Williams syndrome is a rare disease caused by 1.5 ～ 1.8 Mb gene deletion in the chromosome 7q1 1.23 region,with autosomal dominant inheritance.The incidence is about 1/10 000.It involves the cardiovascular system,nervous system,endocrine system and so on,and is most likely to cause damage to the cardiovascular system.The mortality of sudden cardiac death in patients with Williams syndrome is higher than that in healthy population.At present,suspected patients were screened by Lowery score and the American pediatrics score,then were evaluated by imaging examination and were diagnosed by gene detection.The main therapy is symptomatic treatment.Therefore,it is important to ensure an accurate diagnosis and prompt treatment.In the article,the research progress of the clinical diagnosis,gene diagnosis,gene therapy and prognosis is reviewed.

Objective:To discuss the relationship between serum advanced oxidation protein products (AOPP)and cystatin C with the early preeclampsia pregnancy outcome.Methods:Clinical data of 75 patients received treatment and labor at our hospital from 2011 to 2013 was retrospectively analyzed.The control group included 60 normal pregnant women who received prenatal examination in our hospital at the same time.The difference in cystatin C and AOPP level of the patients with preeclampsia and the normal group was compared.The clinical data and the adverse pregnancy outcome of the patients with preeclampsia in different severity and different outcome of pregnancy were compared.Results:A total of 135 patients were retrospective analyzed ,including 75 in observe group and 60 in control group.The SBP level in the patients with preeclampsia is obviously higher than in the normal group .The level of SB,UA,Cr and AOPP in the patients of mild group is obviously lower than in the severe group.The incidence of oligohydramnios , placental abruption,fetal growth restriction and HELLP syndrome in the patients of mild group was obviously lower than in the severe group .The differences were statistically significant.The level of cystatin C,UA,Cr and AOPP in the patients of adverse pregnancy outcome were obviously higher than in the group of good outcome of pregnancy.Conclusion:The cystatin C and AOPP level of the early preeclampsia patients is obviously increased and it has significant correlation with the pregnancy outcome in patients .

Objective To confirm the most effectively screening conditions by comparing the ARR values of different posi‐tions after saline load test .Methods After exclusion the other secondary hypertension ,the completion of saline dressing test ,84 ca‐ses diagnosed hypertensive patients under saline load test results were divided into primary aldosteronism group (pH ,52 cases) and primary hypertension group (32 cases) .Analyzed plasma aldosterone (PAC) ,renin (PRA) values of upright and decumbent body positions ,their ARR values were calculated and the urine aldosterone was tested .Results Those whose upright position ARR rati‐os higher than 240(pg/mL)/(ng · mL -1 · h-1 ) were accounted for 80 .77% (42/52) and 43 .75% (14/32) ,respectively in the both PA group and PH group;Those whose upright position ARR ratios higher than 240(pg/mL)/(ng · mL -1 · h-1 ) and decumbent position PAC higher than 150 pg/mL were accounted for 65 .39% (34/52) and 3 .13% (1/32) ,respectively in the both PA group and ph group;The specificity of this method for PA was 96 .88% .Those whose upright position ARR ratios higher than 240(pg/mL)/(ng · mL -1 · h-1 ) and decumbent position PAC higher than 150 pg/mL and urine aldosterone higher than 10 μg/24 h ,The specificity of this method for PA was 100 .00% .Conclusion It is an effective screening method for primary aldosteronism when ARR values of upright position higher than 240(pg/mL)/(ng · mL -1 · h-1 ) ,PAC of decumbent position higher than 150 pg/mL and urine aldosterone higher than 10 μg/24 h .

〔Abstract〕 The paper retrieves different difinitions of Electronic Medical Records ( EHR) through PubMed database, domestic and international standards, analyzes the terms and definitions of EMR using concept analysis method.The definitions are divided into 3 at-tributes namely, noun, characteristics and objective, providing ideas for developing EMR system at various levels in China.

Professional competence is the inevitable requirement of medical students toward jobs.At present, the cultivation of professional competence of clinical internship has many problems and this requires higher medical colleges and universities should take the the cultivation of professional competence of clinical internship as an im-portant task.Cultivate goodness and moral self-discipline ability, demonstration and practice of medical knowl-edge ability and colleagues cooperation and doctor-patient communication ability.To this end, should optimize the path of the cultivation of professional competence:perfect the education contents and courses of professional compe-tency;organize professional competence training and simulation contest;encourage clinical interns to learning and self-improvement;build the assessment mechanism of professional competence of clinical internship.

The imported schistosomiasis cases in the Chinese literature and reports from the infectious disease monitoring in-formation system from 1979 to 2013 were collected and compiled. Totally 365 cases were reported to be infected with outside schis-tosomiasis, including 239 cases of schistosomiasis haematobia (74.0%) and 71 cases of schistosomiasis mansoni (22.0%), and 42 foreigners (11.5%) and 323 Chinese (88.5%). The infection areas involved 15 countries and regions in Africa. Totally 74.92%of pa-tients worked in the construction or geological prospecting in the wild field. According to the analysis of these cases, we found that the management system of prevention and control of imported schistosomiasis cases was not perfect including the high missing re-port rate, high misdiagnosis rate, and no standard diagnostic criteria. We suggest that all the levels of CDC or health administrative authorities should adopt the following relevant control measures to strengthen the imported schistosomiasis prevention and control in order to reduce the damage to the public health and the risk of the spread of African schistosomiasis in China:1. to establish and perfect the imported schistosomiasis monitoring and control system in China;2. to integrate the dynamic information platform of la-bor export and establish the comprehensive prevention and control management system of infectious diseases;3. to standardize the diagnosis and treatment of oversea imported schistosomiasis; 4. to strengthen the research on the transmission risk of imported schistosomiasis in the territory of China.

Interstitial cells of Cajal(ICC) were recognized as a pacemaker with spontaneous electrical activity, producing and conducting slow wave , ICC plays an important role in the regulation of gastrointestinal motor and the changes of ICC is related to gastrointestinal motility disease. Further investigation of ICC has important significance in realizing the physiology of gastrointestinal motor and the mechanisms of gastrointestinal motility disease, and providing support for intervention of some disease.

Nonglomerular synapses in the neuropil of the substantia gelatinosa of adult ratspinal trigeminal nucleus were subjected to electron microscopic examination. Nonglomerular synapses in the substantia gelatinosa were associated with four main types of axonal terminals. On the basis of vesicle shapes, these were classified as round vesicle, elongate vesicle, pleomorphie vesicle, and dense cored vesicle terminals. The category of round vesicle terminals could be subdivided into large round vesicle terminals and small round vesicle terminals according to their different size of synaptic vesicles. Nonglomerular synapses included four types, i. e. axodendritic, axo-axonic, dendro-dendritic and dendro-axonic synapses. Of these, the majority of synapses were axodendritie. The functional significance of the classification of these synapses and their axonal terminals had been discussed.

Large dense core vesicle in the trigeminal subnucleus caudalis of the rat has been observed electron microscopically. It is fixed in glutaraldehyde-osmium tetroxide following removal of the skin of the vibrissae areas. The findings of the present study are: 1.Morphological evidence for exocytosis of large dense core vesicle from non-synaptic sites of the axonal terminal has been presented.2. The large coated vesicles equipped with central densities derived from the invagination of the plasma membrane. These observations suggest that membrane recycling occur at location in the terminal via these coated vesicles.3.Some large dense core vesicles may also form the tubular structures which may represent smooth endoplasmic reticulum containing dense material. This study supports the hypothesis that release of the transmitter of the great dense core vesicles occur at nonsynaptic sites by exocytosis.

Objective To evaluate MRI characteristics of soft tissue hemangioma.Methods 30 cases of soft tissue hemangiomaconfirmed by surgery,angiography and clinical diagnosis included in this study.All cases underwent plain MRI scans,24 cases of them were further-examined by contrast-enhanced MR scans.Results 24 cases were cavernous hemangioma,4 cases were capillary hemangioma and 2 were tufted hemangioma.The tumors showed moderate signal on T_1WI in 24 cases,and significantly higher signal on T_2WI in all cases(even stronger than that of fats).The vascular component within the tumor displayed remarkable enhancement and appeared as serpentinevessels,while the non-vascular tissues showed no enhancement after intravenous administration of contrast agent.Conclusion MRIexamination is of great importance in determining the position,the nature and the extent of hemangioma as well as the effectiveness ofoperation.