Objective:To investigate the effect of long non-coding RNA (lncRNA) H19 regulating miRNA-675 (miR-675) and phosphatase and tensin homologue-deleted chromosome ten gene (PTEN) on the cell proliferation of glioma.Methods:Glioma cell lines U87-MG and U251 were chosen. The siRNA online design tool wad used to design small interfering RNA (siRNA) targeting H19. U87-MG and U251 cell lines with the stable knockdown of H19 were constructed (the stable knockdown of H19 group), and the cells randomly transfected with siRNA plasmid were taken as the control group, and normal cultured cells were treated as the blank group. Additionally, miR-675 and control microRNA were transfected into U87-MG and U251 with the stable knockdown of H19 (the overexpressing miR-675 group and the corresponding control group). Quantitative real-time polymerase chain reaction (qRT-PCR) was used to detect the relative expression levels of miR-675 and H19 in each group; the methyl thiazolyl tetrazolium (MTT) assay was used to detect the cell proliferation ability; the dual luciferase reporter gene assay was used to verify the targeting relationship between miR-675 and PTEN; Western blot was used to detect the relative expression level of PTEN protein.Results:The MTT assay results showed that the proliferation ability of U87-MG and U251 cells in the stable knockdown of H19 group was lower than that of the corresponding control group; and the differences in cell proliferation ability of all the groups after 48 h of culture were statistically significant (all P < 0.05). qRT-PCR detection results showed that the relative expression level of miR-675 in U251 cells in the stable knockdown of H19 group and the corresponding control group was 0.329±0.009 and 1.043±0.087, respectively, and the difference was statistically significant ( t = 14.15, P < 0.001); the relative expression level of miR-675 in U87-MG cells in the stable knockdown of H19 group and the corresponding control group was 0.299±0.009 and 1.027±0.106, respectively, and the difference was statistically significant ( t = 11.85, P < 0.001); the relative expression level of miR-675 in U87-MG and U251 cells in the stable knockdown of H19 group was lower than that of the corresponding control group. The dual luciferase reporter gene assay verified that miR-675 could bind to the 3'-UTR of PTEN. Western blot detection results showed that the relative expression level of PTEN protein in U87-MG and U251 cells in the stable knockdown of H19 group was higher than that of the corresponding control group and the blank group; in the U87-MG and U251 cells in the stable knockdown of H19 group, the relative expression level of PTEN in the overexpressing miR-675 group was lower than that of the corresponding blank group and the control group. In the U87-MG and U251 cells in the stable knockdown of H19 group, the cell proliferation ability of the overexpressing miR-675 group was higher than that of the corresponding blank group and the control group; the differences in cell proliferation ability of all the groups after 48 h of culture were statistically significant (all P < 0.05). Conclusions:lncRNA H19 may regulate the cell proliferation of glioma cells through the miR-675-PTEN signaling pathway.

Objective To investigate the efficacy of hyperbaric oxygen ( HBO ) combined with ganglioside on diffuse axonal injury and effects on serum-related indicators and prognosis. Methods Eighty-two patients with diffuse axonal injury admitted into our department were equally divided into 2 groups ( n=41 ) , according to different treatment methods. The control group was given such symptomatic supportive treatment as hormone, hemostasis, reduction of intracranial pressure via dehydration, nerve nutrition, maintenance of electrolyte balance, fluid infusion and routine nursing care. The study group was treated with HBO therapy combined with ganglioside in addition to the treatment received by the control group. The rate of consciousness and mean conscious recovery time, serum-related indicators, cognitive function and prognosis after treatment were compared between the patients of the 2 groups. Results After treatment, the rate of consciousness (80. 5％) and mean conscious recovery time of the study group ( 9. 3 ± 1. 4days ) were all superior to (56. 1％)and (16. 1 ± 3. 3 days) of the control group (χ2 =5. 632, t=6. 349, P<0. 05). After treatment, the levels of neuron-specific enolase (NSE) (11. 1 ± 2. 3 μg/L), S100 calcium binding protein B (S100B) (1. 1 ± 0. 1 ng/L) and myelin basic protein (MBP) (6. 6 ± 1. 2μg/L) were all significantly better than (16. 7 ±3.1)μg/L,(1.6±0.2)ng/L and(8.5 ±1.0)μg/L of the control group (t1 =4.684, t2 =5.219, t3 =4. 352, P<0. 05). Following treatment, the MMSE scores (28. 3 ± 5. 3) and ADL scores (25. 1 ± 1. 1) of the study group were significantly better than the MMSE scores (25. 2 ± 4. 1) and ADL scores (33. 6 ± 1. 5) of the control group (t1 =4. 429, t2 =5. 642, P<0. 05). Six months after treatment, the prognosis rate of the study group (73. 2％) was significantly higher than that of the control group (41. 5％) (χ2 =8. 424, P<0. 05). Conclusion HBO combined with ganglioside could produce better therapeutic effects in the treatment of diffuse axonal injury. In the meantime, it could avoid deterioration of secondary brain injury to the largest extent and promote recovery of nerve function, and ultimately improve the prognosis of patients. For this reason, it is worth further clinical application.

Objective To investigate the efficacy of hyperbaric oxygen ( HBO ) combined with ganglioside on diffuse axonal injury and effects on serum-related indicators and prognosis. Methods Eighty-two patients with diffuse axonal injury admitted into our department were equally divided into 2 groups ( n=41 ) , according to different treatment methods. The control group was given such symptomatic supportive treatment as hormone, hemostasis, reduction of intracranial pressure via dehydration, nerve nutrition, maintenance of electrolyte balance, fluid infusion and routine nursing care. The study group was treated with HBO therapy combined with ganglioside in addition to the treatment received by the control group. The rate of consciousness and mean conscious recovery time, serum-related indicators, cognitive function and prognosis after treatment were compared between the patients of the 2 groups. Results After treatment, the rate of consciousness (80. 5％) and mean conscious recovery time of the study group ( 9. 3 ± 1. 4days ) were all superior to (56. 1％)and (16. 1 ± 3. 3 days) of the control group (χ2 =5. 632, t=6. 349, P<0. 05). After treatment, the levels of neuron-specific enolase (NSE) (11. 1 ± 2. 3 μg/L), S100 calcium binding protein B (S100B) (1. 1 ± 0. 1 ng/L) and myelin basic protein (MBP) (6. 6 ± 1. 2μg/L) were all significantly better than (16. 7 ±3.1)μg/L,(1.6±0.2)ng/L and(8.5 ±1.0)μg/L of the control group (t1 =4.684, t2 =5.219, t3 =4. 352, P<0. 05). Following treatment, the MMSE scores (28. 3 ± 5. 3) and ADL scores (25. 1 ± 1. 1) of the study group were significantly better than the MMSE scores (25. 2 ± 4. 1) and ADL scores (33. 6 ± 1. 5) of the control group (t1 =4. 429, t2 =5. 642, P<0. 05). Six months after treatment, the prognosis rate of the study group (73. 2％) was significantly higher than that of the control group (41. 5％) (χ2 =8. 424, P<0. 05). Conclusion HBO combined with ganglioside could produce better therapeutic effects in the treatment of diffuse axonal injury. In the meantime, it could avoid deterioration of secondary brain injury to the largest extent and promote recovery of nerve function, and ultimately improve the prognosis of patients. For this reason, it is worth further clinical application.

Objective To discuss the clinical effect of normal saline flushing and heparinized saline flushing in invasive arterial blood pressure monitoring in the critical patients. Methods A total of 140 critical patients were randomly divided into the experimental group and the control group with 70 cases in each group according to the envelope method. The experimental group used normal saline for tube flushing, the control group used heparinized saline (5 U/ml) for tube flushing. The incidence of complications and coagulation index were compared between two groups. Results There was no statistically difference in the incidence of the catheter jam and local infection (P>0.05). The incidence of bleeding events was 14.3% (10/70) in the control group, which was higher than 2.9% (2/70) of the experimental group. The difference was statistically significant(χ2=4.466, P<0.05). The activated partial thromboplastin time, prothrombin time of the control group were (32.22 ± 4.22) s, (11.56 ± 2.12) s, which were longer than (29.84 ± 3.64) s, (10.66 ± 1.48) s of the experimental group. And international normalized ratio of the control group was 1.12±0.14, which was higher than 1.03±0.20 of the experimental group. The difference was statistically significant (t values were-3.573,-2.912,-3.084, P <0.05). Conclusions The normal saline flushing liquid was more safer and reliable in the invasive arterial blood pressure monitoring.

Objective To investigate the prevalence of diabetes and prediabetes in northeast Sichuan area.Methods A total of 8 053 adult residents(over 18 years old)from the hospital who had underwent physical examination were recruited in the study.The concentrations of Fasting plasma glucose(FPG),glycated hemoglobin A1c(HbA1C)and blood lipids were measured.Diabetes and prediabetes were defined according to the 2013 American Diabetes Association criteria.Results The FPG and HbA1C concentra-tions increased with age.The overall prevalence of diabetes and prediabetes were estimated to be 8.5% and 39.6% in the adult pop-ulation in northeast sichuan area respectively.The prevalence of diabetes and prediabetes in men were significantly higher than those in women(10.7% vs.5.7%,41.5% vs.37.2%,P <0.05,respectively).Furthermore,the prevalence of diabetes increased with age,and the prevalence of prediabetes had a trend of first enhancement followed by a decline.Conclusion The prevalence of diabe-tes and prediabetes are relatively high in northeast Sichuan area.

Objective To establish reference interval of hemoglobin A1c(HbA1c) determined in healthy adults in northeast Si-chuan .Methods Venous blood was pumped from 494 individuals without previously diagnosed diabetes and other critical illness . The HbA1c level ,blood routine examination ,blood lipids ,fasting plasma glucose ,liver and kidney function were measured . Reference value of HbA1c was determined by 95% confidence interval through the mean of HbA1c .Results The HbA1c level took on normal distribution in 494 healthy individuals ,and the reference interval was 4 .482% -6 .012% .There was no statistical signifi-cance of HbA1c level between different genders(t= -0 .905 ,P= 0 .366) .The levels of HbA1c in 20 - < 35 years old people , 35- <65 years old people and ≥65 years old people were(5 .109 ± 0 .150)% ,(5 .224 ± 0 .122)% ,(5 .444 ± 0 .125)% ,and the differences were statistically significant among different age group(P<0 .05) .The HbA1c level and age were positively correlated (r=0 .338 ,P<0 .01) .Conclusion It is necessary to establish appropriate reference intervals of HbA1c for different laboratories or areas .

Objective To explore the effect of fiberoptic bronchoscopy lavage sputum suction on sputum aspiration in thoracic neoplasm patients with difficulty in postoperative expectoration .Methods Sixty thoracic neoplasm patients with postoperative expectoration difficulty who met the inclusion criteria were divided into the control group and the observation group according to the order number in ICU , each with 30 cases.The control group received the conventional sputum suction , and the observation group received the fiberoptic bronchoscopy lavage sputum suction on the basis of routine sputum suction .The effect of sputum aspiration was compared between the two groups .Results The cases of complications including mucosa damage , atelectasis, pulmonary infection were respectively 7, 2 and 5 cases in the observation group , and were lower than those in the control group , and the differences were statistically significant (χ2 =4.59 ,4.01 ,4.02 , respectively;P<0.05).The time of staying in the ICU was (6.25 ±2.58) d in the observation group, and was (8.29 ±3.52) d in the control group , and the difference was statistically significant ( t=2.56 ,P<0.05 ) .The average times of sputum aspiration every day were (5.0 ±2.0) in the observation group, and were lower than (7.5 ±2.8) in the control group , and the difference was statistically significant ( t =3.98 , P <0.01 ) .Conclusions The methods of fiberoptic bronchoscopy lavage sputum suction combined with routine clinical sputum suction can effectively maintain the normal lung ventilation function , and reduce the duration of hypoxemia and the occurrence of postoperative complications , and shorten the time of staying in the ICU .

ObjectiveTo evaluate bacteria contamination during collection,processing and storage of cord blood to gain insight into contamination mechanism and direct prevention.MethodsFresh cord blood was separated by hydroxyethyl starch (HES) to harvest nucleated cells.The bacteria contamination was tested by culturing 10 ml plasma-red cells with BacT/ALERT 3D-480 automatic blood culture system.Total 87 positive samples were further identified for bacteria species.Ninety six cord blood nucleated cells concentrate with bacteria positive stored in liquid nitrogen(LN2) for 6-7 years were thawed at 37 C and re-cultured for bacteria analysis.ResultsWe collected 19 062 umbilical cord blood.Among them,336 was bacteria positive ( contamination rate 1.8 ％ ).Eighty-seven positive samples were further investigated with facultative bacteria 58 (66.7 ％ ),aerobic 38(43.7％ ) and anaerobic 17( 19.5％ ),Gram- negative accounted for 68％ while positive 32％.The most frequent bacteria were Escherichia coli ( 25.3％ ),Streptacoccus intermediate ( 14.9％ ) and Chromobacteria violaceum(9.2％ ).Ninety-six nucleated cells concentrate with bacteria positive were cryopreserved at liquid nitrogen for researching.Of them,83 samples( 86％ ) showed positive of bacteria culture after deep-low temperature storage for 6-7 years.ConclusionsBacteria contamination rate of the cord blood collection,processing and storage in 2000 ～ 2007 was 1.8％.Stored in liquid nitrogen for 6-7 years,the viability of bacteria was 86％.The aseptic procedures of cord blood collection in delivery room should be intensified.The bacteria re-culture following thawing of cord blood cells is necessary before clinical transfusion.

Objective To investigate the reliability of using inhibitors including Phenylboronic acid (PBA)and Fqucloxacillin(FCC)in detecting derepressed hyperproduction and plasmid-mediated AmpC B-lactamases.Methods PBA and FCC were chosen as inhibitors and double-disk potentiation method and double-disk synergy method were used to detect positive and negative control strains of AmpC β-lactamases and 107 clinical isolates for AmpC β-lactamases production.The positive control strains included E.cloacae (029M),plasmid-mediated ACT-1 type of E.coli DH5a2919,MOX-1 type of k pheumoniae,LAT-2 type of E.coil.The negative control strains included E.cloacae 029(wild-type),E.coli SHV-1,E.coli SHV-2, E.coil SHV-5,E.coli TEM-1,E.coli TEM-3,k peumoniae SHV-18 and E.coli ATCC25922.We compared the results above with the three dimensional test(3-DT)to observe the accuracy in detecting AmpC-BLA.Results 3-DT together with PBA and FCC based inhibition tests showed the 4 positive control strains and the 9 negative control strains were determined as expected.AmpC-BILA was detected in 107 clinical isolates ofEnterobacteriaceaes.The positive rate of3-DTmethod is24.3%.The positive rates ofPBA.FCC double-disk potentiation method and double-disk synergy method are 30.8%(33/107),26.2%(28/107) and 23.4%(25/107),respectively.The conjugate results in two strains of P mirabilis and one strain of K.peumoniae were positive.They were all plasmid-mediated AmpC-Bi.A.There Was a higher false positive when using PBA and FCC-based double-disk potentiation method to detect the induction type of AmpC-BLA, but the accuracy of double-disk synergy method was high.Compared with the 3-DT,the coincidence rate using PBA and FCC-based double-disk synergy method is 99.1%.Conclusions Using PBA and FCC as inhibitors in the double-disk synergy test is a accurate and reliable method to detect AmpC-BLA regardless of derepressed hyperproduction type or plasmid-mediated type.

Experimental report is an important segment of the experimental teaching pro-cess.This article analyzes the current status and factors that influence the quality of experimental report,puts foreword some countermeasures on how to enhance the experimental teaching by im-proving the writing of experimental reports,in order to achieve the purpose of improving the quality of clinical experimental teaching of clinical biochemistry and laboratory.