The management of extremely low birth weigh infants is challenging,including how to communicate with family members,cooperation between pediatric and obstetrics,overall NICU management level,targeted and personalized management mode,and etc.In this article,clinical management experience for extremely low birth weigh infants was summarized,such as management at birth,stabilization of body temperature after birth,prevention and treatment of intracranial hemorrhage,infection,and blood transfusion management,as well post-discharge management.

Objective To analyze the curative effect and safety of the estrogen as an adjunctive treatment of senile vaginitis.Methods 100 patients with senile vaginitis in our hospital from June 2011 to September 2012 were divided into observation group (n =50) and control group (n =50).Observation group was given estrogen plus metronidazole and control group was given metronidazole only.Results 45 cases were cured and 4 cases had effective treatment in observation group,and 21 cases were cured and 17 cases had effective treatment in control group.The efficacy rate was 98.0％ (49 cases)in observation group versus 76.0％(38 cases) in control group (x2=11.50,P＜0.01).After the treatment,the recurrence rate was 6.1％ (3 cases)and 26.3 ％ (10 cases)in observation and control groups respectively (x2 =10.66,P＜0.05).After treatment,vaginal health scores,symptom scores of vaginitis,and vaginal PH were significantly higher in the observation group than in the control group (all P＜0.05).In addition,the improvements of signs and symptoms were significantly better in the observation group than in the control group (all P＜0.05).However,there was no significant difference in adverse reaction rate between the two groups (P＞ 0.05).Conclusions Estrogen as an adjunctive treatment of senile vaginitis has better curative effect and safety.It is worthy of generalization in clinical medicine.

Objective: To introduce the advantages of approximate entropy (ApEn) in analyzing biological signals, to discuss the influences of time series' parameters on ApEn and elaborate the present conditions and prospects of its application on medicine. Methods: According to the definition and algorithm, ApEn has advantages on estimating the complexity of signal comparing with other non-linear analysis methods such as correlation dimension, fractal dimension, lyapunov index etc. Based on ApEn algorithm, we formulate programme to quantificationlly analyze the relationship between ApEn and each parameter of time series; Human EEG and ECG and other biological signals can reflect the state of the body. Through detecting changes of biological signals'ApEn, we can detect and monitor the state of an organization. Results: ApEn has many advantages such as a good anti-noise ability, the short date and so on. It makes up the defects of the correlation dimension ect. ApEn has nothing with the amplitude of time series. In the range of low-frequency, ApEn almost increases with frequency. When the date length is more than 1000 points, ApEn is stable. It quantificationlly describes that ApEn only requires short date. Recently. ApEn is widely used in diagnostics, monitoring, anesthesiology, and achieves good results. Conclusion: ApEn is a new developed non-linear analysis method which can estimate the complexity of the signal quantificationlly. It provides a new approach for diagnosing and monitoring a number of diseases. It has a wide application prospect.

emphysema(9.7%)、pneumonia(6.2%),every group has obvious difference(P

Objective Studying risk factors of carotid atherosclerosis in metabolic syndrome(MS),and the relative factors with progression of carotid atherosclerosis.Methods A total of 401 elders were included in the present study.MS was defined by the criteria of IDF(219 MS,182 NMS).All subjects were required to have blood pressure monitored.Venous blood was collected after an overnight fast.Total serum cholesterol,triglycerides,high-density lipoprotein cholesterol(HDL),low-density lipoprotein cholesterol(LDL),apolipoprotein B,lipoprotein a,high-sensitive C-reactive protein,and fasting glucose and insulin were tested;insulin sensitivity index and insulin resistant index were estimated.Uria sample was also collected to test microalbumiuria,creatine and Alb/Cr.Carotid atherosclerosis was determined by B-mode ultrasound,and number and diameter of plaques,if present,were measured to obtain an atherosclerosis score.Results The occurrence of carotid atherosclerosis was significantly higher in MS(P

Objective To investigate the role of FHIT,cyclinD1,CDK4 in NSCLC.Methods Immunochemical(S-P) was used to determined 81 cases of NSCLC.Results The postive expression rates of FHIT,cyclinD1,CDK4 were significantly different between in NSCLC and in nomal lung tisses(P

There is an extremely shocking tragedy of a real medical case.The cesarean section couldn't be performed on a full-term in-labor woman because the patient's husband refused to sign the operation validation contract,leading to the death of both the will-be mother and the baby.The above case shows a dilemma between protecting patients' rights of life,being cured and operated and protecting the doctors from being prosecuted in medical treatment.

Objective To assess the medical staff and department from the aspects of basic workload,quality,science & research,education and so on.Methods Some data on the above aspects were extracted from HIS,and some were input manually.Results Some report forms were established on the basis of the above data.Conclusion An assessment platform for medical quality and achievement is constructed.

Introduced policy support and research outputs and market demand of stem cell in the major countries.Research papers and Patent of stem cell have been analyzed by SCI-EXPANDED Database and Derwent databases in 1995~2008,so as to provide a useful reference for China.

Biolog EcoPlateTM is a mainstream approach of studying community-level physiological profiles of microbes. To correct misunderstanding and insufficiency of experimental result explanation, we announced an amendment of information extraction of Biolog EcoPlateTM, which included two parts: (1) carbon substrates assortment sheets based on microbial physiological metabolism and ecological function, providing referrence and index for researchers; (2) illustration of how to use assorment sheet and ordination method to find out more information, guiding by environmental concentration principle.