This article is to discuss the ethical principles in the diagnosis and treatment of oral disease in elderly patients.The patient-oriented concept should not be neglected.Doctors′ moral responsibility must be strengthened during examination,diagnosing and curing process.Medical skills should be well mastered and improved.Characteristic of senile patients should be attached to and right oral health education is obligatory for patients.

Hypoxic pulmonary hypertension(HPH) is a common disease featured by acute hypoxic pulmonary vasoconstriction(HPV) and chronic hypoxic pulmonary vascular remolding(HPVR) leading to the sustained increasing of pulmonary artery pressure.There are many mediators involved in the HPH but none can illustrate it successfully.Primary work has found 15-lipoxygenase(15-LO) and its catalyzed production 15-hydroxyeicosatetraenoic acid(15-HETE)(from arachidonic acid) are up-regulated in pulmonary vascular when exprosed to hypoxia.And it has been found 15-LO/15-HETE involved in many processes of both the HPV and HPVR,indicating 15-LO/15-HETE may be an important mediator of HPH.Advances research on 15-LO/15-HETE may illustrate the mechanism of HPH,and will give some message in looking for a potential clinical target of HPH.

Objective To analyze and solve the difficulties in rapidly expanding the mobile field hospital in earthquake relief mission.Methods Aimed at the difficulties in the speed,advance men were sent out before the expansion.Then the personnel were regrouped in the proceeding of the expansion,and the vehicles entered the district according to the predefined area and order.Results The expanding speed was raised.Conclusion The scheme meets the requirements of the first aid in the mobile field hospital.

Objective To discuss the use management of both war and peace time for medical equipment in field clinics. Methods Medical equipment was sent to different departments which are personal management. Results The usage management can improve the capacity of using and maintaining of medical equipments. Conclusion The management method improves field medical treatment ability of field clinics and adapts the usage management of medical equipments in field clinics.

Objective To systematically review the risks and effectiveness of combined caudate lobectomy in Klatskin tumor.Methods A systematic literature search was conducted on PubMed,Embase,Cochrane Library,Scopus,CNKI databases and Chinese Bio Medical Literature (CBM).A systematic review and meta-analysis of the current literatures were conducted based on the PRISMA guideline.Odds ratios were calculated using the Mantel-Haenszel method.The primary outcome variables included safety,effectiveness of combined caudate lobectomy and its impact on long-term survival.Results Nine out of 312 articles were included.Results showed caudate lobectomy did not increase the incidence of postoperative complications (OR ＝ 1.15；95 ％ CI 0.74-1.81；P ＞ 0.05),but improved R0 resection rate (OR ＝ 4.81；95 ％ CI 2.72 ～ 8.53；P ＜ 0.01) and long-term survival in these patients (OR ＝ 0.20；95％ CI 0.11 ～ 0.39；P ＜0.01).Conclusion Combined caudate lobe resection is a safe and effective treatment for Klatskin tumor.

Objective To ascertain clinical experience and toxic reactions of treating NSCLC by Gefitinib(Iressa).Methods Clinical data of 51 NSCLC cases were collected and analyzed who were treated with Iressa from Mar.2004 to Mar.2006.Evaluations were made about curative effects,quality of life,mean survival time,time to progression and toxic reactions.Results Fifty-one patients were all followed up.Total mitigative rate of the focus was 29.4%,total control rate was 66.7%,and alleviative rate of clinical symptoms was 62.7%.The difference of KPS grades in 4 weeks was significant.Mean survival time of all the patients was 8.2 months.Time to progression was 6.1 months.Ⅲ~Ⅳ grades of toxic reaction were not found.Conclusion Gefitinib may obviously improve the clinical symptom and QOL of the NSCLC patients,and it has good tolerance to treat NSCLC.It is a kind of molecule-target medicine suited with Chinese.

Objective To build rat models and observe changes of behavior and monoamine of PDD. Methods The rats were injected with 6-OHDA and accepted CUMS for the establishment of PDD model , so as to assess its behavior changes and detect brain tissue monoamine contents by ELISA. Results Significant behavioral and monoamine abnormalities can be observed in model rats. Behavioral and monoamine improvement can be observed after treated with Chaigan Jieyou. Conclusion The PDD model can be established by 6-OHDA and CUMS. Chaigan Jieyou decoction may reach therapeutic purposes by increasing monoamine contents.

[Objective]To investigate the capability of synthesis BMP-2-derived peptide on osteogenic induction in bone marrow stem cells(BMSEs),and to evaluate the osteoinductivity of BMP-2-derived peptide in vitro.[Method]After segregating and cultivating four weeks Wistar rats marrow stromal cells in induction group were induced by osteogenasis medium containing 200 gg/ml BMP-2-derived peptide,and in non-inductional group BMSCs were still culture with DMEM medium.Following continue culture for 2~4 weeks,cells film preparation,alkaline phosphatase activity and calcium deposition were measured.Type I collagen(CoM)and osteopontin(OPN)mRNA expression were measured using real-time fluorescent quantitative polymerase chain reaction(FQ-PCR)technique.The capability of synthesis BMP-2-derived peptide on osteogenic induction of BMSCs was investigated.[Result]After inductived with BMP-2-derived peptide.BMSCs cultured survived well greatly changed in cell morphology,and showed a biological and morphologie characteristics similar to those of osteoblasts.The lever of alkaline phosphatase activity and calcium deposition increased.Col-Ⅰand OPN mRNA were expressed at higher level.In non-inductional group no conspicuous osteogenic induction was shown.[Conclusion]BMP-2-derived peptide can induce BMSCs to differentiate into osteoblasts.It has the similar capacity of osteogenic induction as nature BMP-2,so BMP-2-derived peptide is an ideal cell agent for bone tissue engineering,and can be available widely.

[Objective]To compare the biomechanical effect of minimally invasive injectable graf X_3(MIIGX_3) on strengthening pedicle screw fixation with that of bone cement.[Method]Eight fresh pig lumbar vertebrae were harvested.One track was made in each vertebral pedicle.Before pedicle screw fixation,one track of one side bertebra was augmented with MIIGX3,and another side vertebra with bone cement.Pullout test was performed 24 hours after the fixation,and maximum axial pullout strength was measured.[Result]The maximum axial pullout strength is 1915 N?375 N in MIIGX3 group,and 3625 N?775 N in bone cement group.There was significant difference between two groups(P

Objective To prepare a new osteoinduction hydroxyapatite crystal material using sintered bovine bone combined with bone morphogenetic protein(BMP2)-derived peptide and type Ⅰ collagen,and to study their biological characteristics for developing biomaterials for orthopaedic tissue engineered bone.Methods Sintered bovine bone combined with BMP2-derived peptide and type Ⅰ collagen was as experimental group.and Sintered bovine bone combined with Type Ⅰ collagen Wag as control group.Formation of hydmxyapatite crystals was inveati gated under environmental scanning electron microscopy(ESEM),energy-dispersive spectroscopy(EDS)and X-ray diffraction(XRD).The ceil-material complex Wag observed and cell adhesion rate on each materials WaS calculated using the method of indirect cell count to evaluate the interaction between cells and materials.Results By ESEM,formation of hydroxyapatite crystals in collagen surface was observed in experimental group but none was observed in control group.By EDS and XRD,the contents of calcium and phosphorus elements from mineralized bone surface were 16.23% and 7.76%respectively.The atom percentages of calcium and phosphorus elements were 6.34%and 3.88%respectively.The cell adhesion rate of experimental group after 24 hours co-culture was significantly higher than that of control group (α＜0.05).Conclusion BMP2-derived peptide can induce the formation of hydroxyapatite crystals at the surface of sintered bovine bone combined with type Ⅰcollagen.It can also elevate the osteoinduction and cell adhesion rate and is an ideal scaffold material by combining with sintered bovine bone for the bone tissue engineering.