Penis is one of the most important components of male external genitalia.Congenital abnormalities and trauma may lead to genitourinary organ damage or default,which require reconstruction.With the development of tissue engineering(TE),penile corpora cavernosa tissue engineening has becoming the core of the penis reconstruction.Recent researches mainly focus on forming scaffolds and transplanting cells(including of endothelial cells and caveruosal smooth muscle cells). Recently, stem cell technology, gene therapy and nervous reconstructive techniques have been combined to promote the development of tissue engineering.Tissue engineering has been thought to be able to make possible the restoring and constructing of the structure and normal funetion of penile corpora cavernosa.This paper gives a review of the recent progress in associated researches on tissue engineering of the penile corpora cavernosa.

China ; Esophageal Neoplasms ; diagnosis ; surgery ; Esophagus ; pathology ; surgery ; Humans ; Surgical Procedures, Operative ; methods ; trends

Objective:To investigate the effects of ?-lipoic acid on cell proliferation and expression of intercellular adhesion molecule1(ICAM-1) induced by high glucose(HG) in rat mesangial cells(MCs).Methods: Rat mesangial cells were co-cultured with normal glucose(5.6 mmol/L,NG group),high glucose(25 mmol/L,HG group),and HG+?-lipoic acid(50,100,200,300 ?mol/L)for 12,24 and 48 h,respectively.Cell proliferation was assessed by MTT;the levels of ICAM-1 in the supernatants were determined by enzyme-linked immunosorbent assay(ELISA);and ICAM-1 mRNA expression was measured by semi-quantitative RT-PCR.Results: ?-lipoic acid at 50-300 ?mol/L inhibited the proliferation of MCs.Semi-quantitative RT-PCR showed that ?-lipoic acid(100 and 200 ?mol/L)significantly inhibited the high glucose-induced increase of ICAM-1 mRNA((P

[Objective] To explore the effect of the multiple teaching methods on the teaching of the doctrine of viscera state in the basic theory of traditional Chinese medicine.[Methods]Research subjects were divided into study group(the multiple teaching group) and control group(the systematic instruction group),comprehensively evaluate the effect of the multiple teaching methods on the teaching of the doctrine of viscera state in the basic theory of traditional Chinese medicine,through the evaluation of teaching quality,students' questionnaire and the test of learning achievement.[Results] The multiple teaching method can improve students' interest in learning,activate the atmosphere of classroom,enhance communication between teachers and students,students generally think the multiple teaching method is helpful to correctly understanding and grasping the knowledge of the doctrine of viscera state,and is reflected in the homeworks and the test of learning achievement,the homeworks and the test of learning achievement of the multiple teaching method group were better than that of the systematic instruction group,there were significant differences between two groups(P＜0.05).[Conclusion]The multiple teaching method is helpful to improve the teaching mode on the doctrine of viscera state in the basic theory of traditional Chinese medicine,to enhance the students' learning motivation and ability of cognition,so that students can fully and deeply understand and grasp the doctrine of viscera state.

Objective To observe the changes of neutrophil CD64 (nCD64) index and serum procalcitonin (PCT) in hemodialysis patients with bacterial pneumonia,and to evaluate the effect of these two indicators in the course of diagnosis and treatment.Methods Fifty-three cases of bacterial pneumonia undergoing hemodialysis were enrolled in this study from November 2012 to November 2016 (infection group).At the same time,56 patients undergoing hemodialysis without bacterial infection (noninfection group) and fifty volunteers (control group) were also enrolled.The infection pathogen distribution,changes of nCD64 index and serum PCT in three groups were analyzed.And the changes of nCD64 index and serun.PCT before and after treatment in the infection group were analyzed too.Results Totally 53 strains of pathogens in the infection group were isolated,including 36 strains of gram-positive bacteria (accounting for 67.92％) and 17 strains of gram-negative bacteria (accounting for 32.08％).The nCD64 index of infection group,non-infection group and control group were as following:4.13 ± 0.43,0.82 ± 0.08 and 0.78 ± 0.08,and the serum PCT levels of infection group,non-infection group and control group were as following:(3.64 ± 0.29),(0.45 ± 0.04) and (0.45-± 0.04) μg/L.There were significant differences (P ＜ 0.01).The nCD64 index before and after treatment of infection group were 4.13 ± 0.43 and 0.86 ± 0.09.And serum PCT level before and after treatment of infection group were (3.64 ± 0.29) and (0.74 ± 0.07) μg/L.There were significant differences (P＜0.01).Conclusions The nCD64 index and serum PCT are sensitive indicators to determine the happening of bacterial pneumonia in patients undergoing hemodialysis,and it provides critical evidence for the evaluation of treatment in patients.

There is a higher incidence and mortality of esophageal cancer in China.During the past decades,esophageal surgery in China has achieved great development through the efforts of several generations of thoracic surgeons.At present there are still many difficulties and challenges for thoracic surgeons.This review will summarize current major difficulties in esophageal surgery and propose some possible solutions.

This article describes the introduction of concept of evidence-based medicine for postgraduate students in surgical oncology training program.Evidence-based medicine can cultivate students'ability to find out more clinical problems and solve these problems through their active and independent study to renew their medical knowledge and promote their innovative consciousness and clinical practice skill.

Objective:To construct and identify the chimeric mtb8.4/hIL12 eukaryotic expression plasmid.Methods:Firstly mtb8.4-linker was amplified by PCR and cloned into the single Nhe Ⅰ and Mlu Ⅰ cloning sites of pCI-neo, so pCI-neo-mtb8.4-linker(pML) plasmid was constructed.Secondly hIL-12 was amplified by PCR and cloned into the single Mlu Ⅰ and Sal Ⅰ cloning sites of pML.Finally correct pCI-neo-mtb8.4/hIL12 (pMI) plasmid was identified by PCR,RE digestion and DNA seguencing.Results:The accuracy of pMI plasmid construction was confirmed by a number of molecular biological techniques.Conclusion:The construction of mtb8.4/hIL12 chimera by linkage of M.tuberculosis mtb8.4 gene to human IL12 gene provides the possibility for investigating a new tuberculosis vaccine.

Objective To study the stability of ligustilide and the inclusion process in ?-cyclodextrin to avoid its isomerization.Methods The content of ligustilide dropped severely even if it was kept away from layer and air under room temperature.The inclusion process with ?-cyclodextrin was carried out on orthogonal design.The optimum conditions were determined and inclusion complex was made sure by many ways.Results The validated trials by DCS,IR,and GC could exhibit the obvious difference between mixture and inclusion complex which showed the form of a new phase,because of ?-cyclodextrin and drugs in the molecular capsules.Conclusion Inclusion process with ?-cyclodextrin can improve stability of ligustilide that is unstable in normal situation.

Objective:To discuss the influence of organic selenium on the immune effect of Bacille Calmette-Guerin(BCG). Methods:C57BL6/J mice were randomized into 4 groups:"BCG+Se"mice group were intracutaneously inoculated with BCG and orally fed with yeast-based selenium(Se);BCG mice group were immunized with BCG intracutaneously;Se mice group were im- munized with normal sodium and fed orally with Se;control mice group were immunized with normal sodium and fed orally water without Se.The mice were sacrificed after 4weeks or 8weeks to isolate the spleen mononuclear cells.T lympholeukocyte proliferation testing(stimulation index,SI),cytotoxic T lympholeukocyte(CTL)function testing as well as levels of IL-2 and IFN-?and mRNA levels of granzyme B and perforin were employed to assess the effect of vaccine for Mycobacterium tuber- culosis.They were determined by MTT assay,ELISA assay and RT-PCR,respectively.Results:The levels of 6 detected items in"BCG+Se"group and BCG group were significantly different from those in the control group(P