Objective To study the technique of using the postauricular revolving door island flap in one-stage reconstruction of concha defect and its efficacy.Methods Fifteen cases of concha de fect were repaired by the postauricular revolving door island flap in one stage reconstruction from 2000-2010.The maximum size of defect was 2.7 cm× 3.0 cm,and the minimum was 1.0 cm×1.3 cm.Results All the island flaps were survived postoperatively,and satisfactory in auricular appearances of all patients by 6 months to 5 years follow-up.Conclusions The revolving door island flaps with abundant blood supply are transferred to reach the auricular defect,which match normal auricular tissue in contour,color,and texture. This flap on the retroauricular area is relatively concealed,and it therefore can be one of the best procedures for repair of the auricular defects,especially concha.

Complex regional pain syndrome (CRPS) is a neuropathic pain disorder, characterized by persistent and severe pain after trauma or surgery. Diagnosis is mainly based on clinical signs and treatment is based on a multidisciplinary approaches, including non-pharmacological approaches and occupational therapy，pharmacotherapy and invasive therapeutics. This article reviewed the current advice of diagnosis and treatment of CRPS.

Objective To investigate the antimicrobial resistance of E.faecalis and E.faecium isolated from the Hospital from 2009 to 2013.Methods Minimum inhibitory concentration method was used for antimicrobial susceptibility test of the clinical iso-lates.Results were judged according to Clinical and Laboratory Standards Institute′s 2013 version of criterias.Results A total of 819 nonduplicated E.Faecalis and 726 nonduplicate E.faecium isolates were collected.The strains were still highly susceptible to linezolid and vancomycin,to which the drug-resistance rates were both less than 1.5%.The prevalence of vancomycin-resistant E. faecalis and E.faecium was 0.1% and 1.5%,respectively.The ratio of E.faecalis resistant to ampicillin,penicilin and nitrofuran-toin was 4.3%,1.6% and 1.6%,respectively.More than 87% E.faecium strains were resistant to ampicillin and penicillin,and the E.faecium strains were more resistant to most drugs tested than E.faecalis .Conclusion There was an obvious difference of anti-biotic resistance beween E.Faecalis and E.Faecium isolates.Therefore,Continuous monitoring the drug resistance is helpful to guide the clinical rational drug use.

Objective:Imaging features of hypoxic ischemic encephalopathy in neonates on CT scan were analyzed.Methods: Eight six cases of hypoxic ischemic encephalopathy in neonates were collected, and the pathogenesis, CT image characteristics were analyzed.Results: All of 86 cases have brain edema in different degree, and complicated with subarachnoid hemorrhage in 29 cases, subarachnoid and subdural hemorrhage in three cases, intracranial hemorrhage breaking into ventricles in one case and subdural hemorrhage with subcutaneous bleeding in one case.Conclusion: CT scan is valuable for detect the hypoxic ischemic encephalopathy in neonates and its follow-up examination.

Priority setting of health resource allocation depends on effective and comprehensive government-based stewardship, the national research of which lacks comprehensive considerations. The paper articulates the trend of western research from solo economic analysis to a combined comprehension of political economies, systemic con-straints and health financing, to consider the scope, strategy and enforced framework for government rationing within a larger organizational and political context. In the health decision-making practice, the best formula for interdiscipli-nary tools is a test of stewardship capacity. A multi-disciplinary approach from the perspectives of politics, health e-conomies, philosophy, law and evidence-based medicine must be adopted for the priority setting of health resource al-location. Finally, a clear stewardship phased objective is proposed as well as strategies, with emphasis on health de-cisions from “stewardship as structure” to “stewardship as a process” with challenges that lie ahead.

Objective To reveal the literature resources in traditional Chinese medicine from the end of the Qing Dynasty to 1949 .Methods The papers published in journals of traditional Chinese medicine from the end of the Qing Dynasty to 1949 were statistically analyzed .Results The largest number of journals was published in Shang-hai, the largest number of papers was published in Guanghua Medical Journal, 95%of the papers were published by a single author, the contents were focused on classical prescriptions and proved recipes, food therapy, disease treatment, baby care knowledge, and the most commonly studied were infectious diseases, such as exogenous febrile disease, cholera, and malaria.Conclusion The papers published in journals of traditional Chinese medicine from the end of the Qing Dynasty to 1949 are focused much more on the application of the knowledge about traditional Chinese medicine , but less on the theories of traditional Chinese medicine .

Objective To understand the rules and characteristics of adverse drug reaction ( ADR) in Xinhua Hospital of Xinhua Medical Group ( Huainan City Anhui Province )′s traditional Chinese medicine ( TCM) injection ca-ses,and to provide reference for rational and safety usage of TCM injection .Methods Reorganization was preformed on 663 cases of ADR report from January 2010 to November 2013 in this hospital .We selected 103 cases of TCM in-jection′s ADR reports,and made statistics and analysis according to patients′age,sex,drug source,report source,eval-uation,clinical features,system and organ ADR involved,etc.Results 103 cases of ADR reports involved in 26 kinds of drugs.All of them were vein medication .87.37%of the above cases were happened in 30 minutes with gender ratio of 60:43.54.36%were old patients over 60 with the highest incidence rate .33.98%were skin and appendages dis-orders.14.56%were Breviscapine ADR reports which was the most one .Conclusion It must insist on monitoring ADR of TCM injection and re-evaluation of market products ,to use TCM injection normative and rational ,and guaran-tee the medication security .

Objective To analyze the change in immune function and therapeutic effectiveness of children with im-mune thrombocytopenic purpura and Helicobacter pylori(H. pylori)infection. Methods Eighty hospitalized chil-dren with thrombocytopenic purpura between March 2011 and March 2012 were as observation group,and then sub-divided into infected group and non-infected group according to whether they were infected with H. pylori;80 healthy children were as control group . Lymphocyte subsets ,clinical therapeutic effectiveness and recurrence rate among three groups were compared. Results The positive rate of H. pylori in observation group was significantly higher than control group(55.00% [44/80]vs 2.50% [2/80];χ2= 12.48,P= 0.008). There was significant differences in CD4+,CD4+/CD8+ ,and CD19+T lymphocyte among three groups (all P<0.05);CD4+ and CD4+/CD8+ T lymphocyte in infected group was significantly lower than non-infected group respectively ([13.40±4.65]% )vs [28.56± 3.82]% ;[0.69±0.18]% vs [1.04±0.23]% ),and CD19+T lymphocyte in infected group was significantly higher than non-infected group ([45.21±10.20]% vs [22.05±2.23]% );CD4+ and CD4+/CD8+T lymphocyte in non-in-fected group and infected group was significantly lower than control group ([40.20±3.42]% ,[1.54±0.42]% respec-tively),and CD19+T lymphocyte was significantly higher than control group ([11.02±2.89]% ). The overall therapeu-tic effectiveness in infected group and non-infected group was 90.91% and 91.67% respectively(P>0.05). The recur-rence rate of thrombocytopenic purpura after anti-H.pylori infection therapy in infected group was significantly lower than non-infected group (20.45% vs 30.56% ;χ2= 6.396,P= 0.038). Conclusion Detection of immune function is helpful for clinical diagnosis of H. pylori infection associated with immune thrombocytopenic purpura .

Objective To analyze the clinical features and prognostic factors of gastrointestinal stromal tumors. Methods The clinical features and prognostic factors of51 Gastrointestinal Stromal Tumors patients ,who were treated in people`s hospital of xin-jiang ugyur antonomous region from October 1997 to October 2009, were retrospectively analyzed .Results The 1-year, 3-year, 5-year overall survival rates of 51 cases were 85.4%,76.7%,70.7%respectively, a median of 52 months.The 1-year, 3-year, 5-year overall survival rates of the patients with >4 positive lymph nodes were lower than those of patients with ≤4nodes ( P <0.05 ) , The 1-year, 3-year, 5-year overall survival rates of the patients with positive expression of CD 117 were lower than those of patients with negtive CD117( P <0.05).The 1-year, 3-year, 5-yea r overall survival rates of the patients with recurrence and metastasis were low-er than those of patients without ( P <0.05 ) .Conclusions The prognosis of gastrointestinal stromal tumors is related with the posi-tive expression of CD117, recurrence and metastasis .

Objective To discuss the effect on promoting the progress of the stage of labor and the natural delivery as the parturient adopts the different delivery position in the first and the second stage of labor. Methods One hundred and fifty-two cases of delivery primiparas of cephalic presentation whose pregnancy was from 37 to 41 weeks were enrolled and divided into two groups randomly. In the observation group (80 cases) ,the free positions of delivery like walking,squating,lateral position,half lying and others could be selected in the first stage of labor, the semi-reclining position was selected in the second stage of labor and the lithotomy position was adopted when the head was visible on vulvae gapping. The parturient in the control group (72 cases) selected the decubitus (alternation between prostration and lateral position) in the first stage of labor and the parturient selected routine lithotomy position of supine position in the second stage of labor. The progress of labor and the comfort of the parturient in the two groups were observed. Results In the observation group, time spent in the first stage and second stage were (361. 83 ± 58. 02) mins and (36. 39 ± 11. 97) mins, and (398.21 ±59. 72) mins in the total birth process, which were significantly shorter than those of (560.85 ± 131. 98)mins and (58.11 ± 15.44) mins, and (618. 96 ± 139. 61) mins, respectively (t = 12. 24,9. 74 and 12. 90, Ps <0. 01). There were 13 and 25 cases experienced tingle in two hours after delivery, and 2 and 10 cases in 12 hs after delivery, in the observation and control group, respectively. The comfort of parturient in the observation group was higher than that in the control group (x2 = 6. 90, P < 0.01; x2 = 5. 28, P < 0. 05)respectively. Conclusion The free position in the first stage of labor and the semi-reclining position in the second stage of labor can shorten the birth process effectively and relieve the discomfort after the delivery.