Objective To explore the clinical significance and the dynamic changes of serum anti-inflam-mation factor interleukin-10(IL-10)and inflammatory factor interleukin-8(IL-8)in cerebral infarction.Methods The serum levels of IL-10 and IL-8 in 30 patients were measured by double-antibody sandwich enzyme-linked inunu-nosorbent assay(ELISA)on days 1.3,7 and 14 respectively after infarction.Results The serum levels of IL-10 and IL-8 were higher in patients than those in control group on days 1,3 and 7(P<0.05).Conclusion IL-10 and IL-8 are involved in the pathophysiology of acute cerebral infarction.

The electrocatalytic oxidation of glutathione (reduced form GSH) at 10-methylphenothiazine (MPT) modified carbon paste electrode (MPT/CPE) was investigated by cyclic voltammetry (CV). Although GSH itself showed a very poor electrochemical response at carbon paste electrode (CPE), the response could be greatly enhanced by using MPT/CPE, which enables a sensitive electrochemical determination of the substrate GSH. The reaction rate constant for catalytic oxidation was evaluated as (5.44 +/- 0.03) x 10(2) (mol L(-1))(-1) s(-1) by using chronoamperometry (CA). The catalytic oxidation peak current of GSH versus its concentration had a good linear relationship in the concentration range of 5.0 x 10(-6) - 2.0 x 10(-3) mol L(-1) with the correlation coefficient of 0.9990, and the detection limit of 1.0 x 10(-6) mol L(-1) by linear sweep voltammetry (LSV). The method can be applied for the determination of GSH in injection samples with the satisfactory results.
Carbon ; chemistry ; Catalysis ; Electrochemistry ; Electrodes ; Glutathione ; chemistry ; metabolism ; Oxidation-Reduction ; Phenothiazines ; chemistry

Objective To evaluate the diagnostic and therapeutic effects of endoscopic retrograde cholangiopancreatography (ERCP) in biliary papillomatosis. Methods Data of 6 patients, who underwent ERCP and diagnosed as biliary papillomatosis from 2000 to 2008, were retrospectively analyzed. Results There were 3 males and 3 females, with the mean age of onset at 72.8 years (range 52-83 years). Recurrent cholangitis and jaundice were common presentations in all patients, with 5 patients having right upper abdominal pain and 3 others exhiting fever and algor. History of partial hepatectomy was observed in 2 patients. Endoscopic findings included dilated papillary orifice with mucin discharge in 5 patients and papillary-occupying lesion in 1 patient. Multiple filling defects in the lumen of the biliary system in dilated common bile duct were detected in all patients, accompanied with extra-hepatic ducts dilatation in 3, right intra-hepatic duct dilatation in 1, and major pancreatic duct dilation in 1. Of 6 patients, 5 underwent multiple ERCP, inclucling stents and endoscopic nasobiliary drainage (ENBD), and have survived for 10-30 months. Another 83-year-old patient underwent palliative endoscopic treatment with balloons, baskets and ENBD, but died of cholangitis 10 days after the procedure. Conclusion This case series reports the typical endoscopic findings of biliary papiliomatosis. For inoperable or postoperative recurrent patients, endoscopic palliative treatment is a safe, convenient and effective procedure.

Electrochemical behaviors, electrochemical kinetics and electrochemical determination of sulfamethoxazole (SMZ) at both glassy carbon electrode (GCE) and multi-wall carbon nanotubes-Nafion modified glassy carbon electrode (MWCNTs-Nafion/GCE) were investigated by cyclic voltammetry (CV), chronocoulometry (CC), chronoamperometry (CA), linear scan voltammetry (LSV) and amperometric i-t curve. The experimental results showed that the electrochemical oxidation of SMZ was sluggish on GCE, but the oxidation peak current of SMZ increased significantly at MWCNTs-Nafion/GCE in comparison with that at the bare GCE, which indicated that MWCNTs-Nafion/GCE could catalyze the electrochemical oxidation of SMZ very well. The plot of oxidation peak currents versus the square roots of the scanning rates for the redox in the potential range of 10-1,000 mV x s(-1) showed a straight line, as expected for a diffusion-limited electrochemical process for SMZ electrochemical oxidation. At the bare GCE and MWCNTs-Nafion/GCE the oxidation peak current was linearly proportional to the concentration of SMZ over the concentration range 5.0 x 10(-5)-2.5 x 10(-3) mol x L(-1) and 1.0 x 10(-5)-6.0 x 10(-3) mol x L(-1). The detection limits were 1.0 x 10(-5) and 5.0 x 10(-7) mol x L(-1). The relative standard deviation was between 0.85% -1.98% and the recovery was in the range of 98%-101.2%. This MWCNTs-Nafion/GCE could be applied in SMZ electrochemical determination with satisfied results. The proposed method can be applied to the determination of SMZ in tablet samples with satisfied results.
Catalysis ; Electrochemistry ; methods ; Electrodes ; Fluorocarbon Polymers ; chemistry ; Kinetics ; Nanotubes, Carbon ; Oxidation-Reduction ; Sulfamethoxazole ; analysis ; chemistry

OBJECTIVETo investigate the kinetic processes of direct electrooxidation for both matrine and sophoridine in a physiological medium.

METHODTheir direct electrooxidative behaviors and the parameters of electrochemical kinetics were obtained by cyclic voltammetry (CV), bulk electrolysis with coulometry, chronocoulometry (CC), chronoamperometry (CA).

RESULT AND CONCLUSIONThe electrochemical experimental results show that the two totally irreversible oxidation peaks in the region of 0.3-1.2 V vs SCE for both MT and SR were observed, and the electrode reactions processes were diffusion-controlled. Their electron transfer number n and electron transfer coefficient alpha were obtained by CV and electrolysis with coulometry. The diffusion coefficient D and rate constant kf were also calculated by CC and CA.

Alkaloids ; chemistry ; isolation & purification ; Electrochemistry ; methods ; Electrodes ; Kinetics ; Oxidation-Reduction ; Plants, Medicinal ; chemistry ; Quinolizines ; chemistry ; isolation & purification ; Sophora ; chemistry

Sodium dodecyl benzenesulfonate (SDBS) self-assembled monolayers in situ modified electrode (SDBS/CPE) was prepared. The electrochemical behaviors of dopamine (DA) on SDBS/CPE were studied. Electrochemical behaviors and kinetic parameters of DA were investigated at SDBS/CPE by cyclic voltammetry (CV), chronoamperometry (CA) and chronocoulometry (CC). The changes of the oxidation peak currents with concentration of DA were examined by square wave voltametry (SWV). The difference of peak potential at CPB/CPE was less than 149 mV comparing with that at CPE. The charge transfer coefficient alpha, diffusion coefficient D and the apparent reaction rate constant k(f) are 0.61, 3.6 x 10(-5) cm2 x s(-1) and 4.2 x 10(-3) cm x s(-1), respectively. The oxidation peak currents of DA versus its concentration have a good linear relationship in the concentration range of 2.0 x 10(-6)-1.0 x 10(-3) mol x L(-1) with the correlation coefficient of 0.9979 and the detection limit of 9.0 x 10(-7) mol x L(-1) by square wave voltammetry (SWV) response. The modified electrode showed an excellent electrocatalytic activity for the DA electrochemical oxidation. The method can be applied in the determination of DA in injection samples with the satisfactory results.
Benzenesulfonates ; chemistry ; Catalysis ; Dopamine ; analysis ; chemistry ; Electrochemistry ; methods ; Electrodes ; Oxidation-Reduction

OBJECTIVETo investigate the direct electrochemical behaviors of matrine (MT), oxymatrine (OMT), sophoridine (SR) and oxysophoridine (OSR) at a glassy carbon electrode in a physiological medium, and to determine the contents of commercial MT and SR pharmaceutical products were determined.

METHODTheir electrochemical behaviors and contents in 0.15 mol x L(-1) NaCl aqueous solutions were obtained by cyclic voltammetry (CV) and square wave voltammetry (SWV) methods.

RESULTThe electrochemical experimental results show that the two totally irreversible oxidation peaks for both MT and SR were observed, which potential values are 0.81 V and 0.92 V, and the electrode reaction processes were diffusion-controlled. But for both OMT and OSR, they have no oxidation peaks observed in the same condition as well. The linear range of the concentration of MT and SR and the contents in their products were obtained by SWV.

CONCLUSIONThe research results can be applied in determination of the contents of commercial MT and SR pharmaceutical products.

Alkaloids ; analysis ; chemistry ; Carbon ; Electrochemistry ; methods ; Electrodes ; Oxidation-Reduction ; Plants, Medicinal ; chemistry ; Quinolizines ; analysis ; chemistry ; Reproducibility of Results ; Sophora ; chemistry

BACKGROUNDBispectral index (BIS) is considered very useful to guide anesthesia care in elderly patients, but its use is controversial for the evaluation of the adequacy of analgesia. This study compared the BIS changes in response to loss of consciousness (LOC) and loss of somatic response (LOS) to nociceptive stimuli between elderly and young patients receiving intravenous target-controlled infusion (TCI) of propofol and remifentanil.

METHODSThis study was performed on 52 elderly patients (aged 65-78 years) and 52 young patients (aged 25-58 years), American Society of Anesthesiologists physical status I or II. Anesthesia was induced with propofol administered by TCI. A standardized noxious electrical stimulus (transcutaneous electrical nerve stimulation, [TENS]) was applied (50 Hz, 80 mA, 0.25 ms pulses for 4 s) to the ulnar nerve at increasing remifentanil predicted effective-site concentration (Ce) until patients lost somatic response to TENS. Changes in awake, prestimulus, poststimulus BIS, heart rate, mean arterial pressure, pulse oxygen saturation, predicted plasma concentration, Ce of propofol, and remifentanil at both LOC and LOS clinical points were investigated.

RESULTSBISLOCin elderly group was higher than that in young patient group (65.4 ± 9.7 vs. 57.6 ± 12.3) (t = 21.58, P < 0.0001) after TCI propofol, and the propofol Ce at LOC was 1.6 ± 0.3 μg/ml in elderly patients, which was significantly lower than that in young patients (2.3 ± 0.5 μg/ml) (t = 7.474, P < 0.0001). As nociceptive stimulation induced BIS to increase, the mean of BIS maximum values after TENS was significantly higher than that before TENS in both age groups (t = 8.902 and t = 8.019, P < 0.0001). With increasing Ce of remifentanil until patients lost somatic response to TENS, BISLOSwas the same as the BISLOCin elderly patients (65.6 ± 10.7 vs. 65.4 ± 9.7), and there were no marked differences between elderly and young patient groups in BISawake, BISLOS, and Ce of remifentanil required for LOS.

CONCLUSIONIn elderly patients, BIS can be used as an indicator for hypnotic-analgesic balance and be helpful to guide the optimal administration of propofol and remifentanil individually.

TRIAL REGISTRATIONCTRI Reg. No: ChiCTR-OOC-14005629; http://www.chictr.org.cn/showproj.aspx?proj=9875.

Adult ; Aged ; Electroencephalography ; drug effects ; Female ; Humans ; Male ; Middle Aged ; Movement Disorders ; physiopathology ; Pain ; physiopathology ; Piperidines ; pharmacology ; Propofol ; pharmacology ; Transcutaneous Electric Nerve Stimulation ; Unconsciousness ; physiopathology

BACKGROUND: In the preliminary study, extracorporeal circulation system simulated physiological environment has been applied in limb preservation, significantly prolonging the severed limb preserving time. OBJECTIVE: To study the effect of enhancement-perfusion by extracorporeal circulation system on the blood supply of ischemic lower limbs. METHODS: Eighteen adult Bama mini pigs were equally randomized into three groups: group A (no intervention), groups B and C (establishing the ischemic model by arteria cruralis ligation at the right posterior lower limb). At 4 weeks after modeling, the model pigs in the group C received enhancement-perfusion therapy 1 hour per day. One week later, the situations of angiography were detected by digital radiography. The tibialis anterior separated from each pig was used to test the microvessel density by hematoxylin-eosin staining. The expression levels of vascular endothelial growth factor in the skeletal muscle and serum samples were monitored by western blot and ELISA, respectively. RESULTS AND CONCLUSION: Both diameter and distal collateral circulation of the arteria cruralis in the group C were much better than those in the group B. The microvessel density in the group C was significantly higher than that in the group B (P < 0.05), but the insignificant difference between groups A and C was found (P > 0.05). Both histionic and serum levels of vascular endothelial growth factor were significantly increased in the groups B and C compared with the group A, especially in the group C (P < 0.05). In summary, the enhancement-perfusion therapy by extracorporeal circulation system can considerably ameliorate blood supply of lower limbs, providing a promising method for treatment of ischemic lower limbs.