Objective To explore the influence of repeatedly suprathreshold and subthreshold presentation of sad face on the attention bias of college students with depressive symptoms.Methods Five hundreds college students were extracted by using the cluster sampling method.The Beck Depression Inventory(BDI)and Self-rating Depression Scale(SDS)as the screening tool were applied to select the healthy control group(C),low-level depression group(B)and high-level depression group(A),20 participants in each group.Twenty neutral faces and 52 sad faces were selected from the emotional faces library researched and prepared by the Institute of Psychology of Chinese Academy of Sciences.Each face was suprathresholdly(1 000 ms)and subthresholdly(14 ms)presented four times to the participants.In the point detection task,the scores of response time,correction rate and attention bias of 3 groups to the emotional faces were recorded.Results (1)There was no statistically significant difference in the correction rate for 4 times suprathreshold and subthreshold presentations of sad faces between three groups;(2)The average response time of the fourth superathreshold and subthreshold presentation of sad faces in the group A was significantly lower than that of the first three times,the difference was statistically significant(P＜0.01),but the times of sad emotional face presentation had no statistically significant difference between the group C and B(P＞0.05);(3)compared with the group C,for the suprathesholdly presented sad face,the group A had significant a main effect in the aspects of average score of attention bias and sad emotional face presentation times(F=12.032,P＜0.05;F=91.637,P＜0.05),and had a significant interaction effect among the duration and times of presentation and group types(F=16.766,P＜0.05);(4)the group A showed significant attention bias of suprathresholdly presented sad faces at first,second and third time of presentation,but lost the bias at the fourth time.Conclusion The fourth time of sad face presentation could eliminate the attention bias of college students with high-level depression.

Objective To discuss current detection of food intolerance in health check-up populations and the influence of food intolerance on immune system and inflammation parameters.Methods Serum levels of 14 kinds of food-specific IgG antibodies were analyzed by using enzyme linked immunosorbent assay (ELISA) among 257 healthy check-up adults.White blood cell count,eosinophils,globulin,erythrocyte sedimentation rate (ESR),C-reactive protein (CRP),rheumatoid factor (RF),antinuclear antibodies (ANA) and T cell function were compared between the positive group and the negative group.Student's t test and Chi-square test were used for data analysis.Results Food-specific IgG antibodies were found in 134 participants (52.14％).The most common intolerant foods were egg,crab and milk.Moderate to severe food intolerance was caused by egg or milk.There was significant difference in eosinophils and serum globulin between the positive and the negative group (t =-0.07,x2 =8.91,both P ＜0.05).However,no difference was observed in white blood cell count,ESR,CRP,RF,ANA and T cell function between two groups (all P ＞ 0.05).Conclusion Eosinophils and serum globulin may significantly increased in people with food intolerance,although white blood cell count,ESR,CRP,RF,ANA and T cell function could be normal.

Objective To explore the influence of danhong injection on the microcirculation state related indexes of patients with myocardial infarction.Methods A total of 54 patients with myocardial infarction were randomly divided into control group (conventional myocardial infarction treatment) and observation group (conventional treatment and danhong injection).The whole blood viscosity,nailfold microcirculation and platelet activation indexes before the treatment and three,seven and fourteen days after the treatment were compared between two groups.Results Three,seven and fourteen days after the treatment,the whole blood viscosity,nailfold microcirculation and platelet activation indexes in the observation group were significantly better than the control group (P ＜ 0.05).Conclusion Danhong injection can effectively improve the microcirculation state of patients with myocardial infarction.

Objective To explore the influence of danhong injection on the microcirculation state related indexes of patients with myocardial infarction.Methods A total of 54 patients with myocardial infarction were randomly divided into control group (conventional myocardial infarction treatment) and observation group (conventional treatment and danhong injection).The whole blood viscosity,nailfold microcirculation and platelet activation indexes before the treatment and three,seven and fourteen days after the treatment were compared between two groups.Results Three,seven and fourteen days after the treatment,the whole blood viscosity,nailfold microcirculation and platelet activation indexes in the observation group were significantly better than the control group (P ＜ 0.05).Conclusion Danhong injection can effectively improve the microcirculation state of patients with myocardial infarction.

Objective To analyze the effect of probiotics combined with early enteral nutrition on infection and gastrointestinal dysfunction in patients undergoing mechanical ventilation in intensive care unit (ICU).Methods Prospective cohort study was adopted to select patients who admitted to ICU in a hospital from February 2016 to October 2017, they were randomly divided into three groups:A, B, and C.Group A received early enteral nutrition combined with probiotics, group B received early enteral nutrition, and group C received early parenteral nutrition.Infection condition, level of infection indicators (on the 3 rd, 7 th and 14 th day after treatment), occurrence of gastrointestinal dysfunction, acute physiology and chronic health evaluation II (APACHE II) on the 14 th day after treatment were compared among three groups.Results Incidences of infection in group A, B, and C were 6.00％, 20.00％, and 22.00％ respectively, difference among three groups was significant (χ2=8.57, P=0.01).C-reactive protein (CRP) and white blood cell count (WBC) in group A on the 7 th and 14 th day were both lower than those in group B and C;procalcitonin (PCT) in group A and B on the 3 rd day were both lower than that in group C;PCT in group A on the 7 th and 14 th day were both lower than those in group B and C;difference were all statistically significant (all P＜ 0.05).Incidence of abdominal distension (8.00％), diarrhea (4.00％) and gastric retention (4.00％) in group A were the lowest among three groups.APACHE II score in group A on the 14 th day after treatment was lowest.Conclusion Early enteral nutrition combined with probiotics for treatment of ICU patients with mechanical ventilation can effectively reduce the incidence of infection and gastrointestinal dysfunction, promote rehabilitation, which is worth promoting the application.

OBJECTIVETo observe whether adenosine Al receptor (Al R) mediated neuroprotection of Shenmai Injection (SI) on rat cerebral ischemia/reperfusion (I/R) injury.

METHODSThe focal cerebral I/R model was established by middle cerebral artery occlusion (MCAO). Totally 60 successfully modeled rats was divided into 5 groups according to randomized block principle, i.e., the model group, the SI group, the SI + AlR antagonist (1,3-dipropyl-8-cyclopentylxanthine, DPCPX) group, the AlR antagonist control group, and the dimethyl sulfoxide (DMSO) control group, 12 in each group. Besides, a sham-operation group was set up (n =12). SI at 15 mL/kg was peritoneally injected to mice in the SI group immediately after cerebral I/R. Equal volume of normal saline was injected to mice in the model group and the sham-operation group. DPCPX at 1 mg/mL was peritoneally injected to mice in the Al R antagonist control group 30 min before peritoneal injecting SI. DPCPX at 1 mg/kg and DMSO at 1 mL/kg were peritoneally injected to mice in the AlR antagonist control group and the DMSO control group 30 min immediately before cerebral I/R. Rats' neurobehavioral scores were assessed after 24 h reperfusion. The volume of cerebral infarction and Bcl-2 protein expression of cerebral infarction penumbra were also detected. Results Compared with the sham-operation group, neurobehavioral scores, the volume of cerebral infarction, and Bcl-2 protein expression increased (all P <0. 05). Compared with the model group, neurobehavioral scores and the volume of cerebral infarction obviously decreased, but Bcl-2 protein expression increased in the SI group (all P <0. 05). Compared with the SI group, neurobehavioral scores increased, the volume of cerebral infarction was obviously enlarged, and Bcl-2 protein expression was obviously reduced in the A1R antagonist control group (all P <0. 05).

CONCLUSIONSSI's neurobehavioral scores could be partially reversed in the Al R antagonist control group, the volume of cerebral infarction and Bcl-2 protein expression improved. AlR might possibly meditate neuroprotection of SI on MACO mire

Adenosine ; Animals ; Brain Ischemia ; drug therapy ; Drug Combinations ; Drugs, Chinese Herbal ; pharmacology ; therapeutic use ; Infarction, Middle Cerebral Artery ; Mice ; Neuroprotection ; physiology ; Neuroprotective Agents ; pharmacology ; therapeutic use ; Rats ; Rats, Sprague-Dawley ; Receptor, Adenosine A1 ; metabolism ; Reperfusion Injury ; drug therapy ; Xanthines

Objective To study the routine examination of Aconitum sinomontanum Nakai and determine the contents of lappacontine and ranaconitine; To provide basis for establishing the quality standard of Aconitum sinomontanum Nakai.Methods Aconitum sinomontanum Nakai were collected from different areas.A method of TLC was used for qualitative discrimination. The methods in the Chinese Pharmacopoeia were adopted for the determination of moisture content, ash content and extractives. Determination of lappacontine and ranaconitine were performed by HPLC. Results The TLC showed that the spots were clear and the separation was good. Individual provisional standards:the moisture,total ash and acid-insoluble ash content of Aconitum sinomontanum Nakai were not more than 11.0%, 12.0%, and 7.0%, respectively; water soluble and alcohol soluble extractives were not less than 18.2% and 10.6%,respectively.The content of ranaconitine and lappacontine in Aconitum sinomontanum Nakai were not less than 0.125% and 0.815%, respectively. Conclusion The method established by the study is accurate and reliable,and can be used for quality evaluation of Aconitum sinomontanum Nakai.

Hyperglycemia is a common complication of critical patients. Currently, clinical assessment of the changes in the blood glucose of critical patients is mainly based on the intermittent monitoring of peripheral blood glucose at a certain time point. This method cannot get the true blood glucose fluctuation, and it is more difficult to find asymptomatic hyperglycemia and hypoglycemia, so the guiding value of blood glucose control is limited. Arterial blood is the most accurate sample of blood glucose monitoring, so it is urgent to ensure the accuracy of arterial blood sample. A continuous arterial blood glucose monitoring equipment was independently developed by general surgical intensive care unit (ICU) of the First Affiliated Hospital of Nanjing Medical University, and National Utility Model Patent of China was obtained. It could greatly improve the efficiency of medical staff, and provide accurate and dynamic statistic data that would be an important basis for doctors' clinical decision-making. The continuous arterial blood glucose monitoring equipment was mainly composed of arterial pressure measuring monitor, program-controlled dynamic blood glucose meter, wire, electric switch, integrated collecting syringe, electric clip, rotary electric bracket, and blood glucose test strips, etc., which could be continuously and dynamically monitor patient blood glucose levels and perform various additional value-added functions such as automatic recording and alarming.

Objective To clarify the contribution of the fingerprint peaks from different extracts of Aconitum Sinomontanum Nakai (ASN) to the acute toxicity,and to reflect the material basis.Methods The experimental drugs (petroleum ether,chloroform,ethyl acetate,butanol,alcohol and water extracts) were obtained by the means of systematic solvent extraction from the 95％ ethanol extract of ASN,The HPLC fingerprints of different extracts of ASN were established.The acute toxicity of different extracts in mice were carried out by the way of measuring the median lethal dose (LD50) and maximum dose.The relationship between spectrum and toxicity was established by gray relational analysis.Results The fingerprints of different extracts of ASN were established.The acute toxicity was not characterized only by Lappacontine (LAP),and the contribution of other diterpenoid alkaloids should not be neglected,the contribution of different peaks to toxicity was ranked as X13 ＞ X14 ＞ X12 ＞X6 ＞ X2 ＞ X9 ＞ X5 ＞ X4.Conclusion The established HPLC method for fingerprints of different extracts of ASN is simple and repeatable.The relationship between the fingerprints of different extracts and the acute toxicity is paralleled to some extent.And this will lay a foundation for the research of toxicity mechanism of ASN.

Background:The information-motivation-behavioral skills (IMB) model of health behavior is an effective tool to evaluate the behavior of diabetes self-management.The purpose of this study was to explore behavioral factors affecting the practice of self-monitoring of blood glucose (SMBG) within the frame of IMB model of health behavioral among adult patients with type 1 diabetes in a single diabetes clinic in China.Methods:A questionnaire with three subscales on SMBG information,motivation,and behavioral skills based on IMB model was developed.Validity and reliability of the measures were examined and guaranteed.Adult patients with type 1 diabetes visiting our diabetes clinic from January to March 2012 (n =55) were consecutively interviewed.The self-completion questionnaires were administered and finished at face-to-face interviews among these patients.Both descriptive and correlational analyses were made.Results:Fifty-five patients finished the questionnaires,with the median duration of diabetes 4.5 years and the median of SMBG frequency 2.00.Specific SMBG information deficits,motivation obstacles,and behavioral skill limitations were identified in a substantial proportion of participants.Scores of SMBG motivation (r =0.299,P =0.026) and behavioral skills (r =0.425,P =0.001) were significantly correlated with SMBG frequency.The multiple correlation of SMBG information,SMBG motivation,and SMBG behavioral skills with SMBG frequency was R =0.411 (R2 =0.169,P =0.023).Conclusions:Adult patients with type 1 diabetes in our clinic had substantial SMBG information deficits,motivation obstacles,and skill limitations.This information provided potential-focused education targets for diabetes health-care providers.