Objective To evaluate the feasibility and efficacy of enhanced recovery after surgery (ERAS) combined with laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer. Methods 60 patients with distal gastric cancer from April 2016 to September 2016 in Shanxi Cancer Hospital were enrolled. According to the admission time, the patients were numbered randomly by odd and even. 30 odd patients received conventional treatment (traditional group), and were even 30 incorporated into ERAS group. Record and comparison of two groups were conducted, including age, sex, weight, body mass index (BMI), 1-day preoperative serum albumin (ALB) level, operation time, anastomosis type, total intraoperative blood loss, postoperative TNM staging, bowel movement recovery time, postoperative hospital stay, total cost of hospitalization, complications, and serum ALB level after operation. Results The level of ALB in ERAS group was (36.16 ± 2.46) g/L at 4th day after operation, and (39.61±2.03) g/L at 7th day after operation, which were higher than those in traditional group [(34.38 ±2.31) g/L and (37.98 ±1.96) g/L, respectively], with stable changes and statistical difference (P= 0.006, P= 0.003). The recovery time of intestinal peristalsis in ERAS group was shorter than that in traditional group [(51.23±9.05) h vs. (58.97±9.61) h, P= 0.003], and the total hospitalization cost in ERAS group was less than that in traditional group [(7.23±0.34) × 104 yuan vs. (7.58± 0.37) × 104 yuan, P< 0.001]. There were no significant differences in age, sex, weight, BMI, 1-day preoperative serum ALB level, operative time, anastomosis type, total intraoperative blood loss, postoperative TNM staging, complication and the postoperative hospital stay between the two groups (all P > 0.05). Conclusion The combination of ERAS and laparoscopic-assisted distal gastrectomy is safe and effective compared with traditional ways, which can relieve the stress reaction, promote the recovery of gastrointestinal function, reduce the hospitalization cost, and accelerate the rehabilitation of patients.

Type-2 innate lymphoid cells ( ILC2 ) is a new member of the innate lymphoid cell family which has been recently discovered. These cell arise from lymphoid progenitors in the bone marrow and,under the control of the transcriptional regulators and Gata3,producing IL-5,IL-9 and IL-13 is a sign of the matura-tion. These cells are critical components of the innate immune response to parasitic worm infections and have al-so been implicated in the pathogenesis of asthma. This paper summarizes the role of ILC2 in the pathogenesis of asthma and its therapy research progress.

Objective To investigate the effect of the early occupational therapy (OT) on depressive mood and activities of daily life in patients with stroke.Methods Retrospectively 80 cases of acute stroke patients in our hospital were randomly divided into the early occupational therapy group (40 patients) and control group (40 cases), and two groups of patients were given conventional medical and rehabilitation treatments.Early functional occupational therapy also included occupational therapy group, the personal activities of daily life, the secondary and vocational rehabilitation activities such as job.Hamilton depression scale (HAMD) and activities of daily living scale(ADL) were used to assess the incidence of depression and activities of daily life before and after treatment.Results Compared with the control group(17 cases/40 cases) ,the incidence of post-stroke depression of early occupational therapy group (5 cases/40 cases) was lower, and the difference was statistically significant (x2=5.2012, P＜0.05).The HAMD score of occupational therapy group(10.98±3.66) was lower than the control group(17.70±3.83), and the difference was statistically significant (t=8.0230, P＜0.05).The ability to daily life of occupational therapy group was higher than that in control group,and significantly difference was showed (58.17 ± ±25.82 vs 45.33±25.15, t=2.2530, P＜0.05).Conclusion Early occupational therapy can improve the activities of daily life and have a certain preventive effect on depressive mood in patients with stroke.

Objective To study the expression of Livin and its relationship with Caspase-3, FHIT in skin squamous cell carcinoma. Methods lmmunohistochemical assay was used to detect the expression of Livin, Caspase-3 and FHIT in 48 cases of sSCC, 20 cases of chronic ulcer and 12 cases of normal skin tissues. Results The rate of positive expression of Livin in SCC tissues was significantly higher than that in the chronic ulcer tissues and normal skin tissues (P <0.01). The rate of positive expression of Caspase-3 and FHIT in SCC tissues was significantly lower than that in the chronic ulcer tissues and normal skin tissues (P < 0.01).The expression of Livin and Caspase-3 had relationship with the lymphatic metastasis and histologic differentiation of SCC(P <0.05). The expression of Livin and Caspase-3 had not relationship with age, sex, the sizes of SCC (P >0.05). There was negative significant correlation between the expression of Livin and the expression of Caspase-3, FHIT. Conclusion There may be relationship between the abnormal expression of Livin and Caspase-3, FHIT and the occurrence, progression of skin squamous cell carcinomas. They may become a new method for preservation and treatment skin of squamous cell carcinomas.

OBJECTIVE:To study the antitumor activity and antioxidative action of glycosaminoglycan from scallop skirt(SS-GAG).METHODS:The effects of different concentration of SS-GAG on the proliferation of four tumor cell lines(HeLa,LOVO,A549,and U251)which had been cultured in vitro were observed by MTT.The effect of SS-GAG on mice within 30 d after innoculation of sarcoma 180 was observed.Multi-kind of biochemistry methods including xanthine oxidase method and thiobarbituric acid colorimetric method were used to study the effect of SS-GAG on total antioxidation activity,activity of SOD,and level of MDA in tumor-bearing mice,which were compared with those in control group.RESULTS:As compared with control group,SS-GAG significantly inhibited the growth of HeLa and U251 cell lines,inhibited the growth of LOVO and A549 cell lines to some degree,significantly prolonged the survival time of the mice with S180 ascites tumor,enhanced the total antioxidant activity and the SOD activity and decreased MDA content in serum(P

Objective To evaluate the feasibility and efficacy of the ultrasonic technology,digital subtraction angiography(DSA) combined guide line of liver abscess drainage tube.Methods 70 patients with liver abscess received ultrasonic technology,DSA joint drainage tube after treatment.Using ultrasound technology and DSA of complementary advantages,enhancement in the operation was good,especially the liver abscess of abdominal pneumatosis was more and more room,enhancement effect was better than that of pure guided by ultrasound.Results 70 patients were all successful puncture and catheter,development was good,all 70 cases cured,without any serious complication.Conclusion Ultrasound technology,DSA joint guided puncture catheter drainage is a safe,minimally invasive treatment,has significant efficacy and important clinical value.

Urokinase-type plasminogen activator plays an important role in the dissolution of clot and the treatment of thrombosis diseases. Presently, more attention has been paid to urokinase metabolism in human body and the relationship between urokinase fibrolysis effect and its receptor in endothelial cell.Cultured endothelial cell was used in the experiment to react with labelled urokinase in the presence or absence of unlabelled urokinase. It was found that the specific bindind of labelled urokinase with endothelial cell increased with the increasing concentration of labelled urokinase and reached the saturation point from 10 to 32 ?g labelled urokinase/ ml. The maximal binding sites with urokinase per cell were 1.4?10?, and Kd value 7.5? 10~(-12)M, Meanwhile, PMA-treated endothelial cell was used to react with ~(125)I-uPA at the same conditions as discribed above. Compared with the specific binding of DMSO-treated endothelial ceil, the maximal binding sites per PMA-treated cell increased from 1.4?10~6 Per untreated cell to 2.2?10~6, and the Kd value from 7.5?10~(-12)M to 9?10~(-12)M.These results showed that urokinase receptor exists on the surface of endothelial cell, and that the number of receptor per cell could be modulated by PMA. It is possible that the urokinase binding with endothelial cell can play an important role in the very short half-life of urokinase in human body.

Animals ; Burns ; immunology ; Mice

AIM: To investigate the effectiveness and safety of intravitreal injection of anti-vascular endothelial growth factors (VEGF) drugs to the patients with proliferative diabetic retinopathy before vitrectomy treatment.METHODS: A Meta-analysis.A comprehensive retrieval was conducted using the database including EMbase,the Cochrane Library,Pubmed,CBM,WanFang Database,CNKI and so on.The retrieval time was limited from the building time of database to Jan.2017.The randomized controlled trial was adopted with no requirements on languages.The Jadad scale and Cochrance cooperation were used as the tool of the risk and bias evaluation to analyze the literature quality.Quality estimation of evidence-based medicine on the parameters of each evaluation index was made via GRADEpro Software.The publishing biases of enclosed documents were inspected with funnel plot.At last,the Meta analysis was conducted with Review Manager 5.3.RESULTS: Totally 16 literatures published from 2008-2016 were finally put into randomized controlled trial.A total of 923 cases were included,among which 493 cases were grouped as intravitreal injection of anti-VEGF before the combined operation of PPV group (the experimental group),and 430 cases were involved in simple PPV group (the control group).The results of Meta-analysis show: (1) The probability of intraoperative bleeding was remarkably lower than the control group [OR=0.06,95%CI (0.02,0.15),P<0.01],with statistically significant differences.(2) The duration of operation was obviously shorter than that of the control group[WMD=-29.13,95% CI (-36.95,-21.30),P<0.01],with statistically significant differences.(3) The probabilities of both early and late postoperative vitreous hemorrhage were lower than those of the control group[OR=0.34,95%CI (0.20,0.58),P<0.01],with highly statistically significant differences.(4) The best corrected visual acuity after surgery was no better than that of the control group,[WMD=-0.51(LogMAR),95%CI(-1.10,0.08),P=0.09] with no statistical significance.(5) The occurrence of iatrogenic retinal rupture was lower than that of the control group[OR=0.24,95%CI(0.14,0.40),P<0.01],with statistically significant differences.(6)Among the 493 patients included in the 16 literature,no case of ocular and general adverse effects due to anti-VEGF injections was reported.CONCLUSION: It is effective and safe for the patients with proliferative diabetic retinopathy to inject anti-VEGF drugs into vitreous cavity before vitrectomy.And it can reduce the occurrence of complications during and after surgery,improving the general treatment effects.However,the specific implementation plans,such as the injection does,the interval between the injection and the operation and so on,still need further exploration and perfection.

The corneal reconstruction is tosurgial recover the structure integrity and corneal function after suffered from various trauma, inflammation and degenerative diseases.The corneal diseases caused millions of people worldwide suffering from eyesight damages and even blindness.At present, the corneal transplant is the main therapy for corneal blindness.However, the shortage in donor corneal issue is a worldwide problem and the failure due to the immunologic rejection of host is common.Nowadays, with the development of tissue culture and bioengineering technology, the application prospect of autologous stem cell transplantation is becoming more and more popular which might replace the allogeneic transplantation, becoming an important clinical treatment of regenerative medicine.Human dental pulp stem cells (hDPSCs) is a class of adult stem cell divided from the third molar teeth.Both hDPSCs and corneal cell are from the cranial nerve in embryonic ectoderm.Extensive researches show that the hDPSCs have the potentialities in corneal cell differentiation without causing immunologic rejection of the recipient.These findings manifested the potentials of hDPSCs in the clinical applications related to ocular surface reconstruction.In this paper, the features and current investigation status of hDPSCs in ocular surface reconstruction are reviewed.