The strategic cost management of the hospital means setting the cost management of the hospital in the realm of strategic management and analyzing the hospital and its cost behavior and structure from a strategic level so as to create advantages in competition, attain the goal of adapting the hospital to the continuously changing environment and facilitating stralegic management. Strategic cost management is characterized by a protracted, overaU, extensional and innovative nature and methods for it include value chain analysis, strategic positioning analysis, cost agent analysis and many others. Clarifying the goals of strategic cost management, selecting different strategies according to strategic cost information, perfecting the cost management of the hospital and enhancing cost awareness, and giving play to the functional role of economic management personnel are some of the prerequisites for the hospital to implement strategic cost management.

Objective To observe the effects of Haizao Yuhu Decoction on the CXCR 4 expression of TT cell tumor-bearing mice. Methods Culture the human thyroid TT cells in vitro, and inoculate them into 30 healthy mice BALB/C. Subsequently, Haizao Yuhu Decoction was given to the tumor-bearing mice. They are grouped into three groups, including tumor-bearing group (n=10), Haizao Yuhu Decoction high dosage group (n=10) and Haizao Yuhu Decoction low dosage group (n=10) to observe the tumor growth to calculate the anti-tumor rate. After the tumor has been reaped, immunohistochemical is adopted to test the expressions of chemotactic factor receptor-CXCR 4 on protein level. RT-PCR is used to test the expressions of CXCR 4 on genetic level. Results Comparing with the tumor-bearing group, HZYHD high-dosage group has decreased the expressions of CXCR 4 on both the protein and genetic levels, which is to certain degree dependent on concentration.Conclusion Haizao Yuhu Decoction could decrease the expression of CXCR 4.

Gastrointestinal microbiota is a huge and complex system that has multiple influential factors. As an exogenous pathogen,Helicobacter pylori(Hp)may interact with gastrointestinal microbiota. It has been revealed that Hp infection led to an increase in Lactobacillus acidophilus in intestinal tract and a decrease in Actinobacteria,Bacteroidetes and Firmacutes in stomach. Proton pump inhibitors and antibiotics,the major components of eradication regimens for Hp infection,may also have an impact on gastrointestinal microbiota. On the other hand,gastrointestinal microbiota interferes with Hp’s attachment into gastric mucosa. Probiotics combined with eradication therapy could benefit the eradication rate of Hp infection and reduce adverse events.

Stem cell transplantation provides a new thinking for treating ischemic heart disease.However,the poor survival and differentiation rate of stem cells after transplantation limit its application in treatment of ischemic heart disease.Therefore,researchers study precondition stem cells through different methods to improve stem cell proper- ty in order to improve therapeutic effect of stem cell transplantation.The present article made a review on its re- search progress.

SOX1,a member of the SOX transcript factor super family,has been demonstrated having the functions of regulating the development of human embryonic neural system and crystalline lens,and the additional function of SOX1 in tumors are attracting more and more attention as well.It is reported in resent years that SOX1 is detected lowly expressed in many kinds of tumor issues,which owns to the methylation of SOX1.SOX1 can also regulate the abilities of tumors on proliferation,invasion and migration.Besides,SOX1 may play a crucial role in regulation of the differentiation of cancer stem cells.Further research of SOX1 and its function among related pathways may contribute to seeking for new therapies for tumor treatment.

OBJECTIVE:To explore the transform of the medicinal properties of Coptis chinensis-Cinnamomum cassia couplet medicines before and after mixing. METHODS:Mice were randomly divided into normal group,weak constitution (induced by food restriction and swimming) group,weak constitution+C. chinensis group,weak constitution+C. cassia group,weak constitu-tion+couplet medicine group,prosperous constitution (induced by high protein diet) group,prosperous constitution+C. chinensis group,prosperous constitution+C. cassia group and prosperous constitution+couplet medicine group,with 10 mice in each group. After modeling,each group was given relevant medicine intragastrically by 20 g(crude drug)/(kg·d),and normal group was giv-en equivalent volume of normal saline intragastrically for consecutive 7 days. The proportion of rats remained in high-temperature ar-eas was recorded. Organ index,biochemical index(Na+/K+-ATPase,Ca2+/Mg2+-ATPase),total antioxidant capacity(T-AOC),SOD activity,the serum content of noradrenalin and dopamine were detected. RESULTS:Compared with normal group,proportion of mice in high-temperature area increased in weak constitution group,while liver index,spleen index,renal index,biochemical in-dex activity or content decreased(P<0.05);the change of above index in prosperous constitution group were opposite to weak con-stitution group;above index had statistical significance except for the proportion of mice in high-temperature area(P<0.05). Com-pared with weak constitution/prosperous constitution group,the proportion of mice remained in high-temperature area and liver in-dex increased in weak constitution/prosperous constitution+C. chinensis group,while biochemical index activity or content de-creased(P<0.05);the change of above index in weak constitution/prosperous constitution+C. cassia group were opposite to C. chi-nensis group,spleen index and renal index increased(P<0.05);the proportion of rats remained in high-temperature area increased in weak constitution/prosperous constitution couplet medicine group,and biochemical index activity or content decreased,among which total antioxidant activity decreased significantly(P<0.05). CONCLUSIONS:The couplet medicine manifests the“cold na-ture”after C. chinensis and C. cassia equally paired,because“hot nature”degree of C. cassia is lower than“cold nature”of C. chi-nensis.

High-resolution melting technique shows great potential as a clinical diagnostic tool because of its cost-effectiveness , convenience and closed-tube format which can prevent the risk of cross contamination.HRM analysis has been widely used in molecular diagnostics in the management of cancer by mutation detection , pre-sequence screening , methylation and copy number variations , which involves cancer screening, diagnosis, individual treatment and prognosis .Take advantage of the high detection sensitivity of HRM, the accuracy of mutation screening method could be improved and the test cost could be reduced by combing HRM analysis with sequencing , which helps to develop the molecular diagnostic technique .

[Summary] Minimally invasive hybrid coronary revascularization ( MIHCR) represents a minimally invasive revascularization strategy that combines coronary artery bypass graft ( CABG) surgery with percutaneous coronary intervention ( PCI) .Although MIHCR is better than coronary artery bypass graft surgery in theory , there is no useful randomized controlled trial to prove the advantage of MIHCR in recent medical papers .In this paper , we reviewed different aspects of MIHCR , such as basic definitions , basic rationale , indications , operation selection and current problems .

Objective To evaluate the efficacy and safety of adjuvant IFN therapy for viral hepatitis-related hepatocellular carcinoma(HCC)after treatment with surgical resection or transarterial chemoembolization(TACE).Methods Controlled trials of adjuvant treatment with IFN for patients with HCC published between 2000 and 2012 were searched electronically in MEDLINE,PubMed,Cochrane Library,and EMBASE databases.According to the heterogeneity of the studies,two different models-the fixed-effect model and the random-effect model-were applied to analyze the results. Results Ten trials were screened according to inclusion and exclusion standards.Eight randomized,controlled trials and two non-randomized,controlled trials were included.These ten trials with a total of 1 ,029 subjects were eventually involved in the meta-analysis;528 HCC patients were treated with adjuvant treatment with IFN and 501 patients with placebo.Compared to the control group,the recurrence rates of HCC in IFN group were significantly lower CR=0.66;95% CI=0.50 to 0.86;P=0.02),especially after TACE treatment according to subgroup analysis(OR=0.73;95%CI=0.52 to 1.01;P=0.06 for surgical resection;and OR=0.54;95%CI=0.33 to 0.86,P=0.01 for TACE).The death rates in the IFN group also significantly decreased according to not only total events analysis(OR=0.42;95%CI=0.32 to 0.56;P<0.01)but also subgroup analysis(OR=0.51;95%CI=0.36 to 0.72;P=0.0002 for surgical resection;and OR=0.33;95%CI=0.21 to 0.50;P<0.01 for TACE).Conclusion Adjuvant IFN therapy may significantly reduce the recurrence rates of patients with viral hepatitis-related HCC and improve the survival of patients after surgical resection or TACE.The ideal dose mostly selected is 3 MIU/mL,three times per week,which can make patients tolerate the adverse reactions of IFN better and maintain effective concentrations for a long time.

Objective To explore the method of repairing foot soft tissue defects by using island skin flaps pedicled with sural nerves and vessels. Methods 24 patients with foot soft tissue defects were treated surgically. The defects were repaired with island skin flaps pedicled with ipsilateral sural nerves and vessels. Results Of all the 24 flaps, 21 flaps survived at the first intention. Partial necrosis appeared in 3 flaps but were cured at the second intention. The follow ups of 1 to 2 years showed that the appearance and function were satisfactory in all the cases except 4 in which the skin appeared swollen. Conclusion To repair foot soft tissue defects, this flap has the advantages of strong anti infection ability and good texture so that healing at the first intention and early functional recovery can be obtained.