Objective To evaluate CT features and diagnostic value of fungus infection of paranasal sinuses. Methods CT findings in 16 patients with fungus infection of paranasal sinuses proved surgically and pathologically were analyzed.Results CT findings of fungus infection of paranasal sinuses included: unilateral involved, maxillary sinus was mainly affected or other paranasal sinuses involved simaltaneously, the soft tissue within paranasal sinuses presented as hyperplasia of nodule and polyp-like, and there were some punctuated and tubercular calcification inside .Sinus cavity enlarged and the bone wall was destroyed in some cases. Conclusion CT manifestations of fungus infection of paranasal sinuses are of characteristics, CT scan is of important value in diagnosing this disease.

Humans ; Spirituality

With rapid ageing population,the extensive application of mechanical ventilation and development of organ transplantation,infection caused by gram-negative (G-) bacilli,which have become the common pathogens causing nosocomial (especially ICU) infection,has increased and accounted for more than 65% of the hospital acquired infections.Severe infections in intensive care units are usually caused by Pseudomonas aeruginosa,Acinetobacter sp.,Enterobacteriaceae bacteria and Stenotrophomonas maltophilia,presenting challenges to the treatment.In addition,drug-resistant G-bacilli strains have increased year by year,accompanying with appearance of muti-drug resistant and pan-resistant strains of Pseudomonas aeruginosa and Acinetobacter baumannii.Several pathways may lead to drug resistance of G-bacilli,including permeability changes in ectal membrane,reformation of penicillin-binding protein,enhancement in level of pump MexAB-OprM,overproduction of antibiotic modification enzymes such as cephalosporinase,new type of beta-lactamases especially extended-spectrum beta-lactamases (ESBLs),AmpC beta-lactamase and Klebsiella pneumoniae carbapenemase (KPC).Clinical work is facing the challenges caused by drug resistance of G-bacilli,so the isolation and cultivation of pathogenic bacteria,drug sensitivity test in vitro,monitoring of drug resistance and researches on resistant mechanism should be enhanced,and proper antibiotics should be selected for treatment of G-bacilli infection.Polymyxin is recommended,if necessary,for treatment of multi-and pan-resistance G-bacilli infection,meanwhile the adverse effects of polymyxin treatment should be closely monitored.

On the basis of summarizing the general situation of current internal and external network construction of hospitals,the paper introduces the main hidden dangers of hospital network security,puts forward internal and external network security management measures,and elaborates the internal and external network security construction principle,network topology structure,and network construction achievements of the First Affiliated Hospital of Guangxi Medical University.

AIM: To observe the anti-apoptosis effect of liraglutide on the islet through microRNA-375 (miR-375) for providing additional pharmacodynamic evidence for its clinical application.METHODS: For in vivo study, C57BL/KsJ-db/m mice aged 8 weeks served as normal control group.A total of 40 male genetically diabetic C57BL/KsJ-db/db mice at the same age were randomly divided into diabetic control group (the db/db mice were injected subcutaneous-ly with equivalent amount of saline) and liraglutide group (the db/db mice were injected subcutaneously with liraglutide at dose of 300 μg? kg-1? d-1 ).After 8 weeks of administration, body weight (BW) was measured and blood was collected for detection of fasting blood glucose (FBG), fasting blood insulin (FINS), triglyceride (TG), total cholesterol (TC) and low-density lipoprotein cholesterol (LDL-C).Before sacrifice, intraperitoneal glucose tolerance test (IPGTT) and insulin tolerance test (ITT) were conducted.The histopathological features in the islet tissue were examined with HE staining.The apoptosis in the islet tissue was detected by TUNEL staining.The protein levels of caspase-3, Bcl-2 and Bax were deter-mined by Western blot.The level of miR-375 in the islet tissue was detected by qPCR.For in vitro study, the MIN-6 cells were cultured and divided into control group (incubated with equivalent amount of solvent), miR-375 mimic group and miR-375 mimic +liraglutide group.The cell viability was examined by MTT assay.The protein levels of caspase-3, Bcl-2
and Bax were detected by Western blot.RESULTS: In the in vivo study, compared with control group, the levels of BW, FBG, FINS, TC, TG and LDL-C were decreased significantly in liraglutide group.The islet apoptosis was reduced by the administration of liraglutide.The expression of Bcl-2 was up-regulated significantly, while the protein levels of caspase-3 and Bax were down-regulated significantly in liraglutide group.The level of miR-375 was decreased significantly.In the in vitro study, the cell viability was decreased in miR-375 mimic group and increased in miR-375 mimic +liraglutide group. Moreover, the expression of Bcl-2 was decreased and the protein levels of caspase-3 and Bax were increased with the incu-bation of miR-375 mimic, while the expression of Bcl-2 was increased and the protein levels of caspase-3 and Bax were de-creased with the co-incubation of miR-375 mimic and liraglutide.CONCLUSION: Liraglutide attenuates islet apotosis, and the mechanism may be associated with its effects of reducing the elevated level of miR-375 in islet tissues.

Acupuncture Points ; Acupuncture Therapy ; Adult ; Aged ; Anti-Anxiety Agents ; therapeutic use ; Anxiety Disorders ; drug therapy ; etiology ; therapy ; Combined Modality Therapy ; Female ; Humans ; Male ; Middle Aged ; Stroke ; complications

Objective:To research expression and function of c-myc gene in hyperacute r ejection of xenotransplantation. 　　Method:Through the model of hyperacute rejection of xenotransplantation wit h isolated rat heart perfused with human plasma,we detected c-myc mRNA expressi on and cell localization with in situ hybridization in hyperacute rejection. 　　Result:c-myc mRNA increased expression in the endothelium cell of heart.Th e value of signal is 450.09±409.99.The value of signal of group of control is 1 74.40±51.50(p＜0.05)。 　　Conclusion:From these study findings,it would appear that hyperacute rejecti on is associated with the elevation of c-myc mRNA expression.

Virtual Reality is just emerging as an accepted scientific discipline. It has been widely used in medicine. The major applications of virtual reality for medicine are introduced from three areas :virtual humans,the fusion of virtual humans with real humans and virtual telemedicine. The advanced graphics behind medical virtual reality,such as computational demands,hardware and software environments is briefly discussed. This article also gives a summary of existing distributed VR systems.

MiR-200 family is a cluster of miRNAs closely linked to EMT. The miR-200 family contains miR-200a, miR-200b, miR-200c, miR-141 and miR-429. Many studies have shown that miR-200 family are key regulators of EMT and determine the epithelial phenotype. They are important to both EMT development and tumor progression. This paper reviews the advancement in the research of miR-200 family and its mechanism.

The virtual reality teaching system of human skeletal anatomy developed in this paper is based on the advanced personal computer and uses the stereo glasses of ELSA 3D REVELATOR, mouse and keyboard to make up the human-computer interface. Using this system, students can take apart and assemble the skeleton, grasp single bone to rotate and zoom, learn the human skeletal anatomy in a vivid environment, and thus know more about motion physiology.