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 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 .

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.

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.

OBJECTIVETo study the synergistic effects of electroacupuncture on the treatment of knee osteoarthritis after arthroscopic debridement.

METHODSFrom May 2008 to July 2010, 78 patients with knee osteoarthritis were randomly divided into two groups. There were 42 patients in the experimental group, including 16 males and 26 females, ranging in age from 41 to 63 years, with an average of (53.62 +/- 6.53) years; the disease course ranged from 8 to 24 months, with an average of (10.35 +/- 6.42) months. The patients were treated with arthroscopic debridement combined with electroacupuncture after operation. There were 36 patients in the control group, including 14 males and 22 females, ranging in age from 40 to 62 years, with an average of (54.34 +/- 7.67) years; the disease course ranged from 6 to 25 months, with an average of (11.94 +/- 5.13) months. Those patients were treated only with arthroscopic debridment. All the patients performed isometric quadriceps femoris contraction exercise and knee flexion and extension activities after operation. The visual analog scale(VAS) score and Lysholm knee score were used to evaluate the therapeutic effects.

RESULTSAll the patients were followed up, and the duration ranged from 12 to 30 months, with an average of 15.6 months. At the final follow-up, VAS score was significantly decreased, and the Lysholm score, except for the item demanding for support, significantly increased, compared with those before surgery respectively in both groups. There was significant difference in VAS score between two groups after treatment. As to Lysholm score, there were significant differences in limp, pain, swelling, stair activity and squat, but there were no significant differences in items of interlocking and instability between two groups after treatment.

CONCLUSIONElectroacupuncture can effectively improve the clinical symptoms and knee joint's motor function of knee joints in patients with knee osteoarthritis, as well as the synergistic effects on the treatment of knee osteoarthritis after arthroscopic debridement, leading to a much better long-term therapeutic effect with respect of improving the function of knee joint. This therapy, combined with traditional Chinese medicine and Western Medicine,is worth of clinical application in the treatment of knee osteoarthritis.

Adult ; Aged ; Arthroscopy ; Case-Control Studies ; Combined Modality Therapy ; Debridement ; Electroacupuncture ; Humans ; Knee Joint ; physiopathology ; surgery ; Male ; Middle Aged ; Osteoarthritis, Knee ; physiopathology ; surgery ; therapy ; Treatment Outcome

Esophageal Neoplasms ; drug therapy ; Humans

As one of the latest anti-angiogenic tumor molecular targeted therapy drugs,bevacizumab has achieved better clinical effect on the treatment of gastrointestinal cancer and ovarian cancer.This review focuses on the significance of bevacizumab combined with chemotherapy for the treatment of cervical cancer.

Objective To explore the effect of peer-education on self-efficacy of hemodialysis(HD) patients. Methods Totally 90 HD patients were divided into two groups equally. The intervention group received peer-education for 3 months and the control group received routine nursing. The two groups were compared in terms of score on self-efficacy. Results There was no statistically significant difference in the score on self-efficacy and every item between the two groups before intervention (P>0.05). The score on self-efficacy and the items ofcontrol of depressive mood, the confidence in taking self-care measures, the confidence in doing other thingswere statistically significantly different between the two groups after intervention (P<0.05). Conclusion Peer-education can improve HD patient′s self-efficacy.

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.