Objective To detect the expression of TrkA in the brain of the Wistar rats during the embryonic phase.Methods Adult Wistar rats were fed in one cage.It was E0 day when sepermia were found in vaginal suppository and vaginal smear.The expressions of TrkA in the brain of Wistar rats during various brain regions were observed by immunohistochemistry on E13,E15,E17,E19 and E21 day. Results On E13 day no obvious expression of TrkA was observed in the embryonic brain.The expression of TrkA had an obviously increasing tendency in the cortex of telencephalon from E15 day to E17 day.And on E17 day,the positive rate of the expression of TrkA reached the second peak.While on E19 day,the expression of TrkA had a temporary decreasing.Then on E21 day the expression of TrkA reached the highest peak.The striatum and hippocampus developed later than the telencephalon till E17 day,and the expressions of TrkA during these stages were same as the cerebrum.Conclusion From E15 to E17 day,obvious expressions of TrkA are observed in the embryonic telencephalon,and it accords with embryonic induction.

The hardcore of clinical medicine program education is to insist on improving the students'practical capability.The efficient methodology is the key to it.In this paper,the authors investigate the practice of Suzhou University and try to find out the ways to assess the graduates in this program.Also,the authors point out the deficiency in the assessment and put forward mending measures in order to improve the quality of clinical medicine graduate program education.

[Objective]To evaluate the effectiveness of posterior lumbar interbody fusion(PLIF) in the treatment of upper lumbar disc herniation.[Method]Twenty six patients of upper lumbar disc herniation underwent posterior lumbar interbody fusion,lumbago VAS and the pain in waist and lower extremities grades were tested before operation,all patients had an average follow-up period of 20.8 months,then lumbago VAS and the pain in waist and lower extremities grades were tested at last follow-up,lumbago VAS and the pain in waist and lower extremities grades were compared through paired t-test.[Result]All 26 patients had a followed-up.Postoperative VAS had significant lower than preoperative,statistical analysis has remarkable significance(P

BACKGROUND:The electrical impedance tomography (EIT) is a kind of examination that is used to non-invasively measure the change and distribution of electrical bio-impedance by reconstructing the frequency response obtained by electrical stimuli applied onto the human body. The characteristics of impedance of any tissues are of great importance to the imaging of EIT and locating and monitoring the lesion focus.OBJECTIVE: To measure the human brain impedance in the frequency range from 0.1 Hz to 1 MHz and to compare these with those of other human tissues and the rabbit brain tissues.DESIGN: An observational experiment.SETTING:The Department of Medical Electric Engineering of the Biomedical Engineering College of the Fourth Military Medical University of Chinese PLA.MATERIALS:The experiment was conducted at the Otolaryngology Laboratory, Department of Medical Electric Engineering of Biomedical Engineering College, Fourth Military Medical University of Chinese PLA from April, 2000 to June, 2000. Two brains were harvested from two cadavers of adult men who died in less than 12 hours before the brains were taken.INTERVENTIONS :The brains were divided into 15 samples and the Solartron 1255B frequency resoonse analyzer was used to measure the complex impedance of human brain in vitro with four-electrode measurement method in the frequency range from 0.1 Hz to 1 MHz.There were also impedance interface (1294)and self-made experimental measurement box.MAIN OUTCOME MEASURES:The resistivity frequency response,curves of real part and imaginary part of complex impedance as well as the equivalent circuit model of the complex impedance.RESULTS:The resistivity of human brain tissues was about 1 200 Ω·cm in the frequency range of 0.1-100 Hz.But it decreased to 650 Ω·cm in the frequency range of 100-1×106 Hz. The real part of complex impedance remained steady in the frequency range of 0.1-100 Hz and it decreased along with the increase of frequency in the range of 100-1×106 Hz. The absolute value of frequency response curves of the imaginary part of human brain's complex impedance presented a tendency of monotonic increase.CONCLUSION: The resistivity and the real part of complex impedance curve of human brain were in accordance with those of other tissues such as muscles, the liver, kidney and lungs. The frequency response curve of the imaginary part of human brain's complex impedance was different from that of other animal tissues (such as muscles, the liver and kidney) but was in accordance with that of rabbit brain tissues in vitro. The construction of the equivalent circuit model obtained was more complex than other models known.

Regulation of liver regeneration is a complex pathophysiological process, accompanied by the participation of a large number of cytokines, such as the early stage of IL-6, TNF-α, the proliferation phase of HGF, TGFα, as well as the termination phase of TGFβl, and so on. These factors are coordinated in an orderly adjustment of liver cell proliferation. Enhancing the capacity of liver regeneration after liver resection and transplantation, study on molecular mechanism of liver regeneration is of great significance. This article summarizes liver regenerati after partial hepatectomy and the role of the relevant molecules.

ific primer pair S2-R2 can be used to detect S. schenckii in paraffin-embedded tissue.

Objective:To investigate the 256 slice spiral CT pulmonary angiography (CTPA) application value by using multiple stage double mixed injection velocity tracking method in the diagnosis of pulmonary embolism.Methods: Fifty patients with pulmonary embolism from 2014 January to 2015 January were treated in our hospital patients as the research object. Using a random number table method, all patients were randomly divided into observation group and control group, 25 cases each group of patients, two groups of patients in our hospital by imaging with 256 slice spiral CT pulmonary artery (CTPA), the control group were treated by routine pre injection time density curve method, was used in the observation group than in mixed injection agent tracking method by two physicians, CT, using the double-blind assessment of two groups of patients with image quality and quantification of pulmonary artery trunk.Results: in the control group, 25 patients were satisfied with the time - density curve, the results of 5 conventional image quality scores showed no significant difference between the two imaging methods, was not statistically significant; two groups of patients with pulmonary artery trunk, branch clear imaging score and endovascular CT value had no significant difference(t=1.892,t=1.952,t=1.832;P>0.05), but the observation group patients with CTPA were examined by contrast agent dose was significantly lower than the control group, the patient''s heart rate, blood pressure was significantly lower than the control group(t=2.315,t=1.958,t=2.982;P<0.05), with statistical significance. Conclusion: CTPA with multi period mixed double flow injection method can guarantee the tracking based on image quality and diagnostic value can effectively reduce the contrast agent dosage and application effects of cardiac function, and the examination is relatively simple, safe, has clinical value of application and popularization.

Objective:To investigate the effect and application feasibility of low tube voltage, low concentration of contrast agent volume to CTA in the diagnosis of coronary artery stenosis and its effect.Methods: Seventy two cases of suspected patients with coronary atherosclerosis selected as the object Using random number table method, all patients were divided into group A and group B 36 cases in each group, two groups of patients underwent 320 slice CTA examination, in group A the tube voltage is 120kV, the contrast agent was 350mgI/mL iodixanol group, B tube voltage is set to 100kV, the contrast agent was 270mgI/mL iodixanol. According to the examination results of group A, group B and catheter coronary angiography (CCA), evaluated group A, group B of acquiring the image quality and radiation dose of patients, and analyzed the sensitivity of A, B and CCA examination of the extent of coronary artery stenosis degree and deliberately.Results: The quartering method showed no significant difference between the group A and the group B of image quality. There was significant difference between the two groups of patients with the image noise and enhance the effect (t=-4.736, 11.927;P<0.05); Group B of coronary artery stenoses (more than 50%) and severe stenosis (more than 75%) sensitivity, specially degree and coincidence rate compared with the results of CCA showed no significant difference. Kappa consistency analysis showed that the two consistency is good(kappa=1.320,P<0.001).Conclusion: In the premise of ensuring the image quality with low tube voltage, low concentration of contrast agent volume coronary CTA examination had safety and reliability of inspection.

Objective To investigate the causes and preventive measures for failure and complications of minimally invasive percutaneous nephrolithotomy (mPCNL). Methods From January 2005 to October 2008,totally 353 cases of mPNCL were performed in our hospital. Among the cases,30 patients experienced failure of the surgery or postoperative complications. The data of the 30 patients were analyzed retrospectively in this study. Results Of the 30 cases,puncture failure occurred in 5 patients,while 2 of them were converted to open surgery,and the other 3 were treated by a second puncture successfully; Zebra wire extrusion was found in 5 cases,who were then cured by re-puncture or a second operation; in 3 patients,the wire or PCN tube was moved into the renal vein (2 cases) or the colon (1 case) without causing bleeding or intestinal fistula,the cases were cured afterwards by a second operation; 3 patients developed hydrothorax and then was cured by chest drainage; postoperative arteriovenous fistula was detected in 2 patients,who were cured by interventional therapy; in 5 days after the operation,one patient developed massive hemorrhage from the PCN tube when driving cars,and then recovered by clipping the PCN tube and hemostasis; another patient showed hemorrhage and infection due to extraction of the PCN tube,and open surgery was carried out to cure this patient. Conclusions Failure of puncture and Zebra wire extrusion are most common causes of failure of mPCNL. Whereas,post-mPCNL complications is often caused by unskillful surgeons or noncompliant patients.

Objective To evaluate the feasibility of blind intubation via Cookgas intubating laryngeal airway (CILA) in patients under general anesthesia. Methods Sixty ASA Ⅰ or Ⅱ patients aged 11-65 yrs scheduled for elective plastic surgery under general anesthesia were randomly allocated into 2 groups ( n = 30 each): blind intubation group (B) and fiberoptic bronchoscope group (FOB) . All patients were evaluated before operation to identify patients with difficult airway. Anesthesia was induced with midazolam 0.05 mg?kg-1 , fentanyl 2 ?g?kg-1 , propofol 2 mg?kg-1 and vecuronium 0.1 mg?kg-1 . CILA was inserted in all patients. The patients in group B were blindly intubated via CILA, while in group FOB tracheal intubation was guided with fiberoptic bronchoscope via CILA. The time spent in intubation and the success rate of tracheal intubation were recorded. SBP, DBP, HR and SpO2 were recorded immediately before and after induction of anesthesia, immediately after insertion of CILA, immediately after tracheal intubation and immediately after CILA was withdrawn. Results CILA was inserted successfully in all patients. In group B tracheal intubation was accomplished at first attempt in 26 patients, at 2nd or 3rd attempt in 2 patients and failed in 2 patients. In group FOB tracheal intubation was much easier and accomplished at 1st attempt in 29 patients and at 2nd attempt in 1 patient. Twenty four of 25 patients expected to be difficult intubation were intubated successfully. The two groups were comparable with respect to hemodynamic changes during intubation. Conclusion It is possible to intubate via CILA. The success rate is high with minimal cardiovascular response.