The patient doctor relationship has a favorable turn through preventing ard treating SARS.People have begun to recognize the main factor is ethics problem to the patient doctor relationship.

"medical dispute profiteer" a deterioration of the doctor-patient relationship and sign an inevitable result,it not only undermined the hospital's reputation,disrupting the normal order of medical,but also to build a harmonious society will have an extremely negative impact.The spread of "medical dispute profiteer",attracted academics and the industry's attention.To make medical conduct a comprehensive study of the medical guarantee the normal order and promote health care in a sustained,rapid and healthy development of the broad masses of people to enjoy the harmony of health services is of great significance.

Objective To observe the value of renal artery plus renal vein CTA in preoperative evaluation on renal arteriovenous anatomy and tumor thrombi of massive renal carcinoma. Methods Renal artery + renal vein CTA obtained with 256-slice spiral CT of 56 patients with renal carcinoma confirmed by postoperative pathology were retrospectively analyzed, and the images were reconstructed. The anatomical situation of renal artery and renal vein, the location and type of tumor thrombi were observed and compared with surgical operation findings. Results All 56 patients had single tumor, located in the left kidney in 26 cases, while in the right kidney in 30 cases. The maximum diameter of tumor was 71-144 mm ([84.33±20.59]mm). There was no significant difference of the variation rate between the healthy side and the affected side of renal arteries nor veins (all P>0.05). CTA showed totally 117 tumor feeding arteries, while 118 tumor feeding arteries were found during operation, and the coincidence rate was 99.15% (117/118). CTA showed 69 draining veins, so did surgical operation, and the coincidence rate was 100% (69/69). CTA showed tumor thrombi infiltrating renal vein in 5 cases (5/56, 8.93%), infiltration of renal vein and inferior vena cava in 9 cases (9/56, 16.07%), including 5 cases of Mayo type 0, 3 cases of type , 4 cases of type Ⅱ, 2 cases of type III, whereas 42 cases (42/56, 75,00%) were found without infiltrating renal vein. Conclusion Preoperative renal artery plus renal vein CTA can accurately evaluate renal arteriovenous anatomy and location and type of tumor thrombi of renal mass renal carcinoma.

The 'set the duty to offer proof upside down',the conduct and actions put forth effort the exception in the civil case in court as the principle to the deal with medical treatment dispute,it will necessarily provide a good measure and a guarantee to get the doctor-patient relationship for the better.How to treat the 'set the duty to offer proof upside down'is a brand-new topic.Now,the author bing upped some suggestions.

Objective To study the changes in parameters of blood flow and frequency-spectrum appearance in superior mesenteric artery (SMA)and inferior mesenteric artery(IMA) in the patients with ulcerative colitis(UC). Methods The parameters of blood flow and frequency-spectrum of SMA and IMA in 16 cases of patients with UC were observed before and after treatment, and 10 healthy volunteers served as control. Results The parameters of blood flow of IMA in patients with left half colon UC (9 cases) and all colon UC (7 cases) significantly changed after treatment(P

[Summary] This paper reported a case of 4-year-old boy suffered with medial meniscus tear treated by arthroscopic repair in our hospital.After the boy injured his knee , plaster was applied for 4 weeks.Without any symptomatic progress , he was hospitalized with the diagnosis of medial meniscus tear .We performed arthroscopic meniscus repair , using 4.0-mm arthroscopy.At 3-month follow-up, the boy could full-bearing walk with no pain or discomfort , with a range of motion of 0°-135°.The post-operational MRI at the fourth month showed preliminary healing of repaired meniscus .We believe that regular arthroscopic instruments can accomplish meniscus repair in young children .

Objective To develop a method for the determination to organochlorine pesticides by gas chromatography-mass spectra-mass spectra.Methods The temperature of inlet was 250 ℃,the injection volume was 1 ?l,without split injection.The temperature of EI source was 300 ℃,the ionization energy was 70 eV,solvent delay time was 3.75 min,transfer line temperature was 280 ℃.181,235,246(m/z)were selected as parent ion,and 145,165,176(m/z)were sub ion.Results In the range of 0-50 ?g/L,every component had a good linearity,r≥0.99,the limit of detection≤0.01 ?g/L.Its average rate of recovery was in the range of 86.1%-101.8%,and the relative standard deviations(RSDs) were between 4.41%-8.07%.Conclusion Gas chromatography-mass spectra-mass spectra is more precise for the qualitative and quantitative determination of trace organochlorine pesticides residues in drinking water.

OBJECTIVE: To discuss the impact of Zero Inventory of Chinese decoction pieces in our hospital. METHODS: Zero Inventory of Chinese decoction pieces was analyzed from aspects of hospital resource utilization, pharmacy management, and quality assurance of decoction pieces. RESULTS: Zero Inventory can help save precious hospital resources, streamline pharmacy management and ensure quality of decoction pieces supply. CONCLUSION: Zero Inventory of Chinese decoction pieces has positive impact on hospital pharmacy management; therefore it deserves to be popularized.

Objective To investigate the effect of thalidomide and As_2O_3 to the secretion of VEGF of the cell of ANLL and study if there is coorperation in thalidomide and As_2O_3.Methods From October 2001 to February 2003,23 patients with ANLL were analyzed.Heparinized marrow was taken,then it was putt into Ficoll-isopaque solution to be purified for MNC,which was cultured in the RPMI 1 640 medium,placed in 5% CO_2 saturation and 37℃ to proliferation.Choosing the cells in logarithm growth phase,adding cultural solution to abstaining the cellular density of 2?10~9/L and then putting it into 24-well plates.There are 4 groups :contrast group,thalidomide(300 ?g?mL~ -1 )group,As_2O_3(25 ?mol/L)group,and thalidomide(300 ?g?mL~ -1 )andAs_2O_3(25 ?mol/L)group,cultured for 72 hours.Examine the concentration of VEGF in upper liquid with ELISA method.Results The concentration of VEGF in upper liquid of 4 groups were respectively(1 582.67?281.51)ng/L、(1 206.29?264.87)ng/L、(941.72?236.34)ng/L、(639.12?211.98)ng/L.There were statisticd difference(P

Objective To determine in vitro susceptibility of itroconazole,voriconazole,caspofungi,and amphotericin B against 82 clinical strains of filamentous fungi.Methods Etest method was used to test the in vitro susceptibilities of itroconazole,voriconazole,caspofungi,and amphoteriin B against aspergillus fumigatus,A.flavus,A.niger,A.terreus,A.nidulans,et al.Results The MIC range of 4 antifungal agents were 0.03~2.00 mg/L and 0.01~32.00 mg/L against A.fumigatus and A.flavus,respectively.But amphotericin B had higher MIC90 value which was 16mg/L against A.flavus than A.terreus(MIC90 3.00 mg/L),A.fumigatus(MIC90 0.75 mg/L),and A.niger(MIC90 0.25 mg/L).Conclusion Itroconazole,voriconazole,caspofungi,and amphotericin B have different susceptibility patterns against various types of filamentous fungi.It's necessary to identify fungi to level of species and perform antifungal susceptibility test in serious patients.