Eighty percent of unexplained syncope in children is neurally mediated syncope (NMS).The cur-rent clinical diagnosis of children NMS mainly depends on the head -up tilt test(HUTT),which has a certain risk, therefore searching for a safe noninvasive NMS diagnosis method is of great significance.Twenty -four -hour ambulato-ry blood pressure monitoring (ABPM)is widely used in clinic recently.It was reported that there was autonomic nerve adjustment imbalance in children with NMS.And the diagnostic value of ambulatory blood pressure pattern to NMS chil-dren was high.Non -spoontype blood pressure variation pattern of NMS could aid to diagnose children NMS.Fur-therly study of 24 h ABPMof NMS children has great significance to explore the pathogenesis of the NMS,to be benefi-cial to explain the regulating mechanism of the vessels,and go a step further to guide the treatment.

The common rheumatic diseases in children including rheumatic fever,juvenile idiopathic arthritis,systemic lupus erythematosus (including neonatal lupus),juvenile dermatomyositis,Kawasaki disease,anaphylactoid purpura.Rheumatic diseases as a group of unknown etiology autoimmune diseases,connective tissue and collagen fibers of different organs can be affected.Systemic inflammatory is the common prominent characteristics of this kind of disease,often resulting in multiple organ damage.Over recent decades,there has been considerable interest in the long-term outcomes of individuals with chronical inflammatory disease and an area of particular concern has been the increased prevalence of cardiovascular disease.Since sustained systemic inflammation is known to accelerate atherosclerosis,doctor should pay attention to rheumatic diseases associated cardiovascular involvements during daily clinical work.The cardiovascular involvement of common rheumatic diseases in children is summarized in this paper.

Objective To set up a stable method to induce SW872 adipocyte to differentiation.Methods THE animals were randomly divided in to five groups according to different inducing agents and a control groups.The changes of the cells were observed by microscopy and Oil-Red O staining.TG mass of these cells were assayed by chemical colorimetry methods.Results The oleic acid is the strongest factor to induce SW872 cell to differentiate,IBMX+DEX+Insulin is also strong factor,but it took a longer time to act.The effect of IBMX is stronger than insulin and ASP,but less than Oleic acid and IBMX+DEX+Insulin.Oleic acid significantly increased triglyceride mass of SW872 cell on the 1~(th) day of differentiation,The TG mass in the oleic acid group increased on the 2~(th) and4~(th)day of differentiation. Conclusion Oleic acid is the best Inducer to stimulate SW872 cell to differentiate,it can induce SW872 preadipocytes to differentiate to adipicytes in a short term.

Objective To study the genetic polymorphisms of STR locus D20S85 and to obtain the genetic data of Guangdong Han, Guangxi Zhuang, Huadong Han,Neimenggu Han and Meng populations. Method Using PCR and silver - staining methods, the alleles of D20S85 locus were detected and analysed. Results 9 alleles and 35 genotypes were found in those populations. The highest allele frequency was D20S85* 6. The results of Hardy - Wein-berg equilibrium test showed that the genotype distributions observed in five populations were correspondent with the expected. The expected heterozygosity was 0.7720 - 0.7912; the exclusion probability of paternity was 0.7538-0.7594(triplet) and 0.3988 -0.4297 (biplet) ; the discrimination power 0.9175 -0.9272 and the polymorphism information content 0.7442 - 0.7656. Conclusion STR D20S85 locus is a useful genetic marker for forensic application .

Objective To investigate the polymorphism of DXS6854 locus in Guangdong Han population. Methods The DXS6854 locus was analyzed by PCR following polyacrylamide gel electrophoresis and silver staining. Results Among 189 females and 230 males from Guangdong Han population, 8 alleles were observed with frequencies ranging from 0.0026 to 0.4522. Exact tests demonstrated genotype frequencies in females had no departure from Hardy- Weinberg equilibrium. The discrimination powers for female and male original samples were 0.8633 and 0.7012, respectively. When both mother and her daughter were tested, the probability of excluding a random man as a father was 0.6712. Conclusion The DXS6854 locus is appropriate for individual identification and paternity testing involving a female child.

Objective To investigate the STR typing discordance between different typing methods.Methods Genotypes of 13 routine forensic STR loci in DNA samples from 100 individuals were typed by using singleplex polyacrylimide gel electrophoresis silver stain system and Power Plex16 System,respectively.The typing results between these two systems were compared.Results One genotype discordance was observed at D8S1179 locus in a DNA sample.The genotypes was 12/14 in snigleplex system and 12/15 in Power Plex16 System.Conclusion Different STR typing systems may result in different genotyps from the same DNA sample.

Since the HLA system is one of the most complex human genetic polym- orphisms,its application in forensic medicine included disputed paternity and criminal identification,have been fairly recognized. The present paper reported the results of our study about the HLA typing in human blood stain,serum and saliva,it was concluded that:(1).The existed strong anti-complementary activity in human blood stain when the amount of complement used in microlym-phocytotoxicity inhibition test(MLIT) was incresed to 10?l,it was found that the results of HLA-All,-B 5 typing in bloodstains were all correct,and the detectable period was at least 90 days; (2).The soluble HLA-A antigens in human serum could reliable detected with MLIT;(3).The soluble HLA-A antigens were also present in the human siliva.

Since the information supplied by the paternity testing of alleged parents was less than that of standard triplet parentage testing,so the paternity index (PI) calculating methods of standard triplet parentage testing was not suitable for calculating the PI value of alleged parents.In order to establish a more precise method for calculating PI value of alleged parents with STR typing results,the first thing is to summarize the standard triplet PI calculating formulas according to the Essen Mller theory.These formulas are 1/p,1/2p,1/p+q,1/2p+2q.This article reports a new PI calculating method in case of paternity testing of alleged parents.Compared with other methods,the new method for calculating Y value either considering random man and random female or considering the alleged father(mother)and random female(man).

Objective To investigate the clinical and imageological features of pituitrin-induced delayed encephalopathy. Methods Clinical data of 8 patients with delayed encephalopathy caused by pituitrin were analyzed retrospectively. Results All of the 8 patients presented diffent degree neuropsychic symptoms at 4～12 d after stop using the pituitrin. The extrapyramidal and psychiatric symptoms of the cases were found,such as hypermyotonia(8 cases),hypokinesia(6 cases),extremity buffeting(3 cases),emotional and behavior disorder(6 cases). The 8 cases with EEG examination showed:there were gently to midrange widespread dysfunction in 4 cases,severe widespread dysfunction in 1 case. The levels of serum Na+ in 5 cases were decrease slightly. The 8 cases with brain MRI examination showed that the abnormal signals were mainly located in lentiform nucleus and head of caudate nucleus with long T1 and T2-weighted images,and including thalamus or midbrain abnormalities signal in 1 case,respectively. Conclusions The manifestations of pituitrin-induced delayed encephalopathy are extrapyramidal symptoms and cerebral disorders. The characteristics of brain MRI are abnormal signals in lentiform nucleus and head of caudate nucleus with long T1 and T2-weighted images. The supposed pathogenesis may be nerve necrosis induced by Charcot's artery spasm and hyponatremia.

Objective To identify routine forensic samples by genotyping method for HLA - A locus. Method A two - step PCR - SSP method was established. The first step is amplification with a pair of primers specific for all HLA - A alleles, the second step is amplification with primers specific for HLA - A30, A31, A33 respectively, using the first step amplification product as template. Secondly amplified PCR products were genotyped by electro-phoresis. Results 100 blood stains with a serological typing result of HLA - A30, A31 and A33 were tested with this method. The discrepancy rate between serological and genetic typing was 29%. Seminal stains, salivary stains reserved for 2 years and blood stains reserved for 18 years in room temperature gave satisfactory results. Conclusions It is better to replace serological typing by genetic typing. A two - step PCR - SSP genotyping method can be applied to forensic samples.