Résumé
Ideas to establish the system for assessing the technical performance of librarians were proposed by using team cooperation model, establishing communication feedback system, keeping abreast of important dynamic informa-tion about scientific projects , enforcing construction of key subjects , characteristic databases and resources , accord-ing to the insufficient librarians and funds, few exchange and training opportunities.The new information service model in small-sized libraries was discussed, including active service, professional service, participation service and innovative service.
Résumé
Lung cancer is currently one of the leading causes of the cancer-related deaths in the world. Erlotinib and Gefitinib are inhibitors of human epidermal growth factor receptor-1 and the epidermal growth factor receptor tyrosine kinase. The most common adverse events for erlotinib and gefitinib were mild to moderate skin toxicity [rash, itching, and dry skin], gastrointestinal reactions [diarrhea and nausea], and fatigue. Erlotinib induced gastrointestinal bleeding is rare, and dose-related. We are reporting a lung cancer patient who received erlotinib and gefitinib. The patient was sensitive to drug and tumor growth was inhibited. However, adverse reactions appeared as drug treatment continued, including gastrointestinal bleeding