Diabetic retinopathy (DR) is one of the microvascular complications of diabetes mellitus (DM).Like other macrovascular complications of DM,the development and progression of DR is influenced by a variety of systemic and local factors.It is essential to understand the importance of multidisciplinary collaboration.Systemic risk fators such as hyperglycemia,hypertension,dyslipidemia and diabetic nephropathy should be treated before effective DR management can be implemented.Through multidisciplinary collaboration,we can prevent the development of DR,slow the progression of DR,and improve the safety of perioperative care.Thereby enhancing the level of prevention and control of DM complications,including DR.

OBJECTIVE:To study the improving effect of total flavone from Litchi chinensis (TFL) on the hepatocyte injury in rats with liver fibrosis. METHODS:The rats were given dimethylnitrosamine(DMN),ip,once a day in the first 3 d of every week,which lasted for 30 consecutive days to establish hepatocyte injury model. 60 rats were equally randomized into a normal control(isometric normal saline)group,a model(isometric normal saline)group and the groups of high and low-dose TFL(200 and 100 mg/kg). When the model was being established,drugs were administered,ig,once a day for 45 consecutive days except for normal control group. HE staining was performed,and then the rats’hepatocytes were observed under the microscope and path-ological stage (S1-S4) of liver tissue was analyzed. Masson staining and immunohistochemical staining were conducted,and then the rats’hepatocytes were observed under the microscope and calculation was made for the degree of liver fibrosis and the expres-sion of Bcl-2 and Bax. The activities of aspartate aminotransferase(AST)and alanine aminotransferase(ALT)in rats’serum were determined. RESULTS:The pathological stages of liver cell of rats in the model group were mainly stages S3 and S4 and the groups of high and low doses TFL were dominated by stages S1 and S2. Compared to the rats in the normal control group,those in the mod-el group had higher degree of liver fibrosis,expression of Bcl-2 and Bax and activities of AST and ALT in serum. Compared to the rats in the model group,those in the groups of high and low doses TFL had lower degree of liver fibrosis,higher expression of Bcl-2,lower expression of Bax,and lower activities of AST and ALT in serum. There were statistically significance (P<0.05). CONCLUSIONS:TFL can alleviate the hepatocyte injury in rats with liver fibrosis to some degree by a mechanism which may be related to the up-regulation the expression of Bcl-2 and the down-regulation of the expression of Bax.

Objective To investigate the clinical manifestations, auxiliary examination, diagnosis and therapy of Aspergillus tracheobronchitis (ATB).Methods Clinical data of 4 ATB patients treated in Qingdao Municipal Hospital from June 2012 to September 2015 were analyzed retrospectively. The related literature was also reviewed.Results The main clinical manifestations were cough, sputum production, short of breath, fever and hemoptysis. All the four patients had predisposing factors. The ifndings of CT scan mainly included bronchial wall thickening, obstruction of bronchial lumen or no significant abnormality. Bronchoscopy showed mucosal erosion, necrosis, tracheal stenosis and obstruction of airway by pseudo-membrane. The diagnosis was confirmed by histopathology in all the four cases. They were treated with anti-Aspergillus therapy. The two patients with airway stenosis were treated with interventional therapy via bronchoscope. As for the outcome, one patient was improved after therapy. Another was cured. The remaining two patients died.Conclusions The clinical manifestations and chest imaging of ATB are nonspecific. Bronchoscopy is an important tool for diagnosis of ATB. Early diagnosis and proper anti-Aspergillus treatment are critical for improving prognosis.

Objective To investigate the therapeutic effect of acupuncture for restoring consciousness and inducing resuscitation in promoting revival of coma for the patient of diffuse axonal injury(DAI). Methods 60 cases of DAI (GCS≤ 8) were randomly recurited into a control group and a treatment group. The control group was treated by routine treatment, while the treatment group was treated with acupuncture on the basis of routine treatment .The improving rate of consciousness at the two months of treatment was compared between the two group, and the prognosis was evaluated according to GOS scores. Results The revival rate in the treatment group was 86.7%, higher than that of 60.0% in the control group (P<0.05). The revival time in the treatment group was shorter than the control group (X2=5.45、 t= 8.051, P<0.05 ) .Conclusion The integrated therapy of acupuncture for restoring consciousness and inducing resuscitation and western medicine can promote the effect of coma revival and improve life condition for the patient of DAI.

Objective To analyze the epidemiological characteristics of imported malaria in Zhangjiagang City. Methods The epidemiological data were collected and retrospectively analyzed for the distribution,cost,and exit-entry mode and port of imported malaria cases in Zhangjiagang City from 2005 to 2015. Results There were 25 imported malaria cases in Zhangjia-gang City from 2005 to 2015,and among them,there were 16 cases of falciparum malaria(64％),6 cases of vivax malaria (24％),and 3 cases of ovale malaria(12％);there was 1 cases of critically ill(4％),there were 8 cases of serious ill(32％) and 16 cases of mild ill(64％). The time of onset was in accordance with the circular distribution. The peak of the incidence of the imported malaria was one month earlier than that of the domestic infection. The seasonal peak was gentle ,and there was also the occurrence in the non-epidemic season in the city. The imported malaria patients were mainly from Africa ,followed by South-east Asia and Oceania. Conclusion The information technology should be applied to improve the key population coverage on the basis of improving the ability of malaria diagnosis and treatment of medical staff and the multi-sector 's cooperation for the im-ported malaria prevention and control in Zhangjiagang City.

The article analyzed the importance of cultural awareness and cultural self-confidence in stomatology talent training.This article also elaborated on the measure and results of developing three-dimensional teaching system and expanding educational platform and cultural horizons to innovate stomatology talent training based on recent reforms and practice.

0.05). Conclusion Tangkening may be another therapy choice of Diabetes.

Objective To compare the curative effects and safety of immunoabsorption(IA) and double filtration plasmapheresis(DFPP) in treatment of Guillain-Barre syndrome(GBS).Methods 60 patients of GBS were randomly divided into two groups and treated with IA and DFPP,respectively.The neurological functions were assessed and the immunoglobulin,complement and total protein in the blood were also measured before and after treatments.Results The rating of the neurological function deficiency in both groups improved with time,but there was no significant difference in Hughes rating between two groups.After half year,the MRC rating in IA group was better than that in DFPP group((P

Objective To explore the the application of sternocleidomastoid lateral path for thyroid cancer surgery lateral neck lymph node cleaning.Methods 40 patients with thyroid carcinoma were detected in the lateral neck lymph node cleaning using sternocleidomastoid lateral path(experimental group)and 40 cases of patients with thyroid cancer in the lateral neck lymph node cleaning cleaning scope with traditional operation method(control group),comparing with success rates,operation time,quality of life and incidence of complications.Results Experimental group can achieve the purpose of curing in the operation,operation field showed more clearly,the lymph node zone Ⅱ,Ⅲ,Ⅳ,Ⅴ number (32,58,50,35)were higher than traditional surgery group(17,35,33,20).Experimental group can significantly shorten the operation time[(30.0±1.20)min vs(45.0±3.10)min].The difference of incidence of near and forward future overall complications was statistically significant between the two group(P<0.05).Conclusion Sternocleidomastoid lateral path in thyroid carcinoma in the lateral neck lymph node cleaning can achieve the purpose of curing,significantly improve the lymph node zone Ⅱ,Ⅲ,Ⅳ,Ⅴ,shorten the operation time,reduce the recent and long-term complications and improve patient's quality of life.

Objective: To investigate the inhibitory effect of Flu or Protector on the demineralization of bovine enamel caused by some beverages. Methods: Forty bovine teeth were equally divided into experimental and control groups, each of them were subdivided into two groups. The enamel sp ecimens of the experimental group were pretreated with Fluor Protector and then exposed to carbonated drinks and fruit juice respectively,the enamel specimens o f control group were exposed to beverages directly. All the enamel specimens wer e exposed to beverages 5 times a day and for 5 minutes each time. After 7- day exposure,the concentration of calcium and phosphate in the beverages were measu red by EL 312e Micro-Plate. Results: The concentration of calci um and phosphate in the corresponding beverage of experimental group was lower t han that in control group in the same expossure time(P0.05).Conclusions: Fluor Protector can inhibit the demineralization of bovin e enamel caused by beverages.The inhibitory effect of Fluor Protector decreases as the exposure time prolonges.