Synthesis method optimization and biodistribution study of 18F-T807 on TRACERlab FXFN synthesizer / 药学实践杂志

Objective To optimize the synthesis method of 18F-T807 and study preliminary biodistribution. Methods 18F-T807 was synthesized using an optimized method in TRACERlab FXFN synthesizer with a t-BOC（t-Butyloxy carbonyl）-protected 18F-T807 precursor NPPI-9 as starting material, improving experimental conditions for synthesis, then QC and biodistribution study in Wistar rats conducted. Results The improved synthesis conditions increased the synthesis yield from 20.5%±6.1% to 25.7%±5.8%. QC met the standard. Wistar rats had higher intake in kidney, liver, blood and lowest intake in brain, heart, lung. Conclusion The optimized synthesis method to synthesize 18F-T807 is simple and easy, and high yield, which can meet the needs of scientific research and clinical practice.

Identification of 24 Rana Species Including Rana dybowskii and Rana chensinensis Based on COⅠ Sequences / 中国实验方剂学杂志

Objective:To identify 24 <italic>Rana</italic> species such as <italic>Rana dybowskii</italic> by mitochondrial cytochrome C oxidase subunit I （<italic>CO</italic>Ⅰ） gene-based DNA barcoding and build the neighbour-joining （NJ） tree for hierarchical cluster analysis， so as to provide a basis for the identification and classification of <italic>Rana</italic> species as well as the discovery of new species. Method:<italic>R. dybowskii</italic>， <italic>R. chensinensis</italic>， <italic>R. amurensis</italic>， <italic>R. culaiensi</italic>s， and <italic>R. huanrenesis</italic>， ten for each species， were collected for DNA extraction and polymerase chain reaction （PCR） amplification<italic> </italic>and sequencing. A total of 50 <italic>CO</italic>Ⅰ gene sequences were obtained. Then 163 <italic>CO</italic>Ⅰ gene sequences for 24 species of <italic>Rana</italic> and one <italic>CO</italic>Ⅰ gene sequence for <italic>Pelophylax</italic>，<italic> Odorrana</italic>， <italic>Nidirana</italic>， <italic>Hylarana</italic>， and <italic>Amolops</italic> were harvested from GenBank. After sequence alignment by MEGA X， the parsimony-informative sites of <italic>CO</italic>Ⅰ gene sequences were analyzed and the intraspecific and interspecific genetic distances were calculated， followed by the built of NJ tree and hierarchical cluster analysis. Result:The <italic>CO</italic>Ⅰ gene sequences of 24<italic> Rana</italic> species including <italic>R. dybowskii</italic> were 554 bp in length and there were 210 parsimony-informative sites in total. The intraspecific genetic distance of each species was smaller than 2%. Except that the interspecific genetic distance between <italic>R. sangzhiensis</italic> and <italic>R. zhengi</italic> was 0.004， the genetic distances between the other species ranged from 0.024 to 0.228. <italic>R. sangzhiensis</italic> and <italic>R. zhengi</italic> were clustered into one branch and some <italic>R. dybowskii</italic> and <italic>R. uenoi</italic> into one branch. There were two separate branches for <italic>R. chensinensis</italic> and the other species were all clustered independently. Conclusion:<italic>CO</italic>Ⅰ-based DNA barcoding enabled the identification of 24 species of <italic>Rana</italic> including <italic>R.dybowskii</italic>. The findings supported that <italic>R. sangzhiensis</italic>， <italic>R. zhengi</italic>， <italic>R. coreana</italic>， and <italic>R. kunyuensis</italic> were the same species. One branch of <italic>R. chensinensis </italic>might be one of the four undownloaded species in Ranidae or a new species. The results have demonstrated that <italic>CO</italic>Ⅰ-based DNA barcoding allows not only the identification of 24 species of Rana including <italic>R. dybowskii </italic>but also the classification of ranidae species and the discovery of new species or subspecies.

Biochemical changes in the serum and placenta of rats with gestational diabetes after transplantation of human placental mesenchymal stem cells / 中国组织工程研究

BACKGROUND: Human placental mesenchymal stem cells can improve the blood glucose level of diabetes mellitus rats and gestational diabetes rats, but little is reported on its effect on glucagon, adiponectin, and tumor necrosis factor-α in the serum and placental tissues. OBJECTIVE: To investigate the effects of human placental mesenchymal stem cells on the levels of glucagon, adiponectin and tumor necrosis factor-α in the serum and placental tissues in gestational diabetes rats. METHODS: A rat model of gestational diabetes was made by high-fat and high-sugar diet plus low-dose injection of streptozotocin. Passage 3 human placental mesenchymal stem cell suspension (1×1010 cells/L, 0.5 mL) was injected into gestational diabetes rats at gestational days 4 and 11 (4- and 11-day intervention groups). Meanwhile, control rats were given the same amount of normal saline. At 20 days of gestation, blood samples from the abdominal aorta were extracted, and then cesarean section was made to remove the placenta in the gestational diabetes rats. ELISA and real-time PCR were used to detect the levels of glucagon, adiponectin and tumor necrosis factor-α in the serum and placental tissues, respectively. RESULTS AND CONCLUSION: (1) The serum and placental levels of glucagon, adiponectin and tumor necrosis factor-α showed no differences between the 4- and 11-day intervention groups (P > 0.05). (2) Compared with the control group, significantly increased serum adiponectin level and significantly decreased placental glucagon mRNA expression were found in the 4-day intervention group (P < 0.05). (3) Compared with the control group, the serum adiponectin level and the placental glucagon level both had a significant decrease in the 11-day intervention group (P < 0.01), while the serum level of tumor necrosis factor-α was significantly decreased (P < 0.01). To conclude, transplantation of human placental mesenchymal stem cells can vary the adiponectin and glucagon levels, which provides a new research idea and basis for the further study on the possible mechanism of placental mesenchymal stem cells to improve blood glucose level in gestational diabetes rats. Additionally, it is worthy while to notice that gestational diabetes rats given placental mesenchymal stem cells in the early or late pregnancy show no effects on the above indicators.

Pathologic bacterial distribution and antibiotic resistance in induced sputum of infants aged from 1 to 3 months with lower respiratory tract infection / 中国当代儿科杂志

<p><b>OBJECTIVE</b>To investigate the pathologic bacterial distribution and their antibiotic resistance in infants aged from 1 to 3 months with lower respiratory tract infection, so as to provide instructions for clinical application of antibiotics.</p><p><b>METHODS</b>Induced sputum was extracted from 622 cases of hospitalized infants aged from 1 to 3 months with lower respiratory tract infection between January 2013 and December 2013, and microbial sensitivity test was performed with agar diffusion sensitivity test.</p><p><b>RESULTS</b>A total of 379 (60.9%) strains of bacteria were isolated from induced sputum in the 622 infants. The Gram-negative strains were detected in 325 strains (85.8%), and the Gram-positive strains were found in 50 strains (13.2%) in the 379 strains. The others were Fungal strains (4 strains, 1.1%). The Gram-negative bacteria included Escherichia coli (31.1%) and Klebsiella pneumoniae (18.2%), with extended-spectrum β-lactamases (ESBLs) production of 48.3% and 52.2% respectively. The average rate of antibiotic resistance for ESBLs-producing bacteria was 53%. ESBLs-producing bacteria were highly resistant (100%) to ampicillin and cefotaxime, but sensitive to carbapenems. Staphylococcus aureus (10.0%) was the dominant bacteria in Gram-positive bacteria. A lower proportion of methicillin-resistant Staphylococcus aureus (1.8%) was observed, however the resistance rate of methicillin-resistant Staphylococcus aureus to β-lactam antibiotics were 100%.</p><p><b>CONCLUSIONS</b>Escherichia coli and Klebsiella pneumoniae are the main pathogenic bacteria causing lower respiratory tract infection in infants aged from 1 to 3 months. ESBLs-producing bacteria accounted for over 48%, and the antibiotic resistance rate were more than 53% in these infants. These results provide a basis for the first empirical clinical use of antimicrobial in infants with lower respiratory tract infection.</p>

Clinical observation of 125I seed treatment of recurrence of glioma and the environmental radiation / 中国基层医药

Objective To observe 125I seed treatment effect and environmental radiation in the treatment of recurrent glioma.Methods 64 patients with recurrent glioma patients,according to the wishes of patients and their families were divided into observation group of 30 cases and a control group of 34 patients.Clinical outcomes and follow-up of 125I seeds around radiation were compared between the two groups.Results The treatment efficiency of observation group and control group was 60.0％ (18/30),and 35.3％ (12/34),respectively,which was statistically significant(x2 =8.39,P ＜0.05).Follow-up from 0 to 6 months,the ambient radiation rapidly decreased as the distance increaseing with the implantation point,radiation dose in a distance of 40cm has been close to the natural basis of radiation dose;125I seeds measured radiation dose continued to decay with increasing time after implantation.Four months later,it was close to the natural basis of radiation dose.Conclusion Conclusion 125I radioactive particles in the treatment of recurrent glioma have good curative effect.The effects of radiation on the surrounding environment crowd are easily protected.

Surgical therapy of midline skull defect accompanied with frontal sinus injury / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the surgical therapy of midline skull defect accompanied with frontal sinus injury.</p><p><b>METHODS</b>11 cases with midline skull defect accompanied with frontal sinus injury were treated. Free temporal fascia was transplanted to close the top of frontal sinus after curettage of the frontal sinus wall. Then titanium prostheses were used to repair the skull defects at the same stage in 10 patients. 1 patient received skull defect repair at the second stage operation.</p><p><b>RESULTS</b>Good results were achieved in 10 cases. The titanium prosthesis had to be taken out in one case due to frontal sinusitis and the anastomosis of frontal sinus and nasal cavity was performed.</p><p><b>CONCLUSIONS</b>In patients with midline skull defect accompanied with frontal sinus injury, free temporal fascia could be used to close the top of frontal sinus after curettage of frontal sinus wall. If there is no infection or mild infection in frontal sinus, the skull defect repair could be performed in the same stage. If there is severe frontal sinusitis, the defect repair should be done at the second stage.</p>

Values of 16-slice CTA and DSA in diagnosis of intracranial aneurysm / 中华神经医学杂志

Objective To assess the values of 16-slice CTA and DSA in the diagnosis of intracranial aneurysms. Methods Eighty-two patients with SAH,suspected having aneurysms and admitted to our hospital from July 2007 to July 2008,received DSA and CTA;the clinical data of these patients were analyzed;CTA images were compared blindly with the DSA findings,including the presence,location,and size of aneurysms.With SPSS 11.5 statistical software,the sensitivity,specificity and accuracy of CTA and DSA were compared. Results Eighty-one aneurysms were detected by DSA and 74 aneurysms by CTA;no significant difirences on the positive detected rate were noted(x2=1.897,P=0.163).The sensitivity of CTA for detection of all aneurysms versus that of DSA was 91.4%,the specificity of CTA 91.7%.and the accuracy of CTA 91.4%.Sixty-five patients underwent surgery (clipping)and 73 aneurysms were confirmed by this surgery;CTA had a sensitivity of 89.0%,specificity of 100%and accuracy of 90.5%:DSA had a sensitivity of 98.6%,specificity of 84.6%and accuracy of 98.8%;significant statistical diference on sensitivity (x2=5.625,P<0.05)and no significant statistical diference on specificity and accuracy (x2=1.846 and 2.450,respetively,P>0.05)were found between them.As compared with the sizes of aneurysms and the diameters of aneurysm necks measured during the operation,these results detected by CTA were significantly larger(P<0.05).CTA had different detection sensitivities to aneurysms at different locations and with different sizes,while DSA had high sensitivity.Conclusion CTA is a noninvasive, quick, sensitive and efficient tool to diagnose inrtacranial aneurysms.It can be specially used to screen aneurysms in SAH patients.In some cases,CTA can guide the surgery.

Application of indocyanine green angiography in surgery for giant intracranial aneurysm / 中华神经医学杂志

Objective To explore the role of intraoperative indocyanine green angiography (ICGA) in the surgery of giant intracranial aneurysm (GIA). Methods Fifty-seven patients, admitted to our hospital from March 2007 to October 2009 and performed GIA clipping and/or resection, were chosen in this study. Intraoperative ICGA was performed using a surgical microscope with integrated ICGA technology before and after GIA clipping. The presence and patency of the parent artery and perforating artery around the aneurysms, and the information of aneurysm were analyzed in the mierosurgical field during surgical dissection and clip application. Assessment of vascular patency and occlusion of aneurysm after clipping was also investigated by DSA or CTA. These findings of ICGA were compared with those of postoperative DSA. Results A total of 128 investigations were performed in these 57 patients, and 61 aneurysms were clipped and removed. ICGA could provide real-time information about the circulation of the operating field and the patency of parent, branching and perforating arteries,and the aneurysm sac. Four out of the 57 patients were noted as having significantly changed information provided by intraoperative ICGA; after adjusting the aneurysm clipping, no such unexpected findings as parent or branching artery occlusion, or aneurysm sac omission were found on postoperative angiograms;the postoperative DSA results were consistent with the intraoperative ICGA findings. Conclusion ICGA is a technique of confirming the relationship between GIA and its surrounding arteries, and monitoring aneurysm residual, parent artery stenosis and vascular anastomotic patency during the surgery.

Clinical treatment of intracranial hemorrhage due to oral warfarin therapy in 27 patients / 中华神经医学杂志

Objective To observe the therapeutic effect of prothrombin complex concentrate (PCC) combined with vitamin K (VK) on cerebral hemorrhage related to use of oral anticoagulant (warfarin). Methods Retrospective analysis was performed on the clinical data of 27 patients with cerebral hemorrhage related to use of oral anticoagulant (warfarin), admitted to our hospital from January 2005 to May 2010. In these patients, 17 adopted VK alone, and 10 adopted PCC+VK; we compared the time for international normalized ratio (INR) of anticoagulation markers returned to normal value and the prognosis between the 2 groups. Results The average times for INR of anticoagulation markers returned to normal value in patients treated with PCC+VK were (2.8± 1.4) h, which was obviously shorter than those in ones treated with VK ([7.8±4.1] h,P＜0.05); Glasgow outcome scale scores in the PCC+VK treatment group were significantly higher than those in the VK treatment group (P＜0.05). The prognosis in the PCC+VK treatment group was better than that in the VK treatment group. Conclusion PCC combined with VK treatment seems to be more effective in rapidly correcting increased INR levels than VK treatment alone, indicating that use of PCC combined with VK may improve the prognosis of patients with intracranial hemorrhage due to oral warfarin therapy.

Environmental Risk Factors for Child Leukemia in Ningxia:a Case-Control Study / 环境与健康杂志

Objective To explore environmental hazards of childhood leukemia and to determine hazardous suspects on childhood leukemia. Methods Using 1∶2 matched case-control study design,50 patients of leukemia and 100 controls selected from the Affiliated Hospital of Ningxia Medical College were investigated during Feb.2005-May 2007. Information was obtained by questionnaires, which included the general social demographic characteristics, disease history, the history of exposure to the materials during the child's mother pregnancy, indoor and outdoor environmental situation and the history of the families. Results The data showed that hazards for childhood leukemia were significantly associated with the history of infection(OR=0.452),diagnostic X-ray exposure (OR=0.157), the history of exposure to the chemical fertilizer and the pesticide during the pregnancy of mother(OR=3.150), the house type(OR=5.162), the nearest distance to the high voltage electricity (OR=2.383) and the radioactive source to the dwelling environment (OR=2.793) were important hazardous factors of the childhood leukemia. Conclusion The history of infection, diagnostic X-ray exposure, the history of exposure to the chemical fertilizer and the pesticide during the pregnancy of mother,the house type, the nearest distance to the high voltage electricity and the radioactive source to the dwelling environment might be the hazardous factors of the childhood leukemia.

Study on the metabolism of the precipitation of Xiexin decoction in rats I / 中国中药杂志

<p><b>OBJECTIVE</b>To study the process in vivo of the components in the precipitation of Xiexin decoction.</p><p><b>METHOD</b>The components in the rats' urine samples after oral administration of baicalin, single herb decoction of Radix Scutellariae or the precipitation of Xiexin decoction were analyzed by LC-MS-MS method; and the absorption of baicalin in different samples were calculated by intestinal in situ loop method.</p><p><b>RESULT</b>The urinary excretion amounts of baicalin in three samples were not obviously different, whereas the time reach elimination-peak of baicalin in them had significant difference. The absorption of baicalin in the precipitation was obviously greater than that in the single herb decoction and single baicalin. We found that wogonoside and 7-O-glucuronide chrysin were the metabolites presenting in the rat urine samples after oral administration of baicalin by LC-MS-MS, which had never been reported.</p><p><b>CONCLUSION</b>The resident time in the body of baicalin in the precipitation is prolonged, compared with that in the single herb decoction and single baicalin. The metabolites may be the potential biological components in vivo of baicalin in the precipitation.</p>

Individual prefabricated titanium implant for the reconstruction of the skull bone defect / 中华整形外科杂志

<p><b>OBJECTIVE</b>This paper presents a new method of individual prefabricated titanium implant for the reconstruction of the skull bone defect.</p><p><b>METHOD</b>A computer-based 3D model of the cranial bone defect is created from helical CT-data and serves as the basis for the computer aided design and manufacturing (CAD/CAM) of the individual prefabricated titanium implant for the cranial bone defect reconstruction.</p><p><b>RESULT</b>Since 2001, a total of nine patients suffering from the cranial bone defect have been operated on by this method with satisfied result. The fallow-up is 3 to 12 months.</p><p><b>CONCLUSION</b>These individual prefabricated titanium implants have won a high precision, a good biomechanics and a excellent biocompatibility. It is a quite ideal and very simple method with much less complication for the surgical treatment of the cranial bone defect.</p>

Intro-extro cranial approach treat serious post fronto-orbital fracture deformities / 中华整形外科杂志

<p><b>OBJECTIVE</b>To explore the method of treating serious secondary fronto-orbital fracture deformities through intro-extra cranial approach.</p><p><b>METHODS</b>The fronto-orbital fracture was divided into two types according to whether there were any large scale fronto-orbital bone defects: type I: Large scale fronto-orbital bone defect; type II: Concave fronto-orbital fracture deformity without large scale bone defect. Both types were treated through intro-extra cranial approach to expose the fracture site. For type I deformity, the bone defects were repaired and reconstructed with outer table of cranial bone and artificial bone. For type II, the deformity was repaired by osteotomy, bone reposition and internal rigid fixation.</p><p><b>RESULTS</b>18 cases were treated from June 1998 to October 2000, include type I, 12 cases, and type II, 6 cases. All the patients recovered well and the post-operative appearance were greatly improved.</p><p><b>CONCLUSIONS</b>Intro-extra cranial approach can expose the fractured site better than the simple extrocranio approach, and make the operation more easily done. Combined with the technique of cranio maxillo facial surgery, the treatment can be more complete and the results can be more satisfactory.</p>

A comparison of the protective activity of liver injury induced by D-galact-osamine between huangqin-tang and their metabolites by human intestinal bacteria / 中国中药杂志

<p><b>OBJECTIVE</b>To compare the protective activity of liver injury induced by D-galactosamine (GalN) between Huangqin-Tang and their metabolites by human intestinal bacteria(HIB).</p><p><b>METHOD</b>The liver injuries in conventional and pseudo-germfree mice were induced by GalN. After oral administration of Huangqin-Tang and their metabolites mixtures by HIB, the serum transaminase (ALT and AST) activities were detected.</p><p><b>RESULT</b>In conventional mice, large and medium doses (20 and 10 g.kg-1) of Huangqin-Tang decoction significantly reduced the increase of serum ALT activity after 18 h GalN treatment. In pseudo-germfree mice, metabolites significantly reduced the ALT levels. However, Huangqing-Tang didn't affect the ALT levels in this kind of mice. To all of the animals, AST levels remained the same after oral Huangqin-tang or their metabolites.</p><p><b>CONCLUSION</b>The metabolism by intestinal bacteria plays a role in pharmacological effects of constituents of Chinese herbal medicine. The metabolites of the constituents by intestinal bacteria were the real active components in vivo.</p>

Comparative study on antibacterial effects of huangqin-tang and its metabolites produced by intestinal flora / 中国中药杂志

<p><b>OBJECTIVE</b>To compare the antibacterial effects of Huangqin-Tang with its metabolites produced by intestinal flora.</p><p><b>METHOD</b>The antibacterial tests in vitro and in vivo were performed by agar dilution method and lethal protection of animal respectively.</p><p><b>RESULT</b>Huangqin-Tang and its metabolites had antibacterial action on bacteria in vitro, however the antibacterial activity of metabolites of Huangqin-Tang on Salmomella, Dysentery bacillus and Proteus in vitro was stronger than Huangqin-Tang. The metabolites of Huangqin-Tang had protective effect on the animals infected by Staphylococcus aureus and Escherichia coli respectively from death, but Huangqin-Tang had no lethal protection action.</p><p><b>CONCLUSION</b>The antibacterial effects of metabolites of Huangqin-Tang in vitro and in vivo are stronger than that of Huangqin-Tang, which shows that intestinal flora play a very important role in antibacterial effects of Huangqin-Tang.</p>

Application of self-expanding stent placement for carotid artery stenosis / 中国微创外科杂志

Objective To explore the practicability of self-expanding stent placement treatment in the management of carotid artery stenosis. Methods 14 self-expanding stent treatments were performed at 10 sites carotid artery stenosis in 9 patients with TIA and 70%-95% carotid stenosis. Results All patients were free from TIA. Residual stenosis was