1.Analysis of heart rate variability in the patients with malignant tumor of different phases
Fudan University Journal of Medical Sciences 2009;36(4):413-416
Objective To evaluate the clinical practical value of the heart rate viability test in the patients with malignant tumor during their therapies. Methods Totally 187 cases were analyzed and were divided into three different groups, which included 90 malignant tumor patients before therapy, 45 patients with chemotherapy and 52 non-malignant tumor cases (control group). We compared four HRV indexes(ASDNN5,SDANNS, SDNN and RMSSD) of the patients between the different groups as well as inside each group. Results There were statistical significances in the indexes of ASDNN5, SDANN5 and SDNN of patients at different stages before therapy, the three indexes of the stage Ⅲ group were lower than those of the stage Ⅰ group and the control group as well. The three indexes of the stage Ⅳ group compared with the stage Ⅰ group or the control group (P<0.05) were lower either. There was also statistical significances in SDNN between the stage Ⅲ and the stage Ⅱ of the before-therapy group (P< 0. 05). The indexes of SDANN5 and SDNN of the stage Ⅳ in the chemotherapy group were lower than those of the same stage in the before-therapy group(P<0.05). Conclusions The later the stage of malignant tumor patients is, the more the index of HRV declines. Chemotherapy may affect autonomic nerve function of stage Ⅳ patients with malignant tumor and decrease their HRV.
2.ARDS after pulmonary contusion identifies high-risk factor analysis
Xiang CHEN ; Liu CHEN ;
Chinese Journal of Primary Medicine and Pharmacy 2006;0(12):-
10 units allows identification of patients a high risk factors in development ARDS.The high risk fac- tors providing the greatest contribution to improve therapy in acute lung injury and prevent ARDS to occur.
3.Epithelial cells-stem cells interactions in wound healing
Chinese Journal of Tissue Engineering Research 2010;14(6):1092-1096
BACKGROUND: At the process of wound healing, the epithelial cells and epidermal stem cells interactions is complicated which promoting the mechanisms of wound healing. The abnormities of any fine phase can be result in delayed healing or scarring. OBJECTIVE: To summarize the characterization of epithelial cells and epidermal stem cells and their interaction in wound healing so that we can recognize the mechanisms of scarring from histomorphology, biochemistry and molecular variations. METHODS: A computer-based online search of Pubmed Database was undertaken to identify the relevant articles on epithelial cell and epidermal stem cells interactions in wound healing and results in scarring published from 1974 to 2009 with the key words of "epithelial cells, epithelial stem cells, wound healing, keratinocytes, fibroblasts, hypertrophic scar, keloid" in English. At the same time, Chinese relevant articles were searched in China Journal Full-text Database (CJFD) published between 1999 and 2009 with the same key words in Chinese. A total of 43 articles were collected about the cell structure (3 articles), the cell interactions in wound healing and scarring (16 articles), the relevant on epithelial stem cells (24 articles).RESULTS AND CONCLUSION: The effect of different cells in epithelial tissue is known to all. The keratinocytes and fibroblasts had been on studying frequently, and their closely correlated to scarring. At present, the epithelial stem cells has been confirmed, but the relevant on their location, quality and specific epidermal markers are unclear which need to study and explore. With the rapidly development of science and technology, we maybe control the expression of cells by genic regulation not only culture the cells of our need but to prevent the scarring.
5.Medical waste management in the hospital
Chinese Journal of Hospital Administration 2010;26(2):147-148
Enhanced management of the entire process of medical wastes, ranging from sorting collection, delivery, transport to temporary storage: compilation of the computerized management system for medical wastes: development of quality control inspection standards for medical wastes: all-staff training for the awareness of legal compliance for medical wastes, prevention of medical wastes from jeopardizing both human being and the environment.
6.Influence of maternal H1N1 influenza on perinatal outcomes
Chinese Journal of Perinatal Medicine 2010;13(5):371-374
Objective To discuss the influence of H1N1 influenza on maternal and fetal outcomes and obstetric management. Methods Totally, data were collected on 19 women, affected by H1N1 influenza and admitted to Shengjing Hospital of China Medical University from November 7, 2009 to December 15,2009, and retrospective analysis was performed on the maternal and fetal outcomes. Results Among the 19 cases, three were( 15. 8%, 3/19) in puerperium, who were all mild cases and recovered. Sixteen (84.2%, 16/19)women were diagnosed as H1N1 influenza during pregnancy, among which two in early pregnancy (12. 5%), seven (43. 8%) in mid-term pregnancy and seven (43. 8%) in late pregnancy. According to the severity of H1N1 influenza, six were mild cases (37. 5% ,6/16), two (12. 5% ,2/16)were severe cases and eight (50. 0% ,8/16)were critical. For these 16 pregnant women, thc two cases in early pregnancy (mild cases) were terminated after recovery from H1N1 influenza. Among the seven mid-term cases, four mild and one of the three severe and critical cases delivered till term, and two of the three severe and critical cases were delivered abdominally because of fetal death intrauterine or maternal severe complications at 27 or 23 weeks of gestation. All of the seven late pregnant cases underwent emergent cesarean section due to maternal or fetal reasons, and two fetuses died in the uterus at late pregnancy and five survived including four preterm babies and one full term baby. Altogether, nine cases (56. 3%, 9/16)underwent emergent cesarean section, and six babies born alive and five survived without any symptom of influenza, two women died (10. 5%,2/19) after the operation. Conclusions Pregnant women during late pregnancy infected by H1N1 influenza are susceptible to develop into severe and critical conditions. Termination of the pregnancy in time is effective in both life-saving of the mothers and babies and prevent neonatal infection against H1N1.
7.Application of proteomics in the studies of cerebral ischemic preconditioning
International Journal of Cerebrovascular Diseases 2009;17(1):63-66
Proteome is defined as all proteins expressed in a cell, a tissue or an organism. Proteomics, a science of understanding the life activity law at the whole protein level, takes proteome as a research object; it is also a scientific method for quantitative detection of one or more protein populations or proteomes in a cell or tissue. Cerebral ischemic preconditioning has been one of the research hotspots in the field of neuroscience for decades. Its neuroprotec-five mechanism is associated with the changes of protein expression levels after cerebral ischemia, Therefore, proteomics has become more and more important in its mechanism study. This article mainly presents the major techniques of proteomics and their application in the studies of cerebral ischemic preconditioning.
8.Compared the abilities of repairing nerve defect between glial cells in lamina propria and in olfactory bulb
Chinese Journal of Orthopaedics 2009;29(2):146-151
Objective To compare their competence to repair peripheral nerve defect between lami-na propria glial cells and olfactory bulb glial cells. Methods Glial cells in nasal lamina propria and olfac-tory bulb had been cultured in vitro for 2 weeks, then purified and condensed for later transplantation. 60 adult wistar rats were randomized into three groups of 20 rats each: A (control), B (glial cells in olfactory bulb were transplanted into epineuria lumen) and C (glial cells in lamina propria were transplanted into epineuria lumen). Rats' left sciatic nerves were excised 25 mm long axons and retained epineuria lumen anastomosed to proximal ends. Culture mediums, glial cells in olfactory bulb and in lamina propria were transplanted into epineuria lumen of A, B, and C groups respectively. At 3 months postoperative,the regeneration of injured sciatic nerves were evaluated by methods of gross observation, microscopy, transmission electron microscopy, the retrograde fluorescence gold, the immunofluorescence assay of glial fibre acid protein and nerve growth factors, the enzyme linked immunoassay of myelin basic protein and neurofilament protein, and the extremity function scores. Results The regeneration of injured sciatic nerve and the function of injured limbs were su-perior in C group to in B group and in A group. The transportation distance of retro-marked fluorescence red and the concentrations of glial fibre acid protein, nerve growth factors, myelin basic protein and neurofila-ment protein in injured sciatic nerve were high in C group, middle in B group, and low in A group. The dif-ference between groups had statistical significance. Conclusion Olfactory ensheathing cells could repairinjured nerve defect and the competence that the olfactory cells in lamina propria were superior to in olfacto-ry bulb.
9.The experimental study of recombinant adenovirus-mediated human wild type p53 gene transfection into neuroblastoma cell line
Journal of Chinese Physician 2008;10(11):1475-1477
Objective To observe the effect of transduetion of human wild type gene(wt-p53) mediated by recombinant adenovirus on cell growth, cell cycle and apoptosis of neuroblastoma (NB) cell line SH-SY5Y. Methods The NB cell line SH-SY5Y were transfected by recombinant adenovirus with green fluorescent protein(Ad-GFP). The suitable muhiplieity of infection (MOI) was determined after trans-fer efficiency was tested by flow cytometry (FCM). Both recombinant adenovirus(Ad) and recombinant adenovirus mediating wt-p53 gene (Ad-p53) were transfected into SH-SY5Y cells. SH-SY5Y cells without any transfection were used as blank group. The p53 protein expres-sion was validated by Western blot. Cell number was counted and growth curve was drawn. Both cell cycle and apoptesis were detected by FCM. Results The results indicated that the transfer efficiency of recombinant adenovirus to SH-SY5Y was satisfied, and 100 MOI was suitable. After transfection with Ad-p53, p53 protein was high expressed. Cell growth were inhibited, apoptosis and cell cycle arrest were in-duced in p53 gene transfeetion group. Conclusions Our results indicate that clinical application of the in vitro p53 gone modified tumor cell vaccine might be feasible and effective in clinical treatment of NB.
10.Olfactory ensheathing cells versus Schwann cells in repairing nerve defects
Chinese Journal of Orthopaedic Trauma 2008;10(11):1043-1048
Objective To compare olfactory ensheathing cells (OECs) and Schwann cells (SCs) in respect of their abilities to repair nerve defects. Methods OECs and SCs were cultured in vitro for 2 weeks before they were purified and condensed for later transplantation. Sixty adult female Wistar rats were randomized into 3 even groups. After a 25 mm length of axons was excised but the epineurial lumen was re-tained, the left sciatic nerves were anastomosed to the proximal ends. Cell culture medium, SCs and OECs were transplanted into the epineurial lumen in A, B, C groups respectively. Three months postoperatively, regeneration of the injured sciatic nerves was evaluated by gross observation, microscopy, transmission elec-tron microscopy, transportation distance of retro-marked fluorescence red, immunofluorescence assay of the glial fiber acid protein and nerve growth factors, enzyme linked immunoassay of myelin basic protein and neurofilament protein, as well as ankle function evaluation. Results By gross observation, regeneration of the injured sciatic nerves was the best in group C and the poorest in group A. In aspects of growth of nerve fibers observed by microscopy and transmission electron microscopy, the transportation distance of retro-marked fluorescence red in the injured sciatic nerves observed by fluoroscopy, glial fiber acid protein and nerve growth factors tested by immunofluorescence assay, concentrations of myelin basic protein and neuro-filament protein in the injured nerves tested by enzyme linked immunoassay, as well as in the mean ankle function score, group C was the best, next was group B , and group A was the poorest. The differences be-tween groups had statistical significance (P < 0.05). Conclusion OECa transplantation can repair in-jured nerves and has better effects than SCs transplantation.

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