Objective: To investigate the clinical and pathological features and imaging manifestations of SFT (solitary fibrous tumor), and further to define the differiciation between the benign and malignant SFTs. Methods: The imaging findings were retrospectively analyzed and compared with the corresponding pathological results in 18 patients with SFT confirmed pathologically. Results: Of the 18 patients, 2 had postoperative recurrent or metastatic tumor, 3 had malignant SFT. The X-ray and MSCT (multi-slice computed tomography) scan images showed oval or lobulated masses with discrete margins except one malignant tumor. The tumor density was clear or nearly uniform. MRI (magnetic resonance imaging) examination showed that the tumors had intermediate signal intensity on T1WI (T1-weighted image) and heterogeneous signal intensity with flow voids on T2WI (T2-weighted image). All tumors showed heterogeneously intermediate or intense enhancement with geographic pattern. Intralesionally and paraleisonally prominent feeding vessels could be seen. The results of immunohistochemistry demonstrated that CD34 was positive in 18 patients; Bcl-2 and vimentin were positive in 17 patients; S100 was negative in 15 patients; cytokeratin and desmin were negative in 18 patients; Ki-67 expression was less than 5% in 15 benign tumors and more than 5% in 3 malignant tumors. Conclusion: There are some specific imaging features which are helpful to the differential diagnosis for SFT. These specific imaging features include the rich feeding vessels, the signal intensity on T2WI and the different enhancements associated with the tissue compositions of the tumor. However, making a definitive diagnosis still depends on pathology and immunohistochemistry. Copyright © 2013 by TUMOR.

Animals ; Cardiovascular Diseases ; etiology ; metabolism ; Humans ; Inflammation ; metabolism ; Periodontitis ; complications ; metabolism ; microbiology ; Platelet Aggregation ; physiology ; Porphyromonas gingivalis ; pathogenicity ; RNA, Messenger ; metabolism ; Receptor, PAR-1 ; metabolism ; Receptor, PAR-2 ; genetics ; metabolism ; Receptors, Proteinase-Activated ; metabolism ; Receptors, Thrombin ; metabolism

0.05). Conclusions (l)There are obvious expression of HBV antigen in the gastric mucosa of patients with chronic liver disease and cirrhosis . Its role in the pathogenesis of gastric mucosal lesion is the worthful subject to be further studied. (2) No relationship between HBV antigen and Hp antigen expression was observed in this study.

Objective We tried to investigate the current status of pediatric nursing post setting and analyze the practical application effect in the clinical working practice for the foundation of readjusting and setting up the pediatric nursing positions.Methods By convenient sampling method,the general condition and current post setting situation in the pediatric wards of 7 hospitals with self-designed questionnaires were investigated.The results underwent analysis Results The nursing post setting in pediatric wards of 7 hospitals were not all the same,nursing posts in the pediatric ward included three categories:management positions,teaching positions and clinical positions.Management positions included the head nurse,deputy head nurse and head nurse assistant; teaching positions included the teaching secretary and clinical total teaching nurse; the seven kinds of clinical nursing positions were office job,day shift,night shift,evening shift,midnight shift,late-morning shift,auxiliary job.Though some nursing jobs differed in the position names and working hours,their job contents were nearly identical.Conclusions Pediatric nursing post setting management in our country is still in the exploratory stage at present,it has not form a unified perfect job management system.Pediatric nursing positions should be set from the perspective of evidencebased theory,satisfying the demands of patients as the guidance,coming from clinical needs as the first principle,in the full implementation of the accountability for nursing and based on comprehensive consideration of various factors,so that the post setting can be scientific and reasonable.

[Abstract ] Objective The orthodontic-surgery is the most effective way to treat the severe skeletal class Ⅲmalocclusion,but the long-term stability is still disputed .The aim of this systematic review is to analyze the long-term stability of hard tissue of seriously skeletal Class Ⅲ malocclusion patients treated with orthodontic combined surgical treatment . Methods Literature were searched through the Cochrane Central Register of Controlled Trials , Cochrane Library, Medline via pubmed (1950-2014), EMBASE (1980-2014) and other foreign databases , and Chinese Biomedical Literature Database , China National Knowledge Infrastructure Database , VIP Database for Chinese Technical Periodicals , digital journal of Wan fang Data and so on .Unpublished conference papers and gray litera-tures were collected manually .The literatures consist of randomized controlled trials ( RCT) , quasi-randomized controlled trials and clini-cal case-control trial (CCT) were selected.Then meta analysis was performed for annexable literatures and qualitative description was performed for diverged documents . Results Five foreign articles and 1 Chinese article suitable for analysis were ultimately studied . All the studies were CCT and a total of 260 patients were involved in the present systematic review .Meta analysis showed that the SNA , SNB, ANB, MP SN and Y-axis did not change significantly during 3 years after operation (P>0.05) and a good skeletal class I facial types were maintained .The comparison results of MP-SN and Y-axis showed that there was no significant statistical difference and the mandibular plane angle maintained the relative stability .Meta analysis was not performed because of the different measurement methods of A, B, Pg and Ramus inclination , so the qualitative description was used .Point A and Ramus inclination remained relatively stable posi-tion, but point B and Pg had some replace compared with post-operative. Conclusion The orthodontic and surgical treatment for skeletal classⅢmalocclusion could keep the hard tissue relative stabil-ity except a little replace of the mandibular .

OBJECTIVE: To determine the recovery rates of blood and brain microdialysis probes of acetylglutamine(NAG) and its decomposition products glutamic acid (Glu) and γ-aminobutyric acid (GABA) in vitro, and lay the foundation for the pharmacokinetic study of NAG in blood and brain. METHODS: The concentrations of NAG, Glu and GABA in blood and brain microdialysates were determined by LC-MS /MS and the probe recoveries were calculated. The in vitro recoveries of NAG, Glu and GABA were studied using positive dialysis and retrodialysis methods at different flow rates and concentrations. RESULTS: The in vitro recoveries of blood and brain probes of NAG, Glu and GABA were inversely proportional to the perfusate flow rates while independent of drug concentrations. The recovery rates obtained by positive dialysis and retrodialysis methods in vitro were approximately equal under the same condition, and were stable for at least 6 h. CONCLUSION: Retrodialysis method can be used to study the probe recovery of NAG, and microdialysis can be used for blood and brain pharmacokinetic study of NAG.

Objective: Rabbit VX2 hepatoma was treated with transcatheter hepatic artery infusion with recombinant human (rh) endostatin combined with transcatheter arterial chemoembolization (TACE). The therapeutic efficacy was evaluated and the peri-cancerous CT perfusion features as well as the expressions of microvascular density (MVD) and vascular endothelial growth factor (VEGF) were analyzed. Methods: Thirty rabbits with VX2 hepatoma were randomly divided into three groups with 10 rabbits in each group. Group A were treated with TACE and infused with rh-endostatin via hepatic artery. Group B were treated with TACE only. Group C were control group. Routine CT scanning was performed before therapy and CT perfusion imaging were performed at 2nd weeks after treatment to get the data of blood flow (BF), blood volume (BV) and capillary permeability surface (PS) area. The rabbits were sacrified immediately after scanning. The MVD and VEGF expressions in tumor tissue slides were detected by immunohistochemistry. Results: The hepatoma growth rate was significantly lower in group A and B than that in group C (P <0.01). The BF, BV, and PS were significantly increased and MVD and VEGF were significantly decreased in group A than those in group B and C (P < 0.05, P < 0.01). There was no significant difference in the value of BF, BV, PS, MVD, and VEGF between groups B and C (P > 0.05). The expression of MVD positively correlated with the expression of VEGF in linear dependency (P < 0.01). BF, BV, and PS had positive correlation with MVD and VEGF in group A (P < 0.05). BF, BV, and PS had no significant correlation with MVD and VEGF expression in group B (P > 0.05). Conclusion: The combination therapy of TACE and administration of recombinant human endostatin via hepatic artery infusion significantly slows down the growth speed of hepatoma and inhibits tumor angiogenesis. The parameters of CT perfusion imaging can not reflect the changes of pathological parameters such as MVD and VEGF at any therapeutic condition.

Objective To design a system for the detection of coagulation factors using piezoelectric quartz crystal (PQC) sensors and to introduce its operating principle and the main components. Methods The contrary piezoelectric response of quartz crystal was used. Based on the fuzzy and decoupling control, a singlechip computer was used for constant temperature and constant humidity control and frequency count. The plasma coagulation time was measured for the purpose of determination of the activities and contents of the coagulation factors. Results The system was convenient, precise, and consistent for the detection of the coagulation factors. Conclusion PQC sensors with high accuracy and low cost can be used in the detection of coagulation factors and has a bright future in clinical practice.

Objective To observe the effect of acupuncture on the expressions of serum corticotropin-releasing hormone (CRH), pituitary adrenocorticotropic hormone (ACTH) and its mRNA, to discuss the predominant and secondary factors that influence the efficacy of acupuncture, and to explore the optimal combination of acupuncture parameters.Method The rat model of kidney yang deficiency was made by muscular injection with hydrocortisone. Serum CRH, pituitary ACTH and its mRNA expressions were taken as the observation indexes, and 4 influential factors (i.e. selection of acupoints, angle of needle twisting, frequency of needle twisting, and time of needle twisting) plus 3 levels of each factor were arranged to L9(34) orthogonal table. A computer-controlled acupuncture manipulation device was used to treat the kidney yang rats. Serum CRH and pituitary ACTH were detected by enzyme-linked immunosorbent assay (ELISA) and pituitary ACTH mRNA expression by real time fluorescent quantitative PCR, to illustrate the primary and secondary factors that affect the acupuncture effectiveness.Results Regarding the effect on acupuncture effectiveness, the time of needle twisting ranked the top, followed by frequency of needle twisting, angle of needle twisting, and selection of acupoints. Angle of needle twisting, frequency of needle twisting, and time of needle twisting should be the predominant factors or secondary factors in influencing acupuncture effectiveness (P<0.01 orP>0.05). Selection of acupoints should be an important factor or secondary factor in influencing acupuncture effectiveness (P<0.05 orP>0.05).Conclusion For rats with kidney yang deficiency, the optimal acupuncture parameters combination should be acupuncture at Shenshu (BL 23), with twisting angle by 90°, twisting frequency at 180/min, and needle twisting time 120 s. Different factors can produce different effects on the therapeutic efficacy of acupuncture in treating rats with kidney yang deficiency; among the factors, the time of needle twisting produces the most significant effect, followed by frequency of needle twisting, angle of needle twisting, and selection of acupoints.

Objective To investigate the assessment value of multimodal CT examination for collateral circulation after cerebral ischemia. Methods Within 3 days of admission,39 patients with ischemic stroke received multimodal CT examinations,including CT scan,CT perfusion (CTP)imaging,and CT angiography (CTA). The postprocessing software of the German SIEMENS 64-slice spiral CT system was used to evaluate the state of brain tissue perfusion and the conditions of head blood vessels of the subjects. The cerebral blood flow(CBF),cerebral blood volume(CBV),mean transit time(MTT),time to peak(TTP) and the score of the modified Rankin scale (mRS)in the 90 d after discharge were compared between the patients with good collateral circulation and poor collateral circulation. Results Among 39 patients, multimodal CT examination revealed that 2 patients were negative,one of them was followed up by head MR and was clinically proven as transient ischemic attack,and the other was lacunar infarction. Thirty-seven patients were positive. Multimodal CT examination found 24 patients had offending vessels occlusion and/or stenosis on the lesion sides,the collateral circulation formation in 11 of them was observed on the lesion sides;another 13 patients had poor collateral circulation on the lesion sides. The comparison of lesion sides and contralateral sides,the patients with good collateral circulation showed the CBF decreased (t= -5. 92),the MTT and TTP prolonged (t=4. 27 and 3. 17 respectively). There were significant differences (all P<0. 01). The CBV and CBF in patients with poor collateral circulation were decreased significantly (t= -14.27 and-14.82 respectively),MTT and TTP prolonged (t=7. 26 and 7. 54 respectively). There were significant differences (all P <0. 01). There were significant differences in CBF,CBV,and TTP on the lesion sides between the two groups of patients (t=3. 24,4. 11,and -2. 34,respectively;all P<0. 05). The 90 d mRS scores for patients with good collateral circulation and poor collateral circulation were 1. 3 ± 0.6 and 4. 0 ± 0. 9 respectively. There was significant difference (t = -8. 29,P <0. 01). The patients of having collateral circulation formation had good prognosis. Conclusion Multimodal CT examination has certain clinical significance for evaluation of cerebral perfusion state,understanding the establishment or patency of cerebral collateral circulation,and determining the clinical prognosis.