[Objective]To assess the effect of a new invented spondylolisthesis reduction system:elevating-pull reduction system for surgical treatment of lumbar spinal spondylolisthesis associated with isthmic spondylolysis.[Method]Sixty-two patients with lumbar spinal spondylolisthesis were treated with elevating-pull reduction system combined with SRS(spondylolisthesis reduction system),after surgery the patients were evaluated for symptom improvement,intervertebral bone graft fusion,and internal fixation.[Result]The patients were followed up from 1 to 6 years(average 2 years and 5 months) in 62 patients.According to the criterion,excellent results were in 43 patients,good in 16,moderate in 3.No patient showed worse.No internal fixation loosening and breakage were found.[Conclusion]The new invented spondylolisthesis elevating-pull reduction system combined with SRS are more effective and reliable,especially for those osteoporosis patients and serious cases,the reduction and fixation are more effectively.In this procedure the pedicle entrance mouth can be seen straightly and the pedicle screw is inserted more easily.It can prevent the nerve injury,save the operation time,reduce the blood lossing,and excellent outcome can be obtained.

[Objective]To discuss the technique and outcome in the treatment of old nonunion of long bone fracture by using autologous fibula plate alone or combination with internal fixator plates.[Method]Fifty-seven patients(41 males and 16 females;average age of 41.6 years)with nonunion of long bone fracture were recruited.Of them 18 had short deformity(average 2.6 cm)and 12 had angled deformity(average 15?).Average time was 12 months(6-36 months).The sclerosed cortex was removed at both ends of the nonunion long bone.A suitable length of fibula plate were transplanted by screw with or without internal fixator plates.[Result]The follow-up average time was 3 years(ranged,1 to 6 years).At 1,3,6,12,24 months after operation,the outcome was analyzed by radiography.Bone healing was found in all 57 patients,with an average of 15 weeks(8-24 weeks).All the patients exhibited a good function in walking and burdening.No nonunion occurred.[Conclusion]Autologous fibula plate with or without internal fixator plates for nonunion of long bone fracture can facilitate healing and early functional recovery.This therapeutic method is an ideal technique in treating patients with nonunion of long bone fracture.

Objective To achieve millisecond grade precision in the design model of event-related fMRI experiment.Methods The impact factors of time precision were analyzed,and solutions were put forward.Results The parameter of E-Prime(a software dedicated to psychology study) was adjusted to get millisecond precision.Conclusion General computer is very difficult to achieve millisecond grade due to software and hardware factors,but it can be achieved through adjusting the parameter of E-Prime.

Objective To analyze the prevalence of nosocomial infections among inpatients and its influential factors.Methods The retrospective survey was performed by reviewing and analyzing the clinical data of 7788 inpatients in 2004 in Nankai Hospital of Tianjin.Results Totally 250 nosocomial infection cases were identified,which gave a prevalence of 3.21%.The all-year highest prevalence was found in September.Among all the departments,the highest rate,5.20%,occurred in Department of Gynecology.The inpatients aged more than 60-year-old showed higher prevalence than those under 60 years old.The main infection position was lower respiratory tract(41.60%).Concludes The prevalence of nosocomial infections of Nankai Hospital were within the acceptable standard range defined by Ministry of Health,China.Nevertheless,the prevalence would be reduced if measurements for surveillance and control could be properly applied.

Objective To study the relationship between expression of Fas ligand (FasL) in colorectal cancer tissues and apoptosis of tumor-infiltrating lymphocytes (TIL). Methods FasL protein and its mRNA were measured by immunohistochem istry and in situ hybridization in the consecutive tissue slices of 30 colorecta l cancers respectively. Immunohistochemistry and terminal deoxynucleotidyl tra nsferase mediated dUTP nick end labeling assay (TUNEL) were used to detect the cell count of TIL and the count of TIL being apoptosis in both negative and pos i tive regions of FasL in the consecutive tissue slices of cancers respectively. T UN EL method was used to detect apoptosis of tumor cells among different FasL expre ssion regions. Results ①High expression of FasL was examined in 30 cases of colo rectal cancer; there were expressions of FasL in more than 75% tissues in each slice. ②In the consecutive tissue slices, the location of expression of FasL protein corresponded with that of FasL mRNA. ③FasL expression was not eve n in the same or among different tissues. The cell count of TIL was less in FasL positive region than that in FasL negative region in the same tissue, the latt er be ing as 2.88 times as the former. ④ The cell count of TIL being apoptotic in the positive regions was as 2.13 times as that in the negative ones. ⑤ Apoptotic r ate of tumor cells was higher in FasL negative region (81.2%) than that in FasL positive region (47.4%, P

Based on the analysis on the most common type of scientific research and clinical application of stem cells, including embryonic stem cells , hematopoietic stem cells and mesenchymal stem cells as the breakthrough point, discusses common phenomenon and problems of ethics , scientific research and clinical study the moral life science century new topic, hope scientists, physicians, ethicists, caused by the administrative departments for pub-lic health thought , promote stem cells healthy and steady development .

ObjectiveTo explore the effect of cluster needling of scalp acupuncture combined with rehabilitation(Tang's Approach) on depression of stroke patients with motor aphasia.Methods70 stroke patients were randomly divided into the acupuncture with rehabilitation group and the control group. The cluster needle of scalp point with speech rehabilitation training was used in the acupuncture with rehabilitation group, while speech rehabilitation training was used only in the control group. The degree of depression and aphasia were observed in the two groups 4 weeks after treament.Results 4 weeks after the treatment, the classification of aphasia was getting better in the acupuncture with rehabilitation group than in the control group(P＜0.05), and the incidence of depression decreased significantly in the acupuncture with rehabilitation group compared with the control group(P＜0.01). The score of Stroke Aphasic Depression Scale (SADQ) decreased significantly in the acupuncture with rehabilitation group compared with the control group (P＜0.01).ConclusionTang's Approach may improve the depression of stroke patients with motor aphasia.

Objective To investigate the use situation of sunscreen agent in the sunblock cosmetics.Methods Statistic analysis was performed in the kinds,frequencies,dosages of sunsereen agents and the mark dosage coincidence in 414 cosmetics from Sep.2004 to Aug.2007.Results Fourteen kinds of sunscreen agents including phenylbenzimidazole sulphonic acid and its potassium,sodium and triethanolamine salts,benzophenone-4,benzophenone-5,benzophenone-3,isopentyl p-methoxycirmamate, 4-methylbenzylidene camphor,ethylhexyl dimethyl PABA,butyl methoxydibenzoylmethane,octocrylene,ethylhexyl methoxycinnamate,ethylhexyl salicylate,ethylhexyl triazone,methylene bis-benzotriazolyl tetramethylbutylphenol,bis- ethylhexyloxyphenol methoxyphenyl triazine were detected in 414 cosmetics.The use frequency of ethylhexyl methoxycinnamate was above 90%,butyl methoxydibenzoylmethane was 30%,benzophenone-3 and ethylhexyl salicylate were 15% and 11% respectively,and others were less than 10%.The rate of exceed standard limit of ethylhexyl methoxycinnamate,octocrylene, ethylhexyl salicylate,4-methylbenzylidene camphor ethylhexyl dimethyl PABA were 0.24%,0.97%,1.21%,0.48% and 0.24% respectively.The mark dosage coincidence rate of 14 kinds of sunscreen agents were from 42.9% to 89.5%.Conclusion The many kinds of sunscreen agents were used in the sunblock cosmetics,so the special attention should be paid to the cosmetics safety.

OBJECTIVETo review and analyze the risk factors of postoperative surgical site infection (SSI) in geriatric patients who undergo surgical treatment of oral squamous cell carcinoma.

METHODSA retrospective study was conducted on 143 geriatric patients who have undergone surgical treatment of oral squamous cell carcinoma. Factors were classified into four types, namely, characteristics, tumor factors, general comorbidity factors, and perioperative factors. The primary outcome variable was the presence of SSI. A logistic stepwise regression model was used for the subsequent multivariate analysis, wherein only significant risk factors in the univariate analysis were included.

RESULTSAmong 143 cases, 33 showed postoperative SSI. Results of univariate analysis indicated that risk factors included age, body mass index (BMI), tumor location, tumor size, diabetes, chronic obstructive pulmonary disease, American Society of Anesthesiologists (ASA) score, Charlson comorbidity index (CCI), adult comorbidity evaluation-27 (ACE-27) score, previous radiotherapy, reconstructive method, operation time, and blood transfusion. Among these factors, six parameters were identified to have a significant factor association with the development of SSI, namely BMI, diabetes, ASA score, ACE-27 score, operation time, and reconstructive method.

CONCLUSIONSpecial attention should be given to factors associated with the development of SSI before operation of geriatric patients with oral squamous cell carcinoma.

Adult ; Aged ; Aged, 80 and over ; Body Mass Index ; Carcinoma, Squamous Cell ; surgery ; Female ; Geriatric Assessment ; Humans ; Logistic Models ; Male ; Mouth Neoplasms ; surgery ; Multivariate Analysis ; Operative Time ; Postoperative Complications ; Postoperative Period ; Reconstructive Surgical Procedures ; methods ; Retrospective Studies ; Risk Factors ; Surgical Wound Infection ; etiology

A non-contrast CT (NCCT) scan is usually obtained after intra-arterial (IA) thrombolysis to assess for possible hemorrhagic complication. Hyperdensity on NCCT following IA thrombolysis can represent either hemorrhage or extravasated iodinated contrast material, and these can be diffi cult to distinguish.1 This is illustrated by the following case report.