Objective To investigate the differences of symptoms,physical signs and examinations in childhood and adult patients with Marfan syndrome.Methods Twenty-four children diagnosed as Marfan syndrome were investigated and evaluated synthetically in symptoms,physical signs and examinations.The positive rate of each item was analyzed to find the differences between childhood and adult patients.Results Among 24 patients,thorax and spinal deformity were found in 19 children(79%),leptosome type existed in 16 children(67%),dolichostenomelia was found in 15 children(63%).The dilation of the aortic sinus was detected in 16 children ((67%),)and the dilations of left ventricle and mitral regurgitation were found in 3 children(13%) with echocardiogram.Conclusions It is critical ascertain the abnormalities in cardiovascular system and give intervention,and it is expected to prolong the patients′ life by slowing down the changes in aortic walls.

Amino Acids ; metabolism ; Animals ; Brain ; metabolism ; Electromagnetic Fields ; Electrophysiological Phenomena ; Glutamates ; metabolism ; Male ; Neurotransmitter Agents ; metabolism ; Pain ; physiopathology ; Pain Threshold ; Rats ; Rats, Sprague-Dawley ; gamma-Aminobutyric Acid ; metabolism

Catheter Ablation ; Child, Preschool ; Humans ; Infant ; Tachycardia, Ventricular ; surgery

Objective:To analyze the morphological characteristics of damaged Hero642 Ni-Ti dental files, and explain the relationship between deformation and fracture.Methods:71 discarded files were observed under naked eyes and stereomicroscope. 5 of which were observed under S360 scanning electronic microscope (SEM), and typical photos were taken for analysis.Results:The damage of Hero642 Ni-Ti dental files was characterized by fracture, tightened or loosened spiral and some kind of deformation detected at more than 35 times magnification. Under SEM, the dimple pattern was represented in the fracture surface of the files. Conclusion:Most Hero642 Ni-Ti files fractured within 4 mm from the tip which belongs to the pattern of ductile fracture.

Objective: To investigate the epidemiological characteristics of pulmonary tuberculosis in Taizhou City from 2016 to 2021, so as to provide the evidence for formulating the pulmonary tuberculosis control measures. Methods: The epidemiological data of pulmonary tuberculosis cases in Taizhou City from 2016 to 2021 were retrieved from the Tuberculosis Management Information System and Infectious Disease Surveillance System of Chinese Disease Prevention and Control Information System, and the trends in the incidence of pulmonary tuberculosis and regional, population and temporal distributions of pulmonary tuberculosis were analyzed using a descriptive epidemiological method in Taizhou City from 2016 to 2021. Results: A total of 15 621 pulmonary tuberculosis cases were reported in Taizhou City from 2016 to 2021, with annual mean reported incidence of 42.12/105. The incidence of reported pulmonary tuberculosis reduced from 43.74/105 in 2016 to 36.31/105 in 2021, with an annual decline rate of 3.65% (χ2trend=34.172, P<0.001). There were 7 606 cases positive for pathogenic tests (48.69%), and the positive rate of pathogenic tests appeared a tendency towards a rise from 2016 to 2021 (χ2trend =470.906, P<0.001). The reported incidence rates of pulmonary tuberculosis were 57.83/105 and 25.46/105 in men and women, and a high incidence rate was reported in patients at ages of 20 to <25 years (72.80/105) and 65 years and older (84.75/105). Farmer was the predominant type of occupation (8 365 cases, 53.55%), and the cases peaked from March to August, with the greatest seasonal index in May (119.76%). A high annual incidence rate of pulmonary tuberculosis was reported in Xianju County (52.51/105) and Wenling City (49.98/105) from 2016 to 2021, and the a high constituent ratio of patients positive for pathogenic tests was seen in Sanmen County (58.71%) and Luqiao District (53.24%). Conclusions The reported incidence of pulmonary tuberculosis showed a tendency towards a decline, and the proportion of pulmonary tuberculosis patients positive for pathogenic tests showed a remarkable increase in Taizhou City from 2016 to 2021. The number of patients peaked in spring and summer. In addition, high incidence of pulmonary tuberculosis was seen in Xianju County and Wenling City.

Objective To explore the effect of preventing adhesion after the orbital blowout fracture on orbit tissue by amniotic membrane. Design Experimental study. Participants Twenty-six New Zealand rabbits. Methods Establishing rabbit orbital blowout fracture model, the right orbit of twenty rabbits was repaired by hydroxyapatite (HA) parceled of amniotic membrane, and left orbit was only repaired by HA, the orbits of the other six rabbits weren't repaired. Then we got the tissue around bone after one week and one month, and compared the difference of three groups. Main Outcome Measures Inflammatory response of tissue around bone was ana- lyzed by HE, picric acid Sirius Scarlet dying, TGF-?immunohistoehemical observation. Results One week after operation, HE and im- munohistochemistry showed that the difference was not significant in inflammatory response between experimental group and control group (P=0.351, P=0.413), and difference is significant between blank group and experimental group (P=0.012, P=0.041). One month after operation, HE and immunohistoehemistry showed that the difference was significant in inflammatory response between experimental group and control group(P=0.037, P=0.048), and there is no significant difference between experimental group and blank group(P=0.285, P=0.472). Conclusion It has an important role of anti-inflammatory and anti-adhesion in the chronic stage of inflammatory after orbital blowout fracture repaired by man-made plates of amniotie membrane.

AIM: To study the effects of resveratrol on the proliferation of human retinal vascular endothelial cells induced by cobalt chloride-simulated hypoxia in vitro.METHODS: CoCl2 (100μmol/L) was used to simulate hypoxic condition, and human retinal vascular endothelial cells were cultured in vitro as model. The cell proliferation was determined by MTT method; SABC method was employed to test the expression of vascular endothelial growth factor (VEGF); and computer image analyzer was used to process data. The effects of resveratrol on the proliferation of vascular endothelial cells were observed.RESULTS: Resveratrol inhibited the proliferation of human retinal vascular endothelial cells induced by CoCl2 in a dose- and time-dependent manner in vitro, meanwhile VEGF expression in all groups which were administered medicine was down-regulated. Both kinds of inhibitive effects of resveratrol were statistically significant (P<0.01).CONCLUSION: Resveratrol can significantly inhibit the proliferation of human retinal vascular endothelial cells and the expression of VEGF, which may provide a new approach for prevention and treatment of retinal neovascular diseases.

Objective:This study aimed to identify the morphology of mast cells by using a modified toluidine blue staining scheme,so as to provide a powerful reference for the experimental basis research of mast cells.Methods:Bone marrow-derived mast cells were induced in vitro.After 4 weeks,the cells were collected,fixed,and stained.Mast cells were fixed at different temperature during different time.The optimum condition was determined by comparing the effects of toluidine blue staining.Results:Bone marrow cells were induced to differentiate into mast cells by SCF and IL-3 in vitro.When mast cells were stained with modified toluidine blue staining,the staining effect was better.Mast cells were round or oval and the cell membrane was complete and the cytoplasm was filled with a large number of purple particles.Conclusion:In this study,we successfully applied a modified toluidine blue staining method to mast cells cultured in vitro.The results showed that the condition at 37 ℃ full fixation with staining could reduce the degeneration of mast cells.This method was easy to operate with good stability.It was suitable for the morphological observation of mast cells cultured in vitro.

Objective To study the effect of modified sensorimotor training (SMT) method on standing ba- lance of the stroke patients during their recovery stage. Methods Sixty stroke patients at recovery stage were ran- domly divided into an intervention group and a control group. The intervention group was trained by modified SMT method which combined Thera-band with partial body weight support (PBWS) system, while the control group was trained only with their standing balance in the parallel bars based on the neurodevelopment therapy (NDT) method. Both groups were given the same medications as well as physical therapy, acupuncture and OT. The patients in the two groups practiced standing balance in front of a mirror daily, 40 minutes every day and 6 days every week for 4 weeks. The balance abilities of patients were evaluated by Berg balance scale (BBS) , and their lower extremity func- tions were assessed by simplification Fugl-Meyer assessment (FMA). Results After training, both groups showed significant improvement in BBS and FMA ( P

Objective:To compare the clinical effects and improvement of serum hormone levels of kidney tonifying and blood circulation recipe and mirena in the treatment of perimenopasual dysfunctional uterine bleeding.Methods:92 cases of perimenopausal patients with dysfunctional uterine bleeding in our hospital from July 2013 to November 2016 were selected and divided into group A and group B with 46 cases in each group.Group A was orally administered with kidney tonifying and blood circulation recipe,and group B was administered with mirena.Both groups were treated for 3 periods.The efficacy and incidences of adverse effect in two groups were observed.The levels of serum hormones and hemoglobin (Hb),and endometial thickness (ET) were detected in two groups.The indices of serum hormone included follicle-stimulating hormone (FSH),luteinizing hormone (LH),progestone (P) and estradiol (E2).Results:No significant difference was found in the total effective rate between two groups (P＞0.05).After treatment,the levels of serum FSH,LH,E2 and P as well as ET and Hb in both groups were all significantly lower than those before treatment (P＜0.01),and the levels of serum FSH,LH,E2 and P as well as ET of group B were significantly lower than those of group A (P＜0.01),no significant difference in the Hb level between two groups (P＞0.05).The incidence of adverse reactions of group B (15.22％) was significantly higher than that of group A(0％) (P＜0.01).Conclusions:The kidney tonifying and blood circulation recipe had similar effect as mirena in the treatment of perimenopasual dysfunctional uterine bleeding,while mirena had strong improving effect in serum hormone level and ET,kidney tonifying and blood circulation recipe had higher security.