Objective To study the effects of 50 Hz low voltage electric stimulation on angiogenesis and the expression of VEGF in the ischemic myoeardium in rats. Methods Twelve Wistar rats with experimentally induced myocardial ischemia were randomly divided into an electric stimulation (ES) group and a control group. The animals in the electric stimulation group were electrically stimulated at 50 Hz and 0.3 V through electrodes implanted in the epicardium of the anterior wall of the left artrium. Those in the control group were delivered sham electrical stimula- tion through similar implanted electrodes. Immunohistochemistry was used to count endothelial cells (ECs) and measure the capillary density (CD). A reverse transcription polymerase chain reaction (RT-PCR) was employed to measure the expression of VEGF protein and VEGF mRNA. Results The number of ECs, and the CDs in the ES group were significantly greater than in the control group, and the expression of VEGF protein and VEGF mRNA was also significantly higher. Conclusions Low voltage electrical stimulation at 50 Hz can promote angiogenesis and the expression of VEGF in the ischemic myocardium in rats.

Objective To analyze the effect of on comprehensive therapy advanced non-small cell lung cancer,and summarize the clinical experience.Methods Based on the comprehensive therapy characteristic,we designed a clinic cases analysis database using the SQL sever database technique.Results In the 102 patients with advanced non-small cell lung cancer in the Xiyuan Hospital,the mean survival period was 11.5 months and the 1 year survival rate was 37.5%.The weight was stable and KPS was increased.There was significant difference in the improvement of mental weariness and hypodynamia,deficient breath and indolence,cough,abundant sputum,pain,anorexia,sputum mixed with blood,constipation,abdominal diarrhea and distention(P

Objective To explore the effect of sodium ferulate injection on myocardial function in rat model with myocardial ischemia and reperfusion. Methods Selected 60 rats aged 7 ~8 weeks (7. 26 ± 0. 36 weeks averagely) and randomly divided them into the sham group, myocardial reperfusion group, and the sodium ferulate group, with 20 rats in each group. Observed the changes of the cardiac func-tion indexes of the two groups after perfusion. Results Compared with the sham group,the degree of LVESP and ± dp/dmax decreased sig-nificantly (P<0. 05) in the myocardial reperfusion group and the sodium ferulate group. The descending degree of LVESP and ± dp/dmax 2 hours after reperfusion in the reperfusion group was significantly higher than that in the sodium ferulate group (P<0. 05). Compared with the sham group,the LVEDP of the other two groups showed a rising trend,and it was significantly lower 2 hours after reperfusion in the sodium ferulate group compared to the reperfusion group (P<0. 05). Proportion of apoptosis cells increased in the reperfusion group and the sodium ferulate group,and positive expression rate of Fas in the sodium ferulate group was significantly lower than the reperfusion group (P<0. 05). LDH and CK-MB of content in the blood of rats were significant increased,and it was higer in the reperfusion group compared with the sodium ferulate group (P<0. 05). Compared with the sham group,SOD content in the reperfusion group and the sodium ferulate group decreased obviously (P<0. 05). The MDA content increased,but the degree of increase was lower in the sodium ferulate group (P<0. 05). Conclu-sion Sodium ferulate could protect the myocardial function in rat model with myocardial ischemia and reperfusion to a certain degree.

Field practice teaching is an important part in pharmaceutical botany. According to the problems in the traditional field practice, an innovative system of field practice teaching was built. A series of reform and innovation was integrating and rationally allocating the existing resources. Combining the tra-ditional cognitive practice teaching and self-study, image-text card of medicinal plant was edited to enrich the teaching content, and the diversification of evaluation methods was proposed. This method could mobi-lize the enthusiasm of the students, improve the comprehensive quality of students and obtain good teaching effect.

Objective To understand status quo of the domestic and foreign iceberg competency model application,and to provide basis for further study in the nursing iceberg competency model.Methods A literature review about the application of competency iceberg model at home and abroad since 2009 was carried out,the relevant data was listed,and the research situation of domestic and foreign nursing iceberg competency model was summarized.Results According to the 141 total literatures whose theme was the iceberg competency model,only 3 articles were related to the nursing field,while most of the iceberg competency model aimed at the study of enterprises in the high-level management personnel,sales personnel and so on.More researches on competency iceberg model were conducted abroad,involved in all walks of life,an research direction of nursing had turned from general iceberg competency model to the study of specific posts.Conclusions The iceberg competency model applied to the management of nursing human resources in China is developed lately and the studies lack breadth,depth and scientificalness.Compared with foreign countries,there is a big gap.A thorough iceberg competency model for human resource management is ought to be studied to provide a new perspective and a more useful tool for the early Chinese nursing theory and practice.

Objective To analyze the situation of medical social support and self-perceived burden in elderly patients with chronic obstructive pulmonary diseases (COPD) in Chengdu,explore the influence of medical social support for patients with family oxygen cure.Methods A convenient sampling was conducted in 4 hospitals in Chengdu,and selected totally 124 elderly patients with COPD in January 2013 as the research object.Results Those patients' average daily life ability score was (20.19 ± 7.10) points,42 cases' daily life ability was normal,44 had deficiency in daily life,38 had obvious flaws;16 cases received medical social support condition at a critical level,66 at a general level,42 in good condition;the difference of the ability of daily life between actual support and other supports was statistically significant (P＜ 0.05);the difference in patients with self-perceived burden and medical social support was not statistically significant (P ＞0.05).Patients with long term oxygen therapy had higher self-pereeived burden than patients without oxygen therapy at home [(18.65±3.97) points vs.(17.69±6.24) points,t=6.015,P＜0.05],but patients with long term oxygen therapy had better medical and social support condition than those without oxygen therapy at home [(282.11±37.47) points vs.(262.26±61.14) points,t=6.624,P＜0.05].Conclusions The level of medical and social support in elderly patients with COPD need improve.Nurses need to provide better guidance for patients with long term oxygen therapy,ensure them obtain adequate information,improve their emotional support and social interaction,enhance their medical social support condition.

Objective To explore tumor inhibitory effect of the lentiviral vectors mediated small interfering RNA(siRNA)targe‐ting survivin gene on human lung adenocarcinoma xenografts in nude mice in vivo .Methods The lentiviral vector expressing sur‐vivin‐siRNA was prepared .Then established human lung adenocarcinoma‐bearing nude mice model ,and divided nude mice into three groups ,including the blank control group(PC group) ,blank vector group(NC group) and experiment group(RNAi group) ,treated with physiological saline ,blank viral vector and siRNA respectively .The lentiviral vectors expressing survivin‐siRNA were locally injected in tumor issues of nude mice in the RNAi group .Then observed the curve about changes of tumor volume in different time . The expression levels of protein and mRNA were detected by using Western blot and reverse transcription polymerase chain reac‐tion(RT‐PCR) .The histogram of tumor cell cycle were examined by using flow cytometry .Results The rate of tumor inhibition of lentiviral vectors mediated survivin‐siRNA on lung adenocarcinoma in nude mice was 46 .07% .There were significant differences in tumor weight between siRNA group and NC group ,PC group(P<0 .05) ,while no statistically significant difference was found be‐tween NC group and PC group(P>0 .05) .Compared with NC group and PC group ,the expression levels of survivin mRNA and protein were decreased ,and rates of inhibition were 72 .00% and 53 .00% respectively .The percentage of G1 phase cells was in‐creased ,whereas the percentages of S phase cells was decreased .Conclusion The lentiviral vectors mediated siRNA could effective‐ly inhibit survivin gene expression on human lung adenocarcinoma xenografts in nude mice and markedly induce the apoptosis of tumor .

Intensive attention has been drawn to macrophages in obesity after the discovery of macrophage infiltration in adipose tissue. This review updates of adipose tissue macrophages in the immune-pathophysiology of obesity, including new progression on the adipose tissue macrophages phenotype and the potential of beige fat induction by M2 macrophage, which inspires a novel therapy for obesity and insulin resistance.

OBJECTIVE:To provide reference for comprehensive intervention and management of chronic disease in China.METHODS:The global chronic disease trends and disease burden were summarized;theoretical framework,practice and experience of international chronic disease management were summarized and analyzed as well as enlightenment on domestic chronic disease management.RESULTS&CONCLUSIONS:Worldwide prepresentative chronic disease theory model mainly involved USA chronic disease nursing model and WHO innovation care for chronic conditions.Main experience of international chronic disease management is that managing based on community,confirming preferential intervened disease types,adopting standardized clinical diagnosis and treatment pathway,designing rational transfer treatment system,providing patient self-management support.At pres ent,chronic disease management have been improved in China,but is still poor in community management.It is necessary to strengthen community medical staff training about chronic disease prevention and treatment and health education for social group.

Objective To survey the prevalence of diabetes mellitus in adults of urban inhabitants of Shanghai. Methods Of 9376 adults aged 30 years and over, 1137 whose capillary blood glucose concentrations≥6. 7mmol/L 2 hours after 100g steam-bread meal underwent to OGTT and measurement of height.body weight and WHR. WHO (1985) standard was used as diagnostic criteria, the results were compared with those diagnosed with ADA (1997) criteria. Results According to WHO criteria,the prevalence rates of DM was 4. 16 %,and the prevalence rate of IGT was 4. 26%. But according to ADA(1997) criteria, the prevalence rate of DM was 4. 76%. The prevalence rate of DM and IGT were significantly increased with increasing age in those aged over 40. The prevalence rates of DM and IGT were much higher in patients with BMI≥25 than in those with BMI