After the connotation of collaborative innovation service was described, the difficulties for libraries to carry out collaborative innovation service were analyzed, including the unbalanced distribution of benefits, difference in its understanding , difficulties for theleading libraryto play its role, and the approaches were put forward for libraries to implement their collaborative innovation service in libraries.

Objective To study the effect of captopril combined with metoprolol and captopril alone on improving left ventricular remodeling(LVR)in acute myocardial infarction(AMI).Methods 100 AMI patients were randomly divided into treatment group of 50 cases(captopril combined metoprolol treatment)and 50 cases in the control group(captopril treatment).Using color Doppler ultrasound to deteimine left ventricular shape,configuration and indicators to compare two groups left ventricular remodeling after early(＜2gh);3;6 month end.Results The indices of RaPD;ASL in control group after 6 months end[(63.01±4.10)%and(10.69 ±1.8)cm]were higher than the treatment group[(60.91±3.21)and(10.69±1.8)cm](t=2.121;2.210,all P＜0.05);The LVEF in treatment group after 6 months(51.10±4.60)%were higher than the treatment group(49.10±5,10)%(t=2.231,P＜0.05).Conclusion The captopril combined metoprolol on left ventricular remodeling inhibition significantly better than captopril alone in AMI.

Objective To probe into the effect of nursing intervention on patients complicated with venous thrombosis after craniotomy. Methods From January 2008 to December 2009 42 patients complicated with venous thrombosis after craniotomy were selected and randomly divided into the intervention group and the control group with 21 patients in each. Two groups were treated with the conventional drugs and postoperative care, and the intervention group was, on the basis of the same care, offered systematic nursing intervention, and the indicators such as the clinical efficacy and GCS score of the two groups were compared. Results Compared with the control group, the cure rate and total effective rate of the intervention group was significantly improved, but the inefficiency was significantly reduced, and the GCS score was significantly increased, the differences had statistical significance. Conclusions Nursing intervention plays a key role on the prognosis and functional recovery of patients complicated with venous thrombosis after brain surgery. It is an indispensable auxiliary therapy for these patients.

Objective To compare the impact of four kinds of interventions (intermittent enteral feeding, continuous enteral feeding, motilium, low-dose erythromycin) on feeding intolerance in preterm infants. Methods 160 cases preterm infants with feeding intolerance (28～32 weeks of gestational age) were divided into 4 groups :intermittent enteral feeding ,continuous enteral feeding,oral motilium and intravenous infusion of low-dose erythromycin treatment group. We recorded the amount of each feeding, the disappearance time of vomiting,abdominal distension,gastric retention,and the time of total enteral nutrition feeding. We observed the characteristics of meconinm excretion. We recorded the daily body weight to calculate the growth rate,and observed the time period of their body weight return to its birth weight. Results Meconium discharge time and total enteral nutrition feeding time of the intermittent feeding group were (3.6±1.6) days and ( 15.8±5.6) days,those of continuous feeding group were (5.2±2. 0) days and( 17. 1±4. 4) days,showing significant difference between these two groups ( P < 0. 05 ). The rate of improving feeding intolerance in the 4 groups were 37. 5% ,32. 5% ,80. 0% and 87.5% ,and there was significant difference between the furst two groups and the after two groups ( P < 0. 05 ). The disappearance time of vomiting in the four groups were(4. 33±2. 49) days, (4. 85±2. 14) days, (2.97±1.27) days and(2. 16±1.65) days,showing significant difference between the first two groups and the following two groups( P <0.05). The disappearance time of abdominal distension in the low-dose erythromycin groups was (2. 47±1.34) days, and that in the motilium group was (3. 59±1.35 ) days, showing significant difference between the two groups ( P <0. 05 ). Conclusion Both motilium and low-dose erythromycin can improve feeding intolerance in premature infants,which is recommendable for clinical application. The low-dose erythromycin is the first choice of the four groups,followed by the motiliumand intermittent enteral feeding, and the last one is continuous enteral feeding.

Practical education is one of the most important ways to cultivate the medical personnel who has the ability and moral integrity at higher medical schools. To set up a long-term mechanism of practice of educating people, steps should be taken to fully understand the important sense of the times of practical education to medical students, research and construct the scientific system of practical education and protection mechanism, and to carry out diversity of evaluation and assessment.

AIM: To observe and compare the antihyperlipidemia efficacy of fluvastatin vs pravasatin. METHODS: Fluvastatin group(n=41,M 22, F 19; age 60 a±s 8 a) was treated with fluvastatin 20-40 mg, po, qn for 4 wk. Pravastatin group(n=35, M 20, F 15; age 60 a±6 a) was treated with pravastatin 10 mg, po, qn for 4 wk. RESULTS: The total effective rate of fluvastatin for reducing TC was 92 %, it was higher than that of pravastatin 70 %(P＜0.05). The total effective rates of flavastatin for reducing TG and raising HDL-C were 61 % and 61 %, were similar to that of pravastatin 73 % and 69 %(P＞0.05). Adverse reactions occurred in 8 patients of fluvastatin(20 %) and in 7 patients of pravastatin(20 %), but were mild in both groups. CONCLUSION: Fluvastatin is a safe and effective antihyperlipidemic drug, and fluvastatin is more effective than pravastatin in decreasing total cholesterol.

Objective To discuss the clinical effect of the treatment of acute bronchitis in children with the treatment of children with the treatment of children with acute bronchitis. Methods 50 patients with pediatric acute bronchitis from January 2013 to January 2016 were selected,and randomly divided into observation group and control group,25 cases in each groups.The control group with azithromycin treatment, the observation group with cloth to Ned + archie LeiSu + terbutaline therapy; To two groups of patients with detailed record and analysis of the experimental data, discussed the budesonide, azithromycin combined terbutaline clinical effect for the treatment of infantile acute bronchitis. Results After treatment,the observation group (budesonide + archie LeiSu + terbutaline) clinical curative effect is better than that of control group (azithromycin) clinical curative effect, clinical symptoms improved situation is better than that of control group, compare the difference between groups was statistically significant (P<0.05). Conclusion Children with acute bronchitis choose budesonide + archie LeiSu + terbutaline combined treatment effect significantly, can effectively improve clinical symptoms in a short time, is widely used in clinical treatment of children with acute bronchitis.

Objective:To establish an improved transonic extraction-high performance liquid chromatography(HPLC)method for separating and detecting toosendanin(TSN)in Melia toosendanin extractive.Methods:Transonic alcohol-chloroform extraction method was used to extract TSN from the bark of Melia toosendanin sieb.et zuccc.The content determination of TSN was performed on an Agilent XDB C18 Column(4.6?250 mm,5?m).Elution was performed using 45%acetonitrile-water solution as the mobile phase at a1flow rate of 1ml/min.Detection was performed at 215 nm wavelength.Results:The linear regression equation for peak area-TSN concentration(4.64～88.2?g/ml)was:A=7.616 2C-2.567 7,r=0.999 6;mean recovery of standard substance was 100.83%;RSD of precision test was 1.42%;RSD of stability test was 2.26%.Conclusion:The method is simple,rapid,stable and roducible,which can be used as a method for preparation and identification TSN of Melia toosendanin extractive in laboratory.

Objective:To observe the therapeutic effect of narrow-band UVB combined with glycyrrhizin compound on chronic eczema. Methods:81 cases of patients with chronic eczema were randomly divided into treatment group 42 cases and the control group 39 cases . The treatment group was treated with narrow-band UVB therapy once every two days combined with compound glycyrrhizin capsules 150 mg,3 times a day;the control group was treated only with compound glycyrrhizin capsules 150 mg,3 times a day. Two groups were treated for 4 weeks altogether. Results:The efficacy rate of therapy group (95%)was obviously better than the control (64%). Conclusion:The narrow-band UVB combined with compound glycyrrhizin treatment is a safe and effective treatment for chronic eczema.

Rapid development of computer technology greatly improves and opens up new developing direction of diagnostic ultrasonic equipment. Ultrasonic image processing using computer has ultrasound work station with multimedia and network technology,and connects with several B-ultrasound to off-line analyze the ultrasonic images,which achieves digital transmission to provide important diagnostic and identification information and storage and communication systems for the doctors. The developing features of new ultrasonic medicine mainly involve comprehensive application of digitalization,multi-function,information-based,and broadband. Digitalized processing of ultrasonic images promotes working efficiency and quality and improves ultrasound application.