Correlation between the serum ferritin levels and the post-stroke depression at 3 months after ischemic stroke / 国际脑血管病杂志

Objective To investigate the correlation between the serum ferritin levels and the post-stroke depression (PSD). Methods From July 2014 to October 2015, the inpatients with the first-ever acute ischemic stroke were colected consecutively. Chemiluminescence microparticle immune assay was used to measure the serum ferritin levels within 24 h after admission. Depressive symptoms were screened by using the 17-item Hamilton depression scale (HAMD-17) at 3 months after onset. In patients with a HAMD-17 score ≥7, the depression was further diagnosed according to The Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Results A total of 200 patients with the first-ever acute ischemic stroke were enroled, 55 (27. 5% ) of them were diagnosed as PSD. There were significant differences in the body mass index (BMI), years of education, waist circumference, high sensitive-C-reactive protein, homocysteine, National Institutes of Health Stroke Scale score (at baseline, discharge, and day 90), mRs score (at discharge and day 90), BI (at discharge and day 90), and the proportions of widowed or solitary patients between the PSD group and the non-PSD group (al P 136. 375 μg/L was an independent risk factor for PSD (odds ratio 1. 041 per 1-quartile increase, 95%confidence interval 1. 009-1. 239; P = 0. 045). Conclusions The elevated baseline serum ferritin level is associated with PSD.

Predictive equations of lung function for adults in north China urban areas / 南方医科大学学报

<p><b>OBJECTIVE</b>To establish predictive equations of lung function for adults in urban areas in north China.</p><p><b>METHODS</b>A survey was conducted in 600 male and 600 female healthy adults in the urban areas in north China. Five flow-volume test parameters were measured including forced vital capacity (FVC) and forced expiratory volume in one second (FEV1). Stepwise multiple regression was carried out to establish the predicative equations for the parameters for male and female adults separately. The predicted values from these equations and those from other commonly used equations (such as ECCS equation and Knudson equation) were compared with the actual measurements in pulmonary function tests.</p><p><b>RESULTS</b>Four flow-volume test parameters, namely FVC, FEV1, 25% forced expiratory flow (FEF25%), and FEF75%, showed obvious differences between the male and female adults, while FEV1/FVC was not correlated with gender. Multiple regression analysis showed that FVC, FEV1, FEF25% and FEF75% were positively correlated with height and negatively with age, and FEV1/FVC was negatively correlated with both height and age. The parameters were not affected by body weight. The predicted values from our equations were closer to the actual measurements than those calculated from other equations.</p><p><b>CONCLUSION</b>The equations we established are more appropriate than the generally used equations for predicting lung functions in adults in north China urban areas.</p>

Nosocomial Infections Caused by Stenotrophomonas maltophilia:Conditions and Associated Risk Factors / 中华医院感染学杂志

OBJECTIVE To investigate the conditions and associated risk factors of nosocomial infections caused by Stenotrophomonas maltophilia.METHODS Thirty isolates of S.maltophilia causing nosocomial infections were collected and identified with API 20NE test strips.Minimal inhibitory concentration(MIC) of 14 antimicrobial agents against 30 isolates was determined by broth microdilution method.Case-control study and multivariate Logistic regression analysis were used for statistics to verify risk factors of infections caused by S.maltophilia.RESULTS Thirty isolates of S.maltophilia were highly resistant to imipenem,meropenem,cefotaxime, aztreonam and amikacin,but showed certain susceptibility to cefoperazone/sulbactam,piperacillin/tazobactam,trimethoprim-sulfamethoxazole and ticarcillin/clavulanic acid(96.7%,76.7%,73.3% and 60.0%,respectively).The independent risk factors leading to infections of S.maltophilia were mechanical ventilation(OR=7.629) and over 60 days of length of stay(OR=4.466).CONCLUSIONS S.maltophilia shows multiresistance to commonly used antimicrobial agents.The mechanical ventilation and over 60 days of length of stay are the independant risk factors for nosocomial infections caused by S.maltophilia.

Induction of ?-Lactams on L1,L2 ?-Lactamases from Stenotrophomonas maltophilia / 中华医院感染学杂志

OBJECTIVE To compare commonly used antibiotics including cefotaxime,ceftazidime imipenem and meropenem inductivity to L1,L2 ?-lactamases from Stenotrophomonas maltophilia.METHODS RT-PCR method was used to determine the expression of L1,L2 ?-lactamases under the condition of different concentrations(1/4,1,4?MIC)of antimicrobial agents.Electrophoresis strip of L1,L2 ?-lactamases was quantified by software Image J.Minimal inhibitory concentrations(MICs)were detected by agar dilution method when different concentrations of antibiotics were as inductors.RESULTS Different concentrations of four antibiotics being used as inductors,electrophoresis strips of L1,L2 amplicons were not found in strains of blank control and those whose media had imipenem,meropenem or cefotaxime(4?MIC).The weaker electrophoresis strips were found in the isolates whose media had ceftazidime(1/4,1,4?MIC)or cefotaxime(1/4?MIC),but the strongest electrophoresis strips,the most quantities of expression and higher MICs were shown in the isolates whose media had cefotaxime(1?MIC)(P