APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

Objective To assess the efficacy and safety of lornoxicam, one non-steroidal anti-inflammatory drug (NSAID) in patient-controlled analgesia (PCA) in patients undergoing abdominal surgeries. Methods Thirty-nine patients scheduled for abdominal surgeries were randomly assigned to different PCA treatment groups using either lornoxicam or fentanyl postoperatively. Pain intensity difference (PID) and sum of pain intensity difference (SPID) were used to assess the analgesic efficacy of both drugs during a 24-hour period. Results The analgesic efficacy of lornoxicam is 1/66 of fentanyl, which was shown by SPID value of 3.250 and 3.058, respectively (P > 0.05). Lornoxicam caused fewer adverse events than fentanyl (33% vs. 68%, P < 0.05). Conclusion In clinic, we can use lornoxicam to treat postoperative pain effectively and with less adverse reactions com-pared with fentanyl.

Inhibitory effects of docetaxel on expression of VEGF, bFGF and MMPs of LS174T cell

AIM: To study the effects of non-cytotoxJc concentrations of docetaxel on some important angiogenic factors of LS174T Cells.METHODS: The non-cytotoxic concentration of docetaxel and the activity of gelatinase were determined with MTT and gelatin zymography respectively, the expression of VEGF (vascular endothelial growth factor), bFGF (basic fibroblast growth factor), MMP (matrix metalloproteinase) 2 and MMP 9 was investigated with RT-PCR and Western blot.RESULTS: The maximum non-cytotoxic concentration of docetaxel on LS174T Cells was 1.0 ng/ml. Compared with the solvent control group, 0.1, 0.5, 1.0 ng/ml of docetaxel could downregulate the expression of VEGF, bFGF, MMP 2and MMP 9 and suppress the activity of gelatinase.CONCLUSION: Our study suggests that the non-cytotoxic concentrations of docetaxel have strong antiangiogenic activity on LS174T Cells, which suggests docetaxel may be a promising antiangiogenic agent.

Role of multiphase scans by multirow-detector helical CT in detecting small hepatocellular carcinoma

AIM: To evaluate the role of multiphasic scanning by multirow-detector helical CT (MDCT) in detecing small hypervascular hepatocellular carcinoma (SHCC).METHODS: Multiphasic scanning was carried out in 75patients with SHCC with Marconi MX8000 CT scanner. The early arterial phase (EAP), late arterial phase (LAP) and the portal venous phase (PVP) scans were started at 21 s, 34 s and 85 s respectively. The mean difference of CT values between tumor and liver parenchyma for each scanning phase was measured, and the sensitivity of detection of SHCC in each of these phases and in the combined phase was calculated and statistically analyzed.RESULTS: The mean difference of CT values between tumor and liver parenchyma was significant in 71 lesions≥1 cm in three phases (P＜0.05). In 91 tumor foci, the detectability of SHCC was 45.1%, 83.5% and 92.3% in EAP, LAP and double arterial phases (DAP), respectively. The early arterial phase plus the portal venous phase and the double arterial phase plus the portal venous phase were 94.5%, 97.8%,respectively. Whereas the detectability in LAP plus PVP and in DAP plus PVP had no statistical difference.CONCLUSION: The utility of faster speed and thinner slice MDCT and multiphase scanning protocol can improve the detectability of hypervascular small hepatocellular carcinoma.Among which LAP is superior to EAP in depicting the lesions.

Expression of 1A6 gene and its correlation with intestinal gastric carcinoma

AIM: To investigate the expression of 1A6 gene in the lesionsduring the development of intestinal gastric carcinoma.METHODS: One hundred and thirty-six cases of intestinalmetaplasia (IM) from surgical resections and biopsy wereclassified by mucous staining. Expression of 1A6 in all caseswas detected using immunohistochemical S-P method.RESULTS: The positive rates of 1A6in normal and superficialgastritis (SG), severe atrophic gastritis (SAG), type Ⅰ, Ⅱ, ⅢIM, dysplasia (Dys) and intestinal gastric carcinoma (IGC)were 12.2 %, 16.7 %, 7.1%, 22.6 %, 47.8 %, 46.9 % and60.8 %, respectively. A significant difference among typeⅢ IM and SG, SAG, type I and Ⅱ IM was found (P＜0.01),the difference between type Ⅲ and Dys, IGC being notsignificant.CONCLUSION: As a new tumor-related gene, expression of1A6 may be an effective parameter to predict the malignanttransformation of precancerous lesion to gastric carcinoma.

Heck Arylation of Acrylonitrile with Aryl Iodides Catalyzed by a Silica-bound Arsine Palladium(0) Complex

Acrylonitrile reacts with aryl iodides in the presence of tri-n-butylamine and a catalytic amount of a silica-bound arsine palladium(0) complex to afford stereoselectively (E)-cinnamo- nitriles in high yields.

阶梯式手术培训模式在后腹腔镜肾根治性切除术教学中的应用

目的:介绍我中心阶梯式手术培训模式在后腹腔镜肾根治性切除术教学中的初步探索经验。方法:根据随机数字表的方式,将2017年1月至2021年12月,在中国人民解放军总医院第三医学中心泌尿外科进修或者攻读研究生学位并接受腹腔镜培训的泌尿外科医师30名,随机分为阶梯式培训组和传统教学组。比较两组学员的基线资料,包括年龄、学历、职称以及既往腹腔镜手术经验。达到研究终点后,比较两组的首例手术资料、手术培训时间和例数、学员评分。结果:两组学员在年龄、学历、职称和腹腔镜手术经验方面均无明显差异(P>0.05)。通过系统培训,两组共30名成员均可在导师指导下独立完成后腹腔镜肾根治性切除术。首例患者年龄、性别、肿瘤侧别、肿瘤最大径均无明显差异(P>0.05)。与传统教学组相比,阶梯培训组手术培训时间更短(5.7月vs.6.8月,P=0.007),培训例数更少(5.3例vs.6.5例,P=0.002),首例手术时间更短(88.1 min vs.101.3min,P=0.010),学员评分更高(8.2 vs.7.0,P=0.014)。两组在首例出血量和并发症方面没有明显差异(P>0.05)。结论:阶梯式手术培训模式安全可行,教学效果优于传统教学模式,适合在其他培训中心推广应用。

Stereoselective Synthesis of (Z)-α-Bromovinylstannanes and (E)-α-Iodovinylstannanes via Hydrozirconation of Alkynylstannanes

Alkynylstannanes 1 react with Cp2Zr(H)Cl (Cp=?-C5H5) giving (Z)--stannylvinyl- zirconium complexes 2, which are trapped with NBS or iodine in THF at 0C to stereoselectively afford (Z)-a-bromovinylstannanes and (E)- a-iodovinylstannanes 3, respectively.

Stereoselective Synthesis of (E)-1,3-Enynyl Bromides via Pd/Cu-cata-lyzed Cross-coupling Reaction of (Z)-α-Bromovinylstannanes

Z)-á-Bromovinylstannanes undergo the cross-coupling reaction with alkynyl iodides in the presence of Pd(PPh3)4 and CuI in THF at room temperature to afford stereoselectively (E)-1, 3- enynyl bromides in good yields.

Effects on Telomerase Activity and Associated-Protein of hRPE Cells by TGF-β_1

Purpose: To investigate the effects on telomerase activity, human telomerase reversetranscriptase (hTERT) gene and TEP1 mRNA of retinal pigment epithelial (RPE) cells weretreated by TGF-β1 of different concentration.Methods: The cultured human RPE cells were treated with TGF-β1 at differentconcentration(0 ng/ml, 0. 01 ng/ml, 0.1 ng/ml, 1 ng/ml, 10 ng/ml) for 24 h, thentelomerase activity was detected by telomerase repeat amplification protocol(TRAP). Theexpression of hTERT mRNA and TEP-1mRNA were detected by reverse transcriptionpolymerase chain reaction(RT-PCR).Results: TRAP and RT-PCR showed when the concentration of TGF-β1 was graduallyincreased, telomerase activity and the expression of hTERTmRNA were gradually reduced,TEP1mRNA showed no apparent differential expression.Conclusion: TGF-β1 can down-regulate telomerase activity and the expression of hTERTmRNA, but no effection on TEP-1mRNA, hTERTmRNA expression was in accordance withtelomerase activity in hRPE cells, hTERT gene plays a crucial role in the expression oftelomerase activity, while TEP1 plays a much smaller role.