八一女排运动员大脑机能能力及神经类型分布特点初探

通过对八一女排运动员大脑的机能能力和机能特性及神经类型分布特征的分析，发现女排选手的适应性大脑皮质机能活动特征和项目的适宜性神经类型，为排球运动员的科学选材和训练提供了神经类型学的依据。     

Parents' views of the efficacy of conductive education in Sweden

Parents of children who have participated in a conductive education programme in Sweden were asked questions about their reasons for choosing the programme, the expectations they had of it and how they were fulfilled. The results showed that the parents were satisfied with the development of their child, and wanted to continue to take part in further courses with their child. They appreciated the intensive training and found it motivating and enjoyable for the child. They wanted an intensive training for their child because they believed that active training could help the child to develop. The parents learned more about cerebral palsy at the courses and now understood why and how they could train their child. Most of the parents continued the training at home with the child. They experienced financial difficulties in participating in further courses, and found it difficult to stay away from work and family for a long period of time.     

Allograftic bone marrow-derived mesenchymal stem cells transplanted into heart infarcted model of rabbit to renovate infarcted heart

Objective: To investigate the directed transplantation of allograftic bone marrow-derived mesenchymal stem cells (MSCs) in myocardial infarcted (MI) model rabbits. Materials and Methods: Rabbits were divided into 3 groups, heart infarcted model with MSCs transplanted treatment (MSCs group, n=12), heart infarcted model with PBS injection (control group, n=20), sham operation with PBS injection (sham group, n=l 7). MSCs labelled by BrdUrd were injected into the MI area of the MSCs group. The same volume of PBS was injected into the MI area of the control group and sham group. The mortality, LVIDd, LVIDs and LVEF Of the two groups were compared 4 weeks later. Tropomyosin inhibitory component (Tn I) and BrdUrd immunohistochemistry identified the engrafted cells 4 weeks after transplantation. Result: The mortality of the MSCs group was 16.7% (2/12), and remarkably lower than the control group's mortality [35% (7/20) (P＜0.05)].Among the animals that survived for 4 weeks, the LVIDd and LVIDs of the MSCs group after operation were 1.17±0.21 cm and 0.74±0.13 cm, and remarkably lower than those of the model group, which were 1.64±0.14 cm and 1.19±0.12 cm (P＜0.05); the LVEF of the MSCs group after operation was 63±6%, and remarkably higher than that of the model group,which was 53±6% (P＜0.05). Among the 10 cases of animals that survived for 4 weeks in the MSCs group, in 8 cases (80%),the transplanted cells survived in the non MI, MI region and its periphery, and even farther away; part of them differentiated into cardiomyocytes; in 7 cases (70%), the transplanted cells participated in the formation of blood vessel tissue in the MI region. Conclusion: Transplanted allograftic MSCs can survive and differentiate into cardiomyocytes, form the blood vessels in the MI region. MSCs transplantation could improve the heart function after MI.     

动脉粥样硬化性脑梗塞和脑出血患者血浆可溶性血栓调节蛋白水平的研究

目的 探讨血浆可溶性血栓调节蛋白（Soluble thrombmodulin,sTM）与脑梗塞和脑出血患者小血管损伤、动脉粥样硬化的关系。方法 应用酶联免疫吸附方法（Enzyme-Linked Immunosorbent Assays,ELISA），检测60例脑梗塞患者、56例脑出血患者和64例健康对照的sTM水平，并分析sTM与血脂、血压的关系。结果 脑梗塞和脑出血的甘油三脂、舒张期血压明显高于对照组；脑梗塞和脑出血的高密度脂蛋白显著低于对照组；脑出血组的收缩期血压明显高于其他两组；脑梗塞的 胆固醇水平显著高于其他两组；脑出血的sTM显著高于脑梗塞和对照组，而脑梗塞的sTM显著高于对照组。sTM与总胆固醇、甘油三脂、收缩和舒张期血压水平显著正相关；sTM与高密度脂蛋白水平成显著负相关。结论 脑梗塞和脑出血存在由高血压和动脉粥样硬化导致的小血管损伤。sTM是脑卒中的独立危险因子。     

Cell therapy in congestive heart failure

Congestive heart failure （CHF） has emerged as a major worldwide epidemic and its main causes seem to be the aging of the population and the survival of patients with post-myocardial infarction. Cardiomyocyte dropout （necrosis and apoptosis） plays a critical role in the progress of CHF; thus treatment of CHF by exogenous cell implantation will be a promising medical approach. In the acute phase of cardiac damage cardiac stem cells （CSCs） within the heart divide symmetrically and/or asymmetrically in response to the change of heart homeostasis, and at the same time homing of bone marrow stem cells （BMCs） to injured area is thought to occur, which not only reconstitutes CSC population to normal levels but also repairs the heart by differentiation into cardiac tissue. So far, basic studies by using potential sources such as BMCs and CSCs to treat animat CHF have shown improved ventricular remodelling and heart function. Recently, however, a few of randomized, double-blind, placebo-controlled clinical trials demonstrated mixed results in heart failure with BMC therapy during acute myocardial infarction.     

Effect of a distal protection device on epicardial blood flow and myocardial perfusion in primary percutaneous coronary intervention

Objective: The beneficial effect of percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) has been well established, but there is the problem of no-reflow phenomenon which is an adverse prognostic factor in primary PCI. In the present study the effect of a distal protection device (PercuSurge GuardWire; GW) on epicardial blood flow and myocardial perfusion was evaluated. Methods and Results: Patients with AMI were randomly divided into 2 groups, the GW and the control groups. The GW group included 52 patients with AMI who underwent primary PCI with GW protection and the control group included 60 patients who underwent primary PCI without GW protection. Epicardial blood flow in the infarct-related artery (IRA) and myocardial perfusion were evaluated according to the thrombolysis in myocardial infarction (TIMI) flow grade and the myocardial blush grade (MBG). We found TIMI score of 3 was obtained significantly more frequently in the GW group (96%) than in the control group (80%). The MBG score of 3 was obtained also significantly greater in the GW group (65%) than in the control group (33%). Conclusion: Primary PCI with GW protection can significantly improve epicardial blood flow and myocardial perfusion.     

A mathematical model for decision-making in the classification of para-footballers with different severity of coordination impairments

Classification is a defining feature of Para-sport, and sports-specific classification systems determined through multidisciplinary scientific research are required, i.e., evidence-based and focused on the relationship between the impairment and the key performance determinants. Data envelopment analysis (DEA) was applied as a classification tool using a directional distance function (DDF) model. The aim of the study was to test the DEA as a possible classification tool in cerebral palsy football. We analyse the performance of 56 international para-footballers with hypertonia, ataxia or athetosis, who completed a 20-test battery with DEA models. Five of the tests are included in the model (change of direction: Illinois agility test; jumping: standing broad jump, four bounds for distance, and triple hop with the non-dominant leg; 10-m sprint/acceleration; and ball dribbling, both in a straight line and following a trajectory), showing that players with less impairment exhibit the highest efficiency. This outcome suggests that DEA models might be feasible for detecting and discriminating the performance and magnitude of impairment in cerebral palsy football, with an objective ranking of the athletes in relation to different physical performance tests. This study also provides reference scores for decision-making during classification and guidance for further research in team Paralympic sports.     

间歇运动激活心梗大鼠心肌NRG1-PI3K/Akt通路抑制心肌细胞凋亡

摘要：目的: 探讨心脏NRG1在间歇运动激活心梗(myocardial infarction,MI)大鼠心肌NRG1-PI3K/Akt通路抑制心肌细胞凋亡的作用。方法：雄性SD大鼠48只,随机分为假手术组(S),心梗安静组(MI),心梗+间歇运动组(ME),心梗+间歇运动+抑制剂组(MEA),每组12只。采用左冠脉前降支结扎法建立MI模型。S组手术仅穿线不结扎。ME组和MEA组在MI术后1wk进行跑台间歇运动。运动开始速度为10m/min运动10min后,速度逐渐增至25m/min×7 min,再以15 m/min×3min运动,之后依次交替进行。60min×1次/d,5d/1wk×8wk。训练结束后次日,腹腔麻醉,颈动脉插管测定LVSP、LVEDP及±dp/dtmax。之后开胸摘取心脏,进行组织学制片,Masson染色。荧光实时定量PCR测定心肌NRG1及其受体ErbB2/4表达。Western Blot法检测心肌NRG1、ErbB2/4、PI3K/Akt、Bcl-2和Bax蛋白含量。Caspase3表达及TUNEL检测观察分析心肌细胞凋亡情况。结果: MI组胶原容积百分比(CVF)和LVEDP较S组显著升高(P<0.01,P<0.01),LVSP和±dp/dtmax显著降低(P<0.01,P<0.01)。且MI后心肌ErbB4 mRNA表达显著降低(P<0.01),心肌NRG1、ErbB2和ErbB4蛋白表达显著降低(P<0.05,P<0.01,P<0.01),PI3K/Akt蛋白表达及Bcl-2/Bax比值显著降低(P<0.01,P<0.01),TUNEL阳性细胞数和Caspase3活力显著增加(P<0.01,P<0.01)。ME组CVF和LVEDP较MI组显著降低(P<0.01,P<0.01),LVSP和±dp/dtmax显著升高(P<0.01,P<0.01),心肌NRG1、ErbB2和ErbB4 mRNA及蛋白表达均显著增加(P<0.01,P<0.01,P<0.01),PI3K/Akt蛋白表达和Bcl-2/Bax比值显著增加(P<0.01,P<0.01),TUNEL阳性细胞数和Caspase3活力显著降低(P<0.01,P<0.01),且运动效应被抑制剂AG1478显著减弱。结论:间歇运动可通过激活心肌NRG1及其受体表达,上调PI3K/Akt蛋白表达,抑制心肌细胞凋亡和胶原过度增生,改善心功能。     

中老年脑血栓患者练习太极拳对身体素质和心肺功能的影响

文章通过对太原市心脑血管康复医院常年坚持太极拳练习和不参加锻炼的脑血栓患者进行追踪调查,对他们的身体素质与心肺功能进行了测试,结果表明：多年坚持太极拳练习的患者和未参加锻炼的患者心肺功能比较,效果不是太明显;但是多年坚持太极拳练习的患者的握力、肩关节灵活性、腿脚灵活性、手眼协调能力、柔韧性、反应时明显好于其它不参加运动的患者。所以经常参加太极拳练习的患者对身体素质大有益处。     

抗阻训练对心梗大鼠心脏和骨骼肌NRG1表征的影响及其性别差异

摘要：目的：探讨抗阻训练对心肌梗死(myocardial infarction, MI)大鼠心脏和骨骼肌形态结构及神经调节蛋白1（Neuregulin1, NRG1）表征的影响及其性别差异。方法：3月龄Sprague Dawley大鼠,随机分为雄性假心梗组(MS)、雄性心梗安静组(MMI)、雄性心梗运动组(MMR)、雌性假心梗组(FS),雌性心梗安静组(FMI)和雌性心梗运动组(FMR),每组8只。MMR和FMR组进行为期4wk负荷渐进性递增抗阻训练。血流动力学测定心功能;组织学染色观察并计算形态学变化;检测心脏和骨骼肌中NRG1和ErbB2/4受体的表达变化。结果：MI后大鼠心功能显著降低,心肌组织出现替代性纤维化,腓肠肌质量和细胞横截面积不同程度减小。抗阻训练显著提高了MI大鼠心功能,增加了腓肠肌相对质量和细胞横截面积,同时显著上调雄性MI大鼠心肌和骨骼肌中NRG1蛋白水平及雄性和雌性MI大鼠ErbB2和ErbB4的表达(p<0.05, p<0.01)。结论：抗阻训练促进MI大鼠心功能改善和骨骼肌生长,上调心肌和骨骼肌中NRG1及其受体表达,且不同性别之间存在程度差异性。