Signaling pathways of growth factors and their receptors not only diversify the biological behaviors in normal cells,but also play important roles in regulation of tumor cell proliferation,differentiation,transformation and migration.Aberrant expression of insulin-like growth factor-1 receptor (IGF-1R) has been observed in multiple hematological malignancies including multiple myeloma,lymphoma and leukemia.The existence of IGF-1R signaling pathway is a potential therapeutic target of hematological malignancies.This review summarizes recent findings of the aberrant expression of IGF-1R and therapeutic intervention in hematological malignancies.

Carrying out reasonable classification of literature collection and analyzing the characteristics scientifically, the paper points out adjusting development policies for collection, constructing characteristic collection system and optimizing the quality of acquisition librarian, which would play an positive role in improving the construetion of literature resource system in libraries.

Objective To study the clinical effect of combination of kurarinone and thymosin ?_1 for injection in treating chronic hepatitis B.Method One hundred and fifty-six patients with chronic hepatitis B were randomized into two groups,additional KR combined thymosin ?_1 for injection was given to treated group,and KR to control group.The therapeutic course for them was 6 months.We compared the serum ALT、 hepatitis B virological markers、T lymphocyte response before and 6 months after treatment.Results After treatment,the results showed that the levels of CD_3+、CD_4+、CD_4+/CD_8+ T cell in CHB patients of treatment were much higher than control groupnt.The ratio HBeAg and HBV-DNA loss were increased,the difference was significant(P

Objective To study the effect of Chinese medicine fumigation bath combined with acupuncture and hemorrhoids on improving the pain edema of elderly patients after anorectal pain.MethodsA total of 168 elderly patients with anorectal surgery were enrolled in our hospital from April 2013 to April 2016.The patients were randomly divided into two groups: the group (n=84) and the conventional treatment group (n=84) N=84).Routine treatment group given conventional Western medicine and potassium permanganate solution bath treatment, fumigation acupuncture group on the basis of conventional Western medicine treatment to give Chinese fumigation bath and acupuncture hemorrhoids treatment, compared the two groups of clinical efficacy, pain, Wound recovery and skin adverse reactions.ResultsThe total effective rate, no pain rate, edema disappearance time and wound healing time were 94.0%, 38.1%, (5.13±1.59) d, (16.47±4.06) d, respectively, compared with those in the conventional treatment group 84.5%, 22.6%, (6.74±1.23) d, (19.38±3.75) d, the difference was statistically significant (P<0.05).ConclusionChinese medicine fumigation bath combined acupuncture hemorrhoids acupuncture points can improve the local blood circulation, anti-bacterial anti-inflammatory pain, relieve senile patients after anorectal pain edema symptoms, speed up the rehabilitation process.

Objective To explore the relationship between dental trauma for children and their psychological behavior characteristics.Methods By using the method of case-control study,7-11 years of age children accepting oral health examination in our department were asked to fill in the questionnaire.The children without dental trauma were selected as the control group and the children with permanent tooth injury were selected as the injury group.Each group has 57 cases.All children finished the Eysenck personality questionnaire (EPQ) and their parents finished the Achenbach child behavior capacity list (CBCL).Results (1) The average CBCL score (32.51±20.41) and scores of P and N branch capacity lists in EPQ (44.72± 11.67,48.05± 12.39) of the injury group were all higher than those of the control group (17.19± 11.67,37.64± 8.17,41.40± 8.78) (P＜0.01).(2) The detecting rate of behavior problems in injury group was also higher than that of the control group (33.33％,7.02％,P＜0.01),OR=6.63,95％ CI =2.09-21.05.Boys of the injury group had higher scores than those in the control group in seven factors (depression,social withdrawn,restlessness,violation of discipline,attack,compel and social problems) (P＜0.05),and girls of the injury group also had higher scores than those in the control group did in three factors (depression,social withdrawn and attack) (P＜0.05).(3) In the injury group,boys had higher scores in the factor of schizoid anxiety than girls did (P＜0.01),risk factors were depression (OR=0.529,95％ CI =0.292-0.959),social withdrawn (OR=2.274,95％ CI =1.311-3.944),restlessness (OR=0.426,95％ CI =0.213-0.852),violation of discipline (OR=0.426,95％ CI =0.213-0.852) and attack (OR=0.644,95％ CI =0.459-0.903).However,girls had higher scores in the factor of depression than boys (P＜0.05),their risk factor was depression (OR=0.573,95％ CI =0.357-0.919).Conclusion There is a certain correlation between tooth injury and their psychological behavior characteristics of children.

OBJECTIVE:To explore pharmacist's cognition on the factors affecting the drugstore-based pharmaceutical care(PC),and to discuss the relationship between the influencing factors and the influencing degree of these factors on pharmacists.METHODS:A questionnaire survey was carried out among pharmacists in drugstores in Xi'an city and a structural equation modeling(SEM)was formed to verify the factors affecting the drugstore-based PC.RESULTS:The questionnaire survey response rate was 84.7%(133/157).The data obtained fit the theoretical model satisfactorily.Partial of the hypotheses have been proved.CONCLUSIONS:According to SEM testing results,the development of trade were positively related to drugstore;drugstore has a direct positive impact on social evaluation,the practice of basic PC and advanced PC in drugstores;the quality of pharmacists has a direct positive impact on the social evaluation and the practice of advanced PC in drugstores.

Objective To explore the effect of Utstein registry on improving the missing key information during cardiopulmonary resuscitation.Methods A total of 111 emergency medical records of cardiopulmonary resuscitation from January 1 to December 31 2012 were as control group,and 100 Utstein registry of cardiopulmonary resuscitation from June 1 2013 to May 31 2014 were as experimental group.The missing key information during cardiopulmonary resuscitation were compared between two groups.Results The missing key information during cardiopulmonary resuscitation in monitoring the rhythm of the heart for the first time,cardiopulmonary resuscitation start time,defibrillation time for the first time,established assisted ventilation time,recovery delivery time for the first time,recovery termination time were 84.68％(94/111),16.22％ (18/111),89.58％ (43/48),76.58％ (85/111),72.07％ (80/111),30.63％ (34/111) in control group,and 9.00％(9/100),0,0,4.00％(4/100),7.00％97/1000,2.00％(2/100) in experimental group,and there were significant differences (P＜ 0.01).Conclusions Utstein registry can promote perfect cardiopulmonary resuscitation information registration,so as to provide the basis for cardiopulmonary resuscitation quality continuous improvement.

In this paper, published by COSOInternal Control-integrated framework Theory and the actual situation in China's state-owned hospitals, the hospital selected the elements of the control environment for the study, respectively, from the organizational structure, the values of the main staff, the hospital management and operation of the concept of style, the hospital audit department, as well as hospitals and other human resource policies in terms of five of the impact of the internal control system analysis, and made light of the actual current state-owned hospitals in the above-mentioned aspects of the prevailing problems and gives some solutions.

Promoted vigorously by state and government , it is a strategic emphasis of a new round of medical reform that public hospitals combine with social capital .In order to expect more attention to the hot issue from wheth-er theoretical or practical views , this article draws lessons from the experiences that foreign hospitals have managed to combine with social capital , to analyze the necessity of the new medical mode under the background of the medical re -form policies implementation and the enlarged health industry flourishing development , and meanwhile to discuss the value of the new medical mode for the present medical situation .

OBJECTIVE:To discuss the social factors influencing therapeutic effects of drugs.METHODS:The relevant literature were reviewed and collected to analyse the causes of social factors in influencing therapeutic effects of drugs.RESUL_ TS&CONCLUSION:The efficient amse in affecting actions of drugs is abuse of drugs.In order to avoid the abuse of drugs,we should strengthen the management of drug circulation,establish mechanisms of fair competition and management of OTC,in supervising clinical physicians and guarding against the abuse of drugs.