Environmental tobacco smoke exposure in children: parental perception of smokiness at home and other factors associated with urinary cotinine in preschool children

Parental smoking behavior at home and sociodemographic variables may influence exposure to environmental tobacco smoke (ETS) in children. A sample of 115 preschool children aged 3-6 years was enrolled in this study. ETS exposure was evaluated through a questionnaire about parents' smoking behavior and determinations of urinary cotinine -- a biomarker of exposure -- in children. Bivariate and multiple regression analyses were used to evaluate the association between the smoking behavior of each parent at home, sociodemographic factors and cotinine levels in children. The parental perception of smokiness in the home was significantly associated with urinary cotinine in children (r-partial coefficient=0.324; P<0.002). The father's education, mother's smoking status, and day of the week when urine was sampled (Tuesday) were also independently associated with levels of cotinine. These four variables explained 26.4% of the variance in the cotinine levels of children. In designing educational programs to reduce passive smoking among children, it is necessary to take into account those factors related with cotinine levels in children. Our results support the influence of the mothers' smoking status, the fathers' educational level, and the day of the week of sampling on cotinine in children. The perception of parents (smokers and nonsmokers) about the smokiness in the home could also be a useful indicator of the cotinine in children exposed to environmental tobacco smoke in the household.     

HPLC法同时测定肿痛外擦酊中大黄酸、大黄素、芦荟大黄素、大黄酚、大黄素甲醚的含量

目的 建立HPLC法同时测定肿痛外擦酊中大黄酸、大黄素、芦荟大黄素、大黄酚、大黄素甲醚的含量.方法 采用Welch Ultimate XB-C18(4.6×250mm,5μm)色谱柱,以甲醇(A)-0.1%磷酸溶液(B)为流动相进行等梯度洗脱(0~6.5min,72%A;6.5~20min,92%A;22.5~24min,72%A),柱温30℃,流速1.0mL·min-1,检测波长221nm,进样量20μL.结果 大黄酸、大黄素、芦荟大黄素、大黄酚和大黄素甲醚5个成分浓度分别在19.6~392.0μg·mL-1(r=1.0000)、10.80~215.9μg·mL-1(r=0.9999)、19.98~399.5μg·mL-1(r=1.0000)、10.56~211.3μg·mL-1(r=1.0000)、20.63~412.6μg·mL-1(r=0.9998)的范围内与峰面积呈现良好的线性关系;方法平均回收率(n=9)分别为100.0%,100.2%,100.2%,100.1%,99.9%.结论 所建立的高效液相色谱测定方法简便、准确,重现性好,专属性强,可用于肿痛外擦酊的含量测定及质量控制.     

耐多药结核分枝杆菌三种基因的快速检测

目的 :探讨耐多药结核分枝杆菌耐药基因突变与耐药性的关系。方法 :采用 PCR和 PCR- DS技术对 5 7例耐多药结核临床分离株进行 kat G、rpo B和 emb B基因检测和序列分析。结果 :耐 INH(kat G)、RFP(rpo B)、EMB(emb B)基因突变率分别为 6 3.8%、90 .7%、37.1% ,其中同时耐 INH(kat G)和 RFP(rpo B)基因突变率为 5 4 .1% ,同时耐三种药的基因突变率为 6 5 .6 %。结论 :PCR- DS法对耐两种或两种以上药物的结核检出率较高 ,与传统药敏试验互相弥补 ,对临床用药有指导意义。     

Melatonin and multiple sclerosis: antioxidant,anti-inflammatory and immunomodulator mechanism of action

Background

Melatonin is an indole hormone secreted primarily by the pineal gland that showing anti-oxidant, anti-inflammatory and anti-apoptotic capacity. It can play an important role in the pathophysiological mechanisms of various diseases. In this regard, different studies have shown that there is a relationship between Melatonin and Multiple Sclerosis (MS). MS is a chronic immune-mediated disease of the Central Nervous System.

Aim

The objective of this review was to evaluate the mechanisms of action of melatonin on oxidative stress, inflammation and intestinal dysbiosis caused by MS, as well as its interaction with different hormones and factors that can influence the pathophysiology of the disease.

Results

Melatonin causes a significant increase in the levels of catalase, superoxide dismutase, glutathione peroxidase, glutathione and can counteract and inhibit the effects of the NLRP3 inflammasome, which would also be beneficial during SARS-CoV-2 infection. In addition, melatonin increases antimicrobial peptides, especially Reg3β, which could be useful in controlling the microbiota.

Conclusion

Melatonin could exert a beneficial effect in people suffering from MS, running as a promising candidate for the treatment of this disease. However, more research in human is needed to help understand the possible interaction between melatonin and certain sex hormones, such as estrogens, to know the potential therapeutic efficacy in both men and women.

     

胸腺因子D对实验性大鼠肝纤维化防治作用的研究

目的　研究胸腺因子D(TFD)的体内抗肝纤维化作用。方法　用四氯化碳 (CCL4 )复制大鼠肝纤维化模型 ;造模开始或造模 30d后予TFD ;实验结束后分别测定肝功能、纤维化指标 (Ⅲ型前胶原、透明质酸和层粘连素 )、肝组织中谷胱甘肽、超氧化物岐化酶及丙二醛含量 ,并作肝病理检查。结果　TFD可显著减轻CCl4 肝纤维化程度 ,能明显降低血清Ⅲ型前胶原、透明质酸、层粘连素和肝组织中丙二醛含量 ;显著提高谷胱甘肽和超氧化物岐化酶活性 ,改善肝功能 ,组织学检查亦显示具有抗肝纤维化作用。结论　TFD在体内具有抗肝纤维化的作用 ,可望用于肝纤维化的防治。     

冠状动脉架桥术麻醉及围手术期处理

目的 :介绍 1997年 4月至 1999年 10月我院 180例冠脉架桥手术 (CABG)患者麻醉特点及处理原则。方法 :采用小剂量咪唑安定 ,阈下值氯胺酮 ,常规剂量芬太尼诱导 ,异氟醚、异丙酚持续镇静的麻醉方法 ,分析180例接受CABG手术的患者的临床资料及麻醉用药情况和术中血流动力学状况。结果 :本组麻醉诱导平稳 ,循环稳定 ,体外循环时间平均 115min ,升主动脉阻断时间平均 5 5min。围术期死亡率 0 6 % (1例死于鱼精蛋白过敏 )。患者术后清醒时间 46h ,拔管时间平均 14h。结论 :即使是在严重冠心病患者 ,采用多种小剂量镇静药及大剂量芬太尼诱导、维持的麻醉方法 ,能获得平稳的麻醉诱导和维持以及稳定的血流动力学状态 ,从而有效防止围手术期低血压和心律失常造成的心肌缺血和围手术期心肌梗死的发生。     

低剂量尿激酶治疗急性脑梗塞48例疗效分析

目的　观察低剂量尿激酶对发病 5天内的急性脑梗塞患者的临床效果 ,评价低剂量尿激酶溶栓的安全性。方法　选择急性脑梗塞患者 48例。应用天普洛欣尿激酶 2 5万U ,静脉点滴 7天 ,并用 5 %低分子右旋糖酐加复方丹参静脉点滴 7～ 10天 ;30例急性脑梗塞患者作对照研究。结果　治疗组疗效明显高于对照组。用药过程中发现牙龈出血 3例 ,经头CT检查未发现颅内出血。结论　低剂量尿激酶治疗脑梗塞能明显改变临床症状 ,降低致残率 ,且用药安全     

CD3AK细胞冻融提取液的抗肿瘤活性研究

为研究ＣＤ３ＡＫ细胞冻融提取液的抗肿瘤作用,作者采集正常人外周血分离单个核细胞（ＰＢＭＣ）,先用抗ＣＤ３的单克隆抗体（ＣＤ３ＭｃＡｂ）的ｒＩＬ－２诱导和激活,使之成为ＣＤ３ＭｃＡｂ激活的杀伤细胞（ＣＤ３ＡＫ）,再制备ＣＤ３ＡＫ的冻融提取液,然后进行体内,外抗肿瘤实验。结果;低剂量的ＣＤ３ＭｃＡｂ和ｒＩＬ－２能明显诱导ＰＢＭＣ的活化和增殖;激活后的ＣＤ３ＡＫ细胞冻融提取液可抑制小鼠肝癌实体瘤细胞Ｈ２     

Coronarin D induces human oral cancer cell apoptosis though upregulate JNK1/2 signaling pathway

The incidence of oral cancer is increasing all over the world, with rates particularly high in Southeast Asian countries, such as Taiwan. Coronarin D (CD) has been confirmed to have anti‐inflammatory, anti‐bacterial effects, and anti‐apoptotic effects in human hepatocellular carcinoma and nasopharyngeal carcinoma. The purpose of this study is to explore whether CD has a suppression effect on oral cancer cells and the mechanisms involved. The results of our study revealed the significantly decreased cancer cell viability and increased activation of apoptosis via increased loss of mitochondrial membrane potential, increased death receptors, leading to the activation of caspase‐8, ‐9, ‐3. Moreover, the rate of apoptosis of cells treated with CD plus JNK inhibitors was decreased compared to CD‐treated cells. This is the first study to demonstrate that CD induces apoptosis in human oral cancer cells and can be expected to be a promising anticancer agent for oral cancer treatment.