Objective To investigate the clinical characteristics and prognostic factors of non-Hodgkin's lymphoma.Methods Sixty-one cases of children with non-Hodgkin's lymphoma in the Central Hospital of Nanyang City from January 2004 to December 2013 were retrospectively analyzed.The overall survival rate and survival rate without recurrence were analyzed by using Kaplan-Meier.And the prognostic factors were analyzed.Results Tumor type:Burkitt's lymphoma 23 cases(37.7％),diffuse large B-cell lymphoma 7 cases(11.5％),B lymphoblastic lymphoma 5 cases(8.2％),B-cell lymphoma 2 cases(3.3％),gradient large T-cell lymphoma 14 cases(23.0％),T lymphoid lymphoma 8 cases(13.1％),and cutaneous T-cell lymphoma 2 cases(3.3％).Stages:stage Ⅰ 3 cases(4.9％),stage Ⅱ 8 cases(13.1％),stage Ⅲ 32 cases(52.4％),and stage Ⅳ 18 cases(29.5％).The 3-year overall survival rate of 61 children was 75.4％(46/61 cases),and 3-year survival rate without recurrence was 68.9％(42/61 cases).Univariate analysis showed that tumor stage(x2=5.158,P<0.05),tumor size(x2=9.173,P<0.05),bone marrow invasion(x2=4.565,P<0.05),spleen invasion(x2=5.306,P<0.05),and central nervous system invasion(x2=5.220,P<0.05)could influence the prognosis of children.Conclusions The prognosis is different for non-Hodgkin's lymphoma children with different pathology,and the tumor stage,tumor size,bone marrow invasion,spleen invasion and central nervous system invasion can significantly influence the prognosis.Children should be treated on the basis of comprehensive analysis of pathology,pathological stage,and prognostic factors.

Objective Ginsenoside Rh2 can inhibit the proliferation of a variety of malignant tumor cells.However, little research has been done on the sensitivity of Rh2 in human hepatocellular carcinoma HepG2/ADM cells with multidrug resistance(MDR).This study aimed to explore the reversing effects of ginsenoside Rh2 on the MDR of human hepatocellular carcinoma HepG2/ADM cells and its potential mechanism.Methods MTT assay was applied to detect the effect of Rh2(0-250 μg/mL) on the viability of HepG2/ADM cells and screen out the optimum drug-resistant reversal concentration of Rh2.Cells were divided into 3 groups: HepG2/ADM group (without any medicine treatment), ADM group(ADM treatment for 48 h), ADM+40 μg/mL Rh2 group (pretreatment of 40μg/mL Rh2 for 30 min followed by ADM treatment for 48 h).Flow cytometry was applied to detect the effect of Rh2 on the fluorescence intensity of cellular Rh-123.RT-PCR was used to measure the expression of MDR1 gene.Western blot was used to detect the protein levels of P-gp, Bax, Bcl-2 and cleaved caspase-3.Results 40 μg/mL ginsenoside Rh2 significantly reversed the MDR of HepG2/ADM cells by a 2.55-to-3.70-fold increase in sensitivity.Furthermore, compared with ADM group, the efflux of Rh-123 in HepG2/ADM cells were remarkably inhibited by Rh2 in ADM+40 μg/mL Rh2 group (65.83±1.78 vs 78.21±1.26, P<0.01), along with the down-regulated expressions of MDR1 (0.48±0.02 vs 0.86±0.05, P<0.05), P-gp(0.97±0.04 vs 1.91±0.03,P<0.01), Bcl-2(1.25±0.05 vs 1.86±0.03, P<0.05) and the up-regulated protein level of Bax (1.76±0.04 vs 1.25±0.02,P<0.05) and cleved caspase-3(0.42±0.04 vs 38.26±5.45,P<0.05).Conclusion Ginsenoside Rh2 can effectively reverse the MDR of HepG2/ADM cells, and the potential mechanism is related to the decreased expressions of MDR1 and P-gp, the increasing drug concentration inside the cells and the Bax/Bcl-2 signaling pathway.

Objective To explore the effect of rehabilitation guidance combined with family training on motor function and activities of daily living of subacute stroke.Methods 89 patients with subacute stroke were divided randomly into two groups,control group(43 cases)and rehabilitation group(46),receiving routine neurological medication.In addition,rehabilitation group received rehabilitation guidance and training in the meantime.Results After 60 days of rehabilitation training,the scores of Fugl-Meyer Motor Function Assessment(FMA)and Activities of Daily Living improved significantly(P<0.01;P<0.001).Conclusion Rehabilitation guidance combined with family training is effective to improve motor function and activities of daily living of subacute stroke.

ObjectiveTo study the effect of responded hyperglycemia on the prognosis of acute stroke.Methods116 cases with acute stroke were divided into responded hyperglycemia group and normoglycemia group.The complications and activity of daily living(ADL) were compared in these two groups.ResultsResponded hyperglycemia severely influenced the recovery of patients as well as diabetes mellitus did.The incidence of infective complications in responded hyperglycemia group was higher than that of normoglycemia group.ConclusionsResponded hyperglycemia can make the prognosis of acute stroke bad.

BACKGROUND: Facial nerve defect seriously impacts the mental and physical health of patients as well as their quality of life. Pediceled neck muscle transplant and autologous nerve transplant have been used in clinical to repair facial nerve defect and restore the facial muscle function. However,there are disadvantages and limits of above methods which have restricted their wide application of them. It is a research hotspot for looking for a new material to repair facial nerve defect.OBJECTIVE: To investigate the effects of autologous degenerative skeletal muscle to repair facial nerve defect and provide theoretic basis for further improving the functions of facial nerve.DESIGN: Randomized controlled study based on animals.SETTING: Anatomy department and neurological department in a medical college.MATERIALS: The experiment was completed in the Neuro-histochemical Teaching Section of Xianning Medical College from April to September 2002. Twenty-two Japanese big ear rabbits were randomly divided into 3 groups: 8 in group A to conduct autologous degenerative skeletal muscle transplant, 8 in group B to conduct autologous nerve transplant and 6 in group C as normal control.METHODS: Animal model was built by make 8 mm defect of zygomatic branch of left facial nerve in 22 rabbits. Electrophysiological examination and morphologic observation were conducted to the zygomatic branch of facial nerve and the muscle it controlled to rabbits after 20 weeks.MAIN OUTCOME MEASURES: Electrophysiological examination results and morphologic observation of each group.RESULTS: Electrophysiological examination: Neural stem action potential (NAP), compound facial muscles action potential(cMAP) and nerve conduction velocity(NCV) were compared between groups. There was no difference between group A and B( P ＞ 0.05) while significant difference existed between group A and C, B and C ( P ＜ 0.05) . Morphological image analysis:number of nerve fibers was 2 559 ± 1 683 in group A, 2 658 ± 1 295 in group B and 3 253 ± 1 564 in group C. Diameter of nerve fiber was(4. 01 ± 0. 88) μm,(4. 26 ±0.77) μm, (4.98 ± 0. 72) μm for the three groups, respectively.Average density of regenerated nerve fiber: was(220 ±30) /0. 013 89 mm2,(233 ±32) /0. 0138 9 mm2, (315 ±27)/0. 013 89 mm2, respectively. When comparing the above parameters between groups, there was no difference between group A and B( P ＞ 0. 05), while there was significant difference between group A and C, B and C ( P ＜ 0.05).CONCLUSION: Autologous degenerative skeletal muscle can effectively induce and stimulate the regeneration of nerve and repair the facial nerve defect with the equivalent effects of autologous nerve transplant.

Objective To investigate diagnostic value of ectopic pregnancy by transvaginal sonography (TVCDS) combining with detection of blood β-human chorionie gonadotropin(β-HCG) and progesterone(P) level. Methods 96 ectopic pregnancy patients were exahined by TVCDS,and detected β-HCG and P in the same day or next day,every two days or several days reexamination of β-HCG and P were given to the hospitalization patients. Re-suits 96 ectopic pregnancy patients including massive type 76(79.1%) ,diameter (47.6±18.4) mm;embryo sac type 20(20.9%) ,showed embryo sac structure in ectopic pregnancy area,saw pulsation in saccus vitellinus and fetus vascular color,diameter (12.86±6.85)mm. 94(97.9%) displayed Doppler signals in ectopic pregnancy area, and 89(92.7%)cases were detected low resistivity nutrient artery flow spectrum by PW, the PI average value was (0.46±0.03).96 ectopic pregnancy patients' blood β-HCG and P level were significant low(P<0.01). Conclusion TVCDS combining with detection of β-HCG and P can raise early diagnosis level of ectopie pregnancy.

Objective To evlauate the effect of pulmicort respule combined with solution salbutamoI aerosol on the treatment of bronehiolitis.Methods 65 cases of bronchioiltis were randomly divided into two groups.solution saltutamol inhalation group or pulmicort respule combined with solution salbutamoI group,the time of easing asthma symtpoms was assessed.Results Therapeutic group cure rate is higher than the control group(87.9%/62.5%,P＜0.01),there is significant difference.Observation group duration of symptoms was significantly shorter than the oontrol group(P＜0.01),the difference is significant.Condmlon Pulmicort respule combined with solution salbutamol has significant therapeutic effect on the treatment of bronchiolitks,there are obvious advantages.

ObjectiveTo discuss neonatal hypoxic-ischemie eneephalopathy points,and the vesting of the re- lationship between the prognosis and current treatment methods. MethodsFrom January 2004 to April 2008, pedi-atric hospital treated 88 cases of HIE were assessed, inspected, grading and treated. Results8 cases in the 88 easesantomatically discharged, 51 patients (63.8 %) were recovered and 28 patients (35.0 %) improved, and 1 patient(1.3 %) died. HIE clinical severity has close relationship with prognosis. Mild and moderate cases were 78.4 % (29/37) ,53.7% (22/41) were recovered and no deaths, and severe 1 case, 1 death. ConchtsionHIE clinical severityand prognosis have close relationship, the time of birth asphyxia situation on the vesting of infants discharged andwas no significant impact.

Objective To investigate whether ornithine decarboxylase antizyme inhibitor-1(OAZI-1) can enhance the immunogenicity of Melan-A and induce antitumor immune effect in the experimental animals.Methods The eukaryotic expression plasmid pcDNA3.1(-) /OAZI-1, pcDNA3.1 (-)/Melan-A and pcDNA3.1(-)/Melan-A-OAZI-1 were constructed and used to immunize BALB/c mice.The spleen lymphocytes were prepared from the immunized mice and then used to determine the lymphocyte subsets by flow cytometry assay and tumor-killing activity by LDH release assay.The blood samples were collected from the immunized mice and used to test the serum INF-γ by ELISA.Results The eukaryotic expression plasmid pcDNA3.1(-)/OAZI-1, pcDNA3.1(-)/Melan-A and pcDNA3.1(-)/Melan-A-OAZI-1 were successfully constructed.All three gene vaccines could increaseCD4+ T cell ratio (P<0.05), among of them, the ratio in the pcDNA3.1(-)/Melan-A-OAZI-1 and pcDNA3.1(-)/Melan-A immunized groups increased more significantly than other groups but no obvious differences was observed between these two groups.Similarly, all three gene vaccines could also increased CD8+T cells ratio significantly (P<0.05), but, comparing with all other groups, the highest increase was observed in the pcDNA3.1(-)/Melan-A-OAZI-1 immune group (P<0.05).The pcDNA3.1(-)/Melan-A-OAZI-1 gene vaccines significantly increased cytotoxic activity of the spleen lymphocyte in the immune mice(P<0.05).Among the three gene vaccines only pcDNA3.1(-)/Melan-A-OAZI-1 could significantly increased the INF-γ level in the mice serum (P<0.05).Conclusions OAZI-1 can improve antitumor immunity by promoting tumor antigen presentation.

Objective Ketamine has been shown to suppress pro-inflammatory cytokines like TNF-? and IL-6. The purpose of this study was to investigate the effects of ketamine on myocardial NF-?B expression and serum IL-6 level in a rat model of myocardial ischemia-reperfusion (I/R) .Methods Twenty-four healthy male SD rats aged 4-8 months weighing 200-250 g were randomly divided into four groups with 6 animals in each group : (A)control group; (B) I/R group; (C) ketamine 5 mg? kg-1 +I/R(I/R+K1) and (D) ketamine 10mg?kg-1 + I/R (I/R + K2) . The animals were anesthetized with intraperitoneal 10% chloral hydrate 40 mg?kg-1. Chest was opened and heart exposed. Left coronary artery was temporarily occluded at 1 mm inferior to left auricle for 30 min followed by 120 min reperfusion. Myocardial ischemia was confirmed by decoloration of apex and elevation of S-T segment. In control group (A) heart was exposed but left coronary artery was not occluded. In group C and D ketamine 5 mg?kg-1 or 10mg?kg-1 was given i.v. during ischemia. The animals were sacrificed at the end of 120 min reperfusion. A piece of myocardium (0.1 g) was obtained from apex for determination of myocardial NF-?B expression (Western-blot) . Blood samples were taken at 30 min and 120 min of reperfusion for determination of serum IL-6 level (ELISA) .Results The serum IL-6 level at 30 min and 120 min of reperfusion and myocardial NF-?B expression were significantly increased in I/R group (B) compared with those in control group ( P