Objective:A modificated emergency medical care system was designed based on business process reengineering to offer the emergency patients a more satisfactory medical service.Methods:From Jan.to Mar.in 2005 and the same period in 2006,200 emergency patients were investigated(100 cases for each time period) in a general hospital.The data of the 100 patients acquired in 2005 were served as the control group and those of the other 100 patients acquired in 2006 were served as the research group.A series measure of emergency medical service,such as computerizing administration of the patient history,utilizing the network transmission and sharing system of pictures,automatizing price system and re-integrating auxiliary examination labs,were applied in the aim of shortening the waiting times for charging,examination,etc.Results:Better satisfaction to the advanced emergency medical service process was found in the research group.The patients' waiting times for receiving diagnosis and treatment,laboratory examinations and paying fees in the research group were statistically shortened compared to those in the control group(P

Self-ligating brackets have been developed for decades. Now more and more orthodontists are using self-ligating appliance systems, because they have the following advantages over conventional orthodontic brackets: less friction between the archwires and the brackets;simple clinical operation;comfortable for patients. This review introduces the self-ligating brackets' feature, classification and several self-ligating brackets applied in clinic.

Objective:To examine the soft tissue changes of early skeletal Class III malocclusion patients after maxillary protraction treatment. Methods:60 skeletal anterior crossbite patients, 27 males, 33 females in the late mixed dentition were selected. The age ranged from 8 to 11 years. Mean age was 9.3 years. The patients were divided into treatment group and control group. Average treatment time was 12.1 months. Pre- and post-treatment lateral cephalograms of both groups were traced and analyzed. Difference between pre- and post-treatment was analyzed with paired t-tests. Results:After treatment, Ns-Sn-Pos, Ns-Prn-Pos, Sn-S-Si and Cm-Sn-UL decreased significantly,while Sn-Ns-Si and UL-E increased significantly. No significant change was found in S-Ns-Sn and LL-E. Conclusion:Soft tissue profiles are significantly improved by maxillary protraction treatment in the late mixed dentition. The concave profiles were changed to straight or nearly normal profiles. The relationship among nose, upper lip, lower lip and chin become harmonious. The curve of the lips tends to be smooth and harmonious.

Self-ligating brackets have been developed for decades.Now more and more orthodontists are using self-ligating appliance systems,because they have the following advantages over conventional orthodontic brackets:less friction between the archwires and the brackets;simple clinical operation;comfortable for patients.This review introduces the self-ligating brackets' feature,classification and several self-ligating brackets applied in clinic.

Objective To establish a three-dimensional digitized visible model to meet the clinical and research needs.Methods The head of the volunteer was scanned by a cone beam CT (CBCT).The bone tissue,the facial soft tissue and the teeth were extracted from the cone beam CT raw data according to the different Houns field values.The 3D digital craniofacial model was reconstructed from the three tissues extracted from the CBCT original data.The 3D dental model with high resolution was acquired by scanning the dental cast with the laser scanner.The 3D facial model with texture was acquired by scanning the volunteer's face directly by other laser scanner.With the regis tration algorithm in 3D graphics,the 3D facial model with texture and the 3D dental model with high resolution were transformed to the same coordinate which was of the 3D digital craniofacial model.Results We acquired a complicated 3D craniofacial digital model which combined the teeth model with high resolution,the bone model and the face model with texture.Conclusions The method is able to accurately establish the craniofacial digital model.

Objective: To observe the effects of autotransplantatio n of costochondral graft in the defects in temporomandibular joint. Methods: Twenty New Zealand white rabbits aged 3 months were div ided into 4 groups: the animals in group A received autotransplantation of 4 mm costochondral graft and in group B received that of 1 mm after excision of the disk, condyle and upper part of the ramus. The rabbits in group C received the same excision operation without graft transplantation as surgical controls and those in group D were used as healthy controls. Samples of temporomandibula r joint were obtained and examined by X-ray cephalometry and histopathology. Results: Cephalometric measurements revealed that height of the mandibles on left side was significantly shorter than that on right sid e in group B and C(P

Leukotriene B4 is a small metabolite of phospholipid in membrane through PLA2,5-LO, LTA4 hydrolase and other related enzymes. It is been synthesized in almost all kinds of tissue cells, then transported to outside of the cells, which may be separated from its synthesis. LTB4 shows complex bioactivities, especially in inflam-mation, immune system and plays an important role. Its functions are mediated by its different receptors on the membrane. Also, LTB4 interacts with other cytokines, and they form a network regulating functions of the body.

Objective: The topographical mapping technique of brain evoked potential was used to observe the changes of the functional activities in the cortical somatosensory area I (SⅠ) during imitating the sensation conduction along the Meridian (SCM). The formation mechanism of sensation conduction was discussed here. Method: 26 healthy adult volunteers were chosen as observe object. Cerebral electric signal processing system was used to record topographical mapping of evoked potential in SⅠ outside the skull. Soft paintbrush was used to slightly brush the Gall Bladder Meridian (GBM) to imitate the sensation conduction. Result: Evoking responses appeared in both foot and face representation areas in SⅠ of 11 healthy volunteers without conduction sensation during imitation of sensation conduction along the GBM (SCGBM), which coincided with the distribution of responses evoked in SI during sensation conduction along Meridian . 15 healthy volunteers were offered imitation of SCGBM as well as brushing through the upper arm additionally, while, the results showed that the evoking responses appeared in the foot, the upper arm and the face representation area of SⅠ. So, it formed a high potential response belt that was similar to the course occurred during the imitation of SCM. Conclusion: The external stimulation along the meridian course can change the distribution of evoking responses in SⅠduring stimulating point. The results provide experimental evidence for the supposition that “activation in sequence in periphery” is the decisive factor for the formation of SCM.

Objective:To compare the effects of distal movement of canines between elastic traction and canine lace back in the aligning stage of preadjusted appliance. Methods:50 cases with Angle I malocclusion were divided into two groups after first premolar extraction. Patients in both groups were treated by the same kind of preadjusted appliance in the aligning stage. Canine lace back was used in one group and elastic traction in another.Treatment was countinued for 12 weeks.Measurements of the dental models and the cephalograms were conducted before and after treatment.Results:Compared to the canine lace back, the decrease of the width between the cuspids of upper premolars and that between that of lower molars, the increase of the angle of the distally tipped canines and the mesially tipped lower molars and the lingually tipped incisors, the higher speed and larger distance of distal moving canines were achieved more easy with elastic traction. On the contrary, the larger distance of mesial moving molars were attained with canine lace back. The differences of all the measurements above between the two methods were significant(P

ObjectiveTo explore the inflammatory factors C-reactive protein (CRP),interleukin (IL)-6,tumor necrosis factor (TNF)-α and white blood cell (WBC) count differences between acute myocardial infarction(AMI ) thrombolysis treatment and unthormbolysis treatment,and find out the relevance between the inflammatory factors and the prognosis.MethodsAccording to the condition of accepting AMI thrombolysis treatment,the 229 patients of AMI were divided into the thrombolysis group( 131 cases) and the unthrombolysis group(98 cases).The levels of myocardial troponin I (cTnI),creatine kinase(CK),creatine kinase isoenzyme-MB (CK-MB) were detected at the time of patients sent into the hospital for the immediate,6-hour later and 24-hour later.After 6-month's follow-up,prognosis was compared between two groups.ResultsTwenty-seven cases lost in the thrombolysis group.One case died within 6 months and the mortality was 1.0％(1/104) in the thrombolysis group,and 6 cases died within 6 months and the mortality was 6.1％(6/98 ) in the unthrombolysis group.There was significant difference between two groups (P ＜ 0.05 ).The levels of CK,CK-MB in the thrombolysis group advanced,and compared with that in the unthrombolysis group,there were significant differences (P ＜ 0.05 ).The levels of TNF-α,IL-6 in the thrombolysis group were significantly higher than those in the unthrombolysis group (P＜ 0.05),and CRP and WBC count had no significant differences between two groups (P ＞ 0.05).The repatency rate was 79.4％( 104/131 ) in the thrombolysis group,the levels of TNF- α,IL-6 in repatency patients were higher than those in non-repatency patients.There were significant differences(P ＜ 0.05 ).ConclusionsThe thrombolysis is an effective way to cure AMI.The increase of TNF- α,IL-6 after the thrombolysis is considered to be related to reperfusion injury,and CRP,IL-6,TNF-α and WBC count can forecast the inflammation of myocardial necrosis and take an impotant role in predicting the prognosis of the AMI.The antiinflammatory and antioxidation treatment is significant to improve the prognosis of the AMI.