[Objective] To investigate and analyze the clinical effect of double-plate method on complex tibia plateau fracture. [Methods] A total of 62 pa-tients that had complex tibia plateau fracture from October 2010 to December 2012 in our hospital, were divided into the experimental group and the control group randomly, 31 patients per group. Patients of the experimental group received double steel plate internal fixation with double incision, and patients of the control group received locking plate internal fixation, and the clinical efficacy of two groups were compared. [Results] The excel ent rate of the experimental group was better than that of the control group(87.1% vs 64.5% χ2=4.309 P=0.038), and the difference of complications rate of two groups had no statistical significance(3.2%vs 6.5% χ2=0.350 P=0.554). [Conclusion] The clinical effect of double-plate method for complex tibia plateau fracture is good, and the complications rate is low, worthy of clinical promotion.

Objective: To investigate the role of host derived matrix metalloproteinases (MMPs) in the pathogenesis of pulpitis. Methods:The expressions of MMP-2 and MMP-9 were examined by immunohistochemical method and the activity of MMP-2 and MMP-9 were measured by gelatin zymography in 20 clinically healthy and 20 inflamed human dental pulps of extracted mandibular 3rd molars.Results:In clinically healthy and inflamed human pulps both MMP-2 and MMP-9 were expressed in odontoblasts and fibroblasts. The pro-MMP-9 was detectable in both inflamed and healthy pulps. The level of pro-MMP-9 was higher in inflamed pulps than that in the healthy(P0.05).Pro-MMP-2 and active MMP-2 were not detectable in the pulps of the two groups. Conclusion:MMP-9 may involve in the pathogenesis of pulpitis.

Objective To investigate the associations between levels of perioperative biochemical markers of the liver,kidney,lung and heart and death within 3 months postoperatively in the senile patients with femoral intertrochanteric fracture.Methods A retrospective study was conducted on the 153 senile patients with femoral intertrochanteric fracture who had been treated at Nanfang Hospital from January 2010 to January 2012.They were 71 men and 82 women,with an average age of 83.1 years.There were 70 stable and 83 unstable fractures.At preoperation (within 24 h after admission),and 24 h,25 to 48 h and 72 h postoperation,all the patients had blood examinations of biochemical markers of the liver [alanine aminotransaminase (ALT)],kidney (creatinine and urea nitrogen),lung (PaO2) and heart [brain natriuretic peptide (BNP)].The levels of biochemical markers at all time points and clinical data were compared between the living patients and those who died within 3 months postoperatively.Univariate and multivariate logistic regression analyses were conducted to estimate the independent risk factors for mortality within 3 months postoperatively.Results Of the 153 patients,32 (20.9％) died within 3 months postoperatively,including 10 men and 22 women.In the dead and surviving patients,there were respectively 25 and 17 cases who were rated as level Ⅲ or Ⅳ by ASA (American Society of Anesthesiologists).The levels of ALT,creatinine,urea nitrogen,and BNP increased to different extents while the level of PaO2 decreased postoperatively in both the dead and surviving patients.The differences between the dead and surviving patients were statistically significant (P ＜ 0.05).Multivariate logistic regression analysis showed poor preoperative physical condition (ASA level Ⅲ or Ⅳ),increased creatinine level at 25 to 48 h postoperation,decreased PaO2 at 72 h postoperation,and increased BNP level at 24 h postoperation were independent risk factors for early mortality in senile patients with femoral intertrochanteric fracture.Conclusions Femoral intertrochanteric fracture in senile patients may lead to changes in the liver,kidney,lung and heart.Prompt and dynamic monitoring of the levels of PaO2,creatinine and BNP may provide timely prediction of the poor prognosis.

Moral hazard in the catastrophic disease health insurance has challenged the sustainability of med-ical budget funds. This paper studies the health care reimbursement rule to counteract moral hazard. Theoretical a-nalysis shows that in the target to maximize social welfare, the optimal rule is to provide consumers who choose low-cost treatment with subsidies and charge a co-payment to those who choose high-cost one. Adopting simulation ap-proach shows that this difference with respect to single reimbursement rules, healthcare expenses and medical insur-ance premiums will be significantly reduced compared to a unified co-payment ratio. This paper also selects the sensitivity test simulation parameters and the results show that different values will not change the herein disclosed mechanism results.

Complement-induced polymorphonuclearcytes (PMN) aggregate in microvasculature of vital organs, produce microemboli, and block microcirculation blood flow. Activated PMN release oxygen free radicals, prostaglandins and proteases, in turn, damage endothelial and parenchyma cells. This is an important factor in pathogenesis of multiple system organ failure. We have found that Sinomeuine and Sodium Ferulate prevented PMN aggregation induced by activated complement. Adding the drugs into PMN suspension treated with cytochalasin B, the zymosan activated plasma, PMN aggregation was prevented. The changes of light transmission were smaller than those of control without drugs recorded with platelet aggregometer. The 50% of PMN aggregation inhibition with Sinomeuine was 0.76mg/ml (1.gmmol/L), and 0.82mg/ml (3.8mmol/L) with Sodium Ferulate.

The nursing educations in many developed countries thought great important for nursing students to learn the gene relating knowledge, and emphasized the importance of setting up gene relating course in nursing education system.Our school integrated genetics and genomics for nursing course into the undergraduate nursing curriculum system during the period of international course weeks.This article introduced the basic theories and practice needs of genetics and genomics for nursing course,the settings of this course in the foreign and our country′s undergraduate nursing curriculum system, the concrete practice of our school carrying out this course,and analysed the challenges of carrying out this course in our country,put forward the corresponding suggestions.

Objective To investigate the effect of batroxobin on the plasma levels of endothelin (ET) and calcitonin gene-related peptide(CGRP) in patients with acute cerebral infarction(ACI). Methods 60 patients with ACI were randomly divided into therapy group(n = 30) and control group(n = 30),500 ml of 5% GS plus 1.0g ramme of Troxerutin was intravenously dripped par day and ticlopidine 250mg/day in the control group. Based on the control group therapy,Batroxobin was intravenously dripped with 10U on the 1st day and 5U on the 3rd and 5th day for seven days. The plasma levels of ET and CGRP were detected pre and post treatment by radioimmunoassay. Results Plasma levels of ET and CGRP in batroxobin therapy group post treatment ( 81.25±27.38 ) ; ( 44. 13±13.30) ng/L were significantly different from those pre treatment(109. 83±38.24) ; (24. 73±13.59) ng/L (all P＜0. 01 ) ,and were also significantly different from those post treatment in the control group(98.07±30. 39) ; (37.02±12. 41 )ng/L (all P＜0. 01 ). Conclusion Batroxobin can accommodate the equilibration between ET and CGRP, and protect brain cell and blood vessel endothelial cell.

Objective To explore the influence and potential protective effects of non-specific panMetrix Metalloproteinases(MMPs) inhibitor Doxycycline on hyperoxic lung injury and lung development in neonatal rats.Methods Neonatal SD rats were divided into 4 groups randomly within 12 hours after birth:air with normal saline(AN),air with doxycycline(AD),hyperoxia with normal saline(ON),and hyperoxia with doxycycline group(OD).Hyperoxia groups(ON and OD) were exposed to ≥90% O2.Doxycycline 20 mg/kg or equal volume of 0.9% saline(Doxycycline concentration 2 mg/ml) was administered by gastric gavage,twice daily from day 1 to experimental day,but it didn't exceed 14 days.Stereological study was carried out at day 1,3,7,14 and 21 after birth.Results Enlarged mean alveolar area was noted both in hyperoxia and Doxycycline groups.OD group had larger star volume than ON group on day 14.Except ON group,all other groups had increased alveolar septum and the condition was worsened by hyperoxia with Doxycycline.The percentage of collagen in lung parenchymal tissue in ON group increased persistently.This increasing trend was stopped in OD group on day 14,and collagen percentage had no significantly difference between OD and AN groups on day 14 and 21.Conclusion Both hyperoxia and Doxycycline influence neonatal lung development,percentage of coUgen in lung parenchymai can be reduced by Doxycycline in hyperoxic lung injury.

A representative nitrogen doped titanium dioxide sample (denoted as N-doped TiO_2) was prepared by treating nanotubular titanic acid (H_2Ti_2O_5·H_2O,NTA in short) in flowing NH_3 at an elevated temperature of 500℃ for 4 h.The sub-band structure within Eg of N-NTA-500 was determined by means of photoluminescence (PL) spectrometry and ultraviolet-visible light-near infrared (UV-Vis-NIR)diffusion reflectance spectrometry (DRS).Moreover,the photocatalytic activity of N-NTA-500 was evaluated by performing the redox reaction of propylene under the irradiation of alternate on-and-off visible light,using commercially available P-25 titania as a comparison.It was found that a large amount of single-electron-trapped oxygen vacancies (denoted as Vo~·) formed a sub-band within the Eg of N-NTA-500,contributing to extend the optical absorption of N-doped TiO_2 into visible light region.The sub-band width,the bottom energy above the top edge of valence band,and the top energy below the bottom edge of conduction band were determined to be 0.24 eV,1.79 eV,and 0.99 eV,respectively.Results and discussion:Each of the four PL spectra at an excitation wavelength of 360-390 nm can be deconvoluted into two bands.The peak positions of the two deconvoluted PL bands for each of the four PL spectra at λ_(ex)=360-390 nm are unchanged and located at 465 nm and 570 nm,respectively,implying that they are not originated from the back band-to-band transition but the e~--h~+recombination on two surface states.The band at 465 nm represents the emission on shallow surface state (2.66 eV above valence band edge),while that band at 570 nm represents the emission on deep surface state (2.17 eV above valence band edge).Moreover,the PL peak intensity decreases with increasing excitation energy,indicating that the photogenerated energy-enriched electrons are firstly relaxed to the bottom of the conduction band and then transferred to the surface state,and the larger the value of E_(ex),the more the energy loss.Therefore,it can be concluded that the excitation at λ_(ex)≤400 nm for N-NTA-500 is dominated by band-to-band transition,while E_g of the N-doped TiO_2 is identical to that of TiO_2 (anatase),I.e.,3.1 eV at 400 nm.The emission mechanism with respect to band-to-band transition of N-NTA-500 in an excitation wavelength range of 360-390 nm is depicted.