Objective To review the various imaging modalities and their appropriate applications in the preoperative evaluation of both donors and recipients in liver transplantation (LT). Methods All the relevant literatures were reviewed. Different kinds of imaging modalities have been used in potential LT donors and recipients to assess the volume, the parenchyma and the vasculature of the liver, the biliary system, and the extrahepatic region of the upper abdomen and beyond. The techniques, the imaging findings, and the merits and shortcomings of various imaging modalities were presented.Results Traditional imaging techniques are still of valuable, while CT can provide rich and accurate information. "One-stop" comprehensive MR examination is emerging as the method of choice for the preoperative evaluation LT recipients and donors. Conclusion Each imaging method has its merits and limitations. Those imaging methods which can provide accurate and comprehensive information are likely to have better application future.

Objective To detect the changes of hemodynamics in patients with portal vein embolization (PVE) before surgery for hilar cholangiocarcinoma, and analyze the relationship between hemodynamics and liver hypertrophy. Methods The clinical data of 21 patients with hilar cholangiocarcinoma who were admitted to the Eastern Hepatobiliary Surgery Hospital from April 2008 to December 2009 were retrospectively analyzed.Relevant hemodynamic variables were detected and analyzed before and 3, 7, 14 days after PVE. Data were processed using Student t test or linear correlation analysis. Results The main portal vein pressure after PVE was (25.9 ± 4.1 ) cm H2O ( 1 cm H2O = 0.098 kPa), which was ( 3.5 ± 2.5 ) cm H2O higher than that before PVE [( 22.4 ± 4.1 ) cm H2O] ( t = - 6. 504, P ＜ 0.05 ). The blood flow velocity in the non-embolized branch of portal vein increased after PVE, and reached peak [(26 ±9)cm/s] at the seventh day after PVE. A positive correlation was found between the hypertrophic rate of the non-embolized lobes and the ratio of embolized lobes to total liver volume ( r = 0. 593, P ＜ 0. 05 ). Conclusion Greater scope of the embolized vascular bed of portal vein induces higher hypertrophic rate of non-embolized liver.

Laboratory animals and animal experiments are foundations and important support conditions for life sciences, especially for medical research. The animal experiments have drawn extensive attention from the society because of the ethical issue. This paper takes Wenzhou Medical University as an example to give a brief introduction to the ethical review about laboratory animals in the university so as to further draw attention and concerns from the public about the ethical issue of laboratory animals. We successively introduce its scientific projects, nurturing environment and ethical review of laboratory animals.
Animal Experimentation ; ethics ; Animals ; Animals, Laboratory ; Universities

Objective To discuss the method,safety and effect of malignant pancreas tumor treated by CT guided percutaneous embedding of~(125)I. Methods 32 cases of malignant pancreas tumor with CT scan and contrast enhancement were retrospectively analysed.All the cases had been confirmed pathologically be- fore CT guided therapy.The number of~(125)I particle was 12～46,The distance between particles was 0.～1.2 cm. The number of puncture point was 1～2.The number of puncture direction was 2-5 times.Results Regarding 32 cases for 1 month,the size of the tumor reduced in 11 cases,no change in 20 cases,and increased in 1 case.As for 31 cases for 2 months,the size reduced in 16 cases,no change in 13 cases,and enlarged in 3 cases.Regarding 30 cases for 3 months,the size reduced in 18 cases,no change in 11 cases,and increased in 3 cases. Regarding 28 cases for 6 months, he size reduced in 10 cases, no change in 5 cases, and in- creased in 13 cases.Regarding 22 cases for 1 year,12 cases had been done the second therapy,the size of the tumor reduced in 16 cases,no change in 3 cases,and increased in 3 cases.Conclusion The size of pancreas tumors were reduced obviously,the symptoms were relieved after the treatment.The method turned out to be safe and accurate.

The chemical structures of P1 A was identified by complete acid hydrolysis, partial acid hydrolysis, periodate oxidation-Smith degradation, methylation analysis, IR and NMR. The results showed that P1 A had a backbone consisting rhamnose, mannose, glucose and galactose. The side chain possessed arabinose and xylose. 1-->, 1-->6 and non-reducing terminal linkages existed in polysaccharide P1A, but there are doubling amount of 1-->2 and 1-->4 linkages. Oxidable linkage of P1 A accounted for 45%, and inoxidable linkage of P1A accounted for 55%. Mannose, glucose and galactose were mainly linked by 1-->2 linkage. Rhamnose, arabinose and xylose were mainly linked by 1-->2 and 1-->4 linkages. PlA contained beta-Glc(1,6)-,beta-Gal(1,3)-,beta-Man(1,4)-beta-Rha,-Glc(1,4)-, Glc(1)-,-Gal(1,4)- and Man(1)-.
Acanthaceae ; chemistry ; Drugs, Chinese Herbal ; chemistry ; Magnetic Resonance Spectroscopy ; Molecular Structure ; Molecular Weight ; Polysaccharides ; chemistry

Objective To investigate a new method which could not only avoid the extrusion of the silicon implant, but also be benefit for the reconstruction of nasal tip and alar during nasal augmen-tation procedure. Methods Folded lower lateral cartilage flap combined with silicon implant was ap-plied for nasal dorsal augmentation and reconstruction of nasal tip and alar with its unique character at the same time. Results 12 cases were all primary healing, without infection, extrusion of implant and other complications. One month after operation, the projection of nasal tip was increased, which had better delicate and definite shape, natural appearing tip adding contour and height to nasal tip, pleas-ant definition. Conclusions Folded lower lateral cartilage flap combined with silicon implant is an ef-fective method to decrease the incidence of extrusion, when we want to have a little over-projected na-sal tip with prosthesis. It is also helpful for reconstructing the nasal tip and alar with its unique char-acter.

The aim of the present research was to investigate and analyze the hunting intentions of medical students for rural grassroots in Gansu and to provide a reference for decision-making on rural health human resource . A questionnaire is the research tool which was used to investigate the views of the senior students from six medical schools , and we studied their employment willingness to rural healthcare institutions .Chi-square test and non-condi-tional logistic regression analyses were used for data analysis .A sample of 600 medical graduates was involved in this investigation.The results of this study show that more than a half (55.6%) of the students would like to work in ru-ral, but only 13.8%of which were “very willing” to work at the rural healthcare institutions .According to the out-comes of this investigation , the number of junior college students who would like to work at the grassroots was 2.3 times the number of the undergraduate students .Medical students whose monthly salary expectations were not high ,with the household registration in rural areas , and having a better understanding of the policy of rural grass-roots em-ployment were more likely to work at the rural healthcare institutions .Based on the findings of this investigation , it can be concluded that the grassroots medical career intention of medical students is not only influenced by its own fac -tors, such as education and household registration , but also the policy of the government , school employment guid-ance and social atmosphere play an important role .The above-mentioned factors should be considered by decision-making and management departments of public healthcare .The departments should introduce a reasonable recruit-ment policy and strengthen the construction of grass-roots medical technology , equipment , and infrastructure , im-prove the grass-roots of employment environment and career development opportunities and strengthen the medical students'employment guidance work to make medical students more willing to work at rural healthcare institutions .

The structure genes spike (S), nucleocapsid (N), membrane (M), small membrane (sM) of a porcine epidemic diarrhea virus (PEDV) strain DX isolated in Gansu province, North-west of China, were cloned, sequenced and compared with published sequences of PEDV strains. The nucleotide sequences encoding the entire S, sM, M and N genes open reading frame (ORF) of DX were 4 152, 231, 681 and 1 326 bases long respectively. There were transcription regulatory sequences (TRSs) upstream of the initiator ATG of the S, N and M genes. The amino acids sequences of S, M and N contained 30, 3 and 7 potential asparagine (N)-linked glycosylation sites. Homologous analysis and phylogenetic trees showed that DX had the closest relationship with strains LJB/06, JS-2004-2Z and CH/HLJH/06 that were also isolated from China and indicated the prevalence of some PEDV isolates in China were widespread since the JS-2004-2Z strain originated from the south of the China, and LJB/06 and CH/HLJH/06 were isolated from northeast China. The N gene was cloned using two primers which contained Nco I and BamH I restriction enzyme sites and subcloned into expression vector pET30a. The recombinant plasmid was then transformed into E.coli Rossta. SDS-PAGE showed there was a protein of about 55kDa as expected and Western blot indicated the N protein had biological activity.

OBJECTIVETo study the growth inhibitory effects of p21WAF1 and p53 overexpression in human lung adenocarcinoma cell line.

METHODSThe p21WAF1 and p53 gene were transfected respectively into a human lung adenocarcinoma cell line, GLC-82. Flow cytometry (FLC), transmission electron microscopy (EM) and TUNEL technique were used to evaluate cell growth and identify apoptosis.

RESULTSThe GLC-82 transfected by p21 plasmid showed increased cell number in G1 phase of cell cycle, decreased proliferation potential and decreased cloning efficiency. Apoptosis have not been detected neither on EM nor by TUNEL technique, whereas the GLC-82 infected by Ad-p53 showed significantly decreased proliferation potential and some of them even died, in addition apoptosis was confirmed by TUNEL technique.

CONCLUSIONThe results indicate that p21WAF1 and p53 can inhibit proliferation; p53 also can induce apoptosis of lung adenocarcinoma cell. Therefore, these two genes should have a wide application in gene therapy of tumors in future.

Adenocarcinoma ; genetics ; metabolism ; pathology ; Apoptosis ; Cell Line, Tumor ; Cyclin-Dependent Kinase Inhibitor p21 ; Cyclins ; biosynthesis ; genetics ; Gene Expression ; Humans ; Lung Neoplasms ; genetics ; metabolism ; pathology ; Tumor Suppressor Protein p53 ; biosynthesis ; genetics

OBJECTIVETo evaluate the role of MRI diffusion imaging in the diagnosis of hepatic fibrosis.

METHODSFifty-eight rabbits were divided randomly into a blank control group (n = 10) and a model group (n = 48). Carbon tetrachloride was injected intraperitoneally into the animals of the model group to induce liver fibrosis. SE-EPI sequence was used in diffusion weighted imaging for all the rabbits. Then apparent diffusion coefficient (ADC) and exponential apparent diffusion coefficient (EADC) of their livers were obtained with Functool 2.0 software. The degrees of liver fibrosis of the rabbits were graded with histological examinations. Statistical analysis was performed by SPSS 11.0 statistical software. One-way analysis of variance was used to compare every rank data respectively. P less than 0.05 was considered statistically significant.

RESULTSWhen the b value was 300 s/mm2, ADC of diffusion-weighted imaging (DWI) was (2.460+/-0.424) x 10(-3) in the control group (S0). ADCs were (2.170+/-0.311) x 10(-3), (1.950+/-0.248) x 10(-3), (1.635+/-0.296) x 10(-3), (1.566+/-0.353) x 10(-3) in the model group (S1, S2, S3 and S4). EADC of DWI was 0.102+/-0.044 in the control group and were 0.167+/-0.047, 0.183+/-0.042, 0.216+/-0.054, 0.219+/-0.048 in the model group (S1, S2, S3 and S4). ADC and EADC of the control group and model group had significant differences (F = 12.13, P = 0.0006; F = 10.06, P = 0.004 respectively). When the b value was 500 s/mm2, ADC of DWI was (2.044+/-0.215) x 10(-3) in the control group, ADC were (1.907+/-0.223) x 10(-3), (1.785+/-0.232) x 10(-3), (1.542+/-0.268) x 10(-3), (1.312+/-0.212) x 10(-3) in the model group (S1, S2, S3 and S4). EADC of DWI was 0.1106+/-0.069 in the control group and EADCs of DWI were 0.1764+/-0.073, 0.1889+/-0.056, 0.2421+/-0.079, 0.2657+/-0.037 in the model group (S1, S2, S3 and S4). ADCs and EADCs of the control group and model group had significant differences (F = 14.57, P = 0.0002; F = 10.42, P = 0.003 respectively). There was a significant difference of ADCs between S1 and S4 of the model group when b value were 300 s/mm2 and 500 s/mm2 (P = 0.03, P = 0.044 respectively). No differences were found between other subgroups in the model group.

CONCLUSIONOur preliminary study shows that measuring ADCs and EADCs has a good potential in diagnosing and quantifying hepatic fibrosis, especially when using b values of 300 sec/mm2 and 500 sec/mm2.

Animals ; Diffusion Magnetic Resonance Imaging ; Female ; Image Interpretation, Computer-Assisted ; Liver Cirrhosis, Experimental ; diagnosis ; Male ; Pilot Projects ; Rabbits