OBJECTIVETo analyze the clinical fracture of nickel-titanium instruments and its causes.

METHODS68 Profile and NiTiflex files broken during the clinical root canal instrumentations in two years were collected. The analysis was carried out regarding the relation between the broken files and the distribution in the teeth, canal, degree of curvature of canals, and the relation between amount of the broken files and the period.

RESULTSThe majority of the clinical fracture of nickel-titanium instruments were flexural fatigue which frequently occurred in molar, the midpoint of the curvature, canal with curves > 30 degrees and very complex canals. Amount of the broken nickel-titanium instruments in the first year was twice than that in second year.

CONCLUSIONThe fracture of nickel-titanium instruments is closely related to the anatomy of the root canal, the operator's experience and the usage of instrument and so on.

Dental Instruments ; adverse effects ; Humans ; Nickel ; Root Canal Therapy ; instrumentation ; Titanium

OBJECTIVETo assess the clinical outcome of root canal therapy (RCT) and the various factors that may influence the outcome of RCT.

METHODSA total of 695 teeth from 357 patients were retrospectively studied three years after endodontic treatment. Pre- and intra-operative information was collected from the original patient records. The post-operative sign or symptom, periapical status and coronal restoration integrity were examined 3 years after obturation. Data were subjected to bivariate and multivariate analysis.

RESULTSThe cure rate for 695 teeth was 75.1%, 96.0% of which was considered to be functional. The tooth group, pre-operative pulp and periapical status, quality of root filling and integrity of coronal restoration were revealed by means of bivariate analysis to exert a significant influence on treatment outcome. The logistic analysis indicated that the odds for cure in the teeth with pre-operative periapical radiolucency, underfilling and "open" coronal restoration were significantly lower by 2 folds, 3 folds and 1.6 folds than their counterparts, respectively.

CONCLUSIONSThe pre-operative periapical status, quality of root filling and the integrity of coronal restoration are main predictors of outcome in RCT.

Adult ; Aged ; Dental Pulp Diseases ; therapy ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Periapical Periodontitis ; therapy ; Root Canal Obturation ; Root Canal Therapy ; Treatment Outcome

Objective To improve the pass rate of national nurse practitioner examination of nursing students.Methods Through the network assessment system for the three basic skills,nursing students were trained to conduct simulated practice for the examination.Results The pass rate was 98.38％ in 2011 through network training,higher than the rate of 91.66％ in 2010 through general training ( x2 =47.52,P ＜0.01 ).Conclusions The exercise of network training links finely to the nurse practitioner examination,which is convenience,concise and satisfactory.

Objective To find out the situation,level and obstacles of the scientific research of appointment system staff from different majors.Methods Self-designed questionnaire was used to investigate 304 staff of appointment system.Questionnaire was evaluated by 5 specialists in nursing management and medical statistics.The validity coefficient was 0.85 and the Cronbach' s α was 0.83 tested from preliminary examination.The development of the scientific research (2 items),related behaviors (3 items),ability to apply scientific research tools (5 items ) and main obstacles (5 items ) were included in this questionnaire.Results 302 questionnaires were called back with the effective rate of 99.34％.The rate of medical staff who conducted scientific research was higher than that of other majors,and the differences were statistically significant (t =63.48,5.17,252.73,respectively; x2 =54.62,61.83,respectively; P＜0.01).The rate of medical,nursing and medical technology staff who applied research design and statistics were all lower than 40％,and the differences were not statistically significant ( x2 =4.44,5.73,respectively; P ＞ 0.05 ).Medical,nursing and medical technology staff's ability to select topics was respectively 90.62％,32.08％ and 69.23％,in which nursing staff was the worst,and the differences were statistically significant ( x2 =19.61,P ＜ 0.01 ).The main obstacles for nursing and medical technology staff were no pace-setters and leaders' indifference,which was statistically different from that of the medical staff (x2 =74.34,10.01,respectively;P ＜ 0.05).Conclusions Hospitals should balance the scientific research activities between staff from different majors and train them with research design methods and statistic skills,in order to improve the scientific research environment for appointment system staff.

Objective To explore methods to improve new nurses' venipuncture skills.Methods Training plans were formulated by the training center.61 new nurses were trained by means of the combination of demonstration classroom centralized training and 2131 integrated training methods which contained 200 venous infusion,100 venous blood drawing,30 venous indwelling needles and 10 PICC maintenance.Results Success rate of new nurses' venipuncture was 88.52％ before training and 98.36％ after training,and the difference was statistically significant (x2 ＝ 51.07,P ＜ 0.01).Time of each patient completed the intravenous infusion was (5.52 ± 1.39) min before training and (4.48 ± 1.06) min after training,and the difference was statistically significant (t ＝ 4.65,P ＜ 0.01).Inpatients' satisfaction of new nurses' venipuncture skills was 85.93％ before training and 93.98％ after training,and the difference was statistically significant (x2 ＝176.34,P ＜ 0.01).Conclusions 2131 integrated training is an effective way to improve new nurses'venipuncture skills rapidly in a short time.

OBJECTIVETo observe the effect of Tongsaimai (TSM) tablets in treating foot trauma of diabetic foot (DF) model rats, and discuss its potential mechanism.

METHODMale SD rats were selected to duplicate the diabetic foot ulcer model and randomly divided into the blank control group, the model group, the metformin treatment group, and TSM 12.44, 6.22, 3.11 g x kg(-1) groups (n = 10). The healing of ulcer wounds were observed on day 1, 4, 8, 13 and 18. After 18 days, a histopathologic examination was conducted for ulcer tissues. The contents of superoxide dismutase (SOD) and malondialdehyde (MDA) were detected by hydroxylamine and TBA methods. The content of interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-alpha) were determined with the radioimmunoassay. The immunohistochemical method was used to observe the expression of vascular endothelial growth factor (VEGF) in ulcer tissues and the number of capillary vessels.

RESULTTSM could alleviate the pathological changes of diabetic foot rats, accelerate the ulcer healing on 4, 8, 13, 18 d, reduce MDA, IL-6, TNF-alpha, VEGF content in rat serum at 18 d (after the rehabilitation period), and enhance the SOD content. Specifically, the TSM 12.44 g x kg(-1) group showed significant differences compared with the model group (P < 0.05, P < 0.01). At 18 d after the treatment (the late rehabilitation period), the VEGF expression of TSM 12.44, 6.22 g x kg(-1) groups and the number of blood capillaries of the TSM 12.44 g x kg(-1) group were significantly lower than that of the model group (P < 0.05, P < 0.01).

CONCLUSIONTSM could promote the foot wound healing of DF model rats, reduce MDA, IL-6 and TNF-alpha levels in serum, increase the SOD content and decrease the VEGF expression and the number of blood capillaries in the late rehabilitation period. Its action mechanism may be related to the inhibition of oxidative stress injury and the inflammatory cell infiltration.

Animals ; Diabetic Foot ; drug therapy ; genetics ; metabolism ; physiopathology ; Disease Models, Animal ; Drugs, Chinese Herbal ; administration & dosage ; Humans ; Interleukin-6 ; genetics ; metabolism ; Male ; Malondialdehyde ; metabolism ; Rats ; Rats, Sprague-Dawley ; Superoxide Dismutase ; genetics ; metabolism ; Tablets ; administration & dosage ; Vascular Endothelial Growth Factor A ; genetics ; metabolism ; Wound Healing ; drug effects

OBJECTIVETo construct human-SCID chimeric mice through implantation of mononuclear cells from human cord blood and study the immunoreaction of SCID-Hu IC mice immunized with rAd5HPV16L1-E7 vaccine.

METHODS(1) Experiment groups were injected with the suspension of mononuclear cells from human cord blood through a tail vein; the control ones were injected with non serum RPMI 1640 medium. Eight weeks after implantation, blood was collected and human serum IgG level in the mice were tested, and human CD45, CD3 and CD19 were determined. (2) SCID-Hu IC mice were divided into two groups: in group A the mice were immunized intraperitoneally with rAd5HPV16L1-E7 virus and in group B the mice were immunized through nasal drip with rAd5HPV16L1-E7 virus. At the end of fourth week, the serum specific IgG antibody to rAd5HPV16L1-E7 virus, IFN-gamma in culture medium of spleen lymphocyte and T-lymphocyte propagation were tested.

RESULTS(1) In the experiment groups, the number of mice positive for human IgG was 10/15, the average values of CD45, CD3 and CD19 were (9.39+/-4.21), (3.25+/-3.99) and (1.69+/-0.75), respectively. In the control ones, the human IgG, CD45, CD3 and CD19 were negative. (2) The results in the experiment groups showed that the IFN-gamma and T-lymphocyte stimulated by HPV16 protein were higher than those in the non-stimulated group (P less than 0.05).

CONCLUSION(1) The results indicated that the construction of human-SCID chimaera through the implantation of mononuclear cells from human cord blood into SCID mice was successful. They also indicated that the reconstructed SCID-Hu IC mice has the ability to produce immune response against rAd5HPV16L1-E7 recombinant virus.

Adenoviridae ; genetics ; Animals ; Antigens, CD19 ; blood ; CD3 Complex ; blood ; Disease Models, Animal ; Female ; Fetal Blood ; transplantation ; Immunoglobulin G ; blood ; Interferon-gamma ; metabolism ; Leukocyte Common Antigens ; blood ; Male ; Mice ; Mice, SCID ; Oncogene Proteins, Fusion ; genetics ; immunology ; Oncogene Proteins, Viral ; genetics ; immunology ; Papillomaviridae ; genetics ; Recombination, Genetic ; T-Lymphocytes ; cytology ; Viral Vaccines ; immunology

OBJECTIVETo analyze the survival level and variation of esophageal cancer in Linzhou city of Henan province from 1988 to 2004, and evaluate the effects of diagnosis and treatments on esophageal cancer in this area.

METHODSAll incidence and death records for esophageal cancer during 1988 to 2004 were collected from Linzhou Tumor Registry. Cases with duplicate information or death certificate only were excluded. A total of 12,160 cases of esophageal cancer were collected, of which, 6914 cases were male, and 5246 cases were female. The sex-specific and age-specific probabilities of survival in 1992, 1997 and 2002 were calculated and linked to the data of incidence and death on esophageal cancer in this area. Five-year observed survival rate and five-year relative survival rate during 1990 to 1994, 1995 to 1999, 2000 to 2004 were calculated respectively using period survival analysis and cohort survival analysis and Z test.

RESULTSThe 5-year relative survival rates among the three-episode were 28.24%, 35.24% and 40.76% respectively during 1988 to 2004. This showed an increasing trend by periods (Z values were 3.94 and 3.07, P < 0.05). The 5-year observed survival rates in men among the three-episode were 13.67%, 18.08% and 22.46% respectively, the 5-year relative survival rates were 29.94%, 36.96% and 38.40%. The 5-year observed survival rates in women among the three-episode were 15.56%, 19.29% and 28.01% respectively, the 5-year relative survival rates were 26.78%, 33.12% and 43.70%. During the two former periods, there was no significant difference in the 5-year observed survival rate and relative survival rate between men and women (Z values of observed survival rate were 1.48 and 0.88, P > 0.05. Z values of relative survival rate were 1.27 and 1.50, P > 0.05). In the third period, the 5-year observed survival rate and relative survival rate in women was higher than that in men (observed survival rate Z = 3.56, P < 0.05; relative survival rate Z = 2.09, P < 0.05). The relative survival rate that calculated using period method (respectively 35.24% and 40.76%) was higher than that using cohort method (respectively 28.77% and 33.35%) from 1995 to 1999, and from 2000 to 2004.

CONCLUSIONThe survival rate on esophageal cancer in Linzhou city was increasing in the three different periods. This indicated a rising status in the secondary prevention and clinical diagnosis and treatments on esophageal cancer.

China ; epidemiology ; Esophageal Neoplasms ; epidemiology ; mortality ; Female ; Humans ; Life Tables ; Male ; Survival Analysis

The traditional methods of skeletal age estimation mainly include Numeration, Atlas, and Counting scores. In recent years, other new methods were proposed by several scholars. Utilizing image logical characteristics of X-ray film to extrapolate skeletal age is a key means by present forensic medicine workers in evaluating skeletal age. However, there exist some variations when we present the conclusion of skeletal age as an "evidence" directly to the Justice Trial Authority. In order to enhance the accuracy of skeletal age determination, further investigation for appropriate methodology should be undertaken. After a collective study of pertinent domestic and international literatures, we present this review of the research and advancement on skeletal age evaluation methods of X-ray film.
Age Determination by Skeleton/trends* ; Carpal Bones/diagnostic imaging* ; Elbow/diagnostic imaging* ; Female ; Forensic Medicine/methods* ; Hand Bones/diagnostic imaging* ; Humans ; Image Processing, Computer-Assisted/methods* ; Male ; Radius/diagnostic imaging* ; Tomography, X-Ray Computed/methods* ; X-Ray Film

Objective To explore the methods of improving emergency treatment skills of new nurses.Methods Totals of 40 new nurses adopted individual assessment of traditional aid skills in 2010 as control group,and 56 new nurses in 2011 adopted the training model of individual assessment of traditional aid skills combined with specialist first aid melodrama competition as experimental group.The effect was compared between the two groups.Results Independent induction time of new nurses was (12.00 ± 0.43) weeks in the control group,and (11.00 ± 0.87) weeks in the experimental group,and the difference was statistically significant(t =6.70,P ＜0.01).The satisfaction of the medical staff to new nurses was 88.34％ in the control group,and 96.60％ in the experimental group,and the difference was statistically significant(x2 =137.33,P ＜0.01).Conclusions The training model of individual assessment of traditional aid skills combined with specialist first aid melodrama competition is effective way to improve emergency treatment skills of new nurses.