Objective To explore the effect of hyperbaric oxygen (HBO) preconditioning on learning and memory damage induced by high positive acceleration( + Gz) exposure in rats.Methods Thirty-two male Sprague-Dawley rats were randomly divided into four groups with 8 in each group: control group( Con), + Gz group,HBO group and HBO-+ Gz group.Rats of Con group were given 5d( 1 ATA ,21% O2, 1h/d); Rats of + Gz group was exposed to + 10Gz for 5 min; HBO group were only given 5d (2.5 ATA, 100% O2,1 h/d); HBO-+ Gz group were given HBO 5 consecutive days,and then suffered +Gz exposure.Morris water maze was used to observe the navigation and probe capabilities of rats.Results In the spatial acquisition test,there exist significant difference among these groups(F(3.28) = 5.325, P＜ 0.01 ).Compared with the control group, the escape latency increased significantly in the + Gz group and HBO-+ Gz group (P＜0.05) while had no difference in HBO group.HBO-+ Gz group had significantly shorter escape latency than + Gz group (P＜0.05).In the probe test,compared with the control group, + Gz group and HBO-+ Gz group had a longer percentage in the target quadrant( (43.71 ± 3.29 ) %vs (28.65 ±1.00)%, P＜0.05;(43.71 ±3.29)% vs (37.17 ±0.98)%, P＜0.05)),and HBO-+Gz group was better than + Gz group.Conclusion HBO preconditioning may have a protective effect on the impairment of learning and memory caused by + Gz exposure in rats.

Objective To observe the clinical efficacy of L-carnitine combined with trimetazidine in the treatment of chronic heart failure.Methods The clinical data of 700 patients with chronic heart failure were retrospectively analyzed.According to different treatment methods,they were divided into four groups:A,B,C,D.181 cases of A group used L-camitine combined with trimetazidine treatment on the basis of routine treatment.177 cases of B group received L-carnitine treatment on the basis of routine treatment.175 cases of C group received trimetazidine treatment on the basis of routine treatment.167 cases of D group received conventional treatment.Then,the clinical efficacy of the four groups was compared.Results The total effective rates of A,B,C,D groups were 83.43％,76.84％,73.71％,62.28％,respectively.The total effective rate of A group was obviously higher than the other groups,the difference was statistically significant(x2 =22.40,P ＜0.05).There was no significant difference in total effective rate between B group and C group (x2 =0.46,P ＞ 0.05),but both B and C groups were obviously better than group D (x2=4.37,5.13,all P ＜ 0.05).The data before and after treatment in four groups were significantly improved,such as 6MWT,NT-proBNP,LVEF and FS(A group:t =33.856,37.474,17.722,31.250,B group:t =27.328,31.559,6.863,25.581,C group:t =23.430,32.640,9.524,16.923,D group:t =15.863,9.602,3.061,10.169,all P ＜ 0.01).In the above four indicators,those in A group were obviously better than B group,C group and D group (F =5.884,38.621,4.357,13.770,all P ＜ 0.01).Conclusion L-carnitine combined with trimetazidine can improve the abnormal metabolism of myocardium,optimize the energy metabolism pathway of myocardium,improve the short-term cardiac function of patients markedly.L-carnitine combined with trimetazidine is worthy of promoting joint use.

Objective To investigate the clinical application of interventional combination embolization of spleen and kidney in treating traumatic splenic and renal hemorrhage. Methods Since Jan. 2010 to early 2014, a total of 24 patients with traumatic splenic and renal hemorrhage were admitted to authors’ hospital. After angiography, super-selective embolization with Gelfoam particles was employed to occlude the bleeding arteries. The results were analyzed. Results Technical success with single procedure was achieved in all the 24 patients. All 24 patients survived the trauma. The complication was mild. Follow-up examination showed that the embolization results were perfect. Conclusion For the treatment of traumatic splenic and renal hemorrhage, interventional combination embolization of spleen and kidney is safe and effective with reliable clinical results, and this technique can reduce visceral function damage to the greatest possible advantage.

Objective To investigate the role of N-myc downstream regulated genes 2 (NDRG2) in attenuation of focal cerebral ischemic-reperfusin injury by sevoflurane preconditioning in rats.Methods Forty-eight healthy male SD rats weighing 280-320 g were randomly divided into 3 groups ( n =16 each):sham operation group (group S),ischemia-reperfusion injury group (group I/R) and sevoflurane preconditioning group (group Sev).Focal cerebral ischemia-reperfusion injury was induced by right middle cerebral artery occlusion (MCAO)for 120 min followed by 24 h reperfusion.In group Sev,2.0％ sevoflurane was inhaled 1 h once a day for 5 consecutive days at 24 h before MCAO.The neurologic function was evaluated at 24 h of reperfusion and than the rats were sacrificed,and the brain was removed for determination of infarct volume percentage,NDRG2 and activated Caspase-3 expression in ischemic penumbra by Western Blot and NDRG2 expression and location by immunohistochemistry.Results The infarct volume percentage,NDRG2 and activated Caspase-3 expression were higher,and neurologic function score was lower in groups I/R and Sev then in group S( P ＜ 0.05).The infarct volume percentage,NDRG2 and activated Caspase-3 expression were lower,and neurologic function score was higher in group Sev then in group I/R ( P ＜ 0.05).The intranuclear NDRG2 positive staining was decreased in group Sev than in group I/R.Conclusion Sevoflurane preconditioning can reduce focal cerebral ischemia-reperfusion injury by inhibiting the expression and activity of NDRG2 and apoptosis in rats.

Objective To study the changes of proportion of peripheral blood dendritic cells (DCs) in patients with different degrees of cerebrovascular stenosis and after stenting,and explore the relation between DCs level and cercbrovascular stenosis. Methods Sixty-three patients,admitted to our hospital from November 2009 to February 2010 and from August 2010 to December 2010,were divided into control group (CG,n=9),mild/moderate stenosis group (MsG,n=17),severe stenosis group (SsG,n=30) and stent implanted group (SiG,n=7) according the results of digital subtraction angiography (DSA) and their clinical situation.Flow cytometry 4-color analysis was employed to detect the proportion of DCs subtypes in the peripheral blood. Results The percentage of peripheral blood myeloid dendritic cells (mDCs) was significantly different in the above groups (P=0.000):that between CG and SsG,and that between MsG and SsG were significantly different (P＜0.05).Whereas, no obvious difference was founded in plasmacytoid dendritic cells (pDCs) between each 2 groups (P=0.065).Conclusion The percentage of mDCs suggests the alterations of different degrees of cerebrovascular stenosis:the severer the stenosis,the lower the percentage of mDCs; stent implantation will not affect the distribution of DCs subtypes

MicroRNAs are a class of non-coding RNA molecules that regulate the gene expression at the post-transcription levels. They have been implicated in various important cellular processes, such as proliferation, differentiation, apoptosis and lipid metabolism etc. Cartilage injury and degeneration can cause various joint diseases, and the current clinical treatments are unsatisfactory. Current researches have found that miRNA play important roles in the proliferation and differentiation of chondrocyte and their synthesis and catabolism. With novel targets of MicroRNA have been found, their important roles have been further confirmed. The present review summarizes the current evidences of the synthesis and function of the miRNA, and their regulatory roles in the cartilage damage and degeneration. In summary, MicroRNA play important roles in disease pathogenesis resulted by cartilage injury and degeneration,and may have important diagnostic and therapeutic potential, further more, and might provide a novel means of treating degenerative diseases.
Animals ; Apoptosis ; Cartilage Diseases ; etiology ; Cell Differentiation ; Chondrocytes ; cytology ; Humans ; MicroRNAs ; physiology

OBJECTIVETo study the clinical characteristics, diagnosis, treatment and prognostic factors of gastrointestinal stromal tumor(GIST).

METHODSClinicopathological data of 217 GIST patients from January 2005 to September 2010 in Wuhan Union Hospital were analyzed retrospectively and the prognostic factors were evaluated.

RESULTSThere were 103 males and 114 females with a median age of 55 years old. Two hundred and thirteen patients underwent R0 resection and 4 R1 resection due to extensive invasion. Thirty-five patients underwent laparoscopic resection. Forty-eight patients received imatinib mesylate therapy after surgery. A total of 178 patients(82.0%) were followed up for 3 to 74 months. Sixteen patients(9.0%) developed recurrence or metastasis. Logistic regression analysis showed that tumor location (OR=2.547, 95% CI:1.466-4.424) and mitotic count(OR=6.556, 95% CI:2.974-14.449) were independent factors for post-operative recurrence or metastasis. Five patients survived with tumor, and 11 patients(6.2%) died of GIST including intestinal GIST(n=7) and extraintestinal GIST(n=4). Cox regression analysis showed that the mitotic count (RR=2.654, 95% CI:1.094-6.438) and post-operative recurrence or metastasis (RR=32.988, 95% CI:3.879-280.529) were independent prognostic factors.

CONCLUSIONSTumor location and mitotic count are independent risk factors for post-operative recurrence or metastasis in GIST. Mitotic count and post-operative recurrence or metastasis are independent indicators of poor prognosis. Surgical radical resection combined with targeted therapy can achieve satisfactory outcomes in patients with GIST.

Adult ; Aged ; Female ; Follow-Up Studies ; Gastrointestinal Stromal Tumors ; diagnosis ; surgery ; Humans ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Young Adult

Objective The paper aimed to discuss the influence of case teaching of forensic pathology based on network platform on the critical thinking ability of forensic students.Methods Students majoring in forensic were randomly divided into the experimental group and the control group with 20 students per group. According to heterogeneity classification, the experimental group was divided into 4 subgroups. The subgroups participated in network cases learning whereas the control group received traditional case teaching. Participants were required to fill in California Critical Thinking Disposition Inventory-Chinese Version (CCTDI-CV) before and after learning. CCTDI-CV scores, the scores of final exam and the number of students who had improved in CCTDI-CV scores were compared between the two groups. Results For the experimental group, the total score of CCTDI-CVand the scores of items including looking for the truth, systematized ability, self-confidence, thirst for knowledge were significantly improved after learning. The performance of the experimental group was better than that of the control group at the end of teaching (P＜0.05) . The scores of final exam were higher in the experimental group compared to the control group (P＜0.05) .Conclusion Forensic pathology cases teaching based on network platform is an effective way to stimulate students'critical thinking ability and to improve the study ability.

Objective·To explore the difference between multi-artery-graft off-pump coronary artery bypass grafting (OPCABG) and single-artery-graft OPCABG on left main coronary artery or multivessel disease with propensity score matching. Methods·A total of 1578 patients with left main coronary artery or multivessel disease underwent isolated OPCABG were selected in Ruijin Hospital from January 2012 to September 2016. The propensity score methodology was used to obtain risk-adjusted outcome. Kaplan-Meier analysis was applied for estimation of freedom from major adverse cardiac and cerebrovascular events (MACCE) and readmission for heart disease. Independent predictor of MACCE were assessed by Cox regression analysis. Results·The average follow-up time was 28 months (7-55 months). There was no statistical difference in short-term clinical endpoints in hospital. In the follow-up results, multi-artery-graft OPCABG patients had statistical improvement in readmission for heart disease (2.7％ vs 12.7％, P=0.023), CCS class (1.2±0.4 vs 1.4±0.6, P=0.020) and patency rate of grafts in 1 year after operation (95.8％ vs 85.9％, P=0.025), compared with single-artery-graft OPCABG. There was no statistical difference in other endpoints. There was statistical improvement for multi-artery-graft OPCABG patients in freedom from readmission for heart disease (P=0.028). Female was an independent predictor of MACCE (95％ CI 0.117-0.906, P=0.032). Conclusion·Multi-artery-graft OPCABG appears to be safe and with good patency of grafts and clinical outcomes in treating left main coronary artery or multivessel disease. The follow up of female patients should be paid more attention.

Objective:Expression of Ki-67 and p53 in triple-negative breast cancer(TBNC) and its clinical value.Methods:We selected 107 patients with breast cancer from February 2008 to December 2015 were selected as the study subjects,the expression of ER,PR and c-erbB-2 was negative in TNBC group (n=67),and one of them was NTNBC (n=40).To compare the positive rates of Ki-67 and P53 expression in TBNC and NTBNC groups.To analyze the relationship between the positive rate of Ki-67 and P53 expression in TBNC group and clinicopathological features.To analyze the correlation between Ki-67 and P53 expression in TBNC group.Results:The positive rate of Ki-67 expression in TNBC group(71.64％) was higher than that in NTNBC group(27.50％).The positive rate of P53 expression in TNBC group (65.67％) was higher than that in NTNBC group(32.50％),The difference was statistically significant (P＜0.05);The positive rate of Ki-67 and P53 expression in TNM stage Ⅲ +Ⅳ patients was higher than that in patients without lymph node metastasis and stage Ⅰ + Ⅱ,the difference was statistically significant (P＜0.05).The expression of Ki-67 was positively correlated with P53 expression by Spearman rank correlation analysis(rs=0.312,P=0.010).Conclusions:The expression of Ki-67 and P53 in TBNC patients was higher than that in NTNBC patients,and correlated with lymph node metastasis and TNM staging,which could be used as a clinical index to evaluate the occurrence and development of subtype breast cancer.