Objective To investigate the expression of Sonic hedgehog(SHH)and WNT/β-cate-nin in human pancreatic cancer and explore its clinical significance.Methods Reverse transcription-polymerase chain reaction (RT-PCR) and Western blot assay were used to determine the mRNA and protein expression of SHH and β-catenin in human pancreatic cancer tissue and normal tissues adjacent to cancer.Results The SHH mRNA and protein expression was detected in 81.6% and 79.6% of pancreatic cancer, respectively.The β-catenin protein expression was 71.4% in pancreatic cancer tis-sues.These were significantly different from those of normal tissue adjacent to cancer (P＜0.05).But the expression level of β-catenin mRNA was low in both pancreatic cancer tissues and normal tissues.There was no significant difference between them (P＞0.05).The expression of SHH and β-catenin protein in pancreatic cancer had no correlation with age, tumor size, pathological type and tumor site (P＞0.05), but had a relationship with lymph node metastasis and TNM stage (P＜0.05).The cor-relation between SHH and β-catenin protein was positive (r=0.352, P＜0.05).Conclusion The SHH and WNT/β-catenin signaling pathways were active in human pancreatic cancer.The crosstalk between these pathways may play an important role in the carcinogenesis and development of pancreat-ic carcinoma.

Objective:To analyze the current situation of age at menarche ( AAM) in Chinese ethnic minority girls aged 9 -18 years, and compare the AAM with that of Chinese Han girls from the same province or autonomous region .Methods:Probit analyses were used to calculate the AAM in various eth-nic minority groups of Chinese girls who participated in 2010 National Physical Fitness and Health Sur-veillance .The sample size of ethnic minority girls was 31 711, and the ethnic minorities were Mongolian , Hui, Tibetan, Uighur, Miao, Yi, Zhuang, Buyi, Korean, Dong, Yao, Bai, Tujia, Hani, Kazak, Dai, Li, Lisu, Wa, Shui, Dongxiang, Naxi, Kirgiz, Tu, Qiang and Sala.The local Han girls to compare with the AAM were also surveyed in 2010 National Physical Fitness and Health Surveillance .Results:In the 13-year-old group, the percentage of menarche in Sala was the lowest (32.17%), while that in Korean was the highest (93.23%).At the age of 18, 99.60%ethnic minority girls appeared menstruating .The AAM of the top 3 ethnic minority groups were Korean ( 11 .79 years ) , Mongolian ( 12 .44 years ) and Zhuang (12.52 years); and the last 3 ethnic minority groups were Dongxiang (14.36 years), Sala (14.32 years) and Shui (14.02 years).The AAM in Korean was 0.93 years earlier than that of the Han girls from Jilin province;the AAM in Mongolian was 0 .14 years earlier than that of the Han girls from Neimenggu autonomous region;the AAM in Naxi and Qiang was close to that of the Han girls in the same province (region) (P>0.05);and the AAM in Hui, Uighur, Miao, Yi, Zhuang, Buyi, Dong, Yao, Bai, Tujia, Hani, Kazak, Dai, Li, Lisu, Wa, Shui, Dongxiang, Kirgiz, Tu, and Sala was later than that of the Han girls in the same province ( region) .The cluster analysis indicated that the 26 ethnic mi-nority groups could be classified as three groups: Korean were classified into the earlier age group of AAM;Dongxiang, Sala, Uighur, Yi and Shui belonged to the later age group of AAM;and the other 20 ethnic minority groups were into the middle age group of AAM .Conclusion:There was a large variation among different ethnic minority groups in China .The AAM was earlier in Korean , and Mongolian , com-pared with the local Han girls , and the AAM in other ethnic minority groups was the same or later com-pared with the local Han girls .

Objective:To analyze the secular trends of height among Chinese students aged 17 in dif-ferent ethnic minorities from 1985 to 2010. Methods:A total of 18 Chinese ethnic minorities’ students, including Mongolian, Hui, Uygur, Zhuang, Korean, Tibetan, Miao, Buyi, Dong, Bai, Tujia, Hani, Dai, Lisu, Wa, Nakhi, Tu and Qiang as subjects were sampled from the 1985, 1995, 2000, 2005 and 2010 Chinese National Surveys on Students’ Constitution and Health. The heights of 17 years old people by gender in various ethnic minorities were analyzed and compared. Results:From 1985 to 2010, the in-crements of adult heights increased significantly in many ethnic minorities’ boys. In 2010, the average height of boys aged 17 years in each minority group was higher than 162 cm and was higher than 170 cm among boys from Hui, Mongolian and Korean groups. The ethnics with height growth rates of more than 2 cm per decade in boys were Hui (2. 64 cm/decade) and Dong (2. 05 cm/decade) and the ethnics with height growth rates of more than 1 cm per decade were Korean (1. 99 cm/decade), Tibetan (1. 90 cm/decade), Hani (1. 80 cm/decade) and the other 9 minority groups. The average height of girls aged 17 years in each minority group was higher than 150 cm in 2010 . The heights showed an upward trend in 15 minority groups, but with different degrees. The ethnics with height growth rates of more than 1 cm per decade were Hui (1. 56 cm/decade) and Korean (1. 29 cm/decade). The increments that were signifi-cant between 1985 and 2010 were Hui (3. 89 cm), Korean (3. 23 cm), Dong (2. 35cm) and the other 6 minority groups ( P<0 . 05 ) . Conclusion: Our data suggest that the increments of adult heights may reflect the secular growth change in the major minority groups during the past 25 years, but there was an obvious disequilibrium among various ethnic minorities. We should pay more attention to the minority groups with poor growth and give them more help. Meanwhile, we should also pay attention to the nega-tive effects of the secular growth trend on those minority groups with fast increasing adult height.

The therapeutic approaches for non-small cell lung cancer (NSCLC)patients with solitary bone metastases include surgery,radiotherapy,chemotherapy and so on.Recently,molecular targeted therapy such as the Denosumab has become a new option.Though there are so many options,the outcomes of the NSCLC with bone metastases are not so good.But for those with solitary bone metastases,radical treatment is necessary to improve the survival time and prognosis.

Objective:To analyze the prevalence of anemia and its proportions of severity,and to exa-mine the association between anemia and nutritional status among Chinese students of ethnic minorities, so as to provide bases for the prevention and treatment of anemia.Methods:The subjects were Mongoli-an,Hui,Zhuang and Korean students aged 7,9,1 2,1 4 and 1 7 years,sampled from the 201 0 Chinese National Surveys on Students’Constitution and Health.World Health Organization (WHO)criteria for screening anemia (2001 )was used,and the proportion rates of mild,moderate and severe were ana-lyzed.The nutritional status was defined according to the growth references of body mass index (BMI)-for-age z-score for 5 -1 9 years developed by the WHO.Stepwise Logistic regression was used to assess the association between anemia and nutritional status,gender,urban /rural areas,age and ethnic minori-ties.Results:The prevalences of anemia were 4.4%,26.4%,6.6% and 5.8% in Mongolian,Hui, Zhuang and Korean students,respectively,of whom,the prevalence of anemia was highest in rural girls and reached 4.8%,42.0%,9.0% and 6.7%,respectively.Most of the ethnic minorities’students belonged to mild anemia,and the prevalence of severe anemia was 1 .4%,1 2.9%,1 .6% and 1 .9% in Mongolian,Hui,Zhuang and Korean students,respectively.Stepwise Logistic regression showed that the girls,rural students,students aged 1 2 years and 1 7 years,Hui,Zhuang and Korean students were more likely to develop anemia than the boys,urban students,students aged 7 years and Mongolian students. The overweight students were less likely to develop anemia compared with the normal students and there was no significant association between anemia and thinness or obesity when the other factors were con-trolled (P >0.05).Conclusion:The epidemic of anemia was different in the different ethnic minorities and the prevalence of anemia in Hui students was of moderate public health concern according to the WHO’s criteria.We should pay more attention to the prevention and treatment of anemia for Hui and eth-nic minorities in rural areas,especially for rural girls.The nutritional status of students could not be a ba-sis or judgement for anemia as there was no significant association between anemia and nutritional status.

Blood Replenishing Angelica Decoction [Danggui Buxue Tang (DGBXT)]is a wellknown TCM prescription composed of Radix Angelicae Sinensis and Radix Astragali with the actions ofinvigorating "Qi" and enriching blood. Its action to curtail endothelial permeability induced by histaminewas studied. Endothelial cells isolated from the aorta of neonatal calf were cultured on polycarbonate mi-croporus filter membrane to develop a confluent endothelial monolayer. After purfused with either plainHank's balanced salt solution or that containing 5 g/L albumin, the monolayer was treated with 10-4 mol/L histamine for 30 min either with or without preincubation for 60 min with 10-4 g/mL of DGBXT. Fluidfiltration coefficient (Kf), filtration volume (Jv) and osmotic reflective coefficient (σ) of protein were thenmeasured. The findings showed that DGBXT could curtail the lowering of Kf and Jv and elevation of σ in-duced by histamine, indicating that DGBXT could inhibit the action of histamine on endothelial permeabili-ty, but its mechanism of action needs further study.

Actinomycosis ; pathology ; Female ; Humans ; Middle Aged ; Tongue Diseases ; microbiology ; pathology

Adult ; Ear Canal ; Foreign Bodies ; Humans ; Male ; Mandibular Condyle

Objective: To analyze the prevalence of reduced visual acuity (VA) and to examine the association between reduced visual acuity and influencing factors among Chinese Han students, so as to provide bases for the prevention and treatment of reduced visual acuity.Methods: Subjects were from 2014 Chinese National Surveys on Students' Constitution and Health (CNSSCH).In this survey, 261 832 Han students aged 7-22 years participated.Unaided distance VA was measured using a retro-illuminated lgMAR chart with tumbling-E optotypes.Ametropia was determined by using serial bronchoscopy.Logistic regression was used to assess the association between reduced visual acuity and influencing factors.ArcMap 10 was used to map the regional distribution of reduced visual acuity.Results: Nationwide, the overall prevalence of reduced visual acuity was 66.6%, and was highest among the urban girls (73.5%).The prevalence of myopia was 60.8% and accounted for more than 90% among the students with reduced visual acuity.Compared with 2010 CNSSCH, the increments of reduced visual acuity were highest in the students aged 13-15 years (6.8 percentage points).The prevalence of reduced visual acuity ranged from 50.6% to 76.2% in each province (autonomous region, municipality) in 2014 CNSSCH.The top three of the prevalence of reduced visual acuity were Jiangsu (76.2%), Zhejiang (76.0%) and Shandong (75.9%), and the lowest three were Hainan (50.6%), Guizhou (53.9%) and Xinjiang (57.6%).Logistic regression showed that the girls, urban students, and students who spent ≥2 h per day in their after school homework were more likely to develop reduced visual acuity, but the students with physical activity time ≥2 h per day were less likely to develop reduced visual acuity.Conclusion: Although the situation was different in each province (autonomous region, municipality), reduced visual acuity has become a public concern affecting the health of students in China.Based on the intervention on the key populations, such as urban girls and pre adolescent students, we should also continue to strengthen the prevention and control for reduced visual acuity among all students.

Objective Based on the diagnostic technique of electric meridian detection, to observe the clinical efficacy of acupuncture in treating angioneurotic headache.Method Totally 106 patients with angioneurotic headache were randomized into a treatment group and a control group, 53 cases in each group. The treatment group received acupuncture based on the electric meridian detection, while the control group received medication treatment. The hemorheology indexes [plasma viscosity (PV), erythrocyte sedimentation rate (ESR)] and McGill Pain Questionnaire (MPQ) [Pain Rating Index (PRI), Visual Analogue Scale (VAS), and Present Pain Intensity (PPI)] were observed before and after intervention, and the clinical efficacies were compared. Result The total effective rate was 88.7% in the treatment group versus 71.7% in the control group, and the between-group difference was statistically significant (P<0.05). After intervention, the hemorheology indexes and MPQ scores were significantly changed in both groups (P<0.01,P<0.05).Conclusion Acupuncture based on electric meridian detection is an effective method in treating angioneurotic headache.