The author tested 34 urine samples with 5s-23srRNA gene spacer RFLP analysis and compared PCR results with serodiagnosis results.8 pafients of urine are positive by PCR. 7 patients were infected by B. garinii, 1 patient by B afzelii. These genospecies infecting patients are identical with those infecting local vectors. The results showed that the accuracy of laboratory diagnosis oould be improved by simultaneously testing samples with PCR and serodiagnosis. The method of 5s-23srRNA gene spacer RFLP analysis will probably be used widely in studying the relationship of clinical manifestation and genospecies and in epidemiology investigations.

Objective To understand the prevalence situation of disabled children with autistic spectrum disorders (ASD) in China. Methods The data of disabled ASD children aged 0~17 years from the Second National Sampling Survey on Disability was selected and analyzed. Results The prevalence rate of disabled ASD was 0.212 among children aged 0~17 years in China, the prevalence rate of disabled ASD among boys (0.282‰ ) was higher than that among girls (0.132‰ ) (χ2=16.119, P=0.000). The prevalence rate of disabled ASD was higher in younger group than that in elder group (P=0.000). There was no significant difference in the prevalence rate of those children between city and countryside (χ2=0.093, P=0.760). There were 73.3% disabled ASD children received rehabilitation training and service, and 26.7% disabled ASD children didn't. Conclusion Disabled ASD children is a big group in China, and their rehabilitation, education, and care after grow-up are badly in need of social attention.

Objective To explore the outcome of children with mental retardation after 3 years follow-up. Methods The subjects were 237 children with mental retardation, selected from Beijing Municipal Investigation for Children with Disability in 2004. Gesell Developmental Schedule and Wechsler Intelligence Scale for Children were used to estimate the children's intelligence. Results After 3 years, the outcome showed non-mental retarded, 124 subjects (52.32%); mild mental retarded, 46; moderate mental retarded, 32; severe mental retarded, 16; profound mental retardation, 19. The related factors include urban/suburban (B=-0.622), parental knowledge about rehabilitation training (B=-0.470) and score of personal social interaction in Gesell Test(B=-0.040). Conclusion The outcomes of children with mental retardation are different. But some problems still exist even in non-mental retarded children.

Objective To analyze the social and family factors influencing rehabilitation of mental retarded children.Methods 237 children diagnosed as mental retardation in 2004 in Beijing were researched with Self-designed Questionnaires and data were analyzed by Cross-tabs and Logistic Regression statistical method.Results The analysis showed that the degree of disabilities (P<0.001), education received (P<0.05), and the attitude from community to these children (P<0.05), were factors influencing rehabilitation of mental retarded children.Conclusion The degree of disabilities is the most important influencing factor to rehabilitation of mental retarded children; the mild or moderate mental cases can get good rehabilitation in a better community and family environment. The attitude to these children from community can make a great help to the rehabilitation.

Objective To investigate the effect of vocational rehabilitation and related factors in adult mental retarded persons in Beijing.Methods 152 mental retarded adult persons were investigated with Scale of Vocational Rehabilitation Effective for Adult with Mental Retarda⁃ tion. Results 59 (38.82%) persons improved their vocational ability after rehabilitation. The related factors of vocational rehabilitation included the causes of mental retardation and maladaptive behavior. Conclusion It is important for the vacational rehabilitation that the consultants deal with the maladaptive behavior appropriately.

Objective To investigate the relationship between semen trace elements and sperm density and motility in male infer‐tile patients .Methods A total of 116 cases of male infertility patients recruited in this hospital from September 2013 to September 2014 were collected and divided into the sperm density anomaly group (59 cases)and sperm motility anomaly group(57 cases) .Other 56 cases of fertile healthy men were enrolled into the control group .Sperm density and motility were analyzed and levels of calcium , phosphorus ,magnesium ,copper ,icon and zinc were detected in seminal plasma .Results Seminal level of calcium ,phosphorus ,zinc and iron in sperm density anomaly group were significantly lower than those in the control group ,while the level of copper was higher than that in the control group ,had statistically significant differences (P<0 .05) .Seminal level of copper in sperm motility a‐nomaly group was higher than that in the control group ,while levels of zinc and iron were lower than those in the control group ,had statistically significant differences (P< 0 .05) .Conclusion Sperm motility and density are significantly correlated with trace ele‐ments levels in seminal plasma .Routine determination of trace elements in seminal plasma in infertile men should be recommended , which could be helpful in fertility assessment and treatment .

Objective To investigate the rehabilitation conditions of the developmental disabled children.Methods 269 developmental disabled children were involved.Among them,237 children were with mental retarded disability,57 with physical disability and 26 with psychological disability.Questionnaire was used to estimate their condition and affecting factors.Results The prevalence of non-rehabilitation in mental retarded children was 71.31%,in physical developmental disabled children was 33.93%,and in psychological developmental disabled children was 42.31%.The rehabilitation measures focused on training and medical service,rarely on psychological service.The rehabilitation's affecting factors included singleton(P<0.01),maternal age(P<0.01),parental educational degree(P<0.05) and parental understanding of the rehabilitation(P<0.001).Conclusion The factors affecting rehabilitation are complicated,and what we should do now is to subside the poor family,propagandize the rehabilitation knowledge to the children's parents.

Objective To Btudy effect of standardized acupuncture combined with rehabilitation therapy (function training)on improvement of comprehensive function among patients with stroke in communities,Changning District of Shanghai.Methods One hundred and seventy-six stroke patients were divided into rehabilitation therapy group(88 cases)and control group(88 cages)with block randomization.Patients in rehabilitation therapy group were treated with standardized acupuncture combined with function training in addition to regular medical treatment,and patients in control group regular medical treatment only.All the patients were evaluated with functional comprehensive assessment(FCA)scale by the end of 2-and 5-month of treatment,respectively.Results By the end of 5-month of treatment,scores of FCA in both groups increased significantly (P＜0.01),as compared to those before treatment,more in rehabilitation therapy group than that in control group(P＜0.05).Conclusions Effect of standardized acupuncture combined with rehabilitation therapy Can obviously improve their comprehensive function among stroke patients in communities.

Objective To investigate the potential pathogenesis of Focal cortical dysplasia (FCD), we performed cDNA microarray analysis to obtain gene expression profile of FCD. Methods Three FCD samples and three normal controls were enrolled. Total RNA of the brain tissues were extracted. The difference gene expressions between FCD group and control group was detected using Affymetrix gene chip. The up and down-regulated genes were confirmed by Real-time PCR. Further, the related signal pathways involved in the pathogenic mechanisms of FCD were predicted by bioinformatics. Result In FCD, two up-regulated genes C21orF2 and AU152162 and 5 down-regulated genes ENPP2, ANLN, IP6K3, UGT8, and AZGP were found. Compared the FCD samples with the normal controls , there were significantly different in all down-regulated genes (P < 0.05), while the up-regulated genes were not (P > 0.05). Using bioinformatics analysis, the ENPP2 , UGT8 , and AZGP1 protein which located in the cell membrane or secreted into the extracellular matrix may be involved in the formation of the myelin sheath and the development of the nervous system by the lipid metabolism and LPA signaling pathway. Conclusion ENPP2, UGT8 and AZGP1 may be involved in pathogenesis of FCD through the process of myelin sheath formation and LPA signal pathway , which warrants further study to know their roles in the pathogenesis of FCD.

ObjectiveTo study the outcome of 3 kinds of disabled children. Methods269 disabled children found in 2004 Beijing Disabled Children Sampling, which including 237 children with mental retarded disability, 57 with physical disability and 26 with psychological disability, were followed up in 2007. Results52.32% of mental disabled children, 8.77% of physical disabled, and 15.38% of psychological disabled children would not be seen as "disability" any longer. ConclusionThe disability before 6 years old is a kind of developmental disability, which may be recovery as development.