Because preterm infants are premature,the rates of refractive errors and visual abnormalities are significantly higher than those normal full-term infants.By understanding their refractive characteristics and the factors those affect visual development,meanwhile,recognizing that premature birth also plays a role in the refractive or visual development of preterm infants without retinopathy of prematurity (ROP),we can establish the strict follow-up system,then early detection and be early in time for premature children with clinical intervention or treatment which is beneficial for normal visual development.It is extremely important to reduce abnormal visual development in preterm children,and to improve the visual quality of patients and quality of life.This paper summarizes the researches of refractive and visual development in preterm infants.

Objective To compare the effectiveness of the three operation mode in treatment of ovarian cyst. Methods According to the digital table,138 patients with ovarian cyst were divided into three groups,the group A (n=46 cases)were operated through open operation,group B (n =46 cases)were operated through transvaginal operation,group C(n=46 cases)were operated through laparoscopic operation.The three groups were observed the situation of operation (operation time,bleeding volume,the first exhaust time,hospitalizationtime ),complications (infection,hemorrhage,perimenopausal changes ),postoperative follow -up for 1 years.The recurrence rate was observed.Results Group A of 46 patients were successfully completed surgery,B,C groups of 1 patients was con-versed to laparotomy due to severe adhesion.B,C groups in the operation time,amount of bleeding during the opera-tion,the time of hospitalization were significantly less than that of group A (t=4.306,5.172,3.012,3.926,3.776, 2.168,P<0.05,P<0.01).B group was significantly less than those of A,C group in the first exhaust time (t=3.014,2.446,all P<0.05).In the operation time of group B was obviously less than that of group C (t=2.748,P<0.05).A,B,C three groups of postoperative complication rates were 39.1%,11.1%,15.6% respectively;the incidence of complications of B,C groups was lower than that in A group (χ2 =9.82,8.64,all P<0.01 ).After 1years follow-up,the recurrence rate in group B was significantly higher than that of A and C groups (χ2 =6.72, 6.72,all P<0.01).Conclusion Treatment of ovarian cyst vaginal surgery and laparoscopic surgery wound is small, but the person that weigh should be performed open adhesion treatment,individualized treatment.

Objective To study the clinical efficacy of combination of Modified Lianpo Decoction and standard quadruple therapy for Hp-related gastritis of damp-heat syndrome of spleen and stomach. Methods Based on the principles of random, contrast, and double-blind, 118 cases of Hp-related gastritis of damp-heat syndrome of spleen and stomach were randomly divided into western medicine group (39 cases) and combined Chinese and western medicine group (79 cases). The western medicine group was treated with standard quadruple therapy (PPI + bismuth + two kinds of antibiotics), and the combined Chinese and western medicine group with Modified Lianpo Decoction additionally for two weeks. The clinical efficacy, TCM symptom scores, and eradication rate of Hp were observed by electronic gastroscope, rapid urease test, and pathologic examination before and one month after the treatment, respectively. Results The clinical effective rate of the western medicine group was 76.9% (30/39), while that of the combined Chinese and western medicine group was 94.9%(75/79), with statistical significance (P<0.05). The Hp eradication rate of the western medicine group was 87.2%(34/39), and that of the combined Chinese and western medicine group was 97.5% (77/79), with statistical significance (P<0.05). TCM symptom scores regarding damp-heat syndrome of the spleen and stomach of the combined Chinese and western medicine group were significantly better than those of the western medicine group (P<0.05). Conclusion The clinical efficacy, TCM symptoms, and eradication rate of Hp can be significantly improved by combination of Modified Lianpo Decoction and standard quadruple therapy in the treatment for patients with Hp-related gastritis of damp-heat syndrome of spleen and stomach.

Objective:To test the reliability of BMDC-NPTB-CR. Method: 182 elderlies were tested with the BMDC-NPTB-CR. Test-retest reliability and internal consistency of the scale were calculated. Result:70% of the items in BMDC-NPTB-CR were moderate in difficulty. The correlation between total score and subscores were in 0.50～0.88(P

Objective　To discuss the long-term curative effect of botulinum toxin A(BTXA) for treating spasm of eyelid and facial muscle.Methods　Ninty-two patients with spasm of eyelid and facial muscle were treated with BTXA and observed for a long term.Results　After being injected with BTXA for 1～4 days, the spasm relieved gradually. Sixteen weeks later, the spasm symptoms relapsed. The relapse began mostly from eyelid spasm. The facial spasm's relief time was longer. lt might be up to 24 weeks. After injection, the patients had some slight complications of facial expression numb, ptosis and fissura palpebrae. The above complication symptoms recovered by themselves after two weeks. Conclusion　The curative effect of BTXA on treating spasm of eyelid and facial muscle is reliable.

Training ability and level of trauma management skills have an straight influence on the results of pre-hospital care and treatment of casualties, and thus are very important to save the life of the wounded and to reduce the mutilation rate. The adoption of a teaching module employing a human analogue significantly improves first aid training level, which can help the students master trauma management skills and gain self-confidences. The application of virtual realty technique and human analogue to such first-aid training is reviewed as the training for dressing, hemostasis, fracture fixation, casualty transport, cardiopulmonary resuscitation and urgent airway management.

Objective To establish an intelligent nutritional diet analysis system in the hospital to guide and monitor the patient's diets and nutrition.Methods Individual health report and nutrition prescription were output intelligently through an intelligent nutritional diet knowledge-based system as well as the interfaces between the modules of electronic record interchange,intelligent nutrition analysis and diet management,and the modules were all interfaced with HIS and LIS respectively.Results The patient's diets and satisfaction were all enhanced by the system.Conclusion The system integrates computer technology into nutritional diet management to realize whole-course traceable closed-loop management.

[Abstract ] Objective As an important metal element, iron is involved in a variety of life activities.This study was to inves-tigate the effect of iron deposition on the apoptosis of PC12 cells and the expression of glyceraldehyde de-3-phosphate dehydrogenase (GAPDH). Methods PC12 cells were incubated with FeCl3 at 50, 100, and 500 μmol/L for the establishment of an iron deposi-tion cell model.The proliferation of the PC12 cells was measured with the CCK-8 method, their apoptosis determined by TUNEL, the expressions of GAPDH mRNA and protein detected by quantitative real-time PCR and Western blot respectively, and the level of GAP-DH in the nuclei measured by immunofluorescence assay. Results Compared with the normal control group, the proliferation rate of the PC12 cells was decreased in the 50μmol/L FeCl3 group (100%vs [77.13 ±3.9]%, P>0.05) and significantly in the 100 and 500 μmol/L groups ([66.19 ±3.37]% and [13.84 ±0.43]%) (P<0.05).In comparison with the control, the expression of GAPDH mRNA was up-regulated in the 50 μmol group (1.00 ±0.00 vs 1.42 ±0.03, P>0.05) and remarkably in the 100 and 500μmol/L groups (1.93 ±0.07 and 2.33 ±0.15) (P<0.05), while that of GAPDH protein down-regulated in the 50μmol group (1.00 ± 0.00 vs 0.94 ±0.11, P>0.05) and markedly elevated in the 100 and 500 μmol/L groups ( 1.45 ±0.13 and 1.79 ±0.07 ) ( P<0.05) .After iron deposition, GAPDH transferred from the cytoplasm to the nuclei of the PC12 cells and nuclear accumulation was observed. Conclusion Iron deposition increases the apoptosis of PC12 cells, which may be related to the up-regulated expression of GAPDH in the nuclei.

BACKGROUND:Existing studies have shown that bone marrow mesenchymal stem cel s can significantly improve islet function in diabetic rats to decrease excessively high blood glucose level, which may be related to the enhancement of differentiation ability of autologou pancreatic stem cel s.
OBJECTIVE:To observe the therapeutic efficacy of basic fibroblast growth factor gene eukaryotic expression vector (PEGFP-C3-BFGF) transfection of bone marrow mesenchymal stem cel s in diabetic rats.
METHODS:Recombinant adenovirus (Ad.aFGF) mediated PEGFP-C3-BFGF was transfected into bone marrow mesenchymal stem cel s, and PEGFP-C3-BFGF expression was observed using fluorescence microscopy. Eighty Sprague-Dawley rats were randomly divided into normal control group, diabetes group, transplantation group, gene transfection group, with 20 rats in each group. After modeling, rats in different groups were given portal vein injection of normal saline, PBS, 1 mL of bone marrow mesenchymal stem cel suspension, and 1 mL of PEGFP-C3-BFGF-transfected bone marrow mesenchymal stem cel suspension. RT-PCR method was used to detect mRNA expression of matrix metal oproteinases in pancreatic tissue of rats in each group. Blood glucose levels of rats were detected at 24 hours, 3, 7, 14, 21 days after transplantation. ELISA method was used to detect plasma insulin levels in rats. Pathological changes of the pancreas were observed using hematoxylin-eosin staining.
RESULTS AND CONCLUSION:Under the fluorescence microscope, PEGFP-C3-BFGF transfected into cel s after 48 hours showed significant specific red fluorescence. Two weeks after transplantation, matrix metal oproteinases mRNA expression was significantly increased in the diabetes group compared with the control group (P<0.05), while it was decreased in the transplantation and gene transfection groups compared with the diabetes group (P<0.05). After transplantation, the blood glucose levels in rats were ranked as fol ows:control groupgene transfection group>transplantation group>diabetes group (P<0.05). Pathological findings of the pancreas showed that the transplantation group was superior to the diabetes group, but inferior to the gene transfection group that was similar to the control group. Al these findings indicate that PEGFP-C3-BFGF-transfected bone marrow mesenchymal stem cel transplantation can improve blood glucose levels and stimulate insulin secretion in diabetic rats, which may improve the severity of diabetes mel itus by decreasing the mRNA expression of matrix metal oproteinases.

Functional gastrointestinal disorders is a common functional disease without organic pathologic changes, mainly including functional dyspepsia, irritable bowel syndrome and functional constipation.As the dissatisfaction, side effects and recurrence with drug treatment, transcutaneous electrical stimulation has taken an important role in the treatment of functional gastrointestinal disorders in recent years.This article reviewed the progress of transcutaneous electrical stimulation in treatment of functional dyspepsia, irritable bowel syndrome and functional constipation.