OBJECTIVE:To propose countermeasures aimed at the new situation and problems arose from the current ad?ministration on vaccine.METHODS:Combining the related codes,problems in the current administration on vaccine were an?alyzed.RESULTS&CONCLUSION:To implement overall classified administration on vaccine in China,the legal track should be followed as soon as possible;the classified vaccine administration system should be improved;departments’functional au?thority of supervision should be strengthened;the combined administration means of supervising,assisting and promoting should be adopted and the corresponding compensation mechanism should be established.

OBJECTIVE: To evaluate the effect of two surgical methods on treatment of allergic rhiniti complicated with nasal septum deviation. METHOD: Eighty-seven cases of allergic rhiniti complicated with nasal septum deviation were divided into 2 groups according to the degree of mucosal hypertrophy and hyperplasia of bone in inferior turbinate. They were treated by resection of nasal septum deviation combined with temperature-controlled radio-frequency, or combined with partial submucoperiosteous resection of inferior turbinate bone. The Lanzhou standard (2004) and nasal airway resistance were used to evaluate the efficacy. RESULT: After one year follow-up time, the nasal resistance was significantly decreased and the effective rates were greater than 88% in each group. CONCLUSION Both of the two surgical methods can significantly depress the nasal resistance and improve the allergic symptoms, which shows good effect.
Adolescent ; Adult ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Nasal Septum ; abnormalities ; surgery ; Rhinitis, Allergic, Perennial ; complications ; surgery ; Treatment Outcome ; Young Adult

each group were sacrificed, respectively. Distributions of BrdU positive cels and ChAT positive cels were detected by S-P immunohistochemical method. The learning and memory abilities of rats were detected by Morris water maze system.
RESULTS AND CONCLUSION:BrdU positive cels were mainly distributed in the cortex and hippocampus, especialy around the blood vessels, and there was the presence of focal aggregation. A smal amount of BrdU positive cels were observed in the basal ganglia and thalamus as wel as in the ependyma. BrdU positive cels were counted at different time after operation. The number of BrdU positive cels decreased with time, and only a smal number of BrdU positive cels were observed at 60 days after transplantation. The number of ChAT positive cels at different time after transplantation was ranked as folows: neural stem cel transplantation group > model group > sham operated group (P < 0.05). Compared with the model group, the time for searching the platform was significantly lower in the neural stem transplantation group and sham operated group, but the number of crossing the platform was significantly higher in the neural stem cel transplantation group and sham operated group (P < 0.05). The results show that neural stem cels could be transplanted into the rats with vascular dementia, and the cels could survive and migrate in the brain of rats and significantly improve the learning and memory ability. This mechanism may be related to the differentiation and growth of cholinergic neurons in the hippocampus.

Objective To study the role of peripheral blood T regulatory cells (Treg) markers, as well as different Treg cells in the pathogenesis of systemic lupus erythematosus (SLE) and explore the correla-tion betweenCD127 and Foxp3. The immunosuppressive effect of CD4~+CD25~+CD127~(low/-) T cell is explored. Methods ①Four-color direct fluorescence-labeled and multi-parameter flow cytometry were used to detect peripheral blood CD4~+CD25~+ T cells and other Treg cells accounted for the proportion of CD4~+ T cells in 40 SLE patients (19 cases with active disease 21 cases in remission) and 15 healthy controls. Meanwhile, its correlations with anti-dsDNA antibodies among 7 groups were analyzed.②Flow cytometry sorting combined with cell culture were applied to detect and analyze the proliferation inhibition effect of CD4~+CD25~+CD127~(low/-)regulatory T cells to CD4~+CD25~-effector T cell.Two independent samples t test,ANOVA for repeated measures,Pearson's correlation and Spearman's correlation were used for statistical analysis.Results ①The cell ratio of the 7 groups of SLE patients was(6.1±1.7)%,(3.1±1.3)%,(2.1±1.0)%,(1.6±0.3)%(0.97±O.28)%,(0.69±0.23)%and(O.71±0.35)%respectively.In the SLE group,the proportion of the first 6 groups was lower than the control group (P<0.05).For CD4~+CD127~(low/-)Foxp3~+,there wag no difference in the two groups(P>O.05).②CD4~+CD25~+Foxp3~+,CD4~+CD25~(high)Foxp3~+ T cells and IgA ratio Was positivelv correlated.While CD4~+CD25~(high)CD127~(low/-) T cells and anti-SSB antibodies was positively correlated in SLE patients.③The seven group of cells,in addition to CD4~+CDl27~(low/-)Foxp3~+ T cell ratio were lower in early-onset SLE patients than those in patients at remission(P<0.05).④The cell propor-tion of the first 6 groups was lower than that of post steroid treatment(P<0.05).⑤Foxp3 expression of CD4~+CD25~+T ceils and CD4~+CD25~(high) T cells was positively correlated with low expression of CDl27 in the early onset group,remission group and the control group.⑥The CD4~+CD25~- effect T cells could be suppressed by their own CD4~+CD25~+CDl27~(low/-) regulatonry T cells in vitro,and the inhibition of SLE patients was significantly lower than controls.Conclusion The immunological abnormality of SLE may be associated with the qnatity and functional defects of immune regulatory T cells.CDl27 may be a possible alternative to Foxp3 regulatory T cell-specific surface markers.

OBJECTIVE: To analyze the main allergens in children with allergic rhinitis and provide scientific basis for prevention and treatment in Zhengzhou district. METHOD: Twenty standardization allergens were used to perform skin prick test in 412 children with AR, and the results were statistically analyzed. RESULT: Three hundred and twenty-nine of 412 cases (79.85%) showed positive reaction. The positive rate of dermatophagoides farina (87.54%) was the highest in inhaled allergens, followed by dermatophagoides pteronyssinus (86.32%), cat hair (62.31%), fungus I (47.72%) and dog hair (43.16%). The positive rate of shrimp (13.68%) was the highest in ingestive allergens, then egg (5.17%), carp (4.56%), meat I (3. 04%) and milk (3.04%). CONCLUSION Dust mites, cat hair, fungus,dog hair were the most common allergens in children in Zhengzhou district. Improving living environment of children with AR and avoiding contacting with allergens were pretty important.
Allergens ; analysis ; Animals ; Cats ; Child ; China ; Dermatophagoides farinae ; Dermatophagoides pteronyssinus ; Dogs ; Fungi ; Humans ; Rhinitis, Allergic ; epidemiology ; Skin Tests

Objective To explore the application effect of vest type protective clothing in nursing management of psychiatric wards .Methods The vest type protective clothing was self-designed and home-made.The inpatients with behavior disorders caused by the mental symptoms were chosen .Fifty-one patients in 2012 received the vest type protective clothing as the observation group , and the 48 cases in 2011 received the protective restraint or special nursing through the traditional protective belt as the control group .The cases of adverse events , related complications and satisfaction were compared between two groups .Results The cases of adverse events and related complications in the observation group were respectively 3, 0 cases, and were 40, 47 cases in the control group, and the differences were statistically significant (χ2 =60.03, 95.07, respectively;P <0.01 ).The medical staff and patients and their families satisfaction were respectively 100%and 98.2%in the observation group , and were significantly higher than 60%and 54.2%in the control group, and the differences were statistically significant ( Hc =53.86, 151.56, respectively;P <0.01 ). Conclusions Home-made vest type protective clothing is comfort , safety and beautiful .Application of the vest type protective clothing can reduce the workload of nursing , and is beneficial for the safety management of ward .

Objective To develop the Chinese version of the nasal obstruction symptom evaluation (NOSE) questionnaire.Methods After introduction,forward and backward translation,synthesis,expert committee review,pretest,adaptation and validation followed the international guidelines,the Chinese version of NOSE scale was tested among 223 nasal septal deviation patients and 80 health volunteers to further assess its psychometric and clinical properties.SPSS 19.0 software was used to analyze the data.Results The Chinese version demonstrated satisfactory evaluation results.The acceptance rate of the questionnaire was 97.6％ and 94.1％ in the patient group and control group respectively,and the completion time was (1.5 ± 0.5) min and (1.0 ± 0.5) min.Internal consistency reliability (Cronbach' s α) was calculated to be 0.869.Test-retest reliability coefficient was adequate at rs =0.996.Content validity was approved by our expert committee.Criteria validity (Spearman correlation coefficient) between NOSE Chinese version and SF-36,as well as VAS was-0.837 and 0.725 separately.Construct validity of Chinese version was similar to that of the original edition.The standardized response mean and the effect size at three months postoperatively was respectively 1.34 and 1.21,indicating high responsiveness.Calculated by Mann-Whitney U test,the instrument showed excellent sensitivity to discriminate the subjects with or without nasal obstruction (P ＜ O.01).The NOSE scores were also correlated with nasal resistance by rhinomanometry.Conclusions The NOSE Chinese version was successfully cross-cultural adapted and validated.It therefore can be recommended as a robust tool for future measuring subjective severity of nasal obstruction in China.

Objective To investigate the main allergens in patients with allergic rhinitis in Zhengzhou district.Methods Twenty standardization allergens were used to perform skin prick test in 1 139 patients with allergic rhinitis.The samples were divided into four groups according to the age of the patients.The distributions of different allergens in the four groups were analyzed.Results The top five inhaled allergens were dermatophagoides farina (920 cases,80.8％),dermatophagoides pteronyssinus (870 cases,76.4％),cat hair (517 cases,45.4％),herbs (397 cases,34.9％) and poaceae (353 cases,31.0％) ; the top five ingestive ones were shrimp (143 cases,12.6％),peanut (66 cases,5.8％),egg (56 cases,4.9％),carp (51 cases,4.5％) and meat (48 cases,4.2％).The distribution of allergens was different among the different age groups.Conclusion Dust mites,cat hair,herbs and poaceae were the most common allergens in Zhengzhou district.

Objective To investigate the correlation of the expression of microRNA-424-5p (miR-424-5p) and orthodenticle homeobox 1 (OTX1) gene in colorectal cancer (CRC) tissue,and the effects of miR-424-5p on the proliferation,migration and invasion of CRC cells HCT116.Methods A total of 60 patients with CRC were collected from June 2017 to June 2018 in Department of Colorectal Surgery of Third Affiliated Hospital of Kunming Medical University.Real time quantitative PCR (RT-qPCR) was used to detect the expression of miR-424-5p and OTX1 mRNA in 60 cases of CRC tissues,para-carcinoma tissues and CRC cell lines.The correlation between the expression of miR-424-5p and OTX1 gene was further analyzed.miR-NC (miR-NC group) and miR-424-5p-mimic (miR-424-5p-mimic group) were transfected into HCT116 cells.CCK-8 assay,scratch assay and Transwell assay were used to detect the effects of miR-424-5p on the proliferation,migration and invasion of HCT116 cells.The effect of miR-424-5p on the expression of OTX1 protein was detected by Western blotting.The luciferase report assay was used to detect the influence of miR-424-5p on the luciferase activity of OTX1-3'UTR vector.Results The relative expressions of OTX1 mRNA in CRC tissues and para-carcinoma tissues were 1.049 ±0.446 and 0.639 ±0.178 (t =-6.583,P ＜0.001);and the relative expression of miR-424-5p in CRC tissues and para-carcinoma tissues were 0.865 ± 0.261 and 1.329 ± 0.387 (t =7.705,P ＜ 0.001),with statistically significant differences.Negative correlation was found between the expression of miR-424-5p and OTX1 mRNA in CRC tissues (r =-0.439,P =0.015).The absorbance values of HCT116 cells transfected with miR-424-5p-mimic were 0.813 ± 0.064,0.960 ± 0.098,1.287 ± 0.192 on 72,96 and 120 hours respectively,and those of HCT116 cells transfected with miR-NC were 1.163 ±0.158,1.645 ±0.117 and 2.043 ±0.236.The proliferation ability of miR-424-5p-mimic group was lower than that of miR-NC group and the differences between the two groups were statistically significant (t =3.538,P =0.024;t =7.778,P =0.001;t =4.257,P =0.013).The scratch assay showed that the migration of HCT116 cells in miR-424-5p-mimic group was inhibited as compared with miR-NC group.The numbers of cells permeating septum of miR-NC and miR-424-5p-mimic group were 177.104 ± 17.834 and 35.667 ± 13.634,and the difference was statistically significant (t =15.246,P ＜ 0.001).The relative expressions of OTX1 protein in miR-NC and miR-424-5p-mimic group were 0.862 ±0.121 and 0.342 ±0.103 respectively,and the difference was statistically significant (t =16.286,P ＜ 0.001).Luciferase report assay showed that the luciferase activities of wt-OTX1-3'UTR and mut-OTX1-3'UTR vector were 0.305 ± 0.095 and 0.898 ± 0.080 after over expression of miR-424-5p,and the difference was statistically significant (P ＜ 0.001).Conclusion The expressions of miR-424-5p and OTX1 mRNA are negatively correlated in CRC tissue.miR-424-5p can inhibit the proliferation,migration and invasion of CRC cells by down-regulating the expression of OTX1.

Objective:To evaluate the influence of ankle acupuncture on the cognitive impairment caused by sevoflurane in elderly rats and the expression of hippocampal phosphorylated phospholipase Cγ (p-PLCγ).Methods:Fifteen SPF-grade healthy male Sprague-Dawley rats, aged 18 months, weighing 530-600 g, were allocated into 3 groups ( n=5 each) using a random number table method: sham surgery group (S group), cognitive dysfunction group (CD group) and ankle acupuncture group (A group). The cognitive dysfunction model was prepared by inhaling the mixture of 3% sevoflurane and air, with ankle acupuncture applied to the right hind limb 1-3 region for 30 min prior to anesthesia in A group. S group received sham stimulation. Two days later, the cognitive function was assessed using the Morris water maze test. The rats were subsequently sacrificed and hippocampal tissues were collected for microscopic examination of the pathological changes (using HE staining and Nissl staining) and for determination of the expression of p-PLCγ, phosphorylated calcium/calmodulin-dependent protein kinase Ⅱ (p-CaMKⅡ) and phosphorylated inositol-1, 4, 5-trisphosphate receptor (p-IP3R). Results:Compared with S group, the escape latency was significantly prolonged, the number of crossing the original platform quadrant was reduced, and the expression of p-PLCγ, p-CaMKII and p-IP3R was up-regulated in CD group and A group ( P<0.05). Compared with CD group, the escape latency was significantly shortened, the number of crossing the original platform quadrant was increased, and the expression of p-PLCγ, p-CaMKII and p-IP3R was down-regulated in A group ( P<0.05). The pathological changes were significantly reduced in A group compared with CD group. Conclusions:Ankle acupuncture can ameliorate cognitive dysfunction induced by sevoflurane in elderly rats, and the mechanism is related to inhibition of hippocampal p-PLCγ expression.