Objective To systematically review the efficacy and tolerance of levofloxacin-based rescue regimens for H.pylori eradication failures.Methods A search of Medline,Embase,Cinahl, CBM-disc was performed.Randomized controlled trials comparing levofloxacin-based triple therapy with bismuth-based quadruple therapy were selected for meta-analysis.Assessment of study quality and ex- tracting data to calculate eradication rate and side effect rate.Results Seven randomized controlled stud- ies met the inclusion and exclusion criteria were recruited.Ten-day levofloxacin-based triple therapy was more effective(86.9% vs 61.8% P

Objective To compare the effect of right ventricular outflow tract (RVOT) and right ventricular apex (RVA) pacing on ventricular systolic synchrony using gated blood pool SPECT (GBPS).Methods A total of 50 patients implanted with pacemaker due to high degree or complete atria-ventricular block were enrolled in the study. Twenty-three patients were RVOT paced ( Group A, n = 23) and 27 were RVA paced (Group B, n=27). Twenty-four patients with malignancy, normal echocardiographic findings and no history of cardiac diseases were scheduled for pre-chemotherapy evaluation of cardiac structure and function and were enrolled as control group ( Group C, n = 24). All patients underwent GBPS imaging and the values of phase angle (PS), mean phase of each wall, standard deviation (SD) of mean phase of each wall, lateral-septal motion delay of left ventricle ( LV Sep-Lat Delay), septal-right ventricular (RV) delay of LV ( LV Sep-RV Delay) and LV-RV Delay were acquired. The parameters of ventricular systolic synchrony among the three groups were compared using one-way ANOVA. Results The mean phase of LV lateral wall in Groups A and B were significantly higher than that in Group C: Group A (120.50 ±40.58) ms; Group B (103.23±28.34) ms; Group C (84.63 ±22.38) ms (F=7.72, P ＜0.05). There was no significant difference between Groups A and B ( t = 1.30, P ＞ 0.05 ). The mean phase of RV in Group A was significantly larger than those in Groups B and C: Group A ( 137.05 ± 39.27) ms, Group B ( 100.85 ± 23.79) ms,Group C (59. 13 ±30.52) ms (F=35.55, P＜0.05). PS, SD and LV Sep-Lat Delay in Groups A and B were significantly higher than those in Group C: (85.73 ± 12.00)°vs (89.85 ± 15.61 )°vs (58.95 ±9.87)°, (27.68±10.66) ms vs (26.15 ±13.02) ms vs (15.63 ±8.35) ms, (25.06±34.23) ms vs (2. 62 ± 60. 31 ) ms vs ( - 23.66 ± 31.39) ms, F = 41.54,8.55,6.81, all P ＜ 0.01 ), however, there was no significant difference between Groups A and B ( t = 0. 68, 0.68, 1.30, all P ＞ 0.05 ). LV Sep-RV Delay and LV-RV Delay were significantly different among the three groups ( LV Sep-RV Delay: Group A (57.60 ±56.77) ms, Group B (6.36 ±61.88) ms, Group C ( -41.89 ±35.78) ms; LV-RV Delay:Group A (47.36 ±42.59) ms, Group B ( 3.08 ± 38.81 ) ms Group C ( - 26.50 ± 20.99 ) ms, F = 20. 32,25.38, both P ＜ 0.01 ). Conclusion Both RVA and RVOT pacing increase the segmental phases detected by GBPS, causing inter- and intra- ventricular asynchrony compared with patients without pacemakers.

Objective To investigate the changes of hydrogen sulfide (H_2S) level in plasma in order to explore the role of H_2S in the development of pulmonary hypertension (PH) secondary to congenital heart disease (CHD).Methods There were 9 CHD patients and 9 normal children in this study. The plasma concentration of H_2S and pulmonary artery pressure (PAP) of each child were measured. Meanwhile, the relationship between H_2S level and PAP was analyzed.Results The plasma level of H_2S in the group of CHD significantly decreased compared with control group (32.13?2.25) ?mol/L vs [(43.69?2.05)?mol/L, P

OBJECTIVETo test the corrosion behavior of three kinds of dental casting alloys and to investigate the effect of the released metal ions on the DNA damage of dog buccal mucosal cells.

METHODSThree kinds of frequently used dental casting alloys were used to make full crowns for dogs. The concentration of the released metal ions was measured after the restoration of 2 weeks, 1 month, 2 months and 3 months. The DNA damage of buccal mucosal cells was studied by the method of SCGE.

RESULTSThe metal ions released from NiCr and NiCrBe were detected in buccal mucosal cells while the amount of the ions released from noble alloy (gold 58%) was too small to be detected. The DNA damage of mucosal cells increased after restoration of NiCr and NiCrBe crowns.

CONCLUSIONThe noble alloy (gold 58%) is most corrosion resistant of the three alloys and has good biocompatibility. The NiCr and NiCrBe are prone to corrode and have cytotoxicity to cells.

Alloys ; Animals ; Corrosion ; Crowns ; DNA Damage ; Dental Alloys ; Dogs ; Gold ; Ions ; Mouth Mucosa

Adolescent ; Adult ; Astrocytoma ; diagnosis ; surgery ; Brain Diseases ; diagnosis ; surgery ; Brain Neoplasms ; diagnosis ; surgery ; Brain Stem ; surgery ; Female ; Follow-Up Studies ; Hematoma ; diagnosis ; surgery ; Humans ; Magnetic Resonance Imaging ; Male ; Microsurgery ; methods ; Middle Aged ; Tomography, X-Ray Computed

The present study is to determine the flavonoid glycosides, terpene lactones, biflavones, gingko acid and procyanidins of ginkgo pollen. UPLC-TQ-MS technology was used for the determination of 24 kinds of resource chemical composition in ginkgo pollen qualitatively and quantitatively. The results shows that the contents of rutin, quercetion 3-O-[4-O-(α-L-rhamnosyl )-β-D-glucoside] and kaempferolis were 120.9, 114.0, 222.1 μg x g(-1). In this paper, the contents of 24 kinds of chemical components of ginkgo pollen were determinated by UPLC-TQ-MS for the first time. This method is simple and quick, which will be benefit for recycling utilization of ginkgo pollen.
Chromatography, High Pressure Liquid ; methods ; Flavonoids ; analysis ; Ginkgo biloba ; chemistry ; Mass Spectrometry ; Pollen ; chemistry ; Proanthocyanidins ; analysis ; Rutin ; analysis ; Terpenes ; analysis

Objective To study the effect of new appointment service model on improving the efficiency of diagnosis and treatment of large comprehensive hospitals.Methods All patients seeing doctors at out-patient department were designated as experimental group that implemented new appointment service model of diagnosis and treatment during July to August of 2011,while the patients at out-patient department were designated as control group that implemented routine service model during May to June of 2011.Then,differences in appointment time,non-effective appointment rate and patients' satisfactory rate between these two groups were compared.Results In experimental group,X-ray appointment examination time:68.8％ patienta were ≤ 1 day and 31.2％ patients were ≥2 days,ultrasound appointment examination time:67.2％ patients were≤1 day and 32.8％ patients were ≥ 2 days,endoscope inspection appointment examination time:85.6％ patients were ≤2 days and 14.4％ patients were ≥ 3 days;appointment examination time of cardiovascular ultrasound:75.9％patients were ≤ 2 days and 24.1％ patients were ≥ 3 days ; and those significantly different with that of control group ( x2 =4.838,9.199,28.355,10.359,respectively; P ＜ 0.05).Non-effective appointment rate of experimental group was that radiology department 1.9％,ultrasound department 2.4％,endoscope inspection room 4.1％,cardiovascular ultrasound 2.5％,and significantly lower than that of the control group ( x2 =9.982,19.687,8.684,7.623,respectively; P ＜ 0.05 ).The patients' satisfactory rate of experimental group was that:radiology department 94.9％,ultrasound department 93.6％,endoscope inspection room 96.3％,cardiovascular ultrasound 95.80％.And the parameters of experimental group were obviously better than that of control group ( x2 =30.623,4.120,15.640,19.231,respectively; P ＜ 0.05 ).Conclusions Through implementing new appointment service model of diagnosis and treatment,the patients' appointment time was shortened,non-effective or repeatedly-changed appointment was decreased,and the efficiency of diagnosis and treatment and the patients' satisfactory rate were improved obviously.

Objective To study the effect of tailored cervical pillow on the neck muscle strength balance of patients with cervical spondylosis.Methods Totals of 60 cases of cervical spondylosis patients were randomly divided into experimental group and control group,with 30 cases each group,the patients of the two groups were treated with conventional treatment and nursing,while experimental group used the tailored cervical pillow for 8 hours every day and one month (1 course ). Two groups were being respectively received the isometric muscle strength and movement of the cervical spine assessment with the symptoms and functional assessment scales,clinical assessment and multifunctional cervical vertebra rehabilitation system (MCU).Results Experimental group were significantly improved than that of the control group in symptoms and functional assessment scale score[ (24.84 ± 2.341 ) vs ( 20.65 ± 2.134 ) ; t =3.024,P ＜0.05 ],The overall clinical curative effect,difference has statistical significance [ 60.0％ vs 30.0％ ; x2=5.455,P ＜ 0.05 ] ; the position of each isometric muscle strength and movement of the cervical spine were statistically significant( P ＜0.05).Conclusions The tailored cervical pillow can promote the neck muscle balance of patients with cervical spondylosis,strengthen the stability of cervical spine and improve symptoms,which is one of value auxiliary treatment for cervical spondylosis.

Objective To investigate the ability of human bone marrow mesenchymal stem cells (hBMSCs), eocultured with semi-permeable membrane separated neonatal rat ventricular myocytes, to differentiate into cardiomyocytes.Methods hBMSCs were isolated and purified by density gradient centrifugation and adherence screening method.cells were expanded as undifferentiated cells in culture for more than 3 passages and their phenotypes were identified with flow cytometer, hBMSCs were cocuhured with neonatal rat ventricular myocytes in a rate of 1:10 separated by semi-permeable membrane.GATA4 mRNA was detected by RT-PCR; Immunocytochemistry, and Immunostaining were used to detect sarcomeric α-actinin, desmin, cTnT, and cTnI protein level.Results CD29 (98.64% ± 0.80%) and CD44 (96.70% ± 1.50% ) were the major surface markers of hBMSCs.After coculturing with semi-permeable membrane separated neonatal rat ventricular myocytes, the first contraction of single cells was noted at day 7 and GATA4 expression was detected on these cells by RT-PCR after 1 to 3 weeks coculture.Desmin, sacomefic ±-actinin, cTnI and cTnT could be detected by immunocytochemistry and immunostaining on some of these cells.conclusion hBMSCs possess the potential to differentiate into myocardial cell phenotype in the cardiac microenvironment.Direct contact with cardiomyocytes was not necessary required for hBMSCs differentiation.

To determine cancer pathway activities in nine types of primary tumors and NCI60 cell lines, we applied an in silico approach by examining gene signatures reflective of consequent pathway activation using gene expression data. Supervised learning approaches predicted that the Ras pathway is active in ～70% of lung adenocarcinomas but inactive in most squamous cell carcinomas, pulmonary carcinoids, and small cell lung carcinomas. In contrast, the TGF-β, TNF-α, Src, Myc, E2F3, and β-catenin pathways are inactive in lung adenocarcinomas. We predicted an active Ras, Myc, Src, and/or E2F3 pathway in significant percentages of breast cancer, colorectal carcinoma, and gliomas. Our results also suggest that Ras may be the most prevailing oncogenic pathway. Additionally, many NCI60 cell lines exhibited a gene signature indicative of an active Ras, Myc, and/or Src, but not E2F3, β-catenin, TNF-α, or TGF-β pathway. To our knowledge, this is the first comprehensive survey of cancer pathway activities in nine major tumor types and the most widely used NCI60 cell lines. The "gene expression pathway signatures" we have defined could facilitate the understanding of molecular mechanisms in cancer development and provide guidance to the selection of appropriate cell lines for cancer research and pharmaceutical compound screening.