[Objective]Under the guidance of XI Jinping Thoughts on Culture,to explore new methods and models of high-quality development of traditional Chinese medicine(TCM)culture entering campus.[Methods]By using literature survey and case analysis,this paper expounds the importance of XI Jinping Thoughts on Culture leading TCM culture into campus,analyzes the current situation of TCM culture in campus and relevant practices of Zhejiang Chinese Medical University,and explores the"three grasps"of XI Jinping Thoughts on Culture leading TCM culture into campus.[Results]With XI Jinping Thoughts on Culture leading TCM culture to enter campus is an important measure to continue the Chinese cultural heritage,a powerful guarantee for nurturing new people of the era and a vivid demonstration of"the second combination".In view of the current situation that there is insufficient scientific theoretical guidance for the introduction of TCM culture into campus,the implementation force needs to be improved,and the effect evaluation is not perfect,Zhejiang Chinese Medical University has carried out some innovative practices,such as"promoting the integration of TCM into campus""comprehensively cover the first,second and third classrooms""create multi-dimensional cultural education carriers""actively expand the coverage of TCM culture in campus".It must strengthen cultural confidence,embrace openness and inclusiveness,maintain tradition while innovating,so as to grasp the core requirements,important characteristics and implementation path of TCM culture entering the campus,and further improve the effectiveness of TCM culture entering the campus.[Conclusion]Zhejiang Chinese Medical University has thoroughly studied and implemented XI Jinping Thoughts on Culture,promoted TCM culture in the campus,explored new methods,achieved remarkable results and provided a model for promoting TCM culture to enter the campus.

[Objective]Under the guidance of XI Jinping Thoughts on Culture,to explore new methods and models of high-quality development of traditional Chinese medicine(TCM)culture entering campus.[Methods]By using literature survey and case analysis,this paper expounds the importance of XI Jinping Thoughts on Culture leading TCM culture into campus,analyzes the current situation of TCM culture in campus and relevant practices of Zhejiang Chinese Medical University,and explores the"three grasps"of XI Jinping Thoughts on Culture leading TCM culture into campus.[Results]With XI Jinping Thoughts on Culture leading TCM culture to enter campus is an important measure to continue the Chinese cultural heritage,a powerful guarantee for nurturing new people of the era and a vivid demonstration of"the second combination".In view of the current situation that there is insufficient scientific theoretical guidance for the introduction of TCM culture into campus,the implementation force needs to be improved,and the effect evaluation is not perfect,Zhejiang Chinese Medical University has carried out some innovative practices,such as"promoting the integration of TCM into campus""comprehensively cover the first,second and third classrooms""create multi-dimensional cultural education carriers""actively expand the coverage of TCM culture in campus".It must strengthen cultural confidence,embrace openness and inclusiveness,maintain tradition while innovating,so as to grasp the core requirements,important characteristics and implementation path of TCM culture entering the campus,and further improve the effectiveness of TCM culture entering the campus.[Conclusion]Zhejiang Chinese Medical University has thoroughly studied and implemented XI Jinping Thoughts on Culture,promoted TCM culture in the campus,explored new methods,achieved remarkable results and provided a model for promoting TCM culture to enter the campus.

Traumatic supraorbital fissure syndrome (TSOFS) is a symptom complex caused by nerve entrapment in the supraorbital fissure after skull base trauma. If the compressed cranial nerve in the supraorbital fissure is not decompressed surgically, ptosis, diplopia and eye movement disorder may exist for a long time and seriously affect the patients′ quality of life. Since its overall incidence is not high, it is not familiarized with the majority of neurosurgeons and some TSOFS may be complicated with skull base vascular injury. If the supraorbital fissure surgery is performed without treatment of vascular injury, it may cause massive hemorrhage, and disability and even life-threatening in severe cases. At present, there is no consensus or guideline on the diagnosis and treatment of TSOFS that can be referred to both domestically and internationally. To improve the understanding of TSOFS among clinical physicians and establish standardized diagnosis and treatment plans, the Skull Base Trauma Group of the Neurorepair Professional Committee of the Chinese Medical Doctor Association, Neurotrauma Group of the Neurosurgery Branch of the Chinese Medical Association, Neurotrauma Group of the Traumatology Branch of the Chinese Medical Association, and Editorial Committee of Chinese Journal of Trauma organized relevant experts to formulate Chinese expert consensus on the diagnosis and treatment of traumatic supraorbital fissure syndrome ( version 2024) based on evidence of evidence-based medicine and clinical experience of diagnosis and treatment. This consensus puts forward 12 recommendations on the diagnosis, classification, treatment, efficacy evaluation and follow-up of TSOFS, aiming to provide references for neurosurgeons from hospitals of all levels to standardize the diagnosis and treatment of TSOFS.

Gefitinib is the well-tolerated first-line treatment of non-small cell lung cancer. As it needs analgesics during oncology treatment, particularly in the context of the coronavirus disease, where patients are more susceptible to contract high fever and sore throat.This has increased the likelihood of taking both gefitinib and antipyretic analgesic acetaminophen (APAP). Given that gefitinib and APAP overdose can predispose patients to liver injury or even acute liver failure, there is a risk of severe hepatotoxicity when these two drugs are used concomitantly. However, little is known regarding their safety at therapeutic doses. This study simulated the administration of gefitinib and APAP at clinically relevant doses in an animal model and confirmed that gefitinib in combination with APAP exhibited additional hepatotoxicity. We found that gefitinib plus APAP significantly exacerbated cell death, whereas each drug by itself had little or minor effect on hepatocyte survival. Mechanistically, combination of gefitinib and APAP induces hepatocyte death via the apoptotic pathway obviously. Reactive oxygen species (ROS) generation and DNA damage accumulation are involved in hepatocyte apoptosis. Gefitinib plus APAP also promotes the expression of Kelch-like ECH-associated protein 1 (Keap1) and downregulated the antioxidant factor, Nuclear factor erythroid 2-related factor 2 (Nrf2), by inhibiting p62 expression.Taken together, this study revealed the potential ROS-mediated apoptosis-dependent hepatotoxicity effect of the combination of gefitinib and APAP, in which the p62/Keap1/Nrf2 signaling pathway participates and plays an important regulatory role.

The condition of patients with severe traumatic brain injury (sTBI) complicated by corona virus 2019 disease (COVID-19) is complex. sTBI can significantly increase the probability of COVID-19 developing into severe or critical stage, while COVID-19 can also increase the surgical risk of sTBI and the severity of postoperative lung lesions. There are many contradictions in the treatment process, which brings difficulties to the clinical treatment of such patients. Up to now, there are few clinical studies and therapeutic norms relevant to sTBI complicated by COVID-19. In order to standardize the clinical treatment of such patients, Critical Care Medicine Branch of China International Exchange and Promotive Association for Medical and Healthcare and Editorial Board of Chinese Journal of Trauma organized relevant experts to formulate the Chinese expert consensus on clinical treatment of adult patients with severe traumatic brain injury complicated by corona virus infection 2019 ( version 2023) based on the joint prevention and control mechanism scheme of the State Council and domestic and foreign literatures on sTBI and COVID-19 in the past 3 years of the international epidemic. Fifteen recommendations focused on emergency treatment, emergency surgery and comprehensive management were put forward to provide a guidance for the diagnosis and treatment of sTBI complicated by COVID-19.

Objective To evaluate the feasibility and efficacy of endoscopic push?radial dissection (EPRD)for benign esophageal stricture(BES). Methods Clinical data of 24 patients diagnosed as having BES who received EPRD were analyzed. The procedure and efficacy were evaluated. Results All 24 patients underwent EPRD successfully with mean operation time being 32 min(15?45 min).The mean esophageal stric?ture incision length was 3?? 2 cm (1?? 0?8?? 0 cm).No severe complications related to EPRD occurred, or trans?ferred for surgery. Patients were followed up for 1?5 months (mean 2?? 8 months). Dysphagia was relieved signif?icantly during the follow?up in 23 patients where endoscopy could go through smoothly. But dysphagia re?oc?curred in one patient 2 weeks after the operation, who underwent a second EPRD and stent implantation, then dysphagia was relieved. Conclusion EPRD is safe, feasible and effective for benign esophageal stricture.

Objective To investigate the differences in the safety of the operation of different hepatic vascular exclusion for liver surgery. Methods Sixty patients with liver resection were grouped by different hepatic blood flow blocking methods, and given pre-operative assessment prior to surgery. Results On the first day after surgery, the average levels of ALT and AST were (395.0 ± 220.2) U/L and (415.3±311.0) U/L in patients who received Pringle’s method (110.2±53.0) U/L and (125.6±78.5) U/L in patients who received regional hepatic vascular exclusion, (98.9±32.2) U/L and (96.2 ±66.5) U/L in patients who didn't receive hepatic vascular exclusion, respectively. Postoperative liver function damage was more serious in patients who received Pringle's method than patients who received regional hepatic vascular exclusion or patients who didn't receive hepatic vascular exclusion, the difference was statistically significant (P<0.05) .Conclusion Regional hepatic vascular exclusion or not can not only reduce the incidence of postoperative complications, but also expand the indications for liver resection.

ObjectiveTo summarize the experience of gastric D2 operation and evaluate the feasibility and safety of peripheral vascular choroid of lymph node dissection.Methods A retrospective study was adopted to analyze the redical D2 operation procedure and operation results 24 advanced gastric cancer cases,summarizing the experience of D2 radical gastrectomy operation for gastric cancer.The number of resected lymph nodes,operation bleeding volume,postoperative complications were analyzed to evaluate the feasibility and safety of operation.Results All 24 cases undergoing D2 radical gastrectomy operation of advanced gastric cancer were successful,and got the R0 resection.A total of 634 lymph nodes were excised in all the cases,averaged 26.42.A totle of 206 metastatic lymph nodes were found,metastasis rate being 32.49％.Operation bleeding volume was averaged 264.58 mL.The postoperative complication rate was 25％,anastomotic bleeding in 1 case,input loop jejunum fistula of esophageal jejunum anastomosis in 1 case,hyperamylasemia and 2 cases reflux esophagitis in 2 cases respectively.Conclusions D2 radical gastrectomy operation of gastric cancer is safe and feasible on the basis of mastering perigastric anatomy and master of lymph node excision technology and anatomical hierarchy separation.

Objective:To study the identification method and extract of Nodus Nelumbinis Rhizomatis.Methods:The identification of Nodus Nelumbinis Rhizomatis was carried out by TLC and the extract was determined by 65% alcohol.Results:The relevant spots on TLC plates were clear,and it was feasible to determine the extract of Nodus Nelumbinis Rhizomatis with 65% alcohol.Conclusion:Nodus Nelumbinis Rhizomatis can be identificated by 3-epibetulinic acid and ?-sitosterol as reference substance,there were differents on quantity of the extract of Nodus Nelumbinis Rhizomatis,which bought from different districts.