This paper describes the development and challenge of HIV/AIDS testing laboratory network and quality assurance system in China. At present, the HIV/AIDS testing laboratories includes three classes, the National AIDS Reference Laboratory, HIV/AIDS confirmatory laboratories and HIV/AIDS screening laboratories. All of them are accredited by the health authorities, and each class of laboratories take charge of their function strictly according to the "National Management of HIV/AIDS Detection (2006)". A complete quality assurance and quality control system for HIV/AIDS testing has been developed, which includes technical training, strict laboratory monitoring and approval,examination or proficiency testing on HIV/AIDS detection, and quality evaluation and supervision of HIV/AIDS diagnostic kits. Besides conduct the routine anti-HIV antibody test, more and more laboratories began to conduct other tests, such as CD4+ T lymphocyte cell counting, HIV viral load, HIV DNA PCR, genotyping, drug resistance, and HIV-1 recent infection test. The primary challenges faced by the HIV/AIDS testing laboratory network are in the areas of laboratory management and quality control. For example, the provincial PT program is inefficient, the internal quality control is conducted perfunctorily, personnel training can not met the needs of the workplace, which need to be improved.

Microvessel density (MVD) is the gold standard to evaluate tumor angiogenesis. Contrastenhanced sonography has been developing fast in recent years. By measuring perfusion parameters, it can represent the degree of new angiogenesis of gynecologic malignant tumors indirectly, and evaluate the biobehavior and prognosis of tumor. The advances of correlations between contrast-enhanced sonographic appearance and MVD of gynecologic malignant tumors were reviewed.

Objective:To investigate the effects of propofol on pyramidal neuron apoptosis in hippocampus of neonatal rats. Methods: Forty-twoseven-day-old male and female Sprague Dawley rats were randomly divided into three groups(n=14):group A received intraperitoneal 0.9% normal saline(7.5 ml/kg)once per day for seven days as control;group B received 0.9% normal saline(7.5 ml/kg)once per day for six days and propofol(75mg/kg)on the seventh day;group C received propofol(75 mg/kg)once per day for seven days. Two animals of each group were tested for blood glucose with tails cut off 3 hours after the last intraperitoneal injection,and six animals of each group were decapitated 5 hours after the last intraperitoneal injection for determination of caspase-3 expression with immuno-histochemistry. The other six animals of each group were decapitated after 3 weeks for microscopic examination. Results:Compared with group A,caspase-3 expression significantly increased while the number of pyramidal neurons decreased to different degree in both group B and C. More evident changes of the above were discovered in group C than that in group B,and the morphous of pyramidal neurons altered were only found in group C. Conclusion:The fact that increased caspase-3 expression leads to pyramidal neurons deletion to different degree was found in the rats which had received propofol.But the morphous ofpyramidal neurons altered onlywhen propofol had been repeatedlyinjected.

Objective: To establish an HPLC method for the determination of gastrodin, prim-O-glucosylcimifugin, 5-O-methylvisammioside, imperatorin and isoimperatorin in Yuzhen powder.Methods: A Phenomenex Gemini C18 column(250 mm×4.6 mm, 5μm) was used and the column temperature was 25℃.The flow rate was 1.0 ml·min-1 and the mobile phase consisted of methanol-water with gradient elution.The detection wavelength was 230 nm and the sample size was 5 μl.Results: The linear range of gastrodin was 2.68-214.0 μg·ml-1(r=0.999 9), and the average recovery was 100.2%(RSD=0.9%, n=6);the linear range of prim-O-glucosylcimifugin was 5.22-418.0 μg·ml-1(r=0.999 7), and the average recovery was 99.9%(RSD=0.9%, n=6);the linear range of 5-O-methylvisammioside was 4.57-365.8 μg·ml-1(r=0.999 5), and the average recovery was 99.7%(RSD=1.0%, n=6);the linear range of imperatorin was 5.22-417.2 μg·ml-1(r=0.999 6), and the average recovery was 99.0%(RSD=0.9%, n=6);the linear range of isoimperatorin was 5.29-423.2 μg·ml-1(r=0.999 8), and the average recovery was 100.2%(RSD=0.8%, n=6).Conclusion: The method is simple and accurate, and the contents of the five ingredients can be determined simultaneously.The method can be used for the quality control of Yuzhen powder.

A clinically isolated syndrome(CIS) is a term that describes a first clinical episode in which a patient has symptoms and signs suggestive of an inflammatory demyelinating disorder of the central nervous system.And it often affects optic nerves,the brainstem,or the spinal cord,and 30％-70％ of the CIS patients may develop multiple sclerosis(MS).Disease-modifying treatments may delay the development from CIS to MS.Their use in CIS is limited because of uncertain long-term clinical prognosis,treatment benefits and adverse effects.This article reviews the advances of predictive markers of conversion to MS after a CIS,in order to provide the reference for clinical treatment.

By analyzing the characteristics of maternal abdominal ECG (Electrocardiogram), a method based on wavelet transform and matched filtering is proposed to detect the R-wave in fetal EGG (FECG). In this method, the high-frequency coefficients are calculated by using wavelet transform. First, the maternal QRS template is obtained by using the arithmetic mean scheme. Finally, the R-wave of FECG is detected based on matched filtering. The experimental results show that this method can effectively eliminate the noises, such as the maternal ECG signal and baseline drift, enhancing the accuracy of the detection of fetal ECG.
Abdomen ; Algorithms ; Electrocardiography ; Female ; Fetus ; Humans ; Pregnancy ; Wavelet Analysis

Acupuncture Therapy ; Adult ; Female ; Humans ; Psoriasis ; therapy

Erectile dysfunction (ED) is a disease associated with a variety of factors such as age, psychological factors, physical conditions, and lifestyle, and it severely affects the patients quality of life. In the past, some non-coding RNAs (ncRNAs) transcribed by genes but not translated into the protein were regarded as the "waste" in the process of gene expression. But in the recent years, ncRNAs have been found to play a crucial role in regulating gene expression and its products, which may affect penile erectile function. This review focuses on the recent progress in the studies of the relationship between ncRNAs and erectile dysfunction.
Erectile Dysfunction ; genetics ; Gene Expression ; Humans ; Male ; Quality of Life ; RNA, Untranslated ; physiology

Objective To observe the treatment of continuous passive motion(CPM) on talipes valgus in the chil-dren with cerebral palsy. Methods There were 57 children in this research including normal group and valgus group, the children in valgus group were randomly divided into control group, non-CPM group and CPM group. The control group didn’t receive any rehabilitation treatment. The non-CPM group received conventional rehabilita-tion treatment. The CPM group received conventional rehabilitation and CPM therapy. Evaluate the children in nor-mal group with plantar pressure analysis and evaluate each patient before treatment two and four months after treat-ment with plantar pressure analysis. Results Compared with the normal group, the percentage of medial midfoot (MMF) pressure, HEEL pressure, initial contact phase(ICP) and forefoot contact phase(FFCP) were obviously higher in valgus groups. On the other hand, the percentage of lateral forefoot ( LFF) pressure, lateral midfoot (LMF) pressure and foot flat phase(FFP) were obviously lower in valgus groups(P < 0. 05). The percentage of MMF pressure, and FFP became lower after treatment in both CPM group and non-CPM group while the percentage of ICP and FFCP became higher(P < 0. 05). In CPM group there was a more obvious change with the percentage of MMF pressure, ICP and FFCP compared with non-CPM group and the control group(P < 0. 05). Conclusion U-sing CPM can alleviate muscle spasms and contracture, correct the deformity of midfoot, enhance the muscle group coordination on foot and further more improve gait of patients with cerebral palsy.

Objective To investigate the awareness rate of TCM knowledge, the application, and demand situation of Chinese appropriate techniques in health clinics in towns and townships of Hunan Province;To put forward the countermeasures of TCM continuing education. Methods 50%of the training doctors were adopted randomly from 4 training courses in health clinics in towns and townships in Hunan Province. The student number of each course was 49, 51, 53, 53, respectively. Self-designed questionaires were used to investigate 206 training doctors. Results 168 (81.55%) doctors’ degrees were technical secondary school degree and college degree;186 (90.29%) doctors’ professional titles were physician assistant and physician;The awareness rate of TCM knowledge was 63.83%;Different study backgrounds of doctors had different effects on the rate of TCM knowledge (χ2=42.42, P=0.01). The using rates of TCM appropriate techniques were all lower than 30%. 96.60%of doctors in health clinics in towns and townships hope to learn one or more TCM appropriate techniques to help diagnose and treat disease. Conclusion The degree, professional title, mastery of TCM knowledge, and TCM appropriate techniques were not optimistic. The doctors in health clinics in towns and townships showed strong desire for TCM appropriate techniques. The health department should combine the actual situation of doctors in health clinics in towns and townships and develop targeted TCM continuing education.