Layout and management of the surgical intensive care unit during the novel coronavirus infection epidemic period / 西安交通大学学报(医学版)

Objective: To discuss the key points of reconstruction from the surgical intensive care unit (SICU) to the negative pressure isolation ward which can treat patients with novel coronavirus pneumonia (NCP, COVID-19). Methods: The key points of the reconstruction are as follows: establishment of "three zones and two passages", transformation of the ventilation system, process management of personnel access room, and introduction of the visual management concept. Results: The reconstructed SICU can maintain the original space area. As for space layout, there are separate clean zone, semi-polluted zone and polluted zone as well as a separate passage for patients and medical personnel respectively, without the two groups of people contacting each other. To achieve positive air pressure in the clean zone, negative air pressure in the semi-polluted zone is -5 Pa to -10 Pa, and negative air pressure in the patient zone is -10 Pa to -20 Pa. And we ensure that the pressure difference (negative pressure) in adjacent rooms with the same pollution level is not less than 5 Pa. Under normal circumstances, the pressure can be switched to positive one for admission of general ICU patients. Results: Through the reconstruction, the SICU can meet the requirements of treatment of COVID-19 patients. The main points of reconstruction are space layout and the air conditioning and ventilation system.

Use of highway culverts by the water opossum (Chironectes minimus) in southeastern Brazil / Uso de drenagens fluviais sob rodovias pela cuíca dagua (Chironectes minimus) no sudeste do Brasil

Abstract The water opossum (Chironectes minimus) is a semi-aquatic mammal that is infrequently sampled in Atlantic rainforest areas in Brazil. Here we report on new records of C. minimus in the state of São Paulo, southeastern Brazil, and comment on its behavior and ecology. We placed nine camera traps in culverts and cattle boxes under a highway, between 2017 and 2019. From a total of 6,750 camera-trap-days, we obtained 16 records of C. minimus (0.24 records/100 camera-trap-days) in two cameras placed in culverts over streams. Most of the records were made between May and August, in the dry season and in the first six hours after sunset. The new records are from a highly degraded area with some riparian forests. The records lie approximately 30 km away from the nearest protected area where the species is known to occur. We suggest that C. minimus has some tolerance to degraded habitats, as long as the water bodies and riparian forests are minimally preserved. The new records presented here also fill a distribution gap in western São Paulo state.

Resumo A cuíca d'agua (Chironectes minimus) é um mamífero semiaquático pouco amostrado em áreas de Mata Atlântica do Brasil. Neste estudo apresentamos novos registros de C. minimus no estado de São Paulo, sudeste do Brasil, e comentamos sobre seu comportamento e ecologia. Nós instalamos nove armadilhas fotográficas em drenagens fluviais e passagens de gado sob uma rodovia, entre 2017 e 2019. De um total de 6.750 armadilhas-fotográficas-dia, obtivemos 16 registros de C. minimus (0,24 registros/100 armadilhas-fotográficas-dia) em duas armadilhas fotográficas instaladas em drenagens fluviais. A maioria dos registros foram feitos entre maio e agosto, na estação seca, e nas seis primeiras horas da noite. Os novos registros são de uma área altamente degradada que possui algumas matas ciliares. Os registros estão a aproximadamente 30 km da área protegida mais próxima onde a espécie já foi registrada. Nós sugerimos que C. minimus possui certa tolerância a hábitats degradados, contanto que os corpos d'agua e as matas ciliares estejam minimamente preservados. Os novos registros aqui apresentados também preenchem uma lacuna amostral no oeste de São Paulo.

Comparative study of proliferative and periodontal differentiation propensity of induced pluripotent stem cells at different passages / 北京大学学报(医学版)

Objective:To compare the proliferative and periodontal specific differentiation abilities of induced pluripotent stem cells (iPSCs) at different passages,and to investigate whether long term culturing would have a negative influence on their proliferation and specific differentiation capacity,thus providing a theoretical basis for further in-depth research on periodontal regeneration and the possible clinical applications of iPSCs.Methods:IPSCs derived from human gingival fibroblasts at passages 5,10,15 and 20 were recovered and cultured in vitro.Their morphology and proliferation rates were observed respectively.We further induced the iPSCs at different passages toward periodontal tissue under the treatment of growth/differentiation factor-5 (GDF-5) for 14 days through the EB routine,then compared the periodontal differentiation propensities between the different passages of iPSCs by detecting their calcified nodules formation by Alizarin red staining and assaying their relative periodontal tissue related marker expressions by qRT-PCR and immunofluorescence staining,including bone related markers:osteocalcin (OCN),bone sialoprotein (BSP);periodontal ligament related markers:periostin,vimentin;and cementum related markers:cementum attachment protein (CAP),cementum protein 1 (CEMP1).The untreated spontaneous differentiation groups were set as negative controls respectively.Results:iPSCs at different passages all showed a high proliferative capacity when cultured in vitro and turned into a spindlelike shape similar to fibroblasts upon periodontal specific differentiation.All iPSCs formed typical calcified nodules upon GDF-5 induction by Alizarin red staining in comparison to their untreated controls.The relative calcium deposition at all passages had been significantly upgraded under the treatment of GDF-5 (P5:t =2.125,P =0.003;P10:t =2.246,P =0.021;P15:t =3.754,P =0.004;P20:t =3.933,P =0.002),but no significant difference in their calcium deposition were detected within passages 5,10,15 and 20 (periodontal differentiation:F =2.365,P =0.109;spontaneously differentiation:F =2.901,P =0.067).Periodontal tissue related marker expressions of iPSCs at all passages had also been significandy upgraded under the treatment of GDF-5 (P ＜ 0.05),but still,no significant difference in their expression levels of periodontal tissue related proteins were detected within passages (BSP:F =0.926 7,P=0.450;vimentin:F=0.917 1,P=0.455;CEMP1:F=2.129,P=0.1367).Conclusion:Our results preliminarily confirmed that long term culturing won't influence the proliferation capacity and periodontal specific differentiation propensity of iPSCs,as they can still proliferate and differentiate toward periodontal cells with high efficiency upon growth factor induction after continuous passaging.Therefore,iPSCs could be recognized as a promising cell source for future possible application in periodontal tissue regeneration.

Molecular stability of a vaccine strain of Canine coronavirus after serial passages in A72 cells / Estabilidade molecular de uma amostras vacinal de Coronavírus canino após passagens seriadas em células A72

Canine coronavirus (CCoV) exists in types I and II and infects dogs leading mainly to enteritis, though type II has already been associated with generalized and highly lethal infection. A CCoV-type II inactivated vaccine produced in A72 canine cells is available worldwide and largely used, though the molecular stability after serial passages of vaccine seeds is unknown. This article reports the evolution of the CCoV-II vaccine strain 1-71 in A72 cells based on partial S gene sequencing, showing the predominance of neutral evolution and the occurrence of four sites under purifying selection. Thus, cell-adapted strains of CCoV-II may be genetically stable after serial passages in a same cell line due to a stable virus-host relationship.(AU)

O Coronavírus canino (CCoV) ocorre como tipos I e II e infecta cães, levando principalmente a enterite, apesar do tipo II já ter sido associado à infecção generalizada e altamente letal. Uma vacina de CCoV-II inativada produzida em células caninas A72 é disponível mundialmente e largamente utilizada, apesar da sua estabilidade molecular após passagens seriadas de sementes vacinais ser desconhecida. Este artigo relata a evolução da amostra vacinal CCoC-II 1-71 em células A-72 com base em sequenciamento parcial do gene S, demonstrando predomínio de evolução neutra e a ocorrência de quaro sítios sob seleção purificante. Portanto, amostras de CCoV-II adaptadas a cultivos celulares podem ser estáveis geneticamente após passagens seriadas em uma mesma linhagem celular devido à existência de uma relação estável vírus-hospedeiro.(AU)

Advanced Properties of Urine Derived Stem Cells Compared to Adipose Tissue Derived Stem Cells in Terms of Cell Proliferation, Immune Modulation and Multi Differentiation

Adipose tissue stem cells (ADSCs) would be an attractive autologous cell source. However, ADSCs require invasive procedures, and has potential complications. Recently, urine stem cells (USCs) have been proposed as an alternative stem cell source. In this study, we compared USCs and ADSCs collected from the same patients on stem cell characteristics and capacity to differentiate into various cell lineages to provide a useful guideline for selecting the appropriate type of cell source for use in clinical application. The urine samples were collected via urethral catheterization, and adipose tissue was obtained from subcutaneous fat tissue during elective laparoscopic kidney surgery from the same patient (n = 10). Both cells were plated for primary culture. Cell proliferation, colony formation, cell surface markers, immune modulation, chromosome stability and multi-lineage differentiation were analyzed for each USCs and ADSCs at cell passage 3, 5, and 7. USCs showed high cell proliferation rate, enhanced colony forming ability, strong positive for stem cell markers expression, high efficiency for inhibition of immune cell activation compared to ADSCs at cell passage 3, 5, and 7. In chromosome stability analysis, both cells showed normal karyotype through all passages. In analysis of multi-lineage capability, USCs showed higher myogenic, neurogenic, and endogenic differentiation rate, and lower osteogenic, adipogenic, and chondrogenic differentiation rate compared to ADSCs. Therefore, we expect that USC can be an alternative autologous stem cell source for muscle, neuron and endothelial tissue reconstruction instead of ADSCs.

Selección de variantes de virus dengue sensibles a la heparina en células BHK-21 / Selection of heparin-sensitive dengue virus variants in BHK-21 cells

Estudios previos han demostrado que la adaptación de diversos virus a crecer en líneas celulares de vertebrados, conduce a la selección de variantes virales que unen al heparán sulfato (HS) con alta afinidad. En el presente trabajo se determinó la susceptibilidad de cepas del virus dengue (DENV) a la heparina hipersulfatada un análogo al HS, después de pases seriados en células BHK-21. A aislados de campo de los cuatro serotipos de DENV, se les realizaron ocho pases seriados en células BHK-21. La adaptación de los DENV al cultivo celular seleccionó variantes virales con una aumentada capacidad replicativa en células BHK-21 y una incrementada susceptibilidad a la heparina, en relación a las respectivas cepas no adaptadas, obteniéndose una inhibición de la infectividad más significativa en DENV-2 y DENV-4. Las cepas de DENV adaptadas presentaron cambios en la secuencia de aminoácidos de la proteína de envoltura (E), en particular una substitución K204R para DENV-1, N67K para DENV-2, K308R y V452A para DENV-3 y E327G para DENV-4. Estas sustituciones implicaron ganancia de residuos básicos que incrementaron la carga neta positiva de la proteína. Los resultados sugieren, que la adaptación de cepas de DENV a células BHK-21 selecciona variantes virales sensibles a la heparina y que la efectividad de este compuesto varía dependiendo de la cepa viral. Además sugieren que el HS puede jugar un papel importante en la infectividad de las cepas de DENV adaptadas al cultivo celular, a diferencia de los aislados de DENV no adaptados.

Several studies have shown that adaptation of various viruses to grow in certain cell lines of vertebrates, leads to the selection of virus variants that bind heparan sulfate (HS) with high affinity. In this study we investigated the susceptibility of strains of dengue virus (DENV) to oversulfated heparin an analogue of HS after passages in BHK-21 cells. Field isolates of the four serotypes of DENV with a limited number of passes in mosquito cells C6/36HT were serially passaged eight times in BHK-21 cells. The adaptation of the DENV to the cell culture selected viral variants with an increased replicative capacity in BHK-21 cells and an increased susceptibility to heparin compared with the original not adapted strains, with a more significant inhibition of the infectivity in DENV-2 and DENV-4.The E protein of the adapted strains showed changes in the amino acid sequence, particularly at the position K204R to DENV-1, N67K to DENV-2, K308R and V452A for DENV-3 and E327G to DENV-4. These substitutions implicated a gain of basic residues that increased the net positive charge of the protein. These results suggest that adaptation of DENV strains to BHK-21 cells implies changes in the envelope protein, changes associated to the protein reactivity with heparin, the inhibitory effectiveness of this compound varying depending on the viral strain. In addition, these results suggest that the HS can play an important role in the infectivity of the DENV strains adapted to vertebrate cell culture, but not in the infectivity of non-adapted DENV isolates.

Enhancing medical humanity qualities by teaching English passages with medical theme / 中华医学教育探索杂志

Containing unique medical information and profound humanistic connotation,pas-sages with medical theme tend to be processed in a relatively superficial way in reading courses. This paper discussed the significance of English passages with medical theme and elucidated the de-pressing situation in teaching and learning as well as the reasons. Several approaches were proposed to resolve the present dilema in an attempt to improve the comprehensive humanistic qualities of med-ical students.

Experimental investigation on tumorigenicity of Vero cell in the process of passage / 中华微生物学和免疫学杂志

Objective To produce an experimental information for the safety assessment of Vero cells during subculture. Methods Passage and freeze on Vero cells, and Vero cells in different passages in vitro and in vivo tumorigenicity were tested. The protein expression of different Vero cell passages was analyzed. Results Vero cells passaged to p270 and 14 cell banks were developed and stored for future evaluation. In vitro and in vivo tumorigenicity Lest results of Vero cells in different passages were negative. Conclusion Although the tumorigenicity test results in vitro and in vivo process were negative, the protein expression of more than p200 Vero cells were changed, which produced the experimental reference for the safety evaluation of the process during the Vero cell passage.

Swimming performance of the freshwater neotropical fish: Pimelodus maculatus Lacepède, 1803 / Capacidade natatória da espécie neotropical de água doce: Pimelodus maculatus Lacepède, 1803

The present study used fixed and increasing velocity tests in an experimental apparatus based on Brett's respirometer to examine prolonged and sustained speeds of the "mandi-amarelo", Pimelodus maculatus. When comparing the curves of critical speed versus total length between the mandi and the sockeye salmon Oncorhynchus nerka, it is observed that for an equal total length, the mandi presents a greater speed, probably due to water temperature differences. The sustained speed for the species was estimated in 5 lengths per second and the percentage of fatigued fish within time in a certain velocity was established. The data raised for the mandi represents an important contribution to the improvement of the handling of the species, providing guidance and criteria for designing several structures, such as fishways, fish screens and guidance systems.

No presente estudo, foram utilizados testes de velocidade fixa e progressiva em um aparato experimental baseado no respirômetro de Brett, para examinar as velocidades prolongada e sustentável do mandi-amarelo, Pimelodus maculatus. Quando comparadas as curvas de velocidade crítica versus o comprimento do corpo entre o mandi e o salmão Oncorhynchus nerka, é observado que, para um mesmo comprimento, o mandi apresenta velocidades superiores, provavelmente devido a diferenças na temperatura da água. Foram estimadas a velocidade sustentável da espécie em cinco comprimentos por segundo e a porcentagem de peixes fatigados ao longo do tempo em uma dada velocidade estimada. Os dados obtidos para o mandi representam uma importante contribuição para o manejo da espécie, provendo critérios de projeto para a construção de estruturas como mecanismos de transposição e sistemas de proteção e orientação.

Gastrojejunal Fistula with Jejunal Rotation Caused by Two Ingested Magnets in a Child: A Case Report

Among the common foreign bodies that are ingested by children, ingesting multiple magnets is known to be hazardous due to the gastrointestinal complications caused by the magnets attracting each other across the bowel walls. We present here a case of gastrojejunal fistula and jejunal rotation that was caused by two ingested magnets in a 5-year-old girl, and we also present the findings of simple abdomen radiography, a small bowel series and computed tomography. The unchanged position of the radiopaque metallic foreign bodies on the serial abdominal radiographs suggests the inadvertent ingestion of multiple magnets.

Foreign bodies in the food and air passages

Ninety-five cases of foreign bodies in the food and air passages removed by the author at the Bronchoscopic Clinic of the Philippine General Hospital was analyzed. Of these 95 consecutive cases of foreign bodies, in 76 cases these were in the oesophagus and in 19 cases, in the respiratory tract. The different foreign bodies and their incidence were given including the age incidence and the most common sites of lodgement of the foreign bodies in the oesophagus and air passagesThe most common symptoms observed in foreign bodies of the oesophagus and air passage were given and analyzed. Diagnosis and its attendant complications were also givenPrognosis as a whole is good if properly diagnosed and properly removed. Out of the 95 cases recovery was obtained in 94 or 99%Bronchoscopy and removal of the foreign body was the only treatment worthy of consideration. Complications were treated accordingly. (Summary)