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 .

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.

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.

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.

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

This study was aimed to generalize the therapeutic rules in“Bentun qi” disease treatment through data mining, in order to show a general picture of“Bentun qi” disease by ancient physicians. Furthermore, it was aimed to reveal the nature of“Bentun qi” disease. Frequency statistics, factor analysis and association rules wereused to summarize the therapeutic rules of“Bentun qi” disease by data mining of therapeutic rules from ancient prescriptions. And then, the etiology and pathogenesis of“Bentun qi” disease were deduced. The results showed that besidesyang deficiency and cold accumulation, pathogenic fire derived from liver-qi stagnation, and drink dynamic due toyang deficiency,“Bentun qi” disease also had the etiology and pathogenesis ofqi stagnation and blood stasis due to depression of the liver-qi, blood stasis and cold stagnation due toyang deficiency, qi stagnation in the middle-jiao, and centralqi deficiency and so on. In addition, the herbs in these ancient prescriptions also related to five internal organs. It was concluded that based on theNan Jing(The Classic of Difficult Issues) andJin-Gui Yao-Lue(Essentials from the Golden Cabinet), the knowledge of“Bentun qi” disease began to show a diversity trend after theHanDynasty.

OBJECTIVE: To analyze the requirement of pharmaceutical care among physicians, nurses and patients and to explore work mode of clinical pharmacists. METHODS: The requirement of pharmaceutical care in concrete cases was summarized by combining with experience of author as clinical pharmacist in cardiology department. RESULTS: The advantage of clinical pharmacist and convenient consultation for selection of drugs contribute to complementary with physicians’ work. CONCLUSION: Clinical pharmacist provides various pharmaceutical care according to the requirement of doctors, nurses and patients.

Objective To inspect the loading strength of a newly designed femur prosthesis with cage on the tension side for improving its design and clinical application. Methods A straight cementless femur prosthesis of total hip joint with cage on the proximal tension side was designed according to the geometry parameter of proximal femur of Chinese people. The concepts of proximal press-fit fixation, hypo-distal fixation, interface osteointegration and bone fusion with the cage were adopted in the prosthesis. Ti-6Al-4V forging workblanks were used in manufacturing with CAD/CAM technology. One prosthesis was taken randomly from finished products of each No.0, 1, 2, 4 group(with different) matched by (+0, +2) head with 26 mm diameter. The weight-loading test was done at 1 body weigth (BW), 3-8 BW respectively on INSTRON 4507 200kN univeral experiment machine universal material study machine with the prosthesis in a extraversion position of 18?. Results No plastic deformation and crack appeared when any of the prosthesis bear 1, 3-8 BW loading. The ultimate loading limit of No.1 and No.4 prosthesis was 57.6 kN and 81.8 kN respectively. Destroy first appeared at the stress collection area of the neck when the size of neck was relatively small. When the size of neck was big enough, break occurred at the stress collection area of the cage on the tension side. Conclusion The intensity strength of weight-loading of the femur prosthesis can not be destroyed even with a cage on the proximal tension side. It can endure the weight loading of hip in daily activities, and even strengthen due to the bony growing in proximal femur.