Objective:To evaluate the clinical efficacy of left left atrial function for the healthy by using real-time three plane ultrasonic imaging in.Methods: The three plane real-time ultrasound imaging was used for evaluation healthy people of left atrial function in 32 adults (including storage volume of left atrium, left atrial pipeline volume, left ventricular ejection fraction). At the same time, the two-dimensional echocardiography was also used to detect the parameters which were to compare two methods of correlation and consistency.Results:Two methods of ultrasonic examination in LARV, LACV and LVEF indicators have no obvious difference; LARV, LACV and LAEF in three plane image and two-dimensional ultrasound images show good correlation, the correlation coefficient rLARV=0.82, rLACV=0.85, rLVEF=0.88,P<0.05).Conclusion:Real-time three plane ultrasound imaging and two-dimensional echocardiography in the assessment of left atrial function of normal people have a good correlation.

Objective: To evaluate the effect of standard management for hypertension in community population of Suzhou city. Methods: We conducted a prospective study of standard management for hypertension in community population of Suzhou city. The project included 3 groups: Standard group, the patients received standardized management,n=81 711, Control group, the patients received general management, n=38 944, and No-management group,n=1 644 249. The incidence rate of stroke and coronary artery disease (CAD) were compared among different groups according to 2010 chronic disease report of Suzhou city. Results: Compared with initial condition, the final average blood pressure drop in Standard group was (13.78/7.06) mmHg, which was better than that in Control group, X2=1852.91,P<0.01. The incidence rate of stroke in Standard group, Control group and No-management group were 1.72%, 2.41% and 3.59%, the incidence rate of CAD were 0.43%, 0.66% and 1.29% respectively. Conclusion: Standard management for hypertension was better than general management for preventing and controlling the incidence of stroke and CAD in community population.

BACKGROUND:The electrical impedance tomography (EIT) is a kind of examination that is used to non-invasively measure the change and distribution of electrical bio-impedance by reconstructing the frequency response obtained by electrical stimuli applied onto the human body. The characteristics of impedance of any tissues are of great importance to the imaging of EIT and locating and monitoring the lesion focus.OBJECTIVE: To measure the human brain impedance in the frequency range from 0.1 Hz to 1 MHz and to compare these with those of other human tissues and the rabbit brain tissues.DESIGN: An observational experiment.SETTING:The Department of Medical Electric Engineering of the Biomedical Engineering College of the Fourth Military Medical University of Chinese PLA.MATERIALS:The experiment was conducted at the Otolaryngology Laboratory, Department of Medical Electric Engineering of Biomedical Engineering College, Fourth Military Medical University of Chinese PLA from April, 2000 to June, 2000. Two brains were harvested from two cadavers of adult men who died in less than 12 hours before the brains were taken.INTERVENTIONS :The brains were divided into 15 samples and the Solartron 1255B frequency resoonse analyzer was used to measure the complex impedance of human brain in vitro with four-electrode measurement method in the frequency range from 0.1 Hz to 1 MHz.There were also impedance interface (1294)and self-made experimental measurement box.MAIN OUTCOME MEASURES:The resistivity frequency response,curves of real part and imaginary part of complex impedance as well as the equivalent circuit model of the complex impedance.RESULTS:The resistivity of human brain tissues was about 1 200 Ω·cm in the frequency range of 0.1-100 Hz.But it decreased to 650 Ω·cm in the frequency range of 100-1×106 Hz. The real part of complex impedance remained steady in the frequency range of 0.1-100 Hz and it decreased along with the increase of frequency in the range of 100-1×106 Hz. The absolute value of frequency response curves of the imaginary part of human brain's complex impedance presented a tendency of monotonic increase.CONCLUSION: The resistivity and the real part of complex impedance curve of human brain were in accordance with those of other tissues such as muscles, the liver, kidney and lungs. The frequency response curve of the imaginary part of human brain's complex impedance was different from that of other animal tissues (such as muscles, the liver and kidney) but was in accordance with that of rabbit brain tissues in vitro. The construction of the equivalent circuit model obtained was more complex than other models known.

Objective To investigate the features of clinical pathology,phenotye and differential diagnosis of thyroid follicular carcinoma-like renal tumor.Methods A 25-year-old female patient was hospitalized in February 28,2011 because of hypertension for 20 months.Physical examination revealed a right renal space-occupying lesions without percussion pain.Blood pressure was 200/130 mm Hg (1 mm Hg =0.133 kPa).Thyroid,heart,lung,and abdominal examination showed no abnormalities.Blood,urine routine,biochemical examination,blood catecholamines,and thyroid function test results were normal.CT examination showed that a visible circular nodules with clear boundary was in the upper pole of the right kidney,and the maximum section about 2.2 cm × 3.0 cm withuneven density andrenal artery was pressed down.Clinical diagnosis was right renal tumor,and right renal tumor was removed under general anesthesia.Intraoperative tumor was located in the right renal hilumwithclear boundary,and the surrounding mild adhesions.Postoperative blood pressure wasnormal.Results General inspection of the specimen:a 2.5 cm diametermasswith intact capsule.The color of the section of the mass is gray red and gray.Multiple small cysts are seen in the section and the cysts contain jelly material.Microscope inspection:the tumor tissue is arranged like thyroid follicular and the follicular contains much acidophil colloid.Immunohistochemistry:the tumor cell is EMA (+),Vimtin (+),CK7 (+),CK20 (+),CD117 (-),TTF-1 (-),TG (-),CgA (-),Syn (-).Conclusions Thyroid follicular carcinoma-like renal tumors is a very rare kidney epithelial cell tumor,which is attributable to any known subtypes of renal cell carcinoma.To improve the understanding of it can avoid misdiagnosis and prevent inappropriate treatment.

Growth dynamics of PP, CN and ZS2 strains of Toxoplasma gondii isolated in China was studied and compared with that of RH strain. HeLa cells were used in this work. It took only 2 min for the organisms of RH strain to infect the HeLa cells when con-tacting with the cells. By contrast, the CN strain requires 5 min, the ZS2 and PP strains, 10 min.Tcxoplasma began its multiplication after a lag time of about 6 h in the HeLa cells. The mean generation time of the 4 strains was assessed by calculating the number of the parasites in the parasitophorous vacuoles at different incubation times and by the linear regression equation. The results showed that the mean generation time was 5.2 h for RH strain, 5.98 h for CN strain, 6.78 h for ZS2 strain and 7.69 h for PP strain.Among the 3 strains of Toxoplasma gondii isolated in China, CN strain was similar to RH strain in their infectivity and proliferation.

0. 05).

BACKGROUND: Apoptosis of cardiomyocytes is speeded up during ischemic reperfused injury. Acupuncture on the points of hand- Jueyin meridian can inhibit the progression of reperfused injury and reduce apoptosis of cardiomyocytes so as to provide the protection on the heart.OBJECTIVE: To observe the effects of acupuncture on the points of hand-Jueyin meridian on apoptosis of cardiomyocytes during ischemic reperfused injury.DESIGN: Randomized controlled experiment based on the experimental animals.SETTING: Department of acupuncture and massage in a university of traditional Chinese medicine.MATERIALS: The experiment was performed in Central Laboratory of Shandong University of Traditional Chinese Medicine from April to December 2001. Forty Wistar male rats were employed, and were randomized into 5 groups, named as blank group, model group, "Neiguan(PC 6)" group,"Ximen(PC 4)" group and "Zhigou(TE 6)" group.METHODS: After electric acupuncture on the points of pericardium meridian for 20 minutes, the ligature was done on the anterior-descending branch of the left coronary artery for 40 minutes. Electrocardiogram (ECG) monitoring was followed. The ligature was released after electric acupuncture on the points for another 20 minutes and perfusion was restored for 60 minutes. Afterward, the heart was extracted, the cellular suspension was prepared and the determination with flow-type cell apparatus was applied.MAIN OUTCOME MEASURES: Effects of acupuncture on the changes in apoptosis rate of cardiomyocytes.RESULTS: In the model group, the typical apoptosis peak presented, the apoptosis rate was remarkably increased. The comparison between the points of pericardium meridian groups and the model group indicated very significant difference(P < 0.01) .The apoptosis rates in "Neiguan(PC 6)" group, "Ximen(PC 4)" group and "Zhigou(TE 6)" group as well as the model groupwere(4.29±0.76)%, (5. 17±0.88)%, (13.96 ±2.77)% and (16.01 ± 1.04)% respectively.CONCLUSION: Acupuncture on the points of hand-Jueyin meridian inhibits myocardial apoptosis effectively so as to reduce myocardial injury caused by cell apoptosis.

BACKGROUND: Electrical impedance tomography (EIT) uses non-invasive signals to probe the human body and then detect the responses on the boundary of the body in order to reconstruct an impedance distribution inside the body. Compared to CT and MRI, EIT takes the advantages of realtime technique, lower cost and easiness for both continuous monitoring and functional imaging.OBJECTIVE: This study was designed to perform the in vivo measurement of the rabbit brain impedance frequency response before and after ischemia. And it was to verify the feasibility of EIT in brain functional imaging by ischemia brain functional imaging using EIT.DESIGN: It was a single-sample experiment.SETTING: It was conducted at the Department of Medical Electronic Engineering, Faculty of Biomedical Engineering, Fourth Military Medical University of Chinese PLA.MATERIALS: This study was conducted at the Department of Medical Electronic Engineering, Faculty of Biomedical Engineering, Fourth Military Medical University of Chinese PLA from August to September 2001 and 10 healthy rabbits were selected.METHODS: Cerebral ischemia animal model was made using carotid artery ligation. Then the in vivo measurement of the rabbit brain impedance frequency response before and after ischemia was performed.Dynamic unilateral brain blood supply was recorded using EIT imaging.curves were plot before and after ischemia in the frequency range from 0.1 Hz EIT imagingRESULTS: Nine rabbits entered the statistical analysis and one was omitimpedance increased significantly. The ratio of increasing impedance can be up to 75% at frequencies lower than 10 Hz. And in the range from 1 kHz namic imaging showed that the changes in unilateral brain blood supply is accordant with the corresponding regions having a changing impedance.CONCLUSION: The changes in brain tissue impedance before and after ischemia can be imaged and it could be used as a variable for EIT imaging.

Objective: To establish an LC-MS/MS method for the determination of 4-( 4-amino-3-fluorophenoxy )-N-methylpyri-dine-2-carboxamide ( AFP-PMA) as a genotoxic impurity in regorafenib. Methods: The content of AFP-PMA was determined by an LC-MS/MS method. A Waters XBridge Shield RP18 column was adopted to separate the samples and the column temperature was 50℃. The mobile phase consisted of 5 mmol·L-1ammonium acetate aqueous (A)-acetonitrile (B) with gradient elution (0~9 min, 5%B→90%B) at a flow rate of 1. 0 ml·min-1. An electrospray ionization source (ESI) was used in a positive-ion and multiple reactions monitoring mode. The ion channel was m/z 262. 2→244. 1. Results:The standard curve was linear within the range of 2. 41-980. 90 ng·ml-1(r=0. 9998) and the limit of quantification was 8. 02 ng·ml-1. The limit of detection was 2. 41 ng·ml-1, which was e-quivalent to 0.000241% for the concentration of regorafenib. The average recovery was 100.95% and RSD was 2.37% (n=9). Conclusion:The method has good specificity, promising accuracy and high sensitivity, which can be used for determining the trace genotoxic impurity AFP-PMA in regorafenib.