Objective To investigate the expression of Annexin A1 proteins in colorectal cancer tissues and the relationship be-tween it and clinicopathologic features of colorectal cancer.Methods The surgical specimens from 48 cases of colorectal cancer,36 cases of adjacent tissues,15 cases of adenoma polyp were used to be examined expression of Annexin A1 immunohistochemical method.Results The positive expression rate of Annexin A1 in cancer tissue(64.6%)was significantly higher than those in adja-cent tissues(38.8%)and adenoma polyp tissues(40.0%)(P<0.05).The adjacent tissues and adenoma polyp tissues with positive Annexin A1 expression showed mild to severe atypical hyperplasia.The positive rates of Annexin A1 were significantly lower in the well-differentiated adenocarcinoma,tumor size of <5 cm,with no metastasis to lymphnodes and no invasion to surrounding tissues of colorectal cancer than those in the moderately or poorly differentiated adenocarcinoma,tumor size of ≥5 cm,with metastasis to lymphnodes and invasion in surrounding tissues(P<0.05).Conclusion The expression levels of Annexin A1 may be an important index of occurrence,progression and biological behaviors of colorectal carcinoma.

The Ca2+ wave is a chain reaction of intracellular Ca2+ release channels through a Ca2+-induced Ca2+ release mechanism. In cardiac myocytes, Ca2+ wave has drawn much attention because it is found to induce arrhythmia genesis. To investigate the microscopic process of wave propagation, Ca2+ imaging was performed with high spatial and temporal resolution via a laser-scanning confocal microscope combined with loose-seal patch clamp. These observation and analysis revealed that Ca2+ waves originated from a stochastic recruiting of Ca2+ release units (CRUs) by a pioneer Ca2+ spark, which had a low possibility in normal cells. During wave propagation, the 'waiting' time that the wave propagate between two neighboring CRUs along propagation direction distributed normally, and cells with a lower speed had a more dispersive distribution of 'waiting' time. To study the cause of the randomicity, the wave propagation was simulated with a numerical model. The simulation showed that the intrinsic stochastic open process of CRUs can fully explain the above phenomenon. Increasing the maximal open probability of CRUs reduced the randomness of wavefront propagation and enhanced the average velocity of wave meantime. These experimental and numerical results provided an unequivocal quantification for the stochastic behavior of wave initiation and propagation.

Renal cell carcinoma (RCC) is one of the most lethal malignancies of the urinary system, however, its pathogenic mechanism is not clear.Stanniocalcin (STC) is a type of glycoprotein hormone with multiple biological functions.Recently, the role of STC in the pathogenesis of cancer is of intriguing interest, and many researches have been performed to clarify underlying mechanism. We emphasized the role of STC in the underlying mechanism of RCC progression, from the aspects of STC inducing hypoxia adaptation of tumor cells, promoting tumor angiogenesis, also promoting cell proliferation, apoptosis, invasion and metastasis, and inhibiting the immune response.Conclusively, STC could be used as both a promising biomarker for RCC diagnosis and a theraputic target of renal cell carcinoma.

Objective To study the curative effect of psychological intervention combined with drug treatment of children addicted to the network game.Methods One hundred and twelve children addicted to the network game were selected,who were admitted to the outpatient department of the Second Affiliated Hospital of Xinxiang Medical University from Feb.2009 to Oct.2013 were selected,according to the admission time sequence,they were randomly divided into drug treatment group,psychological intervention group(as control group) and psychological intervention combined with drug therapy group(test group).Each of the control groups had 38 cases of patients,while treatment group had 36 cases.Drug treatment group was treated with oral Fluoxetine Hydrochloride Capsules 10 mg,1 time/d; the psychological intervention group was given the general psychological conversation,until discharged from the hospital; the test group adopted the cognitive restructuring,imagine the debate,self suggestion,remind yourself of cognitive therapy and behavior contract,behavior reinforcement,behavior extinction,aversive stimulus,self-regulation of behavior therapy combined with drug therapy.Respectively,before treatment,2 weeks,4 weeks and 8 weeks after the end of the treatment,Chinese Internet Addiction Scale,Coping Style Questionnaire (CSQ) and symptom checklist 90 (SCL-90) of each factor were evaluated.Results By the end of the 2 weeks and 8 weeks after the treatment,CIAS scores in the treatment group were significantly lower than that in drug therapy and psychological intervention group,the differences were statistically significant (t =2.49,2.03,all P ＜ 0.05 ; t =2.72,2.72,all P ＜ 0.01) ; scores of 3 factors of fantasy,self accusation and retreat in CSQ group in coping style questiennaire in the coping style questionnaire in the treatment group were lower than those in control groups,the differences were statistically significant (t =3.99,3.78,2.15,all P ＜ 0.05; t=2.64,4.20,3.72,all P ＜ 0.01); the problem solving,help seeking factor in the test group were higher than those in the control groups,the differences were statistically significant (t =2.69,2.43,5.31,2.25; all P ＜ 0.01) ; variation test combined physicochemical factors scores at different stages had on difference comparison of those in the 2 control groups (all P ＞ 0.05).Comparison of the SCL-90 score between the test group and the 2 control groups,the differences were statistically significant (t =5.05,4.31,all P ＜ 0.01).There was no significant difference of the scores between the 2 control groups (all P ＞ 0.05).Conclusions Psycholoical intervention therapy including cognitive therapy,behavior therapy combined with drug treatment have good effect on children's addiction to Web games.

Objective To explore the feasibility and safety of systemic chemotherapy concurrent whole brain radiotherapy (WBRT) for non-small cell lung cancer (NSCLC) with brain metastases.Methods Eighty cases of NSCLC patients with brain metastases were divided into observation group (40 cases) and the control group (40 cases) according to random number table.Patients were given systemic chemotherapy synchronous WBRT or sequential WBRT.Results The Ⅰ-Ⅳ degree leukocytopenia incidences of the two groups were 12.5％,25.0％,25.0％,0.0 and 30.0％,25.0％,12.5％,15.0％,and there was statistical significance (x2 =12.12,P ＜ 0.05).In the observation group,the total remission rate was 20％ (8/40),and it was 22.5％ (9/40) in the control group,with no significant difference (x2 =1.79,P ＞ 0.05).The median progression free survival of the observation group and of the control group were (3.5 ± 2.3) months and (3.6 ±1.1) months,respec-tively,with no significant difference (t =5.23,P ＞ 0.05).But the 1-years survival rate in the observation group was 37.5％ (15/40),significantly higher than that in the control group (17.5％,7/40),which had statistical significance (x2 =9.11,P ＜ 0.05).Conclusion The safety of systemic chemotherapy synchronous WBRT for NSCLC patients with brain metastases is higher,with good curative effect and strong application feasibility.

Newborn screening of inherited metabolic diseases by tandem mass spectrometry is flourishing in our country.With expansion of the coverage and spectrum of diseases, it is important to strengthen the quality management, optimize the performance and reduce the false rate currently, such as quality assurance of the specimens, quality control of the process, quality verification of the test procedure, quality evaluation of the laboratory and quality optimization of the interpretation method. Along with development of the equipment, software and project, promotion of regional collaboration by data and experience sharing will be more critical in the future, and national neonatal screening by tandem mass spectrometry will step into a new stage.

Objective To examine the effects of exercise intensity and duration on the structure,function and fibrosis of the left and right ventricular,and to discuss the potential mechanism in these processes.Methods Forty-eight male Sprague-Dawley rats were randomly divided into a sedentary(Sed)group,a moderate exercise(ME)group and an intensive exercise(IE) group,each of 16.Rats in Sed group were not given any training,while those in ME group and IE group run on treadmill at the speed of 15.2 m/min with the slope gradient of 5° and 28 m/min with the slope gradient of 10 degree 1 hour per day,5 days per week.Eight and 16 weeks after the training,we recorded the body weight and measure end-diastolic diameter,end-diastolic wall thickness,and ejection fraction of both ventriculars using the ultrasonic testing.All rats were then sacrificed after blood sampling.Elisa was used to measure serum cTnI concentration,and sirius red staining was applied to evaluate collagen volume fraction of both ventriculars.Results Eight or sixteen weeks after the training,the average bi-ventricular end-diastolic diameter of ME and IE rats was bigger than Sed group.There were no differences in end-diastolic diameter of both ventricular between ME group and IE group after sixteen-week training,but the left ventricular end-diastolic diameter of IE group was greater than ME group.As exercise intensive increased and time accumulated,the end-diastolic wall thickness of both ventriculars increased but without statistical significance.At sixteen-week intervention,the bi-ventricular ejection fraction of IE rats was significantly lower than Sed and ME groups,while there was a decreasing trend eight weeks earlier without significant differences.After 8 or 16 weeks of training,the serum cTnI was significantly higher in IE rats than Sed group or ME group,but there was no significant differences between ME group and Sed group.After 16 weeks' exercises,the average bi-ventricular collagen volume fraction of ME or IE group was greater than that after 8 weeks' exercises.The average collagen volume fraction of the right ventricular was greater than Sed group at the same time points,and after sixteenweek training the right ventricular collagen volume fraction in IE group was significantly greater than ME group.However,there were no significant differences in the measurement of the left side among different groups.The serum cTnI was negatively correlated with the left and right ventricular systolic function(r=-0.327,P=0.029 and r=-0.582,P=0.000).Moreover,it was positively correlated with the right ventricular collagen volume fraction moderately,but had no correlation with the left ventricular collagen volume fraction.Conclusion(1)Sixteen-week moderate and intensive exercise result in left ventricular dilation,and the dilation increases with the increase of the exercise intensity.Only 8 weeks' exercise at the same intensity can lead to right ventricular dilation,but exercise intensity has little influence on the right ventricular dilation.(2)Long-term moderate or intensive endurance exercises may cause bi-ventricular hypertrophy potentially.The left ventricular hypertrophy and dilation may not be synchronous with hypertrophy followed by dilation,while the right ventricular hypertrophy and dilation is synchronous.(3)The temporary decrease in bi-ventricular systolic function after intensive endurance exercise may be caused by ventricular injury,with more serious injury in the right ventricular than in the left.Moderate exercises don't cause ventricular injury,thus there is little or no influence on ejection fraction.(4) Long-term (8 or 16 weeks)moderate or intensive endurance exercises can increase the right ventricular collagen volume fraction,which may indicate cardiac fibrosis following right ventricular injury but not in the left ventricular.The bi-ventricular collagen volume fraction at sixteenth week in ME and IE rats are greater than corresponding rats at eighth week.It may result from the hypertrophy of bi-ventricular cardiomyocyte after 8-week training,followed by increase in the extracellular matrix but not cardiac fibrosis.

Objective To explore the expression level of miR-21 in exercise-induced right ventricular (RV) fibrosis,and to analyze the role of miR-21 in exercise-induced right ventricular fibrosis.Methods Seventy-two male Sprague-Dawley rats were randomly divided into a sedentary (Sed) group,a moderate exercise (ME) group and an intensive exercise (IE) group,each of 24.Rats in the Sed group were free of exercises,while those in ME and IE groups ran an hour on treadmill at 5°and 10° slopes at the speed of 15.2 m/min and 28 m/min respectively for 8 weeks,12 weeks or 16 weeks every day,5days per week.Twenty-four hours after the last training,all rats were sacrificed after blood sampling.The right ventricles were removed,and the collagen volume fraction (CVF) was tested using Sirius red staining,Collagen Ⅰ (Col Ⅰ) content was quantified using Immunofluorescence.The expression level of miR-21 was measured using the reverse transcription-polymerase chain reaction (RT-PCR).Results Af ter 12 weeks (P＜0.05,P＜0.05) and 16 weeks (P＜0.01,P＜0.01) of intensive exercises,the average CVF in the right ventricular was significantly higher than that of Sed and ME rats.Compared to Sed and ME groups,12 weeks (P＜0.01,P＜0.01) and 16 weeks (P＜0.01,P＜0.01) of intensive exercises significantly increased RV collagen Ⅰ content.Compared to the Sed group,the expression of miR-21 in RV increased significantly in the IE group (P＜0.01,P＜0.05 and P＜0.05).After 16-week intensive exercises,the miR 21 expression was positively correlated with the RV Col Ⅰ content.Conclusion The right ventricular fibrosis induced by long-term intensive exercises is associated with increased miR-21 expression level.Therefore,miR-21 is a potent therapeutic target and novel biomarker of the exercise-induced right ventricular fibrosis.

Objective To investigate the effects of Polysaccharide Sulfate (PSS) on plasma von Willebrand factor (vWF) and thrombomodulin (TM) in patients with acute cerebral infarction.Methods 64 patients with acute cerebral infarction were randomly assigned to receive intravenous drip of PSS (150 mg/d for 14 days, 32 cases, PSS group) or Troxerutin (600 mg/d for 14 days, 32 cases, control group). All of the patients were tested for plasmatic levels of vWF and TM prior to and at 7 d, 14 d after treatment.Results The levels of vWF in PSS group at 7 d, 14 d after treatment were obviously decreased compared with control group (all P

[Objective]To evaluate the clinical results of posterior hemivertebra resection and correction with transpedicular instrumentation for congenital scoliosis.[Method]From July 2002 to December 2006,thirty-nine consecutive cases,including 22 males and 17 females,underwent posterior hemivertebra resection and correction using transpedicular instrumentation.The average age at surgery was 8.3 years ranging from 3 to 15 years.There were 30 cases with fully segmented hemivertebra and 9 cases with partial segmented hemivertebra.Instrument included 16 cases of ISOLA,10 cases of CD-Horizon,10 cases of Moss-Miami and 3 cases of TSRH.The pre-and post-operative standing radiographic and at final follow-up were measured,and the Cobb's angles in the coronal and sagittal plane were analyzed,respectively.[Result]The average follow-up was 2.8 years ranging from 1 to 4.5 years.The Cobb's angle in coronal plane was corrected from 48? to 13?postoperatively and 13.2? at final follow-up,representing 70.2% correction rate.The kyphosis was corrected from 39? to 12.1? postoperatively and 12.7? at final follow-up,representing 68.7% correction rate.All cases had bony fusion,there was no neurological complication,no implant failure or infection.One case had crankshaft phenomenon.[Conclusion]Posterior hemiveterbra resection with instrumentation is a safe and effective treatment option for congenital scoliosis.Congenital scoliosis should be treated in early age.