biotechnology 2010;26(10):1419-1425
Microbial metabolic engineering and synthetic biology are important disciplines of microbial technology nowadays. Microbial cells are fast growing, easy to be cultivated in large scale, clear in genetic background and convenient in genetic modification. They play an important role in many domains. Microbial cell factory means an artificial microbial metabolic system that can be used in chemical production. The construction of a microbial cell factory needs transferring of multiple genes or a whole metabolic pathway, which may cause some problems such as metabolism imbalance and accumulation of mesostates. This review focuses on the regulation strategies of different levels involving simultaneous engagement of multiple genes. Future perspectives on the development of this domain were also discussed.
Bacteria
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genetics
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Fungi
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genetics
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Gene Expression Regulation
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Gene Regulatory Networks
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genetics
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Genetic Engineering
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Industrial Microbiology
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Metabolic Engineering
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methods
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Metabolic Networks and Pathways
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genetics
8.Effects of azithromycin and clarithromycin on biofilm formation of Pseudomonas aeruginosa
Yu NIU ; Tianyi JIANG ; Li PANG
Chinese Journal of Clinical Laboratory Science 2018;36(4):288-292
Objective To investigate the effects of azithromycin and clarithromycin on biofilm formation of Pseudomonas aeruginosa.Methods The minimal inhibitory concentrations (MIC) of azithromycin,clarithromycin,ceftazidime,ciprofloxacin and gentamicin against 4 strains of Pseudomonas aeruginosa (ATCC 27853,PA1,PA2 and PA3) were determined by broth microdilution method.The biofilm formation of Pseudomonas aeruginosa was identified by silver dyeing method on the biofilm model with medical microporous membranes in vitro.The effects of azithromycin and clarithromycin on the adhesion of biofilm were detected by crystal violet staining.The synergistic bactericidal effects of azithromycin and clarithromycin with ceftazidime,ciprofloxacin or gentamicin were detected by thiazolyl blue method respectively.Results The MIC values of Pseudomonas aeruginosa ATCC 27853,PA1,PA2 and PA3 for azithromycin,clarithromycin,cefiazidime,ciprofloxacin and gentamycin were 32,64,1,≤0.125 and 0.25 μg/mL;32,256,8,0.25 and 1 μg/mL;64,128,> 256,32 and 2 μg/mL and 64,128,8,2 and 0.25 μg/mL.The results of silver staining showed that the microfiltration membranes of all the four P.aeruginosa cultures appeared to be grayish black,thick and dense,and cotton-like.Compared with the control group in which no antibacterial drugs were added,both azithromycin and clarithromycin (1/16 or 1/4 MIC) reduced significantly the adhesion of the 4 strains of Pseudomonas aeruginosa (ATCC 27853,PA1,PA2 and PA3) on the microporous membrane (Pall < 0.05).Compared with the use of 1 MIC of ceftazidime,ciprofloxacin or gentamycin alone,the combination of anyone of the four antimicrobial drug with azithromycin or clarithromycin (1/16 MIC) reduced the counts of viable bacteria on each biofilms with significant differences (P all < 0.01).Conclusion Azithromycin and clarithromycin could effectively inhibit the biofilm formation of Pseudomonas aeruginosa and may present synergistic effects combined with cefiazidime,ciprofloxacin or gentamicin.
9.Association of oxytocin with insulin resistance and highly sensitive C-reactive protein in patients with newly diagnosed type 2 diabetes
Guoyue YUAN ; Weiyun QIAN ; Su WANG ; Dan JIANG ; Qichao YANG ; Yuanxin LIU ; Shuqin YU ; Hao HU ; Wenjun SUN ; Tianyi ZHU ; Bingqian TANG
Chinese Journal of Endocrinology and Metabolism 2015;(6):481-485
Objective To detect serum oxytocin and highly sensitive C-reactive protein (hs-CRP) levels in obese and type 2 diabetes mellitus(T2DM) subjects and investigate the relationships between serum oxytocin levels and hs-CRP, glycolipid metabolism, insulin resistance and pancreas β cell function. Methods A total of 176 subjects were enrolled in the study, including 88 patients with newly-diagnosed type 2 diabetes ( T2DM) and 88 subjects with normal glucose tolerance(NGT). NGT and T2DM groups were further divided each into normal weight (NW) and obese(OB) subgroups. Obesity was defined as body mass index(BMI)≥25 kg/ m2 according to the WHO-Western Pacific Region diagnostic criteria (2000). 75g oral glucose tolerance test ( OGTT) was performed in all subjects. Fasting plasma glucose ( FPG), 2 h postprandial plasma glucose (2hPG), fasting insulin ( FINS), 2h postprandial serum insulin(2hINS), HbA1C and lipids were also determined. Insulin resistance and pancreas β-cell function were determined by homeostasis model assessment ( HOMA-IR, HOMA-β). Highly sensitive C-reactive protein(hs-CRP) level was determined by chemiluminescence immunoassay and fasting serum oxytocin level was determined by ELISA. Results Serum oxytocin level was lower in T2DM group than that in NGT group(P<0. 01), while serum hs-CRP level was higher in T2DM group than that in NGT group(P<0. 01). The level of serum oxytocin in subjects with obesity was also lower than that in subjects with NW in both NGT and T2DM groups [7. 16(6. 45-8. 82) vs 7. 98(7. 03-9. 17) ng/ L and 9. 23(8. 16-10. 36) vs 9. 86(8. 77-12. 06) ng/ L, P<0. 05]. The level of serum hs-CRP in subjects with obesity was higher than that in subjects with NW in both NGT and T2DM groups [0. 99(0. 25-1. 97) vs 0. 54(0. 19-0. 91) mg/ L and 3. 47(1. 63-6. 20) vs 1. 65(0. 81-3. 81) mg/ L, P<0. 05]. Serum oxytocin level was negatively correlated with hs-CRP, BMI, WC, WHR, HbA1C , FPG, 2hPG, FINS, 2hINS, total cholesterol, triglycerides, LDL-C and HOMA-IR, while was positively correlated with HOMA-β(P<0. 05). Subjects within the upper serum hs-CRP tertile had lower level of oxytocin when compared to subjects in the middle or lower serum hs-CRP tertiles(P<0. 05 ). Conclusion Serum oxytocin level was decreased in subjects with type 2 diabetes as well as with obesity. Serum oxytocin level was closely correlated with inflammation, glycolipid metabolism, insulin resistance, and pancreas β cell function. It may play an important role in the pathogenesis of obesity and T2DM.
10.Agreement between regional cerebral oxygen saturation and jugular bulb venous oxygen saturation during one-lung ventilation in elderly patients
Tianyi HE ; Ya LIU ; Weimin LIANG ; Sufang JIANG ; Rongtian KANG
Chinese Journal of Anesthesiology 2017;37(8):985-987
Objective To evaluate the agreement between regional cerebral oxygen saturation (rSO2) and jugular bulb venous oxygen saturation (SjvO2) during one-lung ventilation (OLV) in elderly patients.Methods Twenty-two patients of both sexes,aged 65-76 yr,with body mass index of 21-32 kg/m2,of American Society of Anesthesiologists physical status Ⅱ or Ⅲ,undergoing open pulmonary lobectomy or radical resection of esophageal cancer with combined intravenous-inhalational anesthesia,were selected.Immediately after beginning of two-lung ventilation (T0),at stable two-lung ventilation in the lateral position (T1),at 5,25 and 45 min of OLV in the lateral position (T2-4) and at the end of OLV in the lateral position (T5),blood samples were collected from the jugular bulb for blood gas analysis,and SjvO2 was recorded,rSO2 was also recorded at the time points mentioned above.Bland-Altman analysis was used to evaluate the agreement.Results SjvO2 was significantly lower at T0-5 than rSO2 (P<0.05).rSO2 and SjvO2 were gradually decreased at T1-5 (P<0.05).The results of Bland-Altman analysis showed that the difference between rSO2 more than 95% and SjvO2 was within the range of 95% limits of agreement,and the absolute value of the maximum difference was 20.8%.Conclusion There is a good agreement between rSO2 and SjvO2 during OLV in elderly patients,and SjvO2 can be recommended as an alternative to rSO2 clinically.