In order to investigate the teaching effectiveness of artificial intelligence(AI)in molecular bi-ology,this study selected students from the Animal Medicine major of the College of Animal Science and Technology at Hebei North University in 2022 and 2023 as research subjects.There was no significant difference in professional foundation,admission scores,and other aspects between the two grades,and they were taught by the same lecturer to ensure the reliability of research results.The 2022 students will adopt the traditional teaching mode,while the 2023 students will implement the AI-enabled teaching mode,which includes four stages:pre class exploration,in class assistance,post class learning support,and teaching reflection and improvement.Before class,the teaching team pushes teaching videos of vari-ous knowledge points in the course and relevant preview materials organized by the AI system to students to complete self-learning,and use AI systems to track students' learning difficulties.In class,the teacher uses various teaching methods such as case teaching,group discussions,AI animation demonstrations and virtual experiments,etc..Thus,they provide in-depth explanations of key contents based on the feed-back data from the intelligent learning companion AI system,promoting students' understanding of the knowledge.After class,the AI system generates personalized learning plans for students and provides dif-ferent levels of learning resources to broaden their horizons.At the same time,the AI system provides teachers with students'learning data analysis reports,and teachers can adjust and optimize their teaching plans accordingly.Research has found that students in the 2023 AI-empowered teaching class have signif-icantly higher satisfaction in multiple dimensions such as learning interest,understanding and mastery of knowledge points,and cultivation of scientific research thinking than those in the 2022 traditional teach-ing class.In terms of student participation in comprehensive activities,the proportion of 2023 students participating in subject competitions and innovation and entrepreneurship activities has significantly in-creased.In terms of academic performance,the mid-term,laboratory,and final grades of 2023 students are higher than those of 2022 students,with a significant increase in the excellence rate and a significant decrease in the failure rate.The results indicate that the application of AI technology in molecular biology teaching has stimulated students' interest in learning,helped them better understand and master knowl-edge,significantly improved their academic performance.In sum,it has a positive impact on improving teaching quality.

Objective To investigate the effect of different decompression methods on the efficacy of the unilateral biportal endoscopy(UBE)in the treatment of severe lumbar spinal stenosis(LSS).Methods A total of 203 elderly patients with LSS who underwent UBE treatment in our hospital from September 2021 to June 2024 were selected and divided into the unilateral group(102 cases)and the bilateral group(101 cases)according to different decompression methods.The unilateral group underwent unilateral decompression during operation,while the bilateral group underwent bilateral decompression(with bilateral decompression through the same incision and unilateral approach)during operation.The perioperative conditions,anatomical image parameters,visual analogue scale(VAS)scores,Oswestry disability index(ODI),and complications were compared between the two groups.The rehabilitation progress and complications of patients with different Charlson comorbidity index(CCI)values were compared.Results The operation time of patients in the bilateral group was longer than that in the unilateral group(P<0.05).The dural sac area and lumbar spinal canal area of patients in the bilateral group were larger than those in the unilateral group immediately after operation and 3 months after operation(P<0.05).The VAS scores and ODI 7 days and 3 months after operation of patients in the bilateral group were lower than those in the unilateral group(P<0.05).There was no statistically significant difference in the total incidence of complications between the two groups of patients(P>0.05).The first time of getting out of bed after operation and hospital stay in patients with CCI value>2 scores were longer than those in patients with CCI value≤2 scores(P<0.05).Conclusion Compared with unilateral decompression,bilateral decompression for elderly patients with severe LSS takes a longer surgical time,but it can better restore lumbar shape,alleviate pain,improve lumbar function,and has higher safety,and the milder the patient's condition,the faster the postoperative recovery.

Objective To observe the application effect of surgical adhesive membrane combined with modified towel placement method in patients undergoing orthopedic unilateral biportal endoscopy(UBE)operation.Methods A total of 61 patients who underwent orthopedic UBE operation in our hospital from December 2022 to September 2023 were selected and divided into the control group(31 cases,conventional surgical adhesive membrane and towel placement)and the observation group(30 cases,surgical adhesive membrane combined with modified towel placement method)according to different placement methods of membrane and towel during operation.The degree of wetting in the surgical area,vital signs,intraoperative adverse events,postoperative incision infection rate and patients'satisfaction were compared between the two groups.Results The proportions of wet sterile sheets around the surgical area and moist skin of patients in the observation group were lower than those in the control group(P<0.05).The saturation of peripheral oxygen(SpO2),heart rate(HR),mean arterial pressure(MAP)at spinal canal decompression and the end of the operation of patients in the observation group were significantly better than those in the control group(P<0.05).No postoperative incision infection occurred in the two groups,and there was no statistically significant difference in the total incidence of adverse events between the two groups(P>0.05).The patients'satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Surgical adhesive membrane combined with modified towel placement method can reduce the degree of wetting in the surgical area during orthopedic UBE operation,stabilize the patients'vital signs,and improve patients'satisfaction.

Streptococcus equinus is a zoonotic disease that can cause illness in various animals under specific environmental condi-tions.No reports have described isolation of this bacterium from the liver in affected sheep.This study successfully isolated and identi-fied a strain of Streptococcus equinus through bacterial isolation and culture,Gram staining,drug sensitivity testing,mouse sensitivity testing,bacterial biochemical testing,and whole genome sequencing.The strain was found to have pathogenicity toward Kunming white mice,and to be sensitive to four antibiotics(penicillin,ampicillin,ceftiofur sodium,and ceftriaxone sodium)but resistant to four antibiotics(streptomycin,amoxicillin,tetracycline,and gentamicin).On the basis of drug sensitivity testing,targeted treatment of the affected sheep flock with ceftiofur sodium effectively controlled the disease within 2 days,and no new cases occurred.This study provides a reference for biological characterization of ovine Streptococcus equinus;public health;and the investigation of disease pre-vention,control,and epidemiology.

In order to investigate the teaching effectiveness of artificial intelligence(AI)in molecular bi-ology,this study selected students from the Animal Medicine major of the College of Animal Science and Technology at Hebei North University in 2022 and 2023 as research subjects.There was no significant difference in professional foundation,admission scores,and other aspects between the two grades,and they were taught by the same lecturer to ensure the reliability of research results.The 2022 students will adopt the traditional teaching mode,while the 2023 students will implement the AI-enabled teaching mode,which includes four stages:pre class exploration,in class assistance,post class learning support,and teaching reflection and improvement.Before class,the teaching team pushes teaching videos of vari-ous knowledge points in the course and relevant preview materials organized by the AI system to students to complete self-learning,and use AI systems to track students' learning difficulties.In class,the teacher uses various teaching methods such as case teaching,group discussions,AI animation demonstrations and virtual experiments,etc..Thus,they provide in-depth explanations of key contents based on the feed-back data from the intelligent learning companion AI system,promoting students' understanding of the knowledge.After class,the AI system generates personalized learning plans for students and provides dif-ferent levels of learning resources to broaden their horizons.At the same time,the AI system provides teachers with students'learning data analysis reports,and teachers can adjust and optimize their teaching plans accordingly.Research has found that students in the 2023 AI-empowered teaching class have signif-icantly higher satisfaction in multiple dimensions such as learning interest,understanding and mastery of knowledge points,and cultivation of scientific research thinking than those in the 2022 traditional teach-ing class.In terms of student participation in comprehensive activities,the proportion of 2023 students participating in subject competitions and innovation and entrepreneurship activities has significantly in-creased.In terms of academic performance,the mid-term,laboratory,and final grades of 2023 students are higher than those of 2022 students,with a significant increase in the excellence rate and a significant decrease in the failure rate.The results indicate that the application of AI technology in molecular biology teaching has stimulated students' interest in learning,helped them better understand and master knowl-edge,significantly improved their academic performance.In sum,it has a positive impact on improving teaching quality.

Cervical spinal cord injury without fracture-dislocation (CSCIWFD) is referred to as a special type of cervical spinal cord injury characterized by traumatic spinal cord dysfunction and no significant bony structural abnormalities on imagines. Duo to the high risk of missed diagnosis during the initial consultation, CSCIWFD may lead to progressive neurological deterioration or even complete paralysis, severely impacting patients′ prognosis. Currently, there are no established consensuses over the diagnosis and treatment of CSCIWFD, such as the lack of evidence-based standards for indications of non-surgical treatment and risk of secondary neurological injury, as well as debates over the optimal timing for surgical intervention and indications for different surgical approaches. To address these issues, the Spine Trauma Group of the Orthopedic Branch of the Chinese Medical Doctor Association organized experts in the relevant fields to formulate Diagnosis and treatment guideline for acute cervical spinal cord injury without fracture- dislocation in adults ( version 2025) . Based on evidence-based medicine and the principles of scientific rigor and clinical applicability, the guidelines proposed 11 recommendations covering terminology, diagnosis, evaluation treatment, and rehabilitation, etc., aiming to standardize the management of CSCIWFD.

Vertebral refracture following percutaneous vertebral augmentation (PVA) is commonly seen in elderly patients with osteoporotic thoracolumbar compression fractures (OTLCF). It can lead to recurrent pain, loss of vertebral height, progression of kyphosis, and even neurological dysfunction, significantly impairing patients′ quality of life. Current diagnosis and treatment face multiple challenges, including high misdiagnosis rate, difficulty in choosing between surgical and non-surgical treatment options, lack of standardized surgical protocols, interference from intralesional bone cement during procedures, inadequate stability of internal fixation in osteoporotic bone, and suboptimal compliance of anti-osteoporotic therapy. Establishing a standardized diagnostic and therapeutic framework is urgently needed. To standardize the management process and improve outcomes for vertebral refractures after PVA in elderly OTLCF patients, Spinal Trauma Group of the Orthopedic Branch of Chinese Medical Doctor Association organized experts in the field to develop Guideline for the diagnosis and treatment of vertebral refracture after percutaneous vertebral augmentation in elderly patients with osteoporotic thoracolumbar compression fractures ( version 2025), based on current literature and clinical experience, and adhering to principles of scientific rigor and clinical applicability. A total of 11 recommendations were proposed, encompassing diagnosis, treatment, and rehabilitation of vertebral refracture after PVA in elderly patients with OTLCF, aiming to provide a foundation for a standardized management.

Thoracolumbar spine fracture often leads to severe pain, functional impairments, and neurological deficits, for which open reduction and internal fixation can effectively restore the spinal structural stability. Open decompression and reduction with internal fixation can help relieve spinal cord compression and improve spinal function in cases of concomitant cord injury. Although spinal stability can be restored through surgery, patients often face chronic pain and functional impairments postoperatively. A postoperative rehabilitation program is critical in optimizing therapeutic outcomes, reducing complications, and minimizing the risk of secondary injuries. However, current rehabilitation methods, such as physical therapy, functional training, and pain management, are confronted with problems in clinical practice, including significant variation in efficacy, poor patient adherence, and prolonged rehabilitation period. There is an urgent need for a unified rehabilitation strategy to address these problems. To this end, the Spinal Trauma Group of the Orthopedic Physicians Branch of the Chinese Medical Association and the Spine Health Professional Committee of the Chinese Human Health Technology Promotion Association organized experts from relevant fields to formulate Evidence-based guidelines for rehabilitation treatment after internal fixation of thoracolumbar spine fracture in adults ( version 2025) by integrating evidences from clinical researches and advanced rehabilitation concepts at home and abroad. A total number of 14 recommendations concerning the rehabilitation treatment with multimodal analgesia, psychological intervention, deep vein thrombosis prevention, core muscle and extremity exercise, appropriate use of braces, early weight-bearing, device-aided rehabilitation exercise, neuroregulatory therapy, rehabilitation team were put forward, aiming to standardize the post-operative rehabilitation process following internal fixation, promote the functional recovery, and enhance patients′ quality of life.

Nonunion of osteoporotic vertebral fractures (OVF), predominantly affecting the elderly, can lead to intractable pain, vertebral collapse, progressive kyphotic deformity, and neurological impairment, significantly compromising patients′ quality of life. There exists considerable debate on diagnosis and management of OVF, encompassing key issues such as clinical diagnosis and staging criteria for nonunion, surgical indications and procedure selection, and postoperative rehabilitation planning. Currently, there lacks standardized clinical guideline and expert consensus on the diagnosis and management of OVF nonunion in China. To address this gap, Minimally Invasive Surgery Group of Chinese Orthopedic Association, Osteoporosis Committee of Chinese Association of Orthopedic Surgeons, Prevention and Rehabilitation Committee for Osteoporosis of Chinese Association of Rehabilitation Medicine and Minimally Invasive Orthopedic Surgery Branch of China Association for Geriatric Care jointly organized domestic experts in spinal surgery, endocrinology, and rehabilitation to formulate the Clinical guideline for the diagnosis and treatment for nonunion of osteoporotic vertebral fractures ( version 2025), based on existing literature and clinical experience and adhering to principles of scientific rigor and practicality. The guideline provided 13 evidence-based recommendations encompassing diagnosis and treatment of OVF nonunion, aiming to standardize its clinical management.

Acute symptomatic osteoporotic thoracolumbar compression fracture (ASOTLF) can lead to chronic low back pain, kyphosis deformity, pulmonary dysfunction, loss of mobility, and even life-threatening complications. Vertebral augmentation is currently the mainstream treatment method for this condition. In 2019, the Editorial Board of Chinese Journal of Trauma and the Spinal Trauma Group of Orthopedic Surgeons Branch of Chinese Medical Doctor Association collaboratively led the development of Clinical guideline for vertebral augmentation for acute symptomatic osteoporotic thoracolumbar compression fractures. Six years later, with advances in clinical diagnosis and treatment techniques as well as accumulating evidence in related fields, the 2019 guideline requires updating. To this end, the Spinal Trauma Group of Orthopedic Surgeons Branch of Chinese Medical Doctor Association, the Spinal Health Professional Committee of China Human Health Science and Technology Promotion Association, and the Minimally Invasive Orthopedics Professional Committee of Shaanxi Medical Doctor Association have organized experts in the field to develop the Clinical guideline for vertebral augmentation of acute symptomatic osteoporotic thoracolumbar compression fractures ( version 2025) , based on the latest evidence-based medical researches. This guideline incorporates 3 recommendations retained from the 2019 version with updated strength of evidence, along with 12 new recommendations. It provides recommendations from six aspects of diagnosis, pain management, treatment option selection, prevention of postoperative complications, anti-osteoporosis therapy, and postoperative rehabilitation, aiming to provide a reference for standard treatment of vertebral augmentation for ASOTLF in hospitals at all levels.