Using therapeutic letters in psychotherapy is a common trend among different psychotherapy schools.Narrative therapy applies therapeutic letters most frequently among these schools.The article introduces the purposes,styles,key points of writing,the differences with case record,the progress of application and research and the localization of narrative therapeutic letters in order to develop the application and localization of therapeutic let-ters in China.

Objective To discuss the nursing measures of patients with laparoscopic radical hysterectomy and pelvic lymph node dissection. Methods 24 patients with laparoscopic radical hysterecto my and pelvic lymph node dissection were selected and their perioperative nursing measures were summa rized. Results 24 patients were all cured and discharged, 6 patients accepted chemotherapy and 3 patients accepted radiotherapy. All patients were followed up, and they recovered well. Conclusions Perfect perioperative can guarantee early recovery of patients.

Objective To investigate unpaid donors of zaozhuang city on AIDS knowledge ensure the safety of blood.Methods 3 842 unpaid donors donating blood to blood-bank were randomized to the anonymous question-naire survey of AIDS basic knowledge ,practical recycling questionnaire on the spot 3 576(93.08%).Questionnaire on AIDS knowledge,attitude and effective was 3 358(87.40%);The sexual behavior effective questionnaire was 1 201(31.26%).The original data was put into Excellto statistical analysis and processing .Results The situation of understanding the knowledge of HIV/AIDS,understanding two ways of blood and sexually transmitted were 86.52%and 80.23% respectively;Understanding of mother-to-child vertical transmission accuracy was only 50.67%;The right to use condoms to prevent the spread of HIV was 74.71%;Accuracy up to 74.75%of prostitution susceptible to HIV/AIDS;Patients who were only prevented but couldn′t be cured of HIV was 93.26%.Blood donors before dona-ting blood,donate blood once and donate twice correct awareness were significantly improved .About the HIV/AIDS can infectious,blood transfusion could pass and be transmitted through sexual transmission ,mother-to-child transmis-sion,embrace or kissing transmission ,intravenous drug use ,condom could prevent ,could be cure the recognition accu-racy rate was(26.57%,64.51%,78.83%),(51.54%,80.12%,89.61%),(61.41%,73.57%,86.82%), (59.56%,77.63%,88.79%),(30.54%,68.48%,72.40%),(59.83%,70.21%,85.62%),(64.58%, 81.27%,93.56%),(68.59%,84.63%,85.28%),Before the blood supply and after donate blood twice the aware-ness for HIV/AIDS were significantly increased,there was a positive correlation between(all P<0.05).Unpaid blood donation AIDS knowledge source of propaganda materials and donating blood (43.67%),newspaper and magazine (28.12%),radio and television(2.71%),5.60% family friends and colleagues.Conclusion Unpaid donors to master a certain knowledge of HIV/AIDS;Carry out AIDS health education and intervention of epidemiology ,is to en-sure that the citizens to donate blood safety preconditions .

The interlink,consistency and unity of all things is an important thought in traditional Chinese philosophy.Therefore,holism of human being and universe is the long-dominant thought in China.Traditional Chinese medicine(TCM)forms its theory based on this holism concept.From the perspect of history and philosophy,the difference between TCM and western medicine was discussed after retracting the influence of the holism of human being and universe on TCM.Holism of human being and universe has a profound impact on TCM,which also contributes to differences between TCM and western medicine.

More and more research proved that CD4+CD25+ regulatory T cells (Treg cells) play an important role in immune tolerance in these years. Known as a T cell growth factor, Interleukin2 (IL-2) regulated the immune tolerance induced by Treg cells. IL-2 sustained the activity of Treg cells both in thymus and periphery while it was dispensable for the development of Treg cells in thymus. In addition, IL-2 signal affected the function of Treg cells and maintained their competitive fitness. Therefore, CD4+CD25+ Treg cells and IL-2 formed an immune network to regulate the processes of immune response, immune tolerance and autoimmune homeostasis.

Objective:To study the Raman spectrum and the surface enhanced Raman spectrum ( SERS) of cefalexin, cefadroxil and cephradine, and analyze the surface enhanced Raman spectrum of the three compounds under different pH conditions. Methods:The Raman spectrum and the surface enhanced Raman spectrum of the three compounds under different pH conditions were detected and measured by a portable Raman spectroscopy. Results: The results showed that the three compounds could exhibit characteristic peak information in the surface enhanced Raman spectroscopy corresponding to that in the normal Raman spectrum, and the pH values had certain impact on the surface enhanced Raman spectrum of the three substances. Conclusion: Both the Raman spectrum and the surface enhanced Raman spectrum of cefalexin, cefadroxil and cephradine reflect certain fingerprint characteristics, and it is feasible to use Raman scattering method to identify the three cephalosporins.

Objective To observe the curative effect and safety of Xiaoer zhixie decoction in treatment children with infectious diarrhea.Methods 84 cases with infectious diarrhea were randomly divided into 3 groups (positive control group,Xiaoer zhixie decoction group and control group).The control group (n =27) was treated with conventional therapy such as nutritional therapy.The Xiaoer zhixie decoction group (n =28) was given Xiaoer zhixie decoction through clysis.Positive control group(n =29) was treated with oral.Smectite powder.The therapeutic effect of 3 groups was observed during the 3rd day,the 5th day and the 7th day after treatment.Results The total effective rate of control group was 40.7％,positive control group was 79.3％ and Xiaoer zhixie decoction group was 78.6％ after 3 days treatment.Compared with control group,positive control group and Xiaoer zhixie decoction group achieved obvious effect(P ＜0.01).The positive control group and Xiaoer zhixie decoction group did not have significant difference(P ＞0.05).Conclusion The clinical effect of Xiaoer zhixie decoction in treatment children with infectious diarrhea is significant.

[Objective]To sum up Mr. Zhu Xiankang’s clinical experience in treating children multiple tourette syndrome with nourishing kidney to soothe liver and relieving dizziness to remove sputum. [Method] By expounding the reason and mechanism, treating rules and formula of children multiple tourette syndrome, as wel as analyzing typical clinical cases, it expounds Pro. Zhu Xiankang ’s experience in treating the said disease with his method. [Re-sult] In his view, the disease owes to excessive five sensations, wind sputum accumulated inside, with mechanism of deficient kidney and hyperactivity of liver, wind sputum blocking col aterals, should take nourishing kidney to soothe liver and relieving dizziness to remove sputum as basic method;he applied revised Dingchou Decoction to treat 1 case of multiple tourette syndrome; after 3m, the un-automomous spasm disappeared gradual y, the patient had good appetite and sleep, al symptoms were relieved, and he was cured. [Conclusion] Mr. Zhu Xiankang ’s clinical experience in treating children multiple tourette syndrome has enlightenment to pediatrics clinic.

Objective To study the efficacy of esomeprazole in treatment of asthmatic patients with gastroesophageal reflux (GER) symptoms. Methods Sixty-nine asthmatic patients with GER symptoms were received esomeprazole 40 mg daily and mosapride 5 mg three times daily for 8 weeks. After that, esomeprazole 20 mg and mosapride 5 mg daily were prescribed to the patients for sustained therapy. The effect of asthma control was evaluated according to criteria for asthma control level made by Chinese Society of Respiratory Disease Asthma Group. All patients were followed up for 2 years.Results It was revealed that complete asthma control was achieved in 39 patients, well control in 25 patients and the total effective rate was 93 %. Asthma-control medication was stopped in 42 patients,dose reduced to 1/2 in 18 patients and continuous therapy in 9 patients. During 2 years follow-up, 58 patients were benefited from the treatment with complete asthma control and seldom attack of asthma was seen in 11 patients with reduced frequency and severity. Conclusion The symptoms of asthmatic patients with GER symptoms can be improved by esomeprazole, so that their quality of life areimproved.

Objective To study the effect of chitosan on the growth of the in vitro cultured retinal nerve cells. Methods The retinal nerve cells of SD baby rats were cultured in vitro. The effects of chitosan at 0.065%,1.25%,2.5%,5%,10%,15% on the growth of the retinal nerve cells were measured by MTT method. The blank control group was created. Results 1.25%,2.5%,5%,and 10% chitosan could obviously promote the growth of retinal nerve cells,and 10% chitosan was the optimal concentration for the growth of nerve cells. Conclusion Chitosan can effectively promote the growth of retinal nerve cells,and it is necessary to undertake the further study of Chitosan.