Using therapeutic letters in psychotherapy is a common trend among different psychotherapy schools.Narrative therapy applies therapeutic letters most frequently among these schools.The article introduces the purposes,styles,key points of writing,the differences with case record,the progress of application and research and the localization of narrative therapeutic letters in order to develop the application and localization of therapeutic let-ters in China.

Objective To discuss the nursing measures of patients with laparoscopic radical hysterectomy and pelvic lymph node dissection. Methods 24 patients with laparoscopic radical hysterecto my and pelvic lymph node dissection were selected and their perioperative nursing measures were summa rized. Results 24 patients were all cured and discharged, 6 patients accepted chemotherapy and 3 patients accepted radiotherapy. All patients were followed up, and they recovered well. Conclusions Perfect perioperative can guarantee early recovery of patients.

Objective To investigate unpaid donors of zaozhuang city on AIDS knowledge ensure the safety of blood.Methods 3 842 unpaid donors donating blood to blood-bank were randomized to the anonymous question-naire survey of AIDS basic knowledge ,practical recycling questionnaire on the spot 3 576(93.08%).Questionnaire on AIDS knowledge,attitude and effective was 3 358(87.40%);The sexual behavior effective questionnaire was 1 201(31.26%).The original data was put into Excellto statistical analysis and processing .Results The situation of understanding the knowledge of HIV/AIDS,understanding two ways of blood and sexually transmitted were 86.52%and 80.23% respectively;Understanding of mother-to-child vertical transmission accuracy was only 50.67%;The right to use condoms to prevent the spread of HIV was 74.71%;Accuracy up to 74.75%of prostitution susceptible to HIV/AIDS;Patients who were only prevented but couldn′t be cured of HIV was 93.26%.Blood donors before dona-ting blood,donate blood once and donate twice correct awareness were significantly improved .About the HIV/AIDS can infectious,blood transfusion could pass and be transmitted through sexual transmission ,mother-to-child transmis-sion,embrace or kissing transmission ,intravenous drug use ,condom could prevent ,could be cure the recognition accu-racy rate was(26.57%,64.51%,78.83%),(51.54%,80.12%,89.61%),(61.41%,73.57%,86.82%), (59.56%,77.63%,88.79%),(30.54%,68.48%,72.40%),(59.83%,70.21%,85.62%),(64.58%, 81.27%,93.56%),(68.59%,84.63%,85.28%),Before the blood supply and after donate blood twice the aware-ness for HIV/AIDS were significantly increased,there was a positive correlation between(all P<0.05).Unpaid blood donation AIDS knowledge source of propaganda materials and donating blood (43.67%),newspaper and magazine (28.12%),radio and television(2.71%),5.60% family friends and colleagues.Conclusion Unpaid donors to master a certain knowledge of HIV/AIDS;Carry out AIDS health education and intervention of epidemiology ,is to en-sure that the citizens to donate blood safety preconditions .

The interlink,consistency and unity of all things is an important thought in traditional Chinese philosophy.Therefore,holism of human being and universe is the long-dominant thought in China.Traditional Chinese medicine(TCM)forms its theory based on this holism concept.From the perspect of history and philosophy,the difference between TCM and western medicine was discussed after retracting the influence of the holism of human being and universe on TCM.Holism of human being and universe has a profound impact on TCM,which also contributes to differences between TCM and western medicine.

More and more research proved that CD4+CD25+ regulatory T cells (Treg cells) play an important role in immune tolerance in these years. Known as a T cell growth factor, Interleukin2 (IL-2) regulated the immune tolerance induced by Treg cells. IL-2 sustained the activity of Treg cells both in thymus and periphery while it was dispensable for the development of Treg cells in thymus. In addition, IL-2 signal affected the function of Treg cells and maintained their competitive fitness. Therefore, CD4+CD25+ Treg cells and IL-2 formed an immune network to regulate the processes of immune response, immune tolerance and autoimmune homeostasis.

OBJECTIVETo retrospectively analyze therapy comparison between hinged external fixator combining with internal fixation, soft tissue repair and plaster fixation after routine surgery for terrible triad of the elbow.

METHODSFrom January 2003 to June 2011,26 patients with terrible triad of the elbow (posterior dislocation associated with fracture of both the radial head and the ulnar coronoid process) were treated respectively by unilateral hinged external fixator and plaster fixation. Fourteen patients were treated with external fixator combining with internal fixation, soft tissue repair and reconstruction, including 8 males and 6 females,ranging in age from 20 to 62 years with an average of (33.60 +/- 8.53) years. The mean time of fixation was 7.5 weeks (ranged, 6 to 8 weeks), and forearm rotation exercise was performed after the first day of operation, elbow flexion and extension activities after 4 to 6 days. Twelve patients were treated with plaster external fixation combining with open reduction and internal fixation,including 8 males and 4 females,ranging in age from 21 to 63 years with an average of (34.80 +/- 7.41) years. The mean time of plaster fixation was 30.4 days, and functional exercise was carried out after 4 to 6 weeks of plaster removal. JOA assessment score were used to evaluate the elbow joint function.

RESULTSAll the patients were followed up, and the duration ranged from 12 to 36 months,with an average of 18.6 months. The mean time of fracture healing was (8.6 +/- 3.1) weeks in plaster group and (9.0 +/- 2.7) weeks in fixator group, with no statistical difference between the two groups (t =1.47, P > 0.05). The function and are of motion in plaster group and fixator group showed significant difference. While the pain, articular instability and deformity showed no statistical difference. The total assessment score between two groups indicated markedly difference (t = -2.66, P < 0.01).

CONCLUSIONHinged external fixator can enhance lateral stability of elbows,benefit the reduction of fracture dislocation, guarantee early and safe functional exercise, prevent elbow stiffness, and reduce heterotopic ossification. In treating terrible triad of the elbow, the hinged external fixator is superior to other therapies with respect of improving the function of elbow joint.

Adult ; Case-Control Studies ; Elbow Joint ; diagnostic imaging ; injuries ; surgery ; Female ; Humans ; Male ; Middle Aged ; Orthopedic Procedures ; methods ; Retrospective Studies ; Tomography, X-Ray Computed ; Young Adult

Antineoplastic Agents ; therapeutic use ; Humans ; Neoplasms ; drug therapy ; Precision Medicine ; methods

A total of 102 cases (204 eyes) with mild ametropic amblyopia underwent refractive correction without any vision training.After wearing glasses,visual acuity was examined every 3 months during a follow-up period of 12 months.After wearing glasses 12 months,201 eyes (98.53％) were treated effectively,175 eyes (85.78％) cured basically and 3 eyes (1.47％) became invalid.The changes of visual acuity were satisfactory(P ＜0.01).The difference of visual acuity between every two observation timepoints were satisfactory(P ＜0.01).Treating mild ametropic amblyopia by refractive correction alone is both simple and effective.And it has an excellent compliance and a low cost.

The causes of transient ischemic attack (TIA) are diverse and complex.It often attacks repeatedly and its early risk of stroke is high.Identifying etiology and pathogenesis and start the correct treatment in time are the important measures for the prevention of cerebral infarction.However,the conventional CT and MRI reveal no abnormalities in patients with TIA,and it brings difficulties to the clinical diagnosis and treatment.CT perfusion imaging can reflect abnormal cerebral blood flow perfusion in patients with TIA.CT perfusion imaging in combination with CT angiography may visually display its corresponding abnormal changes in the feeding artery and provide the valuable diagnostic information for the location of vascular stenosis,severity,plaque characteristics and collateral circulation.It has very an important significance for guiding clinicians to choose the best treatment options,improve clinic efficiency and observe efficacy.

Objective To study the effect of chitosan on the growth of the in vitro cultured retinal nerve cells. Methods The retinal nerve cells of SD baby rats were cultured in vitro. The effects of chitosan at 0.065%,1.25%,2.5%,5%,10%,15% on the growth of the retinal nerve cells were measured by MTT method. The blank control group was created. Results 1.25%,2.5%,5%,and 10% chitosan could obviously promote the growth of retinal nerve cells,and 10% chitosan was the optimal concentration for the growth of nerve cells. Conclusion Chitosan can effectively promote the growth of retinal nerve cells,and it is necessary to undertake the further study of Chitosan.