Objective To discuss the clinical effects of interventional therapy in patients with BCS. Methods 32 patients with BCS were treated with interventional therapy under the guidance of color Doppler ultrasound and DSA,and the clinical effects were analysed. Re-sults The success rate was 90. 6% (29/32),and 11 inferior vena cava stents were implanted. There was no serious complications such as pulmonary embolism,no intraoperative deaths. Postoperative complication rate was 12. 5% (4/32),including 1 case of acute renal failure who died with treatment failure,2 cases of acute heart failure,who recovered after the anti-heart failure treatment,and 1 case of bloody ascites be-cause of hepatic vein rupture who recovered after hemostasis and anti-infective therapy. The recurrence rate was 9. 7%(3/31)during the fol-low-up. Conclusion Intervention therapy can obtain a more desired therapeutic effect with smaller trauma,faster recovery in patients with BCS,and it is becoming the preferred treatment method gradually.

Described in this paper are the history of patient libraries in Japan, and the current situation, forms and types of provided service , objects of service , training of qualified personnel in patient libraries of Japan , society of patient libraries and its activities with the important role ofreadingin the recovery of patients taken into account , in order to promote the establishment of patient library and its development in our country .

ObjectiveTo explore the nursing students'puzzles about career planning,and provide a basis for the training.MethodsA qualitative research was conducted on 14 university nursing interns by in-depth interview and observing.The whole interview was noted.The data was analyzed according to Colaizzi's phenomenological procedure.ResultsThe experience could be classified into four aspects,including hazy understanding of career planning,lack of understanding of themselves,limited ca reer identity and lack of social cognition.ConclusionNursing educators should enhance the training against the nursing students'puzzles and make sure they can make a good career planning.

Objective: To study the protective effects of canthaxanthin against decreasing of i mmuno-function of the acute lung injury induced by lipopolysaccharide in mice and research its possible mechanism for offering scientific basis of its health function. Methods: Randomly distribute 60 male Kunming mices into control group, lipopolysaccharide-induced acute lung injury model group(ALI), dexamethasone (DXM) group (5 mg/kg) and low, middle, high dose groups of canthaxanthin (10 mg/kg, 15 mg/kg, 20 mg/kg). After 30 d feed by different dosage canthaxanthin, control group were given physiological saline, ALI model group, canthaxanthin administrated groups and DXM group were injected with lipopolysaccharide (LPS) (6.0 mg/kg) to induce ALI. Six hours after LPS or physiological saline challenged, abdominal aorta blood for measuring lymphocyte subpopulations(CD3+, CD4+, CD8+), tumour factor-?(TNF-?), leckocyte interpose-8(IL-8), malondialdehyde (MDA) content, superoxide dismutase (SOD), glutathione perioxidase (GSH-Px) activities, and lung wet weight/dry weight ratio, neutrophil MPO activity of lung, tumour factor-?(TNF-?), leckocyte interpose-10 (IL-10) content of lung. Results: Treatment with different dosage canthaxanthin could significantly decrease serum TNF-?, IL-8, MPO, MDA content and lung wet weight/dry weight ratio, while inhibit the reduction of IL-10 in lung and SOD, GSH-Px activities, improve the percent of lymphocyte subpopulations. Conclusion: Canthaxanthin showed protective effects on immuno-function of the acute lung injury induced by LPS in mice.

Tacit knowledge is critical to a hospital's scientific and technological innovation, the basis for its survival and the major driving force for its sustainable development. It constitutes the bulk of a hospital's knowledge, including chiefly technological elements, cognitive elements, experience elements. emotional elements and belief elements, has priority among its various tasks, and is the basis for and the key to the development of individual and organizational abilities to innovate. The instruction on and inheritance of tacit knowledge plays a key part in the cultivation of innovative talents in a hospital. Thus hospitals ought to strengthen the management of tacit knowledge and realize its exchange and sharing through face-to-face communication, post rotation, the establishment of cross-disciplinary teams and electronic networks, and the coding of tacit knowledge.

Breast Neoplasms ; diagnostic imaging ; radiotherapy ; Female ; Humans ; Imaging, Three-Dimensional ; Mastectomy, Segmental ; Postoperative Period ; Radiotherapy Planning, Computer-Assisted ; methods ; Respiration ; Surgical Instruments ; Tomography, X-Ray Computed ; methods ; Tumor Burden

Adult ; Breast Neoplasms ; diagnostic imaging ; radiotherapy ; surgery ; Cone-Beam Computed Tomography ; Female ; Humans ; Mastectomy, Segmental ; Postoperative Period ; Radiotherapy Planning, Computer-Assisted ; methods ; Respiration

Objective To investigate the protective effects of carboxyfullerene C3 against γ-ray irradiation-induced injury in BALB/c mice. Methods BALB/c mice were intraperitoneal injected with carboxyfullerene C3 (100 mg/kg) 0.5 h before whole-body γ-ray irradiation at 6.0 Gy (LD50) and 7. 2 Gy (LD90), with the dose rates being 1.0 Gy/min. The survival rate, average survival period of dead animals, and leukocyte count were observed 30 days after irradiation. The serum concentrations of superoxide dismutase (SOD), glutathione(GSH), and malondialdehyde (MDA) were examined by ELISA 4 h after γ-ray irradiation. The numbers of exogenous spleen colony-forming units (CFU-S) and in vitro colony-forming units of granulocyte and monocyte (CFU-GM) in mice receiving different regimens of γ-ray irradiation were calculated under microscope. Results Carboxyfullerene C3 significantly increased the survival rate of mice on the 30th day after irradiation (P<0.01), but it failed to prolong the average survival time of the dead animals after irradiation. CarboxyfullereneC3 increased the serum levels of SOD and GSH(P<0.01), and decreased serum MDA level(P<0.01). Besides, carboxyfullerene C3 also significanely increased the peripheral leukocyte count(P<0.01), and promoted the CFU-S and CFU-GM counts(P<0.01). Conclusion water-soluble carboxyfullerene C3 has satisfactory protective effect against γ-ray irradiation-induced injury in mice.

The time of six meridians diseases tending to be cured in Shang Han Lun (Treatise on Cold Diseases) is always one of the key points for study, but up till now no satisfied explanations are made. The authors try to study it on the basis of the theory of "three-yin and three-yang" according to the relationship between human body and the environment.

Objective To explore the influence of time and dose of mannitol on neural and renal functions in the treatment of hepertensive cerebral hemorrhage.Methods 300 patients with hepertensive cerebral hemorrhage were divided into full-dose group and half-dose group.Full-dose group was divided into group A and group B,and half-dose group was divided into group C and group D.Full-dose group given 20％ mannitol 250ml,and half-dose group was given 20％ mannitol 125ml.Groups A and C were given drug 12h after incerebral hemorrhage occurs,and groups B and D were given drug in the occurrence of cerebral hemorrhage within 12h.The neural and renal functions of every group were compared before the treatment and one week after that.Results The treatment of full-dose group and hulf-dose group was all better,the total effective rate was 71.3％,72.7％,respectively,and there was no significant difference between the two groups ( P ＞ 0.05 ).The total effective rate of groups A,C ( 92.0％,90.7 ％ ) was significantly higher than that of groups B,D (53.3％,50.7％ ) ( all P ＜ 0.05 ).The number of cases [ ( BUN increased more than 7remol/L,61 cases) and(Cr increased more than 133remol/L,64 cases)] in full-dose group was significantly higher than that of half-dose group( 17 cases,17 cases) ( all P ＜ 0.05 ).Conclusion The effect of full-dose and half-dose mannitol in the treatment of hypertensive intracerebral hemorrhage is all better,but renal injury in halfdose mannitol was lower.Giving drug 12h after incerebral hemorrhage occurs is more conducive to hypertensive intracerebral hemorrhage controlled,and could better improve the prognosis.