Objective To study the technique of using the postauricular revolving door island flap in one-stage reconstruction of concha defect and its efficacy.Methods Fifteen cases of concha de fect were repaired by the postauricular revolving door island flap in one stage reconstruction from 2000-2010.The maximum size of defect was 2.7 cm× 3.0 cm,and the minimum was 1.0 cm×1.3 cm.Results All the island flaps were survived postoperatively,and satisfactory in auricular appearances of all patients by 6 months to 5 years follow-up.Conclusions The revolving door island flaps with abundant blood supply are transferred to reach the auricular defect,which match normal auricular tissue in contour,color,and texture. This flap on the retroauricular area is relatively concealed,and it therefore can be one of the best procedures for repair of the auricular defects,especially concha.

Complex regional pain syndrome (CRPS) is a neuropathic pain disorder, characterized by persistent and severe pain after trauma or surgery. Diagnosis is mainly based on clinical signs and treatment is based on a multidisciplinary approaches, including non-pharmacological approaches and occupational therapy，pharmacotherapy and invasive therapeutics. This article reviewed the current advice of diagnosis and treatment of CRPS.

The interdisciplinary nature of health economics brings certain difficulty to the teaching of this course, so it is very important to rationally design and use case teaching. According to the characteristics of the course, this paper put forward design ideas from the guiding ideology, selec-tion, categories and forms. This paper argued that teacher should play a leading role and create a good learning environment and grasp four parts of the implementation.

In ethical perspective , the author analyzed the medical cause of violence and influence , and propo-ses ways to prevent medical violence is:advocating the spirit of medical humanities , implementing humanistic care;to strengthen the construction of hospital ethics system , improve medical service quality;to implement the functions of the government , maintaining the authority of the law; to strengthen the construction of citizen moral ethics and social responsibility together , in order to jointly build the doctor -patient harmonious medical environment .

This article discussed the development, challenge and solution for the front page of inpatient medical record based on DRGs (diagnosis related groups).It will facilitate the stakeholders' understanding, unifying the standard of data, building quality control system, improving the quality of the front page of medical record.Thus, the information in the front page will contribute to the scientific evaluation of health service ability and quality for hospital.

Hepatoblastoma(HB) is the most common malignant hepatic tumor in the pediatric population,almost exclusively in infants and toddlers, which accounts for 50％ ～ 60％ of the liver tumors.Now, the comprehensive treatment program of HB in children includes surgery, chemotherapy, radiotherapy, and so on.Liver transplantation and autologous peripheral blood stem cell transplantation could also be applied to advanced or refractory hepatoblastoma in children.The high sensitivity of childhood hepatoblastoma to chemotherapeutic agents,makes chemotherapy as one of the main treatment modalities.This review mainly discusses chemotherapy treatment of HB in children.

Diffuse large B-cell lymphoma (DLBCL) is the most common adult lymphoid malignancy accounting for 30 ％-40 ％ of all non-Hodgkin lymphoma (NHL).Young patients with high-risk DLBCL as a special group with poor clinical prognosis still can not receive standard treatment protocols in clinical practice at present.Conventional chemotherapy, combination of rituximab (R) to conventional CHOP chemotherapy, R-CHOP-like protocol, high-dose chemotherapy and autologous hematopoietic stem cell transplantation have not fully reversed the poor prognosis.This review focuses on the recent advances and future direction in the treatment of the young patients with high-risk DLBCL.

Payment system reforms have become an important part of Chinese healthcare reforms, and global budget has been seen as a major trend. Based on the practice and data of four pilot hospitals in Beijing which have implemented the global budget, this paper focuses on analyzing the effects of implementation on the following aspects and provides references for policy improvements: medical services, average medical cost, total health expenditure, medical cost structure, average length of stay and out-of-pocket expense percentages.

Objective] To discuss the treatment of blood stasis in chronic nephrosis. [Method] With deep study on Tang Rongchuang ’s“four methods for blood diseases”, by combining with author’s clinical practice, it studies the application of it in stasis of chronic nephrosis. [Result] Blood stasis is one of basic pathogenesis and syndromes;hemostasis is the first method for bleeding, paying attention to micro-differentiation of signs of stasis, avoiding the later troubles by removing stasis to activate blood circulation, pointing to the causa morbi, tranquilizing blood to prevent over-active blood, finally tonifying blood to support the essence for good result. [Conclusion] The blood stasis runs through the chronic nephrosis; to smartly apply the “four methods for blood diseases”can be the aim of the simultaneous treatment of principal and subordinate symptoms and radically reforming, worth clinical application.

Objective To investigate the sensitivity and specificity of colloidal gold immunochromatography assay in rapid detection of respiratory syncytial virus (RSV)antigen.Methods A total of 197 nasal-pharyngeal swabs (NPs)or nasal-pharyngeal aspirates (NPAs ) obtained from patients were tested by RSV assay kits, i. e., colloidal gold immunochromatography assay.The results determined by reverse-transcription polymerase chain reaction (RT-PCR)were taken as reference.Compared to the results of RT-PCR,the sensitivity of the kit was different when testing different types of specimens or specimensobtained from patients of different ages.Results A total of 95 (48.2%)samples were positive for RSV tested by RT-PCR.The sensitivity and specificity of colloidal gold immunochromatography assay were 34.7% and 100%, respectively compared with RT-PCR results.The positive rate of the assay was higher in testing NPAs than NPs (36.2% vs 8.6%,P < 0.01 ), which was the same in the sensitivity (22.1% vs 12.6%). The positive rate of colloidal gold year old,RT-PCR method should be used for RSV detection in clinical practice to avoid missed diagnosis.