Fatigue is one of the most common complaints in cancer patients that profoundly affects all aspects of quality of life.However,cancer-related fatigue remains under recognized and poorly treated.This rcview has been conducted with the causes and potential treatments of fatigue in cancer patients.The methods for evaluating fatigue,and possible therapeutic options are also discussed.

Children with plastic bronchitis,characterized by unknown origin,insidious onset,rapid progress,severe symptom and high mortality,is a relatively rare disease.Also,it is difficult to diagnose and treat with plastic bronchitis characterized by marked airway obstruction,via the formation of large gelatinous or rigid airway cast.It is associated with certain diseases including bronchial asthma,cystic fibrosis,accompanied with acute chest syndrome with sickle cell disease,congenital heart disease and bacterial and viral respiratory infection.Clinicians should be aware of this disease,and early bronchoscopy should be intervened.

Retinal ischemia-reperfusion injury (RIRI) is a common pathological and physiological clinical oculopathy,which can occur in retinal artery and vein occlusion,diabetic retinopathy and acute angle-closure glaucoma.The resulting ischemia can cause cell metabolic dysfunction,serious retinal damage and descending visual function.RIRI is the result of multiple factors.The currently accepted hypotheses mainly include the injury effect of oxygen-derived free radicals,intracellular calcium overload,the action of leucocyte and apoptosis.However the protection and treatment research in the RIRI is limited.The present paper reviews the progression in the drug intervention of RIRI.

Ductal carcinoma in situ belongs to the early stage of breast cancer.The treatment of ductal carcinoma in situ is similar with that of the breast cancer.Because of the low mortality rate in patients with ductal carcinoma in situ,there was an excessive treatment in the treatment of ductal carcinoma in situ.So the key to the treatment of ductal carcinoma in situ was to improve the quality of life.The present study shows that the effect of conserving surgery with radiotherapy is same with mastectomy's in the treatment of breast ductal carcinoma in situ.Sentinel lymph node biopsy can also be used to evaluate the patient's axillary status.For patients with ductal carcinoma in situ with breast conserving surgery,radiotherapy and endocrine therapy can reduce the recurrence rate of ipsilateral breast cancer.Radiotherapy and endocrine therapy have also become the standard treatment for ductal carcinoma in situ.

Epithelial-mesenchymal transition( EMT) refers to the transdifferentiation from epithelial cells to mesenchymal cells. The initial understanding of EMT is originated from the research on embryonic develop-ment,followed by the discovery of EMT phenomenon in physiological and pathological process in multicellular organism. In recent years,the occurrence and development of infiltration and metastasis of tumor cells along with fibrotic diseases that related to EMT are becoming the hot researches nowadays.

AIM: Integrins act as receptors for molecules of the extracellular matrix (ECM) and play a major role in mediating cell morphology change,metabolism,function,migration,proliferation and differentiation. It is still unclear that whether ECM is associated with regulation of microglial activation and integrin expression. The study investigated the effects of three different ECM (fibronectin, vitronectin and laminin) on the expression of rat microglia integrin. METHODS:Experiments were performed in Research Center for Clinical Neurology, Tongji Medical College of Huazhong University of Science and Technology from May 2006 to August 2007. ①Neonatal Wistar rats were bought from Experimental Animal Center of Tongji Medical College. Animal intervention met the animal ethical standard. ②Rat microglia was cultured and purified. Culture plate was coated with fibronectin, vitronectin and laminin, and non-ECM served as control. ③The influence of individual ECM on microglia integrin expression and microglia surface expression of MHC Ⅰ by flow cytometry. RESULTS:①MHC classⅠexpression on rat microglia was significantly increased by fibronectin and vitronectin(P

Objective To assess the feasibility of real-time Bi-Plane in observing normal mitral annular areas in different gestational ages.Methods Routine two-dimensional echocardiography and real-time Bi-Plane were used to observe mitral structure and measure the mitral annular area in 159 fetuses.Pearson correlation analysis was used to evaluate the correlation of the areas with gestational age.Visualization rates and acquisition time were recorded and analyzed statistically.Resuits The mitral annular areas measured by two techniques were both correlated to the gestational age (r=0.71,0.75,both P＜0.05).There were significant differences in visualization rate (x2 =4.375,P=0.036) of mitral annular area and acquisition time (t=6.11,P＜0.05) between routine two-dimensional echocardiography and real-time Bi-Plane.Conclusion Real-time Bi-Plane technique is direct,accurate,convenient and fast in observing mitral prenatally.By using Bi-Plane technique to measure mitral annular area,abnormal morphology changes of mitral valve can be evaluated,so as to provide great application value for clinic.

The concept of hemangioblast was proposed a century ago. The existence of hemangioblasts has been demonstrated recently in vitro by differentiation of mouse and human embryonic stem (ES) cell into em-bryoid bodies(EBs). In the developing embryo, a common progenitor, termed "hemangioblast", generates both hematopoietic and endothelial cell lineages. The in vitro differentiation of embryonic stem cells to hemangioblast is a powerful approach for studying the commitment of the hematopoietic and endothelial lineages. This review will summarize recent development in the studies on hemangioblast.

The effects of cytochalasin D (CD), isolated from Engleromyces goetzii found in our country, on cells of established human esophageal cancer line (ECa-109 cell line) were investigated. It was demonstrated that CD was capable of inhibiting the growth of the cells at the concentration of 0.2?g/ml as indicted by growth curve. The action of CD, however, is reversible, and the cells will gradually grow again normally following the withdrawal of CD. The result also indicated that some proportion of the cells became binucleated or multinucleated after CD treatment. And as the duration of exposure time to CD increased. the multinucleated cells increased in number also. At the concentration of 0.5?g/ml of CD, a phenomenon of extrution of nucleus can be seen among the cells. The nucleus is departed from the cell body but still linked by a fine cytoplasm bridge (Fig. 2). The CD-treated cells bacame enucleated when they subjected to centrifugation following CD treatment. The minicells obtained from enucleation appeared to be normal morphologically with nucleoli but retained only a little cytoplasm around the nucleus. Electromicroscopic observation showed that mitochondria and tonofibrils increased after CD treatment, but we failed to find any changes of microfilaments within the cells.

An“agar-island organ culture”technique is described.It consists of both agar substratum and liquid medium in the same culture dish,so that chemicals in different concentrations can be added into the liquid portion of the medium,a convenient method to test their effects on explants.The procedures are as follows: To one gram of agar in a flask,50 ml of aqua distillata is added,and then heated until the agar is completely dissolved.Then add in 50 ml of double-strength 199 solu- tio(?) into the flask.After shaking gently,mixing the media completely,pour it into a dish until it reaches 2/3 of its height.A few minutes later the agar will solidify.Cut off most of the agar substratum and leave enough agar to form“islands”(Eig.A,B).Then add in liguid medium which is composed of 8 vol 199 solution,2 vol calf serum,2 vol extract of 9-day chick embryo diluted into 50% in Hank's solution and a few drops of diluted penicillin and streptomycin.The explants are placed on the agar-islands,the culture dishes covered with glass tops,sealed with paraffin,are put into an incubator.The cul- ture dishes are not sealed they are put into an incubator supplemented with 5%CO_2 Using this technique,we have cultured 80 explanls of 13-day chick embryo meta- tarsal skin for 7～21 days.And the effect of vit.A with different concentrations are tested The results show that the effects of vit,A on the differentiation of the chick embryo metatarsal skin explants are different with the different concentrations.We believe that this technique can be much more convenient as a method to study the eff- ects of chemicals in different concentrations on explants.The other uses of this tech(?)i- que,such as carcinogenesis in culture,the study of embryonic induction,especially the diffuse mechanism of embryo induction are also briefly discussed.