SUMMARY: In Southern Medical University, China, 1,200 medical students study neuroanatomy every year, whereas in Ajou University, Korea, only 45 medical students study neuroanatomy. The considerable difference of student numbers results in differences in educational situations. The purpose of this study was to investigate desirable neuroanatomy education methods for large and small numbers of students. The situations of neuroanatomy education in China and Korea were compared systematically. With a questionnaire survey, positive comments and recommendations for their counterparts were collected from the medical students (168 Chinese and 41 Koreans) and anatomists (6 Chinese and 3 Koreans). By reviewing the opinions, the Chinese and Korean anatomists could learn from each other to improve their strong points and make up for the weak points. The results also disclosed the common problems of neuroanatomy education, which could be relieved by developing the fitting book and the self-learning tools, such as lecture videos and stereoscopic computer models.

RESUMEN: En la Universidad de Medicina del Sur, China, 1.200 estudiantes de medicina estudian la neuroanatomía cada año, mientras que en la Universidad de Ajou, Corea, solo 45 estudiantes de medicina estudian neuroanatomía. Esta considerable variable del número de estudiantes resulta en diferencias en las situaciones educativas. El propósito de este estudio fue investigar métodos de educación en neuroanatomía deseables para cantidades mayores y menores de estudiantes. Se compararon sistemáticamente las situaciones de educación en neuroanatomía en China y Corea. Por medio de una encuesta por cuestionario, se obtuvieron comentarios positivos y recomendaciones para sus contrapartes de los estudiantes de medicina (168 chinos y 41 coreanos) y anatomistas (6 chinos y 3 coreanos). Al revisar las opiniones, los anatomistas chinos y coreanos podrían aprender unos de otros para mejorar sus puntos de fortaleza y compensar los aspectos débiles. Los resultados también revelaron los problemas comunes de la educación en neuroanatomía, que podrían aliviarse desarrollando el libro de adaptación y las herramientas de autoaprendizaje, como videos de conferencias y modelos de computadora estereoscópica.

Myocardial infarction (MI) is a common presentation for ischemic heart disease, which is a leading cause of death. Emodin is a Chinese herbal anthraquinone used in several diseases. However, the effect of emodin in hypoxia-induced injury in cardiomyocytes has not been clearly elucidated. Our study aimed to clarify the functions of emodin in hypoxia-induced injury in rat cardiomyocytes H9c2 and explore the underlying mechanism. The effects of emodin on cell viability and apoptosis were analyzed by the Cell counting kit-8 assay and flow cytometry assay, respectively. The cell proliferation- and cell apoptosis-related proteins were detected by western blot. qRT-PCR was used to determine the relative expression of miR-138. Cell transfection was performed to alter miR-138 and MLK3 expression. miR-138 target was performed by dual luciferase activity assay. Sirt1/AKT and Wnt/β-catenin pathways-related factors phosphorylation were analyzed by western blot. Emodin inhibited hypoxia-induced injury in H9c2 cells by promoting cell viability and reducing cell apoptosis. miR-138 was down-regulated by hypoxia treatment but up-regulated by emodin. Up-regulation of miR-138 alleviated hypoxia-induced cell injury. Down-regulation of miR-138 attenuated the growth-promoting effect of emodin on hypoxia-induced injury, whereas up-regulation of miR-138 enhanced the growth-promoting effects of emodin. The underlying mechanism might be by inactivating Sirt1/AKT and Wnt/β-catenin pathways. MLK3 was negatively regulated by miR-138 expression and inactivated Sirt1/AKT and Wnt/β-catenin pathways. Emodin alleviated hypoxia-induced injury in H9c2 cells via up-regulation of miR-138 modulated by MLK3, as well as by activating Sirt1/AKT and Wnt/β-catenin pathways.

SUMMARY: At the Southern Medical University in China, 600 medical students study macroscopic anatomy (briefly, anatomy), whereas at Ajou University in Korea, only 50 medical students study anatomy. Because of the significant difference in student numbers, the educational situations are quite dissimilar. The purpose of this study was to suggest desirable anatomy education in the large and small classes. For that purpose, the teaching of anatomy in the participating Chinese and Korean universities was compared. Subsequently, best practices and recommendations for the large and small classes were gathered from questionnaire surveys from the medical students (30 Chineses and 48 Koreans) and anatomists (12 Chinese and 2 Korean). Best practices noted were encouraging one another, while each group’s recommendations were instructive to its counterpart. Considering these findings can help to guide the progress of students’ learning and the corresponding anatomists’ activity. This report provides useful information to other anatomists who instruct large or small numbers of students.

RESUMEN: En Southern Medical University de China, 600 estudiantes de medicina estudian anatomía macroscópica, mientras que en la Universidad de Ajou, en Corea, hay 50 estudiantes de medicina que estudian anatomía. Debido a la diferencia significativa en el número de estudiantes, las situaciones educativas son bastante diferentes. El objetivo de este trabajo consistió en identificar que tipo de educación de la anatomía es deseable en los cursos con mayor y menor cantidad de estudiantes. Se comparó la enseñanza de la anatomía en ambas universidades. Posteriormente, las mejores prácticas y recomendaciones para las clases grandes y pequeñas, se obtuvieron a partir de cuestionarios realizados a los estudiantes de medicina (30 chinos y 48 coreanos) y a los anatomistas (12 chinos y 2 coreanos). Las mejores prácticas observadas fueron motivadas por estudiantes y anatomistas, mientras que las recomendaciones de cada grupo fueron instructivas para su contraparte. Tener en cuenta estos hallazgos puede ayudar a guiar el progreso del aprendizaje de los estudiantes y la actividad correspondiente de los anatomistas. Este informe proporciona información útil a otros anatomistas que instruyen a un número grande o pequeño de estudiantes.

This meta-analysis was designed to elucidate whether preoperative signal intensity changes could predict the surgical outcomes of patients with cervical spondylosis myelopathy on the basis of T1-weighted and T2-weighted magnetic resonance imaging images. We searched the Medline database and the Cochrane Central Register of Controlled Trials for this purpose and 10 studies meeting our inclusion criteria were identified. In total, 650 cervical spondylosis myelopathy patients with (+) or without (-) intramedullary signal changes on their T2-weighted images were examined. Weighted mean differences and 95g% confidence intervals were used to summarize the data. Patients with focal and faint border changes in the intramedullary signal on T2 magnetic resonance imaging had similar Japanese Orthopaedic Association recovery ratios as those with no signal changes on the magnetic resonance imaging images of the spinal cord did. The surgical outcomes were poorer in the patients with both T2 intramedullary signal changes, especially when the signal changes were multisegmental and had a well-defined border and T1 intramedullary signal changes compared with those without intramedullary signal changes. Preoperative magnetic resonance imaging including T1 and T2 imaging can thus be used to predict postoperative recovery in cervical spondylosis myelopathy patients.

During extrusion-shear (ES) process, the surface cracks would be formed in the processed rod for AZ31 magnesium caused by nonhomogeneous metal flow and stress. To reduce the cracks defects, three-dimensional (3D) finite element method (FEM) of ES on a wrought AZ31 magnesium alloy have been performed. ES process experiments have been also conducted to verify the simulation results under the identical conditions. It can be found that the tendency to generate the dead zone is decreased by employing the ES die with the extrusion ratio of 28 comparing to the one with the extrusion ratio of 11.6. With the extrusion ratio 28, the surface stresses of the rod at the die exit are decreased greatly so that the surface cracks are avoided. The ES die with the extrusion ratio of 28 would increase temperature on the rod surface and subsequently result in the sacrifice of the tensile strength of the AZ31 rod. Damage model has been chosen and Cockcroft–Latham damage factor has been set and incorporated into DEFORM software. The simulation results show that the larger extrusion ratio would have the smaller crack propagation. Experimental validation shows that the results of experiments are in accordance with those from computer simulation. The study indicates that FEM can be used confidently for designing ES dies and process parameters in CAE environment for DEFORM software to improve the product quality and productivity by avoiding trail runs.

The aim of this study was to enhance the production of vitamin K2 by using N-methyl-N-nitro-N-nitroso-guanidine (NTG) and low energy ion beam implantation and optimizing the fermentation medium. Mutation resulted in 1.66-fold higher production of vitamin K2 than that of the parentl strain. The production by the mutant BN-P15-11-1was increased 55% and reached 3.593±0.107 mg/L by using the Plackett-Burman and Box-Behnken designs to optimize the fermentation medium. The optimal fermentation culture medium was composed of (g/L) glycerol 69.6, sucrose 34.5, K2HPO4 4.0, peptone 20, yeast extract 25 and fermented at 37 °C and 150 rpm for 72 h. The results showed that the NTG and low energy ion beam implantation mutations and optimizing fermentation medium were effective methods to enhance vitamin K2production.