Objective To discuss the pathological morphological features of the macrofollicular variant of papillary thyroid carcinoma ( MFPTC ) .Methods Clinical data of 2 cases of MFPTC were reviewed .The his-topathological and immunohistochemical features were analyzed .Relevant literatures were reviewed .Results The histological characters of MFPTC mainly included its multiple macrofolliculus , plenty of colloid and atypical nuclear morphology.Immunohistochemistry stain showed cytokeratin-19, Galectin-3 and HBME-1 expressed simultaneously. Conclusions MFPTC is a thyroid papillary carcinoma with unique histological characters .It should be differen-tially diagnosed from some benign lesions such as nodular goiter and follicular adenoma .Immunohistochemical stain of cytokeratin-19, Galection-3 and HBME-1 may be very helpful in the diagnosis and differential diagnosis .

Adolescent ; Adult ; Aged ; Alleles ; Child ; Female ; HLA-DR Serological Subtypes ; genetics ; Humans ; Male ; Middle Aged ; Myelodysplastic Syndromes ; diagnosis ; genetics ; pathology ; Prognosis ; Young Adult

BACKGROUND: There are many drawbacks with hormone replacement therapy for menopausal syndrome. The blood levels of 5-HT and norepinephrine are lower. Fluoxetine hydrochlorde(ProzacR) is a selective serotonin reuptake inhibitor which is widely used in treating anxiety and depression,OBJECTIVE: To evaluate the effect of combined antidepressant and estrogen therapy compared to estrogen alone in the treatment of perimenopausal syndrome in this prospective open study.DESIGN: Randomized comparative study.SETTING: Department of Obstetrics and Gynecology of the First Affiliated Hospital of Chongqing Medical University PARTICIPANTS: From November 2003 to December 2004, 60 female patients with diagnosed menopausal syndrome of 3-12 month duration, aged (46±3) years, from Department of Obstetrics and Gynecology of the First Affiliated Hospital of Chongqing Medical University were enrolled into the study after giving their informed consents. The patients were randomly divided into two equal groups with Group 1 (n=30) receiving a combination of antidepressant + estrogen and Group 2 (n=30) receiving estrogen only.METHODS: Patients in Grgup 1 received fluoxetine hydrochloride (ProzacR) 20 mg orally every morning plus oral estradiol 1 mg once every two weeks for 2 months. Patients in Group 2 received only oral estradiol 1 mg once every two weeks for two months. Patients were not taking any other drug during the treatment period. At the end of two month treatment all patients were evaluated with the following 3 assessment tools: ①female menopausal symptom evaluation with the following 4 categories: Complete symptom relief, markedly improved, improved and no effect. Overall efficacy was defined as 50% symptom improvement. ② Hamilton Depression Scale which reflects energy level and psychosomatic factor of sleep and anxiety. ③Menopause index: Which are description of clinical evaluation and adverse effects; this would help to assess the safety of using both drugs in treating the menopausal syndrome.MAIN OUTCOME MEASURES: female menopausal symptom assessment, hamilton depression scale, and menopause index.RESULTS: ① In female menopausal symptom assessment group 1 showed better results in the complete relief and markedly improved scores. ②Hamilton Depression Scale group 1 also showed better scores than Group2(In Groupl, the scores at week 1 to 8 were 25,18,15,10,8,5,5,4 respectively ,in Group 2, the scores at week 1 to 8 were 25,17,15,14,13,12,13,13 respectively). ③ Group 3 showed a significant better score in the menopausal index with improvement in sleep disorder, anxiety and depression than Group 2 (In Group 1 the scores at week 1-8 were 32,22.5,15,15,14,15,15,14 respectively,In group 2, the scores at week 1 to 8were 33,21,16,14,13,12,13,13 respectively) ,there was no significant difference of incidence of adverse events as compared with Group 3 .CONCLUSION: Combined therapy of fluoxetire hydrochlarde(PROZAC)plus estrogen showed better efficacy in the treatment of menopausal syndrome than estrogen alone.

AIM: We sought to evaluate the expression of apoptosis related genes, p53 and bcl-2, in cultured vascular smooth muscle cells (VSMCs) in which apoptosis was induced by the ligands of PPAR?-ox-LDL,ciglitazone and 15-deoxy-△ 12,14-PGJ 2,and then influenced by PGF 2?,an antagonist of PPAR?. To clarify whether PPAR? is involved in the regulations of p53 and bcl-2.METHODS: Rat aorta smooth muscle cells were isolated and cultured in DMEM containing 10%FBS. ox-LDL,ciglitazone and 15 d-PGJ 2 were added into the medium for 24 h, respectively. Using PGF 2? to inhibit PPAR? activation via activation of MAP kinase. We employed the flow cytometry analysis to quantitatively analyze the apoptosis of VSMCs. Also, we measured and analyzed the discrepancies of the expression of p53 and bcl-2 between every groups. RESULTS: During the process of apoptosis induced by PPAR?,the expression of P53 protein increased (P

Child, Preschool ; Chronic Disease ; Humans ; Male ; Tuberculosis, Miliary

Objective To analyze the influence factors on quality of life(QOL) in patients with ovarian cancer in order to provide the basis for improving QOL of patients with ovarian cancer .Methods The quality of life of 73 patients with ovarian cancer was investigated by QLICP‐OV questionnaire .Descriptive statistics ,one‐way analysis of variance ,t‐test and multiple linear regres‐sion analysis were used to explore impact factors of quality of life .Results The total QOL score of 73 patients with ovarian cancer was 64 .85 ± 9 .37 .Single factor analysis indicated that nation ,marital status ,education ,occupation and medical treatments were sig‐nificantly related to some domains scores of the QLICP‐OV(P<0 .05) .The multivariate linear regression analysis indicated that the influence factor on quality of life in patients with ovarian cancer for the domain of physical function was education with regression coefficient being -9 .786;Influence factor for the domain of psychological function was education with regression coefficient being 6 .559;the influencing factors for the specific module were marital status ,medical treatment ,and age with regression coefficients be‐ing -9 .174 ,-7 .142 and 0 .245 ,respectively .Conclusion The quality of life in patients with ovarian cancer was low and it was af‐fected by a lot of factors .

Objective To observe the effect of human β-defensins-2(HBD-2) for chorioamnionitis(HCA) pregnant women before term premature rupture of fetal membrane(PROM) process,and explore toll-like receptor 4 / nuclear factor-κ B (TLR4 / NF-κB) predominate role in the process of signal transduction pathway in the mechanism.Methods Fifty five women with PROM were enrolled in the study.According to the Results of pathological diagnosis of membranes,pregnant women with PROM divided into histological chorioamnionitis,HCA and non-HCA.The same sample without PROM pregnancies matching the same gestational ages were recruited as control group.We examined the messenger RNA(mRNA) of TLR4,NF-κB p65 and HBD-2 in placenta and fetal membrane real-time reverse transcription polymerase chain reactions by dsDNA-binding dyes of SYBR Green.Results (1)In the placenta,the level of TLR-4(17.15±4.52),NF-κB p65(47.11±14.23),HBD-2mRNA(27.35±2.67) in PROM group were significantly higher than the level of TLR-4(7.21±3.25),NF-κB p65(30.51±13.05),HBD-2mRNA(13.55±0.8) in control group(t=-1.966,-1.474,-1.754,P<0.05).In the fetal membrane,the level of TLR-4(18.54±3.35),NF-κB p65(49.29±16.18),HBD-2mRNA(25.19±3.39) in PROM group were significantly higher than the level of TLR-4(6.88±2.75),NF-κB p65(32.41±11.45),HBD-2mRNA(13.80±2.21) in control group(t=-2.378,-1.487,-1.847,P<0.05).In the placenta,the level of TLR-4(19.35±4.12),NF-κB p65(49.3±13.36),HBD-2mRNA(31.54±2.43) in HCA group were significantly higher than the level of TLR-4(6.71±2.25),NF-κB p65(32±12.25),HBD-2mRNA(7.41±0.45) in non-HCA group(t=-3.456,-1.547,-5.324,P<0.05).The level of TLR-4(7.78±2.65),NF-κB p65(8.48±1.01),HBD-2mRNA(30.45±11.42) in HCA group were significantly higher than the level of TLR-4(7.78±2.65),NF-κB p65(30.45±11.42),HBD-2mRNA(8.48±1.01) in non-HCA group(t=-3.654,-1.654,-6.352,P<0.0).(3)HCA group women:there were positive correlations between TLR4mRNA and NF-κB p65 mRNA,TLR4mRNAand HBD2 mRNA,TLR4mRNA and HBD2 mRNA(r=0.334,0.427,0.432,0.562,0.471,0.392,P<0.01)(4;)Non-HCA group women:there were positive correlations between HBD-2 and NF-κB p56(r=0.492,0.298,P<0.01),there had no correlation betweenTLR4mRNA and NF-κB p65mRNA,TLR4mRNAand HBD2 mRNA(P>0.05).Conclusion Linear positive correlation of TLR4,NF-κB and HBD2 indicated that TLR4/NF-κB/HBD2 signal transduction pathway may be involved in the development of preterm premature rupture of membrane associated with histologic chorioamnionitis.

Objective To examine the expression of inhibitory chondroitin sulfate proteoglycans (CSPGs) and in-vestigate their potential effects on neural plasticity in the peri-infarct cortex and ipsilateral thalamus after focal cerebral infarction in hypertensive rats. Methods Twenty-four adult renovascular hypertensive Sprague-Dawley rats per group were subjected to permanent right middle cerebral artery occlusion(MCAO) or sham operation. Twelve rats which were se-lected randomly from per group at each time point were decapitated and their brains were removed and cut into coronal sections at 7 and 14 days post MCAO. The expression of CSPGs, NG2 and Neurocan was examined using immunostaining and western blot. Results All rats displayed neurological deficits to varying degrees and the expression of CSPGs, NG2 and full length Neurocan was increased in the peri-infarct cortex and ipsilateral thalamus at 7 and 14 days (P<0.05). However, there were no significant difference in either expression of CSPGs, NG2 and full-length Neurocan between 7 and 14 days or the expression of C-terminal fragment Neurocan at 7 and 14 days (all P>0.05). Conclusions CSPGs may play a negative role in neural plasticity through induction of inhibitory environment in the peri-infarct cortex and ipsilat-eral thalamus following focal cerebral infarction in hypertensive rats.

Objective To assess whether FICE or IC is more effective at detecting colonic diseases.Method We searched PubMed, CINAHL, CQVIP and the Cochrane Library databases for relevant papers published between January 2008 and August 2013 using the following keywords: lfexible spectral imaging color enhancement, indigo carmine, colonoscope, colonic lesions, colon tumor and chromoendoscopy. We included eight articles, and all data were subdivided for analysis.Results We used odds ratios (OR^s) with 95 % conifdence intervals (CIs) to assess correlations between the detection methods and detection rates. The detection rates did not signiifcantly differ between FICE and IC for colonic tumor lesions (OR^ = 0.90, 95 % CI: 0.76~1.08,P = 0.255), non-tumor lesions (OR^ = 1.09, 95 % CI: 0.92~1.30,P = 0.302), adenomas (OR^ = 0.87, 95 % CI: 0.72~1.07,P = 0.188), non-neoplastic polyps (OR^ = 0.84, 95 % CI: 0.67~1.06,P = 0.146), lfat lesions (OR^ = 0.87, 95 % CI: 0.71~1.08,P = 0.203), protruded lesions (OR^= 1.23, 95 % CI: 0.93 ~ 1.64,P = 0.153), right colon lesions (OR^ = 0.83, 95 % CI: 0.60 ~ 1.14,P =0.251), transverse colon lesions (OR^ = 0.71, 95 % CI: 0.48~1.05,P = 0.086), or left colon lesions (OR^ = 1.35, 95 % CI: 1.01 ~ 1.80,P = 0.045).Conclusions There were no signiifcant differences in the rate of colonic lesion detection between FICE and IC except the left colon. Therefore, providers should choose a suitable inspection method based on the resources of the hospital.

Objective To observe the effects of advanced glycated bovine serum albumin(AGE-BSA) on the tubule like structure(TLS) formation of endothelial cells.Methods There were three groups:AGE-BSA(25,50 and 100 ?g/ml) treated groups,BSA(25,50 and 100 ?g/ml) treated groups as BSA control groups,endothelial complete medium without AGE-BSA or BSA as blank control groups.After incubation of human umbilical vein endothelial cells(HUVECs) for 24,48 and 72 h,TLS formation assay and ELISA were used to detect the length of TLS formation on the surface of collagen Ⅰ and the vascular endothelial growth factor(VEGF) autocrine of HUVECs in presence of AGE-BSA.Results In 24 to 72 h,AGE-BSA(25,50,100 ?g/ml) increased the average length of TLS formation on the surface of collagen Ⅰ and the concentration of VEGF autocrine in supernatant of HUVECs(P