Objective To explore the diagnostic value of serum myoglobin (Mb) and cardiac troponin (cTn) in patients with acute myocardial infarction (AMI) by reviewing and evaluating the corresponding references with evidence-based medicine (EBM) theory.Methods All references (including papers,reviews and abstracts) of CNKI-CHKD,CMCC(1994-2005)and EMCC(1995-2005) were collected and retrospectively analyzed according to evidence based medicine (EBM) standard,with Mb cTn as the detected indices for diagnosing AMI.Results In the searched period of 1994-2005,123 papers were published (93 pieces were written in Chinese,and 30 were written in English). In most references,the authors set clinical control trial (CCT) (Chinese: 92.5%;English: 53.3%),blind control trial (Chinese: 19.4%;English: 10.0%) and/or random control trial (RCT) (Chinese: 9.7%;English: 16.7%). The respective reference ranges weren′t provided in 42 pieces of articles.Conclusion The analytic result of the references in home and aborad indicates combined detection of Mb and cTnI posseses favourite sensitivity and specificity,which contributes to the early diagnosis of acute myocardial infarction.

Objective　To study on effects of mVEGF and anti-VEGF antibody during cultured HUVEC proliferation in vitro.Methods　Endothelial cell proliferation was assayed using human umbilical vein endothelial cells stimulated with mVEGF and with CIA joint extracts and was used　　3　　H-TaR incorporation.Results　The anti-VEGF neutralizing antibody can inhibit the proliferation of HUVEC stimulated with mVEGF and with CIA joint extracts,whose suppression percents were 72.2% and 69.9%,respectively.Conclusion　mVEGF specifically promotes the growth of vascular endothelial cells.During early stage of CIA development,expression of VEGF in the joint increases and VEGF is expressed biologically active and can be inhibited by anti-VEGF neutralizing antibody.

Objective To assess the effect of 5-azacytidine (5-AZ) on the expressions of atrial natriuretic peptide (ANP) and β-myosin heavy chain (β-MHC) genes in cultured rat bone marrow stromal cells (BMSCs). Methods Neonatal rat cardiomyocytes and adult rat BMSCs were isolated and cultured. BMSCs were incubated with 5-AZ and (or) myocardiocytes culture medium. RT-PCR was used to measure the expressions of cardiac ANP and β-MHC genes. Results Normally cultured rat BMSCs didn't express cardiac ANP or β-MHC. After inducing by 5-AZ, rat BMSCs expressed ANP or β-MHC. The myocardiocytes culture medium enhanced expression of β-MHC, but didn't affect the expression of ANP. Conclusions The 5-AZ induces the rat BMSCs to express either cardiac ANP or β-MHC, and the former could be enhanced by cardiomyocytes culture medium.

Obesity is caused by the imbalance between caloric intake and energy expenditure. It is also influenced by genetic factors. Many genes,such as ob gene, ? 3 receptor gene, ucp 1 gene, may involved in the prevalence of obesity. Pharmacologic treatments include anorexigenic agents, lipase inhibitor, ? 3 receptor agonists and many newer antiobesity drugs, which provide prospective ways in treating obesity.

Objective To observe the effect of the trinity comprehensive therapy for adolescent pseudo-myopia.Methods According to the digital table,149 patients(298 eyes) were divided into the observation group75 patients(150 eyes) and the control group74 patients(148 eyes).The observation group were given with the trinity comprehensive therapy:herbal acupoint massage,auricular-plaster therapy and to wear the crystal apparatus.The control group were given with 0.5％ tropicamide eye drops.Based on the naked distant vision,this paper will observe their respective curative effect,and then make the statistical analysis afterwards.Results The effective rate in the observation group was(95.14％),which was significantly higher than (78.26％)of the control group (Z =-12.563,P ＜ 0.05).Meanwhile,the effect of the treatment on the naked visual acuity in pseudo-myopia who were with (0.8 ± 0.1) was significantly higher than that of the naked visual acuity of the patients with low vision.And after a half-a-year treatment,the vision loss rate in the observation group was significantly lower than that in the control group(P ＜0.05).Conclusion The curative effect of the trinity comprehensive therapy for adolescent pseudo-myopia is definite,and can be maintained for a long time,which has a certain value to prevent the occurrence and development of juvenile myopia.

In order to continuously improve the level of English abstracts for medical postgraduates , this paper introduces the definition, purpose, types, contents and writing strategies of English abstracts .It also introduces the writing difference and evolution of the word abstractand the writing tips of all kinds of abstracts , especially the structured abstract .In reference to international and do-mestic writing criteria , it points out the problems which should be paid attention to in writing English abstracts and tried to develop the students′consciousness in improving their level of writing English abstracts so that their thesis will be better recognized and cited by in -ternational experts , thus promoting the international academic exchanges as well as the development of China ′s medical undertakings .

Objective To summarize and analyze the epidemiological and clinical characteristics of hemorrhagic fever patients with renal syndrome (HFRS),so as to provide a basis for prevention and treatment.Methods The epidemiological and clinical data of 104 HFRS patients,who were treated in the First Affiliated Hospital of Harbin Medical University in 2014,were collected.The HFRS patient's age,sex,urban and rural areas,occupation and time of onset distributions,summary onset clinical manifestations,laboratory findings,treatment and outcome were analyzed retrospectively.Results Average age of the 104 cases of HFRS patients was 43.46 years old,the youngest was 12 years old and the oldest was 80 years old.Most of the patients were 30-＜50 years old,which was accounted for 54.81％ (57/104),and most of the patients were male,which was accounted for 78.85％ (82/ 104).Most of the patients lived in rural areas,which was accounted for 81.73％ (85/104).Most patients were onset in November,accounted for 19.23％ (20/104),and the least was in August,accounted for 2.88％ (3/104),and was sporadic in the rest of the year.For the clinical classification,the light type and the moderate type were the largest part,98 cases,accounted for 94.23％,while the severe type and the critically severe type were 6 cases,accounted for 5.77％.The clinical manifestations were as follows:fever majority in 94 cases,accounted for 90.38％,fatigue,aches and pain in 89 cases,accounted for 85.57％;polyuria in 88 cases,accounted for 84.62％;chemosis in 86 cases,accounted for 82.69％;skin bleeding,petechiae in 84 cases,accounted for 80.77％;oliguria in 81 cases,accounted for 77.88％.Laboratory test results were as following:87 cases of blood platelet (PLT) reduced (83.65％),74 cases of serum creatinine (sCr) increased (71.15％),74 cases of alanine aminotransferase (ALT) increased (71.15％),85 cases of aspartate transaminase (AST) increased (81.73％),96 cases of lactate dehydrogenase (LDH) increased (92.31％),and 31 cases of creatine kinase (CK) increased (29.81％).All of the 104 patients were cured,with no death.Conclusions Majority of the HFRS patients are young adults.The peak of the incidence of HFRS lies in Autumn.The proportion of the moderate type is the highest.Early diagnosis and treatment is the key to improve the prognosis of patients with HFRS.

Objective To rapidly construct hepatitis B virus(HBV)adefovir(ADV)‐resistant strain(RT A181T)infectious clone by using SOE‐PCR ,to observe the expression of recombinant plasmids in Huh7 cells and to establish the in vitro cell model of HBV ADV‐resistant strain(RT A181T) .Methods The conservative primers were designed ,the full‐length HBV genome was amplified from serum in the patients with ADV‐resistant chronic hepatitis B .Then ,the 1 .3‐fold genome‐length infectious clone pHBV1 .3 was constructed by using the SOE‐PCR technique ,which was transfected into human hepatoma cells Huh7 cell line .ELISA ,Western Blot and Real‐time PCR were adopted to detect infectious cloning replication and expression ,meanwhile the antiviral drugs lamivu‐dine(LAM ) and ADV were used to verify the infectious clone copy and inhibition of expression .Results The HBV ADV‐resistant infectious cloning plasmids pHBV1 .3 was successfully constructed .This plasmid could be effectively replicated ,transcripted and ex‐pressed in Huh7 cell lines .LAM could effectively inhibit the replication and expression of the infectious clone ,while ADV could not inhibit the replication and expression of the infectious clone .Conclusion The constructed infectious clone plasmids pHBV1 .3(RT A181T ) of HBV ADV‐resistant strain can efficiently replicate and express protein in vitro ,its transfected cells can be used in the study of HBV replication mechanism and antiviral study .

Child ; Humans ; Mycoplasma pneumoniae ; Pneumonia, Mycoplasma

Objective To observe and discuss the effect of using the self-made pressure reduction bilateral nasal oxygen tube to prevent the ear pressure sore for the comatose patients. Methods Totally 86 cases of comatose patients which needed permanent oxygen inhale admitted during Jan 2016 to Dec 2016 were divided into observation group and control group:Each group 43 cases. Observation group used self-made pressure reduction bilateral nasal oxygen tube to inhale the oxygen, control group used the conventional disposable bilateral nasal oxygen tube to inhale the oxygen and the pressure ulcer stage. Results There was no significant difference in Braden score in two groups, the difference was statistically significant (P>0.05) . Observed two groups patients′ nasal oxygen tube ear pressure sore situation, these were only 2 patients happened nasal oxygen tube ear pressure sore in observation group, on the contrary, these were 9 patients happened in control group, occulting probability was higher than observation group significantly. and the extend of the pressure sore is much serious than the observation. Difference was statistically significant (χ2=5.11, P<0.05). Conclusions During the privation of the nasal oxygen tube ear pressure sore for the comatose patients, self-made pressure reduction bilateral nasal oxygen tube can alleviate the ear skin pressure effectively, reduce the pressure sore occur, the effect is obvious, nursing quality is improved, deserve the clinical expansion.