Objective To assess the efficacy of nebulized budesonide and salbutamol in the treatment of asthma by Meta‐analy‐sis .Methods According to the requirements of Cochrane systematic review ,a through literature search was performed among Wan‐fang database ,CNKI database ,VIP database of Chinese Periodicals and Pubmed database .Meta‐analysis was conducted on a total of 4 649 patients involved in 51 papers that met the inclusion criteria by RevMan4 .3 software .Results Compared with control group (RR=1 .27 ,95% CI=1 .23-1 .32) ,budesonide group which was treated by atomization inhales of nebulized budesonide based on routine treatment(RR=1 .31 ,95% CI=1 .16-1 .49) and salbutamol group which was treated by atomization inhales of salbutamol based on routine treatment(RR=1 .23 ,95% CI= 1 .17 -1 .28) ,the combined group which was treated by atomization inhales of nebulized budesonide and salbutamol based on routine treatment exhibited higher rates of total effectiveness with significant inter‐group difference when taking rates of total effectiveness as index(P<0 .01) .When taking hospitalization rate as index ,the result of the combined group was lower ,compared with the salbutamol group (RR=0 .34 ,95% CI=0 .13-0 .90) ,and the intergroup differ‐ence was significant(P<0 .05) .Conclusion The effect of nebulized budesonide and salbutamol in the treatment of asthma is cer‐tain .

Tuberculosis (TB), an infectious disease caused by Mycobacterium tuberculosis (Mtb) infection,remains a major global concern.The activation of anti-TB immune responses is mediated by several complicated mechanisms, among which the local immune microenvironment at the disease site plays a crucial role.In this review, we discuss the roles of anti-TB immunity, Mtb immune escape and the elements at the local site of infection.

The submicroscopic structure of the postsynaptic membrane and the snbsynaptic dense body in the supraoptic nucleus of the hypothalamus of rat were studied. It was found that the subsynaptic dense body and postsynaptic membrane were connected by fine filaments. The subsynaptic dense body was closely related to the postsynaptic membrane and its submicroscopic configuration was complicated. In spite of the obvious differences existing between the subsynaptic dense bodies, nevertheless a typical one was described in this nucleus.It is of interest to note that most subsynaptic dense bodies were mainly encountered within the postsynaptic element of Gray's Type Ⅰ synapse, thus the authors postulated that the subsynaptic dense body would play an important role in the excitatory synapse.

Objective:To use computer technology for large medical equipment quality management.Methods: The quality management mode of the existing large medical equipment and means of analysis, combined with the work practice, learn from developed countries in Europe and America advanced method of large medical equipment management, and extract the key elements of quality management, and the formation of information management of design documents and procedures.Results: A set of used in quality management of large medical equipment information system, including the elements of quality management, quality management evaluation and related benefit analysis.Conclusion: by means of information used for quality management of large medical equipment, effectively regulate the quality management system of large-scale medical equipment, to enhance the quality and safety of controllability, protect the patient's life security, but also conforms to the future development direction of quality management, to satisfy the competent departments, medical institutions and patients in many aspects such as quality safety requirements for large medical equipment.

OBJECTIVE:To establish a method for determination of ionization equilibrium constant of sildenafil using ultraviolet spectrophotometry.METHODS:Methanol solutions of sildenafil with pH values of 2.26,8.56,9.31,9.83 and 12.38 were respectively scanned at the wavelength within the range of 200nm～400nm.The absorbability and pKa value of sildenafil were determined at the selected wavelength of 280,287,290,295 and 297nm respectively.RESULTS:The pKa value of sildenafil was 9.35?0.02.CONCLUSION:The present method is convenient and practicable.

Objective To investigate the clinical characteristics and pathogenesis of paroxysmal dyskinesias.Methods Retrospective analysis was performed in 5 patients suffering from paroxysmal kinesigenic choreoathetosis(PKC) and 2 patients with paroxysmal persistent exercise-induced dystonia(PED).Results The episodes of all cases of PKC were induced by sudden movements.3 cases showed rigidty and hypertonia.3 cases presented with twist of limbs and dystonia.2 PED cases were induced by persistent movement,manifested involuntary movements of limbs,and the duration of the attack usually last seconds to minutes.5 patients showed epileptic discharges in EEG or AEEG.2 patients had abnormal findings of brain CT or MRI.4 PKC cases responded well to carbamazepine and 1 PED patients to large dose of valproate sodium.Conclusions Paroxysmal dyskinesias are usually induced by sudden movement and present paroxysmal extrapyramidal symptoms.Most of the patients show epileptic discharges in EEG and responded well to antiepileptic drugs.This implies the underlying relationship of pathogenesis between paroxysmal dyskinesia and epilepsy.

The two hybridoma cell lines secreting antikeratin monoclonal antibodies (McAb)were obtained from fusion between NS_1 myelema cells and spleen cells of BALB/cmice immunized with keratin prepared from human callus.The two cell lines(AF_2and AF_5)have a chromosome number of 97 and 96 respectively.By immunodiffusion,both AF_2 and AF_5 McAb belong to mouse IgG_1 subclass.They have been successivelypassaged for over six months in vitro,and can grow well in the peritoneal fluid ofBALB/c mice,both produce high titer of specific antibodies. To determine their specificity with keratin of epithelia,AF_2 and AF_2 McAbwere used to stain various human normal and neoplastic tissue sections by the ABC(Avidin-Biotin peroxidase complex)immunohistochemical techniques.The results showthat AF_2 and AF_5 McAb can stain a series of normal epithelial tissues(in epidermis,positive for cells above the basal layer)and epithelial tumor tissues.No staining wereobserved in nonepithelial normal and tumor tissues.These results suggest that the twoMcAb are quite specific for a definite number of cytokeratins and promise to be use-ful in the differential diagnosis of tumors.

1. The ultrastructure of the synapses in the supraoptic nucleus of the hypothalamus of the rat has been studied with the electron microscope after fixation by glutaraldehyde-osmium tetroxide and double staining with urayl acetate and lead citrate.2. It was found that the morphological features of the synaptic vesicle are closely related to those of the smooth endoplasmic reticulum of the axonal endings.3. On the basis of the facts that the size, form, distribution and arrangement of the synaptic vesicles are similar to the endoplasmic reticulum, it was assumed that both organoids are homologous structures.4. The synaptic vesicles may be mainly derived from the endoplasmic reticulum in tile axonal endings. An other possible way of their may be from the invagination of the surface membrane of the eudings.

The development of education in rehabilitation medicine in China were analyzed and some solutions were suggested: increasing the investment in rehabilitation education; strengthening the teaching staff to improve the quality of teaching; establishing a standardized vocational system; intensifying the rehabilitation education for medical students.

Objective:To investigate the role of FASL and TRAIL in the AICD (activation induced cell death) of PBLs in patients with chronic hepatitis B.Methods:The PBLs of 20 nonnal control,24 patients with chronic hepatitis B and 24 patients with chronic severe hepatitis B were isolated and cultured with or without phytohemagglutinin( 10 pig/ml) for 48 hours in vitro. After incubation,the cells were harvested by centrifugation and the expression of FASL.,TRAIL in PBLs was assayed by reverse transcriptase-polymerase chain reaction (RT-PCR) and im-munohistochemical staining (SABC Method) .Results-.The expression of FASL mRNANTRAIL mRNA was undetectable in the resting PBLs of three investigated groups, but it was obviously increased after PHA stimulation in vitro. In comparison with the group of normal controls, the expression of FASL mRNA,TRAIL mRNA in PBLs was significantly higher in the group of patients with chronic hepatitis B( P