[Association between congenital heart disease and maternal disease in early pregnancy in women of childbearing age]

Objective: To investigate the relationship between maternal disease in early pregnancy of women of childbearing age and congenital heart disease of neonates. Methods: A cross-sectional design was used in this study and stratified multistage random sampling method was used. A questionnaire survey was conducted in the childbearing-aged women during 2010-2013 in Shaanxi province. Propensity score (PS) matched (1∶1) analysis was used to match participants with diseases to those without disease in early pregnancy. Through the control of the confounders step by step, a logistic regression model was established to evaluate the ORs of congenital heart disease according to the independent variable of maternal disease. Results: A total of 28 680 pairs of mothers and infants were included in this study, the proportion of the women with disease in early pregnancy was 20.25% (5 807). After PS matching, 5 436 pairs were matched. After adjusting all confounding factors, the multivariable logistic regression analysis results showed that maternal disease (OR=1.86, 95%CI: 1.23-2.81), especially cold (OR=2.19, 95%CI: 1.46-3.28), gynecological disease (OR=4.74, 95%CI: 2.03-11.09) and diabetes (OR=14.00, 95%CI: 1.64-119.21), in early pregnancy were the risk factors for congenital heart disease of neonate. Conclusion: In women of childbearing age, disease in early pregnancy, especially cold, gynecological disease and diabetes, can increase the risk of congenital heart disease in neonates.

[Study on the association between social isolation and cognitive function among elderly in Daqing city, Heilongjiang province]

Objective: To examine the association between social isolation and cognitive function among the elderly living in the communities of Daqing city. Methods: A total of 981 community residents aged 60 years or over, were surveyed with a questionnaire. Both Lubben Social Network Scale-6 (LSNS-6) and Montreal Congnitive Assessment (MoCA) Changsha Versions were used to respectively screen the status of social isolation and cognitive function, on these elderly. Results: The average age was 71 years old for the 981 study participants. 10.60% (104/981) of the participants were assessed as having the status of social isolation, 9.48% (93/981) as having marginal family ties and 13.97% (137/981) as having marginal friendship ties. Results from the multivariate linear regression analysis revealed that participants with higher scores of LSNS-6 presenting better cognitive function score, with a partial regression coefficient as 0.10 (P<0.01). The MoCA scores in participants with social isolation (20.38±5.54) were significantly lower than the ones without social isolation (22.10±5.01) and the difference was statistically significant (P<0.01). Social isolation was significantly related to the domain scores on visuo-spatial constructional executive functions (P=0.02), naming (P=0.03), language (P=0.01) and delayed memory functions (P<0.01), but not with other domains as concentration (P=0.33), orientation (P=0.27) or abstraction (P=0.49). Conclusion: The findings suggested that social isolation was mainly caused by the lack of friendship ties and associated with cognitive function and among the elderly in Daqing city, Heilongjiang province.

[The characters on histopathological changes in dental fluorosis]

The microradiography SEM and TEM were used ton observe histopathological changes in dental fluorasis with various degrees in this study.The characters of histopathological changes of dental fluorasis are:(1) the lesios appear in exterior layer of enamel,not excess one third enamel.(2)the future of the lesion is enamel-hypoplasia,enamel rods were hypomineralized.the space among enamel rods widen and form some cavities.There are a lot of spaces in intercrystlines.Many micropores and injures exhibit on enamel surface.(3)the clinic severe degree of lesion is similar to the histopathological changes.It could be indicated using the Dean's and the TF index.

Impaired renal vascular reactivity in prehypertensive Dahl salt-sensitive rats

We have previously shown that renal vascular resistance is less in Dahl salt-sensitive rats than salt-resistant rats fed 1% NaCl diets; however, renal vascular resistance increases before nonrenal vascular resistance as salt-sensitive rats develop hypertension when fed 8% NaCl diets. When salt-resistant rats are given 8% NaCl diets, renal vascular resistance decreases. The current study reports effects of atrial natriuretic peptide, nitroprusside, norepinephrine, angiotensin II, and endothelin-1 on renal and nonrenal vascular resistance in prehypertensive salt-sensitive and salt-resistant rats given 1% NaCl diets; doses used did not affect blood pressure. Resistance of nonrenal vessels in salt-sensitive and salt-resistant rats responded similarly to dilators or constrictors. However, atrial natriuretic peptide and nitroprusside decreased renal vascular resistance of salt-resistant rats (by 65%, p less than 0.01) but not that of salt-sensitive rats. Norepinephrine, angiotensin II, and endothelin-1 increased renal vascular resistance in salt-sensitive rats by 126%, 135%, and 135%, respectively (p less than 0.01); norepinephrine and angiotensin II did not change renal vascular resistance of salt-resistant rats, but endothelin-1 decreased renal vascular resistance in salt-resistant rats by 30% (p less than 0.01). Reactivity of nonrenal blood vessels in prehypertensive salt-sensitive and salt-resistant rats was similar when infused with dilators or constrictors in doses used. By contrast, renal vessels of salt-sensitive rats did not dilate in response to atrial natriuretic peptide and nitroprusside but were hypersensitive to norepinephrine and angiotensin II. Endothelin-1 caused renal vasoconstriction in salt-sensitive rats and renal vasodilation in salt-resistant rats.(ABSTRACT TRUNCATED AT 250 WORDS)

In vivo mechanical properties of leukocytes during adhesion to venular endothelium

Transient deformations of leukocytes (WBCs) were studied during their saltation along post-capillary venous endothelium (EC) in mesentery of the rat. During intermittent adhesion of WBCs to EC, prevailing fluid shear stresses, tau wall, resulted in a stepwise loading of the WBC upon attachment with a transient increase in length, L(t), and reduction in height, H(t). Measurements of L(t) and H(t) from frame-by-frame analysis of video recordings were modelled as the simple shear of a standard linear viscoelastic solid to facilitate calculation of the elastic (k1, k2) and viscous (mu) elements with k1 in parallel with serial elements k2 and mu. The magnitude of tau wall was determined from measurements of red cell velocity within the venule. During the spontaneous adhesion of WBCs, a value of cell viscosity (mu) of 45 Poise was determined. Stimulating adhesion by topical application of the chemoattractant FMLP resulted in a 15-fold increase of mu to 668 Poise. Transient deformations during topical application of cytochalesin B to disrupt actin fibers within the WBC, yielded a 40% reduction in k1, compared to an 80% reduction with colchicine which disrupts the microtubule structure. Thus, colchicine treated cells appear to be twice as deformable as cells treated with cytochalesin. During adhesion stimulated by the cytokine Interleukin-1, mu increased 50% without changes in k1 and k2, possibly due to slight activation of the WBC.

Experimental induction of middle ear cholesteatoma in rats

We induced cholesteatoma in two groups of rats by instilling different concentrations of propylene glycol into the middle ear cavity. Fifteen rats were exposed to 50% propylene glycol (group I), while pure propylene glycol was applied to six others (group II). The group I rats were killed 1 month after instillation. Seven of the 15 showed cholesteatoma in the middle ear with accumulation of keratin debris. The group II rats were killed 3 months after instillation. All six animals showed inflammation in the experimental ears, and five of the six experimental ears showed cholesteatoma in the middle ear cavity. Six experimental ears in group I and five in group II revealed retraction of the tympanic membrane, possibly due to eustachian tube obstruction. Bone resorption was seen along with cholesteatoma and inflammatory cells and osteoclasts in the middle ear of all 11 of these rats. The seventh cholesteatoma of group I can be classified as a microcholesteatoma, a pearl-like cyst within the tympanic membrane. The microcholesteatoma was formed by an invasion of basal cells from the tympanic epidermis and the proliferation of these cells in the fibrous layer of the tympanic membrane. Our findings suggest that cholesteatoma in the middle ear cavity is a response to the inflammation produced by high concentrations of propyleme glycol.

Age-related epithelial migration on the tympanic membrane of the Mongolian gerbil

Epithelial migration on the tympanic membrane of young and aged gerbils was studied; Sudan black B was used as a marker dye. The epithelial migration center was found at the region of umbo, manubrium, and the short process of the malleus. The epithelial migration rates of the gerbils aged 3 to 6 months, 9 to 12 months, and 24 to 30 months were approximately 116, 113, and 86 micron per day, respectively. These findings suggest that the low epithelial migration rate on the tympanic membrane and external ear canal might play an important role on the high occurrence rate of external ear keratosis that results from accumulation of keratin debris in the aged gerbil ears.