Mycoplasma pneumoniae is a common cause of pediatric community-acquired pneumonia.It has been associated with various extrapulmonary manifestations.Pediatric mycoplasma pneumoniae encephalitis is the most common neurologic manifestations.Direct invasion,an immune-mediated mechanism,or neurotoxin production has been proposed.Because mycoplasma pneumoniae encephalitis has a high mortality and a high rate of neurological sequelae,improving the clinicians awareness of the disease,minimizing misdiagnosis and missed diagnosis,have important significance.

The author took the medical records of ZHANG Jing-yue,a famous doctor of Ming dynasty,as an example,by analyzing his methods of syndrome differentiation and prescription,and believed that the significance of syndrome difierentiation based on Yin-yang of five viscera in clinical treatment.The key point of TCM treatment is to restore the state of Yin and Yang in a relative equilibrium by enhancing and regulating the functions offive viscera,and so thus to increase the functions of body self-regulating and disease-preventing.

Gap junction,a special structure in cell membrane,constitutes the only direct communication channel of energy,material and information exchange between adjacent cells.Gap junction plays an important role in the maintenance of electrical activity of neurons,the rapid synchronization of neurons and neuronal development.Epilepsy,caused by a variety of causes,is a complex clinical syndrome.The pathogenesis of epilepsy is complex.And it's still not fully understood.Studies in recent years have found that gap junction plays a very important role in the pathogenesis and development of epilepsy.The structure,distribution and functions of gap junction and the relationship between gap junction and epilepsy are reviewed in the paper.

Lu Zhaolin professor thinks,at present,according to the efficacy of traditional Chinese medicine classification method is not conducive to a comprehensive understanding and grasp of the knowledge of traditional Chinese medicine in clinical application.Understanding of the efficacy of traditional Chinese medicine,we should start from the overall regulation of drugs on the human body,and make full use of the theory closely related to traditional Chinese medicine properties such as the four properties and five tastes,ascending-descending-floating-sinking,medicinal guide,etc.Meanwhile the modern pharmacological research achievements should be taken to accurately grasp the efficacy of traditional Chinese medicine.

Objective:To evaluate the effect to treatment adherence of defaulter action implement for patients with Tuberculosis in Chongqing and explore a proper cure management system to timely find out the TB patients who stop picking medicine on time;Methods:Carrying out intervention method to TB patients with positive sputum in intervention counties,then using qualitative study to analysis the effect of implementing the intervention;Results:After the intervention,the adherence of TB patients is obviously improved;Conclusion:Proposed method is a effective and feasible management to the TB patients who stop picking medicine during anti-TB treatment,which bring positive effect on TB patients' adherence and TB cure rate.

Improving the innovation ability of students is always concerned by the educators in the modern times.In the paper,the problem of how to train the innovation ability of students in the experiments of Instrument Analysis is discussed from the following five aspects:course innovation,expending the thinking,strengthening the experiment skills,creating the innovation environment and exchanging the experiences.

In term of innovating in teaching,the text proposes some rectification and improvement measures according to the weak point existing in the chemical experiment in the past.We have improved the teaching quality of the chemical experiment through improving teacher's innovative quality,adjusting the experiment content rationally,changing the teaching mode of the experiment and examining method,and optimizing the experiment means,etc.

Objective: To study the effect of controlled hypotention on the prevention and treatment of cerebral swellingafter removal of giant arteriovenous malformation(AVM). Methods:8 cases with AVM( > 6cm) were selected. When Laser-Dopple flowmetry showed an increase of cerebral blood flow after excision arteriovenous malformation (AVM), intraoperativ-ely, 2.5 % thiopental 5-10mg/kg was injected. Results: The basic mean blood pressure of all cases was 77.63 + 4.27mmHgand basic cerebral blood flow value was 35-134PU. After AVM resection, cerebral blood flow was increased obviously. Thechange value 1 was 125-434PU and the increasing amplitude was 223.48% + 0.62% (P < 0. 001). With thiopental injec-tion, mean artery blood pressure was reduced by 23.00 % + 0.02 %. The cerebral blood flow value was reduced too. Thechange value 2 was 89-236PU and the decreasing amplitude was 35 % + 7.35% (P < 0.01) eampared with that beforethiopental injection. Conclusion:Controlled hypotension can decrease the increasing amplitude of cerebral blood flow and thecerebral perfusion after the giant AVM removal.

To discuss the academic features of Ding-Ganren’s medical records and to provide the references for learning and applying the theories in the book. With bibliography research method, the academic features of Ding-Ganren’s medical records were investigated in academic thoughts, medication characteristic and clinic experience, etc. The academic features of Ding-Ganren’s medical records were summarized into 4 pointes, which are ①good at classical prescription and determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs of typhus and complicated diseases. ②Focusing on six meridians and proposing the combination of cold and warm treatment. ③Mild treatment and claiming gentle application of the medicine. ④Determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs of scarlet fever and emphasizing to distinguish Qi from Ying. Ding-Ganren YiAn has high academic value in research and clinic application and worth further study.

Objective To analyze the conditions of antithrombotic therapy in patients with atrial fibrillation (AF)and provide reference for clinical rational use of drugs.Methods The clinical data of 1 69 hospitalized patients with AF from July 201 4 to September 201 4 in Beijing Tongren Hospital affiliated to Capital Medical University were retrospectively analyzed.The risk stratification for thromboembolism,types of AF,drug selection,drug combination and adverse reactions were analyzed.Results In 1 69 patients with AF,the proportion of valvular AF was 1 4.20%(24 /1 69)and non -valvular AF was 85.80%(1 45 /1 69),the patients with AF aged over 60 years old accounted for 84.62%.In the antithrombotic therapy,warfarin accounted for 94.87% (74 /78),the average daily dosage was (2.51 4 ±0.842)mg,the cases with INR between 2.0 to 3.0 accounted for 41 .89%(31 /74).The incidence rate of adverse reactions was 2.56%(2 /78).Conclusion The antithrombotic therapy is obviously insufficient,the clinical pharmacists should analyze the factors which influence the treatment and promote the rational use of antithrombotic therapy in AF patients.