Objective:To observe the changes of glyeemia, urine protein, serum creatinine, blood urea nitrogen and glycosylated hemoglobin in diabetic nephropathy rats and treating effects of Xiaokekang. Methods: Streptozotocin (STZ) was abdominally administered and was feeded by high lipid diet to establish diabetic nephropathy model in rats. Animals were divided into three groups: model group, Xiaokekang treatment group and normal group. Changes in glycemia, serum lipids, serum creatinine, blood urea nitrogen were measured at the 8th, 12th and 16th week after STZ injection. Glycosylated hemoglobin was measured at the 16th weeks after STZ injection. Results: Glycemia, serum lipids, serum creatinine were higher at the 8th, 12th and 16th week compared with normal group. Serum creatinine was higher at the 12th and 16th week, and glycosylated hemoglobin was also highter than that of the normal group. Xiaokekang reduced these changes. Conclusion: Xiaokekang can reduce glycemia, serum lipids and protect renal function.

Objective:To investigate the stability and feasibility of using absorbable screws during Bernese periacetabular osteotomy.Methods:A retrospective analysis was conducted on a 36 year-old woman diagnosed with developmental dysplasia of the hip, who had undergone Bernese periacetabular osteotomy. Finite element analysis was used to simulate the stability of the acetabulum under loads of 10%, 20%, 50%, and 100% of the patient's weight. The structural stiffness of the pelvis and the maximum equivalent stress on the absorbable screws were observed under different conditions, including whether the acetabular bone block and the ilium were in contact, whether 3 or 4 screws were used, and whether a graft (including fibular cortical bone and PEEK grafts) was used.Results:The structural stiffness of the pelvis fixed with four screws increased by 67%-94% compared to that with three screws. After using a graft, the structural stiffness of the pelvis increased by 50%-83%. As the load increased, the maximum equivalent stress on the screws also increased. When the acetabular bone block and the ilium had no contact, no graft was used, and only three screws were used for fixation, the maximum equivalent stress could reach 518.9 MPa, while this value dropped to 61% when four screws were used (318.7 MPa). When the acetabular bone block and the ilium were in contact, the maximum equivalent stress was about 12% of that when there was no contact, regardless of the number of screws used. When a cortical bone graft or a PEEK graft was used, the maximum equivalent stress could drop to 21%-26% of that without a graft. When the screw strength was 130 MPa, a load of 20% of body weight was applied, and only three screws were used without a graft, the equivalent stress could exceed the strength of the screw; if four screws were used, the equivalent stress was slightly higher than the strength of the screw when a load of 50% of body weight was applied. However, when a graft was used (either cortical bone or PEEK), even when a load of 100% of body weight was applied, the equivalent stress was slightly lower than the strength of the screw.Conclusion:Absorbable screws can provide sufficient stability for Bernese periacetabular osteotomy. The contact between the acetabular bone block and the ilium, an increase in the number of screws, and the use of grafts (cortical bone and PEEK grafts) can further improve stability. Therefore, absorbable screws have broad application prospects in Bernese periacetabular osteotomy.

Objective : To investigate the effects of cynomorium songaricum extract on cognitive dysfunction of Alzheimer disease (AD) model mice based on network pharmacology and animal experiments. Methods : Network pharmacology was used to predict the related targets and signal pathways of the extract of cynomorium songaricum to improve AD. Senescence accelerated mice P8 (SAMP8) were selected as the model of AD. Based on the results of the preliminary experiment , 0. 17 g/(kg ·d) was selected as the optimal dosage for the extract of cynomorium songaricum. The extract of cynomorium songaricum [0. 17 g/(kg ·d) , Donepezil hydrochloride [2. 0 mg/(kg ·d)] and normal saline were given orally for 28 days according to the groups. Morris water maze evaluated the learning and cognitive function of animals. The number of neurons in cornu ammonis 1 (CA1) of hippocampus was ob served by Nissl staining. The expression of recombinant Beclin 1(Beclin ⁃1) , Sequestosome 1 (p62) , light chain 3 (LC⁃ nase (PI3K) , protein kinase B (AKT) and glycogen synthase kinase3β (GSK⁃3β) in the hippocampus of mice in each group were detected by Western blot. Results : Based on the network pharmacology study , it was predicted that the biological mechanism of cynomorium songaricum to improve AD might be the regulation of autophagy , and the possible signaling pathway was PI3K/AKT/GSK⁃3β . The results of animal experiments showed that the extract age of hippocampal neurons , significantly increase the number of neurons , and increase the expression levels of PI3K , p ⁃AKT/AKT , p ⁃GSK⁃3β/GSK⁃3β , B eclin ⁃1 and LC3 in the hippocampus of mice. The expression level of p62 decreased. There was no significant difference between male and female mice during the experiment. Conclusion The extract may improve the cognitive dysfunction of male and female AD models by activating autophagymediated by PI3K⁃AKT⁃GSK⁃3β signaling pathway , and there is no significant gender difference in the effect.