One hundred mandibles of adult Chinese male unearthed in Shanghai without missing teeth, alveolar bone resorption or/and malposition of teeth were studied. Our data showed that the location of the mental foramen below the apex of the lower second premolar was the most common. Our results were compared with those of other investigators. The Clinical significance of iden.tifying the anatomical location of the mental foramen in dental practice is discussed

ObjectiveTo study the application value of the clinical pathway in nursing management.Methods300 patients before and 300 patients after the application of clinical pathway in nursing management were selected.Patients' satisfaction degree with the nursing,length of hospital stay,and medical expenses were contrasted between the two groups.ResultsPatients' satisfaction degree with the nursing was significantly increased,the hospitalization time was significantly reduced,and the medical care expenditure was significantly reduced after application of clinical pathway in nursing management.ConclusionsThe application of the clinical pathway in nursing management can increase patients' satisfaction,reduce the hospitalization time and medical care expenditure.

Objective To evaluate the diagnostic value of lipoprotein-associated phospholipase A2 (Lp-PLA2) and carotid artery ultra sound for transient ischemic attack (TIA) . Methods Ninety patients with TIA of internal carotid artery system in the acute phase and 55 normal control subjects were recruited. Their carotid intima-media thicknesses were assessed by carotid ultrasonography. Serum Lp-PLA2 levels were determined by enzyme-linked immunosorbentassay(ELISA) ,and all the data were compared between the two group. Results The detection rate of carotid atherosclerotic plaque in the TIA group was significantly higher than that in the control group f 78. 9% (71/90) vs. 29. 1% (16/55), x2 = 35. 27, P < 0.01] . There were 35 carotid atherosclerotic plaque in the control group,of which 6 were unstable plaques and 29 were stable plaques. There were 134 carotid atherosclerotic plaque in the TIA group,of which 103 were unstable plaques and 31 were stable plaques, the constituent ratio of unstable plaque in the TIA group was significantly higher than that in the control group (x2 =43. 22 ,P < 0. 01). The levels of serum Lp-PLA2 in male and female patients in TIA group were ([19. 08 ±7. 92] mol/(min · ml) and [15. 15 ±4. 91] mol/(min · ml),which were significantly higher than those in male and female in the control group ([13. 86 ± 3. 15] mol/(min · ml) and [11. 18 ± 2. 96] mol/ (min · ml) (t = 3. 8598 and 2. 9260, respectively, Ps < 0. 01). Furthermore, the levels of serum Lp-PLA2 of males in the TIA group and control group were significantly higher than that of females in the TIA group and control group(t=2. 3850 and 2. 9143, respectively, Ps < 0.05). The level of serum Lp-PLA2 in unstable plaque patients in the TIA group was (20.16 ± 6. 76) mol/ (min · ml) , which was significantly higher than that in stable plaque patients in the TIA group was (16. 09 ±4. 15)mol/(min · ml) ,the difference was statistically significant (t = 2. 5578, P < 0. 05). Conclusion Serum Lp-PLA2 is a risk factor of carotid atherosclerotic plaque, the combination of Lp-PLA2 and carotid ultrosonography can be used and alert indicator of TIA.

Renal fibrosis is the final common pathway to all progressive renal disease.Studies have found that Wnt pathway exists in the process of renal fibrosis and plays an important role in the process of renal fibrosis.This paper reviewes the relation of wnt pathway and renal fibrosis.

Objective To study the effect of biofeedback electrical stimulation combined with pelvic floor muscle training in the postpartum rehabilitation treatment of pelvic floor function.Methods 320 puerperants who were rechecked at 42d after the delivery in our hospital from September 2011 to January 2013 were divided into two groups,patients in the observation group were treated with biofeedback electrical stimulation combined with pelvic floor muscle training ,patients in the control group were given without treatment intervention,then the pelvic floor muscle tension,vaginal muscle voltage and urinary incontinence rate of two groups at 3 month after the treatment were compared.Results The improvement of pelvic floor muscle tension and vaginal muscle voltage of observation group were significantly better than those of control group (<0.05),the urinary incontinence rate was significantly lower (<0.05) .Conclusion The biofeedback electrical stimulation combined with pelvic floor muscle training can effectively improve the pelvic floor muscle tension and decrease the urinary incontinence rate,so it can improve the life quality of puerperants.

Objective To investigate the distribution and antimicrobial resistance of pathogens causing diabetic foot ulcer(DFU). Methods Secretion specimens of DFU in patients at several hospitals in Qingdao were collected and performed bacterial culture and antimicrobial susceptibility testing. Results A total of 216 pathogens were ob-tained from 137 patients with DFU. Isolation rate of gram-negative bacilli,gram-positive cocci and fungi was 58.80% (n= 127),39.81% (n= 86)and 1.39% (n= 3)respectively. 76 (55.47% )patients were infected with sin-gle pathogen,61 (44.53% )were infected with mixed pathogens;the top five detected pathogens were Pseudomonas aeruginosa(n= 37),Staphylococcusaureus (n= 35),Escherichiacoli (n= 26),Staphylococcusepidermidis(n=24),and Acinetobacterbaumannii(n= 22). The resistance of Enterobacteriaceae to amikacin,amoxicillin/clavu-lanic acid,cefoxitin,imipenem,piperacillin/tazobactam,ticarcillin/clavulanic acid were 0-16.67% ;the resist-ance of Pseudomonas aeruginosa to imipenem,tobramycin,amikacin,cefepime,gentamicin,and quinolones were 2 .70% -1 8 .92% ;the resistance of Acinetobacterbaumannii to imipenem and levofloxacin were low,but to the other antimicrobial agents were all above 30% . Conclusion The major pathogens from DFU were gram-negative bacilli, the next were gram-positive cocci,antimicrobial resistance patterns of each species are quite different,clinicians should choose antimicrobial agents according to antimicrobial susceptibility testing results.

Diabetes mellitus( DM) rates remain highly and is increasing dramatically worldwide. Meanwhile, the incidence of tuberculosis ( TB) decreased slowly. Moreover, DM is an important risk factor for TB incidence. Therefore, TB-DM comorbidity is becoming a new challenge in the field of prevention and control of TB. TB patients complicated with DM displayed distinct pathological manifestations, severity, course of disease, treatment complexity, failure rate of anti-TB treatment, death and recurrence compared with ordinary TB patients. Infection and incidence of TB is closely related to the immune function of the host. For patients with DM or hyperglycemia, the immune function is changed, which leads to the increase of the risk of TB and also affects the condition and prognosis of the disease. The present review summarize the current advances in the study of the immunological characteristics of TB-DM comorbidity, including the changes of both innate and adaptive immune responses, aiming to provide reference for the basic research and prevention and control of TB-DM comorbidity.

Objective:To establish a simultaneous determination method for gallic acid and piperine in Naru Sanwei pills. Meth-ods:The separation was carried out on an Ultimate XB-C18 (250 mm × 4. 6 mm,5 μm) column. The mobile phase was methanol and 0. 1% phosphoric acid with gradient elution. The gradient program was as follows: in 0-20 min, methanol was changed from 15% to 80%;in 20-30 min, methanol was changed from 80% to 15%. The flow rate was 1. 0 ml·min-1 . The detection wavelength was 285 nm, the column temperature was 30℃,and the sample size was 10μl. Results:The linear range of gallic acid and piperine was 0. 878-4. 392 μg(r=1. 000 0)and 0. 262-1. 308 μg(r=1. 000 0), respectively. The average recovery was 100. 75%(RSD=1. 19%) and 98. 35%(RSD=1. 46%)(n=9), respectively. Conclusion:The method with high precision and resolution can be used for the quali-ty control of Naru Sanwei pills.

We tried to clarify the role of oxygen radicals [released from granulocytes stimulated by phorbol myristate acetate (PMA) in rat acute lung injury. It was found that DNA strand-break damage (DSBD) in peripheral white blood cells was significantly increased 40 min after injection of PMA. DSBD in lung tissue of rats treated with PMA was also markedly increased. The PMA-treated rats showed significantly higher lipid-peroxide (LPO) level in plasma and lung hemogenate than the controls. These results suggest that determination of DSBD, a simple and sensitive indicator for oxygen radical damaging, might be useful in the diagnosis of adult respiratory distress syndrome, when it is used together with measurement of plasma LPO.

We separated viable tumor-infiltrating lymphocytes (TIL) and reginal lymphaden lymphocytes (RNL) from 37 cases solid human tumors and their reginal lymphadens, by means of combing mechanical and enzymatic digestion and discontinuous density gradients. The total cell recovery were 0.42-78.4?10~6 per gm tumor and 8.8-194?10~6 per gm lymphaden. The purity TIL and RNL fraction were 61.1?15.4% and 82.5?8.2%, respectively. Activated TIL, PBL, RNL and splenic cell (SPC) by rIL-2 expanded 2.58?1.05?10~5 -fold, 2.7?2.6?10~3-fold, 8.25 ?2.85?10~6-fold and 5.64 ? 2.51?10~3-fold in an average of 39.2?11.2 days. Total cell numbers in RNLs and 26/37 (70.3%) of TILs were up to 10~(10).