Objective The aim of this study was to explore the effects of health education intervention on asthma control level for asthma patients through the survey of general demographic information,asthma clinical characteristics of patients with asthma,the Asthma Control Test (ACT),and pulmonary function examination.Methods 126 asthma patients were selected from the clinic and randomly divided into the health education group and the control group.All the patients were followed up for 3 months.In our study,we would scored them in terms of demographic data,clinical features of asthma,asthma cognitive level,medication compliance and Asthma Control Test (ACT) and pulmonary function examination before and after the health education for all patients respectively,and compared the data of the above parameters obtained before and after the intervention and the data from the health education intervention group and the control group.Results In our study,10 cases were lost to follow-up,and 116 cases completed the study at last.There were 68 patients in the health education intervention group and 48 patients in the control group.The results showed that patients with acute attack times,ACT score,pulmonary function indicators and asthma control situations of the health education intervention group after 6 months’ health education,were significantly improved,and the difference was statistically significant.Otherwise,comparison of the contents above of the control group before and after intervention,it was not statistically significant.Meanwhile,com-pared with the control group,the contents above of the health education intervention group were improved with statistically significant differences.Conclusions The standardized health education can improve the quality of life significantly,decrease the asthmatic symptoms,reduce the times of acute onset,which results in maintenance of asthma control,meanwhile the pulmonary function of patients with asthma will improve,so that more patients can live as normal or nearly normal people.

Objective To investigate the mechanism of anti-tumor in lung cancer patients and their effects to immune system undergoing with microwave ablation treatment,radioimmunotherapy of 131Ⅰ tumor cells human mouse chimeric monoclonal antibody injection (131Ⅰ-chTNT) and combined treatment of two anterior method.Methods The 50 cases of lung cancer were divided into three groups randomly,17 cases were in the group of simple microwave ablation treatment,15 cases were in the group of simple radiotherapy immunotherapy,18 cases were in the group of combined microwave ablation treatment with 131Ⅰ-chTNT radioimmunoassay.During the study,the T lymphocyte subsets,the activity of NK cells,the expressing of interleukin (IL)-2,IL-10,IL-12,the changing of the interferon γ(IFN-γ) and tumor necrosis factor α (TNF-α) were detected and compared of before and after treatment on all the patients.Results The CD4+ value,CD4+/CD8+ value and the activity of NK cells in these three groups after treatment were higher than that of before treatment (P ＜ 0.05),there was statistic difference between the combined treatment group and two simple treatment groups (P ＜ 0.01).The expression of IL-2,IL-12,IFN-γ TNF-α in three group patients after treatment were higher than that of before treatment,which had statistical significance (P ＜ 0.05),while there were no significant differences between groups (P ＞ 0.05).Conclusion The method combined microwave ablation treatment with 131Ⅰ-chTNT radioimmunoassay has efficiency to improve the immune function,which could improve the comprehensive therapeutic effect of lung cancer excellently.

Objective To study the psychological conditions of HIV/AIDS patients' families.Methods The non-structural interview was done with 4 HIV/AIDS patients' families.The data were analyzed for summarizing the themes.Results Six themes were summarized including suspicion and denial,humiliation and discrimination,helplessness and guilty,fear and sadness, desperate,threat and revenge.Conclusion HIV/AIDS patients’families are under tremendous psychological pressure and economic pressure,and their quality of life is very low.Therefore,it is necessary to lower the negative emotions in HIV/AIDS patients' families so that their quality of life is to be increased.

Raw264.7 cells were incubated with receptor activator of NF-kappa B ligand (RANKL) and α-melanocyte stimulating hormone(α-MSH) for6 d.The amount of osteoclast cells were counted by tartrate resistant acid phosphatase staining and the acid phosphatase activity was assayed.The expressions of 5 melanocortin receptors (MCR) in Raw264.7 cells were determined by RT-PCR.The results showed that the number of osteoclasts in RANKL +α-MSH group was significantly increased compared with RANKL group (P ＜ 0.05),but there was no osteoclast formation in α-MSH group.Compared with control group and α-MSH group,the acid phosphatase activities were significantly increased in RANKL group and α-MSH+RANKL group (P＜0.05).All five MCRs were expressed in the Raw264.7 cells shown by RT-PCR.These results suggest that α-MSH may promote osteoclasts formation through RANK signaling pathway.

Objective:To investigate the relationship between serum retinol binding protein (RBP), stromal cell derived factor-1 (SDF-1) and renal function in patients with diabetic nephropathy (DKD).Methods:The patients with type 2 diabetes mellitus (T2DM) admitted to Yantai Affiliated Hospital of Binzhou Medical College from October 2017 to October 2020 were prospectively selected, 438 patients were divided into simple T2DM group ( n=276)and DKD group( n=162) according to the presence or absence of DKD, according to the ratio of urinary albinin/creatinine (UACR) were divided into normal( n=25), microalbuminuria ( n=75) and macroalbuminuria group ( n=62), according to the estimated glomerular filtration rate (eGFR) were divided into G1 stage ( n=28), G2 stage ( n=27), G3A + G3B stage ( n=35), G4 stage ( n=39)and G5 stages( n=33). The relationship between RBP, SDF-1 and renal function index UACR, serum uric acid (UA), blood urea nitrogen (BUN), β 2-microglobulin (β 2-MG) and serum creatinine (Scr) was analyzed. Measurement data of normal distribution were expressed as Mean± standard deviation ( Mean± SD). Independent sample t-test was used for comparison between two groups, and one-way analysis of variance was used for comparison between multiple groups.Chi-square test was used to compare the enumeration data between groups. Receiver operating characteristic curve (ROC) was used to analyze the discriminant value of RBP and SDF-1 for DKD. Pearson was used for correlation analysis among indicators. Multivariate linear regression analysis was used to analyze the influencing factors of RBP. Results:In the DKD group, the duration of diabetes was longer, the levels of RBP, UACR, UA, BUN, β 2-MG, Scr were high, SDF-1 and eGFR were lower, with statistically significant differences compared with the simple T2DM group( P<0.05).The areas under the curve of RBP and SDF-1 to distinguish DKD were 0.903 and 0.868, and the optimal cut-off values was 70.71 mg/L and 5.69 ng/mL. With the increase of urinary albumin and clinical stage, the levels of RBP, UACR, UA, BUN, β 2-MG, Scr increased gradually, while SDF-1 and eGFR decreased gradually, and the differences were statistically significant ( P<0.05).RBP was positively correlated with UACR, UA, BUN, β 2-MG and Scr in DKD patients ( r=0.764, 0.787, 0.693, 0.577, 0.801, P<0.000 1), and negatively correlated with EGFR ( r=-0.782, P<0.000 1). SDF-1 was negatively correlated with UACR, UA, BUN, β 2-MG and Scr ( r=-0.744, -0.794, -0.666, -0.605, -0.820, P<0.000 1), and positively correlated with EGFR ( r=0.767, P<0.000 1). The multiple linear regression equation was RBP=29.852+ 0.007UACR+ 0.101UA+ 0.497BUN+ 0.034Scr-0.083eGFR ( P<0.001). Conclusion:RBP and SDF-1 have certain discriminant value for DKD patients in T2DM population, and the degree of DKD renal function injury is positively correlated with RBP and negatively correlated with SDF-1, the increase of UACR, UA, BUN, Scr and the decrease of eGFR are risk factors for the increase of RBP.

Objective: To explore the role of clinical pharmacists playing in the pharmaceutical care of adverse drug reactions. Methods:Clinical pharmacist participated in the treatment of one case of coma induced by intramuscular injection of tramadol. After analyzing the medical records and retrieving the concerned literatures,clinical pharmacists thought that it was tramadol inducing the co-ma, and assisted clinicians to make correct diagnosis rapidly, and then provided a reasonable treatment plan according to the pharma-ceutical expertise for clinicians. Results:Clinicians accepted the recommendations and the patient recovered and discharged from the hospital. Conclusion:Clinical pharmacists should participate in clinical treatment team. When facing with adverse drug reactions, clinical pharmacists should think and practise actively, and then play their roles in monitoring adverse drug reactions.