BACKGROUND:In recent years, delayed protection of drug pretreatment has become a hot spot in the field of pretreatment, and sufentanil is a non-selective opioid receptor agonist that plays a significant myocardial protective role.
OBJECTIVE:To investigate the protective effect of sufentanil combined with umbilical cord blood stem cel transplantation on injured myocardium after myocardial infarction.
METHODS:Myocardial infarction model by ligating the left anterior descending coronary artery (ischemia 30 minutes and reperfusion 180 minutes) was made in 90 healthy adult Wistar rats, and then these rat models were randomly divided into ischemia-reperfusion (IR) group, cel transplantation group, combined treatment group (n=30/group). Rats in the IR group were given intraperitoneal y intravenous injection of 1 mL normal saline 5 minutes before IR;rats in the cel transplantation group were given intraperitoneal y intravenous injection of 1 mL umbilical cord blood stem cel suspension 5 minutes prior to IR;and rats in the combined treatment group were given intraperitoneal y intravenous injection of 10μg/kg sufentanil 10 minutes before IR and 1 mL umbilical cord blood stem cel suspension 5 minutes prior to IR. Two weeks later, related indicators were detected.
RESULTS AND CONCLUSION:Compared with the IR group, myocardial infarct size was reduced significantly in the combined treatment group, fol owed by the cel transplantation group (P<0.05). Lowest levels of serum creatine kinase, lactate dehydrogenase and troponin I were obtained in the combined treatment group fol owed by the cel transplantation group and IR group, while highest level of nitric oxide was observed in the combined treatment group fol owed by the cel transplantation group and IR group (P<0.05). Highest expression of Caspase-3 protein was recorded in the combined treatment group, fol owed by the cel transplantation group and IR group (P<0.05). Significantly increased left ventricular diastolic blood pressure and decreased left ventricular end diastolic pressure were found in the two cel transplantation groups compared with the IR group (P<0.05). Moreover, pathological injury of the myocardial tissues was mitigated in the cel transplantation group and significantly relived in the combined treatment group compared with the IR group. In conclusion, the combined use of sufentanil and umbilical cord blood mesenchymal stem cel transplantation can reduce the degree of myocardial infarction and protect against myocardial injury.

Objective:To investigate the regulatory effect of cimetidine on proliferation and apoptosis of colon cancer cells LoVo in vitro.Methods:Colon cancer cell line LoVo originated from human colon carcinoma was cultured in vitro.Cell proliferation was measured by MTT colorimetric assay.Cell cycle and apoptotic percentage were detected by flow cytometry (FCM),morphological changes of apoptotic cell were observed by light and electron microscopy,and apoptotic cells were quantitatively determined by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL).In addition,expression of intracellular bcl-2 protein was analysed by flow cytometric indirect immunofluorescent technique.Results:Cimetidine (1?10 -2 mol/L～3?10 -2 mol/L) inhibited LoVo cells growth significantly in a dose-dependent manner.After 48 hours of exposure to cimetidine(1?10 -2 mol/L),the enhanced degree of apoptotic percentage was 32.7%.There were many morphologic features of apoptosis,including cell shrinkage,nuclear condensation,DNA fragmentation and formation of apoptotic bodies;apoptotic cells were also statistically significant than those of control group( P

BACKGROUND: Fetal microchimerism is a kind of stem cells which comes from fetus in pluripara. The research on fetal microchimerism is a hotspot because it may affect the health condition of pluripara.OBJECTIVE: To introduce the methods of how to detect fetal microchimerism, and the function of fetal microchimerism during disease and tissue repair of the mother.METHODS: Fetal microchimerism was used as a key word, and papers published before 2011-05-20 were retrieved in PubMed. Repetitive papers were eliminated.RESULTS AND CONCLUSION: Totally 655 papers were retrieved, and finally 26 were reviewed. There are several methods used for fetal microchimerism detecting, and fetal microchimerism may pay an important role in the pathomechanism of pluripara autoimmune diseases, cancer and tissue repair.

Objective To investigate ICU nurses' perceptions towards incontinence-associated dermatitis.Methods Totally 300 ICU nurses in Suzhou were investigated with a self-designed questionnaire.Results College education was considered to be their main source of knowledge about incontinence-associated dermatitis in 53.2 percent of the nurses.99.8 percent of nurses thought college education was far enough for clinical practice.68.5 percent of nurses thought it was very important to train for knowledge of incontinence-associated dermatitis.Conclusions ICU nurses in Suzhou have less knowledge on incontinence associated dermatitis.It can not meet clinical needs.It is recommended that more incontinence-associated dermatitis knowledge should be added in the school education and continuing education in order to improve nurses' professional competency and to reduce the incidence rate of incontinence-associated dermatitis

The requirement for HCWs grows with the transfer of medical care model and increasing expectation of social population.This paper reviews the Psycho-social education in PUMC for 90 years and creates potential strategies for the Psycho-social education in long-term medical education program in China.

Objective To evaluate the use of tryptase in diagnosing allergic diseases.Methods Serum tryptase was measured by Unicap 100 in 35 patients with different types and states of allergic diseases, and 30 healthy volunteers as controls ;Serum tryptases were compared with IgE level.Results Among the 35 allergic patients, 18 cases were with chronic urticaria(4.74?2.54)?g/L; 10 cases had past histories of anaphylaxis shocks(4.86?2.55)?g/L ;7 cases were in acute phase of anaphylaxis(17.4?7.87)?g/L ;30 healthy volunteers(4.36?1.67)?g/L. A statistically significant increase in tryptase concentration was found in patients with acute phase of anaphylaxis compared with other groups.No correlation was found between tryptase concentration and total IgE level.Conclusions Measurement of Serum tryptase level could be an additional tool for diagnosis of anaphylaxis but not chronic urticaria.

asthma is a kind of chronic mucosal inflammation and characterized by eosinophilia,hypertrophy of goblet cell,increment of mucous secretion,reversible airway obstruction and hyperresponsiveness to external and endogenous stimuli.Of them,the recruitment and activation of eosinophil have an important role in the pathogenesis of asthma;the aim of this paper is to review the advancement of recruitment of eosinophil in the pathogenesis of asthma,and make a new method for the treatment of asthma.

Objective To evaluate the validity and predictive value of CAP specific IgE test system.Methods Five allergen-specific IgEs,i.e.,specific IgE to mites,mugwort pollens,hop pollens,cat epithelium and dander,and Alternaria alternate,were tested in selected randomly allergic and non-allergic patients by using CAP system.Results In 957 tests the sensitivity of specific IgE to the 5 allergens was 99.0%,97.9%,91.7%,93.5% and 85.5%,and the specificity was 96.2%,95.8%,93.0%,97.0% and 91.7%.The positive and negative predictive values were greater than 94% and 80% respectively.Conclusion CAP system is of great potential value for diagnosis of allergens.

BACKGROUND: At present, it is affirmed that coping style is the important mediator between stress and health both on mental and body. The coping theory is descripted as three orientations: trait view, contextual view and interaction person-environment view. The conception and classification of the coping styles still remains to be explored. OBJECTIVE: To probe into the dimensions of coping styles, the characteristics of different coping styles and the correlation between coping styles and psychological adaptation among college students.DESTGN: Questionnaire investigation.SETTING: School of Psychology, Beijing Normal University.PARTICIPANTS: Altogether 343 college students were randomly chosen from Tianjin University, Tianjin University of Commerce, Tianjin Normal University and Tianjin University of Finance and Economics. The college students, including 161 males and 182 females, were aged (19±2) years, ranging from 19 to 22 years. According to body health examniation records of them, all the college students had no serious chronic or acute illness. Written informed consents were obtained from all the college students.METHODS: The college students were measured collectively in their own classroom respectively from September to December in 1999. There were totally 16 class units. Altogether 422 copies of questionnaire files were sent out. Each copy includes Coping Styles Scales, Adolescent Psychological Adaptation Scales, and SCL-90.The questionnaires were collected once the college students completed. Copying styles were assessed with Coping Style Scale revised by Liang Baoyong, which includes 20 items. Each item gives one kind of coping strategies in daily life. For example, "To tell myself,my trouble is nothing matter When comparing with others, it is no worthy to be annoyant". The college students should be asked to answer on the 5-point Likert scale. These 20 items covered majority of coping styles which were used by adolescents. Two indexes were used as the results of psychological adaptation: one is Adolescent Psychological Adaptation Scale developed by Chen Huichang, including 20 items. Scores were collected on the 5-point Likert scale in which high scores mean better adaptation. Another result variable is the amount of SCL-90. High scores mean more symptoms with mental or physical state which stands for lower adaptation level. All the assessment data were input into Foxbase data-base, then were analyzed using factor analysis and cluster analysis in order to attain different kinds of college students coping styles. Correlation analysis was used to examine the correlation between coping style and adaptation. MAIN OUTCOME MEASURES: Coping styles of college students and correlation between different coping styles and adaptation results.RESULTS: A total of 422 copies of questionnaires were sent out, and 362 copies were drawn back, 19 copies were invalid questionnaires due to either there were missing answers or the answer had reflective tendency. At last, 343 sets of data entered the analysis procedure. ① According to factor analysis results, the main coping styles used by college students were F1 (seeking support), F2(positive thinking), F3(cognitive adjustment), F4(passive blame oneself), F5(facing reality), F6(avoidance), F7(emotional catharsis).There were three main coping styles from cluster analysis, that was, A (positive confrontation), B (passive avoidance) and C(passive catharsis).② Those who were more adaptive used A coping style more frequently, and those who had lower adaptation level used B or C coping style more frequently. But few students used C coping style. A coping style was significantly negatively correlated with mental or physical symptoms (r= -0.258,P＜ 0.01 ),but significantly positively correlated with adaptation level (r =0.467, P ＜ 0.01);But both B and C coping styles were significantly positively correlated with mental or physical symptoms (r=0.338, 0.364, P ＜ 0.01 ), B coping style was significantly negatively correlated with psychological adaptation(r =-0.140, P ＜ 0.05). It seemed that C coping style had no correlation with long-term adaptation. A and C coping styles were two dependent styles respectively. In addition, different levels of stress were significantly correlated with three styles. Few A coping styles were used under high level of stress, but more B and C coping styles did.CONCLUSION: Coping style is complex. Use of different copying styles is significantly correlated with psychological adaptation levels. But the direction of correlation is effected by the factors, such as individuals, index of results and degree of stress.

Objective: To prepare the processing solution of realgar by bacteria and to explore the change of pharmacodynamic action and toxicity. Methods: The processing solutions of realgar were prepared using the strain thiobacillus ferroxidans, the realgar powder processed by normal method was selected as control. The effects on RPMI8226 cell proliferation of them were investigated by methyl thiazolyl terazolium (MTT),cell cycle distribution was determined by FCM in RPMI8226 cell. The distribution of arsenic concentration in blood and tissues including heart, liver, spleen, lung, and kidney in the samples were determined by Inductively Coupled Plasma-atomic Emission Spectrometry (ICP-AES). Results: Compared with control group, the solubility rate and the induced apoptotic rate increased, and dosage significantly reduced, while arsenic was hardly found in the tissue in processing group by bacteria. Conclusions: The processing group by bacteria may be enhanced medicinal efficacy and inhibited the toxicity in realgar. It’s intending to provide new approaches for scientific processing realgar.