Objective Analyzed 32 cases of gastrointestinal stromal tumors(GIST) patients,to analysis the clinical and pathological characteristics of gastrointestinal stromal tumors of the stomach and explore associated prognostic factors.Methods Thirty-two GIST patients confirmed pathologically were included from May,2007 to April,2013.Their clinical records were retrospectively analyzed.Results Of the 32 GIST patients,the overall survival (OS) is 85.3％ for the second year.The progression free survival (PFS) is 79.2％ for the second year,respectively.Univariate survival analysis showed that OS and PFS have significant association with tumor size,metastasis,mitotic index and NIH risk group.Conclusions Metastasis and NIH risk group both are potential prognostic factor for gastric GIST.

Objective To observe the clinical effect of orally montelukast combined with doxofylline in older bronchial asthma.Methods A total of 87 stationary phase older bronchial asthma patients were divided into trial group (44 cases) and control group (43 cases).Trial group was given orally montelukast 10 mg 1 time/d,doxofylline 0.2 g,2 times/d.Control group was given inhaled fluticasone 250 μ g,2 times/d,a total of 3 months.The forced expiratory volume in one second (FEV1),peak expiratory flow rate (PEFR),one second rate (FEV1/FVC),asthma control test (ACT) score and the adverse reaction were compared between the 2 groups.Results There were no significant differences in FEV1,PEFR,FEV1/FVC before treatment between the 2 groups (P ＞ 0.05),they were significantly improved after treatment [trial group:(2.20 ± 3.21)L vs.(1.68 ± 0.71) L,(3.97 ± 0.32) L/s vs.(3.27 ± 0.32) L/s,(76.18 ± 1.02)％ vs.(63.91 ± 1.40)％,control group:(2.24 ±0.75) L vs.(1.71 ± 1.58) L,(4.06 ±0.34) L/s vs.(3.29 ±0.28) L/s,(77.85 ±0.67)％ vs.(62.37 ± 1.29)％],there were statistical differences (P ＜ 0.05).But there were no statistical differences after treatment between the 2 groups (P＞ 0.05).According ACT score,total effective rate in trial group was 90.9％ (40/44),in control group was 95.3％(41/43),there was no statistical difference (P ＞ 0.05).The rates of adverse reaction in trial group and control group were 4.5％(2/44) and 7.0％(3/43),there was no statistical difference (P ＞ 0.05).Conclusions The curative effect of orally montelukast combined with doxofylline in older bronchial asthma closes to the classic solution of inhalation fluticasone,which is easily accepted by older patients,and safety.It provides another option for older bronchial asthma patients.

ObjectiveTo analyze the application effects of two dimensional Duplex imaging and Site- Rite 5 ultrasound guided instrument during PICC insertion. Methods60 cases underwent color ultrasound- guided PICC were divided into the control group and the experimental group,they used the SiteRite 5 ultrasonic guided instrument and two dimensional Duplex imaging for PICC respectively.The success rate of vessel puncture,success rate of one- time insertion,accuracy in vessel selection and the rate of local tissue damage between the two groups were compared. ResultsThe experimental group had a higher success rate in the vessel selection and also with a higher rate of local tissue damage,but success rate of vessel puncture,success rate of one- time insertion were lower than the control group.However,there were no significant differences. ConclusionsFor the hospitals which can't purchase the Site- Rite 5 ultrasound guidance instrument for PICC,the two dimensional Duplex guidance can he attempted for PICC.It can achieve a higher success rate of insertion,especial in patients with bad condition of the peripheral vessels,so that this technology can be developed rapidly and widely.

Expression of the T-type Ca2 + channels has been reported in numerous types of tumors due to their unique activation/inactivation properties. In some cancer cells, the expression of T-type Ca2+ channels is proliferation state dependent. T-type channel blockers or interfering the α1 subunit of this channel via siRNA decrease proliferation of these cells. Since T-type Ca2+ channels are not expressed in epithelial cells, selective T-type Ca2 + channel blockers maybe serve as a potential therapeutic approach in the treatment of certain types of cancers.

Objective To observe the effect of doxepin hydrochloride on refractory hiccups after stroke.Methods 60 patients with refractory hiccup of post-stroke were randomly divided into 2 groups, treatment group :30 cases were given doxepin tablets 25～50 mg orally,3 times a day for 2～8 days;the control group :30 patients were orally adaine stened alprazolam 0. 4mg,3 times a day for 2～8 days. Results The total effective rate was 96. 67% in the treatment group,the total effective rate was 56. 67% in the control group,the effect of the treatment group is better than the control group( P＜0. 05 ). Conclusion The effect of doxepin hydrochloride on refractory hiccups after stroke is obvious,the method is simple,takes effect quickly,no significant side effects,the price is low.

AIM: To study the correlation between DNA index(DI),5cER,MRI appearance and the malignant grades of brain astrocytic tumors.METHODS: After Feulgen staining,40 paraffin samples of astrocytic tumors were observed about DI and 5cER by image analysis,MRI appearances were reviewed,including edema around tumor,clearity of boundary,equality of MRI singal,enhancement of tumor,shift of medline,necroses and cyst,then compared them with pathological grade and survival rate.RESULTS: There was a significant positive correlation between DI,5cER,MRI appearance and pathological grade,negative correlation between DI,5cER,MRI appearance and survival rate.CONCLUSION: DI,5cER and MRI appearance are very important in judging pathological grade and patient's prognosis.When 5cER mean of astrocytic tumor exceeds 20,the tumor should be judged as glioblastoma.

OBJECTIVE: To establish an HPLC-ELSD method for the determination of glucose in levofloxacin mesylate/glucose injection(LMGI).METHODS: The samples were determined by HPLC-ELSD on shim-pack VP-ODS column using ammonium acetate solution(adjusted to pH4.0 with acetic acid glacial)-acetonitrile(gradient elution) as the mobile phase at a flow rate of 0.7 mL?min-1.The injection volume was 10 ?L.The ELSD conditions were as follows: pressure of N2=35 PSI;drift temperature=80 ℃;spray temperature=48 ℃;attenuation Gain=10.RESULTS: The linear range of glucose was 49～148 ?g(r=0.999 8) and the average recovery rate was 100.18%(RSD=0.61%).CONCLUSIONS: The method is accurate,specific and applicable for the determination of glucose in LMGI.

Objective: To establish the model of cultured human amniotic epithelial cells(HAECs) on the fibrin clot in order to observe the effect of EGF,bFGF and TGF-?1 on HAEC.Methods:The cultivated HAECs on the formulated fibrin clot were examined by phase contrast microscopy,Giemsa staining and scanning electron microscopy.The effect of growth factor(EGF,bFGF,and TGF-?1) on the apoptosis of HAECs was measured by TUNEL.Results: HAECs generated on the formulated fibrin clot in vitro.HAECs exposed to EGF or bFGF showed a lower rate of apoptosis than the control group(P

Objective:To study the effects of whole body vibration(WBV)on resistance fracture after postmenopausal obesity women.Methods:A 12-weeks prospective and randominzed trial of 100 postmenopausal women with body mass index(BMI)≥23.The subjects were exposed to three 10-minutes treaments/week,low-magnitude(2.0m/s)and 30Hz vertical accelerations. Dual-energy X-ray absorptiometry(DXA)was used to measure bone mineral density(BMD)at the L_2～L_4 and the neck of left femur at baseline after 12weeks.Mobility Evaluation System was measured the mass and force of music in lower limbs and the force of resistance fracture in femoralneck after 12weeks intervention.Results:Ninty-six women completed the 12-weeks trial. BMD of treatment subjects increased 62.96% with a gain 0.65% in the L_2～L_4,whereas,contral group was increase 26.83% with a loss 0.89%.In the femoralneck,the 72.22% increase observed in the vibration group,contral group was increase 19.51%,the benefit were 1.62% and-1.38% in two groups.The left musle force exhibited a increase 83.33%with benefit of 12.14% in treament group and little increase 29.27% with loss of-8.15% in non-vibration group.The resistance fracture of force of femoralneck was significantly increase in the mechanical group,the increase and gain rate were 83.33%,2.65%,19.51% and -1.52%.Conclusion:WBV of low-level and high-frequency may be effecies for inhibiting the decline in BMD after postmenopausal obesity women,in addition,the musle force in lower limbs and the force of resistance fracture were significantly increase.

Objective To investigate the effects of ginsenoside(GS) on the expression of phosphorylated extracellular signal-regulated kinase(ERK) and cytokines in THP-1 induced by ?-amyloid(A?)_(1-40). Methods Human monocyte THP-1 cell line was used as a model of microglia.The expression of phosphorylated ERK was measured by Western blotting.The concentration of cytokine interleukin(IL)-1,IL-8 and tumor necrosis factor-?(TNF-?) was determined by radioimmunoassay in supernatant of THP-1 cells.Results The expression of phosphorylated ERK was enhanced and the concentration of cytokine IL-1,IL-8 and TNF-? was significantly increased in THP-1 cells stimulated by A?_(1-40) as compared with that of control group.Preincubation of THP-1 monocytes with ginsenoside(GS) for 30 min reduced the(expression)(of)(phosphorylated)(ERK)(and)(decreased)(the)(levels)(of)(cytokine)(IL-1,)(IL-8) (and)(TNF-?)(significantly)(in)(THP-1)(cells)(induced by) A?_(1-40).Conclusion Ginsenoside inhibites phosphorylation of ERK and reduces the content of cytokines in THP1 monocytes induced by A?,it may provide a novel therapy for alzheimer's disease.