Objective To study the digitalized radiography of total spine in order to achieve one-time imaging of total spine. Methods The film shelter was designed to meet the demands of tile film case of Fuji CR system. Results 2000 qualified digitalized images of total spine were taken. Conclusion Digitalized radiograph can provide accurate and reliable images for clinical diagnosis and treatment of spine pathological changes.

Objective To study the application and management of direct DR system and evaluate the imaging quality and reliability of DR system in Drum Tower Hospital since 2007.Methods General X-ray machines were reassembled into DR system,and new DR systems were purchased,in order to digitalize the radiological examination.Results 32,000 films were obtained by DR system.Conclusion DR system,with high-quality imaging,low radiation dose and high efficiency,can enhance the quality of clinical diagnosis.

Objective To analyze clinical materials and follow-up results of acute ECHO viral encephalitis in 35 children for improving recognition of this disease.Methods A total of 35 cases of acute ECHO viral encephalitis were retrospectively analyzed and followed-up,which were diagnosed.Results The clinical manifestations were as follows:headache(35 cases,100%),fever(35 cases,100%),vomiting(27 cases,77%),convulsion(8 cases,23%), positive meningeal irritation syndrome(30 cases,85%);the number of cells was(0～0.136)?10~9/L and the peak of protein was 0.8g/L in spinal fluid.30 cases(86%)had abnormal electroencephalogram,10 of which had abnormal CT scanning.18 patients were followed up,and 3(11%)of them had epilepsy seizure.The time of recovery of elec- troencephalogram was different and the longest time was 8 months.Conclusion The clinical features of ECHO viral encephalitis are non-specific of which mainly is meningoencephalitis with slighter state and better comprehensive treatment.The time for recovery of electroencephalogram is longer.Only few patients have epilepsy sequelae.

Objective:To compare the positive rate and its coincidence with biopsy of HE staining-Pap's classification and Pap's staining-The Bethesda System(TBS).Methods:HE staining-Pap's classification were used to examine 4005 smears from January to June in 2001, while 2947 smears from April to August in 2002 were screened by Pap's staining-TBS. Meanwhile the abnormal cases were finally diagnosed by histopathology.Results:The positive rate of Pap's staining-TBS (5.29%) were significantly higher than that of traditional Pap's classification(0.32%)( P

Objective To investigate the clinical characteristics and risk factors of neonatal hyperbilirubinemia.Methods The clinical data of 826 cases with neonatal hyperbilirubinemia were retrospectively analyzed.The jaundice appeared time,clinical characteristics were monitored,and the causes of jaundice appeared were analyzed.Results The jaundice cases at ≤ 1 day,＞ 1 ～ 7 days,more than ＞ 7 days were 71 cases,471 cases,284 cases,accounted for 8.60％,57.02％,34.38％ ;The top three risk factors of jaundice constitute were breast milk jaundice,perinatal factors,infectious factors,the cases were 215 cases,206 cases,200 cases,the proportions were 26.03 ％,24.94％,24.21％ ;The proportion jaundice of newborn caused by ABO hemolytic was 9.44％ ;There were 220 cases of 812 cases had neonatal jaundice,including 170 cases of full-term of breast milk jaundice,the proportion was 27.15％,50 cases of preterm infants of breast milk jaundice,accounted for 26.88％,there was no significant difference(P ＞ 0.05) ;78 cases was full-term breast milk jaundice,the proportion was 22.94％,120 cases of cesarean section appeared breast milk jaundice,accounting for 36.81％,the difference was statistically significant(P ＜ 0.05).Conclusion The degree of neonatal jaundice is affected by many factors,which related with individual differences,geographical,economic and cultural level,race,gender,feeding methods,genetic and so on,the strict observation and identification of neonatal jaundice and the establishment of supervision system and the protection for active and effective measures,taking active and effective treatment have very good effect to reduce hyperbilirubinemia complication as well as a good effect on the prevention and treatment of neonatal hyperbilirubinemia.

Objective To investigate the efficacy and effects on cognitive functioning of antipsychotic addition to serotonin reuptake inhibitors in patients with treatment-refractory obsessive-compulsive disorder. Methods 58 therapy-resistant OCD patients were randomly grouped and receipt 8-week quetiapine-augmentation treatment or placebo respectively. At baseline and post-treatment, in order to evaluate symptom, executive functions, attention and memory, all patients were measured with Yale-Brown Obsessive-Compulsive Scale and cognitive functioning test, which included Wisconsin Card Sorting Test, Stroop Color Word Test,Continuous Performance Test and Memory Scale. Results Comparing quetiapine-augmentation group and placebo, there was significant difference of Y-BOCS total score between baseline and post-treatment (baseline:28.5±4.4,26.3±6.5,post-treatment:18.5±6.4,25.7±5.4, respectively,P=0.01). There was no major effects on cognitive functioning, apart from a failure to maintain set on the WCST (baseline:1.2±1.1,1.3±1.4,post-treatment:1.6±1.0,1.5±1.2,respectively,P=0.03).Conclusion It was effective of quetiapine-augmentation treatment on refractory OCD. There was no major effects on cognitive functioning of quetiapine-augmentation treatment.

SUMMARY Rett syndrome (RTT) , an X-linked dominant neurodevelopmental disorder characterized by regression of language, stereotype hand movement and loss of purposeful hand use, is primarily caused by mutation of menthyl-CpG-binding protein 2 ( MECP2 ). The 76 kb human MECP2 is characterized by three sab'ent features; a very large intron 2 (60 kb) , an 8. 5 kb 3'-UTR with highly conserved regions and different polyadenylation sites, and a 40 kb intergenic region separating MECP2 from the nearest upstream gene. There are two isoforms of MeCP2, MeCP2el and MeCP2e2. The differences between the two isoforms, the function of the 3'-UTR and the long-range cis-regulatory sequences in the intergenic region were extensively studied. In contrast to initial report, recent studies show that MeCP2 binds not only to methylated promoters and silence transcription, but also to the sites outside of genes containing only a few of CpG islands. Furthermore, MeCP2 can function as both an activator and a repressor of transcription.

Objective To explore the relationship between seizures and lacunar infarction in the elderly patients.Methods Totally 32 patients with seizures defined by International League Against Seizures (ILAE) and history of lacunar infarction as seizures group and 40 cases with lacunar infarction without seizures as control group were enrolled in our hospital Department of Neurology from Jan.2008 to May 2011.All patients were screened for risk factors of cerebrovascular disease and received magnetic resonance imaging (MRI) of the brain,electroencephalogram (EEG) and minimental state examination (MMSE). Results No significant differences between two groups were observed in vascular risk factors,distribution of the lacunar infarction focus (P＞0.05).The average score of MMSE were (22.31 ± 5.90) in seizures group and (21.85 ± 5.72) in control group with no difference (t=1.99,P=0.42).The focal or diffuse slow wave and epileptiform discharge on EEG appeared in 5 cases,7 cases and 3 cases in seizures group and in 4 cases,5 cases and zero case in control group,respectively,with remarkable difference in epileptiform discharge between two groups (x2 =3.91,P=0.04). Conclusions Seizures induced by lacunar infarction in elderly patients may be related to wide range of cerebral ischemia and hypoxia.

OBJECTIVE To provide more evidence for hospital infection control.METHODS To(analyze) the clinical records of the hospital-acquired pneumonia(HAP) of senile patients in department of(neurology) during Jan 2004 to Dec 2005 retrospectively.RESULTS There were 109 person-times(145 cases) senile(patients) with hospital(infection) during the two years.From them 77 cases were hospital-acquired infection,32 cases were ventilator-(associated) pneumonia(VAP),the infection rate was 22.1%.CONCLUSIONS The infection of HAP in department of neurology may induce by several factors.The key point to control HAP is prospective monitoring hospital(infection) in time,and taking effective measures to prevent the hospital infection on the basis of treatment the(underlying) disease.

Based on International Classification of Functioning, Disability and Healthy (ICF), this paper discussed the education of exercise rehabilitation in the terms of the goal, knowledge system and practice system. It suggested that the framework of ICF could be used to develop course system. The professional undergraduate education of exercise rehabilitation should include knowledge of rehabilitation medicine, sports science, and skills in modern rehabilitation.