目的探讨分化型甲状腺癌（DTC）不同病理类型[乳头状癌（PTC）和滤泡状癌（FTC）]癌组织的钠碘转运体（NIS）表达、甲状腺超声表现差异及NIS表达与甲状腺超声表现的关系。方法采用免疫组织化学染色技术检测结节性甲状腺肿和DTC组织NIS的表达,比较结节性甲状腺肿、PTC及FTC患者的癌组织NIS表达差异,分别分析PTC组和FTC组NIS表达与甲状腺超声表现的关系。结果 PTC组和FTC组NIS的表达均显著高于结节组（P〈0.05）;PTC组与FTC组癌组织NIS表达IHS评分存在统计学差异（P〈0.05）,NIS表达阳性率差异无统计学意义（P〉0.05）;甲状腺超声表现中,PTC组与FTC组结节在直径、回声、形态、边界、钙化、血流方面的表现存在统计学差异（P〈0.05）;所有PTC中,NIS阳性组与阴性组结节血流信号存在统计学差异（P〈0.05）;所有FTC中,NIS阳性组与阴性组甲状腺超声表现无统计学差异（P〉0.05）。结论 PTC与FTC癌组织的NIS表达IHS评分和部分甲状腺超声表现均存在差异;PTC癌组织NIS阳性表达者较阴性表达者血流信号丰富。

Objective To investigate the correlation between the expression of sodium-iodide symporter(NIS) and the characteristics of ultrasonography in differentiated thyroid carcinoma(DTC). Methods DTC patients and nodular goiter patients were collected to detect the expression of NIS and analyze the corelation between the positive expression of NIS and the characteristics of the thyroid ultrasonography,using immunohistochemical staining. Results NIS expression of both PTC group and FTC group were beyond nodular goiter group. Significant difference was detected in IHS of NIS expression PTC (papillary thyroid carcinoma) group and FTC(follicular thyroid carcinoma) group (P 0.05). According to thyroid ultrasonic findings, PTC group showed smaller diameter, higher rate of hypoechoic, irregular, ill-defined, calcification and blood flow than that in FTC group (P<0.05). No significant difference was found between NIS positive group and NIS negative group in FTC patients on ultrasonography, while dist

目的 了解国内护理信息系统(nursing information system,NIS)发展趋势和研究现状,为进一步发展完善国内NIS提供参考.方法 以中国学术期刊网络出版总库、万方学术论文数据库、维普中文科技期刊数据库为数据来源,检索2009年至2013年公开发表的有关国内NIS的文献,对文献年代、地区、合作情况、作者、机构、期刊、关键词等方面进行文献计量学分析.结果 检索得438篇有效文献,分别发表在128种期刊上,47.9％的文献发表在统计源期刊,研究内容主要涉及临床护理和护理管理两方面.结论 国内NIS研究近5年取得了长足的发展担相关研究需在广度和深度上进一步加强.

Objective To analyze the trend of nursing information system(Nursing Information System,NIS) and contemporary situation,so as to provide a reference for the further development of NIS in China.Methods Based on China Academic Journal Network Publishing Database,Wanfang database and VIP Chinese academic periodical database,retrieval published NIS literature from 2009 to 2013 in China.Seven aspects were analyzed:time,areal distribution,cooperative rate,authors,institutions,periodicals and keywords.Results There were 438 articles from 128 published journals,47.9％ papers were in the statistical source journals.Research content mainly involved clinical nursing and nursing management.Conclusions NIS research has achieved great development in the past 5 years,but the researches should be strengthened in breadth and depth.

探讨三级综合医院护理管理信息平台(NIS)的构建对优质护理服务的影响。方法:以护理程序应用和优质护理服务内涵建设为基线,以医院护理信息化六大模块建设为依托开展临床护理工作,采用住院患者和临床护士满意度调查表进行问卷调查,评价护理信息化完善前后的效果。结果:通过构建NIS,对护士满意度及患者满意度指标(环境设施、专业技能、患者安全、人文关怀等)比较差异均具统计学意义(P0.05)。结论:通过NIS的建设,能为临床护士和护理管理建立高效、完善、可评价的工作平台,可体现优质护理服务的内涵要求,促进优质护理向纵深发展。

Objective:To eXplore the impact of building an NIS on high quality nursing service in the general hospital at grade III- A level. Methods:To evaluate the effect of nursing care before and after the construction of informatization based on the application of nursing procedure,high quality nursing service and the questionnaire of patient and clinical nurse satisfaction. Results:There were statistically sig-nificant differences in the comparison of indeXes of nurse and patient satisfaction( environmental facilities,professional skills,patient safe-ty,humanistic care)before and after building the NIS(P<0. 05). Conclusion:The construction of NIS can establish an efficient,perfect and evaluation platform for clinical nurses and nursing management so as to promote the deep development of high quality nursing service.

采用溶剂热的方法,以乙酸镍和硫脲为原料,乙二胺作为溶剂,在180℃下制备α与β混晶型硫化镍棒.利用XRD、SEM和EDS等分析手段对样品的形貌和化学组成进行表征.在1.0～3.0V时,制备的NiS样品的首次放电比容量为589.66mAh/g;在0.01～3.00V时,首次放电比容量为1 050.28mAh/g.初步探索出其容量衰减的原因.

Nickel sulfide (α,β-NiS) rods were synthesized via a simple solvothermal process at 180℃ in the absence of template or surfactant .The sample was characterized by X-ray powder diffraction (XRD) ,scanning electron microscopy (SEM ) ,and energy dispersive X-ray spectroscopy (EDS ) .At 1 .0-3 .0 V ,the initial discharge capacity of the NiS electrode was 589 .66 mAh/g .At 0 .01-3 .00 V , the initial discharge capacity of the NiS electrode was 1 050 .28 mAh/g .The reason for its rapid loss of capacity was briefly discussed .

目的研究临床表现与肾脏病理的关系，明确肾活检的临床价值，提高慢性肾脏病的诊治水平。方法回顾性分析308例肾活检病例的病理类型与，临床类型、尿检的关系。结果原发性肾小球疾病（PGN）表现为无症状尿检异常（AUA）、肾炎综合征（NiS）、肾病综合征（NS）、急性肾衰竭（ARF）、慢性肾衰竭（CRF）的比例分别是18．8％、25．2％、42．8％、7．2％、6．O％，而继发性肾小球疾病（SGN）分别是3．4％、44．8％、25．9％、6．9％、19．0％，PGN与SGN在表现为AUA、NiS、NS、CRF的差异有统计学意义（P〈0．05），在表现为ARF差异无统计学意义（P〉0．05）。PGN表现为单纯血尿、少量蛋白尿、中量蛋白尿、大量蛋白尿的比例分别为5．6％、27．2％、29．2％、38．0％，而sGN分别是3．4％、20．7％、41．4％、34．5％，PGN与SGN在血尿、蛋白尿差异无统计学意义（P〉0．05）。结论临床方面PGN以NS最常见，SGN以NiS最常见，尿检方面PGN中以大量蛋白尿最常见，SGN中以中量蛋白尿最常见。

Objective To investigate the relationship between clinical manifestation and pathology, and clarify the clinical value of renal biopsy, in order to improve the diagnosis and treatment of chronic kidney disease. Methods 308 cases with renal biopsy were analyzed retrospectively, in cluding the relationship between pathological type and clinical type, hematuria, proteinuria. Results Primary glomerulonephritis(PGN)performanced with asymptomatic urinary abnormalities(AUA), nephritic syndrome(NiS), nephrotic syndrome(NS), acute renal failure(ARF) and chronic renal failure (CRF)were 18.8%, 25.2%, 42.8%, 7.2% and 6.0%. The performance in secondary glomerulonephritis(SGN)was 3.4%, 44.8%, 25.9%, 6.9% and 19.0%. The different performance between PGN and SGN in AUA, NIS, NS and CRF was statistically significant(P 0.05). PGN performanced with simple hematuria, a small amount of proteinuria, moderate proteinuria and heave proteinuria were 5.6%, 27.2%, 29.2% and 38.0%. The performance in SGN was 3.4%