The paper gives an account of the content, major process and application fields of project management and cites two actual cases of its application: business process reengineering in the procurement of equipment and establishment of a comprehensive benefit evaluation system. It argues that project management, characterized by practicability and scientificalness, renders it possible to make the best use of limited resources to carry out and complete an assigned task within a fixed time frame. The paper also stresses the importance of systematization, clarity and team work when applying project management so as to further enhance hospital management.

Delicacy management proves a pressing need in cost management of medical service items in the current hospital operation.This paper first covered the methodology and system of hospital costing.It went on to describe the costing for four major medical service items in a quarter in 2011 using the activity-based costing method with the ultrasonographic section of a large hospital as an example.The outcomes were compared to the traditional costing method and the statutory pricing standards,resulting in the proposal and recommendation on reforming the costing methodology of service item pricing,and applying the activity-based costing management of medical service items in the hospital.

Objective To describe the structure and the level of the stress of nursing students in clinic practice,and supply reference for reform of clinical teaching method.Methods Totally 100 undergraduate nursing students in clinic practice,who would graduate from nursing school and begin to work in 2013,were interviewed and investigated.Results The main stress sources were divided into five aspects:recognition,clinical nursing ability,career development,field response and exhaustion of body and mind.Conclusions The structure and level of the stress of nursing students changed a lot.Some new appropriate reform should be introduced into clinic education,in order to help nursing students to complete psychological change and role adaptation.

Objective To investigate the clinical efficacy of digital gastrointestinal machine in emergency.Methods 1600 emergency patients accepted radiography with digital gastrointestinal machine.Rusults All cases were successful in examining with digital gastrointestinal machine.Conclusion Excellent digital film can be acquired by digital gastrointestinal machine.It meets the requirements in clinical emergency diagnosis.It is easy to operate and acceptable to patients.

Phytohormone auxins play important roles in plant growth and development. The primary auxin-response genes can be classified into three major groups: Aux/IAAs, SAURs and GH3s. Significant progress has been made in understanding these gene families by approaches of the functional genomics, molecular genetics and molecular biology. In this review, we focused on the structures, functions and models of the expressional regulation of plant GH3 genes. The interactions in the signal transduction pathways between auxins and other signals mediated by the GH3 genes, the relationship between the GH3 genes and the stress adaptation responses of plants are emphasized.
Arabidopsis Proteins ; genetics ; Gene Expression Regulation, Plant ; Genes, Plant ; Ligases ; genetics ; Multigene Family ; Plant Growth Regulators ; genetics ; Soybean Proteins ; genetics

The regulation of the heavy-metal accumulation in vivo for plant survival is very complex. The metal cation transporter plays key roles in the metabolic process. P(1B)-ATPases are the only subgroup of P-ATPases that contribute to heavy metal homeostasis presented in most organisms. Arabidopsis thaliana contains eight genes encoding P(1B)-ATPases. The current reports show that the functions of P(1B)-ATPases are involved in maintaining metal homeostasis, transporting and detoxification in plants. P(1B)-ATPases not only mediated metal ion mobilization and uptake in roots, but also contribute to the metal transport, storage and tolerance in shoots, especially in heavy metal hyperaccumulators. In this paper, we reviewed and discussed the evolution, classification, structure and function of P(1B)-ATPases in plants. HMAs-transgenic manipulation could be a feasible approach for phytoremediation and mineral nutrition fortification.
Adenosine Triphosphatases ; genetics ; metabolism ; Biodegradation, Environmental ; Biological Transport ; physiology ; Cation Transport Proteins ; classification ; genetics ; metabolism ; Metals, Heavy ; metabolism ; Plant Proteins ; genetics ; metabolism ; Plants ; enzymology ; genetics ; metabolism

We report on two cases of type C insulin resistance syndrome(TCIRS) admitted to the Department of Endocrinology, Peking Union Medical College Hospital from January 2000 to December 2020. Both patients presented with persistent hyperglycemia, low immunoreactive insulin, extreme insulin resistance, high insulin autoantibodies, high total insulin, and large insulin antibody pool. TCIRS is marked by extreme insulin resistance with ketoacidosis and respond to medium to high doses glucocorticoids rather than plasmapheresis.