Through analyzing the present situation of applying software in the daily operation in hospitals, to build a set of management process for applying software to manage intangible assets, discuss the accounting methods. The purpose is to standardize the application software to manage intangible assets, in order to reflect the status of the hospital intangible assets better.

Statin therapy has become a standard method for the prevention of ischemic stroke,and is becoming a treatment option for acute ischemic stroke.The pleiotropic effects of statins which are independent of cholesterol are the main basis of using them in the treatment of ischemic stroke.It is regarded that these pleiotropic effects may have neuroprotective effects,thus improving the neurological functional outcome of patients.At the same time,studies have shown that the therapeutic effect of statins has dose-dependent manner; therefore,we advocate using high-dose statin therapy.However,about whether high-dose statins should be used in patients with ischemic stroke of the different mechanisms remain controversial.

This paper has made a distinction between the materialist concept of qi on the medical philosophical level and its substantial existence, and illustrated the materiality and multiplicity of qi. Materiality refers to the objective reality, a summation of various things or phenomena related to human beings; while multiplicity refers to diversity of specific substances, each holding its individual essence. Based on two essential conceptions "xiang" and "xiangji", and combining the theories of traditional Chinese medicine and Western medicine, this paper has also made a preliminary study on the substantial existence of qi at macro- and micro-levels, and on physiological (normal) and pathological (abnormal) aspects. It is the author's argument that studies of the substantial existence of qi from different aspects, micro-dimension in particular, will push the syndrome differentiation of traditional Chinese medicine to a more subtle sphere.

Over the past few decades,the curative effect of leukemia has been improved significantly.But the effect of refractory acute lymphoblastic leukemia and about 50％ of acute myeloid leukemia has not been improved.At present,targeted therapy,which is unique to the incidence of leukemia,has become a hotspot,such as the antibody drugs targeted cell surface molecules or kinases.At the same time,many drugs have been applied into clinical treatment because of their better clinical results,such as imatinib,bortezomib.

Objective To investigate the clinical value of color Doppler in the early diagnosis of diabetic nephropathy (DN).Methods 69 cases of DN Phase I,II patients (group A) and 75 cases Phase III (B group) all underwent renal artery line Doppler flow imaging inspection .Renal aorta ( MRA) ,interlobar artery ( IRA) ,renal seg-mental artery blood flow (SRA) peak systolic velocity (Vsmax),resistance index (RI) and diastolic minimum speed ( Vdmin) and other hemodynamic parameters of two groups were analyzed .Results The Doppler spectrum renal blood flow characteristics of early renal damage were:between group A,B,the main renal artery (MRA),the kidney arterial segment Vdmin significantly reduce ,RI was significantly higher;the interlobar artery Vsmax (t=3.562 5,P=0.000 5),Vdmin (t=5.252,P=0.000 0) were significantly lower,RI was significantly higher (t=9.166 0,P=0.000 0);with the severity of renal dysfunction ,kidney color flow imaging reduce ,the kidney volume was significantly reduced in patients with stage Ⅲ.Conclusion Color Doppler ultrasound can clearly show the size of the patient′s kidney and renal artery blood flow parameters ,which has certain value in the diagnosis of early DN .

ObjectiveTo study and compare the nursing effect of different nursing modes in patients with dysuria after transurethral electrovaporization of the prostate. Methods50 patients with dysuria after transurethral electrovaporization of the prostate from January 2007 to March 2011 were selected as research objects,and they were randomly divided into group A and group B with 25 cases in each group,group A was taken care with routine nursing method,group B adopted evidence-based nursing mode,then the rate of self- maturate,usage rate of catheter,time of indwelling catheter,maximum flow rate,relapse of dysuria,satisfaction degree,treatment compliance and quality of life before and after the nursing of two groups were analyzed and compared. ResultsThe rate of self-maturate and satisfaction degree of group B were higher than those of group A,usage rate of catheter and relapse of dysuria were lower than those of group A,time of indwelling catheter was shorter than that of group A,treatment compliance and quality of life were all better than those of group A,there were significant differences. ConclusionsThe nursing effect of evidence-based nursing mode in patients with dysuria after transurethral electrovaporization of the prostate is good,it can significantly improve the quality of life and is popular among patients.

There are many controversies for how to treat the occurrence of ischemic stroke on the basis of infective endocarditis would be more reasonable,especially there is no consensus on whether to treat with anticoagulants.The article discusses about this.

Post-examination quality management is an important part in clinical microbiology,which includes systematic review,standardized result reporting format and interpretation,protection of private infomation in accordance with the medical ethics system,consulting services,and proper storage of clinical microbial specimens in course of post-examination procedures.Only in this way,the clinical microbiology laboratory could play greater roles in guiding doctors to rational antibacterial drug usage and preventing the produce of drug-resistaut strains.

Objective To study the effect and safety of spinal-epidural anesthesia(CSEA) and epidural anesthesia(EA) in the surgery of the elderly patients over age of 75.Methods 96 elderly patients over the age of 75 with lower limb surgery and the ASA Ⅱ ～ Ⅲ grade were randomly divided into two groups according to the anesthesia method.The study group(48 cases) was treated with CSEA and the control group(48 cases) was given EA.The heart rate (HR),systolic blood pressure (SBP),diastolic blood pressure (DBP),oxygen saturation (SpO2) before anesthesia (T0),after anesthesia(T1),after the beginning of surgery(T2) and the end of the surgery(T3) were recorded.And the onset time,block perfect time,anesthetic effect and adverse reaction were observed.Results The HR,SBP,DBP,and SpO2 between the two groups and within the two groups had no statistically significant differences (P ＞ 0.05) ;the onset time and complete block time of anesthesia of the study group were significantly shorter than the control group (P ＜ 0.05),the anesthetic effect of the study group was significantly better than the control group (P ＜ 0.05).The incidence rate of adverse reactions had no statistically significant difference between the two groups (P ＞ 0.05).Conclusion CSEA has rapid onset of anesthetic and the anesthetic effect is good,it has few adverse reactions for elderly patients with lower limb surgery,and it is safe and effective,which is worth to be promoted and popularized in clinical.

Early weaning from mechanical ventilation in children will lead to an extubation failure,however,prolonging mechanical ventilation will increase the risk of ventilator associated complication and the economical burden of disease.Nowadays there is no unified and objective ventilator weaning indexes in pediatrics,so it is significant to searching for appropriate and feasible ventilator weaning indexes.This article detailed the current progress on the condition and predictors of ventilator weaning in children,and comparing the predictability and accuracy of ventilator weaning indexes in children,also looking forward to the possibility of higher accuracy or scheme in ventilator weaning that used for clinical purposes.