Dilated cardiomyopathy (DCM) is the most commom form of cardiomyopathy in children,including genetic and non-genetic pathogenesis. Due to the unclear aetiology and pathogenesis, DCM seriously impairs the quality of patients' life and reduces patients' survival time. Heart failure is one of the main clinical manifestations of DCM. Carvedilol, the third generation of β-adrenergic receptor blocker, is a nonselective β-blocker and a selective α1-blocker as well. It can prevent the development of ventricular remodeling and improve myocardial contractility and has been widely used in treating chronic cardiac insufficiency in adults. This article summarized some new progresses in pathogenesis and therapy of pediatric dilated cardiomyopathy.

Cystectomy ; methods ; Humans ; Laparoscopy ; Urinary Bladder Neoplasms ; surgery ; Urinary Diversion ; methods

Objective To investigate the relationship and clinical value of proBNP (NT-proBNP), serum tumor necrosis factor (N)and serum tumor necrosis factor (TNF)in patients with angina pectoris. Methods Sixty cases of patients with angina pectoris in our hospital as the research object,according to the type of disease in patients divided into unstable angina pectoris group and stable angina group,30 cases in each group;elect the hospital over the same period a routine examination of the normal population 30 ca-ses of normal control group were measured in each group of NT proBNP and serum TNF alpha concentration, and the correlation analysis was performed.Results The plasma NT-proBNP concentrations in patients with LEVF were significantly higher than those in healthy people (P <0.05).The serum concentrations of TNF-in patients with stable and unstable angina were not significantly different (P >0.05).The plasma NT-proBNP concentrations in patients with LEVF were significantly higher than those in LEVF patients (P<0.05).Conclusions NT-proBNP in plasma of patients with unstable angina pectoris,whether LEVF is normal or not,has a certain level of serum TNF-α.

Objective:To optimize the hospital outpatient service, solve the problem of poor outpatient queuing and poor medical experience, combined with Mobile Internet Technology to build a mobile application of outpatient services, and achieve the patient as the center of the O2O outpatient service process.Methods: The Hospital Information System be as the basis, with the help of The Service Windows Platform of Alipay, launching The Friendship Hospital Service Window which is a mobile internet medical application. Focus on its technical architecture, functional design and key technical aspects of the analysis.Results: The Friendship Hospital Service Window achieved the transformation of outpatient treatment process, significantly reduced the invalid waiting time for outpatient patients, reduced the hospital labor costs, improved the efficiency of outpatient clinic service.Conclusion: Mobile internet technology application in the outpatient service, improves the patient medical experience, improves the hospital image, inputs new vitality to the development of the hospital.

Objective To investingate the effect of 5-Aza2'-deoxycytidine(5-Aza-CdR)on cell growth and to explore the possibility of re-expression of the hypermethylated and silenced RUNX3 gene in hepatocarcinoma cell line HepG2.Methods The change in expression of the tumor suppressor gene RUNX3 mRNA in cultured HepG2 cells was observed by RT-PCR before and after 5-Aza-CdR treatment.Activity of cell growth was observed by MTT assay and colony-forming test.The cell cycle was analyzed by flow cytometry.Apoptotic morphology was observed by transmitting electron microscopy.Results The gene was reactivated by two different doses of 5-Aza-CdR treatment in HepG2 cell without expressing RUNX3.The hepatocarcinoma cell line treated with 5-Aza-CdR displayed a slowed growth rate in contrast to the control group.The colony formation rate of HepG2 cell treated with 5-Aza-CdR decreased dramatically(P

Glaucoma is a kind of disease with irreversible degeneration of optic nerve and visual field defects,and the mechanism of optic nerve injury caused by glaucoma has undefined at present;meanwhile,the treatment of glaucoma has not been achieving satisfying outcomes in clinical practices.It has been well known that stem cells have the ability to self-proliferate and differentiate.Recently,with the deepening of stem cell research,it is possible for humans to use stem cells to treat glaucoma.There are two methods of stem cell transplantation for glaucoma:stem cell replacement therapy for trabecular meshwork and retinal ganglion cell replacement therapy,so this article will give a review on the progress of stem cells in the treatment of glaucoma.

Objective:To explore the influence of psychological and to identify determinants for patients using position immobility by thermoplastic sheet in the course of radiotherapy. Methods:55 patients who received radiotherapy using position immobility by thermoplastic sheet were investigated with questionnaires. Results:There are 34.5%(19/55) patients admit under psychological stress during the treatment, which were affected by the tension from doctors’ consultation and the chemotherapy experience. Conclusion:Some patients were under psychological stress caused by the position immobility with thermoplastic sheet. Nursing intervention is necessary to improve, especially to the patients who show stress when consultation with doctors and who had chemotherapy experience.

Wnt signaling pathway is a highly conservative signal pathway controlling cell growth,differentiation,apoptosis and self-renewal.This signal pathway is often abnormally activated in tumor development and progression,which can cooperate or antagonize with other signal pathways to regulate tumor prolifera-tion,migration and invasion.This paper makes a review of the recent research of Wnt signaling pathway progression and its function in tumor growth regulation.

Objective:To effectively improve the health insurance security level of urban-rural residents and of-fer corresponding policy recommendations, the paper makes an empirical analysis of the security level of China’s ur-ban and rural residents health insurance system( U&RRHIS) . Methods: Frequency distribution and dummy variable regression tests were conducted with Tianjin’s urban-rural residents health insurance database. Results There is a large gap between real rate of reimbursement and policy rate in U&RRHIS;many factors have significant impacts on the real rate of reimbursement, including deductible tables, nominal rates of reimbursement, the age of the insured, insurance payment levels, medical expenses, medical institution classifications, etc. Conclusion:In order to improve the real rate of reimbursement for the insured, more attention should be paid to the real rate of reimbursement which is an important index of health security levels for health insurance policy adjustments; meanwhile, efforts should be made in terms of implementation, for instance, criteria should be established for an evaluation of the gap between the real rate of reimbursement and the policy rate of reimbursement, while medical insurance policies should be refined and a scientific and laddered policy rate of reimbursement should be established; moreover, the government’s finan-cial input in healthcare should be increased and the medical insurance system should be improved.

Objective To study the clinical effect of Zhenqifuzheng granule combined with Tegafur gimeracil oteracil potassium capsule in treating advanced carcinoma of gastric cardia in aged patients.Methods 52 cases of aged patients with advanced carcinoma of gastric cardia were randomly divided into the observation group and the control group.The observation group was treated with zhenqi fuzheng granule combined with tegafur gimeracil oteracil potassium capsule,and the control group was given Tegafur gimeracil oteracil potassium capsule only.The curative effect,adverse reaction and cellular immune function were evaluated after two treatment cycles.Results There was no statistically significant difference in the objective efficacy rate between observation (46.2％) and control group (50.0％) (P＞0.05).The rate of adverse reaction was higher in the control group than in observation group (P＜0.05).The rate of gastrointestinal adverse reactions in the control group was 50.0％,but 15.4％ in observation group.The rate of bone marrow suppression was 26.9％ in control group,but 11.5％ in observation group.The cellular immune function was better in observation group than in the control group (P＜0.05).Conclusions Zhenqifuzheng granule can improve immune function and reduce toxic side effects when combined with Tegafur gimeracil oteracil potassim capsule in treating advanced carcinoma of gastric cardia in aged patients.