Objective To investigate the relationship of the C-reactive protein (CRP) and metabolic syndrome.Methods The serum level of CRP was determined in 48 cases of obese children and 36 cases of healthy individuals.All children were 10 years old.The differences between the two groups and whether CRP was associated with metabolic syndrome were analyzed.Results The obese children had significant higher serum insulin,TG,TC,CRP,BMI,SBP and HOMA-IR [for respectively (16.1 ± 3.7) mU/L,(1.38 ± 0.29) mmol/L,(4.79 ± 0.88) mmol/L,(1.83 ± 0.89) mg/L,(28.7 ± 5.3) kg/m2,(129.4-11.3) mmHg,(3.81 ± 0.92)] than those of the normal controls [for respectively(10.4 ±2.8) mU/L,(0.75 ±0.12) mmol/L,(4.12 ± 0.65) mmol/L,(0.78 ± 0.22) mg/L,(22.4 ± 3.9)kg/m2,(117.2 ±8.9) mnHg,(2.37 ±0.78)] (t =7.727,12.260,3.846,6.912,6.012,5.349,7.568,all P ＜0.05).The results of correlation analysis showed that CRP had a positive correlation with serum insulin,TG,BMI,SBP and HOMA-IR (r=0.693,0.293,0.525,0.212,0.195,all P＜0.05),but not TC.Conclusion There are significant increases of serum CRP level in obese children,and the increased CRP was closely related with metabolic syndrome.

Glaucoma is the second leading cause of blindness worldwide.It is mainly caused by glaucomatous optic neuropathy characterized by retinal ganglion cells (RGCs) loss,which leads to visual field loss and blindness.There are many risk factors other than intraocular pressure (IOP) elevation are thought to be responsible for RGCs damage induced by glaucoma,such as neurotrophic factors deprivation,excitotoxicity,oxidative stress and enhanced microglia activity,and these factors are essential for glaucomatous optic neuropathy,especially in normal tension glaucoma (NTG).Up to date,the major attempt of glaucoma therapy is to protect optic nerve function by lowering IOP through surgery and drugs.However,the therapies can not arrest RGCs damage although effectively lowing IOP in a number of patients.Novel study is turning to find and develop some new approaches to solve neuroprotection problem targeting to the pathogenic factors of glaucomatous optic neuropathy out of IOP.This review paper mainly focused on the neuroprotective therapies that are developed in the past few years.

Objective To explore the role of growth hormone (GH),leptin (Lep),T3,T4,TSH in cord blood in intrauterine growth.Methods 120 healthy newborns (60 males,60 females) were enrolled in this study.The neonates were divided into AGA,LGA and SGA groups according to the relationship between birth weight and gestation.The head circumference,birth length,birth weight,body mass index,biparietal diameter,and placental weight,the levels of GH,Lep,T3,T4,TSH in the cord blood were measured.Results There were significantly statistical differ ences in growth indexs (all P ＜ 0.05),the levels of GH and TSH were significantly increased [(21.52 ± 2.13) ng/L vs (15.64 ± 1.28) ng/L ; (8.6 ± 0.67) mIU/L vs (3.34 ± 0.29) mIU/L,t =3.042,4.367,all P ＜ 0.05] and Lep,T3,T4 were significantly decreased in LGA group when compared with the AGA group [(7.53 ±0.81) g/L vs (9.55 ± 1.26) g/L; (1.25 ± 0.42) nmol/L vs (1.48 ± 0.37) nmol/L; (69.45 ± 10.07) nmol/L vs (76.68 ± 8.22) nmol/L; t =1.749,1.905,1.783,all P ＜ 0.05],the level of Lep in LGA group was significantly higer than that in AGA group [(14.61 ±2.05) g/L vs (9.55 ±1.26) g/L,t =3.064,P ＜0.05].And GH,Lep,T3,T4 were positively correlated with head circumference,birth length,birth weight,body mass index,biparietal diameter,and placental weight (all P ＜ 0.05).TSH was negatively correlated with growth indexs.Conclusion The levels of Lep,T3,T4,TSH in cord blood were associated with fetal growth and could be used as indicators of intrauterine growth.

AIM: To observe the recent curative effect of basic fibroblast growth factor(bFGF) to patients with recurrent aphthous ulcer(RAU). METHODS: 60 patients with RAU were treated by locally spraying compound bFGF preparations composing of calculated quantity of bFGF, tinidazole and dicaine on the surface of ulcerations,?other?40?patients?were?treated?by?alternatively smearing Xi Leisan and Smecta on the surface of ulcerations as routine treatment group, tid, for 5 d. RESULTS: The improvement of three indexes including the size, the degree of ache and hyperemia of the ulcerations are greater in compound bFGF treatment group than those in routine treatment group (P

“金属材料与热处理技术”是首都医科大学假肢矫形工程专业本科生必修的专业基础课程。金属的晶体结构与滑移系的概念以及铁碳合金相图是“金属材料与热处理技术”教学中比较复杂的知识点。本文对此进行探讨，并提出一些解决方法。

Child ; Critical Illness ; classification ; Emergency Medical Services ; standards ; Humans ; Intensive Care Units, Pediatric ; standards ; Quality Assurance, Health Care ; Severity of Illness Index

Diplopia ; etiology ; Fracture Fixation ; adverse effects ; methods ; Humans ; Orbital Fractures ; diagnosis ; diagnostic imaging ; surgery ; Orbital Implants ; Tomography, X-Ray Computed

Objective To explore the advantages and disadvantages of high quality care in clinical care. Methods 2000 cases of hospitalized patients from August 2010 to August 2011 in department of neurology were selected as research subject.The 2000 hospitalized patients were divided into the control group and the research group with 1000 cases in each group.The control group was given routine care,the research group selected high quality care.General activity of daily living (ADL) assessment and satisfaction degree of patients was surveyed at discharge for two groups and the results were compared. Results When patients were discharged,ADL scores and satisfaction degree of patients in the research group were higher than those of the control group. Conclusions Application of high quality care for patients can promote the improvement of activity of daily living and satisfaction degree of patients.

Objective To investigate the clinical pathological features and prognosis of gastric carcinoma with neu-roendocrine differentiation (NED) and mixed gonadal neuroendocrine carcinoma of the stomach (MANECs). Methods A retrospective analysis of 61 cases of gastric carcinoma with NED and 34 cases of MANECs and their histochemistry and im-munohistochemistry were also observed. Prognosis of the 2 groups were compared by the Kaplan-Meiers survival analysis. Prognostic factors associated with patients with gastric cancer were analyzed by COX proportional hazards model. Results Tumor location, distant metastasis and lymph node metastasis were statistically different between these 2 groups (P<0.05). Syn positive expression rate is higher than CgA and CD56 in the gastric carcinoma with NED group;Postoperative survive pe-riod of the gastric carcinoma with NED is shorter than that of MANECs (P<0.05). Lymph node metastasis and distant region-al transfer is obviously correlated with prognosis (P<0.05). Conclusion Immunohistochemistry is important for the diag-nosis of these two tumor. The number of neuroendocrine cells can help to assess prognosis and guide treatment.

Objective To explore the morphology changes of spinal cord after nursing intervention on motor function repair spinal cord injuried rats. Methods 60 adult SD rats were randomly divided into normal control group, experimental control group, and experimental group ( n=20 for each group) . Each group were divided into four time phase points, that is 1 day, 7 days, 30 days and 60 days after spinal cord injury (n=5). The model of L4 plane with full transection of spinal cord were made in the rats in experimental control group and exper-imental group. Normal control group were of untreated normal rats, experimental control group were given routine nursing such as urination and defecation after spinal cord injury, and experimental group were given passive movement practices and muscle massage training twice a day (10 min each time) besides regular nursing. HE staining and immunohistochemistry method were applied to observe the morphology changes of spinal cord. Results In experimental control group and experimental group there was no significant changes in HE staning and NF-200 and GFAP immunohistchemistry staning in spinal cord section of rat at each time phase points, but compared to the normal control group, it was of significant difference. Conclusion There is no apparent change in morphology in injured spinal area after nursing intervention.