Background and purpose:Backgrounds and Objective: Oxaliplatin is a third-generation platinum compound,there are some distinct differeuces in mechanism between cisplatin and oxaliplatin,and oxaliplatin is less toxic Poorly differentiated cartinoma is the most common histological type,for nasopharyngeal carcinoma,although radiotherapy is the basic therapeutic approach to nasopharyngeal carcinoma,chemotherapy is also important for recurrent and metastatic nasopharyngeal carcinoma,so in this work we analyzed the effects of oxaliplatin on nasopharyngeal carcinoma cell lines in vitro.Methods:CNE2 was incubated with oxaliplatin at various concentrations and times,cell growth inhibition was assessed by MTT-microculture tetrazolium assay,cell-cycle kinetics and apoptosis were analyzed by flow cytometry and microscopy transmission electron.Results:Growth of CNE2 cells was significantly inhibited in a dose-dependent and time-dependment fashion.The inhibition of cell growth inhibition was(95.6?0.7)% after incubation with 100 ug/ml oxaliplatin for 48 hours,the cell was arrested at G_(2)/M and apoptosis was induced.When CNE2 cells were treated with oxaliplatin at the concentration of 0、0.03、4.0、100 ?g/ml,the rates of CNE2 cell apoptosis were(0.19?0.17)% 、(0.37?0.09)%、(5.50?1.08)%、(9.43?0.09)%,respectively.24 hours after 20 ?g/ml the CNE2 cells were characterized by chromatin condensation,chromatin crescent formation,nucleus fragmentation and apoptosis body by transmission electron microscopy.Conclusions:Oxaliplatin suppresses the growth of CNE2 cells in vitro by causing cell-cycle arrest and cell apoptosis.

Medical staff's recognization of medical model will make important influence to the whole medical undertakings. The anthor has survevyed some medical staff who are from two triple hospitals,six second hospitals and eight grass-roos hospitals in Shanghai district, about modern medical model.Through analynzing and discussing,the anthor proposed some positive countermeasures to improve medical staff's conciouness of modern medical medel and adapt to its tranformation.

Objective To explore the molecular mechanism of c-jun antisense gene transfection in protecting cardiomyocytes from injury of hypoxia and burn serum treatment. Methods Burn sera were collected from wistar rat with 30% total body surface area(TBSA) Ⅲ degree burn injury, and the mixture gas containning 1% O 2 was used as hypoxia model. The c-jun antisense gene recombinant vector was constructed. Neonatal wistar rat cardiomyocytes cultured in vitro were treated with hypoxia and burn sera. c-jun antisense gene recombinant vector was transfected into the cultured cardiomyocytes. Expressions of c-jun, PKC? and JNK were detected with western blot in the transfected and non-transfected cardiomyocytes. Results Expression levels of c-jun, PKC? and JNK significantly increased in the non-transfected cardiomyocytes when treated by hypoxia and burn sera, up to maximum 24 hour after the treatment. Expression levels of c-jun, PKC? and JNK in the transfected cardiomyocytes decreased significantly compared with non-transfected cells. Conclusions The transfection of the c-jun antisense gene recombinant vector protected cardiomyocytes from injury of hypoxia and burn sera treatment via down-regulating PKC? and JNK expressions.

Kawasaki disease can affect the coronary arteries,including coronary artery dilation,aneurysm,stenosis and thrombus.Conventional coronary angiography is the gold standard for coronary artery evaluation,but there are risks associated with its invasive nature and with the exposure to contrast agents and radiation.With the rapid development,computed tomography angiography and magnetic resonance angiography become the noninvasive imaging modalities to evaluate the coronary artery.

Objective To investigate the effects of Shenqifuzheng injection on T-cell subsets and oxidative stress in patients with diabetes mellitus . Methods 90 cases of 2 diabetes patients from June 2015 to June 2016 in our hospital were selected and randomly divided into control group and observation group,45 cases in each group,the control group treated with conventional treatment,the observation group was given Shenqifuzheng injection based on the control group.The levels of peripheral blood T cell subsets,serum oxidative stress metabolites glutathione peroxidase,superoxide dismutase and catalase,the control of blood glucose were compared between the two groups.Results After treatment,the levels of Th17,Treg and Th17/Treg in control group compared with before treatment had no significant difference, the levels of Th17 and Th17/Treg in observation group were obviously decreased and lower than in control group (P<0.05);the content of Treg in observation group was increased significantly and higher than the control group (P<0.05).After treatment,the levels of CAT in observation group was lower than control group,GSH-PX and SOD were higher than control group,the difference was statistically significant (P<0.05).After treatment,the GLU,2h PG,HOMA-IR and HbA1C (%) in observation group were significantly decreased than before treatment and lower that in control group, the difference was statistically significant ( P<0.05 ). Conclusion Shenqifuzheng injection can effectively improve the T cell subsets and oxidative stress levels in diabetic patients , help to control blood sugar.

Objective To analyse the effect of ursodeoxycholic acid on serum levels of cholyglycine ( CG ) , conjugated bile acid ( CBA ) and soluble vascular cell adhesion molecules (sVCAM-1) in patients with intrahepatic cholestasis of pregnancy.Methods 56 patients who were diagnosed with intrahepatic cholestasis of pregnancy in our hospital were collected.All patients were randomly divided into experimental group and control group, 28 cases in each group. The control group were treated with dexamethasone, and the experimental group were treated with the treatment of ursodeoxycholic acid, after 7d of treatment, the serum levels of glucocholic acid , CBA, ALT, AST and sVCAM-1 were detected in all patients. Results After treatment, compared with control group, the serum CG,TBA,ALT,AST and sVCAM-1 levels were significantly lower in the experimental group,and the difference was statistically significant (P<0.05).Conclusion The ursodeoxycholic acid can significantly reduce the serum CG,TBA, ALT,AST and sVCAM-1 levels in patients with intrahepatic cholestasis of pregnancy,improve pregnancy outcome,with guidance significance for clinic.

Objective To develop a scientific and objective risk factors evaluation index system for peri-operative hypothermia. Methods Based on literature review, the risk factors evaluation index system for peri-operative hypothermia was screened and identified by Delphi method,and the weight was identified through Hierarchy analysis. Results In two rounds of surveys, the rates of questionnaire retrieval were 94.4% and 100.0%, respectively. The authoritative coefficients were 0.83 and 0.84, the coordination coefficients were 0.586 and 0.601, respectively. The index system consisted of 2 first-level indexes and 21 second-level indexes. Conclusions A reliable and scientific risk factors evaluation index system for peri-operative hypothermia was developed. It can be utilized to provide theoretical foundation for the prevention of peri-operative hypothermia.

[ ABSTRACT] AIM:To investigate the effect of vorinostat ( suberoylanilide hydroxamic acid, SAHA) , a histone deacetylase inhibitor, on seizure-induced brain damage in developing rats and its mechanism.METHODS:Male Sprague-Dawley rats (n=32) were randomly divided into control group, pentylenetetrazole (PTZ) group, PTZ+10 mg/kg SAHA group and PTZ+50 mg/kg SAHA group.Intraperitoneal injection of PTZ was used to induce rat seizure.SAHA was injec-ted intraperitoneally 2 h before PTZ injection.The rats in different seizure stages were counted and mean seizure score was analyzed at 30~60 min after PTZ injection.Hippocampal tissues were sampled at 24 h after seizures.The expression of TLR4, MYD88, NF-κB P65 and IL-1βat mRNA and protein levels was detected by RT-qPCR and Western blot, respec-tively.The pathological changes of the brain tissues were observed by HE staining.The apoptotic neurons were observed by TUNEL staining.RESULTS:The mRNA and protein levels of TLR4, MYD88, NF-κB P65 and IL-1β, the apoptosis of neurons, the inflammation reaction and mean seizure score significantly increased after PTZ treatment (P<0.05), and these effects were attenuated by treatment with SAHA.Compared with PTZ+10 mg/kg SAHA group, PTZ+50 mg/kg SA-HA group showed more significant protective effect against seizure-induced brain damage.CONCLUSION: Histone deacetylase inhibitor SAHA suppresses seizure-induced TLR4/MYD88 signaling and reduces apoptosis of neurons, sugges-ting a protective effect against brain damage associated with seizure in developing rats.

Objective To investigate the clinicopathological features and treatment of children with C3 glomerulopathy (C3 G).Methods Seven children diagnosed as C3 G by clinical and pathological characteristics were enrolled in this study.The clinicopathological data and the prognosis were analyzed.Results Of the 7 cases,4 cases were female and 3 cases were male,with the mean age of (7.7-± 3.1) years old (1.5-10.4 years old) at onset,the duration from onset to renal biopsy was (3.4 ± 2.4) months (1-6 months) and 1 of them had a second renal biopsy 4.2 years later,and mean age was (8.4 ± 3.6) years old (1.8-13.3 years old) on diagnosis.Clinical features:among the 7 patients,6 cases had hematuria,among them 1 case had gross hematuria and 5 cases had microscopic hematuria;6 cases had low level of serum complement C3,5 cases had heavy proteinuria and low serum albumin,and anemia was observed in 2 cases respectively.Five cases had complement factor H and H factor antibody by examination,and 1 of them had low serum factor H,but none of them had serum antibody to factor H.Four cases had genetic evaluation,and only 1 case revealed risk variants in the C3 gene(R304R,T612T,V807V,A915A,P1632P)and CFH gene(p.H402Y,p.E936D).Clinically,4 cases were diagnosed as nephrotic syndrome of nephritis type,2 cases were diagnosed as nephritic syndrome,and 1 case was diagnosed as nephrotic syndrome of simple type.Immunofluorescence study showed that all the cases had intense deposition of C3,and 6 cases were accompanied by the deposition of immunoglobulin.Under light microscopy,3 cases showed the feature of membrane proliferative glomemlonephritis,2 cases with endocapillary prolifera-tive glomerulonephritis,1 case with mesangial proliferative glomerulonephritis,and 1 case with endoeapillary proliferative IgA nephropathy.Under electron microscopy,3 cases who had typical ribbon-like dense deposits in glomerular basement membrane were of dense deposit disease,and the rest were C3 glomerulonephritis.All patients had steroid and immune inhibitor treatment,and during the follow-up stage of (2.6 ± 1.8) years(1.1-5.6 years),4 cases showed normal urinalysis,2 cases had microproteinurine and microscopic hematuria,and 1 case had urinary protein ± to + + and microscopic hematuria.Conclusions C3G has variety of pathological-clinical manifestation.Interpretation of individual cases depends on integration of information from the biopsy together with clinical,serological,and genetic features.Patients with steroid and immune inhibitor treatment had some clinical improvement of their urinalysis.

OBJECTIVE To understand the distribution and antibiotic resistance of the pathogens causing urinary infection among the patients with urinary calculus.METHODS Totally 406 strains were isolated from the 1244 urinary specimens.The antibiotic susceptibility of these strains was detected.RESULTS The most of pathogens were G-bacteria(348,85.7%).G+ bacteria and fungi accounted for 12.1%(49/406),and(2.2%,9/406).The most popular pathogens were Escherichia coli(54.9%),Klebsiella pneumoniae(8.1%),Staphylococcus(7.4%),Enterobacter(4.9%),and Enterococcus(3.7%).The detection rate of ESBLs was 52.5%.Meticillin-resistant Staphylococus accounted for 83.3%.Clindamycin-induced resistance of Staphloccocus accounted for 20.0%.6.7% Vancomycin-resistant Enterococcus were isolated.CONCLUSIONS G-bacteria are the most popular pathogens and show increased resistance to common antibiotics.The results of the paper will be usefal for the doctors to choose antibiotics reasonably.