孟鲁司特钠联合氟替卡松治疗儿童哮喘疗效的Meta分析

]目的：评价孟鲁司特钠联合氟替卡松治疗儿童哮喘的疗效和安全性。方法：检索the Cochrance Library, PubMed、EMBase、CBM、Science Direct, 中国知网、万方及维普数据库,纳入孟鲁司特钠联合氟替卡松治疗儿童哮喘的随机对照试验,观察组采用孟鲁司特钠氟替卡松吸入治疗,对照组单用氟替卡松吸入治疗,提取符合纳入标准的临床研究文献信息,采用RevMan5.3软件对纳入文献进行质量评价和Meta分析。结果：共纳入13篇中文文献,包括1 440例受试者。Meta分析结果显示,观察组总有效率及肺功能指标第一秒用力呼气容积（FEV1）、用力肺活量（FVC）高于对照组（P<0.01）;观察组复发率低于对照组（P<0.01）。结论：孟鲁司特钠联合氟替卡松吸入治疗儿童哮喘临床治疗效果显著。     

Study on In-Vivo Anti-Tumor Activity of Verbena Officinalis Extract

We investigated the anti-tumor effects of Verbena officinalis extract on H22 tumor-bearing mice and its effect on immune function. Mice model of H22 solid tumor was established, the mice were divided into five groups and administered the extract, later, tumors were removed and inhibition rates were calculated; spleens were removed and spleen indices were calculated, and the sheep red blood cell-delayed-type hypersensitivity (SRBC-DTH) and the serum hemolysin level were determined. The Verbena officinalis extract had anti-tumor effect, with the inhibition rate reaching 38.78%, it also increased the spleen index to a certain extent, in addition, the changes in DTA and HA were not obvious compared with the model group. The Verbena officinalis extract had in vivo anti-tumor effect, while causing no damage on the immune function.     

Study on In Vitro Anti-Tumor Activity of Bidens Bipinnata L. Extract

We studied the in vitro anti-tumor activity of Bidens Bipinnata L. extract. MTT assay was used to investigate the inhibitory effect of different concentrations of the extracts on human hepatocellular carcinoma (HepG2) cell lines and human cervical carcinoma (Hela) cell lines, and the IC₅₀ values were calculated. The Bidens Bipinnata L. extract had different degrees of inhibitory effects on these two cells, and when exposure time was 48 h, the inhibition rate reached its peak, with IC₅₀ values of 14.80 µg/mL and 13.50 µg/mL respectively. The Bidens Bipinnata L. extract had a good inhibitory effect on human HepG2 cell lines and Hela cell lines, and thus has certain development prospects.     

不同体位经桡动脉途径行TACE术的透视时间对比

【摘要】 目的 比较不同体位经桡动脉途径及经股动脉途径行TACE术的透视时间。方法 对120例首次行TACE术的肝癌患者,按照体位及入路途径不同随机分成四组,每组30例。A组左上臂外展,经左侧桡动脉途径穿刺;B组左手置于左侧腹股沟处,经左侧桡动脉途径穿刺;C组经右侧桡动脉途径;D组经右侧股动脉途径。记录手术中插管至腹腔干的透视时间、总的透视时间。比较4组间差异。结果 插管至腹腔干透视时间分别为A组（47.47±36.12） s,B组（53.57±21.32） s,C组（76.03±45.22） s,D组（40.30±28.30） s,差异具统计学（P=0.001）。总透视时间分别为A组（740.20±486.04） s、B组（732.67±409.35） s、C组（784.60±271.54） s、D组（759.94±425.82） s,差异无统计学意义（P=0.948）。结论 不同体位经桡动脉途径及经股动脉途径行TACE术在总的透视时间上均无差异,经右侧桡动脉途径插管至腹腔干所需透视时间更长。     

Polymicrogyria with calcification in Pallister-Killian syndrome detected by microarray analysis

BackgroundPallister-Killian syndrome (PKS) is a rare disorder caused by the mosaic tetrasomy of chromosome 12p, and is characterized by facial dysmorphism, developmental delay, hypotonia and seizures.ResultsWe report a patient with PKS showing unique polymicrogyria with calcification. He had delayed development and dysmorphic facial features including frontal bossing, hypertelorism, and high arched palate at 6 months of age. Neuroimaging revealed unilateral polymicrogyria with spot calcifications, which predominantly affected the right perisylvian region. Chromosome G-banding showed the karyotype 46,XY, however, array-based comparative genomic hybridization analysis showed mosaic duplication of chromosome 12p, in which CCND2, which encodes cyclin D2 and is a downstream mediator of PI3K-AKT pathway, is located. Supernumerary chromosome of 12p was detected in 58% of buccal mucosa cells by the interphase fluorescence in situ hybridization analysis using chromosome 12 centromere-specific D12Z3 probe. The diagnosis of PKS was made based on distinctive clinical features of our patient and the results of cytogenetic analyses.ConclusionThis report is, to our knowledge, the first case of a patient with PKS who clearly demonstrates polymicrogyria colocalized with calcifications, as shown by CT scans and MRI, and suggests that a patient with PKS could show structural brain anomalies with calcification. We assume that somatic mosaicism of tetrasomy could cause asymmetrical polymicrogyria in our patient, and speculate that increased dosages of CCND2 at chromosome 12p might be involved in the abnormal neuronal migration in PKS.     

Highly sensitive and specific detection of hepatitis B virus DNA and drug resistance mutations utilizing the PCR-based CRISPR-Cas13a system

ObjectivesUndetectable or low-level hepatitis B virus (HBV) DNA and drug resistance mutations in patients may increase the risk of HBV transmission or cause active viral replication and other clinical problems. Here, we established a highly sensitive and practical method for HBV and drug resistance detection using a polymerase chain reaction (PCR) -based CRISPR-Cas13a detection system (referred to as PCR-CRISPR) and evaluated its detection capability using clinical samples.MethodsSpecific CRISPR RNAs (crRNAs) are designed for HBV DNA detection and YMDD (tyrosine-methionine-aspartate-aspartate) variant identification. The HBV DNA was detected in 312 serum samples for HBV diagnosis using quantification PCR (qPCR) and PCR-CRISPR. Additionally, 424 serum samples for YMDD testing were detected by qPCR, direct sequencing, and our assay.ResultsUsing PCR-CRISPR, one copy per test of HBV DNA was detected with HBV-1 crRNA in 15 min after PCR amplification. Consistent results with qPCR were observed for 302 samples, while the remaining 10 samples with low-level HBV DNA were detectable by PCR-CRISPR and droplet digital PCR but not by qPCR. PCR-CRISPR diagnosed all 412 drug-resistant samples detected by the YMDD detection qPCR kit and direct sequencing, as well as the other 12 drug-resistant samples with low-level HBV DNA undetectable by qPCR and direct sequencing.ConclusionsWe developed a novel PCR-CRISPR method for highly sensitive and specific detection of HBV DNA and drug resistance mutations. One copy per test for HBV DNA and YMDD drug resistance mutations could be detected. This method has wide application prospects for the early detection of HBV infection, drug resistance monitoring and treatment guidance.     

Brainstem atrophy in the early stage of Alzheimer’s disease: a voxel-based morphometry study

Brain Imaging and Behavior - Postmortem studies on patients with Alzheimer’s disease (AD) have confirmed that the dorsal raphe nucleus (DRN) in the brainstem is the first brain structure...     

无托槽隐形矫治器设计平面导板对上牙列牙齿移动的影响

目的 探讨无托槽隐形矫治器设计平面导板,对上中切牙压低效率的影响及支抗前磨牙、磨牙的变化,以期对无托槽隐形矫治器设计平面导板矫治深覆(牙合)提供参考.方法 分别选取无托槽隐形矫治器设计平面导板和无平面导板矫治深覆(牙合)的病例各6例,两组均设计上中切牙不少于0.7mm的压低,通过前牙压低矫正深覆(牙合).前磨牙及磨牙作为支抗牙不设计移动.以腭穹窿为参照,重叠设计压低前后的数字化模型,比较两组上颌中切牙压低效率的差异,以及两组支抗前磨牙和磨牙的差异.结果 平面导板组上中切牙压低效率为33％,无平面导板组上中切牙压低效率为8％,二者的差异无统计学意义(P＞0.05);平面导板组第一前磨牙、第二前磨牙、第一磨牙和第二磨牙分别伸长0.3、0.1、0.2和0.1mm;无平面导板组第一前磨牙、第二前磨牙、第一磨牙和第二磨牙分别压低0.0、0.2、0.1和0.1mm,两组的差异均有统计学意义(P＜0.05);平面导板组和无平面导板组未设计移动的第一磨牙分别颊倾0.0mm和0.3mm,二者的差异有统计学意义(P＜0.05).结论 无托槽隐形矫治器设计平面导板对上颌中切牙的压低无明显影响,但能有效伸长支抗前磨牙及磨牙,克服无托槽隐形矫治器"(牙合)垫效应"造成的后牙压低,并维持磨牙水平向的位置,对深覆(牙合)的矫正发挥一定作用.     

A deep-red fluorescent molecular rotor based on donor-two-acceptor modular system for imaging mitochondrial viscosity

A new donor-two-acceptor modular fluorescence rotor DpCy7 involving a phenolate donor unit and two benzothiazolium acceptor moieties was designed and synthesized. The DpCy7 underwent an internal charge transfer to form a Cy7-like longer conjugated system fluorochrome at a physiological pH. The probe exhibited a strong turn-on (8.5-fold) deep-red emission with a larger Stokes shift in glycerol aqueous solutions with restriction of rotation. Both the fluorescence intensity and fluorescence lifetime displayed the linear relationship of viscosity changes in the logarithmic plots. Furthermore, the HeLa cell imaging experiments of DpCy7 indicated that the rotor could be used to monitor the mitochondrial viscosity in living cells. This new type of deep-red fluorescence rotor provides a potential platform for determining viscosity at subcellular levels.

A deep-red fluorescence molecular rotor DpCy7 based on donor-two-acceptor modular system has been designed logically and synthesized for sensitive and selective response to viscosity changes and imaging of mitochondrial viscosity in living cells.