Association of rs659366 polymorphisms with the outcomes of patients after surgery for colorectal cancer / 浙江大学学报·医学版

<p><b>OBJECTIVE</b>To explore the association between rs659366 polymorphisms and the outcomes of patients after surgery for colorectal cancer.</p><p><b>METHODS</b>The study was conducted among a cohort of 501 patients with primary colorectal cancer who had surgery in Sichuan Cancer Hospital during March 2010 and July 2013. The outcomes of the patients were followed up. The polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method was applied to detect rs659366 genotypes. The log-rank test was performed to analyze the effects of clinical features on patients' outcomes. The correlation between rs659366 polymorphisms and the outcomes of patients was analyzed using the Cox proportional hazard model.</p><p><b>RESULTS</b>In this study, the median of follow-up time was 44.23(0.13-78.53)months, and 101 out of 501 (20.2%) patients failed to follow-up. The log-rank test showed the tumor site, TNM stage, vascular invasion, perineural invasion and the preoperative carcino-embryonic antigen(CEA) level were significantly associated with the outcome of colorectal cancer (<0.05 or <0.01). The overall survival rate of patients with AA, GA and GG genotypes were 62.7%, 69.9% and 75.5%, respectively. Multivariate analysis according to Cox proportional hazard model taking the GG genotype as the reference indicated that the AA genotype increased risks for survival of patients (=1.823); under the dominant genetic model taking GG genotype as reference, GA+AA genotypes increased risks for the poorer outcomes of patients (=1.498); the addictive genetic model showed that allele A increased the hazard for the poorer outcomes (=1.787).</p><p><b>CONCLUSIONS</b>The rs659366 polymorphisms are significantly associated with the outcome of patients with colorectal cancer.</p>

Effect of long-chain non-coding CDKN2B on miR-19 in chronic myeloid leukemia / 中国免疫学杂志

Objective:To investigate the effect of long-chain non-coding CDKN2B targeting miR-19 on the biological behavior of chronic myeloid leukemia cells and its mechanism.Methods: The expression of CDKN2B in different leukemia cells were detected by qPCR.Double luciferase reporter gene was used to detect the interaction between CDKN2B and miR-19.MTT proliferation assay and flow cytometry were used to detect the effect of CDKN2B on the proliferation and apoptosis of HL-60 cells.The changes of migration ability of leukemia HL-60 cells after overexpress of CDKN2B were detected by scratch test.The changes of invasion ability of leukemia HL-60 cells after silencing CDKN2B were detected by Transwell invasion assay.Scaling healing experiment and Transwell invasion assay were used to detect the effect of miR-19 on the migration and invasion of leukemia cells after silencing CDKN2B.The morphological changes of cytoskeleton microfilament microtubules after silencing CDKN2B were detected by phalloidin staining.Western blot was used to detect the expression of PI3K/AKT signaling pathway after silencing CDKN2B.Results: The expression level of CDKN2B was the lowest in leukemia cell HL-60.CDKN2B binds specifically to the 3′UTR of miR-19;overexpression of CDKN2B could inhibit the proliferation and enhance the apoptosis of leukemia HL-60 cells.Overexpression of CDKN2B can inhibit the invasion and migration of leukemia HL-60 cells.After overexpressed of CDKN2B,the cytoskeleton showed decreased pseudopodia and decreased exercise capacity.The expression of actin was down-regulated.The expression of PI3K/AKT pathway protein was down-regulated after overexpressed of CDKN2B.Conclusion: CDKN2B can target the regulation of miR-19 to regulate the biological behavior of leukemia cells.

Association between cured meat consumption and risk of colorectal cancer in people with different dietary habits and lifestyles / 中华流行病学杂志

Objective To explore the association between the intakes of cured meat and the risk of colorectal cancer,and analyze the role of the interaction between cured meat intake and dietary habit or lifestyle for the risk of colorectal cancer.Methods A well-designed questionnaire were used to collect retrospective information about demography,lifestyle and dietary habit from 400 patients diagnosed with colorectal cancer and 400 controls matched by age and gender.Logistic regression analysis was conducted to examine the possible association between the intake of cured meat and the risk of colorectal cancer.Generalized multifactor dimensionality reduction (GMDR) was used to analyze the interaction between cured meat intake and other dietary habits or lifestyle factors.Results Data from conditional logistic regression analysis showed that compared with the people who had ＜8 times per year of cured meat intake,those had 8-23 times of cured meat intakes (OR=3.480,95％CI:2.022-5.991,P＜0.001),24-47 times of cured meat intakes (OR=4.526,95％CI:2.553-8.025,P＜0.001),≥48 times of cured meat intakes (OR=5.472,95％CI:3.105-9.642,P＜0.001) had increased risk of colorectal cancer.There was a multiplied interaction between cured meat intake and pepper intake (OR=0.379,95％CI:0.190-0.758,P=0.009).The synergistic effect existed between cured meat intake and pickled vegetable intake;and the antagonism existed between cured meat intake and tea-drinking habit.GMDR analysis showed that interaction among red meat intake,pickled vegetable and cured meat intake on the risk of colorectal cancer might exist (P=0.001).Conclusions With the increase of frequency of cured meat intake,the risk of colorectal cancer increased gradually.The synergistic effect might existed between pickled vegetable intake and cured meat intake.Tea-drinking,pepper intake and cured meat intake might be antagonism in the pathogenesis of colorectal cancer.Red meat intake,pickled vegetable intake and cured meat intake might have combined effect to increase the risk of colorectal cancer.

Effect of Mirror Therapy and Sensory Reeducation on Sensation Recovery after Thumb Reconstruction with Second Toe Transplantation / 中国康复理论与实践

@#Objective To observe the effect of mirror therapy and sensory reeducation on sensory function recovery after thumb recon-struction with second toe transplantation. Methods Forty patients after thumb reconstruction with second toe transplantation from January, 2011 to January, 2014 were divided into control group (n=20) and training group (n=20). Both groups accepted routine nursing and rehabili-tation, while the training group accepted mirror therapy and sensory reeducation training in addition. They were followed up for six to eigh-teen months after operation (average 9.3 months) with the two-point discrimination (2-PD) of transplanted toe pulp. Results 2-PD was (7.15±1.15) mm in the training group, very shorter than (10.23±2.23) mm of the control group (t=5.4898, P<0.001). Conclusion The mirror therapy combined with sensory reeducation training can improve the sensory function of the finger pulp that transplanted from the second toe.

Association between cured meat consumption and risk of colorectal cancer in people with different dietary habits and lifestyles / 中华流行病学杂志

Objective To explore the association between the intakes of cured meat and the risk of colorectal cancer,and analyze the role of the interaction between cured meat intake and dietary habit or lifestyle for the risk of colorectal cancer.Methods A well-designed questionnaire were used to collect retrospective information about demography,lifestyle and dietary habit from 400 patients diagnosed with colorectal cancer and 400 controls matched by age and gender.Logistic regression analysis was conducted to examine the possible association between the intake of cured meat and the risk of colorectal cancer.Generalized multifactor dimensionality reduction (GMDR) was used to analyze the interaction between cured meat intake and other dietary habits or lifestyle factors.Results Data from conditional logistic regression analysis showed that compared with the people who had ＜8 times per year of cured meat intake,those had 8-23 times of cured meat intakes (OR=3.480,95％CI:2.022-5.991,P＜0.001),24-47 times of cured meat intakes (OR=4.526,95％CI:2.553-8.025,P＜0.001),≥48 times of cured meat intakes (OR=5.472,95％CI:3.105-9.642,P＜0.001) had increased risk of colorectal cancer.There was a multiplied interaction between cured meat intake and pepper intake (OR=0.379,95％CI:0.190-0.758,P=0.009).The synergistic effect existed between cured meat intake and pickled vegetable intake;and the antagonism existed between cured meat intake and tea-drinking habit.GMDR analysis showed that interaction among red meat intake,pickled vegetable and cured meat intake on the risk of colorectal cancer might exist (P=0.001).Conclusions With the increase of frequency of cured meat intake,the risk of colorectal cancer increased gradually.The synergistic effect might existed between pickled vegetable intake and cured meat intake.Tea-drinking,pepper intake and cured meat intake might be antagonism in the pathogenesis of colorectal cancer.Red meat intake,pickled vegetable intake and cured meat intake might have combined effect to increase the risk of colorectal cancer.

The evaluation of trueness of 4 α-amylase measurement systems / 中华检验医学杂志

Objective To investigate the routine methods of α-amylase (AMY) test in scrum which meets the requirements of ISO 15189.Methods Fifty human serum samples with different concentrations of AMY (40- 750 U/L) were collected from March to December in 2008,to form the patients' frozen serum group.Four AMY measurement systems including Roche,Wako,MINDRAY and MAKER were used.The frozen standard materials with concentrations of ( 70.1 ± 3.7 ) U/L and ( 418.3 ± 22.1 ) U/L and the patients' frozen serum group were measured simultaneously by using IFCC reference method and 4 AMY measurement systcms based on 7170A automatic biochemistry analyzer.Thc linear regression analysis was made between the measurement results of each system and IFCC reference method.The equivalence,agreement and trueness were also evaluated by using the file EP9-A2 method.Bland-Altman GraphicalAnalysis and the improved Bland-Altman Graphical-Analysis of MVS1.80 software.Results Judging by the standards of IFCC reference method,the measurement results of 4 measurement systems were obviously different. ( 1 ) When measuring standard materials the results were 66.4,70.6,69.4 and 49.2 U/L respectively and 394.0,456.4,406.7,302.4 U/L respectively.The measurement results of MINDRAY were in agreement with that of IFCC reference method.( 2 ) When mcasuring the patients' scrum group by 4 measurement systems and IFCC reference method,the slopes of the linear regression equations were 0.934,1.070,0.930 and 0.731.respectively.And the intercepts were 0.886,6.249,5.388 and 3.574,respectively.According to the EP9-A2 method,the measurement results of Roche Wako,MINDRAY were equivalent to that of IFCC reference method.According to Bland-Altman Graphical-Analysis, the measurement results of Roche and MINDRAY were in agreement with that of IFCC reference method.The average biases of each measurement system were - 6.11％ ( Average bias ± 2s were 2.81％ and -9.40％ ),1.99％ ( Average bias ± 2s were 10.35％ and - 6.36％ ),- 2.70％ (Average bias ± 2s were 2.37％ and -7.77％ ) and -34.72％ ( Average hias ±2s were -24.20％ and -45.24％ ),respectively.According to the improved Bland-Altman Graphical-Analysis, the measurement results of MINDRAY are correct.The average biases of each measurement system were - 5.92％ (Average bias ± 2s were -2.81％ and -9.03％),2.10％ (Average bias ±2s were 10.74％ and -6.53％),-2.64％ ( Average bias ± 2s were2.24％ and -7.51％ ) and - 29.51％ ( Average bias ± 2s were 21.82％ and - 37.21％ ),respectively.Conclusions ( 1 ) The measurement results of different measurement systems do not necessarily have crreet results though they have claimed to have traceability.(2) The trueness of measurement results using the same system may not come to the same conclusion when evaluated by different methods.So laboratories should select and establish a procedure to evaluate trueness of routine methods and adopt those meeting the trueness requirements of ISO 15189.

An exploratory clinical study of attention deficit hyperactivity disorder in young adulthood / 中国神经精神疾病杂志

Objective The exploratory study aimed to characterize the clinical features and the patterns of comorbidity and psychosocial functioning of adult attention deficit hyperactivity disorder (ADHD). Methods The study initially recruited 88 children who diagnosed with ADHD at age 6～16 years. They were reevaluated and administered structured psychiatric interviews for DSM-IV when they were at least 18 years old. A total of 59 adults with ADHD and 29 controls with GAF>70 were included in the study. Results Fifty-one(86.4%)of the adult ADHD were diagnosed as predominantly inattentive subtype of ADHD. The most common adult ADHD symptoms included "often has difficulty organizing tasks and activities (98.3%); often avoiding doing work projects where effort at thinking a lot is required (96.6%); often has trouble paying close attention to details (94.9%); often has problems following through on instructions and finishing job tasks (96.6%); often has difficulty sustaining attention (88.1%); often is distracted easily by extraneous stimuli (72.9%)". The majority (66.1%) of the adult ADHD had one or more psychiatric axis-I/axis-II comorbidity. Among them, 39.0% had psychiatric axis-I comorbidity and 49.2% had personality axis-II comorbidity. The average GAF score was significant lower in adult ADHD than in controls ( t =12.96, P <0.001). The majority (74.6%) of the adult ADHD had mild or moderate impairment or distress of overall functioning. Conclusions The main feature of adult ADHD is attention deficit. Patients with adult ADHD usually have comorbid conditions such as other psychiatric disorders and personality disorders and their psychosocial functioning is relatively poor.

Effect of congrong powder preparation on erythrocyte parameter and index of blood rheology in rats / 中国中药杂志

<p><b>OBJECTIVE</b>To observe the effect of Congrong powder preparation on erythrocyte parameter and the index of blood rheology in healthy rats.</p><p><b>METHOD</b>The 50 rats were randomly divided into 5 groups ( physiological saline group, testosterone propionate group, large-dose administered group, moderate-dose administered group, small-dose administered group). Blood were taken to determine erythrocyte parameter and the index of blood rheology.</p><p><b>RESULT</b>Congrong powder preparation had no effect on erythrocyte parameter. There was an increase in whole blood viscosity, whole blood reduction viscosity, and in the erythrocyte rigidity index in the large-dose administered group.</p><p><b>CONCLUSION</b>Congrong powder can influence deformability and some related characters of erythrocytes.</p>

Diskoscope combined with screw-rod fixation for the treatment of lumbar spinal stenosis complicated by degreeⅠdislocation / 中国组织工程研究

Diskoscope combined with screw-rod fixation was used in the treatment of lumbar spinal stenosis complicated by degree Ⅰ dislocation of 48 cases, with an average operation time 150 min, average amount of bleeding 160 mL, average admission for 14 days, and an average follow-up of 18 months. Four cases developed pain in lower limb caused by traction of nerve root, and the symptoms disappeared after symptomatic treatment. No loosening, nail breakage or rod breakage, no infection or inflammatory reaction was found after implantation. Clinical evaluation excellent rate was 95.8 % , indicating that diskoscope combined with screw-rod fixation after spinal fusion for the treatment of decompression has been effective, and the screw-rod system achieves an effective fixation, reduction of spondylolisthesis, and spinal stability.

Application and Contamination of Disposable Syringes:Investigation and Analysis / 中华医院感染学杂志

OBJECTIVE Passing through the investigation of disposable syringes use condition, to determine amount of syringes used in the hospital and extent of their contact with blood and body fluids, and to assess their waste polluted condition. METHODS By our hospital computer charge system, from May 1, 2006 to Apr 30, 2007 The used syringes were calculated. RESULTS A total of 923 676 plastic disposable syringes were used; from them 6 801 (0.74%) were contaminated by blood, an other body fluids (urine, gastric secretion, cerebrospinal fluid, and wound drainage) or cells, 16 892 (1.83%) were by anticancer drugs and 160 461(17.37%) were with different injections or contrasts. 739 522(80.06%)were utilized for dilute medicine in i.v. drip. CONCLUSIONS Eighty percent of syringes waste is without pollution, it can be used to regard as recycled resources.

Quality Evaluation of Warfarin Sodium Tablets from Different Pharmaceutical Manufacturers / 中国药房

0.01).The dissolution of tablets from A and D manufacturers were same to each other while both of them were larger than those from B and C manufacture.CONCLUSIONS:The qualities of Warfarin sodium tablets from four manufacturers are different from one another.The quality of products from A and D manufacturers are superior to those from manufacturer B.The products from manufacturer C are the worst.

Washing and Sterilization Methods for Endoscopic Cell Brush:A Simulated Experimental Research / 中华医院感染学杂志

OBJECTIVE To explore the efficientcy of washing and sterilization methods for the endoscopic cell brush. METHODS The contaminated cell brush with the mixture of Bacillus subtilis var.niger spore and blood was washed by four methods:manually washing,multienzyme plus manually washing,ultrasonic cleaner washing,and multienzyme plus ultrasonic cleaner washing,and then dipped in glutaraldehyde for 5 h or 10 h,fumigated with glutaraldehyde for 5 h,and sterilized with 3M ethylene oxide box.The positive rates of occult blood test(OB test),the cleaning rates of B.subtilis var.niger spore and the sterilization eligibility ratio of four serilization methods were compared. RESULTS The washing method that multienzyme plus ultrasonic cleaner washing could clear effectively the contaminated cell brush that the positive rates of OB test was 0 and the cleaning rates of B.subtilis var.niger spore was 99.90%.The positive rates of OB test and the cleaning rates of B.subtilis var.niger spore of manually washing was 56.67% and 90.87%.Fumigated in 3M ethylene oxide box or dipped in glutaraldehyde for 10 h could kill all the spores,but dipped in glutaraldehyde for 5 h or fumigated with glutaraldehyde for 5 h could not. CONCLUSIONS The mixed contaminated endoscopic cell brush should be washed effectively by multienzyme+ ultrasonic cleaner washing,and should be sterilized by fumigated in ethylene oxide box or dipped in glutaraldehyde for 10 h.

Adult's outcome of attention deficit hyperactivity disorder and its predictive factors(review) / 北京大学学报(医学版)

The prognosis of attention deficit hyperactivity disorder(ADHD)is poor,and approximately two third patients still have obvious symptoms when they grow up into adults,thus interfering with their social functions including work,study,family and interpersonal relation etc,and even causing the mental disorders and/or antisocial personality disorder.The predictive factors of adult outcome of ADHD include genetic,environmental and clinical factors.This review deals with the adult outcome and its predictive factors,and explores the severes harmfulness against individual,family and society brought by ADHD and its underlying mechanisms so as to facilitate the clinical intervention and research.

Preventive Use of Antibacterials During Perioperative Period:Analysis of 285 Cases from 25 Hospitals in Guangdong Area / 中国药房

OBJECTIVE:To investigate the preventive application of antibacterials during perioperative period in Guangdong area.METHODS:By a retrospective study,a total of 285 discharged medical histories collected from 25 hospitals in 2006 were analyzed statistically.RESULTS:Of the 285 discharged medical records reviewed,three cases from one hospital were not given antibacterial,but irrational problems in medical indications,pertinences of choosing drugs,course of treatment,application opportunities,dosages and routes of administration and combined use of antibacterial were seen respectively or simultaneously in all the other cases,among which using antibacterial without indications,choosing drugs without pertinence and application in a long course were the most serious.CONCLUSION:Irrational application of antibacterial during perioperative period is an ubiquitous problem existing in the 25 hospitals investigated.It is urgent to tighten control on the rational use of antibacterials.

The Prevalence of Depression of Outpatients in the Departments of Internal and Chinese Traditional Medicine in General Hospitals / 中国心理卫生杂志

Objective:To describe the prevalence of depression of internal and Chinese traditional medicine outpatient departments in different levels of general hospitals in Shenyang.Methods:Stratified multi-stage cluster randomization was used to identify 23 general hospitals for investigation, a total 7448 outpatients above 15 years of age in internal and Chinese traditional medicine outpatient departments have been investigated.Investigator used expanded version of General Health Questionnaire (GHQ-12) as a screen instrument to identify subgroups of the sample at high, moderate and low risk, then psychiatrists determined their diagnosis by using structured clinical interview for DSM-IV Axis I Disorders-Patient Edition(SCID-I/P) for 100% of high-risk and 40% of moderate-risk and 10% of low-risk subjects.Results:At the internal department, the overall current rate of any depressive disorders was 11.01%(95%CI: 10.05%-12.06%), and at the Chinese tradition medicine department, the overall current rate of any depression was higher (16.22%, 95%CI: 13.23%-19.87%).Conclusion:The prevalence of depression of outpatients in the Chinese tradition medicine departments of general hospitals was higher than that of outpatients in the internal medicine department.We should pay attention to depressive disorder in Chinese tradition medicine department than internal medicine department.

PRELIMINARY OBSERVATION OF THE ULTRASTRUCTURE OF SYNAPTONEMAL COMPLEX OF SPERMATOCYTES OF SEVERAL EXPERIMENTAL RODENTIAL ANIMALS / 解剖学报

Synaptonemal complex was first discovered by Moses in 1956. Synaptonemal complex of karyocytes of meiosis of pachytene are observed by electron microscope. They are bivalent chromosomal central substructure. We have observed synaptonemal complex of guinea-pig, rabbit, rat, and mice (Jin Bai Ⅰ, Ⅱ etc.). The basic structure of synaptonemal complex are similar. They contain two lateral elements and one central element which situated in the central space.The end of the synaptonemal complex is attached to the nuclear membrane,. where the inner nuclear membrane forms a thick platelike structure. Lateral elements of spermatocytes of the mouse are divided into two or three sections. The sex vesicle and associated nucleolus appear clearly in the mouse.The axial filaments of X and Y chromosome are attached with an angle of 30 degrees between each other. A typical central element and transverse filaments are formed in the space between. Several nodules are situated on the central element. The number of nodules is from 1-4 in the several experimental rodential animals studied.