Objective: To investigate the diagnostic value of combined examination of copeptin and high sensitivity cardiac troponin T (hs-cTnT) in patients at the early stage of acute myocardial infarction (AMI) . Methods: A total of 272 patients were enrolled in this study, all of them suffered from chest pain and admitted within 4 hours. The patients were divided into 4 groups according to coronary artery angiography (CAG) results. Control group, the patients with normal CAG,n=64, UAP group (unstable angina pectoris),n=50, STEMI group,n=82, NSTEMI group,n=76. All patients received in-hospital observation, plasma levels of copeptin and hs-cTnT were examined at admission and at 6 hours after the chest pain respectively. Results: Within 4 hours of chest pain, combined examination of copeptin and hs-cTnT had the higher sensitivity for diagnosing AMI than a single detection of hs-cTnT with the cut-off point of hs-cTnT ≤ 14ng/L and Copeptin < 14pmol/L. In NSTEMI group, the AUC (area under curve) for combined examination was 0.97 (95% CI 0.88-0.99), AUC for single hs-cTnT detection was 0.75 (95% CI 0.62-0.87),P<0.05. In STEMI group, the AUC for combined examination was 0.97 (95% CI 0.88-0.99), AUC for single hs-cTnT detection was 0.74 (95% CI 0.60-0.88),P< 0.05. The AUC for combined examination of copeptin and hs-cTnT in diagnosing early AMI was 0.912 (95% CI 0.812-0.961) which was higher than single detection of hs-cTnT, AUC 0.851 (95% CI 0.713-0.936), Z=2.553,P<0.05. Conclusion: Combined examination of copeptin and hs-cTnT had the higher sensitivity and accuracy for diagnosing the patients at the early stage of AMI, it may help the risk stratiifcation of chest pain which is valuable in clinical practice.

The new cataloguing rules, RDA, have been implemented in NLM and more RDA bibliographic data can thus be accessed in domestic medical libraries when the Western documents are catalogued by offloading their bibliographic data.The differences in RDA and AACR2 were compared, the common modified fields and descrip-tive contents were described when the RDA bibliographic data were changed into AACR2 bibliographic data in order to provide certain reference for cataloguing of Western documents using the RDA bibliographic data.

Five compounds were isolated from the rhizome and roots of Rhodiola crenulata S.H.Fu.They werc identified as rhodionin (Ⅰ), rhodiosin(Ⅱ), tyrosol(Ⅲ), salidroside(Ⅳ) and gallic acid (Ⅴ), respectively, by UV, MS, 1H and 13CNMR spectroscopic and chemical reactions.

Benzene ; Benzene Derivatives ; Bile ; Chromatography, Gas ; Gallbladder ; Gas Chromatography-Mass Spectrometry ; Humans ; Toluene

Animals ; Carnitine ; pharmacology ; H(+)-K(+)-Exchanging ATPase ; metabolism ; Mitochondria, Muscle ; enzymology ; Muscle, Skeletal ; drug effects ; Physical Conditioning, Animal ; Rats

Drug-Eluting Stents ; adverse effects ; Humans ; Male ; Middle Aged ; Thrombosis ; etiology

Epilepsy ; genetics ; Humans ; Mutation ; NAV1.1 Voltage-Gated Sodium Channel ; Nerve Tissue Proteins ; genetics ; Sodium Channels ; genetics

Arteriovenous Fistula ; diagnostic imaging ; pathology ; surgery ; Hemoptysis ; surgery ; Humans ; Male ; Middle Aged ; Pulmonary Artery ; abnormalities ; diagnostic imaging ; pathology ; surgery ; Pulmonary Veins ; abnormalities ; diagnostic imaging ; pathology ; surgery ; Tomography, X-Ray Computed

Objective To assess the feasibility of heterogeneous acellular dermal matrix(ADM)seeded with adipose derived stem cells(ADSC)for urethroplasty in a rabbit model.Methods ADSC were isolated from a rabbit and expanded in vitro,then identified by flow cytometry.We seeded ADSC onto the ADM and made it into tissue-engineered urethra.12 male rabbits were removed 1 cm urethra and divided into experiment group and control group.There were 6 rabbits in each group.Reconstructed urethra with tissueengineered urethra was used in experiment group,while unseeded ADM were used in control group.Urethrography was performed at 6 months after surgery.The animals were scarified at 3 and 6 months after surgery and the repaired urethra were harvested.H&E staining and immunohistochemical staining were performed with cytokeratin AE1/AE3 and smooth muscle desmin makers.Results The morphology of isolated ADSC was with long spindle cross-links,and had multicentral growth.Flow cytometry showed that the ADSC expressed CD166,CD105,CD90 and CD44,but not expressed CD45 and CD13.The cells could growth well on the ADM and showed good biocompatibility with it.All animals could void normally,urethrography showed there was no significant stenosis.3 months after surgery,the experiment group appeared regenerated smooth muscle but not in the control group,both groups did not regenerate urothelium.At 6 months urothelium and smooth muscle cells could be observed in the experiment group,but only the smooth muscle was evident in the control group.Conclusions By applying tissue engineering methods,we can seed the ADSC onto the heterogeneous ADM and make it into tissue-engineered urethra,which can help improve the reconstructive effect of urethra.

Objective To evaluate prevalence and risk factors of urinary incontinence(UI)among aged women living at nursing homes in Beijing,and provide references of relative health strategy.Methods Totally 642 women aged 60 years and over were randomly selected at nursing homes from 6 districts in Beijing.A questionnaire survey was conducted using International Consultationon Incontinence Questionnaire Female Lower Urinary Tract Symptoms Module (ICIQFLUTS) recommended by International Consultation on Incontinence (ICI).Results The prevalence rate of UI was 38.0％ (244/642) among whom 38.5％ (94/244) of participants knew their health conditions,7.8％ (19/244) visited hospital and 6.6％ (16/244) received medical or operational treatment.The proportions of respiratory disease ( 27.0 ％ vs.14.6％),digestive disease (23.4％vs.15.3％),urological disease(24.6％vs.8.5％),cardio-cerebralvascular disease(74.2％ vs.53.5％),neurological disease ( 9.4 ％ vs.5.0％),obstetric disease ( 27.5％ vs.10.1％),menstrual disorder (21.4％vs.14.4％),getting married before aged 21 years (51.5％vs.40.8％),being pregnant more than 4 times(50.2％vs.40.9％),the experience of both cesarean and natural birth (4.0％vs.0.8％),constipation(40.2％ vs.29.4％),fecal incontinence ( 13.1％ vs.4.0％),uneasy movement ( 22.5％vs.10.6％) and drinking (8.6％vs.3.5％) were higher in women with UI than in women without UI (P＜0.05 or P＜0.01).Eight risk factors that were entered into logistic regression model included getting married before 21 years old (OR =1.5,95 ％ CI:1.0-2.3,P＜0.05),being pregnant more than 4 times(OR=1.7,95％CI:1.1-2.4,P＜0.05),menstrual disorder(OR=1.7,95％CI:1.0-2.7,P＜0.05),respiratory disease(OR=1.6,95 ％CI:1.0-2.6,P＜0.05),urological disease(OR=2.4,95 ％CI:1.4-4.1,P＜ 0.01 ),cardio-cerebralvascular disease ( OR =2.0,95 ％ CI:1.3-3.0,P ＜ 0.01 ),obstetric disease(OR=3.4,95％CI:2.0-5.6,P＜0.01),moving uneasily(OR=2.5,95％CI:1.5-4.0,P＜0.01).Conclusions UI is a common disease among women residing at nursing homes.Specific measures including intervention and clinical treatment targeting risk factors should be conducted.