Objective To analyze the level of blood lipid in healthy Tibetans and Han natives in Lasa through the detection of serum lipids. Methods The serum TC, LDL-C, HDL-C and TG were detected by Hitachi 7060 automatic biochemical analyzer in 13 037 healthy adults (8 163 Tibetan individuals and 4 874 Han individuals). After that, all data were statistically analyzed by age (Tibetan:298 cases of ＜25 year-old group, 1 136 cases of 25-year-old group, 2 039 cases of 35-year-old group, 2 119 cases of 45-year-old group, 1 580 cases of 55-year-old group, 905 cases of 65-year-old group, 86 cases of ≥75 year-old group; Han population:307 cases of ＜25 year-old group, 1 254 cases of 25-year-old group, 1 874 cases of 35-year-old group, 1 022 cases of 45-year-old group, 272 cases of 55-year-old group, 129 cases of 65-year-old group, 16 cases of≥75 year-old group), sex (Tibetan: men 4 505 cases, women 3 658 cases; Han population:men 2 976 cases,women 1 898 cases). Results The average TC, HDL-C and LDL-C levels of Tibetans were (5.07 ± 1.10), ( 1.54 ±0. 49) and (3.33 ± 1.31 ) mmol/L respectively while the average levels of Han natives in Lasa were (4. 60 ± 0. 98 ), ( 1.45 ± 0. 44 ) and ( 2. 85 ± 1.0g ) mmol/L, which showed the levels of the Tibetans were higher than the Han natives in each age group(t =24. 78, 10. 53,21.46, P＜0.05). The TG levels was 1.38 ( 0. 20-2. 99 ) mmol/L in Tibetans and 1.54 (0.20-2.99)mmol/L in Han natives ( F = 224. 88, P ＜ 0. 05 ). The prevalence of total dyslipidemia was 75. 32% in Tibetans and 69. 02% in Han natives of Lasa. The prevalence of total dyslipidemia was 78. 56% in male and 65.42% in female. There were significant differences in both ethic and sex groups(x2 = 9. 678, 44. 138,P ＜0. 05). Conclusion The TC, LDL-C levels and prevalence of dylipidemia in Tibetans are higher than the Han residents in Lasa.

Objective To summarize the adverse events of Measles,mumps,rubella combined attenuated live vaccine (MMR) during 2008 in Changning District of Shanghai.To research the effective monitoring pattern of adverse event following immunization (AEFI),and to provide evidence for establishing the safe monitoring system.Methods Using MMR as the surveillance vaccine,the AEFI monitoring research with the active and passive methods was implemented.Results 95 reports were collected.Most of the adverse events were common.The imformation from the active method was more than the imformation from the passive method.It was established the communication mechanism of the Centers for Disease Control and Prevention (CDC) between the different levels.Conclusion Active and passive methods will improve the susceptibility and the utilization rate of data reporting.

Objective To analyze the adverse events following immunization(AEFI) in Changning District of Shanghai in 2006,evaluate the safety of vaccines,and provide the evidence for establishing the safe monitoring system of standard vaccination.Methods The AEFI cases were collected and reported by the Vaccine Adverse Events Surveillance System(VAESS).The data were classified as nonserious,serious reaction according to the symptoms and medical records.Results In 2006,178 AEFI cases related to 12 kinds of vaccines from 126459 doses of 19 kinds of vaccines.Among the adverse events reported,amount of nonserious and serious events were 166 cases and 12 ases respectively.The most commonyl reported type of non-serious adverse events were low-grade fever and non-serious local reaction.AEFI cases caused by DTP combined vaccine was in the first rank.Supplementary immunization of DTP combined vaccine had more cases of AEFI than routing immunization.Conclusions Establishing and perfecting the standardized VAESS will improve the susceptibility and the utilization rate of data on AEFI.To reduce the AEFI,we should implement vaccination regulations,distinguish contraindications,and introduce safer vaccines.

Objective To investigate the tumor-inhibitory effect of cytokine-induced killer cells(CIK)co-cul-tured with dendritic cells (DC)pulsed by breast cancer stem cell antigen on the same tumor-bearing mice. Methods Breast cancer stem cells were isolated from the cell line of MCF-7/ADR and extract lyses antigen of the stem cell was saved. DC and CIK derived from peripheral blood mononuclear cells of healthy individuals were co-cultured and pulsed or un-pulsed by the above antigen lyses. This DC+CIK were injected to breast tumorbearing mice (BCSC-AP-DC+CIK group), and were used to compared with the common breast cancer cell antigen (rather than breast cancer stem cell antigen) pulsed DC+CIK group(AP-DC+CIK group), DC+CIK group, CIK CIK group and normal saline group(NS group). The tumor-inhibitory effect were evaluated and compared among all 5 groups through the tumor size, TdT-mediated dUTP nick end labeling test (TUNEL), examining expression level of bcl-2 and bax by immunohistochemistry. Results The tumor size in each group before and after therapy and the tumor size after therapy between each group was of significant difference(P＜0.05). The maximum size is NS group(3.625±0.093)cm3 and BCSC-AP-DC+CIK group is minimum,which is (1.234±0.131)cm3. BC-SC-AP-DC+CIK group is of highest expression of bax and apoptotic index value, lowest bcl-2 expression in all 5 groups. Conclusion The CIK co-cultured with DC pulsed breast cancer stem cell antigen was more effective to induce apoptosis of breast cancer cells than those of CIK cells co-cultured with DC pulsed breast cancer cell antigen,CIK cells co-cultured with DC and CIK cells.

Objective To investigate the elinicopathologic features of atypical endometriosis(AEM) and to discuss the relationship between AEM and tumors. Methods A retrospective analysis was performed of 163 cases of AEM, which were retrieved from the Department of Pathology files at the Tianjin Central Obstetrics and Gynecology Hospital between Jan 2004 and Dec 2006. The pathologic changes of AEM including its glandular epithelium, stroma, background and the conditions coexisting with tumor were observed. Results The AEM accounted for 4.38% (163/3724) of the endometriosis (EM) eases. Of 172 AEM foei of 163 patients, 168 were in the ovary, and the other 4 were in the fallopian tube, cervix and uterine serosa respectively. The rate of ovarian AEM was 6.81% of endometriosis. AEM associated with tumour was found in 26 cases (15.95% )and among 27 of ovarian AEM, 15 were malignant, 9 borderline and 3 benign. The AEM epithelia were mainly arranged in the form of surface epithelium. They present with characteristic features of moderate to marked pleomorphism, epithelial tufting and bud structures by microscopy. The walls of AEM cyst were presented with three layers of epithelium, endometrioid stroma and fibrosis-collngen. The endometrioid stroma were usually thin in contrast to the fibre-collagen tissue, which was often thick with scarred background. The transformation from AEM to tumor was found in most of the malignant tumors( 14/15,93% ). Conclusions AEM lesions hold some features of both EM and tumor, which may have a relatively higher potential for tumorigenesis and cancerafion. The process of damage and repair in EM foci during a long course may play a role in the development of EM into AEM and finally into tumor.

BACKGROUND:Current research data have shown that patients with epilepsy are often accompanied by complications such as cognitive impairment. Recent studies have demonstrated that melatonin has an inhibitory effect on epilepsy, but its underlying mechanism is unknown. OBJECTIVE: To investigate the effects of melatonin on the cognitive function and GluR2 expression in the hippocampus of rat models of epilepsy, and further study the mechanism of melatonin against epilepsy. METHODS: Rat models of chronic epilepsy were established by intraperitoneal injection of lithium chloride-pilocarpine, and intraperitonealy injected with sufficient amount of physiological saline and melatonin respectively. Control group was set for observation. RESULTS AND CONCLUSION:At 4 and 6 weeks after modeling, the GluR2 expression level in the hippocampus of rats in the epilepsy + melatonin group was significantly higher than that in the epilepsy group (P < 0.05); the GluR2 expression level in the synaptic membrane of hippocampal CA1 region of rats in the control and epilepsy + melatonin groups was significantly higher than that in the epilepsy group (P < 0.05). At 4 days after modeling, compared with epilepsy group and epilepsy + physiological saline group, the escape latency, operation time, active avoidance latency, passive avoidance latency of rats in the epilepsy + melatonin group were significantly decreased (P< 0.05), the correct rate and active avoidance number were significantly increased (P < 0.05). These results demonstrate that melatonin can improve the cognitive function of rat models of epilepsy by up-regulating the expression of GluR2 in the synaptic membrane of hippocampal CA1 region.

Objective To observe the pathological changes of esophageal carcinoma after preoperative radiotherapy. Methods A total of 28 thoracic esophageal carcinoma patients treated with surgery following preoperative radiotherapy of 40 Gy (S+R group), and other 28 patients treated with surgery alone (S group) were studied. The pathological changes of the resected samples of these patients were analyzed and compared. In all of the cases, the tumor regression rate, infiltration depth of tumor cells, involvement rate of blood vessels and lymphatic vessels, and metastasis rate of lymph nodes and residual lesions were studied. Results The tumor regression rate in S+R group was significantly higher than that in S group, but the infiltration depth of tumor cells and involvement rate of blood vessels and lymphatic vessels in S+R group were significantly lower than those in S group. The stromal reaction in S+R group was stronger than that in S group. There was no significant difference in metastasis positive rate of lymph nodes and residual lesions between the two groups. Conclusion Preoperative radiotherapy has obvious effect on the treatment of esophageal carcinoma from the view of pathological changes. However, further studies should be conducted on whether the pathological changes mean the improvement of survival rate or not.

Engelhardia Leschen. ex Blume (Juglandaceae) is native to southern and southeastern Asia and used to be traditional medicines and health tea. Hitherto, a large amount of chemical constituents had been isolated from genus Engelhardia and more pharmacological effects were found due to the presence of the second metabolites. There have been few comprehensive reports about Engelhardia plants especially the chemical constituents by now. The traditional usage of Engelhardia plants were for treating cold fever, detoxication, rheumatism, diarrhea, obesity, gastrointestinal problem and so on. While the modern pharmacological activities showed antioxidant activity, anti-ischemia/reperfusion injury, anticancer activity, anti-inflammatory activity, immunosuppression activity, antidiabetic activity, antitubercular activity and so on. In this review, constituents of this genus would be introduced and classified by structures, the pharmacological effects of which would be described as well.

Objective To screen the extraction process of Wenfei Jiangzhuo Recipe (WJR) by pharmacodynamics and acute toxicity test, and to optimize it by orthogonal experiment to determine the best extraction process of WJR. Methods Acute toxicity test was carried out on different WJR samples. The improvement of learning and memory of vascular dementia (VD) rats was used as the efficacy index, and the results of the acute toxicity and efficacy experiments determined the best process plan. Using contents and yield rate as index, orthogonal test was used to screen the amount of solvent, extraction time and extraction times. Results The results of acute toxicity test showed that all mice survived without obvious toxicity. The results of pharmacodynamic test showed that the best extraction plan of WJR was as follows: Extracting white prepared lateral root of Aconite, Codonopsis Radix, and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle with water, and Notoginseng Radix et Rhizoma, Zingiberis Rhizoma, and wine processing Rhei Radix et Rhizoma with ethanol. The optimized extraction technology were as follows: The former were 10-fold water reflux extraction for three times and 1 h each time, with white prepared lateral root of Aconite first reflux 2 h; The latter were 6-fold 70% ethanol reflux extraction three times and each time 1.5 h. Conclusion WJR can significantly improve the learning and memory ability of VD model rats. The optimized extraction conditions are reasonable and feasible, and can provide the basis for the subsequent development of WJR.

In this article, the plasma half life of IL-2 and its bio-distribution were studied using radio-nucleus Technetium-99M labeled IL-2. The results showed the plasma half life of IL-2 was merely 10 minutes mainly due to IL-2 distribute to its target organ such as liver, kidney etc,rather than clear out of the body. Our results indicated that IL-2 is a high organ-specific drug. It's plasma half life is short under high concentration in its target organ. So it might have advantages of high effectiveness and low whole body toxicity in treatment of tumor of liver and kidney.