ABSTRACT
In order to identify the Torque Teno virus (TT virus),a PCR-DHPLC assay was performed in this study.Primers specific were selected according to the characteristics of TT virus nucleic acid sequence to conduct PCR,and PCR products assayed by DHPLC.We analyzed the sensitivity,specificity,repeatability of PCR-DHPLC and applied it preliminarily on clinical detection.The specific testing was performed with TTV,HBV,HCV and HEV,no cross reaction were found,and the PCR-DHPLC assays we developed had good specification and nice repeatability.Sensitivity analysis showed that the developed PCR-DHPLC assays could detect 1.0× 101 copy/μL.Then we detected 32 serum samples by this method,real-time PCR and normal PCR at same time.The results showed that 17 TTV positives results could be observed by PCR-DHPLC for 32 samples,it is consistent with real-time PCR test results and 15 positive by normal RT-PCR.PCR-DHPLC assays showed nice specification,sensitivity,repeatability,and could be used in epidemiological investigation.
ABSTRACT
Objective To study the clinical characteristics and digital subtract angiography (DSA) manifestations of the hemorrhagic moyamoya disease in adults. Methods A retrospective study was conducted to analyze the clinical data and DSA imaging of 68 adult patients who had been diagnosed with intracerebral hemorrhage on CT and with moyamoya on DSA. Results They were 23 males and 45 females with an average of 37.8 years. Their DSA manifestations included bilateral lesions on the anterior cerebral circulation in 57 cases, 19 of whom had combined lesions on the posterior cerebral circulation; unilateral lesion on the anterior cerebral circulation in 9 cases, 6 of whom had combined lesions on the posterior cerebral circulation; simple lesions on the posterior cerebral circulation in 2 cases;simple lesions on the anterior cerebral circulation in 41 cases.Intracranial aneurysm was complicated in 11 cases, 7 of whom underwent aneurysm embolization or clipping of the aneurysm neck. Cerebral infarction was complicated in 13 cases. Repeated hemorrhage for twice or more occurred in 17 cases.Ventricle hemorrhage occurred in 59 cases, parenchymal hemorrhage in 7 cases, and subarachnoid hemorrhage in 2 cases. Craniotomy was performed in 6 cases of massive intracranial bleeding.Conclusions Adult patients with hemorrhagic moyamoya disease, particular middle-aged women,usually have a major manifestation of intraventricular hemorrhage. Surgical interventions for combined aneurysms and symptoms can achieve a good therapeutic effect, but it is difficult to prevent re-hemorrhage.DSA is the primary method to determine specific characteristics of moyamoya lesions and consequently to choose a proper treatment.
ABSTRACT
OBJECTIVE: To know the epidemiological characteristics of rubella case reported in Songyang County in 2004, and to know new ways of rubella control. METHOD: To analyze the epidemiology on the rubella cases reported in Songyang County in 2004. RESULTS: In 2004, 195 rubella cases were reported, and the reported rubella incidence was 84.42/100,000. The rubella cases were mainly primary and middle school students,which were 180 cases. The rubella cases occurred from January to June, and 64.10% cases occurred in April. There were 12 rubella outbreaks with 181 cases in the rural areas. For the immunity history of rebulla vaccine of 181 cases, 48.07% cases were unvaccinated, 51.93% cases were unknown. The immunization coverage rate of rubella vaccine of students in rural areas (20%) was obviously lower than that of students in the urban areas (92%). CONCLUSION: The main reasons of the high rubella incidence in Songyang County in 2004 were the low coverage rate of rubella vaccine and poor living accommodation for the primary and middle school students in the rural areas, and it was effective to adopt comprehensive measures such as emergent vaccination to control rubella outbreak.