The third report of the series of a comprehensive study on behavioralpronblems children,followed the population and clinical studies reproted in the previous twopapers,deepens particularly into physiological and biochemical arears through EEG andurine MHPG assessments.Based on the data of EEG routine and computer analyses andfluorometric estimation of urine MHPG?SO_4 with a modified method,together with theprevious findings of neurophysiological examination,it was found that behavioral problemchildren were with significantly delayed development of central nervious system.Both the ab-normal EEG and urine MHPG associate closely with harmful factors seen in the period ofmother pregnancy and genetic factors too,supporting the hypothesis of biological basis forthe development of child behavioral problem,at least in partial identified children.However,it was also revealed in a multi-step regression analysis that these abnormalities in EEG andurine MHPG assesments showed a close relations with certain psychosocial varibles,such asbad temparament,hyperactivity,unstability of emotion and negative family issues.

Objective:To study the differences of brain functions between children with attention deficit hyperactivity disorder(ADHD) predominantly inattentive (ADHD-I) and combined(ADHD-C) subtypes in resting state using functional magnetic resonance imaging(fMRI).Methods:A newly reported regional homogeneity(ReHo) approach was used to analyze blood oxygen level-dependent fMRI(BOLD-fMRI) data in resting state among 6 ADHD-C,9 ADHD-I and 15 normal control boys.Results:The brain regions showing differences among the three groups included bilateral frontal lobe,right cuneus and right inferior temporal gyrus.Compared with the normal controls,ADHD-C showed decreased ReHo in left frontal lobe and right inferior temporal gyrus,ADHD-I showed decreased ReHo in bilateral frontal and temporal lobe and right cerebellum and increased ReHo in bilateral occipital lobe and right inferior parietal gyrus.There were no brain regions showing different ReHo between ADHD-C and ADHD-I.Conclusion:Although both ADHD-C and ADHDI showed abnormal neural activity in resting state compared with the normal controls,there were no differences for brain functions in resting state between ADHD-C and ADHD-I.

Objective To purify and quantify the autoantibodies against various epitopes within BP180-NC16A domain from the sera of patients with bullous pemphigoid (BP). Methods Three epitopes within BP180-NC16A domain, NC16A-1, NC16A-2 and NC16A-3, were prepared. Blood samples were obtained from 10 patients who were diagnosed as active BP by clinical, pathological and immunofluorescence examination. Autoantibodies against these epitopes were purified with affinity chromatography column from the sera of these patients with active BP, and quantified separately. The relative binding affinity of autoantibodies to NC 16A-1, NC 16A-2 and NC 16A-3 was measured using thiocyanate elution method. Results The autoantibodies against NC16A-1, NC16A-2 and NC16A-3 were successfully purified from the sera of patients. On average, the amount was 49.0±20.7 μg, 117.7±22.4 μg and 39.5±18.9 μg respectively for autoantibodies to NCI6A-1, NC16A-2 and NC16A-3 purified from a portion of serum containing about 20 mg IgG. Both the amount and binding affinity of anti-NC16A-2 autoantibody were significantly higher than those of anti-NC16A-1 and anti-NC16A-3 autoantibodies. Conclusion BP180 NC16A-2 (aa507-aa520) may be the major epitope recognized by pathogenic autoantibodies in patients with BP.

Objective: To study the effect of EEG biofeedback in the treatment of children with ADHD and comorbid tic disorder. Methods:14 children with ADHD and comorbid tic (criteria of DSM-IV) aged 7 to 14 received EEG biofeedback treatment (average 34 sessions). The outcome was evaluated with Conners Parent Symptom Questionnaire(PSQ),Rutter Questionnaire,Achenbach CBCL,and C-WISC-R,WMS,CPT before and after treatment. YGTSS was used to evaluate the severity of tic disorder. Results: Hyperactivity index in PSQ, the total score of Rutter, and hyperactivity factor in CBCL were greatly reduced after treatment (P

A study of the lymphatic drainage of the ovary in 90 infant cadavers was carried out by injecting into the lymphatics. The specimens were divided into threegroups: in 30 cases the Prussian Blue was injected into the substance of the ovary; in the other 30 cases the infundibulopelvic ligaments were ligated before injection; in the remainder the infundibulopelvic and utero-ovarian ligaments were ligated before injection.The first group: 4-10 lymphatics emerging from the hilus of the ovary ascend along the ovarian blood vessels and terminate in the lumbar nodes. The lymphatics. from the right ovary mostly open into the interaorticocaval nodes and some of them end in the laterocaval nodes, the precaval nodes and the subaortic nodes. The lymphatics from the left ovary mostly end in the lateroaortic nodes and some of them empty into the preaortic nodes.The second group: in 26 sides of the specimens (43%); 1-2 lymphatics emerging from the ovary reach the pelvic wall through the broad ligament and terminate in the interiliac nodes, the internal iliac nodes or the external iliac nodes.The third group: in 19 sides of the specimens (32%), the lymphatics of the ovary also open into the interiliac nodes, the external iliac nodes or the internal iliac nodes.The results demonstrate that the lymph of the ovary drains into the lumbar nodes under normal conditions, and when the primary pathway is ligated the lymph of the ovary may drain into the pelvic nodes.

Objective To establish a usable method for the amplification of human diversified immunoglobulin genes.Methods Peripheral blood mononuclear cells (PBMCs) were isolated from healthy individuals and in which RNA was extracted and reverse-transcripted into cDNA.? light chain genes and Fd fragments of human IgG and IgM were amplified by PCR with designed primers and identified by gel analysis and DNA fingerprinting.Results All the intent immunoglobulin genes were successfully amplified and the obtained products were identified correct and with very good diversity.Conclusion It is feasible to amplify human diversified immunoglobulin genes from PBMCs by RT-PCR using properly designed primers.This method will be useful in the studies of human antibodies,correlative immunological molecules and autoimmune diseases.

This paper is a literature review of impact of comorbidity on the executive function(EF) of patients with attention deficit hyperactivity disorder(ADHD).Over 80% of children and adolescents and 65%-89% of adults with ADHD suffer from one or more additional psychiatric disorders.EF deficits in ADHD of all ages can be demonstrated to be independent of psychiatric comorbidity.The presence of comorbid learning disorder(LD) and mood disorder(MD) appears to increase the EF deficits in ADHD which seems to be decreased by the the presence of comorbid anxiety disorder and oppositional defiant disorder and conduct disorder(ODD/CD).However,the comorbidity of LD,MD,ODD/CD and Tourette syndrome may have no impact on the EF deficits in ADHD.

Objective:To explore effectiveness of Russell Barkley's parent training in children with comorbid attention deficit hyperactivity disorder(ADHD) and oppositional defiant disorder(ODD),and to evaluate its applicability in mainland China.Methods:Parents of 30 DSM-Ⅳ ADHD+ODD children were given 10 weekly trainings.Results:Total numbers of symptoms,symptoms of ADHD,symptoms of inattention,hyperactivity/impulsivity and ODD declined significantly(P

Objective:To explore the therapeutic effect,security and influencing factors of methylphenidate titration program,try to find the potential predicting index of therapeutic effect.Methods:This study was openly designed.The patients who were fit for DSM-Ⅳ diagnosis criteria of attention deficit hyperactivity disorder(ADHD) underwent systematic methylphenidate titration treatment until they attained the most optimal dose with best therapeutic effect and minimal side effects.The primary evaluative index of therapeutic effect was ADHD rating scale filled by teachers(ADHD-RS-Ⅳ),and secondary index included abbreviated Conners questionnaire filled by teachers,ADHD rating scale and Conners questionnaire filled by parents.The matching sample t analyses were used,then the differences of rating scale between pre and post treatment were compared.The potential influencing factors information of therapeutic effects including symptom severity degree when visiting,IQ,sensory integration capability and achievement of school etc.were collected.Finally,the correlation analysis was used for continuous variables andvariance analysis for dichotomization variables to analyze and check the factors' influence of declining scores of behavior scale.Results:The final prescribed daily dose for patients who completed dose titration was(17.3?7.7) mg on average,computed by kilo bodyweight was(0.45?0.11) mg/(kg?d).All the scale scores between pre and post treatment were significantly different(the pre-treatment score of ADHD rating scale completed by teachers was 30.25?9.16,and post-treatment score were 19.87?10.03,P

Objective:To test the reliability and validity of the behavior rating scale of executive function(BRIEF) parent form for school age children in China.Methods:A total of 216 patients [attention deficit hyperactivity disorder(ADHD) or schizophrenia or autism] and 311 normal controls were involved in this research.Parents of the subjects completed the BRIEF,ADHD rating scale-Ⅳ,Conners,and Rutter rating scales.And performance-based tests of executive function were carried out among some of the controls and ADHD subjects.These tests included Rey-Osterrieth complex figure(ROCF),trail-making test,digit span test,Tower of Hanoi(TOH), and Stroop test.Results:Test-retest reliability was 0.68—0.89 and Cronbach a coefficient was 0.74—0.96 except for the initial subscale(0.61).Subscales of BRIEF were moderately correlated(r=0.41—0.64) with subscales of other criteria scales such as ADHD rating scale-Ⅳ,etc.And there were correlations(r=0.32—0.41) between subscales of BRIEF and some indexes of the performance-based tests of executive function in the control group while the correlations in the diagnostic group were negative.For example,the inhibition subscale correlated with detailed score of ROCF delayed recall test and Stroop word-color interference time(r=-0.32,0.38).The working memory subscale correlated with time for trial B of the trail-making test,numbers of backwards digit test and Stroop word-color interference time(r=0.30,-0.39,0.41).Lisrel Confirmatory factor analysis showed that the 8-subscale model of BRIEF was reasonable.Compared with the control group,the diagnostic groups(ADHD-C,ADHD-I,schizophrenia and autism) got significant higher scores almost on all subscales of BRIEF(Z=-3.17—-4.17,P