Multimedia teaching was not often used in pediatric surgery teaching in department of pediatrics.We used multimedia courseware to assist teaching in clinical teaching for 2007 grade seven-year-program students in Chongqing medical university.Results showed that this method improved students' learning enthusiasm,initiative and interests and laid a good foundation for the smooth development of their clinical practice.

[Objective]To discuss the tissue engineering method of treating bone defects through rabbit bone marrow mesenchymal stem cells(MSCs)'culture in vitro and make composite grafts with anti-extracted bovine cancellous bone(BCB).The composite grafts were implanted into segmental radial defects in rabbits was compared on the curative effect of repairing segmental bone defects in rabbits with the composite grafts.[Method]The purified,culture-expanded MSCs were combined with BCB in vitro according to condition of cell culture.The composite grafts were tested by scanning electron microscope.An bone defect(15mm in length) was created at two radii in each rabbit.The composite grafts were implanted into segmental radial defects in rabbits through open operation.The curative effect was evaluated by radiographic examination,histologic analysis,biomechanical test after surgery in experimental groups and control's and blank's.[Result]Roentgenographically,the bone defects that had been treated with grafts exhibited new bone formation increased with time.But the result of experimental groups were apparently superior to that of the control groups′s at 2、4、8、12、16 week after operation(P

Objective To investigate the effects of leflunomide(A771726) on the apoptosis of the rat glomerular mesangial cells and its possible mechanism .Methods The cultured rat glomerular mesangial cells were divided into the normal control group (adding DMEM culture solution containing 5% fetal calf serum) ,A771726 group(adding 50 A771726 on the basis of control group , making it a concentration as 50 μg/mL) ,LY294002 group (adding LY294002 on the basis of normal control group ,making its final concentration as 2 μg/mL) and the LY294002+A771726 group(first adding 2μg/mL LY294002 to interfere the mesangial cells for 2 h ,then adding A771726 50μg/mL) .After 48 h intervention ,its influence on mesangial cell apoptosis in each group were measured by flow cytometry .The expression of mTOR was measured by immunofluorescence .The expression of Caspase‐3 was measured by Western‐blot .Results Compared with the normal control group ,the apoptosis rate of rat glomerular mesangial cells in the A771726 group ,LY294002 group and LY294002+A771726 group were significantly increased ,the expression of mTOR was decreased ,the expression of Caspase‐3 was increased;compared with the A771726 group ,the apoptosis rates of rat glomerular mesangial cells in the LY294002 group and LY294002+ A771726 group were significantly increased ,the expression of mTOR was significantly de‐creased ,the expression of Caspase‐3 was significantly increased;compared with the LY294002 group ,the apoptosis rate of rat glo‐merular mesangial cells in the LY294002+ A771726 group was significantly increased ,the expression of mTOR was significantly decreased ,while the expression of Caspase‐3 was significantly increased .Conclusion Leflunomide may induce the rat mesangial cells apoptosis through down - regulating the PI3K/Akt/mTOR signaling pathway ,moreover ,leflunomide may synergize with LY294002 to induce rat mesangial cells apoptosis .

Objective To study the expression of Survivin in breast carcinoma combined with prognosis of ten-year follow-up.Methods The expression of Survivin was investigated by immunohistochemistry in 60 cases of breast cancer and 20 tumor surrounding tissue.All the cases were performed with prognosis of tenyear follow-up.Results The expression rate of Survivin in breast carcinoma(68.3%)was higher than that in fibroadenoma of bast tissue(25%)(χ2=20.03,P＜0.01).Survivin didn't experss in tumor surrounding tissue.There Was no relationship among the expression of Survivin and the histological differentiation,clinical staging,and lymph node metastasis of breast carcinoma.The expression of Survivin was correlated with the survival years of patients.Conclusion The expression of Survivin was up-regulated in breast carcinoma,which indicated that survivin may play an important role of the genesis and development of breast cancer,but it may play negative correlated with breast carcinoma.

Objective The purpose of this article is to analyze the domestic situation of co-authorship in the field of international classification of diseases using Social Network Analysis.Methods Using UCINET to do this research from the following five perspectives,namely density,degree centrality,betweenness centrality,closeness and subgroup analysis.Results The density of co-authoring network is 0.0021.The number of nodes which made up the main component accounts for 3.46％ of the total nodes.Lin Jie-zhong possesses the highest value of degree centrality,and Guo Yun-qing's value of betweenness centrality and closeness is the highest.Forty-four 2-plexes are found in all authors.Conclusions Currently,the co-authorship is not close,but to a certain extent,the authors liked Lin Jie-zhong,Liang Yao,Li Jian-wei,Fan Wei,Guo Yun-qing,Liu Ai-min and so on constitute the core members or leaders.From the overall point of view,the authors in this field have not yet formed a subgroup phenomenon obviously.The structure of this co-authoring network is loose and isolated.

Objective To explore the application of case based learning(CBL)combined with multimedia teaching in the clinical pediatric surgery.Methods 144 five-year program students of Pediatrics in grade 2009 were randomly and evenly divided into the experimental group using CBL with multimedia teaching,and the control group using multimedia teaching mode.After the end of the course the students of the two groups took clinical teaching knowledge test.The evaluation scores were shown by mean ± standard deviation and comparison was made between the two groups with t test.At the same time,teaching satisfaction survey was conducted among the students of the experimental group.Results The usual results,the theoretical scores and total scores of the students in the experimental group were higher than those of the control group students in the operation skills,clinical thinking,and there was statistically significant difference in P＜0.01.(P=0.003,P=0.002,P=0.008,P=0.009,P=0.008).The questionnaire survey shows that compared with traditional multimedia teaching,CBL combined with multimedia teaching can preferably culture students' various abilities and is beneficial to learning.Condusion The use of CBL combined with multimedia teaching can affirmatively improve the clinical teaching effect in the clinical pediatric surgery,and it deserves to be generalized in the future teaching.

The purpose of this study is to investigate the effect of superparamagnetic chitosan FGF-2 gelatin microspheres (SPCFGM) on the proliferation and differentiation of mouse mesenchymal stem cells. The superparamagnetic iron oxide chitosan nanoparticles (SPIOCNs) were synthesized by means of chemical co-precipitation, combined with FGF-2. Then The SPCFGM and superparamagnetic chitosan gelatin microspheres (SPCGM) were prepared by means of crosslinking-emulsion. The properties of SPCFGM and SPIONs were measured by laser diffraction particle size analyser and transmisson electron microscopy. The SPCFGM were measured for drug loading capacity, encapsulation efficiency and release pharmaceutical properties in vitro. The C3H10 cells were grouped according to the different ingredients being added to the culture medium: SPCFGM group, SPCGM group and DMEM as control group. Cell apoptosis was analyzed by DAPI staining. The protein expression level of FGF-2 was determined by Western blot. The proliferation activity and cell cycle phase of C3H10 were examined by CCK8 and flow cytometry. The results demonstrated that both of the SPIOCNs and SPCFGM were exhibited structure of spherical crystallization with a diameter of (25 ± 9) nm and (140 ± 12) μm, respectively. There were no apoptosis cells in the three group cells. Both the protein expression level of FGF-2 and cell proliferation activity increased significantly in the SPCFGM group cells (P < 0.05). The SPCFGM is successfully constructed and it can controlled-release FGF-2, remained the biological activity of FGF-2, which can promote proliferation activity of C3H10 cells, and are non-toxic to the cell.
Animals ; Cell Differentiation ; Cell Line ; Cell Proliferation ; Chitosan ; Fibroblast Growth Factor 2 ; pharmacology ; Gelatin ; Magnetite Nanoparticles ; Mesenchymal Stromal Cells ; drug effects ; Mice ; Microspheres ; Plasmids

Objective To study the safety and efficacy of fast track program in anorectal surgery perioperative period. Methods One hundred and sixty-nine cases of rectal cancer were divided into the study group of 86 patients with fast track program, and the control group of 83 patients with traditional programs by random digits table. Both groups were compared from the time out of bed, the first intestinal discharge time,intravenous fluids stopping time,length of hospital stay,total cost of treatment and the incidence of postoperative complications. Results The study group compared with the control group: the first intestinal discharge time [(33.6 ± 12.9) h vs. (81.7 ± 20.1) h], intravenous fluids stopping time [(4.5 ±1.3) d vs.(7.4 ± 1.6) d],and length of hospital stay [(5.6 ± 1.2) d vs.(8.9 ±2.7) d],the total cost of treatment [(15 000 ± 3000) yuan vs. (16 000 ± 4000) yuan], the differences were statistically significant (P ＜ 0.01 or ＜ 0.05),and had less incidence of postoperative complications in study group than that in control group [5.8% (5/86) vs. 16.9% (14/83)], the difference was statistically significant (P ＜ 0.05).Conclusions Fast track program in anorectal surgery perioperative period is safe and effective, beneficial,conducive to rehabilitation of patients.

Humans ; Incisor ; Mandible ; Rare Diseases ; Tooth Crown ; abnormalities ; Tooth, Impacted

The gold hollow nanospheres have been synthesized by sacrificE-template method and the obtained sample has been characterized by TEM, SEM and XRD. The amperometric formaldehyde gas sensor was assembled with gold hollow nanospheres as the active electrode material and 1 mol/L KOH solution as electrolyte. The equation of linear regression(y=16.63x+4.063×10-7, r=0.9989)between the oxidation current(y(A))and the concentration of formaldehyde(x/(mol/L)) was obtained at the formaldehyde concentration in the range of 0 to 2.23×10-6 mol/L. The sensitivity of the sensor with gold hollow nanospheres as active material increased by about 70% compared with the sensor made of nanoparticles which had the same gold-loading in the work electrode, this method exhibits an advantage of decrease in the cost of the noble metal. This kind of sensor shows potential application in formaldehyde gas detection in this range due to its excellent sensitivity, stable response and good linear relationship.