Humans ; Immunoglobulin G ; metabolism ; Materia Medica ; Medicine, Chinese Traditional ; Receptors, Tumor Necrosis Factor ; metabolism ; Spondylitis, Ankylosing ; therapy ; Tumor Necrosis Factor-alpha

OBJECTIVE To observe the therapeutic effects of hyperbaric oxygen(HBO) combined treatment on gas gangrene. METHODS Sixty cases with gas gangrene were treated by HBO after surgical combined treatment. RESULTS None of 51 cases was amputated.Nine amputated cases were not done again. CONCLUSIONS HBO combined treatment could maximally diminish the areas of necrotic tissues,save the limbs and reduce the amputation rate.Amputated patients also can avoid the possibility of being reamputated.

OBJECTIVE: To study the effect of fluvastatin on plasma von willebrand factor (vWF),D-dimer(D-D)level and heart function in patients with chronic heart failure(CHF). METHODS: 78 patients with CHF were randomly divided into control group and test group. Control group was given conventional treatment,including cardiac glycoside drugs,diuretics,angiotensin converting enzyme inhibitors or angiotensin receptor blockers andβ-receptor blockers,etc. On this basis,test group was given Fluv-astatin capsules 40 mg,administrated at draught after dinner. The course for both was 28 d. The clinic data was observed,includ-ing left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),vWF,D-D levels before and after treatment and incidence of adverse reactions. RESULTS:After treatment,the LVEF level in 2 groups was significantly higher than before,and test group was higher than control group;LVEDD,vWF and D-D level were significantly lower than before,and test group was lower than control group,with significant differences(P<0.05). There were no obvious adverse reactions during treat-ment. CONCLUSIONS: Based on the conventional treatment,fluvastatin can significantly improve the coagulation function in pa-tients with CHF,with good safety.

Objective To study the effects of cataract extraction (ECCE) and posterior chamber intraocular lens implantation( PC-IOL) or with antiglaucoma operation in secondary glaucoma caused by senile intumescent cataract.Methods To operation of ECCE and PC-IOL、or with antiglaucoma operation was performed in 26 cases(26eyes) with acute secondary glaucomacaused by senile intumescent cataract. Follow up 3~12 months after operation. Results The corrected visualacuity of 17eyes (65.4%) was up to 0.5, 22eyes had normal IOP postoperatively.Conclusions The clinical results showed that operation of ECCE and PC-IOL or with antiglaucoma operation is very good.

Nutrition and food hygiene is a specialized main course of preventive medicine, which is of great significance to promoting the all-round development of students. In the teaching practice, we improve the teaching quality of nutrition and food hygiene by strengthening the quality education of the teachers to improve their professional quality, carrying out theoretical and experimental teaching mode reform, such as carrying out its special form and reorganizing the teaching content, some chapters of the course selection of PBL teaching, optimizing experiment content, increasing the design of experiments, and at the same time changing the traditional assessment methods.

Objective To explore the effect of sodium ferulate injection on myocardial function in rat model with myocardial ischemia and reperfusion. Methods Selected 60 rats aged 7 ~8 weeks (7. 26 ± 0. 36 weeks averagely) and randomly divided them into the sham group, myocardial reperfusion group, and the sodium ferulate group, with 20 rats in each group. Observed the changes of the cardiac func-tion indexes of the two groups after perfusion. Results Compared with the sham group,the degree of LVESP and ± dp/dmax decreased sig-nificantly (P<0. 05) in the myocardial reperfusion group and the sodium ferulate group. The descending degree of LVESP and ± dp/dmax 2 hours after reperfusion in the reperfusion group was significantly higher than that in the sodium ferulate group (P<0. 05). Compared with the sham group,the LVEDP of the other two groups showed a rising trend,and it was significantly lower 2 hours after reperfusion in the sodium ferulate group compared to the reperfusion group (P<0. 05). Proportion of apoptosis cells increased in the reperfusion group and the sodium ferulate group,and positive expression rate of Fas in the sodium ferulate group was significantly lower than the reperfusion group (P<0. 05). LDH and CK-MB of content in the blood of rats were significant increased,and it was higer in the reperfusion group compared with the sodium ferulate group (P<0. 05). Compared with the sham group,SOD content in the reperfusion group and the sodium ferulate group decreased obviously (P<0. 05). The MDA content increased,but the degree of increase was lower in the sodium ferulate group (P<0. 05). Conclu-sion Sodium ferulate could protect the myocardial function in rat model with myocardial ischemia and reperfusion to a certain degree.

Background phacoemulsification combined with limbal relaxing incision (LRI) is reported to be effective for the management of coexisting cataract astigmatism,but the influence of after phacoemulsification with LRI on corneal high-order aberration is still rarely reported.Objective This study was to evaluate the effect of cataract surgery with LRI for preoperative astigmatism or on corneal high-order aberration.Methods A selfcontrolled serial cases observational study was designed.A total of 35 cataractous eyes of 35 patients with astigmatism ≥ 1.0 D before cataract surgery were enrolled in Tianjin Medical University Eye Hospital from August 2014 to April 2015 under the informed consent of patients.LRIs were performed on the eyes during the phacoemulsification and IOL implantation.The uncorrected visual acuity (UCVA),BCVA and optometry were recorded before operation and 1 day,1 week,1 month,3 months after operation.Pentacam was employed to measure the maximal and minimal diopters,astigmatism and high-order aberrations within 3 mm of the anterior corneal surface at above-mentioned time points.All the results were compared among different time points.The optometry outcomes and the anterior corneal surface astigmatism change were analyzed using vector analysis method.Results The UCVA was 0.34 ±0.22,0.38 ± 0.25,0.43±0.27,0.42±0.28 in 1 day,1 week,1 month and 3 months after operation,which was significantly higher than 0.08 ±0.09 before operation;and the BCVA was 0.54 ± 0.27,0.64 ± 0.29,0.67 ± 0.29,0.71 ± 0.32 in 1 day,1 week,1 month and 3 months after operation,showing a significant increase in comparison with 0.22±0.51 before operation(F=54.457,P=0.000;F =62.653,P =0.000).The refractive cylindrical error and corneal astigmatism were significantly decreased after operation in comparison with before operation (F =31.061,P =0.000;F =113.043,P=0.000).High order aberrations (HOA) at postoperative 1 day,1 week,1 month,3 months were all higher than those in preoperation (F =11.189,P =0.000) under the 4 mm pupil diameter.Compared with preoperation,the vertical coma,secondary vertical coma and three leaf clover were significantly increased(all at P＜0.05),but the horizontal coma and primary spherical aberration were not significantly changed (all at P＞0.05) under the 6 mm pupil diameter.Conclusions Phacoemulsification combined with LRI can reduce the corneal astigmatism effectively and steadily,and the increase of corneal aberrations does not affect visual acuity.

e combina-tion of protamine sulfate and potassium chloride to establish interstitial cystitis animal model is reliable and feasible. Researchers can choose the right time of irrigation based on the intent of the experiment.

Objective To investigate the changes of histamine receptors in bladder before and after the treatment by sodium hyaluronate in rats of interstial cystitis (IC). Methods Twenty IC model rats were randomly divided into experimental group and control group, with 10 for each group.The bladders in experimental group were filled with sodium hyaluronate, while the rats in control group were executed at once. The bladders were dyed with HE staining, special staining and immunohistochemistry staining to count the number of mononuclear cells and mast cells and observe the changes of histamine receptors. Results In experimental group,the counts of mononuclear cells and mast cells were 12.20±2.48 and 2.90±0.87 respectively;the numbers of average optical of histamine receptor H1, H2, H3, H4 were 0.015±0.007, 0.006±0.001, 0.007±0.004, 0.061±0.026 , respectively. In control group, the counts of mononuclear cells and mast cells were 23.90±3.07 and 7.08±1.23;the numbers of average optical of histamine receptor H1, H2, H3, H4 were 0.055±0.033, 0.031±0.023, 0.033±0.017, 0.091±0.059, respectively. The differences of mononuclear cells and mast cells were significant between the 2 groups(P＜0.01). The differences of average optical of histamine receptor H1, H2, H3 between the 2 group were significant (P＜0.05), while the difference of histamine receptor H4 was not significant(P＞0.05). Conclusion Histamine receptor H1, H2, H3 take part in the development of IC, the antagons may be used for the treament of IC.

Objecitive The research was in order to explore the roles of MMP-2,MMP-3 and MMP 9 which played in the gastric cancer cell metastasis,and make a further study of the clinical signifance.Methods Both SGC-7901 and GES-1 were cultured in vivo.The migra-tion were examined by Wound-healing and the Transwell assay.The expression of MMP-2,MMP-3 and MMP 9 in the medium were detected by ELISA.The positive rate of MMP-3 in the gastric cancer,gastritis and normal was used the IHC,and the serum of MMP-2,MMP-3 and MMP-9 were also examined by ELISA.Results Both Wound-healing and Transwell assay showed that the migration of SGC-7901 cells was more quicker than the GES-1.Comparing to GES-1,the MMP-2,MMP-3 and MMP-9 were higher in the SGC-7901.The immunohistochemical results showed that the positive rate of MMP-3 in the gastric cancer patients was 84.4%,it was higher than the latter.The serum levels of MMP-2 MMP-3 and MMP-9 were also significantly higher than others.Conclusion The migration of gastric cancer cells was depended on the MMP-2,MMP-3 and MMP-9.The 3 proteins can be used for the diagnosis of gastric cancer patients,and it also avail to make the judgment the prognosis of patients with gastric carcinoma.