1.APPLICATION OF DELICACY MANAGEMENT IN THE NURSING MANAGEMENT OF DE-PARTMENT OF CARDIOLOGY
Modern Hospital 2015;(10):97-99
Objective To explore the delicacy management in the Department of cardiology nursing manage -ment effect.Methods From 2014 January -12 months in the Department of Cardiology in our hospital from human , machine, material, method, measurement, six aspects of the implementation of delicacy management , and in 2014 the nursing quality and patients'satisfaction with the implementation of delicacy management before 2013 are com-pared.Results The refinement of management and the quality of nursing and patients satisfaction were improved . Nursing adverse event rate decreased .The differences were statistically significant ( p<0.05 ) .Conclusion The delicacy management can improve the quality of nursing management in Department of Cardiology , worthy of further promotion and implementation .
2.Effect of peroxisome proliferator activated receptor γ agonist on the proliferation and differentiation of rat osteoblasts in vitro
Chinese Journal of Geriatrics 2011;30(3):241-244
Objective To study the effect of rosiglitazone (RSG), the agonist of peroxisome proliferator activated receptor γ (PPARγ), on the proliferation and differentiation of rat osteoblasts and the related mechanisms. Methods The identification of rat primary osteoblasts was performed by alkaline phosphatase (ALP) staining and mineralized nodules. The 3-(4,5)-dimethylthiahiazo (-z-y1)-3,5-di-phenytetrazoliumromide (MTT) assay and p-nitrophenyl phosphate (PNPP) assay were used to observe the effects of different concentrations of RSG on proliferation and differentiation of the osteoblasts. The reverse transcription polymerase chain reaction (RT-PCR) were used to detect the expression of connective tissue growth factor (CTGF) mRNA. The effects of the different concentrations (0,1,2,5,10 and 20 μmol/L) of RSG on TGF-β1-induced CTGF mRNA expression in osteoblasts were detected. Results (1)Different concentrations of RSG could not change the proliferation of osteoblasts (P>0. 05). (2)Compared with control group, all different concentrations of RSG could suppress ALP activity in osteoblasts (P<0. 01 ). (3) RSG suppressed the osteoblats CTGF mRNA expression induced by TGF-β1 in a dose-dependent manner (P<0. 01). Conclusions In vitro, RSG can inhibit the TGF-β1 induced rat osteoblasts CTGF mRNA expression. RSG may play a potential role in preventing the differentiation of the rat osteoblasts.
3.The Treatment of Chronic Atrophic Gastritis with Dysplasia by Chinese Medicine:A Systematic Review
Journal of Zhejiang Chinese Medical University 2013;(7):864-868,869
[Objective] Through a meta-analysis to compare the effectiveness and safety of traditional Chinese medicine and western medicine in the treat-ment of chronic atrophic gastritis(CAG) with dysplasia . [Methods] Randomized clinical trials(RCTs) which compared traditional Chinese medicine and western medicine for chronic atrophic gastritis with dysplasia in PubMed, Cochrane library, WanFang and CNKI were searched. The patients which were analyzed were divided into two groups: western medicine and traditional Chinese medicine.Statistical heterogeneity between trials was evaluated by RevMan5.0. Heterogeneity of the included articles was tested and used to select proper effective model for calculation.Publication bias was investigated through visual inspection of funnel plots and Egger's regression model.[Results] 6 RCTs including 632 patients were analyzed. The total odd ratios(OR) of clinical symptoms,gastroscope symptoms,pathological symptoms by traditional Chinese medicine were higher than western medicine, the OR values were 3.40(95%CI:2.18~5.31,P<0.01),4.14(95%CI:2.37~7.20,P<0.01),2.94(95%CI:1.77~4.90,P<0.01),3.71(95%CI:2.29~6.02,P<0.01),4.41(95%CI:2.75~7.07,P<0.01),5.21 (95%CI:3.65~7.43,P<0.01). Inspection of the funnel plots for al outcome measures did not reveal evidence of publication bias( P=0.81, 0.41, 0.29, 0.88, 0.44, 0.82, respectively).[Conclusions] The treatment of chronic atrophic gastritis with dysplasia by traditional Chinese medicine can improve the excel ent response rate, overal response rate of clinical symptoms,gastroscope symptoms,pathological symptoms better than its purely western medicine treatment efficacy.
4.Application and significance of molecular targeted nanotechnology in diagnosis and treatment of hepatocellular carcinoma
Chinese Journal of Hepatobiliary Surgery 2017;23(4):281-285
Hepatocellular carcinoma (HCC) is one of the most common malignancies.Current radiological examination is quite limited in diagnosing early HCC.Various treatments for HCC have definite indications,and there is still no effective treatment and prevention for recurrence and metastasis.Based on the recent development of molecular targeting nanotechnology for specific molecules in liver cancer cells,early diagnosis and the monitoring of recurrence and metastasis for HCC can be improved,and the specificity of drug in targeting cancer cells and the therapeutic effect on HCC can be significantly enhanced.The article reviewed the application and significance of molecular targeting nanotechnology in HCC diagnosis and treatment.
5.AN ULTRASTRUCTURAL STUDY ON THE POLYSPERMIC FERTILIZATION IN THE PIG
Acta Anatomica Sinica 1955;0(03):-
58 embryos at 1, 2, 3 and 4 cell and morula stage were recovered from the oviduct and the uterine horn of the Ha-bai, Du-ha and Du-chang-ha pigs, 24 hours, 2 or 3 days of pregnancy, and were observed with SEM and TEM. The zona pellucida of 1 cell embryo was removed by treatment with 2.5% pronase for visualization of the cell surface structure.The findings are as follows:1. The surface of the 1 cell stage embryo was densely populated with microvilli and sperm can be found on the surface with its head and tail surrounded by the microvilli and its plasma membrane of the equatorial segment of acrosome intact.2. Many spermatozoa were observed both on the surface and inside the zona pellucida of the 2 celled embryo.3. By the 4 cell stage, some of the spermatozoa had penetrated through the zona and got into the perivitelline space. 4. There were still some spermatozoa on the zona surface of the morula.5. The TEM observation revealed that the heads of supernumerary sperm were located within the cytoplasm of the blastomeres of the embryos from 1 to 4 cell stages and still not decondensed. Some of these sperm heads were actually found within the phagocytic vacuoles of the 4 celled embryos. The ultrastructure of these polyspermic embryos was normal.These results showed that polyspermy in the pig did not intefere with the cleavage of the embryo and the embryo possessed the ability to dispose the excessive sperms.
6.The effect of pulsed electromagnetic fields on bone loss in spinal cord injured patients
Chinese Journal of Physical Medicine and Rehabilitation 2013;(3):190-192
Objective To observe any therapeutic effect of pulsed electromagnetic fields (PEMFs) on bone loss in spinal cord injury (SCI) patients.Methods Fifty-five patients with SCI were divided into two groups randomly.The twenty-six patients in the control group (group B) were given only routine rehabilitation treatment; the twenty-six patients in the treatment group (group A) received PEMF therapy in addition.Results After 12 weeks of treatment,the average bone mineral density (BMD) of the proximal femur (including total,neck,Wards,inter,troch) in group A was significantly higher than in group B.The levels of bone-gamma-carboxyglutamic acid containing protein (BGP) and 1,25 (OH)2D3 in group A increased significantly,while they decreased in group B.Urine-pyridinium/crealinine (U-Pyd/Cr) levels in group A decreased significantly,while in group B they were higher than before.There were statistically significant differences between the two groups.Conclusion PEMF treatment can effectively retard bone loss in SCI patients.It has good preventive and curative effects on osteoporosis after SCI.
7.Effect of Probiotics on The Change of Intestinal Barrier Function and Inflammatory Response after Surgery of Colorectal Cancer
Chinese Journal of Bases and Clinics in General Surgery 2008;0(11):-
Objective To study the effect of probiotics on the change of intestinal permeability and inflammatory reaction after surgery of colorectal cancer.Methods Sixty patients who underwent colonic surgery were randomly divided into two groups:probiotic group and control group,with 30 cases in each group.Each group received nutritional support of the same nitrogen and calorie from day 3 to day 7 after operation.The patients in probiotic group were orally administrated probiotic(2 g/d)from the first day after surgery for 7 days.Every patient's body temperature and heart rate were observed after operation,and white blood cell counts were observed before operation and on day 1,5,8 after operation.The levels of microbial DNA in whole blood and plasma D-lactate,and urine lactulose/mannito(L/M)ratio were measured before operation and on day 1 and day 8 after operation,respectively.In addition,the occurrence of postoperative systemic inflammatory response syndrome(SIRS)and complications of inflammation were closely observed.Results The average heart rate in postoperative 5 days was significantly lower in probiotics group than that in control group(P0.05).Conclusion Probiotics can decrease intestinal permeability and maintain the intestinal barrier function after operation.It may be helpful for the recovery of patients with early inflammatory response after surgery of colorectal cancer.
8.SEM OBSERVATION OF THE INNER AND OUTER SURFACE STRUCTURE OF THE PIG BLASTOCYSTS
Ping XIA ; Pengchun QIN ;
Acta Anatomica Sinica 1953;0(01):-
On 10 days of pregnancy the blastocysts of 3 mm and 9 mm in diameters wereflushed out from the uterine horns of the Du-Chang-Ha and Dong-Bei-Min pigs.The blastocysts were divided into four parts,that is the embryonic disc,the animalpole,the lateral part and the vegetal pole.The outer and inner surface of the fourparts were observed with SEM and the findings are as follows:1,The 3 mm blastocystsThe outer surface of the embryonic disc was still covered with trophoblasticcells.Three kinds of cells can be discerned:the cell with round prominences andlong microvilli(MV);the cell with thin and long MV,the cell with smooth sur-face.The trophoblast cells in other areas of the blastocyst were similar but slightlyflat.The inner surface of the blactocyst consists of endoderm cells which weredifferent in the four parts.From the embryonic disc to the vegetal pole,the surfacestructure of the endoderm cells changed regularly from small to large from dome-shaped to flat and the distance between nuclei increased gradually.The MVs on thecell surface:became less.These findings suggested that endoderm cells weremoving from the center of the embryonic disc to the vegetal pole.There weremany holes on the marginal area of the cells.The edge of the cell on the innersurface of the vegetal pole forms a network.Many round granules can be seen inthe holes of the network.Their function may be for the transport of nutrients.2,The 9 mm blastocystsThe outer surface of the embryonic disc was not covered with trophobla-stic cells but covered with ectoderm cells.The ectoderm cells in the primitivestreak had long MV on their surface but short ones on other areas of the disc.The inner surface of the embryonic disc was endoderm cells.The MVs on theendoderm cells was much more numerous than the MVs on the ectoderm cells.Thedifferentiation of the cells in the pig blastocyst was also discussed.
9.The level of plasma prekallikrein and its correlation with latent autoimmune diabetes in adults
Wen QIN ; Baoyu QIN ; Ning XIA
Chongqing Medicine 2015;(3):321-323
Objective To investigate the plasma expression of plasma prekallikrein(KLKB1)in latent autoimmune diabetes in a‐dults(LADA),type1diabetes(T1DM),type2diabetes(T2DM)andhealthypeople,anditsrelationshipwithLADAincombination with other indicators .Methods Among the four groups ,KLKB1 ,glycosylated hemoglobin(HbA1c) ,fasting blood glucose(FPG) ,2 h postprandial plasma glucose(2 h PG) ,Fasting c‐peptide(FCP) ,2 h postprandial C peptide(2 h CP) ,and glutamic acid decarboxy‐lase antibody(GADA)were detected respectively .And the detection results were analyzed by statistics .Results By comparison , there were statistically significant difference between LADA group and other groups on FPG(except for T2DM group) ,2 h PG , HbA1c ,FCP and 2 h CP(P< 0 .05) .And except for T1DM group ,there was statistically significant difference between LADA group and other groups on GADA ,too(P<0 .05) .The plasma expression of KLKB1 in LADA was significantly higher than those in T2DM group and NC group(P<0 .05) .The levels of KLKB1 was related with FCP、HbA1c、FPG、2 h PG(P<0 .05) ,and it was not related with age ,course ,and 2 h CP(P>0 .05) .Receiver operating characteristic (ROC) showed that only using KLKB1 to di‐agnose LADA had its limitation .Conclusion KLKB1 could be used as a clinical indicator to predict the onset of LADA to a certain degree .We could screen for LADA by using KLKB1 and other indicators in people at high risk .
10.Clinical application of transrectal ultrasound in treatment of prostate cancer
Chinese Journal of Primary Medicine and Pharmacy 2006;0(10):-
Objective To evaluate the clinical application of transrecral ultrasound in the treatment of prostate cancer.Methods 23 cases of prostate cancer treated with PSA,CT,MRI and postoperative pathological confirmation were analysed respectively and the results of transrectal ultrasound were compared.Results The diag- nostic match rate of transrectal ultrasound for prostate cancer was 77%.Transrectal ultrasound showed hypoecho nodes in prostate.Conclusion Transrecral ultrasound could detect prostate cancer.