Ocular ischemic syndrome(OIS) is a disease seen in cardiology,ophthalmology,neurology and neurosurgery,which is characteristic by brain and ocular symptoms caused by carotid artery obstruction or stenosis.The diagnosis of OIS may be difficult because of its variable presentations and its concealed onset.What is more,its pathogenesis is not completely clear,and therefore its treating efficacy is dissatisfactory so far.The current study on OIS is focused on experimental research.So establishment of suitable animal model is important.Recently years,the creating method of OIS model made a great progress.The selection of model animals,extablishing methods of models and comparison of various models were summarized.

Objective To investigate the low back pain(LBP)of clinic nurses and find out the understanding of related knowledge of LBP in nurses,and improve the occupational protection of nurses.Methods Investigation was carried out in 692 nurses by self-designed questionnaires.Results The incidence of LBP in nurses was 97.4%.The knowledge of LBP and the related occupational protection in nurses were greatly deficient.Conclusions The hospital should pay attention to the protection of LBP in nurses and improve their health.

Biomarkers ; Hepatitis B ; therapy ; virology ; Hepatitis B Surface Antigens ; Hepatitis B virus ; Humans

Objective:To find a better way to protect the security and interests of vulnerable groups by exploring the problem of protecting the vulnerable groups in drug clinical trial from the perspectives of ethics committees,organization and researchers.Methods:According to the relevant literature and the actual situation of the hospital,this paper analyzed the security issues of vulnerable groups comprehensively.Results:Only the ethics committees,organization and researchers work together,can it protect the security and interests of vulnerable groups to the greatest extents.Conclusion:Further research on the security of vulnerable groups not only promotes the development of human health,but also plays a decisive role in improving the protection of subjects in drug clinical trial.

Background Fungal keratitis can cause serious damage to visual function of corneal infective disease,which is more difficult to treat.In recent years,injecting antifungal drugs to the corneal stroma not only enrich the treatment of the disease,but also achieve good clinical effects.Correctly selecting drug kinds and drug concentration can improve the cure rate,and reduce adverse reactions after treatment,but the related research is rare.Objective This study was to observe the clinical effects of corneal stroma fluconazole injection with different concentration for the treatment of fungal keratitis.Methods Prospective study was performed.One hundred and two patients (102 eyes) diagnosed as fungal keratitis were included from May 2012 to January 2015 in Jizhong Energy Xingtai Mining General Hospital.The patients were randomly divided into 3 groups,The eyedrop treatment group (29 eyes) received 0.5％ fluconazole eyedrops and 5％ natamycin eyedrops treatment.The 0.1％ fluconazole group (35 eyes) and 0.2％ fluconazole group (38 eyes) received 0.1％ and 0.2％ fluconazole corneal stroma injection after eyedrop treatment,respectively.Each group underwent potassium hydroxide wet examination and fungal cultures.The curative effect and adverse reactions were observed.Results Fusarium 41.2％ (42/102),Aspergillus 21.6％ (22/102)and Alternaria mold 17.6％ (18/102) ranked the top three pathogenic species.The distribution of pathogenic fungus among the 3 groups were significantly different (x2 =3.763,P＞0.05).The cure rate of eyedrop treatment group was 44.8％ (13/49),which was significantly lower than 0.1％ fluconazole group (74.3％,26/35) and 0.2％ fluconazole group (81.6％,31/38) (x2 =5.782,9.854;both at P＜0.05).The cure rate was significantly different between 0.1％ fluconazole group and 0.2％ fluconazole group (x2=0.566,P＞0.05).The average cure time of eyedrop treatment group,0.1％ fluconazole group and 0.2％ fluconazole group were (36.28 ± 10.39),(29.14± 7.86) and (21.34 ± 8.57) days,respectively,with a significant difference among the three groups (F =5.336,P=0.006).The acuity of vision was significantly increased after treatment in the 0.1％ fluconazole group and 0.2％ fluconazole group (t =3.009,4.695;both at P ＜ 0.01).The average number of injection in the 0.1％ fluconazole group was (5.71 ± 2.97) times,which was higher than (5.13 ± 1.80) times in the 0.2％ fluconazole group (t=4.471,P＜0.05).Four cases in 0.2％ fluconazole group with eye irritation were observed.After diclofenac sodium eyedrops treatment,the symptoms of 3 cases were disappeared.One case was cured by conjunctival flap covering method.All the cases were followed up for 1-3 months,no adverse reactions and recurrence was found.Conclusions Corneal stroma fluconazole injection is an effective method for treatment of fungal keratitis.In order to reduce the occurrence of adverse reactions,0.1％ fluconazole injection in corneal stroma is recommend for light fungal keratitis patients;for moderate and heavy fungal keratitis patients,0.2％ fluconazole injection in corneal stroma can be performed after failure of 0.1％ fluconazole treatment.

Objective:To study the expression of IQ motif containing GTPase activating protein 1 (IQGAP1 )in oral squamous cell cancer(OSCC)tissue,and to explore the effects of IQGAP1 on cell proliferation and invasion as well as its underlying mechanism. Methods:Expression levels of IQGAP1 in tumor and adjacent normal tissues were examined by western blot and RT-PCR.OSCC cell line SCC-4 cells was transfected with the recombinant plasmid-pcDNA3.1 -IQGAP1 by lipofectamine,and then treated with an Akt in-hibitor.The phosphorylation of Akt,cell proliferation and invasion were detected by western blot,MTT assay and Transwell invasion as-say respectively.Results:Protein and mRNA expression levels of IQGAP1 were higher in cancer tissue than in adjacent normal tissue (P <0.05).Transfection of pcDNA3.1 -IQGAP1 increased IQGAP1 expression,enhanced the capability of cell proliferation and inva-sion (P <0.05),increased p Akt level in the cells.Preconditioning with an Akt inhibitor reduced p Akt level.Furthermore,silencing Akt pathway blocked the increase of cell proliferation and invasion induced by IQGAP1 overexpression(P <0.05).Conclusion:IQ-GAP1 overexprission can mediate the ability of proliferation and invasion of OSCC cells by regulating the activation of Akt pathway.

Erythroblastosis, Fetal ; etiology ; Female ; Humans ; Infant, Newborn ; Rh-Hr Blood-Group System ; immunology

Objective To evaluate the iron metabolism in host-pathogen interplay.MethodsA total of 13 expression profiles of iron metabolism related genes of RAW264.7 murine macrophages uninfected or infected with Salmonella typhimurium were stuldied by real-time PCR.Results The live wild-type Salmonella typhimurium induced the expression of the transferrin receptor(Tfr1)in host cell macrophages,which resulted in a sustained increase of the labile iron pool inside the host oell 1h or 24h after infection.Gene expression analysis showed that wild-type Salmonella typhimurium drove an active iron acquisition program with induction of ferrireductase(Steap3),iron membrane transporter Dmtl,and iron regulatory proteins(Irpl and Irp2),and a little of iron efflux change through ferriportin(Fpnl).On the other hand,the Salmonella mutant strain spiC-used in present studies did not cause an increase mRNA level for Tfrl at 1h or 24h,but led to an increase mRNA level for Epnl at 24h as compared with 1h. The assessment was that the labile iron pool decreased after infection with spiC-Salmonella for 24h.Conclusion Wild-type Salmonella typhimurium appears to drive an active transferrin-mediated iron uptake program after infection 1h or 24h.The spiC-Salmonella mutant strain used in our studies shows an increased iron efflux from infected cells at 24h as comparde with 1h.

AIM: The studies on meridians show that the meridians are the system with known structures and unknown functions. It is inseparably related with the vessels and tissue fluid and controlled by the nerve, endocrine,and immune systems. Analysis on these issues will be helpful in understanding the meridians. METHODS: To make a comprehensive analysis through the review and summarization of historical literature together with the discoveries of modem studies on meridians. RESULTS: The nature of meridians is probably the Regulation System of Directed Water Environment. That is, taking the continuous water environment of human body as the basis, especially the low resistance of flowing passage (14 meridians) as the trunk, the nerve system transmitting information quickly as the guide, the blood system transporting materials quickly as the source, and the point as the pivot, to create the coordination between the human body and environment and the whole and the local. CONCLUSION: The human body is an organic whole carrying out a series of transmission activities of material, energy, and information through the Regulation System of Directed Water Environment. The effect achieved by stimulating points through acupuncture and moxibustion is a kind of comprehensive regulation for the whole body, not only an influence on a certain system or function. Removing obstruction of meridians is the means of treatment and keeping meridians unobstructed is the purpose of TCM for health-care.

Objective: To reasonably adjust the medical prices on the basis of cancelling drug prices policies. Methods: Taking the data from sample hospitals in Guangdong as example, to discuss how to establish model of medical service item pricing scientifically and reasonably. Results:The model of medical service item pricing has been established and practical care has been estimated. Conclusion:It needs to adjust the charging of medical technical services to achieve the prospective effects of medical reform.