Humans ; Multiple Myeloma ; blood supply ; therapy ; Neovascularization, Pathologic ; therapy ; Prognosis

Humans ; Surgical Flaps ; Tissue Transplantation

MicroRNA (miRNA) are a class of small,non-coding,measuring 21-25 nucleotides in length RNA,which regulates protein levels post-transcriptionally through binding to 3'-untranslated region of target mRNA.miRNA involves in many physiological and pathological processes.Studies demonstrate that miRNA presents not only intracellular,but also in circulation and body fluids,e.g.urine,tear,ascetic fluid,and amniotic fluid,and these miRNA have become a novel biomarker and potential target of treatment,especially the serum miRNA.This review summarizes the recent advances of serum miRNA.

With the development of immunosuppressant and surgical technique,both the survival rate of liver transplant patients and grafts improve significantly. Meanwhile,infection has become one of the most common complication and main reason of death.The knowledge of the characteristics of infection after liver transplantation is helpful for early diagnosis and treatment,which may decrease the mortality.As the clinical manifestation becomes atypical for the usage of immunosuppressant, it's reasonable to combine some specific biomarkers for early diagnosis.Pathogen varies according to the time post transplant,and it can be divided into three stages.Low immune status and the application of broad-spectrum antibiotic are the reason of opportunistic infection and super infection. Epidemiological survey found that new type of fungus and multi-drug resistance bacterium increase.It's important to pay attention to the management and standardized usage of antibiotic,as well as to establish relative guideline,which may decrease the drug resistance and improve outcome.

The paper analyses the present situation and comes to the conclusion that the total and scale of hospital is growing faster,construction investment is big,hospital comprehensive service increase apparently.But in fast development process,there exist some problems:Such as lack of planning guidance and foresight,building lack of high intelligence,conservation and environmental protection without strong consciousness,and investment in a single channel,etc.The author pointed out that the hospital building must correctly handle with problems including the reality and advanced,systematic and progressive,security and privacy,advanced and economic.etc.The author suggests that the hospital construction planning should be improved and perfect,fully embody the thoughts of human-oriented,pay more attention to energy conservation and environmental protection technology applications,improve hospital intelligence,and strengthen government support so as to make the hospital construction and development on a sustainable way.

OBJECTIVE: Human body is closed in environmental physical factors.Using golden section, this study aims to find out the best condition of environmental physical factors acting on human body.METHODS: There are a lot of phenomena which have relation with golden section, for example, the environmental temperature, humidity, light frequency, sound intensity, atmospheric pressure, oxygen content, etc. Are in step with human sensation. RESULTS: ① Harmony between environmental temperature and human body: Room temperature was maintained at 22-24 ℃, which was the golden temperature of human body (37 ℃). At this time, human felt the most comfortable. ② Harmony between humidity and human body: When humidity ranged from 60% to 69% which contained the golden humidity of 61.8%, human did not feel both dryness and wetness. ③ Harmony between light frequency and human body: Visible light with the wave length of 5.3×10-5 cm exactly stood at the golden point and was located in the area between yellow and green, I.e. Kelly light. Eyes of human had various sensitivities to each part of visible light. The further the wave-length away from kelly light, the poorer the sensitivity was; therefore, photosensitivity of kelly light was the most obvious, and human felt comfortable at the same time. ④ Harmony between sound intensity and human body: Golden value from auditory threshold (0 dB) to pain threshold (120 dB) was 45.84 dB and 74.16 dB, respectively, which was located at normal area (40-60 dB),loudness area (60-80 dB) and region of musical sound. Musical sound had a great effect on cardiovascular system, digestive system, gland excretionand thinking activities. ⑤ Harmony between atmospheric pressure and human body: If oxygen content was near to golden value, human felt suitable;otherwise, human would have hypoxia, irritancy, nausea and emesis.CONCLUSION: The best condition of environmental physical factors is optional. If the indexes, such as environmental temperature, humidity, light frequency, sound intensity, atmospheric pressure and oxygen content, are near to golden value, they will be harmonious with human body.

Objective To study the etiology and clinical features of pleural effusion in Children .Methods The clinical data of 117 cases who diagnosed with pleural effusion in children were analyzed retrospectively .Results In the study ,infectious pleural ef-fusion that were 97 cases(82 .9% ) ,in which 79 cases caused by suppuration(67 .5% ) ,9 cases caused by mycoplasma(7 .7% ) ,6 ca-ses caused by virus (5 .1% ) ,3 cases caused by tuberculous-empyema (2 .6% ) .Non-infection cause included 20 cases (17 .1% ) ,in which 6 cases of nephrotic syndrome ,4 cases of malignant tumor(1 case of lung cancer ,1 case of lymphoma ,1 case of leukemia ,1 case of nephroblastoma and lung metastasis) ,4 cases of Kawasaki disease ,2 cases of acute glomerulonephritis ,2 cases of industrial vinegar concentrate poisoning ,2 cases of hemolytic uremic syndrome ,1 case of hypereosinophilic syndrome .There were 83 cases cured in 117 cases of pleural effusion ,26 cases left hospital with getting better ,7 cases of no cure(4 cases of malignant tumor ,1 case of nephrotic syndrome ,2 cases left hospital automaticly )and 1 case of death .Conclusion Infection is the main cause of pleural effu-sion in children ,it should be pay attention to pleural effusion in children caused by various diseases in the process of clinical diagno-sis and treatment .

Objective To establish the method for determination of gallic acid in Shibawei Heziliniao Pill by HPLC. Methods ODS-2 HYPERSIL C18 column (250 mm×4.6 mm, 5 μm) was used, with mobile phase of methanol-0.1%phosphoric acid solution (7∶93). The flow rate was 1.0 mL/min, the detection wavelength was 270 nm, and the column temperature was 30 ℃. Results Gallic acid showed a good linear relationship within the range of 0.063-0.315 μg, Y=2902.1X-5.95, r=0.999 6. The average recovery was 98.56%, and RSD was 0.41% (n=5). Conclusion The method is sensitive, simple, accurate, reproducible, and can be used for quality control of 18 Taste Myrobalan Diuretic Pill.

Puberty onset is triggered by re-emergence of the hypothalamic-pituitary-gonadal axis (HPGA),which is characterized by the significantly increasing amplitude and frequency of gonadotropin-releasing hormone (GnRH) secretion in human being.A series of studies found that many genes control puberty onset,including KISS1 and GPR54 gene,estrogen receptor (ESR) gene,energy balance-related genes,LIN28B gene,MKRN3 gene and so on.Studies have been confirmed that the mutation and single nucleotide polymorphisms (SNP) of the genes above are associated with early puberty.In this paper,the relationship between genetic alterations of these genes and early puberty are summarized as follows.-

To advance the medical service system and strengthen the medical staff construction at primary hospitals,our hospital pioneered the training class for doctors and nurses from primary hospitals in Henan province in 2011.We offered the training fee and set rewards for them.The training classes included pre-job training,demonstration lessons,lectures,simulation training,discussion of intractable cases and clinical instructor training.The systematic training based on Henan provincial conditions plays a radiation role of big public hospitals and helps implement the grading medical services.