Defibrillator is the most important therapeutic for ventricular fibrillation.The preconditions for successful defibrillation include short defibrillated time,adoption of biphasic wave,appropriate electrode placement and shocked energy,as well as reasonable chest wall impedance.The defibrillation opportunity is the critical one of all factors for defibrillation.

To appraise the preventive and improvable effects of different movements on OA joints,animal models by fixing the left posterior knee joint in extention using plaster cast for 8 weeks in Newzealand rabbits were carried out. The rabbits were randomly divided into different groups, and the X-RAY、range of motion and ligament biomechanical features of the joint were observed.The results showed that proper movement improved the range of motion, restored tensile strength of the ligament around the OA joint.It is evident that movement improves the function of the OA joint and delays the OA exacerbation.The combination of active and passive movement is the best way to achieve good result.

OBJECTIVE:To reduce and prevent the incidence of complaint events in outpatient dispensary.METHODS:The causes of patients' complaints were analyzed and the countermeasures were put forward.RESULTS & CONCLUSIONS:The complaint events mainly induced by the absence of rules and regulations for pharmacists,lack of related information and professional knowledge,unsoundness of internal management,patients' enhancement in self-protection consciousness as well medical knowledge.The countermeasures available include the following:strictly following rules and regulations and operating instruction,reinforcing legal consciousness and self-protection consciousness,shifting one's ideas and concepts,strengthen-ing service consciousness etc.

OBJECTIVE:To evaluate the current situation of drug utilization in inpatients with schizophrenia in our hospital. METHODS:The medication of inpatients with schizophrenia during Nov. 2007～Nov.2008 were analyzed statistically,referring to the DDD and DUI method recommended by WHO. RESULTS:Quetiapine,olanzapine,risperidone dominated the first 3 place in DDDs,which were all atypical antipsychotic drugs. Sulpiride ranked at 17th place in the list of typical antipsychotic drugs. the DUI of most drugs were lower than 1.0. CONCLUSION:The medication of most patients with schizophrenia is appropriate. Atypical antipsychotic drugs occupy a dominant position in the clinic.

OBJECTIVE:To study the optimum conditions for extracting the effective components in Yansheng oral liquidMETHODS:Using orthogonal design L9(34),the content of total solid was taken as the screening indexInfluence of the concentration of alcohol on effective components was observedRESULTS:The number of times of extraction(D) had significant influence on the content of total solid(P

Ascites formation represents a hallmark of decompensated liver cirrhosis.It predicts a poor outcome.Patients with ascites are at high risk of developing complications such as SBP (spontaneous bacterial peritonitis),hyponatremia and HRS (hepatorenal syndrome).Adequate treatment of cirrhotic ascites increases survival and betters quality of life.Despite improved current medical treatment of ascites,liver transplantation remains the ultimate treatment of refractory ascites.This paper summarizes the treatment of liver cirrhosis with ascites.

Objective As a special type of chronic pancreatitis, autoimmune pancreatitis ( AIP ) is gradually being recognized?In 2001,researchers found that serum IgG4 levels were significantly increased in AIP patients,2% of chronic pancreatitis was 1?AIP; 1?AIP was considered a systemic disease associated with IgG4?So far,a number of autoimmune antigens associated with 1?AIP have been identified,but the role of IgG4 in the disease is certain,because the pathogenesis of the disease is not sure,the diagnosis and treatment of AIP is not optimistic.

OBJECTIVE:To observe the efficacy and safety of Huanglian shangqing soft capsule in the adjuvant treatment of in-flammation around the implant. METHODS:40 patients(72 implants)with inflammation around the implant were randomly divid-ed into control group (20 cases) and observation group (20 cases). Control group received full mouth supragingival scaling tech-nique,subgingival curettage,root planing,occlusal adjustment,loose teeth fixation or removal can not be reserved teeth using ul-trasonic scaler row scaling postoperative with 3% hydrogen peroxide,0.9% Sodium chloride injection alternately flushing periodon-tal pocket,removing residue until the inflammation control after the break-adjusted+appropriate amount of Minocycline hydrochlo-ride ointment,along with fine needles inserted into the periodontal pocket wall slowly until bag after pushed into the bottom of Mi-nocycline hydrochloride ointment,slow retreated the drug overflow until the gingival margin,no gargle and drinking water within half an hour,once a week. Observation group additionally received 1.2 g Huanglian shangqing soft capsules,twice a day. 4-week was regarded as 1 course,and it last 2 courses. Clinical efficacy,PLI,PD,SBI,IL-1β,IL-6,IL-2 and IL-17 levels before and af-ter treatment,and the incidence of adverse reactions in 2 groups were observed. RESULTS:The total effective rate in observation group was significantly higher than control group,the difference was statistically significant (P<0.05). After treatment,the PLI, PD,SBI,IL-1β,IL-6,IL-2 and IL-17 levels in 2 groups were significantly lower than before,and observation group was lower than control group,the differences were statistically significant(P<0.05). The incidence of adverse reactions in observation group was significantly higher than control group,the difference was statistically significant (P<0.05),but the symptoms were mild. CONCLUSIONS:Based on conventional treatment,Huanglian shangqing soft capsule shows significant efficacy in the adjuvant treatment of inflammation around the implant,it can reduce inflammatory cytokine levels in gingival sulcus fluid,but with more ad-verse reactions.

Bone marrow stromal stem cells have been used in cartilage tissue engineering for nearly 20 years. This has been a key focus in stem cell research. This article serves to review application, progress and facing problems of bone marrow mesenchymal stem cells (BMSCs) in cartilage tissue engineering by retrieving publications. With the development of molecular biology, biomaterial, computer and nano-biotechnology, tissue-engineered cartilage constructed with BMSCs as seed cells combined with biomaterial stent has a widely application perspective in repairing articular cartilage defect.

BACKGROUND: To understand mechanism, biological property and morphological component of nanometer bone material and discuss present status and applied prospect.DATA SOURCES: A computer-based online search of Medline database was undertaken to identify articles about mechanism, biological property and morphological component of nanometer bone material in English from January 1966 to February 2006, and the key works were novel bioactive materials and bone tissue engineering; meanwhile, Chinese relevant articles were retrieved in Chinese in Tsinghua database from January 2001 toOctober 2004, and the key words were nanometer bone and clinical application.STUDY SELECTION: Articles in disposal group and control group were retrieved firstly. Those obviously non-random and repetitive researches were excluded. Full text of the rest articles was looked up finally.DATA EXTRACTION: Tlere were 124 articles about mechanism, biological property and morphological component of nanometer bone material. Among them, 27 experiments or clinical researches were included.DATA SYNTHESIS: Nanometer bone has favorable conductibility and induction of bone; meanwhile, it is characterized by human-like grading structure and multi-well structure of rangu, favorable biocompatibility and stable biodegradation.Nanometer bone material also can be used in confluence of vertebral body, the buccal surgery fields, the gene therapy of uncompleted osteogenesis, rheumatic arthritis (RA) and malignant tumor. Nanometer bone material is tendency to perfection through improvement of technology.CONCLUSION: Nanometer bone material with many particular properties overcomes many difficulties and achieves a satisfactory effect at clinical pilot phase.