OBJECTIVE: To explore an approach and method for the pharmaceutical care for COPD patients. METHODS: According to characteristics of clinical pharmacy in China, the approaches and methods of pharmaceutical care for COPD patients were established by referring to approaches for pharmaceutical care issued by Joint Accreditation Commission of Health Care Organizations. RESULTS&CONCLUSION:Pharmaceutical care could apparently improve drug use more safely, effectively and economically as well as prognosis for patients.

Malignant tumors of the skull base are rare,present with a variation of histologic stypes, and don't have specific symptoms. Their treatment paradigms differ with histology,location and stage. Many times it is essential to need multidisciplinary cooperation for dealing them. A better understangding of malignant tumors of the skull base will be beneficial for standardized treatment.

Objective To analyze the sequence of the novel conjugative plasmid pO157_Sal detected in outbreak isolates of Escherichia coli O157∶H7 .Methods The traE genes of the outbreak isolates in China were amplified by polymerase chain reaction (PCR) and the products were sequenced .The TraE sequences of Escherichia coli O157 ∶ H7 strains from other sources were retrieved from GenBank . Phylogenetic tree based on the TraE sequences was constructed by Neibhor-joining analysis .The whole plasmid sequences of pO157_Sal and pEC4115 were compared .Results The sequences of traE gene were identical among the Chinese isolates . There were homologous sequences of TraE in Escherichia coli O157∶H7 isolates from different sources .Twenty-one out of the 52 pO157_Sal genes were homologous to genes of pEC4115 with amino acid level identity ranging from 28% to 51% .Conclusions Although similar TraE sequences and similar plasmid are found in Escherichia coli O157∶H7 isolates from different sources ,pO157_Sal is only observed in Chinese outbreak isolates .The TraE sequences are conservative among the outbreak isolates ,indicating they are from the same specific source .

Objective To investigate the T cell clonality in patients with systemic lupus erythematosus (SLE) . Methods T cell clonality in peripheral blood lymphocytes from six patients with active SLE was analyzed using reverse transcriptase- polymerase chain reaction (RT- PCR) and GeneScan technique. Results T cell receptor (TCR) Vβ PCR products from two patients were derived from polyclonal T cells, however, TCR Vβ9, Vβ2, VβI, Vβ2 pioducts from the other four patients were derived from oligoclonal T cells respectively.ConclusionT cells from patients with SLE demonstrated a striking oligoclnality and their clonal expansion may be a specific response driven by autoantigens.

Objective To investigate the radiosensitivity enhancement on CL187 cancer cell lines after continous low-dose-rate irradiation of 125I seeds blocked by EGFR antibody.Methods There were control group,the irradiation or plus EGFR antibody group,with 3 samples in each group.Clongenic assay was used to detect the survival of cells.The cell cycle distribution and apoptosis were analyzed by flow cytometry.Results The survival fraction of CL187 cells were lower after blocked by EGFR antibody at the same dose irradiation.The SER were 1.34,1.59 and 1.98 when the antibody concentration were 2,5 and 10 nmol/L,respectively.The irradiation plus antibody led to more apoptosis(39.86%±4.38%)of CL187 cells than the irradiation (21.57%±2.97%)plused antibody(12.49%±1.59%)worked alone.Comparison of the low dose rate irradiation related to G2/M cell cycle arrest(46.41%±4.48%),More G1 cell cycle arrest(84.51%±3.42%)walked together along with the EGFR antibody.Conclusions EGFR antibody could enhance the cell radiosensitivity after continuous low-dose-rate.irradiation.The cell cycle redistribution and apoptosis might be the main mechanism of the radiosensitivity enhancement.

Higher mathematics teaching has for long been regarded as the instruction of pure mathematical theory and knowledge,which lacks the enlightenment of humanistic thoughts.This paper innovatively introduces humanistic thoughts and spirit into the teaching process of higher mathematics,which propels the lecture teaching effect of higher mathematics,enhances the teaching efficiency of higher mathematics,and promotes the humanistic quality of medical students.

Objective To develop a novel automatic water system for ventilator humidifier.Methods By hanging the infusion apparatus high,sustained water was filled by driving force of gravity.Liquid level in the thong of the infusion apparatus was detected by the sensor,and the closing and opening of the closing clip was controlled by solenoid valve.Results The closing clip opened when the liquid level inside the ventilator humidifier fell below the lowest setting value and purified water in the infusion bottle automatically flowed to the humidifier.When the liquid level reached the highest setting level,the closing clip was automatically closed.Conclusions The developed automatic water system for ventilator humidifier is effective,convenient,inexpensive,and realized a sustained,relatively steady and a small amount of water process.Meanwhile,humidifier water is stable,heating is uniform,and gas temperature is relatively constant,which can be applied in clinical use.

Objective To evaluate the medical students' medical professionalism.Methods Totally 1200 medical college students from first grade to fourth were randomly selected to do the self-designed questionnaire of medical occupation spirit using the method of cluster sampling.Principal component analysis was applied to do data processing and analysis.Results ①Two principle components were extracted,the first principal component included the attitude on the personal contact with patient,attitude on the in-depth clinical practice aiming at improving the ability of doctor-patient communication,attitude on playing multiple roles in contacting patient and the understanding of the physician-patient relationship.The second principal component included the working attitude toward history collection,the sense of pride when be praised “proficiency” and the attitude towards difficult operations.② The scores of medical occupation spirit for medical students of first grade to four grade were:-4.4226,-0.0343,-5.1397,0.6827.The score was the highest in grade three medical students followed by grade two and grade one.Conclusion Unstable development trend was observed in medical occupation spirit among medical students and due attention should be paid.Strengthening the medical studenl occupation spirit education and training should focus on two aspects:the subjective aspect,namely active communication and exchange with patients who have subjective dynamic consciousness; the objective aspect,namely the attitude towards the grasp of professional skills.

Objective: To investigate the effects of Nd:YAG laser in the treatment of dentine hypersensitivity. Methods:270 teeth in 153 patients were equally divided into two groups at random. The teeth in the experimental group were treated with Nd:YAG laser at 265.5 J/cm 2 (0.75 W and 10 Hz for 2 min) for 3 times with the interval of 1 week, those in the control group were treated with Gluma desensitizer for 3 times with the interval of 2 d. Results:The effective rate of the experimental and control groups was 92.59% and 49.62% respectively (P

Objective To compare the pregnancy outcome of blastocyst which were cryopreserved in different carrier:cryotop and cryoLogic vitrification method (CVM) embryo freezing carriers.Methods Data were collected retrospectively from January 2014 to August 2015.All the thawed-frozen embryo transfer (FET) cycles were the first one after their fresh embryo transfer.According to the freezing carrier,they were divided into two groups:Cryotop group (n =114) and CVM group (n =232).The pregnancy outcome in FET cycles was compared between two groups.Results The clinical pregnancy rate,implantation rate,and the birth rate were significantly higher in group cryotop.The recovery rate,the rate of multiple births,ectopic pregnancy,miscarriage,premature birth rate,birth weight,and birth defect rate were similar in two groups.Conclusions Compared to CVM frozen carrier,the thawed-frozen embryo cyropreserved in Cryotop has higher clinical pregnancy rate,higher implantation rate,and live birth rate.