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1.
International Eye Science ; (12): 67-70, 2022.
Article in Chinese | WPRIM | ID: wpr-906732

ABSTRACT

@#Proliferative vitreoretinopathy(PVR)is a eye disease characterized by the formation of epiretinal membranes(ERM)composed of extracellular matrix(ECM)and various types of cells in the vitreous and/or the surface of the retina through the wound repair and fibrotic process. ERM shrinks to form retinal folds and stretches the retina to cause retinal detachment(RD). Epithelial-mesenchymal transition(EMT)of retinal pigment epithelial(RPE)cells and accumulation of ECM are considered to be the main pathological mechanisms for the formation of ERM. RPE cells undergo a process named EMT induced by transforming growth factor-β(TGF-β), by which differentiated epithelial cells go through epithelial phenotypic loss, the weakness of cell-cell contact and mesenchymal phenotype expression. Fibroblast-like cells differentiated from mesenchymal cells produce ECM and other components, which forms ERM together with glial cells and fibroblasts, <i>etc</i>. Recent studies indicated a lot of cytokines/growth factors, transcriptional factors, and microRNA(miRNA)regulate the development of EMT in RPE cells, in which miRNA is a novel and powerful regulatory gene and plays a critical regulatory role in the EMT process of PVR. This review focuses on the current understandings of the mechanism and the interventional treatments of miRNA in PVR.

2.
Article in Chinese | WPRIM | ID: wpr-880162

ABSTRACT

OBJECTIVE@#To investigate the regulatory effect of zyxin on the distribution of platelet cytoskeleton.@*METHODS@#Platelets were isolated from zyxin-knockout (Zyx@*RESULTS@#After zyxin gene was knockout, the expressions of cytoskeleton proteins β-actin, α-actinin, filamin A, and myosin Ⅱ A in resting and Jas-induced platelets were significantly increased. In the platelet spreading on fibrinogen surface, F-actin was increased in Zyx@*CONCLUSION@#Zyxin significantly regulates the distribution of platelet cytoskeleton, which plays an important role in maintaining platelet cytoskeleton homeostasis.


Subject(s)
Actinin , Actins , Animals , Blood Platelets , Cytoskeleton , Mice , Zyxin
3.
Journal of Chinese Physician ; (12): 1501-1505, 2021.
Article in Chinese | WPRIM | ID: wpr-909733

ABSTRACT

Objective:To investigate the changes of serum miR-33 in patients with type 2 diabetes mellitus (T2DM) with non-alcoholic fatty liver disease (NAFLD), and analyze the relationship between miR-33 and non-alcoholic fatty liver disease and type 2 diabetes mellitus.Methods:From July 2019 to January 2020, 25 healthy subjects (control group), 25 NAFLD patients (NAFLD group), 25 T2DM patients hospitalized in the department of endocrinology (T2DM group) and 25 T2DM patients with NAFLD (NAFLD combined with T2DM group) were selected. The basic data of the subjects were collected, and the levels of miR-33 and other biochemical indexes in the serum of the four groups were detected. The risk factors for type 2 diabetes mellitus with nonalcoholic fatty liver disease were analyzed.Results:There was no significant difference between T2DM group and T2DM group with NAFLD in course of disease, medication history and incidence of complications ( P<0.05). The levels of serum miR-33 in T2DM group, NAFLD group and T2DM combined with NAFLD group were higher than those in healthy people, and the level of serum miR-33 in the combined group was the highest ( P<0.05). The differences in systolic blood pressure, total cholesterol (TC), fasting blood glucose (FPG), glycosylated hemoglobin, triglycerides (HbA1c), triglycerides (TG), high density lipoprotein (HDL-C), uric acid (UA), serum creatinine (Scr), gamma-glutamyl transpeptidase (GGT), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) in the four groups were statistically significant ( P<0.05). The level of miR-33 was positively correlated with systolic blood pressure, FPG, HbA1c, TG, UA and GGT ( P<0.05), and negatively correlated with the level of HDL-C ( P<0.05). MiR-33, systolic blood pressure and FPG increased the risk of NAFLD in T2DM patients ( OR=8.999, 1.083, 2.071, P<0.05). Conclusions:Serum miR-33 is the influencing factor of T2DM and NAFLD diseases and the risk factor of T2DM patients with NAFLD. It may affect the occurrence and development of metabolic diseases by participating in the regulation of glycolipid metabolism.

4.
Article in Chinese | WPRIM | ID: wpr-907285

ABSTRACT

Rhinovirus(RV)is the most common respiratory virus that can cause infectious diseases of the upper and lower respiratory tract, such as the common cold and bronchiolitis.Among them, bronchiolitis is the main cause of wheezing attacks in infants under 2 years old, and the prevalence is increasing year by year.Early research believed that the main etiology was respiratory syncytial virus(RSV), but in recent years, more and more bronchiolitis has been found that caused by rhinovirus infection.This article takes rhinovirus-infected bronchiolitis as the entry point, and reviews its epidemiological characteristics, pathogenesis, clinical manifestations, auxiliary examination, treatment and prevention.

5.
Article in English | WPRIM | ID: wpr-781227

ABSTRACT

Neuropathic pain (NP) has become a serious global health issue and a huge clinical challenge without available effective treatment. P2 receptors family is involved in pain transmission and represents a promising target for pharmacological intervention. Traditional Chinese medicine (TCM) contains multiple components which are effective in targeting different pathological mechanisms involved in NP. Different from traditional analgesics, which target a single pathway, TCMs take the advantage of multiple components and multiple targets, and can significantly improve the efficacy of treatment and contribute to the prediction of the risks of NP. Compounds of TCM acting at nucleotide P2 receptors in neurons and glial cells could be considered as a potential research direction for moderating neuropathic pain. This review summarized the recently published data and highlighted several TCMs that relieved NP by acting at P2 receptors.

6.
Article in Chinese | WPRIM | ID: wpr-905760

ABSTRACT

information (31.3%) was the lowest. The reporting rate was less as the guidelines published in China than in foreign contries (OR = 0.80, 95%CI 0.56-1.16), in original version than in update version (OR = 0.79, 95%CI 0.54-1.16); and higher as developed by various societies or associations than developed by non-societies or associations (OR = 1.15, 95%CI 0.82-1.61), however, no statistically significant difference was found in abovecomparisons. Objective:To evaluate the quality of reporting of clinical practice guidelines of rehabilitation. Methods:A comprehensive retrieve was performed in electronic databases of PubMed, EMBASE, CNKI, China Biology Medicine disc, Wanfang data, etc., from January 1, 2017 to January 11, 2020. Supplementary searches had been done on relevant websites. Two researchers reviewed literatures and assessed the reporting quality independently by using Reporting Items for Practice Guidelines in Healthcare (RIGHT), and any disagreements needed to be discussed in a consensus meeting. Results:A total of 16 guidelines were included, with an average reporting rate of (44.8±27.9)%. Among the seven domains of RIGHT, basic information was reported the highest (57.3%), and evidence (31.3%) and other Conclusion:Current clinical practice guidelines of rehabilitation reported with low quality. It is proposed that future guideline developers should report guidelines after RIGHT statements, including key information and content, in order to improve the quality of reporting guidelines.

7.
Article in Chinese | WPRIM | ID: wpr-905759

ABSTRACT

Objective:To analyze the results of Grading of Recommendations Assessment, Development and Evaluation (GRADE) for clinical practice guidelines of rehabilitation. Methods:Clinical practice guidelines of rehabilitation were systematically retrieved from PubMed, EMBASE, CNKI, China Biology Medicine disc, Wanfang database and the guideline-related websites until January 11, 2020. Two researchers independently screened guidelines using Grading of Recommendations Assessment, Development and Evaluation (GRADE), and extracted and analyzed the results. Results:A total of 83 clinical practice guidelines of rehabilitation were included, in which 46 (55.4%) applied grading systems. Only four (4.8%) guidelines applied GRADE, including 44 recommendations, in which 39 guidelines (88.6%) had quality of evidence. Among the evidences citied in the recommendations, low quality evidences were the most (34.1%); among the recommendations, weak recommendations were more (56.8%). The quality of strong recommendation supporting evidence was higher than that of weak recommendation (χ2 = 8.218,P < 0.05). Conclusion:The application of the GRADE grading system in clinical practice guidelines of rehabilitation remains to be improved. It is proposed for guideline makers to further implement the methodology of guidelines and GRADE to improve the reliability and applicability of the clinical practice guidelines of rehabilitation more effectively.

8.
Chinese Journal of Orthopaedics ; (12): 577-583, 2020.
Article in Chinese | WPRIM | ID: wpr-869000

ABSTRACT

Objective:To investigate the orthopedists' cognition on Chinese Osteoarthritis Guideline (2018 Edition).Methods:Questionnaire about Chinese Osteoarthritis Guideline (2018 Edition) was developed and sent to orthopedists via an invitation link to fill out after authorization from Chinese Osteoarthritis Association. The content of the questionnaire included the basic personal information of the physician, the awareness rate of the guidelines, the evaluation of the guidelines, and its application effects. The survey duration was from September 2019 to December 2019. Multivariate logistic regression and linear regression analysis were performed for the guideline awareness rate and comprehensive score, respectively.Results:A total of 628 physicians completed the questionnaire, of which 623 of 628 (99.2%) were available. About 72.4% of the orthopedists knew the guideline. The awareness rate was statistically related to the education of the physicians ( P<0.05). Respondents' overall score for the guideline was 8.39 with methodological score 8.28. A total of 41.2% of orthopedists thought that the guideline was very good compared with the European and American guidelines, and the clinical problem coverage rate was 78.6%. There is a statistically significant difference in the appraisal of the recommendations ( χ2=138.9, P<0.05) . More than 40% of orthopedists believed that the guidelines were of great help to orthopedists and patients, and that the guide could be promoted to the primary hospitals. Conclusion:After one year publication of Chinese Osteoarthritis Guideline (2018 Edition), most orthopedists have understood the present guideline and applied recommendations in clinical practice. However, the guideline need to be further promoted and disseminated in the future.

9.
Acta Pharmaceutica Sinica ; (12): 2674-2678, 2020.
Article in Chinese | WPRIM | ID: wpr-837524

ABSTRACT

Three butylphthalide derivatives were isolated from the Rhizome of Ligusticum chuanxiong using a series of isolation and purification approaches including macroporous resin, ODS-A column, Sephadex LH-20 and preparative HPLC. These structures were elucidated based on extensive spectroscopic data (UV, IR, HR-ESI-MS and NMR) and identified as (3Z,3aE)-(6R,7R,2'S)-6-hydroxy-7-(2-carboxyl-2-hydroxyethylthio)-3-(2-hydroxybutylidene)-4,5,6,7-tetrahydro-phthalide (1), (3Z,3aZ)-3-butylidene-6,7-dihydroxy-4,5,6,7-tetrahydro-phthalide 7-O-α-D-glucopyranosyl-(1→2)-β-D-fructo-furanoside (2) and 3-(3-β-D-glucopyranosyloxy-butylidene)-7-hydroxy-phthalide (3).

10.
Article | WPRIM | ID: wpr-833435

ABSTRACT

Objective@#: This study aimed to investigate the changes and significance of microRNA155 levels in serum of patients with cerebral small vessel disease (CSVD). @*Methods@#: Thirty patients with CSVD who met the inclusion criteria were selected and divided into eight patients with lacunar infarction (LI) group and 22 patients with multiple lacunar infarction (MLI) combined with white matter lesions (WML) group according to the results of head magnetic resonance imaging (MRI). Thirty samples from healthy volunteers without abnormalities after head MRI examination were selected as the control group. The levels of serum microRNA155 in each group were determined by real-time polymerase chain reaction, and the correlation between microRNA155 in the serum of patients with CSVD and the increase of imaging lesions was analyzed by Spearman correlation analysis. @*Results@#: Compared with the control group, the serum microRNA155 level in the LI group, MLI combined with WML group increased, the difference was statistically significant (p<0.05); serum microRNA155 level was positively correlated with the increase of imaging lesions (p<0.05). @*Conclusion@#: The change of serum microRNA155 level in patients with CSVD may be one of its self-protection mechanisms, and the intensity of this self-protection mechanism is positively correlated with the number of CSVD lesions.

11.
Article in Chinese | WPRIM | ID: wpr-847723

ABSTRACT

BACKGROUND: Calcium citrate has been used as calcium supplement, anticoagulant, anti-inflammatory agent and bone repair material in biomedical fields. OBJECTIVE: To describe the basic properties of calcium citrate, summarize and discuss the preparation process of calcium citrate and its main applications in biomedical field. METHODS: The research literature related to calcium citrate was searched on the Web of science, CNKI, Medline and other databases by computer. The main key words were “calcium citrate, bone repairing material, citrate and calcium phosphate” in English and “calcium citrate, bone repair materials” in Chinese. The searching time was from February 1920 to February 2020. RESULTS AND CONCLUSION: With the development and exploration of medical materials, it is necessary to change the original process to improve the biological activity of medical calcium citrate. It is an inevitable trend to obtain calcium citrate with various micro-morphology and high biological activity by controllable synthesis method. Calcium citrate is widely used as calcium supplement, anti-inflammatory agent, anticoagulant, bone repair material and other non-medical applications. Its advantages are being gradually explored by researchers. The preparation method plays a decisive role in the application field of calcium citrate. Different internal structure and size will bring different application fields, from the smallest chemical bond connection to the macroscopic morphology or mechanical properties. These factors may be the results of the dedicated exploration of researchers.

12.
Article in Chinese | WPRIM | ID: wpr-865541

ABSTRACT

Objective:To evaluate the efficacy and safety of using platelet-rich plasma (PRP) eyedrops for the treatment of moderate to severe dry eye disease (DED).Methods:A total of 395 patients (790 eyes) with moderate to severe DED diagnosed and treated in the Armed Police Liaoning Corps Hospital and the PLA 967 Hospital from March 2018 to October 2019 were collected. Random number table method was used to divide into autologous PRP treatment group (196 cases, 392 eyes) treated with autologous PRP and control group (199 cases, 398 eyes) treated with artificial tears. The changes of subjective symptoms of DED, Schirmer test (ST), corneal fluorescein staining (CFS) and Ocular Surface Disease Index (OSDI) before and after treatment were observed in both groups.Results:After 1 course of treatment, the ST values of both groups increased, which was statistically significant compared with before treatment ( P<0.05). After treatment, the OSDI and CFS scores of the two groups were reduced. The difference in OSDI and CFS scores of the PRP treatment group before and after treatment was statistically significant ( P<0.05), and there was no statistically significant difference in the control group before and after treatment ( P>0.05). After treatment, the OSDI and CFS scores of the PRP treatment group were lower than those of the control group [(16.8 ± 18.7) scores vs. (43.2 ± 14.5) scores, (0.21 ± 0.53) scores vs. (1.62 ± 0.69) scores], the differences were statistically significant ( P<0.05). After one course of treatment, the total effective rate of the autologous PRP treatment group was higher than that of the control group [80.1% (157/196) vs. 51.76% (103/196)], the difference was statistically significant ( P<0.05). Conclusions:Autologous PRP can treat patients with moderate-to-severe autologous PRP treatment group, which can greatly improve patients' eye discomfort and other symptoms.

13.
Article in Chinese | WPRIM | ID: wpr-865470

ABSTRACT

Objective To analyze the correlation between different types of placental implantation after cesarean section and previous cesarean section.Methods The data of 7 286 pregnant women with second pregnancy after cesarean section from January 2010 to October 2018 were retrospectively analyzed.Among them,842 cases had placental implantation.Five hundred and ninetyseven cases were adhesion type,204 cases were implantation type and 41 cases were penetration type.The relationship between the type of placental implantation in this pregnancy and emergency operation and postpartum hemorrhage during previous cesarean section and the time from this pregnancy was analyzed.Results The total incidence of placental implantation and the incidence of three types of placental implantation in the transfer operation group was higher than that of non-transfer operation group,total:27.4% (419/1528) vs.7.3% (423/5 758);adhesion type:18.0% (275/1 528) vs.5.6% (322/5 758);implantation type:7.9% (121/1 528) vs.1.4% (83/5 758);penetration type:1.5% (23/1 528)vs.0.3% (18/5 758),and there were significant differences (P<0.01).The total incidence of placental implantation and the incidence of three types of placental implantation in postpartum hemorrhage group was higher than that in the non-postpartum hemorrhage group,total:33.9% (74/218) vs.10.9% (768/7 068);adhesion type:22.5% (49/218) vs.7.8% (548/7 068);implantation type:9.6% (21/218) vs.2.6% (183/7 068);penetration type:1.8% (4/218) vs.0.5% (37/7 068),and there were significant differences (P<0.01).There was no statistical significance between the time of pregnancy and the incidence and total incidence of three types of placental implantation (P>0.05).Conclusions Placental implantation after cesarean section may be closely related to emergency operation and postpartum hemorrhage during the previous cesarean section.Pregnant women with second pregnancy after cesarean section should strengthen the management of pregnancy.

14.
Article in Chinese | WPRIM | ID: wpr-864068

ABSTRACT

Objective:To analyze the clinical features, inflammatory markers and imaging characteristics of necrotizing pneumonia(NP) caused by Streptococcus pneumoniae(SPNP) in children. Methods:The clinical manifestations, laboratory data, imaging performances of both SPNP patients and children with NP caused by Mycoplasma pneumoniae (MPNP) admitted at the Department of Pediatrics, Shengjing Hospital of China Medical University from October 2010 to September 2018 were retrospectively analyzed.Their data were compared, and the indicators showing significant differences between the two groups were plotted into ROC curves in order to identify the indicators of SPNP. Results:There were 20 cases in the SPNP group, 40 cases in the MPNP group.Compared with the MPNP group, the patients in the SPNP group were younger[2.69(1.30-7.00) years vs.5.00(1.00-11.00) years], more likely to develop hypoxemia[45.0%(9/20 cases) vs.2.5%(1/40 cases)], and easier to combine with the extra-pulmonary complications[60.0%(12/20 cases) vs.17.5%(7/40 cases)], and they had longer hospital stay [28.00(16.00-58.00) days vs.15.50 (7.00 -27.00) days], and the differences were statistically significant (all P<0.05). Besides the number of white blood cell(WBC) [34.40(22.48, 44.17)×10 9/L vs.14.26 (10.04, 19.48)×10 9/L], neutrophils [0.88(0.78, 0.91) vs.0.76(0.62, 0.81)], C-reactive protein(CRP)[195.5(166.50, 237.75) mg/L vs.77.9 (45.33, 123.50) mg/L], procalcitonin (PCT) [2.82(0.67, 5.61) μg/L vs.0.18 (0.12, 0.50) μg/L]in the SPNP group were significantly higher than those in the MPNP group, and the differences were statistically significant (all P<0.05); but levels of albumin [(27.93±2.53) g/L vs.(32.99±3.54) g/L] and pro-albumin [(0.09±0.05) g/L vs.(0.19±0.05) g/L] in the SPNP group were significantly lower than those in the MPNP group, and the differences were statistically significant (all P<0.05). The necrotic changes occurred earlier in the CT scan of the SPNP group than that in the MPNP group[(9.10±2.69) d vs.(20.12±4.35) d], and the difference was statistically significant ( P<0.05). In the SPNP group, 19 cases had pleural effusion, of which 14 cases(70%) performed closed thoracic drainage and 1 case(5%) underwent pleural puncture.In the MPNP group, there were 24 cases (57.5%) of patients with pleural effusion and 10 cases (25%)with pleural puncture.The values of WBC [41 319.0(13 974.25, 125 991.75)×10 6/L vs.867.5(779.75, 976.25)×10 6/L] and lactate dehydrogenase [19 332.50(15 454.25, 24 307.50)U/L vs.2 711.50(2 012.00, 2 968.25) U/L] in the pleural effusion in the SPNP group were significantly higher than those in the MPNP group, while the pH values (7.07± 0.11 vs. 7.43±0.56)and glucose [0.28(0.25, 0.36) mmol/L vs.6.90(6.48, 6.99) mmol/L] in the pleural effusion decreased significantly, and the differences were statistically significant (all P<0.05). The ROC curves analysis showed that the cut-off values of the 4 predictors including WBC, neutrophil ratio, CRP and PCT were 17.66×10 9/L, 0.847, 157.50 mg/L, and 1.54 μg/L, respectively. Conclusions:NP in children is severe, however after active anti-infection and symptomatic support treatment, most patients have a good progress.When WBC >17.66×10 9/L, neutrophils ratio>0.847, CRP>157.50 mg/L or PCT 1.54 μg/L, are highly possibly SPNP.

15.
Article in Chinese | WPRIM | ID: wpr-861964

ABSTRACT

Objective: To observe the relationship between heart rate on atrioventricular node reentrant tachycardia (AVNRT) sustaining and slow path position during procedure of slow path modified ablation using three-dimensional mapping system. Methods: Modified ablation of slow pathway under three-dimensional mapping system was performed in 98 patients with slow-fast (S-F) AVNRT confirmed by invasive electrophysiology examination. The successful target (the site of slow-pathway) and standard His bundle were marked using three-dimensional mapping system, and the distance (Distance A) between the successful target and standard His bundle was measured. The relationship between heart rate in AVNRT and Distance A was analyzed. Results: Distance A was successfully obtained in 96 patients, including 64 tachycardia induced without infusion of isoproterenol, the heart rate was (179.77±29.22)bpm and relevant Distance A was (13.56±5.06)mm, also 32 tachycardia induced with infusion of isoproterenol, the heart rate was (174.91±17.41)bpm and relevant Distance A was (12.43±3.70)mm. No obvious correlation between heart rate and slow path position was found among the above 96 patients (rs=0.048, -0.190; P=0.705, 0.298). Conclusion: There was no obvious correlation between patient's heart rate on AVNRT sustaining and slow path position druing the procedure of slow path modified ablation using three-dimensional mapping system.

16.
Article in English | WPRIM | ID: wpr-827436

ABSTRACT

BACKGROUND@#The incidence of cognitive impairment (CI) is gradually increasing, which has attracted more attention from medical researchers worldwide. Definitive mechanisms of pathogenesis remain elusive, and there are few medications that have been proven effective for CI. The utilization of Chinese herbal medicine has shown positive therapeutic effects for a broad spectrum of diseases, including CI.@*OBJECTIVE@#The purpose of this study is to evaluate the safety and efficacy of Guilingji Capsules (GLJC, ) in treating mild-to-moderate CI with Shen (Kidney) and marrow deficiency syndrome.@*METHODS@#This is a randomized, double-blind, positive-controlled, multicenter clinical trial with a noninferiority design that included 348 participants randomly divided into an experimental arm and an active comparator arm. Individuals in the experimental arm (174 cases) took 0.6 g of GLJC once a day and 19.2 mg of Gingko biloba extract mimetic 3 times a day. Individuals in the active comparator arm (174 cases) took 0.6 g of GLJC mimetic once a day and 19.2 mg of Gingko biloba extract in tablet form 3 times a day. The intervention period included two sessions over 24 weeks. The primary outcome be the effectiveness of GLJC on cognitive improvement after 24 weeks of treatment, which was defined as an increase in the Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) Scale. The secondary outcomes were improvement in independence, daily living ability, and Chinese medicine (CM) syndrome, which were measured with the Alzheimer's disease Rating Scale-Cognitive Project (ADAS-Cog), Clinical Dementia Rating (CDR) Total Score, Activities of Daily Living (ADL) Total Score and the Chinese Medicine Symptom Scale (CM-SS), respectively. Serum acetylcholine, acetylcholinesterase, bax and bcl-2 were monitored to explore the mechanism of GLJC on CI. In addition, safety measures, including vital signs, electrocardiography, laboratory indicators (full blood count, kidney and liver function tests, routine urine test and routine stool test) and adverse events, were also recorded.@*DISCUSSION@#The purpose of this trial is to evaluate the efficacy and safety of GLJC in patients with mild-to-moderate CI with kidney and marrow deficiency syndrome. If successful, the results would provide a viable treatment for patients with mild-to-moderate CI. (Clinical Trials.gov. ID: NCT03647384. Registered on 23 August 2018).

17.
Article in Chinese | WPRIM | ID: wpr-827181

ABSTRACT

OBJECTIVE@#To analyze the genome-wide DNA methylation differences in umbilical cord blood nucleated red blood cells (NRBCs) between term and preterm infants by using the methylation gene chip technology, and to screen the genes of differential methylation and biological signaling pathways which may be related to the expression of γ-globin gene (HBG).@*METHODS@#Umbilical cord bloods of eight term infants and eight preterm infants were collected, and NRBCs of each sample was isolated, then genome DNA was extracted and bisulfite conversion was performed. The DNA methylation sites were detected by using the Illumina 850K BeadChip. Differential DNA methylation sites were screened, and the function of genes with differential methylation was analyzed by using GO and KEGG enrichment analysis.@*RESULTS@#Compared with the preterm group, 4749 differential DNA methylation sites of term group were screened out, including 4359 hypomethylation sites and 390 hypermethylation sites. GO and KEGG analysis indicated that the function of genes with differential methylation mainly involved in the hemopoietic system, growth and development process, Wnt and Notch signal pathways.@*CONCLUSION@#The differentical methylation sites at genome-wide level in umbilicar cord blood NRBC of term and preterm infants have been obtained, and the signal pathway and genes which possibily related with swiching the expression of γ-globin gene to β-globin gene have been screened-out. This study provide the new targets for studing the mechamism regulating expression of HBG gene.


Subject(s)
DNA , DNA Methylation , Epigenesis, Genetic , Fetal Blood , Genome, Human , Humans , Infant, Newborn , Infant, Premature
18.
Journal of Experimental Hematology ; (6): 1307-1311, 2020.
Article in Chinese | WPRIM | ID: wpr-827121

ABSTRACT

OBJECTIVE@#To evaluate the efficacy and safety of different types of red blood cell (RBC) transfusion and hormone therapy in patients with autoimmune hemolytic anemia (AIHA).@*METHODS@#The clinical data and serological characteristics of 40 patients with AIHA treated in our hospital from 2014 to 2018 were collected and analyzed retrospectively. The efficacy and safety of different type of RBC transfusion and hormone therapy were evaluated according to the principle of minimally incompatible RBC transfusion after cross-matching.@*RESULTS@#Among 40 patients with AIHA, the female cases were more than the male cases, the cases of secondary AIHA was more than cases of primary AIHA, and the warm autoantibodies were in the majority. 11 cases of AIHA underwent 26 times minimally incompatible red blood cell transfusions. The total effective rate was 46.2%, the partial efficiency was 23.1%, and total inefficiency was 30.8%. Among them, the same type of non-washing red blood cell group showed efficiency of 42.1%, partial effective rate of 21.1%, and inefficiency of 36.8%; the same type of washed red blood cell group showed efficiency of 57.1%, partial effective rate of 28.6%, and inefficiency of 14.3%. the infusion effects was not significanly different between the two groups, and no hemolytic transfusion reaction occurred. In the hormone-treated group, the complete remission rate was 15.2%, the partial remission rate was 63.6%, and the ineffective rate was 21.2%. Among them, the side effects appeared in 2 patients after using hormones.@*CONCLUSION@#When AIHA patients need blood transfusion, use the same type of non-washed red blood cells or homologous washed cells is relatively safe, and the difference in efficacy is not significant. The partial remission of patients received hormone therapy is much higher than that of red blood cell transfusion, but the side effects easily happen.


Subject(s)
Anemia, Hemolytic, Autoimmune , Autoantibodies , Blood Transfusion , Erythrocyte Transfusion , Erythrocytes , Female , Humans , Male , Retrospective Studies
19.
China Pharmacy ; (12): 2235-2239, 2020.
Article in Chinese | WPRIM | ID: wpr-825654

ABSTRACT

OBJECTIVE:To eval uate therapeutic effic acy,safety and economical efficiency of Ginkgolide injection versus Butylphthalide injection in the treatment of ischemic stroke. METHODS :Among the GISAA of Ginkgolide injection in the treatment of ischemic stroke of large-artery atherosclerosis ,106 patients who were given Ginkgolide injection+Asprin enteric-coated tablets but did not use butylphthalide in any dosage in previous trial group were selected as ginkgolide group ;56 patients who were given Butylphthalide injection+Ginkgolide injection+Asprin enteric-coated tablets in previous placebo group were selected as control group. The effects ,safety and economical efficiency were compared between 2 groups. Effect indexes included recurrence rate , mortality,NIHSS score ,modified Rankin score (mRS),Barthel index and comprehensive efficacy. The safety indexes included incidence of bleeding event and adverse event during treatment. Cost-minimization analysis was used for economic evaluation. RESULTS:There was no statistical difference in recurrence rate ,mortality,NIHSS score ,the proportion of subjects with mRS 0-2,Barthel index ,comprehensive efficacy and the incidence of adverse event between 2 groups on 28th day after treatment (P> 0.05). NIHSS score of ginkgolide group was better than that of control group on 7th and 14th day (P<0.05). Results of cost-minimization analysis showed that total cost of ginkgdide group was (13 768.19±4 981.54)yuan on 14th day of treatment , which was significantly lower than (22 578.52±7 523.23)yuan of control group (P<0.01). The results of sensivity analysis indicated that the minimum lost analysis was stable. CONCLUSIONS :For the treatment of ischemic stroke ,ginkgolide+aspirin is similar to butylphthalide+aspirin in improving clinical outcome and safety of 28 days,but is better than it in short-term efficacy of improving neurological deficit , and better short-term economical efficiency.

20.
Article in Chinese | WPRIM | ID: wpr-778306

ABSTRACT

Objective To understand the disease spectrum of prehospital emergency patients in Beijing, so as to provide basis for rational allocation of prehospital emergency care resources and for improvement of prehospital emergency care. Methods Emergency dispatch database from 120 dispatching command system of Beijing Emergency Medical Center to was used study the disease spectrum of 120 prehospital emergency patients from 2013 to 2017 in Beijing, and were analyzed the differences of disease spectrum among patients of different years, genders and ages, and the time distribution of different diseases. Results From 2013 to 2017 in Beijing, 1 643 375 patients used 120 prehospital emergency care. The top 3 diseases of the disease spectrum were: injury and poisoning (29.63%), diseases of the circulatory system (18.37%), and diseases of the nervous system (15.80%). The sorting of diseases remained unchanged during the 5 years. The disease spectrums were different among different age groups and gender groups. The calls in spring, summer, autumn and winter accounted for 25.23%, 24.97%, 25.05% and 24.75% respectively. Most calls were made from 08 ∶〗00 to 09 ∶〗59 (12.41%), 12 ∶〗00 to 13 ∶〗59 (10.05%), and 14 ∶〗00 to 15 ∶〗59 (9.91%) during a day. The peak months and hours of different diseases were different. Conclusions The demand for prehospital emergency care has been increasing in Beijing in recent years. It is important to strengthen the prevention of injuries among all ages, especially male, and to improve the prevention and response capacity for acute attack of chronic diseases among older people. Prehospital emergency care resources should be rationally allocated according to the peak months and hours of calls.

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