Objective To explore the alone and joint diagnostic value of serum golgi protein 73 (GP73), alpha-fetoprotein ( AFP) and the percentage of lectin-reactive alpha-fetoprotein ( AFP-L3 ) of primary hepatic carcinoma (PHC) ,and provide a novel method for diagnosis for PHC and screening for highrisk population. Methods ELISA was used to detect the serum level of GP73, AFP and AFP-L3％ in 81 cases of PHC, 176 cases chronic hepatitis and liver cirrhosis , 30 cases other tumber cancer and 40 cases of health people. Results The sensitivity of GP73, AFP and AFP-L3％ in PHC is 77.78％ ,62.69％ and 51.85％ ,and the specificity is 84. 55％ ,86. 99％ and 96. 34％ ,respectively. Joint detection could increase the sensitivity up to 88.89％. Conclusion GP73 was a high sensitivity mark for dignosis of PHC, while AFP-L3％ was a high specificity mark for dignosis of PHC. The joint detection could improve PHC diagnostic performance.

Objective To study the practice and effect of stroke unit nurses participate in medical team rounds.Methods By stroke specialist rounds mode reformed,which consisted doctors,nurses,activity therapist,occupational therapist,speech Pathologist,and traditional healers.Before and after the intervention,the nursing professional quality and the patients' satisfaction of nursing work was investigated by using questionnaire.Results After stroke unit nurses participated in medical team rounds,Both the nursing professional quality such as master rate of knowledge about the stoke and the patients' satisfaction of nursing work were significandy improved [57.5％ vs 20.0％ ; (97.45 ± 1.89) vs (92.13 ± 2.12) ; x2 =11.850,t =4.46; P ＜ 0.05)].Conclusions Stroke unit nurses participate in medical team rounds be worthy of promotion in clinic for it can improve nursing professional quality.