Described in this paper are the history of patient libraries in Japan, and the current situation, forms and types of provided service , objects of service , training of qualified personnel in patient libraries of Japan , society of patient libraries and its activities with the important role ofreadingin the recovery of patients taken into account , in order to promote the establishment of patient library and its development in our country .

Objective To discuss the clinical effects of interventional therapy in patients with BCS. Methods 32 patients with BCS were treated with interventional therapy under the guidance of color Doppler ultrasound and DSA,and the clinical effects were analysed. Re-sults The success rate was 90. 6% (29/32),and 11 inferior vena cava stents were implanted. There was no serious complications such as pulmonary embolism,no intraoperative deaths. Postoperative complication rate was 12. 5% (4/32),including 1 case of acute renal failure who died with treatment failure,2 cases of acute heart failure,who recovered after the anti-heart failure treatment,and 1 case of bloody ascites be-cause of hepatic vein rupture who recovered after hemostasis and anti-infective therapy. The recurrence rate was 9. 7%(3/31)during the fol-low-up. Conclusion Intervention therapy can obtain a more desired therapeutic effect with smaller trauma,faster recovery in patients with BCS,and it is becoming the preferred treatment method gradually.

Tacit knowledge is critical to a hospital's scientific and technological innovation, the basis for its survival and the major driving force for its sustainable development. It constitutes the bulk of a hospital's knowledge, including chiefly technological elements, cognitive elements, experience elements. emotional elements and belief elements, has priority among its various tasks, and is the basis for and the key to the development of individual and organizational abilities to innovate. The instruction on and inheritance of tacit knowledge plays a key part in the cultivation of innovative talents in a hospital. Thus hospitals ought to strengthen the management of tacit knowledge and realize its exchange and sharing through face-to-face communication, post rotation, the establishment of cross-disciplinary teams and electronic networks, and the coding of tacit knowledge.

Objective: To study the protective effects of canthaxanthin against decreasing of i mmuno-function of the acute lung injury induced by lipopolysaccharide in mice and research its possible mechanism for offering scientific basis of its health function. Methods: Randomly distribute 60 male Kunming mices into control group, lipopolysaccharide-induced acute lung injury model group(ALI), dexamethasone (DXM) group (5 mg/kg) and low, middle, high dose groups of canthaxanthin (10 mg/kg, 15 mg/kg, 20 mg/kg). After 30 d feed by different dosage canthaxanthin, control group were given physiological saline, ALI model group, canthaxanthin administrated groups and DXM group were injected with lipopolysaccharide (LPS) (6.0 mg/kg) to induce ALI. Six hours after LPS or physiological saline challenged, abdominal aorta blood for measuring lymphocyte subpopulations(CD3+, CD4+, CD8+), tumour factor-?(TNF-?), leckocyte interpose-8(IL-8), malondialdehyde (MDA) content, superoxide dismutase (SOD), glutathione perioxidase (GSH-Px) activities, and lung wet weight/dry weight ratio, neutrophil MPO activity of lung, tumour factor-?(TNF-?), leckocyte interpose-10 (IL-10) content of lung. Results: Treatment with different dosage canthaxanthin could significantly decrease serum TNF-?, IL-8, MPO, MDA content and lung wet weight/dry weight ratio, while inhibit the reduction of IL-10 in lung and SOD, GSH-Px activities, improve the percent of lymphocyte subpopulations. Conclusion: Canthaxanthin showed protective effects on immuno-function of the acute lung injury induced by LPS in mice.

ObjectiveTo explore the nursing students'puzzles about career planning,and provide a basis for the training.MethodsA qualitative research was conducted on 14 university nursing interns by in-depth interview and observing.The whole interview was noted.The data was analyzed according to Colaizzi's phenomenological procedure.ResultsThe experience could be classified into four aspects,including hazy understanding of career planning,lack of understanding of themselves,limited ca reer identity and lack of social cognition.ConclusionNursing educators should enhance the training against the nursing students'puzzles and make sure they can make a good career planning.

Breast Neoplasms ; diagnostic imaging ; radiotherapy ; Female ; Humans ; Imaging, Three-Dimensional ; Mastectomy, Segmental ; Postoperative Period ; Radiotherapy Planning, Computer-Assisted ; methods ; Respiration ; Surgical Instruments ; Tomography, X-Ray Computed ; methods ; Tumor Burden

Adult ; Breast Neoplasms ; diagnostic imaging ; radiotherapy ; surgery ; Cone-Beam Computed Tomography ; Female ; Humans ; Mastectomy, Segmental ; Postoperative Period ; Radiotherapy Planning, Computer-Assisted ; methods ; Respiration

Adenocarcinoma, Follicular ; epidemiology ; genetics ; metabolism ; pathology ; Carcinoma, Papillary ; pathology ; DNA-Binding Proteins ; metabolism ; Diagnosis, Differential ; Genes, ras ; genetics ; Humans ; Point Mutation ; Prognosis ; Thyroglobulin ; metabolism ; Thyroid Neoplasms ; epidemiology ; genetics ; metabolism ; pathology ; Transcription Factors

Adult ; Diagnosis, Differential ; Histiocytoma, Malignant Fibrous ; pathology ; Humans ; Laryngeal Neoplasms ; diagnostic imaging ; metabolism ; pathology ; surgery ; Laryngectomy ; Leiomyosarcoma ; pathology ; Male ; Rhabdomyosarcoma ; diagnostic imaging ; metabolism ; pathology ; surgery ; Tomography, X-Ray Computed ; Vimentin ; metabolism

OBJECTIVE: To analyze the requirement of pharmaceutical care among physicians, nurses and patients and to explore work mode of clinical pharmacists. METHODS: The requirement of pharmaceutical care in concrete cases was summarized by combining with experience of author as clinical pharmacist in cardiology department. RESULTS: The advantage of clinical pharmacist and convenient consultation for selection of drugs contribute to complementary with physicians’ work. CONCLUSION: Clinical pharmacist provides various pharmaceutical care according to the requirement of doctors, nurses and patients.