Diffusion tensor imaging is currently the best noninvasive technique to assess microstmctural changes in white matter pathways,which enables quantitative assessment of brain normal structures,brain development and lesions by calculating the apparent diffusion coefficient,fractional anisotropy,relative anisotropy and parallel diffusivity,etc.In order to improve the study on neonatal brain injuries,the application of diffusion tensor imaging in neonatal fields was reviewed in this paper.

Point-of-care ultrasound(POCUS)was dominated by emergency or intensive medical doctors.POCUS was a technology which was used to explain the pathophysiological changes, diagnosis and treatments.POCUS was widely used in the evaluation of hemodynamics, lung diseases and the airway managements.In pediatric field, especially the critically newborn treatment, POCUS has brightly prospects.The application progresses of POCUS in neonatal intensive care unit were reviewed in this article.

[Objective]Study on the Pathology shape structure of calcified cartilage one in Osteoarthritis knee joint and provide the theory for diagnosis and treatment of correlated disease.[Method]Osteoarthritis condyles of femur(n=21) were collected from knee joint replacement and the paraffin sections were prepared after fixation and decalcification.After stained with Safranin O/fast green,the shape structure of calcified cartilage zone was observed by microscope.[Result]Mean age of osteoarthritis patient was 65.57?7.43 yearsold;mean stature was(155.38+5.32)cm;mean weight was(59.95 ?8.99)kg;mean pathogenesis was(13.04?9.66) years.After stained with Safranin O/fast green,the pathological changes of calcified cartilage zone were defined as follow.Tidemark drift and thickening accompany with blood vessel invasion.The gap of tidemark increased width.Calcified cartilage zone desmoid changed or defect.[Conclusion]Calcified cartilage zone in Osteoarthritis knee joint taken place specific pathological changes.

Objective To study cell apoptosis and differentiation in postnatal developing spiral ganglion(SG)of rat.Methods By means of transmission electron microscope(TEM),cell apoptosis and the ultrastructure of rat SG neurons were investigated during postnatal days 1,3,5,7,10,14,and 30.Results In P5 and P7,neural cell apoptosis was observed in rat SG neuron.The typical morphological alterations of apoptotic cells included a crescent-shaped band of condensed chromation round the nuclear periphery,apoptotic bodies,and cell shrinkage.The first appeared type 2 neurons with densely packed neurofilaments in the cytoplasm could be recognized with confidence at postnatal day 7.The type 2 neurons at this time showed obvious signs of cell shrinkage.Cell apoptosis disappeared subsequently.In subsequent developing period,the morphological characteristics of type 1 and type 2 neurons became more remarkable and gradually achieved their mature structure.Conclusion The neural cell apoptosis was an important event in the postnatal development of rat SGCS.Cell apoptosis,occurred prior to appearance of the type 2 neurons,may be related to remodeling of the outer hair cell innervation and type 2 neuron differentiation.

0.05).The inflammatory resorption of root in experimental group was lower than that in the control(P

Objective To evaluate whether or not the 3.0T magnetic resonance (MR) scanner noise has adverse influence on neonatal hearing by using brainstem auditory evoked potentials(BAEP).Methods Forty-nine inpatients who received the MR examination were enrolled in this study from Aug.to Dec.2013,admitted to the Bayi Children's Hospital Affiliated to Beijing Military General Hospital.The Ⅰ,Ⅲ,Ⅴ wave latencies and the inter-peak intervals before and after the MR scan were compared by using SPSS 16.0 software.Results The BAEP results before and after MR examination respectively:(1) The latencies were:left ear Ⅰ wave (1.96 ± 0.22) ms vs (1.95 ± 0.30) ms,right ear Ⅰ wave (1.96 ± 0.22) ms vs (1.97 ± 0.27) ms,respectively; left ear Ⅲ wave (4.79 ± 0.23) ms vs (4.85 ± 0.28) ms,right earlllwave(4.78 ±0.24) ms vs (4.77 ±0.31) ms,respectively;left ear Ⅴ wave (7.10 ±0.24) ms vs (7.12 ±0.33) ms,right ear Ⅴ wave (6.76 ±0.32) ms vs (7.04 ±0.39) ms,respectively(allP ＞0.05).(2) The inter-peak intervals were:left ear Ⅰ-Ⅲ inter-peak interval (2.83 ± 0.23) ms vs (2.86 ± 0.27) ms,right ear Ⅰ-Ⅲ inter-peak interval (2.82 ± 0.24) ms vs (2.80 ± 0.17) ms,respectively ; left ear Ⅲ-Ⅴ inter-peak interval (2.31 ±0.28) ms vs (2.31 ±0.29) ms,right ear Ⅲ-Ⅴ inter-peak interval (2.26 ±0.27) ms vs (2.26 ±0.23) ms,respectively;left ear Ⅰ-Ⅴ inter-peak interval (5.11 ±0.40) ms vs (5.13 ±0.35) ms,right ear Ⅰ-Ⅴ inter-peak interval (5.07 ± 0.39) ms vs (5.07 ± 0.36) ms,respectively(all P ＞ 0.05).Conclusion The 3.0T MR may have no adverse influence on neonatal BAEP.

Objective: To investigate the effects of FGFR1OP and p57/Kip2 proteins on the genesis and progression of gliomas and their clinical significance. Methods: The expression of FGFR1OP and p57/Kip2 in 54 glioma specimens was detected by SP immunohistochemical technique. The relationship between the ex-pression levels of those proteins and various clinical pathologic factors was evaluated. Results: The expres-sion of FGFR1OP and p57/Kip2 was found in 66.7% and 44.4% gliomas, respectively. The OD value of FG-FR1OP was 0.131±0.010 in high grade gliomas, and 0.118±0.010 in low grade ones, with a statistical signifi-cance (t=-5.497, P=0.000), showing that higher expression of FGFR1OP was significantly associated with glo-ma cell differentiation. The OD value of p57/Kip2 was 0.156±0.008 in high grade gliomas, and 0.165±0.006 in low grade ones, with a statistical significance (t=0.296, P=0.014), showing that lower p57/Kip2 expression was correlated with high grade gliomas. FGFR1OP was negatively correlated with p57/Kip2 in gliomas (r=-0.732, P<0.01). Conclusion: Increased expression of FGFR1OP and/or decreased expression of p57/Kip2 may play an important role in the genesis and progression of gliomas and may indicate a poor prognosis.

OBJECTIVE: To analyze the causes for misplacement of pedicle screw in thoracolumbar spine.METHODS: From January 2002 to January 2008, 19 patients with misplacement in thoracolumbar spine were treated in Department of Orthopedics, Wuxi Affiliated Hospital of Nanjing University of Chinese Medicine, including 12 males and 7 females with an average age of 52.5 years (range 23-68 years). The diagnoses were thoracolumbar fracture in 5 cases, lumbar spondylolisthesis in 8 and degenerative lumbar disease in 6. The fixation systems were Steffee used in 4 cases, DRFS in 3, RF in 6, AF in 4 and GSS in 2. X-ray and CT scanning were used to observe pedicle screw location, including screw,pedicle and membranous sac and great vessels.RESULTS: The time of misplacement of pedicle screw was 5-69 days with an average time of 18.5 days, including 7 cases of screw penetrating into lateral cortex, 4 of screw penetrating into medial cortex, 2 of screw penetrating into pedicle cortex, 2 of overplacement, 2 of intervertebral foremen placement and 2 of intervertebral space placement.CONCLUSION: The causes for screw misplacement were anatomic variation and poor surgical skills, and the key factors in precise insertion of pedicle screw are fine surgical skills, carefully study of preoperative image and the intra-operative monitoring.

Objective:To explore the diagnostic value of mammography and ultrasonography(US)in diagnosis of breast disease with microcalcifications.Methods:Seventy-eight cases with breast microcalcifications were detected by mammography.The detection rate of breast microcalcification at US was analyzed.And the sensitivity,specificity and the accuracy of US in diagnosis breast disease with microcalcifications was compared with these of mammography.Results:The detection rate of breast microcalcification was 66.7%,And US depicted more malignant(87.5%)than benign microcalcification(33.3%).The sensitivity specificity and accuracy of US was 68.7%、83.3%、 74.3%respectively,and the sensitivity specificity and accuracy of mammography was 72.9%、 73.3%、75.6%respectively,there were no significant difference between the two methods.The sensitivity,specificity and accuracy of the combined the two methods was 89.6%,90.0%,92.3% respectively.Conclusion:US can effectively detect and identify the breast microcalicications.The combination can improve the assessment of breast disease with microcalicications,and has a significant clinical practical value in diagnosis of early breast cancer.

0.05).The ratio of TH~+ cells in the experimental group(7.38?0.84)% was higher than that in the control group(0.53?0.17)%,and there was significant statistical difference between the two group(P