An analysis of the results of examination of diagnostics teaching in the middle of the semester of 2008 grade is made to discuss the pnoblems existing in teaching and learning so as to improve the teaching quality.

Objective To investigate and analyze the status and relation among Nesbitt score of high risk pregnancy , uncertainty in illness and anxiety level in pregnant patients .Methods Totally 158 pregnant patients were recruited and investigated with the general information questionnaire , Nesbitt score of high risk pregnancy , Mishel uncertainty in illness scale ( MUIS) and state-trait anxiety inventory ( SAI) .The results were analyzed.Results The Nesbitt score of high risk pregnancy in hospitalized pregnant women was ( 62.69 ± 18.21) points;the score of MUIS was (61.11±13.71) points, which was at a medium level;the score of SAI was (43.96±9.86) points, which was at a medium level .Negative correlation was found between Nesbitt score and MUIS score, and significant positive correlation was found between MUIS and SAI , while no significant positive correlation between Nesbitt score and SAI score .Conclusions According to the Nesbitt score of high risk pregnancy , nurses should judge the cognition of pregnant patients in disease , to evaluate their anxiety level;nurses should explore effective healthy education , to decrease the anxiety level of pregnant patients , so that they can have an optimal attitude to face the treatment and pregnancy outcomes .

This paper discussed the current education status on medical ethics and styles and the assessment condition in the examination of doctors' qualification， as well as the existing problems and potential solutions by reviewing domestic and foreign literature and summarizing the practice experience. Traditionally， medical ethics and styles have always been integrated into clinical medical practice in China. However， under the modern medical education system， it is challenged to integrate traditional education on medical ethics and styles with the rules of modern medical knowledge. By summarizing the education and assessment status of medical ethics and styles in the examination of doctors' qualification， it is found that the current examination is relatively poor in the evaluation content， and the way of evaluation is not diverse， with lack of curriculum of medical humanities. The solutions suggested are enriching relevant examination content， introducing more and comprehensive evaluation method， and establishing more medical humanities-related courses.

Glutamate decarboxylase, a unique pyridoxal 5'-phosphate-dependent enzyme, catalyzes α-decarboxylation of L-glutamate to γ-aminobutyrate. However, glutamate decarboxylase from different sources has the common problem of poor thermostability that affects its application in industry. In this study, proline was introduced at 13 different positions in glutamate decarboxylase by using the design strategy of homologous sequence alignment between Thermococcus kodakarensis and Lactobacillus brevis CGMCC No.1306. A mutant enzyme G364P with higher thermostability was obtained. Compared to the wild type, thermostability of the mutant G364P was significantly improved, the half-life time (t1/2) at 55 °C and the semi-inactivation temperature (T₅₀ ¹⁵) of the mutant G364P increased 19.4 min and 5.3 °C, respectively, while kcat/Km of the mutant enzyme remained nearly unchanged. Further analysis of their thermostability by molecular dynamics simulations were performed. The root mean square deviation of G364P and root mean square fluctuation in the loop region including G364 were lower than the wild type at 313 K for 10 ns, and G364P increased one hydrophobic interaction in the loop region. It proves that mutation of flexible 364-Gly to rigid proline endows glutamate decarboxylase with enhanced thermostability.
Glutamate Decarboxylase ; Glutamic Acid ; Lactobacillus brevis ; Molecular Dynamics Simulation ; Proline