• Volume 28,Issue 3,2008 Table of Contents
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    • >Journal of Nanjing Medical University
    • Generation of patient-specific pluripotent stem cells and directed differentiation of embryonic stem cells for regenerative medicine

      2008, 28(3):135-142. DOI: 10.7655 CSTR:

      Abstract (1696) HTML (51) PDF 284.46 K (2600) Comment (0) Favorites

      Abstract:Embryonic stem(ES) cells are pluripotent cells that can give rise to derivatives of all three embryonic germ layers. Due to its characteristics, the patient-specific ES cells are of great potential for transplantation therapies. Several strategies can reprogramme somatic cells back to pluripotent stem cells: nuclear transfer, fusion with ES cells, treatment with cell extract and induction by specific factors. Considering the future clinical use, the differentiation from ES to neurons, cardiomyocytes and many other types of cells currently provide basic cognition and experience to regenerative medicine. This article will review two courses, the reprogramming of differentiated cells and the differentiation of ES cells to specific cell types.

    • The migration of human lens epithelial cells induced by UV-irradiation in vitro

      2008, 28(3):143-147. DOI: 10.7655 CSTR:

      Abstract (1911) HTML (55) PDF 715.65 K (2581) Comment (0) Favorites

      Abstract:Objective: Ultraviolet (UV) radiation is one of the important cataract risk factors. However, the pathogenesis is still poorly understood. The migration of human lens epithelial cells(HLECs) plays a crucial role in the remodeling of lens capsule and cataract formation. The purpose of this study is to investigate the mechanism of UV inducing cataractogenesis. Methods:The toxicity of UV-irradiation on HLECs was assessed by Methyl thiazolyl tetrazolium(MTT) assay. The activity of matrix metalloproteinase-2(MMP-2) was observed by Gelatin zymography. The migration of HLECs was examined by Cell Track Motility. Results:UV-irradiation does great harm to HLECs, and may induce apoptosis in the cells when UV higher than 15 mj/cm2. UV significantly increased MMP-2 activity in a time-dependent manner. In addition, the irradiation could induce the migration of HLECs. Conclusion:UV-irradiation could induce the migration of HLECs by increasing the activity of MMP-2.

    • Prognostic significance of MDR-1 P-glycoprotein expression in breast cancer

      2008, 28(3):148-152. DOI: 10.7655 CSTR:

      Abstract (2027) HTML (62) PDF 1.47 M (2358) Comment (0) Favorites

      Abstract:Objective: To investigate the expression of MDR-1 P-glycoprotein(MDR-1 Pgp) in breast cancer and analyze its correlation to the biological behavior and prognosis of the disease. Methods:The expression of MDR-1 Pgp was examined in 75 cases of breast cancer patients by using three different monoclonal antibodies(JSB1, C219 and C494) with S-P immunohistochemisty. These patients were followed up for 5 years, and the correlation between MDR-1 Pgp expression, survival rate and lymph metastasis was analyzed. Results:Positive detection of MDR-1 Pgp by JSB1, C219 and C494 in 75 cases of breast cancer was 86.7%, 48% and 85.3%, respectively. MDR-1 Pgp expression was not related to ages of patients (P > 0.05). JSB1-detected expression of MDR-1 Pgp was related to lymph node metastasis(P < 0.05); while C219 and C494 were not(P > 0.05). The patients with MDR-1 Pgp expression positively detected by either two of the three antibodies, had five-year survival rate that was significantly higher than those positively detected by all the three antibodies(P < 0.05). Conclusion:Three antibodies should be used simultaneously to detect MDR-1 Pgp expression in breast cancer. Positive MDR-1 Pgp expression in breast cancer detected by all the three antibodies may represent a poor prognosis; while positive MDR-1 Pgp detection by JSB1 and C494 is associated with lymph metastasis.

    • Detection and clinical significance of multidrug resistance-1 mRNA in bone marrow cells in children with acute lymphoblastic leukemia by real-time fluorescence quantitative RT-PCR

      2008, 28(3):153-158. DOI: 10.7655 CSTR:

      Abstract (1707) HTML (56) PDF 351.67 K (2430) Comment (0) Favorites

      Abstract:Objective: Multidrug resistance(MDR) is one of the most important reasons for treatment failure and recurrence of acute leukemia. Its manifestations are different in children with acute lymphoblastic leukemia(ALL) which may be due to different detection methods. This study was to detect the expression of MDR1 mRNA in bone marrow cells of children with ALL by real-time fluorescence-quantitative reverse transcription polymerase-chain reaction(FQ-RT-PCR), and combine minimal residual desease(MRD) detection by flow cytometry(FCM) and to study their relationship with treatment response and prognosis of ALL. Methods:The MDR1 mRNA levels in bone marrow cells from 67 children with ALL[28 had newly diagnosed disease, 27 had achieved complete remission(CR), 12 recurrent] and 22 children without leukemia were detected by FQ-RT-PCR. MRD was detected by FCM. The patients were observed for 9~101 months, with a median of 64 months. Results:Standard curves of human MDR1 and GAPDH genes were constructed successfully. MDR1 mRNA was detected in all children with a positive rate of 100%. The mRNA level of MDR1 was similar among the newly diagnosed ALL group, CR group, and control group(P > 0.05), but significantly higher in the recurrence group than that in newly diagnosed disease group and control group(0.50±0.55 vs. 0.09±0.26 and 0.12±0.23, P < 0.05). 54 ALL patients were followed up, and it was found that MDR1 mRNA level was significantly higher in ALL patients within 3 years duration than that of ALL patients with 3~6 years and over 6 years duration(0.63±0.56 vs. 0.11±0.12 and 0.04±0.06, P < 0.01). For the 28 children with newly diagnosed disease, the MDR1 mRNA level was similar between WBC > 50×109 group and WBC<50×109 group(P > 0.05). In the 33 CR patients, the MDR1 mRNA level was significantly higher in MRD>103 group than that in MRD<103 group(0.39±0.47 vs. 0.03±0.03, P < 0.05). Conclusion:The sensitivity and specificity of FQ-RT-PCR in detecting MDR1 mRNA in bone marrow cells of children with ALL patients are high. MDR1 mRNA is expressed in children with and without leukemia. MDR1 mRNA is highly expressed in the CR ALL patients with high MRD, recurrence and short duration(within 3 years). Monitoring MRD and the MDR1 mRNA level might be helpful for individual treatment.

    • Off-pump versus on-pump coronary artery bypass surgery for the treatment of left main with triple coronary artery disease

      2008, 28(3):159-163. DOI: 10.7655 CSTR:

      Abstract (2047) HTML (72) PDF 87.10 K (2468) Comment (0) Favorites

      Abstract:Objective:To obtain early results of off-pump coronary artery bypass grafting(OPCAB) in patients with significant left main coro-nary artery(LMCA) and triple vessels stenosis by comparing with those of a similar group undergoing conventional coronary artery bypass surgery(CCAB). Methods:Data for patients with significant LMCA and triple vessels stenosis who underwent CCAB or OPCAB were collected retrospectively between January 1999 and May 2006. Non-randomized, retrospective data analysis included demo-graphic and preoperative risk factors, operative details, clinical outcome and early follow-up. Results: The number of distal anastomo-sis and grafts varied from 3 to 6. The average number per patient was similar in the two groups (OPCAB group:3.76±0.98, CCAB group:3.81±1.02). Thirty-day mortality occurred to one patient in the OPCAB group whereas two early deaths were observed in the CCAB group but did not reach statistical significance (P >0.05). The frequency of atrial fibrillation (AF), IABP usage, mediastinitis, re-operation for bleeding (or tamponade) were similar in the two groups (P >0.05). Postoperative inotropic requirements, peak CK-MB, ventilation time, blood loss, FFP, RBC transfusion need and the length of ICU-stay were all significantly lower in the OPCAB group compared with CCAB group(P<0.05).Conclusion: Significant LMCA and triple-vessel stenosis can safely and effectively undergo myocardial revascularization using OPCAB surgery. LMCA should no longer be seen as a contraindication to perform OPCAB grafting.

    • The effects of ischemia-reperfusion injury and hepatic artery ischemia on CD14 expression in canine auto-transplantation livers

      2008, 28(3):164-167. DOI: 10.7655 CSTR:

      Abstract (2026) HTML (43) PDF 654.14 K (2364) Comment (0) Favorites

      Abstract:Objective: To study the effect of ischemia-reperfusion injury(IRI) and hepatic artery ischemia(HAI) on CD14 expression in canine auto-transplantation livers. Methods:Liver orthotopic auto-transplantation models were applied with 30 healthy male Xi’an canines which were randomly divided into a control group, simultaneous reperfusion(SR) group and HAI group. CD14 protein expression, Malonaldehyde (MDA) Contents in hepatic tissues and ALT values in serum were detected, and the pathological changes of hepatic tissues was investigated under the light microscopy. Results:The level of CD14 protein expression in SR and HAI group tended to be time-dependent and both higher than controls with statistical significance(P <0.01); The peak values of these two groups both occurred at 4 h, but the level in HAI group (11.94±0.43) was evidently higher than that in SR group(3.04±0.34). MDA contents in liver tissue, ALT values in serum and pathological changes showed the same changing tendency as CD14 expression. Conclusion:①Up-regula-tion of CD14 expression may be the receptor-mechanism of Kupffer cells(KCs) activation in liver transplantation. ②HAI can up-regulate CD14 expression after portal vein reperfusion, improve the activity of KCs further more, increase OFRs production and coop-erate with portal reperfusion, and finally aggravate the grafts injury.

    • Relationship among plasma endothelin, calcitonin gene-related peptide and blood flow rate of bilateral vertebral arteries in patients with cervical vertigo

      2008, 28(3):168-171. DOI: 10.7655 CSTR:

      Abstract (2267) HTML (60) PDF 86.26 K (2446) Comment (0) Favorites

      Abstract:Objective: To investigate the relationship among plasma endothelin(ET), calcitonin gene-related peptide(CGRP) and blood flow rate of bilateral vertebral arteries in patients with cervical vertigo(CV) and to assess the effect of ET and CGRP on the onset of CV. Methods:The concentration of ET and CGRP in 64 patients with CV and 30 controls was determined by radioimmunity method. The average blood flow velocity (Vm) of bilateral vertebral arteries was detected by Transcranial Doppler(TCD). Results:Plasma concen-tration of ET(91.48±9.08 pg/ml) and ET/CGRP ratio value(2.88±0.52) in vertebrobasilar arteriospasm group were both higher than those in vertebrobasilar non-arteriospasm group and in controls, while CGRP concentration(30.66±6.05 pg/ml) in vertebrobasilar arteriospasm group was lower than that in vertebrobasilar non-arteriospasm group and controls respectively. The Vm of bilateral verte-bral arteries in vertebrobasilar arteriospasm group(67.97±11.64 cm/s ) was higher than that in vertebrobasilar non-arteriospasm group and controls respectively, having a positive correlation with ET concentration and ET/CGRP ratio value(r1=0.52, P < 0.05; r2=0.59, P < 0.05), but a negative correlation with CGRP concentration(r3=-0.54, P < 0.05). There was no significant difference in ET and CGRP concentration, ET/CGRP ratio value and the Vm of bilateral vertebral arteries between vertebrobasilar non-arteriospasm group and the control group. Conclusion: All the results indicate that ET and CGRP are possibly the most important substance factors at the onset of CV with vertebrobasilar arteriospasm, and their imbalance of regulating vertebrobasilar arterial contraction and relaxation may play an important role in the onset of CV with vertebrobasilar arteriospasm.

    • The clinical comparison of simultaneous bilateral total knee arthroplasty in treatment of osteoarthritis

      2008, 28(3):172-177. DOI: 10.7655 CSTR:

      Abstract (2151) HTML (51) PDF 99.87 K (2388) Comment (0) Favorites

      Abstract:Objective: To evaluate the risk and efficacy of simultaneous bilateral total knee arthroplasty(TKA) in treatment of osteoarthritis when compared with sequential bilateral TKA and unilateral TKA. Methods:A retrospective analysis was performed on 162 patients who underwent TKA from 2003 to 2006. The analyses were adjusted for demographics, preexisting medical conditions, and osteoarthritis diagnosis. Results:Patients undergoing simultaneous bilateral TKA had significantly lower amounts of blood loss, shorter surgical time, shorter hospitalization time, less hospital charges and lower rates of perioperative complications compared with patients undergoing sequential bilateral TKA. No significant difference was found with regard to postoperative complications between the simultaneous bilateral and the unilateral TKA groups. Patient’s knee range of motion and the postoperative Hospital for Special Surgery scores(HSS) were similar for the three groups. Conclusion:When there are adequate indications for bilateral TKA, simultaneous bilateral TKA is beneficial to patients compared with sequential bilateral or unilateral TKA.

    • Effects of Oxymatrine on the NF-kappa B expression of HaCaT cells

      2008, 28(3):178-182. DOI: 10.7655 CSTR:

      Abstract (1937) HTML (55) PDF 1.05 M (3306) Comment (0) Favorites

      Abstract:Objective: To study the effect of oxymatrine on the expression of nuclear factor-kappa B(NF-κB) of Human benign epidermal keratinocytes line(HaCaT cells). Methods:HaCaT cells were cultured with different concentration of Oxymatrine(10μg/ml, 50μg/ml and 100μg/ml) for 24 h, then 10-5 mol/L Substance P was added to the cells. After 30 min, NF-κB expression in the cells was observed by immunocytochemistry, NF-κB P65 protein expression was evaluated by Western blot, and the mRNA expression of NF-κB P65 was evaluated by reverse transcription polymerase chain reaction(RT-PCR). The 10-5 mol/L Substance P and culture medium were added to the Substance P group and control group, respectively. Results:In control group, expression rate of positive cells, the expressions of protein and mRNA of NF-κB were all low. In Substance P group, when 10-5 mol/L Substance P was added, the expres-sions were all increased(P < 0.05). But in Oxymatrine groups, the expression rate of positive cells, the expressions of protein and mRNA were all descended in a concentration-dependent manner(P < 0.05 or P < 0.01). Conclusion:Oxymatrine can down-regulate the expression of NF-κB of the HaCaT cells and may play an important role in regulating anti-inflammation and immunity.

    • Pediatric allergic conjunctivitis and allergic rhinitis

      2008, 28(3):183-187. DOI: 10.7655 CSTR:

      Abstract (2148) HTML (54) PDF 96.92 K (2614) Comment (0) Favorites

      Abstract:Objective: To assess the relationship between allergic conjunctivitis(AC) and allergic rhinitis(AR) in pediatric ophthalmology and E.N.T outpatient clinic. Methods:Eight hundred and ninety two patients were enrolled in survey during Mar. 2005~Jan. 2007, 407 allergic conjunctivitis cases were placed in the ophthalmology clinic group and 485 allergic rhinitis cases were from the E.N.T clinic. The comorbid disorders, histories, symptoms, signs of patients were recorded. Type 1 allergy was tested in 479 cases by a specific IgE antibody blood test. Eosinophils were detected in superficial conjunctival scrapings of the superior tarsal conjunctiva and mucosa surface scrapings of middle nasal meatus in 88 cases with both diseases. Results:302(74%), 374(92%), 116(29%) in 407 cases with allergic conjunctivitis had concomitant eczema, rhinitis and asthma, respectively; 334(69%), 430(89%), 145(30%) in 485 cases with allergic rhinitis had concomitant eczema, allergic conjunctivitis and asthma, respectively. The prevalence of allergic conjunctivitis concomitant allergic rhinitis and allergic rhinitis concomitant allergic conjunctivitis had no significant difference(x2=2.6, P > 0.05). The prevalence of allergic conjunctivitis and allergic rhinitis concomitant eczema and asthma also had no significant difference(x2=3.08; x2=0.21, P > 0.05). The degree of severity of two kinds of disease symptoms is not parallel, in the patients with seasonal allergic conjuctivitis(SAC) and perennial allergic conjunctivitis(PAC), the clinical signs of AR were always severer(x2=258.2, P < 0.05) than those of AC. However, the results coincided with the cases with vernal keratoconjuctivitis(VKC)(x2=66.5, P < 0.05); Eosinophils were revealed in 50(57%) conjunctival scrapings and nasal mucosa scrapings(x2=1.5, P > 0.05), 47(53%) cases had positive results in both scrapings. The main aeroallergens were house dust mites, house dust and fungi, and the main food-allergens were fish, crab and shrimp. Conclusion:The two disorders were shown to share more similarities than differences, as suggested that allergic conjunctivitis should be considered in future guidelines on preventing the development of rhinitis and asthma in children.

    • >南京医科大学学报(社会科学版)
    • Study on the origins of Chinese traditional medicine and western medicine

      2008, 28(3):183-189. DOI: 10.7655 CSTR:

      Abstract (2813) HTML (60) PDF 0.00 Byte (249) Comment (0) Favorites

      Abstract:With the help of missionaries, western medicine had entered into China in the past 100 years. The inherent difference between Chinese traditional medicine and western medicine caused widespread disputes in scientific circles, medical arena, the philosophy and the political. Therefore, Chinese traditional medicine fell into the mess of survival and development several times. However, men’s development couldn’t depart from any kinds of cultural and any kinds of knowledge. The simple discuss on either retention or abandonment of Chinese traditional medicine seemed too extreme. Facing contradiction and the difference of Chinese and western medicine,we should start from the source,analyze the disagreement from historical vein, scan the region, the humanities environment, the thought and the language that affected the medical development,then understand and eliminate the difference, and realize the Chinese traditional medicine and the western medicine perfect union.

    • >Journal of Nanjing Medical University
    • The dynamic study of the pulmonary artery obstruction degree and the right ventricular function in massive pulmonary embolism on CT pulmonary angiography

      2008, 28(3):188-192. DOI: 10.7655 CSTR:

      Abstract (2110) HTML (44) PDF 696.20 K (2489) Comment (0) Favorites

      Abstract:Objective: To analyze the value of CTPA in assessing the dissolve of embolus and the function of the right ventricle dynamically. Methods:Twenty-three cases of massive pulmonary embolism were analyzed retrospectively. The pulmonary artery obstruction index and the right ventricular function parameters were collected and analyzed on CTPA before thrombolytic therapy, 24 hours and 14 days after therapy, respectively. Results:The pulmonary artery obstruction index decreased gradually, and there was significant difference before therapy, 24 hours and 2 weeks after therapy. Twenty-four hours after therapy, the maximal short axes diameter and the maximal transverse area of right ventricle(RVd, RVs) decreased significantly, the maximal short axes diameter and the maximal transverse area of left ventricle(LVd, LVs) increased significantly, and the RVd/LVd, RVs/LVs decreased apparently. The pulmonary artery symbolic pressure before and 24 hours after therapy were apparently different. There was no significant difference between azygos vein, the super vena cava, the main pulmonary artery and vein reflux before and after therapy. Conclusion:CTPA can evaluate the pulmonary artery obstruction degree and right ventricular function dynamically.

    • >南京医科大学学报(社会科学版)
    • Chinese traditional medicine is the integration of arts from science and humanities

      2008, 28(3):193-196. DOI: 10.7655 CSTR:

      Abstract (2259) HTML (60) PDF 0.00 Byte (186) Comment (0) Favorites

      Abstract:The controversy whether “Chinese traditional medicine is scientific” had continued for more than 100 years. Recently,the retention or abolition of the Chinese traditional medicine aroused the attention of all sectors. In fact,looking at the concepts of science and science demarcation, especially the scientific basis, it was not difficult to find that the results appeared rash. After all,Chinese traditional medicine and western medicine were produced in two different cultures, and were all with their own cultural stigma. Produced in Chinese culture, Chinese medicine had made a significant contribution for human health,whether past or present. It was still full of strong vitality of the comprehensive knowledge and it was the integration of the arts from science and humanities. Although western science and western modern medicine occupied the mainstream nowaday, Chinese traditional medicine shouldn’t be prejudice to acknowledge and study, and it could grow with brand new life.

    • >Journal of Nanjing Medical University
    • Correlation of fibrinogen level and absorbance change in both PT and APTT clotting curves on BCSXP

      2008, 28(3):193-198. DOI: 10.7655 CSTR:

      Abstract (4998) HTML (51) PDF 893.97 K (7381) Comment (0) Favorites

      Abstract:Objective: To investigate the correlation of fibrinogen level and absorbance change in both PT and APTT clotting curves on BCSXP Analyzer. Methods:A serial of standard fibrinogen and 250 patient plasma samples with different qualities(normal, hemolysis, icterus, and lipemia) were run on BCSXP for assays PT, APTT and Fibrinogen. The absorbance change(DeltaA) from baseline to plateau in clotting curve was retrieved and analyzed on its correlation with the Fibrinogen result. Influence of plasma quality and PT/APTT result on this correlation was also studied respectively. Results:Both PT-DeltaA and APTT-DeltaA showed good linear regres-sion with fibrinogen level in the sample, with R2 close to 0.90 in both standard and patient samples. Hemolysis(H), itcterus(I) and lipemia(L) of the sample with valid clotting curves were found to have no significant difference in this correlation from normal(N) sample(R2: 0.83H, 0.92I, 0.81L and 0.79N in PT; 0.89H, 0.95I, 0.91L and 0.89N in APTT) in either PT or APTT curve. PT or APTT result also has little impact on this correlation(0.71 in range 7 ~ 10 sec, 0.56 in10 ~ 20 sec, and 0.70 in 20 sec~; R2 in APTT: 0.88 in 20~30 sec, 0.92 in 30~40 sec, and 0.95 in 40 sec~). Conclusion:The absorbance change in either PT or APTT clotting curve correlates well with the fibrinogen level in plasma, which is independent of plasma quality PT or APTT results. The absorbance change can be used as an alternative way to roughly estimate fibrinogen level in either PT or APTT clotting curve when the result of clauss-based fibrinogen measurement is not available.

    • >南京医科大学学报(社会科学版)
    • Discussion on operation contract from the lawful attribute

      2008, 28(3):197-201. DOI: 10.7655 CSTR:

      Abstract (1932) HTML (57) PDF 0.00 Byte (206) Comment (0) Favorites

      Abstract:With regard to the different theories about the legal nature of “operation contract”, each had its own features,pros and cons. Operation contract was the prerequisite for surgical treatment, the essence of which was a legal sesurity assuring the independent deciding right of the patient, and was a proof proving discharging the obligation of the doctor, rather than a mean by which the hospital used to transport its risks or obligation. The operation contract which meet certain conditons had some leagal effect. Therefore,it was necessary to perfect the application norms of the operation contract.

    • Judicial difficulties and countermeasures for settlement of doctor?鄄patient disputes through litigation under existing regulations

      2008, 28(3):202-207. DOI: 10.7655 CSTR:

      Abstract (1991) HTML (54) PDF 0.00 Byte (193) Comment (0) Favorites

      Abstract:As people continued to enhance their legal awareness,more and more people turned to litigation for settlement of doctor-patient disputes. Releases of Regulations on the Disposition of Medical Accidents and Interim Measures for Technical Identification of Medical Accidents provided relevant legal basis for cases about doctor-patient disputes. These regulations had been introduced for a considerable period of time, during which some legal problems and difficulties had appeared. So the author suggested that through adoption of various countermeasures in regulation development, judicial practice and judicial personnel training, we should provide necessary conditions for trial of cases about doctor-patient disputes.

    • Status and role of appraisal conclusion of medical malpractice in civil proceedings

      2008, 28(3):208-211. DOI: 10.7655 CSTR:

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      Abstract:By analyzing the result of some questionnaires, the article discussed the evaluation of the judicial departments about appraisal conclusion of medical malpractice and the status and role in civil proceedings. The author suggested that the relation between medical malpractice identification and forensic identification should be understood correctly and make good use of medical malpractice identification to help judging of civil proceedings.

    • Study on relationships of cheating on loans,transfer loans in high interest and swindling loans

      2008, 28(3):216-220. DOI: 10.7655 CSTR:

      Abstract (6019) HTML (52) PDF 0.00 Byte (382) Comment (0) Favorites

      Abstract:Amendment Ⅵ to the Criminal Code of the People’s Republic of China established a crime called cheating on loans. It helped to offer a legislative basis for cracking down on abusing loans. The crime prescribed the purpose of loans and means of loans rather than the purpose of loans only. The change definitely affected our judicial practice. The key to use this legislative mode was understanding three different crimes (cheating on loans, transfer loans in high interest, swindling loans ) and their relationships.

    • Analysis of medical service accessibility and expenses of Nanjing residents

      2008, 28(3):221-224. DOI: 10.7655 CSTR:

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      Abstract:The article conducted an evidence-based analysis on the accessibility and utilization of medical service and the medical expenses of Nanjing residents. It pointed out that the accessibility of medical service was very good in Nanjing, unreasonable patients flow was the main cause of overly expensive medical service. Authors recommended to guiding the residents to make use of medical service reasonably, establishing whole population coverage social security system and raising the government input, in order to insure the essential medical service for Nanjing residents.

    • Analysis of health services utilization in different groups of medical care assurance in Nanjing

      2008, 28(3):225-229. DOI: 10.7655 CSTR:

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      Abstract:Objective: Analyze the features of health services utilization in different groups of medical care assurance, in order to provide evidence for decision-making to improve the medical insurance system. Methods: Using a multi-stage stratified random sampling method, the 4 873 Nanjing residents inquired. Results: The existing medical security system played a significant role of the residents in the residential services utilization, but the affect was not obvious on use of out-鄄patient services. As the guide of residents to medica treatment, the performance of city basic medical insurance was less important than new-type rural cooperative medical system. Conclusion: Government should speed up the establishment of universal coverage of medical security system, perfect the basic medical insurance system and the new rural cooperative medical system, strengthen community health services building, and also raise the equity of health services and the level of the health of the residents.

    • Study on characteristics of social network among methadone maintenance treatment patients and retention situation

      2008, 28(3):230-233. DOI: 10.7655 CSTR:

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      Abstract:Objective: To identify the construction and characteristics of methadone maintenance treatment(MMT) patients who were double threatened by AIDS and social discrimination,and discuss the relationship between retention and their social network. Methods: Using SPSS and qualitative study to analyze, 277 subjects were recruited by convenience sampling and combined structured interview to conduct a social epidemiological survey. Results: The population were largely prejudiced, their social contact and social network limited to non-normal social groups such as family members and several friends owing to less interaction with society and being labeled with drug abuser. Normal social support network had not play a key role in their treatments,retention and social assistance. Conclusion: The characteristics of MMT patients would influence the effect of treatment. The authors advanced that reinforce interaction between this population with normal social network would be significant for their family and social function improvement.

    • Optimize the mechanism of medical security on the perspective of public choice theory

      2008, 28(3):234-237. DOI: 10.7655 CSTR:

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      Abstract:Many problems and conflicts existed in the actual mechanism of medical security. The article analyzed the phenomena of both market failure and government failure existing in the mechanism of medical security through public choice theory, insured the market and government in position, and hoped to optimize the mechanism of medical security.

    • Inquire into the reason why Chinese ancient science and technology hasn’t developed into modern science

      2008, 28(3):238-240. DOI: 10.7655 CSTR:

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      Abstract:The reason why Chinese ancient science and technology hadn’t developed into modern science was that the self-sufficient economy hampered the development of merchandise economy and caused the lack of motivation of science and technology development. The centralization political system, the policy focusing on agriculture instead of business and the trend of officer’s basis also hampered the progress of modern science. The Chinese traditional way of cognize had got comparable brilliancy in earlier period which the science was not very complicate. But the modern science became more and more complicate so that the original mode of thinking would not keep up with the development of science.

    • The effect and influencing factors of diabetes education organized by hospitals

      2008, 28(3):242-245. DOI: 10.7655 CSTR:

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      Abstract:Objective:To study the effect of diabetes education organized by hospitals on patients’self managing efficiency and the influencing factors of it. Methods: 124 cases of type 2 diabetes outpatients were divided into two groups: educated group(EG)and non educated group(NEG). Age,sex, educational status, self managing efficiency, knowledge of diabetes and rate of being in hospital for diabetes were investigated respectively during Jan 2005 and Jan 2008. Results: There were no difference of age,sex and educational status between two groups. After education level of all the parameters were advanced in EG,but only level of exercise and knowledge of diabetes were increased in NEG. Meanwhile,the ameliorated degree of every index were associated with patients’educational status. Conclusion: Diabetes education organized by hospitals could increase the level of diabetes knowledge,advance the ability of diabetes patients’self management,and decrease the rate of being in hospital for diabetes finally. The profitability of education was correlated with patients’educational status.

    • Discussion on scientifically promoting the integration of production,education and research on the higher medical education

      2008, 28(3):246-249. DOI: 10.7655 CSTR:

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      Abstract:The integration of production,education and research had been again mentioned to an important position on the reform of Chinese socialist modernization and construction. Summing up the history and actuality the article analized the status, role and main problems of the integration of production,education and research in the field of higher medical education, and also advanced the measure of combination such as constructing an effective operational mechanism, giving full play to the functions of the government, innovating the model of unity and establishing evaluation system.

    • A new grope for concepts on the present management of graduate education

      2008, 28(3):250-255. DOI: 10.7655 CSTR:

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      Abstract:With the rapid development of graduate education in our country some new situations and problems arised in its management. Based on the reality of the present management of graduate education, guided by the scientific outlook on development, following the basic idea of unity of oppositeness and harmonious development, the article came up with five concepts including popularized training of elites under mass higher education, innovation of tradition in the modern context, brands-鄄building in the global trend, interactive and win-鄄win situation in the socialized tendency and management of crisis in the marginalized conflicts. The new concepts were expected to make an instructive grope for the management of the present graduate education.

    • Study on enhancing honesty education of the nowadays college students

      2008, 28(3):256-258. DOI: 10.7655 CSTR:

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      Abstract:Being affected by various factors such as historical and social background, family and school education and distemperedness of character, some undergraduates were in defect of creditability. In order to build the honesty and faithfulness among the college students, this article suggested four effective approaches which involved courses teaching, circumstance building, society-related practicing and system strengthening.

    • Situation and revolution of the education of medical history

      2008, 28(3):266-269. DOI: 10.7655 CSTR:

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      Abstract:The article discussed the important function of medical history in humanistic education in medical university. From the investigation it showed the need of medical education, and from the analysis of the situation in medical education overseas and internal, still combining the investigation, pointed out the defect and the promotion of the medical history, in order to make more important function in humanistic education.

    • Comparison of knowledge, attitute and practice for the selective courses between the students majored in medicine and engineer

      2008, 28(3):270-273. DOI: 10.7655 CSTR:

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      Abstract:Objective: To learn the characteristics of the knowledge, attitute and practice(KAP)for the selective courses between the students majored in medicine and engineer. Methods: A questionairre was used to investigate the KAP for the selective courses. Results: All the students thought the selective courses were very important.Most of students considered them helpful to open their minds, train their quality, increase the living significance, supply the knowledge of the subjects. And most of them went for lessons. They were interested in the lessons and suggested the examination opened. More students in engineering college suggested advanced subjects and less lesson, while the students in medical college took more notes. Conclusion: The inspirations for medical and new knowledge were more to the students of engineering college and they excepted less lesson, while the students in medical college were familiar to the mode of listening lessons and taking notes.

    • >南京医科大学学报(自然科学版)
    • Isolation,cultivation and identification of adult rats pancreatic duct stem cells in vitro

      2008, 28(3):273-277. DOI: 10.7655 CSTR:

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      Abstract:Objective:To explore the method of isolation,cultivation and identification of adult rats pancreatic duct stem cells in vitro. Methods:The pancreas of adult rats were digested by injecting collagenase V solution and purified by removing the islets with Ficoll density gradient centrifugation. The islet-depleted tissue was cultured in RPMI1640 with 10% fetal calf serum,and the medium was supplemented with EGF and bFGF for 7 days,then the cells could form a monolayer. 0.25% Trypsin-EDTA were used to detach the cells, which were serial-subcultivation. Cells from the second passage(P2) were used to detect the expression of CK19,Pdx-1,Nestin,insulin and glucagon with methods of immunofluorescence staining and RT-PCR. Results:Through collagenase solution injecting and digesting the pancreatic duct,and depleting the islet tissue after Ficoll density gradient centrifugation,the pancreatic duct cells could get a better purification. The results of immunofluorescence staining revealed that the expression of CK19,Pdx-1 and Nestin of P2 cells were positive, and the rate of positive cells were(88.6 ± 6.2)%,(84.6 ± 8.6)% and (79.3 ± 10.5)%,respectively,while insulin and glucagon staining were negative. The results of RT-PCR demomstrated that the cells also expressed CK19,Pdx-1 and Nestin. Conclusion:This method can isolate the pancreatic duct cells well,and the cells obtained have the character of stem cells through identification.

    • >南京医科大学学报(社会科学版)
    • Study on the effect of head-simulator in clinical teaching of stomatology

      2008, 28(3):277-279. DOI: 10.7655 CSTR:

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      Abstract:Objective: To study the effect of head-simulators teaching system at College of Stomatology of Nanjing Medical University. Methods: Students of Classes 2001 and 2002 were investigated by questionares and clinical examinations throughout head-simulator training. Results: The results had showed that head-simulator teaching system raised the activity of students,consolidated their basic knowledge,developed their clinical thinking ability,and provided them some pre-clinical operational skills. Conclusion: Head-simulators training is one necessary tool for students during their pre-clinical training.

    • >南京医科大学学报(自然科学版)
    • Effect of intrauterine growth retardation on the development and function of pancreas in newborn rats born

      2008, 28(3):278-281. DOI: 10.7655 CSTR:

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      Abstract:Objective:To study the effects of maternal malnutrition on the development and function of fetal pancreas. Methods:The newborn rat model with intrauterine growth retardation was established by maternal nutrition restriction(50% calorie restriction of the normal) during the 11th to 21st days of pregnancy. The growth and development status of the newborns,glucose tolerance test and immunohistochemistry analysis were investigated to evaluate the development and function of fetal pancreas. Results:Body,pancreas weight and the ratio of pancreas to body weight of newborns in IUGR group were much lower than those in normal group(P < 0.001). The fasting glucose and insulin levels of IUGR newborns were both lower than those of normal ones,whereas glucose levels at 120 min and 180 min after glucose challenge were significantly higher in IUGR group[(18.95 ± 2.63)mmol/L vs(16.92 ± 1.30)mmol/L;(18.29 ± 2.58)mmol/L vs (15.87 ± 2.08)mmol/L,P < 0.05]. In addition,areas of insulin-expression positive cells[(M=1 530.98 μm2,QU-L=2 961.98 μm2)vs(M=3 146.24 μm2,QU-L=4 633.73 μm2)] and positive rate of cells staining with insulin[(M=2.03%,QU-L=2.67%)vs(M=5.44%,QU-L=4.34%)] were also less than normal newborns(P < 0.01). Conclusion:Maternal malnutrition would lead to impaired pancreatic development and decreased islet area in newborn rats,as well as dysfunction of glucose regulatory capacity.

    • >南京医科大学学报(社会科学版)
    • Application of PACS in the teaching of medical imaging

      2008, 28(3):280-282. DOI: 10.7655 CSTR:

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      Abstract:The picture archiving and communication system(PACS)was produced from digital imaging technique combining with modern communication and computer techniques,which provided an advanced technique in clinic work as well as medical imaging teaching. The value of PACS in teaching and learning of medical imaging was discussed here.

    • >南京医科大学学报(自然科学版)
    • Fluvastatin’s effects on the expression of IL-6 by kidney of mice suffering from diabetes mellitus

      2008, 28(3):282-285. DOI: 10.7655 CSTR:

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      Abstract:Objective:To probe effects of Fluvastatin(a kind of HCRI) on the expression of IL-6 by kidney of mice suffering from diabetes mellitus. Methods:Mice induced diabetes mellitus using Streptozotocin(STZ) were used in this trial. The mice were abdominally injected STZ 60 mg/(kg·d) for 6~7 days. The mice that had a blood sugar ≥11.2 mmol/L six days later were included in ensuing procedures. The included mice were randomized into 5 Fluvastatin intervention groups(n = 10 for each group),continuously undergoing the trial for one,two and three months. The mice that underwent one month trial were subdivided into three groups receiving Fluvastatin with low dosage[5 mg/(kg·d)],medium dosage[25 mg/(kg·d)] and high dosage[125 mg/(kg·d)],and mice that underwent two and three months trial merely received medium dosage. Three non-intervention groups(n = 10 for each group) and 3 normal control groups(n = 8 for each group) were also installed. The mice were sacrificed at the end of first,second and third month after having been collected for urine samples and tested for blood sugar. Mouse body weight,weight of one kidney,blood sample and renal tissue were recorded or stored. The mouse sera were tested for cholesterol,triglyceride,urea nitrogen,and mouse urines were tested for ratio of urinary albumin versus creatinine. ELISA was used to detect level of IL-6 in renal cortex. Results:Compared with mice in non-intervention groups,mice that received medium-dosage of Fluvastatin for two or three months significantly lowered their ratio of urinary albumin versus creatinine,blood urea nitrogen, ratio of kidney weight versus body weight(P ﹤ 0.05) and level of IL-6(P﹤0.05),while cholesterol and triglyceride in blood of the mice remained unchanged(P > 0.05). Conclusion:Fluvastatin was able to inhibit expression of IL-6 in kidney of mice suffering from diabetes mellitus and reduce urinary protein. Meanwhile,Fluvastatin could protect kidney with a time-dependent trend without depending on deduction of cholesterol level.

    • The protective effect of ursodeoxycholic acid on pancreatic β-cell in STZ-induced diabetic rats

      2008, 28(3):286-290. DOI: 10.7655 CSTR:

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      Abstract:Objective:To clarify the protective effect of ursodeoxycholic acid(UDCA) on antioxidation and antiapoptosis of pancreatic β-cells in STZ-induced diabetic rats. Methods:Rats(n = 40) were received a single injection STZ(50 mg/kg) intraperitoneally to produce a β-cell injury model. Weight-matched normal rats(the control group,n = 10) were injected with the buffer alone. STZ-treated rats with persistent random blood glucose higher than 16.7 mmol/L for 1 week were considered as diabetic(n = 14),then were divided into the following two groups:STZ-induced diabetes group(n = 7) and UDCA-treated diabetes group(n = 7). UDCA(40 mg/kg) was administered daily by intragastric intubations during the experimental period(30 days). The control group and the STZ-induced diabetic group without UDCA treatment were given an equivalent amount of 0.9% NaCl intragastrically. During all experiments period,blood glucose and weight of all rats were assessed. Following 30-days UDCA treatment,all rats were anaesthetized and then killed to remove pancreas and collect the blood sample. The morphological changes of pancreatic β-cells apoptosis were determined by light microscope and TUNEL assay. Serum nitric oxide(NO), matondialdehyde(MDA) concentration and superoxide dismutase(SOD) level in pancreatic tissue were measured. Results:The concentration of blood glucose in diabetic rats was gradually decreased after the UDCA treatment,while still higher than the normal control group at the end of the experiment. The percentage of β-cell apoptosis of UDCA-treated group was significantly lower than that of STZ-induced diabetic group(P < 0.01). The content of serum NO and MDA was significantly elevated in STZ-induced diabetic rats with SOD decreased in pancreas,whereas these parameters became close to the normal after treated with UDCA. Conclusion:UDCA could act as an effective antioxidant agent and protect pancreatic β-cell from apoptosis in STZ-induced diabetes. It suggested that UDCA should have potential benefits in inhibiting the development of pancreas dysfunction in diabetic patients.

    • Effect of the poly(ADP-ribose) polymerase inhibitor on the apoptosis of islet cell induced by free fatty acid

      2008, 28(3):291-295326. DOI: 10.7655 CSTR:

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      Abstract:Objective:To explore the effects of PARP inhibitor(3-Aminobenzamide) on the apoptosis and necrosis of islet cell induced by palmitic acid. Methods:The RIN-m5F cell line was routinely cultured,and MTT method was employed to evaluate the proliferation of the RIN-m5F cell line. Moreover,Flow cytometry and TUNEL method were enrolled to analyze the apoptosis and necrosis of the RIN-m5F cell line. Results:Palmitic acid significantly inhibited the proliferation of the RIN-m5F cell line(P < 0.01).The apoptosis and necrosis of the RIN-m5F cell line treated by lower concentration of 3-Aminobenzamide and palmitic acid were obviously lower than that treated by palmitic acid alone after 24 h(P < 0.01),but the apoptosis was more significantly enhanced when the concentration of 3-Aminobenzamide higher(P < 0.01). Conclusion:Lower concentration of 3-Aminobenzamide could suppress effectively the apoptosis and necrosis of RIN-m5F cell line induced by palmitic acid,but higher concentration of 3-Aminobenzamide alternatively enhanced the apoptotic rate. It was indicated that 3-Aminobenzamide could have positive and negative effect in different concentration on the apoptosis of islet cell induced by palmitic acid and could be served as a novel therapeutic target for type 2 diabetes.

    • Arsenic trioxide inhibits the gene expression of IL-13 in activated T cells

      2008, 28(3):296-299. DOI: 10.7655 CSTR:

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      Abstract:Objective:To study the interleukin 13(IL-13) gene expression in T cells due to CD3/CD28 co-stimulation and the effect of arsenic trioxide(AT) on IL-13 gene expression. Methods:Hut-78 cells were stimulated with CD3/CD28 monoclonal antibodies(10 μg/ml and 5 μg/ml,respectively). IL-13 mRNA level in Hut-78 cells was measured in groups with or without AT treatment. Results:The level of IL-13 mRNA was increased in Hut-78 cells due to CD3/CD28 co-stimulation,however AT inhibited the gene expression of IL-13. Conclusion:AT would inhibit the gene expression of IL-13 in activated T cells,which might be one of its mechanisms reducing the airway inflammation in animal models.

    • Effects of peroxisome proliferators-activated receptor γ agonist on proliferation of vascular smooth muscle cells induced by leptin

      2008, 28(3):300-303. DOI: 10.7655 CSTR:

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      Abstract:Objective:To observe the effect of peroxisome proliferator-activated receptor γ agonist(pioglitazone) on leptin-induced proliferation of vascular smooth muscle cells(VSMCs). Methods:By using primary cell culture and MTT colorimetry,the effects of leptin and peroxisome proliferator-activated receptor γ agonist were detected at various concentrations on VSMCs proliferation. Results:Leptin can significantly promote VSMCs proliferation in a dose-and time-dependent manner,whose maximum effect appears at 100 ng/ml and 72 hours(P < 0.05). In additiom,pioglitazone suppressed leptin-induced VSMCs proliferation,especially at 100 μmol/L.(P < 0.05). Conclusion:Leptin can induce the proliferation of VSMCs,and pioglitazone can inhibit this effect. Pioglitazone might be used to treat atherosclerosis, and the mechanism should be involved in that pioglitazone could relieve the leptin resistance.

    • Effects of Iptakalim on the expression of KATP protein in cultured human pulmonary artery smooth muscle cells induced by endothelin-1

      2008, 28(3):304-307. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate the effects of Iptakalim,a novel ATP-sensitive potassium channel opener(KATPCO),on the expression of ATP-sensitive potassium channel(KATP) protein in cultured human pulmonary artery smooth muscle cells(HPASMCs) induced by endothelin-1(ET-1). Methods:By Western- blot analysis,the expression of both SUR2B and Kir6.1,subunits of KATP protein,was detected in primary cultured HPASMCs,which were randomly divided into control group,ET-1 group,ET-1+ Iptakalim group,ET-1+ Pinacidil group,ET-1+ Iptakalim+ Glibenclamide group and ET-1+ Pinacidil+ Glibenclamide group. Results:Compared with ET-1,Iptakalim could upregulate the SUR2B subunit expression,which could be inhibited by Glibenclamide,a particular ATP-sensitive potassium channel blocker. However,there was no significant difference in Kir6.1 subunit expression in each group. Conclusion:Iptakalim,a new potential candidate in the treatment of hypoxic pulmonary hypertension(HPH),could play an important role by upregulating the expression of SUR2B subunit.

    • Effects of Pinacidil and Diazoxide on protein level of ATP-sensitive potassium channels of pulmonary artery smooth muscles in chronic hypoxic rats

      2008, 28(3):308-311315. DOI: 10.7655 CSTR:

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      Abstract:Objective:To study protein expression of ATP-sensitive potassium channels(KATP) of pulmonary artery in chronic hypoxic pulmonary artery hypertension(CHPAH) rats and in chronic hypoxic rats treated with KATP opener Pinacidil and Diazoxide. Methods:Thirty-five Sprague-Dawley(SD) male rats were randomly divided into five equal groups:control group,hypoxic group,Pinacidil group[2.0 mg/(kg·d),ig],Diazoxide group[1.5 mg/(kg·d),ig] and 5-HD+Diazoxide group[5-HD 3.0 mg/(kg·d),ig,Diazoxide 1.5 mg/(kg·d),ig]. Except the first group ,the other four groups were put into hypoxic and normobaric chamber[O2(10.0 ± 0.5)%] to establish chronic hypoxic model. Four weeks later,the mean pulmonary arterial pressure(mPAP) was measured. Western-blot was performed to analyze the protein level of KATP channels in pulmonary main artery smooth muscles. Results:①The level of mPAP was significantly higher in the hypoxic group than those in control group(P < 0.05). Pinacidil 2.0 mg/(kg·d) decreased the level of mPAP(mmHg) significantly. While Diazoxide 1.5 mg/(kg·d) increased the level of mPAP significantly. The level of mPAP was significantly lower in the 5-HD+Diazoxide group than those in Diazoxide 1.5 mg/(kg·d) group. ②The protein levels of SUR2B in the hypoxic group were significantly lower than those in the control group,and this decrease was partly reversed by Pinacidil. The protein levels of SUR2B in the Diazoxide group were significantly lower than those in the hypoxic group. The protein levels of SUR2B in the 5-HD+Diazoxide group were significantly higher than those in the Diazoxide group,and no difference in Kir 6.1 protein level was found among five groups. Conclusion:KATP channel protein expression was inhibited by chronic hypoxia,and this inhibition could be up-regulated by Pinacidil. Pinacidil might partly prevent the development of HPH and the pulmonary vascular remodeling;Diazoxide could aggravate the level of mPAP and down-regulate the protein expression of KATP channel.

    • Effect of budesonide on airway remodeling and c-kit phosphorylation in a mouse model of asthma airway remodeling

      2008, 28(3):312-315. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate the role of SCF(stem cell factor)/c-kit pathway in airway remodeling and the influence of glucocorticoids on airway remodeling and its mechanisms. Methods:Thirty BALB/c mice are evenly divided into three groups at random. They are normal group,the group of asthma airway remodeling and the group of budesonide intervention. All the mice were sensitized and challenged with ovalbumin to establish the asthmatic model. The airway inflammation and the alteration of airway structure were observed by the means of hematoxylin and eosin staining. Expression of phosphorylated c-kit was examined by immunoprecipitation/Western blot analysis. Results:It is indicated that the incrassation of submucosa and smooth muscle,airway stenosis and mass inflammatory cells infiltration were identified more significantly in the asthmatic group than that in the control group. As far as the therapeutic group was concerned,the above-mentioned symptoms were lighter than that of the asthmatic group. The protein expression level of phosphorylated c-kit in asthmatic group was higher than that of the normal group(P < 0.01),while it is decreased in therapeutic group(P < 0.01). Conclusion:The expression of phosphorylated c-kit in asthmatic group might be higher than that of the normal group,and budesonide could inhibit the phosphorylation of c-kit receptor,thus relieve airway inflammation and airway remodeling.

    • Changes of distribution and density of sensory nerve and neuroendocrine cells in the lungs of asthmatic rats

      2008, 28(3):316-320. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate the changes of distribution and density of sensory nerve and neuroendocrine cells in the lungs of asthmatic rats. Methods:Twenty Wistar rats were divided into asthma group and control group. Immunohistochemistry and computer image analysis were used to observe the changes of the calcitonin gene-related peptide(CGRP) and vasoactive intestinal peptide(VIP) immunoreactive(IR)nerve fibers,protein gene product 9.5(PGP9.5)and Synaptophysin(SYN)positive cells in this study. Results:①There were significant changes in distribution and density of CGRP-IR and VIP-IR nerve fibers in airways of asthma group. The relative positive staining areas and grey levels of CGRP-IR nerve fibers increased significantly in asthma group compared with control group(P < 0.01). But the relative positive staining areas and grey levels of VIP-IR nerve fibers decreased significantly in asthma group compared with control group(P < 0.05 or P < 0.01).②The rate of positive cells and mean optical density(MOD) of PGP9.5 and SYN increased significantly in asthma group compared with control group(P < 0.01). Concolusion:The distribution and density of sensory nerve and neuroendocrine cells were abnormal in the lungs of asthmatic rats,which might immediatly cause the changes of neuropeptides. The adjustment of neuroendocrine was unbalanced,which could promote the persistence and development of asthma.

    • Analysis of pathogen distribution change and drug resistance in low respiratory tract infection

      2008, 28(3):321-326. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate the distribution change and drug resistance of common and special pathogens in low respiratory infection for providing evidence of clinical anti-infection therapy. Methods:The results of 13 463 sputum cultures tested in inpatients during the period 2005~2006 and the drug susceptibility of pathogens were analyzed by the software WHONET5.3. Results:Among all pathogens in low respiratory tract infection,gram-negative bacteria accounted for 51.1% while fungi accounted for 33.7%. Candida albicans stood the first, and Pseudomonas aeruginosa,Acinetobacter sp,Klebsiella pneumoniae were common pathogens. The rate of Acinetobacter sp,Escherichia coli in 2006 increased significantly compared with that in 2005. Among all gram-negative bacteria,ESBLs-producing strains accounted for 8.3% and had high resistance to the third and forth generation cephalosporins and fluoroquinolones. The differences of ESBLs-producing rates of Escherichia coli and Klebsiella pneumoniae between the two years were significant. MRS accounted for 59% of all staphylococci,resisting to macrolids,cephalosporins and fluoroquinolones. The rate of MRS was significantly higher in 2006 than in 2005. Conclusion:the percentage of multidrug resistant pathogens in low respiratory tract infection increased with time. Carbopenems were recommended for ESBLs-producing pathogens and Vancomycin for MRS.

    • Distribution of PGP9.5 and NPY immunoreactive peptidergic nerves in adult human testes

      2008, 28(3):327-329334. DOI: 10.7655 CSTR:

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      Abstract:Objective:To study the distribution patterns of PGP9.5 and NPY immunoreactive(IR) peptidergic nerves in adult human testes. Methods:Four testes from adult males were processed for 5 -滋m thick frozen sections. Antibodies against protein gene product(PGP) 9.5 and neuropeptide Y(NPY) were used for immunohistochemical detection of peptidergic nerves in the human testes. Results:PGP9.5-IR fibers were mainly distributed in the testicular interstitium,in close association with seminiferous tubules and Leydig cell nests. The majority of the NPY-IR nerves were observed around intratesticular blood vessels,but the walls of the seminiferous tubules were also innervated. The density of PGP9.5 immunoreactive nerve was stronger than that of NPY. Conclusion:The presence of peptidergic nerves in the human testes provides anatomic evidence for involvement of the spermatic nerves in spermatogenesis regulation.

    • Effects of licoflavone-induced apoptosis on the expression of survivin in SMMC-7721 cells

      2008, 28(3):330-334. DOI: 10.7655 CSTR:

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      Abstract:Objective:To study the apoptosis of SMMC-7721 cells induced by licoflavone(GF9) and its mechanism. Methods:MTT assay was used to observe the effects on growth inhibition induced by GF9 in SMMC-7721 cells. The morphological changes effect of GF9-induced apoptosis was observed with Hoechst 33258 staining and transmission electron microscope. The percentage of apoptotic cells was analyzed by flow cytometry,and the levels of survivin and pro-caspase-3 proteins were detected by Western blot. Results:GF9 inhibited the SMMC-7721 cells growth in a time-and-dose-dependent manner,400 -滋mol/L GF9 inducing apoptosis in a time-dependent manner. The results of Western blot showed that the expression levels of survivin and pro-caspase-3 were downregulated. Conclusion:The results indicated that GF9 could induce apoptosis of SMMC-7721 cells,and the effect of GF9-induced apoptosis might be related to the downregulation of survivin protein.

    • Observation of micromorphology and DNA examination of the muscular tissue from the female cadaver of Xi Han Dynasty discovered in Lianyungang

      2008, 28(3):335-337345. DOI: 10.7655 CSTR:

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      Abstract:Objective:To study the micromorphology and genetics of the muscular tissue from the female cadaver of Xi Han Dynasty discovered in Lianyungang in 2002. Methods:Light microscope and electron microscope were used to observe micro morph of the muscular tissue from the female cadaver,which had been fixed in 10% formalin after being unearthed. Besides,DNA Extract kits were used to extract genome DNA from muscular tissue;PCR was used to amplify mitochondrial DNA sequence. Results:Observed by both light microscope and electron microscope,the morph of the muscular tissue from the ancient cadaver sample was in a great mess. Genomic DNA(including mitochondrial DNA) of the cadaver was not obtained by extraction and amplification,respectively. Conclusion:The ancient cadaver fixed by formalin might be disadvantageous of the electron microscope and molecular biology research.

    • Establishment of chronic ischemic myocardial models in swines by full-endoscopy

      2008, 28(3):338-340. DOI: 10.7655 CSTR:

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      Abstract:Objective:To establish the method of making chronic ischemic myocardial models in swines by full-endoscopy. Methods:The myocardial ischemia was established by gradual occlusion of the left circumflex coronary artery(LCX) with an Ameroid constrictor. An Ameroid constrictor was implanted around LCX by full endoscopy. Selective coronary angiography were performed postoperatively to evaluate the degree of stenosis and collateral circulation. Results:Chronic ischemic myocardial models were successfully constructed in 20 swines by full-endoscopy. Six weeks later,coronary angiography revealed that the total occlusion and partial stenosis(>85%)of the LCX in 7 and 13 swines separatively. The coronary collateral circulation was obviously formed. Conclusion:The full-endoscopic operation could construct coronary artery occlusion animal models with less injury than thoracic surgery.

    • Effects of different heat shock preconditioning intensities on cultured neonatal rat cardiomyocytes injured by oxidative stress

      2008, 28(3):341-345. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate the effects of different heat shock preconditioning intensities on cultured neonatal rat cardiomyocytes injured by oxidative-stress. Methods:Primary culture cardiomyocytes of neonatal rats pretreated with heat shock. 0.5 mmol/L(final concentration)H2O2 was added into the culture medium to mimic oxidative stress. Cardiomyocytes were divided into five groups:control group,H2O2 group,mild heat shock pretreatment group with 15 min heat shock at 42℃ and recovered 12 h before H2O2 treatment,moderate heat shock pretreatment group with 45 min heat shock at 42℃ before H2O2 treatment,severe heat shock pretreatment group with 90 min heat shoch before H2O2 treatment. Cell viabilities were analyzed by MTT. The apoptosis rate was evaluated with flow cytometry. The contents of superoxide dismutase(SOD),malonaldehyde(MDA) in cardiomyocytes and lactate dehydrogenase(LDH) in culture solution were measured. Results:Compared with normal control group,cell viabilities and the contents of SOD in the H2O2 group decreased significantly(P < 0.01),whereas,the apoptosis rate,the contents of LDH and MDA in the H2O2 group increased significantly(P < 0.01); Compared with the H2O2 group,cell viabilities and the contents of SOD in the mild heat shock prereatment group and moderate heat shock pretrentment group increased significantly(P < 0.01),whereas the apoptosis rate the contents of LDH and MDA in the mild heat shock pretreatment group and moderate heat shock pretreatment group decreased significantly(P < 0.01). The consequence of the severe heat shock prefreatment group and the H2O2 group were not different obviously(P > 0.05); Compared with the moderate heat shock prereatment group,cell viabilities and the contents of SOD in the mild pretreatment group and severe pretreatment group decreased significantly(P < 0.01),whereas the apoptosis rate and the contents of MDA in the mild pretreatment group and severe pretreatment group increased significantly(P < 0.01). The contents of LDH increased significantly too(P < 0.05,P < 0.01). Conclusion:Heat shock pretreatment can protect primary cultured rat cardiomyocytes injured by H2O2. Different effects would be created on cardiomyocytes by different heat shock preconditioning intensities.

    • The expression and clinical significance of OPN and MMP-2 in human pancreatic carcinoma

      2008, 28(3):346-349. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate the expression and clinical significance of OPN and MMP-2 in pancreatic carcinoma and explore the role of OPN and MMP-2 in the invasion and metastasis of pancreatic carcinoma. Methods:Tumor tissue chip with 178 pancreatic tumor and 36 paraneoplastic tissues were constructed. The location of OPN protein in pancreatic tumor cell lines was detected by immunofluorescence. The expressions of OPN and MMP-2 were investigated by immunohistochemistry assay. Results:The OPN was mainly located on the cell membrane and cytoplasmic in two pancreatic tumor cell lines(PANC-1,SW1990). The expression of OPN and MMP-2 was higher in pancreatic tumor,74.2%(132/178)and 71.3%(127/178)respectively,than in paraneoplastic tissues(P < 0.05). OPN expression was significantly correlated with MMP-2(r = 0.34,P < 0.05). The expression of the OPN protein was related to histological differentiation of pancreatic tumor cells. OPN and MMP-2 expression were higher in cases with lymph node metastases or with nerve infiltration(P < 0.05). Conclusion:OPN and MMP-2 might strengthen the invasion and metastasis of pancreatic carcinoma. OPN and MMP-2 might play synergetic roles in the progression of pancreatic carcinoma.

    • The advantage of cultivating tissue-engineered cartilage in rotating bioreactor

      2008, 28(3):350-353. DOI: 10.7655 CSTR:

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      Abstract:Objective:To evaluate the possibility of cultivating tissue-engineered cartilage in a rotating bioreactor(HFB-40). Methods:The PLGA constructs were formed in the shape of rectangular parallelopiped(2 mm × 4 mm × 4 mm). Each PLGA template was seeded with chondrocytes and then cultivated in the bioreactor or flasks for 4 weeks. The chondrocyte-PLGA constructs were harvested and detected by the content of GAG,DNA and the percentage of the typeⅡ collagen dyeing area. Results:The chondrocytes-PLGA constructs grew much better in the bioreactor than in the flasks:The constructs grown in the bioreactor had much higher content of GAG,DNA and percentage of the typeⅡ collagen dyeing area than those in the flasks. Conclusion:It is advantageous for the tissue-engineered cartilage cultivated in the bioreactor,which can provide more suitable culture environment for chondrocyte-PLGA constructs.

    • The effect of green tea and its possible interactions with relevant factors on lung cancer in Dafeng county,Jiangsu province,China

      2008, 28(3):354-359. DOI: 10.7655 CSTR:

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      Abstract:Objective:To study the effects of green tea and its possible interactions with relevant factors on the risk of lung cancer in Dafeng County,an area with high cancer incidence in Jiangsu Province,China. Methods:A population-based case-control study was carried out in Dafeng Country,523 newly diagnosed lung cancer cases and 1 924 health control subjects were recruited. Epidemiology data were collected by interviews using a standard questionnaire. Unconditional Logistic regression was applied for calculating crude odds ratio(ORCru) and adjusted odds ratio(ORAdj). Results:A decreasing association between regular green tea drinking and lung cancer risk was observed with ORAdj of 0.520(95% CI:0.392~0.691). Moreover,dose-response relationship between the age of first green tea drinking and risk of lung cancer was found(Pfor Trend Adj < 0.000 1). There were interactions between regular green tea drinking and smoking history,total cigarettes consumptions(≥ 30 pack·year),alcohol drinking and continual cooking oil exposure,respectively. Furthermore,there were significant interactions between regular green tea drinking and smoking history(ORAdj for interaction:0.575;95% CI:0.425~0.777) and total cigarettes consumptions(≥30 pack·year)(ORAdj for interaction:0.706;95% CI:0.500~0.999),which reduced the risk of lung cancer. Conclusion:Regular green tea drinking could reduce the risk of lung cancer in high cancer incidence areas and could be used for lung cancer chemoprevention.

    • Study on hepatitis E virus infection in rural general population in Jiangsu province

      2008, 28(3):360-363. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate the epidemiological characteristics of hepatitis E virus(HEV) infection in rural area of Jiangsu provine and explore correlated effect factors. Methods:A cross-section and a follow-up seroepidemiologic study of HEV infection were conducted. Anti-HEV IgG and IgM were tested by commercial ELISA kits,and the RT-PCR method was applied to obtain the sequence of HEV from subclinical infection cases. Meanwhile correlated effect factors were studied. Results:The cross-sectional seroepidemiologic study showed that the anti-HEV IgG prevalence were 52% in the general population. The seropositivity rates of anti-HEV-IgG was highter in male than in female(P < 0.001),and the antibodies increased with age. Based on results from the follow-up study,the positive and negative seroconversion rate were 11.6% and 5.8% respectively. Overall,the positive seroconversion rate was higher in people more than 20 years old than in those less than 20 years,but the negative seroconversion rate of 0~9 year age group was higher than that of the older age groups. Both genotypeⅠ and genotype Ⅳ HEV were isolated from subclinical infection. Man,advancing age and breeding swine were risk factors in the infections of HEV. Conclusion:The prevalence of hepatitis E virus infection in this district was higher than any other districts reported in China. Genotype Ⅰ and genotype Ⅳ HEV were isolated from subclinical infection. Besides gender and age,breeding swine were effect factors in the infections of HEV.

    • Influnce of the prevaccination antibody titer on immune effect of influenza vaccination

      2008, 28(3):364-367. DOI: 10.7655 CSTR:

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      Abstract:Objective:To explore the effects of the prevaccination antibody titer on the positive rate of antibody,and to find the sensitive herd of influenza vaccination for providing the scientific basis for the flu prevention. Methods:Duplicates entire group random sampling method were used. The antibody was abstracted from natural populations in Changzhou,Yancheng,Nanjing,Huaian,Suqian and Yangzhou. The antibody of influenza was measured by the hemagglutination inhibition test and the positive rate of antibody. Results:The positive rate of subtype A3 and type B were different in ages. The positive rate of subtype A3 was higher in infant and pre-school children,while that of type B was lower than other years-old people. Along with the increasing of pre-immune antibody titer,the positive rate gradually reduced in the person who had protection from influenza. Youden’s index found that the threshold of subtype A1,subtype A3 and type B was 1 ∶ 160,1 ∶ 160 and 1 ∶ 80 respectively. Conclusion:When pre-immune antibody titer of subtype A1,subtype A3 and type B exceeded 1 ∶ 160,1 ∶ 160 and 1 ∶ 80,influenza vaccination couldn’t achieve the anticipated immune effect.

    • Intervention on influence factors of health-related quality of life in patients with hypertension

      2008, 28(3):368-371. DOI: 10.7655 CSTR:

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      Abstract:Objective:To explore the influence factors of health-related quality of life(HRQOL)in patients with hypertension and evaluate the effect of community intervention. Methods:A cross-sectional study was carried out to survey 644 patients with hypertension by using the questionnaire including demographic information,behaviour,years of hypertension,treatment,Chinese version SF-36 short form of life quality and the symptom distress checklist. Student-t test,variance analysis and linear stepwise regression was used to analyze the influence factors. 195 patients were screened out to participate in the intensified intervention,and the paired-t test was used to test the difference between before and after intervention. Results:Multivariate regression analysis showed that age,symptom,ordinary blood pressure,physical exercise,attitude,knowledge,family income and community management were the main influencing factors with the un-standardized partial coefficients being -1.52,-6.70,29.61,29.88,30.89,6.10,13.96 and 28.29. After 6 months intensified intervention,the scores of all dimensions except social function were improved significantly. Conclusion:In view of the influence factors of life quality,taking some intensive intervention could improve the life quality in patients with hypertension.

    • Effects of positive airway pressure treatment on pulmonary artery pressure in patients with severe obstructive sleep apnea syndrome

      2008, 28(3):372-375. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate whether there is pulmonary hypertension(PH) in patients with severe obstructive sleep apnea syndrome(OSAS) and to evaluate the effect of two different positive airway pressure treatments,namely continuous positive airway pressure(CPAP) and Bi-level positive airway pressure(BiPAP) treatments,on pulmonary arterial pressure(PPA) in OSAS patients. Methods:Fourteen severe OSAS patients without cardiac or lung diseases were recruited and were divided into two groups,CPAP group(7 patients) and BiPAP group(7 patients) based on the method of positive airway pressure they received. Pulsed-wave doppler echocardiography was used for estimating their PPA, which was compared before and after 6-months’ treatment in all patients as well as between two groups. Results:Of all severe 14 OSAS patients, mild PH were detected in 5 patients(35.7%). After 6-months’ positive airway treatment,the PPA in 14 OSAS patients was significantly lower than that before treatments[(29.6 ± 7.2)mmHg vs(26.0 ± 5.0)mmHg,P < 0.05]. Comparison of PPA before and after different positive pressure treatment between two groups demonstrated that in CPAP group,although there seemed a tendency of decrease in PPA after CPAP treatment,no statistical significance was observed[(29.0 ± 6.6)mmHg vs(27.7 ± 5.9)mmHg,P > 0.05];however,in BiPAP group there was a significant decrease in PPA after BiPAP treatment,compared with that before treatment[(30.1 ± 8.3)mmHg vs(24.3 ± 3.6)mmHg,P < 0.05]. Conclusion:PH may occur in severe OSAS patients. The PPA in OSAS patients can be decreased by BiPAP treatment which is favorable for treatment and prevention of PH in OSAS patients.

    • Efficacy of adaptive servo-ventilation on residual sleepiness in patients with obstructive sleep apnea syndrome

      2008, 28(3):376-379. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate the effects of adaptive servo-ventilation(ASV) on the residual sleepiness(RS) in patients with obstructive sleep apnea syndrome(OSAS). Methods:Following correct application of one month’s auto-CPAP(APAP) treatment and exclusion for other sleepiness-associated disorders, 42 RS patients with moderate-to-severe OSAS were recruited. All of them received one week’s ASV treatment with auto CS2 ventilator. 24 patients with RS after 1 month’s treatment with APAP were recruited as the control group, which went on receiving one week’s treatment with APAP. Comparisons were made between APAP and ASV treatment group concerning the following parameters: polysomnographic parameters including apnea hypopnea index(AHI), central sleep apnea index(CSAI), micro-arousal index(MAI), minimal pulse oxygen saturation(mini SpO2), daytime Epworth sleepiness score(ESS); and plasma tumor necrosis factor-α(TNF-α) which is one of possibly sleepiness-associated factor. Comparisons were also made at the same time point in control group. Plasma TNF-α levels were measured by enzyme linked immunosorbent assay(ELISA). Results: Compared with the parameters at the end of one month’s APAP treatment, there was a further significant decrease in AHI, CSAI, MAI, daytime ESS and plasma TNF-α levels(P < 0.01) at the end of one week’s ASV treatment in RS group. ESS before ASV treatment(9.81 ± 0.59) returned to normal range(3.98 ± 1.26) following ASV treatment(P < 0.01). Only was mean SpO2 higher in the control group than in the ASV treatment group(P < 0.05). Conclusion:ASV treatment could significantly improve RS in OSAS patients, the mechanism might be associated with declined levels of CSAI and TNF-α.

    • Changes and implications of plasma VEGF level in patients with obstructive sleep apnea syndrome

      2008, 28(3):380-383388. DOI: 10.7655 CSTR:

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      Abstract:Objective:To investigate the significance of the vascular endothelial growth factor(VEGF) levels in obstructive sleep apnea syndrome(OSAS) associated with hypertension. Methods:The VEGF levels were measured in OSAS group(n = 36),OSAS plus hypertension group(n = 14) and control group(n = 20),before and after the continuous positive airway pressure(CPAP) treatment in OSAS plus Hypertension group respectively, and differences between each two groups were investigated. Results:The VEGF levels in simple OSAS group(n = 36)[(81.76 ± 10.81)pg/ml],and in OSAS plus hypertension group(n = 14)[(92.35 ± 7.49)pg/ml] were significant higher than that in the control group(n = 20)[(70.01 ± 5.71)pg/ml] espectively(P < 0.05), but there was no significant difference among the subgroups of OSAS(P > 0.05). The plasma VEGF levels in OSAS plus hypertensive group changed significantly from the baseline level(n = 14)[(92.35 ± 7.49)pg/ml] to the level[(72.56 ± 4.41)pg/ml ] after one week of CPAP treatment(P <0.05). Conclusion:Plasma VEGF levels in OSAS and hypertension patient were both higher than that in control group. Vascular endothelial growth factor(VEGF) may relieve OSAS and reduce the complication of cardiovascular disease by promoting vascular endothelial cell proliferation and angiogenesis as well as improving tissue hypoxia. There was a decrease in VEGF concentrations in OSAS plus hypertension group after CPAP treatment.

    • Analysis and determination of viral infection in infantile diarrhea

      2008, 28(3):392-394. DOI: 10.7655 CSTR:

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      Abstract:Objective:To analyze the infection of rotavirus,astrovirus,enteral adenorirus in infantile diarrhea. Methods:From October,2006 to March,2007,a total of 182 children under 5 years of age hospitalized for acute watery diarrhea were enrolled in this study. Stool specimen was collected from each patient. The method of gold colloid device was used to detect rotavirus angiten. The specimins were tested for astrovirus angiten and enteral adenorirus angiten by using enzyme linked immunosorbent assay(ELISA). Results:Among 182 cases,the detection rate of rotavirus angiten was 35.2%(64/182), and the astrovirus angiten was 5.5%(10/182),Four samples were infected with rotavirus and astrovirus at the same time. The detection rate of enteral adenorirus angiten 3.3%(6/182), and 2 samples were infected with rotavirus and enteral adenorirus. Conclusion:Rotavirus is still the major etiologic agents of acute infantile diarrhea in winter. Astrovirus is the second important agent of viral diarrhea in infants, and mixed infection still exist.