Collecting past footprint towa

Professor Shi yuankai Tribune: can you talk about this year's keynote report set to be an international forum designed it?stone Professor: Medical Oncology today, only half a century of history. After entering the 21st century, medical oncology treatment from conventional cytotoxic drugs as the principal of the treatment, into cytotoxic drugs as the basis, targeting drug growing more and more important position, we enter the patients genetic background and molecular expression products, to &ldquo it; the difference ” treatment times. In this context, medical oncology physicians how to grasp and meet the development trend of the times? Chinese doctors are concerned, because of differences in race and genetic background, we have created more and more to explore this opportunity of national characteristics and modes of therapy in patients with cancer, how are we going to play their role?in view of this, this year's annual meeting in “ past, present and future of medical oncology ” as the theme, has set up a special forum, this is the only theme of a conference report, in my opinion, this concert for all medical oncology doctor, even medical workers is of great significance in the field.at the same time, this year is the Conference of medical oncology (CSMO) 5th year, is also in honour of the past 5 years, we had such a forum, invited from the United States, Europe and Japan's top experts, and our adhering and Guan Zhong-Zhen: Professor, academician, speaking for different themes, looking back and looking forward to the future. It turns out that we have also listened to a really good and successful academic reports.Tribune: in processes of individual treatment of cancer, cancer doctors in China face what challenges?Shi yuankai Professor: I think that is mainly in the areas of clinical research and study on transformation of. Only to raise the level of clinical research, strengthened, deeper into the transformational research done will it be possible to get more experience, get more data for our own patients, more outcomes for our patients to share.at present, the main research results have come from Europe, the United States and Japan. Over the years, Chinese scholars ' research began in an important international meeting, but I think the number is too small. Now,   national on this aspects given has great concern, in “863” plans, and “ Eleven-Five ” and “ Twelve-Five ” major new drug creation, and major technology special, related project in the,   inputs has quite more of funding,   encourages China Medical territories of people with lofty ideals were to established a full of including clinical Qian research and clinical research zainei of new drug research and development system. This will enhance the research ability,   speed up research and raise the level of study. This is one aspect of Chinese doctors should be able to do.on the other hand is how to regulate the treatment of behaviour? Individualized treatment is not under treatment, should individual treatment based on strict clinical treatment. First principles, then to talk about the individual, both. In my opinion, these two aspects is that we should continue to strengthen, this calls for our entire industry practitioners constantly improve their knowledge, improve their knowledge structure, track the latest development of international, doing so can keep pace with the times, always stand in the forefront of the times. The main purpose of this is our CSMO —— Exchange results, solidifying consensus, update knowledge.Tribune: compared with previous years, the current session of the General Assembly what are the characteristics?Professor Shi yuankai: through the past 4 years of development, China Medical Oncology fellow us such a meeting has been widely recognized as one of the medical oncology in China scholars Exchange platform, it not only looks forward to the field of Chinese medical oncology fellow, also becomes committed to transforming research, basic research and drug develo

Cluster strategy to improve pr

Peking Union Medical College Hospital intensive care (ICU), a "cluster" therapeutic strategies, so that the hospital mortality of severe infection in immunosuppressive population from 78.6% per cent. &Nbsp; the so-called "cluster" policy refers to, is effective in reducing severe infection in immunosuppressive population death rate of a variety of treatment measures for induction, selection, based on treatment demand developed a detailed flowchart in chronological order, each step in the process of strict time limits, so that every patient can require time to be the most effective treatment. &Nbsp; in the treatment of severe infection in immunosuppressed populations, "cluster" implementation of the strategy include the correct decision, support, treatment and health care combined with three important content. ICU physician first need of patient history, early treatment, clinical manifestation, caters, image data, organ function, such as rapid assessment, make a preliminary judgment quickly. If you suspect that the patients are infections you will need to leave a culture samples in 1 hour and the rational use of antibiotics; if patients complicated by organ dysfunction, physicians complete shock and resuscitation in 6 hours is required, within 24 hours of taking a series of organ protection and support measures to win precious time for onset of antibiotics. Physician combination biomarkers in 24-48 hours, microbiology or invasive examination results, further titration antibiotics so that patients most appropriate treatment within shortest time on. &Nbsp; can say "cluster" policy listed at each point in time the established objectives and specific programmes to ensure its implementation. Programme implementation is required for each step in the best health care cooperation. Since 2006, the ICU application "cluster" strategic guide to the treatment of such patients (a total of 103 cases), so that the mortality from 78.6% per cent of the population, achieved encouraging results.   

Slow myopia of combination

&Nbsp, community questions and answers, a general practitioner asked: myopia is a common childhood eye disease, a variety of reasons, more and more children and young people now wear glasses as early, is there any way to slow the pace of development of myopia?　　Experts pointed out that the adoption of the following four methods may be able to control myopia progression in children. Participate in small ball games for children and young people can often play badminton or table tennis, play in the process of eyes follow the ball to come and go quickly. As the ball when high speed flying, ciliary muscle contraction and Suspensory ligament relaxation, rely on their own flexibility curvature of lens larger, diopter increase, to see where the ball direction when you go back to the ball far, exactly the opposite, ciliary muscle relaxation, Suspensory ligament strain, the lens becomes flat, to ensure that saw the ball in the distance.　　In successive hit back in the ball, key part of the eyeball in the children and young people exercise to curb development of amblyopia and myopia, even for turb eye (ocular), there is a secondary effect. Adjunctive therapy of traditional Chinese medicine now, many hospital ear holographic pure natural therapy, is based on the traditional theory of Meridian theory of traditional Chinese medicine and acupuncture as a treatment.　　Organ and corresponds to the connection between Auricular points Meridian, ear acupoint therapy is through the corresponding to the relevant organs of vision acuity of Auricular acupoint pressing to stimulate, through channel conduction regulating Zang-Fu viscera balance, improving blood circulation and nutrient supply, recovery self-regulating function of the eye, in order to effectively improve eyesight.　　At the same time, ear acupoint therapy is a pure natural method, is user-friendly, children and young people only care one or two times a week, then spend 20 minutes a day on its own pressing ear point to achieve a certain effect. RGP RGP also known as rigid gas permeable contact lenses. It uses special made from hard materials of high-oxygen, not direct contact with the corneal epithelium, but every tear layer for oxygen exchange, have good wettability and stain resistance. Wear RGP is closest to normal eyes can make children and youth with Visual effects.　　Simultaneously because lens quality is hard, blink time may have some compression effect on corneal, the corneal flattening, thereby reducing corneal diopter and corneal astigmatism and total diopter control eye development. OK OK microscopy (Orthokeratology) is a high-oxygen-permeable rigid corneal reshaping lenses only while sleeping in front of the cornea. It mirrors the Central arc of smaller than the cornea and lens peripheral cornea in the arc of fixed and increasing pressure on Central corneal, and gradually make corneal curvature, axial shortening.　　Due to the night lens has changed the shape of the cornea, myopia in children and adolescents receive a certain amount of control, if long-term use can play a preventive and curative effects of myopia.　　RGP and indications of OK lens has its strict, must be obtained vocational qualifications by medical institutions and instructions of doctors wearing, and young people also need to carry out the relevant checks and end before the wearing by a physician to determine whether together with. (&Nbsp of Jiangsu provincial people's Hospital Ophthalmology; Xie Zhan)  

Small artery prognosis and tre

Time: October 30, 16:10-16:30 location: Hall 5 small structural changes can be seen as resistance hypertension and ischemic heart disease, heart failure, ischemic attack and a critical link between renal failure. Generally agreed that resistance vessel structural abnormalities are common changes associated with chronic hypertension. Vessel wall thickness increases, together with smaller lumen may play an important role in the increased vascular resistance may also be increased hemodynamic load an adaptive response. Experimental study showed that small artery structural changes are normal thickness in hypertensive remodeling or reconstruction of hypertrophic (narrow the lumen same number around rearrange or smooth muscle cell hypertrophy of vascular wall material or proliferation) consequences. Vascular membrane and increase in the ratio of the lumen is of primary and secondary hypertension risk population in strong predictors of cardiovascular events. Recently, the subcutaneous prognostic significance of small resistance artery structural changes have been extended to any low to essential hypertension and cardiovascular risk of major cardiovascular events (myocardial infarction, stroke and sudden death). Research shows that after diludin calcium channel blockers, angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in long-term effective treatment, small resistance vessel structure is likely to return fully to normal.　However, reverse vascular prognostic effect of structural changes is still not clear, there is need for trauma small prospective study, to clarify its role as antihypertensive treatment evaluate alternative end of May.