The arterial supply of the human metatarsals in 90 lower limbs,ranging in age from newborn to87 years,was studied by perfusion method. The blood supply of the metatarsals is derived from the nutrient artery,the periosteal arteries,the epiphyseo-metaphyseal arteries and the pseudoepiphyseal arteries. The proximal and distal branches of the nutrient artery supply the inner two-thirds or three-fourths of the cortex. The periosteal arteries give off a few twigs penetrating into the cortex and supplying the outer one-third or one-fourth of the cortex. The radiate form epiphyseo-metaphyseal arteries derived from superficial plexuses in continuity with the periosteal networks on the shafts, supply the base of the first metatarsal, and the heads of the other four. The pseudoepiphyseal arteries, penetrating the non-articular areas of the bones, supply the bases of the second, third, fourth and fifth metatarsals and the head of the first. The sources of the nutrient arteries to the metatarsal vary with the different bone . The nutrient arteries to first metatarsal bone usually originate from the ramus plantaris profundus and the first plantar metatarsal artery, while the nutrient arteries to the other metatarsal bones mainly derive from the plantar metatarsal arteries, the plantar arch and its perforating branches. The clinical significance of the arterial distribution to the metatarsals is discussed.

The family of bone morphogenetic proteins (BMPs) belongs to the superfamily of transforming growth factor-β (TGF-β). It has various functions in the body. In recent years the BMPs family(especially the BMP7) has been discovered to play an important role on the genesis and development of cancer. In this article the characteristic, the mechanism and the function of BMP7 in the genesis and development of cancer are summarized.

This paper reviewed the clinical research progress of the treatment of children's adenoid hypertrophy in recent years from the aspects of Chinese medicine treatment and combined traditional Chinese and western medicine treatment. It is believed thatTraditional Chinese medicine treatment for the children with adenoid hypertrophyhas showed better curative effect and less side effects, which can reduce the operation rates. It's easy for parents and children to accept and can be widely promoted in clinical.

Objective The complex morphological variation and sources of Tibetan medicinal plants from Aconitum genus make it difficult to identify the medicinal materials correctly. In addition, the toxicity of these materials could be a huge challenge for the safety of drug use. A rapid and accurate method for the identification and classification of Tibetan medicinal herbs of Aconitum genus was built by using ITS2 sequences as DNA barcodes. Methods A total of 50 samples of Aconitum chasmanthum, A. liangshanicum, A. kongboense, A. gymnandrum, A. pendulum, A. tanguticum, A. phyllostegium, A. campylorrhynchum, A. Polyschistum, and A. sessiliflorum were collected from the Qinghai-Tibet Plateau. PCR amplification and sequencing of ITS2 sequences were conducted after the extraction of DNA. Genetic distance, neighbor joining (NJ) phylogenetic tree and secondary structures of ITS2 sequences were analyzed using MEGA 6.0. Results The maximum distance between species was greater than the minimum distance within each species, NJ tree showed that the samples went to 12 separate branches, differences among the secondary structures of ITS2 sequences also made it clear to identify these species. Conclusion Using ITS2 sequence as DNA barcode can be an accurate and rapid method for identification and recognition for Tibetan medicinal plants of Aconitum genus, which provides a reliable technical means to ensure safety use of these Tibetan medicines.

Objective To explore the application of integrating 64-slice CT image with three-dimensional electroanatomic mapping(Carto-Merge) in guiding catheter ablation of atrial fibrillation(AF).Methods Fifteen patients with drug-refractory AF received catheter ablation of AF.64-slice CT scan was performee 1-3 days prior to the ablation procedures.Using a novel software package,the left atrium(LA)with PVs was segmented and extracted for image registration with a combination of landmark registration and surface registration.Results The integration of the CT image into the electroanatomic mapping system was performed successfully in all patients with an error of 2.11?0.82 mm.Thirty pairs of PVs were electrically isolated after circumferential rediogrequency pulmorary rein ablation.The mean procedure time was 170.51?38.47 minutes.Cardiac tamponade occurred in one patient.All the fifteen patients were free of AF recurrence after 3 months of follow up including the 2 cases of persistent AF who required antiarrhythmic drugs.No thromboembolic events or stenosis were observed.Conclusion Integration of 64-slice CT image into the CARTO system successfully performed in patients undergoing catheter ablation of AF and enhance the ablation success rate.

Objective To investigate the antiproliferative effect of suramin on trabeculectomy in rabit.Design Experimental study. Participants 32 New Zealand albino rabbits.Methods 32 albino rabbits were randomly divided into four groups.Both eyes of rabbits were performed trabaculectomy and placed a piece of cotton with 0.3 mg/ml mitomycin C(MMC)for 2 minutes in standard control group,220 mg/ml suramin for 2 minutes in experimental groupⅠ,250 mg/ml suramin for 2 minutes in experimental groupⅡ.The examination of intraocular pressure was performed before surgery.The filtration bleb and intraocular pressure were observed at 3,7,15, 30 days after surgery.Some conjunctiral specimen was observed with histochemicall(HE staining)and immunohistochemicall(PCNA staining)methods.Main Outcome Measures Intraocular pressure(IOP),filtering bleb appearance,histopathological staining.Results The percentage of the functional blebs in empty control group and experimental groupⅠwas lower than in standard control group,and experimental groupⅡwas higher than in the other 3 groups at 30 days after surgery.Immunohistochemical staining showed the number difference of PCNA positive cell nuclear was no significant between experiment groupⅠand standard control group,but less than empty control group,and experiment groupⅡwas the least(P

OBJECTIVE:To provide a reference for setting codes in national New Rural Cooperative Medical System (NRC-MS) drug catalog. METHODS:Current conditions of drug catalog coding at home and abroad were introduced,the problems in the process of setting codes in national NRCMS drug catalog were analyzed and the countermeasures were put forward. RESULTS& CONCLUSIONS:Existing drug catalog codes mainly include those published by World Health Organization(WHO)in anatomi-cal,therapeutic and chemical classification system,and those in Chemical (Raw Material and Preparation) Classification and Code of China,Classification and Code of Drugs Covered by Social Insurance,meanwhile,the setting code method of relevant drugs can be also learnt from Chinese Pharmacopoeia and National Essential Drug List,etc. In setting codes in national NRCMS drug catalog,there were problems such as difficulty in classifying and mapping drug codes,insufficient authority of references for drug codes,too many reference standards for drug codes,and poor normalization of drug code extension. We should further refer to definitely authoritative standards for drug codes,establish appropriate rules on drug code integrated mapping,develop uniform and perfect drug code category set,and establish a system subject to continuous update and an effective evaluation mechanism,to solve the problems in the process of setting codes in national NRCMS drug catalog.

Objective To study the correlation of the level of high-sensitivity C-reactive protein (Hs-CRP) in the acute phase of ischemic stroke and progressive stroke. Methods 101 patients with acute ischemic stroke were collected. Serum Hs-CRP of all patients were measured at 24 hours after admission , the onset of 48 hours, the onset of 72 hours by latex enhanced immune turbidity method. According to their serum Hs-CRP lev-els, the patients were divided into the group of Hs-CRP sustained growth (n = 35) and the group of non Hs-CRP sustained growth (n = 66). The NIHSS scores were assessed on two groups of patients , Logistic regression analysis was made to screen the related factors of Hs-CRP increase and the possible risky factors for progressive ischemic stroke. Results There was a significant difference of serum Hs-CRP level between the two groups (P <0.001). The incidence of progressive stroke in the group of Hs-CRP sustained growth was significantly higher than that in the group of non Hs-CRP sustained growth (χ2 = 32.710, P < 0.001). Logistic regression analysis showed blood glucose , white blood cell count , triglyceride level and NIHSS scores at admission were associated with sustained growth of Hs-CRP and the factors that they included Hs-CRP sustained growth , admission NIHSS scores, diabetes mellitus and pulmonary infection were regarded as independent risk factors. Conclusion The sustained growth of Hs-CRP in the acute phase of ischemic stroke is an independent predictor of progressive stroke.

The extended service in domestic and foreign medical libraries was summarized according to the trans-formation of medical library and the need of public health information followed by a description of some typical cases of extended service provided by MedlinePlus website , Disaster Medical Information Management Research Center , and patient libraries in order to provide the reference for domestic medical libraries to cary out their extended service .

ObjectiveTo investigate the clinical features of patients with painless acute pancreatitis ( AP),and to improve the diagnosis accuracy of painless AP.MethodsThe clinical data of 12 patients with painless AP were retrospectively collected from January 2007 to January 2011.Results The mean age of patients with painless AP was 52 years old.Seven (58.3％) patients complained of abdominal distension and discomfort,4 (33.3％) patients complained of nausea and vomiting,abdominal tenderness occurred in 7(58.3％ ) patients.Serum levels of lipase and amylase was increased in 11 (91.7％) and 8 (66.7％)patients,respectively.The diagnostic accuracy of abdominal ultrasound and CT for AP was 58.3％ and 91.7％,respectively.Five (41.7％) patients were diagnosed to have AP upon admission,and 4 patients were misdiagnosed to have non-digestive diseases.There were 7 severe AP patients among the 12 painless AP patients,and the percentage was significantly higher than that in AP patients with pain (65/327,x2 =7.30,P ＜ 0.05).Painless AP patients needed longer hospital stay when compared with that of AP patients with pain [ ( 20.4 ± 9.1 ) d vs.( 12.9 ± 6.2) d,t =2.296,P ＜ 0.05 ) ].ConclusionsThe misdiagnosis rate of painless AP is high and patients with painless AP are in critical situation,and early measurement of serum levels of lipase and amylase,as well as CT scan is important for correct diagnosis.