Translational medicine is a new term recently which aims to eliminate the barrier between preclinical and clinical medicine,to efficiendy and effectively translate basic scientific findings into drugs and medical devices that benefits patients.This article discussed the meaning of translational medicine in cultivating postgraduates of neurology.According to the preliminary attempt,it is beneficial for postgraduates to form translational medicine philosophy and be high-quality medical talents.

ObjectiveTo counsel the life style from the first trimester based on the fasting hyperglysemia to decrease the rate of GDM and adverse effect of it. MethodsThe pregnancy women with fasting hyperglysemia were recruited. All subjects were divided into two groups, one was counselled the life style from the first trimester but the other not. The pregnant outcome were compared. ResultsIn the study group 1 100 with complete information and 29 were abnormal glucose intolerance, 1 120 of 47 in control. The rate of GDM or GIGT,hypertensive disease,spontaneous abortion,premature dilivery, polyhydramnios, fetal macrosomia, fetal growth restriction, neonatal respiratory distress syndrome and the mean GHbA1c was lower than that in control ( x2 = 8.110,6.124,5.815,4.518,6.355,3.957,5.453,4.619, t = 3.385, all P ＜ 0. 05 ). But the body mass index at labor( t = 0.698 ), infection disease ( x2 =0.082),mean neonatal weight (t = 2.09 )and neonatal hypoglysemia (x2 = 0.035 )of term labor had no significant differences. ( t = 0.698, χ2 = 0.082,t = 2.090, χ2 = 0.035, all P ＞ 0.05 ). ConclusionCounseling the life style from the first trimester based on the fasting hyperglysemia could decrease the rate of GDM or GIGT and improve the pregnancy result.

Objective To observe the adsorption of fentanyl by different materials of the analgesic pump reservoir. Methods The concentrations of fentanyl in pump reservoirs,which were made by different materials （glass,silica gel,polyvinyl chloride,non polyvinyl chloride） were detected with the time by high-performance liquid chromatography. The measurement was repeated three times.Results Fentanyl concentration in these reservoirs decreased with time,which decreased 6.3% in silica gel reservoir （P0.05）,2.7% in non polyvinyl chloride（P0.05）,1.5% in PVC and 1.2% in glass bottles.Conclusion Fentanyl citrate will be adsorbed by different materials of analgesia pump reservoir within 72 h,and the adsorption sequence was silica capsule,non polyvinyl chloride,polyvinyl chloride,and glass bottles.

According to the financing characteristics of military hospitals and problems in financial management; financial statement, special fund, internal control and financial indicator are used to audit economic benefits of military hospital;so that military hospitals can maximize the realization of social profits while providing good health surport.

Objective To explore the auxiliary efficacy of microbial ecological agents for elderly patients with acute pancreatitis.Methods Totally 144 elderly patients with acute pancreatitis were selected and randomly divided into the observe group and the control group (n=72,each).All patients received the regular treatment and enteral nutrition.Microbial ecological agents were added in enteral nutrition in the observe group.The levels of endotoxin (ET),tumor necrosis factor (TNF-α),interleukin (IL)-6 and C-reactive protein (CRP)in peripheral blood were determined and compared between the two groups.The clinical index and the occurrence of adverse reactions were observed.Results Compared with pretreatment,the levels of ET,TNF-α,IL-6,CRP were significantly reduced in both two groups after treatment.The levels of ET,IL-6,TNF-α,CRP were lower in the observe group than in the control group [(0.14±0.07)EU/ml vs.(0.31±0.12)EU/ml,(44.77±17.82)pg/ml vs.(63.25 ± 14.26)pg/ml,(0.15 ± 0.05)μg/L vs.(0.29 ± 0.14)μg/L,(108.33 ±11.84)mg/Lvs.(135.41±21.45)mg/L,t=14.722,43.824,7.071,5.811,respectively,allP＜0.05].The recovery time of symptoms and signs,the anal exsufflation time and hospitalization time were shorter in the observe group than in the control group [(25.8±4.8)h vs.(36.4±6.2)h,(30.9±6.7)hvs.(44.4±7.3)h,(24.9±3.2)hvs.(37.6±3.4)h,(6.9±0.4)dvs.(13.1±1.2)d,t=4.747,4.401,10.125,33.443,respectively,all P＜0.05].There were no statistically differences in death rate and the occurrence of adverse reactions between the two groups (x2 =0.15,0.64,both P＞0.05).Conclusions Microbial ecological agents are safe and effective as an adjuvant therapy for elderly patients with acute pancreatitis.It is worth promoting in clinical medicine.

Objective Identifying the factors of psychological pressure from medical disputes on clinical doctors and possible solutions. Methods Self-rating Anxiety Scale (SAS) and the Occupational Stress Indicator (OSI) were called into play, to study 52 clinical doctors in a tertiary hospital in a city, who had encountered medical disputes in recent two years. In parallel, 63 clinical doctors without such disputes and 50 non-clinical workers were randomly selected as the control group for questionnaires. Results Clinical doctors with such an experience were commonly found to be anxious, and their SAS score (58. 27±11.38)averaged higher than those in the control group. Doctor-patient relationship, legal liabilities and clinical positions were found to be positively correlated to psychological pressure of clinical doctors. Conclusions Medical disputes tend to add to psychological pressure of the doctors. Clinical doctors deserve psychological counseling and training and improvement of their working conditions.

Epidemiological and clinical studies have provided compelling evidence that suggests a link between the relative lack of infectious diseases and the increase in allergic disorders. Asthma usually starts early in life. The early occurrence of asthma suggests that prinatal influences are of importance.Prenatal or postnatal exposure to endotoxins and other bacterial products may protect against the development of asthma in the infant. We will briefly outline the current state of the relationship of the perinatal infection and asthma in the infant, and focus our review mainly on possible rneehanism of perinatal infection providing protection against asthma in the infant, such as Th1/Th2 immune system, transcription factors, protection by maternal antibodies, endotoxin tolerance, pulmonary inflammation and genetic influences.

Objective To study the expression and roles of miR-31-5p in acute myeloid leukemia (AML).Methods miR-31-5p in AML patients were evaluated by real-time PCR;THP-1 cells were transfected with the miR-31-5p mimic and control, respectively.The effects of over-expression of miR-31-5p were examined by CCK-8 and FACS analysis;Dual-luciferase and Western blot were performed to detect target gene HuR expression.The effects of knock-down of HUR were also examined by CCK-8 and FACS analysis.Results miR-31-5p was down-regulated in AML patients compared to the normal control.Over-expression of miR-31-5p in THP-1 cells reduces cell proliferation and accelerates monocytic differentiation.miR-31-5p could target HuR, and knock-down of HuR inhibits cell proliferation and attenuates monocytic differentiation in THP-1 cells.Conclusions miR-31-5p may regulate AML cell proliferation and monocytic differentiation by targeting HuR.

Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is used for patients with advanced hepatocellular carcinoma who cannot tolerate major hepatectomy due to an insufficient future liver remnant,but the morbidity and mortality rate in the perioperative period are still high.Available studies indicate that damage control surgery variations such as laparoscopic procedure and associating radiofrequency/microwave ablation/liver tourniquet and portal vein ligation could improve the morbidity and mortality associated with ALPPS,as could portal vein embolization.However,randomized controlled trials are needed to determine benefits in technical variations.

Objective To explore the effect of dexmedetomidine preconditioning on antioxidant ability in Rats Brain with focal cerebral ischemia/reperfusion.Methods Forty-two healthy male SD rats,weighted 250-280 g,were randomly divided into three groups (n = 14):sham-operation group (group Sham):in which carotid artery was exposed but MCAO was not performed;ischemia/reper-fusion group(group IR):NS were injected intraperitoneally at 30 minutes before the MCAO;dexme-detomidine group (group Dex):dexmedetomidine 100 μg/kg were injected intraperitioneally injected at 30 minutes before the MCAO.Focal cerebral ischemia-reperfusion (IR)model in rats was made by transient occlusion of the middle cerebral artery occlusion (MCAO)using a nylon thread with rounded tip inserted into internal carotid artery and advanced cranially until resistance was met.MCAO was maintained for 2 hours followed by 24 hours reperfusion.Neurologic deficit scores(NDS),the infarc-tion volume as well as the activities of endogenous antioxidants (such as superoxide dismutase(SOD), glutathione peroxidase(GSH-PX),glutathione reductase (GR),catalase (CAT))in ischemic brain were evaluated 24 h after reperfusion.Results Compared to group Sham,the neurologic deficit scores and the infarction volume in group Dex and IR were significantly higher,but the concentration of SOD,GSH-PX,GR,CAT were significantly lower(P <0.05).Compared to group IR,however,the neurologic deficit scores and the infarction volume in group Dex were significantly lower,but the concentra-tion of SOD,GSH-PX,GR,CAT were significantly higher (P <0.05).Conclusion Dexmedetomidine can protect the brain from focal cerebral ischemia-reperfusion injury,and its mechanism maybe relate to preserving the activities of endogenous antioxidants.