Objective To evaluate the role of PI3K-Akt-HIF-1α signaling pathway in dexmedetomidine-induced reduction of damage to the unventilated lung during one-lung ventilation (OLV) in rats.Methods Forty adult male Sprague-Dawley rats,weighing 250-350 g,were randomly divided into 4 groups (n=10 each) using a random number table:two-lung ventilation TLV) group,OLV + normal saline group (group OLV),OLV + dexmedetomidine group (group D),and OLV + dexmedetomidine +LY294002 group (group DL).Bilateral lungs were ventilated for 2.5 h in group TLV,and the right lung was ventilated for 2 h followed by 0.5 h TLV in the other groups.The rats were sacrificed,the left lung was removed for determination of wet to dry lung weight ratio (W/D ratio),and expression of phosphorylated Akt (p-Akt) and hypoxia-inducible factor-1 alpha (HIF-1α) (by Western blot).Results Compared with group TLV,W/D ratio was significantly increased,the expression of p-Akt was down-regulated,and the expression of HIF-1α was up-regulated in the other three groups (P＜0.05).Compared with group OLV,W/D ratio was significantly decreased,and the expression of p-Akt and HIF-lα was up-regulated in D and DL groups (P＜0.05).Compared with group DL,W/D ratio was significantly decreased,and the expression of p-Akt and HIF-1α was up-regulated in group D (P＜0.05).Conclusion PI3K-Akt-HIF-1α signaling pathway is involved in dexmedetomidine-induced reduction of damage to the unventilated lung during OLV in rats.

The deposition of amyloid β-protein (Aβ is the key pathological basis of cerebral amyloid angiopathy (CAA) and Alzheimer's disease (AD). The current studies emphasis that the stability of internal environment between cells of the neurovascular unit is the key to maintain normal brain function. This article reviews the relationship between the Aβand the neurovascular unit injury, and we expect to provide some new ideas for the clinical prevention and treatment of CAA and AD.

There are many therapeutic drugs for rheumatoid arthritis(RA) treatment,but the pathogenesis of RA have not been fully understood,therefore no curable drug has been found.With increasing knowledge of the inflammatory process,especially in signaling,some drugs modifying disease progress and interfering signaling pathways have been studied.Cytokine inhibitors such as tumor necrosis factor-blocking agents and IL-1 receptor antagonist in clinical trials and in practice have resulted in dramatic improvement in RA disease control.Important molecular mechanisms of actions on total glucosides of paeony(TGP) and Glucosides of Chaenomeles speciosa(GCS) were showed to modulate G protein-AC-cAMP and Ras-MAPKs signaling pathways and to inhibit synoviacytes proliferation.This review focuses on agents which target various cytokines,other inflammatory mediators,antigen of cells,and signaling pathways.

DICOM standard is a compulsory international standard for the establishment of Integrated Hospital Information System (IHIS) and Picture Archiving and Communication System (PACS). This paper introduces such information of DICOM3.0 as its generation, components, operational mechanism and application. To understand DICOM standard exactly is helpful for the efficient operation of PACS.

Asia ; epidemiology ; Humans ; Non-alcoholic Fatty Liver Disease ; epidemiology ; Prevalence

Objective To investigate the application of multi-slices spiral CT in the diagnosis of cerebrospinal fluid rhinorrhea. Methods 40 cases with cerebrospinal fluid rhinorrhea were examined with multi-slices spiral CT, and their coronal reconstruction images were analyzed. Results Single skull bone defect was found in 30 cases. The leakage positions were showed and consistent with the position of the skull defect in 28 cases. Multiple skull bone defects were found in 10 cases which showed more than 2 leaks. Leakage position was not showed in 2 cases, but the paranasal sinus cavity with high density fluid might suggest leakage location. The leakage positions were located in ethmoid sinus (28 cases), posterior wall of frontal sinus (9 cases), superior wall of sphenoid sinus (3 cases). Conclusion Multi-slices spiral CT is an effective examination to determine location of cerebrospinal fluid leak.

ObjectiveTo apply the three-dimensional reconstruction technique of multi-slice spiral CT in spine disease.Methods40 cases with spine disease who accepted three-dimensional reconstruction technique of multi-slice spiral CT were reported.ResultsCalcification of posterior longitudinal ligament,narrow of disc space or neural foramen,varied fracture bone sclerosis and spondylolisthesis could be found with this technique.ConclusionThree-dimensional reconstruction technique may be recommended for the diagnosis of spine disease during recovering.

This paper briefly reviewed the history and current development of traditional Chinese medicine(TCM)in the United Kingdom and introduced TCM associations and TCM colleges and universities in detail in this country.This paper provided a reference for comprehensively understanding the current TCM associations.education and researching institutes in the United Kingdom.

Objective:To study the expression and its significance of P27 protein in hcpatocellular carcinomas(HCC).Methods:Expression of P27 protein is investigated by immunohistochemistry technique(SP) in 50 cases of hepatocellular carcinoma who had undergone surgery for HCC,22 cases of their adjacent noncancerous lesions and 9 cases normal liver control specimens.Results:The P27 LI in hepatocellular carcinomas was higher than that in the adjacent noncancerous lesions (P=0.002).Furthermore,the P27LI in adjacent noncancerous lesions was significantly highter than that in normal liver lesions (P=0.007).The expression of P27 was significantly correlated with tumor differentiation,stage,size,portal invasion,and intrahepatic metastasis.The post-operation survival time for patients with P27LI≥50% was longer than those with P27 LI

Objective To summarize the experiences of logistics support in disaster areas stricken by the catastrophic Wenchuan earthquake with the aim to improve the ability to effectively meet various military missions. Methods The experiences of logistics support in disaster areas stricken by the catastrophic Wenchuan earthquake were reviewed and analyzed retrospectively. With the author's knowledge of commanding the health service in rescue work, a proposal was put forward on the organization of military logistics and health support to effectively meet various military missions in the future. Results The disaster areas stricken by the strong Wenchuan earthquake were about 500 thousand km2, in which about 130 thousand km2 areas were heavily stricken, and about 4.3 million casualties needed to be treated. The peculiarities of the rescue support in the disaster areas were as follows: urgency in mission, difficulty in coordination, urgent and rapid changes in tasks, and difficelty in ensuring supply. For the military logistic service, the specific services in disaster areas were: to strictly carry out the commands from high authorities and determination to carry out the rescue work of health support; to unify the commands, and coordinate as a whole to enhance the efficiency of health service command; to carry out rational deployment of medical teams and rapidly organize a combined military and civilian medical support system; to dexterously utilize every single resource of health service, and continuously enhance the efficiency of health service. By means of high efficiency of health service, the fighting capacity of troops in carrying out the task had been withheld and enhanced, ensuring timely treatment of the injured, and no outbreak of epidemic, which used to prevail after a strong earthquake. Conclusions In view of existing problems in medical support in rescuing the casualties in this disaster, such as insufficient preparedness of health service in dealing with catastrophic natural disaster, imperfect organization and coordination system, and backward in equipments and techniques, and the prospects that the necessity of developing military health service to meet the needs of various military tasks in the future, it is suggested that: the capacity to respond to meet sudden accidents should be honed, capacity of coordinated action in carrying out tasks by combined forces should be enhanced; the levels of surgical expertise and medical support should be elevated, and the construction of logistics forces should be strengthened.