We should put emphasis on the honest-trust construction during the practice of hospital culture.Further?more,we should construct honest-trust culture with hospital characteristics and make honest-trust the basis of the de?velopment of hospital by cultivation and management.

To cultivate advanced nursing talents is the fundamental demand of nursing education in twenty-first century.This paper elaborated on the present application of university cooperative learning in clinical nursing practice aiming at combining the teaching theory with clinical practice,arousing nursing students' interest in learning and improving their team spirits and communication skills.Meanwhile,it is also conducive to the development of innovative experiment and further improvement of practical teaching quality.

Epidemiological studies have shown that the incidence of patent foramen ovale (PFO) in patients with cryptogenic stroke is significantly higher than general population.The close association between cryptogenic stroke and PFO supports the hypothesis that paradoxical embolism is a cause of stroke.However,the detection of PFO alone does not establish the diagnosis of paradoxical embolism in patients with cryptogenic stroke. The risk of ischemic stroke will increase significantly when PFO and other factors coexist.Some studies tave shown that there is significant difference between the MRI lesion patterns in patients with cryptogenic stroke and PFO in those without cryptogenic stroke,particularly in multiple ischemic lesions.Therefore,it does not support the theory of paradoxical embolism as a cause of stroke in patients with PFO.The PFO detection methods include transthoracic echocardiography,transesophageal echocardiography (TEE) and transcranial Doppler (TCD).TCD and TEE have a good consistency.Accordingly,TCD should be recommended as a simple,noninvasive,and reliable technique,while TEE should be only restricted to the selected patients.The treatment options of PFO include antiplatelet drugs,anticoagulant drugs,percutaneous vascular closure,and thoracotomy.Percutaneous vascular closure should only be considered the recurrent events during the medical treatment,the contraindications of medical treatment,and PFO with some anatomical high risks for patients with cryptogenic stroke with PFO before the completion of several large randomized controlled trials.

In order to push implement compendium of citizen moral construction in hospital,we establish and issue "implement constitution of moral construction of medical workers". In order to carry out constitution better,strong criterion construction of hospital moral,strong constitution construction of hospital,strong collectivism thought of employee,strong multiple medical practient activity,strong some acts to maintain patient rights and interests.

The artice sets forth the standard of hospital archives moral. It sets forth to abide professional moral standard scrupulously,surrounds with "Life Line" engineering construction,the main task of our hospital,and propagandize & education to work hard.

OBJECTIVE To study the influence to the sterilizing effect of these factors,which were preheating the sterilizer,the positions of the articles placed and the cleanness of the internal wall.METHODS A total of 120 clinical used dental handpieces,according to the high-pressure steam sterilizer disposal procedure,were divided into four groups,with 30 handpieces in each group.Those only with high-pressure steam sterilizer process were chosen as the control group.Preheating 30 minutes,wipping the internal wall with 0.5% chlorine disinfectant before using high-pressure steam sterilizer and acting both of two steps were all chosen as the experimental groups.Each group was put in the interior,middle and exterior of the high-pressure steam sterilizer separately.The Rapid Readout Biological Indicators(3M Attest,the USA) were used to test the sterilizing effect.RESULTS The different methods of the high-pressure steam sterilizer had the significant differences to the handpieces sterilizing effect(P0.05).CONCLUSIONS To achieve ideal sterilization,it is suggested to wipe the internal wall and the temperature control probe head with 0.5% chlorine disinfectant and preheat the sterilizer for 30 minutes before put handpieces in the high-pressure steam sterilizer.

With health reform goes deeply,medical system becomes market economy gradually;some of medical workers are not fit with the market economy reform.By means of two years practice of defending the patient rights,the article sets forth that upholding the rights of the patient and defending the benefits of the hospital are identical.According to analysis to the patients present situation,it puts forward that there are some problems to ignore or infringe upon the patients informed rights,keep secret rights,private rights,autonomy rights,autonomg respect to the patients etc.According to the above problems,we set forth the discussion of corresponding countermeasure.The purpose is to recognize the patient rights,to participate competition positively,and realize the purpose--Uphold the Rights of the Patient and Defend the Bendfits of the Hospital.

Adiponectin is an adipocyte-derived peptide with anti-inflammatory and anti-atherogenic effects. It has found that adiponectin can prevent the occurrence and progression of atherosclerosis. This paper reviews the recent studies on adiponectin in cerebrovascular diseases, especially on ischemic stroke. Meanwhile, it also elaborates the close relationship between adiponectin and other traditional vascular risk factors.

Objective To explore the diagnostic value of SPECT rCBF imaging for acute closed brain injury. Methods SPECT rCBF imaging and X-ray CT were perfomed in 60 patients with acute closed brain injury, and the results of two detection methods were compared. Results Among 60 patients, SPECT examination found 54 cases(90%) of brain lesions, while x-ray CT only found 27 cases(45%). The positive diagnostic rate of SPECT was higher than that of CT(? 2=25.68,P

Aim To elucidate the relationship between IgG antibodies and penicillin allergy.Methods Enzyme-linked immunosorbent assay was used to examine 8 kinds of specific IgG antibodies,including major antigenic determinants:benzylpenicilloyl(BPO),ampicilloyl(APO),amoxicilloyl(AXO)and phenoxomethylpenicilloyl(PVO),and minor antigenic determinants:benzyl-penicillanyl(BPA),amoxicillanyl(AXA),ampicillanyl(APA)and phenoxomethylpenicillany(PVA),in the sera of 241 patients with penicillin allergy.Results Except BPA-IgG,levels of 7 kinds of antigenic determinants IgG antibodies were significantly higher than those of control group(P