In order to achieve the demand of clinical diagnosis,treatment and research based on TCM clinical literature,we conducted the questionnaire to doctors of Chinese medicine on their demands for medical information in the process of clinical diagnosis and treatment,hoping to make certain the direction and service methods of TCM clinical research database from the actual demands of doctors.

Bispheno|A(BPA)is an endocrine disruptor with estrgenic properties,which is a widely used industrial platicizer.When exposure to BPA for long-term,it would impact on multiple systems and organs including reproductive.developmental,neurological,endocrine function and so on,particularly in obesity.ExpoSUre to BPA during pregnancy and postnate,it can increase the sensitivity to obesity in offsprings.BPA may be contributed to obesity by enhancing triglyceride accumulation and accelerating adipocytes differentiation,affecting endocrine function of adipocytes and blood glucose and insulin metabolism.However,the dosage effect of BPA is not a simple linear rehionship.The impact of environment-related dosage on the human is worthy ot research in future.

Objective To investigate the causes and characteristic of placental abruption.Methods Clincal data of 52 patients with placental abruption were retrospectively analyzed.Results Compared with other incentives,gestational hypertension disease(especially in the severe group)had a significant difference (P ＜ 0.05),but in this group of materials due to placental premature rupture caused by placental abruption are light;on two groups of children to mode of delivery were compared,the difference was statistically significant (P ＜ 0.05) ;on two groups of maternal postpartum were compared,the difference was statistically significant (P ＜ 0.05) ; the two group of fetuses were compared,the difference was statistically significant(P ＜ 0.05).On 7 cases of fetal asphyxia of active treatment were cured.Conclusion In order to further reduce the incidence of placental abruption should the knowledge of this disease is caused take seriously,strengthen to the prevention of the disease as well as publicity and education,and further improve the prenatal diagnosis and treatment level,as the child 's life to provide security protection.

Real-time three-dimensional echocardiography(RT-3DE) has been validated for its accurate diagnoses and quantitave mearsurement of mitral valve disease,which could act as a guide in selecting the proper therapeutic strategy for each individual in clinical setting.In this article,the recent research achievements on RT-3DE in mitral valve disease were summarized,and the application of RT-3DE in surgical approach to mitral valve disease was discussed as well.

OBJECTIVE:To evaluate the rationality of drug use in cancer patients in Tiantan Hospice Hospital.METHODS:By a retrospective study,the drug use in cancer patients in Tiantan Hospice Hospital who died during Jan.2008 and Sep.2008 were analyzed statistically.RESULTS & CONCLUSION:The drug use in cancer patients in Tiantan Hospice Hospital was rational on the whole.Step medication,oral medication,on time medication and individual medication were realized in Beijing Tiantan Hospice hospital and treatment on cancer patients in this hospital was in line with the Guideline for Cancer Pain Management Based on the Three-step Analgesic Ladder recommended by WHO.

Objective To observe the effects of chemotherapy on the peripheral blood lymphocyte sub-cluster in patients with ovarian cancer .Methods Sixty-two patients with ovarian cancer who accepted chemo-therapy from Jan 2007 to Mar 2013 in our hospital were collected .Sixty healthy women in our hospital were used as control.The expressions of CD3,CD4,CD8 and CD25 in peripheral blood lymphocyte of ovarian cancer patients before,one week and one month after chemotherapy and healthy women were detected and analyzed .Results The ratio of CD3 +and CD4 +T cells and CD4 +/CD8 +in patients with ovarian cancer were significantly lower than those in healthy .Whereas the ratio of CD4 +CD25 +T cells in patients with ovarian cancer was significantly higher than that in healthy women .No significant differences were observed in ovarian cancer patients with differ-ent clinical stage .There were no significant changes that observed one week after chemotherapy in patients with o -varian cancer .These indexes improved notably one month after chemotherapy .These indexes in effective group one month after chemotherapy were significantly better than those in inefficient group .Conclusion The ratio of pe-ripheral blood lymphocyte sub -cluster in patients with ovarian cancer was imbalance .Dynamic monitoring the changes could guide the therapy and judge the curative effect and prognosis .

Objective:To investigate the effect of sonodynamic therapy with hematoporphrin on the expression of VEGF in Chick Chorioallantoic Membrane and provide experimental basis for appling sonodynamic therapy(SDT)on anti-angiogenesis in tumor therapy.Methods:The hatching eggs cultured for 7 days were randomly divided into 4 groups:blank control group,ultrasound group,hematoporphrin group,sonodynamic therapy group.The express of VEGF in CAM was detected by immunity histochemistry.Result:There were significant differences between control group and ultrasound group(P0.05),conclusion The results show that sonodynamic therapy with hematoporphrin has a significant inhibitionary effect on the express of VEGF in CAM and this maybe is the most important mechanism of its anti-angiogenesis effect.

Objective:This study explores Achenbach's three famous checklists regarding to children's behavior problems:CBCL,YSR,TRF.The checklists are translated into Chinese and tested for their relativity and applicability.Methods:1410 adolescents selected from 6 middle schools in Beijing are investigated with CBCL,YSR and TRF.Results:The Cronbach ? among the items of the three checklists and the total score are 0.96,0.95,and 0.99 respectively,the split-half reliability are 0.93,0.89,and 0.97 respectively,which demonstrates an obvious homogeneity within the three checklists.Scores in YSR are generally higher than those of the other two checklists, scores in CBCL follow immediately,and scores in TRF are the lowest(except for a minority of individual factors). The scores in CBCL and YSR are significant correlated(r=0.35～0.60,P

To establish an HPLC method for the determination of content and content uniformity of minoxidil tablets. Methods:An Xbridge C18 column (250 mm ×4.6 mm, 5 μm)was used with methanol-0.03 mol·L-1 KH2PO4 solution -triethyl-amine(60∶40∶0. 1)(adjusting pH to 3. 5 with phosphoric acid ) as the mobile phase. The flow rate was 1. 0 ml·min-1 and the detec-tion wavelength was 287 nm. The column temperature was 30℃ and the injection volume was 10 μl. Results:There was a good linear relationship within the range of 8. 056-32. 224 μg·ml-1(r=0. 999 9). The average recovery was 99. 68%(RSD=0. 36%,n=9). The average content of 3 batches of samples was 100. 2%,100. 5% and 99. 8% and the content uniformity was 5. 5,6. 2 and 4. 9, re-spectively. Conclusion:The method is simple and accurate with good reproducibility, which can be used in the quality control of mi-noxidil tablets.

Objective To investigate the prevalence of depression in hemodialysis patients with end‐stage renal disease(ESRD) , and evaluate its related factors .Methods One hundred and twenty four ESRD patients undergoing hemodialysis were assessed by using Beck depression inventory (BDI) .Baseline characteristics and laboratory test items were compared between depression group and non‐depression group .Results The prevalence of depression detected by BDI was 56 .5% in hemodialysis patients with ESRD . Gender and occupational status were statistically different between depression and non‐depression groups(P<0 .05) .Higher preva‐lence was found among female and non‐working patients .However ,there was no difference on age ,hemodialysis time ,education , marriage and incoming(P>0 .05) between the two groups .In laboratory test ,the white blood cell and urine acid levels in depression group were significant higher than that in the non‐depression group(P<0 .05) .Conclusion Depression is prevalent in ESRD pa‐tients undergoing hemodialysis ,especially in female and non‐working patients and always combined with higher white blood cells and urine acid levels .