OBJECTIVE To investigate the efficacy of coblation in upper airway obstruction patients. METHODS Coblation Channeling was used in 814 obstructed nasal airway patients.Soft palate coblation with or without tonsil treatment was applied in 67 adult OSAHS patients.Coblation tonsillectomy or tonsillotomy with adenoidectomy was performed in 68 pediatric OSAHS patients.RESULTS For obstructed nasal airway patients,VAS scores of 720 (88.45 %) patients were 0 to 1 after one time treatment.Thirty-five (4.3 %) patients had second treatment,and then VAS scores dropped to 0 to 1.VAS scores of 59 (7.25 %) patients kept more than 5.For adult OSAHS patients,3 (4.5 %) patients were cured,38 (56.7 %) patients were improved, 19 (28 %) patients were effective and 7 patients were not improved.For pediatric OSAHS patient s,58 (85.29 %) patients' symptoms,such as snoring,breath difficulty, mouth breathing,or pharyngeal obstruction,were relieved and 10 (14.71%) patients' symptoms were improved. CONCLUSION Coblation is widely used in ENT patients with good results.Its advantages include easy to use, minimal invasive,safe,and much less pain.It is specially suitable for pediatric OSAHS patients.

BACKGROUND:In consideration of skin as the largest organ al over the body and its abundant vessels and vessel plexuses, there would be sufficient adult stem cels for tissue engineering. OBJECTIVE:To investigate the osteogenic potential of dermis-derived bone morphogenetic protein receptor subtype IB (BMPR-IB) positive cels. METHODS:In current study, histochemical analysis was adopted to study the localization and expression of BMPR-IB+ cels in skin. Fresh skin samples were digested into single cel suspension. Then, the surface marker BMPR-IB was used to isolate cel subpopulation by magnetic activated cel sorting from freshly prepared single cel suspension. After that, the osteogenic potential in vitro andin vivo was tested. Alkaline phosphatase staining and alizarin red staining were performed after osteogenic inductionin vitro. The BMPR-IB+ cels were seeded onto coral scaffolds, and the scaffolds were used to repair critical-sized calvarial defects of mice. Histochemical analysis was performed at 6 weeks postoperatively and micro-CT analysis was carried out at 24 weeks postoperatively to evaluate the ability of bone repairment. RESULTS AND CONCLUSION:We localized BMPR-IB cels in situ by immunohistochemistry that turned out to be expressed in the reticular layer of dermis and by single cels. Cel subpopulation which expressed BMPR-IB could be sorted by magnetic activated cel sorting. Alkaline phosphatase staining was obviously positive and lots of calcium modules were confirmed by alizarin red staining after osteogenic induction, indicating that BMPR-IB+ cels had the osteogenic potentialin vitro. Histochemical analysis demonstrated that plenty of new bone formation was found in BMPR-IB+ cels group after 6 weeks in vivo. Micro-CT analysis revealed that BMPR-IB+ cels-coral scaffold complex could repair calvarial defects successfuly after 24 weeksin vivo. These results indicated that dermis-derived BMPR-IB+ cels possessed adequate osteogenic potential. Moreover, they might be promising seed cels for bone tissue engineering.

Objectives To explore the clinical symptoms, therapy and prognosis of tachycardia-induced cardiomyopathy (TIC) in children. Methods Clinical data of 22 children with TIC from July 2007 to July 2012 were retrospectively analyzed. Results TIC was mostly seen in male infants and 81.82%of TIC was caused by atrial arrhythmias. The clinical symptom relieved after arrhythmia and ventricular rates were under control with average effective treatment time of (14.00 ± 8.20) days. Ten patients had tachycardia recurrence, 7 of them had atrial arrhythmia and their clinical symptoms were improved after treatment;while 3 of them showed longer time of therapy with average treatment time of (19.50±8.40) days (P<0.05). Five children underwent radiofrequency ablation before school age and got good therapeutic effect. The post-treatment echocardiographic parameters showed cardiac function of TIC children was significantly improved after treatment, including left ventricular end-diastolic diameter index, left ventricular end-systolic diameter index, left ventricular ejection fraction and shortening score (all P<0.05). Conclusions Childhood TIC is a reversible myocardial dysfunction and its prognosis is good. TIC can be induced by various types of tachyarrhythmias and normally by atrial arrhythmia. The preferred treatment of TIC is administration of antiarrhythmic drugs but radiofrequency ablation is needed to ventricular arrhythmias induced TIC.

OBJECTIVE To evaluate the affection to heart rate, blood pressure and breathing rate by nasal packing versus transseptal suturing techniques during patients undergone septoplasty. METHODS Eighty patients with deviation of nasal septum were included in this study. The patients were allocated into two groups: packing group and suturing group. The heart rates, blood pressure and breathing rates pre-and post-operations were collected, and the ascending range of these between two groups were assessed. The post-operative complications were observed. RESULTS The ascending range of the heart rates, blood pressure and breathing rates were smaller in suturing group than in packing group patients(P ＜0.05). There is no significant differences in post-operative complications between 2 groups. CONCLUSION Nasal suturing techniques during septoplasty might be a valid substitution for packing with more stable vital signs, smaller burden on the cardiovascular system and the same complication rates.

AIM: The Seahorse XFe96 analyzer was used to evaluate the effects of thirteen types of international first-line antimalarial drugs in six categories on the mitochondrial electron transport chain (ETC) of Plasmodium falciparum 3D7 (P. falciparum 3D7). METHODS: The antimalarial activity of in vitro drugs acting on P. falciparum 3D7 was evaluated using the three-day inhibition method and SYBR Green I fluorescence analysis method. MACS technology was used to separate and purify P. falciparum 3D7. The mitochondrial oxygen consumption rate (OCR) of Seahorse XF analysis system was used to characterize the bioenergy of P. falciparum 3D7 mitochondria at different times to investigate the effects of antimalarial drugs on mitochondrial aerobic respiration of Plasmodium falciparum. RESULTS: The results of flow cytometry showed that the Plasmodium of trophozoite stages was enriched successfully. The results of in vitro antimalarial activity evaluation showed that, except for the antimalarial drug proguanil (Pro), the other twelve antimalarial drugs were all of the nmol/L level against P. falciparum 3D7. The results of the mitochondrial aerobic respiration showed that the five concentrations of dihydroartemisinin (DHA) and chloroquine (CQ) (0.4, 1, 5, 10, 50×IC