OBJECTIVE To report a case of visual abnormalities induced by oxaliplatin， and provide a reference for clinical medication safety. METHODS Clinical pharmacists conducted the pharmaceutical care for a colon cancer patient who developed visual abnormalities during treatment with oxaliplatin. After the patient experienced two episodes of visual abnormalities in the first chemotherapy cycle， the pharmacists recommended suspending oxaliplatin and reducing its dose in the next cycle. When visual symptoms persisted in the second cycle， they recommended permanent discontinuation of oxaliplatin. Concurrently， they provided medication education to the patient and family. Using Naranjo’s Adverse Drug Reaction Probability Scale， the pharmacists assessed the correlation between oxaliplatin and the visual abnormalities， and analyzed the characteristics of this adverse reaction. RESULTS & CONCLUSIONS The physician adopted the clinical pharmacists’ recommendations. After discontinuation of the drug， the patient’s vision gradually returned to normal. The correlation between oxaliplatin and visual abnormalities was assessed as “probable”. Oxaliplatin-induced visual abnormalities are relatively rare and often occur within the first three cycles of treatment. Most patients recover their vision within two weeks after discontinuation， while a small number may progress to permanent visual impairment. Clinical pharmacist ensured the patient’s medication safety by evaluating the correlation between oxaliplatin and visual abnormalities， adjusting medication regimens， providing pharmaceutical care and medication education， and providing other pharmaceutical services.

Depression is a common mental disorder with adverse effects on human health and quality of life.Although its pathogenesis remains unclear,numerous recent studies have indicated a close association between depression and mitochondrial dysfunction.This review explores the critical role of mitochondrial dysfunction in the pathogenesis of depression from the aspects of energy metabolism disorders,oxidative stress and inflammatory responses,mitochondrial DNA damage and mutations,and the imbalance of the mitochondrial quality control systems.We also summarize recent advances in the use of traditional Chinese medicine(TCM)to treat depression by regulating mitochondrial function.The findings show the potential of TCM in enhancing mitochondrial energy metabolism,reducing oxidative stress and inflammatory responses,improving mitochondrial DNA,and modulating the mitochondrial quality control systems,including for the in-depth study of the pathogenesis of depression and its treatment with TCM.

Depression is a common mental disorder with adverse effects on human health and quality of life.Although its pathogenesis remains unclear,numerous recent studies have indicated a close association between depression and mitochondrial dysfunction.This review explores the critical role of mitochondrial dysfunction in the pathogenesis of depression from the aspects of energy metabolism disorders,oxidative stress and inflammatory responses,mitochondrial DNA damage and mutations,and the imbalance of the mitochondrial quality control systems.We also summarize recent advances in the use of traditional Chinese medicine(TCM)to treat depression by regulating mitochondrial function.The findings show the potential of TCM in enhancing mitochondrial energy metabolism,reducing oxidative stress and inflammatory responses,improving mitochondrial DNA,and modulating the mitochondrial quality control systems,including for the in-depth study of the pathogenesis of depression and its treatment with TCM.

OBJECTIVE To establish the ultra-high performance liquid chromatography(UPLC)fingerprint of Jingtian granule,and to evaluate its quality by chemical pattern recognition.METHODS Luna? Omega Polar C18 column(150 mmX2.1 mm,1.6 μm)was used as the chromatographic column,and acetonitrile-0.2％phosphoric acid solution was used as the mobile phase for gradient elution.The flow rate was 0.2 mL/min,the column temperature was 30 ℃,and the detection wavelength was 265 nm.With peak 16 as the reference peak,the UPLC fingerprint of Jingtian granule was established by the Similarity Evaluation System of Chromatographic Fingerprint of Traditional Chinese Medicine(2012 edition).The common peaks were identified,the similarity evaluation was carried out,and the ownership of each common peak was confirmed.Hierarchical cluster analysis(HCA)and principal component analysis(PCA)in chemical pattern recognition methods were used to classify 13 batches of samples(S1-S13),and orthogonal partial least squares-discriminant analysis(OPLS-DA)was used to identify the key components of the differences between different batches of samples.RESULTS RSDs of precision,repeatability and stability of the UPLC method were not more than 4.4％.A total of 25 common peaks were identified in the fingerprints of 13 batches of Jingtian granules.By comparing with the reference substance fingerprint,10 common peaks were identified,namely peak 3(5-hydroxymethyl-2-furaldehyde),peak 5(salidroside),peak 8(chlorogenic acid),peak 15(cinnamic acid),peak 19(aloe-emodin),peak 20(ammonium glycyrrhizinate),peak 21(rhein),peak 23(emodin),peak 24(glycyrrhetinic acid),peak 25(chrysophanol).The similarities of fingerprints of 13 batches of samples were 0.955-0.996.The results of HCA showed that 13 batches of samples could be divided into three categories,among which samples S1,S5,S7,S11-S13 were clustered in one category,S4 and S6 were clustered in one category,S2,S3 and S8-S10 were clustered in one category.PCA results showed that the cumulative variance contribution rate of principal components 1-7 was 92.666％.OPLS-DA further identified 13 differential components,which were mainly derived from Polygonati Rhizoma with wine steaming,Rhodiolae Crenulatae Radix Et Rhizoma,prepared Rhei Radix Et Rhizoma and Glycyrrhizae Radix Et Rhizome Praeparata Cum Melle.CONCLUSIONS The established UPLC fingerprint of Jingtian granule is simple,stable and reproducible.Combined with the chemical pattern recognition method,it can effectively reveal the overall quality difference between different batches of Jingtian granule.The quality of Polygonati Rhizoma with wine steaming,Rhodiolae Crenulatae Radix Et Rhizoma,prepared Rhei Radix Et Rhizoma,Dioscoreae Nipponicae Rhizoma,Polyporus,Cinnamomi Ramulus,Glycyrrhizae Radix Et Rhizome Praeparata Cum Melle is the key to the overall quality of Jingtian granule.

Abstract: This research aimed to explore the application of the combination of region growth and U-Net in the retinal vessel segmentation system, retinal vessels were automatically segmented through the developed system. This research provides doctors with accurate information on changes in the retinal blood vessel structure, which will improve the efficiency of diagnosis and treatment. Methods: Combined with U-Net network and region growth, the pre-processed retinal blood vessels were automatically segmented, and the algorithms were integrated into the retinal blood vessel segmentation system through the design of controls. Results: The average values of blood vessel segmentation performance indexes— accuracy, sensitivity, and specificity were 0.977 7, 0.768 4, and 0.982 1, respectively, and regional iterative growth could improve the segmentation effect of fine retinal blood vessels. Conclusion The system has the characteristics of simple interface and convenient operation.It realizes automatic retinal blood vessel segmentation with high precision and visualization, provides an effective application platform for doctors to observe the changes of retinal vascular structure, and also provides a thinking direction for doctors to judge the nature of lesions.

AIM:ToinvestigatetheultrastructuralchangesofisletmicrovascularendothelialcellsinSTZ-in-duced type 1 diabetic mice .METHODS:BALB/c mice were randomly divided into diabetic group and control group .The expression of insulin and platelet-endothelial cell adhesion molecule-1 ( CD31) in islet microvessels was detected by immu-nohistochemical staining .The ultrastructural changes of islet βcells and islet microvessels were observed under transmis-sion electron microscope .RESULTS:Compared with control group , the number of islet βcells, ratio of βcells/αcells, average number of secretory granules in βcells and insulin expression area per islet in diabetic group were significantly de-creased (P<0.01).Besides, diabetic group had fewer microvessels with lower expression of CD 31 (P<0.01).Mito-chondria in islet microvascular endothelial cells and pericytes in diabetic group were swelling .The basement membrane of islet microvessels became thicker in diabetic group ( P<0.01 ) .CONCLUSION: Islet microvascular endothelial cells were impaired in type 1 diabetic mice .

To explore the functions and the responsibility of the TCM museum. The functions of general museum include collection, exhibition, education and research, and its responsibility is focusing on the society service. The functions of the TCM museum also include collection, exhibition, education and research, which means the collection, study and identification of TCM culture products and specimen; the heritage of TCM history; the TCM science population; the protection of TCM immateriality cultural heritage; public patriotism education;culture tourism;education for all-round development;and transformation of social service.

Objective To observe the clinical effects of different doses of Xuebijing injection in the treatment of sepsis. Methods Eighty patients with sepsis from First Center Clinical College of Tianjin Medical University were selected and randomly divided into four groups:the control group,Xuebijing small,middle and large dose groups(each, 20 patients). All patients in the four groups were given Western medicine conventional treatment,whereas in the Xuebijing small,middle and large dose groups,additionally they were intravenously dripped with Xuebijing injection 50 mL, 2 times a day,100 mL,2 times a day and 100 mL,4 times daily respectively. The patients' vital signs,blood routine, interleukin-18(IL-18),procalcitonin(PCT)and C- reactive protein(CRP)were detected before treatment(0 d)and 3,7 and 14 days after Xuebijing injection,28-day and 60-day death rate were observed. Results With prolonged treatment,the body temperature,heart rate(HR),respiratory rate(RR),white blood cell count(WBC),IL-18,PCT, CRP levels were all decreased in each group(all P<0.05),and on 14 days they reached the valley;when compared with middle,small dose Xuebijing groups and control group,in the Xuebijing large dose group they were decreased the most significantly over the same period〔temperature (℃):36.22±0.55 vs. 36.55±0.99, 36.87±1.05, 36.93±1.07,HR(beats/min):82.11±8.99 vs. 93.45±10.02,109.02±11.44,113.13±10.34,RR(breaths/min):15.48±6.45 vs. 17.33±6.94,20.35±7.19,22.34±6.67,WBC(×109/L):5.35±1.37 vs. 8.35±2.98,10.54±3.22, 13.33±4.78,IL-18(ng/L):107.36±55.89 vs. 136.55±80.19,177.78±102.32,193.93±98.07,PCT(μg/L):0.33±0.19 vs. 0.66±0.22,1.62±0.44,2.78±0.34,CRP(mg/L):15.40±1.37 vs. 48.34±8.98,100.45±30.67, 131.92±49.53〕,the differences all being statistically significant(all P<0.05). The 28-day and 60-day death rate in Xuebijing large dose group were significantly lower than those in control group,Xuebijing small,middle dose groups (28-day:25% vs. 40%,40%,45%;60-day:30% vs. 45%,40%,50%). Conclusion The time for onset of therapeutic effect in large dose Xuebijing group is short,and reduce the levels of inflammatory mediators significantly, and improve the prognosis of patients with sepsis,therefore it can be used clinically.

Objective:To investigate the effect of methycobal on peripheral nerve regeneration.Methods:Thirty Wistar rats were divided into normal group(N),model group(M)and methycobal group(B).Each group contained 10 rats.The model of rat with sciatic nerve half injury was made by clamp.Rats were fed with methycobal in B group,and same dose of normal saline was fed in N and M groups.The nerve tissue(silver nitrate stain)and gastrocnemius tissue(HE stain)were obtained to observe the morphologic index,functional index(sciatic nerve function index,differential value of hind legs tensile force,gastrocnemius wet weight index)after 14 days.Results:There were nerve fiber sparseness,disposition disorder,and decrease of gastrocnemius cross section area,sciatic nerve function index,and differential value of hind legs tensile force,gastrocnemius wet weight index diminutu in M group compared with those of N group(P ＜ 0.01).There were more nerve fiber,normal gastrocnemius cross section area,and higher sciatic nerve function index and gastrocnemius wet weight index in B group compared with those of M group(P＜ 0.01),whereas which were also different compared with those of N group(P＜ 0.01).Conclusion:Methycobal can promote the axon growth,postpone sarcous anaiosis of denervation,and enhance functional recovery of peripheral nerve injury.

Objective To explore the correlation between adipocyte factors(adiponectin and visfatin)and fetus intrauterine growth.Methods Enzyme immunoassay was used to measure the adiponeetin and visfatin levels in maternal and umbilical serum from 14 women with fetal growth restriction (FGR group),14 women with maerosomia(macrosomia group)and 14 normal pregnant women(control group).The correlations of cord serum adiponectin and visfatin with matemal serum adiponectin and visfatin were analyzed.Results (1)Serum visfatin levels in FGR mothers[(41.4±5.5)]μg/L were significantly higher than that in control women[(34.7±4.9)μg/L and macrosomia mothers[(37.3±4.4)μg/L;P<0.01,P<0.05].Serum adiponectin levels in maerosomia mothers [(4.1±1.3)mg/L]were significantly lower than that in control women [(6.6±1.5)mg/L]and FGR mothers[(6.4±1.3)mg/L;P<0.01].(2)Serum visfatinin levels in FGR babies[(58.1±7.6)μg/L] were significantly increased than that in control newborns[(42.6±7.8)μg/L]and macrosomia babies[(48.5±9.1)μg/L;P<0.01,P<0.05].Serum adiponeetin levels in macrosomia babies[(6.5±1.3)mg/L]were significantly decreased than that in control newborns[(7.7±1.5)mg/L]and FGR babies[(7.7±1.0)mg/L;P<0.05,P<0.05].(3)Maternal serum visfatin levels were positively correlated with umbilical serum visfatin levels(r=0.720.P<0.01).Umbilical serum adiponectin levels were higher than that in maternal serum,but there were no relationship between them(r=0.301,P>0.05).Conclusion The changes of visfatin and adiponeetin levels may be related to the oceurrenee of FGR and fetal macrosomia.