Plastic and cosmetic surgery is an emerging disci-pline which can create beauty with medical intervention.It can be say that plastic and cosmetic surgery can combine medicine with aesthetics and art.Plastic surgeon is the angel of this perfect combination.In this paper, the author discusses how to be a qualified plastic surgeon to real-ize the combination of medical, aesthetics and art through more than 30 years clinical experience and teaching practice in plastic and cosmetic surgery.

Objective To analyze the clinical features and significance of the samples which the expression of ANA is positive and the expression of anti‐ENA antibody is negative .Methods Detect ANA and anti‐ENA antibody of all the 297 samples by indi‐rect immunofluorescence method and biological chip technology ,repectively .And analyze the fluorescence karyotype of ANA posi‐tive specimens with double‐blind method .Screen the samples which anti‐ENA antibody express negative from ANA positive sam‐ples .Compare and analyze the fluorescent karyotype .Results Of all the 297 samples ,74 cases were positive for ANA ,the positive rate was 24 .9% (74/297) .The majority of patterns were speckled pattern (43 cases ,58 .1% ) ,cytoplasmic granular pattern (9 ca‐ses ,12 .2% ) ,and antibody to centromere antigen(9 cases ,12 .2% ) ,respectively .In 74 cases of ANA positive specimens ,ENA anti‐body the negative rate of ENA antibody is 17 .6% (13/74) .Of the 13 cases ,the most frequently occurred pattern was the speckled pattern(11 cases ,84 .6% ) ,the rate of cytoplasmic granular pattern and antibody to centromere antigen was 7 .7% (1/13) respec‐tively .Conclusion In the serum samples which express ANA positive and ENA antibody negative ,the rate of speckled pattern is significantly higher than the other patterns ,and far more than the rate of speckled pattern in the samples which express ENA anti‐body and ANA positive (52 .5% ) (chi‐square= 5 .018 ,P< 0 .05) ,with statistical significance .We consider the speckled pattern samples be in favour of discovering new antibodys of this kind of serum sample .

According to the syndrome differentiation, 50 cases of cervical spondylopathy were treated by puncturing the distal acupoints and performing massage manipulation on the local affected area. After 2 courses of treatment, 35 cases were cured, 8 cases were markedly effective, 6 cases were improved,1 case was ineffective.

ObjectiveTo observe the clinical efficacy of electroacupuncture plus magnetic resonance in treatingpostoperative gastroparesis syndrome.MethodPatients with postoperative gastroparesis syndrome were recruited and coded according to the onset time, and then randomized into a treatment group of 10 cases and a control group of 10 cases. The treatment group was intervened by electroacupuncture plus magnetic resonance, while the control group was by electroacupuncture. The recovery time of gastrointestinal motility and drainage volume of gastric fluid were observed after treatment.ResultThe drainage volume of gastric fluid was significantly reduced (P<0.05) and it took less time to recover the gastrointestinal motility in the treatment group;compared to the control group, it took a significantly shorter time to recover the gastrointestinal motility in the treatmentgroup (P<0.05); after 20-day treatment, the drainage volume of gastric fluid was markedly reduced in the treatment group (P<0.05). ConclusionElectroacupuncture plus magnetic resonance can produce a more significant therapeutic efficacy in treating postoperative gastroparesis syndrome thanelectroacupuncture alone.

Objective: Based on the same clinical laboratory automatic blood coagulation analyzer method comparison of different brands. Discuss different between blood coagulation analyzer test results are comparable or check whether the deviation of the results in the permitted range. Method:collecting 112 cases of fresh plasma specimens, using ACL ADVANCE and Sysmex CA7000 two kinds of blood coagulation analyzer, respectively prothrombin time (PT), activated partial prothrombin time (APTT), thrombin time (TT) and fibrinogen (FIB), and compare the results, to medical decision level of judging system error detection system for clinical result, and calculate the two blood coagulation instrument testing results of the correlation coefficient and linear regression equation. Results:the ACL ADVANCE and Sysmex CA7000 blood coagulation analyzer test of PT, APTT, TT and FIB result comparison, there were no statistically significant difference (t=0.974, t=0.649, t=0.765, t=1.163;P>0.05), the correlation coefficient respectively;Medical decision level of system error were less than half the total margin of error. Conclusion:to the ACL ADVANCE as standard test system, Sysmex CA7000 determination results have clinical acceptability, two blood coagulation test results with good correlation. Should be conducted on a regular basis in the same laboratory coagulation analyzer compares different experiments, to ensure the comparability of the same in the laboratory test results.

OBJECTIVE:To develop an HPLC method for the content determination of loratadine in human plasam.METHODS:The separation was performed on Kromasil C18(200 mm?4.6 mm,5 ?m) with mobile phase consisted of acetonitrile-water-0.5 mol?L-1 potassium phosphate-phosphoric acid(52:43:5:0.1) at flow rate of 1.0 mL?min-1.The detection wavelength was set at 275 nm and injection volume was 20 ?L.The column temperature was set at room temperature with diazepam as internal standard.RESULTS:The good linearity was obtained within 0.5～100 ?g?L-1(r=0.999 3).The detection limit was 0.5 ?g?L-1 and the recovery ranged during 99.71%～102.41%.The absolute recovery was within 80.72%～83.78%.The RSD of intra-day and inter-day were less than 11%.CONCLUSION:Established method could be used for the pharmacokinetics and bioavailability study of loratadine.

The cause of re-operation in 38 cases of acute traumatic intracranial hematomas (ATIH), and prognosis in this series were analyzed. Among them, 12 cases were delayed hematomas, 6 cases in which the hematomas were enlarging, and 11 cases were recurrent hematomas. The result demonstrated that: (1) It is necessary to keep close watch over the signs of re-appearance of hematoma for the patients with ATIH after first operation; (2) No recovery or even deterioration of consciousness, and increase of pressure at decompressed area of the skull after operation were important clinical indications for repeating the CF scans; (3) Repeated CT scanning is importat in making deeision for re-operation in ATIH.

Alterations of serum vitamin D metabolites were observed by competitive protein-binding assay and radioreceptor assay in 46 patients with renal disease inckding chronic renal failure (CRF), nephrotic syndrcme (NS) and nephritis. The results indicated that serum 25-hydroxy-vitamin D (25-OHD) level decreased 41.2% as compared with the control group (P

PURPOSE To observe the curative effects obtained from combined chemotherapy of late malignant tumors with high-dose CF and 5-FU used as amain drug. METHODS Twenty-one patients with late cancer were divided into two groups: the one with 15 cases of cancer in the digestive tract and the one with 6 cases of mammary cancer. The patients with cancer of the alimentary canal were treated with CF and 5-FU combined with DDP and MMC while those with mammary cancer were treated with CF and 5-FU combined with CTX and ADM. RESULTS The effective rate was 40. 0 percent for cancer of the digestive canal and 66. 6 percent for mammary cancer. Toxic actions and side effects were mainly local phlebitis, nausea, vomiting and leukopenia. CONCLUSION The use of routine 5-FU chemotherapy in alimentary-canal cancer and mammary cancer will improve curative effects if CF is added for biochemical regulation.

Objective:To investigate the relationship between blood lead and blood microelements levels and attention-deficit/ hyperactivity disorder.Methods:To compare the children of ADHD and control groups,levels of blood lead were analysised by anodic stripping voltammetry,and blood microelement Levels were detected by atomic absorption spectrophotometry.Results: Blood lead levels were significantly higher in ADHD than that in control group (P