BACKGROUND:Creep is a visco-elastic biological material form of solid performance.It is necessary to understand the creep mechanical properties of middle cerebral artery in prevention and treatment of cerebral arteriosclerosis and cerebral hemorrhage.OBJECTIVE:To compare the creep rheological properties of middle cerebral artery between the normal and atherosclerotic animal model,to identify the effects of atherosclerosis on the creep properties of middle cerebral artery.METHODS:Male SD rats were randomly divided into 2 groups,in the model group,rats were injected vitamin D3+nicotine+ high-fat diet fed to prepare atherosclerosis models;in the control group,rats were fed with normal diet.Rats were killed at 4 weeks and the middle cerebral artery specimens were obtained.The creep experiments were performed with electron Shimadzu universal testing machine The stress rate was 0.01 Mpa/s,with 7 200 s experimental time.A total of 1 00 numbers were collected and analyzed using one linear regression analysis.The creep curve,as well as the variation of strain and time was recorded.RESULTS AND CONCLUSION:The middle cerebral artery creep changed faster at the initial 600 s in the normal and atherosclerotic rats,and then slowly decreased.The creep of normal rats were greater than that of the atherosclerotic artery specimens at the 7 200 s(50.38%,48.26%,P＜0.05).The results demonstrated that the middle cerebral artery have different mechanical properties of creep in normal and atherosclerotic rats.The creep curve is changed in an exponential relationship.and the atherosclerosis has certain effect on the creep characteristics of middle cerebral artery.

Pegylated interferon plus ribavirin is still the standard treatment for hepatitis C,but the efficacy is often restricted by adverse events.HCV genotypes,viral dynamics during early treatment and gene polymorphism may be useful in predicting the efficacy of antiviral treatment.Several strategies have emerged to improve outcomes including low accelerating dose regimen (LADR) and prevention of complications.Direct antiviral drugs have been already used for HCV genotype 1 patients,and demonstrated improved efficacy.Besides,inhibitors and vitamin D may also be applied in antiviral therapy to improve the efficacy.This article reviews efficacy predictors,standard therapy,strategies and research on new medicaments in antiviral treatment of hepatitis C.

Objective To describe the CT characterization of retroperitoneal neuroganglionic tumor in order to get a better understanding of the disease. Methods Neuroganglionic tumors proved by operation and pathology (24 cases), as well as bone biopsy (2 cases), were studied in 18 males and 8 females. The mean age of neuroblastoma(14 cases), ganglioneuroblastoma(10 cases), and ganglioneuroma (2 cases) was 1 year 3 months, 3 years 6 months, and 6 years, respectively. Two cases of ganglioneuroma were complicated with leukemia and malignant pheochromocytoma. All cases were examined by CT scanning and 14 of them had contrast enhancement scanning preoperatively. 20 cases were also examined by ultrasound. Results The tumor sizes were 2.0 cm?2.5 cm?2.5 cm～16 cm?10 cm?8 cm. The tumors were all located in the retroperitoneal space, 22 cases were unilateral, 3 were situated in mid line prelumboscrally, and 1 was bilaterally located. The tumor were irregular in 20 cases and round shape in 6 cases; the tumor margin showed distinct in 14 cases and indistinct in 12 cases. Twenty five tumors showed mixture density and isointensity comparing with the kidney, 1 case with homogeneouse low density; 12 of 14 cases were enhanced inhomogeneously and 2 did not enhance; 23 of 26 cases showed different shapes of calcification. Retroperitoneal lymph nodes were swelling in 19 cases. Liver metastases were found in 3 cases, vascular encasement in 18 cases, tumor thrombus in inferior vena cava in 1 case,and tumor extending into spinal canal in 3 cases. Conclusion CT scanning can prompt the diagnosis of retroperitoneal neuroganglionic tumor and bolus injection of contrast medium can further increase the understanding of the abnormality within and around the tumor.

Substantia nigra is the largest nuclei in midbrain, which is divided into a compact part and a reticular part. Recent studies have shown that the changes of iron content in reticular part of substantia nigra results in the changes of substantia nigra echogenicity. The substantia nigra detected by transcranial Doppler, according to its echo changes, may provide help for the susceptibility of Parkinson's disease, latency and early diagnosis, as well as for the differential diagnosis of multiple system atrophy and vascular parkinsonism.

Objective Analysis of the results through nine kinds of Immunoglobulin M (IgM) in children with respiratory tract infection test ,and then investigate infant′s characteristics about gender ,geographical and seasonal ,provide a reference for clinical di‐agnosis .Methods Firstly ,collection the 2 736 children′s blood in our hospital and centrifuged serum ,use indirect immunofluores‐cence (ILF) method and IgM antibody reagents to detect Legionella pneumophlia 1(LP1) ,Mycoplasma pneumoniae(MP) ,Coxiella burnetii(COX) ,Chlamydia pneumoniae(CP) ,Adenovirus(ADV) ,Respiratory syncytial virus(RSV) ,Influenza A virus(IFA) ,Influ‐enza B virus(IFB) ,Parainfluenza virus(PIV) and record the children′s information ever months ,and use the card square test to a‐nalysis .Results A total of 2 736 cases of children were detected in 918 cases (33 .5% ) with IgM antibodies ,the detection rate in descending order MP ,FluB ,PIV ,ADV ,RSV ,COX ,FluX ,CP and LP1 ,124 cases of mixed infection ,it′s 13 .51% of the total num‐ber of infections .The total number of infections in men positive 21 .02% ,12 .54% for women ,with statistical significance (P<0 . 05) ,between different sexes .The highest in age groups was the 13 years old group detection rate was 13 .49% ,followed by 35 years old group(7 .79% ) ,and there was a significant difference(P<0 .05) between the groups .The analyzed about seasonal viral infection in children ,the winter(14 .07% ) and spring(7 .79% ) higher incidence ,and prevalence of each season statistically significant (P<0 .05) .Conclusion Children in the region are mostly M P pathogen infection ,and exist differences in seasonal ,gender and age .

To explore the changes of anti-thyroid drug (ATD) on bone mineral density and bone turnover parameters in patients with Graves disease (GD).Compared with the healthy controls during the same period,the serum levels of alkaline phosphatase (AKP) and bone gla protein (BGP) in GD patients significantly increased at pre-treatment and after normal thyroid by treatment (P ＜ 0.05,P ＜ 0.01).AKP and BGP of GD patients reduced to normal level at Month 6 after normal thyroid (P ＞ 0.05) ; BMD significantly decreased at pre-treatment and Month 12 after normal thyroid (P ＜ 0.05,P ＜ 0.01).And it dropped to normal level at Month 18 (P ＞ 0.05).GD could affect bone metabolism and thyroid hormone might accelerate bone metabolism directly.

After summing up the experience of recent years' clinic teaching, ICU department in Fangcun Branch of Second Clinical Medical College of Guangzhou University of TCM comes to a conclusion that, the clinical teaching of ICU should pay attention to and ensure effective implementation of beginning educationg. And following the PDCA method (Plan, Do, Check & Act) will make the work orderly, normative and controllable and meanwhile raise the students' observing and analysis ability as well as their operation and doctor-patient communication ability. In this way we can mostly enhance the effect of teaching.

AIM: To establish the methods for determining ephedrina hydrochloridum,pseudoephedrine hydrochloride,puerarin,baicalin in Ganmao Soft Capsule (Herba Ephedrae,Radix Puerariae lobatae,Radix Scutellariae,Ramulus Cinnamomi,Radix Angelicae sinensis,Radix Angelicae dahuricae,etc.) METHODS: Part 1(determination of ephedrina hydrochloridum and pseudoephedrine hydrochloride):The HPLC was carried out on kromasilTMC18 column(4.6 mm ? 250 mm,5 ?m) with acetonitrile-0.02 mol/L phosphoric acid solution(pH2.7)-triethylamine(2 ∶ 98 ∶ 0.1)as mobile phase,gradient elution.The detection wavelength was set at 207 nm.Part 2(determination of pueranin and baicalin):The HPLC was carried out on kromasilTMC18 column(4.6 mm ? 150 mm,5 ?m)with acetonitrile-water(11 ∶ 89)as mobile phase,gradient elution.The detection wavelength was set at 250 nm.RESULTS: The average recoveries were 99.96% with RSD 1.25% ,98.41% with RSD 1.46% ,98.67% with RSD 0.91% ,99.30% with RSD 0.88% ,respectively.CONCLUSION: The assay results demonstrate that the methods are simple,accurate and reproducible for quantification of four active components in Ganmao Soft Capsule.

Objective To search for the biomarker used to determine gastric cancer by the application of protein mass spectrometry analysis. Methods The relative contents of serum proteins were detected of 38 patients with gastric cancer and 82 healthy people by IMAC3 (CipherGen Inc.) chip and proteinchip. Results At the M/Z values range from 1 723Da to 14 048Da, 18 kind of protein contents are obviously different between the two groups. In the learning mode, all the 120 testers were correctly distinguished, both the sensitivity and specificity reached to 100%. While in the test mode, 31 patients and 81 control people were correctly distinguished, the accuracy were 81 6%(31/38) and 98 8%(81/82), respectively. Conclusion Gastric cancer can be quickly and exactly diagnosed by this method with high sensitivity and specificity. That will be widely used in clinical application

Artificial liver support system (ALSS),as a means of bridging patients with liver failure to transplantation,has been widely used at home and abroad.However,clinical trails show that different ALSS may have different therapeutic effects.This review briefly introduces the widely-used non-biological liver support technologies and extensively-studied biological liver support technologies,and tries to give an overview on their impact on biochemical markers and survival.