1.A multicenter survey of antibiotic use in very and extremely low birth weight infants in Hunan Province.
Ming-Jie WANG ; Shao-Jie YUE ; Jin LIN ; Xi-Rong GAO ; Xiao-Ming PENG ; Meng-Yu CHEN ; Hua-Bao PENG ; Bei CAO ; Yun-Qing ZENG ; Shu-Lian WANG ; Bo WEN ; Xi-Lin HUANG ; Xiao-Ping LI ; Ai-Zhen ZHANG ; Ting CAO ; Yi-Hua CHEN ; Tie-Qiang CHEN ; Chun-Hua YE ; Tao BO ; De-Lin JIANG ; Xiu-Qun HUANG ; Na-Fang REN ; Long-Zhang TAO ; Fang YAO ; Chang-Jun TIAN ; Hong-Ming LI ; Ai-Min ZHANG ; Fu-Rong HUANG ; Wei-Guo ZHANG ; Xiang-Hong CHEN ; Yu-Chan LIU ; Zheng-Lin LIU ; Yan-Shan XU ; Jing-Song MING ; Li CHEN ; Ning-Yi ZHU ; Jun-Min HE ; Sai-Jun YI ; Tuan-Mei WANG ; Zhao-Hui LI ; Gui-Tian WANG
Chinese Journal of Contemporary Pediatrics 2020;22(6):561-566
OBJECTIVE:
To investigate the current status of antibiotic use for very and extremely low birth weight (VLBW/ELBW) infants in neonatal intensive care units (NICUs) of Hunan Province.
METHODS:
The use of antibiotics was investigated in multiple level 3 NICUs of Hunan Province for VLBW and ELBW infants born between January, 2017 and December, 2017.
RESULTS:
The clinical data of 1 442 VLBW/ELBW infants were collected from 24 NICUs in 2017. The median antibiotic use duration was 17 days (range: 0-86 days), accounting for 53.0% of the total length of hospital stay. The highest duration of antibiotic use was up to 91.4% of the total length of hospital stay, with the lowest at 14.6%. In 16 out of 24 NICUs, the antibiotic use duration was accounted for more than 50.0% of the hospitalization days. There were 113 cases with positive bacterial culture grown in blood or cerebrospinal fluid, making the positive rate of overall bacterial culture as 7.84%. The positive rate of bacterial culture in different NICUs was significantly different from 0% to 14.9%. The common isolated bacterial pathogens Klebsiella pneumoniae was 29 cases (25.7%); Escherichia coli 12 cases (10.6%); Staphylococcus aureus 3 cases (2.7%). The most commonly used antibiotics were third-generation of cephalosporins, accounting for 41.00% of the total antibiotics, followed by penicillins, accounting for 32.10%, and followed by carbapenems, accounting for 13.15%. The proportion of antibiotic use time was negatively correlated with birth weight Z-score and the change in weight Z-score between birth and hospital discharge (r=-0.095, -0.151 respectively, P<0.01), positively correlated with death/withdrawal of care (r=0.196, P<0.01).
CONCLUSIONS
Antibiotics used for VLBW/ELBW infants in NICUs of Hunan Province are obviously prolonged in many NICUs. The proportion of routine use of third-generation of cephalosporins and carbapenems antibiotics is high among the NICUs.
Anti-Bacterial Agents
;
Birth Weight
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Humans
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Infant
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Infant, Extremely Low Birth Weight
;
Infant, Newborn
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Intensive Care Units, Neonatal
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Surveys and Questionnaires
2.Based on PI3K/Akt/mTOR Signaling Pathway to Explore Mechanism of Zhigancao Tang Against MIRI-induced Ventricular Tachycardia and Ventricular Fibrillation in Rats
Xu-ying ZHENG ; Chun-jie MA ; Yong-zhen CHEN ; Cun-xia REN ; Ren-xiu NIU ; Hua LIAN ; Kun CHEN ; Xiao-hui TAN ; Qing-zhi YAN ; Xing ZHANG ; Hao WU
Chinese Journal of Experimental Traditional Medical Formulae 2020;26(17):1-8
Objective:Through phosphatidylinositol 3-kinase(PI3K)/protein kinase B (Akt)/mammalian rapamycin target protein (mTOR) signaling pathway, explore the effect of Zhigancao Tang on myocardial ischemia-reperfusion injury(MIRI)The role and mechanism of arrhythmia(ventricular tachycardia and ventricular fibrillation). Method:The 72 SD rats were randomly divided into sham operation group,model group, Zhigancao Tang low,medium and high dose group(11.43,22.86,45.72 g·kg-1),Wenxin granule group(2.43 g·kg-1),continuous drug intervention for 10 days. Two hours after the last administration,the MIRI model of rat was prepared by ligating the left anterior descending coronary artery,and the changes of electrocardiogram were recorded. After successful modeling,blood and heart tissue were collected to detect the content of creatine creatine(CK),lactate dehydrogenase(LDH)and aspartate aminotransferase(AST)in the serum, the enzyme-linked immunoassay(ELISA) method was used to detect cardiac troponin(CtnI)content, immunohistochemical detection of myocardial PI3K,Akt,mTOR expression. Western blot was used to detect the myocardial autophagy-related protein microtubule-associated protein 1 light chain 3(LC-3),autophagy markers Beclin1 and PI3K/Akt/mTOR signaling pathway related protein expression and phosphorylated p-PI3K,p-Akt,p-mTOR levels. Result:In model group, 100% of ventricular tachycardia and 91.67% of ventricular fibrillation occurred. Compared with sham operation group, the serum levels of CK,LDH,AST,and CtnI in the model group were significantly increased(
3.Effects of active components in compatible solution of Sparganii Rhizoma-Curcumae Rhizoma on pelvic adhesion in rats with chronic pelvic inflammatory disease
Cui-Mei QIN ; Hong-Jian YU ; Jian-Mei CHEN ; Xiu-Lian CAO ; Yan-Qing REN ; Jiao LIU
Chinese Traditional Patent Medicine 2018;40(6):1233-1237
AIM To study the influence and action mechanism of effective components in compatible solution of Sparganii Rhizoma-Curcumae Rhizoma on pelvic adhesions of model rats with chronic pelvic inflammatory disease.METHODS Laboratory rats were randomly assigned into six groups,a sham-operated group,a model group,a positive Fukeqianjin tablets group,compatible solution groups (40 g/kg high-dose group,20 g/kg medi um-dose group,and 10 g/kg low-dose group).Except rats of the sham-operated group,those in the other groups were induced into models of chronic pelvic inflammatory disease by mechanical bacterial strain implantation,after which a 20 d corresponding drug administration by oral gavage for each group was initiated.After completion of the last drug administration,Verco criterion was taken as the reference to evaluate pelvic adhesions,HE staining was performed on uterine tissues for pathological scoring,ELASA method was applied to measuring serum IL-1β and TNF-α levels,and Western blot method was used to detect the expression levels of proteins FGF-2 and IGF-1 in uterine tissues.RESULTS Compared with the model group,the high-dose compatible solution group had a much sharper fall in Verco scores (P < 0.05),and remarkably decreased serum IL-1β and TNF-α levels (P < 0.01);both high-dose and medium-dose groups manifested with notably alleviated degenerative necrosis and lowered scores of chronic inflammation infiltration and epithelial hyperproliferation (P < 0.01 or P < 0.05),and a distinct reduction in the expression of proteins FGF-2 and IGF-1 (P < 0.05,P < 0.01).CONCLUSION The significant improvement of the chronic pelvic inflammatory disease in model rats due to the effective components in the compatibile solution of Sparganii Rhizoma-Curcumae Rhizoma may be associated with inhibited release of inflammatory mediators IL-1β and TNF-α,and the reduced expression of proteins FGF-2 and IGF-1 as well.
4.Toxicity mechanism of the unsaturated fatty acids on human cervical carcinoma of ME-180 cells
Fa-Rong YU ; Wang-Jun CHEN ; Xiu-Zhen LIAN ; Ming-Ren XIE ; Deng-Lou LI ; Yun-Xuan GUO ; Bo YANG
The Chinese Journal of Clinical Pharmacology 2018;34(5):552-554
Objective To investigate the cytotoxic effect mechanism of the unsaturated fatty acids on human cervical carcinoma of ME-180 cells.Methods The 2 × 108 cell · L-1 ME-180 cells were moved into the 96 hole culture plate,per hole 90 μL.Three concentrations of the drug groups:0.3,0.6,0.9 mg· L-1 unsaturated fatty acid (prepared with DMSO) per hole 90 μL.The 5-fluorouracil(5-FU) group:10mg · L-1 5-FU (prepared with phosphate buffer) per hole 10 μL.Control group:30 μL · L-1 DMSO per hole 10 μL.Each group set of four repeat hole,in saturated humidity condition of 37 ℃ and 5% CO2 in 48 h.The inhibition rate and apoptosis rate of unsaturated fatty acids were detected with a trypan blue,thiazole blue (MTT),and flow cytometry method.Results When ME-180 cells were administered with the unsaturated fatty acids at the doses of 0.3,0.6,0.9 mg · L-1 for 48 h,ME -180 living cell count with the increase of drug concentration and action time is reduced.The cells proliferation inhibition rate were 43.35%,51.75%,66.45% in three concentrations of the drug groups;apoptosis rate were 18.21%,23.11%,28.06% in the three groups,respectively.Compared with the drug groups and the control group on the number of living cells,inhibition rate and apoptosis rate,the differences were statistically significant (P <0.01).Conclusion The unsaturated fatty acids has significant toxic effects on ME-180 cells.The toxic effect mechanism of the unsaturated fatty acids is related to inhibite proliferation on cell and induce-cell apoptosis.
5.Effects of maca extract on exercise endurance and blood hormone levels in the rats
rong Fa YU ; jun Wang CHEN ; ren Ming XIE ; zhen Xiu LIAN ; lou Deng LI ; xuan Yun GUO ; Bo YANG
Acta Laboratorium Animalis Scientia Sinica 2017;25(5):558-562
Objective To study the effects of maca extract on exercise endurance and blood hormone levels in the rats. Methods Wistar rats treated with maca extract (2. 0, 4. 0, 8. 0 g/kg body weight) were freely swimming in the cir-culating water flow daily for 15 days. On the 16th day of experiment, the exercise endurance and blood noradrenaline (NA), estradiol (E2), and testosterone (T) levels of the rats were determined. Results The rats administered with maca extract at the doses of 2. 0, 4. 0, 8. 0 g/kg body weight for 15 d showed that the swimming time before sinking was in-creased by 32. 51%, 60. 04%, 106. 52%, the total swimming time was extended by 16. 99%, 56. 50%, and 101. 73%respectively ( P<0. 01 ); while the number of sinking was decreased by 18. 89%, 35. 89%, and 58. 06%, respectively (P< 0. 01), compared with those swimming rats without maca extract treatment. The noradrenaline level in the blood of rats treated with maca extract 2. 0, 4. 0, 8. 0 g/kg body weight was increased by 3. 30%, 6. 60%, and 16. 50%, respec-tively, compared with the control group, and increased by 42. 49%,47. 05%, and 60. 70%, respectively, compared with the swimming rats without extract treatment;the E2 level was increased by 132. 83%,102. 72%, and 62. 26% (P<0. 01) respectively, compared with the control group, while decreased by 23. 88%, 33. 72%, and 46. 95% (P<0. 01) respec-tively, compared with the swimming rats without extract treatment. The blood testosterone level was increased by 5. 11%, 37. 65%, and 123. 16% (P<0. 01) respectively, compared with the control group, and increased by 28. 98%, 68. 92%, and 173. 85%, (P<0. 01) respectively, compared with the swimming rats without extract treatment. Conclusions The results of this study demonstrate that maca extract has effect to resist fatigue and enhance exercise capacity in rats. The mechanism is associated with reduced blood E2 , and increased noradrenaline and testosterone levels in the blood of rats.
6.Role of infection control nurses in healthcare-associated infection management
hong Jun REN ; yi Liu LI ; xue Hui JIA ; xia Jian JIA ; chun Yan ZHAO ; li Xiu ZHAO ; lian Mei CHEN ; ming Yan DING ; wen Jing MENG ; Yi-sheng JUN ; PAN DENG
Chinese Journal of Infection Control 2017;16(10):966-968,975
Objective To explore the role of infection control nurses in healthcare-associated infection(HAI)man-agement,and provide basis for HAI management.Methods Through setting up infection control nurses in clinical departments of the whole hospital,clarifying their responsibilities and duties,training,and supervising them,the effect of infection control nurses on HAI management was observed.Results A total of 67 infection control nurses were set up in the clinical departments of the whole hospital,HAI management knowledge among health care work-ers (HCWs)in 26 departments improved significantly,scores of HAI management knowledge among HCWs in April and December was compared,difference was statistically significant (Z = - 2.193,unilateral P = 0.014). Hand hygiene compliance rate of HCWs improved from 83.35%(1817/2180)in April to 89.53% (2002/2236)in December,difference was statistically significant(χ2 =36.13,P <0.01).A total of 56670 hospitalized patients were monitored from April to December 2015,the total length of hospital stay was 411164 days,utilization rate of three catheters was 27.18%,three catheter-related infection rate was 0.74‰.The median scores of supervision on HAI management in clinical departments improved from 95.30 in May to 97.70 in September(P <0.05).Conclusion Setting up infection control nurses is of great significance to strengthen the HAI management organization and pro-mote the quality of HAI management.
7.Effect of octadecenoic acid on human gastric cancer tissue with targeted role
Fa-Rong YU ; Bo YANG ; Xiu-Zhen LIAN ; Ming-Ren XIE ; Deng-Lou LI ; Shi-Shuang ZHANG ; Yun-Xuan GUO ; Wang-Jun CHEN
The Chinese Journal of Clinical Pharmacology 2017;33(6):539-541,564
Objective To investigate the growth inhibition mechanism of octadecenoic acid on human gastric carcinoma transplanted tumor.Methods The cancer tissue was isolated from adult patients with gastric cancer and transplantation in severe combined immunodeficiency (SCID) mice.And SCID mice were treated with concentrations of 0.2,0.4,0.8 g · kg-1 octadecenoic acid,respectively.The SCID mice in control group treated with concentration of 100 mg · kg-1 fluorouracil(5-FU).The SCID mice in model group treated with equal amounts of rapeseed oil.The duration was 4 weeks.The cyclic adenosine monophosphate (cAMP),tumor suppressor gene p53 (P53),phosphatidylinositol 3-kinase(P13K) levels in tumor tissue were detected by the method of enzyme linked irnmunosorbent assay.Results Compared to the model group,growth inhibition rate of transplantation tumor of human gastric cancer in low,middle,high experimental groups and control group were increased 26.52%,58.75%,67.80% and 46.25% respectively with significace(P < 0.01);the cAMP levels were increased by 35.61%,74.93%,130.48% and 54.98% inthe four groups,respectively with significance also (P < 0.01);the P53 and P13K levels were reduced by 57.22%,79.45%,95.71%,80.10% and 33.11%,44.39%,97.42%,51.69% respectively in the four groups with significance too(P < 0.01).Conclusion Growth inhibition mechanism of octadecenoic acid on transplantation tumor of human gastric cancer,mainly related to elevated cAMP level within the tumor tissue,inhibit the activity of P53 and P13K signal pathway.
8.Regulating action of unsaturated fatty acids on human gastric cancer cells protein kinase B signaling pathways
Fa-Rong YU ; Wang-Jun CHEN ; Zhong-Jian LEI ; Xiu-Zhen LIAN ; Ming-Ren XIE ; Deng-Lou LI ; Bo YANG ; Yun-Xuan GUO
The Chinese Journal of Clinical Pharmacology 2017;33(10):897-900
Objective To study the regulating action of unsaturated fatty acids on human gastric cancer cells protein kinase B (PKB/Akt)signaling pathways.Methods The gastric cancer tissue of adult patients with gastric cancer was isolated and transplantation in severe combined immunodeficiency (SCID) mice.Separation cells from gastric cancer transplanted tumor by digestive enzyme were cultured.They were divided into five groups:three doses experimental groups (unsaturated fatty acid 0.3,0.6,1.2 mg · L-1),control group (5-fluorouracil 10 mg · L-1),solvent control group (dimethyl sulfoxide 30 μL · L-1),cultivate 48 h after the treatment.The toxic effects of the unsaturated fatty acid on human gastric cancer cells were detected by 3-(4,5-dimethyl-2-thiazolyl) -2,5-diphenyl-2-H-tetrazolium bromide (MTT) method.The levels of p21,murine double minute2 (MDM2),PKB/Akt in tumor cells were detected by the method of enzyme linked immunosorbent assay.Results Compared to the control group,the human gastric cancer cells proliferation inhibition rate in high,moderate,low,doses experimental groups were increased by 31.7%,55.51%,68.28%,respectively.The levels of p21 and MDM2 in that three groups were increased by 4.39%,80.12%,161.36% and 19.81%,97.76%,207.35%,respectively.The level of PKB/Akt in that three groups was reduced by 13.31%,57.69%,78.71%,respectively.Conclusion The unsaturated fatty acids on human gastric cancer cells proliferation inhibition mainly related to elevated p21,MDM2 levels within the tumor cells,inhibit the activity of PKB/Akt signal pathway.
9.Role of catecholamine hormone in heroin addicts.
Fa-Rong YU ; Xiu-Zhen LIAN ; Hong-Mei ZHANG ; Xiao-Xi NING ; Xiao-Wei LIU ; Ming-Ren XIE
Chinese Journal of Applied Physiology 2014;30(2):124-131
OBJECTIVETo investigate the effects of catecholamine hormone on the blood and brain of heroin addicts.
METHODSRats were divided into three groups and treated with the glucose (control group), the heroin (im) (heroin group), and the combination of the intramuscular injection of reserpine and heroin (reserpine group). Changes in the levels of the dopamine (DA), cAMP, and cGMP were detected by the radioimmunoassay (RIA) method in the blood and brain tissue.
RESULTSNo significant withdrawal symptoms were observed in the reserpine group. Compared with the control and heroin groups, the blood cAMP levels were increased by 35.36% and 15.53% in the reserpine group, respectively; the cAMP levels in the midbrain ventral tegmental area (VTA), prefrontal cortex (PFC), and hippocampus (Hipp) were increased by 24.08% & 8.53%, 15.66% & 8.13%, and 21.95% & 8.40%, respectively. While compared to the control and heroin groups, the DA levels of the PFC, Hipp, striatum, and nucleus accumbens (NAc) were significantly reduced in the reserpine group, decreasing by 74.09% & 82.86%, 81.06% & 82.23%, 91.62% & 86.55% and 84.35% & 90.63%, respectively. The concentrations of cGMP of the brain tissues in the reserpine group were lower than those in the control group. In addition, the neural electrophysiological testing showed that the electroencephalogram (EEG), electrocardiogram (ECG), and muscle spindle discharge diagram of rats in both the reserpine and heroin groups were apparently changed.
CONCLUSIONCatecholamine hormone plays an important role in heroin addiction.
Animals ; Brain ; drug effects ; metabolism ; Catecholamines ; physiology ; Cyclic AMP ; blood ; metabolism ; Cyclic GMP ; blood ; metabolism ; Dopamine ; blood ; metabolism ; Heroin Dependence ; metabolism ; physiopathology ; Male ; Rats ; Rats, Wistar

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