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<p><b>OBJECTIVE</b>To explore the clinical characteristics of cataract surgery after radial keratotomy (RK) and appropriate calculation of intraocular lens (IOL) power.</p><p><b>METHODS</b>Eight patients with cataract (12 eyes) after RK were treated in our hospital from March, 2010 to June, 2013. The visual acuity, keratometric power and length of the ocular axis were examined before the operation. For each patient, 3 groups of corneal curvature values were measured using a automatic keratometer (TOPCON-KR8800) and the minimal K value was selected. Myopic or hyperopic posterior chamber IOL (-1.00 to -2.00 D) were selected based on automatic calculations with SRK-T. Phacoemulsification and IOL implantation were then performed, and the patients were followed up for visual acuity and refractive statuses at 3 months after the operation.</p><p><b>RESULTS</b>All the 12 operated eyes showed improved visual acuity after the operation. The uncorrected visual acuity reached 0.8 to 1.0 in 6 eyes and 0.4 to 0.6+ in the other 6, with a corrected visual acuity ranging from 0.6 to 1.0. The refractive status after operations was nearly emmetropic (+0.75 to -1.00 D) in 6 eyes and myopic in the other 6 (-1.00 to -2.50 D).</p><p><b>CONCLUSIONS</b>Phacoemulsification and IOL implantation is feasible in cataract patients with previous RK. Selecting the minimal K values for central corneal curvature and calculation of the IOL power using the SRK T equation with a reservation of -1.00 to -2.00 D can better ensure the safety of the procedure and avoid the occurrence of hyperopia >+3.00D.</p>
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Humans , Cataract Extraction , Cornea , Hyperopia , Keratotomy, Radial , Lens Implantation, Intraocular , Lenses, Intraocular , Myopia , Phacoemulsification , Visual AcuityABSTRACT
Objective To study the relationship between the DNA content of chondrocytes in the costal cartilage and postmortem interval in putrefactive rat cadavers.Methods Nuclear DNA wag visualized by modified Feulgen's staining method.DNA content of ehondrocytes in the costal cartilage was semi-quantita tively determined by a computerized image analysis system in rats within 35d postmortem.Results Staining intensity of the nuclei was gradually reduced within from 1d to 28d postmortem.The nuclej could not be detected at 35d.The DNA content of chondrocytes decreased time-dependently within 28 days after death as determined semi-quantitatively,which revealed a linear relationship between DNA content and postmortem interval.Conclusion DNA content of chondrocytes in the costal cartilage reduces time-dependently with the extension of postmortem interval.
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Objective To explore the relationship between the changes of lactate dehydrogenase (LDH) and cholinesterase (CHE) activities and death from hanging of bound upper limbs (DHBL). Methods After the animal model of DHBL was established, the LDH and CHE activities in the serum and tissues including diaphragm muscle and musculi gastrocnemius were determined. Results In DHBL group, LDH activity decreased significantly in diaphragm muscle as compared with that in musculi gastrocnemius (P0.05). In comparison with the control group, LDH activity lowered greatly in the diaphragm muscle(P0.05). Significant decrease in serum LDH in the DHBL group as compared with control group (P0.05). Conclusion Decrease in the LDH activity may be associated with hanging posture of bound upper limbs.
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Objective To detect the loss of cardiac troponin T (CTnT) in human myocardial infarction. Methods Loss of cardiac troponin T in human myocardial infarction was detected by immunohistochemical LSAB method. Results Obvious depletion of CTnT was observed in cases died from myocardial infarction,and by the computer image analysis, the mean CTnT-depleting area in myocardial infarction group was significantly different from that in the control group(P
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Demonstration of the abnormal distribution of Mb and Fn in electric injuries of skeletal muscles. The electrocution model of rats was established, and the human autopsy samples of electrocution were collected. Immunohistochemical study of myoglobin(Mb) and fibronectin(Fn) were performed on the skeletal muscles in the electric current pathways. The results showed that the muscle fibers showed the bamboo-like appearance and depletion of the Mb as well as the positive reaction of Fn which was called the python-pattern. This experiment proved that the bamboo-like appearance and python-pattern change of the skeletal muscle fibers have the practical value in the medicolegal diagnosis of electrocution without typical current mark.
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Experimental acute myocardial ischemia model of dog was established, and the postmortem stability of fibronectin for the diagnosis of mycardial infarction was studied with immunohistochemistry and image analysis technique. The results showed that the positive reaction areas of fibronectin in ischemic myocardial tissues decreased along with the prolongation of postmortem interval, but positive reaction of fibronectin could still be found in ischemic myocardia kept for 4 weeks postmortem. No positive reaction for fibronectin could be found in normal myocardia when kept for different times. So fibronectin is a quite stable marker for the postmortem diagnosis of myocardial infarction, and is of practical value in the forensic practice.
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Objective:In order to study of diagnose anaphylactic shock in forensic field,a new in vitro testing sysytem were established.Methods:The RBL 2H3 were cultured and sensitized,the release of histamine and stained for Annexin V were testing by fluorescent spectrometer and flow cytometry respectively.Results:The degree of RBL 2H3 degranulation after sensitived serum treated was higher than that after control serum treated,and the degranulation degree increased dose dependently.Conclusion:RBL 2H3 are helpful to diagnose anaphylactic shock,and the release of histamine and the positive staining for Annexin V may be the ideal indices.
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AIM: To study the changes of plasma atrial natriuretic peptide(ANP), endothelin-1 (ET-1) and serum cardiac troponin I(cTnI) levels and the effects of ANP and ET-1 on myocardium in crush injury rats. METHODS: Crush injury was produced in SD rats,the serum levels of cardiac enzyme and cardiac troponin I,plasma levels of ANP and ET-1 were studied by automated biochemical analyzer,automated chemiluminescence assay and radioimmunoassay. RESULTS: The plasma ET-1 level was much lower ,the levels of plasma ANP and serum cardiac enzyme and cTnI were much higher after crush injury than those of the control group( P
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In view of the high content of fluorine in the water in Guangdong pro-vince,we detected the serum fluorine level in rabbits died of drowning andcompared with that obtained from rabbits immersed in water after deathfrom hanging.The fluorine content in water is about 15 folds higher than normal whilein control cases the serum fluorine values are slightly lower than normal.The fluorine content in human serum is similar with that of rabbits.Itsuggests that detection of serum fluorine content might be a valuable methodfor the diagnosis of drowning in those areas where there are high waterfluorine content.
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Experimental acute myocardial ischemia model of rat was established, and the changes of C5 complement in the ischemic myocardia were studied with immunohistochemistry and image analysis technique. The results showed that the positive reaction of C5 could be observed in ischemic myocardia at 15 min after ischemia, and the positive reaction area increased along with the prolongation of the ischemic period. It is concluded that the positive reaction of C5 in cardiomyocytes is a quite sensitive marker of early myocardial ischaemia.The immunohistochemical detection of C5 in cardiomyocytes will be a meaningful tool for the postmortem diagnosis of early myocardial ischaemia.
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For the purpose of establishment of a diagnostic method of mild viral myocarditis,an experimental mild viral myocarditis model was induced in Balb/c murine by coxsackie virus B 3.The cardiac tissue secfion were stained by LSAB-immunohistochemical method with anti fibronectin(Fn) antibody. The results demonstrated that the Fn deposition was found in the myocardium of mice with myocarditis and the mild degeneration of cardiomyocytes could be identified by Fn LSAB immunohistochemical staining.It is suggested that the Fn deposition in the myocardium tissue is one of the reliable marks of myocardium inflammation.
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Objective This research aimed to study if the cerebral vascular injury can be caused by the positional asphyxia. Method The brain tissue sections were studied immunohistochemically (SABC method) by using the anti-human von Willebrand Factor (vWF) and anti-human albumin as the first antibody. Results No positive expression of vWF and albumin was found in the cerebral blood vessels of control group. The vivid positive expression of albumin and vWF were observed in the positional asphyxia group. Conclusion The results indicate that the positional asphyxia can result the expression of the vWF in the cerebral vessels and it seems one of the injury markers in the cerebral blood vessels and can be used to probe the mechanism of positional asphyxia.
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For the purpose of timing of wounds,the measurement of K~+/Na~+ ratio of 36specimens of wister rat's muscles taken from the local burn area by the atomicabsorption spcetrophometry was carried out.The results showed that K~+/Na~+ ratio in specimens of burn formed 15,30,60minutes before death and 20 minutes after death reduced 47～82%(mean 71%),56～89%(mean 77%),69～94%(mean 86%)and 4～38%(mean 27%)respectively ascompared with the control muscles.Reduction rate of K~+/Na~+ ratio in ante-mortem group was more obvious than the postmortem ones.With the prolongationof the antemortem interval,the reduction of K~+/Na~+ ratio becomes more marked.We believe that this method is a simple and reliable method in timing woundsand it is valuable in forensic medicine practice.
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Objective To investigate the STR typing discordance between different typing methods.Methods Genotypes of 13 routine forensic STR loci in DNA samples from 100 individuals were typed by using singleplex polyacrylimide gel electrophoresis silver stain system and Power Plex16 System,respectively.The typing results between these two systems were compared.Results One genotype discordance was observed at D8S1179 locus in a DNA sample.The genotypes was 12/14 in snigleplex system and 12/15 in Power Plex16 System.Conclusion Different STR typing systems may result in different genotyps from the same DNA sample.
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In order to explore the value of fibronectin (Fn) in the postmortem diagnosis of myocardial infarction.The changes of Fn staining in normal, infarcted and other non infarcted myocardial injuries resulted from myocarditis, mechanical asphyxia, electrocution, hemorrhagic shock, cardiac contusion and organophosphate poisoning were studied with immunohistochemistry and image analysis system. The results showed that positive Fn staining could only be observed in groups of myocardial infarction and myocarditis, but could not be found in groups of mechanical asphyxia, electrocution, hemorrhagic shock, cardiac contusion, organophosphate poisoning. It is indicated that positive reaction of Fn could be affected only by myocarditis, so it is quite specific for the diagnosis of myocardial infarction.
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AIM: To explore the role of activation and apoptosis of splenic lymphocytes in the development of viral myocarditis (VMC). METHODS: Apotosis and MHC II antigen of splenic lymphocytes were detected in the VMC group (VMC, death, 8 cases) and control group (non-cardiac death, 4 cases) with TUNEL and immunohistochemistry methods.RESULTS: Compared with the control group, the increased expression of MHC II antigen and apoptosis were found in the splenic lymphocytes in the VMC group. CONCLUSION: These results suggest that the abnormality of the apoptosis/activation of splenic lymphocytes may be involved in the pathogenesis of VMC.