Objective To investigate the effect of laparoscopy-assisted partial small bowel resection combined with open tension-free hernioplasty on patients with strangulated inguinal hernia. Methods 98 patients with strangulated inguinal hernia from January 2013 to December 2015 in our hospital were enrolled in the study and divided into the minimally invasive group (n= 41, laparoscopy-assisted partial small bowel resection combined with open tension-free hernioplasty) and laparotomy group (n=57, open partial small bowel resection combined with Bassini repair) ac﹣cording to the operation mode. Preoperative baseline data, operation time, postoperative complications, postoperative hospital stay, survival status and recurrence rate were compared between two groups. Results There were no signifi﹣cant differences in preoperative baseline data between the two groups (P> 0.05). The incidence of postoperative chronic pain and recurrence in the minimally invasive group were significantly lower than that in laparotomy group (P< 0.05). There were no significant differences in operation time, incidence of incision infection, inguinal bruising or hematoma, postoperative hospital stay, perioperative mortality between the two groups (P>0.05). Conclusions For patients with strangulated inguinal hernia, laparoscopy-assisted partial small bowel resection combined with open tension-free hernioplasty could not only make full use of advantages of tension-free repair patch, but also avoid pol﹣lution of the bowel resection to patch, which can reduce the risk of infection and recurrence, it is worthy of clinical application.

Objective To observe the effect of scalp-body acupuncture plus psychological intervention in treating post-stroke depression.Method Seventy-eight patients with post-stroke depression were divided into a treatment group (40 cases) and a control group (38 cases). In addition to ordinary neurological treatments, the treatment group also received scalp-body acupuncture plus psychological intervention while the control group also received Fluoxetine hydrochloride (Prozac). The interventions were given once a day, 4 weeks as a treatment course, for 2 courses in total. Hamilton Rating Scale for Depression (HAMD) and neurological impairment severity scale (NISS) were observed before intervention, after 1 treatment course and at the end of the intervention.Result After intervention, the HAMD and NISS scores dropped significantly in both groups, and the treatment group was markedly better than the control group (P＜0.05). The total effective rates of anti-depression and recovery of neurological function in the treatment group were significantly higher than those in the control group (P＜0.05).Conclusion Scalp-body acupuncture plus psychological intervention can produce a content efficacy in improving depression and recovering neurological function.

Timely reporting, effective analyses and rapid distribution of surveillance data can assist in detecting the aberration of disease occurrence and further facilitate a timely response. In China, a new nationwide web-based automated system for outbreak detection and rapid response was developed in 2008. The China Infectious Disease Automated-alert and Response System (CIDARS) was developed by the Chinese Center for Disease Control and Prevention based on the surveillance data from the existing electronic National Notifiable Infectious Diseases Reporting Information System (NIDRIS) started in 2004. NIDRIS greatly improved the timeliness and completeness of data reporting with real time reporting information via the Internet. CIDARS further facilitates the data analysis, aberration detection, signal dissemination, signal response and information communication needed by public health departments across the country. In CIDARS, three aberration detection methods are used to detect the unusual occurrence of 28 notifiable infectious diseases at the county level and to transmit that information either in real-time or on a daily basis. The Internet, computers and mobile phones are used to accomplish rapid signal generation and dissemination, timely reporting and reviewing of the signal response results. CIDARS has been used nationwide since 2008; all Centers for Disease Control and Prevention (CDC) in China at the county, prefecture, provincial and national levels are involved in the system. It assists with early outbreak detection at the local level and prompts reporting of unusual disease occurrences or potential outbreaks to CDCs throughout the country.

Objective To establish a known HPA/HLA genotype platelet donor database in Nanjing,analyze the poly-morphism of HPA-1～6w,-15 and HLA-A,-B and evaluate the matching probability and appropriate capacity of the database for platelet matching transfusion.Methods HPA-1～6w,-15 and HLA-A,-B were genotyped by PCR-SSP and PCR-SBT,respectively.The allele frequency and haplotype frequency of HPA-1～6w,-15 and HLA-A,-B were calculated with SHEsis software,and then the matching probability and appropriate capacity were obtained according to the haplotype frequencies.Results The population genetic polymorphisms data of HPA-1～6w,-15 and HLA-A,-B in Nanjing were obtained.Accord-ing to the subsequent calculating,without considering ABO blood type,in a database size of 527 donors,a patient with hap-lotype frequency＞0.001 has approximate 95％probability to achieve matching of HPA-1～6w,-15 genotype.A database with a total size of 1 875 donors can afford the patient with haplotype frequency＞0.001 to find at least 1 HLA-A,-B matched donor in 95％probability.Conclusion We established a local platelet donor database with known HPA and HLA genotype,which also provided important data support for the subsequent construction,maintenance and clinical application of the data-base.

Objective To analyze set-up errors for irradiation of nasopharyngeal carcinoma by using kilo-voltage cone beam computed tomography (kV-KBCT) scanning, and to calculate the external margin from planning target volume (PTV) of nasopharyngeal carcinoma. Methods A total of 150 nasopharyngeal carcinoma patients in Meizhou People's Hospital from December 2014 to November 2016 were treated by image-guided radiation therapy (IGRT), kV-KBCT, CT image scanning matcthed by bone and grey alignment. PTV of nasopharyngeal carcinoma was also calculated. Results According to PTV formula, the external distance before radiotherapy guided by grey alignment was 0.5 mm in X-axis, 0.4 mm in Y-axis, 0.8 mm in Z-axis. While the distance was 0.1 mm in X-axis, 0.5 mm in Y-axis, 1.7 mm in Z-axis guided by bone alignment. After radiotherapy, the external distance guided by grey alignment was 0.4 mm in X-axis, 0.5 mm in Y-axis, 0.9 mm in Z-axis. While the distance was 0.1 mm in X-axis, 0.9 mm in Y-axis, 2.0 mm in Z-axis guided by bone alignment. There was no significant difference in set-up errors of 3 directions and 2 aligned ways before and after treatment.Conclusions The PTV within 3 mm is safe when IGRT is used for directing radiotherapy of nasopharyngeal carcinoma,and kV-KBCT is an effective image equipment.

[摘 要] 目的：探讨lncRNA SNHG14对甲状腺癌SW579细胞恶性生物学行为的影响及其分子机制。方法：收集2017年10月至2018年12月青海省人民医院收治的20例甲状腺癌患者的癌组织及癌旁组织标本，用qPCR检测甲状腺癌组织和对应癌旁组织中SNHG14与miR-433-3p的表达；根据转染物的不同，将SW579细胞分为si-NC组（转染si-NC）、si-SNHG14组（转染si-SNHG14）、miR-NC组（转染miR-NC）、miR-433-3p mimic组（转染miR-433-3p mimic）、si-SNHG14+anti-miR-NC组（共转染si-SNHG14与anti-miR-NC）和si-SNHG14+anti-miR-433-3p组（共转染si-SNHG14与anti-miR-433-3p）。MTT法、FCM、Transwell实验分别检测转染后SW579细胞的增殖能力、细胞周期、细胞凋亡率、迁移及侵袭能力的改变；利用双荧光素酶报告基因实验检测SNHG14是否可结合miR-433-3p，qPCR法检测SNHG14与miR-433-3p之间的相互调控关系。结果：SNHG14在甲状腺癌组织中的表达高于癌旁组织（P<0.05），而miR-433-3p的表达水平低于癌旁组织（P<0.05）。抑制SNHG14的表达或过表达miR-433-3p可使SW579细胞增殖能力降低（P<0.05）、迁移与侵袭细胞数减少（均P<0.05）、细胞凋亡率升高（P<0.05）、G1期细胞比例升高（P<0.05）且S期细胞比例降低（P<0.05）。双荧光素酶报告基因实验证明SNHG14可结合miR-433-3p，抑制SNHG14的表达可提高SW579细胞中miR-433-3p水平（均P<0.05）。同时抑制miR-433-3p 和SNHG14的表达可部分逆转后者对SW579细胞的增殖、凋亡、迁移和侵袭的作用（均P<0.05）。结论：甲状腺癌组织中lncRNA SNHG14呈高表达、miR-433-3p呈低表达，lncRNA SNHG14可通过靶向结合miR-433-3p促进甲状腺癌SW579细胞的增殖、迁移、侵袭而抑制细胞凋亡。