Community-acquired methicillin-resistant Staphylococcus aureus ( CA-MRSA ) has been increasingly frequently isolated from patients worldwide, and is an emerging threat to public health.CA-MRSA strains differ from hospital-acquired MRSA strains in their epidemiologies, clinical features and genetic backgrounds, and the predominant CA-MRSA strains vary between geographic settings.This paper reviews literatures on the definition, epidemiology, clinical manifestations, treatment and virulent factors of CA-MRSA or CA-MRSA infection, and points out that we should further promote studies on epidemiology, molecular genetic properties of CA-MRSA and clinical management of CA-MRSA infection.

Objective: To investigate the relation of diabetic encephalopathy with oxidative stress and hippocampus expression of inducible nitric oxide synthase(iNOS) in rats and to study the therapeutic effects of curcumin. Methods: Diabetes mellitus was induced by injection of Streptozotocin in rats. The experiment animals were randomly divided into control group, diabetic group, diabetes plus curcumin group and control plus curcumin group; animals in the latter two groups received 60 mg·kg-1·d-1 curcumin treatment. Superoxide dismutase(SOD), catalase(CAT), malondialdehyde(MDA) and nitric oxide (NO) in the hippocampal tissues were measured 12 weeks after treatment. The expression of iNOS mRNA and the mean optical density (MOD) of immunoreactive neurons were evaluated by RT-PCR and immunohistochemistry method, respectively. Results: Compared with the control group, diabetic group had significantly lower activities of SOD and CAT, higher contents of NO and MDA, and increased expression of iNOS mRNA and protein in the hippocampal tissues (P<0.01). Compared with the diabetic group, diabetic plus curcumin group had significantly higher activities of SOD and CAT, lower contents of NO and MDA and decreased expression of iNOS mRNA and the MOD of immunoreactive neurons in hippocampus (P<0.01). Conclusion: Diabetic encephalopathy is associated with oxidative stress and increased expression of iNOS; curcumin may protect diabetic encephalopathy by inhibiting oxidative stress and down-regulating the iNOS expression.

Objective To observe the effects on somatosensory evoked potentials (SEPs) of multichannel functional electrical stimulation (FES) of the legs based on a normal walking pattern,and to compare the effects with two-channel functional electrical stimulation.Methods Thirteen healthy young volunteers (6males and 7 females) were randomly assigned to receive 2 sessions of either two-channel FES for 30 minutes or four-channel FES for 15min with a 3-day interval between the two treatment sessions.The latencies and amplitudes of the N9 and P40 SEPs were recorded before and after every treatment.All the treatments were carried out on the right lower limbs.Results Thirteen healthy young volunteers (6males and 7 females) were randomly assigned to receive 2 sessions of either two-channel FES for 30 minutes or four-channel FES for 15 min with a 3-day interval between the two treatment sessions.The latencies and amplitudes of the N9 and P40 SEPs were recorded before and after every treatment.All the treatments were carried out on the right lower limbs.Conclusions The N9 latency with four-channel FES is remarkably shorter than that with two-channel FES on the legs of healthy young subjects,suggesting that multichannel functional electrical stimulation based on the normal human walking pattern can activate brain cells faster.

Objective To explore the job burnout and its related factors among nurses.Methods 486 clinical nurses from a three grade second level general hospital were investigated by Moreno-Jimenez nursing burnout scale (NBS) and using SPSS17.0 software and ANOVA method to analyse the data.Results NBS results showed the score of job burnout in 486 objects was (164.92 ± 25.60).Significant differences of job burnout levels were showed among ages,marital status,professional titles,working periods,working relationship,work load,income,and housework periods (P ＜ 0.05).Conclusion Job burnout is a general phenomenon in these investigated nurses and its level is above average.Administrators should pay more attention to these related factors which can easily cause job burnout and take positive feasibility assistant strategies.

Standardized training of residents in the department of orthodontics is an important learn-ing stage for stomatology students before carrying out clinical orthodontic diagnosis and treatment work. At present, there are some deficiencies in the standardized training system of the residents in the Department of Orthodontics, such as the single teaching mode, imperfect training items, and unclear evaluation criteria. The department of orthodontics of Stomatology Hospital of Southern Medical University carried on a prelim-inary study on the training pattern of resident doctors in the refinement of the training content, optimizing curriculum design, implementation of tutorial teaching mode, the combination of theoretical study and clini-cal training, regular training evaluation and quantitative assessment indicators. The results showed that the trainees' acceptance and satisfaction were higher, which was beneficial to the improvement of clinical com-prehensive ability of orthodontics.

To evaluate the effect of delayed treatment with monoclonal antibody to tumor necrosis factor-alpha (TNF-? MAb) on systemic hemodynamics and multiple organ dysfunction following prolonged hemorrhagic shock and resuscitation. Method: Adult male Sprague-Dawley rats were subjected to prolonged hemorrhagic shock (MAP of 4.00-4.66 kPa for 180 rain)followed by resuscitation over 50 min. The animals were treated intravenously with either TNF-? MAb (20.0 mg/kg) or the control protein(albumin,20.0 mg/kg)15 rain after the end of resuscitation(65 min after shock). Result: Compared to the albumin controls, delayed treatment with TNF-? MAh significantly reduced the total peripheral resistance index (P

This paper is prepared to discuss the common issues in data management, such as building and training of data management team, standard operation procedure, document management, execution and communication, strategies to correct and prevent mistakes, and measures to improve the quality and efficiency of clinical trials and data management.
Clinical Trials as Topic ; Data Collection ; standards ; Information Storage and Retrieval ; standards

Objective To investigate the molecular mechanism of metformin. Methods The changes of protein expression of IRS-1 in liver, skeletal muscle and adipose tissues after treatment with metformin for OLETF rats, a model of spontaneous type 2 diabetes mellitus, were measured by Western blot analysis, and compared with those before treatment. Results 22 weeks after the treatment with metformin, the protein expression of IRS-1 was significantly increased in liver (P0. 05) ;and the protein expression of IRS-1 in adipose tissue was significantly decreased (P

Objective:The drug resistance of E.coli to fluoroquinolones is getting stronger in the recent years.This study aimed at the drug resistance of E.coli induced by fluoroquinolones in vitro,so as to provide a guidance for the rational use of antibiotics and effective control of nosocomial infections.Methods: Drug resistance was induced in vitro by a multi-step method in 10 strains of E.coli from clinical isolates with Ciprofloxacin,Levofloxacin and Gatifloxacin.The minimal inhibition concentration(MIC) of the E.coli was determined by the agar dilution method before and after the induction.Results: After in vitro induction,the E.coli acquired a high resistance(MIC ≥ 128 ?g/ml).And one drug could induce different degrees of resistance to the other two.Conclusion: The MIC of the E.coli induced by fluoroquinolones in vitro was increased by 8 to 8 205 folds compared with that before induction,which demonstrated a gradually developed resistance of E.coli strains to fluoroquinolones.

During the period of peri-operation on gallbladder,T2MD patients with calculous cholecystitis were randomly divided into groups of continuous subcutaneous insulin infusion(CSII,n=32),multiple subcutaneous insulin injection(MSII,n=48) and OHA(n=64).It is found that CSII has better glucose control than MSII and OHA.