No abstract available.
Botulinum Toxins, Type A* ; Muscles* ; Nerve Block*

OBJECTIVE:To study the adverse drug reactions induced by?-lactam antibiotics and to promote rational use of drugs in clinics.METHODS:442ADR cases induced by?-lactam antibiotics collected in our hospital during2001～2005were analyzed retrospectively.RESULTS:Among the total961ADR cases collected in5years,46%were induced by?-lactam antibiotics.The most common displays of ADR were the lesion of skin and the appendants,followed by the lesion of cardiovas-cular system and digestive system etc.CONCLUSION:It is advisable to promote rational use of?-lactam antibiotics and strengthen ADR monitoring so as to decrease or avoid the occurrence of ADR.

Aim To investigate the effects of com-bined treatment of SAHA and TRAIL on human breast cancer ER positive cell line MCF-7 . Methods MCF-7 cells were treated with SAHA and/or TRAIL. The inhibitory rates were detected by real-time cell prolifer-ation assays. Morphology changes of MCF-7 cells were observed through time-lapse live cell imaging acquisi-tion. Results Real-time cell proliferation assays showed that the anti-tumor efficacy of SAHA was sig-nificantly enhanced in combination with TRAIL. The results of time-lapse live cell imaging acquisition dem-onstrated that, with treatment of SAHA and TRAIL, the growth inhibition of MCF-7 cells was more obvious than that of in TRAIL or SAHA treatment alone. Con-clusion The combination treatment of SAHA and TRAIL has a synergistic effect of growth inhibition on breast cancer MCF-7 cells.

Objective:To investigate the role of shelter hospital in carrying out the medical support.Methods: Analysis to the application of wartime medical rescue, the large scale activities medical rescue security in peacetime, medical support of military exercise, respond to biological terrorist attack and infectious events of public health, natural disaster medical rescue, army emergency force of medical service training and remote and poor area to make a round of visits. Results: As an important part of medical rescue, shelter hospitals have full-featured, highly mobile, rapid assembly and so on.Conclusion: Shelter hospital shows the importance of in carrying out the diversification medical support tasks.

Objective To investigate the effects of combined treatment of suberoylanilide hydroxamic acid(SAHA)and TNF?related apoptosis inducing ligand(TRAIL)on proliferation and morphology change of triple?negative breast cancer cell MDA?MB?231. Methods The effects of combination treatment of SAHA and TRAIL on proliferation and morphology change of MDA?MB?231 cells were monitored by RTCA. Morphology changes of MDA?MB?231 cells by different treatment factors were observed through time?lapse live cell imaging acquisition. Results Real?time cell proliferation assays showed that a synergistic effect were found when MDA?MB?231 cells were treated with combination of SAHA and TRAIL , and reached the best effect with 5μmol/L SAHA and 50 ng/mL TRAIL. The results of time?lapse live cell imaging acquisition showed that the growth inhibition of MDA?MB?231 cells with combined treatment of SAHA and TRAIL were more obvious than that with treatment of SAHA or TRAIL alone. Conclusion The combined treatment of SAHA and TRAIL induces a synergistic effect on growth inhibition in triple?negative breast cancer cell line MDA?MB?231.

[Objective]Overview the understanding of modern and traditional medicine to aphasia, and analyse the mechanism of tongue ’s 3-needle to treatment. [Methods]General discussion of modern and traditional medicine to aphasia from etiology, pathology, herapy, and further expound the principle of tongue’s 3-needle from point distribution, meridian, local anatomy and experimental study.[Results] Modern medicine focuses more on classification, mechanism, assessment of aphasia,but traditional medicine stresses on therapies. Tongue’s 3-needle,which locates on throat belong to Jin’s three needles system, relates to heart, spleen, liver maridians.They can improve local circulation, enhance neuromuscular excitability,and have a positive effect on the expression of a variety of biological factors, so they can promote recovery of language.[Conclusion] The mechanism of aphasia is complex and difficult to treat.Tongue’s 3-needle has solid theoretical basis on both traditional and modern medicine on treating aphasia,it is worth promoting and inheritting.

Objective To analyze the clinical efficacy of diacerein plus methotrexate and leflunomide in the treatment of rheumatoid arthritis in elderly patients.Methods Eighty elderly patients with rheumatoid arthritis seeking treatment at our hospital from September 2010 to December 2012 were divided into the treatment group (n =40) and the control group (n =40).Patients with osteoarthritis were excluded from enrollment.The treatment group was given diacerein,in addition to methotrexate and leflunomide,whereas the control group received methotrexate and leflunomide.Results Compared with the control group,the treatment group showed a lower swollen joint count [(0.93±0.21) vs.(3.43±0.69),t=10.728,P=0.013],a lower tender joint count [(1.15±0.46)vs.(3.6110.83),t=11.443,P=0.008],shorter morning stiffness (1.6±2.2 min vs.13.5±4.2min,t=11.164,P=0.011),and greater hand grip strength [7.97±1.53) kPa vs.(5.68±2.07)kPa,t=10.562,P=0.014].When measured by health assessment questionnaire (HAQ),visual analogue scale (VAS) and DAS28 scores,the treatment group also performed better than the control group.Additionally,the treatment group displayed a more favorable laboratory profile,which included the erythrocyte sedimentation rate (ESR) (9.51±4.32 mm/h vs.26.47±6.32 mm/h,t=9.892,P=0.028),C-reactive protein (CRP) [(2.34±0.57) mg/L vs.(8.13±2.14) mg/L,t=9.427,P=0.031],and rheumatoid factors (RF) [(231.3±45.5) kU/L vs.(283.3±68.4) kU/L,t=10.023,P=0.018].Furthermore,the adverse reaction rate was significantly lower in the treatment group than in the control group (15.0％ vs.37.5％,x2 =5.230,P=0.020).Conclusions Diacerein in combination with methotrexate and leflunomide has shown clearly positive outcomes in the treatment of rheumatoid arthritis in elderly patients and should be recommended in clinical treatment.

Objective To detect the expression of MMP-9 and Survivin in ovary cancer and investigate their relationship in local invasion, genesis and development of ovarian cancer. Methods The tissues samples from 64 cases of epithelial ovarian cancer,30 cases of carcinoid, 11 cases of borderline tumor and 20 cases of normal were collected, expressions of MMP-9 and Survivin were detected by immuohistochemistry SP method and RT-PCR. Results The expression positive rates of Survivin were 20.00 %, 20.00 %, 36.67 % and 76.56 %, and the positive rates of MMP-9 were 25.00 %, 23.33 %, 45.45 % and 79.68 % in normal ovarian tissues, carcinoid, borderline tumor and epithelial cancer of ovary, respectively. The positive rates of MMP-9 and Survivin were were higher in ovary epithelial cancer carcinoid than those in carcinoid and normal ovarian tissues(P <0.05). The mRNA of Survivin were (0.21 ±0.03), (0.19± 0.05), (0.38±0.02) and (0.58±0.02), and the mRNA of MMP-9 were (0.23±0.03), (0.21±0.05), (0.44±0.02) and (0.59±0.04) in normal ovarian tissues, carcinoid, borderline tumor and epithelial cancer of ovary, respectively.The mRNA levels of Survivin and MMP-9 were higher in carcinoid and epithelial cancer of ovary than those in normal ovarian tissues. Conclusion The over expressions of Survivin and MMP-9 are related to genesis and development of ovarian cancer.

Objective To investigate the clincial effect of small splint and locking proximal humerus plate(LPHP) for the treatment of closed fracture of surgical neck of humerus.Methods The clinical data of 130 cases of closed fracture of surgical neck of humerus using small splint and LPHP from October 2006 to January 2011 was retrospectively analyzed.Patients were divided into two groups with 65 cases each by random number table,splint group was fixed proximal humerus with small splitn,LPHP group was fixed with LPHP.Comparing the Constant-Murley shoulder score and radiographic evaluation between two groups.Results According to Constant-Murley shoulder score:the excellent rate was 30.8％(20/65 )of splint group,significantly lower than that of LPHP group [ 61.5％(40/65 ) ],the difference was statistically significant (P ＜0.05 ).According to radiographic evaluation:the excellent rate was 33.8％(22/65 )of splint group,significantly lower than that of LPHP group [ 72.3％ (47/65) ],the difference was statistically significant (P ＜ 0.05).Conclusion LPHP internal fixation for proximal humeral surgical neck fracture patients can get a good reset,fixed reliability,fewer complications,which is an effective method of treatment.