Evaluation of nongenotoxic and genotoxic factors modulating the frequency of micronucleated erythrocytes in the peripheral blood of mice

The hematological micronucleus test is regarded as an indicator of the clastogenic effect of chemicals and acute cytogenetic damage. The test can be carried out in red blood cells of the bone marrow and of the spleen, as well as in peripheral erythrocytes. We have determined the precise background values of micronucleated red blood cells for the peripheral blood of BALB/c DBA/2, and NMRI mice. Bleeding, phenylhydrazine-induced hemolysis, and splenectomy generated an increase of micronucleated erythrocytes in the peripheral blood of mice. Our data thus demonstrate that such factors should be taken into consideration when the micronucleus test is used for screening the genotoxic potential of chemicals. Furthermore, the micronucleus-inducing effect of cyclophosphamide was studied in normal and splenectomized mice and, in addition, a comparison of the sensitivity of the micronucleus test was carried out in peripheral blood and bone marrow after cyclophosphamide treatment. Our data demonstrate that the kinetics of micronucleus formation were similar in normal and in splenectomized mice in which the micronucleus levels had returned to normal. The comparison of micronucleus formation in bone marrow and peripheral blood after cyclophosphamide treatment revealed the generation of similar quantities of micronucleated red blood cells in both tissues. The physiological mechanisms of micronucleus formation and removal and the potential role of chemically induced spleen damage during this process are discussed; the usefulness of the peripheral micronucleus test as a simple, rapid, and animal-saving modification of the standard bone marrow test is evaluated.Abbreviations CP cyclophosphamide - MN micronuclei - MNCE micronucleated normochromatic erythrocytes - MNPCE micronucleated polychromatic erythrocytes - MNRBC micronucleated red blood cells - NCE normochromatic erythrocytes - PCE polychromatic erythrocytes     

qSOFA评分、血乳酸及红细胞分布宽度与急性上消化道出血病情严重程度的关系及其预测患者预后的效能分析

摘要 目的：探讨快速序贯器官功能衰竭评估（qSOFA）评分、血乳酸（Lac）及红细胞分布宽度（RDW）与急性上消化道出血（AUGIB）病情严重程度的关系及其预测患者预后的效能。方法：选取2017年6月～2022年6月我院收治的230例AUGIB患者为研究对象,根据病情严重程度分为低危组44例、中危组140例、高危组36例、极高危组10例,且根据其入院28 d内生存情况分为死亡组（n=31）和存活组（n=199）。收集AUGIB患者临床资料,检测血Lac、RDW水平并计算qSOFA评分。采用多因素Logistic回归分析AUGIB患者预后不良的影响因素,受试者工作特征（ROC）曲线分析qSOFA评分和血Lac、RDW对AUGIB患者预后不良的预测价值。结果：低危组、中危组、高危组、极高危组qSOFA评分和血Lac、RDW水平依次升高（P＜0.05）。230例AUGIB患者入院28 d内死亡率为13.48％（31/230）。多因素Logistic回归分析显示,年龄增加、GBS评分≥6分及休克指数、qSOFA评分、血尿素氮、血Lac、RDW水平升高为AUGIB患者预后不良的独立危险因素（P＜0.05）。ROC曲线分析显示,qSOFA评分、血Lac及RDW联合预测AUGIB患者预后不良的曲线下面积大于qSOFA评分、血Lac及RDW单独预测。结论：AUGIB患者qSOFA评分、血Lac及RDW水平升高与病情加重和预后不良密切相关,qSOFA评分、血Lac及RDW联合预测AUGIB患者预后不良的效能较高。     

复方醋酸棉酚片联合独一味胶囊对大鼠无排卵型功能失调性子宫出血的改善作用及其作用机制

摘要 目的：探讨复方醋酸棉酚片联合独一味胶囊对大鼠无排卵型功能失调性子宫出血的改善作用及其作用机制。方法：将40只雌性SD大鼠随机均分成两组（空白组和模型组）,采用给大鼠连续21 d灌胃戊酸雌二醇的方法制备无排卵型功能失调性子宫大鼠模型。模型大鼠制备成功后,按随机法再均分成模型组、阳性组和治疗组,其中阳性组和治疗组分别灌胃给予相应的药物,空白组和模型组灌胃等体积的生理盐水,各组均连续灌胃7 d。计算各组大鼠的子宫系数,采用酶联免疫吸附法测定大鼠血清中雌二醇（estradiol, E₂）和孕酮（progestone,P）水平,采用免疫组化法测定大鼠子宫内膜组织中两个蛋白（matrix metalloproteinases-9,MMP-9和vascular endothelial growth factor ,VEGF）的表达量。结果：模型组大鼠血清中的P水平比空白组显著性减少（P<0.05）,子宫内膜组织中的MMP-9和VEGF表达量比空白组均显著性升高（P<0.05）。给药后,治疗组和阳性组大鼠血清中的P水平均显著高于模型组（P<0.05）,大鼠子宫内膜组织中的MMP-9和VEGF 表达量均显著低于模型组（P<0.05）,治疗组与阳性组之间无显著性差异（P >0.05）。结论：复方醋酸棉酚片联合独一味胶囊对无排卵型功能失调性子宫出血具有明显的改善作用,其机制可能与调控子宫内膜 MMP-9 和VEGF的表达量有关。     

巴中地区上消化道出血反复发作相关性因素分析

目的：了解巴中地区上消化道出血反复发作的原因,为治疗提供临床循证医学证据。方法：通过对2011年4月~2012年11月巴中地区1134例上消化道出血中132例反复发作的患者进行调查统计,分析这上消化道出血反复发作的132例患者的年龄、生理特征、生活饮食习惯、精神状态、生活压力等多种相关因素。结果：发现饮食不当、精神紧张、腹腔感染、腹腔内压增高、输液输血过速、过量等是造成病情反复发作的主要诱因。结论：通过消除疾病的诱发因素,认真做好健康教育指导,积极治疗原发病是预防反复发作的有效措施。     

光照强度对大花旋蒴苣苔叶形态和生理指标的影响

以复苏植物大花旋蒴苣苔(Boea clarkeana)为盆栽实验材料,通过梯度遮光处理,研究不同光照强度(100%、80%、60%、40%和20%透光率)和不同处理时间(30、60、90、120和150d)对大花旋蒴苣苔叶生长指标和生理指标的影响。结果表明:随着光照强度的减弱,大花旋蒴苣苔叶的各生长指标(叶片长、叶片宽、叶柄长、叶柄直径以及叶面积)呈现先增大后减小的趋势,透光率为60%时达到最大值;全光照(100%透光率)时,大花旋蒴苣苔表现出明显的外伤症状,透光率为80%和20%时,分别表现出中度伤害和轻度伤害,透光率为40%和60%时,未出现明显的外伤症状;过氧化氢酶(CAT)、超氧化物歧化酶(SOD)和过氧化物酶(POD)3种抗氧化酶活性均较低且随着光强减弱呈现先降低后升高的趋势,随着处理时间的延长呈先上升后下降的趋势,全光照时抗氧化酶的活性最大,透光率60%处理下酶活性相对较低;丙二醛(MDA)含量、脯氨酸(Pro)含量和质膜透性随着光强减弱呈先降低后升高的趋势,随着处理时间的延长显著升高;叶绿素含量随着光强减弱呈逐渐上升的趋势,随着处理时间的延长先降低后升高。分析表明,40%～60%的透光率有利于大花旋蒴苣苔的生长,强光和弱光对大花旋蒴苣苔的生长均不利。     

孕激素及人绒毛促性腺激素与药物流产后异常子宫出血的关系

目的:分析孕激素和人绒毛膜促性腺激素(h CG)与药物流产后异常子宫出血的关系。方法:选择2017年1月至2017年12月我院妇产科收治的药物终止妊娠的妇女150例,患者口服米非司酮配伍米索前列醇药物终止早期妊娠。将药物流产后子宫出血时间≤14 d作为对照组(n=75),14d作为异常组(n=75)。比较两组患者在药物流产后10 d、14 d、18 d、22 d血清中孕激素和h CG含量,分析两组患者孕激素和h CG含量相关性。结果:两组患者在年龄、月经周期、孕次、受孕天数、体重等方面比较无统计学差异(P0.05)。异常组在药物流产后10 d、14 d、18 d、22 d血清孕激素和h CG含量均高于对照组(P0.05)。两组患者在药物流产后10 d、14 d、18 d、22 d孕激素含量呈先降低再升高的趋势(P0.05)。对照组患者在药物流产后10 d、14 d、18 d、22 d血清hCG含量逐渐降低(P0.05);异常组在药物流产后10 d、14 d血清h CG含量比较无统计学差异(P0.05),在药物流产后18 d、22 d血清hCG含量低于药物流产后10 d、14 d,且药物流产后22 d低于药物流产后18 d(P0.05)。对全部样本的全部时点数据合并进行Pearson相关检验分析,孕激素和h CG含量呈正相关关系(P0.05)。结论:药物流产后异常子宫出血妇女血清的孕激素、hCG含量较高,两者呈正相关关系。药物流产后10 d、14 d监测血清HCG值无明显下降提示有异常子宫出血的可能,联合监测孕激素、hCG含量有利于药物流产后异常子宫出血的预测和治疗。     

The effect of heavy bleeding on mortality of the horseshoe crab, Limulus polyphemus, in the natural environment

The goal of this study was to ascertain the impact of bleeding such as is done to produce Limulus lysate (LAL) on a horseshoe crab population after animals are returned to the natural environment. Techniques used to evaluate the impact of bleeding on subsequent survival included a field tagging experiment and an analysis of survival in the laboratory after bleeding. Approximately 10,000 mature Limulus polyphemus were collected, described, and individually tagged. Half were bled and half were handled as controls. All were released into the field. An analysis of the rate of tag recovery for the two groups indicates that bleeding increases mortality by 10% during the first year after bleeding. Crabs rebled after 4 weeks at large had recovered their blood volume. Animals recovered during the second year showed an 11% increase in mortality of bled over control animals. Animals held in the laboratory showed no significant differences in activity after bleeding as compared to unbled controls. Lysate bleeding followed by release of the animals does not appear to constitute a threat to current population levels of L. polyphemus.     

Eradication of Helicobacter pylori for the prevention of peptic ulcer rebleeding

AIM: To evaluate the effect of Helicobacter pylori eradication on ulcer bleeding recurrence in a prospective, long-term study including more than 400 patients. METHODS: Patients with peptic ulcer bleeding were prospectively included. H. pylori infection was confirmed by rapid urease test, histology or (13)C-urea breath test. Several eradication regimens were used. Ranitidine 150 mg was administered daily until eradication was confirmed by breath test 8 weeks after completing eradication therapy. Patients with therapy failure received a second or third course of therapy. Patients with eradication success did not receive maintenance anti-ulcer therapy, and were controlled yearly with a repeated breath test. RESULTS: Four hundred and twenty-two patients were followed up for at least 12 months, with a total of 906 patient-years of follow up. Mean age was 59 years, and 35% were previous nonsteroidal anti-inflammatory drug (NSAID) users. Sixty-nine percent had duodenal, 24% gastric, and 7% pyloric ulcer. Recurrence of bleeding was demonstrated in two patients at 1 year (incidence: 0.22% per patient-year of follow up), which occurred after NSAID use in both cases. CONCLUSION: Peptic ulcer rebleeding does not occur in patients with complicated ulcers after H. pylori eradication. Maintenance anti-ulcer (antisecretory) therapy is not necessary if eradication is achieved.     

藕节止血作用研究

本实验通过测定毛细管凝血时间(CT)、剪尾法出血时间(BT)、活化部分凝血酶时间(APTT)、凝血酶原时间(PT)、凝血酶时间(TT)、优球蛋白溶解时间(ELT)等指标研究藕节醇提物及其不同极性段的体内止血作用.结果表明,藕节醇提物显著缩短小鼠CT、BT,显示很好的止血作用,可能是主要通过缩短APTT、PT,延长ELT...