Objective To investigate the application value of the plasma homocysteine (Hcy) ,folic acid (FA) and vitamin B12 (VB12 ) levels in the patients with coronary heart disease (CHD) and CHD complicating impaired glucose tolerance (IGT) .Methods 80 triers screened by the inclusion criteria were divided into the simple CHD group (36 cases) and the CHD complicating IGT group(44 cases);70 healthy cases were taken as the controls .Hcy ,FA and VB12 levels were measured and the detection results were performed the statistical analysis .Results The Hcy level in both experimental groups were higher than that in the control group , the difference was statistically significant (P<0 .05) ,the positive rates were 94 .4% in the simple CHD group and 88 .6% in the CHD complicating IGT group respectively ;The plasma FA level in both experimental groups were lower than that in the control group ,meanwhile ,plasma Hcy level and FA level showed a negative correlation (P<0 .05);The VB12 level had no statistical differ-ence among 3 groups (P>0 .05) ,and the correlation analysis between the Hcy level in the two experimental groups with VB 12 had no statistical significance (P>0 .05) .Conclusion Plasma Hcy level in CHD and CHD complicating IGT is very high and negatively correlated with the FA level ,dynamically detecting the Hcy level has an important significance for early warning and treatment of CHD and CHD complicating IGT .

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 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

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 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.

The National Comprehensive Cancer Network(NCCN)is an alliance of 21 world leading cancer centers in the U.S.A,working together to develop treatment guidelines for most cancers.The primary goal of all NCCN initiatives is to improve the quality,effectiveness,and efficiency of oncology practice so that patients can live better.The NCCN guidelines have become the most widely used in oncology practice.These guidelines are updated continually and are based upon evaluation of scientific data.The NCCN Esophageal Cancer Guidelines have no Chinese version at present and were not yet used in our clinical practice.We are in an attempt to interpret the NCCN Esophageal Cancer Guidelines in conjunction with our clinical practice in the management of esophageal cancer.

Objective: To analyze FPGA technology in diagnostic ultrasound B signal processing system in order to provide a theoretical basis for the further development of diagnostic ultrasound signal processing. Methods:Analysis of FPGA technology in diagnostic ultrasound signal processing system for the study through literature study to analyze the relevant principles. Results: FPGA to be more widely used in ultrasonic diagnostic apparatus in full. Conclusion: It comprehensively improved the reliability and flexibility of ultrasound diagnostic signal processing system, making the modular, miniature, diversification, serialization and the rapid development of digital direction.

Objective] To explore the effect of the teaching method“3-round 4-step”on course“Selected Readings of Neijing(the Internal Cannon of Medicine)”. [Method] The teaching method“3-round 4-step”is helpful to improve students’grasping TCM theories, whose exam at ordinary times and final exam were respectively 83.23 and 79.62; in the other group of“paraphrase following text”teaching method, the results were 78.27 and 75.91 respectively; the comparison of both had statistical meaning. “3-round 4-step”teaching method contributes to promote students’ability of using TCM theories analysis and problem-settlement, widen their getting TCM relative theory and knowledge; their case analysis and thesis writing results were respectively 77.92 and 74.31; the results of the other group of teaching method “paraphrase following text”were respectively 73.27 and 69.45; the comparison of both groups had statistical significance. [Conclusion] Applying the teaching method of“3-round 4-step”can better finish the teaching task of“Selected Readings of Internal Classics”as improvement subject in later period.

You ought to differentiate the cause, location, nature and trend of disease, for chronic nephritis. The causes inducing or worsening the disease can be exopathy, as well as internal injury, pathological substance and drug pathogenic factors; while the deficiency of Qi blood Yin Yang of organs is often the internal basis of the disease. The location mainly concerns lung, spleen, liver and kidney, esp. kidney. The nature is deficient root and excessive superficiality; its general trend mostly appears Qi deficiency-both deficiency of Qi and Yin(blood)- both deficiency of Yin and Yang, a discipline of gradual development, and wind, wetness, heat, stasis, sputum and toxin worsen the development of the disease.