Objective To explore diagnosis and operative treatment of primary cholecy stocarcinoma. Methods One hundred and thirty-six cases of biliary carcinoma were analysed for their clinical and pathological data and selection of the method of operation.Results The prognosis of late-staged cases was very bad.B-US and CT are still the most helpful means for clinical diagnosis.Conclusion The early diagnosis and treatment of primary cholecystocarcinoma are of utmost importance.

People′s misunderstandings about the radiological check in health examination: Equalize the price of the medical check equipment with the accuracy of the check .The health examinees′misunderstanding about the harm which X-Ray can cause , thinking that low dose chest CT only can do very little harm to human body .The health examination unit makes the rate of finding out early lung tumor a main basis of assessing a medical personnel ′s achievement , which caused medical staff go against epidemiological laws when diagnosing tiny nodules .Misun-derstandings about some biological features such as the scale or the growing speed of the nidus , and laying exces-sive importance on the check accuracy , which caused some examinees received excessive X -Ray, overdiagnosis and overtreatment .So, people must treat radiological check in health examination rationally and dialectically , in order to further realize the legitimation and rationalization of radiological check .

A series of medical equipment question is introduced including currency use, combination, digital function and whole efficiency. By using system theory, the thought and viewpoint were put forward that how to solve equipment classification, "three turn" design (generalization, modularization, serialization), informationization alteration and affixation etc. Some thoughs on development strategy of medical equipment and creative information condition of field battle can be referred and provided.

Animals ; Brain ; drug effects ; pathology ; Humans ; Hypothalamo-Hypophyseal System ; drug effects ; Neuroprotective Agents ; pharmacology ; Pituitary-Adrenal System ; drug effects ; Receptors, GABA-A ; drug effects ; Receptors, Glucocorticoid ; drug effects ; Receptors, N-Methyl-D-Aspartate ; drug effects ; Steroids ; pharmacology

Poisoning ; drug therapy ; Thallium ; toxicity

Objective To discuss the nursing measures for respiratory tract of patients with brain trauma undergoing mechanical ventilation in order to prevent ventilator associated pneumonia. Methods Patients with brain trauma undergoing mechanical ventilation (45 cases) were given nursing of respiratory tract. The nursing effect was observed. Results There were 28 patients went through respiratory failure and discharged from hospital after completely cured. Other 17 patients died because of the severity of brain injury. Conclusion Nursing of respiratory tract of patients undergoing mechanical ventilation had important significance for the prevention of complications and improvement of rehabilitation.

Objective To explore the factors of misdiagnosis and missed diagnosis for Kawasaki disease.Methods Clinical data of 27 cases misdiagnosed and missed-diagnosed in Department of Pediatrics of our hospital were retrospectively analyzed.Results There were 8 cases of bronchopneumonia,6 cases of pharyngo-conjunctival fever,5 cases of acute suppurative tonsillitis,4 cases of juvenile rheumatoid arthritis(systemic onset),3 cases of septicemia and 1 case of acute cholecystitis combined hydrops of gallbladder.All these cases were misdiagnosed and missed-diagnosed because the clinical features were not manifest or were covered by other diseases.Conclusion Kawasaki disease was mainly misdiagnosed as fever disease.Echocardiography and other correlative methods should be taken for fever disease which was not reasonably explained by single disease in order to early diagnose and treat Kawasaki disease.

Over-activation of HGF/c-Met plays an important role in the evolution process of tumor. It has been demonstrated HGF/c-Met is overexpressed in hepatocellular carcinoma and cholangiocarcinoma, and it participates directly or indirectly in the progress of tumor genesis, invasion and metastasis, as well as has significantly correlation with prognosis. Recently, blocking HGF/c-Met pathway to prevent tumor development and metastasis has become a focus in anti-tumor studies.

Objective To evaluate the significance of psychological intervention on elderly patients in urology department of primary hospital. Methods 60 patients in urology department of our hospital were selected from January to December, 2009, and were randomly divided into the observation group and control group with 30 patients in each group. The control group was given conventional treatment and care, the observation group received psychological interventions based on conventional care. Scores of self-rating anxiety scale(SAS), self-rating depression scale (SDS), the amount of Likert questionnaire score of the two groups underwent comparison. Results After treatment, anxiety and depression condition was much better in the observation group than the control group, the overall satisfaction rate in the observation group was 83.33%, much higher than the control group, 50.00%. Concluslons Psychological intervention is effective in treatment of the elderly patients in urology department,which should be applied in clinical practice.

Deregulated mTOR signaling pathway is associated closely with variety of human cancers. Preclinical and clinical studies of both classical and newly developed mTOR inhibitors in digestive system cancers show that these drugs not only have anti-tumor properties, but also can enhance tumor cells sensitivity to standard chemotherapy agents.