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.

Healthy China 2030 projected to accelerate the development of health care services, but the healthcare industry in China is still in the early stages of development, and is currently threatened by the lack of the relevant legislation, industry regulations and government supervision.The current plight of supervision on traditional Chinese health care consists of the following factors, lack of legislative guarantee, the overlap between the traditional Chinese medicine(TCM) and traditional Chinese health care services blurred the supervision scope, no unified standards of Chinese health care service industry, low cost of illegal misconduct, regulatory fragmentation without substantive supervision.Based on the domestic and foreign experience, the following recommendations were put forward: Strengthening government supervision of the whole process of the Chinese medicine health care, clearly identifying the monitoring and the main supervision responsibility by legislation, screening the pseudo-information and enhance public Chinese medicine literacy, improving the self-regulation and self-supervision, and a variety of innovated government led supervision methods should be elaborated and put into practice, such as grid monitoring, classification management, establishment of credibility system, joint supervision, and so on.

The annual incidence of prostate cancer (PCa) continually increases. New PCa immune therapy has become the fourth line antitumor treatment following surgery, radiotherapy and chemotherapy. As the most promising research direction in cancer immunotherapy,immune checkpoint inhibitors, such as programmed cell death-1 and programmed cell death-ligand 1 (PD-1/PD-L1) inhibitors, block PD-1 and its ligand PD-L1 and then terminate the negative control signal to the T cell, thereby facilitating T cell recovery and reversal of tumor immune-escaping mechanism. These processes restore the capability of T cells for immune response and inhibit and kill tumor cells. This review summarizes the progress on the current application of PD-1/PD-L1 inhibitors in PCa clinical trials.

Objective To develop a medicament-induction tumor therapeutic apparatus, which is a new method for curing some kinds of tumors(liver cancer, lung cancer, intestinal tract cancer, cancer of the pancreas, etc.) Methods Based on medicament induction theory and combined with iatrology, electronics and computer technologies, microprocessor was utilized to realize data processing and treatment control. Results The medicament-induction tumor therapeutic apparatus was practical. Conclusion This apparatus is controlled by monolithic integrated circuit to induce medicament into human body through electropores and skin pores.

OBJECTIVE To investigate the diagnostic effect of cervical cytology test combined with high-risk human papilloma virus detection in the diagnotic and screening tests for cervical cancer and its precancerous lesion.METHODS To screen 590 women by conventional Papanicolaou smear test combined with oncogenic human papilloma virus DNA testing,selecting the abnormalities and high-risks in clinic,and using vaginoscopical biopsy or cervical canals scraping.We diagnosed patients according to histopathology.RESULTS From 590 patients there were no high risk changes when cytology and human papilloma virus(HPV) were negative;the rate of ≥cervical intraepithelial neoplasia(CIN) Ⅱ was 10.1% when cytology(-) and HPV(+);the rate of ≥CIN Ⅱ was 39.39% when cytology(+) and HPV(+);and the rate of ≥CIN Ⅱ was 12.3% when cytology(+) and HPV(-).There were no CIN Ⅲ or even worse.CONCLUSIONS The way of cytology combined with high risk HPV test is accurate,swift and sensitive,it can be used into screening cervical cancer and its precancerous lesion,futhermore,the screening interval can be lengthened if the results are negative.

A prototype of the hospital medical engineering construction and development is introduced. Functions and tasks of medical engineering are described, and its construction and development are also analyzed. Constructive opinions and views are put forward for further discussion. Detailed descriptions of the medical engineering staffing, equipment configurations are also provided. Issues such as the scientific management system and information technology in the building of archives management, technical and operational training, reward and punishment system, and intiatives of staff are focused on. The management level of medical engineering thus has been furtherly improved.

On recently years,the tuberculosis shows the characteristic of higher incidence、 infection、drug-resistance、and Morbidity。However,the emphasis and difficult is preventing and controling of multidrug resistant tuberculosis.Its nosocomial and societal causes of occuring and prevailing were analyzed and control measures from seven facets were expounded in this article.Those include prevention knowledge widely,strengthen management and supervision of floating population,improve ability of diagnosis and therepy,develop combinasion treatment of traditional chinese medicine and western medicine and other assistant treatment, prevent community and nosocomial infection,perfect the drug-resistant surveillance system,carry out the study of new drug 、measure and treatment to anti-tuberculosis actively.

Objective To summarize the nursing experience of interventional therapy in radiology interventional department so as to shorten the time of interventional therapy and elevate the therapeutic effect of it. Methods Combined with the literature related and the features of interventional therapy, the preoperative preparation and nursing ex-operative preparation and nursing experience of more than 8,000 patients with interventional therapy in our department were summarized. Results All patients went through the therapy successfully without bad feeling during operation. Nurses assisted doctors well and no malpraxis happened. Conclusion Thinking highly of preoperative nursing, postoperative care and patients protecting might improve the efficiency and also might decrease either the impact from other factors or harmful experience personally during operation.

It is prevalent that patients waiting too long but receiving little service in the out-patient department in general hospital nowadays.To solve this problem,we had analyzed its current service process according to BPR(business process reengineering) theory in enterprise,and reengineered the service process in specialized clinic by means of cutting waste,simplifying steps,merging works and using modern information.We established the renal disease specialized clinic,which had practiced for three years and "one station service" has been achieved.The specialized clinic provides much convenience to patients.