As a connecting bridge between innate immunity and specific immunity,the Toll-like receptors (TLRs) play a significant role in inflammation,cellular signal transduction,and cell apoptosis.TLRs are also essential factors participating in immune regulation and immune escape in the pathogenesis and development of malignant tumors.A large number of clinical and experimental research have shown that the abnormal expression of TLRs can be detected in adenocarcinoma,such as lung cancer,breast cancer and colon caner.In recent years,the relationship between gynecologic malignant tumor and TLRs has received great interest.This article will review and summarize research progress of TLRs in ovarian cancer,cervical cancer,and endometrial neoplasia.

Objective To perform mutation screening on the OTOF gene of 76 Chinese patients with sporadic auditory neuropathy for investigating whether the patients contained mutational hotspots in the OTOF gene,identifying the distribution and frequencies of OTOF mutations,and detecting new mutation points in the OTOF gene.Methods Genemic DNA samples were extracted from peripheral venous blood samples of the patients.9 primer pairs were designed using the Primer 5.0 software package for 9 exons of the OTOF gene,in which mutations had been discovered in the past.The exons were amplified using polymerase chain reaction(PCR),and direct sequencing of the PCR products was performed to detect OTOF mutations.For analysing the sequence data,the DNAStar 5.0 software package was used.Results 8 types of OTOF polymorphic alleles were discovered in this study.Among them,the 82 769delAG deletion mutation was only found in a patient diagnosed with temperature sensitive auditory neuropathy.In exon 25 of this patient's OTOF gene,the AG deletion mutation caused the replacement of amino acid at positions 993~999 and resulted in a truncated protein at position 1 000 amino acid(exon 26),which caused an early stop codon.(This protein has 1997 amino acids in all).Nevertheless,no other mutations were found in this patient's OTOF gene.The heterozygous 76 378C/T and 82 913G/A polymorphisms were single nucleotide polymorphisms(SNP) discovered in this study.Other SNP found were 56 842A/C,82 885C/A,and 92 905G/A,which had been already published by NCBI.In addition,92 995C/T and 96 888C/T were heterozygous mutations found in the exons,but did not cause the replacement of acid amino.Conclusion Eight SNPs were found in the OTOF gene of the Chinese patients in this study.However,mutations,which were previously identified in other ethnic origins in the literature,were not found in these patients.Thus,the result implied that the Chinese patients with auditory neuropathy may contain new OTOF mutations or other relevant disease-causing genes.

Objective To explore the influence on each dimension of executive function of social drinkers with moderate dose of alcohol intake and different alcohol expectations.Methods 90 university students who were social drinkers allocated randomly by a lottery method to drinking group (n=31),control group (n=30) and placebo group (n=29).The Stroop task,1-Back task and local-global task were employed to measure executive function from three aspects respectively,namely the inhibition,updating and shifting process.Results Drinking group was compared with the Control group in the three dimensions of executive function:inhibition ((61.65 ± 26.31) ms,(42.48 ± 32.94) ms),updating ((557.23 ± 86.24) ms,(515.02 ± 70.24) ms),and shifting process ((718.85±246.03) ms,(553.95± 151.74) ms).The differences were statistically significant (P＜0.05 or P＜0.01).Placebo group was compared with the control group,in the three dimensions of executive function:inhibition ((39.25±29.35) ms,(42.48±32.94) ms),updating ((516.32±73.25) ms,(515.02±70.24) ms),and shifting process ((591.20± 193.07) ms,(553.95± 151.74) ms),all the differences had no statistically significance (P＞ 0.05).In the drinking group,positive expectation was negatively related to each dimension of executive function (-0.427,-0.330,-0.383).The inhibition and the shifting process appeared significant correlation(P＜0.05).Negative expectation was positively related to each dimension of executive function (0.251,0.323,0.377).The shifting process appeared significant correlation (P＜0.05).Regression analysis showed that positive expectation was significantly negative predictions of inhibition and shifting process.Conclusion Executive function of social drinkers is damaged after moderate alcohol intake,and there are differences between executive function damage of different alcohol expectancy drinkers.

A method for the detection of residual amount of pentachloro nitro benzene (PCNB ) and benzene hexachloride isomers, in Ginseng was developed. The pesticides in Ginseng was extracted with acetone-n-hexane (1∶ 2 ), purified with H2SO4, separated on ov-1701 flexible glass capillary column and determined by electron capture detector (ECD ).

Objective:To answer the question whether executive function(EF) deficits are specific to attention deficit hyperactivity disorder(ADHD) or whether such deficits are also associated with disruptive behavior disorders(DBD),including oppositional defiant disorder(ODD) and conductive disorder(CD).Methods:A total of 19 pure ADHD boys,19 ADHD + DBD boys and 19 normal controls(criteria of DSM-Ⅳ) were collected as our samples.The groups were matched by age(less than 6 months).The research instruments included Stroop color-word task,Rey complex figure test,digit span test, trail making test,tower of Hanoi and verbal fluency test.Results:The differences of IQs weren't significant among three groups.(1) Both pure ADHD group and ADHD+DBD group performed worse(P0.05).(2) Pure ADHD group also showed deficits in the aspects of errors of Stroop 2,time and errors of Stroop 3, word interference time;immediate memory structure score of Rey complex figure test;time and errors of number-letter part and shifting time of trail making test;total time and steps of completing tower of Hanoi.The differences were significant(P

Objective:To study the executive function(EF)characteristics in boys with attention deficit hyperactivity disorder(ADHD)comorbid learning disabilities(LD).Methods:A total of 22 pure ADHD boys,22 ADHD + LD boys and 22 normal controls(by criteria of DSM-Ⅳ)were collected as our samples.The groups were matched by ages(less than 6 months)and ADHD subtypes.The research instruments included the Stroop color-word task,Rey complex figure test,digit span test,trail making test,tower of Hanoi and verbal fluency test.Results:The differences of VIQ weren't significant among the three groups;pure ADHD and ADHD+LD groups had lower PIQ than the control group;ADHD+LD boys had lower IQ than the controls.The performance in the EF tests:(1)Both pure ADHD and ADHD+LD groups performed worse in the aspects of time of number-letter part and shifting time,the repeat response of verbal fluency,and the differences were significant.But the differences between ADHD and ADHD+LD weren't significant.(2)ADHD+LD group also showed deficits in the aspects of time and errors of Stroops 2 and 4,time of Stroop 4,word interference time,the immediate memory and delayed recalling detail score of Rey complex figure test,time of number trail making,error steps(rule violation)of Tow of Hanoi,and the differences were significant.(3)Both ADHD+LD and pure ADHD groups made more errors in the naming color of the color-word card(Stroop part 4),and ADHD+LD boys performed worse than pure ADHD boys.Conclusion:The findings support the hypothesis that ADHD is related to EF deficit,whether or not comorbid LD.ADHD+LD showed significant difference in the aspects of inhibition,working memory,set shifting and fluency as compared with normal group,ADHD+LD boys perform more poorly than the pure ADHD boys.It's plausible that both ADHD and LD are associated with deficits of executive function.

Objective To develop a questionnaire for factors influencing the quality of nursing interns.Methods The factors influencing the quality of nursing interns were formulated through literature review,interview and expert consultation.The pre-questionnaire was developed after modification.Exploratory factor analysis and correlation analysis were used to examine the reliability and validity of this questionnaire.Results Six common factors were extracted by exploratory factor analysis.Factor loading ranged from 0.487 to 0.889 for each item.The Cronbach α of the total scale was 0.814,and that of subscales ranged from 0.802 to 0.863.Retest-reliability coefficient of the total scale was 0.863,and that of subscales ranged from 0.794 to 0.931.Conclusions The self-designed questionnaire for factors influencing the quality of nursing interns has good reliability and validity,and can be used to measure the influencing factors for nursing interns.

Objective To analyze types, mechanism and forensic identification for traumatic visual loss. Methods 109 cases of the evaluation for impairment and disability on traumatic visual loss were retrospectively analyzed, including interocular differences, anisometropia, left or right eye and the distributions of visual acuity, etc. Results The male-to-female ratio was 5.8:1, mainly 30~59 years of age. The ratio of monocular versus binocular injuries was 17.17:1. The ratio of left versus right injured eye was 1.39:1 in intentional injury cases. 115 eyes were injured, 83 of which were in low vision or blindness. 95 patients(87.16%) had large interocular differences( ≥ 3 lines). There were 9 patients with anisometropia from 2.25D to 6.00D and 23 patients with anisometropia larger than 6.00D. Conclusion Interocular differences and anisometropia are common in practice, which are not included in the expertise standard yet. Functional vision should be considered when developing the expertise standard.

Occupational Health

Objective To identify a potential correlation between cold hemoagglutinin(CHA) and diffuse panbronchiolitis(DPB) in Chinese patients.Methods Eighteen patients diagnosed as DPB from December 1996 to July 2008 in Peking Union Medical College Hospital and 60 cases of DPB reported in mainland of China from 1996 to 2008 were enrolled in the study.Results Of 18 patients diagnosed as DPB in Peking Union Medical College Hospital,only one patient showed a titer of CHA≥1:64.Of 60 cases in mainland China,48 cases were CHA positive.CHA was positive in 54.1% all cases.There may be some correlation between positive rate of CHA and medication as well as population.Conclusion Low positive rate of CHA in Chinese subjects,which is different from that of Japanese DPB patients,suggests that CHA may not be applied as a diagnostic criteria for Chinese patients.