To investigate the status of the evidence-based medicine (EBM) information services of the hospital libraries in Hebei Province. The preliminary survey data indicated that a certain objective needs exists for hospital libraries to offer the EBM information service to the medical staff. The lack of service consciousness and EBM knowledge of the librarians, as well as the insufficient EBM information in-house resources are the major restraining factors. However, the advantage exists on search capabilities and time. According to the survey, there is no condition to offer exacting clinical evidence searching services by the hospital libraries in Hebei province at the present. The hospital libraries should deepen the existing literature services to the physicians based on the concept of EBM and search the literature efficiently.

The USA Standards for Hospital Accreditation have been changed with greater importance attached to the function of hospital library in providing knowledge information service due to the changed medical,information tech-nology and medical treatment environment since its first edition in 1953 with standards for hospital library accreditation included. The history of hospital library accreditation in USA Standards for Hospital Accreditation and its inspira-tions were described in detail in this paper.

This study is to establish a rat chronic asthma model. Sensitive SD rats were selected through histamine challenge. The asthmatic groups were sensitized by ih and ip with OVA, aluminium hydroxide gel and inactivated bacillus pertussis on day 1 and 14. From day 21, acute asthmatic group was aerosolized 1% OVA for 1 week, chronic asthmatic group was aerosolized 0.1% OVA for 12 weeks. The control groups received saline as the substitution of OVA. Twenty four hours after the last provocation, physiological monitoring equipment was used to detect the pulmonary function, then the rats were sacrificed. Bronchoalveolar lavage fluid (BALF) was collected to calculate the ratio of different inflammatory cells. ELISA was used to detect total IgE and OVA-specific IgE in serum. Microscopy was conducted to observe the histopathology of lung stained with haematoxylin and eosin staining. Collagen fibers were detected using Picric acid-Sirius red staining technique. The optical density at 610 nm of extractive from locus caeruleus was detected by passive cutaneous anaphylaxis (PCA). The results showed that the asthmatic characteristics were significantly developed in model groups, but not in control groups. Chronic asthmatic group had significantly higher indexes than acute asthmatic group, including the thickness of airway smooth muscle and bronchial basement membrane, and goblet cell hyperplasia, the area of collagen in airways, A610 of extractive from locus caeruleus, the concentration of total IgE and OVA-specific IgE in serum. However, inflammatory cell infiltrate in lungs and the percentage of eosinophils of white blood cells in BALF were lower in chronic asthmatic group than those in acute asthmatic group. Respiratory rate and respiratory flow showed no significant difference in both model groups. In conclusion, the rat chronic asthma model is established by the way in this study, which is comparable to the physiopathologic characteristics of human asthma.

After an analysis of the application of medical video resources in academic conference , training of medical skills and health education of patients , the experiences in development of medical video resources in our li-brary were described.The characteristic medical video resources database was developed by establishing a naviga-tion system for free medical video resources on networks, introducing the mature academic video resources databases and collecting the medical video resources in our hospital .Service for medical video resources was popularized in forms of video reading and catalogue pushing .

Aim To investigate the optimal condition for expression of pCI-neo-IL-1ra-Fc? plasmid for gene therapy and its immune response in rats.Methods Different doses(0.25,0.5,2.5 mg?kg-1)pCI-neo-IL-1ra-Fc? plasmid were instilled into lungs of rats through tracheas,then expressions of IL-1ra-Fc? fusion protein were detected at different interval times(d 4,d 7,d 20)by RT-PCR and Western blot.Through immu-nohistochemistry analysis of rat lungs,those results of optimal condition were validated.Dynamic changes of rat serum IgG level,including IgG2a and IgG1 were detected by indirect ELISA.Results IL-1ra-Fc? could be detected at 20th day after instilling pCI-neo-IL-1ra-Fc? plasmid in all dose groups.The expression level in 2.5 mg?kg-1 groups was higher than that in other two groups.IL-1ra-Fc? protein could not be expressed at 4th day,but increased at 7th day and reached maximum at 20th day after instillation.IL-1ra-Fc? gene could be efficiently expressed in rat lungs by immunohistochemistry analysis.Humoral immunity of rats was induced by pCI-neo-IL-1ra-Fc? plasmid.IgG2? expression was predominant in IgG subsets,showing that the humoral immunity was Th1-like immune response.Conclusion The optimal condition is established for gene therapy with pCI-neo-IL-1ra-Fc? plasmid which can induce Th1-like immune response in rats.

Objective To know the blood lead level of children in Handan city and the influence factors. Methods In Oct. 2004,211 children aged 2-6 years,living in Handan city for more than one year and without eliminating lead medicine treatment in recent three months,were chosen from a kindergarten. The blood lead was determined by WFC atomic absorption spectrometer. The influence factors were investigated by questionnaire.Results The blood lead level was(89.2?13.6) ?g/L,the prevalence of lead poisoning was 11.85%,no significant difference was seen between boys and girls. As for the blood lead level,the children living in the industrial areas or near traffic road was higher,the children living in the newly decorated house was higher,the children often eat preserved eggs was higher,the children whose parents engaged in the work of lead exposure was higher,the children whose parents smoke heavily at home everyday was higher,the children whose parents had lower education was higher. Conclusion More attention should be paid to prevent and control child lead poisoning in Handan city.

Objective To investigate the distribution of rick factors between intracerebral hemorrhage(ICH) and coronary heart disease (CHD) in Tongliao city in Innermogolia. Methods Medical records(departments of medical neurology and cardiovascular internal medicine in 2003~2005) were randomly selected from 6 general hospitals above the second class in Tongliao city Innermogolia .All the risk factors of the cartain diseases were carryed on retrospective investigation analysis. Results All the survey index have significantly statistical difference in the basic data. Single-factor non-conditional Logistic regression analysis showed 10 risk factors including the gender, age, nation, smoking, hypertension, history of hypertension, alcohol drinking, glucose(GLU), history of diabetes and triglyceride(TG) have significantly statistical difference. These 10 risk factors were taken into multifactor stepwise regression model. 8 risk factors( gender, age, smoking, history of hypertension, history of diabetes,GLU,TG and hypertension) had significantly statistical difference. Conclusions Compared with CHD, the influence of age, smoking, history of diabetes and TG are lower, and the influence of the gender, the history of hypertension, GLU and hypertension are higher in ICH.

Objective To characterize the effects of AQP1 expression on kidney damage in rat disseminated intravascular coagulation(DIC) caused by lipopolysaccharide(LPS) dosing. Method Fifty male Wistar rats (clean grade) were randomly assigned into 5 groups of 10 rats. The 10 control rats were dosed with 10 ml of 0.9%NaCl solution by a drip via the vena caudalis within 4 h, and blood and tissues were obtained after treatment completion. In the DIC groups, the rats were dosed with LPS (30 mg/kg body weight in 10 ml of 0.9% NaCl solution) by a drip via the vena caudalis within 4 h, and blood and tissues were obtained at 4, 6, 8 and 10 h. The blood platelet(PLT) count, prothrombin time(PT) , activated partial thromboplastin time(APTT), fibrin(FIB) and D-dimer(D-D) were detected. Hematoxylin and eosin(HE) staining was used to examine the pathologic changes in the lung and kidney tissues of each group (both hematologic parameters and tissue pathologic changes were used to judge the course of DIC). The AQP1 gene expression levels in the kidney tissues from the groups were evaluated by the mRNA levels using RT-PCR. Statistical analyses were performed by the SNK- q method. Results The PLT count, PT, APTT, FIB and D-D examinations revealed remarkable changes in all DIC groups compared with the control group (P < 0.01). The AQP1 mRNA level was significantly decreased in the DIC group at 4 h compared with the control group (P < 0.01) , and further decreased to the minimum level in the DIC group at 6 h. Moreover, cloudy swelling of renal tubular cells was observed at 6 h and cell degeneration and necrosis were observed at 8 h among the DIC groups. Conclusions Downregulation of AQP1 mRNA expression occurred before damage to the renal tubular cells in DIC, indicating that AQP1 expression may be involved in the kidney damage observed in rat DIC.

BACKGROUND: Macula adherens protein is found closely associated with congenital cardiac malformation and myocardial differentiation. OBJECTIVE: To investigate the expression characteristics of α-macula adherens protein in rat heart, as well as the property of age-dependant expression during myocardial growth. DESIGN: Randomized controlled, observational comparative study. SETTING: Department of Cell Biology of Xinxiang Medical College; Department of Bioengineering and Agricultural Economics of Puyang Vocational Technical School. MATERIALS: This study was conducted at the Morphological Laboratory of Xinxiang Medical College between January and June 2003. Totally 28 Wistar rats of clean grade were divided into infant group, youth group,middle-age group, and old-age group with 7 rats in each group. METHODS: All rats were anaesthetized and then cardiac tissues were cut into consecutive coronal slices of 5 μm thick. The expression of α-macula adherens protein in rat myocardium of infant, youth, middle-age and oldage groups was detected using IHC method. The positive cells displayed brownish yellow granules on the surface, cytoplasm and intercalated disc. Routine HE staining was performed on all specimens for structural comparison. MAIN OUTCOME MEASURES: The expression of α-macula adherens protein in rat myocardium of different groups. RESULTS: All the 28 rats entered the final results analysis. ① α-macula adherens protein was found to be expressed in myocardium in atrium, ventricle, papilla muscles and interventricular septum. ② In infant rats, the expression of α-macula adherens protein was mainly observed in intercalated disc at the end of myocardium, with less expression on cell surface and in cytoplasm; in contrast, α-macula adherens protein in young, middleaged and old rats was found to be typically expressed in intercalated disc at the end of myocardium. CONCLUSION: The expression of α-macula adherens protein displays age-dependant manner during rat myocardial development; moreover, the expression of α-macula adherens protein is found to be consistent with the development of intercalated disc.

Allergic diseases have become global social health problems. The binding of IgE with its high affinity receptor FcepsilonRI plays a key step in I-type allergy. Recently, more and more key molecules on the IgE/FcepsilonRI signaling transduction pathway were to be the drug candidates against allergic diseases, with in-depth study of FcepsilonRI signal pathway gradually. The main drugs include molecule antibodies, peptides, vaccines, fusion proteins, small molecules, and other drugs related to IgE/FcepsilonRI. The recent progress in the study of mechanisms of representative drugs targeting on IgE/FcepsilonRI signaling pathway was reviewed in this article.