Objective To provide basic datas for enriching the scientific and reasonable security strategy of blood transfusion in Chongqing ,even for the national use in the future ,we studied the infection status of human parvovirus B19(B19V) among unpaid blood donors and evaluated the prevalence of B19V in Chongqing .Methods B19 IgM and B19 IgG antibody from blood donors were detected by the method of enzyme linked immunosorbent assay .Results Among 1 104 blood samples of blood donors ,the positive rate of B19 IgM was 5 .07% ,and the positive rate of B19 IgG was 36 .68% ,there was a significant difference between them(P<0 .05) .The positive rate of B19 IgM from females was higher than males′(P<0 .05) ,but there was no statistical difference for the positive rate of B19 IgG between different gender(P> 0 .05) .Comparing with various age groups ,There was still no significant difference of the positive rate of B19 IgM among them(P>0 .05) ,but the positive rates of B19 IgG increased with age increasing (P<0 .05) .The different blood types or collection seasons ,and the statistical difference were not established in these two condi‐tions (P>0 .05) .And there was no significant difference for positive rate of B19 IgM between positive samples and negative sam‐ples of HBV ,HCV ,HIV ,the results of B19 IgG also were such(P> 0 .05) .Conclusion Among blood donors in Chongqing ,al‐though there was no screening for B19V ,we still found infections by B19V .So this may illustrated that the risk of blood transfusion by B19V was still existed .

AIM: To observe the effects of D-galactose on the lumber vertebra body and investigate the reasons. METHODS: 12 rats at age of 6 months were divided into two groups, control group and D-galactose group (n=6 in each). The control group were administered saline solution sc, and the D-galactose group were administered 5% D-galactose solution sc at dose of 100 mg?kg -1. After 3 month, the rats were killed by exsanguination from heart. The fourth lumber vertebra was taken and immerged in formalin. The testicle were taken and immerged in formalin at the same time. The blood serum was collected by centrifugating the collected blood after resting for a while, and it was preserved in refrigeratory at the degree of - 70 ℃.The vertebra body were embedded in plastic and sliced up after being dehydrated step by step with different concentration ethanol. The slices were analyzed under the image analysis apparatus. The testicle were made into paraffin slices and observed under the common microscope. The concentration of serum testosterone and luteinizing hormone were measured by radio-immunity assay. RESULTS: The lumber vertebra body in D-galactose group appeared osteoporosis. The serum testosterone hormone concentrations of D-galactose rats were significantly decreased. And the microstructure of testicle present aging change, but no change of serum LH concentration was observed. CONCLUTION: D-galactose can cause the osteoporosis in male rats, which may be related to affect the function of thalamus-pituitary-testicle axis, decrease the content of testosterone of D-galactose.

AIM: To investigate the effects of D-galactose on ultrastructure of rats' hypothalamic arcuate nucleus.METHODS: 12 rats at age of 6 months were divided into two groups at random,the control and D-galactose group.Rats of control group were treated with saline solution by sc,and rats of D-galactose group were treated with D-galactose by sc at dose of 100(mg?kg~(-1)). Three months later the rats were killed by exsanguinating from heart.After being infused into the left ventricle with 2%-(2.5)% polyformaldehyde at the dose of 50(mg?kg~(-1)),the brains were taken and immerged in(2.5)% polyformaldehyde,then the arcuate nucleus was taken according to the atlas of brain,the tissues taken were made into ultrathin sections to be observed under electron microscope.RESULTS: comparing to rats in control group,neurons of the arcuate nucleus of rats in D-galactose group appeared aging,the number of organelle in plasma decreased,but the number of lipochromesome in plasma increased significantly,and the size of neurons decreased also.Furthermore the apoptosis neuron was observed,the chromosome of which congregated around the nucleus' membrane,the typical aging neuron was also observed,the neuraxon of which was atrophying.But there were no obvious changes observed in neurons of the arcuate nucleus of rats in control group,plenty of organelles were observed under electron microscope clearly.CONCLUSION:D-galactose can cause neurons of rats' arcuate nucleus aging,the neurons appeared atrophying and apoptosis.

Aim To study the effects of D-galactose o n bone of rats. Methods Forty-two Sprague-Dawley rats at age of 3 months with half female and half male were divided into five groups randoml y, basal, OVX or ORX , D-galactose at dose of 50 mg?kg -1?d -1 (L), D-galactose at dose of 100 mg?kg -1?d -1 (M), galactose a t dose of 200 mg?kg -1?d -1 (H).The former two groups were SC inject ed physiological saline and the latter three groups were injected three differen t doses of D-galactose respectively. Two months later the rats were killed by setting blood free from hearts, then the left thighbones and tibias were take n. The tibias were cut at 8 ?m sections for static and dynamic bone histomorph ometric analyses. The thighbones were dried and weighed. All rats were given sc injections of tetracycline 25 mg?kg -1 (first fluorochrome bone marker) on 14 and d 13,and calcein 10 mg?kg -1(second fluorochrome bone marker) on 4 and d 3 before sacrifice. The testicles and the ovaries were taken and made the paraffin slices for observing the microstructure under the microscope. Results D-galactose had no effects on bone of female rats, but can made male rats lose bone significantly and the rats appeared osteoporosis. The static parameters in three different dose male rats bone which relate to bone ma ss %Tb. Ar decreased 53.5%,53.5%,46.6% respectively, Tb.N decreased 42.9%,4 7.6%,38.1% respectively, TB.Sp increased 85%,150%,67.3% respectivly. The dynamic parameters which relate to bone formation %L. Pm decreased 24.1% 89.1% , 65.5% respectively. The convoluted suminiferous tubule disordered, lumens dil ated, and basal membrane disintegrated. Conclusion D-galac tose had different effects on bone of different gender rats. There is no effect on female bone, but it can induce the male rats osteoporosis. The mechanism of D-galactose on bone was probably due to the different effects on gonad glan ds.

Objective To compare the therapeutic effects, adverse reaction and quality of life when advanced lung cancer patients were treated with chemotherapy alone (control group) or combined with Shenqifuzheng Injection (a traditional Chinese Medicine injection, treated group). Methods In the treated group, beside NP scheme chemotherapy, a 250 ml of Shenqifuzheng Injection was given intravenously per day for 6 successive weeks, while to the control group, only chemotherapy was given. Results The effective rate in the treated group and the control group was 46.7% and 36.7% respectively after 2 cycles chemotherapy, with no significance was found. But the rate of progression, adverse reaction in blood were all lower in the treated group than in the control group(P

Objective:To study the relationship between susceptibilities of Trichophyton rubrum strains to antifungal agents and their species specificities.Methods: The susceptibilities of Trichophyton rubrum strains to itraconazole,ketoconazole,fluconazole,terbinafine,naftifine,5-flucytosine and amphotericin B were evaluated using a modified microdilution method.The relationship between susceptibilities and genotypes and phenotypes of Trichophyton rubrum strains with different origins was analyzed by random amplified polymorphic DNA(RAPD).Results: The Trichophyton rubrum strains showed narrow minimum inhibitory concentration(MIC) ranges to terbinafine(0.016-0.032 ?g/ml),naftifine(0.032-0.063 ?g/ml) and itraconazole(0.25-1 ?g/ml),whereas they showed broader MIC ranges to ketoconzole(0.25-2 ?g/ml)and fluconazole(1-32 ?g/ml).MICs of Trichophyton rubrum strains to terbinafine(M_0=0.032 ?g/ml) and naftifine(M_0=0.032 ?g/ml) were the lowest among 7 antifungal agents.Wilcoxon test(Kruskal-Wallis test) suggested that there was no significant relationship of MICs to terbinafine,naftifine,itraconazole and amphotericin B with the genotypes,phenotypes and origins of the Trichophyton rubrum strains.Conclusion: The antifungal susceptibility of Trichophyton rubrum strains may not be related to their genotypes,phenotypes or from which part of the body they are isolated.

0.05).The main side effects were myelosuppresion,gastrointestinal reation and peripheral nerve toxicity and phlebitis.Conclusion The therapeutic effectiveness of NP regimen was better than MVP regimen.There were no significant difference between the two regimens.They can be used as first line chemotheapy for NSCLC.

Objective Through utilizing the existing human resources and establishing stratified management modes based on the responsibility of the leader of nursing teamwork to reduce nursing de-fects and nursing disputes, and improve the quality of emergency care. Methods Nurses in the depart-ment of emergency were stratified, and the stratified management modes based on the responsibility of the leader of nursing teamwork was implemented. Then the results underwent analysis and feedback through assessment. Results Quality of care, the satisfaction degree of patients, doctors and the relevant depart-ments before and after the implementation had statistical significance by χ2 test. The cases of nursing de-fects reduced from 5 in 2005 to 1 in 2007 and nursing disputes reduced from 5 in 2005 to 0 in 2007.The intact rate of first aid materials increased from 98% in 2005 to 100% in 2007. Conclusions The strati-fied management modes can ensure that the quality of emergency care implemented in every hour and link, and can reduce the nursing defects and disputes, increase patient satisfaction degree and improve quality of care. So the stratified management modes are worthy of clinical reference in emergency department.

Objective To investigate the clinical characteristics of purulent meningitis caused by streptococcus pneumoniae.Methods We studied clinical features of 12 children with purulent meningitis caused by streptococcus pneumoniae who were hospitalized from Jan 2007 to Oct 2011 in our hospital.Results Twelve children were penicillin-resistant streptococcus pneumoniae.The ages ranged from 2 months to 10 years.Nine cases(75％) were aged less than 5 years,and 5 cases(41.6％) were aged less than 2 years.All cases were with fever,and with the nervous system symptoms involvement.All cases were with complications:9 cases(75％) with septicemia,8 cases (66.7％) with pneumonia.The white blood cells,blood C-reactive protein,peripheral blood procalcitonin,erythrocyte sedimentation rate,white cells and protein in cerebrospinal fluid were mostly significantly high,sugar in cerebrospinal fluid were low significantly.Eleven cases were eventually treatmented by vancomycin plus 3rd to 4rd generations of cephalosporins antibiotics or other antibiotics.Eight cases were cured,2 cases with serious sequela,and 2 cases died.Conclusion We should attach importance to the meningitis caused by streptococcus pneumoniae.For clinical suspects pneumonia streptococcus meningitis,to given the powerful therapy by vancomycin plus the other antibiotics,as early as possible.

OBJECTIVE:To investigate the effect of Changji’an capsules on abdominal pain and the molecular mechanism re-lated to calcitoningene-related peptide(CGRP)and corticosterone(CORT)in diarrhea-predominant irratable bowel syndrome(IBS-D)model rats. METHODS:After the rat models of IBS-D were established by the method of separation of breast mick combined with stimulation with acetic acid,the rats were randomly divided into model group(isometric normal saline),pinaverium bromide group(0.018 g/kg),and Changji’an capsules high,medium and low dose groups(2.812 g/kg,1.406 g/kg and 0.703 g/kg),and another SD rats were included in the normal control group(isometric normal saline). The drugs were given to the rats once a day for consecutive 14 d,ig. Injection of normal saline method was adopted to determine the rat’s sensibility to abdominal pain. The en-zyme-linked immunosorbent assay(ELISA)was adopted to determine the content of CORT in the serum of the rats. Subjected to re-verse transcription polymerse chain reaction(RT-PCR)was adopted to determine the expression of CGRP mRNA in the hypothala-mus and colon tissues of the rats. RESULTS:Compared with normal control group,threshold values of arching the back and stick-ing out the abdomen were decreased,the content of CORT in serum and expression of CGRP mRNA in the hypothalamus and co-lon tissues in model group were increased,with significant difference(P<0.01). Compared with model group,threshold values of arching the back and sticking out the abdomen were increased,the content of CORT in serum and expression of CGRP mRNA in the hypothalamus and colon tissues in pinaverium bromide group and Changji’an capsules high and medium dose groups were de-creased;the threshold value of arching the back in Changji’an capsules low dose group were increased,with significant difference (P<0.01 or P<0.05). CONCLUSIONS:Changji’an capsules can improve the abdominal pain in rats with IBS-D by a mechanism that may be related to the decrease in the expression of CGRP mRNA in the hypothalamus and colon tissues and the reduc-tion of the content of CORT in serum.