[Abstract ] Tumor, with its high morbidity and mortality, has been gained increasingly high attention from the world .Current-ly, the main treatment for solid tumor is still surgical resection , during which surgery , anesthesia and other factors may have such side effects as releasing tumor cells into blood , lymphatic , bone marrow even organs and then resulting in the formation of micrometastatic lesion, increasing the risk of tumor recurrence and metastasis and finally affecting the postoperative survival rate .Recently, studies have shown that most anesthetic agents can influence the function of immune system and the activity of tumor cells , and then impact the tumor micrometastasis .This paper will summarize the research progresses in the impacts of anesthetic agents on tumor micrometastasis during perioperative period .

Objective To explore the effect of physical condition on autonomous social participation function in stroke patients. Meth-ods A survey was conducted on 283 cases of stroke patients from October, 2014 to September, 2015. They were tested with General Situa-tion Questionnaire, Disease Status Questionnaire, Impact on Participation and Autonomy Questionnaire (IPA), Chinese Stroke Scale (CSS), and Mini-Mental State Examination (MMSE). Results Multivariate regression analysis showed that age, scores of MMSE and CSS, and physical disabilities were the factors related with autonomous social participation function in stroke patients (t>2.513, P<0.05). Conclusion It is needed to prevent and treat the complications of stroke early, which may contribute to the improvement of autonomous social participa-tion in stroke patients.

To investigate the effects of substance P in globus pallidus on haloperidol-induced Parkinson's disease model rat.Methods In behavioral experiments,guide cannulae constructed from stainless steel were implanted into the globus pallidus.After five days recovery,0.5 μl drugs(normal saline,SMSP,SR140333B,SR140333B + SMSP)were bilaterally microinjected into the globus pallidus in awake rats with haloperidol administration intraperitoneally.The catalepsy was then observed within 60 min.In electrophysiological study,an in vivo extracellular recording was performed to observe the effects of substance P on the firing rate of pallidal neurons.Resuits Haloperidol induced catalepsy in rats with intrapallidal saline microinjection.The maximum average latency was(259.8±34.8)s at the time point of 30th min.The minimum average latency was(145.2±54.8)s at 50th min.Bilateral microinjection of SMSP into globus pallidus significantly attenuated haloperidol-induced catalepsy (The average latency was(10.4±3.4)s at lOth rain and(58.4±38.8)s at 60th min,P＜0.01).This anticataleptic effect was completely counteracted by selective NK-1 receptors antagonist SR140333B(The average latency was(176.4±64.4)s at 10th min and(139.2±59.7)s at 60th rain,P＜0.01).Furthermore,micropressure ejection of SMSP significantly increased the firing rate of pallidal neurons(Basal:(13.4±4.2)Hz,SMSP:(17.5±5.6)Hz).The average increase was(29.4±8.6)%(P＜0.05,n=13).SR140333 B completely blocked SMSPinduced increase in firing rate(SR140333B:(10.3±2.5)Hz,SR140333 B + SMSP:(11.3±3.0)Hz,P＞0.05,n=8).Conclusion Based on the action of substance P in globus pallidus of parkinsonian rats,it is we hypothesized that activation of substance P receptor in globus pallidus may play a role in the treatment of Parkinson's disease.

In this paper,a time-frequency approach is used for the recognition and analysis of ECG signals for a normal or an abnormal patient.An iterative deconvolution procedure is applied to calculate the time-frequency representations.This method can enhance the resolutions of the signals.

Objective To investigate the MSCT imaging of anterior mediastinal primary malignant tumors , and to improve the accuracy of diagnosis. Methods The imaging and clinical data of forty-five patients with anterior mediastinal primary malignant tumors were retrospectively analyzed. Results Among all forty-five cases, there were seventeen thymic carcinomas , and cystic and necrotic earas were seen in all cases. Fourteen were malignant lymphomas with a single irregular soft tissue mass or multiple merged nodules. There were enlarge lymph nodes around the tumors and (or) in other parts of the body. Twelve cases were malignant germinomas, the levels of rinary human chorionic gonadotropin (HCG) or blood armour fetuin (AFP) were abnormal in ten cases, and calcifications were seen in four cases and fat composition was observed in three cases. One malignant solitary fibrous tumor was observed on the left side of the anterior-superior mediastinum with cystic degeneration and necrosis. One was neuroendocrine carcinoma with clear boundary , cystic degeneration and necrosis , after enhanced scanning , it showed ring-shaped reinforcement. Conclusion Anterior mediastinal primary malignant tumors have certain characteristics of MSCT findings , in combination with clinical information , which can help the diagnosis and efficacy evaluation.

Objective Mediastinal primary small cell neuroendocrine carcinoma ( MPSCNC) is a rare neoplasm of high ma-lignant potential mostly affecting elderly and middle-aged males, which has a high rate of misdiagnosis because of its unidentified histo-genesis and lack of obvious characteristic imaging findings .This study was to investigate the CT findings and pathologic features of MP-SCNC, so as to improve the recognition and diagnostic accuracy of the disease . Methods We retrospectively analyzed the imaging and clinicopathologic data about 4 cases of pathologically confirmed MPSCNC and reviewed relevant literature . Results Of the 4 tumors, 2 were located in the anterior-middle-superior mediastinum , 1 in the anterior-superior mediastinum , and the other in the mid-dle-superior mediastinum .Three of them exhibited irregular shape , unclear boundary , and inhomogeneous density , with low-density cyst degeneration and necrosis , of which two had scattered punctate calcifications .Enhanced scanning revealed moderate uneven en-hancement in 3 cases and ring-shaped enhancement the other .Pathological findings showed small tumor cells with marked pleomor-phism, little cytoplasm, pale chromatin, inconspicuous or absent nucleoli , and obvious mitotic figures.Immunochemistry manifested positive CgA, Syn, and CK in all the 4 cases, positive NSE, CD56, and Ki-67 in 3 cases, and positive epithelial membrane antigen in 1. Conclusion A tumor located in the anterior-middle mediastinum with scattered punctate calcifications and compressing or inva-ding the adjacent mediastinal structures should be suspected as a small cell neuroendocrine carcinoma . However , definite diagnosis should be based on histopathologic and immunohistochemical exami-nations .

Objective To evaluate the efficacy and safety of imiquimod 5% cream applied with different treatment courses for preventing the recurrence of condyloma acuminatum lesions.Methods A randomized,controlled clinical trial was conducted.Patients with condyloma acuminatum were divided into 3 groups (Group A,B and C).Group A was treated with CO2 laser only.Group B was given topical im- iquimod 5% cream three times a week over 4 weeks after laser treatment of visible warts.Group C was giv- en topical imiquimod 5% cream three times a week over 8 weeks after laser treatment of visible warts.All patients were followed up for 6 months.Results A total of 90 patients with anogenital warts were enrolled in,and finished the study.The recurrence rates of the Group A,B,and C were 64.29%,50%,21.88%,re- spectively,in 6 months of follow-up.The recurrence rate was statistically lower in Group C than in Group A and B (P=0.0033),and in Group C than in Group B (P=0.0457).Adverse reactions occurred in 73.33% and 84.38% of patients in Group B and C,respectively,which included erythema,itching,pain, burning,erosion,ulceration and flu-like symptoms.There was no significant difference of the frequencies of adverse reactions between Group B and C (P＞0.05).Conclusion The recurrence rate of anogenital warts declines significantly in patients treated with imiquimod 5% cream for 8 weeks,but not in the 4 weeks group,after laser therapy.The frequencies of adverse reactions are not significantly different in both groups.

Objective:To evaluate the feasibility of fMRI on the location of brain regions related to cold stimulated toothache. Methods: 8 patients with cold induced dentinalgia of the right maxillary bicuspid and 8 healthy volunteers with full and healthy dentition were selected to perform the fMRI study, all of which are right handed. Block designed blood oxygen level dependent(BOLD) functional MRI scan covering the whole brain was carried out. SPM2 software was adopted to generate the activation map. Results: The patient group showed significant bilateral activations in insula/SII, basal ganglion, cingulate gyrus, midbrain red nucleus. BOLD signals were also found unilaterally in right thalamus, inferior parietal lobule(BA7) and left inferior frontal gyrus(BA44), MII/PMC. In contrast, the normal group showed increased signals in bilateral PMC and inferior parietal lobule BA40. Left lentiform nucleus, SI/MI and right inferior parietal lobule(BA7) were also excited in none painful cold sensation. Conclusions: Motor related cortex including PMC, SMA and BA44 have strong signals during dental pain. Compared with limb pain, tooth pulp stimulation evoked a more pronounced activation in the ipsilateral hemisphere in some brain regions.

There are many factors which can affect the quality of graduate student education,such as management,tutors,and individuals,which are usually the main aspects.Scientific management is the essential factor for high quality of education.This article introduced the experiences of graduate education in Capital Medical University,and discussed some problems which should be coped with.

With the popularization and internationalization of higher education,the quality of higher education has been more and more attented to. The article has reviewed the overseas system of evaluation of graduate education,discussed the system in China,and advanced some suggestions on self-evaluation of graduate education in China.