0.05).The effective rates of the two treatment schemes were 90%,87%.The cost effectiveness ratio were 108.61 and 76.35.Conclusion Homemade octreotide is better in the treatment of severe acute pancreatitis.

58 embryos at 1, 2, 3 and 4 cell and morula stage were recovered from the oviduct and the uterine horn of the Ha-bai, Du-ha and Du-chang-ha pigs, 24 hours, 2 or 3 days of pregnancy, and were observed with SEM and TEM. The zona pellucida of 1 cell embryo was removed by treatment with 2.5％ pronase for visualization of the cell surface structure.The findings are as follows:1. The surface of the 1 cell stage embryo was densely populated with microvilli and sperm can be found on the surface with its head and tail surrounded by the microvilli and its plasma membrane of the equatorial segment of acrosome intact.2. Many spermatozoa were observed both on the surface and inside the zona pellucida of the 2 celled embryo.3. By the 4 cell stage, some of the spermatozoa had penetrated through the zona and got into the perivitelline space. 4. There were still some spermatozoa on the zona surface of the morula.5. The TEM observation revealed that the heads of supernumerary sperm were located within the cytoplasm of the blastomeres of the embryos from 1 to 4 cell stages and still not decondensed. Some of these sperm heads were actually found within the phagocytic vacuoles of the 4 celled embryos. The ultrastructure of these polyspermic embryos was normal.These results showed that polyspermy in the pig did not intefere with the cleavage of the embryo and the embryo possessed the ability to dispose the excessive sperms.

On 10 days of pregnancy the blastocysts of 3 mm and 9 mm in diameters wereflushed out from the uterine horns of the Du-Chang-Ha and Dong-Bei-Min pigs.The blastocysts were divided into four parts,that is the embryonic disc,the animalpole,the lateral part and the vegetal pole.The outer and inner surface of the fourparts were observed with SEM and the findings are as follows:1,The 3 mm blastocystsThe outer surface of the embryonic disc was still covered with trophoblasticcells.Three kinds of cells can be discerned:the cell with round prominences andlong microvilli(MV);the cell with thin and long MV,the cell with smooth sur-face.The trophoblast cells in other areas of the blastocyst were similar but slightlyflat.The inner surface of the blactocyst consists of endoderm cells which weredifferent in the four parts.From the embryonic disc to the vegetal pole,the surfacestructure of the endoderm cells changed regularly from small to large from dome-shaped to flat and the distance between nuclei increased gradually.The MVs on thecell surface:became less.These findings suggested that endoderm cells weremoving from the center of the embryonic disc to the vegetal pole.There weremany holes on the marginal area of the cells.The edge of the cell on the innersurface of the vegetal pole forms a network.Many round granules can be seen inthe holes of the network.Their function may be for the transport of nutrients.2,The 9 mm blastocystsThe outer surface of the embryonic disc was not covered with trophobla-stic cells but covered with ectoderm cells.The ectoderm cells in the primitivestreak had long MV on their surface but short ones on other areas of the disc.The inner surface of the embryonic disc was endoderm cells.The MVs on theendoderm cells was much more numerous than the MVs on the ectoderm cells.Thedifferentiation of the cells in the pig blastocyst was also discussed.

Objective To study the effects of electromyography-triggered neuromuscular stimulation on upper extremity functional recovery of acute stroke patients. Methods 60 stroke patients who lost wrist extension even in the electromyography (EMG) within 4 weeks were randomly assigned to experimental group and control group. The experimental group received electromyography-triggered neuromuscular stimulation, and the control group received neuromuscular stimulation. They were assessed with EMG, Fugl-Meyer assessment (FMA), Barthel index (BI) before and 4 weeks after treatment. Results The EMG, scores of FMA and BI improved in all the patients after treatment (P=0.000), and improved more in the experimental group (P<0.05). Conclusion Electromyography-triggered neuromuscular stimulation can improve the motor function of hemiplegia, even in the patients without change of EMG.

OBJECTIVE To explore the value of the continuous quality improvement(CQI) in the quality control of disinfection supply center.METHODS The CQI was applied to every aspect of disinfection supply center.We analyzed and identified the reason of the existence of quality problems,and took CQI measures and the implementaion of quality improvement.RESULTS After 5 years CQI,quality control of disinfection supply center had been remarkably improved.The harmony had increased among staff year by year.The professional knowledge rose from 60% to 100%,the rate of monitoring raised from 70% to 100%,the pass rate of sterilized package raised from 55% to 95%,the satisfaction rate of the relevant sections raised from 85% to 100%.The errors and accidents were eliminated or reduced owing to pay attention to quality control.CONCLUSIONS CQI plays an important role on medical service safety and can effectively improve the medical safety,medical quality and service quality.

Objectives To analyze the various protein components in urine and to define the types of proteinuria. Methods Sodium dodecyl sulfate argarose gel electrophoresis was used to analyze 86 non concentrated urine samples from patients with various renal injury. Results According to the images of urine protein electrophoresis, proteinuria can be classified into five types: glomerular, tubular, mixed, over flow, and physiological. Results from 16 cases of renal biopsy showed glomerular type, in 12 cases mixed type in 3, physiological type in 1. Conclusion This method is highly sensitive, simple, less time consuming and easy for long term preservation of results.

Objective To investigate the feasibility,safety and clinical efficacy of transvaginal myomectomy.Methods A total of 92 patients with uterine leiomyoma were given either vaginal myomectomy(Study Group,n=46) or abdominal myomectomy(Control Group,n=46).Clinical outcomes between the two groups were compared.Results Both vaginal and abdominal myomectomy were performed successfully.The operation time between the two groups was not statistically significant(t=-0.734,P=0.465).There were significant differences between the Study Group and the Control Group in the intraoperative blood loss(60.4(?5.6 ml) vs 82.5?50.2 ml;t=-2.210,P=0.000),the time to first passing flatus(15.3?3.2 h vs 27.5?4.8 h;(t=-14.343,)P=0.030),the incidence of postoperative pain (?~2=29.447,P=0.000),the rate of postoperative pyrexia(?~2=3.903,P=0.048),and the hospital stay(3.1?0.4 d vs 5.2?1.1 d;t=-12.169,P=0.000).Conclusions Transvaginal myomectomy has advantages of little invasion,quick recovery of bowel movement,slight postoperative pain,low rate of postoperative pyrexia,and short hospital stay,being a safe and feasible minimally invasive option for uterine leiomyoma.

Objective To study the effect of Fas gene transfection on bladder cancer cells. Methods Fas cDNA were transduced into bladder cancer cells EJ by DOTAP liposomal transfection regeant. Northern blot,in situ hybrization and flow cytometric evaluation were used to confirm the Fas mRNA and protein expression. The apoptosis and proliferation of EJ cells pre and posttransfection induced by cisplatin were analysed by flow cytometry、DNA ladder and MTT methods. Results Transfection of Fas gene can significantly upregulate the expression of Fas in human bladder cancer EJ cells. Apoptosis and decrease of proliferation were easily induced by cisplatin in the transfected EJ cells. Conclusions Fas system might involve in the development and progression of urogenital malignant tumors. Transfection of Fas gene by lipofectin can significantly upregulate the Fas expression in target cell. The synergistic cytotoxic effect obtainted in EJ cells suggested that combined use of Fas gene transfection and cisplatin may help in the treatment of cisplatin resistant bladder cancer.

0.05).The addition of sIL-6R to group SFT6 restored UCB cells expansion to a higher extent than in group SFT,SFT6 and SFTs(P0.05).Conclusion:The IL-6/sIl-6R in combination with SCF,FL and TPO could enhance the expansion of cord blood CD34+ cells and their expression of CD49d,CD62L and CXCR4.

Objective　To explore the significance of the dynamic changes of pro-and anti-inflammatory cytokines in the onset and development of acute panreatitis (AP). Methods　Pro-inflammatory cytokines TNFα, IL-1β, IL-6, and IL-8 and anti-inflammatory cytokines IL-10 and IL-1ra in the plasma of 48 patients with AP and 20 healthy individuals were determined with ELISA. Results　The levels of all pro-and anti-inflammatory cytokines in plasma was significantly higher in AP patients than in control group (P<0.05) in early stage of the disease, and then all levels were decreased gradually, consistent with the alterations of clinical symptoms of the AP patients. Conclusion　The dynamic changes of pro-and anti-inflammatory cytokines might play important role in the onset and development of AP.