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Objective To discuss the application effect of case teaching method in "Surgery" teaching. Methods Choosing typical case of illness in advance for students to discuss in groups, and in the classroom each group choosing a representative to deliver the speech , asking questions mutually, finally the teacher giving comment and summary. Results The satisfactory effect was received with active classroom atmosphere and heated debates. Conclusions This teaching method can enhance the students’ enthusiasm to participate in the teaching and display their initiative, excavate their potential fully, raise their ability to study independently and the team cooperation spirit. Simultaneously it is also advantageous to improving the teachers’ comprehensive quality.
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OBJECTIVE:To observe the impact of allopurinol on heart function,endothelial function and indexes of inflammation in controlling hyperuricemia in patients with acute myocardial infarction(AMI).METHODS:A total of 98 patients with AMI complicated with hyperuricemia were randomized to treatment group(treated with allopurinol plus alimentary control)and control group(alimentary control alone)for 6wk.Heart function,endothelial function and inflammation indexes between 2 groups before and after treatment were observed.RESULTS:In treatment group,serum uric acid level were decreased significantly(t=2.317,P=0.046),LVEF and flow-mediated dilatation(FMD)function improved significantly(t=— 2.106,P=0.073;t=— 3.47,P=0.007),and C reactive protein level were significantly lower than in the control group(t=4.78,P=0.002).CONCLUSION:Allopurinol can decrease hyperuricemia level,improve endothelial dysfunction,heart function and inflammatory reactions.