Preparation for neonatal resuscitation in delivery room / 中华围产医学杂志

Correct neonatal resuscitation is the primary way to reduce perinatal mortality and neurological sequelae, and adequate preparation is essential. This article introduces the details for preparing neonatal resuscitation (including antenatal consultation) and ways to optimize the practice, aiming to improve the success rate of neonatal resuscitation.

Development and evaluation of ultrasound contrast agents with AS1411-conjugated nanoparticles with liquid core / 中南大学学报(医学版)

To prepare AS1411 targeted nano-ultrasonic contrast agent with liquid core, and to evaluate its ability for ultrasonic contrast enhancement and targeting MCF-7 cell in vitro.
 Methods: The modified solvent evaporation, self-synthesized membrane material and perfluorobrominane (PFOB) was used to form nano-ultrasonic contrast agent with PFOB core (nanoparticles, NP); then N-(3-dimethylaminopropyl)-N'-ethylcarbodiimide hydrochloride and N-hydroxysuccinimide (EDC/NHS) catalysis was used to connect AS1411 to the surface of NP to prepare NP-AS1411. The transmission electron microscopy was chosen to check the morphology of NP-AS1411. The size, surface charge, encapsulation efficiency, biocompatibility, the contrast grey value and the stability of NP-AS1411 and NP were compared. Whether AS411 was attached to the surface of NP was checked by gel electrophoresis. Fluorescence microscopy and flow cytometry were performed to examine the targeting ability of AS1411.
 Results: NP-AS1411 was a shell-nuclear structure under the electron microscope. Its size was at (245.4±16.5) nm, which was larger than that of NP (P=0.05). There was no significant difference in surface charge and encapsulation efficiency between NP-AS1411 and NP (P>0.05). In the MTT experiment, the cell viability decreased significantly at high concentration of NP-AS411 (25 mg/mL) after incubation for 24 h compared with the control group (0 mg/mL ) (P0.05). The contrast grey value of AS1411-NP was 80.1±9.2 after keeping at room temperature for 24 h, which showed no obviously change comparing with that before the treatment (P>0.05). The size of NP-AS1411didn't change too (P>0.05). The results of gel electrophoresis demonstrated that the AS1411 connecting to the surface of NP was the most when the molar ratio of NP:AS1411 was at 40:1. Flow cytometry analysis confirmed that NP and NP-AS1411 were combined with MCF-7 cells separately but the fluorescence produced by the combination of NP-AS1411 and MCF-7 was more intense.
 Conclusion: The modified solvent evaporation and EDC/NHS catalysis could successfully prepare ultrasound contrast agents with aptamer-conjugated nanoparticles with liquid core. The targeted ultrasonic contrast agents with liquid core possess good ultrasonic contrast enhancement ability in vitro, stability and specificity as well.

Effects of different depths of sedation during combined intravenous-inhalational anesthesia on postoperative cognitive function in patients undergoing gynecological laparoscopic surgery / 中华麻醉学杂志

Objective To investigate the effects of different depths of sedation during combined intravenous-inhalational anesthesia on postoperative cognitive function in patients undergoing gynecological laparoscopic surgery.Methods Ninety ASA Ⅰ or Ⅱ patients,aged 20-64 yr,with a body mass index of 19-30 kg/m2,scheduled for elective gynecological laparoscopic operation,were randomly divided into 3 groups (n =30 each).Anesthesia was induced with midazolam,fentanyl,propofol and rocuronium.The patients were tracheal intubated and mechanically ventilated.Anesthesia was maintained with inhalation of sevoflurane (end-tidal concentration 1.0％-1.5 ％),iv infusion of remifentanil and intermittent iv boluses of rocuronium.The infusion rate of remifentanil was adjusted to maintain BIS value:30 ＜ BIS value ≤ 40 in group Ⅰ,40 BIS value ≤ 50 in group Ⅱ and 50 ＜ BIS value≤60 in group Ⅲ.Cognitive function was assessed using Mini-Mental State Examination (MMSE) and TrailMaking Test (TMT) at 1 d before anesthesia and 1 d after surgery.Results MMSE scores were ＞ 24 at 1 d before anesthesia and 1 d after surgery in all the three groups,and there was no significant difference within each group and among the three groups (P ＞ 0.05).Compared with the baseline value,TMT completion time was significantly prolonged at 1 d after surgery in groups Ⅰ and Ⅲ,while shortened in group Ⅱ (P ＜ 0.05).Compared with groups Ⅰ and Ⅲ,TMT completion time was significantly shortened at 1 d after surgery in group Ⅱ (P ＜0.05).Conclusion The depth of sedation,40 ＜ BIS value ≤ 50,during combined intravenous-inhalational anesthesia with sevoflurane and remifentanil has less influence on postoperative cognitive function in patients undergoing gynecological laparoscopic surgery.

Effects of MCTP on production of nitric oxide and expression of eNOS protein of cultured pulmonary artery endothelial cells and contractility of cultured pulmonary artery smooth muscle cells / 中国药理学通报

Aim To investigate the effects of monocrotaline pyrrole on production of nitric oxide and expression of eNOS protein of cultured pulmonary artery endothelial cells and on contractility of cultured pulmonary artery smooth muscle cells.Methods DAF-2 fluorescence technique was used to determine NO level,Western blot analysis was performed to determine the level of eNOS protein,and collagen gel contraction system was adopted to analyze muscle contractility.Results NO production induced by ACh and expression of eNOS protein were obviously inhibited by monocrotaline pyrrole compared with those of control group and gel contraction area in MCTP-treated cells induced by Thapsigargin obviously decreased.Conclusions monocrotaline pyrrole could inhibit the level of the ACh-induced production of NO and expression of eNOS protein,and enhance the contractility of pulmonary artery smooth muscle cells,which may be one of the possible mechanisms of MCTP-induced pulmonary artery hypertension.