1.The effect of two modes of mechanical ventilation on cardiopulmonary function in pigs with or without acute lung injury: a comparison of pressure regulated biphasic positive airway pressure ventilation and airway pressure release ventilation
Yunfu WU ; Yuanying ZENG ; Yifei CAO
Medical Journal of Chinese People's Liberation Army 2001;0(11):-
Objective To compare the effect of pressure regulated biphasic positive airway pressure ventilation(BiPAP) and airway pressure release ventilation(APRV) on cardiopulmonary function of pigs with or without acute lung injury. Methods after anaesthesia, 18 healthy pigs were given BiPAP or APRV ventilation through tracheotomy. Inspiration pressure and expiration pressure in BiPAP equal to APRV. Inspiration time and expiration time is 1.5/2.5s in BiPAP and 4.0/2.0s, 4.5/1.5s, 5.0/1.0s, 5.5/0.5s in APRV respectively. Respiration dynamics, hemodynamics, blood gases and oxygen metabolize scales were measured during two mechanical ventilatory modalities pigs acquired from Swam-gans catheter in internal jugular vein and from catheter in femoral artery. Then oleic-induced acute lung injury model was made, modalities pigs were distributed to BiPAP group (n=9) and APRV group (n=8) randomly. Forenamed scales were repeat measured. Results BiPAP has not difference with APRV on respiration dynamics, hemodynamics, blood gases and oxygen metabolize during normal condition, BiPAP has higher cardiac output (CO) and lower oxygen extraction ratio (O2ER) compare with APRV in ALI pigs. If expiration time is short to 0.5s in APRV, it would represent intrinsic peak end-expiratory (PEEPi), heart rate (HR), mean pulmonary arterial pressure (MPAP) and systemic vascular resistance (SVR) increased and CO decreased. Conclusion Both BiPAP and APRV are beneficial in ALI, but BiPAP has fewer side-effect compared with APRV in early ALI.
2.Elects of CI-930 plus PGE,or SQ-22536 on Arachidonic Acid Metabolism and cAMP Con-tents in Platelets
Huawu ZENG ; Ximheng CHEN ; Yuanying JING ; Kun LONG
Academic Journal of Second Military Medical University 1981;0(03):-
The contents of cAMP and (14C)-AA metabolites in rabbit platelets were measured with RIA and radioactive TLC, respectively. PGE, could cooperate with the effect of CI-930. on platelets to increase the cAMP contents. It had no influence on the effect of CI-930 on metabolites of (14C)-AA, at the same time. SQ-22536 100?mol?L-1 could not chang the effect of CI-930 on platelets, which increase cAMP contents and affect AA metabolism. The date suggest that there is not relation between the effect of CI-930 on AA metabolism and on the cAMP contents in platelets.
3. Epidemiological analysis on a family cluster of COVID-19
Yuanying QIU ; Songqiang WANG ; Xiaoli WANG ; Weixia LU ; Dan QIAO ; Jianbin LI ; Yuanyuan GU ; Yan ZENG ; Ying CHEN ; Weizhi BAI ; Bianli XU ; Tongwu HAN
Chinese Journal of Epidemiology 2020;41(4):506-509
Objective:
To understand the possible transmission route of a family cluster of COVID-19 in Zhengzhou and the potential infectivity of COVID-19 in incubation period, and provide scientific evidence for the timely control of infectious source and curb the spread of the epidemic.
Methods:
Epidemiological investigation was conducted for a family cluster of COVID-19 (8 cases) with descriptive epidemiological method, and respiratory tract samples of the cases were collected for the nucleic acid detection of 2019-nCoV by RT-PCR.
Results:
Two primary cases, which occurred on 31 January and 1 February, 2020, respectively, had a common exposure history in Wuhan. The other six family members had onsets on 30 January, 31 January, 1 February (three cases) and 3 February, 2020.
Conclusions
In this family cluster of COVID-19, six family members were infected through common family exposure to the 2 primary cases. Five secondary cases had onsets earlier than or on the same day as the primary cases, indicating that COVID-19 is contagious in incubation period, and the home isolation in the early phase of the epidemic might lead to the risk of family cluster of COVID-19.