Objective To explore and summarize the clinical features and treatmentof the nonpuerperal mastitis.Methods Eighty-two cases of nonpuer-peral mastitis from 2003 to 2013 were analyzed retrospectively.All patients were divided into surgery alone group (11 cases)and medication combined surgery group (71 cases),which PDM patients with triple anti-mycobacterial drugs therapy,GM patients with cortical hormone therapy.Results All patients were diagnosed by biopsy.The total duration of simple drug group (triple or hormone) is (11.92 ±6.50) weeks and remission rate after 4 weeks was (89.06 ± 2.25) ％.Drugs plus surgery group,the total duration of the group is (6.57 ± 2.30) weeks,and no recurrence.The total duration of the simple surgery group is (17.09 ± 13.11) weeks and remission rate after 4 weeks was (63.64 ± 1.10) ％.Comparison of the total duration of the three groups and the cumulative response rate curves were significantly different(P ＜ 0.05).Conclusions Nonpuerperal mastitis requires a combination of clinical and pathological diagnosis.Surgery is not the only treatment option,triple anti-mycobacterial or cortisol hormones for different types of pathology conservative treatment can achieve a satisfactory therapeutic effect.Drug therapy combined with surgery can shorten the duration and reduce the relapse rate,it is an effective treatment for nonpuerperal mastitis.

Objective To determine diazepam, nitrazepam, oxazepam, estazolam, and al-prazolam simultaneously in human plasma by reversed phase high-performance liquid chromatography (RP-HPLC). Methods Ten microliter carbamazepine (50 mg/L)as the internal standard was added into 1 mL sample, which contained the 5 mixed sedative hypnotics as standard substance and human plasma as ground substance. They were extracted with acetoacetate from plasma samples, and then were dissolved by 100 μL mobile phase. The blood drug levels were analyzed by high perform-ance liquid chromatograph with 20 μL sample injection on a chromatographic column C 18 (4.6 mm×250 mm)at 30℃. The mobile phase consisted of methanol and water (65:35) , and the flow rate was 1.0 mL/min. The ultraviolet detection wavelength was 230 nm. Results The linearity range of the 5 drugs was 5～1 200 μg/L(r≥0.9966, P<0.05). The recovery rate was 95.5%～105.6%. The extraction recovery rate was more than 75%. The relative standard deviation (RSD) of intra-day and inter-day was less than 10% (n=5). Conclusion RP-HPLC method is convert-ient, accurate and sensitive for simultaneous determination of the concentration of diazepam, nitraze-pam, oxazepam, estazolam, and alprazolam in human plasma.

Objective To establish the quality control method for Bushenbanlong Tablet. Methods The content of astragaloside was determined by HPLC-ELSD. Results The linearity range was 1.44～4.32 ?g with a correlation coefficient r=0.999 9, and the average recovery was 99.69% with RSD=1.16%. Conclusion The method was simple, convient, quick and sensitive. It provide an effective method for quality control of Bushenbanlong Tablet.

The nutritive composition from tissues of Perinereisaibuhitensis was analyzed. The result indicated that there was 67. 43% amino acids and 14. 24% fatty acids in the tissues, a-mong them the EPA comprises 6. 5343% of the total fatty acids and the glutamic acid comprises 10. 288% of the whole tissues. In the meanwhile, the tissues also contains high content of trace elements, such as zinc, iodine, selenium as well as fibrinolytic enzymes and so on, showing a prospective application value in the future.

Active fractions were obtained from the c(?)amworm homogenate by reverse-phase concentration, gel filtration and affinity column chromatography. The MTS/PMS assay was used in the screening of antimicrobial peptide in vitro. The MTS/PMS assay and ELISAAFP method were combined to evaluate the effects of antimicrobial peptide on the proliferation and ?-fetoprotein secretion of HepG2 cells as well as on the proliferation of normal mouse osteoblast MC3T3-E1. The results showed that the purified antimicrobial peptide from clamworm Murphysa sanguinea was a constitutive basic protein with MW 8.1 kDa and pI 8.6, which showed inhibition effects on the proliferation and ?-fetoprotein secretion of HepG2 cells at different levels. These effects have a positive correlation with the concentrations of antimicrobial peptide. No obvious inhibition and damage effects were observed on the normal osteoblast.

AIM:To investigate the paracrine actions of mesenchymal stem cells(MSCs)to brain microvascular endothelial cells(BMECs)in hypoxic conditions.METHODS:Human bone marrow MSCs and rat BMECs were isolated,cultured and identified.The contents of VEGF and MMP-9 were confirmed using ELISA assays of the conditioned media.The transendothelial electrical resistance(TEER)was detected to reflect the permeability of the BMECs monolayer.The effects of different conditioned media on BMECs were investigated in hypoxic conditions.RESULTS:The contents of VEGF and MMP-9 in conditioned media were induced to increase significantly by the hypoxic stress,which were much lower in BMECs conditioned media than that in MSCs conditioned media.Hypoxia induced a significant increase in VEGF and MMP-9 in MSCs conditioned media collected in comparison to those in normal conditions.In hypoxic conditions,MSCs conditioned media enhanced the proliferation(optical density values:0.947?0.103 vs 0.254?0.024,P

Objective To investigate the effect of brain microvascular endothelial cells (BMECs) on mesenchymal stem cells (MSCs) expressing fetal liver kinase-1(Flk-1) and von Willebrand factor (vWF) under normal and hypoxic conditions. Methods Human bone marrow MSCs and rat BMECs were isolated, cultured and identified. We used direct and indirect co-culture to induce the differentiation of MSCs. The expression of Flk-1 and vWF after induction was observed and analyzed by flow cytometry and immunofluorescence staining. Results Undifferentiated MSCs did not express Flk-1 or vWF. In indirect co-culture group, indirect co-culture under hypoxic conditions induced (7.58?0.58)% (n=6, P=0.034) MSCs to express Flk-1 but not vWF, while in normoxic indirect co-culture, MSCs expressed neither. In direct co-culture group, after 5-day direct co-culture with BMECs under normoxia or hypoxia, MSCs expressing Flk-1 accounted for (13.76?1.67)% (n=6, P

The use of high flow nasal cannula(HFNC) therapy as a noninvasive respiratory support approach for preterm infants is rapidly increasing.HFNC is an alternative to nasal continuous positive airway pressure(nCPAP) for treating apnea of prematurity,primary respiratory support for neonates with respiratory distress,post-extubation support,facilitating nCPAP weaning in preterm infants.In this article,the proposed mechanisms of HFNC and the evidence from clinical trials of HFNC use in preterm infants were reviewed,and recommendations for evidence-based practice were established.

BACKGROUND: The study on the candidate gene of schizophrenia was one of the major ways of exploring its etiology. One of important candidate genes associated with schizophrenia is the brain-derived neurotrophic factor gene(BDNF)OBJECTIVE: To explore the association between schizophrenia and C270T polymorphism of BDNF gene.DESIGN: Case-control and comparative observation SETTING: Institute of Mental Health of Central South University PARTICIPANTS: Totally 194 patients with schizophrenia, including 95 males and 99 females aged from 15 to 59 years, hospitalized in man and women wards in the Institute of Mental Health, Xiangya Second Hospital of Central South University from March to October 2003 were set as patients group. Controls were selected among the healthy volunteers of Xiangya Medical College was included in terms of age and gender comparable with patients group. Altogether 187 cases of controls, of whom 88 males and 99 females were studied. Their age ranged from 18 to 42 years old with the average of (26±7) years old.Those with psychosies and severe somatopathy were excluded. The patients and their family member have no history of psychosis .All the subjects were of Hunan Han nationality. Either the patient or his or her family members signed the written consent form. Individuals in the control group also signed the written consent form.positive symptom scale (PANSS-P) (7 items), negative symptom scale (PANSS-N) (7 items) and General Symptom Scale (PANSS-G) (16 items),altogether 30 items, as well as 3 additional items to evaluate the attack fatalness were used to evaluate whether the psychic symptom existed or not and the degree of severity of each symptom(7-item scoring: 1 was without,7 was very severe) . The patients were evaluated on the day of hospitalizing was used to compare the frequency among groups.polymorphism of BDNF gene between patients group and healthy control RESULTS: Totally 194 patients with schizophrenia and 187 healthy genotype (26.8%) in patients was much higher than that of the healthy controls (5.9%) (x2=32.71, df=1, P ＜ 0.01).The distribution frequency of T allele in patients' group (14.4%) was much higher than that in the scores, PANSS-P, PANSS-N and PANSS-G scores in patients with the genotype of C/T were 59-121 ;9-42( average 20.08±6.16);8-41 (average 19.02±9.13);22-68 (average 36±8.02)respectively. And the total PANSS scores, PANSS-P, PANSS-N and PANSS-G scores in patients with the genotype of C/C were 58-121 ;7-39, (average 19.2±5.88);8-40scores, (average19.02 ±8.98); 22 -68 (average36.4 ±8.32)respectively.There were no significant differences in positive and negative symptom scale (PANSS)items as well as PANSS-G between the patients with C/C and C/T genotype(P ＞ 0.05).CONCLUSION: BDNF gene C270T polymorphism was associated with the susceptibility of schizophrenia. The distribution frequency of T/C genotype and T allele in schizophreniac was significantly higher than those of the normal healthy controls. And no significant difference was obtained between patients with the genotype of T/C or C/C in terms of negative,positive symptoms and psychosocial function as well.

ObjectiveTo investigate the clinical,myopathological and molecular changes in two Chinese families with oculopharyngodistal myopathy ( OPDM).MethodsWe performed muscle biopsy and histopathologic study on the probands of two families,and further examined molecular genetic testing on PABPN1 and GNE gene. Results Family 1 included 3 affected brothers in the same generation and family 2 involved 4 patients in 2 generations. Dysarthria rather than external ophthalmoplegia was the prominent oculopharyngeal symptoms for Chinese patients. No intranuclear inclusions were observed in ultrastructural examination.The number of GCG repeats in the PABPN1 gene was within normal range and no mutations were identified in the GNE gene.ConclusionsFamily 1 is the first publication on autosomal recessive OPDM in China.The age of onset of two families was comparable with Japanese patients and the pattern of muscle involvement was different. OPDM is a distinct phenotypical,histological,and genetic entity.