Long-term outcome of transcatheter repair of paravalvular leak post surgical mitral valve replacement / 中华心血管病杂志

Objective: To explore the long-term clinical efficacy of transcatheter repair of mitral paravalvular leak (PVL) post surgical mitral valve replacement. Methods: This study is a retrospective study. Patients who completed transcatheter repair of paravalvular leak after surgical mitral valve replacement at Shanghai Chest Hospital, Shanghai Jiaotong University School of Medicine from March 2010 to December 2018 were included. Technical success was defined as the occluder being stably implanted in the paravalvular leak site without affecting the function of the mitral valve and surrounding tissues; and there were no intervention-related complications, such as new hemolysis or aggravated hemolysis, and echocardiography confirmed mitral paravalvular regurgitation reduced by more than 1 grade. Patients were followed up at 30 days, 1, and 3 years after the intervention. The main endpoints were all-cause death and re-surgery due to interventional failure or serious complications. The occurrence of occluder-mediated hemolysis and chronic renal insufficiency was recorded, and patients were monitored with echocardiography during follow up. Results: A total of 75 patients were included, aged (54.3±22.9) years old, and 38 patients were males. All patients had decreased cardiac function and/or hemolysis before intervention. Procedural success was achieved in 54 patients (72.0%). Incidence of device-mediated hemolysis was 18.7% (14/75). During the follow-up period, all-cause death occurred in 7 patients (9.3%), and 3 were cardiac deaths.The 3-year event-free survival rate was 81.3% (61/75). The need for cardiac surgery was 9.3% (7/75): 3 cases due to severe device-mediated hemolysis, 2 cases due to prosthetic valve failure and 2 cases due to moderate to severe residual regurgitation. The echocardiography follow-up results showed that the position of the occluder was stable, there was no impact on the artificial valve function and surrounding structures, and the residual regurgitation was stable without progressive increase in event-free patients. Compared with pre-intervention, the left ventricular end systolic diameter ((33.9±7.4)mm vs. (38.3±8.9) mm, P=0.036), end diastolic diameter ((53.7±8.3) mm vs. (58.4±9.1) mm, P=0.045) and left atrial diameter (59.3 (44.5, 90.7) mm vs. 64.3 (44.8, 96.6) mm, P=0.049) were significantly reduced, pulmonary artery systolic pressure was also significantly decreased ((36.5±15.8) mmHg vs. (46.3±14.9) mmHg, P=0.022, 1 mmHg=0.133 kPa). There was no significant difference between 3 years and 1 year after transcatheter repair of mitral paravalvular leak post surgical mitral valve replacement (all P>0.05). Conclusion: Transcatheter repair of mitral paravalvular leak post surgical mitral valve replacement is an effective treatment option in selective patients.

New SNP variants of MARVELD2 (DFNB49) associated with non-syndromic hearing loss in Chinese population / 浙江大学学报（英文版）（B辑：生物医学和生物技术）

Non-syndromic hearing loss (NSHL) is a common defect in humans. Variants of MARVELD2 at the DFNB49 locus have been shown to cause bilateral, moderate to profound NSHL. However, the role of MARVELD2 in NSHL susceptibility in the Chinese population has not been studied. Here we conducted a case-control study in an eastern Chinese population to profile the spectrum and frequency of MARVELD2 variants, as well as the association of MARVELD2 gene variants with NSHL. Our results showed that variants identified in the Chinese population are significantly different from those reported in Slovak, Hungarian, and Czech Roma, as well as Pakistani families. We identified 11 variants in a cohort of 283 NSHL cases. Through Sanger sequencing and bioinformatics analysis, we found that c.730G>A variant has detrimental effects in the eastern Chinese population, and may have relatively high correlation with NSHL pathogenicity.

Preliminary Analysis of the Three Major Paths in the Action of Vesiculation Moxibustion / 上海针灸杂志

From the three perspectives, skin stress response, medication-acupoint effect and neuroendocrine-immune system, this article discussed the action mechanism of vesiculation moxibustion therapy, to provide scientific evidence for the development of this therapy and to enhance its therapeutic efficacy.

Detection of the plasma miR-92a expression in systemic lupus erythematosus and its clinic significance / 中华风湿病学杂志

Objective To analyze miR-92a expression and its clinical significance in the plasma of systemic lupus erythematosus (SLE) patients.Methods Plasma samples from 44 SLE patients,16 rheumatoid arthritis (RA) patients and 20 healthy controls were collected.The small RNAs in these plasma samples were isolated and reversely transcribed.Using cel-miR-39 as the external reference,the levels of miR-92a expression were detected by real-time polymerase chain reaction (PCR) method.MiR-92a and cel-miR-39 were analyzed by real-time fluorescence quantitative PCR and agarose gel electrophoresis.The sensitivity and specificity of miR-92a as SLE were analyzed by receiver-operating characteristic (ROC) curve.The correlation between the levels of miR-92a expression and the clinic pathological features of SLE and biological significance of miR-92a expression in SLE were further analyzed by Pearson or Chi-square test.Results Our data indicated that the plasma levels of miR-92a expression was 49.20 (5.33,95.17) in SLE patients,411.30 (320.84,504.69) in healthy controls,and 25.59(11.20,30.54) in RA patients.The difference was significant (x2=40.77,P＜0.01).The area under the ROC curve (AUC) was 0.958 for discriminating between SLE patients and normal subjects and 1.00 for discriminating between RA patients and healthy controls.The levels of miR92a expression cutoff values were set the as 198.59 for healthy control and 85.35 for RA patients,the diagnostic sensitivity and specificity were 93.2％,90％,and 100％,100％,res-pectively.The analysis of the correlation between miR-92a expression and the clinic pathological features of SLE had shown that the levels of plasma miR-92a expressions were much lower in SLE patients with down-regulated complement C3,and up-regulated urea nitrogen,creatinine,LDH,ATH (all P＜0 05).Conclusion Down-regulated miR-92a expression in plasma of SLE may be involved in the SLE disease occurrence or development and could be used as a novel potential diagnostic biomarker for SLE.

Interaction between SPAG6 and TAC1 proteins / 中华男科学杂志

<p><b>Objective</b>To construct eukaryotic expression plasmids of the Tac1 gene and explore the interaction between TAC1 and sperm-associated antigen 6 (SPAG6).</p><p><b>METHODS</b>RNA was extracted from the heart, liver, spleen, lung, kidney, brain, muscle, and testis of 10 Kunming male mice and, after reverse transcription into cDNA, the expression of Tac1 in the above tissues was observed by RT-PCR. Tac1/pEGFP-N2 and Tac1/pGADT7 recombinant plasmids were constructed and Tac1/pEGFP-N2 was transfected into CHO and COS-1 cells, followed by localization and detection of the protein expression of TAC1 by immunofluorescence staining and Western blot. The interaction between TAC1 and SPAG6 was determined by yeast two-hybrid experiment and Western blot.</p><p><b>RESULTS</b>Tac1 was expressed mainly in the testis, brain and heart. The results of restriction enzyme digestion and sequencing indicated successful construction of the recombinant plasmids, with the restriction fragment length of 390 bp. TAC1 was localized in the whole body of the CHO cells when transfected alone, but expressed in the microtubule of the cells when cotransfected with SPAG6, with the molecular weight of 40 000. Yeast two-hybrid experiment showed the colonies of TAC1 and SPAG6 on the culture plate without Leu, Trp and His, both contained in the yeast fusion protein.</p><p><b>CONCLUSIONS</b>The Tac1 recombinant plasmid was constructed successfully and the interaction between TAC1 and SPAG6 was confirmed with the plasmid.</p>

Advances in studies on bear bile powder / 中国中药杂志

In this paper, a detailed analysis was made on relevant literatures about bear bile powder in terms of chemical component, pharmacological effect and clinical efficacy, indicating bear bile powder's significant pharmacological effects and clinical application in treating various diseases. Due to the complex composition, bear bile powder is relatively toxic. Therefore, efforts shall be made to study bear bile powder's pharmacological effects, clinical application, chemical composition and toxic side-effects, with the aim to provide a scientific basis for widespread reasonable clinical application of bear bile powder.

Root and alveolar bone status of maxillary labial inverted impacted incisor in mixed dentition after orthodontic treatment / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To study the alveolar bone surrounding situation and the length of the root of the maxillary labial inverted impacted incisor in mixed dentition after orthodontic treatment.</p><p><b>METHODS</b>Fourteen cases with maxillary labial inverted impacted incisor in mixed dentition were collected. Modified Nance arch and conventional appliance were used. Cone-bean CT (CBCT) was taken after the treatment. Simplant13.0 three-dimensional reconstruction and multi-planer reconstruction (MPR) method were used to observe the labial and lingual alveolar bone crest morphology, besides, the labial and lingual length from the alveolar bone crest to cemento-enamel junction (CEJ) of the impacted incisor and the homonym tooth after treatment, along with their root length and their labial and lingual length ratio of the root surrounded by the alveolar bone to the total root length were measured. The idependent samples t-test were used to analyze the variable differences.</p><p><b>RESULTS</b>The labial and lingual alveolar bone of fourteen cases crest of the diseased tooth after treatment presented general symmetry U shape from qualitative observation through the three-dimensional reconstruction. The labial and the lingual length of the diseased incisor from alveolar bone crest to CEJ [(2.47 ± 1.35) and (1.47 ± 0.84) mm] was significant increased than those of the homonym incisor [(1.03 ± 0.35) and (0.90 ± 0.37) mm] (P < 0.05); the length of the diseased incisor's post-treatment root [(9.82 ± 2.82) mm] was no statistically significant decreased than that of the homonym incisor root [(10.28 ± 1.38) mm, P = 0.59]; the labial and the lingual length ratio of the impacted tooth's root surrounded by the alveolar bone to the total root length [(72.83 ± 17.16)% and (85.32 ± 5.98)%] was statistically significant decrease than those of homonym teeth[(89.66 ± 3.98)% and (90.84 ± 4.61)%] (P < 0.05).</p><p><b>CONCLUSIONS</b>The diseased tooth's root had gotten enough length after the treatment. The labial and lingual alveolar bone of the maxillary labial inverted impacted incisor in mixed dentition can't offer sufficient adaptive hyperplasia after treatment, of which labial alveolar bone is more apparent, prompting careful protection when they were used.</p>

Experimental study on the cooling effect around large vessels while tissue heating by using U-tube phantom / 医用生物力学

Objective To investigate the cooling effect of blood flow on living tissue heating. MethodThe ultrasonic tissue phantom with a U-tube was used to simulate the living tissue with counter-current vessels. The distilled water with constant temperature (37.5 °C) was pumped into the phantom through the U-tube. The phantom was then immersed in another water bath and heated from 37.5 °C to 43.5 °C with a constant heating rate in order to simulate the environment of hyperthermia. Meanwhile, 46 thermocouples were employed to measure the temperatures of liquid flow, tube wall and the phantom. Finally, the experimental results of the temperature distribution were visualized by AVS (Advanced Visual System) software. ResultsWith the increase of flow velocity, the temperature of tissue was reduced, especially in the area surrounded by the U-tube. Moreover, the temperatures in the U tube bounded area reduced more significantly when the Reynolds number varied from 50 to 130. ConclusionsThis perfusion phantom experiment was successful to simulate the influences of the counter-current flow on the characteristics of the heat transfer. It showed that because of the existence of the counter-current vessels, the cooling effect of internal tissue surrounded by U-shaped tube was more evident.

Studies and reports of Chinese cut crude drug's dosage in clinical prescription of (section of medical department) / 中国中药杂志

<p><b>OBJECTIVE</b>Study the actual dosage of clinical prescription in medical department of traditional Chinese medicine (TCM), and offer the consummate data for formulating the dosage standard of Chinese cut crude drug.</p><p><b>METHOD</b>We made use of the methods of stratified sampling and random sampling to investigate 269 882 broth prescriptions of Medical Department of TCM in 21 various hospitals, 18 provinces, and constructed the database, then applied Weka KDD software to analyze.</p><p><b>RESULT</b>We identified the frequency and clinical dosage intervals of 300 drugs, and the practical dosage of 155 drugs which dose has difference between in the actuality and in the pharmacopoeia. Most of drug's dosage centralized the four intervals: (3-6], (9-12], (12-15], (18-21], and the concrete dosage were 3, 6, 10, 12, 15, 20 g, etc.</p><p><b>CONCLUSION</b>The dosages in the pharmacopoeia are not coincided with the practical dosages in internal medicine, and demand to revise. This paper will offer the consummate data for formulating the new dosage standard.</p>

Studies and reports of Chinese cut crude drug's dosage in clinical prescription of traditional Chinese medicine (section of gynecology) / 中国中药杂志

<p><b>OBJECTIVE</b>Study the actual dosage of clinical prescription in gynecology of traditional Chinese medicine (TCM), and offer the consummate data for formulating the dosage standard of Chinese cut crude drug.</p><p><b>METHOD</b>We made use of the methods of stratified sampling and random sampling to investigate 41,226 broth prescriptions of gynecology of TCM in 21 various hospitals, 18 provinces, and constructed the database, then applied Weka KDD software to analyze.</p><p><b>RESULT</b>We identified the frequency and clinical dosage intervals of 300 drugs, and the practical dosage of 155 drugs which dose has difference between in the actuality and in the pharmacopoeia. Most of drugs dosage centralized the three intervals: (3-6], (9-12], (12-15], and the concrete dosage were 9, 10, 12, 15 g, etc.</p><p><b>CONCLUSION</b>The dosages in the pharmacopoeia are not coincided with the practical dosages in gynecology, and demand to revise. This paper will offer the consummate data for formulating the new dosage standard.</p>

Studies and reports of Chinese cut crude drugs dosage in clinical prescription of traditional Chinese medicine (section of surgery) / 中国中药杂志

<p><b>OBJECTIVE</b>Study the actual dosage of clinical prescription in surgery of traditional Chinese medicine (TCM), and offer the consummate data for formulating the dosage standard of Chinese cut crude drug.</p><p><b>METHOD</b>We made use of the methods of stratified sampling and random sampling to investigate 84,759 broth prescriptions of surgery of TCM in 21 various hospitals, 18 provinces, and constructed the database, then applied Weka KDD software to analyze.</p><p><b>RESULT</b>We identified the frequency and clinical dosage intervals of 300 drugs, and the practical dosage of 155 drugs which dose has difference between in the actuality and in the pharmacopoeia. Most of drug's dosage centralized the four intervals: (3-6], (9-12], (12-15], (18-21], and the concrete dosage were 3, 6, 10, 12, 15, 20 g, etc.</p><p><b>CONCLUSION</b>The dosages in the pharmacopoeia are not coincided with the practical dosages in surgery, and demand to revise. This paper will offer the consummate data for formulating the new dosage standard.</p>

Studies and reports of Chinese cut crude drugs dosage in clinical prescription of traditional Chinese medicine (section of pediatrics) / 中国中药杂志

<p><b>OBJECTIVE</b>Study the actual dosage of clinical prescription in pediatrics of traditional Chinese medicine (TCM), and offer the consummate data for formulating the dosage standard of Chinese cut crude drug.</p><p><b>METHOD</b>We made use of the methods of stratified sampling and random sampling to investigate 38 736 broth prescriptions of pediatrics of TCM in 21 various hospitals, 18 provinces, and constructed the database, then applied Weka KDD software to analyze.</p><p><b>RESULT</b>We identified the frequency and clinical dosage intervals of 300 drugs, and the practical dosage of 155 drugs. Most of drug's dosage centralized the four intervals: (3-6], (6-9], (9-12], (12-15], and the concrete dosage were 6, 9, 10, 12, 15 g, etc.</p><p><b>CONCLUSION</b>The dosages in the pharmacopoeia are not coincided with the practical dosages in pediatrics, and demand to revise. This paper will offer the consummate data for formulating the new dosage standard.</p>

Illumination of pharmacoeconomics on Chinese herbal medicine inject / 中国中药杂志

This text emphasizes the present condition of the production and usage to Chinese herbal medicine inject, from the research angle of view of the pharmacoeconomics. Inquiry into the Chinese herbal medicine injects of the funds throw and throw in a funds and resources, the output of clinical health result and output a circumstance with social welfare, explicit the Chinese herbal medicine injected to take up a great deal of medicine health resources, but output not optimistic. Put forward the important meaning of pharmacoeconomics evaluation to Chinese herbal medicine inject that appears on market behind and carry on the main contents of the pharmacoeconomics evaluation thus.

Safety issues of traditional Chinese medical preparations containing arsenic substances: review starting from Niuhuang Jiedu Pian (Wan) / 中国中药杂志

By comprehensively reviewing the origin and history of Niuhuang Jiedu Wan and its "derivatives", we studied the clinical records of realgar, investigated its clinical usage, dosage, efficacy, and toxicity in the literatures. We pinpointed the factors that might be associated with safety problems of Niuhuang Jiedu Pian (Wan) and other traditional Chinese medicine (TCM) preparations containing arsenic substances. In this article we also put forward suggestions for strengthening the surveillance and administration of similar TCM preparations.