With Chira's proposal of building an innovative country and implementing national intellectual property strategy,the rapid development of intellectual property,reward system of science and technology had a profound effect.This article made preliminary discussion from the level of scientific and technological achievements,the evaluation system and the types of science and technology rewards.

Objective To investigate the influence of spleen aminopeptidase lyophilized powder on serum levels of transforming growth factor -β1 (TGF -β1),monocyte chemoattractant protein -1 (MCP -1),stromal cell derived factor 1 (SDF -1 )in pediatric asthma.Methods 128 patients with asthma were randomly divided into observation group(64 cases)and control group (64 cases).Two groups of children were given symptomatic treat-ment.The control group was orally administered montelukast,the observation group was treated with montelukast and splenic ammonia lyophilized powder for 3 months.The levels of TGF -β1,MCP -1,SDF -1 of the two groups were compared before and after treatment.Results After treatment,the asthma control test table (ACT)score,expiratoryvolume in one second (FEV1 )and peak expiratory flow rate (PEF)in the observation group were (24.25 ± 3.98)points (80.25 ±4.25)%,(7.25 ±0.69)L/min,which were significantly higher than those in the control group [(20.12 ±4.02)points,(75.02 ±3.96)%,(5.82 ±0.70)L/min,t =7.203,6.757,14.459,26.677,P <0.01].After treatment,the serum levels of TGF -β1,MCP -1,SDF -1 of the observation group were (42.23 ± 6.02)ng/mL,(48.56 ±3.96)pg/mL,(252.36 ±32.22)ng/L,which were significantly lower than those in the con-trol group [(42.23 ±6.02)ng/mL,(59.02 ±4.22)pg/mL,(425.25 ±40.62)ng/L,t =6.757,14.459,26.677,all P <0.01].Conclusion Montelukast combined with splenic aminopeptidase lyophilized powder for asthma can effec-tively reduce serum TGF -β1,MCP -1,SDF -1 levels and improve clinical symptoms and lung function,improve the treatment of children.

Abstract: Objective To investigate the research hotspots of occupational exposure in healthcare workers at home and abroad Methods in the past decade and future research trends. Based on the Web of Science platform, independent retrievals were performed by two researcher. The number, core authors, keywords, and other contents of articles were analyzed using CiteSpace Results 5.6.R2. A total of 1 066 references on occupational exposure among healthcare workers from 2010 to 2019 were retrieved. These articles were mainly from the United States, Italy, France, Germany, Brazil, England, and China, with 272, 71, 56, 52 and 52 articles, respectively. One hundred and eight core authors, who mainly came from the United States and Korea, contributed 418 papers (39.2%). Current hotspots included human immune deficiency virus (HIV), workplace violence, hand eczema, fluoroscopy, antineoplastic drugs, nervous system, nitrous oxide, assessment, standard precautions, and personal protective equipment. Topics such as percutaneous injury, tuberculosis, guideline, HIV, and burnout are future research trends. Conclusions There is a need to strengthen international cooperation. It´s encouraged to develop guidelines on occupational - exposure protection and to prevent long term chronic occupational exposure, such as antineoplastic drug exposure.

Vulnerable plaque (VP) has been widely considered as the main cause of acute coronary syndrome (ACS) and cardiac death .In recent years ,invasive or non-invasive intravascular ultrasound imaging has become one of main measures for detecting VP .The present article made following overview on advantages and disadvantages of intravascular ultrasound imaging assessing VP .

Objective To summarize the experience of nursing cooperation in endoscopic sinus surgery for low temperature plasma radiofrequency ablation of skull base tumor, and to explore the safety and feasibility of this technique. Methods A total of 69 patients with skull base tumor were treated with low temperature plasma radio frequency technology to remove skull base tumor. Results Totally 62 cases of skull base tumors completed total resection in low temperature plasma radiofrequency ablation, 7 cases gained subtotal resection. The operation demonstrated superior advantage of less bleeding, short operation time, less postoperative pain and no adverse events. Conclusions The skull base tumor resection for patients with skull base tumors with low-temperature plasma radiofrequency possesses the advantages of short operation time, less bleeding and thermal damage to the surrounding tissues, besides it can reduce the postoperative discomfort, shorten hospitalization time and reduce the occurrence of nursing adverse events.

Making a statistical analysis of the intellectual property fights in the Science and Technology Awards of Chongqing Municipality from 2005 to 2007 ,we analyzed the effect of the intellectual property rights on the Science and Technology Awards, and also discussed the relationship between the two aspects.

Objective:Following the detection of the safety of nerve and muscle stimulators YY 0607-2007 standard, approach the characteristics of nerve and muscle stimulators. Methods: By understanding the standards of particular requirements for the safety of nerve and muscle stimulators and test method for measuring output characteristics of the nerve and muscle stimulators, different types of the products were received multiple detections, analysis, compare and make summary of the features of measuring output characteristics of products. Results:Through proposing the highlights before the detection, sorting complex detection conditions, identifying detection contents and reasonable detection order, combined with the characteristics of nerve and muscle stimulators to make the standard rules more reasonable. Conclusion: It made the detection of output characteristics more convenient and avoided the occurrence of false and missing detection.

Hypoxia-inducible factor-I is the critical factor existed in mammal and human cells which plays an important role in maintaining the oxygen balance. Many hypoxia-responding genes can be activated by H1F-1. So, the relationship between HIF-land matrix matalloproteinases/stromal-derived factor-I/special CXC chemokin receptor/angiogenesis related factors is the hot spot in research of the tumor invasion and me-tastasis.

Objective To review the advances in overcoming multidrug resistance of tumors caused by mdr1 gene. Methods Different ways of overcoming multidrug resistance of tumors caused by mdr1 gene in the literatures were reviewed. Results One of the important reasons causing multidrug resistance was due to the overexpression of mdr1 gene and its product P-glycoprotein. There were two ways to overcome multidrug resistance of tumors through mdr1 genes mRNA and its product P-glycoprotein effectively.Conclusion The clinical test of the unitary way to overcome multidrug resistance of tumors is unsatisfactory, combining different ways to overcome multidrug resistance of tumors will be the hot spot of tumors research in the future.

Objective To report the diagnosis and treatment of hilar cholangiocarcinoma.Methods The relevant information about the hispathological feature, transfer ways, clinical manifestation, laboratory examination, imaging feature, immunohistochemical examination and treatment ways were gathered from previous original articles, and checking the latest issues of appropriate journals.Results The clinical manifestation, laboratory examination, and imaging feature of hilar cholangiocarcinoma were due to the neoplasm obstructing bile duct and sequent infection of bile duct. The diagnosis was depanded on the combining clinical manifestation, laboratory examination and imaging feature. The value of immunohistochemical examination was not clear. Radical surgery was the best treatment of unique curing the neoplasm. By-pass surgery was used in the late phase patients to solve the obstruction of bile and digest duct. The effect of unique chemical treatment was not perfect. It did’t generally propose the treatment of orthotopic liver transplantation.Conclusion The perfect prognosis of hilar cholangiocarcinoma is depended on early diagnosis and redical surgery.