Kidney disease is very general in clinic, most of it has complex mechanism and is refractory, often with demonstrations of edema, proteinuria and blood urine, and it often recurs and develops over insufficiency and pathogeny. Analyzing the clinical demonstrations and treatment of kidney disease with“lung viscera state”in“Internal Classics”, we can find the theories have guide meaning on treating and preventing the recurrence and development of kidney diseases, such as “upper energizer developing and distributing flavors of five cereals”on treating proteinuria, “lung stretching water channels and down-flowing bladder”on treating edema,“Shaoyin belonging to kidney which connects with lung”on treating blood urine.

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 .

Objective To explore the effectiveness of comfort nursing on the parents of children with laryngopharyngeal surgery.Methods Forty-seven parents were admitted for the study,they were divided into the control group(23 cases) and the experimental group(24 cases).The control group accepted routine nursing,while the experimental group accepted comfort nursing based upon routine nursing.The SAS,SDS scores and satisfaction degree were compared between the two groups.Results After the treatment,the SAS and SDS scores of all the parents got better compared with those before treatment.The differences were obvious.While the experimental group had a better improvement than the control group.Also the satisfaction degree of the experimental group was better than that of the control group.Conclusions Comfort nursing can relieve the discomfort and anxiety of the children patients and their parents,improve the adverse emotional state of them,promote recovery of children and improve the nursing quality.

ObjectiveTo study the characteristics of gastric cancer under gastroscopy.Methods From Jan.2005 to Dec.2010,160 patients were diagnosed of gastric cancer by endoscopic biopsy.Clinical data of these patients were retrospectively summarized and analyzed.ResultsThere is a high rate of HP infection [71.25％ (114/160)]in the 160 cases with gastric cancer,especially in males,and the infection rate increased with age( Z =2.303,P =0.021 ).For the general morphology of gastric cancer,it was mainly Borrmann Ⅲ & Ⅳ-types for those below or equals to 35 years old(9 cases).The rate of Borrmann Ⅲ & Ⅳ types reduced and that of BorrmannⅠ& Ⅱ types increased with age.The ratio of male to female with gastric cancer was 2.26:1.However,the incidence of gastric cancer was higher in young female compared with young males.With the increase of age,the rate of prevalence of gastric cancer grew higher in males than in females ( Z =3.599,P ＜0.001 ).Incidence of gastric fundus-cardia and corpus cancer increased with age.Most patients had low-differentiation adenocarcinoma despite the specific sites of gastric cancer.However,the incidence of low-differentiation adenocarcinoma decreased with age(x2 =9.831,P=0.042).ConclusionThe development of gastric cancer is closely associated with HP infection.For the general morphology of gastric cancer,Borrmann Ⅲ & Ⅳ types decrease and Borrmann Ⅰ & Ⅱ types increase with age.The incidence of gastric cancer in male and that located at proximal stomach are increased with age.Moreover,the incidence of high-grade malignant gastric cancer is increased with age.

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 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.

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

Objecticve To study the immunogenicity and protective effecacy of MTB8.4 with signal peptide gene vaccine against TB in mice.Methods C57BL/6N!mice were vaccinated with MTB8.4 with signal peptide(MS) gene vaccine three times at 3 weeks intervals.Four weeks after the final vaccination,three mice were sacrificed to assess cytokine response and CTL induction and the other five mice were challenged intravenously in a lateral tail vein with(1?10~(6)) CFU of virulent M.tuberculosis H37Rv.Spleen and the left lung were harvested from each mouse 4 weeks after(infection) and homogenized in sterile saline.Serial dilutions of organ homogenates were plated on (L-J agar) and incubated(37 ℃) until colonies were visible 4 weeks later. Protective efficacy in each experiment was expressed as(reduced) CFU and was compared with the negative control group.The right lung was obtained from each mouse and(inflated) with and stored in 10% formalin saline immediately.Tissues were embedded in paraffin,sec-tioned(and stained) with hematoxylin and eosin.Results MS gene vaccine induced the secretion of more of Th1 cytokines(IFN-?and IL-2),but not IL-4 and enhanced CTL activity while BCG induced the secretion of both types of cytokines(IFN-?,IL-2 and IL-4).Mice immunized with MS gene vaccine had fewer and smaller tubercles than those immunized with PBS or control plasmid DNA,but had more tubercles than the mice inoculated with BCG.Virable bacterial counts in the lungs and spleens of mice receiving DNA encoding MS were reduced as compared with mice injected with PBS or control plasmid DNA,while increased as compared with mice immunized with BCG.Conclusion MS gene vaccine can induce secretion of Th1 cytokines and the higher protective efficacy against TB in mice.