A Sertoli cell resides in testicular seminiferous tubule,which is the only body cell contact with the spermatogenic cell,plays a crucial role of regulation in the process of spermatogenesis.Sertoli cells can provide a material basis and a favorable microenvironment for sperm.After X radiation,spermatogenic cells and mitochondrion dramatically swelling and lysis with a decrease of mitochondrial cristae,with the prolonging of time,the mitochondria damage get even worse,mitochondrial crista is disappeared.The results of the current study indicate that radiation can cause Sertoli cell damage,but the complete theoretical system remains unclear,which needs combines with other subjects for further study.

BACKGROUND:X-ray ionization radiation on testicular injury can be intuitively conducted through tissue staining and morphological observation. OBJECTIVE:To observe the morphological changes of adult mouse testis after X-ray ionization radiation injury. DESIGN,TIME AND SETTING:A randomized controlled experiment was performed at the experiment of Medical College of Yan’an University from January to October 2008. MATERIALS:Eighteen healthy,adult,BALB/c mice,weighting(20?2.5) g,were purchased from the Fourth Military Medical University. All mice were normally raised in room temperature(20?3) ℃,with more than 5% air humidity for 2 weeks prior to operation. METHODS:The radiation dose 1.0 Gy and 2.0 GyX line was used for total body irradiation. Two weeks after irradiation,mice testicular tissue was harvested,weighing,prepared specimen,followed by haematoxylin-eosin staining. No radiation performed in the control group. MAIN OUTCOME MEASURES:The mass ratio of mouse testis prior to and after irradiation,and the changes of seminiferous tubules prior to and after irradiation. RESULTS:Weight of normal mice and radiation group had no significant differences in body weight. However,testis mass/body mass ratio with different doses had noticeable difference. Haematoxylin-eosin staining showed that seminiferous tubule of the control group was distributed orderly,with completely basement membrane. There were plenty of intraluminal layers with closely orders in spermatogenic cells. After radiation,testis spermatogenic cells were confusion,stripped off,and empty cavity was formed. With the irradiation dose increasing,the structure of seminiferous tubules were obvious disorders,lumen shrinkage,collapse,marked thinning of spermatogenic epithelium,loosely arranged,and there was no mature sperm within the lumen. CONCLUSION:After X-ray radiation,testis mass is obvious reduced,which has obvious difference along with the exposure dose Degree of damage shows a dose-dependent manner.

Based on competence,this article studied on curriculum reform of nursing pharmacology.It described the model of curriculum construction on making teaching target,training professional quality,designing optimum learning situation,reforming teaching method and constructing curriculum evaluation system.This model is more suitable for nursing work and provide guarantee for cultivating high skilled and applicable nursing talent.

Autophagy is a degradation process of intracellular composition.It can be divided into four different stages,including initiation,elongation,maturation and autophagosome breakdown.Its role is associated with the degree of cell damage.Moderate activation of autophagy in the case of starvation and hypoxia can promote cell survival; whereas excessive activation during cerebral ischemia can cause cell lysis and promote cell death.Preconditioning may produce ischemic tolerance by appropriate activation of autophagy.Autophagy is strictly regulated by a variety of protein kinases,apoptotic molecules and oxidative stress pathways.

Objective To explore the relationship between leadership of head nurses and nurse job satisfaction. Methods By generalized stratified sampling, 207 nurses who were in accordance with the inclusion were selected from 2 hospitals in China. To evaluate leadership of head nurses that selected nurses perceived and the status of their job satisfaction, they were asked to complete a questionnaire consisting of transactional subscale and transformational subscale of MLQ, and job satisfaction measurement scale. Results Head nurses were more frequently to be transactional than transformational, and frequencies between the two kinds of leadership that head nurses showed had significant difference. Regarding job satisfaction, nurses had the highest score in colleague and the lowest score in payment. transformational leadership was one of the influential factors on nurse job satisfaction, and were positively correlated with the overall nurse job satisfaction, satisfaction with leaders, satisfaction with communication. Conclusions Head nurses can improve nurse job satisfaction by being more transformational.

This paper reflected the development of modern medical technology from the view of ecology,indicating that the core idea of ecological medical model is that human and nature develop harmoniously. The theory basis,practical background and significance of ecological medical model are also described.

Objective:To investigate the relationship between emotion variability and assessment of psychiat-ric symptoms in middle school students,and validate that by structure equation modeling.Method:A total of 129 junior middle school students aged 13 -15 years were selected and assessed with the SCL-90 scale for psychiatric symptoms,the Adolescent Daily Emotion Regulation Questionnaire (ADERQ)for emotion regulation strategies, daily reconstruction method (DRM)for emotion variability during two weeks.Results:The students had higher positive emotion score than negative emotion score [(2.7 ±0.7)vs.(1.4 ±0.3),P <0.001],and higher negative emotion variability than positive emotion variability [(0.4 ±0.1 )vs.(0.3 ±0.1 ),P =0.012].Positive emotion variability and negative emotion variability were positively correlated with total scores of SCL-90 (r =0.34,0.24;Ps <0.001).Structural equation modeling revealed positive emotion variability,negative emotion variability and e-motion regulation strategy of cognitive appraisal had a direct effect on psychiatric symptoms (the path coefficient were 0.21,0.28,-0.24;Ps <0.001),cognitive immersed strategy had a direct effect on psychiatric symptoms and negative emotion variability(the path coefficient was 0.14,0.13,P =0.037,P =0.041).Conclusions:It suggests that both negative emotion variability and positive emotion variability play an important role in psychiatric symp-toms.

Based on the theory of value and value ethics,there were 3 aspects problems as following at the present stage of the health care system reform:paying more attention on the quantity of inpatient services rather than the quality of medical services,taking hospital as the center instead of the close cooperation of various sanitary institutions and inappropriate incentive mechanism.It considered that the next step of the health care system reform of China should make efforts to achieve 3 value goals:to improve people's health level,provide high-quality medical services and service experience and affordable health care costs.To achieve these value goals,it proposed suggestions from five aspects:providing integration services,transforming the functional localization of hospitals,changing the incentive mechanism,improving the medical service quality continually and enhancing the participation of the public.

Objective To analyze correlation of drug with acute drug-induced liver injury in 83 patients. Methods According to the international consensus criteria and Danan's causality assessment of a drug in the case of acute liver injury, 83 cases which had been clinically diagnosed as acute drug-induced liver injury were analyzed. Results Among the 590 inpatients of acute hepatitis, 83 (14.07%) were acute drug-induced liver injury, in whom 53 patients had liver cell damage (63.86%), 22 with cholestasis (26.5%), and 8 with mixed type (9.64%). In 34 patients, it was drug related (40.96%), undefined in 37 cases (44.57%), and unrelated in 12 cases (14.47%). Conclusion The international consensus criteria standardized the diagnosis of drug-induced liver injury and are helpful in differential diagnosis, but it needs improvement for actual implementation.