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Research progress of post-orgasmic illness syndrome
Su Hao, Li Hongjun
Journal of Developmental Medicine(Electronic Version)    2023, 11 (1): 77-80.   doi: 10.3969/j.issn.2095-5340.2023.01.014
Abstract(1011)   PDF (770KB) (2035)  
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Effect and safety evaluation of metabolic indexes in postmenopausal women with long-term use of tibolone
Xue Wanjun, Guo Xuetao, Yan Yaru, et al
Journal of Developmental Medicine(Electronic Version)    2022, 10 (5): 353-359.   doi: 10.3969/j.issn.2095-5340.2022.05.005
Abstract(994)   PDF (942KB) (883)  
【Abstract】 Objective To investigate the effect and the safety on glucose and lipid metabolism inpostmenopausal women with long-term use of tibolone. Method From November 2011 to December
2021, 68 postmenopausal women who had undergone menopause hormone therapy (MHT) in the First
Hospital of Shanxi Medical University by retrospective analysis , who oral tibolone 1.25 mg/d. Follow-up to
12, 24 and 36 months, the number of cases were 68, 50 and 32. Body mass index (BMI) ,waist circumference,systolic pressure, diastolic blood pressure, modified Kupperman score, fasting blood glucose, total cholesterol,triglycerides, high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C),liver and kidney function values, bone mineral density were collected. t-test and rank sum test were used forstatistical analysis. Result The baseline value of the modified Kupperman score was (20.0±8.9), whichwas significantly decreased to (7.2±5.5) after 3 months of tibolone treatment, the difference was statisticallysignificant (t=11.967, P<0.001). There was no statistical significance in BMI, waist circumference, systolicpressure, diastolic blood pressure, during the observation period (P>0.05). After 12 months of treatment, TCand TG were [4.6 (4.0, 5.1) vs 0.9 (0.7, 1.1) mmol/L], respectively; after 24 months of treatment, TC and TGwere [4.6 (3.9, 5.0) vs 0.8 (0.6, 1.2) mmol/L], respectively, which were lower than those before treatment[5.0 (4.4, 5.4), 1.1 (0.8, 1.6) vs 4.9 (4.2, 5.2), 1.0 (0.8, 1.6) mmol/L, all P<0.05]. HDL-C at 12, 24 and 36months of treatment were [1.3 (1.1, 1.5), 1.3 (1.1, 1.6), 1.2 (1.0, 1.6) mmol/L], respectively, which werelower than those before treatment [1.4 (1.2, 1.8), 1.6 (1.3, 1.9), 1.5 (1.3, 1.8) mmol/L, all P<0.01]. There wasno statistical significance in LDL-C and fasting blood glucose decreased in different treatment time periods(P>0.05); After 36 months of treatment, Urea was lower than before treatment [4.9 (4.6, 7.8) vs 4.6 (3.9,4.9) mmol/L], the difference was statistically significant (P<0.05). After 12 months of treatment , CRE washigher than before treatment [57.0 (26.4, 66.6) vs 68.0 (59.0, 78.5) μmol/L], the difference was statisticallysignificant (P<0.05), but within the normal range. There was no significant change in the bone mineraldensity of the left hip and right hip at different time periods (P>0.05); the bone mineral density of the lumbarspine were [(0.934±0.104), (0.936±0.121) and (0.986±0.156) g/cm2], higher than those before treatment
[(0.911±0.112), (0.905±0.135) and (0.919±0.171) g/cm2, P<0.05]. Conclusion After 3 months of
tibolone treatment, menopausal symptoms are significantly improved or even disappeared. It has little effecton body weight, body posture and blood pressure with longest medication for 36 months, it can effectivelyreduce the levels of TC and TG, while reducing the level of HDL-C, it has no effect on the liver and kidneyfunctions; the bone density of the lumbar spine is improved, and had no effect on the bone mineral density of the hip.
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Research progress on growth and development characteristics of skeletal muscle and its influencing factors
Cao Mengyao, Zhou Nan, Li Xiaonan
Journal of Developmental Medicine(Electronic Version)    2022, 10 (6): 456-462.   doi: 10.3969/j.issn.2095-5340.2022.06.010
Abstract(939)   PDF (1154KB) (3786)  
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Extracorporeal Life Support Organization guidelines for fluid overload, acute kidney injury, and electrolyte management
Li Huaying, Fu Yiyong, Yue Guang, et al
Journal of Developmental Medicine(Electronic Version)    2022, 10 (6): 401-408.   doi: 10.3969/j.issn.2095-5340.2022.06.001
Abstract(766)   PDF (1536KB) (1009)  
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Research progress of COL4A1 gene and cerebral small vessel disease
Wang Zekun, Xie Yunfang, Wang Huanyuan, et al
Journal of Developmental Medicine(Electronic Version)    2023, 11 (3): 211-216.   doi: 10.3969/j.issn.2095-5340.2023.03.010
Abstract(717)   PDF (1158KB) (875)  
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Postoperative complications and risk factors of neonatal enterostomy
Gao Yang, Zhao Baohong , Ren Hongxia
Journal of Developmental Medicine(Electronic Version)    2022, 10 (6): 434-439.   doi: 10.3969/j.issn.2095-5340.2022.06.006
Abstract(712)   PDF (1079KB) (201)  
【Abstract】 Objective To explore the clinical characteristics of neonatal enterostomy and risk factors 
of fistula-related complications. Method From July 2016 to June 2021, 104 neonates who underwent 
enterostomy and fistula closure several months later in the Department of Neonatal Surgery, Children's 
Hospital of Shanxi were included in the study. According to whether ?stula-related complications occurred 
after enterostomy, they were divided into complication group (n=42) and non-complication group (n=62). 
The differences of clinical indicators between the two groups were compared, and the risk factors of 
fistula-related complications after enterostomy were analyzed. The χ2test, Mann-Whitney U test and 
multivariate Logistic regression were used for statistics. Result Of the 104 patients, 42 cases (40.4%) had complications. Complications included high-?ow diarrhea in 24 cases (23.1%), wound infection in 10 cases (9.6%), incomplete intestinal obstruction in 9 cases (8.7%), intestinal prolapse in 5 cases (4.8%), intestinal incarceration in 4 cases (3.9%) and intestinal retraction in 1 case (1.0%). The results of univariate analysis showed that the incidence of complications in intestinal resection group was higher than that in intestinal nonresectiongroup [59.1% (26/44) vs 26.7% (16/60), χ2=11.085, P=0.001], that in jejunostomy group was higher than that in colostomy group [52.1% (37/71) vs 15.2% (5/33), χ2
=12.784, P<0.001], that in infectious disease group was higher than that in non-infectious disease group [53.7 % (22/41) vs 31.7 % (20/63), χ2=4.953, P=0.026], and the length of proximal small intestine in < 80 cm group was higher than that in ≥ 80 cm group [100.0% (13/13) vs 31.9 % (29/91), χ2=21.932, P<0.001]. The duration of postoperative parenteral nutrition in the complication group was longer than that in the non-complication group [7 (0, 11) vs 0 (0, 9) d, Z= –2.119, P=0.034], and the difference was statistically signi?cant. Multivariate Logistic regression analysis showed that infectious diseases (OR=3.030, P=0.023 ) and jejunostomy (OR=3.135, P=0.046) were independent risk factors for complications after neonatal enterostomy. Conclusion Complications are common after neonatal enterostomy. Clinical intervention for risk factors such as primary infectious diseases and jejunostomy can help reduce the incidence of postoperative complications and improve prognosis.
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Research progress of ion channel related genes in developmental epileptic encephalopathy
Wu Xiangzi, Wang Bin
Journal of Developmental Medicine(Electronic Version)    2022, 10 (6): 463-469.   doi: 10.3969/j.issn.2095-5340.2022.06.011
Abstract(684)   PDF (1154KB) (933)  
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A case of deletion of the long arm of chromosome 11
 Su Na, Ma Guoda, Zeng Cizheng, et al
Journal of Developmental Medicine(Electronic Version)    2022, 10 (5): 383-385.   doi: 10.3969/j.issn.2095-5340.2022.05.010
Abstract(666)   PDF (1041KB) (872)  
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Effect of bone morphogenetic proteins/Smad1/5/8 pathway on the proliferation of mouse neural stem cell under inositol deficiency
Zhang Yan, Yang Aiyun, Li Shen, et al
Journal of Developmental Medicine(Electronic Version)    2022, 10 (4): 250-260.   doi: 10.3969/j.issn.2095-5340.2022.04.002
Abstract(656)   PDF (1133KB) (589)  
【Abstract】 Objective To explore the effect of bone morphogenetic protein (BMP) / homologues of
the drosophila protein, mothers against decapentaplegic and the caenorhabditis elegans protein (Smad)
1/5/8 pathway on the proliferation of mouse neural stem cell (mNSC) under inositol deficiency, for further
clarifying the molecular mechanism of embryonic neurodevelopmental abnormalities. Method NE-
4C cell line was selected, divided into control group and 0.005, 0.01, 0.05, 0.1, 0.5, 1, 5, 10, 50, 100, 150
and 200 mmol/L inositol treatment groups. The cells were treated with lithium carbonate, an inhibitor of
inositol monophosphatase that interfered with inositol synthesis, which were divided into control group and
0.75, 1, 1.25, 1.5, 1.75, 2 and 2.5 mmol/L lithium carbonate treatment groups. The recovery experiment
was carried out with BMP signaling pathway inhibitor LDN-193189, and the cells were divided into control
group and 0.05, 0.1, 0.5, 1, 2, 4 and 8 μmol/L LDN-193189 treatment groups, and divided into control
group, lithium carbonate group, inositol free group, lithium carbonate+LDN-193189 group and LDN-
193189 group respectively, which were cultured for 24 h, the cell activity of each group was detected by
3-(4,5-dimethylthiazol-2-yl)-2,5-di-phenyltetrazolium bromide (MTT) method. Reverse transcriptionpolymerasechain reaction (RT-PCR) was used to detect the expressions of key genes Bmp2, Bmp4, Smad1,Smad5, Smad8, and downstream target gene Runx family transcription factor 2 (Runx2) of BMP signalingpathway. The expressions and localization of key genes of BMP/Smad1/5/8 pathway were detected byWestern blotting and immunofluorescence. Statistical methods performed by analysis of Variance andDunnett's t test.  Result ① The cell activities in 0.005, 0.01, 0.05, 0.1, 0.5, 1, 5, 10, 50, 100, 150, 200mmol/L inositol treatment groups and control group were as follows: (119.1±1.5)%, (101.7±2.6)%,(98.9±1.4)%, (101.5±1.2)%, (97.9±1.5)%, (97.5±1.0)%, (96.5±1.2)%, (97.8±1.1)%, (94.4±1.2)%,(92.9±1.9)%, (82.9±1.5)%, (63.6±1.7)% and (147.8±2.4)%, the cell proliferation ability decreased gradually with the increase of inositol concentration in the culture medium (all P<0.01). The cell activitiesin 1, 1.25, 1.5, 1.75, 2, 2.5 mmol/L lithium carbonate treatment groups and control group were as follows:(119.8±1.6)%, (128.1±1.8)%, (138.5±2.2)%, (114.4±2.3)%, (111.0±1.9)%, (106.3±1.7)% and
(99.5±1.6)%, lithium carbonate significantly promoted cell proliferation (all P<0.05), and the effect on
cell proliferation was the most obvious at 1.5 mmol/L. ② The mRNA levels in lithium carbonate group,
inositol free group and control group were as follows: Bmp2 (2.17±0.26, 19.81±0.92 and 1.00±0.13),
Bmp4 (1.97±0.18, 4.23±0.31 and 1.00±0.27), Smad1 (1.91±0.15, 4.10±0.25 and 1.00±0.37), Smad5
(1.94±0.20, 2.88±0.27 and 1.00±0.28), Smad8 (1.62±0.14, 3.20±0.18 and 1.00±0.13) and Runx2
(1.79±0.13, 5.31±0.49 and 1.00±0.21), which were enhanced in both lithium carbonate group and inositol
free group (all P<0.01). ③ The cell activities in 0.05, 0.1, 0.5, 1, 2, 4, 8 μmol/L LDN-193189 treatment
groups and control group were as follows: (96.5±0.7)%, (80.4±1.6)%, (63.8±1.1)%, (56.9±1.8)%,
(29.3±2.4)%, (4.6±0.2)%, (2.6±0.2)% and (99.4±1.0)%, LDN-193189 inhibited cell proliferation in a dosedependentmanner (all P<0.001). The cell activities in lithium carbonate group, inositol free group, lithium carbonate+LDN-193189 group, LDN-193189 treatment groups and control group were as follows: (122.1±2.0)%,(144.7±2.7)%, (82.6±2.3)%, (66.6±2.0)%, (57.3±2.1)% and (101.2±2.2)%, LDN-193189 could reversethe cell proliferation induced by lithium carbonate or inositol free (all P<0.001). ④ The relative expressions ofphospho-Smad1/5/8 in lithium carbonate group, inositol free group, lithium carbonate+LDN-193189 group, LDN-193189 treatment groups and control group were as follows: 1.30±0.10, 1.62±0.10, 0.59±0.15, 0.11±0.08and 1.00±0.18, which indicated that LDN-193189 could reverse the up-regulation of phospho-Smad1/5/8 proteinexpression under inositol deficiency (P<0.01). ⑤ The results of the immunofluorescence showed that the redfluorescent labeled Runx2 protein was localized in the nucleus. Compared with control group, the expressionsof Runx2 were increased in both lithium carbonate group and inositol free group, almost no expression in LDN-193189 group, and decreased in lithium carbonate+LDN-193189 group. LDN-193189 could reverse the upregulationof Runx2 expression under inositol deficiency. The relative expressions of Runx2 protein in lithiumcarbonate group, inositol free group, lithium carbonate+LDN-193189 group, LDN-193189 treatment groups andcontrol group were as follows: 2.00±0.08, 2.09±0.11, 1.75±0.05, 1.76±0.13 and 1.04±0.10, which indicatedthat inositol deficiency promoted up-regulation of Runx2 expression (P<0.01), and the effect that LDN-193189
reversed the up-regulation of Runx2 expression induced by lithium carbonate was not significant, but P valuewas close to 0.05 (P=0.051). Conclusion Inositol deficiency leads to abnormal activation of BMP/Smad1/5/8pathway, regulates downstream target gene Runx2, and promots abnormal proliferation of neural stem cell.
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Diagnostic value of heart rate variability indicators and neutrophil-to-lymphocyte ratio inchildren with Kawasaki disease with coronary artery lesions
Yang Yanfei, Zhang Liping
Journal of Developmental Medicine(Electronic Version)    2022, 10 (3): 174-181.   doi: 10.3969/j.issn.2095-5340.2022.03.003
Abstract(626)   PDF (981KB) (300)  
【Abstract】 Objective To investigate the diagnostic value of heart rate variability (HRV) and
neutrophil-to-lymphocyte ratio (NLR) in children with Kawasaki disease with coronary artery lesions
(CAL). Method From September 2017 to September 2019, 220 children with acute Kawasaki disease
who were admitted to Kunming Children's Hospital were selected as the research objects, and 100 healthy
children who came to the hospital for physical examination were server as the control group. The children
were divided into CAL group (n=64) and non-CAL group (n=156) by the the results of echocardiography
coronary examination. The levels of white blood cell (WBC), neutrophil count (NEU), lymphocyte count
(LYM), and C-reactive protein (CRP) were detected, and NLR was calculated. HRV indicators were
recorded by 24-hour Holter ECG: ① Time domain indicators: standard deviation in N-N Intervals (SDNN),
SDNN index, 5 min N-N interval mean standard deviation(SDANN),root mean square of sussessive
differences (rMSSD), percentage of N-N intervals over 50 ms different from preceding interval (PNN50).
② Frequency domain index: very low frequency(VLF, 0.003-0.040 Hz), low frequency (LF, 0.04-0.15
Hz), high frequency(HF, 0.15-0.40 Hz), the ratio of LF/HF. Statistical methods performed by One-way
analysis of variance, independent samples t test, χ2 test, Logistic multivariate regression analysis, receiver
operating characteristic curve (ROC) . Result The values of WBC in CAL group, non-CAL group and
the control group were as follows: [(16.2±6.2)×109/L, (14.5±5.7)×109/L and (6.9±2.4)×109/L]. NEU
were [(13.7±5.0)×109/L, (10.0±4.6)×109/L and (3.9±1.3)×109/L]. LYM were [(4.0±2.2)×109/L,
(3.6±2.1)×109/L and (2.2±0.4)×109/L]. NLR were (4.5±5.1, 3.1±2.6, 1.6±1.1). CRP were [(37.7±6.8),
(23.5±4.8) and (5.5±1.2) mg/L]. CAL group and non-CAL group were higher than those in the control
group, CAL group were higher than those in the non-CAL group (all P<0.05). HRV time domain indicators
SDNN in CAL group, non-CAL group and the control group were as follows: [(78±22), (93±37) and
(97±36) ms]. SDANN were [(70±33), (79±30) and (83±34) ms]. SDNN index were [(45±20), (49±17)
and (52±21) ms]. rMSSD were [(38±22), (41±30) and (50±22) ms], PNN50 were [(10±7)%, (13±10)%
and (14±13)%]. Non-CAL group and the control group were higher than those in the CAL group, and
the CAL group was lower than that in the non-CAL group (all P<0.05). HRV frequency domain indicators
in CAL group, non-CAL group and the control group were as follows: VLF[(1011±443), (1246±597)
and (1548±874) ms2], LF[(177±115), (294±167) and (544±238) ms2], HF[(111±93), (174±123) and
(353±253)ms2], LF/HF[(2.4±1.3), (2.1±1.0) and (1.5±0.6) ]. The SDNN, SDANN, SDNN index, rMSSD,
PNN50, VLF, LF, and HF of CAL group and non-CAL group were lower than those in the control group, and
LF/HF were higher than those in the control group. The rMSSD, PNN50, VLF, LF, and HF were all lower
than those in the non-CAL group, and LF/HF were higher than those in the non-CAL group (all P<0.05).
Logistic multivariate regression analysis showed that WBC, NLR, CRP, SDNN, SDANN, VLF, LF/HF were
independent influencing factors of CAL in cases with Kawasaki disease (OR values were 3.128, 3.128, 1.716,2.262, 2.843, 1.596, 5.262, P<0.05). ROC curve analysis showed that HRV and NLR had high diagnosticvalue for CAL in children with Kawasaki disease. Conclusion  Combination of HRV and NLR can improve the predictive performance of CAL in children with Kawasaki disease, and has good clinical use.
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Editorial
Ectronic Periodicals
  • Director: National Health and Family Planning Commission
  • Host: People's Health Press
  • Publishing: People's health electronic audio and video press Co., Ltd.
  • Editor in chief:Zhichun Feng
  • Quarterly: Quarterly
  • ISSN: 2095-5340
  • CN: 11-9335/R
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