1.Analysis of clinical characteristics and related factors of type 2 diabetic patients with different ankle brachial index
Clinical Medicine of China 2016;32(6):527-529
Objective To study the clinical characteristics and related factors of type 2 diabetes with different ankle brachial index (ABI).Methods Two hundred and sixty-two patients with type 2 diabetes in Tieying Hospital of Fengtai District of Beijing outpatient and inpatient from January 2012 to April 2015 were selected.General information,blood biochemical parameters and ABI of patients were tested and collected.The patients were classified into three groups according to the different ABI.A group was ABI<0.9 with 40 cases,B group was ABI 0.9-1.3 with 191 cases,C group was ABI>1.3 with 31 cases.The clinical characteristics of three groups were analyzed.Results The age of the patients in group B was younger than that in group A and C((62±15) years old vs.(72±10) years old vs.(71±9) years old,P=0.048).The duration of disease in group B was shorter than that in group A and C((6±6) years vs.(10±2) years vs.(11±3) years,P=0.037).The Blood uric acid of patient in group B were lower than those of patient in group A and C((320±111) μmol/L vs.(350±110) μmol/L vs.(338±109) μmol/L,P=0.039).The glycosylated hemoglobin levels of patient in group Bwere higher than those of patient in group A and C((9.5±1.8)% vs.(7.2±2.3)% vs.(8.8±2.0) %,P=0.041).Compared with group A,the level of UA,HbA1c in group B were more higher(P<0.05).The incidence rate of diabetic foot was 23% (9/40) in group A,6% (11/191) in group B,23% (7/31) in group C,and the difference was significant(P=0.042).Compared with group A and C,the the incidence rate of diabetic foot in group B was the lower(P<0.05).Correlation analysis showed that ABI was negatively correlated with age,course of disease,HbA1c(r=-0.65,-0.70,-0.79,-0.61,P<0.05).Conclusion Different ABI of patients with type 2 diabetes have different clinical features.With increasing age,disease duration,glycosylated hemoglobin and blood uric acid level,it is likely to cause patients with abnormal ABI and increase the probability of occurrence of diabetic foot.
2.The expression and clinical significance of serum 1, 25-dihydroxyvitamin D3 in different stages of diabetic nephropathy patients
Clinical Medicine of China 2016;32(4):293-295
Objective To study the expression and clinical significance of serum 1,25-dihydroxyvitamin D3 in different stages of diabetic nephropathy patients.Methods Ninety-eight cases of diabetics were selected as our subjects in observation group,who were hospitalized in Tieying Hospital of Fengtai District of Beijing from January 2010 to December 2014.They were divided into diabetics group(36 cases,UAER <30 mg/24 h),microalbuminuria group(32 cases,UAER was 30-300 mg/24 h),massive proteinuria group (30cases,UAER>300 mg/24 h).One hundred healthy persons were selected as a normal control group over the same period.The changes of fasting blood glucose,course of disease,blood lipid,serum creatinine and serum 1,25-dihydroxyvitamin D3 in all groups were recorded.Results Fasting blood glucose,serum creatinine and serum 1,25-dihydroxyvitamin D3 were (8.97±2.3) mmol/L,(76.2±19.5) μmol/L,(28.9±13.6) μg/L in observation group,and (4.7±0.4) mmol/L,(63.1±12.0) μmol/L,(70.1±21.3) μg/L in control group respectively,the difference between the two group was statistically significant (P =0.031,0.046,0.028).Serum 1,25-dihydroxyvitamin D3 was (52.68±20.91) μg/L in patients of diabetics group,(31.40±15.23) μg/L in microabuminuria group,(15.76±7.81) μg/L in massive proteinuria group,the difference among the three group was statistically significant (P =0.036).Serum 1,25-dihydroxyvitamin D3 of microabuminuria group and massive proteinuria group were lower than of diabetics group,of massive proteinuria group was lower than of microabuminuria group(P<0.05).Serum 1,25-dihydroxyvitamin D3 was negatively correlated with the cause of disease(r=-0.301),fasting blood glucose (r =-0.281) and serum creatinine (r =-0.536) in patients with type 2 diabetes,the difference was statistically significant (P < 0.05).Conclusion Serum 1,25-dihydroxyvitamin D3 in patients with diabetic nephropathy decrease in different degree,which reflects the severity of renal damage.The results indicate that reduction of serum 1,25-dihydroxyvitamin D3 may be involved in the occurrence and development of diabetic nephropathy
3.Voltage-dependent calcium channel(VDCC)LTP and N-methyl-D-aspartate(NMDA)receptor channel LTP
International Journal of Biomedical Engineering 2008;31(2):74-77
Long-term potentiation(LTP)is a typical model of synaptic plasticity which has great relationship with learning and memory mechanisms:The induction of LTP depends on the activation of the calcium channels and LTPs generated by calcium ions influx through different channels play different roles in memory.This paper reviews the progress of the research on LTPs induced by activations of N-methyl-D-aspanate receptor(NMDAR)channels and voltage-dependent calcium channels(VDCC).Finally,it gives an example of new forms of low frequency stimulation for induction of LTP.
4.LabVIEW and its application in biomedical engineering
International Journal of Biomedical Engineering 2001;24(2):59-64
This paper describes virtual instrumentation and its most representative developing environment-LabVIEW. The use of LabVIEW to program custom functions ,such as signal acquisition ,processing ,system control ,in biomedical research ,is also introduced.
5.Research status of hippocampal dysfunctions caused by cranial irradiation
Chinese Journal of Radiological Medicine and Protection 2016;36(9):712-716
Cranial irradiation is routinely used for the treatment of almost all brain tumors,but it may cause disastrous injury in brain,especially in the hippocampus that has cognitional and emotional regulation functions.Several studies have investigated the mechanisms of radiation-induced hippocampal dysfunctions such as hippocampal neurogenesis,neurotrophin and neuroinflammation,and provided effective prevention strategies such as exercise,environmental enrichment,anti-inflammatory and intrahippocampal transplantation of neural stem cells.This review discussed the curent progresses and challenges of hippocampal dysfunction induced by cranial irradiation and provided new insights for preclinical and clinical researches.
6.Targeted migration of glycosylated bone marrow mesenchymal stem cells in bone defect models
Chinese Journal of Orthopaedic Trauma 2015;17(1):75-81
Objective To observe the targeted migration of glycosylated bone marrow mesenchymal stem cells (BMSCs) in rabbit bone defect models.Methods A New Zealand rabbit of 2 months old and 1.5 kg in weight was used to separate,extract and amplify BMSCs.α-1,3 fucosyltransferase Ⅵ (FUT-6) gene was transfected to the BMSCs by liposome method to screen the positive clone cell lines.ELISA was used to detect FUT-6 expression and Sialyl Lewis X (sLeX) of FUT-6/BMSCs and BMSCs.Flow cytometry was used to detect the binding force of FUT-6/BMSCs and BMSCs with E/P selectin.FUT-6/BMSCs and BMSCs were labeled with eGFP in vitro and then intravenously re-infused respectively to 2 equal groups of bone defect models made of 12 New Zealand rabbits.Fluorescence microscopy was used at 6,12 and 24 hours postoperation to observe the number of labeled cells in the medullary cavity tissue at the bone defect sites to evaluate the targeted migration.Results BMSCs were amplified by in vitro culture.Transfected BMSCs expressed a significantly higher level of FUT-6,and increased significantly generation of sLeX (P < 0.05).Compared with BMSCs,FUT-6/BMSCs had an obviously higher binding force with E/P selectin (15.0% and 12.7% versus 68.9% and 59.7%).Fluorescence microscopy at 6,12 and 24 hours showed that there were significantly more FUT-6/BMSCs than BMSCs in the medullary cavity tissue at the bone defect sites (P < 0.05).Conclusion Glycosylated BMSCs possess an obvious ability to migrate to the sites of lesion.
7.Spatial distributions of multi-channel electroencephalographs power in different frequency band during visual working memory
International Journal of Biomedical Engineering 2015;38(2):77-80
Objective Working memory (WM) is one of important cognitive functions.The aim of this study was to investigate spatial distributions of electroencephalographs (EEGs) power during visual WM task,which may provide support for studying the principal frequency band and critical region related to WM.Methods 32-channel EEGs were recorded from 16 healthy subjects while they perform visual WM task.The data came from 240 trials and the original EEGs were preprocessed.Fourier transform was applied to calculate spatial distributions of EEGs power in the δ,θ,α,β,γfrequency bands and the percentage of each band in the total power.Results The percentages of δ,θ,α,β,γbands in the total power were (22.44±0.86)%,(31.88±0.55)%,(24.66±1.43)%,(13.54±0.64)%,(7.47±0.48)%,respectively.The power in the θ band was significantly higher than those in the other bands (paired t-test,P<0.001).The θ power was focused in the frontal midline region.Conclusions The principal frequency band related to WM was the θ band and the critical region was the frontal region.
9.Research progress of anticoagulation combined with antiplatelet treatment strategy in acute coronary syndrome
Chinese Journal of Postgraduates of Medicine 2016;39(6):567-570
Dual antiplatelet therapy is the standard treatment for patients with acute coronary syndrome (ACS) and coronary heart disease interventional treatment. Clopidogrel, a traditional antiplatelet agent, has some disadvantages, such as slow onset time, individual differences and dissatisfy the antithrombosis requirement in ischemia of high-risk patients. In addition, for ACS patients with indications of anticoagulation, antiplatelet therapy cannot prevent venous thromboembolic events. However, dual antiplatelet combined with anticoagulant therapy may decrease the risk of ischemic events at the price of increasing bleeding. With the development of new antithrombotic agents, the antithrombotic strategy for ACS has made some progress, such as antiplatelet strategy for ACS, antithrombotic strategy for ACS with indication of anticoagulation and new antithrombotic drugs. With the development of clinical antithrombotic drug research, the patients with ACS will benefit from the optimized strategy of combined with antithrombotic therapy.
10.Experimental Study of the Survival Mechanism of Non-physiological Blood Perfusion of Arterialized Venous Flap
Journal of Chinese Physician 2001;0(06):-
Objective To investigate the microcirculative route of the arterialized venous flap.Methods Selecting 15 Chinese white rabbits designed the model of arterialized venous flap by anastomosis with from the central artery to central vein.The reversed blood flow perfusion was directly observed by the "ear windows" under the microscope and,simultaneous recording the changes in the microcirculation of the flap.Results All of the flaps were alived.The structure of the capillary net in the flap was a stereo-net .In the early arterialized stage,the upstream blood flows quickly in the venule;there was no blood flowing in the capillary net with the opening of the capillary net,the reconstructed procedure of the non-physilogical microcirculation was accomplished:the arterial blood mainly flow through small vein and venule,finally arrived the capillary net.Conclusions Keep up the drainage vein free,the arterialized venousflap could be alived by reconstructed effective microcirculation through the venous system.