Certification ; China ; Humans ; Occupational Health Physicians

Certification ; Humans ; Occupational Health Physicians

AIM: To study the physiological function changes of the tears film after rebuilding ocular surface with corneal stem cells, and to discuss the validity and the estimate system of rebuilding ocular surface with the corneal stem cells. METHODS: The male New Zealand rabbits were used to establish the alkali burning model in the right eye. The corneal stem cells of the left eye were cultured on the amniotic membrane in vivo, and then transplanted to the right eye. Furthermore, the physiological function changes of the tear film were examined. RESULTS: Compared to the before alkali burning, the ocular surface cell morphology was similar after rebuilding ocular surface with the corneal stem cells, which were cultured on the amniotic membrane in vivo; The tear film breakup time test showed the a remarkable difference between after and before the alkali burning, but the cell modality after rebuilding had no remarkable difference compared to that before the alkali burning. CONCLUSIONS: It's an effective method to rebuild the ocular surface with the corneal stem cells in vivo, the cell framework and the physiological function of the tears film recover well after rebuilding. It may be a validity estimate system of rebuilding ocular surface to analyze framework and configuration of the ocular surface and test the tear film breakup time.

Objective To explore the role of neutrophil extracellular traps (NETs)-induced endothelial cell damage in the pathogenesis of dermatomyositis (DM)-associated interstitial lung disease (ILD).Methods Serum free DNA and krebs von den lungen-6 (KL-6) level were tested in healthy controls,dermatomyositis patients with or without interstitial lung disease (DM-ILD and DM-NILD).Subjects' peripheral blood neutrophils were stimulated with phorbol 12-myristate 13-acetate (PMA),then human umbilical vein endothelial cells (HUVECs) were co-cultured with NETs.The cell morphology was observed by the inverted phase contrast microscope.Cell viability was detected by cell counting kit-8 (CCK8).Results The concentration of serum free DNA in DM patients [(271.27 ± 76.53) μg/L] was significantly higher than that in health control (HC) [(152.89 ± 37.34) μg/L,P ＜ 0.001].Moreover,free DNA level in DM-ILD patients [(302.67 ± 74.15) μg/L] was higher than that in DM-NILD patients [(235.59 ±63.55) μg/L,P ＜0.005].The concentration of KL-6in DM patients [(3.08 ±2.07) μg/L] was higher than that in HC [(0.87 ± 0.51) μg/L,P ＜ 0.001].Similarly,KL-6 in DM-ILD patients [(4.00 ± 2.44) μg/L] was higher than that of DM-NILD patients [(2.03 ± 0.61) μg/L,P ＜ 0.005].Free DNA and KL-6 were positively correlated (r =0.251,P ＜ 0.05).The survival of endothelial cells in DM group (53 ± 11) ％ was lower than that of HC group [(70 ± 5) ％,P ＜ 0.001].Not surprisingly,the survival of endothelial cells in DM-ILD group (44 ±4) ％ was lower than that in DM-NILD group [(61 ± 8) ％,P ＜ 0.01].Conclusion NETs could play an important role in the pathogenesis of dermatomyositis associated interstitial lung disease,suggesting that NETs may be the potential therapeutic target.

Objective To study the relationship between magnesium level in umbilical vein and mother′s peripheral blood with intrauterine growth retardation (IUGR) and fetal weight. Methods 39 pregnant women with IUGR were randomly divided into 3 groups: Group 1 (n= 14): The patients were treated with 10% glucose 500 ml + danshen compound 14 ml + low molecular weight dextran 500 ml iv; Group 2 (n= 14): in addition to the same treatment as in group 1, 25% magnesium sulfate 20 ml in 5% glucose 500 ml iv was given; Group 3 (n= 11): no treatment was given; and another 12 normal term delivery women were served as control. Magnesium concentration levels were determined in both maternal peripheral blood and their fetal umbilical vein. Results Maternal serum magnesium level was higher in Group 2 (1 06?0 09) mmol/L than that in Group 1 (0 69?0 05) mmol/L (P

Accidents, Occupational ; Chronic Disease ; Hexanes ; poisoning ; Humans ; Shoes

Objective To investigate the association of uncoupling protein 2 ( UCP-2 ) gene promoter -866G＞A polymorphism and ischemic stroke in diabetic patients.Methods A total of 844 type 2 diabetic patients including 404 cases with ischemic stroke and 440 cases without ischemic stroke were selected for the 4 year prospective study,Genomic DNA was extracted from the whole blood samples of subjects,UCP-2 gene promoter -866G ＞ A polymorphism was detected by TaqMan MGB probe method,and then the genotype and allele gene frequencies were compared.Results The risk of ischemic stroke in type 2 diabetic female patients with AA+GA genotypes of UCP-2 was higher than that with GG genotype (P＜0.05),but there was no difference among male patients with three genotypes.Conclusions UCP-2 gene promoter -866G ＞ A polymorphism increases the risk of ischemic stroke in Chinese diabetic women.

Objective:To analyze the current situation of age at menarche ( AAM) in Chinese ethnic minority girls aged 9 -18 years, and compare the AAM with that of Chinese Han girls from the same province or autonomous region .Methods:Probit analyses were used to calculate the AAM in various eth-nic minority groups of Chinese girls who participated in 2010 National Physical Fitness and Health Sur-veillance .The sample size of ethnic minority girls was 31 711, and the ethnic minorities were Mongolian , Hui, Tibetan, Uighur, Miao, Yi, Zhuang, Buyi, Korean, Dong, Yao, Bai, Tujia, Hani, Kazak, Dai, Li, Lisu, Wa, Shui, Dongxiang, Naxi, Kirgiz, Tu, Qiang and Sala.The local Han girls to compare with the AAM were also surveyed in 2010 National Physical Fitness and Health Surveillance .Results:In the 13-year-old group, the percentage of menarche in Sala was the lowest (32.17%), while that in Korean was the highest (93.23%).At the age of 18, 99.60%ethnic minority girls appeared menstruating .The AAM of the top 3 ethnic minority groups were Korean ( 11 .79 years ) , Mongolian ( 12 .44 years ) and Zhuang (12.52 years); and the last 3 ethnic minority groups were Dongxiang (14.36 years), Sala (14.32 years) and Shui (14.02 years).The AAM in Korean was 0.93 years earlier than that of the Han girls from Jilin province;the AAM in Mongolian was 0 .14 years earlier than that of the Han girls from Neimenggu autonomous region;the AAM in Naxi and Qiang was close to that of the Han girls in the same province (region) (P>0.05);and the AAM in Hui, Uighur, Miao, Yi, Zhuang, Buyi, Dong, Yao, Bai, Tujia, Hani, Kazak, Dai, Li, Lisu, Wa, Shui, Dongxiang, Kirgiz, Tu, and Sala was later than that of the Han girls in the same province ( region) .The cluster analysis indicated that the 26 ethnic mi-nority groups could be classified as three groups: Korean were classified into the earlier age group of AAM;Dongxiang, Sala, Uighur, Yi and Shui belonged to the later age group of AAM;and the other 20 ethnic minority groups were into the middle age group of AAM .Conclusion:There was a large variation among different ethnic minority groups in China .The AAM was earlier in Korean , and Mongolian , com-pared with the local Han girls , and the AAM in other ethnic minority groups was the same or later com-pared with the local Han girls .

Streptococcus pneumoniae(S.pn) is an opportunity pathogenic bacteria,environmental factors play a key role in the pathogenicity of S.pn. It is important to study virulent gene in vivo. The S.pn suicide plasmid containing gfp reporter was constructed by fusing the genes pneumolysin and gfp,in which gfp is an excellent molecule probe in vivo. The plasmid was integrated to No.22 S.pn by homologous recombination. The recombinant S.pn was gained and evaluated in aspects of fluorescence excitation, biological character and physio-activity. The results showed it is efficient and available to report the expression of virulent genes in vivo and in vitro, which will provide a new easy method for evaluating and screening the virulent genes of S.pn in vivo.

Objective:To analyze the prevalence of anemia and its proportions of severity,and to exa-mine the association between anemia and nutritional status among Chinese students of ethnic minorities, so as to provide bases for the prevention and treatment of anemia.Methods:The subjects were Mongoli-an,Hui,Zhuang and Korean students aged 7,9,1 2,1 4 and 1 7 years,sampled from the 201 0 Chinese National Surveys on Students’Constitution and Health.World Health Organization (WHO)criteria for screening anemia (2001 )was used,and the proportion rates of mild,moderate and severe were ana-lyzed.The nutritional status was defined according to the growth references of body mass index (BMI)-for-age z-score for 5 -1 9 years developed by the WHO.Stepwise Logistic regression was used to assess the association between anemia and nutritional status,gender,urban /rural areas,age and ethnic minori-ties.Results:The prevalences of anemia were 4.4%,26.4%,6.6% and 5.8% in Mongolian,Hui, Zhuang and Korean students,respectively,of whom,the prevalence of anemia was highest in rural girls and reached 4.8%,42.0%,9.0% and 6.7%,respectively.Most of the ethnic minorities’students belonged to mild anemia,and the prevalence of severe anemia was 1 .4%,1 2.9%,1 .6% and 1 .9% in Mongolian,Hui,Zhuang and Korean students,respectively.Stepwise Logistic regression showed that the girls,rural students,students aged 1 2 years and 1 7 years,Hui,Zhuang and Korean students were more likely to develop anemia than the boys,urban students,students aged 7 years and Mongolian students. The overweight students were less likely to develop anemia compared with the normal students and there was no significant association between anemia and thinness or obesity when the other factors were con-trolled (P >0.05).Conclusion:The epidemic of anemia was different in the different ethnic minorities and the prevalence of anemia in Hui students was of moderate public health concern according to the WHO’s criteria.We should pay more attention to the prevention and treatment of anemia for Hui and eth-nic minorities in rural areas,especially for rural girls.The nutritional status of students could not be a ba-sis or judgement for anemia as there was no significant association between anemia and nutritional status.