Dental Pulp Diseases ; therapy ; Humans ; Root Canal Therapy

Dental Caries ; etiology ; prevention & control ; Humans

Objective To explore the correlation between the levels of nitrite/nitrate(NO2/NO3) in exhaled breath condensate (EBC) and pulmonary infection in mechanically ventilated patients.Methods The clinical data from ventilated patients in critical care units of Peking University People' s Hospital from November 2006 to August 2007 were collected and analyzed.The patients' clinical pulmonary index score (CPIS) were calculated.EBC of those patients were collected via endotracheal tube or tracheostomy cannula, and the concentrations of NO2/NO3 were assayed.The level of NO2/NO3 in different CPIS patients in 24 hours' ventilation,weaning proportion in 3 days and mortality in different NO2/NO3 level patients were compared.The correlation of the CPIS and level of NO2/NO3 were explored between survival and non-survival patients.Results A total of 76 patients were enroled.The NO2/NO3 levels in patients of CPIS≤3 ,CPIS 3-6 and CPIS >6 in 24 hours of ventilation were (23.31±5.79), (28.72±9.10) and (35.42±12.10) μmoL/L respectively, with significantly differences between each other (P < 0.01).The lower the patients' concentration of NO2/NO3 was, the earlier the weaning and the lower the mortality were.The NO2/NO3 levels on 4th and 7th day were detected in 24 survival patients and 23 non-survival patients.The difference of NO2/ NO3 levels between the survival patients and non-survival patients became significant on 7th day [(29.32±9.52) μmol/L vs.(37.22±12.03) μmol/L, P < 0.01].Linear correlation analysis showed that the NO2/ NO3 level was positively correlated with CPIS (r = 0.76, P < 0.01).Condusions The NO2/NO3 level of EBC in ventilated patients is positively correlated to the severity of pulmonary infection, thus may be used as a new predictor for weaning and prognosis.

BACKGROUND: The metabolism of acetylcholine in hippocampus reflects the function of cholinergic nervous system whose function is associated with learning and memory as well as intelligence.OBJECTIVE: To observe the changes of choline acetyltransferase activity in rat hippocampus after ischemia-reperfusion.DESIGN: Randomized controlled trial based on rats.SETTING: A Science and Research Department of Chengde Medical College.MATERIALS:The trial was conducted in the Central Laboratory of Chengde Medical College in 2002 and the subjects were 24 clean grade Wistar rats in equal number of the two sexes(weighting 260-280 g).METHODS:The 24 rats were randomly assigned into 3 groups: ① Model group:In this group the rats were made hyperlipemia and underwent bilateral carotid arteries blocking followed by reperfusion. ② Sham operation group:In this group the rats were made hyperlipemia and underwent only exposure of bilateral carotid arteries without ischemia-reperfusion. ③ Normal control group:In this group the rats received no intervention.The brains after the rats decapitated were harvested on the 1st 7th and 15th day respectively for colorimetric determination of the choline acetyltransferase activity in hippocampus.MAIN OUTCOME MEASURES:Determination of the choline acetyltransferase activity in the groups.RESULTS:None of the 24 rats was lost in the trial. ① The choline acetyltransferase activity in the model group on the 1st and 7th day was acetyltransferase activity in the model group on the 7th day was lower than that on the 1st and 7th day was lower than that in the normal controls[(0.037±0.006) μmol/g ·s, (0.017±0.006) μmol/g·s in model group vs (0.054±0.003) μ mol/g·s,(0.058±0.006) μmol/g·s in normal control group,P ＜ 0.01].② The choline acetyltransferase activity in the model group on the 7th day was lower than that on the 1st day. With repairing of ischemia-reperfusion injury,it recovered partially[(0.039±0.007) μnmol/g.s].③ Choline acetyltrans-ferase activity in sham operation group was not different from that in normal control(P ＞ 0.05).CONCLUSION:Simple exposure of carotid arteries does not change choline acetyltransferase activity.While ischemia-reperfusion can change the choline acetyltransferase activity and cause disorders of cholinergic nervous system function,which may be the reason for rat's intellectual disorders.

Dental Pulp Diseases ; therapy ; Humans ; Periapical Diseases ; therapy ; Root Canal Obturation

Dental Pulp Diseases ; therapy ; Dental Restoration, Permanent ; Dentist-Patient Relations ; Feeding Behavior ; Humans ; Oral Hygiene ; Periodontal Diseases ; therapy ; Tooth Loss

Objectives: To study the apoptosis induced by homocysteine (Hcy) and the protective effects of folic acid, VE and Se. Methods: Inverted microscopy and MTT test were used to observe the protection of these nutrients on the cytotoxic effect of Hcy. DNA agarose gel electrophoresis and flow cytometry were used to observe the inhibition of these nutrients on the apoptosis induced by Hcy. The level of MDA, the activity of SOD and GSH-Px and the generation of active oxygen in cells were also measured to investigate the mechanism of the protective effects. Results: Significant effects of folic acid, VE and Se on the protection of cell damages and the inhibition of apoptosis induced by Hcy were observed. These protective effects may be the results of decreasing MDA in cells provided by folic acid, VE and Se, increasing the activity of SOD by folic acid, increasing the activity of GSH-Px by folic acid and Se, and decreasing the generation of active oxygen by VE. Conclusions: The protective effects of folic acid, VE and Se on the damage of ECV304 cell from Hcy and the inhibitive effect on apoptosis induced by Hcy might be in different mechanisms.

Drugs for military special needs are important strategic materials for supporting military operational needs and maintaining national security,and are highly valued by Armed Forces in each country in the world.The U.S.military has accumulated much experience through the long-term management of drugs for military special needs.Here,The U.S.military and civilian integration management of drugs for military special needs between the U.S.DOD and FDA was analyzed in terms of research,purchase,use and storage,the secrets of success were summarized,and problems were identified.Finally,recommendations on military and civilian integration management of drugs for military special needs in China were proposed.

AIM: To compare the effect of trabeculectomy and combined surgery of glaucoma and cataract treating primary angle-closure glaucoma ( PACG) with cataract. METHODS: It was retrospectively reviewed that 80 patients (90 eyes) with PACG and cataract were treated in our hospital from January 2012 to October 2013. They were divided into observation group ( combined surgery of glaucoma and cataract group, 45 eyes ) and control group ( trabeculectomy group, 45 eyes) . Postoperatively, all the patients were followed up for 6mo. Intraocular pressure ( IOP ) , visual acuity and complications were observed.
RESULTS: Compared to preoperative IOP, postoperative IOP was significantly reduced in both observation group and control group, while IOP was reduced more greatly in observation group (P=0. 003). Visual acuity was significantly improved in observation group, while it was not improved significantly in control group ( P = 0. 036 ). Compared to control group, complications such as shallow anterior chamber with hypotony, macular edema and anterior chamber inflammation were less observed in observation group, with significant statistical difference ( P=0. 002, P=0. 003, P=0. 001).
CONCLUSION: For patients with PACG and cataract, combined surgery of glaucoma and cataract is an effective surgery that can improve visual acuity and reduce IOP with fewer complications.

Humans ; Infection Control ; Root Canal Therapy