1.Clinical research of recombinant human acidic fibroblast growth factor in cesarean section women abdominal incision healing
Haijuan ZHANG ; Tian TIAN ; Yanjun CHEN
Chinese Journal of Postgraduates of Medicine 2014;37(24):43-46
Objective To evaluate the recent impact and long-term effects of recombinant human acidic fibroblast growth factor (rh-aFGF) of cesarean section on women's abdominal incision healing.Methods In 516 cases of cesarean section in women,randomly divided into placebo group (172 cases),spray group (172 cases) and flush group (172 cases).The placebo group received 0.9% sodium chloride washing abdominal incision suture.The spray group incision suture direcdy after the administration of rh-aFGF spray,per square meter of 3-4 sprays,3-5 times/d.The flush group was given before 2 rh-aFGF dissolved in 10-20 ml of 0.9% sodium chloride directly after washing the incision suture,then given spray treatment.The recent follow-up of 15 d observed maternal abdominal incision healing.Long term follow-up of 3 months to observe the incision scar formation.Results The abdominal incision heating time was (8.6 ±3.5) d,that was obviously shorter than that in spray group (10.4 ±3.7) d and placebo group (12.7 ± 4.9) d (P < 0.05).The delay healing accounted for 4.2% (7/166) in flush group,significantly lower than that in placebo group (34/168,20.2%) and spray group (16/165,9.7%) (P< 0.05).There was no significant difference in the incidence of fat liquefaction,postoperative infection among three groups (P > 0.05).Flush group exudation,abdominal wall adhesions was lower than placebo group and spray group [2.4%(4/166) vs.10.1%(17/168),5.5%(9/165),3.6%(6/166) vs.17.3%(29/168),9.7%(16/165)](P<0.05).Long term follow-up,flush group scar area than spray group reduced by 13.5%,than placebo group reduced by 27.2%.Conclusions A recent rh-aFGF can reduce the cesarean section abdominal incision healing time and reduce abdominal wall adhesions and exudation;rh-aFGF the best dosage is intraoperative irrigation treatment spray combined with postoperative.
2.Metabolism of amino acids and type 2 diabetes mellitus
Chinese Journal of Endocrinology and Metabolism 2012;28(9):773-776
Amino acids (AA) as substrates of gluconeogenesis could promote endogenous glucose production.Some AA can enhance insulin secretion. Recently,many studies have found that some AA can also activate mammalian target of rapamycin-S6 kinase 1 ( mTOR-S6K1 ) pathway,resulting in maintaining pancreatic β cell function on one hand,and on the other hand,inhibiting insulin signal transduction of insulin-sensitive cells and thus causing insulin resistance.
3.Research progress of neonatal hypoglycemia and brain injury
Chinese Journal of Applied Clinical Pediatrics 2014;29(12):948-950
Neonatal hypoglycemia is a common clinical disease.Hypoglycemia can lead to severe acute and long-term dysfunction of nervous system.The several aspects of neonatal hypoglyccmia such as the definition,diagnosis of brain injury,risk factors,treatment,detection method and long-term follow-up were reviewed.
4.Development,differentiation and immune recognition of natural killer cells
Chinese Journal of Immunology 1985;0(01):-
thymus.It is not clear why and how these distribution exist,which is possibly correlated to recruitment,homing,subset,and microenvironment of NK cells in each tissue or organ.
5.A new NK-like cell subset of IL-22 producer:NK-22 cells
Chinese Journal of Immunology 2001;0(10):-
The mucosal tissues form the interface between the outside world and the sterile environment of the body.Innate immunity plays a critical role in the maintenance of mucosal homeostasis.Recently,a new subset of innate immune cells named NK-22 has been discovered to reside at tonsil and intestine both in human and mice.NK-22 cells share features with both natural killer (NK) cells and lymphoid tissue-inducing (LTi) cells.NK-22 cells express a variety of NK cell receptors and phenotypically resemble that of immature NK cells (iNKs).However,they are quite different from NK cells in function and development.NK-22 cells lack conventional NK cell cytotoxic function and produce IL-22 instead of IFN-?.It is currently considered that NK-22 cells are not a subset of NK cells.They develop from LTi cells and the development process depends on ROR?t and commensal microflora.NK-22 cells are involved in immune protection against the pathogen Citrobacter rodentium.The IL-22 secreted by NK-22 cells contributes to epithelial cell resistance to injury and mucosal tissue repair after microbial infection.
6.ROENTGEN MANIFESTATIONS OF RADIATION INJURIES OF BONES:A CLINICAL AND RADIOLOGIC ANALYSIS OF 17 CASES
Medical Journal of Chinese People's Liberation Army 1981;0(04):-
Based on a clinical and radiological study of radiation injuries of the bones in the 17 cases, the relationship between the osseous changes and the radiation dosage and between the time from radiation therapy and the onset of the radiographic osseous changes were discussed. The authors found that the degree of local skin infection might determine the type of its underneath osseous injuries, i. e. being either "septic" (osteomyelitic) or "aseptic" (bone atrophic) radionecrosis, and it might also determine the time when the osseous changes appeared on the radiogram. It was found that radiation injuries of the bone could be distinguished from bone metastases. The authors suggest that a regular X-ray follow-up of the bones that had received a heavy dose of radiation should be made in order to reveal bone atrophy as early as posible and to remind the patient to avoid any trauma and infection.
7.Recent advances in the study of G protein-coupled receptor 40/free fatty acid receptor 1
Chinese Journal of Pathophysiology 1986;0(02):-
Free fatty acids(FFAs) provide an important energy source and also act as signaling molecules.Medium to long-chain free fatty acids can activate the intracellular signal pathways in the pancreatic ?-cells and play a role in regulating insulin secretion as an extracellular signal molecular via binding to the FFA receptor G protein-coupled receptor 40(GPR40). Furthermore,GPR40 is associated with several biological effects including cell proliferation and antiapoptosis of nerve cells.GPR40 act an important role in the connection of obesity and diabetes or cancers.GPR40 will probably become a novel kind of antidiabetic and anticancer drugs.
8.Protective effect of fentanyl on cultured cardiomyocyte against injury induced by anoxia-reoxygenation
Chinese Journal of Anesthesiology 1995;0(02):-
ve To assess the protective effect of fentanyl on primary cultured myocardial cells against injury induced by anoxia-reoxygenation. Methods Ventricular myocardial cells enzymatically isolated and cultured in 1640 culture medium for 6 days were randomly divided into 5 groups: group A received no anoxia served as control; group B received 2 hours anoxia followed by half an hour reoxygenation; and group C, D and E received 10ng ? ml-1, 30 ng ? ml-1 and 50 ng? ml-1 fentanyl respectively before anoxia-reoxygenation. The cell viability, myocardial intracellular content of malondialdehyde (MDA) and the activities of lactic dehydrogenase (LDH) and creatine kinase(CK) were measured at the end of the experiment. Results Anoxia-reoxygenation caused dramatic decrease in cell viability, and increases in myocardial intracellular MDA content and the LDH and CK activities as compared with those in control group. Fentanyl 30 ng?ml-1 and 50 ng?ml-1 significantly attenuated the increases in LDH, CK activities and MDA content, and decrease in cell viability caused by anoxia-reoxygenation. Fentanyl 10ng?ml-1 did not produce any significant changes. Conclusions Fentanyl can produce protective effects on primary cultured cardiomyocytes against anoxia-reoxygenation injury.
9.A novel drug coated stent and coronary restenosis
Journal of Medical Postgraduates 2003;0(11):-
The placement of stent in coronary artery reduces the restenosis rate of percutaneous transluminal coronary angioplasty(PTCA),but the restenosis has perplexed us so far. May be a novel drug coated stent will bring us a new hope in the coming years.
10.Introduction ot the design of intelligent building system in the hospital building of outpatient and emergency department
Journal of Medical Postgraduates 2004;0(02):-
The role of apply and study of techniques of intelligent building(IB) is reviewed in recent years, although cultural heritage report way lots of relevantly IB, construct the report way of the medical treatment building intelligent is the less, right various project of author take into to categorize, for development and design of the hospital intelligent building of outpatient and emergency department provides the reference.