Objective To investigate the effectiveness of percutaneous intracystic steroid injection using two needles in the treatment of solitary bone cysts in children. Methods A total of 28 children with solitary bone cyst underwent steroid injection from January 1996 to January 2004. Under fluoroscopy, two fine needles (either bone marrow biopsy needle or lumbar puncture needle) pierced the bone cyst by way of the top and the bottom of the cyst, respectively. The intracystic fluid was drawn off, the cyst cavity irrigated and the steroid injected into. Results Follow-up checkups for 10~62 months (mean, 28 months) in 27 children found no complications. According to the Chigira classification on the new bone formation, 20 cases were classified as grade Ⅳ, 5 case grade Ⅲ, 1 case grade Ⅱ and 1 case grade Ⅰ, the cure rate being 92 6% (25/27). The time for bone cysts to grow together again in the 25 children was 3~10 months (mean, 4 5 months). Conclusions Percutaneous intracystic steroid injection using two needles for solitary bone cysts in children is simple, safe and effective.

Objective To explore the applied value of modified enzyme digestion method in primary culture of human glioma cells. Methods A traditional enzyme digestion method was modified based on literatures and our work experience. The glioma cells from 32 glioma patients with different grades were primarily cultured by the modified enzyme digestion method. The morphological features of these cells were observed under an inverted phase contrast microscope. The primary cells were purified by differential adhesion during passage. The primary cells were identified by immunofluorescence technique, and the growth curves were drawn by cell proliferation assays (CCK-8 method) for investigating the proliferation of the cells cultured in vitro. Results The primary human glioma cells were successfully cultured and transferred by the new method, with a success rate of 87.5%. The cells cultured successfully in vitro showed good adherent growth, stable morphologies, thus can be passaged. Fluoroimmunoassay showed positive expression of glial fibrillary acidic protein, which confirms the cultured cells were glioma cells. Cell proliferation assays revealed active cell proliferation in vitro, the higher the tumor grade, the higher the proliferative capacity. Conclusion The modified enzyme digestion method is simpler and more efficient for primary culture of human glioma cells, and the success rate is also higher, thus being able to provide a good guarantee for fundamental research of glioma.

Objective To study the epidemiological status of reproductive health related behaviors of out of school adolescents in Kunming and Shenzhen City,and to explore the social-psychological influencing factors of the behaviors.Methods A cross-sectional study was conducted in 410 out of school adolescents aged 15-24 years who were recruited with accidental sampling.All the subjects were required to complete a self-administrated questionnaire.Single factor Chi-square analysis and multi-factor Logistic method were used for data analysis.Results The correct respondent rate of the questions on reproductive health knowledge among the adolescents was low.The sexual intercourse rate was 42.9％ (176/410).Nearly 44.9％ (79/176) of the adolescents who had sexual experience did not use condom in the latest sexual intercourse,and those who had no less than one sexual partner accounted for 48.9％ (86/176).The prevalence of genital discomfort and sexual transmitted disease was 48.8％ (200/410) and 2.9％ (12/ 410),respectively.Chi-square test showed that marriage,living statue,behaviors of holding hands,kiss,caress the body,sexual intercourse and having no less than one sexual partner influenced the prevalence of genital discomfort(x2 values were 4.667,10.862,10.032,15.619,17.423,28.239,17.817 and 21.369,respectively ; all P ＜ 0.05).In binary Logistic analysis,living in a dormitory or with other people,behaviors of caress the body,sexual intercourse and having no less than one sexual partner influenced the prevalence of genital discomfort (odds ratio (OR) was 0.449 (95％ CI:0.216-0.933),0.377 (95％ CI:0.147-0.967),4.364 (95％ CI:1.594-11.949),0.312 (95％ CI:0.111-0.877) and2.646 (95％ CI:1.417-4.941),respectively ; all P ＜ 0.05).Conclusions The status of reproductive health was poor among out of school girls in kunming and Shenzhen,and living status,behaviors of caress the body,sexual intercourse and having no less than one sexual partner could influence the prevalence of genital discomfort.Comprehensive measures should be taken to strengthen the reproductive health management in this population.

Objective To investigate the effect of asymmetric lumbar discectomy on facet joint force and stability of lumbar spine. Methods Seven human cadaver specimens (L2-3 segment) were selected to make intact, 1/4 discectomy and 1/2 discectomy status and applied with pure moment of 7.5 N•m. The range of motion (ROM) and facet joint force of L2-3 segment during flexion/extension, lateral bending and axial rotation were recorded, respectively. Results During extension, a significant increase in facet joint force was found under 1/4 discectomy status at the remained side. During lateral bending, the facet joint force at both sides under 1/2 discectomy status increased significantly than that under intact status. During axial rotation, facet joint force increased significantly only at the side without discectomy under 1/2 discectomy status. Except flexion, ROM under 1/4 discectomy and 1/2 discectomy status were larger than that under intact status in all the other motion directions (P<0.05). There was no significant difference in ROM between both sides during lateral bending and axial rotation direction. Conclusions The asymmetric lumbar discectomy can increase the ROM in all motion directions except flexion, and can enlarge the facet joint force asymmetrically, which indicate that instability of lumbar spine and facet joint force increasing resulted from asymmetric degeneration of the disc might lead to backache.

OBJECTIVETo screen specific functional proteins from lymphocyte involved in acute rejection using differential proteomics research.

METHODSTwo groups of rat liver transplantation models were established (isograft as control and allograft as acute rejection groups) by transplantation within Wistar rats, and between Wistar and SD. Morphology study were performed by histochemistry tech, followed by serum cytokine detection with ELISA. With 2-dimensional electrophoresis, proteomes of lymphocyte from the rats of different groups were separated and 2 proteome profiles were established. Comparing with the 2 profiles, 25 spots were selected and picked for in gel digestion, followed for analysis by matrix assisted laser desorption ionization (MALDI)-time of fly (TOF)/TOF MS. Two of the proteins were detected with Western blot to verify the changing profiles.

RESULTSThe results of morphology analysis and detection of cytokines (IL-2 and IFN-gamma) indicate that the animal models were established successfully and acute rejection happened after transplantation for 3 days. Twenty-five differential proteins were found out to be associated with acute rejection, among which 13 proteins were upregulated and 12 downregulated. The expression alterations of 2 proteins (beta-actin and carbonic anhydrase) are consistent with proteomics analysis results showing in Western blot.

CONCLUSIONSTwenty-five specific proteins exploiting mechanism of acute rejection are screened out, including IL-2 and carbonic anhydrase, which maybe benefit for the further works.

Acute Disease ; Animals ; Disease Models, Animal ; Graft Rejection ; metabolism ; pathology ; Interferon-gamma ; blood ; Interleukin-2 ; blood ; Liver ; pathology ; Liver Transplantation ; methods ; Lymphocytes ; metabolism ; Peptide Mapping ; Proteomics ; Rats ; Rats, Sprague-Dawley ; Rats, Wistar ; Transplantation, Homologous ; Transplantation, Isogeneic

OBJECTIVETo explore the immunomechanism of chronic lung disease (CLD) in premature infants by investigating the changes of 17 cytokines.

METHODSTwenty-six preterm neonates who had been in the NICU for over 28 days were divided into CLD group (n=14) and control group consisting of 12 preterm neonates. Seventeen cytokines, namely interleukin 1b (IL-1b), IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12, IL-13, IL-17, granulocyte-macrophage colony-stimulating factor, interferon-gamma, tumour necrosis factor alpha, granulocyte colony-stimulating factor, monocyte chemoattractant protein 1, and macrophage inflammatory protein-1b were detected in a single sample of peripheral blood by multi-plex technology (Bio-plex).

RESULTSThere were no significant differences in the level of the 17 cytokines between the two groups (P>0.05).

CONCLUSIONThe cytokines examined may not be involved in the later period pathogenesis of CLD.

Chronic Disease ; Cytokines ; blood ; Female ; Humans ; Infant, Newborn ; Infant, Premature ; Interferon-gamma ; blood ; Interleukins ; blood ; Lung Diseases ; blood ; immunology ; Male ; Tumor Necrosis Factor-alpha ; blood

OBJECTIVETo study the effect of automated peripheral arteriovenous exchange transfusion for treatment of severe hyperbilirubinemia in neonates.

METHODSFifty-three neonates with severe hyperbilirubinemia underwent automated peripheral arteriovenous exchange transfusion, and the changes in the blood gas, electrolytes and some biochemical indices after the exchange transfusion were evaluated.

RESULTSTreatment with the exchange transfusion resulted in a significant reduction in the total serum bilirubin with an exchange rate of 53.12% (P<0.01). The levels of serum kalium, calcium, magnesium, white blood cell count, platelets, and pH showed reductions while blood glucose exhibited a significant elevation changes after the transfusion (P<0.01), which all recovered the normal levels within 48 h. No obvious alterations occurred in the respiration, heart rate, blood pressure, or saturation of blood oxygen during the transfusion.

CONCLUSIONAutomated peripheral arteriovenous exchange transfusion can rapidly reduce serum bilirubin levels in neonates with severe hyperbilirubinemia without obviously affecting the blood gas balance or blood electrolyte or glucose levels.

Exchange Transfusion, Whole Blood ; methods ; Female ; Humans ; Hyperbilirubinemia, Neonatal ; therapy ; Infant, Newborn ; Male

Objective To observe the perioperative complications for metastatic cervical tumor,and explore their possible risk factors.Methods From January 2012 to January 2016,57 patients undergoing surgery for cervical spine metastasis were retrospectively analyzed,who were followed-up for at least 12 months or until death.Data collected included pain (a 10-point visual analogue scale,VAS),Karnofsky performance status score,neurologic status according to Frankel scale,perioperative complications,postoperative mortality and so on.Results The VAS score decreased significantly postoperation (P＜0.001).The Frankel grade was significantly improved (P=0.025).The Karnofsky score was also significantly improved (P＜0.001).The rate of local recurrence was 12.3％.Perioperative mortality rate (30 days after surgery) was 3.5％.Perioperative complication incidence was 24.6％.Univariate analysis found that comorbidity,preoperative Karnofsky score ＜60,multisegmental resection,and intraoperative blood loss ＞300ml were significant risk factors for the complication.Multivariable analysis showed that iIntraoperative blood loss ＞300ml and preoperative Karnofsky score ＜60 were the independent predictors for the complication.Conclusions Surgical management for cervical spinal metastasis is effective in terms of neurological recovery,pain control,and performance status recovery.However,the surgery had a high risk of complications that special attention should be paid to.Furthermore,complications might be related to preoperative Karnofsky score and intraoperative blood loss.

Objective To evaluate the sensitivity of computed tomography during splenoportographg (CTSP) in the diagnosis of hepatic metastases. Materials and Methods CTSP was performed in 22 cases of hepatic metastatic tumor with dynamic sequence contrast scanning, and the results were compared with those of B ultrasound, precontrast CT and contrast-enhanced CT scans. Results The total sensitivity rates of ultrasonic, precontrast CT, contrast-enhanced CT and CTSP scans were 57.7%, 60.4%, 68.9% and 91.7%, respectively. The sensitivity rates for small lesions (f≤1cm) were 32.7%, 38.6%, 48.3% and 91.8% respectively, showing significant difference between CTSP and the other methods (P<0.01). When the lesions were larger than 1 cm, the 4 methods were not significantly different in making diagnoses (P> 0.05). Conclusion CTSP is sensitive in detecting the hepatic metastatic tumor, providing accurate orientation for metastatic deposits, and therefore facilitating the best imaging determination of the target for surgical treatment.

Objective To evaluate the sensitivity of computed tomography during splenoportographg (CTSP) in the diagnosis of hepatic metastases. Materials and Methods CTSP was performed in 22 cases of hepatic metastatic tumor with dynamic sequence contrast scanning, and the results were compared with those of B ultrasound, precontrast CT and contrast-enhanced CT scans. Results The total sensitivity rates of ultrasonic, precontrast CT, contrast-enhanced CT and CTSP scans were 57.7%, 60.4%, 68.9% and 91.7%, respectively. The sensitivity rates for small lesions (f≤1cm) were 32.7%, 38.6%, 48.3% and 91.8% respectively, showing significant difference between CTSP and the other methods (P<0.01). When the lesions were larger than 1 cm, the 4 methods were not significantly different in making diagnoses (P> 0.05). Conclusion CTSP is sensitive in detecting the hepatic metastatic tumor, providing accurate orientation for metastatic deposits, and therefore facilitating the best imaging determination of the target for surgical treatment.