China ; Female ; Humans ; Male ; Population Surveillance ; Tobacco Use Cessation ; methods ; Tobacco Use Disorder ; epidemiology ; prevention & control ; World Health Organization

Objective:To explore diagnostic value of 6min walking test (6MWT) for coronary heart disease (CHD) . Methods :A total of 192 patients suspected of CHD ,including 123 men and 69 women ,who were treated in our hos‐pital ,were selected .After hospitalization ,all patients received 6MWT and coronary angiography (CAG) examina‐tion .With CAG results as the gold standard for diagnosing CHD ,sensitivity ,specificity ,accuracy ,positive predic‐tive value and negative predictive value of 6MWT diagnosing CHD were calculated ,and they were compared be‐tween men and women .Detections of 6WMT among groups of different diseased number of vessels were compared . Results :With CAG results as the standard ,accuracy ,specificity ,sensitivity ,positive predictive value and negative predictive value of 6MWT diagnosing CHD were 71.35% ,80.58% ,60.67% ,72.97% and 70.34% respectively . Compared with female patients ,there were significant rise in accuracy (57.97% vs .77.24% ) ,sensitivity (39.29%vs .70.49% ) ,specificity (70.73% vs .83.87% ) and positive predictive value (47.83% vs .81.13% ) , P<0.05 or<0.01 ,and significant reductions in false positive rate (29.27% vs .16.13% ) and false negative rate (60.71% vs . 29.51% ) in male patients (P<0.05 or <0.01) ,there was no significant difference in negative predictive value be‐tween two groups (P>0.05) .Compared with single - and double -vessel coronary disease ,there was significant rise in true positive rate (43.75% ,54.05% vs .100% ) of triple - or multi -vessel coronary disease diagnosed by 6MWT , P< 0.01 both . Conclusion:The 6min walking test possesses high specificity and sensitivity diagnosing CHD ,and its diagnostic value is higher for male patients and patients with serious condition .Its procedures are sim‐ple with low cost and no damage to patients ,which can be used as adjunctive examination for CHD diagnosis and ex‐tended in clinic .

Objective To study the CT features and enhance the knowledge of peripheral primitive neuroectodermal tumors(pPNETs). Methods The CT appearances of 6 patients with pPNETs pathologically proved were analyzed retrospectively. Results The CT findings of 5 bone pPNETs were soft mass of homogeneous or heterogeneous density and osteolytic destruction without osteosclerosis, periosteum reaction and tumor bone formation. Follow up CT showed the mass shrunken significantly after radiotherapy in one case. In 1 patient of chest Askin tumor, the lesion appeared as a vast heterogeneous soft mass with moderate inhomogeneous enhancement. The mass invaded mediastinum and local bone destruction were not detected. Four months after operation, a small homogeneous tumor occurred in right chest wall with moderate homogeneous enhancement. Conclusion The manifestations of pPNETs on CT have no characteristics. However, CT can show the intra tumor structures and the extent of the tumor very well, which is helpful in differentiating diagnosis,predicting resectability, detecting distant metastases and evaluating the response to treatment.

By combining WGA-HRP retrograde tracing and immunohistochemical methods,the characteristics of the vasopressin(VP)-like immunoreactive neurons, which project to the posterior pituitary were studied. They were located subependymally, and predominately along:(1) the dorsal wall of the third ventricle at the preoptic area and posterior magnocellular paraventricular nucleus levels, (2) the ventral wall of the third ventricle at the suprachiasmatic nucleus level, and (3) at the floor of the third ventricle. Four types of the cells could be distinguished. They were found to squeeze in between the ependymal cells, bring themselves very close to the cerebrospinal fluid (CSF),or to be situated in the subependymal layer, sending some of their processes into the ependyma. The double labelled neurons were also detected subpially in the supraoptic nucleus (SON) and the retrochiasmatic nucleus. A large number of dendrites from the neurons in the SON extended toward the CSF in the subarachnoidspace. In summary, the VP-like immunoreactive neurons which projected to the posterior pituitary were very close to the CSF. It is, therefore, proposed that these neurons may monitor changes in the CSF and adjust the secretion of VP in the posterior pituitary. They may also release VP directly into the CSF.

The periventricular oxytocin(OXT)-immunoreactive neurons of the 3 third ventricle in the rat were studied under electron microscope by using pre-embedding PAP immunocytochemistry. Special attention was payed to the relationship between OXT-containing neurons and ependymal cells and the synaptic architecture of these neurons in the periventricular neuropil. The results revealed that the positively immunostained cell bodies and larger, dendrites of neurons were just beneath ependyma and contacted directly with ependymal cells. Typical Gray Ⅰ type or untypical axon-dendrite synapses were found between the immunolabelled neurons and unlabelled axon terminals. A cross section of a immunoreactive process was seen on the luminal surface of ependymal cells in one case. In the subependymal neuropil many synapses formed by OXT-immunoreactive dendrites and non-immunoreactive axon terminals which contained different kinds of synaptic vesicles were encountered. It is suggested that the subependymal neurons may be important in signal integation between cerebrospinal fluid and neuronal inputs. It is also possible that the subependymal neurons may release peptides,i, e. oxytocin into CSF.

Breast cancer stem cells comprise a sub-population, which enables the capacity for self-renewal and the potentiality for differentiation and high tumorigenicity. Growing evidence suggests that breast cancer stem cells most likely contribute to tumor generation, progression, relapse, metastasis and therapeutic resistance. Herein, the recent advances in breast cancer stem cells were highlighted in this review.

Object To investigate the synthesis of alkaloids by cell suspension cultures of Datura metel L. Methods Cultured cells derived from leaves of D. metel were m aintained in Murashige and Skoog (MS) liquid medium. The effects of different c arbohydrated, different inoculum sizes, and different pH values of medium as aff ecting facters on cell growth and alkaloid formation were studied. Re sults The optimum carbohydrate was sucrose, inoculum size (1.5 - 2. 0 g/L) for fresh weight and initial pH values (5.5-6.0) of the medium were benefit for cell growth and alkaloid synthesis in the suspension cultures. The synthesis of alk aloids was improved when exogenous phenylalanine added to the culture. Conclusion Suspension-cultured cells of D. metel c an be used to synthesize alkaloids.

Objective To explore some features of the sonographic appearance of recurrent and revival pheochromoeytoma (PHEO) in order to get some references in the clinical diagnosis.Methods To compare sonograms of 10 patients with recurrent and revival PHEO with sonograms of 60 cases(contrast group)with unrecurrent and unrevival PHEO in the same period.Results There was significant difference between the two groups and contrast group(G=9.475,P=0.002).However there was no significance in the incidence of malignant PHEO between recurrent and revival one(P>0.05).The echo of tumor:complex echo 2 cases,purely solid hypoecho 5 cases and hffperecho 1 case.Conclusions The tumor with recurrent and revival PHEO could have potential malignancy,the PHEO at the extra-adrenal often showed a phenomenon of recurrence,and the malignant PHEO appeared the multiple character.

As a major venue of scientific research activities,medical colleges and institutes are also an importance source of providing highly trained medical talents.With the medical education reform deepen,scientific research is now becoming the focus point of exploring the social aspect of medicine.Taking one military medical university as example,this paper demonstrated four specific measures for managing social sciences research in medical colleges.

This article aims to promote the teaching quality in clinical pharmachology. The methods are as follows: First, understanding the difference between the clinical pharmachology and pharmachology; Second, improving the teachers’ teaching level, especially increasing the clinical experiences in using drug; Third, developing the teachers’ spirits of occupation; Last, cultivating the ability of self-teaching of students.