Objective To explore the clinical characteristice and treatment effect of contusion and laceration of the brain in two side of frontal lobe.Methods The clinical data of 40 cases were analyzed respectively,27 cases given conservative treatment according to disease at first,and given skull opened surgery 9 cases;13 cases were given skull opened surgery directly.The death rate and GOS score between the two groups were compared.Results The death rate of patients thai converted to skull opened surgery was 44.4％ (4/9),and the death rate of patients that given skull opened surgery directly was 30.8％ (4/13 ),there was no significant difference (x2 =0.135,P ＞ 0.05 ).GOS of half a year showed good 19 cases(47.5 ％ ),deformity of moderate degree was 9 cases (22.5 ％ ),the deformity of serious degree was 4 cases( 10.0％ ).Conclusion The disease of contusion and laceration of the brain in two side of frontal lobe was complicated,so it may expand surgery scope properly at unsure condition,to aim of making prognosis turn good at best.

ObjectiveTo analyze the different effects of spiral progress method and traditional method used in computer teaching in TCM colleges and universities.MethodsStudents were divided into the groups of spiral and traditional. At the end of the course, students would have a course examination.Results Students in spiral group got better scores than students in traditional group (P<0.05).Conclusion Using spiral progress method in computer teaching in TCM colleges and universities can help students develop the right thinking model and scientific learning method. It can also improve students’ ability to use computer knowledge in TCM study and research.

100∶1. The specific growth rate of microcystis and P concentration in different P concentration and different N/P ratio cultures decreased with the culture time. Conclusions The initial P concentration affects the microcystis yield significantly, N/P ratio should be concerned in confirming the limiting factor. To control the P concentration in water through different methods will be the effective way to control water bloom.

Objective To investigate the expression of Foxp3+ Treg in liver cancer patients receiving liver transplant after immunosuppressive protocols FK506 or Rapamycin and evaluate the rejection prevention.Methods Liver transplant patients were randomly divided into FK506 group (10 cases),and Rapamycin group (10 cases).Real time quantitatve PCR was used to examine Foxp3 mRNA expression of patients' PBMC starting the 2nd month for consecutively 10 months.Foxp3 mRNA and incidences of acute rejection were compared between the two groups.Results Foxp3 mRNA expression was significantly lower in the FK506 group (0.1032 ±0.0943) as compared to that in the Rapamycin group (1.2136 ±0.6738)(t =5.1610,P ＜ 0.01) ;The incidences of acute rejection was significantly lower in the Rapamycin group as compared to that in the FK506 group after operation in the same period (x2 =2.2222,P ＜ 0.05).Conclusions FK506 may suppress the induction of immune tolerance after liver transplantation,while Rapamycin may play an important role in inducing and maintaining graft immune tolerance.Rapamycin is better than FK506 in preventing rejection reaction in liver cancer patients receiving liver transplant.

Objective To study plasma coagulation factor Ⅶ effects of intracerebral hemorrhage in patients with craniocerebral injury.Methods 120 cases of patients with traumatic brain injury were treated,for patients admitted to hospital,the hospital after 24 hours,48 hours of live clotting enzyme activation part (APlT),peripheral venous blood specimen testing international standardization ratio (INR)and the activity of platelet and F Ⅶ were detected.According to the intracranial bleeding lesions was expanded or the emergence of a new bleeding lesions,and so on and so forth were divided into research group and the control group,43 patients in the research group,77 cases in the control group.Results The study showed that the two groups of patients with injury to the first CT time, subarachnoid hemorrhage,epidural hematoma,there were no significant difference between the indexes of subdural hematoma,patients in the study group lost 48h PPSB was (653.2 ±489.8)IU,platelet (180.7 ±63.5)mL,plasma (582.7 ±411.3)mL and red blood cells (612.3 ±490.1)mL,which were higher than those of the control group [(465.7 ±278.8)IU,(0.0 ±0.0)mL,(335.1 ±261.9)mL,(378.3 ±46.3)mL],there were statistifically significant differences between the two groups(t =2.399,2.388,2.582,3.231,P =0.020,0.022,0.010,0.001), the platelet and F Ⅶ of the research group were (101.43 ±41.85)×109 /L,(93.04 ±20.98)%,which were lower than those of the control group[(128.37 ±51.49)×109 /L,(107.67 ±20.25)%],there were statistifically significant differences between the two groups(t =2.583,2.893,P =0.010,0.004).Conclusion Lower levels of platelet activity and F Ⅶ of closely associated with intracranial hemorrhage in patients with craniocerebral injury,according to the clinical indicators to predict whether patients with intracranial hemorrhage,in order to for the treatment of patients with timely and accurate to ensure the patient's life and health.

Objective To investigate the research status of domestic TCM systems biology in recent ten years, and provide reference for further research. Methods TCM systems biology literatures published in domestic journal were retrieved and screened. The data were analyzed from the annual distribution, regional distribution, research institutions, source journals, research fields, and so on. Results The total literature of TCM systems biology showed an increasing tendency. The research mainly distributed in TCM chemical matteromics, TCM genomics, TCM proteomics, TCM metabolomics, and TCM informatics. Beijing, Guangdong and Shanghai were in the leading position. Conclusion The development trend of domestic study on TCM systems biology is rising year by year, and the understanding of the subject is continuously improving.

Objective To approach the treatment of open reduction and internal fixation with titanium plate of anatomic type was applied for calcaneua fracture involving talocalcaneal joint. Methods Twenty-eight patients (36 feet) were performed with open reduction and internal fixation with titanium plate of anatomic type from April 2004 to November 2007. The Bohler angle, the Gissane angle and the length, breadth, height of calcaneus were compared before and after operation. Results The patients were followed up in an average period of 20 months. All the patients were healed and their arches became normal. The average data of Bohler angle was 19.89°±1.28° after operation while -6.23°±0.35°before operation. The average height of calcaneus was (42.80±2.49) mm after operation while (36.10±2.38) mm before operation. Conclusions The treatment of open reduction and internal fixation with titanium plate of anatomic type is a kind of good method for calcaneus fracture involving talocalcaneal joint. It can not only resume the Bolder angle and the Gissane angle,but also resume the, breadth, height of calcaneus. As a result, it can achieve anatomical reduction and patients can do exercises as soon as possible.

Objective:To study influencing factors for in‐stent restenosis (ISR) during one year in patients with coro‐nary heart disease (CHD) after coronary sirolimus‐eluting stent (SES) implantation .Methods :According to results of coronary angiography (CAG) ,a total of 275 patients ,who hospitalized in our department from Jan 1st ,2012 to Dec 30th ,2013 and have received SES implantation and reviewed CAG after one year ,were divided into non‐ ISR group (n=247) and ISR group (n=38) .Clinical characteristics were compared between two groups ,and Logistic regression analysis was used to analyze influencing factors for ISR .Results:Compared with non‐ISR group ,there were significant rise in percentages of occlusion lesions (17. 9% vs .31. 9% ) ,multiple overlapping stents (16. 7% vs . 31.9% ) ,and significant reduction in percentage of stent post‐dilatation (34.9% vs .10.6% ) in ISR group ,P<0.05 or <0. 01 ;Logistic regression analysis indicated that coronary occlusion lesion was a risk factor (OR :2. 855 ,95%CI :1.197~6.808 ,P=0.018) ,and post‐dilatation was a protective factor (OR :0.198 ,95% CI :0.057~0.691 , P=0.011) for ISR occurrence .Conclusion:Multiple overlapping stents and coronary occlusion lesions increase one‐year in‐stent restenosis rate ;stent post‐dilatation can reduce one‐year in‐stent restenosis rate ;coronary occlusion le‐sions is a risk factor , and stent post‐dilatation is a protective factor for restenosis during one‐year after coronary drug‐eluting stent implantation .

Objective To analyze and discuss the effect of heat preservation on the recovery time of BIS and the concentration of propofol in the recovery period of the elderly patients with general anesthesia in order to provide guidance for clinical treatment.Methods78 elderly patients with general anesthesia were selected as the subjects, and the patients were divided into the control group and the study group with 39 cases in each group.The patients were divided into the control group and the study group.Control group, only to be liquid input and covered by drapes, research group take liquid input and peritoneal flushing fluid heating and heating blanket coverage of insulation measures, were recorded and compared between the two groups from anesthesia began to operation to complete the different time points of esophageal temperature and MAP, and to observe the recovery time of patients and effect compartment concentration differences.ResultsTwo groups at T0, T1 esophageal temperature no significant difference, study group t2-t6 esophageal temperatures were significantly higher than those of the control group (P<0.05), maps of the other two groups at different time points had no significant difference;when two groups of patients with propofol withdrawal BIS values had no significant difference (P<0.05), and in the time of discontinuation BIS is more than or equal to 80 recovery time and effect compartment concentration have significant difference (P<0.05).ConclusionThe surgical treatment of elderly patients with general anesthesia can help maintain the body temperature, shorten the recovery time of BIS and reduce the concentration of propofol in the recovery period.

Objective To investigate the relationship of oxidative damage with the secondary lesion in acid-burnt cornea. Methods The model of mild, moderate and severe acid burn in rat cornea was established in 72 Long-Evans rats. Four served as normal control. The content of corneal malonaldehyde (MDA) was determined by thiobarbituric acid test (TBA) and the activity of corneal superoxide dismutase (SOD) was detected by chemical colorimetry test at day 1, 3, 7, 14, 21, 28 after acid burn. Results No obvious change of MDA and SOD in the mildly-burnt cornea, MDA increased slightly and SOD was of no obvious change in the moderately-burnt cornea, MDA increased and SOD decreased in the severely-burnt cornea significantly. Conclusion The breakage of the balance between the generation and elimination of free radical is possible reason why the secondary lesion occurs in severely-burnt cornea.