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.

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 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.

Objective:To find out the situation of the use of the nutrition support drugs in Peking University Shenzhen Hospital.Method:The method of the use of the nutrition support drugs was adopted to analyze its situation in the hospital during 2005-2006 with respect to the sum of money,frequency of use,increase of charge for medicine and kinds of drugs.Results:The sum of money has been descent 70 000 yuan in 2006 than in 2005,and the frequeacy of use also has been descent 60 000.Conclusion:Parenteral nutrition(PN)drugs were more frequently used than enteral nutrition(EN) drugs.EN was advocated to be used as early as possible so as to maintain the intestinal tract mucosal barrier and recover the intestinal tract function.EN was fit to the physiological need and more scientific than PN.

The regulation how to deal with unskillful and faulty medical treatment is a policy and legal document.It is a implement to the measure how to deal with unskillful and faulty medical treatment. It will make doctor and patients on an equal basis.

Objective: To study electrocardiogram (ECG) monitoring assisted ultrasound guidance for modiifed seldinger technique (MST) in peripherally inserted central catheters (PICC) and to estimate the accuracy of ECG for presenting catheter tip location. Methods: The patients were connected with ECG monitoring system, the guide wire was connected to RA electrode in ECG monitor for leading out P wave of intracavitary ECG. The location of catheter tip was estimated by P wave characteristics and then, estimated ECG result was further compared with chest X-ray presented catheter tip position. The coherence of catheter tip position between ECG and chest X-ray was compared, the sensitivity and speciifcity of ECG estimation were calculated. Results: There were 100/104 patients showed speciifc P wave in ECG, the coherence to chest X-ray was 96.2%; 4 patients had no speciifc P wave and their chest X-ray presented that the catheter tip position at upper superior vena cava in 2 patients, at lower superior vena cava in 1 patient, at contralateral brachiocephalic vein in 1 patient. The accuracy of 2 methods had no statistic meaning. ECG estimation for PICC catheter tip position had the sensitivity at 99% and speciifcity at 100%. Conclusion: ECG monitoring may determine the catheter tip position for MST in PICC guided by ultrasound. It doesn’t need chest X-ray, without additional trauma and no radioactive contamination, which make PICC catheters get more extensive application in clinical practice.

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

OBJECTIVE: To study the bacterial endotoxin test for detecting pyrogen in fructose sodium diphosphate injection . METHODS: The interference of fructose sodium diphosphate injection to the process of bacterial endotoxin test was studied .RESULTS: Fructose sodium diphosphate injection in 10- fold dilution had no interference to the bacterial endotoxin lest .CONCLUSION:Bacterial endotoxin test could be used for pyrogen test of fructose sodium diphosphate injection.

Objective: To examine the temperament of childhood epilepsy. Methods:Subjects were 84 children with epilepsy diagnosed by criteria of ILAE (international league of anti-epilepsy) 1981 and 168 normal children. Their temperament was assessed with Carey's temperament questionnaires (for parents).Results:Children with epilepsy had higher scores on activity level (3.4?0.6/3.1?0.7,t=5.38,P