ObjectiveTo analyze the application of β-lactam antibiotics and bacterial drug resistance in our hospital for providing basis of the rational use of antibiotics.MethodsThe DDDs,total consumption sum,DDC and bacterial drug resistance of β-lactam antibiotics during 2008-2009 were analyzed statistically.ResultsCephem Antibiotics was the most extensive application,and the DDC of Benzylpenicillin Sodium was the minimum in the β-lactam antibiotics.There had bacterial drug resistance of most β-lactam antibiotics,but the differences were not significant.ConclusionThere was irrational use of β -lactam antibiotics,and it was important to enhance antibiotics supervisal and drug sensitivity before use for decreasing the abuse of antibiotics.

The construction of single wireless web platform is an important condition for the development of clinical informa -tion technology .The aim of this study was to explore the construction of wireless web platform in hospital and innovative applications of medical internet based on this platform .The medical internet was applied innovatively through the construction of multi -service wireless web platform .Based on the innovative application of medical networks such as cold chain system and transfusion monitoring system , special clinical requirements were fulfilled so as to improve medical safety and medical quality .The multi-service wireless web platform can realize the integration of multi-networks and multi-systems to avoid overlapping investment and redundant construction in hospital .

By applying the satellite-based distance rescue system and telemedical technology to the emergency treatment of the wounded from the Wenchuan Earthquake,we successfully conducted joint telemedical consultations with the guidance of the top specialists from various distant areas and saved 3 critically wounded patients.Our experience has shown that telemedical consultations may give a full play to the functions of large rescue organizations and the abilities of the top specialists,improve the treatment and expand war-time medical support.

Objective To investigate the clinical value of the transluminal radiofrequency catheter ablation (RFCA) for malignant esophageal obstruction.Methods The retrospective cross-sectional descriptive study was conducted.The clinicopathological data of 52 patients with malignant esophageal obstruction who underwent transluminal RFCA at the Affiliated Hospital of Shandong Academy of Medical Science between March 2013 and March 2016 were collected.Patients received the bipolar radiofrequency ablation (RFA) under dualchannel endoscopy and X-ray.Observation indicators:(1) intra-and post-operative situations:operation situations,operation time,time of RFA,postoperative complications and duration of postoperative hospital stay,(2) follow-up.Follow-up using outpatient examination and telephone interview was performed to detect the subsequent treatment,survival of patients and recurrence of esophageal obstruction up to June 2016.Measurement data with normal distribution were represented as average (range).Results (1) Intra-and post-operative situations:52 patients underwent successful RFCA,without the occurrence of aspiration,asphyxia,hemorrhage and perforation.Esophageal obstruction was disappeared after treatment,X-ray findings showed a smooth esophagus.Average operation time and time of RFCA were respectively 58 minutes (range,20-71 minutes) and 23 minutes (range,8-42 minutes).Patients took liquid food at postoperative day 2 and normal food at postoperative day 3,without the sensations of esophageal obstruction.Of 52 patients,1 with postoperative hypotension returned to normal level through rehydration and increasing blood volume.Five patients with postoperative substernal pain were improved after 2-day symptomatic treatment.And other 46 patients didn't have postoperative complications.Average duration of postoperative hospital stay was 3 days (range,1-5 days).(2)Follow-up:52 patients were followed up for 3-24 months,with a median time of 13 months.Of 52 patients,17 underwent single intravascular interventional therapy,15 underwent intravascular interventional therapy combined with single systemic chemotherapy,14 underwent single systemic chemotherapy and other 6 didn't undergo antineoplastic therapy.During the follow-up,9 patients didn't have esophageal obstruction and 26 were complicated with esophageal obstruction again.Esophageal obstruction of 26 patients was respectively occurred at 3-8 months postoperatively,20 patients were improved after bipolar transluminal RFCA under dual-channel endoscopy and X-ray and 6 received parenteral nutrition support therapy due to extreme exhaustion.Seventeen patients died of cachexia caused by terminal malignant tumors.Conclusion Transluminal RFCA is safe and effective for malignant esophageal obstruction,with a good short-term outcome.

Objective To explore the clinical efficacy of image-guided 125I radioactive seed interstitial implantation therapy for unresectable pancreatic cancer.Methods 25 patients with unresectable pancreatic cancer evaluated by retrospective follow-up were enrolled in this study,13 patients received radioactive seeds implantation while 12 patients were given non-surgical treatment.We observe and compare the clinical benefits,objective curative effect,complications,adverse reaction,survival between the two groups of patients.Results Compared with the non-surgical treatment group,the clinical benefit rate in the radiotherapy seed implantation group was 92％ (12/13) while that of the non-surgical group was 42％ (5/12),the difference was of statistically significance.The numbers of cases evaluated as effective were 6 (46％) and 4 (33 ％) respectively,the difference was not statistical significant (x2 =0.427,P ＞ 0.05);The radioactive seed implantation group had no serious postoperative complications;3 cases who received subsequent chemotherapy in radioactive seed implantation group(23％,3/13) and 3 cases in non-surgical treatment group(25％,3/12)suffered from serious adverse reactions,the difference was of no statistical significance(x2 =0.013,P ＞0.05);Comparing the survival rate between the two groups,x2 =0.001,P =0.969,the difference was of no statistical significance.Conclusions The therapy of 125I radioactive seed implantation for unresectable pancreatic cancer significantly relieves cancer caused pain and improves quality of life.

is able to provide pathologic data and achieve the efficacy equivalent to surgery.

Objective To research the results of skin tests for cephalosporin in outpatient and emergency department of Suzhou Hospital of Traditional Chinese Medicine in Jiangsu.Methods Set 500 μg/mL of every kind of cephalosporin for the skin test.We observed the skin test results of the patients with treatment in outpatient and emergency department of Suzhou Hospital of Traditional Chinese Medicine in Jiangsu during June 2014 to December 2014.We collected the data of the positive skin test.Results There were 3 247 patients who accepted the skin test of cephalosporin during the half of the year,including 234 cases were positive.The positive rate was 7.21%.The ratio of patients who were sensitive to food or drug was 13.6%.The rate of contacting with alcohol in 24 hours before the skin test was 8.54%.Conclusion We should pay attention to the results of cephalosporin of skin test.We are looking forward to the relevant departments formulate a unified standard of the skin test.

Objective To investigate interventional procedures and polygene feasibility for the treatment of liver carcinoma.Methods pCMV-p53 plasmid-liposome complex and concentrated TKCD retrovirus of supernatant liquid were prepared along with rabbit VX2 liver tumor models of 50 adult New Zealand rabbits.VX2 liver tumors about 2 cm in diameter from 45 adult rabbits were randomly divided into 5 groups of 9.Group 1 was the control group that used 0.9％ sodium chloride as a placebo.Group 2 had transcatheter arterial embolization with lipiodol as treatment.Group 3 was the lipiodol and p53 group.Group 4 was the lipiodol and TK/CD group.Group 5 was the lipiodol,p53,and TK/CD group.The microtubule(1.2f)was inserted from the femoral to hepatic artery,tumor supply arteries were demonstrated by angiograms,and the drug was slowly injected under x-ray.The VX2 liver tumors were examined with B-ultrasound and computed tomography for maximum diameter (a) and minimum diameter (b) before and 10 days after interventional therapy.Gross tumor volume (V=ab2/2) and tumor growth rate were calculated.All the adult rabbits were euthanized 8 weeks after interventional therapy (including natural deaths).Histopathological examination was taken and survival time was observed.Results The tumor volume among the 5 groups had no significant difference before interventional therapy (P＞0.05).Ten days after interventional therapy,analysis of the tumor volume for variance and the T-test were carried out.The results showed that each group compared to the control showed a significant difference in inhibiting cancer growth (P＜0.05).The lipiodol,p53,and TK/CD group showed the best effect.According to factorial statistic analysis (2x2),p53 or TK/CD combined with lipiodol therapy can control the tumor obviously,but no mutual synergism effect was found (P=0.793).Each treatment group showed a significant difference of prolonged survival time compared to the control group (P＜0.01).The multi-treatment or multi-gene group showed the best curative effects.Conclusions Interventional therapy can be the ideal path for administering medications for gene therapy.Transcatheter arterial embolization with lipiodol,wild-type p53 gene,TK/GCV,and CD/5-Fc applied in combination can control tumor growth and prolong survival time.

To introduce the method, content and the benefit of constituting inspection tour quality bulletin system and as- sessing the inspection tour computer capability grade of the quarter inspection tour of computer repair and maintenance outsourcing service. By improving the computer routine inspection tour in practice, we can enhance the integrated benefit of the computer quarter inspection tour. As an effective approach of the network equipment preventive repair and mainte- nance, after the computer quarter inspection tour system was optimized and improved, it got the end-users and hospital or- ganization' high attention and full affirmation for the good integrated benefit.

Objective To design a disaster recovery scheme for hospital information system. Methods The data disaster recovery and applied disaster recovery for hospital information system are realized by using the redundancy backup technology, active -standby technology, cluster technology and load balance technology. Results The continuity of the business is assured. Conclusion The reliability and the usability are increased.