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OBJECTIVE:To study the effects of aripiprazole on PC12 cell injury induced by amyloid β-protein(Aβ25-35)and its mechanism. METHODS:PC12 cells were randomized into normal control group,model group (20 μmol/L Aβ25-35),aripiprazole low-concentration,medium-concentration and high-concentration groups(5,10,20 μmol/L aripiprazole+20 μmol/L Aβ25-35). These groups were cultured with culture medium containing relevant medicine for 48 h,with 6 wells in each group. The viability(optical density value)of PC12 cell was measured by MTT assay,and PC12 cell apoptosis was measured by Hoechst staining. The activi-ties of Caspase-3 and Caspase-9 were determined by spectrophotometry. The protein expression of Bcl-2,Bax and PI3K and the phosphorylation of Akt were assayed by Western blot assay. RESULTS:Compared with normal control group,optical density value of model group was decreased while apoptotic rate was increased;the activities of Caspase-3 and Caspase-9,and the protein expres-sion of Bax were increased;the protein expression of Bcl-2 and PI3K,the phosphorylation of Akt were decreased(P<0.01). Com-pared with model group,optical density value of aripiprazole low-concentration,medium-concentration and high-concentration groups were increased,while apoptotic rate and the activities of Caspase-3 and Caspase-9 were decreased;the protein expression of Bcl-2 and PI3K and the phosphorylation of Akt were enhanced;while the protein expression of Bax were decreased in aripiprazole medium-concentration and high-concentration groups(P<0.05 or P<0.01). CONCLUSIONS:Aripiprazole can suppress cell apop-tosis of PC12 cell induced by Aβ25-35,which is related to activating PI3K/Akt signal pathway.
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OBJECTIVE:To investigate clinical efficacy and adverse reactions(ADRs)of 4 kinds of the second-generation anti-psychotic drugs in the treatment of acute phase of schizophrenia. METHODS:159 patients with schizophrenia were randomly divid-ed into risperidone group(40 cases),olanzapine group(40 cases),aripiprazole group(39 cases)and ziprasidone group(40 cas-es). All groups were given routine dosage of relevant medicine by routine usage for 6 weeks. Mental status of patients were mea-sured by PANSS before treatment and after 2,4 and 6 weeks of treatment. At the same time,blood glucose,blood lipid,prolac-tion and other metabolic and biological indicators were all detected. RSESE,BARS and UKU were adopted to evaluate ADR. RE-SULTS:A total of 100 patients completed the study. Compared with aripiprazole group and ziprasidone group,risperidone and olan-zapine inhibited symptom more rapidly,with statistical significance (P<0.05). After treatment,body mass index and abdominal circumference of olanzapine group were significantly higher than those of other 3 groups,with statistical significance (P<0.05). Low density lipoprotein of olanzapine group was increased significantly,there was statistical significance compared to ziprasidone group and aripiprazole group(P<0.05). Prolactin level of risperidone group was significantly higher than those of other 3 groups, while that of aripiprazole group was significantly lower than those of other 3 groups,with statistical significance(P<0.05). ADRs of 4 drugs were mild or moderate,most of whom could be alleviated by symptomatic treatment. CONCLUSIONS:In the treatment of acute phase schizophrenia,4 drugs of the second-generation have similar curative effect in symptoms control,among which ris-peridone and olanzapine inhibit positive symptom more rapidly while more ADRs that related to lipid and glucose metabolism and prolactin also show. Aripiprazole and ziprasidone induce less ADRs relatively,and patients show better tolerability. Physicians should consider all kinds of factors in drugs selection,and make individualized treatment plan.
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Objective Toinvestigatethechangesofcognitiveimpairmentandcerebralhemodynamics inpatientswithacutelacunarcerebralinfarctionwithin2weeksafteronset.Methods Nineteenpatients with lacunar cerebral infarction (a patient group)were consecutive enrolled in the study. Twenty-three sex-and age-matched inpatients without ischemic cerebrovascular disease or healthy volunteers of outpatient department over the same period were used as a control group. The cerebral hemodynamic features were evaluated with transcranial Doppler (TCD)breath-holding test and single photon emission computed tomography (SPECT)resting + adenosine stress imaging. Simultaneously,the neuropsychological tests were performed,the Montreal cognitive assessment (MoCA)was performed including executive capacity, structural capacity,memory (including auditory memory,visual memory,and logic memory ),information processing speed,and visual-spatial ability. Results (1 )There were no significant differences in the years of education,hypertension,diabetes,hyperlipidemia,coronary heart disease,and smoking between the 2 groups (all P>0. 05). Compared with the control group,there were significant differences in the MoCA score,visual memory,executive function,structural capacity,and information processing speed of the patient group (all P<0. 05). (2)19 patients completed the SPECT resting + load test (12 in the control group and 7 in the patient group). There were significant differences in the uptake ratio (UR)in the right basal ganglia (8. 91[-2. 48 - 5. 87]and -6. 21 [-10. 39 - 5. 42 respectively])and left frontal lobe UR (11. 62 [2. 93-16. 87]and 1. 04 [-10. 17- 3. 82]respectively)between the patient group and the control group (P<0. 05). (3)26 patients completed the breath-holding test + head-up tilt table test (n=13 in each group]. The vascular motor reactivities were 13 ± 5 on the left and 21 ± 7 on the right, and the breath-holding indexes were 0. 66 ± 0. 26 on the left and 1. 0 ± 0. 4 on the right in the patient group;the vascular motor reactivities were 24 ± 11 on the left and 30 ± 9 on the right,and the breath-holding indexes were 1. 21 ± 0. 57 on the left and 1. 5 ± 0. 4 on the right in the control group. There were significant differencesbetweenthe2groups(P<0.05).Conclusion Attheearlystageoflacunarinfarction,the patients have presented varying degrees of cognitive impairment and the changes of cerebral hemodynamics.
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Objective To explore CT and MRI imaging in the application of newly diagnosed esophageal cancer staging.Methods 200 patients with newly diagnosed esophageal cancer were selected as the research object, who voluntarily accepted the chest CT and MRI examination.Newly diagnosed esophageal cancer pathological results and CT,MRI features were observed.Spiral CT,MRI for T staging of esophageal cancer and N staging diagnosis were compared.Results In 200 patients,including 160 cases of squamous cell carcinoma,30 cases of adenocarcinoma, 10 cases of other types,T1 ,T2 ,T3 and T4 clinical staging period were respectively 19 cases,47 cases,81 cases and 53 cases,while N0 and N1 period were 65 cases and 135 cases respectively.The lesion diameter was 10 -22 (16.5 ± 4.6)mm.CT and MRI showed irregular thickening of the esophageal wall,CT showed equal or slightly lower density, T1 WI was MRI or low signal,T2 WI showed a slightly higher signal.Enhanced scanning,a substantial part of lesion enhancement,while the dead part had no enhancement.In T1 ,T2 of the diagnosis of esophageal carcinoma,MRI had higher diagnostic sensitivity and accuracy compared with CT,and the difference was statistically significant (χ2 =4.32,3.89,all P 0.05).By using the joint appli-cation of the two methods,the diagnostic sensitivity and accuracy were significantly higher than that used alone,the difference was statistically significant (χ2 =4.12,3.98,all P 0.05).The combined application of MRI and CT significantly improved the diag-nostic sensitivity and accuracy.Compared with the single application,the difference was statistically significant (χ2 =4.32,4.54,all P <0.05).Conclusion MRI is more sensitive to diagnosis T1 ,T2 stage and N0 ,N1 stage in esopha-geal carcinoma.Combined application of MRI and CT can improve the diagnostic sensitivity and accuracy.
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Objective To summarize the experience of surgical techniques and prevention of postoperative complications of giant intracranial meningiomas.Methods The clinical data of 32 patients with giant intracranial meningiomas were analyzed retrospectively.The cause of operative complications was analyzed and the experience was summarized.Results The meningiomas Simpson grade Ⅰ resection was 16 is.cases,grade Ⅱ resection was 9 cases,grade Ⅲ resection was 5 cases,grade Ⅳ resection was 2 cases.The postoperative complications included anemia was 14 cases,intracranial hemorrhage was 2 cases,severe cerebral edema was 4 cases,epilepsy was 3 cases,cerebral infarction was 2 cases,and recovered well after treatment.Conclusion Good surgical technique,advanced prevention of surgical complications,early diagnosis and treatment can significantly improve the prognosis.
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Recurrent intracerebral hemorrhage is a very serious cerebrovascular disease.Its incidence has shown a clear upward trend, and both disability and mortality have increased significantly compared to the first intracerebral hemorrhage. This article reviews the clinical classification, characteristics, risk factors, pathogenesis, and prognosis of recurrent intracerebral hemorrhage.
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A new algorithm to generate the medical record report based on XML and linked list is proposed in this paper. It decomposes and abstracts the content of report. Reporter can search and reuse the resources quickly, when writing or modifying the report. The experiment results prove that the algorithm reduces the reporting time and standardizes the content of report.
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Humans , Algorithms , Medical Record Linkage , Medical Records Systems, Computerized , Programming LanguagesABSTRACT
BACKGROUND: As indicated by transplantation experiments in recent years, correlative neural active substances could be synthesized in the transplanted retina(TP); however, the growth and development situation of neural active substance positive neurons in TP is unclear.OBJECTIVE: To observe the differentiation and development of the neuron,and the biosynthesis of neural active substance in TP and its relationship with environment and visual center to explore the rule of development of nerve tissue and its regeneration and plasticity.DESIGN: An observatory comparative study based on animals.SETTING: Department of histology and embryology of two universities.MATERIALS: The study was conducted in the Experimental Animal Center of Guangzhou Medical College between August 2002 and March 2003. Totally 96 healthy SD rats in either gender were selected.INTERVENTIONS: Embryonal 14-day SD retina was transplantedin-between the epithalamus and hypothalamus of the midbrain in P1 rat and the right eye of the P1 rat was removed simultaneously. The development time of TP on the 9th day after operation was corresponding to the normal retina on the 1st day after born, which was then recorded as TP1, and so on. The development and differentiation was shown by histochemical method.MAIN OUTCOME MEASURES: Development and morphological observation of TP and neurons in TP.RESULTS: TP had the same structure of each layer as normal retina and its similar growth and development rule, which also could synthesize relative neural active substance. Nitricoxide synthase(NOS) -positive neuron in TP started at TP4 and reached its peak at TP12, but the number of positive neurons was kept on a relative low level after TP22.CONCLUSION: Embryonal retina could survive and remain its original growth and development rule after intracerebral transplantation, which has same structural characters as normal retina.
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As a kind of pesticide, fungicide and preservative, PCP had been used extensively in industry, agriculture and domesticity throughout the world. PCP contamination is generally associated with sediments or soil, it can also concentrate in organism. Regarding the character of high toxicity, long persistence and difficult to degrade, PCP has become a kind of conspicuous environmental pollutant because of widely use and inappropriate disposal. In the contaminated area, PCP can be detected in the water, soil and the body of organisms. PCP can affect human health through directly exposure or through food chain. The absorbed PCP can be stored in liver, kidney and fat,it can also increase the incidence rate of tumork, disturb the endocrine system, affect immune function,inhibit reproduction and development. PCP not only has a direct impairment on human body but also shows a potential impact in genetics.
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Traumatic asphyxia is a result of sudden or severe compression of the thorax and/or the upper abdomen.A sudden increase of intravascular pressure transmitted to the intra-and extracerebral vessels may cause petechial hemorrhage in the brain and in the skin over the head,face,neck and shoulder regions.Severe cerebral anoxia accompanying the injury may lead to cerebral edema and the appearance of signs of increased intracranial pressure as well as ARDS following hypoxemia.Spinal puncture and EEG are helpful in early diagnosis.The essential therapeutic measures consist of improvement in ventilation,dehydration and the use of glucocorticoid hormones.By such manoeuvres,11 of 12 patients we treated recovered satisfactorily and only 1 of them succumbed.
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Activity and localization of y-glutamyl transpeptidase (?-GT) , ?-Naph-thyl acetate esterase (ANAE) , alkaline phospbatase (AKP) and glucose-6-phosphatase (G-6-P) in the epididymis of the rat has been investigated histo-chemically by light microscopy.?-GT activity was mainly localized on the supranuclear region and the ste-reocilia of the epithelial cells. The intensity in the epithelium of the segment Ⅱ is the highest of the rat epididymis. There was a gradual decrease in the intensity of this enzyme from segment Ⅲ through Ⅳ and it was absent from the segment Ⅳ. Activity of ANAE in the segment Ⅳ, Ⅴ and Ⅵ was higher, but that in the segment Ⅰ,Ⅱ and Ⅳ was less. ANAE activity was localized throughout the cytoplasm of the epithelial cells in the segment Ⅰ,Ⅲ, Ⅴ and Ⅵ. Whereas the activity in the segment Ⅱ and Ⅳ was localized on the basal region of the epithelial cells. AKP activity was present in the basement membrane of the epididymal epithelium and the bloodvessel wall of subepithelial connective, tissue of the epididymal duct. G-6-P was distributed homogenously in the cytoplasm of the epithelial cells throughout the epididymal duct.The possible function of these enzymes in the rat epididymis are briefly discussed.
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Observations were carried out on the changes of ?-glutamyl transpeptidase (?-GT) changes in the kidneys and jejunum of the rat fetus and growing rats with histobiochemical methods. In general, the activity of ?-GT in the kidneys . increases with the increase of the age of the rats. In the rat fetus,?-GT is mainly localized on the surface of the metanephros tubular lumen. After the rat is born,R?-GT can be found on the brush border membrane of the proximal convoluted tubules and the epithelium of the Henle's loops as well as on the basement of the epithelium of the proximal convoluted tubules and the capillary walls of the renalfcortex and medulla. In addition, the activity of ?-GT is far more prominent in the deep layer than in the superficial layer of the renal cortex.In the jejunum of the rat fetus, marked activity of ?-GT is only found after the villi of the jejunum are formed: the activity is the highest when the fetus is of 21 days of age and it reduces after the rat is born.
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Connection between the superior colliculus(SC)and the dorsal and ventral lateral geniculate nuclei (LGd and LGv) were studied in adult golden hamsters using anterograde and retrograde pathway tracing methods 1. In four hamsters, the cytoarchitecture of the SC, LGd and LGv was examined in brain sections stained with Nissl's or Loyez's method. 2. A single injection of a mixture of ~3H-leucine and ~3H-proline was made into various regions of the SC in each of 4 animals (1 day survival) for studying the pattern of terminal distribution of the projections from the SC to the ipsilateral LGd and LGv. In animals where the injection site was located in the superficial gray layers of the lateral portion of the SC, labelled terminals were found in the caudal lateral part of the LGd and LGv. In the case where the injection was restricted in more medial part of the SC, the terminal labelling was observed in the rostral lateral portion of the lateral geniculate nuclei. 3. One day after an injection of horseradish peroxidase (HRP) into the LGd (4 animals), LGv(2 animals), or LP(2 animals) labelled neurons were observed in the superficial gray layers of the ipsilateral superior colliculus. No HRP-labelled neuron was detected in deeper laminae in the colliculus. These results indicate that neurons in the superficial gray layers of the SC project to the ipsilateral LGd and LGv, and the projections are organized topogra- phically according to the retinotopic or visual field map
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The microvascutature of the adrenal medulla in the rats and mice were studied by scanning electron microscopy of vascular replicas.There are portal venules between the adrenal cortex and medulla,which are the side branches of the collecting venules of the adrenal cortex and break into capillaries at the adrenal medulla.The adrenal medulla in mice is mainly supplied by these portal venules,and in a rat adrenal medulla,there are also 5—8 medullar arterioles besides the portal venules.Ring-like constrictions appear to be the characters of sphincter at the ending parts of the portal venules,the branches of the medullar arterioles,the collecting venules,and the medullar venules which drain the medullar capillaries as well.The authors believe that the adrenal cortex controls the medulla by the way of the portal venules.
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After partial decortication of the parietal cortex of adult rats, division of neurons and glial cells as well as proliferation of macrophages, endothelial cells, pericytes, around the damaged cortical area were observed. The criteria for differentiating mitotic neurons from other cell components especially neuroglia are: (1) the cell body of a dividing neuron especially the pyramidal type is considerably larger than glial cells, and is slightly larger than the adjacent resting neurons of similar type; (2) a dividing neuron has characteristic cell processes, identifiable as axons and apical dendrites, a morphological feature of pyramidal cells; and (3) the dividing neurons contain Nissl granules.The neurons undergo mitosis were located around the lesion area, 37～500 ?m from its border of the lesion. The cortical lamina No. V has more mitotic neurons than any other layers; the explanation for which has been discussed.