Communication disorders of children with autism need early intervention with various kinds of augmentative and alternative communication technology. Currently, the main intervention techniques include picture exchange communication system (PECS), speech generating device (SGD) and intelligent augmentative and alternative communication combined with mobile technology. This article intro-duced children with autism, augmentative and alternative communication system and relationship between them.

Objective To study the chemical constituents in the edible part of Pistacia chinensis Methods The alcohol extract was isolated by silica gel, RP-18 and Sephadex LH-20, and the compound structures were identified by physicochemical methods and spectroscopic analyses. Results Sixteen compounds were isolated from EtOAc extract of the edible part of P. chinensis Their structures were identified as ?-sitosterol (Ⅰ), 4-hydroxyphenylacetic acid (Ⅱ), ethyl gallate (Ⅲ), alnusidiol (Ⅳ), amentoflavone (Ⅴ), p-hydroxybenzoic acid (Ⅵ), protocatechuic acid (Ⅶ), gallic acid (Ⅷ), quercetin-3-O-?-D-xylopyranoside (Ⅸ), rutin (Ⅹ), daucostenol (Ⅺ), quercetin-3-O-?-D-glucopyranoside (ⅩⅡ), quercetin (ⅩⅢ), kaempferol-3, 7-O-?-L-dirhamnoside (ⅩⅣ), naringenin (ⅩⅤ), and 4-hydroxycinnamic acid (ⅩⅥ). Conclusion Compounds, except Ⅰ, Ⅲ, Ⅷ, ⅩⅡ, and ⅩⅢ, are isolated from this plant for the first time.

Objective To explore the clinical effects of Jiawei Bazhen in treatment of fracture nonunion in children .Methods 60 cases of patients with fracture nonunion from December 2014 to June 2015 in Weinan Maternity and Child Health Care Hospital were divided into experimental group and control group according to random number table, 30 cases in each group.The control group were treated by Shangke Jiegu tablet combined with staphylococcal enterotoxin C injection, and the experimental group were treated by Jiawei Bazhen combined with staphylococcal enterotoxin C injection, with a consecutive treatment of 6 weeks.The efficacy, arthritis symptom score, serum bone morphogenetic protein-7(BMP-7) and vascular endothelial growth factor( VEGF) were compared between two groups.Results The total effective rate in experimental group were higher than that in control group (χ2 =6.667,P<0.05).The arthritis symptom score in experimental group was lower than that in control group(P<0.05).The serum levels of BMP-7 and VEGF in experimental group were higher than those in control group(P<0.05).There was no significant difference in adverse reactions between two groups(χ2 =1.086,P>0.05).Conclusion Jiawei Bazhen could improve the clinical symptoms, increase the levels of BMP-7 and VEGF, and promote the bone fracture's concresc in children with fracture nonunion, with fewer adverse reactions, which has distinct clinical curative effect.

BACKGROUND:Bone marrow mesenchymal stem cel s have a close relationship with tumor occurrence and development, which are not only involved in tumor recruitment but impact the biological behavior of tumor cel s. OBJECTIVE:To investigate the effect of bone marrow mesenchymal stem cel s on the biological behavior prostate cancer cel line. METHODS:Human bone marrow mesenchymal stem cel s from healthy adults were col ected and cultured in vitro. Cel morphology and cel markers were observed. Using the Transwel technique, human dermal fibroblasts HDF-a were co-cultured with human prostate carcinoma DU145 cel s in positive control group, wild-type prostate carcinoma DU145 cel s cultured alone in negative control group, and bone marrow mesenchymal stem cel s co-cultured with human prostate carcinoma DU145 cel s in experimental group. Flow cytometry assay was used to detect the cel cycle of prostate carcinoma DU145 cel s, soft agar colony formation assay performed to detect cel proliferative ability, and crystal violet staining used to observe DU145 cel migration at 3 days after culture. RESULTS AND CONCLUSION:Compared with the negative control group, cel proportion at G 2/M+S phase, number of transmembrane cel s and colony counting were significantly decreased in the experimental group. These findings indicate that bone marrow mesenchymal stem cel s may inhibit the proliferation and invasion of prostate carcinoma DU145 cel s by shortening the G 2/M+S phase, thereby providing a new insight into the treatment of human prostate cancer.

Objective To research the clinical effect and operation way of total knee arthroplasty for severe knee valgus deformity. Methods From March 2011 to September 2013, 17 cases (23 knees) with severe knee valgus deformity were selected as the research ob-ject. Metered the tibial angle and checked the activity of knee joint of all the patients before operation. All patients were scored with HSS knee scoring system. Through the selection of lateral parapatellar approach, targeted osteotomy, selective lateral soft tissuelax, patients were given total knee arthroplasty for the treatment of severe knee valgus deformity. The femoral and tibial angle of patients was measured again after the operation. All patients were reexamined after 6 months which included checking the activity of knee joint, evaluating the therapeutic effect of patients with HSS knee scoring system. Results All patients were reexamined in our hospital 6 months after surgery, the degree of femoral and tibial angle decreased from (28. 4 ± 4. 9)° to (5. 2 ± 2. 3)°; knee joint range of motion increased from (65. 4 ± 16. 7)° to (106. 7 ± 27. 3)°;HSS score increased from (38. 46 ± 3. 75) point to (87. 41 ± 4. 77) point. Postoperative indexes were significantly im-proved compared with preoperative indexes, and the differences were of statistical significance (P<0. 05). Conclusion The curative effect is remarkable for patients with severe knee valgus deformity using patellar medial approach, standard osteotomy combined with selective soft tissue release, and total knee arthroplasty. And the knee valgus deformity of patients was corrected and the quality of life has been signifi-cantly improved.

This case report presents an extracted maxillary third molar,which have 3 separate roots with 5 canals,the canal configuration in mesiobuccal root are 3 separate orifices and canals,1 apical foramen.The clinician should be aware of this anatomical variation,avoid the missed canals.

Objective: The relationship between intracranial pressure (ICP) and visual evoked potential (VEP) or brainstem auditory evoked potential(BAEP)was investigated. Method:An acute intracranial hypertension animal model was established in ten anesthetized rabbits. The changes of VEP and BAEP were observed by an AXON Systems Sentinel-4 Neurologid monitor at different levels of ICP,which were monitored with a fiberoptic transducer being inserted into the epidural space through a burrhole. Result:Both latencies of waves P_1 and N_2 of VEP was positively correlated with the ICP(r=0.62,r=0.60,P

Objective To explore the protein expressions of matrix metalloproteinase-9 (MMP-9) and tissue inhibitor of metalloproteinase-1 (TIMP-1), and to investigate their relationships between their serum concentration before operation and the infiltration and metastasis of thyroid carcinoma. Methods The protein expressions of MMP-9 and TIMP-1 in 32 cases of thyroid carcinomas, 23 cases of adjacent tissues and 30 cases of benign hyperplastic lesions were measured by using immunohistochemistry. The preoperative serum concentrations of MMP-9 and TIMP-1 in 21 cases of thyroid carcinomas and 19 cases of benign hyperplastic lesions were determined by enzyme-linked immunosorbent assay. Results The positive expression rates of MMP-9 and TIMP-1 in tumor tissues were significantly higher (75.0%,56.3%)than those in adjacent tissues and benign hyperplastic lesions (30.4%, 21.7%; 26.7%, 23.3%) P

The adductor spasticity is a common symptom in children with cerebral palsy. The ultramicrostructure damages have been found in adductor. If the spasticity is not treated in time, there will be some secondary injury, such as hip joint dislocation, muscle tendon crispation, contracture of joint, hip pain, and so on. The treatment for adductor spasticity includes stretching, orthosis, training device, selective posterior rhizotomy, neurotomy of anterior branch of obturator nerve, Adductor myotomy, phenol block, Botulinum Toxin injection, Intrathecal baclofen etc. Every method has its own advantage and disadvantage.

Close attention of the Course of Environmental Adaptation should be paid in rehabilitation professional training. Its teaching strategy should include: arousing the interest of learning, and developing the working habits concerning the environmental condition of the patients; mastering the international standard of barrier- free design; encouraging researching of practical design of environmental adaptation, emphasizing the intern operation training of environmental adaptation, and concerning the universal education of the knowledge of barrier- free design.