Qingre Xiaoyanning Capsules alleviate HSV-1 susceptibility induced by emotional stress / 中国中药杂志

In this study, emotional stress-induced herpes simplex virus type 1(HSV-1) susceptibility model was employed to simu-late the pathological state of " depression-induced liver fire", and the protection effect of Qingre Xiaoyanning(QX) in clearing liver fire was investigated. BALB/c mice were randomly divided into a normal group, a HSV-1 group, a restraint stress + HSV-1 group,low-(0. 658 g·kg~(-1)) and high-dose(1. 316 g·kg~(-1)) QX groups, and an acyclovir group. Except for the normal group and the HSV-1 group, the mice in other groups received daily restraint stress for 6 h from day 3 of medication. On day 9 of medication, mice were anesthetized by isoflurane and infected intranasally with HSV-1. Survival rate, weight change, encephalitis symptoms, and eye injury of mice were recorded for 14 d after virus infection. Hematoxylin-eosin(HE) staining and immunohistochemical staining were used to detect pathological changes and HSV-1 antigen distribution. Plaque assay was performed to detect the titer of HSV-1. The protein ex-pression of ICP27 in the mouse brain was detected by Western blot. The experimental results showed that QX could increase the survival rate of HSV-1-infected mice loaded with emotional stress(P<0. 001), reduce the titer of HSV-1 in the mouse brain(P<0. 01), relieve brain inflammation(P<0. 05) and eye injury(P<0. 05), down-regulate the expression of ICP27 related to HSV-1(P<0. 05), and decrease the distribution of HSV-1 antigen in the mouse brain. The results demonstrated that QX significantly reduced the susceptibility to HSV-1 induced by emotional stress, which is expected to provide a theoretical basis for the treatment and preven-tion of HSV-1 infection and promote the clinical development and application of Chinese medicine effective in clearing liver fire.

Comparative imaging study of mediastinal lymph node from pre-surgery dual energy CT versus post-surgeron verifications in non-small cell lung cancer patients / 北京大学学报(医学版)

OBJECTIVE@#To validate the value of dual energy CT (DECT) in the differentiation of mediastinal metastatic lymph nodes from non-metastatic lymph nodes in non-small cell lung cancer (NSCLC).@*METHODS@#In the study, 57 surgically confirmed NSCLC patients who underwent enhanced DECT scan within 2 weeks before operation were enrolled. Two radiologists analyzed the CT images before operation. All mediastinal lymph nodes with short diameter≥5 mm on axial images were included in this study. The morphological parameters [long-axis diameter (L), short-axis diameter (S) and S/L of lymph nodes] and the DECT parameters [iodine concentration (IC), normalized iodine concentration (NIC), slope of spectral hounsfield unit curve (λHU) and effective atomic number (Zeff) in arterial and venous phase] were measured. The differences of morphological parameters and DECT parameters between metastatic and non-metastatic lymph nodes were compared. The parameters with significant difference were analyzed by the Logistic regression model, then a new predictive variable was established. Receiver operator characteristic (ROC) analyses were performed for S, NIC in venous phase and the new predictive variable.@*RESULTS@#In 57 patients, 49 metastatic lymph nodes and 938 non-metastatic lymph nodes were confirmed by surgical pathology. A total of 163 mediastinal lymph nodes (49 metastatic, 114 non-metastatic) with S≥5 mm were detected on axial CT images. The S, L and S/L of metastatic lymph nodes were significantly higher than those of non-metastatic lymph nodes (P < 0.05). The DECT parameters of metastatic lymph nodes were significantly lower than those of non-metastatic lymph nodes (P < 0.05). The best single morphological parameter for differentiation between metastatic and nonmetastatic lymph nodes was S (AUC, 0.752; threshold, 8.5 mm; sensitivity, 67.4%; specificity, 73.7%; accuracy, 71.8%). The best single DECT parameter for differentiation between metastatic and nonmetastatic lymph nodes was NIC in venous phase (AUC, 0.861; threshold, 0.53; sensitivity, 95.9%; specificity, 70.2%; accuracy, 77.9%). Multivariate analysis showed that S and NIC were independent predictors of lymph node metastasis. The AUC of combined S and NIC in the venous phase was 0.895(sensitivity, 79.6%; specificity, 87.7%; accuracy, 85.3%), which were significantly higher than that of S (P < 0.001) and NIC (P=0.037).@*CONCLUSIONS@#The ability of quantitative DECT parameters to distinguish mediastinal lymph node metastasis in NSCLC patients is better than that of morphological parameters. Combined S and NIC in venous phase can be used to improve preoperative diagnostic accuracy of metastatic lymph nodes.

Research advances in the use of digital surgical guides in implantology / 华西口腔医学杂志

Dental implants have become the main choice for patients to fill in their missing teeth. A precise placement is the basis for a functional and aesthetic restoration. A digital surgical guide is a carrier that transfers the preoperative plan of dental implants to the actual surgery. This paper provides some references that can help clinicians improve the accuracy of implant surgery by stating the development, classification, advantages and disadvantages, and factors that affect the accuracy of digital guides.

Comparison of the Curative Efficacy of Elderly Patients with High-Risk MDS and MDS-Transformed AML between Decitabine Combined with Low-Dose CEG Regimen and Decitabine Combined with Low-Dose CAG Regimen / 中国实验血液学杂志

OBJECTIVE@#To evaluate the efficacy of decitabine combined with low-dose CEG regimen (DCEG) and decitabine combined with low-dose CAG regimen (DCAG) in the treatment of elderly patients with MDS and MDS-transformed acute myeloid leukemia (AML).@*METHODS@#A prospective study was conducted in 7 medical centers, 45 patients with MDS (≥ 60 years old) and MDS-transformed AML from October 2016 to January 2019 were enrolled, with the median age of 68.5 years old. The risk stratification of patients was poor or very poor, according to IPSS-R score. The treament results of decitabine combined with CEG and decitabine combined with CAG were compared.@*RESULTS@#The comparison of the two regiem showed that the DCEG regimen had advantages on total effective rate (ORR, 86.4% vs 47.8%, respectively), overall survival time (OS) (10.0 months vs 6.0 months, respectively) and progression-free survival time (PFS) (9.0 months vs 3.0 months, respectively). About 50% of MDS patients treated by DCEG regimen achieved PR or CR, with a median OS of 31 months. Multivariate analysis showed that patients with PR or CR after induction therapy and DCEG regimen had longer survival time (31months). The incidence of bone marrow suppression, infection and treatment-related mortality rate were similar between the two groups.@*CONCLUSION@#Decitabine combined with CEG regimen could improve the survival of patients with high-risk MDS and MDS-transformed AML. The conclusion of the reaserch needs to be validated by a larger prospective randomized clinical trial.

The Application of Annular Suture in the Treatment of Postpartum Hemorrhage Caused by Dangerous Placenta Previa / 昆明医科大学学报

Objective To study the effect of pre-operative internal iliac artery capsule combined with the lower segment of the uterus with annular suture on the treatment of postpartum hemorrhage caused by dangerous placenta previa and the long-term effect of the operation. Methods from January 1, 2015 to March 31, 2017, the second people's Hospital of Yunnan province for Cesarean danger in placenta of patients using preset internal iliac artery balloon combined with lower uterine segment ring-shaped suture in the treatment of 22 cases of patients as research group, Lower uterine segment multiple is not used in loop suture for treatment, but has a preset internal iliac artery balloon 18 cases of dangerous patients with placenta previa, as retrospective analysis clinical data of the comparison group. Results Mean blood loss in 22 patients 1329.54±290 ml. Does not occur in all patients around organ damage and other complications. 1 examples of hysterectomy. 5.23 days postoperative average hospital stay. After 3 months of follow-up ultrasound, uterus shape well. In 18 patients in the control group average blood loss 1451.11 ±311 ml of blood loss were significantly higher in the study group, there was a statistically significant difference ( <0.05) . 2 examples of hysterectomy in the control group. Uterine reservations there was statistically significant ( <0.05) . Conclusion Combined preset internal iliac artery balloon uterus circular suturing for the dangerous result of placenta previa with placenta accreta intraoperative uterine bleeding for better effect.

Evaluation of left ventricular morphology and function related to complete left bundle branch block with cardiac magnetic resonance in patients with systolic heart failure / 中国介入心脏病学杂志

Objective To evaluate the left ventricular morphology and function related to complete left bundle branch block(CLBBB)in patients with systolic heart failure with cardiac magnetic resonance.Methods Thirteen consecutive patients with left ventricular ejection fraction(LVEF)＜50％evaluated by echocardiography and CLBBB were included as the study group,and patients with other reasons leading to heart failure were excluded.During At the same period,patients with primary dilated cardiomyopathy were selected as the control group(n=19)whose age,sex and LVEF were matched with the study group.All patients received contrast magnetic resonance imaging examination.Results Left ventricular end-diastolic volume(LVEDV)in patients with CLBBB was(173.8±23.1)ml and left ventricular end-systolic volume(LVESV)was(123.1±18.7)ml,while LVEDV in patients without CLBBB was(247.9±60.7)ml and LVESV was(188.2±57.1)ml respectively.All LV measurements/indexes were smaller in patient with CLBBB when compared to the control(all P＞0.05).Right atrium area was also smaller in CLBBB patients(P=0.037).The maximal wall thickness in the patients with CLBBB [(8.3±1.4)mm] was thicker than that in the patients without CLBBB[(7.2±1.1)mm](P=0.016).Conclusions CLBBB may play an important role in the progress of heart failure and LV dilation may not have similar significant contribution with relative thicker ventricular wall.

Effect of cladribine on growth inhibition and autocrining cytokines in hu-man umbilical vein endothelial cell line EA.hy926 / 中国病理生理杂志

AIM: To study the effects of cladribine on growth and secretion activity of human umbilical vein endothelial cell line EA.hy926, and to investigate the mechanism of its anti-tumor effect by inhibiting endothelial cells. METHODS:The effects of cladribine at different concentrations on the cell viability were detected by CCK -8 assay.Apop-tosis and cell cycle distribution were examined by flow cytometry.The protein expression levels were determined by Western blot.The levels of tumor necrosis factor-α(TNF-α), transforming growth factor-β1(TGF-β1)and vascular endothelial growth factor(VEGF)secreted by EA.hy926 cells with cladribine treatment for 48 h were analyzed by ELISA.The nitric oxide(NO)production was measured by Gries method.RESULTS:Cladribine at 0.4~1 μmol/L inhibited the viability of EA.hy926 cells in time-and dose-dependent manners.The IC50was about 3.644 μmol/L.The results showed 43.74% cells in S phase when the concentration of cladribine was 0.4 μmol/L,and 77.23 % cells in S phase when the concentra-tion of cladribine was 1 μmol/L.The apoptosis was not induced by cladribine at 0.4~10 μmol/L.The protein expression of Bax and caspase-3 did not change.The expression of p21 increased and the p53 decreased(P<0.05).The levels of TNF-αand TGF-β1 secreted by EA.hy926 cells increased after cladribine treatment for 48 h.The levels of VEGF and NO decreased.CONCLUSION:Cladribine obviously inhibits the viability of EA.hy926 cells.The mechanism is related to the cell cycle arrest.Cladribine promotes the secretion of TNF-αand TGF-β1 by EA.hy926 cells and inhibits the secretion of VEGF and NO.

Efficacy analysis of CAPOX regimen and SOX regimen in the treatment of advanced gastric cancer / 中国现代普通外科进展

Objective:To study the effect of CAPOX regimen and SOX regimen in the treatment of advanced gastric cancer.Methods:140 patients with advanced gastric cancer who received chemotherapy from January 2010 to June 2011 in the hospital were enrolled in this study.The patients were divided into observation group (CAPOX regimen) 72 cases and control group(SOX regimen) 68 cases according to the different chemotherapy protocols,two groups were treated with central venous catheter,and in the course of chemotherapy for the given antiemetic,hepatoprotective and Acid suppression related drugs.The observation group was treated with CAPOX regimen,and the control group was treated with SOX regimen,and the 21d was used as the 1 chemotherapy cycle,and the effect was evaluated after 2 cycles of chemotherapy.Results:The effective rate of observation group was 33.33％ (24/72),compared with the control group of 33.82％(23/68),the difference was not statistically significant (P＞0.05).The incidence of hand foot syndrome in the observation group was 16.67％ (12/72),was significantly higher than the control group of 2.94％(2/68),the difference was statistically significant(P＜0.05).The total incidence of adverse reactions in the observation group was 58.33％ (42/72),compared with the control group of 57.35％(39/68),the difference was not statistically significant(P＞0.05).The 1 to 5 year survival rate of the observation group compared with the control group was not statistically significant(P＞0.05).The two groups before and after treatment of CD3+,CD3+CD4+ and CD3+/CD8+ compared,the difference was not statistically significant (P＞0.05).Conclusion:Using CAPOX scheme and the SOX regimen can be better in the treatment of advanced gastric cancer,curative effect and short and long term survival rate was almost equal and influence of immune function of patients with no significant difference,but CAPOX scheme may exist higher hand foot syndrome probability,it is worth clinical optic.

Association between wheezing and Mycoplasma pneumoniae infection in infants and young children / 中国当代儿科杂志

<p><b>OBJECTIVE</b>To study the association between wheezing and Mycoplasma pneumoniae (MP) infection in infants and young children.</p><p><b>METHODS</b>A total of 228 hospitalized infants and young children who were diagnosed with lower respiratory tract infection were enrolled and classified into initial wheezing group (n=65), recurrent wheezing group (n=83), and non-wheezing group (n=80). Fasting serum was collected on the day or the second day of admission. ELISA was used to measure MP-IgM, chemiluminescence was used to measure serum total immunoglobulin E (TIgE), and EUROLine was used to measure the common serum allergen specific immunoglobulin E (sIgE). The data on the manifestations of atopic constitution and the family history of allergic diseases were collected.</p><p><b>RESULTS</b>The initial wheezing group and the recurrent wheezing group showed significantly higher positive MP infection rate and serum TIgE level than the non-wheezing group (P<0.05). The recurrent wheezing group showed a significantly higher positive rate of sIgE than the initial wheezing group and the non-wheezing group (P<0.05), and in these patients, the manifestations of atopic constitution and the family history of allergic diseases were closed associated with the pathogenesis of wheezing.</p><p><b>CONCLUSIONS</b>MP infection is closely associated with wheezing in infants and young children. MP is one of the most common pathogens for wheezing in infants and young children, and the allergen sIgE, atopic constitution, and a family history of allergic diseases are important risk factors for recurrent wheezing.</p>

Sensitivity and specificity of optical coherence tomography in diagnosing polypoidal choroidal vasculopathy / 南方医科大学学报

<p><b>OBJECTIVE</b>To establish the diagnostic criteria for polypoidal choroidal vasculopathy (PCV) based on spectral-domain optical coherence tomography (SD OCT) by evaluating the sensitivity and specificity of SD OCT in differentiating PCV from wet age-related macular degeneration (wAMD).</p><p><b>METHODS</b>The clinical data were reviewed for 62 patients (63 eyes) with the initial diagnosis of PCV or wAMD between August, 2012 and June, 2016. Twenty-four patients (25 eyes) were diagnosed to have PCV and 38 (38 eyes) had wAMD based on findings by fundus photography, fluorescein angiography (FFA) and indocyanine green angiography (ICGA). Among the 6 features of SD OCT, namely a sharp RPED peak, double-layer sign, multiple RPED, an RPED notch, a hyporeflective lumen representing polyps, and hyperreflective intraretinal hard exudates, findings of the first two features and at least one of the other features sufficed the diagnosis of PCV; in the absence of the first two features, the diagnosis of PCV was also made when at least 3 of the other features were present simultaneously. The sensitivity and specificity of SD OCT-based diagnosis were estimated by comparison with the gold standard ICGA-based diagnosis.</p><p><b>RESULTS</b>In the 25 eyes with an established diagnosis of PCV, 23 eyes (92.0%) met the diagnostic criteria based on SD OCT findings; in the 38 eyes with the diagnosis of wAMD, only 4 eyes (10.5%) met the criteria. The sensitivity and specificity of SD OCT-based diagnosis of PCV was 92.0% and 89.5%, respectively.</p><p><b>CONCLUSION</b>s We established the diagnostic criteria for PCV based on SD OCT findings with a high sensitivity and specificity. SD OCT shows a strong capacity for differentiating PCV from wAMD.</p>

Development of a cell-based peroxisome proliferator-activated receptors (PPARs) screening model and its application for evaluation of triterpenoids isolate from Alismatis Rhizoma / 中国中药杂志

Peroxisome proliferators activated receptors (PPARs) are closely related to human chronic disease, such as diabetes mellitus and the other metabolic diseases. In this study, a cell-based PPARs (PPAR α/β/γ) model was developed for the screening of PPARs agonists from Alismatis Rhizoma (AR). Firstly, 293T cells were transfected with the reconstructed plasmid pBind-PPAR (α, β, or γ)-LBD and reporter gene pGL4.35, and the known PPARs agonists were used as the positive control (fenofibrate for PPARα, L165041 for PPARβ, and rosiglitazone for PPARγ). The ability of activation for PPARs was evaluated by analyzing the expression value of luciferase. Afterward, the 14 pure triterpenoids isolate from AR were analyzed on the developed PPARα, PPARβ and PPARγ screening assay method. The results showed that the compounds 5, 6, 7, 8, 13 and 14 from AR have the ability of activation for PPARα. The compounds 5 and 7 from AR have the ability of activation for PPARβ. The compounds 6, 7, 8 and 12 from RA have the ability of activation for PPARγ.In this study, the compound 12 from AR were found to display significant activation on PPARγ for the first time. AR triterpenoids extracts had the ability of activation for PPARα, PPARβ and PPARγ. The results suggested that triterpenoids extracts from AR were PPARα, PPARβ and PPARγ agonists. The results will help to provide reference for clinical application of AR, and establish a model for PPARs on 293T cell, which can be used to screen and evaluate PPARs natural agonists.

Resistance to pyrethroid insecticides and analysis of knockdown resistance (kdr) gene mutations in Aedes albopictus from Haikou City / 第二军医大学学报

Objective To investigate the resistance to deltamethrin and permethrin in Aedes albopictus in Haikou City, and to detect the knockdown resistance (kdr) mutants of A. albopictus, elucidating the association of resistant phenotype with kdr mutation. Methods The A. albopictus samples were collected from Xinfu Island, Longtang Town, Shishan Town, Baishamen Park, and the flower market in Haikou City. Their susceptibility to deltamethrin and permethrin was tested by larval bioassay. The resistance level was determined by the R/S ratio. The kdr gene was amplified and analyzed, and the relationship between the resistant phenotype and kdr mutation was determined by Chi-square test. Results The A. albopictus samples from the flower market and Baishamen Park showed resistance to deltamethrin and permethrin, of which the flower market population had an R/S ratio of up to 436.36, indicating a high level of resistance. The A. albopictus samples from Longtang Town and Shishan Town were sensitive to permethrin, but had low (R/S ratio, 9.09) and moderate (18.18) degrees of resistance to deltamethrin, respectively. The Xinfu Island population was sensitive to both deltamethrin and permethrin. The codon 1 534 kdr was detected point mutations among 317 A. albopictus samples, with two mutant alleles, TGC/C and TCC/S. The five genotypes were wild-type TTC/TTC (frequency, 62.15%), wild/mutant heterozygous TTC/TGC (0.63%) and TTC/TCC (16.09%), homozygous mutant TCC/TCC (20.82%), and mutant heterozygous TGC/TCC (0.32%). Chi-square test revealed significant differences in the frequency of kdr mutant genotype between A. albopictu sensitive to the insecticides (31.97%) and those resistant to the insecticides (42.94%), P <0.05. Conclusion Some A. albopictus populations in Haikou City have developed resistance to both deltamethrin and permethrin. The resistant phenotype and kdr mutant genotype are closely associated. This study has also discovered for the first time the novel TCC/S point mutation of kdr.

Protective effect of brain-derived neurotrophic factor-PLGA sustained release microspheres on peripheral nerve injury / 第二军医大学学报

Objective To observe the protective effect of brain-derived neurotrophic factor-polylactic-co-glycolic acid (BDNF-PLGA) sustained release microspheres on the peripheral nerve injury of rats. Methods BDNF loaded PLGA microspheres were prepared by double emulsion solvent evolution method. A total of 48 adult SD rats were divided into sham operation group , model group , BDNF group and BDNF-PLGA sustained release microspheres group (n=12); the model of sciatic nerve ring clamp injury was established in the latter three groups. After operation BDNF(30 0g/mL , 1 mL/kg) was injected into the local nerve injury sites for BDNF group and BDNF-PLGA sustained release microspheres (BDNF 30 0g/mL , 1 mL/kg) were injected for BDNF-PLGA group , once a week for four weeks. The general status , pace , and joint motion of each group were observed after operation; and the changes of neurological scores , nerve conduction velocity (NCV) , amplitude , latency period , compound muscle action potential (CMAP) and histopathology were observed 4 weeks after operation. Results The general status , pace , and joint motion of the sciatic nerve injury in BDNF-PLGA group were significantly improved compared with the model group and BDNF group. The BDNF-PLGA sustained release microspheres effectively improved the functions of injured peripheral nerve , which basically restored the normal level after four weeks , and the recovery was rapid than the BDNF group. The NCV , amplitude and latency period , CMAP amplitude , and recovery rate of CMAP in the BDNF-PLGA group was significantly improved compared with the model group(all P$0. 01) , and the improvements were also significantly greater than those in group BDNF (P$0. 05). The BDNF-PLGA sustained release microspheres also significantly improved the pathology changes oi sciatic nerve injury, including those oi the myelin sheath, axon and vacuole. Conclusion The BDNF- PLGA sustained release microspheres have prominent protective effect against the peripheral nerve injury in rats.

RH Factor and Clinical Transfusion Effectiveness for β-Thalassemia Children with Long-Term Blood Transfusion / 中国实验血液学杂志

<p><b>OBJECTIVE</b>To investigate the irregular antibody production and its relationship with Rh factor genotypes and the loci of thalassemia gene mutations for the β-thalassemic children with long-term transfusion, so as provide experimental basis for clinical safe and effective transfusions for thalassemic children.</p><p><b>METHODS</b>The peripheral blood from 246 children with β-thalassemia was collected in our hospital; the extraction of genomic DNA and Rh factor (C/c, E/e) genotypes were assayed by PCR-SSP method, the irregular antibodies were screened and identified by serological method, the genotypes for thalassemia and gene mutations were analysed by PCR-RD method.</p><p><b>RESULTS</b>The genotypes of Rh factors classified by PCR- SSP in the 246 cases of β-thalassemia children were as follws: Ce/Ce (143/246, 58.1%), CE/ce (59/246, 24%), cE/cE (14/24, 5.7%), Ce/ce (12/246, 4.9%); The positive rate of irregular antibody was 7.7% (19/246), including anti-E (7/19), anti-c (5/19), anti-C (2/19), anti-E and anti-c (2/19), anti-e (1/19), anti-D (2/19); Of the 19 cases with positive irregular antibody, the genotypings of Rh factor were: Ce/Ce (11/19), CE/ce (2/19), cE/cE (2/19), Ce/ce (2/19), cE/ce (2/19); the gene mutations location of thalassemia for 19 cases with positive irregular antibody: CD41-42M (13/19), CD71-72M (2/19), IVS-II-654M (3/19), -28M (1/19).</p><p><b>CONCLUSION</b>The irregular antibody production for β-thalassemic children with long-term transfusion may have some relevance with Rh factor genotypes and thalassemia genetic mutations. This study possesses a certain significance for effective prevention of RBC alloimmune response of β-thalassemia children and improvement of efficacy and safety of clinical transfasion blood.</p>

Bone marrow mesenchymal stem cells to repair the reproductive system of male azoospermia rats / 中华男科学杂志

<p><b>OBJECTIVE</b>To study the ability of bone marrow mesenchymal stem cells (BMSCs) to repair the internal environment of the testis in male azoospermia rats.</p><p><b>METHODS</b>We established azoospermia models in 22 six-week-old male SD rats by intraperitoneal injection of busulfan at 20 mg per kg body weight. We transplanted allogeneic rat BMSCs (rBMSCs) into the testicular seminiferous tubules of the model rats and, 30 days after transplantation, observed the composition and structure of the seminiferous tubular cells by HE staining and detected the expressions of CD44, CD106, and c-kit in the rBMSCs by immunohistochemistry.</p><p><b>RESULTS</b>The number of epididymal sperm was significantly reduced in the model rats as compared with the normal controls (P < 0.01). CD44 and CD106, but not c-kit, were expressed in the isolated rBMSCs. At 30 days after transplantation of rBMSCs, lots of new cells were observed in the seminiferous tubules, some expressing CD106 and some expressing the germ cell surface marker c-kit.</p><p><b>CONCLUSION</b>BMSCs can transdifferentiate into germ cells and repair the damaged seminiferous tubules of sterile rats.</p>

Clinical significance of anti-neutrophil cytoplasmic antibodies and anti-endothelial cell antibodies in children with Kawasaki disease / 中国当代儿科杂志

<p><b>OBJECTIVE</b>To study the clinical significance of anti-endothelial cell antibodies (AECA) and anti-neutrophil cytoplasmic antibodies (ANCA) in Kawasaki disease (KD) and its complication of coronary arterial lesions (CAL).</p><p><b>METHODS</b>Forty-two children with KD, as well as 20 children with fever caused by respiratory infection (fever control group) and 15 children for selective operation (normal control group), were included in the study. Serum levels of AECA and ANCA were measured using enzyme-linked immunosorbent assay. Echocardiography was performed to evaluate CAL in KD patients.</p><p><b>RESULTS</b>During the acute phase, the KD patients had significantly higher serum AECA and ANCA levels than the two control groups (P<0.01). The KD patients had reduced serum ANCA levels (P<0.01) in the remission phase, but they were still higher than those of the two control groups (P<0.05). Among KD patients, those with CAL had significantly higher ANCA levels than those without CAL (P<0.01) in the acute phase. There was a positive correlation between serum ANCA levels and the ratio of left coronary artery to aortic annular diameter in KD patients with CAL (r=0.88, P<0.01).</p><p><b>CONCLUSIONS</b>AECA and ANCA may be involved in vasculitis and CAL among children with KD. Serum levels of AECA and ANCA may be used as indicators for the diagnosis of suspected KD cases in the acute phase. Elevated ANCA level has a certain predictive value for CAL.</p>

Value of multiple b-value diffusion-weighted imaging for differentiation of benign and malignant pulmonary masses / 中国医学科学院学报

<p><b>OBJECTIVE</b>To explore the value of multiple b-value diffusion-weighted imaging (DWI) for differentiation of benign and malignant pulmonary masses.</p><p><b>METHODS</b>Thirty-eight patients were examined by routine sequences and DWI pulse sequence. DWI was acquired through a single-shot echo-planar imaging combined with a respiratory-triggered mode and parallel acquisition. Nine b values ranging from 0 to 1500 s/mm(2) (0, 50, 100, 150, 200, 400, 600, 1000, 1500 s/mm(2)) were used. The intravoxel incoherent motion model was applied to estimate pure diffusion coefficient D, perfusion-related diffusion coefficient D(*), and perfusion fraction f. Mann-Whitney U test was used to compare all measured parameters between benign and malignant groups. The diagnostic performance of the related parameters was evaluated with receiver operating characteristics (ROC) analysis.</p><p><b>RESULTS</b>Of these 38 patients, 30 were pathologically confirmed and 8 were diagnosed based on clinical data. There were 23 lung malignant masses and 15 benign lesions. A significant reduction of D was found in malignant group than in benign group (Z=3.308, P=0.001), while no significant differences in D(*)(Z=1.646, P=0.100) and f(Z=1.254, P=0.210) were observed between the two groups. The area under the ROC curve for D value (0.839) was largest. When the cutoff value was selected as 0.90×10(-3) mm(2)/s, the sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of diagnosing malignant masses were 95.7%, 80.0%, 90.9%, 91.7%, and 88.9%,respectively.</p><p><b>CONCLUSION</b>The D value in multiple b-value DWI has certain significance in differentiating the benign and malignant pulmonary masses and has the best diagnostic efficiency.</p>

The protective effect of moderate noisy backgrounds for certain period on hearing after exposure to a traumatic noise in guinea pig / 解放军医学杂志

Objective To investigate the protective effect of moderate noisy backgrounds on guinea pig's hearing after an exposure to a traumatic noise. Methods Thirty guinea pigs were randomly divided into five groups (6 each). Animals in group A, B, C and D were subjected to noise of 84 decibels sound pressure level (dB SPL) for 4, 8, 24 and 0 hour respectively after a traumatic exposure of 110 dB SPL, and those in group E were kept in quiet environment. Distortion product oto-acoustic emission (DPOAE) amplitudes were determined on 1 day prior, and 1 and 7 days after noise exposure. Blood plasma was obtained to determine the contents of malondialdehyde (MDA) and the activities of hemocuprein (SOD) and nitricoxide synthase (NOS) at the end of the experiment. Results Noise-induced hearing loss was caused in group D after a traumatic exposure. At the 1st and 7th day after exposure, DPOAE amplitudes were higher in group A and B than in group D, especially at high frequencies, while no significant difference was observed between group C and D. At the 7th day after exposure, the activity of SOD lowered, while the content of MDA increased in group A and B as compared with group E (P<0.05). The content of MDA in group A increased as compared with group D (P<0.05). Conclusion After the traumatic noise-exposure, the recovery of noise-induced hearing loss, especially the high-frequency hearing loss could be motivated when exposed to noise at 84 dB SPL for 4 or 8 hours.

Effect of digital radiography processing parameters on digital chest radiograph for occupational exposed workers / 中华劳动卫生职业病杂志

<p><b>OBJECTIVE</b>To investigate the effect of different processing parameters of digital radiography (DR) on the image quality of digital chest radiograph in dust-exposed workers.</p><p><b>METHODS</b>One hundred and five dust-exposed workers underwent both high-KV radiography and DR to obtain chest radiographs; the image processing parameters were set by the conventional processing method for digital chest radiograph (method A) and the processing method based on the special requirements of occupational diseases (method B). With the high-KV chest radiograph as the reference, the image qualities at 10 anatomic sites of DR image were graded. The images acquired by DR and high-KV radiography were compared, and the DR images acquired by methods A and B were also compared.</p><p><b>RESULTS</b>For method A, the scores at the 10 anatomic sites of DR image were mostly 0 and +1, accounting for over 88%, and the mean score was 0.23 ∼ 0.65, there was a significant difference between the mean score of DR image and the score of high-KV image (P < 0.001). For method B, the scores at the 10 anatomic sites of DR image were mostly 0, accounting for over 65%, and the mean score was -0.01∼ +0.02 except at the pleura and chest wall; there was no significant difference between the mean score of DR image and the score of high-KV image (P > 0.05). There were significant differences in the scores at the 10 anatomic sites between the DR images acquired by methods A and B (P < 0.01).</p><p><b>CONCLUSION</b>The DR images acquired based on different processing parameters are different. The quality of DR image acquired by the processing method based on the special requirements of occupational diseases is similar to that of high-KV image at the anatomic sites.</p>

Genotyping of Mycobacterium leprae in Guangdong province / 中华流行病学杂志

Objective To understand the genotypes of Mycobacterium leprae collected from Guangdong province,China and to analyze the routes of leprosy transmission both inside and outside of Guangdong.The impact of emigrant leprosy patients to the endemic nature of the disease in Guangdong was also studied.Methods Typing on strains with variable number of tandem repeats (VNTR) and single nucleotide polymorphism (SNP) were performed on the local cases and emigrant cases based on skin biopsy.Results Most isolates from local patients belong to SNP type 1 and SNP type 3 isolates were found just in a small part of local isolates.However,all the emigrants were carrying SNP type 3.Within the SNP type 1 strain from Guangdong,alleles at the 18-8,12-5,ML-1,(TA) 10 and (GGT)5 differed from SNP 3 strains collected from other areas in China.However,all the SNP type 1 and SNP type 3 local isolates identified from Guangdong were having close VNTR profiles and the main differences appeared in the alleles at ML-1,(TA) 10 and (GGT)5.Conclusion The transmission of strain with SNP type 1 seemed to be associated to the "Silk Road on the Sea",calling for monitoring and confirming the transmission of patients with SNP type 3 in Guangdong were from the secondary transmission,by the emigrant patients.Further study on the historic spread and phylogenetic relationships between SNP type 1 and novel SNP type 3 in Guangdong is needed.