Objective To observe the clinical efficacy of captopril combined with simvastatin for treating patients with early diabetic nephropathy.Methods 180 patients with diabetic nephropathy were randomly divided into three groups,and each group had 60 cases,group A was given captopril for treatment,group B was given simvastatin and group C was received captopril and simvastatin for treatment.The clinical efficacy,renal function before and after treatment and incidence of adverse reactions were compared in three groups.Results The clinical efficacy of group C was significantly better than group A and group B ( P ＜ 0.05 ) ; after treatment,the value of Ma/Cr,SCR and Bun of three groups were lower than pre-treatment ( t =3.12,3.08,3.17,3.41,3.19,3.20,3.04,3.44,3.48,all P ＜ 0.05 ) ;and the value of Ma/Cr,SCR and Bun after treatment in group C were significantly lower than group A and group B ( t =4.58,4.69,5.02,4.89,5.11,4.87,all P ＜0.05 ) ;the incidence of adverse reactions in group C was significantly lower than the other two groups.Conclusion Captopril combined with simvastatin could significantly improve the clinical efficacy of the early diabetic nephropathy and had small side effects.

OBJECTIVE:To develop a RP-HPLC method for determination of the content of berberine hydrochloride in the Fukezhidai tablets METHODS:HPLC was performed on Dimonsil C18 column with CH3CN-KH2PO4(30∶70)as mobile phase The detection wavelength was 347nm RESULTS:The linear range of berberine on calibration curve was 0 4 052～2 026?g/ml The average recovery of berberine was 98 18%,RSD=0 92%(n=5) CONCLUSION:The method was simple and accurate,and can be used for the quality control of Fukezhidai tablets

Objective To investigate the subjective well-being and its influencing factors of the advanced elderly in the community. Methods Totally 409 cases aged 80 years and over in five communities of Hang zhou city were surveyed using Memorial University of Newfoundland Subjective Well-bing Scale. Results The subjective well-being of the advanced age people was at a high level.The cases with good hearing,well eyesight,income from own source,monthly income between 1000-3000 yuan,health satisfaction and frequently or occasionally regular interest in the activities had higher subjective well-being(all P＜0.05).Subjective well-being was not significantly affected by age,sex,level of education (P＞ 0.05). Conclusions Subjective well-being of aged people is mainly affected by state of health and economic resources.

As the largest protective barrier of the body,gastrointestinal tract helps the organism resist the invasion and attacks of harmful substances from the outside world.There are three kinds of protective barriers:mechanical barrier,biotical barrier,and immune barrier.In recent years,increasing researches indicate the importance of gastrointestinal immune barrier and the important immunologic mechanism of enteral nutrition in improving the clinical outcome.This article reviews the effect of gut immunity in the improvement of clinical outcome by enteral nutrition.

Objective : To explore expression of related genes in breast cell line T47D induced by heregulin β1. Methods: Suppression subtractive hybridization was performed using cDNA sub traction kit to detect expression of heregulin-responsive genes in T47D cells. Results: ATP syn thase 6 was up-regulated by heregulin β1 in T47D cells at 1 and 6 hours. Conclusion: Heregulin β1 participates in the regulation of expression of both ATP synthase 6 and oxidative phosphoryla tion of T47D cells.

Community medical staff construction centered on general practitioner is a basic engineering to improve the quality and enhance the level of basic medical and health service system.The developed western countries have up-to-date experiences in general and further education of community general practitioners.By combining these experiences with China's national conditions,this thesis explored the 'targeted recruitment-employment mode' for general practitioners and discussed the reform in curriculum,teaching content and teaching organization in order to promote the practice base construction and further education after graduation as well as to cultivate all-around talents of high quality who can meet the requirements of the basic-level medical work.

Objective To study the clinical characteristics in patients with peptic ulcer (PU) in different nationalities and regions. Methods Retrospective analysis on the clinical data of 2473 cases of PU encountered in our hospital within past 15 years. Results The detecting rate of PU is 12.53％ ; whith the ratio of males and females 3.67:1 inwhich the detecting rates of Han and Hui nationalities are 13.42％ and 10.66％ respectively, Among them 44.4％ were duodenal ulcer,50.63％ were gastric ulcer, the ratio being 0.88:1. Conclusion The detecting rate of peptic ulcer in Han nationality is hihger than in Hui nationality , gastric ulcer occurs more often than duodenal ulcer. Episodic attacks occur mostly in spring and autumn . As to the location of ulcer in duodenal ulcer they are most on anterior wall and greater curvature of bulb; in gastric ulcer they are most on gastric angul and antrum , the peak age of incidence is 21 to 50. Bleeding is the most common complication in peptic ulcer patients.

Under stimulation of PHA,PHA + TPA,or PHA + PTS the time ke-netics of DNA,RNA,protein synthesis and lymphokine secretion by human lymph node cell expressed different responses. The PTS did not increase the DNA and RNA synthesis, but increased the protein synthesis ( 60% ) . TPA increased the RNA synthesis ( 18% ) , therefor increased the protein synthesis ( 40% ) . Both of TPA and PTS increased the production of 5 kinds of lymphokines (IL-1 , IL-2 , IL-3, BCGF, TFNr). We infer that PTS and TPA increase the lymphokine production through different gene regulation. TPA Promotes the translation of lymphokine mRNA。

Promoting effect of panaxatriol ginsenoside ( PTGS ) on inter-leukine-3(IL-3 ) induction of phyto-hemagglutinin ( PHA ) stimulated human lymph node cells was observed. The results showed that PTGS enhanced the IL-3 production on each time of IL-3-induction kinetics, maximally by 30% ( 72h ) . Furthermore, it was observed that IL-3 mRNA from PHA+PTGS-stimulated lymph node cells translated more IL-3 than PHA-stimulated lymph node cells on each time of IL-3 mRNA-induction kinetics, maximally by 40% ( 60h ) , using the methods of wheat germ cell-free in vitro translation system and IL-3 bioassay.

In the present paper, it is reported that immunelogic event during unset of experimehtaleallrgic encephalomyelitis (EAE) is studied by sevaeral immunological parameters, including thymectomy at birth in Guinea Pigs, identification of various cellular and humoral immunolo-gic functions. It is observed that thymectomy at birth suppressed onset of EAE and severityof EAE is related to cellular immunologic function but not to humoral immunity. All ofthese results indicated that cell-mediated immunity is responsible for the onset of EAE.