Lung ultrasound(LUS)has gained increasing popularity among intensivists in recent dec-ades.Although limited by the presence of air,LUS has proved to be useful in the evaluation of a number of different acute and chronic conditions,such as pneumonia,pneumothorax,acute lung injury,alveolar-intersti-tial syndrome,pleural effusion,etc,and showed a relatively higher sensitivity,specificity and diagnostic accu-racy compared to routine radiographic imaging.It is also critical in improving the safety of pleural interven-tional procedures.The most common signs for diagnosing and differential diagnosing include the pleural line, lung sliding,the A-line,the quad sign,the sinusoid sign,the fractal,and tissue-like sign,the B-line,lung rock-ets,abolished lung sliding with the barcode sign,the lung point,the dynamic air bronchogram,etc.The BLUE-protocol allows differential diagnosis of acute respiratory failure.LUS is a feasible technique that can be used routinely and integrated into clinical practice in the fields of intensive care,emergency care,respirato-ry and general medicine.

This article try to illustrate the relationship of self value and personality by paraphrasing these two concepts,and deduce the effects of self value to personality from this.This article also point out the questions how to direct and help university students to set proper self value and then modle healthy personality.It bring forward supposition of the resolvement of the questions.On the base of the demonstrative research we carry out a validative research.

OBJECTIVE: To investigate the perception of surgeon to ADR reporting system. METHODS: Postal questionnaire was used for survey among 300 surgeons in November 2009. RESULTS & CONCLUSIONS: Surgeons mastered a little knowledge about ADR reporting system. More than 50% of surgeons took one-side view on national ADR monitoring with ADR reporting rate of 42.8%. 57.2% of surgeons hadn’t received relevant training. It is suggested that surgeons receive training and education about the knowledge of ADR reporting.

Background Nomal binocular vision is achieved through accommodation and vergence.Anisometropia is associated with abnormal visual development,but its impact on accommodation and vergence is unknown.This study is helpful to make a reaonable correction plan for anisometropia.Objective This clinical study was to examine the binocular vision function in myopic anisometropia and evaluate the influence of myopic anisometropia on binocular vision function.Methods Seventy subjects with myopic anisometropia ≥ 1.0 D were recruited in Tianjin Eye Hospital and Tianjin Vocational Institute from 2006 to 2009.The subjects were assigned to the low anisometropia group with the 1.0 D ≤ spherical equivalent difference ＜ 2.5 D and the moderate and high anisometropia group with spherical equivalent difference ≥2.5D,and other 35 individuals with spherical equivalent difference ＜ 1.0 D were enrolled as the without anisometropia group.Binocular vision function parameters were examined in all the individuals,including comprehensive refractometer to check the diopter,Worth 4 dot to examine the binocular vision function,different distance of vertical fusional amplitudes,accommodative convergence/accommodation (AC/A) and stereoscopic vision.Written informed consent was obtained from each subject prior to the study.Results After anisometropia was completely corrected,the normal rate of Worth 4 dot examination was 94.3％,80.0％ and 60.0％ in the without anisometropia group,low anisometropia group,moderate and high anisometropia group,respectively,showing a statistical difference among groups (x2 =12.137,P＜0.05),and the normal rate of 4 dot was less,and that of 5 dot was higher in the moderate and high anisometropia group compared with the without anisometropia group and low anisometropia group (P＜0.05).No significant difference was found in the normal rate for phoria of distance among the three groups (x2 =4.489,P=0.344).The normal rate for near phoria of distance was 65.7％,42.9％ and 37.1％ in the without anisometropia group,low anisometropia group,moderate and high anisometropia group,respectively,with significant difference among them (x2 =6.045,P＜0.05).The normal rate of stereopsis was 91.4％,77.1％ and 54.3％ in the without anisometropia group,low anisometropia group,moderate and high anisometropia group,respectively,which was statistically different among groups (x2 =12.863,P =0.002),and that in the moderate and high anisometropia group was significant declined in comparison with the without anisometropia group (x2 =12.208,P ＜ 0.05).The difference of distance phoria,AC/A,negative relative accommodation (NRA),positive relative accommodation (PRA),accommodation amplitude and binocular accommodative lag were statistically different among groups (P＞0.05).Conclusions The normal rate of the stereopsis,Worth 4 dot and the phoria of near distance are decreased with the increase of anisometropia,but other ocular motor parameters are normal in anisometropic subject.

Images of 812 patients undergoing dual-source CT coronary angiography were analyzed retrospectively. Effectively nursing can be improved to guarantee the quality of coronary angiography and diagnosis of diseases.

Objective:To evaluate the efficacy of laparoscopic intrafascial hysterectomy.Methods:Thirty women underwent laparoscopic intrafascial hysterectomy(GroupⅠ),29 women underwent open intrafascial hysterectomy(GroupⅡ) and 30 underwent abdominal hysterectomy(Group Ⅲ) were compared.The operating time,blood loss,postoperative pain,postoperative morbidity,time to first flatus and emiction were analyzed.Results:The blood loss was in Group I(61.00?21.95)ml,respectively,it was significantly lower than those in the GroupⅡ(121.03?53.61)ml and Group Ⅲ(101.00?21.07) ml(P0.05).Conclusion:Laparoscopic intrafascial hysterectomy is truly a minimally invasive surgery,and was associated with significantly less intraoperative bleeding,shorter hospital stay with less morbidity and shorter convalescence period.This remains the obvious advantages of laparoscopic in comparison with abdominal hysterectomy.

Objective To detect the main nutritional components of novel jujube beverage from Laoling Zizyphus Jujuba cv.Jinsixiaozao.Methods Free monosaccharides in novel jujube juice were determined by the HPLC-RID method while water-soluble polysaccharides were analyzed by UV spectrophotometric method with the phenol-sulfuric acid derivatization.Amino acid and mineral contents were obtained by the automatic amino acid analyzer and atomic absorption photometric methods, respectively.The quantification of total phenolic and flavonoids was accomplished by the UV spectrophotometric method after the respective complexation of the Folin-Ciocalteu reagent and aluminum nitrate.The contents of rutin and cyclic nucleotides were determined by the HPLC-UV method.Results The average contents of sucrose, glucose, fructose and polysaccharides in novel jujube juice were 3.85, 32.5,27.3 and 3.6 mg/mL, respectively.The total amino acid average content was 269.7 μg/mL.The mineral average contents of Ca, Fe, Mg, Zn, Mn, Cr, and Cu were 35.1,0.85, 55.8, 0.85, 0.44, 0.41, 0.21μg/mL, respectively.The novel jujube juice contained average 1.34μg/mL rutin equivalents of total phenolics and average 157.3 μg/mL gallic acid equivalents of total flavonoids.Finally, the average amounts of rutin, cAMP and cGMP were 7.15, 19.17 , and 8.11 μg/mL, respectively.Conclusion The newly developed jujube juice is worthwhile further marketing development attributed to its rich nutritional components and healthy values .

There are many problems existing in humanities and social science courses in education and teaching of medical colleges and universities.Changing concepts of education,adjusting the curriculum,improving teaching methods and improving the quality of teachers are effective measures in medical colleges to strengthen the humanities and social science courses.We have made a preliminary exploration on teaching practice for humanistic education and professional education.

In observing the therapeutic efficacy of insulin sensitizer in treatment of early T2DM,120 T2DM patients were randomly divided into 3 groups: group A received 4 mg rosiglitazone daily;group B received 1.5 g metformin daily;group C received 4 mg rosiglitazone and 1.0 g met-formin every day.Before and after the treatment,fasting glucose,HbA1c,weight,adiponectin,BMI and HOMA-IR were measured or calculated.We found that fasting glucose,HbA1c and HOMA-IR of 3 groups were obviously decreased in comparison with their baseline and adiponectin was significantly increased.In conclusion,insulin sensitizer can obviously decrease the levels of glucose,HbA1c and HOMA-IR,and increase the level of serum adiponectin in T2DM.Insulin sensitizer in combination of metformin is suitable for treatment of T2DM.

Objective To observe the effects of Danhong Injection in the treatment of lacunar cerebral infarction, Methods 82 patients with lacunar cerebral infarction were randomly recruited into a treatment group (n=42) and a control group (n=40). The treatment group was treated with Danhong Injection, 30ml/d for once, while the control group was treated with Danshen Injection, i.v. 20ml/day for once. Both groups were treated for 14 days. Results The total effective rate was 97.62% and 77.50% in the treatment group and the control group respectively, showing significant difference (χ~2=4.65, P< 0.05) . Conclusion Danhong Injection is better than Danshen Injection in treatment of lacunar cerebral infarction.