Serial cryostat sections of five hearts and seven atria of rats were prepared. Falck's fluorescent histochemical method, and histological staining methods wereutilized in succession on the same section. Small intensely fluorescent cells in rat's heart are round, oval or polyhedral in shape. A few of them possess processes. These cells are found in the heart in four major forms: dense spheroid groups, loosely associated clusters, linear alignment, and isolated cells.The number of small intensely fluorescent cell varies between 442-664 cells in the adult rat's heart. 86-92% of them are localized in subepicardium of atrium, especially several areas on the dorsum of atrium. No small intensely fluorescent cell was found in endocardium. The rest of these cells are scattered in other parts of the heart. The distribution areas of atrial nerve ganglia and small intensely fluorescent cells in subepicardium are similar. There are no such cells in some atrial ganglia and there is no relation between the number of these cells in the ganglion and its size. Parts of these cells are often found near the blood vessels. Small intensely fluorescent cells are not morphologically associated with the conduction system in the rat.

By means of the fluorescent histochemistry the small intense fluorescent (SIF) cells of the rat heart were identified under the fluorescent microscope, then the tissue containing these cells were prapared for electron microscopy. Ultrastracturally SIF cells were small in size and contained a lot of granules which can be distinguished into two types of electric density, and abundant number of mitocondria which appeared about 20 in each section of SIF cell at the nuclear level, and a large Golgi complex which consisted of 4-7 cisternae arranging in paralled array and some vesicles. Many single cisternae of rough endoplasmic reticulum were distributed in their cytoplasm. Adhesion zones and interdigitated processes were often observed between two SIF cells. Cholinergic nerves formed afferent synapses with SIF cells. SIF cells often occured near fenetrated capillaries. We found that the core of the granulated vesicles of some SIF cells were released into the perivascular space. These results indicated that SIF cells of the rat heart may have a local regulatory fnuction either as endocrinal or paracrinal cells.

The distribution of atriopeptins in the rat's heart was studied with immunohis-tochemical method. It was noticed that the immuno-reactive granules existed in most atriaI muscle cells. It was abundant in the cytoplasm about the paranuclear position. The cardiocytes of both atrial appendages gave an intense immuno-reaetion. Most cardiocytes of right atrium were more reactive than those of left atrium. Parts of atrial muscle cells which were distributed in the back of the left atrium, atrial septum and coronary sinus were negative in reaction.

In this paper the distribution of the atriopeptin-like immunoreactive substance in the ventricles of rat embryos of 13-19 days old was investigated by immunohistochemistry and electron microscopy. The results showed that atriopeptin-like immunoreactive granules were located around the nucleus in some cardiocytes of the ventricles of rat embryos. Most of these cells were distributed in the pectinated or trabecular structures in the luminal surface of left ventricle and a few of them in the myocardium of left and right ventricles. In the same embryo ventricle muscle cells contained less immunoreactive granules than those in the atria. Under electron microscope the atrial specific granule-like granules were found mainly near the Golgi complex. Some cells were devoid of such granules in cytoplasm. In the ventricles the distribution of the muscle cells containing atrial specific granule-like granules corresponds to the sites of muscle cells containing atriopeptin-like substance from the immunohistochemical study. The results suggest that the so-called "atriopeptin" is also present in some ventricular myocytes in rat embryos. The presence of atriopeptin-like substance may be related to the unique type of embryonic circulation.

The development and differentiation of myocardial cells in the atria of rat embryos from 11 to 19 days and neonates were studied by electron microscopy, particularly with reference to the occurrence and distribution of atrial specific granules in muscle cells. The results were as follows:Atrial specific granules were invisible in muscle cells of 11 days embryos and occurred only in a few muscle cells in 12 days embryos. Since then their size and number in muscle cells increased with development. The granules persisted during mitosis.In atria of embryos from the 12th day on two kinds of myocardial cells could be distinguished, the one containing specific granules and the other without. The former showed well developed Golgi complex and abundant rough endoplasmic reticulum. As development proceeds both types of cells showed increasing amount of myofilaments and mitochondria in their cytoplasm and following the same trend approaching maturity.

The occurrence and distribution of the atrial muscle cells containing atriopeptinimmunoreactive granules were studied in rat embryos and newborn rats with immunohistochemistry. The results showed that immunoreactive granules occurred in a few atrial muscle cells of embryos at 13 days old but they were not found in those cells at 11 and 12 days. With development of the embryos, the number of cells containing immunoreactive granules in atrium increased and their granules became more abundant and located mainly around the nucleus. Most of the granulated atrial muscle cells distributed in trabecular structure of the luminal surface of atria. They gradually decreased in number towards the pericardial side. The nongranulated atrial muscle cells mainly located near the pericardium and in atrial septum. The results suggested that the specific differentiation of atrial muscle cells occurred at early period of rat embryos, some cells became atriopeptin immunoreactive positive cells, while the others remained as negative cells. The feature of the differentiation of atrial muscle cells may reflect the functional development of the atria.

Objective To analyze endoscopic histological characters and establish diagnostic standards of colorectal polyps with confocal laser endomicroscopy (CLE) examination and to explore the diagnostic value of the CLE in adenomatous polyps and non-adenomatous polyps. Methods From June to December in 2009, 90 patients were recruited in this study, which included 40 pathologically confirmed colorectal polyps patients (total 48 colon and rectal polyps) and 50 patients for prospective study (total 106 colon rectal polyps). At same time 10 spots of normal mucosa was taken for comparison. Firstly the CLE images of 48 pathologically confirmed colorectal polyps (22 adenomatous polyps and 26 non-adenomatous polyps) were analyzed, and the diagnosis criteria for distinguishing adenomatous polyps and non-adenomatous polyps was established with CLE. Then according to the criteria, 106 colorectal polyps underwent prospective diagnosis with CLE. Finally, the CLE diagnosis result was compared with pathologically result to evaluate the diagnosis efficiency of CLE. Results In the 48 colorectal polyps of 40 pathologically confirmed colorectal polyps patients, there were 22 adenomatous polyps and 26 non-adenomatous polyps. The sensitivity, specificity and accuracy of CLE in adenomatous polyps diagnosis were 94. 0%, 92. 9%, and 93. 4%, respectively. The positive predictive value was 92.2% and the negative predictive value was 94.5%. The sensitivity, specificity and accuracy of CLE in non-adenomatous polyps diagnosis were 92. 9%, 94.0%, and 93. 4%respectively, the positive predictive value was 94.5% and the negative predictive value was 92.2%.The coherence of CLE and histopathology in adenomatous polyps diagnosis was pretty good (Kappa=0. 893). Conclusion The accuracy of CLE in adenomatous polyps and non-adenomatous polyps differential diagnosis was high, and the coherence with histopathology diagnosis was good, which provided experience for further detection of early rectal precancerous.

OBJECTIVE:To achieve the drug intelligent supervision in transportation within hospital and storage process,and promote quality safety of drugs. METHODS:The function and operation of Radio frequency identification(RFID)medicine logis-tic box was introduced,its application in one year in inpatient pharmacy of our hospital since Sept. 2013 was summarized,and its application effect and deficiency were analyzed. RESULTS:RFID medicine logistic box showed heat preservation and locking func-tions,which can be used for the cold-chain medicine and lock packing transportation for the ward. It can achieve information bind-ing after connecting with corresponding platform,record real-time record temperature,logistic box opening and closing information and data,as well as a variety of ways to alarm by SMS and mail,etc. However,failed login server and unpacking caused by unsta-ble wireless signals were found when applying the box,also drug damage and other defects were caused by unreasonable box struc-ture. And the daily average incidence dropped from the initial period (Nov. 2013) 11.9 times (cases) to the late period (Sept. 2014) 3.3 times (cases) after continuous improvement. CONCLUSIONS:Applying of medicine logistic box can strengthen cold-chain transport integrity and regulatory information in our hospital,ensure the safety of drug transport and query traceability of information.

Objective To profile the intraspecific type of Trichophyton mentagrophytes clinically isolated from different anatomical sites of patients, and to compare the performance of different target sites for the identification of Trichophyton mentagrophytes complex strains. Methods A total of 48 Trichophyton mentagrophytes strains, which were clinically isolated from Department of Dermatology, Wuhan No. 1 Hospital in the latest 3 years, were included in this study. The phenotypes of these Trichophyton mentagrophytes isolates were primarily determined by morphological observation and the urease test. PCR was performed to amplify the nuclear ribosomal internal transcribed spacer(ITS) region and the D1?D2 domains of the large?subunit ribosomal DNA(28S rDNA)followed by DNA sequencing. Then, Clustal X2 software and MEGA 6.0 software were used to analyze the ITS and D1?D2 sequences and to build phylogenetic trees by the maximum?likelihood method (bootstrap = 2000). Results As the ITS sequence?based phylogenetic tree showed, the probability that the 48 isolates were grouped into the Trichophyton interdigitale clade reached 92%. However, Trichophyton interdigitale could not be effectively differentiated from Trichophyton quinckeanum by the D1?D2 sequence?based phylogenetic tree. In addition, Trichophyton interdigitale showed various appearances, including woolen type, downy type, cream type, powdery type and granular type. Conclusions Trichophyton mentagrophytes can be identified to the species level based on the sequence of ITS region, which shows higher efficiency in identifying Trichophyton mentagrophytes complex than the D1?D2 domains. Morphological characteristics can not serve as the basis for intraspecific typing of Trichophyton mentagrophytes.

AIM:To screen the gene expression profiles of normal gastric mucosa,primary gastric cancer and metastatic lymph nodes by gene expression microarray and the associated genes with lymph node metastasis by bioinformatics. METHODS:The differentially expressed genes of nontumorous gastric mucosa (group A),primary gastric cancer (group B) and metastatic lymph nodes (group C) were screened by gene expression microarray obtained from Affymetrix company. The results were further analyzed by bioinformatic software including Gene Expression Profiles Analysis of Cohort Experiment,Gene Ontology Enrichment Analysis and Pathway Significant Analysis. The expression of TLN1 in group A,B and C were confirmed by real-time reverse transcription PCR. RESULTS:278 genes were persistent up-regulated in group A,B,C,which participated mainly in immunologic responses,cell adhesion,phosphate transport,inorganic anion transport,cell chemotaxis,cell motility and signal transduction. While 387 genes were persistent down-regulated in group A,B,C,which were concerned with digestion,glucide metabolism,lipid metabolism,protein metabolism,one-carbon compound metabolism,nitrogen compound catabolism and cell adhesion. The pathway analysis suggested that integrin-mediated cell adhesion pathway were abnormally regulated. These genes including THBS1,TLN,CAPN3,ITGAX,SORBS1,CAPN6,CAPN9 were continuous up-regulated or down-regulated in integrin-mediated cell adhesion pathway. The expressions of TLN1 in group A,B,C were 0.0000342?0.0000711,0.1064?0.1251 and 0.2886?0.3529,respectively. The expression of TLN1 in metastatic lymph nodes was significantly higher than that in nontumorous gastric mucosa and primary gastric cancer (P