ObjectiveTo study the maternal diet on neonatal weight and gestational diabetes,placental function and the impact of it. Methods93 cases of maternal gestational diabetes admitted to hospital with informed consent according to odd and even numbers randomly divided to observation group(50 case) and control group(43 cases) ,all accept conventional treatment,including exercise,health education and drug,observation group plus with diet control,compare the two sets of maternal placental maturity,amniotic fluid situation and the situation of fetal weight. ResultsObservation group with normal weight was 38 cases(76.0％ ) ,low body weight was 9 cases( 18.0％ ) ,huge children was 3 cases(6.0％ ) ,control group was 27 cases( 62.8％ ) ,2 cases(4.7％ ), 14 cases( 32.6％ ) ,two groups of great children birth rate had no significant difference( x2 =9.210,P =0. 002) ;placental maturity between the two groups showed no significant differenee( x2 =1. 034,3. 353 and 0. 433,P =0. 307,0. 067and 0. 510). Observation group normal amniotic fluid was 42 cases(84.0％ ) ,oligohydranmios was 6 cases( 12.0％ ) ,polyhydramnios was 2 cases(4.0％ ) ,the control group was 28 cases(65.1％ ) ,3 cases(7.0％ ) ,12 cases(27.9％ ) ,normal amniotic fluid and polyhydranmnios were significant differences between the two groups ( x2 =4. 429,8. 548, P =0. 035,0. 003 ).ConclusionDiet can reduce fetal macrosomia and the incidence of oligohydramnios, and it could ensure the maternal and child safety.

BACKGROUND: In the past, much attention was paid mainly to the body symptoms like focal neurological impairment in stroke, but the accompanied psychological symptoms were ignored easily.OBJECTIVE: To investigate the psychosocial factor in acute cerebrovascular disease and the mental state after the attack.DESIGN: Observational case-control study based on patients and healthy people.SETTING: A neurology department in a university hospital.PARTICIPANTS: Totally 55 patients with stroke hospitalized in Neurology Department of Hospital Affiliated to Medical College of Shaoxing Art and Science College and 35 healthy people taking physical examination from January 2001 to December 2003 in the hospital as controls.METHODS: Patients with acute cerebrovascular disease certified by CT/MR and people in control group took symptoms checklist-90(SCL-90) test within a month after attack.MAIN OUTCOME MEASURES: SCL-90 scores of the two groups.RESULTS: The condition of mental state in patients with acute cerebrovascular disease was worse than that in control group( P ＜ 0.01 ). There existed obvious physical and mental reaction. It was found in subsection analysis that the size and location of the focus had relationship with the degree of mental disorder after attack and it was easier to have mental disorder if the affection lied in left cerebral hemisphere.CONCLUSION: It is necessary to give psychological intervention in prevention and cure of acute cerebrovascular disease. Recognizing bad effect of stroke on psychoactivity may help to guide the treatment.

Objective To study the expression of MMP-9 in epatocellular carcinoma (HCC) and the relationship between its expression and clinical pathological characteristics.Methods Specimens taken from 67 fresh resected HCC and 16 normal liver tissues were selected.Tissue sections were stained by EnVisionTM immunohistochemistry with anti-MMP-9 monoclonal antibodies.The expression of MMP-9 in HCC and the relationship between its expression and clinical pathological characteristics were analyzed with x2test,t test and rank-sum test.Results The positive ratio of MMP-9 in HCC tissues was 58.21％,it was obviously higher than that of normal liver tissues (12.5％,x2 =10.80,P ＜ 0.01).The expression of MMP-9 in the metastatic HCC tissues was significantly higher than that in the non-metastatic HCC tissues (40.18 vs 26.38,P ＜0.01).Conclusions The positive ratio of MMP-9 expression revealed that the expression of MMP-9 increased obviously in the HCC,and that its expression in the metastatic HCC tissues significantly increased relative to the non-metastatic tissues.It suggests that MMP-9 might decompose and destroy the extracellular matrix and cell membrane around HCC cell surface,and then promote invasion and metastasis of HCC.

Objective To evaluate the role of EP_2 in synaptic transmission in dentate gyrus of hippocampus. Methods Field excitatory post-synaptic potentials (fEPSP) were recorded at the perforated path-granule neurons in dentate gyrus in vitro. Results ① Butaprost, an agonist of EP_2, enhanced the synaptic transmission in dentate gyrus and decreased the paired-pulse ratio, and these effects were reversed by bath application of AH6809 (EP_2 antagonist). ② Application of Forskolin alone or with AH6809 elevated the slope of fEPSP. ③ The Butaprost-induced responses were mediated via PKA, ERK and IP_3 signal pathways. Conclusion Multiple signal pathways were involved in the EP_2 activation-mediated enhancement of synaptic transmission.

Objective To explore the role of cyclooxgense-2 (COX-2) in tetrahydrocannabinol (THC)-induced inhibition of long-term depression (LTD) in CA1 area in vitro. Methods The hippocampal slices were prepared at 24 h after intraperitoneal injection of Δ~9-THC (10 mg/kg) or COX-2 inhibitor NS398 (10 mg/kg). Field excitatory post-synaptic potentials (fEPSP) were recorded in the stratum radiatum of the CA1 area in vitro to observe the effect of NS398, a selective inhibitor of COX-2, on the THC-induced inhibition of LTD and THC's effect on membrane excitability in pyramidal neurons by using the whole-cell patch clamp technique. Results ① Low-frequency stimulation (1 Hz, 15 min) induced-LTD in CA1 area was significantly attenuated by Δ9-THC. ② Δ~9-THC did not affect the basal synaptic transmission and membrane excitability (including membrane resting potentials, input resistance and firing property). ③ THC-induced inhibition of LTD was reversed by NS398. ④ THC-induced inhibition of LTD was robustly impaired in COX-2 knockout mice. Conclusion THC-induced inhibition of LTD in CA1 area was mediated via COX-2.

The development of Chinese herbs in a modernized context has been an endeavor of traditional Chinese medicine (TCM) industry for many years. Studies on active fractions and functional mechanism of Chinese herbs based on reductionism have been dominated for many years in modernization research of Chinese herbs, due to its multi-component and multi-targets nature. Fortunately, systemic theory of TCM is in a position to provide novel insights for Chinese herbs study. Based on systemic theory of TCM, this paper discussed the development of Chinese herbs combining with research ideas of“Chinese medicalization of western medicine” and“Chinese medicalization of chemicals”.

Objective To investigate the MRI features and pathological findings of primary intracranial lymphoma and to improve the diagnostic accuracy.Methods MRI features and pathological findings were analyzed in 28 pathologically proved cases of primary intracranial lymphoma.All 28 cases were examined by MRI scanning and diffusion weighted imaging(DWI),among which 19 cases were examined by enhanced MRI scanning.Results MRI manifestations:(1)single type:intracranial single lesion,the most common site was nearly the middle area of deep brain or brain surface;(2)multiple type.Type Ⅱa:multiple lesions in regional distribution, often showed several small lesions around a larger lesion.Type Ⅱb:multiple lesions in diffused distribution,often showed scattered distribution without an obvious regional distribution.The shapes of lesion were mass-like,nodular or irregular.The lesions showed isointense or slightly hypointense on T1 WI,and isointense,slightly hyperintense or slightly hypointense on T2 WI.On DWI,the le-sions showed hyperintense.Most lesions showed obvious enhancement with fisting sign,incision sign,pointed sign,butterfly sign,long and stiff spicule signand comb sign.Pathology:the tumor cells were heteromorphic and spread around the vessels, and showed greater cellularity,big prominent nucleoli,and small lymphocytes.The immunohistochemical examination showed that all tumor cells were positive for CD20 and CD79a and negative for GFAP.Conclusion The MRI findings of primary intracranial lym-phoma are various.Careful analysis can improve the diagnostic accuracy of the disease,definitive diagnosis requires histopathological and immunohistochemical examinations.

Objective To explore the effect of ipratropium bromide on serum interleukin-13 (IL-13), transforming growth factor-β1 (TGF-β1) and vascular endothelial growth factor (VEGF) in children with asthma.Methods Eighty-six children with asthma in pediatrics department of Hanggang Hospital from January 2014 to June 2014 were selected and divided into two groups according to different therapy, 43 cases in each group.Control group received aminophylline of intravenous drip infusion and salbutamol and ketotifen orally.Experimental group received ipratropium bromide of aerosol inhalation on the basis of control group, twice daily and treated for two courses, 7 days of one course.The clinical efficacy , serum IL-13, TGF-β1, VEGF and lung function post-treatment were compared between two groups.Results The total curative effect of experimental group was 90.69%, which was significantly higher than 72.09% of control group(χ2 =4.91,P<0.05).The serum levels of IL-13, TGF-β1 and VEGF after 3, 7 and 14 days’ treatment in two groups were lower than those pre-treatment(P<0.05).The above indicators of experimental group were lower than those of control group at the same time point(P<0.05).The FEV1 and FEV1/FVC% after 7, 14 days’ treatment in control group and the above indicators after 3, 7, 14 days’ treatment in experimental group were significantly higher than those pre-treatment (P<0.05).The above indicators of experimental group were higher than those of control group at the same time point (P<0.05).Conclusion Ipratropium bromide could affect serum IL-13, TGF-β1 and VEGF levels in children with asthma, improve lung function and clinical curative effect.

BACKGROUND:64-slice CT reconstruction technique for tibial plateau fractures hasobtainedsatisfactory results. This technology can reconstruct three-dimensional fracture relations, provide more scientific positioning and navigation standards for physicians, and improve the clinical cure rate. However, in the clinic, navigation method of 64-slice CT reconstruction techniques for tibial plateau fractures lacks a unified standard. OBJECTIVE:To study the navigation method and effect of 64-slice CT reconstruction in tibial plateau fractures. METHODS:A total of 44 patients with tibial plateau fractures were enroled in this study, including 27 males and 17 females, at the age between 21 and 74 years old. These patients were randomly divided into two groups (n=22). The control group underwent navigation method according to physician’s experience. The test group underwent navigation method according to 64-slice spiral CT scan results. Healing time, ful weight-bearing time, knee motion rangeat1 year postoperatively, the recovery ofknee functionat1 year postoperatively and adverse reaction were compared between the two groups. RESULTS AND CONCLUSION:(1) No significant differences in ful weight-bearing time and knee motion rangeat1 year postoperatively were detected between the two groups (P> 0.05). Healing time was significantly shorter in the test group than in the control group (P< 0.05). (2) The excelent and good rate of knee joint was 100% at 1 year postoperatively in the test group, which was significantly higher thanthe control group (81%) (P< 0.05). (3) The complication rate was significantly lower in the test group (8%) than in the control group (18%) (P< 0.05). (4) These results indicate that the effect of 64-slice CT reconstruction for navigation in tibial plateau fractures was ideal, could clearly simulate the pedicle screw fixation channel, visibly display anatomic characteristics of tibial plateau fractures, improve internal fixation accuracy, and improve repair effect.

AIM To investigate the effects of idazoxan on the viability and DNA integrity of clonal BRIN-BD11 cells. METHODS MTS reduction was used to check the viability of BRIN-BD11 cells. FACS cell cycle analysis was employed to determine the effects of idazoxan on DNA integrity of BRIN-BD11 cells. RESULTS ①Idazoxan markedly reduced the viability of BRIN-BD11 cells and resulted in DNA damage in time-and dose-dependent manner.②Genistein, 5-HT 1A antagonist NAN190 and PKG inhibitor-KT5823 had no protective effects against idazoxan-induced damage of BRIN-BD11 cells. CONCLUSION Idazoxan has cytotoxic effect and induces apoptosis of clonal pancreatic ?-cells.