Mechanism of Epimedium intervention in heart failure based on network pharmacology and molecular docking technology.

To analyze the pharmacological mechanism of Epimedium in regulating heart failure (HF) based on the network pharmacology method, and to provide a reference for the clinical application of Epimedium in treating HF. Obtaining the main active ingredients and their targets of Epimedium through TCMSP (Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform) database. Access to major HF targets through Genecards, OMIM, PharmGKB, Therapeutic Target Database, Drug Bank database. Protein interaction analysis using String platform and construction of PPI network. Subsequently, Cytoscape software was used to construct the "Epimedium active ingredient-heart failure target" network. Finally, the molecular docking is verified through the Systems Dock Web Site. The core active ingredients of Epimedium to regulate HF are quercetin, luteolin, kaempferol, etc. The core targets are JUN, MYC, TP53, HIF1A, ESR1, RELA, MAPK1, etc. Molecular docking validation showed better binding activity of the major targets of HF to the core components of Epimedium. The biological pathways that Epimedium regulates HF mainly act on lipid and atherosclerotic pathways, PI3K-Akt signaling pathway, and chemoattractant-receptor activation. And its molecular functions are mainly DNA-binding transcription factor binding, RNA polymerase II-specific DNA-binding transcription factor binding, and neurotransmitter receptor activity. This study reveals the multi-component, multi-target and multi-pathway mechanism of action of Epimedium in regulating mental failure, and provides a basis for the clinical development and utilization of Epimedium to intervene in HF.

Construction and analysis of heart failure diagnosis model based on random forest and artificial neural network.

Heart failure is a global health problem and the number of sufferers is increasing as the population grows and ages. Existing diagnostic techniques for heart failure have various limitations in the clinical setting and there is a need to develop a new diagnostic model to complement the existing diagnostic methods. In recent years, with the development and improvement of gene sequencing technology, more genes associated with heart failure have been identified. We screened for differentially expressed genes in heart failure using available gene expression data from the Gene Expression Omnibus database and identified 6 important genes by a random forest classifier (ASPN, MXRA5, LUM, GLUL, CNN1, and SERPINA3). And we have successfully constructed a new heart failure diagnostic model using an artificial neural network and validated its diagnostic efficacy in a public dataset. We calculated heart failure-related differentially expressed genes and obtained 24 candidate genes by random forest classification, and selected the top 6 genes as important genes for subsequent analysis. The prediction weights of the genes of interest were determined by the neural network model and the model scores were evaluated in 2 independent sample datasets (GSE16499 and GSE57338 datasets). Since the weights of RNA-seq predictions for constructing neural network models were theoretically more suitable for disease classification of RNA-seq data, the GSE57338 dataset had the best performance in the validation results. The diagnostic model derived from our study can be of clinical value in determining the likelihood of HF occurring through cardiac biopsy. In the meantime, we need to further investigate the accuracy of the diagnostic model based on the results of our study.

HIV infection among men who have sex with men through online dating in Chongqing / 中国感染控制杂志

Objective To investigate online dating status and human immunodeficiency virus (HIV)infection among men who have sex with men (MSM)in Chongqing,and provide basis for effective intervention in HIV infec-tion among MSM.Methods 206 MSM in Chongqing were performed structured interview and questionnaire survey, MSM who didn’t conduct HIV testing within half a year were performed laboratory screening,sociological popula-tion characteristics and influencing factors of HIV in MSM were analyzed.Results The average age of 206 MSM was (22.08±1 .81)years old,137 (66.50%)received college education and above,HIV infection rate was 21 .36%(44/206).HIV infection rate in MSM who had no fixed partners was higher than those who had fixed partners;the more sexual partners they had,the greater the risk of HIV infection they got;HIV infection rate in MSM who had sex with unfamiliar persons or strangers was higher than those who had sex with familiar partners;the higher rate of condom use in sexual behavior,the lower rate of HIV infection was,there were significant differences among the groups(all P <0.05).Condom use among MSM with different educational levels was significantly different(all P <0.05).Conclusion HIV infection rate in MSM is high in this city,it is necessary to strengthen education about health,network partner,and behavioral intervention,reduce the bridge population connecting MSM network,es-tablish social support system of homosexuality,and reduce the risk of HIV infection in MSM.

Analysis of the Sexual Behavior and the Influential Factors of AIDS Infection among Out-of-school Adolescent MSM in Chongqing / 华中科技大学学报(医学版)

Objective To examine the current status of the sexual behavior among out‐of‐school adolescent men who have sex with men(MSM)and analyze the influential factors of AIDS infection in order to provide countermeasures.Methods The software SPSS 16.0 was used for cross table analysis and chi square test of questionnaire data and HIV detection data.Results The HIV infection rate was 21.36%.The household registration ,the only child ,living state ,coming out of the closet ,fixed sex‐ual partner ,the way they know sexual partners had no significant effects on HIV infection(P>0.05).Having multiple sexual partners(P<0.05) ,unfamiliar with sexual partners(P<0.05) ,having sex with network friends(P<0.05) ,no condom use in sexual life(P<0.01) ,having no regular HIV testing(P<0.01)were significantly related to HIV infection.Conclusion Reduc‐ing the sexual behavior among out‐of‐school adolescent MSM ,carrying out HIV counseling and testing ,promoting the use of condoms contribute to the reduction of HIV infection.

Three-dimensional image reconstruction and anthropometry of nasal cartilages in Chinese / 中华医学美学美容杂志

Objective To conduct a morphologic and anatomic study on nasal cartilages (including nasal alar cartilage, nasal septal cartilage and upper lateral cartilage) in Chinese, and to compare measured parameters with the other races. Methods 20 adult embalmed cadavers were dissected, 40 nasal alar cartilages, 20 nasal septal cartilages and 40 upper lateral cartilages were collected and scanned by CT, and three-dimensional images were reconstructed. As Zelnik' and Ofodile's work, the data of the images were collected. Results The distances from the nostril rim to the caudal boarder of the lateral crus in the series were (4. 54 ±0. 59) mm anteriorly, (5. 54±0. 69) mm in the middle, and (10. 45± 1. 15) mm posteriorly. The length of the lateral crus was (18. 51 ±1. 63) mm, the width was (7. 99±1. 66) mm, and the thickness was (0. 49±1. 28) mm. Conclusion The Caucasian nasal cartilages are the biggest in all races, and the other's were approximately same.

Breast reconstruction with superficial inferior epigastric artery flap / 中华医学美学美容杂志

Objective To present a method for breast reconstruction with the superficial inferior epigastric artery (S1EA) flap and to summarize the operative experiences. Methods The diameter and distribution were evaluated with multipledetector-row computed tomography (MDCT) angiography and doppler perfusion flowmeter. Bipedicle superficial inferior epigastric artery flap was designed below umbilicus. Superficial inferior epigastric artery and vein were anastomosed to the internal mammary artery and vein. Results Since 2007, we have used the superficial inferior epigastric artery flap in 4 cases of breast reconstruction. Four flaps survived completely. With the follow-up of 6-12 months, the reconstructed breasts were well-shaped and there were no complications such as abdominal hernia, bulge and weakness in donor sites. Conclusions Breast reconstruction using the superficial inferior epigastric artery flaps can not only preserve the advantages of the traditional method using the deep inferior epigastric perforator flaps, but also retain the maximal function of the fascia and the rectus abdominal muscle and prevent the occurrence of abdominal weakness and hernia. It is an ideal alternative method of breast reconstruction on condition that definitive preoperative assessment of vessels and skilled surgical technique are provided.

Anatomical division and electromyographic assessment within latissimus dorsi / 中华整形外科杂志

<p><b>OBJECTIVE</b>To evaluate the anatomical division within latissimus dorsi and its electromyographic change as shoulder articulation movement.</p><p><b>METHODS</b>Using anatomical observation, projection of trophic vessel and nerve of latissimus dorsi was marked in the surface of skin. Electromyographic assessment of different area of latissimus dorsi was measured.</p><p><b>RESULTS</b>The latissimus dorsi was mainly supplied by thoracodorsal and its interior and external branches. The latissimus dorsi can be divided three area based on these anatomical result. Electromyographic amplitude in the three areas of muscle are different.</p><p><b>CONCLUSION</b>Lastissimus dorsi can be divided into three areas by thoracodorsal vessel and nerve. The third area fibres were utilized preferentially when subjects performed six kinds of movements of the shoulder joint.</p>

The autotransplanted tracheas wrapped in united muscle flap of the neck: an experiment / 中华外科杂志

<p><b>OBJECTIVE</b>To investigate the way of revascularization of donator's trachea wrapped in united muscle flap.</p><p><b>METHODS</b>Using fiberoptic bronchoscopy, histopathology and microangiography, we evaluated the tracheal mucosal blood flow, the survival rate, the percentage of patency, and the graft viability of autograft tracheas with varying lengths wrapped in one-sided sternocephalic muscle flap and two-sided sternohyoid-sternothyroid muscle flap and autograft tracheas with the length of 5 rings without wrapped in muscle flap in 32 dogs.</p><p><b>RESULTS</b>In the tracheal autograft wrapped in the united muscle flap group with a length less than 4 centimeters, the submucosal blood flow of graft could be detected by laser blood flowmetry one week after transplantation, and it reached 60% of the normal, which had no significant difference between the place near the site of anastomosis and the middle part of the graft. Dense vessels could be found to grow from the wrapped muscles into the autografted trachea by microangiography. Histopathological examination demonstrated that the structure of the autograft was the same as what it originally was. the inner surface of the autograft was covered with pseudostratified columnar ciliary epithelia, and no necrotic tracheal cartilages were found. Every autograft could survive over long time. However, at 1 week, most mucous membrane in the middle part of the graft with length over 4 cm was in gray or in pale; hyperemia, edema, and haemorrhage were found near the site of anastomosis. Mucosal blood flow measured by laser blood flowmetry in the middle part of the graft was significantly less than that near the site of anastomosis. Malacia, dissolution or granulation hyperplasia occurred in midportion of the major grafts shortly after transplanatation. As for those autografted trachea without wrapping in muscles flap, mucous membranes turned black one week after the transplantation and all dogs died of graft necrosis later.</p><p><b>CONCLUSION</b>One-sided sternocephalic muscle flap and two-sided sternohyoid-sternothyroid muscle flap can provide blood for the graft and the grafted trachea can survive for a long time.</p>

DISTRIBUTION OF AFFERENT FIBERS IN VENTRAL SPINAL ROOTS TO THE SPINAL CORD AND MEDULLA OBLONGATA / 解剖学报

After severance the ventral spinal roots in 10 dogs, the distribution of the anterograde degeneration was studied by means of Nauta's technique with the following conclusions:1. After sectioning the ventral roots, degenerating fibers (including preterminal and terminal fibers) appeared regularly in the spinal cord and medulla oblongata. This confirms that there are afferent fibers which project into the central nervous system via the ventral spinal roots.2. These degenerating fibers ascended not only in the posterior funiculi, but also in the gray matter, so that the preterminal and terminal degenerations of the terminal branches or collateral branches were found in the columna grisea posterior of the thoracic and cervical segments above the surgically operated segments of the spinal cord.3. The preterminal and terminal degenerations were found in the reticular areas of the nucleus gracilis of the medulla oblongata and around the non-cluster cells.4. Degenerating fibers were unequally distributed, most of them located ipsilaterally. The degenerating fibers decreased in number in rostral segments.5. Afferent fibers in ventral roots differ from those in dorsal roots in distribution:a) From the operated segment and to far more rostral segments, afferent fibers of the ventral root were distributed in a more medial position in the spinal dorsal gray column, viz, "medial tendency", and then ascended after interposing into the funiculi gracilis. This is different from the afferent fibers of the dorsal root in the control group which were distributed in "equal tendency" in the dorsal column and took a "lateral addition fashion" of entering the funiculi gracilis.b) Apparently, much more afferent fibers in ventral roots projected contralaterally than those in the dorsal roots.c) It was also characteristic that the afferent fibers in ventral roots projected further toward the rostral segments of the spinal cord.