Evidence-Based Medicine ; Humans ; Information Storage and Retrieval ; Oral Medicine

Evidence-Based Medicine ; Humans ; Practice Patterns, Dentists'

Evidence-Based Dentistry ; Humans

Taking the teaching process of the medical immunology curriculum as a master line,the curriculum restructuring as the method and the big sample investigation results as the basis,this article advocates teaching with heart,establishing curriculum with the sentiment,in order to interlink the heart of teachers and students and reach mutual understanding.

The pulmonary surfactant protein D ( SP-D) plays an important role in host defense and innate immunity of the lung.It has increasing evidences that SP-D involves in the pathogenesis of respiratory syncytial virus (RSV)infection.Recent studies have demonstrated that SP-D can be used for treating infectious and inflammatory diseases of the lung .Here is to make a review on SP-D structure, function , relationship between RSV and pulmonary inflammatory disease treatment .aiming to provide some assistance for treatment of RSV infection .

Objective: To observe the effect of puncturing Juliao (GB 29) in treating carpal joint sprain. Methods: 99 cases were randomly divided into 3 groups, treatment, control 1 and control 2 groups, 33 cases for each group. Cases in treatment group were treated by acupuncture on Juliao (GB 29); patients in control 1 group were treated by acupuncture at Sanyinjiao (SP 6), and patients in control 2 group were treated by local application. The clinical effect was compared among three groups after the treatment. Results: The effective rate in the treatment group is 96.9%, which is over and above 84.8% in control 1 group and 75.8% in control 2 group (both P＜0.05). Conclusion: Acupuncture at Juliao (GB 29) has a precise curative effect in treating sprain of carpal joint. It is more effective than acupuncture at Sanyinjiao (SP 6) and local application.

Objective To explore the relationship between plasma homocysteine(Hcy),folic acid,VB12 level and deep venous thrombosis(DVT).Method With case-control study design,fifty DVT patients were included in this study as case group,and 50 healthy subjects selected from the same area as control group.Epidemiological survey were made,and 4ml fasting venous blood was collected for all subjects.Radio-immunoassay and fluorescence polarization immunoassay(FPIA) were used to measure blood serum folic acid,VB12 and plasma Hcy levels respectively.The correlation between Hcy level and DVT was analyzed.Results Plasma Hcy level of subjects in case group was higher than that in control group,There was significant difference of HHcy and low serum folic acid between case and control,and the OR(95%CI) was 3.74(1.21-11.59)and 0.17(0.05-0.53) respectively.There existed correlation among Hcy level,folic acid and VB12 levels.Partial correlation analysis showed the same results between Hcy level and folic acid level,VB12 level and folic acid level,while there existed negative correlation between Hcy level and VB12 level.Conclusion HHcy and low blood folic acid level increased DVT risk.Low blood levels of folic acid and VB12 increase the risk of HHcy.

Objective To evaluate the clinical utility of ROI(region of intest)volume measurement for interventional embolization of the oral and maxillofacial AVM before intervention.Methods four patients with oral and maxillofacial AVM were undertaken,ROI volume measurement of AVM by GE AW 4.1 software based on the MRI and MSCT imaging data,and the quantity of embolic agent was administered correspondingly to the measured volume of AVM lesion and then,the therapeutic effect was observed.Results In 3 cases of this series,the volume of AVM lesions obtained by ROI volume measurement based on the imaging data were 7.515 cm3,1.195 cm3 and 10.714 cm3,respectively;gaining all the therapeutic satisfactory effects.However,the volume of the other case was not achieved because of the bilateral diffuse AVM with previous ligation of feeding arteries.Conclusions Soft tissue AVM can be best demonstrated on MRI and MSCT therefore can display AVM of jaw clearly.Pre-embolization of oral and maxillofacial AVM,the quantity of embolic agent(especially the liquid agent) can be estimated correctly by the ROI volume measurement used GE AW 4.1 software.

Objective To compare the transcatheter hepatic arterial chemoembolization(TACE) combined percutaneous ethanol injection(PEI)in treating primary hepatic carcinoma and the simple TACE treatment. Methods 64 primary hepatic carcinoma patients were divided into union treatment group(n = 32)and TACE group(n = 32),with TACE combined PEI treatment and simple TACE treatment,respectively. The tumor size,AFP change,one year,two years,three years survival time and median survival time were observed and recorded during the course of treatment. Results The tumor shrinkage rates and the AFP transferring into negative rates of the union and simple TACE groups were 84.4%,62.7% and 77.4%,50% respectively after the treatment with significant difference between the two groups. The 1 years,2 years,3 years and median survival rates of the union and simple TACE groups were 96.9%,71.9%,37.5%,34.5 mo and 81.3%,31.3%,12.5%,19.5 mo,respectively,showing conspicuously significance of both groups. Conclusion TACE combined PEI for primary hepatic carcinoma is a better treatment of choice.

The health check-up results of 11 514 subjects in 2011 at Beijing Hospital were retrospectively analyzed,including the results of 13C urea breath test for detection of Helicobacter pylori (Hp) and HbA1c test.The results showed that the prevalence rate of Hp infection was significantly higher in females (31.77％) than that of males (29.36％) (x2 =7.355,P ＜0.05) ; the highest prevalence was found in 35-60 y age group (31.17％).Hp positive rates in subjects with body mass index (BMI) ≥28kg/m2 and central obesity were 31.55％ and 30.44％,respectively; there were no significant differences from those with normal weight and non central obesity.Subjects with positive Hp infection had higher levels of HbA1 c,compared to those with negative Hp infection (t =-2.276,P =0.01).In subjects with BMI ≥24 kg/m2 and central obesity,HbA1c level was higher in Hp positive subjects than that in Hp negative ones (P ＜0.05).Diabetes mellitus was positively associated with Hp infection (OR 1.282; 95％ CI 0.941-1.799),particularly in obese patients (OR 1.459 ; 95 ％ CI 1.070-2.071).The results indicate that Hp may be involved in the impairment of glucose regulation,particularly in those with higher body mass index.