Expression of differential nitric oxide synthase isoforms in human gastric mucosa infected with Helicobacter pylori

Objective: To study the relationship between nitric oxide synthase ( NOS) expression in human gastric mu-cosa and Helicobacter pylori (H. pylori) infection. Methods: Gastric mucosa samples were obtained from antrum of 33 patients received gastroendoscopy. H. pylori infection was confirmed by Giems staining and bacteria culture under mi-croaerophilic conditions. Expression of iNOS, eNOS and nitrotyrosine were detected by immunohistochemistry. Results: (1) The positive rate of H. pylori infection was 66. 7% (22/33) . (2) iNOS positive staining in inflammatory cells was detected in 77. 3% (17/22) of samples with H. pylori and 27. 3% (3/11) without H. pylori infection (P < 0.01). (3) eNOS expression in inflammatory cells was found in 77. 3% (17/22) of samples with H. pylori and 18.2% (2/11) without H. pylori infection ( P < 0. 01) . (4) Nitrotyrosine expression in inflammatory cells was observed in 59. 1% ( 13/22) of samples with H. pylori and 54.5%(6/11) without H. pylori infection (P>0.05). (5) Moderate a     

超顺磁性氧化铁Resovist标记神经干细胞的实验研究

目的研究超顺磁性氧化铁（superparamgnetic iron oxides，SPIOs）标记神经干细胞及其生物学特性．方法：神经干细胞培养、传代和诱导分化；Resovist（一种SPIOs）标记神经干细胞。制备磁标记神经干细胞；利用免疫细胞化学、透射电镜和Prussian blue染色等方法对磁标记神经干细胞生物学特性进行研究。结果：在原代及传代细胞中有Nestin阳性细胞即神经干细胞．血清诱导下，神经干细胞可分化为GFAP、NF200阳性细胞．Resovist与神经干细胞共同孵育后，透射电镜及Prussian blue染色显示胞浆中含有铁颗粒，Resovist也可以随细胞的分裂增殖而传到子代细胞中。随Resovist浓度的增高（5．6μg／ml-11．2μg/ml），Resovist对神经干细胞存活、分化能力的影响无显著性差异（P〉0．05）．当Resovist的浓度大于22．4μg／ml时。Resovist影响其存活和分化（P〈0．05）。结论：本实验利用Resovist作为磁标记探针，对神经干细胞进行成功磁标记，为进一步利用核磁共振（MRI）对神经干细胞活体追踪奠定实验基础。     

基质金属蛋白酶在胎膜早破中的表达

目的:探讨基质会属蛋白酶MMP-2、-9及其组织抑制因子TIMP-1、-2与胎膜早破发病的关系.方法:应用免疫组化技术检测35例胎膜早破足月产妇、30例临产胎膜完整足月产妇及20例未临产胎膜完整足月产妇胎膜中MMP-2、MMP-9、TIMP-1、TIMP-2蛋白的表达水平.结果:MMP-2、-9蛋白在胎膜早破组表达明显高于临产组和对照组,两者比较,差异有显著性(P＜0.05),而在临产组的表达与对照组比较差异无显著性(P＞0.05).TIMP-1、-2蛋白对照组表达最高,临产组次之,胎膜早破组最低,但差异无显著性(P＞0.05).结论:胎膜组织中MMP-2、-9升高与胎膜早破的发生有关;MMP-2、-9及TIMP-1、-2在胎膜早破患者的胎膜组织中表达失衡导致胎膜破裂.     

十二指肠镜下逆行胆胰管造影及取石并发急性胰腺炎6例分析

目的探讨十二指肠镜下逆行胆胰管造影(ERCP)及取石(EST)引发急性胰腺炎的防治方法。方法对该院已行ERCP和EST的42例患者的临床资料进行回顾性分析。结果6例术后并发急性胰腺炎，其中1例死亡。结论ERCP和EST引发急性胰腺炎，主要有两种情况，一是化学刺激引发急性胰腺炎；另一方面为共同通道受阻引发急性胰腺炎，只有在操作中认真防范，术后仔细观察、处理，该并发症是可以防治的。     

无张力性吊带术治疗女性压力性尿失禁

目的探讨无张力阴道吊带术(tension-free vaginal tape，TVT)治疗女性压力性尿失禁的疗效。方法13例经尿动力学检查证实为压力性尿失禁在连续硬膜外麻醉下经阴道前壁行无张力阴道吊带术，低平截石位，经阴道前壁向上穿刺尿道两侧间隙，从耻骨上腹壁引出TVT吊带，调整张力，关闭切口。结果手术时间15～45min，平均35min。13例随访6～24个月，平均13个月，12例治愈，1例改善，无尿失禁复发或排尿困难。结论TVT操作简单，创伤小，手术时间短，术后恢复快，治疗压力性尿失禁疗效好。     

原发性单纯性脑干出血52例临床研究

目的研究原发性单纯性脑干出血的病因、诊断、治疗、预后及预防。方法对52例原发性单纯性脑干出血的临床资料进行回顾性分析。结果预后良好25例，优良率为48．1％；死亡21例，死亡率40．4％；出血量≤5．0ml死亡率21．9％（7／32），出血量≥5．1ml死亡率70．0％（14／20），出血量〉10.0ml 10例全部死亡。结论原发性单纯性脑干出血发病急，病情重，死亡率高，预后差；高血压为本病的主要发病原因；CT是原发性单纯性脑干出血的安全、可靠诊断方法；适时进行气管切开及亚低温治疗能有效提高疗效及降低死残率；严格控制血压是预防原发性单纯性脑干出血的重要措施。     

S-F内固定器治疗胸腰椎爆裂型骨折

目的　探讨使用S -F脊柱内固定器治疗胸腰椎爆裂型骨折的效果。方法　回顾分析从 2 0 0 0年 1月～ 2 0 0 2年 4月使用S-F脊柱内固定器治疗的胸腰椎爆裂型骨折 4 4例 ,比较手术前后的椎体前后缘高度 ,椎管狭窄程度 ,Cobb角及症状恢复情况。结果　经平均 2年左右的随访 ,术后椎体前缘平均高度达正常的 93 8%± 6 2 7% ,较术前增加了 4 2 5 3%。椎体后缘平均高度达到正常的 97 5 9%± 0 0 3% ,较术前增加了 1 6 5 2 %。脊柱后凸Cobb为 4 98°± 3 32°。较术前矫正了 1 4 6 8°。CT片显示椎体后突骨块占椎管前后径的比例为 9 5 9%± 7 2 1 % ,较术前减少 2 7 71 %。统计学分析差异有显著性 (P <0 0 5 )。有神经功能损伤者 ,术后平均改进一级以上。在术后二周与术后一年以上的X线片相比较其椎体前缘的高度平均仅丢失 1 0 % ,椎体后缘的高度平均丢失 0 8% ,Cobb角平均丢失 0 1°。结论　使用S -F脊柱内固定器治疗胸腰椎爆裂型骨折具有操作简单、复位完美、固定牢靠、疗效优良的优点。术中注意不宜过度撑开及双侧不对称 ,对椎板减压者宜作“H”型椎板后路植骨 ,横突间、关节突间植骨融合将提高疗效、减少并发症     

3423份病案质量调查分析

随机抽查某医院2001年9月-2002年6月出院病案3423份,占同期出院病案的26.9％。按有关标准对其质量进行了 审查,并针对存在的质量问题,提出了对策性意见。     

Effect of curcumin on nitric oxide synthase expression in Iipopolysaccharide-activated microglia cells and the anti-oxidative effect of curcumin

BACKGROUND: It has been demonstrated that curcumin can increase the activities of various anti-oxidase in blood and tissue, effectively eliminate various free radicals, reduce the production of peroxisome, and alleviate oxidative stress reaction. Whether it has the same effect on microglia? OBJECTIVE: To observe the effects of curcumin on the expressions of inducible nitric oxide synthase (iNOS), nuclear factor-κB (NF-κB), and superoxide dismutase (SOD) in microglial cell line BV stimulated by lipopolysaccharide (LPS). DESIGN: An observational comparative study. SETTING: Research Room of Biochemistry, Medical College of Nantong University. MATERIALS: Mice microglia cell line BV, iNOS and NF-κB reporter gene plasmids were presented by Dr. Bhat.NR. from the Medical University of South Carolina (USA). Curcumin was produced by the Xi'an Branch of China Chengdu Scholar Bio-Tech. Co.,Ltd.; LPS (E.Coli O26:B6), anti-mice iNOS monoclonal antibody, horseradish peroxidase labeled goat-anti-mice IgG were the products of Sigma Company (USA). METHODS: The experiments were carried out in the Research Room of Biochemistry, Medical College of Nantong University from May 2006 to April 2007. ① Detection of iNOS: The cells were seeded onto 24-well plate at the density of 1×105, After the cells had adhered to the cover glasses, the cells were grouped as negative control group (the primary antibody was replaced by phosphate buffered solution PBS); normal control group (the cells were normally cultured); LPS-treated group (the cells were treated with LPS for 24 hours); curcumin+LPS group (the cells were treated with curcumin for 1 hour and LPS for 24 hours). The expressions of iNOS protein were detected with immunocytochemical staining. ② Determination of iNOS and NF-κB gene activities: According to the introduction of the kit for transfection, iNOS or NF-κB report gene plasmids were transiently transfected with LipofectamineTM2000 liposomes into the cells in the 24-well plate for 24 hours. The cells were divided into normal control group (the cells were normally cultured after transfected with report gene plasmids); blank plasmid group (the cells were normally cultured after transfected with blank plasmids); LPS-treated group (the cells were treated with LPS for 4 hours after transfected with report gene plasmids); curcumin+LPS group (the cells were treated with curcumin for 1 hour and LPS for 24 hours after transfected with report gene plasmids). The content of luciferase in the cell lysis buffer was determined after cell lysis. ③ Determination of SOD activity: The cells were seeded into culture bottle at the density of 1×106, and the divided into four groups, including normal control group (the cells were normally cultured); LPS-treated group (the cells were treated with LPS for 24 hours); curcumin+LPS group (the cells were treated with curcumin for 1 hour and LPS for 24 hours); vitamin C+LPS group (the cells were treated with vitamin C for 1 hour and LPS for 24 hours). The SOD activity was determined with xanthine oxidase and quantitative colorimetric assay. MAIN OUTCOME MEASURES: The expressions of iNOS protein, iNOS and NF-κB, and the activity of SOD were observed. RESULTS: ① Expression of iNOS protein in microglia: The expression of iNOS protein in the LPS-treated group was obviously higher than that in the negative control group (P < 0.01); Those in the curcumin+LPS group were significantly decreased as compared with that in the LPS-treated group (P < 0.01). ② Expressions of iNOS and NF-κB genes: The expressions of iNOS and NF-κB genes in the LPS-treated group were significantly higher than those in the normal control group (P < 0.01); Those in the curcumin+LPS group were significantly lower than those in the LPS-treated group (P < 0.01). ③ SOD activity: The activity of SOD in the LPS-treated group was significantly lower than those in the normal control group (P < 0.01). It in the curcumin+LPS group and vitamin C +LPS group was significantly higher than that in the LPS-treated group (P < 0.01). CONCLUSION: Curcumin could inhibit the expression of iNOS in the activated microglia, and it also has the abilities in eliminating free radicals and antagonizing lipid peroxidation.