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Table of Content

      
    10 July 2013
    Volume 51 Issue 7
    Articles
    Protective effects of rhEPO on oxidative stress damage in cardiomyocytes and on heart after myocardial infarction
    WANG Fu1, LIU Shan-wen1, LI Bin2, GENG Hai-hua3, SUN Shuai1, LI Rui1, XIAO Jie1, JI Xiao-ping1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  1-5. 
    Abstract ( 869 )   PDF (2180KB) ( 166 )   Save
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    Objective   To study the protective effects of recombinant human erythropoietin(rhEPO)on cardiomyocytes against oxidative damage and on mice hearts after myocardial infarction. Methods   Isolated neonatal rat cardiomyocytes were treated with rhEPO in vitro after the establishment of oxidative damage experimental models. Thiazolyl blue (MTT) assay and flow cytometry (FCM) were used to detect the apoptosis rate of cardiomyocytes. Protein expression levels of caspase-3, Bax and Bcl-2 were detected by Western blotting. Mice were randomly divided into the sham group, the myocardial infarction group and the rhEPO treatment group. Myocardial infarction models were induced by the ligation of the left anterior descending artery in mice. Mouse heart was harvested after 14 days. HE staining was used to investigate the effects of rhEPO on the myocardial infarct size. Results   In the process of oxidative damage, rhEPO could significantly reduce the apoptosis rate of cardiomyocytes and the expressions of caspase-3 and Bax, but could raise the expression of Bcl-2. HE staining showed that rhEPO could significantly reduce the myocardial infarct size of mouse heart. Conclusion   RhEPO can protect cardiomyocytes from oxidative stress damage induced by H2O2 and reduce the myocardial infarct size in mice after myocardial infarction.

    Discussion of GATA-4 improving MSCs hypoxia resistance
    LI Mian-xian, CHEN Tan, LI Hong-xia
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  6-9. 
    Abstract ( 782 )   PDF (1368KB) ( 139 )   Save
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    Objective   To elucidate the effects of GATA-4 on MSCs survival ability in hypoxic condition. Methods   Rat MSCs were transfected with GATA-4 gene, and MSCs transfected with blank plasmid were regarded as contrast.The GATA-4 transfection effect was detected by   Western blotting.The MSCs were cultured after exposure to hypoxia for 48h to imitate the myocardial infarction oxidative stress injury in vivo.The morphology of MSCs was observed. The rate of MTT cell proliferation, the positive rate of annexin V-PE apoptosis detection and the level of LDH were tested to evaluate the MSCs survival ability. Results   The positive rate of annexin V-PE apoptosis and the level of LDH significantly decreased and the rate of MTT cell proliferation increased in GATA-4 transduced MSCs(MSCGATA-4) than in the control group(MSCNull).The difference was statistically significant(P<0.05). Conclusion   GATA-4 promotes MSCs hypoxia resistance and survival ability, which provides a new pathway to treat ischemic cardiomyopathy by MSCs transplantation and increase cell survival ability.

    Effects of Garcinia acid by downregulation of Bcr-Abl protein on the proliferation and apoptosis of chronic myelogenous leukemia cell line K562 
    SHI Xian-ping1,2, CHEN Xin1, TAN Yin2, WEN Chuang-yu3, LAN Xiao-ying1, HUANG Mei-jin4, LIU Huan-liang3
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  10-14. 
    Abstract ( 783 )   PDF (2696KB) ( 265 )   Save
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    Objective   To study the influence of Gambogic acid (GA) on the proliferation and cell apoptosis of chronic myeloid leukemia cells, and to investigate the possible mechanism. Methods   After treatment with various concentrations of GA, cell viability was determined by MTS assay and trypan-blue counting method. The morphologic changes of K562 cells induced by GA were observed under fluorescence microscope with Propidium Iodide (PI) staining. Cell apoptosis was analyzed by Flow Cytometry staining with AnnexinV-FTIC/PI. The changes of apoptosis and proliferation-related proteins were tested by Western blotting. Results   GA inhibited the proliferation of K562 cells in a time- and dose- dependent manner(P<0.05). After treatment with various concentrations of GA, morphological changes were observed under fluorescence microscope,and nucleus of death cells were stained red with PI. Flow Cytometry showed that the death type of the treatment group was mainly apoptosis, and the apoptosis rate significantly increased compared with the control group(P<0.05). The caspase protein was activated, and Bcr-Abl protein and downstream signal pathway were inhibited(P<0.05). Conclusion   GA could induce apoptosis and inhibit the proliferation of K562 cells.This effect may be mediated by activated caspase protein, reduced expression of Bcr-Abl protein and its downstream signal pathway.

    Alteration of mitochondrial fission and fusion in hippocampus of  rats with status epilepticus
    QIU Xiao-xue, CAO Li-li, YANG Xue, CHI Zhao-fu
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  15-19. 
    Abstract ( 765 )   PDF (2182KB) ( 186 )   Save
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    Objective   To investigate the alteration of mitochondrial fission and fusion in hippocampus of rats with status epilepticus (SE). Methods   Male Wistar rats were randomly divided into five groups:normal control group and epileptic group (4, 8, 24 and 72 h after SE). The alteration of mitochondrial fission and fusion in hippocampus of rats were evaluated at different time points after SE. Western blotting and PCR were used to estimate the expression of dynamin related protein1 (Drp1), human mitochondrial fission protein1 (hFis1), mitofusin1 (Mfn1) and optic atrophy1 gene protein1 (Opa1). Immunohistochemistry was used to estimate the expressions of Drp1 and Opa1 in neurons of hippocampal CA3 region 24 h after SE. Results   Mitochondrial fission proteins Drp1and hFis1 began to increase 4 h after SE, with a peak at 24 h and still elevated 72 h after SE. Whereas mitochondrial fusion proteins Mfn1and Opa1 increased transiently at 4 h after SE and decreased sharply thereafter, falling into the bottom at 24 h. The number of neurons expressed Drp1 at 24 h after SE was significantly higher than that in normal control group (P<0.05), while the number of neurons expressed Opa1 was significantly lower than that in normal control group(P<0.05). Conclusion   SE leads to imbalanced mitochondrial fission and fusion, shown by the enhanced mitochondrial fission and the declined mitochondrial fusion.

    Effects of the Naoshenkang capsule on memory and expression of  HIF-1α in hippocampus tissue of diabetes mellitus rats
    LI Xu-yang, LIU De-shan, LIANG Er-shun, DONG Ling-fen, ZHAO Li, GAO Wei
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  20-24. 
    Abstract ( 797 )   PDF (3398KB) ( 156 )   Save
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    Objective   To study the effect of the Naoshenkang capsule on memory and expression of hypoxia inducible factor-1alpha (HIF-1α) in hippocampus tissue of diabetic rats. Methods   Thirty-six rats were divided into three groups: the control group, the diabetic group, and the Naoshenkang group. Naoshenkang capsule was administered to the Naoshenkang group once daily, and an equal volume of normal saline was given to the control and the diabetic groups. All operations continued for 12 weeks. Morris water maze was operated every four weeks. Meanwhile, the expression of HIF-1α in hippocampus tissue was detected by immunohistochemistry and RT-PCR. Results   The expression of HIF-1α increased both in the diabetic and the Naoshenkang groups. Compared with the diabetic group, the Naoshenkang group had an obvious decrease in the expression of HIF-1α since the eighth week (P<0.01 or P<0.05), and it also had a reduction in the latency period of Morris water maze since the fourth week (P<0.01 or P<0.05). Conclusion   The Naoshenkang capsule can effectively downregulate the expression of HIF-1α and improve the memory ability, and finally ameliorate the brain damage caused by diabetes.

    Effects of different concentrations of MSG on the metabolism and  islet cell apoptosis in Wistar rats
    ZHANG Jie1, XU Cui-ping2, XU Ze-jun1, LI Yan1, XUE Xiu-juan3, LIU Qing-zhi3
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  25-27. 
    Abstract ( 846 )   PDF (1422KB) ( 115 )   Save
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    Objective   To explore the effects of different concentrations of monosodium glutamate (MSG) on the metabolism and islet cell apoptosis in rats. Methods   Forty Wistar rats were randomly divided into four groups: the control group, the MSG normal dose group, the MSG four times  dose group and the MSG eight times dose group, each with 10 rats respectively. The rats in the control group and other three groups were administered intragastrically with normal saline and homemade MSG solution, respectively. Fasting glucose, triglycerinate and total cholesterol were examined each week from the aft venous blood and the carotid arterial blood was collected to test fasting glucose,insulin, triglycerinate and total cholesterol at week 33. Results   There was no statistical difference in fasting glucose among the four groups (P>0.05). However, compared with the other three groups, the MSG eight times dose group had higher levels of insulin, triglycerinate and total cholesterol, and the difference had statistical significance (P<0.05). The insulin resistance was also shown in that group (P<0.05). In the MSG groups, all doses of MSG caused the morphological changes of islet cells, and with the increasing of MSG, the apoptotic rates of islet cell also increased. But only the difference between the MSG eight times group and the other three groups had statistical significance (P<0.05).  Conclusion   High dose of MSG could cause metabolic disorders and impair the function of islet. Hyperglycemia would occur if the islet was decompensated.

    Study on the differences of reconstructive and normal periodontium under the orthodontic force
    ZHANG Mei1, XI Lan-lan2, WANG Xu-xia3, ZHANG Jun3
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  28-31. 
    Abstract ( 744 )   PDF (13084KB) ( 165 )   Save
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    Objective   To investigate the differences of tooth movement under orthodontic forces between reconstructed and normal periodontal tissues, and to explore the feasibility of enamel matrix protein in orthodontic treatment of periodontal diseases. Methods   Forty-two female SD rats were chosen for experiment animals, and the bilateral maxillary first molars were divided into the periodontal regeneration group and the control group. Severe periodontitis model in the periodontal regeneration group were made by ligation wire, and then enamel matrix proteins were used to induce periodontal regeneration. After successful reconstruction, orthodontic forces were used to move the maxillary first molars. After four weeks, the distances of the tooth movement were measured and statistical analyzed. Results   There was no statistical significance in the mesial movement distance of the first molar between two groups (P>0.05). Conclusion   The reconstructed periodontal tissue showed good mechanical reaction, and enamel matrix protein can be applied to the teeth with severe periodontitis before orthodontic treatment.

    Valproic acid induces autophagy and regulates the expression of  SPARCL1 protein in prostate cancer cells
    ZHENG Yi, JIANG Wei, JIN Xun-bo, WANG Mu-wen, ZHANG Yi-nan, XIA Qing-hua
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  32-35. 
    Abstract ( 954 )   PDF (3523KB) ( 249 )   Save
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    Objective   To observe the autophagy and regulation of SPARCL1 protein in prostate cancer cells induced by valproic acid (VPA) and to explore the further antitumor mechanism. Methods   After treatment with VPA, PC3, DU145 and LNCaP prostate cancer cells were examined for the inhibition rate. Autophagy markers LC3-Ⅱ, Beclin-1 and SPARCL1 protein expressions were examined by Western blotting. The specific organelle structure was detected by electron microscope. Results   After treated by VPA, the inhibition rate increased (P<0.05), as confirmed by detection of increasing LC3-Ⅱ and Beclin-1 expressions in VPAtreated samples (P<0.05). SPARCL1 protein also showed significant increase after treatment with VPA (P<0.05).  Conclusion   VPA showed an antitumor effect by inducing autophagy and secretion of SPARCL1 protein in the human prostate cancer cell model.

    Pathohistology characteristics on wound healing of Ⅲ degree burn and its clinical significance
    CHANG Peng-fei, MA Yin-dong, JIA Jun, SHI Wen, SHAO Yang, WANG Fang, SONG Guo-dong
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  36-41. 
    Abstract ( 710 )   PDF (3009KB) ( 160 )   Save
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    Objective   To investigate the basic regularity and characteristic in the process of wound healing after Ⅲ degree burn, and the relationship with skin grafting and the treatment of transplant bed. Methods   Ⅲ degree burn model was made on the selected adult minipigs and the changes of pathohistology, vascular endothelial cells, basic fibroblast growth factor(bFGF), collagen fibers, and fibroblastic ultrastructure in full-thickness skin burn wound and the junction area were observed dynamically by the techniques of HE staining, immunohistochemical staining, VG staining and transmission electron microscope examination. Results   Vascular endothelial cells and fibroblasts started to proliferate in the junction area in 24-48h postburn. At the 7th day, granulation tissue formed preliminarily and fibroblasts were in a state of active function. In 10-14d postburn, widespread vascularization happened in the junction area and granulation tissue present fibrosis and expansion. After 21 days, granulation tissue revealed and developed into connective tissue with myofibroblast (MFB) visible. The wound shrunk approximately by 14% and evident edema happened in superficial granulation tissue on 30th day. Proliferation of vascular endothelial cells and expression of bFGF occurred through the whole process of granulation tissue formation. And their cresttimes arrived in 72h-7d and 5-7d. Conclusion   Vascularization happened in the junction after 7-10d postburn and granulation tissue expanded following its regularity. According to situations of the body and the local, autoskin grafting on the superficial hypodermis with improved blood supply should be implemented as soon as possible, which brought exact outcome of high survival rate of grafting and good quality of healing.

    Atypical presentations of benign childhood epilepsy with centrotemporal spikes
    LI Jing, LI Bao-min, LEI Ge-fei, JIA Gui-juan, TONG Li-li, WANG Ji-wen
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  42-44. 
    Abstract ( 1109 )   PDF (974KB) ( 605 )   Save
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    Objective   To explore the atypical clinical presentation, electroencephalography characteristics, treatment and prognosis of benign childhood epilepsy with centrotemporal spikes (BECT). Methods   We collected the clinical data of 122 BECT children who were treated in Qilu Hospital of Shandong University from September 2006 to July 2012. Ambulatory or video electroencephalography monitoring was performed in 11  BECT children who had atypical symptoms screened from the above 122 children. The seizure semeiology, neuropsychological impairment and response to antiepileptic drugs were analyzed and followed up in the 11 children. Results   All of the 11 cases showed seizure changes or electroencephalography deterioration. Sodium valproate was only effective in 2 cases. Combination of sodium valproate and clonazepam was effective in 4 cases. Topiramate were effective in 3 cases. Electrical status epilepticus still existed during sleep after various antiepileptic drug therapy in 2 cases. Conclusion   Atypical presentations and  different forms of seizure semeiology exist in BECT. The clinical presentations are associated with electroencephalography deterioration and cognitive deficits, and the seizures are relatively difficult to control.

    Reproducibility study of fMRI results in acupuncture stimulation
    HE Jing-zhen1, HOU Zhao-cheng2, ZHANG Hua3, MA Xiang-xing1, WANG Qing1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  45-49. 
    Abstract ( 815 )   PDF (1410KB) ( 112 )   Save
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    Objective   To test the reproducibility of functional Magnetic Resonance Imaging (fMRI) signal changes evoked by acupuncture stimulation. Methods   Twelve volunteers without any sign of the central nervous system and symptom were included in our studies. Twelve subjects participated in five identical scanning sessions with electro acupuncture stimulation at ST36, KI3 and nonacupoint (NP). The finger tapping of right hand was referred as control.To evaluate the reproducibility across different individuals and experimental sessions, an intraclass correlation coefficient (ICC) was analyed. Results   Of the twelve volunteers who consented into the study, ten completed all five sessions.The signal changes had similar pattern during acupuncture at ST36 and KI3, which was significantly different from the nonacupoint stimulation.ICC analysis revealed that BOLD signal changes by electroacupuncture stimulation were significantly more variable than those from the control fingertapping task(P<0.05). Conclusion    The reproducibility of BOLD signal changes by electroacupuncture was significantly lower than that from the control fingertapping task.

    A case-control study on the risk factors of neural tube defects in Guizhou province of China
    HE Jun-feng1, LIU Jun2, WANG Wei-ren3, ZHANG Qing-feng1, YANG Qiong-fen1, LI Guang-you1, ZHOU Lin1, LI Zhi-mei1, LI Pei-zhen1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  50-53. 
    Abstract ( 711 )   PDF (1100KB) ( 105 )   Save
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    Objective   To find out some susceptible risk factors and explore the roles of multifactors in the high incidence of neural tube defects (NTDs) in Guizhou province of China. Methods   A 1∶1 casecontrol study was conducted on 63 cases who had NTDs infants and 63 cases who had healthy infants. PCR-RFLP was used to detect the polymorphisms of FABP2 A54T, APM1 T45G, and UCP2 A55V. The data were analyzed by SPSS 16.0 statistical software. Results   The distributions of FABP2 A54T gene between the NTDs and control groups had significant differences (P<0.05), but the distributions of APM1 T45G and UCP2 A55V genes between the two groups had no significant differences (P>0.05). Multivariate conditional Logistic regression analysis showed that the following four factors were correlated with NTDs:vomiting during pregnancy (OR=3.56, 95%CI: 1.17-10.87), passive smoking (OR=3.36, 95%CI: 1.17-9.71), germinated potato intake (OR=5.80, 95%CI: 1.17-28.78), and FABP A54T mutation (OR=2.41, 95%CI: 1.13-5.13). Conclusion   The results suggested that the FABP2 A54T polymorphism, vomiting during pregnancy, germinated potato intake and passive smoking are associated with NTDs.

    Influencing factors on recurrence of low grade intracranial aneurysm treated with surgical clipping or endovascular embolization therapy
    HE Wei, WANG Zhi-gang, DING Xuan, WANG Cheng-wei, WANG Yi-hua, JIANG Bin, HAN Chao
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  54-57. 
    Abstract ( 728 )   PDF (1118KB) ( 127 )   Save
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    Objective   To predict the recurrence risk of aneurysm by comparing recurrence rates and analyze factors causing recurrence in cases of low grade  intracranial saccular aneurysm treated with clipping surgery and endovascular coiling. Methods   Cerebral angiographic follow-up was taken for a total of 420 low grade patients with 474 saccular aneurysms, which were treated with endovascular coiling(192 aneurysms in 178 cases) or clipping surgery (282 aneurysms in 242 cases), and the recurrence factors were classified and the relationships between factors including age, gender, coiling degree, location, tumor neck, size, coiling materials, coiling method, and hypertension history, and the recurrence of aneurysm were analyzed. Results   After 3-42 months′ follow-up, recurrence rate in surgical clipping group (0.71%) was lower than endovascular embolization group(17.19%)(P<0.05). Conclusion   The effect of preventing rehaemorrhagia through surgical clipping and endovascular embolization to low grade aneurysm is certain. Clipping insufficiency and residual aneurysm neck are  chief factors of aneurysm recurrence after surgical clipping. While aneurysm′s location, neck, size, embolic material and embolism way are independent risk factors which influence the recurrence after surgery. 

    Clinical observation of the effect of anastomosis of peripheral nerve embedded in fibrin glue containing nerve growth factor
    LI Bo-han, WU Dong-jin, SONG Yang, ZHANG Cheng, ZHAO Jie, LI De-quan, ZHANG Ying-zhe, MA Sheng-zhong, GAO Chun-zheng
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  58-61. 
    Abstract ( 871 )   PDF (954KB) ( 261 )   Save
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    Objective   To retrospectively analyze the clinical efficacy of anastomosis of peripheral nerve embedded by fibrin glue containing nerve growth factor. Methods   The data of 76 hospitalized patients in our hospital from January 2006 to December 2011 were collected and analyzed. They were divided into two groups (20062007 for the control group, and 20082011 for the treatment group). Epineurium anastomosis was used in the control group and the stoma of the nerve was coated by fibrin glue containing nerve growth factor in the treatment group. We analyzed the clinical efficacy by the results of the clinical manifestations and electromyogram(EMG). Results   The efficacy rate and excellence rate of sensory function assessment were 75.00% and 45.00% in the control group, and 86.96% and 69.56% in the treatment. The efficacy rate and excellence rate of motor function assessment were 72.50% and 45.00% in the control group, and 86.96% and 65.22% in the treatment group. The efficacy rate and excellence rate of clinical curative effect were 72.50% and 47.50% in the control group, and 86.96% and 67.39% in the treatment group. The efficacy rate and excellence rate of EMG recovery assessment were 72.50% and 47.50% in the control group, and 86.96% and 69.57% in the treatment group. The two groups had significant differences in all the above indicators(all P<0.05). Conclusion   The method of anastomosis of peripheral nerve embedded by fibrin glue containing nerve growth factor can promote the recovery of neural function, and it is a better way to repair injured peripheral nerve.

    Effects of lansoprazole therapy on the plasma glucose and gastrin in the patients with type 2 diabetes mellitus
    GUO Ya-di, GAO Yan-yan, LI Li, SUN Rui-xia, WANG Jing, XIAN Yu-xin
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  62-66. 
    Abstract ( 1434 )   PDF (973KB) ( 469 )   Save
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    Objective   To observe whether lansoprazole can alleviate the discomfort of gastrointestinal symptoms caused by metformin and investigate the effects of lansoprazole on the blood glucose, gastrin and potential mechanism in the type 2 diabetes mellitus. Methods   Fifty-one patients with T2DM were enrolled and divided into the lansoprazole group (n=26) and control group (n=25). We measured the levels of indicators such as fasting blood glucose(FBG), glycosylated hemoglobin(HbA1C), gastrin, fasting insulin(FINS), lipid, hepatic and renal function, and serum uric acid(UA) before and after treatment. Results   Lansoprazole could alleviate the discomfort of gastrointestinal symptoms which caused by metformin, and the effective remission rate was 95.0%. After (3.05±1.07) days, the symptoms were fully remitted. The levels of the gastrin were significantly increased in the lansoprazole group [(158.26±11.85) vs (95.61±4.48)ng/L, P<0.05]. The levels of the FBG [(7.22±0.45) vs (7.70±0.29)mmol/L, P<0.05)] and HbA1C [(7.28±0.76)% vs (7.85±0.05)%, P<0.05] in the lansoprazole groups were significantly declined in comparison with the control group after treatment. The changes of FBG (1.16±0.62 vs 0.51±0.45, P<0.05) and HbA1C in the lansoprazole group (0.64±0.50 vs 0.33±0.43,P<0.05) were significantly different in comparison with the control group(P<0.05). Correlation regression analysis showed that the decrease of HbA1C was associated with the gastrin rising (r=-0.605, P<0.05). Conclusion   Lansoprazole can alleviate the discomfort of gastrointestinal symptoms caused by metformin and reduce the blood glucose levels in T2DM patients, which may be related with the increase of gastrin.

    Effects of Tongxinluo capsules on cystatin C in the early diabetic nephropathy patients
    BI Da-peng1, JI Gao-de1, ZHAO Hong-xing2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  67-69. 
    Abstract ( 831 )   PDF (947KB) ( 116 )   Save
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    Objective   To study the effect of Tongxinluo capsules on treating diabetic nephropathy through the observation on the change of cystatin C(Cys-C). Methods   Sixty patients with early diabetic nephropathy were divided into the treatment group and the control group by the random number table method. Two groups were given medical nutrition therapy guide,  the application of hypoglycemic drugs to keep blood glucose under control and angiotensin converting enzyme inhibitors( ACEI) or angiotensin Ⅱ receptor blockers(ARB) to control blood pressure. On the basis of blood glucose and blood pressure target, Tongxinluo capsules were added into the treatment group. Before and after the treatment, the fasting blood glucose (FBG), serum creatinine (Scr), urinary albumin excretion rate (UAER), C reaction protein(CRP), and Cys-C were detected. Two groups were followed up for 12 weeks.  Results   Scr, UAER, CRP and Cys-C in two groups improved after the treatment, the treatment group took action faster and the effect of reducing UAER and Cys-C was better compared with the control group (P<0.05). Conclusion   Tongxinluo Capsules could improve renal microcirculation, reduce Cys-C, UAER, and delay the progress of renal damage in the treatment of early diabetic nephropathy.

    Relationship of the number of all dissected and negative lymph  nodes to the prognosis of patients after pancreatic cancer radical surgery
    XU Yang1, QU Hui2, SUN Guo-rui2, HE Qing-si2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  70-74. 
    Abstract ( 818 )   PDF (1785KB) ( 344 )   Save
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    Objective   To assess the relationship of all dissected and negative lymph nodes number to the prognosis of patients after pancreatic cancer radical surgery. Methods   Two hundred and twenty-seven  patients with pancreatic carcinoma who underwent radical resection from 1998 to 2007 in Qilu Hospital of Shandong University were involved. The relationship of the all dissected and negative LNs number to the survival of patients was analyzed. Results   A total of 182 patients were obtained with the follow-up rate of 80.2%. There were 76 patients with no lymph node metastasis. The 3-year survival rate and 5-year survival rate was 28.9% and 21.0% respectively. The number of all dissected LNs was the independent predictor. The 3-year survival rate and 5-year survival rate of the rest 106 patients with lymph node metastasis was 21.1% and 7.5%. The numbers of all dissected LNs and negative LNs were independent predictors. The all dissected LNs number was positively correlated with negative LNs number on the Pearson's correlation test(r=0.919, P<0.05). Conclusion   With the standard radical surgery, the all dissected LNs and negative LNs numbers can be TNM stage auxiliary indicators for the prognosis of pancreatic cancer patients, so that patients can get more accurate clinical stages and prognostic judgment and the best longterm survival rate.

    Effects of the immune enteral nutrition combined with drug in treatment of ulcerative colitis
    CHE Qian-hong, GUO Jia-qi
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  75-78. 
    Abstract ( 850 )   PDF (1017KB) ( 112 )   Save
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    Objective   To evaluate the effect of ecological immune enteral nutrition on the clinical symptoms, nutritional status and immune function of ulcerative colitis(UC)patients. Methods   One hundred and six patients with ulcerative colitis were randomly divided into the control group and the treated group for 20 days. Fifty-five patients in the control group were given the conventional drugs and low residue diet. Fifty-one patients in the treated group were given the conventional drugs and immune-enhancing enteral nutrition therapy. Then the clinical symptoms, the nutrition indicators and the changes of immune indexes were observed before and after treatment. Results   The total effective rate in the treated group(89.1%)was higher than that in the control group(74.5%). The therapeutic effects between the two groups had significant difference (P<0.05). PAL and HGB levels of the treated group improved significantly after treatment compared with those before treatment, and also obviously improved compared with those of the control group (P<0.05). IL-10 of the treated group was significantly higher compared with that before treatment (P<0.01). Conclusion   As for ulcerative colitis, the effect of immune enteral nutrition therapy is superior to conventional treatment. It contributes to improving the nutritional status. Immune enteral nutrition is expected to become one of the auxiliary treatments of UC.

    Clinical features of renal cell carcinoma associated with Xp11.2 translocation
    WANG Chang1, LI Li2, DONG Cai-li3, LIU Cheng1, WANG Kun1, LIU Hai-nan1, FAN Yi-dong1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  79-83. 
    Abstract ( 997 )   PDF (2006KB) ( 109 )   Save
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    Objective   To summarize the clinical features of renal cell carcinoma associated with Xp11.2 translocation, and to explore the approach of its diagnosis and treatment. Methods   The clinical and follow-up data of three cases of renal cell carcinoma associated with Xp11.2 translocations were collected in the department of urology, Qilu Hospital during 2011 and 2012.The surgical specimens were analyzed and the relevant literature were reviewed. Results   Two of the three cases were found after painless gross hematuria and the other was found by physical examination. The average size of all the three renal tumors was 4cm×5cm, calcification spots were found in CT scan, and the tumors were strengthened unevenly by contrast mediums. The genetic feature of all three cases was confirmed by immuneohistochemistry and RT-PCR, which belonged to renal cell carcinoma associated with Xp11.2 translocation. Conclusion   The effective treatment of renal cell carcinoma associated with Xp11.2 translocation is still in the study.

    Surgical effects of congenital superior oblique palsy in 189 patients
    CHEN Peng1, WANG Jing1, ZHANG Lin-na2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  84-86. 
    Abstract ( 923 )   PDF (985KB) ( 108 )   Save
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    Objective   To evaluate the effectiveness of different surgical approaches for congenital superior oblique paralysis(CSOP) patients and thus investigate the indications of different surgeries. Methods   One hundred and eighty-nine patients(222 eyes)with superior oblique palsy were treated with seven different surgical procedures on the basis of their preoperative examinations. Group A accepted disinsertion of the inferior oblique muscle; Group B accepted inferior oblique myectomy; Group C accepted inferior oblique recession; Group D accepted contralateral inferior rectus muscle recession; Group E accepted other surgical procedures of weakening inferior oblique muscle in combination with rectus muscle; Group F accepted disinsertion of the inferior oblique muscle on one eye and inferior oblique myectomy on the other eye; Group G accepted inferior oblique myectomy on one eye and marginal myotomy of inferior oblique tendon on the other eye. Results   The mean post operative follow-up was 2-24 months. One hundred and sixty-seven(88.36%) cases were cured, and 22 (11.64%) cases were improved. The total effectiveness rate was 100%. Conclusion   Effects of the surgeries for congenital superior oblique paralysis patients are definite. The principle for surgical approaches is to weaken direct antagonist muscle and/or yoke muscle to augment the paralytic muscle. The proper surgical approaches based on the preoperative examinations can obtain higher recovery rates and reduce the risk of second or more operation.

    Distribution and antibiotic resistance of 3598 clinic isolated pathogenic bacteria
    GUO Ai-ping1, YU Xiu-juan2, LIU Xin-feng1, WANG De-jing1, ZHENG Wen1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  87-91. 
    Abstract ( 614 )   PDF (968KB) ( 146 )   Save
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    Objective   To investigate the distribution and antibiotic resistance of bacteria isolated from clinical samples and to guide reasonable clinical treatment of antibiotics. Methods   3598 strains of bacteria with their drug sensitivity test results during May 2010 to Apr. 2012 were reviewed retrospectively. Results   In  3598 strains of pathogenic bacteria, 2895 (80.5%) strains were gram-negative bacilli which containedd 784( 21.9%)strains of Escherichia coli, 703(19.6%) strains of Pseudomonas aeruginosa, 462(12.8%) strains of Klebsiella pneumoniae, 399 (11.1%) strains of Acinetobacter baumannii. The positive rate of extendedspectrum β-lactamases from Escherichia coli and Klebsiella pneumoniae were 55.5% and 31.0%, respectively. Both of them were 100% sensitive to imipenem and meropenem, highly sensitive to cefoperazone/sulbactam and amikacin. The sensitivity of Escherichia coli were 99.23% and 91.96%, and the sensitivity of Klebsiella pneumoniae were 98.92% and 92.21%. The sensitivity of pseudomonas aeruginosa to cefoperazone/sulbactam,  amikacin and cefepime were 91.75%,  90.18% and 89.47%, respectively. The sensitivity of Acinetobacter baumannii to cefoperazone/sulbactam,  minocycline and ampicillin/sulbactam were 97.99%,  93.48% and 84.71%, respectively. There were 556 strains of gram-positive cocci(15.5%) which contained 139 strains of Staphylococcus aureus(3.9%)、 116 strains of coagulase-negative Staphylococci (3.2%),  141 strains of Enterococcus faecalis (4.0%) and 101 strains of Enterococcus faecium (2.8%). The detection rate of MRSA and MRCNS were 21.6% and 56.0%, respectively. No strains of Staphylococcus and Enterococcus with resistance to vancomycin were detected.There were 147(4.1%) strains of fungi. Conclusion   To understand the distribution of pathogen bacteria and monitor its drug resistance dynamically can guide the reasonable use of antibiotics as well as control and delay the emergence of drug resistant strains.

    Clinical and pathological significances of the expressions of IgA and CD35 in chronic tonsillitis and IgAN patients’ tonsillae
    GONG Li-li1, HOU Sen2, REN Yu-bo3, LI Lian-qing1, WANG Jing1, ZHANG Ting-guo4
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  92-95. 
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    Objective   To observe the expression and significance of IgA and CD35 in chronic tonsillitis and IgA-N patients, and to explore the difference of IgA and CD35 expressions in the two kinds of patients′ tonsillae.  Methods   Tonsillar specimens of 37 IgA-N patients and 80 chronic tonsillitis patients were examined by immunohistochemical staining with IgA and CD35. Positive staining cells were counted under the light microscope, and statistical analysis of IgA and CD35  positive staining cells was carried out by t-test. Results   The expressions of IgA and CD35 in IgA-N tonsillae were strongly positive and presented positive correlation. The positive expressions of IgA and CD35 in chronic tonsillitis tonsillae significantly reduced. Conclusion   There were significant differences of IgA and CD35 expressions in chronic tonsillitis and IgA-N patients. The expressions of IgA and CD35 in chronic tonsillitis may be one of the earlier period events, and can be the index for the early diagnosis of IgA-N.

    Prevalence of depression symptoms and its risk factors in the rural residents of Laiwu City
    CHANG Xue-run1,2, SUN Xiu-bin1, LIU Yan-xun1, YUAN Zhong-shang1, ZHANG Jing-xuan2, XUE Fu-zhong1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  96-99. 
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    Objective   To study the prevalence of depression symptoms in the partial rural residents in Laiwu city of Shandong province of China and the influencing factors, and provide the basis for subsequent early warning and community intervention. Methods   The residents in Laiwu City of Shandong province were randomly selected as investigation subjects by using cluster sampling  approach.Both Center for Epidemiological Survey Depression Scale (CES-D) and selfdesigned questionnaire about risk factors were used to assess depression patients. Results   The total occurrence rate of the depression symptoms in the partial rural residents in Laiwu city was 12.15%. The age, dwelling condition, marital status, educational level showed higher levels of depression symptoms compared with their demographic counterparts (P<0.01). Through Logistic stepwise regression analysis about the multiple factors, the factors with statistical significance were screened out: cohabitation with family members or others, support from family members, and regular social activities were protective factors; while physical disease, toxic disease, the history of cerebral disease, strenuous manual labor, excessive use of the brain, the history of mental illness, and psychological damage were the risk factors for depression symptoms. Conclusion   The prevalence of depression symptoms of partial rural residents in Laiwu city of Shandong province is relatively high. Positive and effective interventions should be taken to improve the mental health status of rural residents.

    Epidemiologic survey of metabolic syndrome and its related risk  factors in Jinan community population
    JIA Tang-hong1, HOU Ting-cheng1, XIE Zhong-yuan1, DOU Ke-hong1, ZHANG Ji2, BIAN Xue-feng2, SHI Yan-shen3, NIU Ji-lun4, YANG Hua5
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  100-106. 
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    Objective   To explore the prevalence and risk factors of metabolic syndrome (MS) in Jinan community population, to estimate the risk of MS in community people and identify highrisk groups in order to establish related prevention strategy. Methods   In this study based on residents older than 18 years in three communities including Shizhong, Huaiyin and Zhangqiu of Jinan by cluster random sampling survey, we interviewed general demographic characteristics and lifestyle characteristics. MS risk was assessed using a Logistic regression model. Results   The total response rate was 91.50% with 9185 valid questionnaires and the total prevalence of MS was 9.99%. MS was associated with age, BMI, heavy taste and others. The high degree of education and moderate taste were the protective factors of MS. Conclusion   MS detection rates and the strength of risk factors are different between urban and rural groups. Prevention strategies for MS in community people should be based on the otherness of different groups.

    Relationships between dietary, lifestyle and colorectal cancer: a matched casecontrol study
    FENG Fei1, YAN Jin2, YUAN Ping1, HU Xiao-qin1, XU Lin2, YANG Yan-fang1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2013, 51(7):  107-112. 
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    Objective   To explore the relationships between dietary, lifestyle and colorectal cancer, and provide a scientific basis for the prevention of colorectal cancer. Methods   In the 1∶1 matched case control study, 400 patients with pathologically confirmed colorectal cancer from Sichuan Cancer Hospital and 400 healthy individuals were enrolled, and were investigated used a questionnaire to collect information of the dietary and lifestyle. Univariate and multivariate conditional/non-conditional logistic regression were used to assess the effects of each related factor on colorectal cancer risk. Results   Multivariate conditional logistic regression analysis showed that daily sedentary time over 8 hours(OR=2.01, 95%CI: 1.15-3.50), eating pickles over 3 times a week(OR=2.19, 95%CI: 1.48-3.23), eating smoked meat over 2 months a year(OR=4.12, 95%CI: 2.59-6.55), eating fat and sweet food(1 to 2 kinds of food, OR=1.97, 95%CI: 1.03-3.76; 3 to 5 kinds of food, OR=3.41, 95%CI: 1.68-6.93) and family history of colorectal cancer(OR=3.46, 95%CI: 1.37-8.75) were risk factors, while regular tea intake(OR=0.61, 95%CI: 0.40-0.94), regular exercise(OR=0.36, 95%CI: 0.23-0.56),  and regular consumption of beans and bean products over 3 times a week(OR=0.46, 95%CI: 0.28-0.75) were protective factors for colorectal cancer. Eating fat and sweet food played a prominent role in colon cancer (1 to 2 kinds of food,OR=7.53, 95%CI: 1.75-32.34; 3 to 5 kinds of food, OR=10.57, 95%CI: 2.38-46.95), but did not in rectal cancer. Conclusion   Dietary and lifestyle may be associated with colorectal cancer. Health education for the disease should be strengthened and more exercise and balanced diet should be advocated to prevent colorectal cancer.