Twenty-two normal children were studied for body fat (BF) and lean body weight (LBW) by a hydrodensitometric technique, whole-body bioelec-trical impedance values (Z) using a 177 kHz, 100?A signal and various an-thropometric data. Two bioelectrical impedance indices (BII) were ZW/H2 and H2/Z. The linear correlation coefficients between ZW/H2 and BF and between H2/Z and LEW were 0.9617 and 0.9326 (P

BACKGROUND: Pleiotropia and indeterminateness of the differentiation of neural stem cells (NSCs) cause great difficulties for clinical application.Therefore,it is the key to solving the problem to investigate the proliferation and differentiation condition of NSCs.OBJECTIVE:To observe the effects of epidermal growth factor(EGF)and basic fibroblast growth factor (bFGF) on the proliferation and differentiation of neural stem cells of human embryonic brain.DESIGN: A randomised and controlled experiment taking cultured human embryonic stem cells as subjects.SETTING: Department of Pediatrics of Zhujiang Hospital, the First Military Medical University of Chinese PLA.MATERIALS:This experiment was conducted at the Central Laboratory of the Department of Pediatrics of Chinese PLA from January to May 2004.Two 16-week embryos from induced labor by water bags voluntarily were chosen at random from the Department of Obstetrics in a tertiary hospital in Guangzhou(Informed consent was obtained from the parents of the fetuses).Then,cells in the subventricular zone were cultured in serum-free medium and serum medium, respectively.METHODS:Primary cells of subventricular zone of human embryonic brain were cultured with serum-free nedium containing EGF,bFGF and EGF + bFGF.The concentration of two growth factors was both 20 μg/L;experiment of differentiation was performed on the cell neurospheres cultured from the primary generation with serum culture medium;differentia tive cells were detected with immonohistochemical technique.MAIN OUTCOME MEASURES:The number of neurospheres and the change of neurons and gliocytes from neurospheres in each group.RESULTS:① There was no significant difference in the number of primary neurospheres between bFGF group and EGF+bFGF group [(150.3±14.9) /well vs (173.6±26.4)/we11, P ＞ 0.05] , but the number in the two groups was both more than that in EGF group [(99.5±14.9)/we11, P ＜ 0.01].② The neurons differentiated from neurospheres in bFGF group and EGF+bFGF group outnumbered those in EGF group, but gliocytes in EGF group outnumbered those in EGF + bFGF group.CONCLUSION:① bFGF can promote the proliferation of neural stem cells of subventricular zone of human embryonic brain,and the formed neurospheres can differentiate more neurons.② Combination of EGF and bFGF is not superior to single bFGF in effect,suggesting that there is no synergistic effect.

BACKGROUND: Neural stem cells(NSCs) have been used to treat brain injury or some degenerating diseases of nervous system. Since in vitro culture conditions for NSCs differ from normal physiological conditions, whether the properties of the cultured cells are consistent with those of cells under physiological conditions? Therefore, inducing endogenous NSCs to proliferate and differentiate may be more promising for practise of NSCs.OBJECTIVE: This study was designed to investigate the developmental properties of NSCs in frontal cortex of embryonic human brain at various ages.DESIGN: It was a randomized experimental study.SETTING: This study was conducted at Department of Pediatrics, Zhujiang Hospital, Southern Medical University.PARTICIPANTS: Totally 90 16-to-36-week-old fetuses underwent inducing abortion by water bag were selected at the Obstetrics & Gynecology Department of Zhujiang Hospital Affiliated to Southern Medical University from October 2003 to March 2004. Brain tissue was taken from the frontal cortex of the aborted fetuses. All the mothers had normal physical examination findings. The informed consents on inducing abortion by water bag had been obtained from relatives and the mothers. The study was conducted with a prior permission from the competent department of the First Military Medical University. According to their ages, the fetuses were divided into 6 groups,16-week group, 20-week group, 24-week group, 28-week group and 36-week group, each group containing 15 cases.METHODS: After inducing abortion by water bag, under axenic conditions, the aborted fetus was dissected, with the scalp excisd, the skull opened and the membrane covering brain pull apart. Then the frontal cerebral cortex was taken out, fixed and sliced. Employing immunohistochemical staining and light microscope, distribution, morphological features, phenotypes, growth patterns and quantity of NSCs in the frontal cortex were observed. Morphological features of the cells and expressions of markers in the cells were examined under light microscope. Negative control was set according to the substitution method. Under a × 400 field of microscope, some nestin-positive cells with speckled brown cytoplasmic staining were defined as NSCs. Two slides of each sample were detected and 10 fields of each slide were observed. Based on these observations, in each group, the total number of cells and the number of positive-stained cells in 300 fields were counted. The rates of nestin-positive cells were calculated.MAIN OUTCOME MEASURES: Morphological features, quantitative assessment and developmental features of the nestin-positive NSCs in frontal cortex of embryonic human brain at various ages were main outcome measurements in this study.RESULTS: NSCs were found in frontal cortex of embryonic human brain. They mainly were distributed in the pyramidal layer and the internal granular layer. They were small round-or oval-shaped, most were small round-shaped. These cells had a relatively large vacuolar nucleus with 1 - 3 nucleoli, loose chromatin and marked cytoplasmic staining. Some of the round-shaped cells were mitral cells with short neurites. The oval-shaped cells had 2 neurites. A distinct territorial distribution of NSCs could be observed. Some colonies, consisting of a few NSCs and looked like the neurospheres in in vitro culture, could be seen. Occasionally, symmetrical division of NSCs could be observed. In all the groups, 16-week, 20-week, 24-week,28-week, 32-week and 36-week group, the rates of nestin-positive NSCs in frontal cortex of embryonic human brain decreased with the increase of age (15.59%, 13.48%, 11.62%, 10.52% ,9.87% ,6.68% ,X2 = 1 265. 152, P＜ 0.01).CONCLUSION: The distribution, morphological features, phenotypes, growth pattern and quantity of the NSCs in frontal cortex of embryonic human brain at various ages are different and auto-developmental features exist. The number of these cells decreases with the increase of age.

Objective To sum the clinical experiences of the treatment in congenital heart disease single ventricle with extracardiac conduit (EC) fenestration.Methods Ninety-five patients diagnosed with univentricular heart disease underwent EC using Gore-Tax conduits at the Department of Children's Heart Center,Justus-Liebig-University Giessen Germany from June 1996 to July 2010.According to EC with or without fenestration,the patients were divided into two groups.Seventy-one routine fenestration of the extracardiac conduit (the fenestration group),58 patients (58/71) of children with high-risk preoperative intraoperative fenestration,13 cases (13/71) were due to low cardiac Rankinginterventional fenestration; extracardiac conduit fenestration (non-windowed group) did not undergo surgery in 24 patients (24/95).Results The fenestration had no death; Three died in non-windowed group.Postoperative effusions and postoperative mean pulmonary artery pressure in group without fenestration ((14.2 ± 2.3) d and (15.1 ± 3.4) mm Hg respectively) were significantly higher than group with fenestration ((10 ± 3.2) d and (13.2 ± 2.8) mm Hg respectively).It had significant differences(P =0.016).In the group with fenestration and without fenestration,postoperative oxygen saturation((90.3 ±4.0)％,(91.7 ±5.2)％),postoperative thrombosis (11.3％ (8/71),12.5％ (3/24)),and postoperative neurological problems (18.3％ (13/71),20.8％ (5/24)) did not differ between cohorts.Conclusion It is effective and safe to treat congenital heart disease single ventricle with EC.EC with fenestration can improve acute postoperative mortality by rising cardiac output,thereby can reduce early postoperative mortality.

Objective To investigate the clinical effects of surgical small incision treatment of patent ductus arteriosus (PDA) in premature infants with titanium clip.Methods One hundred children received and cured by our hospital from January 2010 to January 2013 were divided into two groups.Group A:body weight ＞ 1.5 kg of patent ductus arteriosus (PDA),71 cases of premature children; group B:body weight ＜ 1.5 kg of low body weight preterm the children PDA,29 cases.The operations were performed in the newborn intensive care unit (NICU).The patient was placed in a lateral position with the left arm abduction under general anesthesia.A 1.5-2.5 cm long posterolateral mini-thoracotomy was made and the pleural cavity was entered via the 2-3rd intercostal space.The PDA was closed with two titanium clips.Results Ninety-nine cases were cured,1 died.2 residual shunt postoperatively.One patient on postoperative 5 day was found wound infected,wound healing after the use of antibiotics by intravenous.There was no significant difference in incidence of postoperative complications and mortality rate between group A and group B (P ＞ 0.05).Majority of children successfully weaned from the ventilator due to the rapid improvement of hemodynamics and lung conditions.In group B,mechanical ventilation time (12.6 ± 7.5) d and postoperative hospital stay (21.0 ± 15.4) d was significantly longer than group A ((9.6 ± 4.2) d and (12.0 ± 10.8) d),the difference between the two groups was significant (t =7.35,9.12,P ＜ 0.05).Conclusion (1) It is a viable treatment that bedside minimally invasive titanium clip closed ductus arteriosus in preterm children PDA.(2) As the treatment of low body weight premature children is poor,the tolerance of the surgical trauma of the surgery as a minimally invasive,simple method is particularly suitable for low body weight premature children PDA.

In order to analyze and judge the condition of critical patients in PICU,and provide an objective basis for the treatment,invasive monitoring of physiological functions as a technology of understanding organs state is particularly important in clinical practice.Due to organ failure,some children require in vitro device to completely or partly replace organ function for a certain time,which can save and restore organ function.In order to reduce the incidence of iatrogenic damage,risk awareness and active prevention are required during these invasive procedures and organ replacement.

Disease Management ; Ductus Arteriosus, Patent ; therapy ; Humans ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases ; therapy

Child ; Critical Care ; methods ; Extracorporeal Membrane Oxygenation ; Humans ; Pediatrics ; methods

Humans ; Infant, Newborn ; Infant, Newborn, Diseases ; Lung Diseases ; Point-of-Care Systems ; Ultrasonography

This article reviews the present situation, progress, challenges, and the future developments for the screening and diagnosis of inherited metabolic disease (IMD) in both domestic and abroad in clinical practice, aiming to improve the screening and diagnosis system of IMD in China and to provide a reference for clinicians to increase the diagnosis and cure rate of treatable IMD, and promote the development of this field.