Dopamine is one of the bioactive amines which regulate many physiological functions. In order to study its localization and quantification in tissues with immunohistochemistry and radioimmunoassay, authors immunised New Zealand rabbits with dopamine-BSA (bovine serum albumin) complex and succeeded in the production of the specific antiserum. The antiserum was tested on routine paraffin sections of Bouin's fixed guinea-pig digestive tract with the ABC technique. The titre of the antiserum was 1:1000-1:2000. Results of substitution, absorption and cross-absorption tests proved that the positive staining obtained with the antiserum demonstrated the specific immunoreaction between the antibody to dopamine and the antigen in the tissues.

Localization and quantitation of GnRH, somatostatin (SS), and ?-endorphin (?-EP) in human placentalvilla were studied using immunogold-silver staining method. GnRH and SS immunoreactive positive substance existed in the cytotrophoblasts of many placental villi and in syncytiotrophoblasts of few placental villi, ?-EP immunoreactive positive substance localized in syncytiotrophoblasts of many placental villi and in cytotrophoblasts of few placental villi. These results suggest that the cytotrophoblasts and syncytiotrophoblasts are able to synthesize these three kinds of regulatory peptides, however, SS and GnRH may be synthesized mainly in the cytotrophoblasts, ?-EP mainly be synthesized in the syncytiotrophoblasts. The amount of GnRH and ?-EP in placenta villi show obvious change with progress of pregnancy. This change show a negative relationship between the GnRH and ?-EP, which suggested that there may be a functional reciprocal inhibition between the GnRH and ?-EP.

The distribution of dopamine-immunoreactive endocrine cells and nerves in the digestive tract of guinea-pigs was examined with the ABC immunostaining technique. Dopamine-immunoreactive endocrine cells were observed in the pyloric antrum, small intestine and colon. The highest density of the positive ceils was found in the duodenum. From the jejunum to the colon the number of immunoreactive cells gradually decreased. A similar population of the positive cells was seen in the antrum and colon. Dopamine-immunoreactive nerve fibres were mainly located in the lamina propria and submucosa of the digestive tract. There were more positive fibres in the small intestine than in the stomach and colon. The dense networks of immunoreactive fibres were demonstrated in the villi. Some positive nerve fibres penetrated into the superficial and glandular epithelia. This representation indicated that the epithelial cells were directly innervated with the dopamine containing nerves.

Objective To study the significant immunohistochemical marker to identify lung adenocarcinoma(ADC) and squamous cell carcinoma(SCC).Methods Three hundred and twenty-nine Choose 329 cases of nonsmall-cell lung cancer (NSCLC) were chosen.Analysis of the clinical and pathological features.The expression of cell keratin 7 (CK7),thyroid transcription factor-1 (TTF-1),Napsin A,CK5/6,p40 and p63 were detected by using immunohistochemistry.Results (1) Among 329 specimens,containing 129 cases of resections,195 cases of biopsies and 5 cases of pleural effusion specimens.(2)In these cases,187 cases were classified to be ADC,142 cases were classified to be SCC.(3) CK7,TTF-1,Napsin A,CK5/6,p40,p63 sensitivity were 97.9％,87.2％,81.3％,6.4％,3.7％,18.7％ in ADC groups,and 25.4％,11.3％,0,92.3％,95.1％,98.6％ in SCC groups,and the differences of two groups were significant statistically (x2 =190.665,187.432,214.542,242.003,274.407,206.818;P＜ 0.001).(4) In the 3 IHC of ADC,CK7 had the highest sensitivity,Napsin A had the highest specificity.In the 3 IHC of SCC,p63 had the highest sensitivity,p40 had the highest specificity.Conclusion CK7,TTF-1,Napsin A,CK5/6,p40 and p63 can be a markable panel of immunohistochemistry in the differential diagnosis of NSCLC.

Objective To assess the safety and efficacy of an olive oil-based lipid emulsion for parenteral nutrition in patients after esophagectomy.Methods In the randomized controlled trial,60 patients undergoing esophagectomy were divided into study group(n=30,received olive oil-based lipid emulsion)and control group [n=30,received medium-chain triglyceride/long-chain triglyceride(MCT/LCT)emulsion].The parenteral nutrition Was provided for 7-10 postoperative days.The nutritional formulas were equivalent in nitrogen,calorie,osmotic pressure,and fluid volume.Peripheral venous blood tests were performed before operation and on the first and eighth postoperative days.All the patients were evaluated by nutritional status(weight,body mass index,nutritional risk screening,etc.),safety profiles[full blood test,electrolytes,aspartate aminotransferase(AST),alanine amiotransferase(ALT),total bilirubin and direct bilirubin,blood urea nitrogen(BUN),creatinine,blood glucose,etc.],and efficacy indicators(hemoglobin,albumin,total protein,etc.).Results The albumin and total protein levels returned to the normal ranges in beth groups 8 days after operation,although both levels were significantly higher in study group(P=0.000).Also,the difference of total protein levels between the eighth and first postoperative days Was significantly higher in the study group(P=0.002).In addition,the AST and BUN readings returned to normal ranges 8 days after operation in the study group, which were significantly lower than those in control group (P = 0.025, P = 0.013).No serious adverse events were reported in both groups.Other nutritional parameters, renal and hepatic safety profiels, vital signs, and hematology showed no significant difference between two groups.Conclusions Olive oil-based lipid emulsion is a safe and efficient lipid emulsion for parenteral nutrition in patients undergoing esophagectomy.Compared with MCT/LCT, it has less effect on AST and BUN.

Objective To build a bio-material artificial chest wall and discuss its feasibility and efficiency in reconstruction of huge bony defects of chest wall in mongrels in comparison with traditional "sandwich" procedure. Methods (1) The procine osteal and membranate tissues were treated with epoxy cross linking method and their surfaces were modified with amino acid solutions at various concen-trations and at different temperatures to obtain an artificial pleura and artificial ribs for construction of the artificial chest wall. (2) The huge bony defects (5 cm×5 cm) were created in chest wall of five Chinese mongrels. (3) Three mongrels in test group was repaired with artificial chest wall, while two mongrels in control group was repaired with traditional "sandwich" complex. A follow-up was carried out to observe reconstruction effect and rejection in both groups at 3,6 and 12 months after implantation. Results There was no death found during the perioperative period and at 12 month follow-up in test group, with abnormal contour of chest wall and good thoracic activity after reconstruction. In the meantime, there found no rejection, collapse in the repaired region or paradoxical respiration. The postoperative X-rays at 3,6,12 and 24 months showed a good integrity of the thorax, with no collapse, deformation or abnormal movement. Meanwhile, the follow-up of control group showed a normal contour but slight collapse, with no paradoxical respiration. The Chest X-ray examination revealed that the bone cement in" sandwich" complex was X ray opaque and showed mild abnormal movement with breathing. The common blood test and immune items showed no abnormal. Conclusions The bio-material artificial chest wall is a safe and effective reconstruction technique for bony defects of thoracic wall in mongrels, with no acute or chronic rejection.

Objective To investigate the features of lymph node metastasis and its effects on the prognosis of patients after radical operation for thoracic esophageal squamous cell cancer, and investigate the reasonable postoperative adjuvant protocol. Methods Multivariate analysis of the clinical data of 204 patients was carried out by Spearman correlation analysis, Cox model and Kaplan-Meier method. Results The lymph node metastasis rate was 40.2% (82/204), and 166 out of 2193 dissected lymph nodes had metastasis with the rate of 7.57%. The analysis of related factors revealed that the invasion depth, tumor length and differentiation grade were significantly associated with the postoperative lymph node metastasis (χ2 = 17.466, 11.494, 6.767, P <0.05), while age, tumor site were not significantly correlated with the postoperative lymph node metastasis (χ2=1.086, 3.897, P > 0.05). Kaplan-Meier analysis showed that the 1-, 3-, 5-year survival rates of patients with < 4 lymph nodes metastasis were significantly higher than those with ≥4 lymph nodes metastasis (χ2=4.493, 4.494, 4.450, P < 0.05). The recurrence and metastasis were more often occurred in patients with lymph node metastasis compared with those without lymph node metastasis (r=-2.060, -4.296, P <0.05). Multivariate analysis confirmed that the pathological stage, tumor differentiation grade, and the postoperative adjuvant treatment were the independent prognostic factors. Conclusions The invasion depth, tumor length and differentiation grade are significantly associated with the postoperative lymph node metastasis. The lymph node metastasis state and the number of involved lymph nodes affect the prognosis of patients. Oral administration of 5-FU is benefit to the patients without lymph node metastasis.

Objective To explore the rehabilitation quality of family collaborative nursing in patients with Alzheimer′s disease (AD) combined stroke. Methods A total of 52 patients were randomly divided into control group and intervention group. The patients of control group used routine nursing, while patients in the intervention group adopted family collaborative nursing. We compared the differences on mental state, activity of daily living and health situation between before and after intervention. Results After implementing family collaborative nursing, the Mini-Mental State Examination (MMSE) score was (19. 3 ± 3. 2), Activities of Daily Living (ADL) score was (11. 6 ± 4. 5), comprehensive score in Short Form Health Status Scale (SF-36) was (527. 1 ± 24. 6) in the intervention group were different from the scores of control group (t = 3. 366,2. 139, 10. 489, respectively; P < 0. 05). Conclusions Family collaborative nursing can improve mental state, ADL and health situation of Alzheimer′s disease combined stroke patients, delay the disease progression, and enhance the quality of life of the patients.

BACKGROUNDBecause invasion and metastasis of cancer threaten seriously human's life, it is of more important clinical significance to understand and evaluate the biologic behavior of can-(cer) correctly. Abnormal expression of E-cadherin and β-catenin plays important roles in invasion and metastasis of cancer. The objective of this study is to investigate their expression in non-small cell lung cancer (NSCLC) and to find out their correlation with histological type, cell differentiation, metastasis and prognosis of NSCLC.

METHODSThe expression of E-cadherin and β-catenin was detected in 129 NSCLC tissues by high sensitive S-P immunohistochemical method.

RESULTSThe abnormal expression rate of E-cadherin and β-catenin was 62.0% and 65.1% respectively. The abnormal expression rate of E-cadherin in squamous cell carcinoma was much higher than that in adenocarcinoma (P < 0.05). The abnormal expression rate of E-cadherin and β-catenin in poorly differentiated cells was significantly higher than that in well and moderately differentiated cells (P < 0.05, P < 0.05). Stage III/IV NSCLC showed markedly higher abnormal expression rate of E-cadherin and β-catenin than stage I/II NSCLC did (P < 0.01, P < 0.01). The abnormal expression rate of E-cadherin and β-catenin in patients with lymphatic metastasis was significantly higher than that in those without lymphatic metastasis (P < 0.05, P < 0.01). The mean survival duration and 5-year survival rate in patients with normal E-cadherin and β-catenin expression were remarkably higher than those in patients with abnormal expression (P < 0.05, P < 0.01).

CONCLUSIONSThe abnormal expression of E-cadherin and β-catenin is closely related to histological type, differentiation and metastasis in NSCLC. Detection of their expression might be helpful to predict prognosis of NSCLC.

Objective To explore the influence of occupational stress and personality traits on job burnout of nurses from psychiatry-specialized hospitals and general hospitals in Wenzhou .Methods 110 nurses from psychiatry-specialized hospitals and 103 nurses from general hospitals in Wenzhou were surveyed by questionnaires of Nurses′Occupational Pressure Source Scale , Eysenck Personality Questionnaire (EPQ), and Maslach Burnout Inventory (MBI).Independent-Samples t Test was used for comparison of occupational stress , personality traits and job burnout of the two groups , and multiple regression analysis was used to analyze the data.Results Total average scores of occupational stress of nurses in psychiatry-specialized hospitals were (2.57 ±0.37), higher than the those of nurses in general hospitals (2.19 ±0.42), (t=2.158, P<0.05). Scores of the dimension of emotional stability in EPQ of nurses in psychiatry-specialized hospitals were (54.68 ± 9.04), higher than those of nurses in general hospitals (45.16 ±10.39), (t=2.184, P<0.05).For nurses in psychiatry-specialized hospitals, scores of emotional exhaustion in MBI were (28.40 ±5.50), and scores of depersonalization were (10.59 ±3.31), higher than those of nurses in general hospitals; while scores in dimension of low sense of achievement were (22.16 ±3.45), lower than those of nurses in general hospitals (t=2.381, 2.330, -7.694; P<0.05).It was revealed in multiple regression analysis that for nurses in psychiatry-specialized hospitals , emotional stability had a positive predictive function on emotional exhaustion ;working environment , resources and emotional stability had a positive predictive function on depersonalization ;nursing profession and work had a negative predictive function on low sense of achievement ;for nurses in general hospitals, patient-caring had a positive predictive function on emotional exhaustion;workload and time allocation had a positive predictive function on depersonalization; patient-caring, emotional stability, workload and time allocation had a negative predictive function on low sense of achievement .Conclusions Degree of job burnout of nurses in psychiatry-specialized hospitals is higher than that of general hospital nurses .The influences of occupational stress and personality traits on job burnout have a synergistic effect .