Clinicians should assume the responsibility of nutritional therapy for satisfactory outcomes. They should master knowledge on nutritional metabolism, and participate in the administration of nutritional support. Clinicians should be acquainted with new concepts and standardized techniques in this field, such as different requirement of energy, understanding of early nutritional support, and optimal regimens of enteral or parenteral nutrition.
China ; Enteral Nutrition ; Humans ; Nutritional Support ; Parenteral Nutrition

Objective To study MRI features of solid-pseudopapillary tumors of pancreas(SPTP).Methods MR findings of 3 patients with histopathologically proven SPTP were retrospectively analyzed.Results The mean diameter of these tumors was 4.5cm(3.5～8cm).One tumor was predominantly composed of cystic portions,2 tumors were composed of predominantly solid and some cystic portions.Fibrous septa was seen in cystic area in 1 case.One cystic tumor showed low signal intensities on T1WI and high singal intensities T2WI.The solid portions of mass showed moderate hypointensity on T1WI,and moderate hyperintensity on T2WI,and heterogeneous obvious enhancement on T1WI MRI in 2 cases.Conclusion There are some characteristics in MRI manifestation of SPTP.The disease might be correctly diagnosed combined with the clinical feature,and should be differentiated from nonfunctioning islet cell tumor,mucinous cystadenoma or cystcarcinoma of the pancreas,etc.

The enzyme,as a biocatalyst,can not be surpassed in speeding up the reactions by other common chemical catalysts under the suitable conditions and can catalyze the reaction mildly,simplify the facilities needed,improve the work conditions,and reduce the production costs,etc.Those are its advantages mentioned above.But while the enzyme is extracted outside the cells,the molecular conformation may be changed with decreasing its bioactivity and stability seriously.As one type of physical energy,(ultrasonic) wave with lower intensity and suitable frequency can make the conformation of enzymatic molecular comformation transform positively and the transforming reactions accelerate so as to facilitate the effective constituents of Chinese materia medica and natural products transforming.

With the development of cartilage tissue engineering, how to achieve an ideal scaffold has become the difficult and hot spot in this study field. The scaffold for cartilage tissue engineering should provide with some special physical and biochemical properties, such as excellent biocompatibility, proper biodegradability, controlled porosity, adequate pore size and so on. Such properties are closely related to two factors, one is the materials used for scaffolds, the other is the fabrication technology. This review is concentrated on the present common fabrication technologies of three-dimensional porous scaffolds, and mainly introduces the following technologies: solvent casting/particulate leaching, phase separation/freeze-drying, hydrogels, gas foaming, electrospinning and rapid prototyping manufacturing. Those fabrication technologies' effects on structure and properties of scaffolds have been compared to summarize and analyze the advantages and disadvantages of every fabrication technology, and simultaneously prospect the developing tendency of fabrication technology in cartilage tissue engineering.

Notch signaling pathway plays a vital role in cell fate decisions. Notch signals are transferred among adjacent cells through Notch receptors and their ligands, which can regulate differentiation, proliferation and apoptosis of many cell types including stem cells. They can also influence organ formation and morphopoiesis. Genetic mutations in the Notch signaling pathway are related to the emergence and development of many diseases. Notch signaling pathway is increasingly becoming important drug targets for cancer, hereditary disease such as CADASIL and other related diseases. It is also used to develop stem cell therapeutics to treat age or trauma related degenerative diseases such as Alzheimer's disease, Parkinson disease and diabetes.

The scaffold for cartilage tissue engineering should have special physical and biochemical properties,such as excellent biocompatibility,proper biodegradability,controlled porosity,adequate pore size,etc.With the development of cartilage tissue engineering,how to achieve ideal scaffolds is becoming a hot spot in this field.This review outlines the advances in the studies of scaffolds in cartilage tissue engineering.

Because of the exists of minimal residual disease(MRD), children with acute lymphoblastic leukemia (ALL) often suffer from recurrence. Dendritic cells (DC) play a pivotal role in the body's anti-tumor immune response through taking up tumor antigens to stimulate the body's immune system.Therefore it has become a hotspot due to DC's immunotherapy of clearing MRD in the body of children with ALL. This review discusses the DC characteristics, the immune escape mechanism associated with DC and the use of DC's immunotherapy in children with ALL.

Objective To investigate effect of propofol total intravenous anesthesia and sevoflurane inhalation anesthesia on perioperative inflammatory response in patients with lung cancer.Methods Forty patients with simple resection of lung cancer were selected in our hospital.They were divided into observation group and control groups according to random sampling method (n=20).Observation group was given propofol total intravenous anesthesia while control group received sevoflurane inhalation anesthesia.The serum concentrations of MMP-9,TNF-α,IL-6 were compared at the T0 (immediately before the induction of anesthesia) , T1 (1 hour after surgery) , T2 (end of the surgery immediately) , T3 (24 hour after surgery) . Results Compared with the T0 period,the serum concentrations of MMP-9,TNF-αand IL-6 at the T1,T2,T3 periods were increased significantly in the both groups(P<0.05);the concentrations of TNF-α, IL-6 were lower significantly in observation group compared with control group (P<0.05) . Conclusion Propofol anesthesia for resection of lung cancer patients can significantly reduce the inflammatory response.

A semantic predication network was developed by processing the documents on schizophrenia into se-mantic predication sets using SemRep, from which the core information was extracted to produce a graphic summary which was consisted of highly cohesive cliques.The automatic methods for summarizing biomedical documents were studied using the network properties combined with semantic information.The subthemes in the summary obtained by clustering were evaluated according to the clique co-node matrix and the contents of the summary were assessed according to the reference criteria.The accuracy was 0.93, the recall was 0.68, and the F-value was 0.79 for the summary, indicating that this method can effectively recognize the core information in documents and the semantic information in network graphics.