In vitro formation of oropharyngeal biofilms on silicone rubber treated with a palladium/tin salt mixture

Adhesion of yeasts and bacteria to silicone rubber is one of the first steps in the biodeterioration of indwelling, silicone rubber voice prostheses. In this paper, silicone rubber, so-called "Groningen button," voice prostheses were treated with a colloidal palladium/tin solution to form a thin metal coat intended to discourage biofilm formation. First it was demonstrated that this treatment did not negatively affect the airflow resistance of the prostheses or induce any cytotoxicity. Subsequently, palladium/tin-treated voice prostheses were placed in a modified Robbins device together with untreated control prostheses to evaluate biofilm formation. Biofilms were formed by inoculating the device for 3 days with the total cultivable microflora obtained from an explanted, malfunctioning voice prosthesis supplemented with separately isolated yeasts (Candida albicans and Candida tropicalis). After 3 days the device was perfused three times daily with growth medium and phosphate-buffered saline. The device was allowed to drain between perfusions to better mimic the conditions in the oropharynx (moist but not always fully wetted). After 9 days the total number of bacterial and fungal colony-forming units on the prostheses were determined microbiologically, and scanning electron micrographs were taken of the valve sides. Biofilm formation was significantly less on the heavily treated palladium/tin prostheses than it was on the untreated prostheses although some ingrowing microcolonies also were observed on the treated prostheses. The spread of the biofilms was smaller on the treated prostheses than on the untreated ones.     

多房棘球绦虫重组Bb-EmⅡ/3-Em14-3-3疫苗诱导小鼠细胞因子变化的研究

目的:研究多房棘球绦虫重组Bb-EmⅡ/3-Em14-3-3疫苗对原头蚴攻击小鼠细胞因子变化的影响.方法:将重组Bb-EmⅡ/3-Em14-3-3疫苗分别通过皮下注射、肌肉注射、鼻腔黏膜接种和口服接种免疫BALB/c小鼠12周后, 用50个多房棘球绦虫原头蚴腹腔注射进行攻击, 攻击感染后18周剖杀小鼠, 取脾脏制备淋巴细胞悬液体外培养, 分别以多房棘球绦虫抗原(EmAg)、 刀豆素A(ConA)刺激诱生白细胞介素12(IL-12)、白细胞介素10(IL-10)和干扰素γ(IFN-γ);以脂多糖(LPS)刺激诱生肿瘤坏死因子α(TNF-α).常规ELISA测定脾细胞培养上清液中IL-12、 IL-10、 IFN-γ和TNF-α水平.结果:与对照组相比,疫苗免疫组IFN-γ、 IL-12、 TNF-α水平增加, IL-10水平降低, EmAg刺激组和ConA或LPS刺激组细胞因子水平明显高于相应的原液组.结论:多房棘球绦虫重组Bb-EmⅡ/3-Em14-3-3疫苗可诱导攻击感染小鼠产生Th1型细胞免疫应答, 增强宿主抗多房棘球绦虫感染的保护性免疫反应.     

急诊腹腔镜治疗出血性宫外孕202例临床分析

目的探讨急诊腹腔镜治疗出血性宫外孕的可能性、优越性。方法回顾分析1998年8月~2005年10月急诊腹腔镜出血性宫外孕402例,随机分为腹腔镜组202例,开腹组200例。比较两组手术时间、并发症、术后病率、术后输卵管通畅情况。结果腹腔镜比开腹手术住院时间短、术后恢复快、并发症少、术后病率少。手术时间,腹腔镜组(1998年8月~2001年12月)比开腹手术组长,(2002年1月~2005年10月)短于开腹组,结论腹腔镜手术应用于急腹症出血性宫外孕,当休克早期,在抗休克的同时行腹腔镜手术较安全、有效,病人术后恢复快、不增加并发症,更适应有生育要求患者。     

β-淀粉样蛋白对培养神经细胞的毒性作用及神经节苷脂的保护作用

向培养液中加入15mmol／L的β-AP1-40，48h后，发现原代培养的海马细胞内Ca2+的浓度明显增高，对照组为23．9±3．6（n=51）而β-AP组为36．5±15．8（n=30），两组比较P＜0．001，有非常显著性的差别。对照组的乳酸脱氢酶没有明显变化，而β－AP组在加β－AP1－4048h后乳酸脱氢酶明显增加，从52iu／L增加到105iu／L，实增加了101％。实验结果表明，β－AP1-40对培养的神经细胞有明显的毒性作用，但没有发现形态学的变化和对细胞的特异性。如在培养液中加β－AP1-40的同时再加25mg／ml的神经节苷脂（GAs）可明显减弱β-AP1-40引发的胞内Ca2+浓度和培养液中LDH浓度的升高。β-AP＋GAs组胞内Ca2+浓度为27.7±5.58，与β-AP组比较，有显著性差异（P＜0．01）。β-AP组海马细胞培养液中乳酸脱氢酶的浓度增高为101％，而β-AP-GAs组培养液中乳酸脱氢酶的浓度增高仅为67％。在NG108－15细胞上也获得了相同的结果。单唾液酸神经节苷脂虽有与GAs类似的作用，但较弱。这些实验结果指出，神经节苷脂和单唾液酸神经节苷脂均能拮抗β-AP1-40的毒性作用，从而对细胞可起到保护作用。     

猪食管神经支配的神经化学研究——一氧化氮类及肽类成分在平滑肌中的分布(英文)

采用免疫荧光组织化学技术及迷走神经切断术,探讨猪食管一氧化氮类及肽类神经支配的神经化学特性。在光学显微镜下可观察到肌间神经丛及粘膜下神经丛中有部分神经元呈nNOS、VIP、GAL、NPY、PACAP、L-ENK、SP、5-HT及CB免疫阳性,但未见CGRP及SOM阳性神经元。nNOS及CB免疫阳性产物主要分布于不同的神经元胞体内。将PGP9.5作为神经元胞体的标记物,并采用免疫荧光免疫组织化学双重染色方法,分别观察了PGP9.5与nNOS、VIP、SP的双标情况。结果如下:(1)nNOS免疫阳性神经元约占PGP9.5标记神经元总数的63%,而VIP免疫阳性神经元约占36%,SP免疫阳性神经元约占28%;(2)神经节内神经元的平均数量呈现吻尾方向的递增趋势,且食管腹段神经丛内神经节数量明显高于食管其他部位;(3)食管肌层内VIP/GAL/NPY免疫阳性纤维分布最广,其中部分阳性纤维同时呈nNOS或PACAP免疫阳性;SP和/或L-ENK免疫阳性纤维在粘膜肌层的分布明显多于平滑肌层。CGRP阳性纤维非常少见,这一点不同于对其他动物的观察结果;(4)经一侧迷走神经切断后,肌间神经丛内PACAP及5-HT免疫阳性纤维明显减少,提示这些纤维可能来源于迷走神经;而平滑肌中VIP/GAL/NPY和/或nNOS免疫阳性纤维数量未发现明显变化,可能为内源性来源。     

广东汉族人β2-肾上腺素能受体基因Gln27Glu多态性

目的 探讨β2-AR 16位点基因多态性在广东汉族人群中的分布．方法 应用聚合酶链反应技术对122例正常人β2-肾上腺素能受体基因Gln27Glu进行扩增并进行图谱分析．并结合文献进行了不同种族间的分析比较．结果 广东汉族人群β2-AR基因27位点多态性分布频率：Gln／Gln基因型占36．88％，Gln／Glu基因型占52．46％，Glu／Glu基因型占10．66％．结论 广东汉族人群存在出β2-AR Gln27Glu基因多态性，其分布频率与英美高加索人群有一定差异．     

CT导向下^125I粒子植入治疗肺转移癌15例疗效观察

目的观察CT导向下125I粒子植入治疗肺转移癌的临床疗效。方法15例肺转移癌患者,男8例,女7例,15例病灶数为58个,平均每人3.9个病灶,病灶平均直径为2.5cm。在CT导向下将125I粒子植入肺转移瘤灶内,采用治疗计划系统计算布源;对残留厚度≤1.0cm的肿瘤选择平面植入方法,采用18.5~29.6MBq活度的125I粒子相隔1.0~1.5cm平面播植。结果15例58个病灶,完全缓解31个;部分缓解14个;无变化8个;进展5个。总有效率77.6%。结论放射性粒子植入治疗肺部转移癌临床疗效好,创伤小,并发症发生率低。     

Age-related alterations in responses of the nucleus basalis magnocellularis neurons to frontal cortex stimulation in rats

The present study investigated the age-related alterations in responses of the nucleus basalis magnocellularis (nbM) neurons to frontal cortex (FCX) stimulation. Single unit extracellular recording from the nbM neurons were obtained with glass micropipettes in urethane-anesthetized rats. A total of 137 units were located within the nbM in the three age groups (young, 3 months; adult, 12 months; old, 24 months). FCX stimulation elicited responses in 91% of the 137 neurons. Most of them were excited. The frequency of occurrence of excitatory responses in the nbM neurons was decreased with aging. The thresholds and latencies of excitatory responses evoked by FCX stimulation were increased in old rats. The mean peak-firing rate of exciting phase was gradually reduced with aging. These findings indicate that there might be some functional changes in the nbM neurons with aging.     

Inspiratory activation is not required for episodic hypoxia-induced respiratory long-term facilitation in postnatal rats

Episodic hypoxia causes repetitive inspiratory activation that induces a form of respiratory plasticity termed long-term facilitation (LTF). While LTF is a function of the hypoxic exposures and inspiratory activation, their relative importance in evoking LTF is unknown. The aims of this study were to: (1) dissociate the relative roles played by episodic hypoxia and respiratory activation in LTF; and (2) determine whether the magnitude of LTF varies as a function of hypoxic intensity. We did this by examining the effects of episodic hypoxia in postnatal rats (15–25 days old), which unlike adult rats exhibit a prominent hypoxia-induced respiratory depression. We quantified inspiratory phrenic nerve activity generated by the in situ working-heart brainstem before, during and for 60 min after episodic hypoxia. We demonstrate that episodic hypoxia evokes LTF despite the fact that it potently suppresses inspiratory activity during individual hypoxic exposures ( P < 0.05). Specifically, we show that after episodic hypoxia (three 5 min periods of 10% O₂) respiratory frequency increased to 40 ± 3.3% above baseline values over the next 60 min ( P < 0.001). Continuous hypoxia (15 min of 10% O₂) had no lasting effects on respiratory frequency ( P > 0.05). To determine if LTF magnitude was affected by hypoxic intensity, the episodic hypoxia protocol was repeated under three different O₂ tensions. We demonstrate that the magnitude and time course of LTF depend on hypoxic severity, with more intense hypoxia inducing a more potent degree of LTF. We conclude that inspiratory activation is not required for LTF induction, and that hypoxia per se is the physiological stimulus for eliciting hypoxia-induced respiratory LTF.