Objective To analyze the pre-transplant sera of renal graft recipients for soluble CD30 level and study the correlation between sCD30 level and acute rejection (AR),lung infection or renal graft loss.To investigate the feasibility of sCD30 level for pre-transplant risk evaluation in renal transplant recipients.Methods 586 renal graft recipients were enrolled into this study,who had complete 5-year follow-up data and sufficient pre-transplant sera for analysis.Pre-transplant sera were collected for detection of sCD30 level by ELISA and patients were divided into three groups according to sCD30 level:group L (sCD30＜120 U/ml),group I (sCD30 120-240U/ml) and group H (sCD30 ＞240 U/ml).Incidence of AR,lung infection,graft loss and postoperative 5-year patients and renal allograft survival rate were compared among three groups.Correlation analysis was also performed between pre-operative sCD30 level and postoperative dialysis time,AR,or lung infection.Results The average pre-transplantation sCD30 level was significantly higher than that of healthy individuals (P＜0.01 ).During the 5-year follow-up period,the incidence of AR in groups L,I and H was 17.4％ (45/259),29.2％ (77/264) and 42.9％ (27/63) respectively,and the lung infection rate was 20.8％,8.3％ and 15.9％ respectively.There was significant differences in AR incidence and lung infection rate among these three groups (P＜0.01).The pre-transplantation sCD30 level in patients with AR was (180.0± 89.1) U/ml,which was significantly higher than in those without AR (135.3 ± 72.7 U/ml,P＜0.01).The pre-transplantation sCD30 level in patients with lung infection was (123.2±75.5) U/ml,which was significantly lower than in those without lung infection (150.7 ± 79.6 U/mL,P＜0.01).The pre-transplantation sCD30 level had a positive relationship with AR (r =0.242,P＜0.01),but a negative correlation with lung infection (r=- 0.147,P＜0.01).In group H, five-year cumulative survival rate of recipients and renal grafts was 79.4％ and 69.8％ respectively,which was significantly lower than in group L (90.3％ and 87.3％),and group I (91.3％ and 87.6％) (P＜0.05,P＜0.01),but there was no significant difference between group L and group I (P＜0.01).Conclusion Pretransplant sCD30 level in renal transplant recipients is remarkably correlated with postoperative AR and lung infection,which can be considered as an independent predictor for postoperative AR,lung infection and the risk of graft function loss.

OBJECTIVETo investigate the therapeutic effects of modified Sanjiasan decoction (MSD) on vascular dementia (VD).

METHODSThirty-seven patients in the treated group were given MSD, one dosage each day, and 31 patients in the control group were administered orally Naofukang 0.8 g three times a day. The treatment course for both groups was three months. The indices as Hasegawa dementia scale (HDS), mini mental state examination (MMSE) and its subentries, intelligence quotient (IQ) and memory quotient (MQ) were examined.

RESULTSMSD could improve the scores of HDS, MMSE and its subentries (P<0.05 or P<0.01), ameliorate dementia state and enhance IQ (P<0.05) and MQ (P<0.01) in patients with VD.

CONCLUSIONMSD has a certain effect on intelligence benefiting and dementia antagonizing.

Aged ; Dementia, Vascular ; drug therapy ; Female ; Humans ; Intelligence ; drug effects ; Intelligence Tests ; Male ; Materia Medica ; therapeutic use ; Middle Aged ; Nootropic Agents ; therapeutic use ; Phytotherapy

Objective? To investigate the status of knowledge, attitude, practice of preventing professional exposure to body fluid splash in the medical staff of ENT Department in 6 ClassⅢ Grade A hospitals in Shanxi Province so as to provide evidence for the formulation of prevention and protection measures. Methods? By convenience sampling, a total of 300 medical staff in ENT Department in 6 Class ⅢGrade A hospitals in Shanxi Province from July to September in 2018 were selected as the research objects. The Questionnaire of Knowledge, Belief and Practice of Occupational Protection Among Medical Staff in Otorhinolaryngology Department was used to investigate them. A total of 300 questionnaires were distributed and 265 valid ones were retrieved. Results? The 265 medical staff in ENT Department scored (43.86±6.05) points in knowledge, (34.67±4.79) points in attitude and (32.95±4.98) points in practice, with a total score of (111.48±14.84). Knowledge, attitude and practice were positively correlated (P＜ 0.05). Multivariate linear regression analysis showed that professional title, length of service and exposure history were the influencing factors of occupational protection behavior of medical staff in ENT Department (P＜0.05). Conclusions? The protection of occupational exposure to body fluid splashing of medical staff should start with improving the attitude, and constantly strengthen the attitude in practical work, so as to achieve the purpose of improving the protection behavior.