[The application of the pattern visual-evoked potential in the diagnosis and treatment of amblyopia]

PURPOSE

To research into the value of the application in the diagnosis and treatment of amblyopia, and to discuss the mechanism of amblyopia.

METHODS

The subjects were divided into three groups: 108 amblyopia eyes; 180 normal eyes and 26 amblyopia eyes during the treatment with Madopar. PVEP was observed with black-white checks pattern-reversal stimulation at several spatial frequencies (30', 60', 90').

RESULTS

P1 latency of the amblyopia eyes prolongs at the high frequency (30' angle of view), in which the occurrence rate of abnormal PVEP is 68.5%. Through detecting PVEP during the treatment of amblyopia with Madopar, we found P1 latency shortened and amplitude increased (P < 0.05).

CONCLUSION

It is better to use P1 latency to observe the visual function of patients with amslyopia with stimulation at 30' angle of view. PVEP is an important objective index in diagnosis and evaluating the curative effect of amblyopia.

Genetic study of indirect inguinal hernia

We performed a genetic analysis of 280 families with congenital indirect inguinal hernia ascertained in Shandong province. The multifactorial threshold model and segregation analysis were applied to these families to investigate the mode of inheritance of congenital indirect inguinal hernia. Our results indicate that congenital indirect inguinal hernia is not compatible with a multifactorial threshold model, and the frequent vertical transmission and high segregation ratio suggest autosomal dominant inheritance with incomplete penetrance and sex influence. Through further pedigree analysis of the multiple case families with at least two closely related affected members, we noted preferential paternal transmission of the disease gene, which might suggest the role of genomic imprinting in the aetiology of this condition.

Prevalence and epidemiologic correlates of sexually transmitted Chlamydia trachomatis infection in a selected population

The incidence of Chlamydia trachomatis genitourinary infection was found by enzyme immunoassay antigen detection to be 10.0% in patients attending a sexually transmitted disease (STD) clinic, 3.0% in clients visiting an obstetrics-gynecology clinic, 20.8% in female prostitutes, and 1.3% in sexually active men. Predisposing factors for chlamydial infection were young age, multiple sexual partners, history of STDs, and coinfection with other STDs. Abnormal vaginal discharge and cervices in women, but not urethral manifestations in men, were significantly associated with chlamydial infection. Urethral gram stain had a certain value in identifying men infected with C. trachomatis.

STD epidemiologic analysis at national surveillance spots in the period 1987-1990

This article summarizes surveillance data of STDs at 16 urban monitoring centers in 1987-1990. During the four year period, 125,493 STD cases were reported. The average annual incidence was 77.80/100,000. Because the rate of increase in females (65.85% per year) was greater than that in males (36.81% per year), the male-to-female ratio fell from 2.39:1 (1987) to 1.34:1 (1990). The number of STD cases reported from all centers tended to increase, and the overall rate of increase was 46.61% per year. The major disease was gonorrhea, with a constituent ratio of 59.22% (1990). However, condyloma acuminatum and nongonococcal urethritis had greater rates of increase (105.03% and 85.14% per year, respectively). The 20-39 year age group accounted for 82.10% of total cases, for STD patients were mostly in the sexually active population. The STD incidence among self-employed businessmen (1206.06/100,000, in 1990) was highest among professional populations. According to analysis of different regions, STD incidence was highest in the southern cities (203.00/100,000, 1990). The greatest rate of increase of STDs was in Yangtze River Valley cities, where the average annual rate of increase was 71.41%.

[Ca2+ channel blocking effect of panaxadiol saponins and panaxatriol saponins of cultured cardiac cells]

It was found that PDS and PTS decreased the action potential parameters of the cultured myocardiocytes in a dosage-dependent way. The effects of PDS 1000 micrograms/ml, PTS 200 micrograms/ml were in correspondence with the known Ca2+ channel blocker Mn2+ 0.05 micrograms/ml. Washing out, administration of epinephrine 10 micrograms/ml or Ca2+ 80 micrograms/ml were able to reverse the action potential from inhibition. The above results indicate that both PDS and PTS have Ca2+ channel blockade action.

An extra maternally derived X chromosome is deleterious to early mouse development

An extra copy of the X chromosome, unlike autosomes, exerts only minor effects on development in mammals including man and mice, because all X chromosomes except one are genetically inactivated. Contrary to this contention, we found that an additional maternally derived X (XM) chromosome, but probably not a paternally derived one (XP), consistently contributes to early death of 41,XXY and 41,XXX embryos in mice. Because of imprinted resistance to inactivation, two doses of XM remain active in the trophectoderm, and seem to be responsible for the failure in the development of the ectoplacental cone and extraembryonic ectoderm, and hence, from early embryonic death. Discordant observations in man indicating viability of XMXMXP and XMXMY individuals suggest that imprinting on the human X chromosome is either weak, unstable or erased before the initiation of X-inactivation in progenitors of extraembryonic membranes.