A 8-years-old male patient with a bulge of left eye ball for one mongth was hospitalized. The inspection of the patient showed the movement on the left side of the lateral nasal wall and a narrow nasal cavity. Orbital CT showed that the left orbital ethmoid sinus, maxillary sinus cyst, left orbital, sphenoid sinus, nasal cavity were damaged. A resection with the combination of approaches including the left maxillary sinus, the ethmoid sinus, and the sphenoid sinus osteofibroma was performed. 5 days after the operation, the nasal packing material was removed and 7 days after the operation the stiches were removed. The recovery of the patient was satisfied after the operation and no recurrence was observed during one and half years follow up.
Child ; Ethmoid Sinus ; pathology ; Humans ; Male ; Maxillary Sinus ; pathology ; Nasal Cavity ; pathology ; Nasal Surgical Procedures ; Ossification, Heterotopic ; diagnosis ; surgery ; Paranasal Sinus Diseases ; diagnosis ; surgery ; Sphenoid Sinus ; pathology

Objective To investigate the status of the plague natural focus and assess the risk of plague in regions with large scale engineering construction project,in order to provide a basis for plague prevention and control.Methods The survey was carried out in 14 regions with large scale engineering construction project of 40 counties in Guizhou Province in 2000-2011,2-3 towns were selected in each county and 2-3 villages in each town,the plague hosts and flea vectors in the residential houses and outdoors were investigated,the sera of 5 animals were collected in each village.The capture rate of hosts and flea index were calculated.Then the samples were cultured and serological tested for plague.Results The density of rodents was 1.14％-3.87％ in the reservoir region' residential building of hydro power station (Tianshengqiao,Pingban,Silin,Guangzhao,Sanbanxi,Dongqing,Qianzhong,Shatuo) and Xingyi airport,and Rattus flavipestus was the dominant species.The density of rodents was 0.00％-0.84％ in the reservoir region of hydro power station (Hongjiadu,Yingzidu,Goupitan,Longtan) and Jinyang district; the total flea index in Yinzidu,Pingban,Longtan reservoir regions of hydro power stations were 3.16,2.00,1.06,3.47 and 1.99,respectively.A total of 21 rodent and flea samples from Tianshengqiao hydro power station were tested positive for F1 antigen of the plague.Three strains of Yersiniapestis were isolated.Nine rat filter paper blood samples and 7 sera of indicative animals were tested plague F1 antibody positive.Other regions with large scale engineering construction project were tested negative.Conclusions The reservoir region of Tianshengqiao hydro power station is endemic areas of the plague,where belong to high risk areas.The density of Rattus flavipestus is higher than the controlling standard of the country in the reservoir region of hydro power station (Pingban,Silin,Guangzhao,Sanbanxi,Dongqing,Qianzhong,Shatuo),where belong to potential risk areas.The plague prevention and monitoring should be continually strengthened to reduce the risk of plague.

Objective To study the effects of the integrity of the tensor tympani muscle on the postoperative hearing recovery and the morphology of tympanic membrane,to provide the reference for the handling of the tensor tympani muscle during the operation.Methods A total of 145 cases of chronic tympanitis were grouped by the integ-rity of the tensor tympani muscle and the implanted types of biological auditory ossicles,the clinical data were ana-lyzed retrospectively.There were 80 cases in the tensor tympani muscle intact group,including 45 cases of PORP group and 35 TORP group.The tensor tympani muscle rupture group of 65 cases consisted of 34 cases of PORP group,and 31 cases of TORP group.The postoperative recovery conditions of tympanic membrane morphology, hearing threshold Ac and air-bone gap(ABG)between the tensor tympani muscle intact group and the tensor tym-pani muscle rupture group were compared 1 month or 3 months,and 6 months after the operation.ResuIts One month after the operation,there was no significant difference in tympanic membrane morphology between the two groups.Three months after the operation,the tensor tympani muscle intact group had a higher ratio about the loca-tion and shape of tympanic membrane ,closer to the normal than the tensor tympani muscle rupture group in which the ratio in the intact group was 81.25% (65/80),while in the rupture group it was 52.31% (34/65 ).After 6 months,with the operation of PORP,the tensor tympani muscle intact group of AC value was 27.48±10.02 dB HL, and ABG value was 13.57±6.36 dB,while the rupture group of AC value was 32.36±9.34 dB HL,and ABG value was 25.73±7.44 dB.With the operation of TORP,the tensor tympani muscle intact group of AC value was 28.76± 7.14 dB HL,and ABG value was 21.02±5.48 dB,while the rupture group of AC value was 39.93 ±5.12 dB HL, and ABG value was 31.41±6.25 dB.The postoperative recovery condition of the tensor tympani muscle intact group was better than those of in the rupture group.ConcIusion The tensor tympani muscle can maintain the morphology and location of the postoperative tympanic membrane.The integrity of the tensor tympani muscle may has a positive effect on the improvement of the postoperative hearing.

Objective To discuss the clinical features, diagnosis and therapy of primary adrenal lymphoma (PAL) . Methods Two patients (65-year old and 52-year old respectively) who complained vague pain were analyzed. Occupying lesions in adrenal gland were discovered by computed tomography (CT) and diagnosed by needle biopsy and laparoscopic surgery. Results The two patients in our hospital were diagnosed as nonHodgkin's lymphoma. They were treated with chemotherapy and one of them was partial response. Literatures on PAL were reviewed. In the literature, 7 of the 65 patients achieved complete response, 15 partial response, 43 death or unspecified and the survival duration was 3 days to 26 months. Conclusions Most of PAL are bilateral, without specific clinical characters. Neele biopsy is the first choice to make the diagnosis. The therapeutic modalities for PAL include surgery, chemotherapy, surgery followed by chemotherapy as well as radiation therapy. The prognosis of PAL is poor if other organs are involved.

Objective To survey the major host animal and media fleas of plague in Beipanjiang Basin,to gain insights into plague foci and to provide a basis for prevention and control of plague.Methods According to the epidemiological site survey methods,from 2008 to 2010 five villages in five townships (towns) in coastal watershed of Beipanjiang were selected.The methods of cage trapping and 5 meters thread clamp were used to capture rodents indoor and outdoor,respectively.After rats were anesthetized with ether anesthesia,rat body flea were combed and stored in sterile tubes.The liver and spleen of rodents were collected and stored in the test tube with preservation solution,and free body fleas on rats were collected with flea sticky paper and stored in sterile tubes.Blood specimens (5 ml) of indicating animal and normal people were collected,serum was separated and sent for laboratory test.The four-step method was utilized to isolate Yersinia pestis from rodents and fleas,the indirect hemagglutination (IHA) was used to test F1 antibodies on the blood of rodents filter,blood serum of humans and rodents.Results Totally 243 rodents were captured,202 indoor and 41 outdoor,the capture rate was 4.90％ and 1.15％,respectively.Rodents captured belong to 9 species,4 genera,1 family and 1 order,Rattus flavipectus and Mus pahari were dominant species.Five rodents had body flea,the dyed flea rate was 2.06％;53 fleas were captured,total flea index was 0.218 1.Rat fleas were classified in 2 families,2 genera and 2 species,and Cheopis was the dominant species.Yersinia pestis and plague F1 were not detected.Conclusion The epidemic indication has not been found in Beipanjiang Basin,but the nurturing conditions for Rattus flavipectus plague foci along the coast are exist.

Objective To master the prevalence of plague and its trend in Guizhou Province,and to analyze the plague monitoring results from 2000 to 2012.Methods The report of infectious disease,the information of plague natural focus and the epizootic monitoring data of Xingyi City,Anlong County and Dingxiao Distract of Guizhou Province from 2000 to 2012 were collected and the status of the plague natural focus was analyzed.Results There were 137 cases of gland plague in Xingyi City and Arlong county from 2000-2003,1 death,and mt plague occurred in 66 villages.Fifty-four strains of Yersiniapestis were detected and 49 rats were plague antigen F1 positive(49/160).No human plague occurred between 2004-2012.A total of 4 plague antigen F1 positive rats were detected in Dingxiao District and Xingyi City in 2005 and 2006.There was no Yersinia pestis and F1 antibody in 2007-2012.The epidemic stage of plague was from 2000-2003; the active stage was from 2004-2006; and the quiescent stage was from 2007-2012.The dominant species of the plague natural focus was Rattus flavipestus (42.83％,7 966/18 597),but was replaced by Rattus norvegicus at the epidemic stage (47.22％,1 480/3 134) and the active stage(35.35％,2 071/5 196).The density of rodents was 5.34％ at the epidemic stage,which was higher than that of the active stage (3.27％) and the quiescent stage (1.71％,x2 =2 286.15,P ＜ 0.01).Xenopsylla cheopis(56.34％,10 034/17 811) was the dominant species,and the index was 1.537 9,which was greater than those of the active stage(0.959 6) and the quiescent stage(0.540 4,x2 =492.68,P ＜ 0.01).Conclusions The plague of Guizhou Province is at the quiescent stage.Both the density of rodents and the Xenopsylla cheopis index are lower than the national standard of controlling.

Butanol is not only an important chemical feedstock but also expected to become a new generation biofuel. Thus, biological butanol production using renewable feedstocks has attracted renewed attention due to the worries of global oil supply and its impact on social and economic development. However, compared with petrochemical-derived butanol, biological butanol production is still not economically competition, because of its major drawbacks: high cost of the feedstocks, low butanol concentration in the fermentation broth and the co-production of low-value byproducts acetone and ethanol. Recently, Shanghai cooperative bio-butanol group (SCBG) developed a simple-to-complex technical route to improve bio-butanol production with a focus on: increasing butanol ratio in the solvent through metabolic engineering of Clostridia spp.; introducing and optimizing the butanol synthetic pathway in the species with high butanol tolerance; overcoming the glucose repression effect to utilize low-cost non-grain based feedstocks. SCBG believes that, through extensive domestic and international industry-university-research cooperation, a sustainable and economically viable process for biological butanol production can be established in the near future.
Biofuels ; Butanols ; metabolism ; Clostridium ; genetics ; metabolism ; Clostridium beijerinckii ; genetics ; metabolism ; Fermentation ; Genetic Engineering ; methods ; Industrial Microbiology ; methods ; trends

Objective To analyze the monitoring results on plague from 2013 to 2017 in Guizhou Province,to master the epidemic dynamics of the plague and to provide a basis for developing countermeasures.Methods Using a retrospective analysis method,plague monitoring data from 9 monitoring sites in Xingyi City,Anlong County,Ceheng County,Xingren County,Pan County,Liuzhi Special Zone,Si'nan County,Dejiang County and Yanhe County in Guizhou Province from 2013-2017 were collected and analyzed.Results In 2013-2017,there were no plague F1 antigen and F1 antibody.A total of 3 575 murine animals were captured indoors,with Rattus norvegicus as the dominant species,accounting for 49.99％ (1 787/3 575).Rattus norvegicus and Mus musculus were common species,accounting for 35.64％ (1 274/3 575) and 11.36％ (406/3 575),respectively;the density of indoor rat was 3.48％(3 575/102 641),there was no significant difference in rat density between different years (x2 =3.655,P ＞ 0.05).A total of 1 674 murine animals were captured outdoors,and the Rattus norvegicus was the dominant species,accounting for 34.29％ (574/1 674).S.serrata and Rattus norvegicus were common species,accounting for 18.28％ (306/1 674) and 13.20％ (221/1 674),respectively;the density of outdoor rat was 1.67％ (1 674/100 180),there was no significant difference in rat density between different years (x2 =6.241,P ＞ 0.05).A total of 9 541 murine animals were examed and 2 270 rats with flea were detected,the flea infestation rate of rat was 23.79％,the rat body flea index was 1.019 4,Xenopsylla cheopi was the dominant flea species and the index was 0.557 3.Conclusions The plague natural focus of Guizhou is at a quiescent stage.The plague monitoring work should be strengthened,health education should be done well,and plague epidemics should be stricdy prevented.

Objective To analyze the mutations ofPAX3 gene in two Waardenburg syndrome type Ⅰ (WS1) pedigrees and make prenatal diagnosis for the high-risk 18-week-old fetus.Methods PAX3 gene was first analyzed by Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA) for detecting pathogenic mutation of the probands of the two pedigrees.The mutations were confirmed by MLPA and Sanger in parents and unrelated healthy individuals.Prenatal genetic diagnosis for the high-risk fetus was performed by amniotic fluid cell after genotyping.Results A heterozygousPAX3 gene gross deletion (E7 deletion) was identified in all patients from WS1-01 family,and not found in 20 healthy individuals.Prenatal diagnosis in WS1-01 family indicated that the fetus was normal.Molecular studies identified a novel deletion mutation c.1385_1386delCT within thePAX3 gene in all affected WS1-02 family members,but in none of the unaffected relatives and 200 healthy individuals.Conclusions PAX3 gene mutation is etiological for two WS1 families.Sanger sequencing plus MLPA is effective and accurate for making gene diagnosis and prenatal diagnosis.

Objective To explore the effects of heparinase(HPSE)on myocardial apoptosis,inflamma-tory response and oxidative damage in myocardial ischemia reperfusion(MI/R)rats.Methods Sixty SD rats were randomly assigned(1∶1∶1∶1)tocontrol group,I/R group,I/R+shRNA-NC group and I/R+Heparanase-shRNA group.The control group was only threaded without ligation after thoracotomy,and the MI/R model was prepared by ligation of the left anterior descending branch of coronary artery.The western blot assay(WB)was used to detect heart function and markers of heart damage in each group.HE staining and TUNEL staining were used to observe the myocardial pathology.The expression of apoptosis-related proteins(Caspase-3,Bax,Bcl-2)and UPRmt marker proteins(LonP1,HSP70)were detected by WB.The contents of superoxide dismutase(SOD)and malondi-aldehyde(MDA)were detected by kit.The levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in peripheral blood were detected by enzyme-linked immunosorbent assay(ELISA).Results HE staining results showed that the myocardium,epimyma and myocardial fibers were intact and normal in control group.However,the myocardial fibers were bent,myoglobin was dissolved,myocardial muscle nucleus was pyknotic and dissolved,and muscle bundle membrane was ruptured in I/R group and I/R+shRNA-NC group.The epimyocardium was intact in I/R+Heparanase-shRNA group.Moreover,the myocardial fiber bending was significantly improved in I/R+Heparanase-shRNA group.Additionally,compared with the control group,the expression levels of CK-MB,cTnI,Mb,Caspase-3 protein,Bax protein,MDA,IL-6,TNF-α and HSP70 in I/R group were significantly increased.And the difference was statistically significant.Furthermore,the expression levels of HR,LVEF,LVWT,Bcl-2 protein,SOD and LonP1 protein were significantly decreased.Additionally,compared with the I/R+shRNA-NC group,the expression levels of CK-MB,cTnI,Mb,Caspase-3 protein,Bax protein,MDA,IL-6 and TNF-α in I/R+ Heparanase-shRNA group were significantly decreased.And the difference was statistically significant.However,the expression levels of HR,LVEF,LVWT,Bcl-2 protein,SOD,LonP1 and HSP70 were significantly increased.And the difference was statistically significant.Conclusion Down-regulation of HPSE alleviates myocardial injury in ischemia-reperfusion rats by inhibiting oxidative stress,inflammation,and apoptosis.The mechanism may be related to the inhibition of UPRmt signaling pathway.