Objective To explore the clinical effect of minimally invasive puncture combined urokinase treatment of hypertensive intracerebral hemorage.Methods As a retrospective study,90 patients with hypertensive intracerebral hemorage were treated,they were divided into the observation group and control group,each group had 45 cases.The control group was given traditional surgical operation treatment,the observation group was given YL -1 type of disposable needle with urokinase treatment.The data of operation time,hematoma clearance time,ratio of rehaemorrhagia,hospitalization time and clinical effect in the two groups were analyzed by the software of SPSS 21.0.Results The operation time(χ2 =17.507,P =0.000),hematoma clearance time(χ2 =44.272,P =0.000)and hospitalization time(χ2 =10.601,P =0.000)in the observation group were significantly shorter than those of the control group,the difference was statistically significant.The ratios of rehaemorrhagia in the observation group and the control group,were no statistically significant(χ2 =0.385,P =0.535).The excellent and good ratio was 60.0% in the observation group,significantly higher than the 28.9% in the control group,the difference was statistically signifi-cant (χ2 =8.820,P =0.003).Conclusion The clinical effect of minimally invasive puncture combined urokinase treatment of hypertensive intracerebral hemorage is better than the traditional surgical operation treatment.

Objective:To observe the factors of adverse drug reactions in the nervous system.Methods:197 cases of adverse drug events in the nervous system were collected and analyzed in our hospital from January,2007 to December, 2008.Results:In the 197 cases,80 patients(about 40.61%) were above 60 years old,and 149 patients(about 75.63%) were medicated by i.v.183 cases belonged to the scope of ADRs,and the other 14 cases,to ADEs.The main drugs were anti -bacterials which caused ADR/ADE of the nervous system,and the second were traditional Chinese drug preparations. Conclusion:The ADRs in the neurological system were involved in many kinds of drugs,and had many clinical manifestations. The clinicians should pay attention to them.

Hospital information management has penetrated into each aspect of hospital management.We discussed briefly the role of the hospital information system in medical records management in Chinese medicine hospital on information sharing,data statistics and convenience of case consulting and management,which improved greatly the efficiency of medical records management.

Oxygen sensitive potassium channels can sense the change of oxygen pressure and mediate modifications in cell excitability,contractivity and secretory activity. Several oxygen sensitive K + channels subunits have been identified: Kv 1 2, Kv 1 4, Kv 1 5, Kv 2 1, Kv 3 1 b, Kv 3 3, Kv 3 4, Kv 4 2, Kv 4 3, Kv 9 3, K ATP , K Ca , TASK 1 and hTASK3. There are three mechanisms about the oxygen sensitivity of potassium channels. The subtypes and mechanisms of oxygen sensitive potassium channels variy from different cells and species. Discovery of the subunits of the oxygen sensitive potassium channels and their mechanisms might help to develop understanding and treatment of ischemic disorders, such as stroke, myocardial infarction, pulmonary hypertention as well as reperfusion injury.

PKC plays a pivotal role in the mechanism of myocardial preconditioning. After preconditioning, PKC is activated and translocated to membranes and cytoskeleton structures by multiple endogenous substances such as adenosine, calcium, etc. Recent studies imply that MAPK carries the signal from PKC to the mitochondria K ATP channel and thus protect the heart.

Objective To study the application effects of from-bottom-to-up objective management model in nursing quality control.Methods Eight surgical departments in our hospitals were selected as research objects.Traditional objective management model was applied in the control group (8 004 cases,9 453 visiting times) from June 2012 to June 2013.From-bottom-to-up objective management model was applied in the experimental group (8169 cases,9 603 visiting times) from July 2013 to July 2014.Nursing work quality and continuous improvement projects were compared between two groups by questionnaire survey,a return visit by telephone and statistical evaluation.Results The satisfaction of patients with nurses' service attitudes and professional technology level and the awareness of patients about major nurses in the experimental group were significantly higher than those in the control group [95.56％ (7 806/8 169),95.19％ (7 776/8 169),97.17％ (7 938/8 169) vs.93.22％ (7 461/8 004),92.62％ (7 413/8 004),84.60％ (6 771/8 004),allP＜0.01].Patient complaints and the incidence of nursing adverse events in the experimental group were significantly lower than those in the control group (46,16 cases vs.85,39 cases,x2=9.783,P＜0.01).Conclusions Applying from-bottom-to-up objective management model could cultivate self-control abilities and innovation awareness of nurses,which can improve nursing work quality.

OBJECTIVE:To understand the teaching effect of cooperative training model between colleges and hospitals,and provide reference for the teaching effect of clinical pharmacy. METHODS:Questionnaire survey was conducted on 87 clinical phar-macy students that joint trained by our hospital and Chongqing Medical University. The questionnaire included the students’opin-ions on teachers,teaching materials,teaching methods and suggestions for teaching improvement,all the questionnaires were col-lected and analyzed. RESULTS:There were totally 87 effective question naires with effective rate of 100%. 94.25% of students showed overall satisfaction in cooperative training model between colleges and hospitals,however,5 students thought distribution of the theoretical study time and the traine time still exist some problems;57.48% of students considered the textbook was not suit-able to use and they made recommendations;25.29% of students thought that clinicians responsible for teaching was not appropri-ate,the main reason was clinicians were not clear enough for drug teaching. CONCLUSIONS:Compared with traditional teaching model,the clinical pharmacist training model of cooperation between college and hospital has certain advantages,but some prob-lems still exist in the teachers,textbooks and curriculum arrangements,which need to be further improved.

Carotid artery calcification is a calcium deposition on arterial wals. It has a great clinical significance when it occurs within atherosclerotic plaques, which is a marker of the progressive atherosclerosis. In recent years, the studies on the mechanism of carotid artery calcification and imaging detection methods are continuously advancing and being updated. In addition, the correlation between carotid plaque calcification and ischemic cerebrovascular disease and the effect on its therapeutic decisions are also the research foci. However, there have been controversies about the advantages and disadvantages of carotid artery calcification. Some researchers believe that carotid artery calcifications are a protective factor, but others believe that they may promote the plaque vulnerability. This article reviews the recent progress in research on carotid artery calcification from the above aspects.

Background and purpose:This study aimed to investigate the effect of glucagon-like peptide-1 receptor agonists on proliferation, secretion of calcitonin and energy metabolism of medullary thyroid cancer (MTC) cell.Methods:The MTC cell line (TT) was culturedin vitro. After treatment with exenatide and liraglutide (0, 1, 10 and 100 nmol/L) for 24, 48 and 72 h, the proliferation of TT was analyzed by CCK-8 kit, the calcitonin was measured by calcitonin assay kits, and the energy metabolism of TT was measured by Seahorse XF instrument.Results:When compared with control group, neither exenatide nor liraglutide had effects on proliferation of TT (P>0.05); the calcitonin levels did not change signiifcantly after treatment with GLP-1 receptor agonists (P>0.05). Exenatide and liraglutide did not alter glycolysis and mitochondrial respiration in TT cells in a dose- and time-dependent manner.Conclusion:GLP-1 receptor agonists have no effect on the development of TT. Further collection of the safety data of exenatide and liraglutide on thyroid is still needed.

The neuromechanism of language function recovery in patients with aphasia after stroke is still unclear. It is supported that the language function of aphasia after extensive damage of left hemisphere mainly recovered through activating the right hemisphere of ho-mologous regions to improve the function of speech. Melodic intonation therapy (MIT) can be achieved by melody tone and left hand clap to activate the right hemisphere of the frontal temporal lobe, which is particularly applicable to improve language function of non-fluent aphasia patients with large left hemisphere lesion. Non-invasive brain stimulation techniques (NBS) changes brain activity through stimulat-ing affected or contralateral side, which has been used to facilitate language functional recovery after stroke. Excitatory transcranial stimula-tion on the right hemisphere homology combined with melodic intonation therapy can promote language recovery of patients with extensive damage of left hemisphere after stroke. It is valuable to combine traditional speech training with MIT and NBS to activate related language functional areas to maximum improvement of language recovery after stroke.