Publications by authors named "Jia-ke Chai"

Article Synopsis
  • Severe burns lead to serious health risks, including shock, which increases the likelihood of death and long-term disabilities.
  • Effective fluid resuscitation is vital for managing shock, but it's often difficult to administer in a timely manner, highlighting the need for non-invasive alternatives like oral rehydration therapy (ORT).
  • The paper reviews the development and research on ORT for burn treatment, presenting provisional guidelines for its use that emphasize timely initiation, careful fluid rate management, and the potential need for a tailored solution based on individual patient conditions.
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Objective: To observe the dynamic impacts of shock waves on the severity of lung injury in rats with different injury distances.

Methods: Simulate open-field shock waves; detect the biomechanical effects of explosion sources at distances of 40, 44, and 48 cm from rats; and examine the changes in the gross anatomy of the lungs, lung wet/dry weight ratio, hemoglobin concentration, blood gas analysis, and pathology.

Results: Biomechanical parameters such as the overpressure peak and impulse were gradually attenuated with an increase in the injury distance.

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Background: Although glucagon-like peptide 1 levels have been closely associated with inflammation and mortality in septic patients, the clinical importance of glucagon-like peptide 1 on hospital-acquired infections and long-term mortality after burn injury remains unexplored.

Methods: Plasma samples from 144 burn patients were collected on admission to determine total glucagon-like peptide 1, interleukin 6, and monocyte chemotactic protein-1 levels. Hospital-acquired infections were determined by positive microbial culture.

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Article Synopsis
  • - Blast lung injury (BLI) is a leading cause of fatalities in patients suffering from blast-related injuries, stemming from both military and civilian explosions.
  • - Researchers created 3D models of rat lungs to simulate pressure effects at various distances from an explosion, observing that maximum body surface pressure decreased significantly as distance increased.
  • - The study validated the accuracy of the models through pressure measurements and autopsies, finding strong correlations at closer distances but weaker correlations at greater distances, thus providing insights into the dynamic biomechanics of lung injuries.
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Background: Burn-blast combined injury is a kind of injury caused by heat and blast at the same time. The lung injury after burn-blast combined injuries is of primary importance, and investigation of lung injury is needed in the clinical care of patients. Computed tomography (CT) is one of the standard tools used to observe the anatomical basis and pathophysiology of acute lung injury.

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The aim of the present study was to investigate the potential application of (+)-camphor as a penetration enhancer for the transdermal delivery of drugs with differing lipophilicity. The skin irritation of camphor was evaluated by in vitro cytotoxicity assays and in vivo transdermal water loss (TEWL) measurements. A series of model drugs with a wide span of lipophilicity (logP value ranging from 3.

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While insulin is an anabolic hormone, AMP-activated protein kinase (AMPK) is not only a key energy regulator, but it can also control substrate metabolism directly by inducing skeletal muscle protein degradation. The hypothesis of the present study was that insulin inhibits AMPK and thus down-regulates the expression of the ubiquitin E3 ligases, muscle atrophy F-box (MAFbx) and muscle RING finger 1 (MuRF1) in skeletal muscle cells. Differentiated L6 myotubes were treated with 5-aminoimidazole-4-carboxamide-1-β-4-ribofuranoside (AICAR) and/or compound C to stimulate and/or block AMPK respectively.

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Mesenchymal stem cell (MSC)-based regenerative therapy is currently regarded as a novel approach with which to repair damaged tissues. However, the efficiency of MSC transplantation is limited due to the low survival rate of engrafted MSCs. Lipopolysaccharide (LPS) production is increased in numerous diseases and serves an essential function in the regulation of apoptosis in a variety of cell types.

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Article Synopsis
  • Alopecia is a common issue for both men and women, causing hair loss that many find hard to treat.
  • Current treatments, like hair transplants and medications, can be expensive and don't always work well in the long run.
  • New research is looking into special cells called adipocyte lineage cells that might help grow hair by improving the ability of other important cells involved in hair growth.
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Objective: To explore the clinical application of mandibular-driven simultaneous maxillo-mandihular distraction to correct hemifacial microsomia with rapid prototyping technology.

Methods: The patient' s skull resin model was manufactured with rapid prototyping technology. The osteotomy was designed on skull resin model.

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Objective: To explore the most appropriate method for the isolation of human umbilical cord mesenchymal stem cells (MSCs) through a comparison of different methods.

Methods: Fifteen umbilical cord specimens from full-term healthy fetus with caesarean birth were completely rinsed with phosphate buffer saline (PBS) and sliced into 1 mm(3) tissue blocks after removal of umbilical vessels and external membrane. These tissue blocks were averagely divided into 4 groups after washing and centrifuge.

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Article Synopsis
  • - The study aimed to investigate how severe burns affect islet beta cells and their role in glycometabolism in scalded rats.
  • - Researchers divided 72 Wistar rats into two groups: one subjected to severe burns and the other to a sham treatment, then measured plasma glucose levels and analyzed pancreatic tissue for insulin and beta cell characteristics at various recovery stages.
  • - Results showed that the burned rats had significantly higher glucose levels and glucose tolerance issues compared to the control group shortly after injury, but their glucose levels approached those of controls by day 7 post-injury.
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Background: Mesenchymal stem cells (MSCs) are the leading cellular constituents used in regenerative medicine. MSCs repair and reconstruct wounds of acute traumata and radiation-induced burns through proliferation, differentiation, and trophic activity. However, repair effect of MSCs on severe burn wounds remain to be clarified because severe burns are much more complex traumata than radiation-induced burns.

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Calpains are intracellular nonlysosomal Ca(2+-) regulated cysteine proteases, widely located in the tissues of most mammals. Skeletal muscle tissue mainly expresses m-calpain, µ-caplain, n-calpain, and their endogenous inhibitor calpastatin. They are closely related to the cell apoptosis, cytoskeleton formation, cell cycles, etc.

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Sepsis induced by invasive infection is a challenging problem and the major cause of death after severe burn. With the increasing understanding of sepsis, diagnostic criteria of sepsis were proposed and revised consecutively so that they could be consistent with the clinical practice. Being different from other trauma and critical diseases, diagnostic criteria of sepsis after severe burn were also proposed, and they need further clinical verification.

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Objective: To explore the functions of connective tissue growth factor (CTGF) in the restoration of hair follicles with a mixture of human dermal papilla cells and human hair follicle outer root sheath cells in vitro in nude mice.

Methods: Human hair follicle outer root sheath cells (hfORS) and human hair dermal papilla cells (hDP) were cultured in vitro and mixed in a fixed ratio (hfORS: hDP = 5:1). Flow cytometry was used to detect the content of CD200(+) cells in human hair follicle outer root sheath cells.

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Excessive inflammation and high vasopermeability can lead to blood volume loss and tissue edema, which can affect the resuscitation and prognosis for serious burn patients. In this experiment, we investigated the effect of PNU-282987, an α7 nicotine cholinergic receptor agonist on the hemodynamic parameters and survival rate by inhibiting vasopermeability and tissue edema during the fluid resuscitation for lethal burn shock. Forty Beagle dogs with intubation of the carotid artery and jugular vein 24 hours before the injury were subjected to 50% TBSA full-thickness burns, and were randomly divided into following four groups: no resuscitation group (group NR), venous fluid resuscitation group (group R), PNU-282987 treatment group (group P), and fluid resuscitation group plus PNU-282987 group (group RP), with 10 dogs in each group.

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Objective: To explore the role of voltage dependent anion channel 2 (VDAC2) involved mitochondrial apoptosis in heart injury of rats with severe scald injury and elucidate its possible regulatory signal pathway.

Methods: A total of 60 Wistar rats were divided into sham scald group (n = 30) and scald group (n = 30) according to a random digital table. Blood and heart tissue samples were harvested at Day 1, 7, 14 post scalding.

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Objective: To study the effects of using auto-scalp for repairing donor site of thickness from cicatricial skin with auto-scalp grafting.

Methods: A total of 13 cases with donor site of thickness from cicatricial skin from January 2011 to December 2011 were analyzed. Wounds of donor site from cicatricial skin were grafted with auto-scalp and scalp were fixation was applied with negative pressure.

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Objective: To observe the effect of negative pressure therapy in the treatment of superficial partial-thickness scald in children.

Methods: Three hundred and seven children with superficial partial-thickness scald hospitalized from August 2009 to May 2012 were divided into negative pressure therapy group (NPT, n = 145) and control group (C, n = 162) according to the random number table. Patients in group NPT were treated with negative pressure from within post injury day (PID) 3 to PID 9 (with -16 kPa pressure), while traditional occlusive dressing method was used in group C.

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Article Synopsis
  • The PLA General Hospital utilized a wireless portable telemedicine system during the 2013 Lushan earthquake to provide remote medical consultations and improve crisis response.
  • Expert teams connected with hospitals and ambulances to offer specialized assistance across various medical fields, enhancing the treatment capabilities for victims.
  • Over 110 patients received care through this system, demonstrating effective communication and collaboration among medical professionals during disaster relief efforts.
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Background: Perforator flaps are used extensively in repairing soft tissue defects. Superior gluteal artery perforator flaps are used for repairing sacral defects, but the tension required for direct closure of the donor area after harvesting of relatively large flaps carries a risk of postoperative dehiscence. This research was to investigate a modified superior gluteal artery perforator flap for repairing sacrococcygeal soft tissue defects.

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Burn-blast combined injury has a complex pathological process that may cause adverse complications and difficulties in treatment. This study aims to establish a standard animal model of severe burn-blast combined injury in rats and also to investigate early phasic changes of blood coagulation. By using 54 Wistar rats, distance from explosion source (Hexogen) and size of burned body surface area were determined to induce severe burn-blast combined injury.

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