Doctor-patient communication could assist in medical diagnosing , strengthening the confidence of patients and relieving psychological pressure of the medical staff , so that it plays an indispensable role in the process of building a harmonious doctor -patient relationship .Improve the system of doctor -patient communica-tion, set up the third-party supervition of mediation system , convert the mode of thinking with a positive attitude , improve communication skills , correct use communication methods , strengthen the humanistic care and knowledge popularization .Therefore , under the medical model of people-oriented, it should shorten the distance between the doctors and the patients with heart and soul and gradually establish a new harmonious doctor -patient relation-ship with mutual respect , mutual trust , equal communication and cooperation .

Review of papers about acupuncture treatment on anxiety disorders since 1996 showed that many papers were mainly concerned with the treatment of anxiety disorders and obsession with electroacupuncture therapy. Baihui, Yintang, Shenmen, Dazhui, Taiyang, etc, were the most commonly involved acupoints. This paper argues that more emphasis should be transferred from heart head, the DU meridian and acupoints nearby in terms of the position of treatment, on scalp acupuncture and acupoint injection in terms of the methods of treatment, on the combination of diagnosis by western medicine and syndrome differentiation of traditional Chinese medicine in terms of treating strategy. As to the research method, evidence-based medicine, and multicenter, large sample randomized controlled trial study on anxiety disorders should be made.

100 g/d), hypernatremia and hyperglycemia were the three main risk factors resulting in plasma hyperosmolality. The 4-week survival rate of hyperosmolality group(47.1%) was significantly lower than that of non-hyperosmolality group(78.3%, P

Objective To observe the clinical efficacy of acupuncture in treating cancer-related fatigue (CRF) due to spleen-kidney deficiency.Method Sixty eligible subjects with CRF due to spleen-kidney deficiency were randomized into a treatment group and a control group, 30 cases in each group. The control group was intervened by nutritional support and symptomatic management, while the treatment group was treated with acupuncture in addition to the intervention given to the control group. The Karnofsky Performance Status (KPS), Piper Fatigue Scale (PFS), and peripheral blood test were observed before and after treatment.Result The KPS scores were significantly changed after treatment in both groups (P<0.05). The PFS item scores (behavior, affect, sensory, and cognition) were significantly changed after intervention in the treatment group (P<0.05). The behavior score in the control group was significantly changed after treatment (P<0.05). After treatment, there were significant differences in comparing the PFS item scores between the two groups (P<0.05). There were significant differences in comparing the lymphocyte levels between the two groups after treatment (P<0.05).Conclusion Acupuncture is an effective method in treating CRF due to spleen-kidney deficiency, and it can up-regulate the peripheral blood cells and strengthen the immunity.

Objective: To study bacterial and lactobacilli communities in stomach of neonatal piglets from 7 to 35(two weeks after weaning) days of age.Methods: The semi-quantitative Dilution-PCR,PCR-DGGE and sequencing were used to analyze the shifts of stomach total bacterial and lactobacilli community.Results: Stomach pH value was around 3.0 before weaning and increased apparently after weaning.Dilution-PCR showed that bacterial concentration in stomach of piglet was very low before weaning and increased significantly after weaning.The DGGE profiles from total bacteria in stomach showed that the bands of samples before weaning were very simple and the predominant band belonged to high GC bacterium.After weaning,some new predominant bands appeared and the previous high GC bacteria disappeared simultaneously.Sequence analysis indicated that these new bands were Escherichia fergusonii,Escherichia coli,Streptococcus gordonii and Streptococcus suis,all of which were potential pathogens for piglets.The similarity of DGGE profiles from stomach lactobacilli showed weaning stress had no obvious effect on lactobacilli community.Conclusion: Weaning stress could cause stomach pH increase apparently and induce potential pathogens proliferation in stomach of piglets.

Along with the development of computer technologies and digitization of human body's information, the digital human entered into a new stage of modelling physical features from the stage of reconstructing anatomical structures. By summarizing domestic and abroad relevant documents, we in this paper present the general scheme of digital human and the location of physical human as well as its conception and applied value. We especially analyze the modeling process of physical human, core technologies and its research and applications in four main fields: electromagnetic radiation, ultrasound propagation, bioimpedance measurements and biomechanical analysis. We also analyze and summarize existing problems of present physical human model and point out the future development trends of physical human.
Biomechanical Phenomena ; Electric Impedance ; Electromagnetic Phenomena ; Humans ; Models, Anatomic ; Software ; Ultrasonics

Objective To evaluate the therapeutic efficiency and side effect of concurrent radiotherapy and weekly chemotherapy with low-dose eisplatin(DDP) and 5-fluorouracil(5-FU) for advanced cervical canc-er. Methods 73 patients with advanced cervical cancer were randomized into two groups: 37 cases in the chemo-radiotherapy group received radiotherapy combined with DDP 40 mg and 5-FU 500 mg weekly for 6-7 weeks. 36 cases in the only radiotherapy group received radiotherapy alone. Radiotherapy was given with conven-tional fraction,the total tumor dose was 50 Gy. Results The rate of overall response and three-year survival and local recurrenc and distant metastasis for the chemo-radiotherapy group and the only radiotherapy group were 97.30%, 89. 19%, 8. 11% and 10. 81%, and those for the only radiotherapy group were 77.78%,66. 67% ,30.56% and 33.33%. The difference of the four groups was statistically significant ( P <0. 05). The rate of bone marrow inhibition and reaction of digestive tract in chemo-radiotherapy group were higher than those in simple radiotherapy group, but most reactions were grade 1 and grade 2, without statistically significant dife-renee between two groups. Conclusion Concurrent radiotherapy and weekly chemotherapy with low-dose cis-platin and 5-fluorouracil for advanced cervical cancer can significantly improve local control rate and survival rate, and have slight side effects.

Radix Glycyrrhizae is a commonly used herbal drug for traditional Chinese medicine in China, and it is also an important material for drug, food, chemical industry, and dye industry. Furthermore, in Northwest China, Radix Glycyrrhizae acts as a key plant for preventing desertification, which currently is the most serious environmental problem in China. This report concentrated on discussing the great potential value of Glycyrrhiza on ecosystem, introducing the principles of protection and sustainable utilization of Glycyrrhiza resource, offering the suitable methods of utilization, and suggesting how to carry out the research on the substitute drugs. To protect the ecosystem and herbal resource of Radix Glycyrrhizae, we should use this herb in a more reasonable way.

BACKGROUND:Periprosthetic femoral fracture after total knee arthroplasty is related with the osteoporosis, bone defects, prosthesis, frail patients and high complication rate, so it is difficult to prevent and treat.
OBJECTIVE:To explore the risk factor, classification, treatment, rehabilitation and prophylaxis of periprosthetic femoral fracture after total knee arthroplasty based on the reviewed and summarized articles published in recent years.
METHODS:A computer-based online search was conducted in PubMed database from January 1, 1990 to December 31, 2011 and in SpringerLink database from 1980 to 2011 for the related articles with the key words of“periprosthetic fracture, knee”in English. A total of 626 articles were retrieved.
RESULTS AND CONCLUSION:According to inclusion and exclusion criteria, the articles were screened and 40 articles were included final y. The results showed that with the extensive development of total knee arthroplasty, the incidence of periprosthetic femoral fracture was increased gradual y;due to the poor prognosis, we should pay attention to the prevention. The risk factors of periprosthetic femoral fracture included patients’ internal factor that was hard to control, and some external factors such as the surgical techniques. Rorabeck classification was commonly applied for periprosthetic femoral fracture after total knee arthroplasty, but it was not perfect in clinical application. Kim classification wil be better for clinical guidance. The treatment of periprosthetic femoral fracture included nonoperative treatment, open reduction and internal fixation, retrograde intramedul ary nailing and revision arthroplasty. An appropriate treatment is chosen depending on fracture classification, local bone quality, patients’ medical and nutritional status. At present, however, there is not a perfect guideline for the selection of appropriate treatment method. But the early functional exercise is beneficial to prevent the related complications caused by longtime immobilization and the loss of joint function. Therefore, the indications must be under strict control in the treatment of periprosthetic femoral fracture after total knee arthroplasty. Except the firm fixation, early exercise for the patients should be encouraged at the same time.

Objective: To observe the therapeutic effect of acupuncture in the treatment of chloasma.Methods: Ninety patients were randomly divided into treatment group and control group, with 45 cases in each group, then patients in the treatment group were classified into three types according to the syndrome differentiation and were treated with acupuncture, while patients in control group were treated with Vitamin C and Vitamin E. Results: The effective rates in treatment group and control group were 93.3% and 73.3% respectively, and no remarkable difference was found in therapeutic effect among three syndrome-types in treatment group (P＞0.05). Conclusions: Acupuncture therapy has a marked therapeutic effect in the treatment of chloasma of different syndrome types.