Objective to investigate the effects of liraglutide on omentin-1 and insulin resistance in high-fat diet rats. Methods Forty male Wi-star rats were randomly divided into four groups,and respectively fed with normal diet(NC group),high-fat diet(HF group),high-fat diet with small doses of liraglutide injected intraperitoneally(HF+Lira 1 group),and high-fat diet with large doses of liraglutide injected intraperitoneally (HF+Lira 2 group). After 16 weeks,the body weight,serum lipid levels,omentin-1 and insulin were measured,and then the insulin resistance in-dex were calculated. Results the body weight,the levels of tG,and the insulin resistance index in HF group were higher than NC group,omentin-1 was lower,and the differences were statistically significant(P < 0.05). tC,LDL-C were elevated,HDL-C was reduced,but there were no statisti-cally differences(P > 0.05). Compared with HF group,the body weight,the levels of tG,and the insulin resistance index in HF+Lira 1 group and HF+Lira 2 group were lower,omentin-1 was higher,the differences were statistically significant(P < 0.05). Furthermore,the effects of HF+Lira 2 group were more pronounced. Conclusion Liraglutide can restrain high-fat diet induced obesity,and improve insulin resistance through elevated the level of omentin-1 in dose-dependent manner.

It is easy to appear subcutaneous exudate or flap necrosis after modified radical mastectomy.The treatments of wound are the committed step for the healing after operation.Recent years,there are different methods about the treating of wound after modified radical mastectomy.This article reviewed the treatments of wound after modified radical mastectomy to prevent the complication occurrence,shorten the time of the healing,and create the advantages for the comprehensive treatment.

ABSTRACT:Objective To investigate the effect and mechanism of anthocyanin on hepatic ischemia reperfusion injury in rats .Methods Totally 30 SD rats were randomly divided into sham group ,model group and anthocyanin group (n=10 in each) .Hepatic ischemia was constructed in model group and anthocyanin group by ligating left middle lobe of liver vascular branches for 90 min . Anthocyanin was administered at 90 min before ischemia by intraperitoneal injection at the concentration of 100 mg/kg for rats in anthocyanin group .Rats in model group and sham group were injected with the same dosage of normal saline at the same time .Serum and liver tissues were collected at 4 h after reperfusion by putting the rats to death .The expressions of ALT ,AST ,IL‐6 ,IL‐1βand TNF‐αin the serum were examined by ELISA .The pathological changes of liver tissue were evaluated by HE .The mRNA levels of IL‐6 ,IL‐1βand TNF‐αwere measured by RT‐PCR .The content of MDA was examined by TBA . The activities of CAT ,GPx and SOD were evaluated by xanthine oxidase method and the expression of p‐JAK2 ,p‐STAT3 ,JAK2 ,STAT3 and P53 were measured by Western blot .Results Compared with those in the sham group ,the activities of ALT and AST ,the expressions of p‐JAK2 ,p‐STAT3 ,P53 ,IL‐6 ,IL‐1β,TNF‐α and the content of MDA as well as the pathological changes of the liver in model group were significantly increased . However ,the activities of CAT ,GPx and SOD in model group were decreased and the expressions of JAK2 and STAT3 between the two groups did not differ .Compared with those in model group ,the activities of ALT and AST ,the expressions of p‐JAK2 ,p‐STAT3 ,P53 ,IL‐6 ,IL‐1β,TNF‐α,the content of MDA and the pathological changes of the liver in anthocyanin group were significantly decreased . But the activities of CAT , GPx and SOD in anthocyanin group were increased and the expressions of JAK 2 and STAT3 between the two groups did not differ , either .Conclusion Anthocyanin pretreatment can significantly decrease hepatic ischemia/reperfusion injury by suppressing oxidative stress and inflammation ,and the mechanism may be associated with reducing JAK2/STAT3/P53 signaling activation .

Objectives:To assess bowel function and quality of life in patients with ulcerative colitis (UC)after ileal pouch anal anastomosis (IPAA).Methods:Clinical data of 37 UC patients after IPAA between 2014 and 2017 were retrospectively analyzed at Sir Run Run Shaw Hospital School of Medicine Zhejiang University. The IBDQ and Bowel Function questionnaire were used for analyzing correlation between clinical variables and quality of life or bowel function.Results:Laparoscopic operation was performed in 12 cases at stage 2 and 25 cases at stage 3. Postoperative defecation of stage 3 patients were better than that of stage 2 ( t=6.72, P<0.05). The number of daily defecation in age >45-year-old group was more than that in <45-year-old ( t=3.49, P<0.05), and the rate of evening stool seepage in the older group was higher than in the younger group( t=5.28, P<0.05). The total score of intestinal symptoms of IBDQ in patients of pouchitis was lower than that without pouchitis ( r=0.330, P<0.05). The total score in age >45 in terms of systemic symptoms ( r=0.349, P<0.05) and emotional function ( r=0.379, P<0.05) was higher than age <45. Conclusions:Outcomes of UC patients after IPAA are satisfactory, bowel function and quality of life is related with age, and stage of IPAA affect postoperative defecation.

OBJECTIVE:To establish a method for the plasma concentration determination of carboplatin,and study the phar-macokinetics of carboplatin in female rats after intravenous injection and intraperitoneal injection. METHODS:HPLC was per-formed on the column of Agilent TC-C18 with mobile phase of methanol-water(5:95,V/V)at a flow rate of 1.0 mL/min,detection wavelength was 229 nm,and column temperature was 25 ℃. The inner standard was 5-bromouracil,and injection volume was 20 μL. 24 SD rats were randomly divided into 4 groups,6 in each group. The rats were intravenously injected and intraperitoneally in-jected carboplatin 20,40 mg/kg respectively. 0.5 mL blood sample was taken from eyes before administration and after administra-tion of 0.25,0.5,1,1.5,2,4,6,8,10,12 h. The plasma concentration of carboplatin was determined,and DAS 2.0 was used to calculate the pharmacokinetic parameters. RESULTS:The linear range of carboplatin in plasma was 0.30-60.00 μg/mL (r=0.9991);RSDs of intra-day,inter-day precision were lower than 10%(n=5);RSD of peak area in stability test was lower than 10%(n=5);method recovery was 98.7%-102.4%(RSD≤6.08%,n=5),and extraction recovery was 83.38%-85.45%(RSD≤5.97%,n=5). AUC0-12 h of carboplatin 20,40 mg/kg by intravenous injection and intraperitoneal injection in female rats were (15.503 ± 4.172),(23.402 ± 4.266),(6.716 ± 2.306),(9.384 ± 2.205)μg·h/mL;AUC0-∞ were (16.424 ± 4.846),(23.404 ± 4.266),(6.790±2.378),(9.765±2.095)μg·h/mL;t1/2z were(1.246±0.765),(0.394±0.058),(0.513±0.156),(0.884±0.460) h;and tmax were(0.700±0.274),(0.400±0.335),(0.542±0.368),(0.833±0.289)h,respectively. CONCLUSIONS:The meth-od is simple,economic and accurate,with suitable internal standard,and can be used for the plasma concentration determination of carboplatin in female rats and the pharmacokinetic studies.

Objective To compare the efficiency of domestic MALDI-TOF MS systems Autof MS, Korea Asta MicroIDsys and Bruker Biotyper for common microorganisms identification. Methods This is a methodological comparison study. A total of 169 strains were isolated either from food in our laboratory since 2011 to 2018 or clinical samples in Chinese PLA General Hospital since 2016 to 2018. A total of 39 genus, 95 species were identified through Vitek2 Compact combined with 16S rDNA or ITS sequencing. Among them, a total of 93 Gram-negative bacteria strains, 65 Gram-positive bacteria strains, and 11 yeast strains were identified by three MALDI-TOF MS systems parallelly, while using extended direct smear method for sample preparation. The SPSS 18.0 software was used for data Statistical analysis. Results By Mass spectrometry identification, when 169 strains were at the species level confidence score and acceptable score level, 91.12％ (154/169) was correctly identified to species level by Autof MS system, 86.39％ (146/169) by ASTA MS system, and 81.66％ (138 / 169) by Bruker Biotyper MS system. The difference of identification accuracy to species level between Autof MS and Bruker Biotyper MS was statistically significant. Besides, the accuracy of genus identi fi cation was 98.82％ (167 / 169) by Autof MS mass spectrometry system and 97.04％ (164 / 169) by both ASTA MicroIDsys and Bruker Biotyper mass spectrometry system. The differences of identification accuracy to genus level among the three MS systems were not significant. Conclusions All of the three MS systems have good identification capability for common microorganisms. Autof MS systems performed slightly better than Bruker Biotyper MS systems in species level identification.

Objective To investigate the effect of different nursing methods for patients with electrical injury after healing.Methods A total of 46 severe electrical injury patients were randomly divided into A group and B group, with 23 cases in each group.A group was treated with conventional nursing methods, B group with electrical injury of standardized nursing.Hospitalization time, the average for the disposal of the admission day time, awareness of health education the rate of constipation difference rate, complication rate, average hospitalization days, patients′satisfaction, the self-care ability of hospital were compared.Results Average admission time in A group was (35.2±0.2) minutes, and (24.7±0.3) minutes in group B;Treatment time on admission in A group was (60.4±0.3) minutes, and (49.5±0.2) minutes in group B.Health education awareness rate in A group in 24, 72 hours, 1 week after operation before discharge was 69.5%, and 95.3% in B group;The incidence of constipation was 26.1% in A group, and 4.3% in B group;Complication rate in A group was 13%, and 4.3% in B group;The average duration of hospitalization in group A was(35.2±0.2) d, and (27.5±0.3) in group B;Satisfied people in A group accounted for 65.2%, 95.7% in group B;Complete self-care ability by self-care ability assessment accounted for 52.2% in A group, and 86.9% in B group.Conclusion Compared with routine nursing, the electrical injury of standardized nursing care is more humane, more comprehensive and detailed, it can better meet the psychological needs of patients, improve patients' satisfaction, reduce complications, shorten the healing time, and improve the quality of life of patients.

Objective To investigate the effect of different nursing methods for patients with electrical injury after healing.Methods A total of 46 severe electrical injury patients were randomly divided into A group and B group, with 23 cases in each group.A group was treated with conventional nursing methods, B group with electrical injury of standardized nursing.Hospitalization time, the average for the disposal of the admission day time, awareness of health education the rate of constipation difference rate, complication rate, average hospitalization days, patients′satisfaction, the self-care ability of hospital were compared.Results Average admission time in A group was (35.2±0.2) minutes, and (24.7±0.3) minutes in group B;Treatment time on admission in A group was (60.4±0.3) minutes, and (49.5±0.2) minutes in group B.Health education awareness rate in A group in 24, 72 hours, 1 week after operation before discharge was 69.5%, and 95.3% in B group;The incidence of constipation was 26.1% in A group, and 4.3% in B group;Complication rate in A group was 13%, and 4.3% in B group;The average duration of hospitalization in group A was(35.2±0.2) d, and (27.5±0.3) in group B;Satisfied people in A group accounted for 65.2%, 95.7% in group B;Complete self-care ability by self-care ability assessment accounted for 52.2% in A group, and 86.9% in B group.Conclusion Compared with routine nursing, the electrical injury of standardized nursing care is more humane, more comprehensive and detailed, it can better meet the psychological needs of patients, improve patients' satisfaction, reduce complications, shorten the healing time, and improve the quality of life of patients.

This study was aimed to explore the curative effect of Zhuo-Du-Qing (ZDQ) particles on diabetic cystopa-thy (DCP) based on the theory of turbid toxin. A total of 100 DCP patients were randomly divided into the control group with 47 cases and the treatment group with 53 cases. Mecobalamin tablets was given in the control group. And ZDQ particles were given to the treatment group. The treatment course was 3 months. The observation was made on the bladder residual urine (BRU), clinical manifestation integral, hemodynamic indexes, HOMA-IR and HbA1c before and after the treatment. The results showed that compared with pretreatment, the BRU, clinical manifestation integral, hemodynamic indexes, and HOMA-IR were significantly reduced (P < 0.01). Compared with the control group, the BRU, clinical manifestation integral, hemodynamic indexes, and HOMA-IR were also significantly reduced (P <0.01). The effective rate in the treatment group was 81.1%, which was significantly higher than 59.6% in the control group (P< 0.05). There were no obvious changes on the blood routine examination, urine routine examination, stool routine examination, liver function, renal function, electrocardiogram and so on before and after treatment. It was con-cluded that the treatment of DCP with ZDQ particles was safe and effective. To remove toxin and descend turbid may be another effective treatment method for DCP. The occurrence and development of DCP were closely related to the turbid toxin.

Objective To investigate the effect of microRNA(miR)-4645-5p on the proliferation,invasion and epithelial-mesenchymal transition of esophageal cancer cells by targeting mucin 16(MUC16)and its mo-lecular mechanism.Methods The expression of miR-4645-5p in esophageal cancer tissues was analyzed online by TCGA database.The expression level of miR-4645-5p in esophageal cancer cell lines was analyzed by fluo-rescent real-time fluorescence quantitative polymerase chain reaction(qPCR).KYSE-30 cells were transfected with miR-4645-5p mimic and negative control mimic by lipofection technology,and were divided into miR-4645-5p group and control mimic group.The proliferation ability,migration ability and invasion ability of transfected KYSE-30 cells were analyzed by CCK-8 method,scratch test and Transwell test respectively.The target gene of miR-4645-5p was predicted by the bioinformatics website,and the binding of miR-4645-5p to the target gene was detected by the dual-luciferase reporter gene assay.The expression level of MUC16 mR-NA was detected by qPCR,and the protein expression levels of MUC16,transcription factor-1(ZEB-1),zonal atresia protein(ZO-1),tight junction protein-1(Claudin-1)and α-smooth muscle actin(α-SMA)were detected by Western blotting.Results The expression level of miR-4645-5p in esophageal cancer tissues was signifi-cantly lower than that in adjacent tissues(P＜0.01).Compared with HET-1 A,the expression of miR-4645-5p was lower in esophageal cancer cell lines(P＜0.05).After overexpression of miR-4645-5p,the proliferation a-bility of KYSE-30 cells was significantly reduced(P＜0.05),the migration ability was significantly reduced(P＜0.01)and the invasion ability was significantly reduced(P＜0.01).miR-4645-5p targeted and negatively regulated the expression of MUC16 mRNA(P＜0.01).After overexpression of miR-4645-5p,the protein ex-pression levels of MUC16,ZEB-1 and α-SMA were all down-regulated,and the protein expression levels of ZO-1 and Claudin-1 were up-regulated.Conclusion miR-4645-5p regulates the malignant biological behavior of esophageal cancer KYSE-30 cells by targeting MUC16.