The purpose of this text is to explore a valid therapeutic method for insomnia.We discovered that when the person's consciousness activity play a predominant role in a sleep process,the cause of insomnia is a false recognition disturbing self-fulfillment of consciousness.Thus the treating principle is to correct false recognition and permit a natural consciousness sleep.We creale cognition-manipulation therapy to help patients get rid of false recognition and learn how to get into sleep from conscious state by self-reguladon.

This paper made a explore on basic standpoint of human being, and basic principle and process of psychological consult and mind-cure recorded in Huangdi's Internal Classic. We found the essence of self-realization is the perception of body activity in different levels, which can be divided into cognitional evaluation, self-concept evaluation and body-direct evaluation. Self-concept evaluation and body-direct evaluation were full-fledged at 10 years old, and the cognitional evaluation continues its development after 10 years old. The disparity of formed concepts between Self-concept evaluation and body-direct evaluation leads to various mental state harassment. The general therapeutic principle for mind-cure is to restore coherence of Self-concept evaluation and body-direct evaluation by weakening the former one and enhancing the later one. The concrete process includes three procedures of establishing therapeutic relationship, deciding therapeutic action, and proving therapeutic result.

Objective To evaluate outpatient and inpatient medical services of hospitals in various regions of the whole country in 2009.Methods RSR was applied to perform the statistical analysis.Results The hospital outpatient and inpatient medical services in 31 provinces and municipalities (municipalities and autonomous regions) were divided into four grades.The hospital outpatient and inpatient medical services were excellent in Guangdong, Yunnan, Hebei, Jiangsu, Hubei, Shandong, Henan, Hunan, good in Guangxi, Liaoning, Heilongjiang, Shaanxi, Jiangxi, Anhui, Guizhou, Sichuan, Zhejiang, fair in Qinghai, Beijing, Fujian, Shanxi, Inner Mongolia, Gansu, Chongqing and Xinjiang,and poor in Hainan, Tianjin, Ningxia, Tibet, Shanghai, Jilin.Conclusion RSR is suit-able for the comprehensive evaluation of any material, scientifically reflecting the outpatient and inpatient medical services of hospitals in various regions of the whole country.

Objective: To investigate the effect of ultrafiltration conditions on the content of aconitines, glycyrrhizic acid and solid residue in Sini Decoction water (A), 40% ethanol (B) and 60% ethanol (C) solution. Methods: Ion pair extraction combined with UV spectrophotometry, TLC combined with UV spectrophotometry and weighing method have been used respectively to detect the content of aconitines, glycyrrhizic acid and weight of dry extractum. Results: Results showed the losses of aconitines and glycyrrhizic acid were inversely proportional to the size of ultrafiltration membrane and the concentration of ethanol. The loss of glycyrrhizic acid was larger than 10%. The decrease of solid residue was proportional to the loss of glycyrrhizic acid. Conclusion: Ultrafiltration of Sini Decoction in water, 40%～60% ethanol solution cannot eliminate impurities.

Objective To analyze the hospital service scope and source characteristics of patients , to provide reference for hospital medical market expansion .Methods Hospital clinic patients survey information sources were made by descriptive statistics analysis , data processing by using the PEMS3.1 statistical software package.Results of respondents, women accounted for 63.5%, 30.1% men; age: 25 years old -45 years old 298 people accounted for a large proportion of 49.8%; occupation: workers of state -owned enterprises accounted for a relatively large 27.9%;residence: the hospital peripheral resident for more than 55.1%.Conclusion Based on the patient demand for the hospital, we should enhance the level of medical technology , the influence of attention, geographical location factors of hospital, continue to expand mainly around the hospital resident , non resident communities surrounding the city medical service, optimize treatment process, improve service quality, and strive for expanding the share of hospital disease .

Objective To know the effects of using performance assessment of nursing, and then summarize certain proper methods to control the quality of nursing. Methods Set up proper indexes of nursing performance assessment, building associated quality control system and standard, and then using them in the clinical nursing. Compared the effects of using performance assessment of nursing by the in-dexes such as nuring quality of hospital, nursing quality of department and head nurses' management mea-sures. Results The quality of nursing had significant better than before after using the performance as-sessment. There was a positive tendency of nursing quality from 2004 to 2008. Conclusions Performance assessment can effective promote the working efficacy, ameliate quality of nursing, fit the nursing targets, in-crease the nursing management efficacy and patients' satisfactory, and then increase the nursing quality in all the aspects, which is a kind of scientific management model.

Objective　To investigate whether matrix metalloproteinase-9 (MMP-9) was synthesized in pregnant cervix during parturition and its source and distribution. Methods　Cervical species (n=10, each weighing about 0.3 g) were taken from pregnant women immediately after delivery. Other cervical species (n=7) were served as negative control from those non-pregnant women but undergoing uterotomy due to other benign diseases. Immunohistochemical method (ABC) was carried out to detect the expression of MMP-9, with a monoclonal antibody against MMP-9. Results　Positive staining of MMP-9 was found in the cytoplasm of polymorphonuclear leukocytes (PMN) that had infiltrated into cervix or located in blood vessels of cervix. Scattered light positive staining were found in some interstitial cells of the cervix. No other cells including fibrocytes and lymphocytes were positive to MMP-9. No positive staining was found in control tissues. Conclusion　There are strong expressions of MMP-9 in pregnant cervix in term labor, derived mainly from infiltrated PMN. MMP-9 may be an important regulator in the process of cervical ripening.

Objective To study the performance indicators after reorganization for 10 Years in enterprise hospital.Methods The performance indices from 2005 to 2014 of a Class One Grade A hospital was evaluated by rank sum ratio.Results The reform was in the doldrums in 2005, improved slightly in 2006 and 2007, increased significantly and steadily in 2008, reached the best in 2014.Conclusion Evaluating the performance of hospital management with rank sum ratio is scientific and clear, which has certain practical value.

Objective To investigate the clinical features, diagnostic criteria and treatment of primary pulmonary lymphoma (PPL). Methods 11 patients with PPL, the diagnosis of which was made with pathological study of biopsy specimen, admitted from 1997 to 2006 to General Hospital of PLA, were retrospectively analyzed. The data collected for the present study, combined with some references, were reviewed concerning the clinical characteristics, X-ray features, pathologic features, bronchoscopic observations, diagnostic criteria as well as treatment. Results PPL was a rare disease, and was hard to have a definite diagnosis for lack of specific clinical symptoms. The most common clinical symptoms of PPL were cough, chest distress, fever etc. X-ray features included solitary or multiple nodules, ground-glass opacity, filamentous shadow and consolidation shadow. Such signs could be seen at the same time, commonly accompanied with air bronchogram. No distinct changes could be found in bronchofibroscopy. Final diagnosis of PPL could be made when a CT guided biopsy was done, followed by pathological examination with immunohistological study, or study of the tumor after surgery. Surgical operation and chemotherapy were the major effective therapeutic approach for the treatment of PPL. Prognosis was favorable in patients with low degree of malignancy of the tumor. Conclusion The clinical characteristics and X-ray image of PPL are not specific. Misdiagnosis occurs commonly. The final diagnosis of PPL depends on the pathologic examination of the PPL tissue. Appropriate CT guided biopsy is necessary for an early diagnosis. Surgery as well as ancillary chemotherapy after operation could get satisfactory results.

Objective To investigate the changes in concentration of plasma von Willebrand factor (vWF) and the effects of heme oxygenase-1 (HO-1) in rabbits with endotoxin (ET)-induced acute lung injury (ALI). Methods Twenty four male New-Zealand rabbits were randomly assigned to three groups: control group, ET group and hemin-treatment group. Saline was iv. injected into the animals of control group; in animals of ET-treatment group ALI model was reproduced with endotoxin iv. injection (700 ?g/kg); animals of hemin-treatment group received intraperitoneal injection of heme for 2 days before ET challenge (40?mol/kg, 2 times per day). Arterial blood gas assay was performed and the plasma vWF concentration was determined with ELSIA at 0h (pre-experiment), 0.5, 1, 2 and 4h time points for the animals in all three groups. When the rabbits were sacrificed, the dry/wet weight ratio of lung and HO-1 (mean density) were determined and the pathological changes in lung tissue were examined. Results Compared with control group, the partial pressure of oxygen (PaO2) and oxygenation index (PaO2/FiO2) declined, meeting the diagnostic criteria of ALI, and plasma vWF concentrations increased obviously (P