Objective To observe the preventive and therapeutic effect of Yangyin Shengxue Mixture (Herbal decoction for nourishing yin and blood) on radiation-induced oral mucosal injury.Methods Sixty nasopharyngeal carcinoma patients were randomized into two groups: treatment group (30 cases) receiving Yangyin Shengxue Mixture three days before till one week after radiotherapy, and control group (30 patients) using conventional Tinidazole Gargle for prevention of oral-mucositis. Before and after treatment, the body weight, hemoglobin and state of infection of patients were examined. The time of occurrence of symptoms, degree of acute radiation mucositis and degree of pain were observed to evaluate the damage of oral mucosa according to RTOG standard for radiation injury of oral mucosa and Numeric Rating Scales (NRS). Results There were different degrees of radiation mucositis in both groups during radiotherapy, but the time of occurrence in the treatment group was significantly later than that of the control group (P

Objective To investigate the therapeutic effects of hepatic resection plus Roux-en-Y choledochojejunostomy in combination with reflux prevention on intrahepatie bile duct stone. Methods The clinical data of 230 patients with intrahepaticbile duet stone surgically treated in our hospital in the past 18 years were retrospectively analyzed. Of the 230 patiets, 110 underwent hepatectomy plus Roux-en-Y choledochojejunostgmy in combination with reflux prevention and the others received other surgeries. The complications of pleural effusions, infection of incisional wound, leakage of bile and retained calculus after operation were studied. Meanwhile, the recurrent rate of stone and long-term effects were determined. Results The occurrinjg rate of pleural effusion, infection of incision wound,leakage of bile was not significantly different among different groups. However, the retained calculus and recurrent rate of stone in the group of patients underwent hepateetomy plus Roux-en-Y choledochojejunostomy in combination with reflux prevention were significantly decreased as compared with other group (P<0.05). So was the effect in long-term (P<0.05). Conclusion Hepatectomy plus Roux-en-Y choledochojejunostomy in combination with reflux prevention could have better effect on patients with intrahepatic bile duct stone.

OBJECTIVE To investigate the nuclear proteomes in mitochondrial DNA (mtDNA)-depleted A549 cells (Rho0 cells) and their parental cells (Rho+ cells),and to learn more about the nuclear responses to mitochondrial dysfunction.METHODS The nuclear proteomes of Rho and Rho + cells were characterized by two dimensional electrophoresis (2-DE) and SELDI-TOF ProteinChip technologies,the differentially expressed protein- spots were identified by MALDI-TOF mass spectrum (MS),the nucleophosmin and P53 expression were detected by Western blotting assay,and the mitochondrial memhrane potential (MMP) was measured by the laser scanning confocal microscope.RESULTS 2-DE results showed 11 protein-spots were down-regulated and 21 protein-spots were up-regulated in Rho0 cell nuclei.SELDI-TOF MS analysis with NP20 ProteinChips revealed 4 protein-peaks decreased in Rho0 cell nuclei.One down-regulated protein-spot was identified as elF-6,and 4 up-regulated proteinspots were identified as nucleophosmin,SFRS1,SFRS3 and hnRNP G,respectively.The increased expression of nucleophosmin in Rho0 cells was verified by Western blotting.Based on the clues from proteomic analysis,P53 expression in Rho0 cells was higher than in Rho + cells,and MMP was consistent in Rho + and Rho0 cells.CONCLUSION mtDNA-depletion induces nuclear proteome alteration.Rho0 cells can be used as a model to study the crosstalk between mitochondrion and nucleus.

Prostate cancer in patients with dwarfism is rarely reported. One case was reported in this article. The patient was admitted to the hospital due to the PSA elevation for more than 4 years. Due to the dwarf disease, the patient could not accommodate the transrectal ultrasound probe, and was highly suspected of prostate cancer.The prostate needle biopsy was not performed. Combined with the medical history, PSA level, preoperative MRI and PSMA-PET/CT examination, the patient was clinically diagnosed with localized prostate cancer, and radical surgical treatment was performed.

Six groups of soft liner/base resin were made into standard test samples of 60.0 mm x 25.0 mm x 3.0 mm, with different soft lining materials/base resin ratios of 0: 3.0, 0.5: 2.5, 1.0: 2.0, 1.5: 1.5, 2.0: 1.0, 2.5: 0.5. The yield strength and resilience of each group were tested by universal testing machine. We found that when the thickness of soft liner increased, the yield strength of samples was reducing, whereas the resilience was enhancing. The change of yield strength and resilience became stabilized between the ratio of 1.5: 1.5 to 2.03: 1.0. We concluded that, under this testing condition, the thickness of soft liner should not exceed 2.0 mm, and we suggested that the ratio of soft liner/base resin should be controlled within the scope of 1/1 to 2/1 according to the whole base thickness.
Acrylic Resins ; chemistry ; Dental Bonding ; Denture Bases ; Denture Liners ; Dentures ; Humans ; Materials Testing ; Stress, Mechanical ; Surface Properties ; Tensile Strength

We tried to find the effects of the application of the antibacterial solution containing silver ions on the surface of the denture soft lining material. We selected the right concentration of the silver-containing solution and coated a soft lining material with the solution so that the soft lining material could be antibacterial. The antibacterial solution containing silver ions was prepared by sol-gel method. MIC of C. a and S. a were tested by broth dilution test. The surface property and thickness were tested after coated. The in vitro antibacterial ratio against C. a and S. a were demonstrated by the method of plate-counting. A film was formed after coating, while the adequacy was not changed. Antibacterial ratio of 0.64 mg/ml group against C. a was 90.82%, and that against S. a was 94.96% in 24 hours, respectively. It was found that the antibacterial property of the soft lining material can be acquired by coating this antibacterial solution with silver ion, without changing the adequacy.
Anti-Bacterial Agents ; chemistry ; pharmacology ; Candida albicans ; drug effects ; Denture Cleansers ; pharmacology ; Denture Liners ; microbiology ; Membranes, Artificial ; Microbial Sensitivity Tests ; Silver ; pharmacology ; Staphylococcus aureus ; drug effects

AIMTo discuss the merits of "tubes treatment" for esophageal fistula (EF).

METHODSA 66-year-old female who suffered from a bronchoesophageal and esophagothoratic fistula underwent a successful "three tubes treatment" (close chest drainage, negative pressure suction at the leak, and nasojejunal feeding tube), combination of antibiotics, antacid drugs and nutritional support. Another 55-year-old male patient developed an esophagopleural fistula (EPF) after esophageal carcinoma operation. He too was treated conservatively with the three tubes strategy as mentioned above towards a favorable outcome.

RESULTSThe two patients recovered with the tubes treatment, felt well and became able to eat and drink, presenting no complaint.

CONCLUSIONTubes treatment is an effective basic way for EF. It may be an alternative treatment option.

Aged ; Chest Tubes ; Combined Modality Therapy ; Drainage ; instrumentation ; methods ; Enteral Nutrition ; methods ; Esophageal Fistula ; Female ; Humans ; Intubation, Intratracheal ; methods ; Male ; Middle Aged ; Suction ; instrumentation ; methods ; Treatment Outcome

Objective To develop a staged laparoscopic training program for performing the ana-tomic retroperitoneoscopic adrenalectomy(ARA), and to determine its safety and feasibility. Me-thods Five young urological doctors without previous experience in open adrenalectomy were selected third period, trainees acted as camera holder first, then performed simple operations such as laparo-scopic renal cyst unroofing. Finally, they performed 30 ARA independently under the mentor's super-vision. Pheochromocytoma was ruled out for its large tumor size and potential cardiovascular risk. The patient selection criteria were the same as those of the initial 30 cases performed by the tutor. Preope-rative data of the initial 30 ARA performed by each trainee and tutor which included gender, age, body mass index, tumor size, tumor location and pathological diagnosis of tumor were compared between trainees and the tutor. The intraoperative and postoperative data of 150 ARA in the trainees were compared with the initial 30 ARA of the tutor. These included mean operative time, estimated blood loss, length of hospital stay, conversion rate, complication rate. Qualitative and quantitative data were compared between the groups using x2 and t test statistics methods by SPSS 12.0 for Windows, except operative time, which was from a nonnormal distribution. A P value less than 0.05 was consi-dered to be statistically significant. Results Preoperative data of the initial 30 ARA performed by each trainee were marched to those of the mentor (all P>0.05). All ARA were completed successful-ly. No procedure converted to open surgery. The median operative time of the trainees was 82 min (range 59-133 min), which was less than that of the tutor [132 min (range 73-230 min), P< 0.01]. And the trainees' learning curve was flatter than their tutor's. Estimated blood loss and length of hospital stay for the 5 trainees and the tutor were 62.2±22.0 ml, 4.8±1.3 d and 63.9±21.1 ml, 4.5±1.4 d respectively. There was no significant difference between these results (both P>0.05). No major complication was observed. Though the total perioperative complication rates were no diffe-rence between the trainees and their tutor (8.0% versus 13.3%, P>0.05), intraoperative minor complication rates of the trainees (1.3%) was less than that of the tutor (10.0%, P<0.05). Con-clusion The staged laparoscopic training is safe and feasible for young urological doctor to study in performing ARA.

OBJECTIVE: To observe the changes and significance of plasma CD40L and pregnancy-associated plasma protein-A (PAPP-A) in acute coronary syndrome (ACS) patients after percutaneous coronary intervention (PCI) operation. METHODS: According to the occurrence of primary heart events or restenosis 6 months after the PCI, 68 patients were divided into the ACS group and the stable angina pectoris (SAP) group. Plasma CD40L and PAPP-A after the PCI operation were measured and compared. Thirty-six patients underwent repeated angiography after the PCI. Their baseline and follow up angiograms were compared by quantitative coronary angiography to assess the incidence of restenosis. RESULTS: CD40L and PAPP-A after the PCI operation were higher in the ACS group than that in the SAP group.The group having primary heart events within 6 months had higher level of PAPP-A after the PCI. The group having restenosis 6 months had higher level of PAPP-A after the PCI. The change of later loss index of coronary artery lumen diameter was correlated with PAPP-A level after the PCI. CONCLUSION CD40L and PAPP-A were higher in the ACS group, indicating the possible mechanism by which CD40L facilitates the plaque rupture via up-regulating the PAPP-A expression.Plasma PAPP-A level after the PCI possibly for cases the occurrence of primary heart events or restenosis within 6 months.
Acute Coronary Syndrome ; blood ; therapy ; Adult ; Aged ; Aged, 80 and over ; Angina, Stable ; blood ; CD40 Ligand ; blood ; Female ; Humans ; Male ; Middle Aged ; Percutaneous Coronary Intervention ; Postoperative Period ; Pregnancy-Associated Plasma Protein-A ; metabolism

Objective To investigate the effects of dl-3-n-butylphthalide(NBP) on the expression of Caspase-3 and Caspase-9 in the rat brain tissue after acute severe carbon monoxide poisoning.Methods Male Sprague-Dawley rats were randomly divided into three groups:normal group,model group and experimental group.The acute severe carbon monoxide poisoning model was made by the literature.Rats in experimental group were given 80 mg · kg-1 NBP,and rats in normal group and model group were given same volume of saline by gavage one time a day for seven days.Immunohistochemistry were used to observe the positive cells changes of Caspase-3 and Caspase-9 after CO poisoning among the three groups.RT-PCR and Western blotting were used to detect the expression levels of Caspase-3 and Caspase-9's mRNA and protein.Results In normal group,the expression of Caspase-3 and Caspase-9 positive cells were 4.98-± 1.34,8.65 ± 1.89,Caspase-3 and Caspase-9 of mRNA were 0.19 ± 0.02,0.18 ± 0.03,Caspase-3 and Caspase-9 of proteins were 0.09-± 0.01,0.08 ± 0.0i.In model group,Caspase-3 and Caspase-9 positive cells were 29.43 ± 4.53,40.45 ± 5.23,Caspase-3 and Caspase-9 of mRNA were 0.47 ±0.05,0.75 ± 0.05,Caspase-3 and Caspase-9 of proteins were 0.78 ± 0.05,0.86 ± 0.07.Compared with normal group,the expressions of Caspase-3 and Caspase-9 were increased significantly in the model group (P ＜ 0.05).In experimental group,Caspase-3 and Caspase-9 positive cells were 22.26 ± 3.12,25.09 ±4.25,Caspase-3 and Caspase-9 of mRNA were 0.35 ±0.05,0.41 ±0.05,Caspase-3 and Caspase-9 of proteins were 0.37 ± 0.02,0.45 ± 0.02.Compared with model group,the Caspase-3 and Caspase-9 expressions were dowm regulated in rats of experimental group (P ＜ 0.05).Conclusion NBP seemed to play an important role in alleviation of brain damage via decreasing the expression of Caspase-3 and Caspase-9 and inhibiting the apotosis of cells.