Objective To analyze the effect of perioperative blood transfusion in orthopedic surgery.Methods A total of 201 patients who underwent an orthopedic surgery in our hospital in October 2015 to September 2016 were reviewed.Hemoglobin concentrations,hematocrit,postoperative hospital stay,infection and other related data were analyzed.Results 90 patients were transfused with blood and in 111 patients were not during orthopedic surgery (massive blood transfusion group including 17 cases;non massive blood transfusion group including 94 cases).Hemoglobin concentrations of transfusion group (103.09±16.37)g/L was lower than the non transfusion group (115.79± 13.68)g/L before liying hospital,postoperative hospitalization time of transfusion group (12.012±8.36) was longer than that of non transfusion group (16.14 ± 10.47)days.Postoperative infection rate in non transfusion group was 1.11％,and in transfusion group was 15.32％,in massive transfusion group is 52.94％.Conclusion Perioperative blood transfusion is not conducive to the recovery of hemoglobin level patients in orthopedic surgery,prolong hospital stay and increase the rate of infection after surgery.Perioperative blood transfusion makes it difficult to support the outcome of the disease

BACKGROUND: Hypogonadism happens gradually with body aging. Traditional Chinese medicine views that deficiency of essential qi is the chief reason for body aging. OBJECTIVE: To observe the influence of tiannianyin, the Chinese herb , on serum testosterone, superoxide dismutase (SOD) activity in testicular tissue and expression of proliferating cell nuclear antigen of spermatogenic cells in testes in subacute senile rats induced by D-galactose. DESIGN: Randomized controlled experiment. SETTING: Basic Medicine Institute of Chengde Medical College. MATERIALS: The experiment was perlormed in Basic Medicine Institute of Chengde Medical College from April to July 2003, in which, 40 adult male SD rats were employed and randomized into 4 groups, 10 rats in each .In normal group, no any management was done. In model group, medication group and negative control, D-galactosie was used for abdominal injection continuously at 200 mg (kg·d), once a day, totally for 40 days to prepare the model of subacute senile animal. In model group, no any management was done after modeling success. In medication group, gastric infusion with tiannianyin. Tiannianyin was administrated everyday after modeling success, once a day, totally for 30 days. In negative control, gastric infusion with physiological saline of same dosage was administrated after modeling success for same days. METHODS: Enzyme linked immunosorbent assay (ELISA) was used for determination of serum testosterone content, xanthine oxidase assay was used for determination of SOD activity in testicular tissue and immunohistochemical method was used to observe expression of proliferating cell nuclear antigen in rats of every group. MAIN OUTCOME MEASURES: ① serum testosterone content; ② SOD activity in testicular tissue; ③ expression of proliferating cell nuclear antigen of spermatogenic cells. RESULTS: Forty rats all entered result analysis. ① Serum testosterone content: That in model group was lower than normal group(P ＜ 0.05), and that in medication group was higher than model group(P ＜ 0.05). ② SOD activity in testicular tissue: That in model group was lower remarkably than normal group(P ＜ 0.01), and that in medication group was higher remarkably than model group(P ＜ 0.01). ③ Expression of proliferating cell nuclear antigen of spermatogenic cells: That in model group was lower than normal group(P ＜ 0.05), and that in medication group was higher remarkably than model group(P ＜ 0.05). CONCLUSION: Tiannianyin delays degeneration of reproductive function and aging of certain degree.

BACKGROUND: In follow of the gradual decrease of senile gonad function in the body, traditional Chinese medicine views that deficiency of essential qi is the chief reason of body senility. OBJECTIVE: To observe the effects of tian nian yin on serum testosterone content, superoxide dismutase activity in testicular tissue and apoptosis of testicular seminiferous cell in subacute senile rats. DESIGN: Randomized controlled experiment. SETTING: Human Anatomy Department of Chengde Medical College. MATERIALS: The experiment was performed in Institute of Basic Medicine of Chengde Medical College from April to July 2003, in which,40 SD male rats were employed and randomized into 4 groups, 10 rats in each group. In model group, medicinal group and the control, D-galactose was injected 200 mg/(kg·d) to prepare subacute senile animal model, once a day, continuously for 40 days. No any management was given in model group after modeling success. In medicinal group, gastric infusion with tian nian yin [composed of zhi heshouwu (Radix Polygoni Mutiflori Preparatea),huainiuxi (Radix Achyranthis Bidentatae), roucongrong (Herba Cistanchis),fuling (Poria), danshen (Radix Salviae Miltiorrhizae) and yinyanghuo (Herba Epimedii), it was decocted till 1.5 g/mL with raw herbs contained] was administrated once a day, totally for 30 days after modeling success. In the control, gastric infusion was administrated with physiological saline of same usage as the medicinal group after modeling success. INTERVENTIONS: In every group, enzyme linked immunosorbent assay (ELISA) was used to determine testosterone content in serum. Xanthine oxidase assay (XOD) was used to determine superoxide dismutase activity in testicular tissue and immunohistochemical method (IHC) was used to observe apoptosis of testicular seminiferous cell. MAIN OUTCOME MEASURES: ① Testosterone content in serum. ②Superoxide dismutase activity in testicular tissue. ③ Apoptosis of testicular seminiferous cell RESULTS: Forty rats all entered result analysis. ① Testosterone content in serum: Testosterone content in model group was lower than normal group [(0.52±0.15) μg/L, (1.26 0.32) μg/L, (t=3.004, P ＜ 0.05)], and that in medicinal group was higher than model group [(1.16±0.32) μg/L,(0.52 0.15) μg/L, (t=2.321, P ＜ 0.05)]. ② Superoxide dismutase activity in testicular tissue: Superoxide dismutase activity in model group was lower remarkably than the normal group [(107.22±9.33) kNU/g, (147.73±11.90) kNU/g,(t=13.339, P ＜ 0.01)], and that in medicinal group was higher remarkably than model group [(141.05±14.57) kNU/g, (107.22±9.33) kNU/g, (t=9.970,P ＜ 0.01)]. ③ Apoptosis of testicular seminiferous cell: Percentage of apoptotic seniniferous tubule and apoptotic rate of positive cell in model group were higher remarkably thannormal group respectively [(53.95 ±2.02)％compared with (34.21±2.10)％, (8.67±0.80)％ compared with (3.86±0.52)％,(x2=7.9, P ＜ 0.01, x2=5.01, P ＜ 0.05)], and those in medicinal group were lower remarkably than model group[(35.33±2.18)％ compared with (53.95±2.02)％, (4.68±0.74)％ compared with (8.67±0.80)％, (x2=7.02, P ＜ 0.01, x2=3.96, P ＜ 0.05)]. CONCLUSION: The apoptosis of testicular seminiferous cell was increased in senile modelgroup. Tian nian yin in gastric infusion decreased apoptotic rate of positive cell. It is explained that tian nian yin eliminates surplus oxygenic free radical, decreases apoptosis and improves seminiferous function in animal model.

Objective To determine the genetic subtypes and susceptible population of Cryptoccocus neoformans in China. Methods We analyzed 129 strains of Cryptococcus neoformans isolated during the period from 1980 through 2006 in 18 Prov-inces and municipalities of central and eastern China using epidemiological method,PCR fingerprint,and multilocus sequence typing (MLST).Results About 71.5% (91/129)of the clinical strains were isolated from the patients without any recognizable immunodeficiency.Only 8.5% (11/129)of the strains were from AIDS patients.The remaining 20.9% (27/129)were from patients with underlying diseases other than HIV infection.Furthermore,PCR fingerprinting and MLST showed that serotype A strains exhibited a unique VNⅠsubtype,which was distinguishable from the reference VNⅠmolecular types.For convenience we named this unique genotype as VNⅠc.Conclusions People without any recognizable immunodeficiency are the main susceptible population of the 129 clinical strains of Cryptococcus neoformans ,which contrasts with the reports from other countries.The different genetic subtypes of Cryptococcus neoformans between China and other countries may contribute to such a difference.

Objective To explore the value of laparoscopic appendectomy (LA) in children. Methods A total of 52 children underwent laparoscopic appendectomy by using the 3-port technique from October 2002 to December 2004. Results The operations were performed smoothly in all the 52 cases. The operating time was 20~50 min (mean, 30 min). The patients were discharged from hospital at 2~4 postoperative days. Peri-port subcutaneous emphysema occurred in 2 cases. No other complications were found. Follow-up checkups for 3~29 months (mean, 14 months) in 49 cases found no intestinal obstruction or abdominal residual infection. Conclusions Laparoscopic appendectomy in children is safe, effective and minimally invasive.

In recent years,zebrafish has become ideal animal models of human disease with its unique characteristics,such as small body,fecundity,fast development and growth,embryo transparency,and so on.Furthermore,the structure and gene of zebrafish eye are highly conservative with human eye,which make ophthalmologists to pay close attentions to zebrafish.This review focused on the studies and applications on zebrafish embryonic development of eyes,and also the applications of currently used genetic regulation and editing techniques and tools.

Polypoidal choroidal vasculopathy(PCV) is a common disease of the retina,the disease is more found in colored race.In China,the mainly nosogenic population is the female about 60 years old.The pathogenesis of PCV is unknown and there is no specific medicine at present.The funduscopic present is orangered lesions,bleed and exudation.Indocyanine green angiography(ICGA) could make a definite diagnosis of PCV.In recent,the main treatment of PCV includes photodynamic therapy,intravitreal anti-VEGF therapy,surgery for treatment of complications and combined therapy.We review the treatment and diagnosis of PCV,and propose the further research direction.

Basic fibroblast growth factor(bFGF)is a polypeptide cell growth factor,which has exten- sive physiological functions.With the in-depth study,the exploration of relationship between basic fibroblast growth factor and tumor has been developing rapidly in recent years,It shows a good prospect in diagnosis and treatment of tumor.There is a brief overview about the molecular biology of bFGF,its expression in tumor and the relationship between bFGF and tumorigenesis.

We investigated the Toxop lasma infection prevalence among planned pregnant women in Chongqing ,and to pro‐vide reference for the first level intervention of birth defects in the region .A total of 11 953 planned pregnant women were se‐lected by proportionally stratified multi‐stage random sampling method .Questionnaire survey was given to the women ,and blood samples were collected .Specific IgM and IgG antibodies against Toxoplasma were detected with ELISA .Results showed that among the 11 953 cases surveyed ,Toxoplasma IgM was positive in 71 cases ,with the positive rate of 0 .59% ;IgG was positive in 771 cases ,with the positive rate of 6 .54% .The positive rate of IgM and IgG antibodies in the metropolitan core re‐gion of the city was higher than that in the suburb areas (χ2 =35 .28 ,P<0 .000 1 ;χ2 =82 .65 ,P<0 .000 1) .The positive rate of IgM antibody increased with the educational level (χ2trend=3 .25 ,P=0 .001 1) .The positive rates of IgM and IgG varied in occupations among women (χ2 =13 .93 , P= 0 .016 0;χ2 = 15 .58 ,χ2 =0 .008 1) ,with the highest rate of public officials . Planned pregnant women with the history of abnormal pregnancy outcomes had higher positive rate of T .gondii IgM and IgG antibodies than those in the control (χ2 =6 .85 ,P=0 .008 9;χ2 =59 .25 ,P<0 .000 1) .There was no significant difference of IgM positive rate between the planned pregnancy women who had closed contact to cats and the control group (χ2 =0 .23 ,P=0 .628 6) ,while the positive rate of IgG was higher than that of the control group (χ2 =9 .95 ,P=0 .001 6) .T .gondii infec‐tion rate was on the low level of planned pregnant women in Chongqing .Adverse pregnancy outcomes are related to Toxoplas‐ma infection .

OBJECTIVETo investigate the mechanism of Yanshu Injection (YI) for overcoming multidrug resistance in breast carcinoma MCF-7 cells.

METHODSHuman breast carcinoma MCF-7 cells and doxorubicin-resistant MCF-7/DOX cells were treated with YI. Its inhibition on the cell proliferation was detected by MTT assay. The fluorescence intensity of doxorubicin was detected by flow cytometry. The expression of apoptosis related protein and P-glycoprotein were examined by immunoblotting after treated by YI.

RESULTSThe inhibitory action of YI on MCF-7/DOX cells was similar to that of MCF-7 cells, indicating no cross resistance (P > 0.05). 1/16 YI could obviously induce the apoptosis of MCF-7 cells and DOX cells. 1/256 YI +5 nmol/L doxorubicin and 1/128 YI +5 nmol/L doxorubicin could reduce the survival rate of MCF-7/ DOX resistant cells from 86.8% to 74.6% (P < 0.05) and 71.6% (P < 0.01) respectively, showing obvious synergistic effect. Besides, the accumulation of doxorubicin was increased after treated by YI in the MCF-7/ DOX cells. Results of immunoblotting indicated that reduction of P-glycoprotein expression was detected in MCF-7/DOX cells after exposure to YI.

CONCLUSIONYI could overcome the multidrug resistance in breast carcinoma MCF-7 cells possibly through reducing the expression of P-glycoprotein.

Apoptosis ; drug effects ; Cell Proliferation ; drug effects ; Drug Resistance, Multiple ; drug effects ; Drug Resistance, Neoplasm ; drug effects ; Drugs, Chinese Herbal ; pharmacology ; Female ; Humans ; MCF-7 Cells