Objective:To summarize the experience of retroperitoneoscopic renal pedicle lymphatic disconnection in the management of chyluria,and to investigate a new minimally invasive treatment of chyluria. Methods:9 cases of chyluria were treated by retroperitoneoscopic renal pedicle lymphatic disconnection from Jan 2005 to Dec 2008 with 7 male ones and 2 female ones. The average age was 48 years. 8 of 9 cases obtained success and 1 of 9 cases was converted to open surgery. Operation time, blooding volume, postoperative complication and hospitalization stay, and the operative effect were observed. Results:The operation time was from 65 to 105 min,with the average of 70 min. The blooding volume was from 50 to 100ml, with the average of 60ml. Chyluria disappeared immediately after operation in all patients. Postoperative stay was from 5 to 7d and no complication happened. Conclusion:Retroperitoneoscopic renal pedicle lymphatic disconnection for chyluria is a effective and efficienl method in the management of chyluria. And it is also safe , minimally invasive , with less blood loss, fewer complications , and short hospital stay .

Objective:To evaluate the application of chromogranin A(CgA) as a marker in the diagnosis of prostate cancer. Methods:Serum CgA and serum prostate-specific antigen (PSA) were detected by immunoradiometric essay in 27 cases of prostatic carcinoma ,27 cases of benign prostate hyperplasia (BPH)and 5 cases of healthy subjects. Results:Serum CgA(98.7?69.42) in patients with prostatic carcinoma was significantly higher than that in healthy subjects(32.68?26.58) and in patient with BPH(44.7?40.86)(P

Entry of enveloped viruses into host cells requires fusion of the viral envelope with a cellular membrane. This step is mediated by viral glycoproteins that undergo a dramatic conformational change. Recent advances in structure and function of the fusion proteins of the class Ⅱ viruses, Rhabdoviruses and Herpesviruses were described. Proteomics computational analyses to locate the functional domain of fusion protein were introduced. The fusion proteins of class Ⅱ and class Ⅰ viruses differ radically in their initial structures but refold toward similar final conformation (trimer of hairpin). The Rhabdoviruses and Herpesviruses have a novel fold combining features of fusion proteins from class Ⅰ and class Ⅱ. The fusion proteins of these viruses have a different conformation change and mediate a different fusion process, therefore, the proteins belong to a novel class of fusion proteins. The potent inhibitor of virus entry should be new strategies for developing antiviral drugs.

Objective To investigate the prevalent characteristics of children with viral pneumonia in different areas and years.Methods The viral antigen of cells of nasopharyngeal secretions was detected by the method of alkaline phosphatasea anti-alkalinephhosphatase in viral pneumonia children in different areas and years.Results Among 627cases , there were 290 positive cases and 14 cases were infected by 2 viral strains. Three hundred and four positive viral strains,71 cases (23.35%) were RS virus infection, 47 cases (15.46%) were AD virus infection, 74 cases (24.34%) were FLU-A virus infection,50 cases (16.44%) were FLU-B virus infection, 47 cases (15.46%) were PIV1,3 virus infection, and 15 cases (4.93%) were PIV2 virus infection. But in different areas, the kind of the viral strain of the highest infection rate was different. The viral detection rate in autumn and winter was the highest and in summer was the lowest. Conclusions FLU-A virus is the main etiological agent of children viral pneumonia,but the main etiological agent in different areas is different. In autumn and winter, the viral infection rate is high. The chance of viral infection of lower respiratory tract of big children is reduced.

Electricity ; Electrosurgery ; instrumentation ; Equipment Design ; Equipment Safety ; methods ; standards ; Guidelines as Topic ; Medical Errors ; prevention & control ; Surgical Equipment ; standards

Breast Neoplasms ; diagnosis ; therapy ; Combined Modality Therapy ; Female ; Humans ; Mammography

Congenital idiopathic nystagmus (CIN) is characterized by monoocular or biocular involuntary,rhythmical,repeated oscillations.CIN is often referred to congenital 'motor' nystagmus since nystagmus occurs in the absence of a clinically demonstrable defect in the visual sensory system.CIN is genetically heterogeneous,and patterns of its inheritance have been well-known to include autosomal dominant.autosomal recessive and X-linked patterns.In recent years, many different genetic loci for CIN have been mapped,and researchers have found some candidate causing-disease genes.This review focuses on the recent advances of gene mapping and candidate gene analysis for molecular research of CIN.

In order to clear up the mechanism of changes in hypoxic pulmonary vasoconstriction(HPV) during hypothermia, arterial plasma concentrations of norepinephrine, thromboxane B_2, 6-keto-PGF_(1?), 5-HT and 5-hydroxyindoleacetic acid(5-HIAA) were measured before and after hypothermia. The results showed that during acute alveolar hypoxia HPV enhanced significantly in hypothermic dogs, the percentage change of PVR increased from baseline 34.7?5.80% to 57.6?6.8% (P

0.05) found between two groups. Hypoxia did not stimulate ECs to release endothe-lium-derived contracting factors (EDCFs), and the contracting effects of HPEC (16.4%)and HAEC (20%) were similar to that of NPEC and NAEC. These results indicated thatEDCFs released from endothelial cells of pulmonary artery and aorta can induce contrac-tion of PSMC directly and that hypoxia did not increase the release of EDCFs from ECs.

Hypoxic vasoconstriction was studied in isolated rings of pig intrapulmonary(PA) with or without endothelium. Arterial rings were suspended in modified Krebs' bic-arbonate solution for isometric recording. Hypoxia was induced by changing the bubblinggas mixture in the chamber from, 95% O_2-5%CO_2 to 95%N_2-5%CO_2. When PA ringswere prestimulated with phenylephrine (PE, 2?10~(-6) mol/L), hypoxia could induce contrac-ctions in PA (0.86?0.09g, n=12). Removal of the endothelium decreased the hypoxicontractions of PA significantly (tension increment 0.11?0.03g, n=12, P