Transapical aortic valve implantation using J-Valve? system for high-risk patients with aortic regurgitation: mid-stage of 1 year follow-up / 中华胸心血管外科杂志

Objective:To analysis the mid-stage prognosis of transapical aortic valve implantation(TA-TAVI) using J-Valve? system for the treatment of high-risk aortic regurgitation(AR) patients.Methods:Data of 25 patients with aortic regurgitation who had underwent transapical aortic valve implantation using J-Valve? system were collected in the Second Affiliated Hospital of Medical College of ZheJiang University from September 2016 to June 2020 . Analysis and summarize their postoperative all-cause mortality, the incidence of adverse events and the improvement in cardiac function.Results:There were 25 patients, including 19 males, the age rage from 59-83 years, the average age was(72.3±27.11) years. The levels of aortic regurgitation was evaluated by transthoracic echocardiography preoperatively, showed that severe AR accounted for 88%. The New York Heart Association(NYHA) of grade 3 or above was 92%. The most common comorbidity was hypertension, accounted for 68%. Coronary heart disease and history of cardiac surgery was 5 and 3 relatively in this study. The Society of Thoracic Surgeons score before surgery was 1.511%-27.674%, the average of STS score was 4.27(2.914-6.033)%. Successful J-Valve implantation was obtained in all 25 cases, no conversion to thoracotomy. After surgery, 2 patients required permanent pacemaker implantation, 1 patient needed continuous renal replacement therapy(CRRT) due to acute kidney injury, 1 occurred moderate or above paravalvular leak. The results showed good therapeutic effects in early-stage, low incidences of adverse events. The continued improvement of cardiac function and ventricular reverse remodeling could be observed in mid-stage.Conclusion:In this study, we can summarize that high-risk patients with aortic regurgitation treated with transapical aortic valve implantation using J-Valve? system can acquire great perioperative safety and mid-stage prognosis.

Influencing factors of preoperative pulmonary function in elderly patients undergoing rotator cuff surgery / 北京大学学报(医学版)

OBJECTIVE@#To analyze the preoperative pulmonary function in rotator cuff injury patients and the possible influencing factors.@*METHODS@#All the rotator cuff surgery patients who underwent pre-operative pulmonary function examination in Peking University Third Hospital from Jan. 2020 to Jun. 2020 were retrospectively reviewed. Their perioperative medical records and main parameters of pulmonary function were collected from database management system, and their gender, age, body mass index (BMI), smoking history, time from injury, visual analogue scale (VAS) and other factors impacting on preoperative pulmonary function were studied.@*RESULTS@#Twenty-nine patients with rotator cuff injury were included, among whom 1 patient was reported to have restrictive ventilation dysfunction and 2 patients to have obstructive ventilation dysfunction. All the three patients denied the history of respiratory diseases, and had no respiratory symptoms. In all enrolled patients, the mean forced expiratory volume in one second (FEV1)/ forced vital capacity (FVC) was 79.2%±5.9%, and the mean VAS pain score was 3.66±1.26. In addition, the dynamic pulmonary functions (FVC, FEV1) were reduced in more than half of the elderly, and the total lung capacity (TLC) was lower than the estimated value in 2/3 of the elderly. There were significant differences in three main indexes of pulmonary functions between genders, and the percentage of the estimated TLC between normal BMI group (18 kg/m2 < BMI < 24 kg/m2) and overweight/obesity group (BMI≥24 kg/m2) was significantly different. Based on the injury time longer than 1 year or not, the results indicated that FVC and TLC were significantly different between the two groups.@*CONCLUSION@#In addition to gender and age, time from injury and severity of pain, as well as overweight/obesity, may influence pulmonary function outcomes in the elderly rotator cuff patients. Targeted intervention can be carried out on these factors before surgery. Preoperative lung function test can be used as one of the basic evaluation indexes for respiratory training and rehabilitation of patients.

Finite element analysis of the graft stresses after anterior cruciate ligament reconstruction / 北京大学学报(医学版)

OBJECTIVE@#To explore the stress distribution characteristics of the graft after anterior cruciate ligament (ACL) reconstruction, so as to provide theoretical reference for the surgical plan of ACL reconstruction.@*METHODS@#Based on 3D MRI and CT images, finite element models of the uninjured knee joint and knee joint after ACL reconstruction were established in this study. The uninjured knee model included femur, tibia, fibula, medial collateral ligament, lateral collateral ligament, ACL and posterior cruciate ligament. The ACL reconstruction knee model included femur, tibia, fibula, medial collateral ligament, lateral collateral ligament, ACL graft and posterior cruciate ligament. Linear elastic material properties were used for both the uninjured and ACL reconstruction models. The elastic modulus of bone tissue was set as 17 GPa and Poisson' s ratio was 0.36. The material properties of ligament tissue and graft were set as elastic modulus 390 MPa and Poisson's ratio 0.4. The femur was fixed as the boundary condition, and the tibia anterior tension of 134 N was applied as the loading condition. The stress states of the ACL of the intact joint and the ACL graft after reconstruction were solved and analyzed, including tension, pressure, shear force and von Mises stress.@*RESULTS@#The maximum compressive stress (6.34 MPa), von Mises stress (5.9 MPa) and shear stress (1.83 MPa) of the reconstructed ACL graft were all at the anterior femoral end. It was consistent with the position of maximum compressive stress (8.77 MPa), von Mises stress (8.88 MPa) and shear stress (3.44 MPa) in the ACL of the intact knee joint. The maximum tensile stress of the graft also appeared at the femoral end, but at the posterior side, which was consistent with the position of the maximum tensile stress of ACL of the uninjured knee joint. More-over, the maximum tensile stress of the graft was only 0.88 MPa, which was less than 2.56 MPa of ACL of the uninjured knee joint.@*CONCLUSION@#The maximum compressive stress, von Mises stress and shear stress of the ACL graft are located in the anterior femoral end, and the maximum tensile stress is located in the posterior femoral end, which is consistent with the position of the maximum tensile stress of the ACL of the uninjured knee joint. The anterior part of ACL and the graft bore higher stresses than the posterior part, which is consistent with the biomechanical characteristics of ACL.

Clinical characteristics of liver, kidney and coagulation injury in elderly patients with novel coronavirus pneumonia (COVID-19) / 上海预防医学

Objective To evaluate the clinical features and clinical outcome of liver, kidney and coagulation injury in patients with novel coronavirus pneumonia (COVID-19), especially in those elderly COVID-19 patients. Methods Clinical data of 72 COVID-19 patients admitted to the Shanghai Public Health Clinical Center from January 20, 2020 to April 20, 2020 was collected, including demographic data, clinical symptoms, laboratory testing results, underlying comorbidities, discharge and death, and then conducted the analysis stratified by clinical severity and age. Results Of the 72 COVID-19 patients, 27 were critically ill and 45 were mild.There were 31 elderly patients (≥60 years old) and 41 young patients (< 60 years old).Fever (83.3%), cough (36.1%) and fatigue (23.6%) were the most common clinical symptoms.The median age of the patients was 56.1 years (15-80 years); the mean age of mild and critically ill patients were 47.4 years and 64.6 years, respectively.The proportion of critically ill cases in the elderly group and the young group was 67.7% (21/31) and 14.6% (6/41), respectively.Organ injury in elderly patients included significantly increased aspartate aminotransferase, creatinine D-dimer, and FDP) (P < 0.05).Of the patients, the length of hospital stay of the elderly patients was significantly longer (P < 0.001), and the mortality increased significantly (P < 0.05). Conclusion Elderly COVID-19 patients have severe liver, kidney and coagulation injury, which may induce longer duration of hospital stay and increased mortality.Therefore, elderly COVID-19 patients may have worse clinical outcome.

Research on the operation analysis of imaging departments from the perspective of business-finance integration / 中华医院管理杂志

Department operation analysis is the basis of delicacy management of hospitals. This paper briefly presented the problems existing in conventional department operation analysis, and proposed solutions to overcome such problems, using department operation analysis based on the perspective of business-finance integration. Taking the image center of a large general hospital as an example, based on the concept of business-finance integration, the paper used process analysis and benchmarking comparison method to explore operation analysis and put forward suggestions for department operation improvement. The establishment of a department operation management system combined with business can improve the level of delicacy management and promote the long-term and stable development of the hospital.

Multi-center clinical trial of Biyuan Pills in treating acute sinusitis syndrome with wind-evil invading lung / 中草药

Objective To observe the efficacy and safety of Biyuan Pills in treating acute sinusitis with syndrome of wind pathogen invading lung. Methods A method with randomized, positive-drug, parallel-controlled, doubled-blind, double-dummy, and multi-center trial was designed in the clinical study. The 330 cases were served as treatment group, taking Biyuan Pills for 10 d, 110 cases as control group, receiving Xiangju Capsule for 10 d. The curative effectiveness clinical diseases were the main observing parameter. Results Markedly effective rate and total effective rate of test group was 59.87% (58.93%) and 92.04% (90.60%), and that of control group was 51.40% (50.93%) and 84.11% (83.33%). Two groups total effective comparative differences were statistically significant (P < 0.05), the experimental group was better than the control group. The healing rate of TCM syndromes was 64.65% (63.64%) in the experimental group and 51.40% (50.93%) in the control group. The difference between the two groups was statistically significant (P < 0.05), and the experimental group was superior to the control group. After treatment, the symptoms of TCM in the two groups were significantly improved, and the improvement of nasal congestion and headache in the experimental group was better than that in the control group (P < 0.05). In the experiment, there were nine adverse events in the experimental group and one adverse event in the control group. No abnormal changes in clinical laboratory indicators related to the study drugs were found in either group. Conclusion Biyuan Pills is safe and effective in treating acute sinusitis with syndrome of wind pathogen and invading lung.

A long-term survival model of 40-min deep hypothermic circulatory arrest in rats / 中华急诊医学杂志

Objective To establish a long-term survival model of deep hypothermic circulatory arrest (DHCA) in rats,which could contribute to the research of organ damage mechanism and clinical treatments related to DHCA.Methods Twenty Sprague-Dawley rats were randomly (random number) divided into the sham group (n=10) and DHCA group (n=10).After anesthesia,a 20 G catheter was cannulated in the tail artery for arterial inflow,a multiorificed catheter in the right jugular vein for venous drainage,and a 24G catheter in the branch of left femoral artery for artery blood pressure monitoring.Rats in the DHCA group underwent DHCA procedure for 40 min after brain temperature cooled to 18℃,then rewarmed for 40 min,till the brain temperature were above 34℃.Rats in the sham group were cannulated but did not undergo cardiopulmonary bypass (CPB).Hemodynamic parameters and blood gas analysis were measured for 5 times (pre-CPB,15 min after CPB,10 min after rewarming,40 min after rewarming,and 30 min after CPB).Results One rat in the DHCA group died,and the rest rats survived.The lactate level in the DHCA group after rewarming during operation was significantly higher than that in the sham group (7.84 mmol/L vs 1.93 mmol/L,P＜0.05).Conclusions In this study,40-min DHCA model in rats is characterized by safe and long-term survival.

Risk factors of purulent meningitis complicated with subdural effusion in infants and young children / 中国实用儿科杂志

OBJECTIVE: To investigate the risk factors of purulent meningitis complicated with subdural effusion in infants and young children. METHODS: The clinical data of the infants and young children who were diagnosed with purulent meningitis in PICU of Shengjing Hospital of China Medical University from January 2014 to December 2017 were analyzed retrospectively.All of them were divided into 2 groups according to whether there was complication of subdural effusion. The statistical data were analyzed by SPSS 20.0 software. RESULTS: There were significant differences in hemoglobin,C reactive protein and protein in cerebrospinal fluid between control group and subdural effusion group(P<0.05). Logistic regression analysis showed that hemoglobin(OR=0.940,95%CI:0.899—0.998),C reactive protein(OR=1.015,95%CI:1.004—1.028)and protein in cerebrospinal fluid(OR=2.490,95%CI:1.151—6.315)were independent risk factors for purulent meningitis complicated with subdural effusion(P<0.05). CONCLUSION: Infants and young children diagnosed with purulent meningitis are with lower hemoglobin. Higher C reactive protein and higher protein in cerebrospinal fluid are likely to be complicated with subdural effusion.

A special issue to mark the 90th Anniversary of College of Life Sciences, Zhejiang University / 浙江大学学报（英文版）（B辑：生物医学和生物技术）

The College of Life Sciences (CLS) remains one of the most prestigious-and the oldest-colleges in Zhejiang University. This special issue, which includes 16 reviews contributed by our alumni and faculties, is dedicated to mark the 90th Anniversary of CLS. The reviews provide a glimpse of current progresses in the areas of life sciences such as biochemical processes and their association with diseases (Ding et al., 2019; Hu et al., 2019; Jin et al., 2019; Nie and Yi, 2019), cancer biology (Feng, 2019; Huang et al., 2019; Leonard and Zhang, 2019; Zhu F et al., 2019), plant and environmental microbiology (Li et al., 2019; Yang et al., 2019; Zhu XR et al., 2019), cell cycle (Gao and Liu, 2019; Zhang et al., 2019), RNA biology (Gudenas et al., 2019; Luo et al., 2019), and protein structural biology (Yang and Tang, 2019).

Displaced femoral neck fracture in children: closed versus open reduction: a Meta-analysis / 中华创伤骨科杂志

Objective To compare open reduction and internal fixation (ORIF) with closed reduction and internal fixation (CRIF) for the treatment of displaced fractures of the femoral neck in children,using a Meta-analysis.Methods Cochrane Library,PubMed Data,CNKI,Chinese Biomedical Database,Wanfang Data and Vip Data were searched for studies on treating displaced fractures of the femoral neck in children with ORIF and CRIF.In addition,hand search was conducted in relevant journals.Time limit for search was set from the beginning till August 2017.After eligible studies were included,a database was established of the demographic and clinical data of the patients included.Software Revman 5.0 was used for heterogeneity test of the quality of the studies included and the pooled relative risk (RR) and 95％ confidence interval (CI) were calculated.Results Ten studies were ultimately included involving 309 patients.Of them,163 were treated by ORIF and 146 by CRIF.The results showed that ORIF led to a significantly higher rate of anatomical reduction [RR =0.33,95％ CI (0.22,0.49),P ＜ 0.05] and a significantly higher good to excellent rate by Ratliff's evaluation [RR =0.73,95％ CI (0.62,0.85),P ＜0.05] than CRIF did;ORIF also led to a significantly lower rate of avascular necrosis[RR =1.93,95％ CI (1.13,3.31),P ＜ 0.05],a significantly lower rate of coxa vara [RR =2.38,95％ CI (1.07,5.27),P ＜0.05] and a significantly lower rate of nonunion [RR =2.72,95％ CI (1.05,7.04),P ＜ 0.05] than CRIF did.Conclusion In the treatment of displaced fractures of the femoral neck in children,ORIF can lead to better reduction,fewer complications and a higher good to excellent rate of functional recovery than CRIF.

Teaching research on student ability training of biomedical engineering specialty / 医疗卫生装备

Objective To design a student training program of biomedical engineering specialty to enhance student ability and employment rate.Methods The program design was executed from the aspects of curricula,teaching content,teaching approach,examination scheme,directed training by tutorial system as well as training integrating university and enterprise.Results The program design gifted the student with high comprehensive quality and professional skills.Conclusion Teaching approaches have to be regulated continuously according to the requirements of employing facilities.

Teaching research on student ability training of biomedical engineering specialty / 医疗卫生装备

Objective To design a student training program of biomedical engineering specialty to enhance student ability and employment rate.Methods The program design was executed from the aspects of curricula,teaching content,teaching approach,examination scheme,directed training by tutorial system as well as training integrating university and enterprise.Results The program design gifted the student with high comprehensive quality and professional skills.Conclusion Teaching approaches have to be regulated continuously according to the requirements of employing facilities.

Occupational semi-quantitative risk assessment in a crane manufacturing enterprise / 预防医学

Objective To evaluate occupational health risk at sites in a crane manufacturing enterprise and to provide the basis for occupational risk management and worker'health.Methods A crane manufacturing enterprise was selected and investigated for occupational health.Singapore occupational semi-quantitative risk assessment technique was used to evaluate the exposure risk in workers and compared with classification and occupational exposure limits of occupational hazards at workplaces.Results Benzene, toluene, xylene, manganese, butyl alcohol, butyl acetate, welding fume, silica dust, grinding wheel dust, noise were occupational hazard at the crane manufacturing sites.Results showed 3.28% of all the chemical substance analyzed in our study by Singapore occupational semi-quantitative risk assessment technique were high risk, and 8.2% were moderate risk, and 55.74% were low risk and 32.78% were negligible risk.The risk level of dip coating, welding, bob-weight, coremaking, sand mixing, shakeout were between moderate to high.The job grading of occupational chemical substance were correspondingly: harmless, 98.36%;slight, 1.64%.The results of the two methods were significantly different(P<0.05).Conclusion Singapore occupational semi-quantitative risk assessment technique could be used in evaluating the risk level of workplaces.However, this technique is limited in evaluating the risk level of physical factor such as noise and heat and should be combined with National Occupational Standards.

Clinical characteristics of 4355 patients with anterior cruciate ligament injury / 中华医学杂志(英文版)

<p><b>BACKGROUND</b>Clinical features of anterior cruciate ligament (ACL) injury are important for its prevention, diagnosis and treatment. However, few studies have reported such data, especially in China. The purpose of this study was to describe the clinical characteristics of ACL injury on a large cohort.</p><p><b>METHODS</b>Between 1993 and 2007, a total of 4355 ACL deficient inpatients (612 athletes and 3743 non-athletes) were registered. Data were collected using a special database system. And the distributions of characteristics in different groups were compared and analyzed statistically.</p><p><b>RESULTS</b>All subjects were confirmed with ACL tear during surgery. Statistical analysis revealed that the percentage of females in Athlete Group was significantly higher than that in Non-athlete Group (56.05% vs. 24.95%, P < 0.001). This study also found that sports trauma was the main cause of ACL tears. Soccer, basketball, judo, wrestling and track and field were the five most responsible activities for athletes. The average injury time for athletes was significantly shorter than that for non-athletes (413.3 days vs. 717.5 days, P < 0.001). Three thousand nine hundred and eight cases were ordered ACL reconstruction (76.04% single-bundle, 18.30% double-bundle). Three hundred and forty-five patients (7.92%) were combined with other ligaments injuries, 2667 (61.24%) were found with various grades of cartilage lesions, and 3377 (77.54%) were found with meniscal injury.</p><p><b>CONCLUSIONS</b>Sports trauma was the main cause of ACL tears in China, and reconstruction had become the principal surgical choice. In order to restore knee joint stability and reduce the incidence of cartilage and meniscal injury, patienttailored ACL reconstruction should be suggested at the right moment.</p>

Changes of histology and capsular collagen in a rat shoulder immobilization model / 中华医学杂志(英文版)

<p><b>BACKGROUND</b>Shoulder immobilization can induce adhesion of the joint, capsular contracture or lead to the condition of frozen shoulder. However, little is known about the histological effects of immobilization on the shoulder joint. This study aimed to explore the effect of immobility on the subscapular bursa (SSB) and the joint capsular content, including the distribution of types I and III collagen, within an immobilized rat shoulder.</p><p><b>METHODS</b>Forty-six Sprague-Dawley rats were randomly divided into one control group (n = 6) and four immobilization groups (n = 10 in each group), in which the left shoulders were immobilized with plaster for 1, 2, 3 and 4 weeks. At the end of each time point, 2 rats from each group were euthanized and shoulders prepared for serial histological observations of the glenohumeral joints, as well as picrosirius red and immunohistochemical observation of type III collagen. Histological sections of the remaining rat shoulders were used for the immunohistochemical detection of the capsular content of types I and III collagen.</p><p><b>RESULTS</b>The hyperplastic synovium of the anterior capsule obstructed the communication between the SSB and the glenohumeral joint cavity at 2 and 3 weeks. The adhesion of the SSB appeared at 3 and 4 weeks. The quantitative and qualitative results showed that the capsular contents of types I and III collagen progressively increased at 2, 3 and 4 weeks, and that type III collagen was distributed extensively within the joint capsule at 2 and 3 weeks.</p><p><b>CONCLUSION</b>Immobilization of the rat shoulder induced synovial hyperplasia of the joint capsule, adhesion of the SSB and an increase of the capsular content of types I and III collagen.</p>

Pulmonary fungal infections after bone marrow transplantation: the value of high-resolution computed tomography in predicting their etiology / 中华医学杂志(英文版)

<p><b>BACKGROUND</b>The correct diagnosis of etiology of fungal infection after bone marrow transplantation is very important to the choice of antifungal drugs and a premise for improvement of therapeutic efficacy. This study aimed to compare high-resolution computed tomography (HRCT) findings of the pulmonary fungal infections to determine whether the etiology of various fungal infections could be diagnosed with HRCT.</p><p><b>METHODS</b>Eighty-five cases were enrolled. According to the pathogens responsible for fungal infections, the patients were classified into three groups including invasive aspergillosis (n = 52), candidiasis (n = 19) and cryptococcosis (n = 14) groups. All the patients underwent HRCT scans. Two independent radiologists retrospectively analyzed the HRCT scans regarding CT patterns and distribution of lung abnormality.</p><p><b>RESULTS</b>Most fungal infections in the three groups occurred in the neutropenic phase. There was no significant difference in the constituent ratio of fungal infections at different phases after bone marrow transplantation among the three groups. Agreement between the two observers for all the CT characteristics of fungal infections was excellent (k > 0.75). There was a significant difference in occurrence ratio of mass among the three groups (P = 0.02). Occurrence ratio of mass (43.3%, 13/30) in the group with invasive aspergillosis was higher than in each of other two groups (20.0%, 2/10; 14.3%, 1/7). There was no significant difference in other CT characteristics of nodules or masses; including number, margin, halo sign, cavitation and air-crescent sign. There was no significant difference in number, margin, air bronchogram and distribution of air-space consolidation.</p><p><b>CONCLUSIONS</b>The HRCT appearance of various pulmonary fungal infections has a great deal of overlap and is nonspecific. Mass is more common in invasive aspergillosis, which is helpful to the diagnosis of invasive aspergillosis after bone marrow transplantation.</p>

Cloning and expression of single-chain Fv antibodies against H5N1 Avian influenza virus hemagglutinin / 病毒学报

To construct Fv antibodies against H5N1 Avian influenza virus hemagglutinin,extracted mRNA from B lymphoblastoid cell lines secreting anti-HA antibodies was used and the VH and VL genes were amplified by RT-PCR and linked together by splicing overlap extension (SOE) with (Gly4 Ser)3 linker. The recombinant plasmid was then transformed to E. coli BL21(DE3) and sequence analysis indicated the total length of scFv was 714 bp and the expression of Fv was validated by PAGE and Western blot.

Isolation and identification of a canine coronavirus strain from giant pandas (Ailuropoda melanoleuca)

Two giant pandas (Ailuropoda melanoleuca) died of unknown causes in a Chinese zoo. The clinical disease profile suggested that the pandas may have suffered a viral infection. Therefore, a series of detection including virus isolation, electron microscopy, cytobiological assay, serum neutralization and RT-PCR were used to identify the virus. It was determined that the isolated virus was a canine coronavirus (CCV), on the basis of coronavirus, neutralization by canine anti-CCV serum, and 84.3% to 100% amino acid sequence similarity with CCV. The results suggest that the affected pandas had been infected with CCV.

Diagnostic performance of prospective versus retrospective electrocardiogram-gated 64-slice computed tomography coronary angiography / 中华心血管病杂志

<p><b>OBJECTIVE</b>To compare the diagnostic performance of prospective electrocardiogram (ECG)-triggered computed tomography coronary angiography (CTCA) versus retrospective ECG-gated CTCA.</p><p><b>METHODS</b>Patients with suspected coronary artery disease divided into two groups which underwent 64-slice CTCA with prospective ECG-triggered or retrospective ECG-gated scanning (n = 100 each, HR < or = 65 bpm). Multi-planar reconstruction (MPR), curved-planar reconstruction (CPR), maximum intensity projection (MIP) and volume rendering (VR) were made to demonstrate the coronary arteries. The image quality was defined as excellent, good and poor by motion and stair-step artifacts. Individual radiation exposure dose was estimated from the dose-length product.</p><p><b>RESULTS</b>The mean effective radiation dose of prospective ECG-triggered CTCA [(2.81 +/- 0.48) mSv] was significantly lower than that of retrospective ECG-gated CTCA [(10.16 +/- 1.09) mSv, P < 0.01]. Segments of diagnostic image quality (95.2%, 1165/1224) and non-diagnostic coronary segments (4.8%, 59/1224) in prospective ECG-triggered group were similar as those of retrospective ECG-gated group (94.1%, 1186/1261 and 5.9%, 75/1261, all P > 0.05).</p><p><b>CONCLUSION</b>Though the radiation exposure dose required is significantly lower, the diagnostic performance of prospective ECG-triggered 64 slice CTCA is comparable with that of retrospective ECG-gated 64 slice CTCA on patients with stable heart rates up to 65 bpm.</p>

Emergency prophylactic effects of the avian influenza virus immunized serum on the infected mice / 中华预防医学杂志

<p><b>OBJECTIVE</b>To evaluate emergency prophylactic effects of the avian influenza virus immunized serum on experimentally infected mice.</p><p><b>METHODS</b>Serum HI antibody titers of 30 mice were detected at day 1 to 19 after being inoculated with 0.2 ml immune serum to estimate half life of immune serum. Ten mice clinical symptom was recorded to estimate the serum security after mice injected 1.5 ml immune serum. Seventy mice were randomly divided into 7 groups according to random number table and inoculated with 0.2 ml, 0.1 ml and 0.05 ml immune serum respectively via intraperitoneal injection on day 8, 4 and 1 prior to challenged with 10 LD(50) influenza virus intranasal. Mice were observed continually for 14 days to calculate the morbidity, mortality, average survival days and compare the lung index and viral titers in lung.</p><p><b>RESULTS</b>Serum HI antibody titers of mice which inoculated with 0.2 ml immune serum maintained 2(6) in 15 days after injection, but drawdown after day 17, the mice injected 1.5 ml immune serum were all alive and none onset. The survival rate of mice which injected 0.2 ml serum on the day 8, 4, 1 before challenge was 80%, 100% and 100%, and the average survival period was 13.1 days, 14.0 days and 14.0 days respectively. The survival rate of mice which injected 0.1 ml and 0.05 ml serum on day 1 before challenge was 100% and 50%, and the average survival days were 14.0 days and 11.7 days respectively. The mice lung index of experimental groups (0.0096 +/- 0.0033 - 0.0145 +/- 0.0060) was smaller than that of viral control group (0.0199 +/- 0.0025), with a statistical significance (P value 0.0022 - 0.0470, < 0.05). The viral titers in lung were significantly decreased by 2 titer as compared to the viral controls.</p><p><b>CONCLUSION</b>The avian influenza virus immunized serum might contain the emergency prophylactic effects and could be developed as an agent for possible human-avian influenza pandemic.</p>