Laparoscope has been widely recognized as a treatment of distal gastric cancer.Totally laparoscopic distal gastrectomy and laparoscopy-assisted distal gastrectomy are two main types of laparoscopic distal gastrectomy.Apart from a smaller incision,some other advantages which totally laparoscopic distal gastrectomy has is the key point for further study.The thesis aims to compare totally laparoscopic distal gastrectomy to laparoscopy-assisted distal gastrectomy,and to analyze the characteristic in the aspect of operation time,the degree of pain,postoperative complications and the time of gastrointestinal recovery via collecting a great quantity of literatures.

Objective To explore the effects of spironolactone on cardiovascular function in patients undergoing maintenance hemodialysis .Methods According to the random number table ,80 cases of patients undergoing maintenance hemodialysis in blood purification center of our hospital from December 2013 to June 2015 were randomly divided into the observation group and control group ,40 cases in each group .In the observation group ,patients were treated with spironolactone therapy ,while patients in the con‐trol group took a placebo .The cardiovascular function and related indexes were compared between the two groups .Results After 6 months of treatment ,the HR and BNP were decreased ,and CO ,SV ,SI and CI were increased in the observation group ,statistically significant differences were found in these indexes when compared with the control group (P<0 .05);there was no statistically sig‐nificant difference in HOI between the two groups(P>0 .05) .The PP ,MSP ,MDP ,MAP and ET‐1 in the observation group were significantly decreased after 6 months of treatment ,which were statistically different with those in the control group (P<0 .05) . Conclusion Spironolactone contributes to improving cardiovascular function of patients undergoing maintenance hemodialysis ,it is worthy of clinical application .

Progressive assessment is one of the methods adopted by colleges and universities to evaluate the comprehensive quality of undergraduates.It can provide objective references for various awards and selections.Most colleges used static and transverse methods; based on these methods,advantages and disadvantages of individual undergraduates were compared with general groups,but feedback and forecast functions of assessment can not be realized.Therefore it is necessary to transform our conceptions and practice progressive assessment on comprehensive quality of undergraduates.We can learn from the relevant conceptions and methods in enterprise management and use data envelopment analysis to exclude the influence of different basic conditions of undergraduates.These undertakings are of great importance to truly reflect undergraduates' effective progress degree,guide them to test and evaluate themselves correctly and to advance comprehensive quality continuously.

Objective To learn healthy lifestyle and behavior literacy of residents living in Xicheng District of Beijing between 2008 and 2012 and to explore the influencing factors of healthy lifestyle and behavior literacy.Methods A total of 1 347 or 2 900 adults aged 18-60 years old were recurited from Xicheng District by using multistage stratified cluster sampling method in 2008 and 2012,respectively.Chisquare test and non-conditional logistic regression were used to analyze the effectiveness of 2-year intervention on healthy lifestyle and behavior literacy.Results The rate of healthy lifestyle and behavior literacy was 14.8％ vs.30.8％ in 2008 or 2012,respectively (x2=123.574,P＜0.05).For those with relatively lower education level (e.g.junior high school or below),the figure showed no statistically significant difference (x2=1.378,P＞0.05).In multivariate logistic regression analysis,female (odds ratio (OR)=1.350),education level (college/bachelor degree:OR=2.035,master degree or above:OR=2.554),monthly family income (＞5 000 RMB:OR=1.399) and investigation time (2012:OR=2.278) were influencing factors of healthy lifestyle and behavior literacy.Conclusion Remarkable improvement in healthy lifestyle and behavior literacy during 2012 as compared to 2008 could be attributed to the comprehensive interventions.In the future,those of low-literacy or low-income should be the mian target of modification of healthy lifestyle and behavior literacy.

Antineoplastic Agents ; pharmacology ; Cell Cycle ; Curcumin ; pharmacology ; Epithelial-Mesenchymal Transition ; genetics ; Gastrointestinal Neoplasms ; diagnosis ; etiology ; genetics ; metabolism ; Gene Expression Profiling ; Humans ; MicroRNAs ; genetics ; metabolism ; Neoplasm Invasiveness ; Tumor Suppressor Protein p53 ; metabolism

OBJECTIVE: To exchange the working experiences in community pharmacy so as to avoid dispensing error. METHODS: The causes of dispensing error in computerized community pharmacy and the related countermeasures were discussed. RESULTS: To prevent dispnesing error in the computerized community pharmacy, it is urgernt for the concerned personnel to improve their professional level and working ability and arrange drugs scientifically. CONCLUSION: Great importance should be attached to the dispensing error in community pharmacy to provide patients with a high quality community health service.

[Objective] To search for a new technique for incarcerated annular mixed hemorrhoids (IAMH) . [Methods] One hundred and eighteen cases of IAMH (group A) were treated by double denenate excision-ligation combined with pad preservation and 53 eases (group B) by external-exfoliation and internal-ligation. Cure rate, wound-healing time, anal function and postoperative complications were observed in the two groups. [Results] Cure rate was 96.6% in group A and 84.9% in group B; wound-healing time was (17 ? 5) days in group A and (24 ? 5) days in group B ( P

China is entering into an aging society, and the incidence of hypertension and atherosclerosis were increased year by year. The incidence of transient ischemic attack (TIA) patients with carotid stenosis increased year by year. Carotid artery stenosis or occlusion can cause reduction of local brain tissue perfusion resulting from TIA. CT cerebral perfusion imaging and SPECT could detect earlier the chronic hyper fusion of carotid stenosis TIA, forecast risk coefficient and intervention and prevent the occurrence of cerebral infarction, to evaluate effect of carotid endarterectomy and carotid s carotid artery stenting. It is very important to monitor cerebral hemodynamic changes. The technology has the features of blood infusion situation, advantages, curative effect evaluation and development trend in carotid stenosis TIA reviewed by CT perfusion imaging and SPECT.

Objective:To detect differentiallyexpressed microRNAs (miRNAs)in plasma of schizophrenia and explore biomarker for diagnosis of schizophrenia.Methods:The discovery cohort tincluded 6 patients with schizophrenia meeting diagnostic criteria of schizophrenia of the Diagnostic and Statistical Manual of Mental Disor-der,Fourth Edition (DSM-IV),as well as 6 healthy control subjects,whose age and gender were matched to pa-tients.The expression of 754 miRNAs (Sanger human miRBase v14)in the discovery cohort was investigated by Taqman Array (Human MicroRNA A +B Cards Set v3.0).Then the quantitative reverse-transcription polymor-phism chain reaction (qRT-PCR)assay was conducted to validate differentially expressed miRNAs in an independ-ent replication cohort,which included 25 schizophrenia patients and 18 healthy control subjects.The student's t-tests were used to analyze the differential expression of miRNA between schizophrenia patients and controls.All analyses were performed in Significance Analysis of Microarrays (SAM)software.Results:Twenty down-regulated miRNAs were observed in discovery cohort.Four miRNAs,hsa-miR-15b-5p were down-regulated in both discovery and rep-licated cohorts.Conclusion:The present study suggests that aberrant expression of miRNA might be of potential im-portance as biomarkers in the diagnosis of schizophrenia.

Objective To investigate the level and impact factors of stigma in people living with stroke patients in community. Methods A total of 189 stroke patients in community were investigated by general information questionnaire, Stigma Scale for Chronic Illness, Medical Moping Questionnaire, Self-Rating Depression Scale and Social Support Rating Scale. Results The total score of stigma was (44.96± 16.71) points, score of self-stigma was (27.70±10.91) points, score of enacted-stigma was (17.26±7.00) points. Multiple regression analysis showed that stroke patients′ depression, avoiding coping, subjective support and activity of daily living were impact factors of stigma, which explained 57.5% of the variance. Conclusions Community nurses should pay attention to the stigma of stroke patients in community, especially focus on those with higher degree of depression and lower activity of daily living, guiding them to adopt positive coping strategies and enhance subjective support. Oriented by influencing factors, proper intervention should be provided to lower the level of stigma, promote psychosomatic rehabilitation.