Acute Disease ; Adult ; Aged ; Asthma ; chemically induced ; Chlorine ; poisoning ; Humans ; Male

Objectives: To study safety method of control of blood glucose in perioperation patients with malignant gastrointestinal tumor and diabetes. Methods: The twenty eight cases with malignant gastrointestinal tumor and diabetes were analyzed retrospectively. Results: The patients with diabetes were safely controled in blood and urine glucose during perioperetion.There were no significant changes in serum lipids.The excretions of urea nitrogen in urine increased 24 hours after operation.The body weights declined and plasma proteins decreased after operation. Conclusions: The nutritional support is necessary and of feasibility in patients with malignant tumor and diabetes during perioperation.It is a key step to control blood glucose by using insuline.The nutritional support can protect function and structure of oragans.

Adult ; Cell Separation ; methods ; Endothelial Cells ; cytology ; Humans ; Stem Cells ; cytology

In order to investigate the impact of channel estimation error on channel capacity of multiple input multiple output (MIMO) system, a novel method is proposed to explore the channel capacity in correlated Rayleigh fading environment. A system model is constructed based on the channel estimation error at receiver side. Using the properties of Wishart distribution, the lower bound of the channel capacity is derived when the MIMO channel is of full rank. Then a method is proposed to select the optimum set of transmit antennas based on the lower bound of the mean channel capacity. The novel method can be easily implemented with low computational complexity. The simulation results show that the channel capacity of MIMO system is sensitive to channel estimation error, and is maximized when the signal-to-noise ratio increases to a certain point. Proper selection of transmit antennas can increase the channel capacity of MIMO system by about 1 bit/s in a flat fading environment with deficient rank of channel matrix.

Objective To investigate the clinical features of Mekel diverticulitis,and to improve the cognition rate and diagnosis rate of the disease.Methods The clinical data of 7 patients with Mekel diverticulitis misdiagnosed as acute appendicitis were retrospectively analyzed,and the related literature was reviewed.Results 7 cases of Mekel diverticulitis were misdiagnosed as acute appendicitis before surgery,all corrected diagnosis and operation.One case of mild incision infection after surgery,the remaining 6 cases did not appear complications.After treatment were cured after 7-12d discharged.Conclusion Mekel diverticulitis is lack of specific clinical manifestations and effective auxiliary examination method,easily misdiagnosed as acute appendicitis,when the clinical manifestations of appendicitis is not typical,need to further analysis,identification;when the surgery found appendix lesions are not coincide with clinical practice,the distal ileum should be routinely probed to determine the presence of Meckel diverticulitis.

OBJECTIVE:To observe therapeutic efficacy and safety of Milrinone injection in the treatment of hypertensive heart disease complicated with heart failure. METHODS:A total of 120 patients with hypertensive heart disease complicated with chronic heart failure were randomized into control group and observation group according to random number table,with 60 cases in each group. Control group received routine therapy,including blood pressure controlling,anti-heart failure and other symptomatic treatment;observation group was additionally given Milrinone injection 0.3 mg/kg,continuous pump,qd. A treatment course lasted for 5 d. Both groups received one course of treatment each month for consecutive 6 months. Both groups were followed up for one year. 6 min walking distance(6MWD),BNP,LVEF,CI,LVEDD,heart rate,sitting systolic blood pressure(SiSBP)and sitting diastolic blood pressure(SiDBP),re-hospitalization rate and cardiovascular mortality were observed in 2 groups before treatment, after 3,6 months and 1 year of treatment;therapeutic efficacy of heart function and the incidence of ADR were compared between 2 groups. RESULTS:Before treatment,there was no statistical significance in 6MWD,BNP,LVEF,CI,heart rate,SiSBP and SiDBP between 2 groups;after 3 months,6 months and 1 year of treatment,6MWD,LVEF and CI of 2 groups were increased significantly,while BNP,LVEDD,resting heart rate,SiSBP and SiDBP were decreased significantly;the observation group was significantly better than the control group,with statistical significance(P<0.05). Total response rate of heart function was 90.00%in observation group,which was significantly higher than 63.33% in control group,with statistical significance(P<0.05). After 1 year of follow-up,re-hospitalization rate of observation group was significantly lower than that of control group,with statistical sig-nificance (P<0.05);there was no statistical significance in cardiovascular mortality (P>0.05). There were no statistical signifi-cance in the incidence of ADR between 2 groups (P>0.05). CONCLUSIONS:Milrinone injection shows good efficacy in the treatment of hypertensive heart disease complicated with heart failure,can significantly reduce BNP and re-hospitalization rate as well as improve prognosis with good safety.

Traditional Chinese medicine injections (TCMIs) originated in china, which was fast-acting with high bioavailability. TCMI is applied widely in clinic since it plays an important role for therapy severe and acute disease, such as cardiovascular diseases (CVD), infectious diseases, malignancy, and etc. However, the adverse reactions reported of TCMIs are increasing in recent years. For this, the review summarized systematically the reports and researches of adverse drug reactions (ADRs) of TCMIs according to about 100 literatures in the nearly five years. The ADR of TCMIs mainly includes allergic reaction, respiratory damage, digestive system damage, cardiovascular system damage and urinary system damage, and etc. The main causes are relative with complexity, uncertainty and instability of the drug material. Influence of excipients, pharmaceutical technologies, drug combination and application method was also discussed. There are many methods on adverse reactions of TCMIs, including descriptive studies, analytical epidemiology and experimental studies. This article provided necessary information for reasonable application of TCMIs in clinical practice.
Animals ; Drug-Related Side Effects and Adverse Reactions ; epidemiology ; etiology ; Drugs, Chinese Herbal ; administration & dosage ; adverse effects ; Humans ; Injections ; Medicine, Chinese Traditional

Objective To explore the changes of Bcl-xl levels and activities in hippocampus resulting from sleep deprivation, and then to reveal the mechanism for rapid antidepressant aroused by sleep deprivation.Methods 40 SD rats were randomly divided into normal control group, chrinic stress group, sleep deprivation group and tank contral group.10 rats in each group.The depression animal model was established by chronic mild unpredictable stress(CUMS) methods.Sleep deprivation was preformed by the modified multiple platform method ( MMPM ).The animal model and the effect of antidepressant were evaluated by the open field test.The expression levels of Bcl-xl were separately observed by immunohistochemical technology in hippocampus CA1 ,CA3 and DG.Results 1.Compared with the normal control rats, ambulation ( 35.30 ± 18.77,81.30 ± 18.41, P ＜ 0.01 ) and rearing (20.50 ±4.84,27.70 ± 8.19, P＜0.05 ) increased ,and the stopping time in the center decreased (4.60 ± 1.35,2.20 ± 1.55, P ＜ 0.01 ) in the CUMS depressant animal model.2.The Bcl-xl average values of optical density (OD) in hippocampus CA1 ,CA3 ,DG of the model group was lower than that of the normal control group significantly (0.1356 ±0.0224,0.1389 ±0.0250,0.1457 ±0.0162;0.1725 ±0.0327,0.1734 ±0.0261,0.1768 ±0.0271; P＜0.01 ) ,and that of the sleep deprivation group was higher than that of the model group (0.1621 ± 0.0128,0.1603 ± 0.0137,0.1625 ± 0.0192 ;0.1356 ± 0.0224,0.1389 ± 0.0250,0.1457 ± 0.0162; P ＜ 0.05 ).Conclusion Rats showed depressive behaviors after 21 days stresses,while 72 hours sleep deprivation could reverse this effect.The up regulation of the expression and phosphorylation of Bcl-xl by sleep deprivation may participate in the antidepressant-like effect of sleep deprivation.

BACKGROUND:Active vitamin D3 plays an important role in the development of type 2 diabetes and its complications. OBJECTIVE: To explore the influence of active vitamin D3 on the liver of type 2 diabetes melitus rats, and its mechanisms. METHODS:A total of 35 male Sprague-Dawley rats were randomly divided into normal control group, diabetes group and vitamin D3 group. In the diabetes group and vitamin D3 group, rats received high fat and high sugar diet and intraperitoneal injection of streptozotocin to prepare rat models of diabetes melitus. In the vitamin D3 group, rats were intragastricaly given calcitriol dissolved in peanut oil 0.03 μg/kg per day. In the normal control group and diabetes group, rats were intragastricaly given peanut oil. 8 weeks later, rats were sacrificed and serum was isolated. Fasting blood glucose, fasting insulin, total cholesterol and triacylglycerol levels were measured. Insulin resistance index in the steady-state model was calculated. The liver was retained, and subjected to hematoxylin-eosin staining, immunohistochemical staining, and real-time fluorescent quantitative PCR. RESULTS AND CONCLUSION: (1) Compared with the diabetes group, triacylglycerol and insulin resistance index were lower in the vitamin D3 group (P < 0.05). (2) Compared with the normal control group, sweling of the liver cels and fatty degeneration with inflammatory cel infiltration were found. Protein expression of JNK and C-Jun and phosphorylation levels, mRNA expression of JNK and C-Jun, tumor necrosis factor α and interleukin-1β increased in the diabetes group (P < 0.05). Liver cel sweling and fatty degeneration lessened, inflammatory cel infiltration reduced in the vitamin D3 group. Simultaneously, the expression of above factors was lower in the vitamin D3 group than in the diabetes group (P < 0.05). (3) Results suggested that the protective effect of vitamin D3 on the liver of rats with type 2 diabetes was possibly associated with its effect on downregulating JNK/C-Jun signaling pathway.

Objective To discuss the clinical effect of pulmicort respules inhalation in children with acute infectious laryngitis.Methods We selected acute infectious laryngitis in our hospital from November 2015 to November 2016,106 children were divided into two groups,the control group and the observation group of 53 cases,of which the control group of children with conventional treatment,the observation group to take Pulmicort respules inhalation treatment,the two comparison(P<0.05).The total effective rate of the observation group and the control group were 100％and 90.56％respectively(P<0.05).Results The treatment effect of the observation group and the control group were observed and compared(P<0.05),and the improvement of the observation group after treatment and the time of symptom extinction were significantly better than that of the control group(P<0.05); The clinical symptoms of both groups before and after treatment were improved(P<0.05).Conclusion The treatment of children with acute infectious laryngitis by atomizing inhalation of pulmicort respules can obtain obvious therapeutic effect and reduce the adverse reaction caused by improper use of drugs,(fever,cough,wheezing,etc.)have a good improvement in clinical application worthy of recognition.