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Objective To compare the efficacy and adverse reactions of desloratadine citrate disodium tablets and loratadine dispersible tablets in treatment of patients with allergic rhinitis,and their influence on leukotriene B4(LTB4),interleukin-4 (IL-4),interleukin-10 (IL-10) and interferon gamma (INF-γ).Methods From June 2015 to June 2016,a total of 110 patients with allergic rhinitis in the Second People's Hospital of Cangnan County were selected and randomly divided into control group and observation group according to the digital table,with 55 cases in each group.The control group was given loratadine dispersible tablets,while the observation group was given desloratadine citrate disodium tablets.Both two groups were treated for 14 days.The clinical efficacy,adverse reactions and changes of LTB4,IL-4,IL-10,INF-γ levels before and after treatment were compared between the two groups.Results The total effective rate of the observation group was 94.5 ％,which was significantly higher than 80.0％ of the control group(x2 =6.310,P ＜ 0.05).The incidence rate of adverse reactions in the observation group was 16.4％,which was similar to 20.0％ in the control group.Before treatment,there were no statistically significant differences in LTB4,IL-4,IL-10,INF-γ levels between the two groups (all P ＞ 0.05).After 2 weeks of treatment,the levels of LTB4,IL-4,IL-10 and INF-γ in the observation group were (67.74 ±10.15) ng/L,(52.37 ± 5.12) μg/L,(81.26 ± 11.78) μg/L,(94.47 ± 7.87) μg/L,respectively,which in the control group were (80.32 ± 9.97) ng/L,(62.95 ± 5.45) μg/L,(96.32 ± 11.57) μg/L,(86.74 ± 7.63) μg/L,respectively,there were statistically significant differences between the two groups (t =7.124,5.262,4.654,3.718,all P ＜ 0.05).Conclusion Both desloratadine citrate disodium tablets and loratadine dispersible tablets can effectively treat patients with allergic rhinitis,improve the symptoms and physical signs,reduce the levels of LTB4,IL-4 and IL-10,increase the level of INF-γ,and the adverse reactions are less and slight,but the efficacy of desloratadine citrate disodium tablets is better than loratadine dispersible tablets.
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@#In this study, apoptotic mechanism of resveratrol against human prostatic carcinoma DU145 cells was investigated. MTT was used to measure cell growth and proliferation. Reactive oxygen species(ROS)kit was used to analyze ROS level. Cell apoptosis and cell cycle analysis were observed by flow cytometry. Protein expression levels of apoptosis and pathway associated were analyzed by Western blot. The result shows that DU145 cells treated with different resveratrol concentrations suffered apoptosis, cycle arrest in G0/G1 phase, ROS increase in the cell and a decrease in mitochondrial membrane potential(MMP, ΔΨm), in a concentration-dependent manner. Resveratrol inhibited the expression of Bcl-2 protein via up-regulating Bax protein, thus increasing the ratio of Bax/Bcl-2, activating Caspase reaction and led apoptosis ultimately. Further investigation confirmed that resveratrol increased ROS level, decreased MMP and consequently induced apoptosis via michondrial-mediated pathway in DU145 cells. Therefore resveratrol may induce apoptosis via ROS-michondrial pathway in DU145 cells.
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Objective To investigate the positive influence of telephone follow-up on primiparas′exclusive breastfeeding during puerperal period. Methods By using convenience sampling method, 90 primiparas were selected who had given birth in the integration ward of our hospital from October to December 2015 as the control group, and 60 primiparas were selected who had given birth in the integration ward of our hospital from December 2015 to January 2016 as the experimental group. For the experimental group, every 2 weeks, a telephone follow-up was executed according to primiparas′parturition time after leaving hospital. For the control group, telephone follow-up was not executed. The influence of periodic telephone follow-up on primiparas′ exclusive breastfeeding was observed. Results The exclusive breastfeeding rate of primiparas in the experimental group was increased as the telephone follow-up was executed. It was up to 91.7%(55/60) 6 weeks since parturition. The exclusive breastfeeding rate of primiparas in the control group was 71.1% (64/90). The difference was significant (χ2=9.28, P<0.01). Conclusions Periodic telephone follow- up according to necessity provides breastfeeding publicity and guidance after parturition, maintaining the continuous education and caring for the primiparas after leaving hospital which efficiently increased the pure breastfeeding rate of primiparas during puerperal period.
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Objective To investigate the quality control circle's effect assessment about improving the successful rate of intervening adding the non-doctor advised formulated milk powder for the newborn baby rooming-in in obstetric ward, decrease the nonmedical indication formula milkadding,and improve the rate of exclusive breastfeeding. Methods Found quality control circle group,analyze all the different elements which influence the success of nurse's intervening of adding the non-doctor advised formulated milk powder for the newborn baby in room-in system,target the theme,make the policy and implement it, compare the success rate of intervening adding the non-doctor advised formulated milk powder for the newborn baby rooming-in before and after quality circle's activity. Results Increase the success rate of nurse's intervening of adding the non-doctor advised formulated milk powder for the newborn baby rooming-in from 32.5%(13/40)before improvement to 70.7%(341/482), the target rate was 96.7%. Conclusions The quality circle's activity increases the success rate of nurse's intervening of adding the non-doctor advised formulated milk powder for the newborn baby rooming-in, while it enhances the comprehensive capability of nurse,and strengthens the clinical nursing specialty's quality.
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Objective To simply coloclysis procedure,lower material consumption and relieve nurses'work burden.Methods 30 patients and 30 nurses were divided into three groups with 10 patients and 10 nurses in each group and three enemators were applied in these three groups.The safety,conveniece,operation time,cubic capacity,flow rate and skin reaction to coloclysis chemical reagents were observed.Results The results of the above mentioned factors were different among three groups(P<0.01).The traditional enemator had less satisfying degree for its operation procedure,more time and material consumption than the other enemators.Conclusion The medical portable hand-pressure enemator proved to be safe,convenient,and portable.It reduced material consumption and alleviated the nurses'work burden.
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Objective To study the asepsis security of the interior cover of polypropylene plastic dropping bottle.Methods The whole samples were divided randomly into two groups,each group included 42 polypropylene plastic dropping bottles,Samples of the control group were collected from the interior covers of dropping bottles wiping with sterile normal saline cotton swabs.Samples of the experimental group were also collected from the interior covers wiping with sterile normal saline cotton swabs aher disinfected by 0.5%iodophors and 75%alcohol respectively.All samples were inoculated on the aseptic plain agar nutrition flat plate.then incubated in 37℃ incubaton to observe the growth of bacteria.Results There Was statistical significance between the two groups in the growth of bacteria,χ2=46.791,P<0.01.Conclusions The interior covers of polypropylene plastic dropping bottle should be disinfected strictly before they are used in clinic.
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OBJECTIVE:To explore the effects of pioglitazone on secreation and mRNA expressions of TNF-? in adipocytes of high-cholesterol model rats.METHODS:30 rats fed with high-cholesterol diet for 8 weeks were randomly assigned to receive high cholesterol diet alone(high-cholesterol group,n=15) or high-cholesterol diet plus pioglitazone(3 mg?kg-1?d-1) (pioglitazone group,n=15) for 4 weeks.Another 15 rats were assigned to control group and fed with common diet for 12 weeks.Then the rats were sacrificed,with indexes such as blood lipid,serum concentration and mRNA expression of TNF-? in adipocytes of high-cholesterol rats determined.Besides,normal adipocytes were taken and treated with lipopolysaccharide and different concentrations of pioglitazone (0.1,1.0,10.0 ?mol?L-1) followed by a determination of TNF-? level and mRNA expression level.RESULTS:Compared with high-cholesterol group,serum concentration and mRNA expression of TNF-? in pioglitazone group were significantly lowered,but pioglitazone treatment showed little impact on blood sugar level and blood lipid level.Pioglitazone(0.1,1.0,10.0 ?mol?L-1) dose-dependently inhibited lipopolysaccharide-induced TNF-? secretion and mRNA expression in cultured adipocytes.CONCLUSION:Pioglitazone can reduce TNF-? level of fatty tissue and serum in high-cholesterol model rats.