Objective To investigate the clinical effect of inhaled ribavirin on the therapeutic actions and the expression of interleukin 6 (IL -6),interleukin 10 (IL -10)and CysLTs in children with RSV bronchitis.Methods 81 cases of children with RSV bronchitis,were chosen and randomly divided into observing group and control group. Two groups of children were inhaled pulmicort respulas and accessed others support treatment,until the symptoms dis-appeared.But observing group were added with ribavirin atomization.Treatments time and symptoms disappearance time in the hospital were compared,and the serum IL -6,IL -10 and CysLTs level changes before and after treatment were observed.Results Treatments time and symptoms(wheezing,coughing,dry and wet rale)disappearance time in observation group were shorter than those of the control group with (6.58 ±1.36)d vs.(8.92 ±1.12)d,(1.21 ± 0.59)d vs.(2.68 ±1.22)d,(4.86 ±1.31)d vs.(7.34 ±1.39)d and (4.00 ±1.52)d vs.(6.37 ±1.58)d,which with significant differences (t =-8.387,-7.012,-8.267,-6.887,all P <0.01 ).Before the treatment,two groups had no significant difference (P >0.05 ).After treatment,the levels of serum IL -6 and CysLTs were significantly lower in the observation group,and the levels of IL -10 were higher with (76.59 ±10.77)ng/L vs. (116.81 ±10.81)ng/L,(34.40 ±7.19)ng/mL vs.(48.26 ±8.36)ng/mL and,(43.25 ±3.97)ng/L vs.(31.39 ± 4.81)ng/L.The significant differences were observed in two groups (t =-16.74,-8.024,12.315,all P <0.05). Conclusion Compared with general therapy,the curative effect was significant.Combined inhaled ribavirin and pul-micort respulas in RSV bronchitis early,can reduce patients'clinical symptoms and the treatment time.

Objective To investigate the clinical and pathological manifestation of acute kidney injury ( AKI) following infusion of clindamycin .Methods 12 patients were diagnosed as the infusion of clindamycin induced AKI .The clinical and pathological manifestations of these patients were investigated .Results 8 patients (66.7%) had episodes of gross hematuria .Oliguria and anuria was in 6 patients(50.0%).The histological diagnosis of acute interstitial nephritides(AIN) included 5 patients(83.3%).The immunofluorescent examination was negative in all cases .Renal replacement therapy were delivered to four patients .Prednisone was prescribed to 7 patients .All of patients discharged from the hospital and free of renal replacement therapy .The level of serum creatinine decreased to normal 6 months later .Conclusion Most of the AKI associated with clindamycin was oliguria with episodes of gross hematuria ,while the manifestations of skin rash were uncommon .The histological changes revealed AIN .The recent prognosis was relatively good ,but the long-term prognosis should be investigated .

Chronic Disease ; Consensus ; Heart Failure ; diagnosis ; therapy ; Humans ; Integrative Medicine

Child ; Guidelines as Topic ; Humans ; Invasive Pulmonary Aspergillosis ; diagnosis ; therapy ; Lung Diseases, Fungal ; diagnosis ; microbiology ; therapy

Child ; Chronic Disease ; Cough ; diagnosis ; Humans ; Practice Guidelines as Topic

Desensitization, Immunologic ; Humans ; Rhinitis, Allergic, Perennial ; therapy ; Rhinitis, Allergic, Seasonal ; therapy

Objective To investigate whether insulin glargine can increase compliance and improve hyperglycemia or not in solitary senile patients with type 2 diabetes.Methods Thirty-two solitary senile patients with type 2 diabetes were given insulin glargine once daily besides the previous oral hypoglycaemic agents.Results FBG decreased(2.6? 1.5)mmol/L and(0.3?0.1)mmol/L in observing and control group respectively(t=1.691,P

AIM: To investigate the influence of tumor necrosis factor-α (TNF-α) induced apoptosis through knocking down Bax gene by RNA interference (RNAi) in human alveolar type II epithelial cells (A549). METHODS: A549 cells were cultured in vitro and divided into 4 groups according to RNAi treatment: control group, TNF-α treated group, Bax siRNA group and control siRNA group. Chemically synthesized small interfering RNA (siRNA) directed against human Bax gene was transfected into A549 cells by cationic liposome. The effect of RNAi was investigated by reverse transcription PCR, Western blotting and immunohistochemisty, and the rate of apoptosis was investigated by flow cytometry. RESULTS: Bax gene was knocked down effectively in Bax siRNA group (P<0.05). Apoptosis was induced by TNF-α in TNF-α treated group and control siRNA group. However, it was abolished in Bax siRNA group by the downregulation of Bax gene compared to TNF-α treated group and control siRNA group (P<0.05). CONCLUSION: This result suggests that Bax gene has a significant role of pro-apoptosis in A549 cells and knocking down Bax gene by RNAi can effectively inhibit TNF-α-induced apoptosis in A549 cells.

AIM:To investigate the influence of tumor necrosis factor-? (TNF-?) induced apoptosis through knocking down Bax gene by RNA interference (RNAi) in human alveolar type II epithelial cells (A549). METHODS: A549 cells were cultured in vitro and divided into 4 groups according to RNAi treatment: control group,TNF-? treated group,Bax siRNA group and control siRNA group. Chemically synthesized small interfering RNA (siRNA) directed against human Bax gene was transfected into A549 cells by cationic liposome. The effect of RNAi was investigated by reverse transcription PCR,Western blotting and immunohistochemisty,and the rate of apoptosis was investigated by flow cytometry. RESULTS: Bax gene was knocked down effectively in Bax siRNA group (P

Objective To explore the effect of maintenance hemodialysis(MHD)patients with secondary hyperparathyroidism on radial artery calcification and arteriovenous fistula( AVF) function.Methods The specimens of radial artery and cephalic vein were collected from the 35 cases of MHD patients at the first time of arteriovenous fistula operation.The specimens were collected again when AVF loss function more than 2 years.Specimens of the arteries were examined histologically for calcification with von Kossa staining.According to the parathyroid hormone levels,the patients were divided into three groups,as mild secondary hyperparathyroidism group (iPTH<300pg/L) of 16 cases,moderate secondary hyperparathyroidism group (iPTH≥300pg/L,<800pg/L) of 7 cases,severe secondary hyperparathyroidism group ( iPTH≥800pg/L) of 12 cases.The pathological results were analyzed.Results The pathological results showed radial artery calcification and calcium salt staining positive significantly increased in the 35 cases of MHD patients[9cases(25.7%)vs 2cases(8.6%)],compared with the first time of arteriovenous fistula operation when AVF loss function (χ2 =5.290,P=0.020).The artery calcification was also located in the layer of medial smooth muscle cells.The radial artery specimens with calcium salt staining positive increased significantly in severe hyperparathyroidism patients group[12cases(25.7%) vs 1case(6.3%)],compared with mild secondary hyperparathyroidism patients(χ2 =5.168,P =0.012).Conclusion Calcification risk of radial artery in AVF is increased in MHD patients with secondary hyperparathyroidism.And hyperparathyroidism may be one cause of AVF failure.