[Objective]The article summarizes the essentials of clinical dialectical experience by professor Ye Bai,the famous TCM physician. [Medthods] From following professor Ye Bai clinical studies and his expository teaching,summarize the experience and thoughts of treat peptic ulcer,and for a case. [Results]Ye Bai deems of the main reason for the occurrence of PU is the deficiency cold of spleen and stomach, liver-stomach disharmony, and puts forward that we should pay attention to replenishing spleen,regulate qi precautions injurying yin,don't forget to activate blood in the long illness when we treat it, and emphasizes the combination of disease differentiation and syndrome differentiation, to improve the prognosis, reduce the adverse reactions and recurrence rate of treatment principle. [Conclusion]Ye Bai has adepted in treating the PU that has a perfect effect,the experience covers ancient and new ways, worth popularzing and studing.

Objective:To explore the relationship among glycemic index (GI) ,glycemic load (GL) and cardiovascular disease risk .Methods:From Jan 2010 to Jan 2014 ,a total of 120 healthy subjects were selected .According to random number ta‐ble ,subjects were randomly and equally divided into control group and intervention group .Control group received normal diet ,while in intervention group ,GL and GI in diet were calculated using related indexes and referring to International Glycemic Index Table ;physicians and nurses formulated the diet list ,controlled the diet ,followed up regularly ,traced and surveyed .Incidence rate of cardiovascular diseases was compared between two groups .Results:Compared with control group after intervention group , there were significant reductions in GI [ (71.12 ± 4.55 ) vs . (57.82 ± 3.98 )] and GL [ (20.02 ± 3.35) vs .(15.97 ± 2.46)] in intervention group , P<0.01 both .The four-year trace survey found that mor‐bidity rate of cardiovascular diseases in intervention group was significantly lower than that of control group (3.33% vs . 16.67% ,P=0.015) .Conclusion:As important indexes reflecting postprandial glucose response caused by food ,GI and GL should be involved into daily diet system ,which can not only avoid occurrence of cardiovascular disease effectively ,but is help to control total dietary energy and blood glucose response ,and provide a more scientific and effective dietary reference for prevention and treatment of various chronic diseases .

BACKGROUND:Reinfusion of autologous drainage blood could reduce al ogeneic blood demand after total hip replacement. The application of anticoagulant could ensure the safety of peri-operation period after total hip replacement. ＜br> OBJECTIVE:To investigate the application effect of reinfusion of autologous drainage blood after total hip replacement in patients taking anticoagulant. ＜br> METHODS:100 patients underwent initial unilateral total hip replacement in the Weifang People’s Hospital in China from January 2012 to January 2014. According to reinfusion of autologous drainage blood, the patients were divided into observation group and control group (n=50). ＜br> RESULTS AND CONCLUSION:After replacement, total blood volume and the maximum mid-thigh circumference change were significantly larger in the observation group than in the control group (P＜0.05). No significant difference in hidden blood loss was detected between the two groups (P>0.05). Results indicated that under the application of anticoagulant, reinfusion of autologous drainage blood in patients undergoing total hip replacement does not affect hidden blood loss, but can cause an increase in limb swel ing.

OBJECTIVE: To establish an HPLC-ELSD method for the determination of glucose in levofloxacin mesylate/glucose injection(LMGI).METHODS: The samples were determined by HPLC-ELSD on shim-pack VP-ODS column using ammonium acetate solution(adjusted to pH4.0 with acetic acid glacial)-acetonitrile(gradient elution) as the mobile phase at a flow rate of 0.7 mL?min-1.The injection volume was 10 ?L.The ELSD conditions were as follows: pressure of N2=35 PSI;drift temperature=80 ℃;spray temperature=48 ℃;attenuation Gain=10.RESULTS: The linear range of glucose was 49～148 ?g(r=0.999 8) and the average recovery rate was 100.18%(RSD=0.61%).CONCLUSIONS: The method is accurate,specific and applicable for the determination of glucose in LMGI.

With the development of transportation and construction, due to the increasing incidence of spinal cord injury, patients mainly rely on family caregivers.The paper reviewed the type of care burden and the influencing factors, and nursing intervention mode to decrease the caregivers' burden of spinal cord injury patients. We wish to provide suggestions for building nursing intervention model of Chinese spinal cord injury caregivers .

AIM: To study the correlation between DNA index(DI),5cER,MRI appearance and the malignant grades of brain astrocytic tumors.METHODS: After Feulgen staining,40 paraffin samples of astrocytic tumors were observed about DI and 5cER by image analysis,MRI appearances were reviewed,including edema around tumor,clearity of boundary,equality of MRI singal,enhancement of tumor,shift of medline,necroses and cyst,then compared them with pathological grade and survival rate.RESULTS: There was a significant positive correlation between DI,5cER,MRI appearance and pathological grade,negative correlation between DI,5cER,MRI appearance and survival rate.CONCLUSION: DI,5cER and MRI appearance are very important in judging pathological grade and patient's prognosis.When 5cER mean of astrocytic tumor exceeds 20,the tumor should be judged as glioblastoma.

Objective To elucidate potential roles of tyrosine kinase 2 (Tyk2) in the generation and maintenance of Ag-specific CD8+ T cells. Methods We followed the fate of OVA-specific CD8 + T cells in Tyk2-deficient ( Tyk2 -/- ) mice after infection with recombinant OVA-expressing BCG ( rBCGOVA ). Because the immunostimulatory BCG-derived peptides recognized by CD8 + T cells have not been defined, and the OVA is definite peptide for specific CD8 + T cells that has been accepted widely, therefore we examine the kinetics of the OVA-Ag-specific CD8 + T cell response after rBCG-OVA infection in mice.Tyk2-/- and wild type(Tyk2+/+ ) mice were inoculated with rBCG-OVA by intra-trachea( i. t. ), after the examination of bacterial growth in the lung and spleen, the population of CD8 + T cells were detected by FACS analysis, the epitope-specific CD8 + T cells were followed with tetrameric H-2Kb molecule folding with OVA257 264 peptide, and the kinetics of Ag-specific CD8 + Tc1 cells were detected by intracellular IFN-γ production in response to OVA257-264 peptide by cytokine FACS analysis. Results After rBCG-OVA challenge,the bacteria number in spleen and lung of Tyk2 -/- mice were significantly larger than those in Tyk2 +/+ mice on days 14, 21 and 49. Almost as same as that in Tyk2+/+ mice, the size of epitope-specific CD8+ T cella with OVA257-264/Kb-tetramer-positive and the CD8 +Tc1 (T eytotoxic 1 )cells positive for intracellular IFN-γ could proliferate to its peak on day 21, then contract and maintain to the memory phase in spleen and lung of Tyk2-/- mice, but the population of CD8+ T cells in spleen and lung of Tyk2 -/- mice were significantly smaller than those in Tyk2+/+ mice on days 21 and 49, the number of epitope-specific CD8+ T cells in spleen and lung of Tyk2 -/- mice were significantly decreased and the frequency of CD8 + Tc1 cells in spleen and lung of Tyk2 -/- mice significantly reduced on day 21,49 and 70 after rBCG-OVA infection. So correspond with the larger number of bacteria in Tyk2-/- mice than those in Tyk2 +/+ mice, the expansion of OVA257-264-specific CD8 + T cells and CD8+ Tc1 response were attenuated in Tyk2 -/- mice following rBCG-OVA infection. Conclusion These results suggest that the lack of Tyk2 signaling impairs the proliferation and difference of effector CD8 + T cell to rBCG-OVA infection and at least, is partly responsible for the susceptible to the rBCG-OVA infection.

Tob1 is a member of Tob/BTG anti-proliferative proteins family. Studies have shown that Tobl involves in tumor development, embryonic development, hyperostosis, behavioral capacity and so on.Tobl is intimate with tumor occurrence and development, and plays an important role in suppressing tumor development. The article focuses on the biological characteristics of the Tob1 and its relationship with tumors.

Objective To observe the effect of doxepin hydrochloride on refractory hiccups after stroke.Methods 60 patients with refractory hiccup of post-stroke were randomly divided into 2 groups, treatment group :30 cases were given doxepin tablets 25～50 mg orally,3 times a day for 2～8 days;the control group :30 patients were orally adaine stened alprazolam 0. 4mg,3 times a day for 2～8 days. Results The total effective rate was 96. 67% in the treatment group,the total effective rate was 56. 67% in the control group,the effect of the treatment group is better than the control group( P＜0. 05 ). Conclusion The effect of doxepin hydrochloride on refractory hiccups after stroke is obvious,the method is simple,takes effect quickly,no significant side effects,the price is low.

Expression of the T-type Ca2 + channels has been reported in numerous types of tumors due to their unique activation/inactivation properties. In some cancer cells, the expression of T-type Ca2+ channels is proliferation state dependent. T-type channel blockers or interfering the α1 subunit of this channel via siRNA decrease proliferation of these cells. Since T-type Ca2+ channels are not expressed in epithelial cells, selective T-type Ca2 + channel blockers maybe serve as a potential therapeutic approach in the treatment of certain types of cancers.