Research progress in protein-based hydrogels for promotion of hemostasis and wound healing / 中华创伤杂志

Rapid and effective hemostasis and wound healing are essential for life saving and improved quality of life. At present, traditional materials for hemostasis and wound healing have limited effects, with limitations such as unsatisfactory tissue adhesion effect, immunogenicity, secondary damage and infection risk, so it is urgent to develop new and efficient materials. Protein-based hydrogels have attracted more and more attention in the field of hemostasis and wound healing because of their good biocompatibility, biodegradability, injectability, adjustable mechanical properties and wet bonding. The authors review the definition of protein-based hydrogels and the research progress in various protein-based hydrogels in promotion of hemostasis and wound healing, in order to provide a reference for the application of protein-based hydrogels in wound repair.

Reliability and validity of Chinese version of Work Role Functioning Questionnaire 2.0 in breast cancer patients / 中国实用护理杂志

Objective:The Chinese version of the Work Role Functioning Questionnaire 2.0 (WRFQ2.0) was translated and tested for reliability and validity in breast cancer patients in order to provide an assessment tool for accurately assessing perceived difficulties in breast cancer patients′ work need.Methods:This study was a cross-sectional study. According to Brislin model and two rounds of Delphi expert consultation, the WRFQ2.0 was sinicized. From January 2020 to June 2021, 200 patients with breast cancer in the Department of Nail and Breast Surgery of Kunshan Second People′s Hospital were selected for investigation, and test its reliability and validity.Results:The Chinese version of WRFQ2.0 extracted five factors, with a cumulative contribution rate of 79.995%. Cronbach′s α coefficient of the total questionnaire was 0.923, and the half-reliability of the total questionnaire was 0.908; the retest reliability was 0.904. The S-CVI value of the total questionnaire was 0.913, and the I-CVI value of each item was 0.798-1.000. The result of confirmatory factor analysis showed that the fitting index of the final model was: χ2/ df=2.013, Goodness of Fit Index=0.908, Root Mean Square Residual=0.041, Root Mean Square Error of Approximation=0.077, Comparative Fit Index=0.903, Normed Fit Index=0.904, suggesting that the model fitting effect was ideal. Conclusions:The Chinese version of WRFQ2.0 is reliable and valid, and can be used as an effective questionnaire to evaluate the working function of breast cancer patients in China.

Novel deletion of SLC34A2 in Chinese patients of PAM shares mutation hot spot with fusion gene SLC34A2-ROS1 in lung cancer.

Pulmonary alveolar microlithiasis (PAM) is an autosomal recessive disorder with distinctive deposition of calcium phosphate microliths in the lungs. Mutation of the SLC34A2 gene was proved to be responsible for PAM. Here, we report the study of a family affected by PAM in China. Two daughters of an inbred family whose parents are cousins and are affected by PAM. Mutation analysis of the SLC34A2 gene by polymerase chain reaction (PCR) amplification and direct sequencing in both patients revealed that exon 5 was deleted on both alleles. Both parents of the patients are proved to be carriers of the mutated allele. Gap-PCR was performed to determine the breakpoints and a homologous deletion of 1152 bp encompassing exon 5 of the SLC34A2 gene (c.IVS4+1452_IVS5+660del) was confirmed. A 4-bp fragment of TGGG was located on the edge of both upstream and downstream breakpoints. The upstream breakpoint lies in the same region as the breakpoint of a fused gene SLC34A2-ROS1, which encodes a constitutive kinase in the lung cancer cell line HCC78 and nonsmall-cell lung cancer (NSCLC), suggesting that the deletion in this family is a hot spot for recombination, not only in cancer samples with somatic mutation, but also in PAM patients with germline genetic defects of SLC34A2.

Establishment and evaluation of hypoxia-induced mouse model of bronchopulmonary dysplasia associated with pulmonary hypertension / 中华实用儿科临床杂志

Objective@#To establish an animal model of hypoxia-induced bronchopulmonary dysplasia asso-ciated with pulmonary hypertension (BPD-PH).@*Methods@#C57BL/6 male and female specific pathogen free mice mated and female mice with their offspring mice were randomly divided into normoxic group and hypoxia group by way of numerical method.Normoxic group was placed in the indoor environment directly.Hypoxia group was placed in 120 mL/L oxygen concentration environment within 12 hours after birth.Body weight gain and mortality of the neonatal mice were recorded.The mice lungs and hearts were harvested on day 14 for immunofluorescence staining and HE staining, and Western blot was used to observe the morphological changes and vascular endothelial growth factor (VEGF) protein level.@*Results@#The mortality rates of normoxic group and hypoxic group were 11.8% and 47.3%, respectively.Compared with the normoxic group, body weight of hypoxia group increased slowly, as the final body weight of 2 groups were (12.40±2.33) g and (5.50±0.32) g, respectively, and the difference was significant (χ2=13.38, t=20.50, all P<0.01). Hypoxia group showed higher right ventricular hypertrophy index [(96.00±0.15)% vs.(40.40±4.00)%, t=41.67, P<0.01], fusion of alveolar, diminished microvasculature, thickening alveolar septal, decreased alveolar radiation coefficient (RAC)(19.73±2.33 vs.10.90±1.85) and increased mean linear intercept(MLI) (33.2±4.33 vs.58.70±7.27) with statistical significance, respectively (t=16.27, 9.53, all P<0.01). In the lung HE staining, pulmonary arterial thickening, pulmonary smooth muscle cell proliferation and intimal roughness in immunofluorescence, significantly decreased expression of VEGF protein level by Western blot were observed in hypoxic group (0.41±0.04 vs.1.19±0.08, t=15.10, P<0.01).@*Conclusions@#Hypoxia-induced mouse BPD-PH model was consistent with the pathophysiological process of pulmonary vascular remodeling of pulmonary hypertension, which increase pulmonary vascular resistance eventually leading to right ventricular hypertrophy.

Time course of attention bias in face recognition of patients with depression / 中华行为医学与脑科学杂志

Objective@#To explore the characteristics of cognitive processing over time in recognition of different emotional faces in patients with depression.@*Methods@#Totally 29 patients with depression(patient group) and 30 normal control (control group)were selected.Subjects freely viewed positive, sad, threatening and neutral facial stimuli.Eye movement data were collected during the process of watching, and the differences of attention bias in time when the two groups of subjects recognized the four emotional faces were compared.The temporal variation trend of attention between the two groups was analyzed.@*Results@#There was no significant difference in the fixation duration between the patient group and the control group in 0-2 s((10.39±1.83)ms, (9.63±1.28)ms), 2-4 s((12.61±2.34)ms, (11.21±3.00)ms), 4-6 s ((12.26±3.11)ms, (10.47±4.06)ms)(all P>0.05). Within 6-8 s((12.64±3.42)ms, (8.90±4.02)ms), 8-10 s((12.55±4.19)ms, (9.36±4.02)ms), the fixation duration in the patient group was significantly longer than that in the control group (P<0.01). The fixation time of the positive faces in the patient group in 0-2 s ((12.07±2.65)ms, (14.50±3.54)ms), 2-4 s((10.69±3.26)ms, (14.66±5.25)ms), 4-6 s((10.11±4.24)ms, (15.43±8.02)ms), 6-8 s((9.39±5.12)ms, (16.88±9.60)ms), 8-10 s ((9.45±4.94)ms, (16.63±10.15)ms) was significantly lower than that in the control group (all P<0.01).@*Conclusion@#Patients with depression tend to pay attention to negative stimuli in the later stage of cognitive processing, while the attention to positive stimuli decreases in the early stage of cognitive processing.Cognitive processing of emotional stimuli in patients with depression is manifested as increased attention duration of negative stimuli and decreased attention duration of positive stimuli.

Psychological status of nursing students of Tibetan and Han nationality / 现代临床护理

Objective To explore the psychological status of nursing students of Tibetan and Han nationality.Method The questionnaire of Symptom Checklist 90(SCL-90)was distributed to 120 nursing students of Tibetan and Han nationality by random sampling.Results SCL-90 total scores of Tibetan nursing students and Han nursing students were(136.96±30.76)and (129.78±28.99),respectively.There was a statistically significant difference(P<0.001).The scores of Tibetan nursing students was higher than that of Han nursing students on factors of somatization,force symptoms,sensitivity to social relations,depression, hostility,paranoid and psychosis,but the scores of Han nursing students were higher than Tibetan nursing students on factors of anxiety and terror,with significant significance(P<0.01).The results of SCL-90 showed that the scores of somatization,force symptoms,sensitivity to social relations depression,paranoid and hostility in the Tibetan nursing students of 1st grade were significantly higher than those in the Hannrusing students of the 1st grade score(P<0.05).The score of force symptoms,depression and psychosis in the Tibetan nursing students of 2nd grade were significantly higher than those in the Han nursing students of 2nd grade (P<0.05).The scores on force symptoms,sensitivity to social relations,depression and anxiety in Tibetan nursing students of the 3rd grade were higher than those in the Han nursing students of the 3rd grade(P<0.05).Conclusion Tthe psychological status of Tibetan nursing students is outstanding in contrast to Han nursing studetns,and Tibetan nursing students were given directed intervention of mental health problem according to their risk factors.

"Comparative research on stress to the life affairs between Tibetan nursing students on""9+3"" free education programs and mainland nursing students" / 中国实用护理杂志

Objective To explore the status of stress to the life affairs between Tibetan nursing students on 9+3 free education programs and mainland nursing students.According to the diversity of them,corresponding nursing interventions of mental health were put forward.Methods The questionnaire of Adolescent Self-rating Life Events Check List(ASLEC)was distributed to 120 nursing students in each group through random sampling,and the SPSS 17.0 statistical software package was used for data analysis.Results The scores of Tibetan nursing students were higher than mainland nursing students on factors of study pressure,personal relationship and health adaptation,which showed significant difference.The results of ASLEC showed that the scores of personal relationship,deserved punishment and loss in the Tibetan nursing students of 1st gradewere significantly higher than those in the Mainland nursing students of 1st grade score.The scores of study pressure in the Tibetan nursing students of 2nd grade were significantly higher than those in the Mainland nursing students of 2nd grade.The scores of personal relationship and health adaptation in Tibetan nursing students of 3rd grade were higher than those in the Mainland Nursing Students of 3rd grade score.Conclusions Influence of stress to the life affairs on psyche of Tibetan nursing students is outstanding in contrast to Mainland nursing students,and Tibetan nursing students were given directed intervention of mental health problem according to their risk factors of stress to the life affairs.

An investigation on stress to the life affairs of nursing students from Sichuan Tibetan areas / 中国实用护理杂志

Objective To learn about the status of stress to the life affairs of Tibetan nursing students on 9+3 free Education Programs,and corresponding intervention of mental health problem were put forward.Methods 120 Tibetan nursing students through random sampling were evaluated with Adolescent Self-Rating Life Events Check List (ASLEC).Results The average scores of items such as study pressure,interpersonal relationship and health adaptation were above the median level.The scores of interpersonal relationship,punishment and loss in the 1st grade were significantly higher than those in the 2nd grade and 3rd grade.The score of study pressure in the 2nd grade was higher compared with that in the other grades.In comparison with the other grades,the score of health adaptation in the 3rd grade was higher,and there was significant difference.Conclusions Influence of stress to the life affairs on psyche of Tibetan nursing students in different grades is different.Tibetan nursing students should be given directed intervention of mental health problem according to their risk factors of stress to the life affairs.

Infection Control During Oral Cavity Procedures:Problems and Countermeasures / 中华医院感染学杂志

OBJECTIVE To prevent and control hospital cross-infection and hematogenous disease dissemination during oral cavity procedures.METHODS The problems that existed universally in instrument treating processes during oral cavity procedures were taken seriously.The perfect management rules and regulations were established.The instructions of technical operation were carried out strictly.We strengthened own-self occupation protection and implemented the standard prevention isolation principle.We guaranteed oral cavity synthesis method to implement,such as the instrument cleaning,disinfection,and antiseptic quality.RESULTS The hospital infection occurred in the oral cavity procedures could be reduced and avoided fundamentally through implementing infection control measure.The medical safety could be ensured.CONCLUSIONS The personnel standard diagnosing and treating operation of medical care should be established in hospital.The idea of disinfection and isolation asepsis should be enhanced.Own-self occupation protection must be required strictly.It is extremely important to control the infection during the oral cavity procedures.

Effect of nose-stuffy continuous positive airway pressune combined wirh large-dose Mucosolvan on hyaline membrone disease of newborn / 中国小儿急救医学

Objective To observe the effects of nose-stuffy continuous positive airway pressure(CPAP)combined with large-dose Mucosolvan on the hyaline membrane disease of newborn(NHMD). Methods Third),divided into three equal parts,by intravenous drop infusion]. According to the results of SpO2 and blood gas analysis,the CPAP setting was adjusted. Before and after the treatment,the SpO2、RR、PaO2、PaCO2、SaO2 of all the children were analyzed. Results Ten children of all(76.9%) were cured,two died,one quitThe SpO2 of the total,at one hour after the treatment,improved significantly(P＜0.001);the RR、PaO2、SaO2 at 24 hours later also improved(P＜0.05). Conclusion The method of nose-stuffy continuous positive airway pressure(CPAP) combined with large-dose Mucosolvan,which had good effects on ameliorating the symptom and improving the gas exchange,is worth used in primary hospitals widely.

Development and utilization of measurement techniques on DSA processing system / 介入放射学杂志

Objective To evaluate the development and utilization of measurement techniques on DSA postprocessing system in interventional radiology. The POLYTRON 1000 VR DSA machine from Siemens Corporation was served as an example for the evaluation. Method The data assessed included the correlated factors of measurement techniques, utilization of original computer information, sequences of measurement and effects of technique application. The different measurement techniques were applied according to the clinical needs. The measurement results of tumors were compared on those of ultrasonography, CT and DSA image in 20 patients with hepatocellular carcinomas. The most frequently applied data were the measurements of distance, degree of vascular stenosis and functions of cardiac ventricle. Result and Conclusion The sizes measured on DSA is significantly differ from those on ultrasonography and CT. The proper measurement techniques can be applied for interventional radiology in DSA postprocessing system.

The value of digital photography in monvascular intervention / 介入放射学杂志

Objective To investigate the property and value of digital photographic technology in nonvascular intervention. Methods The nonvascular interventional photographies of 204 procedures were retrospectively analyzed, including 126 in digital subtraction angiography (DSA) unit (DSA group) and 78 in digital X ray unit (non DSA group) The quality of images of contrast photography was evaluated. Results The image of the inspected tracts were clear in 104 (82%) of DSA group and 66(85%) of non DSA group respectively. Conclusions The good quality images of digital photography can be obtained in nonvascular interventional radiology, which is analogous to that on DSA unit.

EXPRESSION AND REGULATORY FUNCTION OF INTER RELATED POLYPEPTIDES DURING DEVELOPMENT OF RENAL TUBULES IN CHICK EMBRYO / 解剖学报

Objective To observe the expression of EGFR,TGF-?,AQP-2 and Bax during development of renal tubules in chick embryo,and explore the role and regulating significance of them. Methods The expression of EGFR,TGF-?,AQP-2 and Bax were observed by immunohistochemistry combined with stereological methods in 36 chicks kidney at 10th-46th incubation stages.The expression intensity of them was analyzed by IPP software. Results The epithelial cells of proximal tubules in chick embryo appeared EGFR immunoreactivity at 26th-46th stages;At 26th-37th stages the epithelial cells of proximal tubules and distal tubules of mesonephros appeared TGF-? immunoreactivity,the epithelial cells of proximal tubules and distal tubules of metanephros appeared TGF-? immunoreactivity at 33rd-40th stages,at 40th-46th stages the epithelial cells of proximal tubules of metanephros appeared TGF-? immunoreactivity but the epithelial cells of distal tubules did not appeare TGF-? immunoreactivity;The epithelial cells of collecting tubules in chick embryo appeared AQP-2 immunoreactivity at 26th-46th stages;The epithelial cells of proximal tubules and distal tubules of mesonephros appeared Bax immunoreactivity at 26th-37th stages,the epithelial cells of proximal tubules of metanephros appeared Bax immunoreactivity at 33rd-46th stages.Images showed the expressions of EGFR,TGF-?(?_1,?_2,?_3)and Bax first displayed up then down,but expression of AQP-2 always displayed up during development of chick embryo.Conclusion Mesonephros of chick embryo has the function of excreting.Degeneration of renal tubules of mesonephros might be related with the excessive expression of TGF-? and Bax.Development,differentiation and maturation of renal tubules and collecting tubules of metanephros might be due to the synergetic expression of EGFR,TGF-?,AQP-2 and Bax.AQP-2 relats to the balance of water during development and maturation of renal tubules in chick embryo.

Upholding the Rights of Patingient and Defending Benefits of Hospital / 中国医学伦理学

With health reform goes deeply,medical system becomes market economy gradually;some of medical workers are not fit with the market economy reform.By means of two years practice of defending the patient rights,the article sets forth that upholding the rights of the patient and defending the benefits of the hospital are identical.According to analysis to the patients present situation,it puts forward that there are some problems to ignore or infringe upon the patients informed rights,keep secret rights,private rights,autonomy rights,autonomg respect to the patients etc.According to the above problems,we set forth the discussion of corresponding countermeasure.The purpose is to recognize the patient rights,to participate competition positively,and realize the purpose--Uphold the Rights of the Patient and Defend the Bendfits of the Hospital.

LUNG HISTOGENESIS AND EXPRESSION OF TGF-? IN BUFO RADDEI STRAUCH / 解剖学报

Objective To analyze the tissue development rule of the Bufo raddei Strauch lung,to observe the expression of transforming growth factor-?(?_1,?_2,?_3)in developing lung,and to discuss their functions and relationships. Methods The tissue development of the(218) Bufo raddei Strauch lungs was studied by biological microscope technology,and the expression of TGF-? was measured in lung development by immunohistochemistry and images were analyzed by IPP,providing a basis for study of the zoology and developmental biology. Results(1) Lung bud occured in larval 22nd stage from pharynx caudal part.In 26th stage the minutenss locule began to appear.The lung bud gave rise to obvious lung cavity in 31st stage.In 33rd stage originality alveolus began to appear.In 36th stage obvious septum and alveolus appeared.There were many capillary vessel in the wall of lung.In 39th stage the lung of tadpole was like as one of young toad.The respiratory epithelium differentiated from columnar into squamous.The entire developmental process was divided into four phases,lung bud Ⅰphase,lung bud II phase,originality alveolus phase and alveolus phase.(2)In the early developmental phase,TGF-? expressed in the lung wall.In the late developmental phase,TGF-? expressed in mesenchymal at high levels.Conclusion The expression of TGF-? displayed intermittent changes during the period of development.The functions of TGF-? might be respectively different in different development stages.They not only stimulate the process of epithelium of the reticular septa,but also modulate epithelium of alveolar sac and differention.

Toxic effect of cyclophosphamide on the embryoni ccerebral and skeleton development of rats / 中国药理学通报

Aim To study toxic effect of cyclophosphamide on the embryonic cerebral and skeleton development of rats.Methods The pregnant rats were randomly divided into control group and experimental group(5,10,15,20 mg?kg-1 body wt).The experimental group was given cyclophosphamide and control group was given normal saline(sc)d 8~10 after becoming pregnant,and all rats were cut open the belly under anesthesia with ether at d 20 of gestation,the effects of cyclophosphamide on the embryonic body,four limbs form,cerebral and skeleton development of rat were observed.Results The embryos of 5 mg?kg-1 group were normal;the aqueduct of midbrain and left and right lateral ventricle expanded,cerebral hemisphere,lumbar vertebrae,rib,metacarpal bone were hypoplasia of embryos of 10 mg?kg-1 group and the symptoms of 15 mg?kg-1 group were graver than those of 10 mg?kg-1 group;20 mg?kg-1 group did not form embryos.Conclusion Cyclophosphamide has significant toxic effect on the embryonic cerebral and skeleton development of rats.