Objective To determine the usefulness of MR diffusion-weighted imaging(DWI) in evaluating obstructive jaundice.Methods 25 patients with obstructed dilating bile ducts but without other basic hepatic diseases and 11 normal controls were studied byusing DWI.25 patients were divided into two groups(14 patients with jaundice and 11 patients without jaundice) depending on the serumlevels of total bilirubin.ADCs of liver were measured at workstation,and the mean ADCs were compared among the groups of patients and controlsusing one-way ANOVA.Results When b=500 s/mm~2,the mean ADCs of liver in three groups were significantly different(F=25.29,P0.05) between the ADCs in patients without jaundice and in controls.When b=300 s/mm~2,the mean ADCs of liver in three groups were significantly different(F=12.22,P

Objective To analyze the influence of nursing intervention on the medical compliance of patients with tuberculosis.Methods We divided 432 patients with tuberculosis into test group and control group according to the in-hospital date in our internal medicine department from January in 2004 to April in 2005.The control group received routine nursing intervention while the test group got full health education during the routine nursing intervention.Results The medical compliance of patients was superior to that of the control group after full health education during the routine nursing intervention(P<0.01).Conclusion We could improve the medical compliance of patients by giving full health education during the routine nursing intervention.

Objective To investigate MRI manifestations of temporomandibular joint trauma,emphasized on the displacement and deformation of the meniscus.Methods Thirteen patients with TMJ trauma were examined by MRI with 3-inch dual surface coils.T1WI and T2WI images in oblique sagittal and coronal plane were acquired in both closed-and open-mouth positions.Results Twenty(20/26,76.9%) joints had condylar fractures.Nineteen(19/20,95%) discs in 12 patients displaced anteromedially with the condylar fragments,six(6/20,30%) discs showed distortion and deformation.The other one patient had unilateral condylar fracture companied with avulsion and lateral dislocation of ipsilateral disc(1/20,5%),and the opposite disc also showed slight anterior displacement.Effusion was observed in 12(12/20,60%) joints with condylar fractures.The location of the discs didn't show obvious change between closed-and open-mouth positions.Conclusion MRI is an effective method for demonstrating TMJ injuries,and is useful for detecting the changes of morphology and position of the discs.

Objective:Analysis of two ethnic Uygur and Han investigate ischemic stroke adiponectin (Adiponectin) gene single nucleotide rs182052 , rs6444175 , rs1501296 allele polymorphism point whether the differences.Methods:Gene sequencing methods were used to detect 210 was used cases of acute ischemic stroke patients ( case group ) and 104 healthy people ( control group ) Adiponectin gene ,using case-control association analysis of genotype and allele frequencies compared explore the two ethnic differences in different gene polymorphism loci.Results: When the case group and the control group were compared , it was found that the Adiponectin gene rs64441759G/A was significantly higher in the case group.The risk rate increased significantly to 1.481 times (OR=1.481;95%CI:1.219-1.910; P=0.000).Conclusion: Adiponectin gene rs6444175A allele may be susceptible to pathogenic gene.No significant differences show on the 3 SNP loci of Adiponectin genes between Uygur and Han patients.

Objective To investigate the differences of miRNA-21 and miRNA-146a expression between colorectal neoplasms tissues and serum of the patients with colorectal neoplasm,and the clinical significance was analyzed.Methods The endoscopic biopsy tissues and serum samples of 100 colorectal cancer (CRC),80 colorectal adenoma (CRA)patients and 65 healthy controls were collected.The expressions of miRNA-21 and miRNA-146a were detected by quantitative real time polymerase chain reaction.The relationship between the expression and clinicopathological features were analyzed.And then,the diagnostic value of expression difference of serum miRNA in colorectal neoplasm were evaluated. The Mann-WhitneyU test and Kruskal-Wallis test were performed for comparisons between groups,and the correlation of miRNA expression between tissues and serum was analyzed by Spearman test.Results
The expressions of miRNA-21 in the tissues of CRC and CRA were 8.573 ±0.898 and 7.746 ±1 .183, respectively,which were significantly higher than that of healthy controls 6.160 ±0.835 (U =120.129 and 33.230,both P <0.01).The expressions of miRNA-21 in the serum of CRC and CRA were 1 .829± 0.303 and 1 .624 ±0.226,respeotively,which were higher than that of healthy controls 1 .391 ±0.221 (U =40.353 and 15 .512,both P < 0.01 ).The expression of miRNA-21 in the serum and tissues of patients with CRC were both higher than those of patients with CRA (U =11 .384 and 10.189,both P <0.01).The expression of miRNA-21 in patients with CRC was associated with TNM stage and lymph node metastasis.The expression level of miRNA-21 in CRA was correlated with histological types.The results of Spearman analysis indicated that the expression of miRNA-21 in the tissues and serum of patients with CRC was positively correlated (r=0.459,P <0.01).The expression of miRNA-146a in the tissues and serum of CRC patients were 2.556±0.351 and 0.249±0.038,respectively,which were lower than those of healthy controls (3.428 ±0.328 and 0.279 ±0.053)(U =102.134 and 30.111 ,both P <0.01).The expression in the tissues and serum of CRA patients were 3.255 ±0.332 and 0.290±0.036, respectively,which were also lower than those of healthy controls,however the difference was not statistically significant (U = 3.936 and 3.180,both P > 0.05 ).The expression of miRNA-146a in the tissues and serum of CRC patients were both lower than those of CRA patients (U =73.809 and 21 .123, both P <0.01).The degree of decreased expression of miRNA-146a in CRC patients was correlated with TNM staging and tumor differentiation degree,however there was no correlation between the expression in CRA and clinical features.According to receiver operating characteristic (ROC)curve analysis,the AUC of miRNA-21 ,miRNA-146a and a combination of them in CRC and health individuals was 0.889, 0.791 and 0.863,respectively;in CRA and health individuals was 0.784,0.692 and 0.761 ,respectively;in CRC and CRA was 0.705 ,0.820 and 0.713,respectively.Conclusion The different expressions of miRNA-21 and miRNA-146a had potential values in early detection of colorectal cancer.

Objective To explore the clinical significance of the coagulation and fibrolysis parameters changes for the knowledge of complicated thrombosis after chemotherapy in malignant lymphomas. Methods Morning fasting anti-coagulation blood samples were taken to detect plasma prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen (FIB) and thrombin time (TT) with automatic coagulation analyzer in 71 hospitalized malignant lymphomas and 20 normal controls. The plasma D-dimer levels of the two groups were detected with immunoturbidimetry. Results The levels of plasma APTT, Fib and D-dimer in 71 malignant lynphomas were (30.44±1.43) s, (3.28±0.20) g/L, (297.05±56.59) μg/L respectively, which were significantly higher than those in normal controls at the levels of (23.72±0.76) s, (2.57±0.22) g/L, (94.50±26.07) μg/L respectively (P ＜0.05). The coagulation and fibrolysis parameters were of no statistic differences between the normal controls and lymphomas of stage Ⅰ and Ⅱ (P ＞0.05). The APTT and Fib levels in lymphomas of stage Ⅲ and Ⅳ were higher than those in normal controls and lymphomas of stage Ⅰ and Ⅱ (P ＜0.05). There are 7 malignant lymphomas complicated venous thrombosis . Of the 7 cases, the FIB and D-dimer levels were higher than those of stage Ⅰ and Ⅱ, furthermore the D-dimer levels were higher than those of stage Ⅲ and Ⅳ. Conclusion The abnormalities of coagulation and fibrolysis parameters occurred in malignant lymphomas with requirement of periodic monitoring. After chemotherapy, the lymphoma patients had a high incidence of venous thrombosis, which need early prevention for prolongation of the survival.

Objective To explore the role and significance of standardized scheme for diagnosis and treatment of pulmonary thromboembolism(PTE).Methods The clinical data of 163 consecutive PTE patients who were treated in our hospital from Jan.1972 to Dec.2006 were retrospectively reviewed.The patients were divided into group A and group B based on the time of application of standardized treatment and diagnosis for PTE.The clinical data of the two groups were analyzed and compared.Results The main risk factors included deep vein thrombus,operation,injury,fracture and tumors,etc.Dyspnea was the most important clinical symptoms.The incidences of dyspnea in group A and B were 92.5% and 84.6%,respectively.The diagnostic case and the ratio of final diagnosis in group B was increased compared to those in group A on an annual basis.The median time for diagnosis was shortened(P

AIM: Research report that bone marrow stem cells mobilized by recombinan human granulocyte colony-stimulating factor (rhG-CSF) can migrate to lesion spot of infarction, thus decrease brain edema and brain injury after cerebral ischemia. But the report about the effect of drug on brain edema after cerebral hemorrhage is rare. This study investigated the effects of bone mar- row stem cells mobilized by rhG-CSF on reducing formation of brain edema and downregulation of matrix metalloproteinase (MMP)-9 in the peripheral area after intracerebral hemorrhage (ICH) in rats. METHODS:The experiments were performed at the Central Laboratory of Luzhou Medical College from March to November in 2006. ① 144 healthy male SD rats, (300?20)g, were provided by Animal Department of Luzhou Medical College. The experimental procedures of disposing animals were accorded with ethical standards. ②Experimental rats were assigned randomly into a sham operation group, a ICH group and a treatment group, equally. According to the method of Yang, rat models of ICH were made by the method cutting off tail of rat to obtain autoblood in the ICH and treatment groups. Rats in the sham operation group received saline instead of autoblood. Rats in the treatment group were administered with rhG-CSF (60 ?g/kg) by intrap- eritoneal injection after 1 hour. ③The water contents and MMP-9 were measured in each group by immunohistochemical method. RESULTS:Of 144 rats, 16 rats dropped out, among which 7 rats were estimated as 0 grade and 9 rats died, and all were supple- mented. ①The water contents were higher in the ICH group than in the sham operation group (P

BACKGROUND:Administration of recombinant human granulocyte colony-stimulating factor(rhG-CSF) is known to diminish cerebral edema and to enhance the new vascularization by mobilizing endothelial progenitor cells in cerebral infarction, then to promote the neurofunctional recovery.OBJECTIVE:To investigate the effects of rhG-CSF on brain edema and new vessels after intracerebral hemorrhage(ICH) in rats.DESIGN, TIME AND SETTING:The randomized controlled animal study was performed at the Central Laboratory, Luzhou Medical College from March to November 2006.MATERIALS:A total of 144 healthy male Sprague Dawley rats were equally and randomly assigned into a sham operation group, a ICH group and a treatment group.rhG-CSF(Xinpeng, Shenzhen, China) was used in this study.METHODS:Rat models of ICH were made by the method of cutting off the tail of each rat to obtain autoblood in the ICH and treatment groups.Rats in the sham operation group were injected with saline.Rats in the treatment group were administered with rhG-CSF(60 ?g/kg) by intraperitoneal injection after 1 hour.Eight rats from each group were studied at 6, 12, 24, 48, 72 hours and 7 days.Brain water content of rats was measured by dry-wet method.CD34+ vessel expression was detected by SP and DAB coloration, immunohistochemical method.MAIN OUTCOME MEASURES:Dynamic changes in brain water content;immunohistochemical results of CD34+ vessels.RESULTS:The water contents were significantly higher in the ICH group than in the sham operation group(t=4.49, P

BACKGROUND:Astrocytes serve as a major component of central nervous system,which reacted actively to various damages.The astrocytes were strongly expressed with enhanced activity after intracerebral hemorrhage.The pathophysiological significance of this change is presently the research hotspot.OBJECTIVE:To investigate the effects of recombinant human granulocyte colony-stimulating factor(rhG-CSF) on the astrocytes expression after intracerebral hemorrhage.DESIGN,TIME AND SETTING:A randomized control experiment was performed at the Central Laboratory of Luzhou Medical College from March to November 2006.MATERIALS:Fifty healthy,male,SD rats were randomly divided into sham operation(n=10),model(n=20) and experimental(n=20) groups.The rhG-CSF was purchased from Xinpeng Bioengineering Co.,Ltd.METHODS:According to rat brain stereotaxic atlas,intracerebral hemorrhage model was prepared by the method of cutting off tail to obtain blood.The blood was replaced with physiological saline in the sham operation group.Totally 60 ?g/kg rhG-CSF was administered by intraperitoneal injection at 1 hour after model preparation.There was no injection in the other two groups.MAIN OUTCOME MEASURES:The expression of glial fibrillary acidic protein(GFAP) was detected with with ABC immunohistochemical method at hours 6,24,48,72 and day 7 after intervention.RESULTS:There was not GFAP-positive cell found in the sham operation group.The GFAP was little expressed at 6 hours,increased at 48 hours,and reached a peak at 72 hours(P