Objective To know the efficacy of oral nursing by visible electric toothbrushes among patients with peroral endotracheal intuabtion. Methods Divided 108 trauma patients with peroral endo-tracheal intubation and clear consciousness into the research group and the control group randomly, there were 54 cases in each group. Routine oral nursing cares were used in the control group, while the visible electric toothbrushes was used in the research group. Compared the efficacy of oral nursing between the two groups. Results The incidence rate of mouth odor, plaque index and oral infection in the research group were better than those of in the control group. Conclusions Using visible electric toothbrushes for trau-ma patients with oral endotracheal tube is a kind of effective and feasibility method, which should be devel-oped in the clinical field.

Objective To find out certain physical therapy about chest nursing, and then avoid certain postoperative complications for patients with thoractomy. Methods Selected 112 patients af-ter thoractomy from October 2007 to January 2008, divided them into the observation group and the control group randomly, there were 56 cases in the each group. Traditional back knocking was used in the con-trol group, while a kind of reformative back knocking method was used in the observation group. Compared the incidence rate of lung-associated complications between the two groups. Results There were signifi-cant difference between the two groups about incidence rate of lung-associated complications and com-pliance of back knocking. Conclusions Chest physical therapy with new back knocking can effective promote expectoration, reduce the incidence rate of pulmonary complications, and then make patients feeling comfort.

Objective To Observe the clinical effects of treating arrhythmia with wenxinkeli.Methods A total of 126 patients with arrhythmia were randomly recruited into a control group and a treatment group,63 cases in each.The treatment group was treated with wenxinkeli 9g/time,3times/d;while the control group was treated with amiodarone,0.2g/time,3 times/d,and changed to 2times/d after one week.Both groups were treated for 4 weeks.Results The total effective rate was 85.7%and 87.3% in control group and the treatment group,showing no significant difference(x2=0.068,P>0.05).Conclusion Wenxinkeli has similar antiarrhythmic effects with amiodarone,besides its few side effects.

Objective To explore the mutual relationship of cognitive behavioral intervention and negative emotion of leukaemia patients. Methods According to hospital dual order, 120 patients were divided into the treatment group and the control group with 60 cases in each group, the control adopted routine treatment and nursing, upon this basis, the treatment group received cognitive behavioral intervention.Anxiety and depression of two groups were compared with SAS and SDS scale. Results SAS and SDS score changed significantly in the treatment group before and after the treatment, while in the control group,the SAS, SDS score did not changed statistically. Conclusions cognitive behavioral intervention can effectively improve the anxiety and depression of leukaemia patients, and improve the quality of life and deserves further clinical promotion.

BACKGROUND: Both c-fosand heat-shock protein (HSP) 70 genes are closely relevant with and participate in the occurrence and development of blood stasis syndrome of primary hypertension. It is importance to study on their correlation for prevention of primary hypertension.OBJECTIVE: Immunohistochemical method was used to determine the expression of HSP70 and c-fos genes in blood stasis syndrome of primary hypertension so as to probe into their correlation.DESIGN: Case analysis.SETTING: Department of Traditional Chinese Medicine, Medical College of Jinan University.PARTICIPANTS: Totally 148 cases of primary hypertension were selected, diagnosed in ward and clinic of Department of Cardiac Vascular Internal Medicine of Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine from March 2002 to march 2003, of which, 80 cases were male and 48 cases were female.INTERVENTIONS: At 7:30 to 8:00 in the morning on the 3rd of hospitalization, 2 mL intravenous blood was collected in fasting for immunohistochemical determination of HSP70 and c-fos genes. Evaluative standards:negative expression (-), no brown-yellow stained cell appeared; positive expression (+), positive cell count of each high power field ＜ 20％; dominant expression (++), positive cell count of each high power field was in the range from 20％ to 50％; strong positive expression (+++), positive cell count of each high power field was ＞ 50％. Ridit analysis statistical method was used for the correlation analysis.MAIN OUTCOME MEASURES: Expression of HSP70 and c-fos genes.RESULTS: Totally 148 cases of primary hypertension participated in the experiment and the blood sample of all of those entered the result analysis.① Six cases presented positive expression of both HSP70 and c-fos genes.② Four cases presented dominant expression of HSP70 gene and positive expression of c-fos gene respectively. ③ Twelve cases presented strong positive expression of HSP70 gene and positive expression of c-fos gene respectively. ④ Six cases presented positive expression of HSP70 gene and dominant expression of c-fos gene respectively. ⑤ Nineteen cases presented dominant expression of both HSP70 and c-fos genes. ⑥ Sixteen cases presented strong positive expression of HSP70 gene and dominant expression of c-fos gene respectively. ⑦ One case presented positive expression of HSP70 gene and strong positive expression of c-fos gene respectively. ⑧ Twenty-eight cases presented dominant expression of HSP70 gene and strong positive expression of c-fos respectively. ⑨ Fifty-six cases presented strong positive expression of both HSP70 and c-fos genes. ⑩ The grade of positive expression presented significant correlation between HSP70 gene and c-fos gene (R =0.281 1-0.644 6, P＜0.01).CONCLUSION: In blood stasis syndrome of primary hypertension, the high expression presents in both HSP70 and c-fos genes, indicating remarkably correlation.

The paper presented the motivation,progress and roadblocks for venture capital to play a role in private medical institutions during the ongoing health reform.The author raised policy suggestions to introduce venture capital into private medical institutions,from such points as laws and regulations,establishment of state-owned venture capital firms,building of exit channels,establishment of managed healthcare market,and development of VC talents for healthcare industry.

Objective To evaluate the value of renal adipose capsule injection of methyprednisolone by ultrasound guided in treatment of nephritic syndrome.Methods 31 patients with nephritic syndrome were treated with the renal adipose capsule injection of methyprednisolone by ultrasound guided.40mg methylprednisolone was injected into renal adipose capsule of the patients twice a week and each one of them was totally given ten times of the treatment.The urinary protein,plasma albumin,serum creatinine and blood pressure before and after the treatment were measured.Results 29 cases were succeed in this group,and the percentage was 94%,clinical observations of proteinuria were negative.2 cases were repeated after stop interventional treatment.and the percentage was 6%.Conclusion By ultrasound guided interventional treatment and capsula adipose treated for nephrotie syndrome was simple operation,and had precise positioning and significant effect,and it provided a new treatment for clinic.

Bronchopulmonary dysplasia is a chronic lung disease of newborn.In recent vears.its incidence is increasing.Bone marrow derived mesenchymal stem cells(BMSC)have been shown to differentiate into a variety of mesenchymal cell types.It has been shown that these cells can be separated.purificated.amplificated and administered to animals and patients in clinical trials.This article focuses on the pathology.pathogenesis of the bmnchopulmonary dysplasia,and biological characteristics of BMSC,and indicates that the cells in the circulation Can engraft in the lung and offer effective protection against lung injuries.

This paper studied the present governance practice in public hospitals in Wenzhou,Zhejiang province. Points made in the paper cover the following: failure of the check-and-balance of the three powers due to defects of the existing governance mechanism of public hospitals, absolute power and limitation of the hospital director as well as the patriarchal tendency of the director responsibility system.The author also demonstrated the director responsibility system under the board of directors, holding that the reform of the public hospital governance is a process of ongoing improvements, for which the mechanism of effective incentives, supervision and competition mechanism plays a key role for efficient hospital operations.

Clinical practice is an important link of medical education. The change of medical modes and conditions, the pressure of employment and entrance examination for graduates affect the quality of clinical practice. General hospitals have improved a series of management measures to strengthen and ensure the quality of clinical practice. Furthermore, we shound further explore the new mode of teaching to improve the quality of clinical medicine education.