Precision medicine significantly promotes the diagnosis and treatment of various diseases,which also induces the revolution of evidence-based clinical practice guidelines,as well as multimodality therapy for hepatocellular carcinoma (HCC).In the application of the concept of precision medicine and evidence-based medicine,surgeons will concretize the precise surgery,establish an improved multimodality therapy for HCC,and ultimately achieve the goal of overall benefit.This is also a new task of surgeons in the precision medicine era.

This review summarized the current progress in the pathogenesis of leptin-mediated liver disease including fatty liver, hepatitis,fibrosis or cirrhosis. Analysis of leptin effect on activation of hepatic Kupffer cells and hepatic stellate cells was made and molecular mechanism and signal pathways were also discussed.

Objective:To study the mesiodistal teeth size and the relationship between upper and lower teeth dimension of normal occlusion from Han Chinese in Xi'an. Methods: 52 males and 55 females with normal occlusion were selected. The mesiodistal width of each tooth was measured using a vernier gauge caliper. Statistical analysis was performed. Results: For the 107 cases with normal occlusion, the mean and standard deviation of the teeth size were calculated. There were significant differences between males and females in maxillary incisors, canines, first molar and mandibular canines, premolars. The normal range was obtained for the anterior and overall tooth size ratio(anterior ratio:78.32?3.01 overall ratio:91.10?2.27); and the regression equation that was used to quantify the tooth size discrepancies was expressed according to the significant correlation between the upper and lower tooth (r anterior=0.754, rtotal=0.851). Conclusion: There is a relationship between upper and lower teeth dimension. Sex difference should be considered when tooth size was used in clinic.

Objective:To compare the difference between the measurement methods of wire and divider applied in the measurement of arch length at orthodontic dental model analysis.Methods:80 pairs of dental models were selected,including 40 normal occlusion models and 40 crowded models.The arch length of every model was measured by the wire and divider methods respectively,and the casual error and paired t test was subsequently employed to compare the difference between the measurements data.Results:The variance coefficients of the dental lengths measured by the divider method was larger than those measured by the wire method in both crowding and normal occlusion(P

Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is used for patients with advanced hepatocellular carcinoma who cannot tolerate major hepatectomy due to an insufficient future liver remnant,but the morbidity and mortality rate in the perioperative period are still high.Available studies indicate that damage control surgery variations such as laparoscopic procedure and associating radiofrequency/microwave ablation/liver tourniquet and portal vein ligation could improve the morbidity and mortality associated with ALPPS,as could portal vein embolization.However,randomized controlled trials are needed to determine benefits in technical variations.

Chinese scientist Tu You?you won the Nobel Prize in Physiology or Medicine 2015,due to her outstanding contri?bution to the discovery of antimalarial drug artemisinin. The discovery of artemisinin is a great breakthrough using modern phar?maceutical technology to excavate ancient Chinese traditional medicine resources,based on government’s coordination mecha?nisms. This article analyzes the research and development status of the current global antiparasitic products,as well as China’s needs and strengths in related areas. The authors propose that China should take the advantage of government financing and re?search capacity to strengthen the research and development of antiparasitic products,so as to contribute more to improving glob?al health equity.

Vaccine is expected to be a promising tool for malaria prevention and control.However, safe and effe-ctive malaria vaccine is not yet available for field use so far.They can be pre-erythrocytic stage vaccine, blood stage vac-cine and transmission-blocking vaccine.This review summarizes the progress of the vaccine development in the recent field trials.

The peptidyl prolyl cis/trans isomerase Pin1 specifically binds phosphorylated Ser/Thr-Pro protein motifs and catalyzes the cis/trans isomerization of the peptide bond,changes the conformation and influences the stability and activity of the substrates.To date,a subset of proteins has been identified as substrates for Pin1.Pin1 interacts with its substrates and plays crucial roles in cell cycle,neural pathology and immune response.Accumulating studies have revealed that Pin1 isomerase activity is regulated by its post-translational modifications,including phosphorylation and oxidation.Over-expression or regulative imbalance of Pin1 plays an important role in the pathogenesis and therapeutics of human diseases such as cancer and AD.

Objective To explore the oxidation stress effects of nitrogen monoxide (NO) on rats' hepatic fibrosis induced by carbon tetrachloride (CCl_4). Methods Thirty-four male Wistar rats were subcutaneously given CCl_4 to induce hepatic fibrosis model. Six additional rats were chosen to serve as control group. Histological sections of liver of the animals were stained by H & E and Massons staining. NO in serum, malon-dialdehyde (MDA) and superoxide dismutase (SOD) in liver tissue were determined. Results At 7th week, grade 2 or 3 of hepatic fibrosis was reproduced, in which fibrous tissue formed fibrous septa, around the portal areas stretching into hepatic lobules. The structure of the hepatic lobules was intact or disarranged, but there was no signs of cirrhosis. There was moderate fatty change and vacuolar degeneration of heputocytes. The level of serum NO increased significantly (152.8?12.30?mol/L vs. 11.03?1.95?mol/L, P

The syndrome of insulin-dependent diabetes mellitus(IDDM)includes not only abnor-mal glucose metabolism but also specific microvascular complications that include nephropathy,retinopathy and neuropathy.In the short term,improvement in the quality of life and possible prevention of further morbidity associated with diabetes makes pancreas trans-plantation an important therapeutic option,particularly when combined with a kidney trans-plant,in appropriately selected diabetic patients.The focus of the early management of the pancreas transplant recipient is the prevention of acute rejection.In this article we review the methods for clinical diagnosis of the early acute rejection due to pancreas transplanta-tion.