Objective To study the curative effect and adverse drug reactions of pamidronate combination with chemotherapy in treatment of bone metastatic cancer. Methods 42 cases of cancer patients with bone metastasis are divided into two groups,20 patients in one group are treated with pamidronate only( pamidronate group) ,22 pa-tients in the other group are treated with pamldrunate combination with chemotherapy( combination group). Combined chemotherapy regiments in combination group are:NP regiment in non-small cell lung cancer,CAF regiment in mam-mary carcinoma,FAM regiment in prostate cancer. Results The effective rate of analgesia in pamidronate group is 65% ,combination group is 90.9%. There is statistically significant difference between two groups(X2=4.17 ,P<0.05). There is no statistically significant difference in improvement of Kap grade and ability in activity between two groups(P>0.05). Conclusion Pamidronate combination with chemotherapy is an effective curative method for bone metastasis of advanced malignant tumor. Pamidronate only is a satisfactory curative method for advanced malignant tumor patients that can not endure chemotherapy.

Zika virus is an arbovirus primarily transmitted by aedes aegypti mosquitoes,which is prevalent in tropical and subtropical regions.The main clinical manifestations are febricula,cutaneous rash,arthralgia,myalgia,headache,conjunctivitis,retroocular headaches,and vomiting.Zika virus is less severe.Deaths have not been reported.Zika virus infection in pregnant women can also lead to stillbirth or neonatal microcephaly.Congenital infection can also lead to neurological disorders,ophthalmological and other changes.The diagnosis mainly depends on epidemiology,clinical manifestations and laboratory examination.There is no available vaccine or treatment,so disease control is limited to the management of mosquitoes.

Objective To discuss the relationship age and pathologic type, tumor size (≥4 cm) and pelvic lymph metastasis in cervical cancer, and the relative factors of cervical cancer with metastasis of pelvic lymphaden and the possibility of ovarian conservation. Methods 166 cases of cervical cancer accepted radical hysterectomy and pelvic lymphadenectomy in our hospital from June 2002 to June 2007, and were analyzed retrospectively. 166 cases of cervical cancer were divided into two groups, the age in group A was less than 35, while in group B was more than 35. Results The possibility of adenocarcinoma, the tumor size (≥4 cm) and the metastasis of pelvic lymphaden were higher in group A than in group B. The higher the clinical stage, the higher the pathological type and grade were. The greater the tumor size were ,the higher the rate of pelvic lymphatic metastasis (P <0.01). The more tissue infiltrate were, the higher the rate of pelvic lymphatic metastasis (P <0.01). Conclusion The possibility of adenocarcinoma carcinoma, the tumor size (≥ 4 cm) and the metastasis of pelvic were more higher in young women. The rate of pelvic metastasis is closely related to clinical stage, pathological type and grade, tumor size, and tissue infitration.

microRNAs is a class of non-coding RNA, which is the transcriptional regulator of gene expression at the post transcriptional level.These endogenous non-coding RNA are expressed abnormally in tumor cells, in the tumor cell growth, reproduction, apoptosis and metastasis and other processes play an important regulatory role.Recently, microRNAs was widely regarded as biological diagnostic and prognostic markers of tumor in clinic, has been widely viewed.This article will introduce the important role of miRNA in tumor gene expression, as well as the use of miRNA as a tumor targeted therapy clinical application before the need to solve the problem .

By using questionnaire method,We sent the questionnaires to 74 winners and 15 jury members of CMA-L'OREAL China skin/hair grant and analyzed the questionnaires that had been filled out by them.We got a better understanding on the issue of paper publications of the funded projects,and the judges,advices and overall feelings of winners and jury members on the grant.We analyzed why the grant has been highly appraised by the dermatologists,how the grant has promoted the research activities in the specific area,and what we should do to improve the grant management in the future.

Based on 10 years management experience of CMA-1,OREAL China skin/hair grant,the article puts forward three main factors of scientific funds management,which are:adhereing to the fair and justice review,constantly strengthening the service consciousness and improving the service level,constantly perfecting the management system.The article also summarizes some specific experience and practice,including:Chinese and French experts joint review,avoid principle and double-blind review,Service provider role orientation,internet management platform development and whole process management,etc

The comorbidity of pain and depression is common. Both disorders might share common neuroanatomical and molecu-lar mechanisms. Recent studies have found that the brain-de-rived neurotrophic factor( BDNF) ,which plays an important role in the process of pain-depression comorbidity, has gradually be-come a hot topic and target of treatment. The article mainly sum-marizes the mechanism underlying comorbid pain and depres-sion,as well as the significance of blood BDNF in diagnosis and treatment of pain and depression.

Objective To discuss clinical characteriistics of APE and therapeutic effect of thrombolysis or anticoagulation so as to reduce false or misdiagnosis rate and improve survival rate.Methods The clinical data of 122 inpatients with APE were reviewed.Results The most common risk factors were deep venous thrombosis,age over 60 years old,cardiac disease,surgical operation,diabetes,fracture,long-term immobilization,etc.The most frequent symptom was dyspnea.D-dimmer measure had high sensitivity.By means of color Doppler echocardiography,spiral computed tomography,pulmonary ventilation/perfusion scanning,the cases were finally diagnosed.Positive treatment of thrombolysis and anticoagulation could reduce mortality.Conclusion As clinical manifestations of APE are non-specific,clinician should be alert.D-dimmer measue could be screening.The standardized treatment can improve prognosis significantly.

Objective To explore the clinical diagnositic code(CDC)in ovarian endometrial cysts (OEC).Methods 218 cases of pelvic masses were investigated by use of symptoms,signs,B mode sonography and CA125.172 cases were diagnosed with OEC out of 218 cases,While 46 cases were ruled out by combination exploratory laparotomy and laparoscopy.Meanwhile we compared it with revisional american fertility society(r-AVS)including diagnosis and staging.Results The operation results of 218 cases were compared with the results of CDC and its Diagnositic Sensitiveness;Specificness;Positive predictive value;Negative predictive value;Diagnositic accordance rate as well as Diagnositic index of CDC were 96.4%,79.6%.93.0%,90.0%,91.7% and 73.4% respectively(χ2=127.818,P＜0.001).Further more,172 cases of OEC which diagnosed with CDC were further subdivided into three stages as 1,2,3 according to its score,mild;moderate;heavy and this stage category were compared with the category of AFS(Ⅰ-Ⅱ,Ⅲ,Ⅳ),the Diagnositic accordance rate of two categories were 95.6%,95.6% and 83.0% respectively,No significant difference were found in Var.mitis and medium-sized(χ2=0,P＞0.05).but the Medium-sized and Gravis tape was significance(χ2=4.472,P＜0.05).Conclusion CDC has a better coincidence with operation in the diagnosis of OEC which can be used in the non-traumatic diagnosis and staging of OEC in clinic.

During February-April 2007,questionaire investigation was conducted among ethic committees of 154 organizations,including hospitals,medical and pharmaceutical universities,academies of medical sciences and CDCs.Many aspects(establishment,working and management framework,difficulties etc) of all these ethic committees have been understood comprehensively.Based on these investigation results,with the reference of international successful experiences,we propose some suggestions for health administrative agency,all kinds of medical organizations and ethics scholars.