Objective:To investigate the application effect of case-based learning (CBL) in clinical practice teaching of cardiothoracic surgery.Methods:A total of 86 interns who rotated in our department from February to November 2019 were randomized into observation group ( n = 43) and control group ( n = 43) by drawing lots. The control group used traditional teaching method, and the observation group used CBL teaching method. The differences between the two groups in professional theoretical performance, clinical skill achievement and teaching satisfaction were compared. Results:The professional theoretical scores, clinical skills scores, and teaching satisfaction of the observation group were better than those of the control group, with statistical differences ( P < 0.05). Conclusion:The CBL teaching method can effectively help interns master professional theoretical knowledge and clinical practice skills of cardiothoracic surgery, which has obtained satisfactory teaching results and is worthy of promotion.

With the method of specific binding of DAPI and DNA, the mycoplasma contamination cell cultures are sensitively detected. In this way, the monolayer cells can be determinated if a certain cell culture has been contaminated by some mycoplasma. The process is simple and can be done within thirty minutes. This method can be widely applied as a routine determination for detecting mycoplasma contamination in laboratory cell cultures.

A stochastic model of intracellular calcium oscillations is put forward by taking into account the random opening-closing of Ca2+ channels in endoplasmic reticulum (ER) membrane. The numerical results of the stochastic model show simple and complex calcium oscillations, which accord with the experiment results.
Calcium Channels/*metabolism ; *Calcium Signaling ; Endoplasmic Reticulum/*metabolism ; Intracellular Space ; Kinetics ; Mathematics ; Models, Biological ; Stochastic Processes

Objective: To improve the language teaching ability of teachers.Method: The teachers younger than 35-year-old youth from the Premedical courses were selected for observation of teaching,and they were divided into control and experimental classes in teaching language classes for quantitative evaluation skills.Result: The distribution of scores of the classes focused on the 80 to 95 between classes and the scores were mostly concentrated in between 65 to 80.P

Objective To compare the outcomes of 23G and 25G plus (25G+) vitrectomy in treatment of proliferative diabetic retinopathy (PDR).Methods This is a prospective randomized study.Fifty-seven PDR patients (75 eyes) with symptoms requiring vitrectomy were randomly divided into 23G vitrectomy group (30 patients,39 eyes) and 25G+ vitrectomy group (27 patients,36 eyes).Visual acuity,intraocular pressures,ophthalmoscopy,B-scan ultrasound was examined before surgery.The follow-up period was 10.0 (23G group) and 8.5 months (25G+ group) respectively.Intraoperative complications,operation time,postoperative visual acuity,intraocular pressure,postoperative complications and postoperative ocular conditions were analyzed.Results The mean surgical times were (53.35± 7.42)minutes and (49.16±5.17) minutes in 23G and 25G+ group respectively,and the difference was significant (t=4.37,P＜0.05).Iatrogenic injuries occurred in 11 eyes (28.21％) and 5 (13.89％) eyes in 23G and 25G + group respectively,and the difference was significant (x2 =4.93,P＜0.05).The postoperative visual acuity of 23G and 25G+ group were improved compared to before surgery (x2=16.81,18.29; P＜0.05).At last follow-up,there was 25 eyes and 24 eyes with visual acuity ≥ 0.05 in 23G and 25G+ groups respectively,and the difference was not significant (x2 =0.13,P＞0.05).Hypotony was detected in 7 and 3 eyes at the third postoperative day in 23G and 25G+ group respectively,and the difference was significant (x2 =5.67,P＜0.05).Conclusion 25G+ vitrectomy is a safe and effective treatment for PDR with shorter surgery time and fewer surgical complications.

This article reviews the major advances of basal and clinical research on the adrenal diseases at home and abroad from 2010 to 2012.There are many advances including the diagnostic value of steroidogenic factor-1 in adrenal tumors,the pathogenesis and new diagnostic methods of aldosterone-producing adenoma,the treatment for severe ACTH-dependent Cushing's syndrome,approach to the patient with an adrenal incidentaloma and subclinical hypercortisolism,screening test for subclinical hypercortisolism in the patients with diabetes or osteoporosis,the characterization of macronodular adrenocortical hyperplasia of the zona reticularis,as well as genetic testing for pheochromocytoma and paragangliomas,etc.

Zebrafish is widely used as a model organism in the process of drug discovery. It expresses drug metabolizing enzymes like cytochrome P450 (CYP450), uridine 5'-diphospho-glucuronosyltransferase (UGT) and nuclear receptors like pregnane X receptor (PXR), aryl hydrocarbon receptor (AHR), etc. This article summarized the profiles of main drug metabolizing enzymes and nuclear receptors, and reviewed the advances on xenobiotics metabolism in zebrafish.

Objective To investigate serum cancer antigens (CA) 125 expression in different types of ovarian endometriosis and related factors.Methods A total of 182 patients with ovarian endometriosis was collected,then they were divided into two groups:ovarian endometriosis combined with other parts of lesions (A group,88 cases),simple ovarian endometriosis group (B group,94 cases).And selected 100 healthy physical check-up women from the hospital outpatient department were as control group.The serum level of CA125 was detected.The patients' information including body shape,menstrual factors,reproductive activities and disease staging were collected.Chi-square criterion and multivariate binary Logistic regression analysis were completed.Results The serum levels of CA125 in A group,B group and control group were (48.64 ± 33.18),(41.35 ± 23.46),(22.16 ± 13.73) kU/L,respectively,and the positive expression rate of three groups were 64.77％ (57/88),52.13％ (49/94),2.00％ (2/100),respectively,there were significant differences (P ＜ 0.05).The multivariate binary Logistic regression analysis result showed that age of 35-49years,reforming American fertility society of Ⅲ-Ⅳ stage,pelvic adhesion and menorrhalgia were the important factors of positive expression of CA125.Conclusion The serum level of CA125 can be used as the evaluation of the diagnosis and treatment of ovarian endometriosis.

OBJECTIVE:To establish the preparation technique of Huoluoxiaoling pills METHODS:The optimun drying temperature and sterilization condition was obtained by screening RESULTS & CONCLUSION:The preparation technique is feasible and simple and the quality of product is stable

Objective:To explore the clinical characteristics of senile degenerative valvular heart disease (SDHVD)compli-cated heart failure (HF).Methods:A total of 68 SDHVD + HF patients were enrolled as SDHVD + HF group,another 62 aged HF patients without valvular calcification in the same period were enrolled as HF control group.Characteristics of two groups were analyzed.Results:Compared with HF control group,there were significant rise in percentages of severe cardiac dysfunction (NYHA class III:19.35% vs.38.24%,NYHA class IV:35.49% vs.55.88%),incidence rates of at-rial premature (17.74% vs.38.24%),sinoatrial block (22.58% vs.50.00%),atrial fibrillation (27.42% vs.52.94%), paroxysmal atrial tachycardia (30.65% vs.48.53%),atrioventricular block (33.87% vs.52.94%)and bundle branch block (25.81% vs.48.53%)in SDHVD + HF group,P <0.05 or <0.01. Conclusion:When SDHVD patients compli-cate with HF,the HF degree aggravates and incidence rate of arrhythmia rises.