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0.05).The incidences of ADR in the two groups(17.24% vs.14.81%) were near to each other.CONCLUSION: The esomeprazole enteric-coated capsules and esomeprazole magnesium-based triple therapy regimens are therapeutically equivalent in the eradication of Hp and it has a good safety.
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Objective With the increasing number of medical disputes,it is urgent to train the interns'skills. Methods Interns improved their doctor-patient communication skills by enhancing awareness on the doctor-patient communication,learning a variety of medical laws and regulations,improving clinical skills,training good medical ethics to master some communication skills. Results Through such training,medical disputes due to interns never happened during the internship period. Conclusion Our training program is practicable.
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With the increasing confrontation between doctors and patients and the increasing number of medical conflictions, case reports, as convincing evidence, have played a more and more important role. How to improve medical students’ capability of writing case reports and avoid the occurrence of some medical conflictions turns out to be a problem that has to be solved. This article makes a tentative exploration in this respect.
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Case Study embodies the target teaching model with the teacher as the leading guidance and the students as the main part.Making the best design and application will help to develop high-guality medical talents.
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Diagnostics is a very important course as a bridge connecting the basic course with the clinical course. There are many problems which are very difficult to resolve in the traditional diagnostics teaching. If we widely use computer human patient simulator and establish clinical skill teaching mode, then we will greatly improve the quality and efficiency of the diagnostics teaching.
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Diagnostics Teaching is the important transition period from the completion of basic medical knowledge to clinic practice.In the period,we should not only pay attention to medical knowledge and clinic techniques,but also emphasize humane spirit education,which is the basic principle of medical science,the intrinsic request of medical mode and especially the urgent request of relieving confliction between doctors and patients and of reconstructing harmonious society.At present,the present situation of humane spirit education of the interns is not ideal.This article tries to analyze the associated reason and discusses the countermeasures.
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Objetive: To study the effect of soybean isoflavone(SI) on the growth of gastric cancer cell SGC-7901 during hypoxia and its mechanisms. Method: The environment of hypoxia was established by GasPaK method. The effect of SI was determined by MTT and FCM which was used for studying apoptosis and cell cycle of SGC-7901. Electron microscopy was used to study the effects of SI on apoptosis and necrosis of SGC-7901. Cell-immunochemistry was used to observe the change of hypoxia-inducible factor HIF-1? and FAS expression. Results: SI could inhibit significantly the growth of SGC-7901, and arrest the cell in G2/M phases during normal and hypoxia environment. The inhibitory effect was elevated significantly during hypoxia. Electron microscopy showed the cell apoptosis and necrosis. FAS expression was elevated by SI during normal and hypoxia environment, and HIF-1? expression was downregulated during hypoxia. Conclusion: SI can inhibit SGC-7901 cell growth via arrest of cell cycle, elevated expression of FAS, apoptosis and necrosis induction and other pathways. The inhibition of the increased HIF-1? expression is probably the mechanism of the inhibitory effects of SI during hypoxia.
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Objective To investigate the effect of transforming growth factor-?1 (TGF-?1) on cell cycle,cell proliferation,and invasive capacity of human colon cancer cells of the line SW480,for its role in colon carcinogenesis and development,as well as its application in gene therapy for colon cancer with RNA interference.Methods The recombinant expressing plasmids pEGFP-N1-TGF-?1 was constructed and transfected into SW480 cells by Lipofectamine 2000.The expression of TGF-?1 mRNA and protein in the transfected SW480 cells were detected by fluorescent microscopy,RT-PCR and Western blot analysis respectively.The cell proliferation of SW480 cells was tested by MTT assay,the cell cycle was analyzed by flow cytometry,and the invasion ability of SW480 cells were investigated by Transwell-matrigel invasion chambers.Results After transfected into SW480 cells,both the mRNA and protein levels of TGF-?1 were effectively increased (P
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The technology role in diagnosing and treating gastroenterological of digestive endoscopy plays a significant diseases at present.The trainees for advance study are required to get familiar with the appliance,to learn about the indication,the contraindication,and the complication of using digestive endoscopy,to understand the advanced diagnosing and treating technology of digestive endoscopy in the world and they are also instructed without reservation the gist of endoscopic technique in accordance with their aptitude.
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As a regular mental disease,Hypochondriasis more takes place on medical students.It affects seriously the undergraduates both physically and mentally,and disturbs their life and studies.If proper enlightenment and treatment are not given to the students,hypochondriasis may possibly evolve to neuropathy and psychoses,leading to the prolonged and refractory diseases.Therefore by psychoanalyzing medical students' hypochondriasis and discussing how to prevent its occurrence,we put forward that it is important to build the students' psychological character and personality characteristics in cultivating the students' clinical thinking ways and basic practice ability.
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Special weight has been laid on young teachers in the buildup of teaching staff in medical universities.Aimed at promoting their active and creative involvement in exploring their potentials and helping them develop into qualified teachers in the current new era,this article performs some tentative research on approaches to their self-improvement.
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Objective To study the effect of aspirin on cell proliferation of human gastric cancer cell line SGC-7901 and the probab le mechanism involved. Methods Using MTT method, flow cytometr y (FCM),~~~3 H-TdR incorporation a nd electron microscopy, the effect of aspirin on the SGC-7901 of proliferation and related mechanism were studied. Results Results showed that th e growth of SGC -7901 was inhibited by aspirin. The inhibitory rates for growth of SGC-7901 we re positively correlated with the concentration and duration of aspirin in the m edia. ASA could inhibit DNA syntheses. Sub-G_1 pe ak was detected by FCM, and the rate of apoptosis was between 7.8% and (34.4)% . The cell ratios o f S and G_2/M increased, whereas the cell ratio of G_0/G_1 phase decreased (after) treatment and was in a dose-dependent manner. The SGC-7901 cell line exhibited some mor p hologic features of apoptosis, including cell shrinkage, nuclear condensation, D NA fragmentation, and formation of apoptotic bodies under electron microscopy. Conclusions Aspirin inhibited the growth of human gastric cancer ce ll line SGC-7901. The effects of aspirin on the phase of cell cycle and inducing apoptosis may be partially explained as the cytotoxic effects of aspirin.
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AIM:To investigate the feasibility and specificity of gastric carcinoma gene therapy by utilizing RNA interference (RNAi) to inhibit survivin expression in vitro and in vivo. METHODS:Small interference RNA (siRNA) homologous to survivin was designed. pTZU6+1-siRNA-survivin vector was constructed and transfected into BGC-823 cells. The transplanted BGC-823 tumor in nude mice was established to induce RNAi. The changes of survivin gene expression,tumor cell cycle and cell apoptosis were detected by flow cytometry,RT-PCR,Western blotting,immunochemistry and TUNEL. RESULTS:The expression of survivin was obviously inhibited by RNAi in vitro. The phase of cell cycle indicated the reduction of S phase,while G1/G0 phase increased. Cell apoptosis was obvious. Both the mRNA level and the protein expression of survivin decreased obviously. The tumor size reduced after treated with pTZU6+1-siRNA-survivin vector in vivo. The expression of survivin decreased in siRNA treatment group. In contrast,little change in control group in vitro and in vivo was observed. CONCLUSION:RNA interference down-regulates survivin gene expression,inhibits BGC-823 cell proliferation and induces cell apoptosis with good specificity,which may be a possible new approach for neoplasm gene therapy.
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OBJECTIVE: To investigate the effects of fructose 1,6-diphosphate (FDP) on experimental hemorrhagic shock in rats. METHODS: Sixty rats were randomly divided into three groups: the normal saline control group (group A), the 5% glucose solution control group (group B) and the 5% FDP solution treated group (group C). Shock models were made by bloodletting until the mean arterial pressure (MAP) reduced to 39.75 mmHg (1 mmHg=0.133 kPa) for 60 minutes, and then normal saline, 5% glucose and FDP were given to the rats, respectively. RESULTS: FDP could significantly increase MAP and the survival rate, elevate pH value, partial oxygen pressure (PaO(2)) and superoxide dismutase (SOD) activity, and decrease partial carbon dioxide pressure (PaCO(2)) and malondialdehyde (MDA) in arterial blood of the shocked animals. CONCLUSIONS: It suggests that FDP has a good protective effect on hemorrhagic shock by improving tissue metabolism and preventing acidosis and tissue injury caused by free radicals.
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Objective To study the induction of dihydroartemisinin(DHA) on prostate cancer PC-3 apoptosis and its possible mechansim.Methods MTT was employed for cellular viability measurement,flow cytometry(FCM) and transmission electron microscopy(TEM) for observation of apoptosis,and immunocytochemical staining(SP) for analyzing the expression of Bcl-2 and Bax proteins in PC-3 cells treated with DHA of different concentration.Results DHA Significantly inhibited the proliferation of PC-3 cells,induced their apotosis in a time-concentration dependent manner,and led to mitochondrial swelling,nuclear fragmentations and apoptosis body formation,down-expression of Bcl-2 protein,and over-expression of Bax protein correspondence with DHA concentration.Conclusion DHA could induce the apoptosis in PC-3 cells by up-regulating Bax protein and down-regulating Bcl-2 protein.
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Fourteen patients with polyps in the upper gastrointestinal tract were polypec-tomized endoscopically from 1986 to 1988. The pathological specimens were obtained in 14 patients,while the adenomatous polyps were diagnosed in 11 patients, and 2 cases were hyperplastic polyps. Carcinoid of duodenum was demonstrated in one patient. In our group, 6 patients had a residual ulcer two weeks after polypectomy but no hemorrhage and perforation occured
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Objective:To construct a recombinant eukaryotic expression vector containing gene encoding 18 000 outer membrane protein from human Helicobacter pylori(H.pylori) and be expressed in COS-7 cell,and lay the foundation for the exploiting DNA vaccine of Hp.Methods:The target genes encoding 18 000 outer membrane protein were acquired from the prokaryotic expression vector pET32a(+)/528 by XholⅠ,KpnⅠ digestion simultaneously,in the same way,the pcDNA3.1 was digested by XhoⅠ,KpnⅠ digestion simultaneously,and the objective genes and pcDNA3.1 were extracted out of agarose electrophoresis with gel kit,and connected by T4 ligase.The recombinant vector pcDNA3.1/528 was used to select and transform,meanwhile express in COS-7 cell.The expressions of recombinant eukaryotic vector in COS-7 cell were investigated by reverse transcriptive-polymerase chain reaction and Western.Results:The gene had inserted into eukaryotic vector was the target gene encoding 18 000 outer membrane protein by enzyme digestion analysis,and objective gene was amplified from COS-7 cell transfected with pcDNA3.1/528 by RT-PCR,the Western showed that recombinant eukaryotic vector could be expressed in COS-7 cell.Conclusion:The recombinant eukaryotic vector pcDNA3.1/528 was constructed and expressed in COS-7 cell successfully.The results obtained lay the foundation for research on development of H.pylori DNA vaccine.
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Objetive: To study the effect of genistein on the invasion and metastasis of human gastric cancer cells SGC-7901 in vitro. Method: MTT was used to study the effects of adhesion by genistein on SGC-7901. The Boyden Chamber membrane invasion culture system was used to study invasion and metastasis. Cell-immunochemistry was used to observe the change of TGF- 1. Results: In the membrane invasion culture system, the numbers of invading and migrating SGC-7901 cells were significantly lower in genistein treated groups than those in the control groups (P