Impact of fatty liver on long-term outcomes in chronic hepatitis B: a systematic review and matched analysis of individual patient data meta-analysis

Background/Aims@#Chronic hepatitis B (CHB) and fatty liver (FL) often co-exist, but natural history data of this dual condition (CHB-FL) are sparse. Via a systematic review, conventional meta-analysis (MA) and individual patient-level data MA (IPDMA), we compared liver-related outcomes and mortality between CHB-FL and CHB-no FL patients. @*Methods@#We searched 4 databases from inception to December 2021 and pooled study-level estimates using a random- effects model for conventional MA. For IPDMA, we evaluated outcomes after balancing the two study groups with inverse probability treatment weighting (IPTW) on age, sex, cirrhosis, diabetes, ALT, HBeAg, HBV DNA, and antiviral treatment. @*Results@#We screened 2,157 articles and included 19 eligible studies (17,955 patients: 11,908 CHB-no FL; 6,047 CHB-FL) in conventional MA, which found severe heterogeneity (I2=88–95%) and no significant differences in HCC, cirrhosis, mortality, or HBsAg seroclearance incidence (P=0.27–0.93). IPDMA included 13,262 patients: 8,625 CHB-no FL and 4,637 CHB-FL patients who differed in several characteristics. The IPTW cohort included 6,955 CHB-no FL and 3,346 CHB-FL well-matched patients. CHB-FL patients (vs. CHB-no FL) had significantly lower HCC, cirrhosis, mortality and higher HBsAg seroclearance incidence (all p≤0.002), with consistent results in subgroups. CHB-FL diagnosed by liver biopsy had a higher 10-year cumulative HCC incidence than CHB-FL diagnosed with non-invasive methods (63.6% vs. 4.3%, p<0.0001). @*Conclusions@#IPDMA data with well-matched CHB patient groups showed that FL (vs. no FL) was associated with significantly lower HCC, cirrhosis, and mortality risk and higher HBsAg seroclearance probability.

Comparative analysis of C-TIRADS and ACR-TIRADS in the diagnostic efficiency of thyroid nodules / 中华健康管理学杂志

Objective:To investigate the diagnostic efficiency of the 2020 Chinese Thyroid Imaging Reporting and Data System (C-TIRADS) and the 2017 American College of Radiology Thyroid Imaging Reporting and Data System (ACR-TIRADS) in the diagnosis of benign and malignant thyroid nodules.Methods:A retrospective analysis of the two-dimensional ultrasound image results of 324 thyroid nodules in 289 patients with thyroid nodules and thyroid nodules were performed in the physical examination of the Health Management Department of the Guangdong Second Provincial General Hospital from January 2018 to January 2019. A superficial professional doctor with a senior professional title simultaneously uses the C-TIRADS and ACR-TIRADS methods to evaluate the above nodules. The results are all pathologically referenced for the χ2 test and the receiver operating characteristic curve is drawn. Results:The sensitivity of C-TIRADS in diagnosing benign and malignant thyroid nodules was 81.90%, specificity was 97.72%, accuracy was 92.59%, negative predictive value was 91.85%, positive predictive value was 84.51%; ACR-TIRADS diagnosis The sensitivity of benign and malignant thyroid nodules was 59.05%, specificity was 99.54%, accuracy was 86.42%, negative predictive value was 83.52%, and positive predictive value was 98.41%. The area under the ROC curve was 0.958 and 0.935( Z=2.31 P=0.021). Conclusion:C-TIRADS classification based on counting method is better than ACR-TIRADS classification based on sub-method in the diagnosis of thyroid nodules. It has better efficacy and is more suitable for the current status of diagnosis and treatment of thyroid nodules in China.

Evidence-based practice of optimizing nursing management for elderly parturients with second child / 中国实用护理杂志

Objective:To explore the optimal postpartum nursing intervention method of elderly second-birth parturient based on the best evidence and evaluate its effect so as to improve the quality of clinical nursing.Methods:Based on the best evidence obtained from the previous study, the optimal nursing examination index of the elderly second parturient was established, and the evidence of best practice was obtained by using the evidence-based nursing method, and the 2017 revised version (the third edition of) Johns Hopkins evidence-based nursing practice model) was used to guide nurses to apply the evidence to clinical practice. During the period from March to May 2019, the baseline review was completed, including 82 pregnant women and 43 nurses. The evidence was incorporated into clinical practice in June 2019. From July to October 2019, the same indicators and inclusion and exclusion criteria were used to evaluate the effectiveness of evidence application in 43 nurses (including midwives) and 85 elderly second-child parturients in obstetric wards (including baby-friendly areas). The anxiety, depression, maternal satisfaction and nurses' correct implementation rate of the best evidence were compared before and after the application of evidence.Results:After the use of evidence-based intervention, the implementation rate of nurses was above 80%. The anxiety score of parturient decreased from 55.29±10.11 to 41.74±10.35, the difference was statistically significant ( t value was 8.55, P<0.001), and the depression score decreased from 57.77 ±8.32 to 47.86 ±9.33, the difference was statistically significant ( t value was 7.23, P<0.001). Maternal satisfaction increased from 92.68% (76/82) to 98.82% (84/85), the difference was statistically significant ( χ2 value was 3.92, P< 0.05). Conclusion:The result of practice shows that through evidence-based nursing intervention, we can further standardize the postpartum optimal nursing paradigm of elderly second-child parturients in China. Reduce postpartum anxiety and depression and improve maternal satisfaction. And quality review still needs to be continuously promoted and implemented in clinical practice in order to continuously improve the quality of nursing and ensure sustainability.

Effect of health management under the transtheoretical model and stages of change on diabetes mellitus patients with obesity / 中华健康管理学杂志

Objective:To study the effect of health management based on the transtheoretical model and stages of change on patients with diabetes mellitus complicated by obesity.Methods:A total of 122 patients with type 2 diabetes mellitus (T2DM) complicated by obesity and admitted to Guangdong Second Provincial General Hospital between January 2019 and June 2020 were recruited to participate in the study. They were divided into two equal groups at random, the observation group and the control group —with 61 patients in each group. Both groups were subjected to individualized health management based on conventional drug treatment. The control group received routine health education and psychological support, while the observation group was subjected to the transtheoretical model and stages of change interventions for six months. The independent-samples t-test was used to compare blood glucose, body weight, and self-efficacy in the two groups after interventions, and the χ 2 test or Fisher′s precise test was used to compare behavior habit compliance rates in the two groups after interventions. Results:FBG with (6.27±0.92) mmol/L and (6.58±0.91) mmol/L, 2hPG with (8.53±1.39) mmol/L and (8.53±1.39) mmol/L, and HbA1c with (6.49±0.91)% and (6.78±0.96)% in the two groups were significantly lower at six months of interventions than those before ( P<0.05), but the differences between the two groups were not statistically significant ( P>0.05). BMI, waist circumference, and body fat rate with (30.46±2.51) kg/m 2, (91.72±10.45) cm, and (34.09±3.84)% of the observation group at six months of interventions were significantly lower than those before interventions ( P<0.05), whereas there were no significant changes in the control group before and after interventions ( P>0.05). The observation group′s BMI and body fat rate were lower than those of the control group ( P<0.05). The General Self-Efficacy Scale (GSES) scores in the two groups were (31.62±2.59) points and (28.75±2.48) points, which were significantly higher than those before interventions ( P<0.05). The observation group′s GSES score was higher than that of the control group ( P<0.05). At six months of interventions, the compliance rates of diet control (92.98% and 77.97%), reasonable exercise (87.72% and 71.19%), adherence to medication (98.25% and 91.53%), quitting smoking and alcohol (94.74% and 81.36%), blood glucose monitoring (91.23% and 94.92%), and regular review (100.00% and 98.31%) were all significantly higher in the two groups than those before interventions ( P<0.05). Additionally, the compliance rates of diet control, reasonable exercise, and quitting smoking and alcohol in the observation group were higher than those of the control group ( P<0.05). Conclusion:The use of the transtheoretical model and stages of change for the self-management intervention of diabetes mellitus patients with obesity is beneficial to improve self-efficacy, behavioral habits, and weight control effectiveness.

Development and validation of a novel and simple RP-HPLC method for the determination of related substances of tiopronin for injection / 中国药科大学学报

@#In this paper, a novel and simple RP-HPLC method for the determination of related substances of tiopronin for injection was described. The RP-HPLC analysis was performed on a C18 column, with acetonitrile-0. 1% phosphoric acid(8 ∶92), mobile phase in isocratic mode at a rate of 1. 0 mL/min. The photodiode array detector was set at 210 nm. Seven related substances were detected and the structures were characterized by mass spectrometry. The method showed great suitability, specificity and excellent linearity over the concentration range of 0. 3 to 50 μg/mL(r≥0. 999), and the limits of detection and quantitation were found to be 0. 10 and 0. 31 μg/mL, respectively. The accuracy of the method determined by the entire mean recovery ranged from 98. 7% to 103. 7%. The intra-and inter-day precision was satisfactory(RSD≤4. 4%)and robust(RSD≤6. 4%). And this method was successfully applied for the determination of related substances of tiopronin for injection, which revealed the retention of sulfhydryl compounds and glycine analogues on the RP-HPLC and the effect of the pH value of the mobile phase on the chromatographic behavior of the analytes.

Effect of Neuromuscular Electrical Stimulation and Sour Taste Therapy on Dysphagia in Oral Phase in Acute Stroke Patients / 中国康复理论与实践

Objective To explore the effect of early neuromuscular electrical stimulation (NMES) combined with sour taste therapy on dysphagia in the oral phase of acute/subacute ischemic stroke patients. Methods From January, 2013 to June, 2015, 90 patients with oral phase dysphagia after stroke were randomly assigned into NMES group (NM group), sour taste group (ST group ) and NMES combined with sour taste group (TO group) with 30 patients in each group. The swallowing function was evaluated with Functional Oral Intake Scale (FOIS) at baseline, three weeks and twelve weeks treatment. Results The change of FOIS was better in TO group than in ST group three weeks after treatment (P<0.01), and was better in TO group than in ST group and NM group twelve weeks after treatment (P<0.05). Conclu-sion An early application of NMES combined with sour taste therapy could improve the swallowing coordination, and reduce the the poten-tial complications in oral phase of acute/subacute ischemic stroke patients with dysphagia.

Current situation and analysis of the nursing simulation teaching based on SimMan comprehensive human analogue in China / 中华医学教育探索杂志

Nursing simulation teaching is one of the important measures in nursing teaching reform. As an advanced medical teaching model, SimMan synthetic simulation has been recognized by medical educators both at home and abroad for its advantages of high simulation, repeatability, case diversity and process controllability. Our country has relied on the SimMan synthesis simulation person to carry on the nursing simulation teaching for many years, usually as a teaching strategy into the course of teaching. Its advantages and innovation are affirmed by nursing educators and learners, but still face challenges in the design of simulation teaching, the development of functions and the improvement of equipment utilization. It is worthy discussing deeply by nursing educators.

Application of SimMan human body simulator in nursing teaching experiments on emergency and critical care / 现代临床护理

Objective To explore the effect of application of SimMan human body simulator in nursing teaching experiments on emergency and critical care. Methods Forty undergraduate nursing students in 2012 were assigned as the experiment group, where nursing teaching experiments on emergency and critical care were conducted based on SimMan human body simulator. Forty undergraduate nursing students in 2011 were assigned as the control group, where the traditional teaching method was employed. The emergency ability of the nursing students in the two groups was evaluated, and the nursing students′ attitudes towards two teaching methods were investigated. Results The emergency ability was higher in the experiment group than that of the control group (P<0.05). The satisfaction level with teaching method in the experiment group was significantly higher than that of the control group (P<0.05). Conclusions SimMan human body simulator is effective in improving emergency ability of nursing students in nursing teaching experiments of emergency and critical care. It is worth popularizing and applying.

Application value of serum pancreatic isled autoantibodies and biochemical indicators in classification diagnosis of diabetes mellitus / 重庆医学

Objective To investigate the application value of serum pancreatic isled autoantibodies and biochemical indicators in classification diagnosis of type 1 diabetes mellitus (T1DM ) and type 2 diabetes mellitus (T2DM ) .Methods The clinical data and laboratory detection results in 99 cases of T1DM and 577 cases of T2DM were retrospectively analyzed .The levels of pancreatic isled autoantibodies and biochemical indicators were compared between the two groups and their characteristics were analyzed .Re‐sults The positive rates of single detection and combine detection of glutamic acid decarboxylase autoantibodies (GADA) ,insulino‐ma‐associated antigen‐2 autoantibodies (IA‐2A ) ,islet cell autoantibodies (ICA ) and ZnT8 autoantibodies (ZnT8A ) in the T1DM group were higher than those in the T2DM group ,the differences were statistically significant (P0 .05) .Moreover ,the fasting and postprandial 2 h CP levels in the T1DM group showed decreasing trend as the T1DM course extending ,and the difference had statistical difference among different disease courses ;but the fasting and postprandial 2 h CP levels in the T2DM group had no obvious decreasing trend .The areas under the receiver operating characteristic(ROC) curve of fasting and postprandial 2 h CP for differential diagnosis of T1DM and T2DM in the patients with the disease course < 2 year were 0 .902(95% CI:0 .850-0 .954) and 0 .905(95% CI:0 .852-0 .958) respective‐ly .The suitable threshold value of fasting CP was 0 .283 nmol/L ,its sensitivity and specificity were 82 .6% and 89 .2% ,respective‐ly ,which of postprandial 2 h CP was 0 .421 nmol/L ,its sensitivity and specificity were 84 .8% and 89 .2% respectively . Conclusion T1DM and T2DM are different in onset age ,BMI value ,serum GADA ,IA‐2A ,ICA ,ZnT8A ,insulin ,CP ,glucose , HbA1c ,TG and HDL‐C levels ,which may assist clinic in their classification diagnosis .

Effects of early-stage exercise on functional recovery and ED1 expression after spinal cord injury / 中华物理医学与康复杂志

Objective To observe the effects of early-stage exercise on function recovery and ED1 expres-sion after spinal cord injury. Methods Twenty-two SD rats were randomly divided into a control group ( n=8) , an exercise group ( n=8) and a sham-operated group ( n=6) . The control and exercise groups received T9 spinal cord contusions. The sham-operated group received only T9 laminectomy without spinal cord injury. Two rats died within 6 hours after the operation and 3 others were abandoned because of motor function recovery just after the spi-nal cord contusion. The remaining 17 were included in the statistical analysis: a control group of 6, an exercise group of 5 and a sham-operated group of 6. BBB scoring was conducted 2 days later and then weekly until 8 weeks after the operation. The exercise group began treadmill and wheel running exercise on day 2 and continued 5 times per week until the 8th week. After paraformaldehyde perfusion, fixation and embedding, frozen spinal cord slices were Nissl stained for ED1 and GFAP immunofluorescence measurements. Results Compared with the control group, the average BBB score of the exercise group was significantly higher at each week except weeks 2 and 4. By weeks 7 and 8, the exercised rats showed 13.60 and 14.60 BBB punctuation, which means that those animals took frequent, consistent, weight-supporting plantar steps, consistent with FL-HL coordination. That motor behavior was not achieved by the control group even occasionally. In terms of the tissue morphology and immunohistochemical staining results, the empty area was not significantly reduced in the exercise group compared with the controls, but the damaged area was significantly reduced. In addition, ED1 positive cells in the lesioned area were significantly reduced in the exercised group compared with the controls. Conclusions Exercise can promote the recovery of motor function after spinal cord injury. The mechanism may involve reducing the lesioned area and inflammatory response.

Investigation on Rebleeding Risk Factors in Obscure Gastrointestinal Bleeding Patients after Capsule Endoscopy / 胃肠病学

Background:Because of its non-invasiveness,direct inspection,and high detection rate,capsule endoscopy(CE) has been accepted as the first-line examination for diagnosis of obscure gastrointestinal bleeding(OGIB). However,no matter the result of CE is positive or negative,it is unable to accurately predict the occurrence of rebleeding. Aims:To preliminarily investigate the related risk factors of rebleeding in OGIB patients with positive or negative CE for reducing the rebleeding rate. Methods:One hundred and sixteen OGIB patients undergone CE and with follow-up data from October 2009 to October 2013 at the First Affiliated Hospital of Soochow University were recruited,the rebleeding rate of patients with positive and negative CE,and the risk factors of rebleeding were analyzed. Results:CE diagnostic rate was 56. 9% , and the overall rebleeding rate was 37. 9% . The rebleeding rate in CE positive patients was significantly higher than that in CE negative patients(48. 5% vs. 24. 0% ,P < 0. 01). Male,age ≥50 years,hypertension,accumulated bleeding ≥500 mL within 3 months before CE were the independent risk factors of increase in rebleeding rate in CE positive patients. Age≥50 years,abnormal blood coagulation,without specific treatment were the independent risk factors of increase in rebleeding rate in CE negative patients. Conclusions:Followed-up should be performed in OGIB patients with risk factors of rebleeding for at least 24 months after CE. Repeated examination can be avoided in OGIB patients without risk factors.

Clinical value of platelet parameters for the assessment of liver function in chronic hepatitis B liver cirrhosis / 中国医师进修杂志

Objective To investigate the clinical value of platelet parameters for the assessment of liver function in chronic hepatitis B (CHB) liver cirrhosis.Methods A total of 167 patients with CHB liver cirrhosis (CHB liver cirrhosis group) were selected,according to Child-Pugh score of liver function classification:A grade 48 cases (A grade group),B grade 65 cases (B grade group),C grade 54 cases (C grade group).Fifty healthy cases were chosen as control group,then compared blood platelet count (PLT),platelet distribution width (PDW),mean platelet volume (MPV) levels differences between every group,and these indicators were analyzed.Results PLT,MPV,PDW was(88.53 ± 21.36) × 109/L,(9.47 ± 2.02) fl,(12.41 ± 1.16) fl in CHB liver cirrhosis group,and (172.64 ± 37.42) × 109/L,(11.47 ± 2.16) fl,(10.49 ±0.83) fl in control group,and PLT,MPV were significantly reduced (P ＜0.01),and PDW increased significantly in CHB liver cirrhosis group compared with control group (P＜ 0.01).PLT in A,B,C grade group [(123.78 ± 26.35) × 109/L,(84.96 ± 31.62) × 109/L,(61.48 ± 27.13) × 109/L] was lower than that in control group,and there was significant difference (P＜ 0.01).There was no significant difference in MPV,PDW between A grade group and control group (P ＞0.05).There was no significant difference in MPV,PDW between B grade,C grade group and control group [(9.68 ±2.23),(8.65 ±2.19) fl vs.(11.47 ±2.16) fl and (12.26 ± 1.35),(14.13 ± 1.54) fl vs.(10.49 ±0.83) fl](P＜0.05 or ＜0.01).Correlation analysis showed that PLT,MPV was positively correlated with liver function (r =0.365,0.473,P ＜0.05).But PDW was nagtively correlated with liver function (r =-0.512,P ＜0.05).Conclusions Platelet parameters such as PLT,MPV,PDW are good to evaluate the liver function and it's compensatory of CHB liver cirrhosis,and that dynamic changes of the parameters has important clinical significance in the disease assessment and treatment of liver cirrhosis.

Effect of calcitonin gene-related peptide on the maturation of oocyte in vitro / 中南大学学报(医学版)

OBJECTIVE@#To explore the effect of calcitonin gene-related peptide (CGRP) on murine oocyte maturation.@*METHODS@#After injection of pregnant mare serum gonadotropin (PMSG, 10 U, i.p.) for 48 h, 6-week old female Kunming mice were killed, and the cumulus oocyte complexes (COCs) were collected from ovaries and inoculated in the culture plate by 30-40/hole. The COCs were treated with 4 concentrations of CGRP (0, 10(-10), 10(-9), and 10(-8) mol/L), and the germinal vesicle breakdown (GVBD) and polar body I (PBI) were examined. Human granulosa cells were also cultured with CGRP (0, 10(-10), 10(-9), 10(-8) mol/L) and levels of intracellular cyclic adenosine monophosphate (cAMP) were measured.@*RESULTS@#Exogenous CGRP caused a decrease in GVBD and PBI in COCs, and an increase in cAMP levels in human granulosa cells in a concentration-dependent manner.@*CONCLUSION@#CGRP can inhibit the oocyte maturation, which may be related to the increased content of cAMP in granulosa cells.

Correlation between CT characteristics of chronic subdural hematoma and its recurrence / 中华创伤杂志

Objective To analyze the relationship between CT characteristics of chronic subdural hematoma (CSDH) and its recurrence, as well as relevant pathological mechanism. Methods The study involved 178 patients with CSDH who underwent surgery, of whom 38 patients (40 lesions) experienced recurrence of CSDH. Univariate and multivariate logistic analyses were performed to assess the correlation among CT characteristics ( including side, density, width, subtype and midline shift of the hematoma) and CSDH recurrence. Results ( 1 ) The width of hematoma, midline shift, type of hematoma were found to be correlated with the recurrence of CSDH in the univariate analysis. The odds ratio (OR)and 95% confidence interval (CI) value of patients with hematoma width ＞30 mm, midline shift ＞10 mm and the separated type were 18. 400 (2.024-167. 301 ), 4. 643 ( 1. 815-11. 877 ) and 14. 385 (3. 601-57.467 ), respectively. (2) The midline shift and type of hematoma were found to be correlated with the recurrence of CSDH in the multivariate analysis, when the OR and 95% CI value of patients with hematoma midline shift ＞ 10 mm and separated type were 5. 280 ( 1. 339-20. 823) and 19. 125 (4. 175-87.619), the OR and 95% CI value of patients with hematoma width ＞30 mm was 14. 838 ( 1. 353-162.698). Conclusions Type of hematoma and midline shift are found to be independently correlated with the recurrence of CSDH, and the width of hematoma is also related with its recurrence.

Expression of transient receptor potential canonical channel proteins in human non-small cell lung cancer / 中国肺癌杂志

<p><b>BACKGROUND AND OBJECTIVE</b>Transient receptor potential canonical (TRPC) proteins, a group of Ca2' permeable nonselective cation channels, are thought to constitute store-operated calcium channels (SOCC) and mediate store-operated calcium entry (SOCE) in various cell types. Members of TRPC have been found to be involved in abnormal proliferation, differentiation, and growth of cancer cells. The aim of this study is to detect the mRNA and protein expression of TRPC in non-small cell lung cancer (NSCLC).</p><p><b>METHODS</b>Real-time quantitative PCRwas performed to screen the expression of TRPC mRNA in NSCLC tissue. Protein expression of TRPC was detected by Western blot.</p><p><b>RESULTS</b>Among the seven family members of TRPC so far identified (TRPC1-7), we detected the expression ofTRPC1, TRPC3, TRPC4, TRPC6 mRNA in 24 cases of NSCLC tissue; TRPC2, TRPC5 and TRPC7 mRNA were not detectable. The relative abundance of the expressed TRPC was TRPC1 approximately equal TRPC6 > TRPC3 > TRPC4. Western blot confirmed the protein expression of TRPC1, TRPC3, TRPC4 and TRPC6 in NSCLC tissue.</p><p><b>CONCLUSION</b>Out of the seven members of TRPC, we found TRPC1, TRPC3, TRPC4, TRPC6 mRNA and protein were selectively expressed in human NSCLC tissue. This study could provide a basis for future exploration of the individual role of these TRPC proteins in mediating SOCE and in the progression of lung cancer.</p>

Effect of miR-21 on albuminuria in db/db mouse with early stage of diabetic nephropathy / 中华内分泌代谢杂志

Objective To explore the effect of miR-21 on 24 h urine albumin excretion (UAE), glomeruli morphology, and its molecular mechanism in db/db mouse with early stage of diabetic nephropathy. Methods Twenty-four 5-week-old male mice were randomized into 4 groups: control group (untreated db/m mice, n=6),miR-21-treated db/db group (n=6), control empty plasmid treated db/db group (n =6), and untreated db/db group (n = 6). Mice were injected intraperitoneally using a hydrodynamics-based procedure with plasmids (30 mg · kg-1 · d-1 of miR-21 or 30 mg· kg-1 · d-1 of control plasmid) until albuminuria was detected in the untreated db/db mice. The glomeruli were observed under the light microscope, and measured by the software in the computer. The expression of miR-21 was tested by real-time RT-PCR, the expression of PTEN, p-Akt (Ser 473),and phosphatidylinositol-3-kinase (PI3K) p85α protein levels were examined by western blot and immunohistochemistry. Results Male db/db mice of 9-week-old with hyperglycemia and significant elevation of urinary albumin excretion showed features similar to the early stage of diabetic nephropathy. Real-time RT-PCR showed that miR-21 was increased in the miR-21-treated group. By measurement of glomeruli acreage, the glomeruli were smaller in miR-21-treated group than in the control empty plasmid treated and untreated groups (all P<0.01). By Western blot and immunohistochemistry, PTEN were reduced in the miR-21-treated group, whereas PI3K p85α and phospho-Akt (Ser 473 ) were increased in miR-21-treated group (all P < 0.01). Conclusions miR-21 ameliorates glomerular hypertrophy in db/db mice with diabetic nephropathy, and it may be a novel protecting factor of diabetic nephropathy.

Application and biocompatibility of ureter stent in treating urinary system diseases / 中国组织工程研究

OBJECTIVE: To summarize advances in clinical application of ureter stent and its biocompatibility. METHODS: A computer-based online search of CNKI (1989/2009) and Medline (1989/2009) was performed with the key words of "ureter, biocompatibility, stent, treatment, complications" in Chinese and English respectively. A total of 51 articles were collected. and 21 were included. The treatment advances and its biocompatibility of ureter stent were summarized, and clinical application advances, biocompatibility and complication prevention of ureter stent were explored. RESULTS: Ureter stent includes polymerizer, metal and degradable material stents. As the common implants in treatment of upper urinary tract diseases, ureter stent functions as stent and internal drainage, and relieve ureteral obstruction, prevent leakage of urine postoperatively and ureterostenosis. Complications following ureter stent implantation include stent shifting, urine reflux, irdtative symptoms of bladder, fouling and stone formation as well as infection. However, these complications can be relieved through positive treatment. CONCLUSION: Ureter stent is an effective approach to treat urologic disease, but the biocompatibility required improvement. Rigorous operation during stent implantation and positive treatment of complication can effectively prevent complications.

Necessity of Development of Higher Education of Assistive Technology in China / 中国康复理论与实践

@#Regarding the fact that there is a huge gap between higher education of assistive technology in China and the social need, the authors discussed about the necessity of developing China's higher education of assistive technology, by discussing about the fact that assistive technology becoming an independent subject, society's need for leaders and designers in the field of assistive technology, the need to develop assistive technology theories and knowledge, the important meaning of developing higher education of special education to support the independent living of persons with disability and opening potential market, the successful example of America's assistive technology and higher education of it being in the leading place.

Assistive Devices for Persons with Disability and Supply Service / 中国康复理论与实践

@#The authors discussed the development of the assistive devices and service in China and overseas by analyzing the calssification, function, demand and difference between China and other countries.

Discussion of the Relationship between Assistive Devices and Persons with Disability / 中国康复理论与实践

@#The authors discussed the relationship between assistive devices and persons with disability by giving examples such as physical and living conditions of persons with disability, rehabilitation process and conditions, etc., to show the importance of assistive devices to persons with disability.