A case of malignant lymphoma of the epididymis

A 17-year-old man visited our hospital with the chief complaint of painless swelling of the left scrotal content. An elastic hard mass was palpable at the upper pole of the left testis. Left radical orchiectomy was performed. The tumor originated from the epididymis and did not involve the testis or the spermatic cord. Histologically, the tumor was diagnosed as a malignant lymphoma (non-Hodgkin's lymphoma, diffuse mixed cell type, B-cell type). No abnormalities were found in other organs. After establishment of the diagnosis of primary epididymal malignant lymphoma, 3 courses of chemotherapy (adriamycin, vincristine, cyclophosphamide, prednisolone) were performed. No evidence of recurrence or metastasis was found 26 months after surgery.     

香附挥发油-β-环糊精包合物制备工艺的优化

目的　对香附挥发油 β 环糊精包合物制备工艺进行研究。 方法　采用L9(34)正交试验表进行试验。结果　溶剂的醇浓度和 β 环糊精用量对香附挥发油的利用率有显著影响。结论　优化制备工艺为 :β 环糊精用量为挥发油量的 10倍 ;溶剂为 5 0 %乙醇溶液 ;研磨时间为 1h ;干燥温度为 4 0℃。     

扇贝裙边中糖胺聚糖的气相色谱定性定量分析及红外光谱分析

目的 对栉孔扇贝和海湾扇贝裙边中提取分离的糖胺聚糖进行化学组成及结构研究。方法 样品经盐酸—甲醇试剂醇解成单糖．采用标准对照法及内标法进行气相色谱定性定量测定。样品经KBr压片，红外光谱扫描(4000～500cm^-1)。结果 测定出栉孔扇贝糖胺聚糖中单糖含量分别为鼠李糖0．75％，木糖0．63％，岩藻糖0．67％，甘露糖0．97％，葡萄糖1．11％，半乳糖1．59％。红外光谱测定结果显示，栉孔扇贝和海湾扇贝糖胺聚糖具有典型酸性黏多糖的吸收特征。结论 从栉孔扇贝裙边中提取分离的糖胺聚糖，分子中含有中性糖基。与标准品的红外光谱进行比较．两种扇贝糖胺聚糖均与透明质酸的红外光谱相似。     

职业接尘及吸烟致呼吸系统疾病死亡危险度比较的队列研究

目的 比较接尘、吸烟对呼吸系统疾病死亡的影响.方法 在1989年至1992年广州建立职业健康监护档案的基础上对30岁以上、职业接触粉尘和无粉尘接触的80 987名工人进行前瞻性队列研究.结果 （1）队列平均年龄43.5岁,职业性粉尘接触率16.3%,吸烟率43.7%,饮酒率33.5%.（2）队列平均随访8年,35人失访,失访率0.04%,总死亡1 593人中,219人死于肺癌,90人死于非恶性肿瘤性呼吸系统疾病.（3）调整相关因素后,相对于不吸烟者,吸烟者肺癌死亡相对危险度（RR）为3.32,是粉尘接触者相对于无粉尘接触者肺癌死亡RR（1.53）的2.2倍.粉尘接触者非恶性肿瘤性呼吸系统疾病死亡RR为2.41,是吸烟者（1.89）的1.28倍.尤其是矽尘接触者,其非恶性肿瘤性呼吸系统疾病死亡RR为5.72,是吸烟者的3.03倍.既接触粉尘又吸烟,呼吸系统疾病死亡RR增加更明显.（4）男性吸烟者呼吸系统疾病死亡危险分别随日吸烟量、烟龄的增加而增加.结论 职业接触粉尘和吸烟均可引致超额的呼吸系统疾病死亡,两者存在协同作用.吸烟致肺癌死亡RR高于接尘,而致非恶性肿瘤性呼吸系统疾病死亡RR则低于接尘.吸烟与呼吸系统疾病死亡危险存在明显的剂量-效应关系.     

扇贝裙边糖胺聚糖对OX-LDL致血管内皮细胞损伤的保护作用

目的　研究扇贝裙边提取物糖胺聚糖 (SS GAG)对血管内皮细胞的保护作用 ,进而探讨其抗动脉粥样硬化 (AS)作用机制。方法　本研究采用氧化低密度脂蛋白 (OX LDL)建立体外培养的人脐静脉血管内皮细胞株 (HUVEC ,CRL 2 4 80 )损伤模型 ,用MTT法和化学方法分别从细胞和分子水平观察SS GAG对血管内皮细胞增殖活性及细胞内一氧化氮 (NO)水平和内皮型一氧化氮合酶 (eNOS)活性的影响。结果　OX LDL能明显抑制血管内皮细胞的增殖活性 (P <0 0 1) ,降低血管内皮细胞内NO水平及eNOS的活性 (P <0 0 1) ;用SS GAG(终浓度为 5 0 ,10 0 ,2 0 0mg·L-1)预处理后 ,能逆转上述效应 (P <0 0 1)。结论　OX LDL抑制血管内皮细胞的增殖 ,降低内皮型eNOS的活性 ,减少细胞内NO的生成 ;SS GAG对血管内皮细胞的脂质过氧化物损伤有保护作用。     

SUNAMO atrial retractor—a custom-made retractor for small left atrium

Many types of atrial retractors are available in practice. Though they have been used routinely for all types of procedures requiring exposure of mitral valve, we felt that these being rigid and having a fixed design and size, not suitable in certain conditions of redo mitral valve procedures where the left atrium is too small to accommodate the retractor. Moreover atrial wall in such situation is more fragile that little more pull on the retractor would cause tear in the wall of the atrial tissue. We have made a novel flexible type of retractor which can be assembled on the table with materials that are readily available in a cardiothoracic operating room.     

Acute barium intoxication following ingestion of soap water solution

We present a rare case in which a young girl ingested a solution of a hair-removing soap. The ingestion resulted in profound hypokalemia and severe acidosis leading to flaccid paralysis, respiratory arrest and ventricular arrhythmias. Ultimately the patient made complete recovery. The soapwas found to contain barium sulfide. The degree of paralysis and acidosis appeared to be directly related to serum potassium levels.     

A time-course analysis of mRNA expression during injury healing in human dermal injuries

The determination of dermal injury age is important in forensic practice. It helps answer questions that are important to an investigation such as the timing of the injury and incident, the order of infliction (where there is more than one injury), the survival time after injury (post-infliction interval) and the relation of the injury to the incident. Despite the importance of injury age determination, there currently exists no reliable method to estimate dermal injury age. In this study, the expression of the following 14 mRNAs was studied in human dermal injuries and their usefulness in the estimation of human dermal injury age was evaluated: dual specificity phosphate 1 (DUSP1), interleukin 7 (IL7), vascular cell adhesion molecule 1, tenascin C, cluster of differentiation 14, interleukin 6, tumour necrosis factor alpha (TNFα), interleukin 1beta (IL1β), chymase 1 (CMA1), collagen type III alpha I, interleukin 2, collagen type I alpha I, collagen type I alpha II and vascular endothelial growth factor A (VEGFA). DUSP1, IL7, TNFα and VEGFA showed an initial decrease in expression during the early stages followed by an increase in expression towards the middle and late phases. IL1β and CMA1 expression was limited to specific time points. The remaining markers either showed inconsistent expression or were undetected in our samples. The expression patterns of the detected markers suggest they have potential to predict injury age, especially during the initial stages of injury healing, if used in combination with one another.     

Balint syndrome

We report a patient who presented with complaints of blindness following stroke and was subsequently diagnosed to have Balint syndrome