Objective To evaluate the diagnostic efficacy of the reformatted unenhanecded spiral CT of ureter for ureterolithiasis. Methods 39 patients were examined using nonenhenced spiral CT from the top of the kidneys to symphysis pubis in a single breath hold. The postprocessing method used in our studies was curved planar reformatting(CPR). Results Reformatted CT displayed clearly the entire course of ureter in all 39 cases . The diagnosis of ureterolithiasis was made on CPR views by definitive demonstration a calculus actually within the ureter, including the stone size, shape, location and the obstruction degree of ureter in 33 patients. The CPR views also demonstrated the ureter and the structures around clearly to aid greatly in differentiating the other 6 cases miscellaneous urinary tract conditions. Conclusion Our findings suggest that the reformatted nonenhanecded spiral CT of ureter has potential as an imaging tool for the ureterolithiasis and other urinary tract abnormalities.

Aim To investigate the effects of ?,?-methylene ATP ( ?,?-MeATP) on the P2X1 purino-ceptor-mediated vasoconstriction by different administration ways in the rat mesenteric artery. Methods Isometric vasoconstrictive responses to ?,?-MeATP,administered in non-accumulative manner or single concentration manner,were recorded in the rat isolated mesenteric arterial rings. Results ?,?-MeATP ( 10 -7 ～ 10 -4 mol ? L -1 ) administered in both of the two manners produced concentration-dependent vasocon-strictive responses in the rat isolated mesenteric artery. The vasoconstrictive responses to ?,?-MeATP in single-concentration administration group were greater than those in non-accumulative administration group when the vasoconstriction was standardized either by tissue wet weight or by maximal response to 120 mmol ?L-1 KCl ( P

Objective:To evaluate the feature of juvenile onset recurrent respiratory papillomatosis (JORRP).Methods:Thirty-eight cases with JORRP were analyzed retrospectively from June,1986 to June,2000.Results:The average age was 3.5 years before diagnosis.Average 3.45 operations had been performed per patient .Of 38 cases ,eight had comlications of laryngeal dysfunction after operations.Peristomal and tracheal papilloma were spread in six of the nineteen cases with tracheotomies.Conclusion:JORRP is the most common laryngeal tumor in children. Most patients have frequent recurrences and multiple operations. Care should be taken to avoid damaging the normal laryngeal structure during surgical excision.

Cells, Cultured ; Endothelial Cells ; drug effects ; metabolism ; Endothelium, Vascular ; cytology ; metabolism ; Gene Expression Profiling ; Humans ; Ouabain ; pharmacology ; Umbilical Veins ; cytology

OBJECTlVE To investigate the effect of stretch on muscarinic receptor- and 5-hydroxytryptamine( 5-HT)receptor-mediated contractiIe responses in isoIated circuIar muscIe strips taken from the rat stomach. METHODS The contractiIe responses to carbachoI(CCh)0.001-30 μmoI·L-1 or 5-HT 0.0001 -30 μmoI·L-1 administered cumuIativeIy were recorded in isoIated circuIar muscIe strips taken from the gastric fundus,body,cardia and pyIorus of rats under different preIoads of 1.0,1.5,2.0, 2.5 and 3. 0 g,but a singIe concentration of CCh 0. 3 μmoI·L-1 was administered to the antrum. RESULTS The -Log EC50 vaIue for CCh in the isoIated circuIar muscIe strips of the gastric fundus, body and pyIorus under 1.0 g preIoad was the Iargest,but decreased significantIy with higher preIoads (P﹤0.05,P﹤0.01). A simiIar resuIt was obtained in the isoIated circuIar muscIe strips of the gastric body when 5-HT was used as an agonist. The Emax vaIue of contractiIe responses to CCh and 5-HT in the cir-cuIar muscIe strips of the gastric cardia under 3.0 g preIoad was increased by 117.4% and 75.7% com-pared to that under 1.0 g preIoad. The Emax vaIue of contractiIe responses to 5-HT in the circuIar muscIe strips of the gastric body under 3.0 g preIoad was aIso increased by 115.9% when compared to 1.0 g preIoad. The Emax( g) vaIue of contractiIe responses to CCh in four types of muscIe strips was 10.453±2.956(cardia under 3.0 g preIoad),13.878±2.618(fundus under 2.5 g preIoad),10.244±1.843 (gastric body under 2.5 g preIoad)and 2.585±1.098(pyIorus under 2.5 g preIoad),respectiveIy. The Emax(g)vaIue of contractiIe responses to 5-HT in three types of muscIe strips was 4.363±1.705(cardia under 3.0 g preIoad),3.931±0.615(fundus under 3.0 g preIoad)and 3.161±0.680(gastric body under 3.0 g preIoad),respectiveIy. CONCLUSlON 0.5 g or 1.0 g preIoad is inadequate for accurate determi-nation of contractiIe responses mediated by muscarinic receptors and 5-HT receptors in isoIated circuIar muscIe strips taken from the rat gastric cardia,fundus,body and pyIorus,but 2.0 g preIoad is optimaI for investigating muscarine receptor- or 5-HT receptor-mediated contractiIe responses of isoIated gastric strips of rats.

Tibetan Medicine (TM) has become important source of feature industry in several main Tibetan regions with its unique cultural and natural resources. This article argued that the researches on TM basic theories are weak;ecological environment for TM is fragile;safety evaluation ability is relatively insufficient;standardization system for researches on TM is needed; reasonable talent team supporting the development of TM industry is required;The combination of production, learning and research is not close;innovation ability is low;guiding principles for the evaluation of new TM do not exist. All of these are main factors that restrict the development of TM industry. Therefore, the main measures for the promotion of TM are:improve research level of TM theories;strengthen the protection of TM resources;promote national standard construction of TM;improve collaborative innovation ability of TM;enhance talent team construction;formulate appropriate policies and create good marketing environment.

Objective　To examine the left ventricular diastolic function of patients with coronary artery diseases by noninvasive echocardiography and invasive coronary angiography.Methods　Mitral and pulmonary venous Doppler signals were recorded by the continuous wave Doppler technique in 62 patients, both coronary angiography and left ventricle pressure were measured. Patients were divided into normal and abnormal groups based on coronary angiography.Results　Left ventricular end diastolic pressure (LVEDP) (17.6 mm Hg vs 13.2 mm Hg,P<0.05),the left ventricular negative Δp/Δt before atria contraction ［-(224.63±52.18),-(87.81±24.41),P<0.05］,and the elevated value of left ventricular pressure derived from atria contraction ［(6.66±0.92)mm Hg vs (0.96±1.87)mm Hg,P=0.0094］ in abnormal group were more than those in the normal. The ratio of slope in pulmonary vein and mitral A wave peak was less in normal group than that in the abnormal (5.10±0.31 vs 4.12±0.20,P＝0.0106). But the isovolume relaxation parameters had no differences between the two groups.Conclusions　Coronary arter ischemia is an important cause of left ventricular impaired relaxation aggravation and stiffness, the diastolic abnormalities existed in the whole diastolic duration. Except ischemia, other factors also could cause relaxation disfuction and even elevate the LVEDP.

Through analyzing the children's pre-hospital transport,emergency medicine,intensive care medicine,nursing,professional training and research,we reviewed the current status of construction and issues of pediatric emergency and critical care system,then put forward recommendations of its development.

Objective To review the diagnosis and treatment of primary gallbladder carcinoma in patients older than 70 years.Method The clinical data of 48 patients older than 70 years with primary gallbladder carcinoma treated in our hospital from 2003 to 2010 were retrospectively analyzed.Results The preoperative diagnostic rate was 60.4％.Of 48 patients with primary gallbladder carcinoma,9 received cholecystectomy,18 radical resection,7 extended radical resection,8 palliative operation,while the remaining 6 received biopsy because of metastasis. The 3-year survival rate was 20.8％ and the 5-year survival rate was 8.3％.Conclusions Regular B-ultrasonography,CT-scan and MRI are suggested for elderly patients with chronic diseases of the gallbladder.Radical resection is recommended if clinically possible. Chinese traditional medicine given postoperatively improved the prognosis.

ObjectiveTo confirm a suitable professional diathesis structure system of youthful teachers.MethodsThrough literature review and discussion of a small scale of specialists,the authors established the primary index system.Then Delphi method was taken to organize two rounds of specialist consultations,specialists' opinions were summarized,index name and weight were identified,and the professional diathesis structure system was established.ResultsA professional diathesis structure system of youthful teachers was established,which included seven first-level indicators:professional morality,learning level,teaching ability,scientific research ability,mental diathesis,self-developmental ability,collectivity spirit & society activities,and 35 second-level indicators.ConclusionBuilding scientific professional diathesis structure system of youthful teachers is necessary,which can provide a solid basis for building up cultivating mechanism for youthful teachers.