Echocardiography was once clinically considered as a tool for diagnosing coronary artery disease with limited sensitivity and specificity. Recently with the developments of modern electronic technologies,limitations of poor image quality were overcome and several new technical modalities,such as color kinesis(CK),Doppler tissue imaging(DTI)and anatomic M-mode echocardiography(AME)have been demonstrated to be useful for enhancing the accuracy and clinical applicability of the echocardiography. These new noninvasive ultrasonic technologies,adding more direct and quantitative information on specific topics of cardiac function,may play an important role in the study of coronary artery disease.

BACKGROUND:Non-hematopoietic cell of mesenchymal stem cells (MSCs) or mesenchymal progenitor cells can differentiate into bone,cartilage,muscle,tendon,fat and bone marrow matrix in vivo and in vitro,thus becoming very valuable seed cells source in the field of tissue engineering.OBJECTIVE:To construct the tissue engineered tendon withⅠcollagen-polyglycolic acid as a scaffold and bone marrow MSCs as seed cells,and to observe the effect of tissue engineered tendon on repairing achilles tendon defects. DESIGN,TIME AND SETTING:Randomized controlled animal experiment was performed in the Xiangya Medical College of Central South University in 2003.MATERIALS:Healthy adult rabbits,irrespective of genders,weighing 1.5-2.5 kg,were offered by Animal Center of Xiangya Medical College,Central South University. Polyglycolic acid were purchased from Shandong Weigao Group Kanglida Medical Products Co.,Ltd (KLD Medical).SD rats were sourced from Department of Experimental Animals,Central South University.METHODS:Rabbit bone marrow was extracted to harvest MSCs with centrrfugation and adherence method,then bone marrow MSCs were isolated and amplified. Tail tendon was extracted from SD rats and prepared into type Ⅰ collagen solution,which was mixed and suture cultured with polyglycolic acid to construct collagen-polyglycolic acid scaffold. Other bone marrow MSCs,which were not induced in vitro,were incubated on collagen-polyglycolic acid scaffold to construct tissue engineered rabbit tendon models,with those without cells serving as controls. Thirty rabbit angle skins were cut open to separate tendon and produce a 3-cm defect. Fifteen rats in the experiment group was repaired with tissue engineered tendon,which was previously prepared with autologous bone marrow MSCs,while fifteen rats in the control group was given Ⅰ collagen-polyglycolic acid scaffold.MAIN OUTCOME MEASURES:Effect of tissue engineered tendon on repairing achilles tendon defects in rabbit.RESULTS:No matter whether contains autologous bone marrow MSCs,type I collagen-polyglycolic acid scaffold transplanted into animals exhibited column gel shape by general observation. At 4 weeks following transplantation,cordlike tissues were seen in the transplantation site,polyglycolic acid suture was degraded. At 8 weeks,the tissue engineered tendon tissues were cordlike shaped,white,lustrous and dense. They were well connected with receptor tendon tissues in the experiment group,without adhesion to peripheral tissues. In the control group,the tissues were slender and adhered to peripheral tissues. CONCLUSION:Using typeⅠ collagen-polyglycolic acid as a scaffold and bone marrow MSCs as seed cells,tissue engineered tendon can dramatically promote the repair of achilles tendon defects.

AIM: The synergistic effect of basic fibroblast growth factor (bFGF) and endothelin- 1 (ET-1 ) on rat aortic vascular smooth muscle cells(VSMC) proliferation was observed. The possible mechanism of the synergism was also investigated. METHODS: BrdU incorporation and cell counting method were adopted to value the pro - proliferative effect of VSMC. Western- blotting was used to observe the variation of bFGF and FGFR - 1 isoforms expression. RESULTS: bFGF and ET- 1 could promote VSMC proliferation separately, and synergistically in combination. The synergism was dose - and time - dependent. ET- 1 increased all the three bFGF isoforms and FGFR - 1 protein level in dose - and time- dependent manner. In addition, after exhaustion of intracellular PKC, the upregulation effects of ET- 1 on bFGF and FGFR - 1 expressions in VSMC both inclined. CONCLUSION: bFGF and ET- 1 had synergistic effect on VSMC proliferation. ET- 1 may increase the responsiveness of VSMC to bFGF through modulation of bFGF isoforms together with FGFR - 1, which was PKC - dependent.

Objective To evaluate the therapeutic effects of treatments of eye-retaining and enucleation for choroidal melanomas. Methods The clinical data of 44 patients (44 eyes) with choroidal melanomas after eye-retaining treatments and enucleation surgery were retrospectively analyzed. The metastasis, retention rate of eyeball after eye-retaining treatment, and visual acuity prognosis were observed and analyzed. In 44 eyes treated by eye-retaining therapy, transpupillary thermotherapy (TTT) was performed primaryly on 7 (15.9%),~ 106 Ru brachytherapy on 25 (56.8%), and local resection of tumor combined with ~ 106 Ru brachytherapy on 12 (27.3%).The average follow-up period was 13.3 months. Results Forty-four patients had no melanoma metastasis during the follow-up period. In 39 patients (88.6%) who had their eyes retained successfully, the retention rate of eyeball was 100%, 92.9%, and 83.3% in 6, 14, and 24 eyes with small, middle, and large tumor, respectively. In the patients treated by eye-retaining therapy, the visual acuity was ≥0.3 in 11 (28.2%), ≥0.05-

AIM: The synergistic effect of basic fibroblast growth factor (bFGF) and endothelin-1 (ET-1) on rat aortic vascular smooth muscle cells(VSMC) proliferation was observed. The possible mechanism of the synergism was also investigated. METHODS: BrdU incorporation and cell counting method were adopted to value the pro-proliferative effect of VSMC. Western-blotting was used to observe the variation of bFGF and FGFR-1 isoforms expression. RESULTS: bFGF and ET-1 could promote VSMC proliferation separately, and synergistically in combination. The synergism was dose- and time-dependent. ET-1 increased all the three bFGF isoforms and FGFR-1 protein level in dose- and time-dependent manner. In addition, after exhaustion of intracellular PKC, the upregulation effects of ET-1 on bFGF and FGFR-1 expressions in VSMC both inclined. CONCLUSION: bFGF and ET-1 had synergistic effect on VSMC proliferation. ET-1 may increase the responsiveness of VSMC to bFGF through modulation of bFGF isoforms together with FGFR-1, which was PKC-dependent.

Objective To analyse the relationship between hyperglycemia and severity/prognosis after brain injury, and to provide evidences for clinical treatment and prognosis.Methods86 cases were divided into light (16 cases), moderate (24 cases) and severe (46 cases) injury groups based on Glasgow Coma Scale scores (GCS). The blood glucose was examined 48 hours, 1 week, 1 month and 2 months after injury. The results were analyzed according to the location/position of injury and the disability rating scale (DRS).ResultsThe blood glucose level in light injury group was normal. The blood glucose levels in moderate and severe injury groups rised more significantly than those did in light injury group. The hyperglycemia in severe injury group persisted over 2 months. There was positive linear relativity relationship between the DRS and the blood glucose levels 48 hours and 2 months after injury. The higher the blood glucose level was, the more the severity of the disability was and the worse the prognosis was. The blood glucose level was higher in the patients with abroad injury following brainstem dysfunction and/or blood breaking into ventricle, even persisting over a few months. ConclusionEarly hyperglycemia is a frequent phenomenon of the stress response to head injury, a significant indicator of its severity, and a reliable predictor of outcome.

Objective:To explore the therapeutic effect and mechanism of nicergoline on the severe traumatic brain injury. Methods:52 TBI patients were divided into the routine treatment group and nicergoline treatment group. Before and after rehabilitation treatment the SPECT and cognitive function were assessed. Results:The lesions were both decreased in nicergoline group and routine group in SPECT scanning, but there was no difference in statistics. The value of cognitive function of the nicergoline treatment group, especially function-oriented and memory, was higher than that of the routine treatment group(P<0.05).Conclusions:The nicergoline can improve cognitive function of the severe traumatic brain injury.

Objective To investigate the status of hospitalized cancer patients sense of hopelessness.Methods 508 cancer patients in the Affiliated Tumor Hospital of Guangxi Medical University were recruited and divided into the youth group and the middle aged group.Beck Hopelessness Scale (BHS) was assessed to compare the depression degree between the youth group and the middle aged group.Results In general,without a sense of hopelessness in 182 patients (40.9％),mild hopelessness in 178 patients (40.0％),moderate hopelessness in 68 patients (15.3％),severe hopelessness in 17 patients (3.8％).However,no statistical difference was significantly different on the depression degree between the youth group and the middle aged group,while significat difference existed between patients with different dwelling places and treatment time.Conclusions Most cancer patients have different degree of hopelessness.Duration of treatment,dwelling conditions and other factors can affect the patients sense of hopelessness.

Disorders of sex development (DSD) is a complex disease that involves multiple traditional professional disciplines.Multidisciplinary team(MDT) mode is a particularly advantageous treatment mode that has been developed in recent years for the diagnosis and treatment of complex diseases.This article is based on the analysis of research progress at home and abroad about DSD and MDT,and the latest advances application of MDT treatment try for DSD,probe into how to establish a DSD-MDT treatment mode in theory preliminarily.

Objective To investigate the imaging manifestations of metastasis in the nasal cavity and paranasal sinuses. Methods Twelve lesions of 10 patients with pathologically proved metastasis were retrospectively reviewed, including 6 renal clear cell carcinoma, 2 pulmonary adenocarcinoma, 1 colorectal carcinoma and 1 hepatic carcinoma. All the patients underwent CT and MRI scan.Among them,9 patients had contrast enhanced MRI scan and 5 patients had dynamic contrast-enhenced MRI as well. The location, bone changes, shape,margin,density,signal intensity, and enhancement characteristics of the lesions were observed. Results The metastasis involved spheno-ethmoid area(n=3), ethmoid sinus (n=2), maxillary sinus (n=2), nasal cavity(n=2), fronto-ethmoid area(n=2) and sphenoid sinus (n=1). All 12 metastatic lesions demonstrated bone destruction with tumor bone formation in 1 lesion. The CT displayed 10 metastases showed equal density, one mixed density was high, another form of low-density mixed. MR imaging showed equal signal in 9 lesions, while low-mixed signal in 3 lesions on T1WI compared with grey matter were found. On T2WI, 11 lesions showed high mixed signal and homogeneous low signal in 1 lesion. All 12 lesions demonstrated markedly heterogenous enhancement after intravenous administration of contrast media. Of 5 cases with dynamic contrast-enhanced MRI scanning, 4 lesions demonstrated wash-out time-signal intensity curve (TIC) pattern and 1 lesion demonstrated plateau pattern. Conclusions Renal carcinoma is the most common primary tumor for nasal cavity and paranasal sinuses metastasis. A typical imaging finding is located in the ethmoid sinuses, the soft tissue mass surrounded with rich blood supply multiple sinuses and significant bone destruction.