Objective The research of craniocerebral injury and fracture healing has made slow progress, and the lack of reliable animal experimental model is one of the key factors.Therefore, the focus is to establish a craniocerebral injury and fracture model up to standard.The study aims to establish an appropriate animal model and evaluate the stability.Methods New Zealand white rabbits were randomly divided into four groups(n=12): control group, simple craniocerebral injury group(simple craniocerebral injury model), simple fracture group(simple right tibial fracture model), Brain trauma with fracture group (craniocerebral injury combined with fracture model).The neurological changes of the rabbits were observed.Furthermore, the healing of the fractures was observed at different time postoperatively by measuring the volume of callus and observing pathology.Results The neurological function scale (NSS) scores [(9.32±0.68), (8.01±0.56), (7.75±0)]6 h, 7 d and 1 month after craniocerebral injury surgery were significantly lower than those in the control group[(11.81±0.55),(12.07±0.42),(12.02±0.38)], and there was statistically significant difference (P<0.05).Compared with the callus volume of simple fracture group around 1 month after surgery, the callus volume of the craniocerebral injury combined with fracture group was significantly larger [(1.19±0.12) cm3 vs (1.81±0.13) cm3, P<0.05].Four weeks after surgery in the craniocerebral injury combined with fracture group, the trabecular bone was significantly increased in the local callus.After 8 weeks, the trabecular bone became more mature.Conclusion The animal model of craniocerebral injury combined with fracture healing is stable and reproducible.It meets the standard for studying the relationship of traumatic brain injury and fracture.

This article elaborated on professional development objectives of traditional Chinese medicine (TCM) clinical teachers and analyzed on the existing teaching ability development foundation of clinical teachers from the trend of clinical practice teaching development.Meanwhile,the article proposed the basic connotation of TCM clinical teachers' teaching ability development based on the construction of the module of clinical teachers' professional ability development and the opening learning environment.

Objective: To assess the association and intensity of baseline dyslipidemia with the incidence of carotid plaque in a researchers group in China. Methods: A total of 716 researchers were enrolled in this prospective cohort study. Dyslipidemia was assessed in 2010. Follow-up study on carotid plaque was conducted in 2017. Results: Over 8 years’ follow-up, 289 carotid plaque patients were identified among 716 individuals who did not have carotid plaque at baseline survey, with cumulative incidence of 40.36%. After adjustment of age, gender, BMI, waist circumference, FPG, SBP, DBP, ALT and uric acid, compared with non-dyslipidemia group, HR of carotid plaque for such populations with ≥3 types of dyslipidemia was 1.681 (95%CI: 1.090--2.593). Conclusions Dyslipidemia might be associated with higher risk of carotid plaque, and population with ≥3 types of dyslipidemia had higher risk for carotid plaque. Prevention of dyslipidemia or reduction of types of dyslipidemia might be one of the effective precautions for prevention of carotid plaque.

Objective: This study aimed to assess the association between hypertension and carotid plaque in a research population in China. Methods: The subjects of this study were selected from a population undergoing physical examination at the Fourth Medical Center of PLA General Hospital in 2017. We collected information on physical examination, physiological index test, blood pressure indicators were analyzed according as continuous variables (systolic blood pressure, diastolic blood pressure, and pulse pressure) and categorical variables (hypertension and quartile of blood pressure pulse pressure). A multivariate logistic regression model was conducted to estimate the correlation between blood pressure and carotid plaque development. Results: A total of 716 individuals were surveyed, including 321 men (44.8%) and 395 women (55.2%), and the prevalence of hypertension and carotid plaque were 40.9%(293 cases) and 40.4% (289 cases), respectively. The prevalence of carotid plaque was higher in individuals aged ≥60 years, diabetes mellitus, hypertension and increased waist circumference, systolic blood pressure, fasting blood glucose and glycosylated hemoglobin. The prevalence of carotid plaque increased with the increase of the quartile of blood pressure and pulse pressure (P_trend<0.05). After adjustment for age, sex, BMI, waist circumference, and total cholesterol, triglyceride, fasting blood glucose, glycosylated hemoglobin, and hemoglobin levels, every 1 mmHg increased systolic blood pressure increases the risk of carotid plaque by 1.4% (95%CI: 1.005-1.024). Compared with the control group, the risk of carotid plaque increased by 86.8% (95%CI: 1.175-2.946) and 84.8% (95%CI: 1.098-3.110) and 119.6% (95%CI: 1.165-4.142) in the group of normal high blood pressure, grade 1 hypertension and grade 2 and grade 3 hypertension, respectively; compared with the control group, the risk of carotid plaque increased by 56.2% in the group of pulse pressure difference≥60 mmHg (95%CI: 1.049-2.326), in which the risk of carotid plaque increased by 73.3% (95%CI: 1.007-2.983) in women with pulse pressure difference≥60 mmHg (1 mmHg=0.133 kPa); in the control group with pulse pressure difference of four categories Q1 (<42 mmHg), the risk of carotid plaque increased by 92.2% (95%CI: 1.173-3.149) and 95.0% (95%CI: 1.147-3.316) in Q3 (50-61 mmHg) and Q4 (≥62 mmHg), respectively. Conclusion Increased blood pressure or pulse pressure are associated with increased prevalence of carotid plaque. Prevention of elevated blood pressure and pulse pressure might be one of the effective precautions for the prevention of carotid plaque development.