Objective:To observe influence ofβreceptor blocker on heart rate variability (HRV)after military train-ing in soldiers.Methods:A total of 80 soldiers with heart rate>60 beats/min from a group army were selected,and randomly divided into metoprolol group (n=40)and control group (n=40).Metoprolol group received metoprolol succinate (12.5mg,once/d)continuously before exercise 5d,while control group received placebo of same dose, 5min dynamic electrocardiography was used to analyze HRV.Heart rate,blood pressure and HRV changes were compared between two groups before and after 5km running.Results:There were no significant difference in heart rate,blood pressure and HRV indexes between two groups before exercise;compared with control group after exer-cise,heart rate and blood pressure were lower,and there were significant reductions in standard deviation of normal to normal RR intervals calculated over the 24 h period [SDNN,(80.1±9.5)ms vs.(69.4±10.5)ms],standard deviation of normal to normal RR intervals in all 5 min segments of the entire recording [SDANN,(65.7±7.8)ms vs.(60.1±9.2)ms],SDNN index [(25.1±11.3)ms vs.(20.4±12.3)ms],root-mean square of differences be-tween successive normal to normal intervals [rMSSD,(25.2±10.7)ms vs.(19.9±11.3)ms],very low frequency [VLF,(451.1±312.9)ms2 vs.(408.3±299.8)ms2 ],low frequency [LF,(191.0±79.3)ms2 vs.(148.2±77.4) ms2]and high frequency [HF,(69.6±50.1)ms2 vs.(51.8±52.7)ms2]in metoprolol group,P<0.05 all.Con-clusion:βreceptor blocker usage before exersise can reduce heart rate variability change after military training,and is helpful to decrease occurrence of acute cardiovascular events.

A total of one hundred and sixty rats were fed with isothiocyanatelabelled candida albicans and then randomly divided into four groups: simple burn (30% TBSA full-thickness scald burn was created on the back), simple antibiotic therapy (oxacillin combind with gentamicin were injected intraperitineally), 30% full-thickness burn plus antibiotic therapy and the control group. The animals were sacrificed and examined at different time phases. The labelled candida albicans were traced in the mesentery lymph nodes, liver, spleen, kidney, lung, blood stream and urine. The labelled candida albicans could be demontrated from 30% of visceral organs at one hour and from 70% at six hours after burn plus antibiotic therapy, while the mesentery lymph node and liver were the primary organs invaded. The process of candida translocation through the intestinal wall was displayed as adhesion and then invasion. For comprative study of the methods or the early diagnosis of systemic dissemination of candida albicans, blood cultures, urine cultures and direct examination of urine under microscope were performed. The detectable rate was only 8% in blood culture and 21.8% in urine culture, however, it was 40% in direct examination of urine, the later method is therefore much more sensitive than the other two.

This paper introduces the operational principle and structure of laser camera. The adjustment of image gray- scale and density is also mentioned

This paper discusses the limitations of traditional evaluation standard for digital medical images, and points out the reasons to select DQE as the new one. The differences of the two standards are compared and analyzed.

OBJECTIVE: To study the drug resistance of pseudomonas aeruginosa so as to provide references for rational use of antibiotics in the clinic.METHODS: The clinical distribution and the susceptibility test results of pseudomonas aeruginosa isolated from Beijing Tiantan Hospital in 2006 were analyzed retrospectively.RESULTS: The resistance rate of 334 strains to imipenem stood at 39.8%.The pseudomonas aeruginosa strains were mainly isolated from three important departments(neurological,respiratory and neurosurgery),the resistance rates to imipenem in the above three departments in descending order were as follows: department of respiratory(48.3%),department of neurological(40.2%),and neurosurgery(17.0%).CONCLUSION: The Pseudomonas aeruginosa isolated from Beijing Tiantan Hospital were highly resist to imipenem reduced and the strains isolated from different department varied in bacterial resistance,suggesting the drug resistance of antimicrobial surveillance should be emphasized in some key departments to keep the drug resistance under control.

Objective To explore the possible mechanism of acute cerebral hemorrhage with systemic inflammatory response syndrome (SIRS) which caused multiple organ dysfunction syndrome (MODS), and to investigate the significance of serum nitric oxide (NO) and nitric oxide synthase (NOS) in the development of acute cerebral hemorrhage from SIRS to MODS.Methods The incidence rate of acute cerebral hemorrhage leading to SIRS and MODS was investigated. Serum NO and NOS levels in 73 patients with acute cerebral hemorrhage were detected dynamically by nitratase and chromometry methods. 20 normal healthy people were adopted as control group.Results The incidence rate of cerebral hemorrhage accompanied with SIRS was 47.95%(35/73),74.29%(26/35) of which leaded to MODS. 73 patients serum NO and NOS levels were elevated obviously, and the differences were significant compared with control group (all P

Objective To study X-ray and CT diagnosis and Differential diagnosis of nonossifying fibroma.Methods 29 cases of nonossifying fibroma proved by pathology were included in this paper.29 cases underwent radiography and 12 cases underwent CT scan.There were 22 male and 7 female,with age ranged from 5~59 years(mean age 21.3 years),X-ray and CT findings of tumors were analysed.Results The tumors were located in long bone in 27 cases,in which 17 cases were located in metaphses,2 cases in diaphyses,8 cases in bone end and 2 cases in irregular bone.The maximum diameter of tumors ranged from 0.5~7 cm.The tumors were round,oral or mild lobular in 21 cases,the tumors were showed sclerotic borders in 26 cases.Septum was demonstrated in 22 cases on X-ray plain films,but only 2 cases on CT.Bone expansion was showed in 13 cases.Conclusion Most of nonssifying fibroma have characteristic X-ray and CT findings,the diagnosis be identified by X-ray and CT before operation.

Intravenous recombinant tissue plasminogen activator (rtPA) thrombolysis is the most effective therapy for acute ischemic stroke. Its most serious complication is symptomatic intracerebral hemorrhage. The overall incidence reported in the literature is 6%. It is correlated with the wascular injury and the increased vascular permeability. Some clinical features, imaging and laboratory tests can predict the risks of the complication of intracerebral hemorrhage. The mortality and disability are very high in patients with the complications of intracerebral hemorrhage after thrombolytic therapy, and their prognosis is very poor. This article reviews the classification, incidence, predictive factors, and prognosis of intracerebral hemorrhage after thrombolysis.

BACKGROUND: Whether nerve root is involved or not in cervical spondylosis of nerve root type is related not only to stenosis of bone canal and inflammatory disorder and swelling in peripheral soft tissues, but also to the relevant size of external diameter of nerve root.OBJECTIVE: To probe into the anatomical factors of cervical spondylosis of nerve root type with occurrence rate of involved cervical nerve in cervical intervertebral foramen and sulcus of spinal nerve.DESIGN: Single sample observation was designed.SETTING: Department of Anatomy of Chengde Medical College.PARTICIPANTS: Totally 120 sides of 60 adult corpses were employed with formaldehyde fixation (28 cases of male and 32 cases of female).METHODS: Sixty adult corpses were measured with the vernier of 0.02 mm spinal nerve and the transverse diameter of anterior branch (A-diameter) of superoinferior diameter (S - I diameter) of cervical intervertebral foramen and its spinal nerve root. The ratios were calculated between A-diameter cervical nerve and E-diameter of the corresponding sulcus of spinal nerve and between A - P diameter and S - I diameter of spinal nerve root and those of corresponding intervertebral foramen respectively. The rates of occurrence were concluded for those cervical nerves whose A-diameter larger than or equal to E-diameter of sulcus of spinal nerves and for those spinal nerve roots whose rations larger than or equal to those of corresponding intervertebral foramens.cervical nerve in C3-6 larger than or equal to E-diameter of sulcus of spinal nerve roots in C3-6 larger than or equal to those of corresponding intervertebral foramens.RESULTS: Totally 120 sides of 60 corpses were measured (56 cases of male wedge pressure in intervertebral foramen of cervical nerve root for both male and female, of which, that of female was remarkably superior to the male was 6. 3% for wedge pressure of anterior branch of cervical spinal nerve in sulcus in spinal nerve for both male and female, of which, that of male was remarkably superior to the female(8.9%, 3.9%, χ2 = 6.65, P ＜ 0. 01 ).CONCLUSION: The involvement of cervical nerve is related not only to the stenosis of bone canal but also to the injury of peripheral soft tissues. By the ratios between E-diameter of nerve root and intervertebral foramen and between A-diameter of cervical nerve and E-diameter of sulcus of spinal nerve, those ≥ 1 can be obtained directly as the rate of occurrence of nerve compression.

Objective:To investigate the Level Ⅳ metastasis risk factor of oral cancer patient's ipsilateral neck. Methods:The medical records of 624 cases (644 sides of the neck) that underwent neck dissection at the time of primary surgery for oral carcinoma were included. Chi-square test and logistic regression analysis were performed to determine the factors associated with LevelⅣmetas-tasis. Results:Out of 334 cases (345 neck sides) with positive lymph nodes, only 35 sides (5.43%, 35/644) showed LevelⅢinvolve-ment and only 4 sides (0.62%, 4/644) developed skip metastasis (LevelⅢ). The metastatic rate of LevelⅣwas 1.31%(4/303) for pN-LevelsⅠ-Ⅲnecks and 9.14%(31/341) for pN+LevelsⅠ-Ⅲnecks. Using Chi-square test, pN+LevelsⅠ-Ⅲlymph node metastases were associated with the LevelⅣnodal metastases. For necks with pN+LevelⅢ, with three positive Levels among LevelsⅠ-Ⅲ, and with positive lymph node≥3 among LevelsⅠ-Ⅲ, the LevelⅣmetastasis rates were 22.47%(20/89), 28.57%(10/35), and 14.60%(20/137), respectively. Furthermore, logistic regression was applied to identify the relationship between the metastasis situation of the afore-mentioned three Levels and LevelⅣ. Three positive Levels among LevelsⅠ-Ⅲ(pN+LevelⅠ+pN+LevelⅡ+pN+LevelⅢ) were confirmed to correlate with the presence of the positive lymph nodes in LevelⅣ. Conclusion:In oral cancer patients, LevelsⅠ-Ⅲmetastaces will increase the risk of LevelⅣmetastasis.