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Objective:To compare the recovery effect of continuous infusion of dexmedetomidine combined with oxycodone or sufentanil in the anesthesia intensive care unit (AICU) in elderly patients after thoracoscopic radical surgery for lung cancer.Methods:Using the method of prospective study, 80 elderly lung cancer patients underwent selective thoracoscopic radical surgery under general anesthesia in Nanjing First Hospital from February 2021 to May 2022 were selected. The patients were divided into dexmedetomidine combined with sufentanil group (S group) and dexmedetomidine combined with oxycodone group (Q group) by random digits table method with 40 cases each group. On the basis of routine monitoring and treatment after operation, the patients in Q group were continuously injected with oxycodone 0.03 mg/(kg·h) and dexmedetomidine 0.4 μg/(kg·h) through analgesia pump, the patients in S group were continuously injected with sufentanil 0.03 mg/(kg·h) and dexmedetomidine 0.4 μg/(kg·h) through analgesia pump. The wake-up time, extubation time, awakening quality (Aldrete score and bucking score) and comfort level (Bruggrmann comfort scale score, BCS score) after entering the AICU were record; the sedation score (Ramsay score) and pain relief score (numerical rating scale score, NRS score) and hemodynamic changes (mean arterial pressure and heart rate) 3, 5, 7, 10 and 14 h after entering the AICU were record; the level of serum inflammatory factors, including tumor necrosis factor (TNF-α), interleukin-6 (IL-6) and C-reactive protein (CRP) immediately, 5 h and 14 h after entering the AICU; press times of analgesia pump, adverse events, bleeding volume of drainage tube during AICU and overall satisfaction score when leaving the AICU were record.Results:The bucking score in Q group was significantly lower than that in S group: (1.02 ± 0.77) scores vs. (1.88 ± 0.34) scores, the Aldrete score and BCS score were significantly higher than those in S group: (8.93 ± 0.25) scores vs. (5.97 ± 0.32) scores and (3.03 ± 0.32) scores vs. (0.93 ± 0.52) scores, and there were statistical differences ( P<0.01); there were no statistical difference in wake-up time and extubation time between two groups ( P>0.05). There were no statistical difference Ramassy score, NRS score 3 and 5 h after entering the AICU, mean arterial pressure and heart rate between two groups ( P>0.05); the Ramassy score 7, 10 and 14 h after entering the AICU in Q group was significantly lower than that in S group, the NRS score, mean arterial pressure and heart rate were significantly lower than those in S group, and there were statistical differences ( P<0.01). There were no statistical differences in TNF-α, IL-6 and CRP immediately after entering the AICU between two groups ( P>0.05); the TNF-α, IL-6 and CRP 5 and 14 h after entering the AICU in Q group were significantly lower than those in S group, and there were statistical difference ( P<0.01). The press times of analgesia pump, bleeding volume of drainage tube and the incidences of nausea vomiting, respiratory depression, lethargy, restlessness, fever and lung infection in Q group were significantly lower than those in S group: (4.63 ± 1.10) times vs. (18.80 ± 1.54) times, (129.67 ± 4.14) ml vs. (164.00 ± 8.14) ml, 10.0% (4/40) vs. 52.5% (21/40), 2.5% (1/40) vs. 25.0% (10/40), 7.5% (3/40) vs. 47.5% (19/40), 0 vs. 20.0% (8/40), 2.5% (1/40) vs. 22.5% (9/40) and 2.5% (1/40) vs. 20.0% (8/40), and there were statistical differences ( P<0.01 or <0.05); there was no severe hypotension, severe bradycardia and delirium in both groups. The overall satisfaction score in Q group was significantly higher than that in S group: (3.53 ± 0.63) scores vs. (2.70 ± 0.65) scores, and there was statistical difference ( P<0.01). Conclusions:Continuous micro-pump infusion of dexmedetomidine combined with oxycodone in AICU elderly patients with lung cancer after thoracoscopic radical surgery can significantly improve the quality of recovery and comfort during extubation, without affecting the extubation time, and can effectively reduce the degree of pain, stress and inflammatory reaction in the early recovery period, and reduce the incidence of adverse events after surgery.
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Objective To understand and analyze the epidemiological and pathogenic characteristics of foodborne diseases in Changzhou in the past five years, so as to provide evidence for prevention and control measures. Methods All foodborne disease surveillance information reported by Changzhou foodborne disease sentinel hospital from 2016 to 2020 was collected through the “Foodborne Disease Surveillance and Reporting System”. The distribution of reported cases and etiological results was described, and the possible factors affecting pathogen detection results were analyzed. Results A total of 14 931 cases of foodborne diseases were reported, mainly distributed in summer and autumn, and peaked in July and August. The age group of reported cases was 25-34 years old, and the occupations were mainly workers, and farmers and migrant workers, accounting for 23.2% and 36.9%, respectively. Among the reported cases of 3 120 anal swabs were collected and tested for etiology , of which 291 specimens were positive, with a positive detection rate of 9.32%. Among the 291 positive results of 118 cases of norovirus were detected, with a detection rate of 6.03% . 66 cases of salmonella were detected, with a detection rate of 2.12% . 25 cases of vibrio parahaemolyticus were detected, with a detection rate of 0.80% . 7 cases of diarrhea-causing Escherichia coli was detected, with a detection rate of 0.22% ; and 5 cases of shigella was detected, with a detection rate of 0.16% . Single factor analysis of the results of pathogen detection showed that there were no statistical differences in the distribution of positive pathogen detection rate between males and females, and between different suspicious exposed foods (all P>0.05). There were statistical differences in different age groups, occupations, seasons and eating places (all P<0.05). Multivariate Logistic regression analysis showed that age and season were correlated with the detection rates of pathogenic microorganisms (all P<0.05) , and age was negatively correlated with the positive rate of pathogenic microorganisms (OR=0.863). The detection rates in the first and fourth quarters were higher than those in the second and third quarters. Conclusion Summer and autumn are the seasons with high incidence of foodborne diseases in Changzhou. Norovirus is the main pathogen. Age and season are closely related to the detection results of pathogenic microorganisms. Comprehensive prevention and control measures should be implemented for key population in summer and autumn to reduce the occurrence and outbreak of foodborne diseases.
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Objective@#To investigate the effect of gross motor skills on physical activity of children aged 3-6 years, and to provide basis for children’s health behavior intervention.@*Methods@#A total of 332 young children in Shanghai Xiangyin kindergarten were selected as survey objects. The development of gross movements of young children was measured by TGMD-2. Caregivers reported children’s physical activity using the International Physical Activity Questionnaire (IPAQ-SF).@*Results@#The development level of gross movements of children aged 3-6 in Shanghai was relatively low(54.76±13.86). The physical activity of children was mainly light-intensity physical activity, and the daily moderate-to-vigorous intensity physical activity time was (58.62±52.73) minutes every day. Locomotor skills had the greatest effect on children’s VPA (β=0.19) and TPA(β=0.12), with a contribution rate of 3.3% and 1.1%, respectively; Object control skills has the greatest effect on children’s MVPA (β=0.17) and MPA (β=0.12) had the largest effect(P<0.05), with contribution rates of 2.5% and 1.2%, respectively. The relationship between gross motor skills and physical activity had nothing to do with gender and age.@*Conclusion@#Children’s gross motor skills in the 3-6 year-old population should be improved and may be an effective way to promote physical activity.
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Objective To collect the incidence and distribution of congenital malformations ,find monitor-ing and preventive measures,to provide a basis for reasonable allocation of health resources for clinical depart-ments. Methods According to The International Classification of Diseases(ICD-10)chapter 17 encoding table, we analyze our hospital′s cases from January 2003 to December 2010 in order to understand the incidence of con-genital malformations of every system. Results Top five diseases are:cleft palate deformity ,genital malforma-tion,congenital heart disease and digestive system malformation in equal third place,and facial deformity. The age ranged from 1d to 35 y,men more than women. Conclusions The key to effectively reduce the incidence of con-genital malformation is strictly implement the three-level intervention mechanism. Prevention ,early detection and early treatment will improve the patient′s quality of life.
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BACKGROUND:As the cardiovascular device, biomaterials applied under the blood-contact conditions should have anti-thrombotic, anti-biodegradable and anti-infective properties. OBJECTIVE:To review the research progression in polymer materials for implantation and intervention in cardiovascular tissue engineering and to explore the biocompatibility, blood compatibility and cytocompatibility of the surface-modified polymer biomaterials based on the surface endothelialization using tissue engineering techniques. METHODS:We retrieved PubMed and Wanfang databases for relevant articles publishing from 1963 to 2015. The key words were“Biocompatibility, Blood compatibility, Biomedical Materials, Biomedical polymer materials”in English and Chinese, respectively. Those unrelated, outdated and repetitive papers were excluded. Literatures addressing the blood compatibility, biocompatibility, and cytocompatibility of the surface-modified polymer biomaterials based on the surface endothelialization using tissue engineering techniques were investigated by summarizing function of vascular endothelial cel s, tissue-engineered endothelial cel s on the implant surface, fixation of cel growth-promoting factor on the surface of polymeric biomaterials, and endothelialization of the material surface. RESULTS AND CONCLUSION:Total y 71 relevant articles were included. The tissue-engineered modification of endothelial cel s on the surface of polymer biomaterials and their biocompatibility and cel compatibility are crucial for developing novel polymer materials for implantation and intervention in cardiovascular tissue engineering. Through in-depth studies of the types and applications of polymer biomaterials, cardiovascular medical devices and implantable soft tissue substitutes, the differences between the surface and the body wil be reflected in the many layers of molecules extending from the surface to the body. Two major factors, surface energy and molecular mobility, determine the body/surface behaviors that include body/surface differences and phase separation. Considering the difference between the body/surface composition, an additional determinant is indispensable, that is, the crystal ization behavior of each component.
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BACKGROUND: As the cardiovascular device, biomaterials applied under the blood-contact conditions should have anti-thrombotic, anti-biodegradable and anti-infective properties. OBJECTIVE: To develop novel polymer materials for implantation and intervention in cardiovascular tissue engineering and to explore the biocompatibility, blood compatibility and cytocompatibility of the surface-modified polymer biomaterials based on the coagulant and anti-coagulant coating modification. METHODS:We retrieved PubMed and WanFang databases for relevant articles publishing from 1983 to 2014. The key words were biocompatibility, blood compatibility, biomedical materials, biomedical polymer materials in English and Chinese, respectively. Those unrelated, outdated and repetitive papers were excluded. Literatures addressing the blood compatibility of biomedical polymer materials were summarized. RESULTS AND CONCLUSION: The blood-implant interaction and the anti-coagulant surface modification of biomaterials were analyzed. The biocompatibility, blood compatibility and cytocompatibility of the surface-modified polymer biomaterials were determined based on the coagulant and anti-coagulant coating modification. The coagulant and anti-coagulant surface modification of polymer biomaterials and the research on their biocompatibility and endothelial cel compatibility are crucial for developing novel polymer materials for implantation and intervention in cardiovascular tissue engineering. Through in-depth studies of the types and applications of polymer biomaterials, cardiovascular medical devices and implantable soft tissue substitutes, the differences between the surface and the body wil be reflected in the many layers of molecules extending from the surface to the body. Two major factors, surface energy and molecular mobility, determine the body/surface behaviors that include body/surface differences and phase separation. Considering the difference between the body/surface composition, an additional determinant is indispensable, that is the crystalization behavior of each component.
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BACKGROUND:Cardiovascular biomaterials applied under the blood-contact conditions must have anti-thrombotic, anti-biodegradable and anti-infective properties. OBJECTIVE:To develop novel polymer materials for implantation and intervention in cardiovascular tissue engineering and then to explore the biological, blood and cellcompatibilities of corresponding surface-modified polymer biomaterials based on surface construction and biological response. METHODS:We retrieved PubMed and WanFang databases for relevant articles publishing from 1984 to 2013. The key words were“biocompatibility, blood compatibility, biomedical materials, biomedical polymer materials”in English and Chinese, respectively. RESULTS AND CONCLUSION:Here, we analyze the fol owing four aspects:protein adsorption, biometric identification in celladhesion, and the“waterfal model”for enzyme catalysis during blood coagulation and fibrinolysis. Consequently, it is concluded that the functional surface construction of polymer biomaterials and research on corresponding biocompatibility and endothelial cellcompatibility are crucial for developing novel polymer materials for implantation and intervention in cardiovascular tissue engineering. Through in-depth studies of the types and applications of polymer biomaterials, cardiovascular medical devices and implantable soft tissue substitutes, the differences between the surface and the body wil be reflected in the many layers of molecules extending from the surface to the body. Two major factors, surface energy and molecular mobility, determine the body/surface behaviors that include body/surface differences and phase separation. Considering the difference between body/surface composition, an additional determinant is indispensable, that is the crystal ization behavior of each component.
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Objective To evaluate the accuracy of systolic pressure variation (SPV) in monitoring blood volume in patients.Methods Twenty-two ASA Ⅱ or Ⅲ patients (17 male,5 female),aged 49-79 yr,with body height 153-173 cm,weighing 55-89 kg,scheduled for elective coronary artery bypass grafting under cardiopulmonary bypass,were studied.Stroke volume variation (SVV) was monitored based on the arterial pressure wave and SPV measured based on the invasive arterial pressure wave after changing the title.After the chest was closed,the volume load test was immediately carried out.6％ hydroxyethyl starch 130/0.4 50-80 ml/min was infused via the jugular vein until cardiac index (CI) increased by 10％.HR,mean arterial pressure (MAP),SPV,CI,SVV,stroke volume index (SVI),systemic vascular resistance index (SVRI),central venous pressure (CVP),and pulmonary capillary wedge pressure (PCWP) were recorded in supine position (T1),at 30° head-down tilt before skin incision (T1'),before (T2) and after opening the chest in supine position (T2'),before (T3) and after the volume load test in supine position after closing the chest (T3'),in supine position after skin closure (T4),and at 30° head-down tilt after skin closure (T4').The difference in SPV and SVV (△SPV and △SVV) was calculated.The receiver operator characteristic curve for △SVV and △ SPV in determining blood volume changes was plotted.Results MAP,CVP,PCWP,CI,and SVRI were significantly increased,while SVV and SPV were decreased at T1' compared with those at T1 (P ＜ 0.05).HR was significantly increased,while CVP was decreased at T2' compared with those at T2 (P ＜ 0.05).MAP,CVP,PCWP,and CI were significantly increased,while SVV and SPV were decreased at T3' compared with those at T3 (P ＜ 0.05).MAP,CVP,and PCWP were significantly increased,while SVV and SPV were decreased at T4' compared with those at T4 (P ＜ 0.05).The area under receive operator characteristic curve for △SVV and △SPV in determining blood volume changes was 0.603 and 0.616 respectively,and there was no significant difference (P ＞ 0.05).Conclusion SPV can accurately monitor the blood volume in patients.
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BACKGROUND: Biomedical materials contact internal environment of human body, and sometimes are implanted into organism. Therefore, they should have biocompatibility, chemical stability, suitable physical mechanical function and simple processing and molding, but no toxicity.OBJECTIVE: To investigate the preparation of biomedical polymer anticoagulant materials in the aspects of bioinert material, biological active surface, albumin structure and application in anticoagulation.METHODS: A computer-based online search of PubMed and Wanfang database was performed for articles related to preparation of biomedical polymer anticoagulant materials published between 1969 and 2010.RESULTS AND CONCLUSION: Currently preparation of anticoagulant materials commonly utilizes bioinert surface or bioactive surface alone, which has obtained good effects, but the biocompatibility, such as blood compatibility, cannot be retained for a long period of time. The combination of bioinert surface and bioactive surface plus albumin, natural constitutions in human blood may be the trend of anticoagulant materials development. Polyethylene glycol with high bioinert property in combination with albumin recognition factor cibacron blue with high bioactivity can be used to prepare active modifier, which is used to modify polyurethane.
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Objective To investigate the association between the apolipoprotein E (apoE) gene polymorphism and the dose for warfarin individual maintenance. Methods The genotypes of 249 patients with warfarin treatment in maintenance doses were determined by PCR/DHPLC assay. The doses for warfarin maintenance were compared among patients with different genotypes. Results In the total of 249 patients, the frequencies of 2/ε2, ε2/ε3, ε2/ε4, ε3/ε3, ε3/ε4, ε4/ε4 genotype were 1.20%, 15.66%, 1.80%, 72.29%, 9.24%, 0.80%, respectively; the allele frequencies of ε2, ε3, ε4 were 9.44%, 84.74%, 5.82%, respectively. The warfarin dose of group ε2 (ε2/ε2, ε2/ε3) was (3.24±1.36) mg/d, slightly higher than that of group ε3 (ε3/ε3, 2.91±1.14 mg/d) or group ε4 [ε4/ε4, ε3/ε4, (2.98±1.05) mg/d], but the difference of the warfarin doses among the 3 groups did not reach statistical significance (F=1.848,P＞0.05). Conclusion ApoE polymorphism may be not a major genetic factor that influences the individual dose for warfarin maintenance.
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AIM: To study the effects of metformin on the pressure overload-induced cardiac hypertrophy in rats. METHODS: Transverse aortic constriction (TAC) model of rat was made through laparotomy. One week after TAC surgery, the rats were randomly divided into 5 groups (n=8 in each group) and were administered with the corresponding drugs orally every day for 8 weeks: sham group (sham surgery, administered with 2 mL distilled water);TAC group (TAC rats, administered with 2 mL distilled water);metformin(MET) group (TAC rats, administered with MET at dose of 300 mg·kg~(-1)·d~(-1));MN group [TAC rats, administered with MET at dose of 300 mg·kg~(-1)·d~(-1) plus NOS inhibitor, NG-nitro-L-arginine methyl ester (L-NAME) 50 mg·kg~(-1)·d~(-1)] and L-NAME group (TAC rats, administered with L-NAME at dose of 50 mg·kg~(-1)·d~(-1)). After treated for 8 weeks, the echocardiography, hemodynamics, the ratio of heart weight to body weight (HW/BW) and histological examination of the heart were performed. The levels of myocardial AMP-activated protein kinase subunit α (AMPKα), p-AMPKα~(Thr172), endothelial nitric oxide synthase (eNOS) and p-eNOS~(Ser1177) were detected by Western blotting. Plasma and myocardial nitric oxide (NO) were detected biochemically. RESULTS: After 8 weeks treatment, the wall thickness of left ventricle, the heart weight/body weight ratio (HW/BW), and the left ventricular myocardial perivascular fibrosis and myocardial interstitial fibrosis of the animals in TAC group were significantly increased as compared to those in sham rats. Treatment with MET for 8 weeks significantly attenuated left ventricular hypertrophy and improved cardiac function in TAC rats. These effects of MET were mostly abolished by L-NAME. Molecular biology and biochemical testing revealed that the levels of left ventricular myocardial p-AMPKα~(Thr172) and p-eNOS~(Ser1177), as well as the levels of myocardial and serum NO were significantly increased in MET group. CONCLUSION: Long-term MET treatment significantly inhibits the cardiac hypertrophy and the myocardial fibrosis and improves the cardiac functions in pressure-overload rats. The anti-hypertrophic effects of MET may be mediated via activation of AMPK-eNOS signaling pathway.
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This paper aimed to present the surface modification of tissue engineering materials and its correlation with cell compatibility from the aspects of cell-compatibility polymer surface group transformation and bioactive molecule immobilization.
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[Objective]This study was designed to investigate the effects of 5-aminoimidasole-4-carboxamide ribonucleoside (AICAR)on activity of transcription factor Forkhead O 3a(FOXO3a)and expression of ubiquitin ligase muscle atrophy F-box (MAFbx),and to explore the role of adenosine monophosphate-activated protein kinase(AMPK)on proteolysis pathways in eardiomyocytes.[Methods]The effect of AICAR on activation of AMPK was observed.Cultured neonatal rat cardiomyocytes was treated with AICAR in different concentration.Cultured cardiomyocytes were then divided into three groups:control group,AICAR group,AICAR+Compound C group.Effects of AMPK activation on phosphorylation of FOXO3a and expression of MAFbx in cardiomyocytes were detected using Western blot.[Results]①Compared with control group,activity of AMPK in cultured cardiomyocytes was increased after treatment with 0.25 mmol/L or 0.5 mmol/L AICAR for 6 h(P＜0.05),and the activity of AMPK was further enhanced after treatment with 1.0 mmol/L or 2.0 mmol/L AICAR for 6 h(P＜0.01).②Activation of AMPK by AICAR significantly increased the transcriptional activity of FOXO3a(P＜0.01),and enhanced MAFbx protein expression in cardiomyocytes when comparing with control group(P＜0.01),however,specific AMPK antagonist Compound C markedly reversed these effects induced by AICAR.[Conclusion]AMPK may regulate cardiomyocytes proteolysis by activation of FOXO3a transcription factor,and up-regulation of MAFbx protein expression.
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Surface physical chemical properties of tissue-engineered materials are greatly important for histocompatibility of the materials. Therefore, surface modification based on original physical mechanical performance could promote cell attachment and growth or bioactive molecule, and significantly improve material cell compatibility. To date, plasma and grafting has become main methods of surface modification of polymers. This paper introduced plasma and grafting methods of surface modification of materials and the application in tissue engineering.
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BACKGROUND: The development of tissue engineering has provided a possibility for repairing and reconstructing tissues or organs. However, studies on biomedical tissue-engineered and polymer tissue-engineered materials need to be investigated. OBJECTIVE: To clarify the content of tissue engineering and the application of polymer material in tissue engineering from the point of biocompatibility. RETRIEVAL STRATEGY: Using the terms "tissue engineering, tissue engineering materials, Polymers materials, bio-compatibility, bio-compatibility materials, cell-compatibility, cell-compatibility materials", we retrieved PubMed database to identify studies published between January 1990 and December 2007 in the English language. At the same time, we searched Wanfang database with the same terms in the Chinese language. After primarily selected, 81literatures were kept. Inclusive criteria: studies, whose contents are related to biocompatibility of tissue-engineered materials. Exclusive criteria: repetitive studies or Meta analysis. Thirty literatures corresponded to the inclusive criteria, and fifty-one were rejected due to obsolete or repetitive contents. Among the 30 included literatures, 19 were about biocompatibility, and the remaining 11 about cellular compatibility materials. LITERATURE EVALUATION: The included studies were mainly from Pubmed database and Wanfang database. A total of 25 treatises and 5 reviews were kept. DATA SYNTHESIS: The content of tissue engineering consisted of seeded cell inoculation, biomaterial implanting and cell transplantation. Allogenic, autogenous, and xenogenous tissues were in vitro broken into cells, and then reconstructed through inoculation and proliferation by gene reconstruction technique. Much attention should be focused on how to reconstruct tissue-engineered materials with materials and living cells, I.e. To reconstruct active materials with biological functions. Tissue-engineered materials should have the best interface reaction effect between material surface and cells. Therefore, the core of studying tissue-engineered materials is to design a device, which has chemical molecular level and three-dimensional molecular level cell/material mixed surface, and also has a three-dimensional molecular level appearance corresponding to biomechanical requirement. Polymer materials have good physical mechanical functions, and their molecular structures are closer to living body. Therefore, polymer materials are widely used as biomaterials and exert an important role in the field of tissue engineering. CONCLUSION:To study biomaterials with good tissue compatibility is the basis for tissue engineering development. Polymer materials are widely used in the tissue engineering due to their good property and molecular structure closer to living body.
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OBJECTIVE: To discuss the influence of physical and chemical properties of tissue engineered material surface on the cell compatibility, involving the surface energy, hydrophilicity/hydrophobicity, chemical structure and active factors loaded on the material surface, point out that the physical and chemical properties of material surface have great influence on the cell compatibility of the material, i.e., explain the cell compatibility of tissue engineered materials.DATA SOURCES: An online search of Pubmed database was undertaken to identify relevant articles published in English from December 1997 to December 2006 using the keywords of "bio-compatibility, bio-compatibility materials, tissue engineering, tissue engineering materials, cell-compatibility". Meanwhile, Chinese relevant articles published from December 1997 to December 2006 were searched in Wanfang database with the same keywords in Chinese.STUDY SELECTION: The data were primarily checked. Inclusive criteria: articles about tissue-engineered materials of biocompatibility. The repetitive studies or Meta analysis were excluded.DATA EXTRACTION: Totally 71 relevant literatures were collected, 33 of which were accorded with the inclusive criteria, and the 38 repetitive ones or with old contents were excluded. Of the 33 involved literatures, 22 dealt with biocompatibility, and 11 with the cell-material compatibility.DATA SYNTHESIS: ① Interaction of tissue-engineered materials with organism: The various interactions of tissue-engineered polymer materials with organism are summarized. It is pointed out that the interactions of materials with organism decide the degree of material-tissue compatibility. The effects of material on the tissue compatibility result from the micromolecular and macroscopic levels, and the chemical effect of the macroscopic level is more important than that of the micromolecular one. ② Influence of the physicochemical properties of the material surface on the cell-material com coatibility:The influences on the cell-material compatibility by the chemical nature and structure, composition, energy, hydrophilicity/hydrophobicity, charges and active factorsloaded on the surface are summarized. The obtained information is the important contents for understanding the biocompatibility of the tissue engineered materials and designing biocompatible materials. CONCLUSION: The physical and chemical properties of the material surface greatly affect the cell-material compatibility. The interaction of cells with the polymer matrix is an index to evaluate the cell compatibility. The degree of the short-term interaction of cells with polymer materials can be evaluated by the degree of adhesion on the surface of the polymer materials, while the long-term interaction can be evaluated by detecting the growth of cells cultured in vitro or implanting the polymer material.
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BACKGROUND:To clarify the effects of topology of tissue engineering material surface on cell compatibility from random roughness.porosity,groove/ridge, fiber,texture and protein tracks 6 aspects. STUDY SOURCES: Using the terms"biocompatibility,biocompatibility materials,tissue engineering,tissue engineering materials.cell-compatibility and cell-compatibility materials",we searched the PUBMED database to identify studies published in the English language from January 1987 to January 2007. STUDY SELECTION:The data were selected primarily.The quotations in each paper ware looked for.Inclusive criteria: The contents stated in papers were related with biocompatibility of tissue engineering material. Exclusive criteria: repetitive study or Meta analysis papers.DATA EXTRACTION:Totally 74 related papers were collected.Thirty-two met inclusive criteria,among which,24 related with biocompatibility and 8 related with cell-compatibility materials.The other 42 papers were excluded due to obsolete or repetitive contents. DATA SYNTHESIS:①The interaction of tissue engineering material and living body:Various Interactions producing when high polymer tissue engineering material contacts with tissue of living body are reviewed. It js pointed out that the interaction of material and living body depends on the biocompatibility degree of material;The influences of materials on histocompatibility include microscopic molecular level and macroscopic scale level,moreover,the effect of macroscopic scale level (include the topology of material surface) is more important than chemical effect of microscopic molecular level.②Effects of physical and chemical properties on cell-compatibility of materials:The effects of topology of surface of random roughness,porosity,groove/ridge,fiber, texture and protein tracks 6 kinds of materials on cell-compatibility are reviewed. It is also pointed out that the influences are very important in studying the biocompatibility of tissue engineering material and designing tissue compatibility materials.CONCLUSION:Topology of material surface has great influences on cell-compatibility of material.The interaction of cells and polymer is an index to evaluate cell-compatibility of material.Short-term interaction degree of cell and polymeric material can be assessed by detecting the adhesion degree of cells and polymeric material surface,while long-term interaction by detecting the growth of cells cultured in vitro or polymeric material implanted in vivo.
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AIM:To analyze the mechanism,thermadynamic theoretical basis,dynamic mechanism and influencing factors of thermally induced phase separation (TIPS)in order to completely grasp the factors affecting the size,distribution and form of pores,so that the adjusted range of pore can be widened and the preparation of Porous membrane can be repeated and controlled.METHODS: Considering from the structural characteristics of tissue engineered materials,the methods of preparing porous membrane using TIPS technique,the hermadynamic theoretical basis,dynamic mechanism and influencing factors were analyzed,the problems and investigative directions in the future were also analyzed.TIPS technique is a process of phase separation of polymer homogenous solution under quenching,and it is suitable for diameter and structural form of the micropore materials prepared using TIPS are closely correlated with the kind and dispensing proportion of polymer attrnuant,polymer concentration and polymer molecular mass,etc.conducted,including determination of polymer-solvent system phase diagram,study of form and appearance of porous membrane of different thickness,study of form and appearance of porous membrane prepared with systems of different X,which is the parameter of polymer-solvent interaction.
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OBJECTIVE: Based on the mechanism of cellular adhesive growth and the developing course of cell compatibility materials, the cytological effects of tissue engineering materials of various polymers and surface topographies are reviewed. And presume theoretically that the materials of porous structure are better than smooth materials in surface, and biodegradation materials can explain the biocompatibility.DATA SOURCES: An online search was conducted in PUBMEDdatabase to identify the related articles published from December 1997 to December 2003 with the key words of "tissue engineering, tissue engineering materials, cell-compatibility, cell compatibility materials, procession anchorage", and the language was limited to English. Meanwhile, the related Chinese articles were retrieved in Wanfang database published at the same period by inputting the key words of "tissue engineering, tissue engineering materials, cell-compatibility, cell compatibility materials,mechanism of adhesive growth" into computer.STUDY SELECTION: All the data were checked primarily, and the quotations of each article were looked up. Inclusive criterion: content related to the cell-compatibility of tissue engineering materials. Exclusion criterion:repeated study or Meta-analysis.DATA EXTRACTION: Totally 41 articles were collected, and 28 ones were deleted due to the repeated or dated contents. Among the 13 articles met the inclusive criterion, 2 ones were about the mechanism of cellular adhesive growth and 11 ones were referred to the cell compatibility materials.DATA SYNTHESIS: ①The mechanism of cellular adhesive growth: To summarize the characteristics of adhesive growth in various in vitro cultured cells, and briefly describe the growth procedure of those cells cultured on substrate materials. Suggesting that compensate for the adverse effects caused by pore space structure, more effective methods should be adopted to form the transition layer of cell compatibility when the cells are required to grow.②Cell compatibility materials: To summarize the cytological effect produced by the materials of various polymers and surface topographies, and point out that the interaction mechanism between cells and materials of different surface topographies is still a difficult but valuable topic in the related fields. The physical and chemical properties as well as topological structure of the materials surface influence on the cell compati bility of materials. The interaction between cells andpolymers is the evalu ation indicator of cell compatibility of materials. The temporary interaction can be evaluated by the adhesion of cells to polymers surface, while the long-term interaction may be estimated by the growth of in vitro cultured cells or in vivo implanted polymers.CONCLUSION: Theoretically, porous materials show great superiority compared with smooth surface materials; Biodegradation materials can tackle the biocompatibility completely.