Purpose To explore the commonality and disparity between 64-slice CT coronary artery imaging and coronary angiography (CAG) for the diagnosis of coronary heart disease, and to provide evidence for clinical diagnosis.Materials and Methods Forty-nine patients with suspected coronary heart disease (CHD) underwent both 64-slice CT coronary artery imaging and conventional coronary artery angiography, all available coronary segments were evaluated using a 15-segment modified AHA classification, and the results of both methods were compared and analyzed.Results 493 segments of coronary artery were evaluated, results of 29 segments were incongruent between 64-slice CT coronary artery imaging and CAG. With CAG as the gold standard, the sensitivity, specificity, positive predictive value and negative predictive value of CT coronary artery imaging for the diagnosis of coronary artery stenosis were 91.6%, 95.4%, 91.0% and 95.7% respectively.Conclusion There is a high consistency between 64-slice CT coronary artery imaging and CAG for diagnosing CHD, 64-slice CT coronary artery imaging can be used to evaluate the nature of artery plaque, but it is inferior to CAG in diagnosing small angiostenosis.

Pustular psoriasis is not a rare inflammatory skin disease, and is characterized by sudden onset of generalized erythema and sterile pustules complicated by chills, high fever, neutrophilia and elevated levels of C?reactive protein. Due to frequent recurrence, it greatly impacts the quality of life in patients. Recently, it has been gradually found that IL36RN, CARD14 and AP1S3 mutations are associated with the occurrence of pustular psoriasis, and accordingly some new therapeutic approaches have emerged. This review summarizes recent advances in genetics of pustular psoriasis.

ObjectiveTo investigate the effect of IL-1? on primary cultured rat hepatocytes (PCRH).MethodsUsing PCRH of Wistar rats, the cytotoxicity of IL-1? (LDH release), the influence of IL-1? on cell proliferation and cellular energy metabolism (intracellular ATP content and KBR) were observed.ResultsIL-1? significantly increased LDH release on all 6 culture conditions with LDH activities of 22?2,25?4,18?5,12?4,15?5 and 11?4, in individual controls compared with 36?3,43?5,34?6,31?4,31?5 and 22?3,in individual IL-1? treated groups, all P

Objective To analyze mutations of the STAT3 gene in a patient with hyper-IgE svudrome (HIES) mainly manifesting as multiple cold abscesses.Methods Clinical data were collected and blood samples were obtained from a 17-year-old male patient with HIES and his parents.Genomic DNA was extracted and subjected to PCR for the amplification of the entire coding region and splice sites of the STAT3 gene followed by bidirectional sequencing.Results A heterozygous missense mutation C1427T,which caused a codon change from TCC to TTC and resulted in the substitution of serine by phenylalanine at amino acid residue 476 (p.S476F), was found in exon 16 encoding the DNA-binding domain in the STAT3 gene in the patient, but not in either of his parents.The results of amplified ribosomal DNA restriction analysis were consistent with the findings mentioned above.Conclusion A novel missense mutation S426F was found in the STAT3 gene in the HIES patient with generalized cold abscesses as the prominent clinical manifestation.

Objective To investigate effects of angiotensin Ⅱ receptor antagonist Losartan on the expression of TGF ? 1mRNA in rats with cirrhosis and the mechanism.Method Forty one male SD rats were divided into normal control ( n =10), cirrhotic control ( n =11), and Losartan treated cirrhotics ( n =20) with Losartan (10?mg?kg -1 ?d -1 ) treatment started on the first day along with CCl 4 administration and on the 5th week, respectively.Expression of TGF ? 1 mRNA was examined with reverse transcriptase polymerase chain reaction (RT PCR).The expression of TGF ? 1 protein was assayed with immunochemistry.Result Expression of TGF ? 1 mRNA and TGF ? 1 protein were up regulated in rats with cirrhosis (from 0 93?0 05 to 1 94?0 13, compared with the normal rats P

Objective To investigate the effect of L osartan, an angiotensin Ⅱ type receptor antagonist, on vascular endothelial gro wt h factor (VEGF) expression. Method Ｚ Liver cirrhosis was in duced by oral intake of 50% CCl4 at a dosage of 3?ml?kg-1?d- 1ⅹ 9 weeks in SD rats. In Losartan group,rats were given Losartan orally. Exp r ession of VEGFmRNA was examined with reverse transcriptase polymerase chain reac tion (RT-PCR) and the expression of VEprotein was assayed by immunohistochem istry. Result VEGF was highly e xpressed in cirrhotic group compared with control group (0.77?0.10 vs 1.94? 0.20, P=0.001) . In losartan treatment group, VEGF mRNA expression decreas ed to 1.02?0.1 and 0.86?0.15（P=0.001）. Concl usion Expression of VEGF increased in cirrhosis, Losartan inhibited this eff ect.

Breast calcification is a specific sign of nonpalpable early breast cancer,the accurate localization and biopsy can obviously improve the diagnosis rate of early breast cancer,and imaging-guided needle localization is the premise of accurate biopsy of breast calcification.As the recommended guidance,mammography-guided localization and biopsy has certain limitations in localizing and biopsying breast calcification,however,high-resolution uhrasound makes it possible to localize the nonpalpable calcification in breast,and which has a certain advantage.

Objective To explore the diagnosis and treatment of tumor associated gastrocolic fistula (GCF).Methods The records of the 4 patients with GCF between August 2008 to February 2014 were retrospectively analyzed.Three female and one male patients,those whose average age were 61 years,have been pathologically diagnosed postoperatively as gastrocolic fistula caused by malignant diseases.The main clinical symptoms were diarrhea (3 cases),fecal vomitus (3 cases),weight loss (4 cases),and abdominal pain (4 cases).Positive diagnostic tests for GCF included gastroscope (3 cases),colonoscope (1 case),barium enema (1 case),upper gastrointestinal contrast (2 cases).Results En-bloc resection of the involved gastrocolic region have been performed for all,2 patients underwent radical gastrectomy and colon resection and 2 patients were taken on palliative procedure.Pathology indicated adenocarcinoma all,Immunohistochemical detection for CK20,CDX-2 were applied for identifying the originations of tumors.Delayed gastric emptying and DIC occurred in one patient who died in 3 months after the operation,anastomotic leakages were found in 2 cases.The survival patients were all discharged and taken capecitabine combined with Oxaliplatin for chemotherapy.Conclusions Endaoscopy and gastrointestinal imaging are main evidences for diagnosis of GCF.En-bloc resection of the involved gastrocolic region were recommended,enterostomy was safer than entero-anastomosis in one stage procedure.The originations of tumors may be identifying according to the pathological characteristic and CDX-2,CK20 staining.Adjuvant chemotherapy should be applied.

Objective To investigate the effect of platelet activating factor on the proliferation of cultured hepatic stellate cells in vitro. Methods LX-2 cell line was chosen as the study model of the activated hepatic stellate cells. MTT colo- rimetric assay was used to evaluate the proliferation of HSCs. Cell cycle was evaluated by ways of flow cytometry with PI staining and BrdU incorporation.Results OD_(492) value of PAF groups at concentration from (1 × 10~(-8)-1 × 10~(-3) mol/L), were higher than that of control group (P < 0.05). OD_(492) value of PAF (1×10~(-6)) + PAF-RA × 1 (10~(-7)-1 × 10~(-4)mol/L) groups was less than that of PAF (1 ×10~(-6)mol/L) group (P<0.05). S% and PrI of PAF groups increased significantly. Conclusion PAF can increase the proliferation of hepatic stellate cells in a dose-dependent manner while PAF receptor antagonist reduces the proliferation of hepatic stellate cells induced by PAF.

Objective To study effects of GDNF and HSV GDNF on apoptosis of spinal cord motoneurons after scratch injury in vitro. Methods In the period of culture cell,motor neurons were periodically observed and counted.Scratch injury was executed on culturing 12th day,in the same time,cultured neurons were divided into 4 groups,and each group was given corresponding medium(medium serum free control group,serum group,HSV GDNF group,GDNF group).On the 4th and 7th day after scratch injury,TUNEL staining was respectively performed,and the number and the mean densities of apoptotic motoneurons were observed. Results The number of living motoneurons was in inverse proportion to time of scratch injury in each group.The number of apoptotic motoneurons from control group,HSV GDNF group to GDNF group was successively decreased as well as the mean densities of apoptotic motoneurons on the 4th and 7th day after scratch injury.Furthermore,the effects of groups with serum were no better than those of medium serum free groups,in the same time,difference was not obviously in HSV GDNF group and GDNF group. Conclusion GDNF and HSV GDNF can decrease apoptosis of injured motoneurons in vitro .It suggests that GDNF and HSV GDNF might play an important role in the growth and development of motor neurons.