BACKGROUND：Edaravone can alleviate brain injury and improve neurological functions and symptoms. This study aimed to investigate the effect of edaravone on the p38Mitogen-activated protein kinases/Caspase-3 （p38MAPK...BACKGROUND：Edaravone can alleviate brain injury and improve neurological functions and symptoms. This study aimed to investigate the effect of edaravone on the p38Mitogen-activated protein kinases/Caspase-3 （p38MAPK/Caspase-3） pathway after diffuse brain injury （DBI） in rats. METHODS： DBI models were established according to the description of Marmarou＇s method. A total of 250 rats were divided （random number） into four groups： control group （CG, n=45）, model group （MG, n=77）, low-dose edaravone group （n=67, dosage 5 mg/kg） and high-dose edaravone group （n=61, dosage 10 mg/kg）. After 1,6, 24, 48, and 72 hours after injury, brain tissues were collected. The changes of neuron morphous in the hippocampal region were observed through Nissl staining. The expression levels of phosphorylated p38MAPK and caspase-3 were detected by immunohistochemistry and Western blotting respectively. Learning and memory function were tested with Morris water maze from the 3rd to 7th day after injury. RESULTS： Some neurons had histopathologic changes of necrosis and apoptosis in the model group compared with the control group. The phosphorylated p38MAPK expressions increased at 1,6, 4, and 48 hours （P〈0.05）, but no significant difference was observed at 72 hours （0.54±0.19 vs. 0.40±0.14, P〉0.05）. Caspase-3 expressions increased at 6, 24, 48, and 72 hours respectively （P〈0.05）, but there was no significant difference at 1 hour （0.59±0.29 vs. 0.40±0.17, P〉0.05）. From the 3rd to 6th day during the Morris water maze test, the latency to find the platform was significantly prolonged （P〈0.05） and times of rats crossing the platform was decreased on the 7th day （2.28±1.18 vs. 8.20±1.52, P〈0.05）. The phosphorylated p38MAPK expressions decreased at 6, 24 and 48 hours respectively in the low dose edaravone group compared with the model group （P〈0.05）, whereas no significant difference was seen at 1 hour （1.66±0.80 vs. 1.85±0.86, P〉0.05）. Caspase-3 expression decreased at 6, 24, 48, and 72 hours （P〈0.05）. The latency to find the platform was significantly shortened （P〈0.05）, and times of rats crossing the platform increased （4.17±1.15 vs. 2.28±1.18, P〈0.05）. The above mentioned parameters changed more significantly in the high-dose edaravone group than in the low-dose edaravone group. CONCLUSION：Edaravone can alleviate brain tissue damage after DBI, inhibit p38MAP signal activation after early injury, reduce the expression of caspase-3, and promote the recovery of neurological function in the late period.展开更多
Objective:To observe the effect of visual training on cognitive function in stoke patients.Methods:Eighty stroke patients with cognitive dysfunction were divided into two groups(n?40 in each group).The control group r...Objective:To observe the effect of visual training on cognitive function in stoke patients.Methods:Eighty stroke patients with cognitive dysfunction were divided into two groups(n?40 in each group).The control group received conventional rehabilitation therapies.The experimental group received visual training in addition to the conventional therapies.This training was administered for 30 min once a day,five times a week,for four weeks.All patients were screened with the Montreal Cognitive Assessment(MoCA)both before and after the four weeks of intervention.Results:After the four-week intervention,patients in the experimental group increased their scores for attention and concentration,executive function,memory,visual skills,abstract thinking,calculation,and directional force,as well as their total standard score(p<0.01).The patients in the control group also increased their scores in the executive function,visual skills and abstract thinking,as well as their total standard score(p<0.05).However,the experimental group scored higher than the control group for both the individual and total standard scores(p<0.05).Conclusion:Visual training could improve cognitive function of patients with stroke.展开更多
文摘BACKGROUND：Edaravone can alleviate brain injury and improve neurological functions and symptoms. This study aimed to investigate the effect of edaravone on the p38Mitogen-activated protein kinases/Caspase-3 （p38MAPK/Caspase-3） pathway after diffuse brain injury （DBI） in rats. METHODS： DBI models were established according to the description of Marmarou＇s method. A total of 250 rats were divided （random number） into four groups： control group （CG, n=45）, model group （MG, n=77）, low-dose edaravone group （n=67, dosage 5 mg/kg） and high-dose edaravone group （n=61, dosage 10 mg/kg）. After 1,6, 24, 48, and 72 hours after injury, brain tissues were collected. The changes of neuron morphous in the hippocampal region were observed through Nissl staining. The expression levels of phosphorylated p38MAPK and caspase-3 were detected by immunohistochemistry and Western blotting respectively. Learning and memory function were tested with Morris water maze from the 3rd to 7th day after injury. RESULTS： Some neurons had histopathologic changes of necrosis and apoptosis in the model group compared with the control group. The phosphorylated p38MAPK expressions increased at 1,6, 4, and 48 hours （P〈0.05）, but no significant difference was observed at 72 hours （0.54±0.19 vs. 0.40±0.14, P〉0.05）. Caspase-3 expressions increased at 6, 24, 48, and 72 hours respectively （P〈0.05）, but there was no significant difference at 1 hour （0.59±0.29 vs. 0.40±0.17, P〉0.05）. From the 3rd to 6th day during the Morris water maze test, the latency to find the platform was significantly prolonged （P〈0.05） and times of rats crossing the platform was decreased on the 7th day （2.28±1.18 vs. 8.20±1.52, P〈0.05）. The phosphorylated p38MAPK expressions decreased at 6, 24 and 48 hours respectively in the low dose edaravone group compared with the model group （P〈0.05）, whereas no significant difference was seen at 1 hour （1.66±0.80 vs. 1.85±0.86, P〉0.05）. Caspase-3 expression decreased at 6, 24, 48, and 72 hours （P〈0.05）. The latency to find the platform was significantly shortened （P〈0.05）, and times of rats crossing the platform increased （4.17±1.15 vs. 2.28±1.18, P〈0.05）. The above mentioned parameters changed more significantly in the high-dose edaravone group than in the low-dose edaravone group. CONCLUSION：Edaravone can alleviate brain tissue damage after DBI, inhibit p38MAP signal activation after early injury, reduce the expression of caspase-3, and promote the recovery of neurological function in the late period.
基金the Ethics Committee of Hebei United University(approval number 14057/2014),and the patients voluntarily joined this study with informed consents.
文摘Objective:To observe the effect of visual training on cognitive function in stoke patients.Methods:Eighty stroke patients with cognitive dysfunction were divided into two groups(n?40 in each group).The control group received conventional rehabilitation therapies.The experimental group received visual training in addition to the conventional therapies.This training was administered for 30 min once a day,five times a week,for four weeks.All patients were screened with the Montreal Cognitive Assessment(MoCA)both before and after the four weeks of intervention.Results:After the four-week intervention,patients in the experimental group increased their scores for attention and concentration,executive function,memory,visual skills,abstract thinking,calculation,and directional force,as well as their total standard score(p<0.01).The patients in the control group also increased their scores in the executive function,visual skills and abstract thinking,as well as their total standard score(p<0.05).However,the experimental group scored higher than the control group for both the individual and total standard scores(p<0.05).Conclusion:Visual training could improve cognitive function of patients with stroke.
