According to the theory of optimization by ???? ??????????????(俄).this essay propounds two ideal about medical ethics of ethics and the clinic practice.The second involves the optimize methodology including self-study.classroom teaching and case discussion;Via multimedia and network.

With the liver transplantation surgery technology progress and improvement of perioperative management in recent years,pediatric liver transplantation has been gradually developed.The primary disease of liver transplant recipients in children is different from adult liver transplant recipients,mainly with benign end-stage liver disease,such as biliary atresia and some congenital genetic metabolic diseases.Understanding and mastering the indications of child liver transplantation and the timing of surgery can make many children with end-stage liver disease treatment and access to good long-term survival.

Reticulocyte is the immature stage of red blood cell,which is an important indicator to reflect the hematopoietic function of bone marrow and to determine the efficacy of anemia and related diseases.In recent years, full-automatic blood cell analyzer provides reticulocyte count with advanced detection means, and more related parameters.In this paper,the correlation detection of reticulocyte parameters and its clinical application were summa-rized.

Objective To discuss the clinical observation of diarrhea type irritable bowel syndrome with Shu-gan Jianpi prescription.Methods 82 cases of diarrhea-predominant irritable bowel syndrome were selected using a random number table,the observation group(n=45 )was treated with relieving liver and reinforcing spleen methods;the control group(n=37 )was treated with the universal application of clinical Pinaverium bromide,were observed after treatment of irritable bowel syndrome score,treatment effects as well as the clinical symptoms,the results were processed using SPSS 17.0 analysis.Results The scores of the two groups at 1 month after treatment,the control group was (157.38 ±72.72),the observation group was (101.52 ±60.16)(t=-7.994,P=0.000).The score of the two groups at 3 months after treatment,the control group was (172.71 ±62.91 ),the observation group was (109.92 ±42.38)(t=-8.428,P=0.000),the results had statistical significance;The total efficiency of the two groups at 1 month after treatment,the control group was 75.7%,the observation group was 95.6%(χ2 =6.909,P=0.019),the total efficiency of the two groups at 3 months after treatment,the control group was 86.5%,the observation group was 100%,the comparison was(χ2 =6.476,P=0.016),the results had statistical significance.On the aspect of the relieve of clinical symptoms,On the abdominal pain,the control group controlled 21cases,the observation group controlled 38 cases,compared(χ2 =7.713,P=0.007),On the diarrhea,the control group relieved 15 cases,the observation group relieved 30 cases,compared(χ2 =7.713,P=0.007),both had statistical significance.Conclusion The methods with relieving liver and reinforcing spleen,to the patients with irritable bowel syndrome medicine syndrome differentiation,play each medicine spleen and stomach,benefit lung and kidney tonic win effect,can effectively reduce symptoms and reduce IBS integration,reduce symptoms treatment results.

Objective To investigate the effects of professional benefit recognition to stress coping of tuberculosis nurses. Methods A total of 82 tuberculosis nurses were assigned into experimental and control groups by random digits table method with 41 cases each. The experimental group was given four times of professional benefit recognition interventions in additional to regular training, while control group was just given regular training. The two groups were asked to complete the Professional Benefit Recognition questionnaires and Stress Coping Style questionnaires before the intervention and 1 month after the intervention, respectively. Results Before the intervention, the scores of the Professional Benefit Recognition questionnaires and Stress Coping Style questionnaires between two groups had no significant difference (P>0.05). After the intervention, the Professional Benefit Recognition questionnaires scores of experimental group increased from ( 2.93 ± 0.40) points to (3.81±0.38) points that was significantly better than that of control group(2.99±0.39) points, and there were significant differences (t=49.337,-60.834, P<0.05). The immature and mixed Stress Coping Style questionnaires scores of experimental group: self- accusation, illusion, avoidance, rationalization were (0.51 ± 0.13) , (0.51 ± 0.24), (0.56 ± 0.21), (0.51 ± 0.16) points, which were significantly lower than before the intervention (0.70 ± 0.09), (0.65 ± 0.10), (0.67 ± 0.14), (0.67 ± 0.08) points and that of control group (0.63 ± 0.16), (0.65 ± 0.18), (0.68 ± 0.18), (0.64 ± 0.13) points, with the difference being significant (t=-4.071--2.541, P<0.05). The mature coping scores of the experimental group:problem solving, appealing were (0.70 ± 0.10), (0.67 ± 0.13) points, which were significantly higher than that of control group (0.63 ± 0.12), (0.58 ± 0.15) points and that of experimental group before the intervention (0.55 ± 0.12), (0.51 ± 0.11) points, with the difference being significant (t=2.308, 2.098, P <0.05). Conclusions Professional benefit recognition interventions can improve professional benefit recognition and stress coping style, is beneficial to nurses' physical and mental health and nursing quality.

The experimental materials were rabbit hearts. The adenylates were measured by HPLC, the levels of lipoperoxidation were determined by spectrophotometry, and atomic absorption spectrophotometry was used for measurement of myocardial calcium. The study showed that in the reperfused group ATP, ADP, AMP, AN (total adenylates concentration), ATP/ADP, ATP/AMP and the energy charge were much lower in the ischemic area than those in the non-ischemic area and ischemic area of the ischemic group (Ⅰ) and Dan Shen group (D) (P

Objective:To evaluate radiography,CT,MRI,and DSA in the diagnosis of chondrosarcomas in pelvis.Methods:A retrospective review was conducted of 14 radiographs,14 CT scans,9 MR images and 6 DSA obtained in 14 patients with histologically proved chondrosarcoma.Results:The sites of tumor occurrence were ilium(4 cases),sacrum(3 cases),both ilium and sacrum(6 cases),and ischium(1 case).Mean tumor size at diagnosis was 9.3 cm(range,3～16cm).Of the 14 cases,allmanifested osteolytic lesions associated with cortical destruction on radiography,CT scans and MR images.Intraosseous calcification suggestive of a cartilage tumor was present in 9 cases on radiographs and 14 cases on CT scans.An associated soft-tissue mass was identified in 11 cases on radiographs,14 cases on CT scans and 9 cases on MR images.Ten of 14 CT scans and 8 of 9 MR images were obtained after intravenous administration of contrast material.The tumors demonstrated heterogeneous enhancement on CT scans and MR images.Six cases of DSA showed abundant blood supply and above 2 feeding arteries.The surgery was done 2～3 days after embolism by spongia gelatinosa.Conclusions:Destruction of bone,soft-tissue mass and cartilage calcification are the characteristic imaging features of the chondrosarcoma.Each imaging modality has advantages and disadvantages.CT and MR images can reflect the pathology of the pelvic chondrosarcoma.Correct diagnosis before operation is useful to the surgeons.

Doctors face relevant ethical responsibilities in the medical process of organ transplantation in China: fair distribution of organs,adaptive judgment of a surgical operation for patients with medium and advanced stage of liver cancer,avoidance of wasting medical resources,and a responsibility to prevent receivers from the risk of contacting HIV and HCV infection.So doctors in China should be provided with relevant ethical and legal knowledge and conceptions to take responsibilities to minimize the above risks and adverse issues,and then keep organ transplantations developing in a moderately healthy style.

Objective To investigate the prevalence tendency and risk factors study of hematuria in occupational population of Changzhi city,Shanxi province.Methods Cluster sampling was used to select 29 852 occupational population from January 2007 to December 2010.Questionnaire survey,physical examinations and biochemical assessment were conducted among all subjects.Results A total of 5206 patients were indentified form all subject and enrolled in the final analysis.(1) The number of newly diagnosed cases increased year by year and females was highter than males (P ＜0.01).(2)Mixed hematuria rate increased from 22.5％ in 2007 to 45.3％ in 2010; and homogeneity hematuria decreased from 58.1％ to 14.9％ ;non-uniformity of hematuria increased from 19.3％ to 39.8％.(3) High triglycerides,and age ＞ 50 years were the a major risk factors of hematuria.The main risk factors in young group (＜ 39 years) was a major risk included urinary tract infections,stones,and physical exertion.Conclusion The hematuria rate in female higher than that of male patient.For men hematuria,high triglycerides,prostatic hypertrophy,age ＞ 50 years,high cholesterol were the risk factors.As for women,high triglycerides,gynecological diseases,age ＞ 50 years.High triglycerides and physical exertion were associated with hematuria.

OBJECTIVE:To investigate how to develop pharmaceutical care in the hospital of university.METHODS:Through studying and comparing the pharmaceutical care in large and medium-sized hospitals,suggestions on the pharmaceutical care in the hospital of university were put forward.RESULTS & CONCLUSION:By drawing experience form large and medium-sized hospitals,the hospital of university can develop multiple items of pharmaceutical care in accordance with its own characteristics.