Table of Content

25 December 2015, Volume 32 Issue 6

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Influence of nanoparticle on the structure of protein studied by atomic force microscopy

GAO Hongyun, YANG Chao, XI Yanan, YANG Tao

2015, 32(6):  1-10.  DOI: 10.3969/j.issn.1674-490X.2015.06.001

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Objective To study the effects of different characteristics of nanoparticles on the structure of protein. Mathods Using atomic force microscopy (AFM) to characterize the changes of nanoparticles sizes before and after protein adsorption, and then the effects on the structure of protein were determined. Results In the aspect of the nanoparticles size, the binding of protein onto smaller nanoparticles resulted in smaller change of the protein structure. In the aspect of the materials of nanoparticles, effect of the semiconductor nanoparticles on the structure of protein was greater than that of the gold nanoparticles. In the aspect of the shape of nanomaterial, the nanosheets of graphene oxide (GO) had greater influence on the deformation of protein structure than spherical nanoparticles. Conclusion The particle size, material, and shape have significant effects on the structure of protein.

Effects on ultrastructure of neuron and blood brain barrier in ischemia reperfusion by pretreatment with 3-n-butylphthalide in rats

YAN Peng, ZHAO Shumin

2015, 32(6):  11-15.  DOI: 10.3969/j.issn.1674-490X.2015.06.002

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ObjectiveTo observe the effects on ultrastructure of neuron and blood brain barrier (BBB) in ischemia reperfusion by pretreatment with 3-n-butylphthalide in rats. Methods The 30 SD rats were divided randomly into five groups: sham group, ischemia reperfusion group, NBP different dose groups (NBP 20 mg/kg group, NBP 40 mg/kg group, NBP 80 mg/kg group), NBP groups were respectively administrated with NBP 20, 40, 80 mg/(kg·d) one week, the ischemia reperfusion models were made, and then evaluated the neurological deficit score of the rats, the permeability of blood brain barrier were detected by content of Evans Blue (EB) in the brain tissue of ischemic reperfusion. At the same time, The ultrastructure of neuron and blood brain barrier were observed in brain tissue with electron microscope. Results The results showed that the neurological deficit scores and content of Evans Blue (EB) in NBP groups were obviously decreased compared with ischemia reperfusion group(P<0.01, P<0.05) and the ultrastructural injury of neuron and blood brain barrier of the brain tissue were improved with ischemic reperfusion in rats. Conclusion 3-n-butylphthalide pretreatment can exert protective functions on ultrastructure of neuron and blood brain barrier in the cerebral ischemia reperfusion injury.

Study on apoptosis of duodenum of mice infected with Trichinella spiralis

LI Dan, LUO Jingmei, ZHAO Lei, BING Yuyan, DU Luanying

2015, 32(6):  16-20.  DOI: 10.3969/j.issn.1674-490X.2015.06.003

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Objective To study the apoptosis of duodenum of mice infected with Trichinella spiralis MethodsInfection model was established, duodenum tissues of the mice were taken in the time of 3, 5, 7days. The histopathological changes were observed, TUNEL method was applied to detect the duodenum apoptotic index, Western-Blot method was used to detect caspase-3 expression level changes in the duodenum tissue of mice of different infection periods. The apoptosis state induced mouse duodenum tissue was conducted comprehensive evaluation. Results HE staining showed that as the infection time went on, the pathological damages of the duodenum were increased TUNEL results showed that the index of apoptotic cells of the mouse duodenum tissue changed with infection time increased significantly(P<0.05), Western-Blot analysis indicated that Caspase-3 expression levels increased with the duodenum tissue prolonged infection time(P<0.05). Conclusion Adult Trichinella spiralis can induce apoptosis in duodenum tissue of the miceand the time of infection was positively correlated.

Effects of Salvia miltiorrhiza polyphenols on the microvascular permeability of pancreas in rats with severe acute pancreatitis

LI Tianyang, HAN li, JIA Ning, LI Yajing, TIAN Yuan

2015, 32(6):  21-24.  DOI: 10.3969/j.issn.1674-490X.2015.06.004

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Objective To investigate the effects of Salvia miltiorrhiza polyphenols on the microvascular permeability of pancreas in rats with severe acute pancreatitis. Methods The rats with severe acute pancreatitis were given Salvia miltiorrhiza polyphenols through caudal vein, the pancreatic microvascular permeability was detected by using the Evans blue method.Results Compared with the control group, the pancreatic microvascular permeability was significantly enhanced in SAP model group; compared with the SAP model group, the pancreatic microvascular permeability was decreased significantly in Salvia miltiorrhiza polyphenols group, the differences between the two groups were significant. Conclusion Salvia miltiorrhiza polyphenols is an effective method to improve the microvascular permeability of the rats with severe acute pancreatitis.

Observation of influence of radiotherapy and chemotherapy on T Lymphocytes subsets in patients with nasopharyngeal carcinoma

LIU Bin, LIU Lixia, ZANG Aimin, MA Tao, WANG Ping, ZHANG Yonggang

2015, 32(6):  25-29.  DOI: 10.3969/j.issn.1674-490X.2015.05.011

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Objective To explore the relationships between changes of immune functions in patients with nasopharyngeal carcinoma(NPC)pre-chemoradiotherapy and post chemoradiotherapy. Methods The flow cytometry(FACS Calibur) was used to detect the blood T, B Lymphocytes subsets of 60 healthy check-ups and 60 NPC patients before and after chemoradiotherapy. The immune indexes of changes before and after the radiotherapy were analyzed and their test values were compared. Results There were no significant differencesin CD3+, CD16+56+, CD19+(t were 1.567; 0.971; 1.561, P were 0.078; 0.392; 0.240)between the healthy check-ups and the NPC patients before chemoradiotherapy. CD4+、CD4+/CD8+ had a downward trend(t were2.389; 2.358, P were 0.01, 0.01)while CD8+ had an upward trend (t=-2.342, P=0.019), which was statistically significant. CD3+, CD4+, CD4+/CD8+ were significantly different before and after the chemoradiotherapy,CD3+, CD4+, CD4+/CD8+ gradually down, which had significant differences(t were -7.163, -11.217, 3.817 P<0.01); CD8+, CD16+56+ gradually up,which had significant differences(t were -8.271, 4.383, P were 0.010.001).There was no significant difference in CD19+ (t=-0.986, P=0.323).Conclusions The immune functions get lower in the NPC patients after chemoradiotherapy and can be estimated by the test of the blood T, B Lymphocytes subsets.

Study of carotid atherosclerosis in middle-aged and young patients of cerebral infarction with sleep apnea-hypopnea

ZHAO Huixin, MENG Yanan, ZHANG Xinghong, SU Likai, ZHEN Jing, WANG Xingwei, SHI Fuping

2015, 32(6):  30-33.  DOI: 10.3969/j.issn.1674-490X.2015.06.006

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Objective To investigate the carotid atherosclerosis(CAS)in middle-aged and young patients of cerebral infarction (CI) with sleep apnea-hypopnea (SA). Methods 80 middle-aged and young patients of CI were divided into two groups, only CI group (40 cases)) and CI combined with SA group (cases 40).All patients were checked carotid artery through color doppler ultrasound and record intima-media thickness(IMT) and the state of plaques. Results The IMT of middle-aged and young patients in CI combined with SA group and in only CI group were (1.335±0.219)mm,(1.088±0.202)mm respectively, the degree of IMT in CI combined with SA group was significantly higher than that in only CI group (P<0.01).The rate of plaque occurrence in CI combined with SA group and in only CI group were 75%,25% respectively, the rate of plaque occurrence in CI combined with SA group was significantly higher than that in only CI group (P<0.01).The rate of unstable plaque occurrence in CI combined with SA group and in only CI group were 71%,30% respectively, the rate of unstable plaque occurrence in CI with SA group was significantly higher than that in only CI group (P<0.05). Conclusion There is higher degree of carotid artery atherosclerosis in the middle-aged and young patients of CI combined with SA group than that of only CI group.

Clinical curative effects on Wuweixiaodu drinks combined with glycolic acid peeling and collagen dressing in the treatment of acne

FENG Min, QIE Yongtao, WANG Yanjun, ZHANG Weina

2015, 32(6):  34-37.  DOI: 10.3969/j.issn.1674-490X.2015.06.007

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Objective To investigate the clinical efficacy and safety of Wuweixiaodu drinks combined with glycolic acid peeling in the treatment of acne. Methods 64 patients with acne were randomly divided into treatment group (Wuweixiaodu drinks add and subtract combined with glycolic acid peeling) and control group(Wuweixiaodu drinks add and subtract only). The glycolic acid with 20% concentrations were applied to treat the patients for two months once every two weeks. Collagen dressing were treated after alpha hydroxy acid on treatment group once a day during the first week and once every two days during the second week. The decoctions of traditional Chinese medicine were taken two doses every day and changed based on the patients conditions. One course included two months of treatment. Results The effective rate in the treatment group was 84.38%, which is significantly higher than of 53.13% in the control group. Conclusion Wuweixiaodu drinks combined with glycolic acid peeling is proved to be high efficacy satisfaction in the treatment of acne.

Application of lidocaine combined with sufentanil on epidural anesthesia in the treatment of emergency cesarean section

XIE Suyong, NIE Jin, ZHANG Jianhong, WANG Yifang, SHAO Wei

2015, 32(6):  37-40.  DOI: 10.3969/j.issn.1674-490X.2015.06.008

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ObjectiveTo investigate the application effects and safety of lidocaine combined with sufentanil on epidural anesthesia in the treatment of emergency cesarean section. Methods Eighty pregnant women undergoing emergency cesarean section and without epidural anesthesia contraindication were enrolled in the study. They were divided into 2 groups at random (n=40). The ones who had epidural anesthesia only used 2% lidocaine (group L) The others used 2% lidocaine combined with sufentanil (group SL).The faction time when eighty pregnant women felt block and the time when the level of anesthesia reached T8 as well as the anesthetic effects during operation and the Apgar grade of neonatal were observed respectively in the study. Results Compared with group L, the faction time of feeling block and the T8 level of anesthesia reaching time in group SL can be shortened and it not only the anesthesia effects could be improved obviously but also the pregnant women could make feel more comfortable during the operation (P<0.05). There were no significant differences on the Apgar grade of neonatal. (P>0.05). Conclusion 2% lidocaine associated with sufentanil on epidural anesthesia can improve the anesthesia effects when the pregnant women have emergency cesarean section and relieve pain discomfort in the operation without adverse effects to the newborn, which is worthy widely applied in clinical practices.

Pathological analyses and its ultrasonic imaging findings of breast lumps

XU Fang, CHEN Taoping

2015, 32(6):  41-43.  DOI: 10. 3969/j. issn. 1674-490X. 2015. 04. 009

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ObjectiveTo explore the value of ultrasound imaging findings of breast lumps and its significance to the identification of benign and malignant breast tumors. Methods 199 cases with breast lumps were selected in May 2012-February 2014 in our hospital as the research objects. All patients were examined with color doppler ultrasound, and the results were compared with postoperative pathologic results to observe the diagnosis efficiency of color doppler ultrasound. Results (1) In color doppler ultrasound examination, 217 were found lump, among them, 179 suffered from benign breast lumps, 38 malignant breast tumors; the pathological results showed 182 had benign breast lumps, 35 malignant breast tumors. Therefore, of the total coincidence rate of color doppler ultrasound examination was 98.62%, which had no statistically significant difference (P>0.05). (2) There was a statistically significant differences in benign breast tumors and malignant breast tumors considering characteristics of ultrasonic imaging (P<0.05). Conclusion Ultrasonic imaging can be applied to identify breast lumps more accuracy, which can provide reliable clinical diagnosis results for the treatment, it is worthy distribution in clinical practices.

Comparative study of different methods of cesarean section on the influence of intra-abdominal adhesion and abdominal wall adhesions of parturients

LIU Xiujun, MENG Lifang

2015, 32(6):  44-48.  DOI: 10.3969/j.issn.1674-490X.2015.06.010

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Objective To investigate the influence of different methods of cesarean section on intra-abdominal adhesion and abdominal wall adhesions of parturients. Methods A total of 115 parturients performed repeated cesarean were divided into stark group (received Stark cesarean section, 62 cases) and routine group (received longitudinal incision cesarean section). The healing of incision for previous cesarean section, location and degree of adhesion of the two groups were observed and evaluated, the open procedure time, operation time and perioperative blood loss of the two groups were recorded. Results The results showed the recovery of healing of incision of the sark group was better, the fine scar rate was 87.10%, which was significantly higher than that of in routine group(30.19%), (P<0.05), the incidence of adhesion was 4.84%(3/62), which was statistically lower than that of in routine group(16.98%), (P<0.05), among them, the incidences of adhesion between colic omentum and abdominal wall (3.23%) as well as lower uterine segment (1.61%), bladder and middle uterinesegment (0) as well as lower uterine segment (0) were all obviously lower than those of in routine group (7.55%, 3.77%, 3.77% and 1.89% respectively)(P<0.05). The open procedure time of Stark group was statistically longer than that of routine group (P<0.05), perioperative blood loss was statistically less than that of routine group (P<0.05), but no statistical difference in operation time was observed between the two groups (P>0.05). Conclusion Although stark cesarean section has more perioperative blood loss, it has obvious advantages in the recovery of incision, reducing intra-abdominal adhesion and abdominal wall adhesions than longitudinal incision cesarean section, which has little influence on repeated cesarean of parturients, thus it is worthy of extensively applied in clinic practices.

Observation on the effects of button blunt needle puncture method in preventing fistula complications

CHEN Chen, WANG Jiping, LUO Junxiu, CUI Lingling, CHANG Baochao, CHEN Weichen

2015, 32(6):  49-52.  DOI: 10.3969/j.issn.1674-490X.2015.06.011

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ObjectiveTo explore the clinical effects of button blunt needle puncture method in preventing fistula complication in patients with hemodialysis. Methods 40 cases of the patient in blood purification center were selected and divided into 2 groups. Observation group (20 cases ) was applied blunt button needle puncture and the comparison group (20 cases) was treated with sharp button needle puncture method. Three months later, theresults of hemstatic time, false aneurysm, puncture point ooze blood rate and pain of the two groups’ patients were compared. Results The observation group’s hemstatic time, false aneurysm, puncture point ooze blood rate and pain were obviously lower than that of the comparison group (P<0.05). Conclusion The method of blunt button needle puncture can relieve the patients’ pain and fistula complication incidence by repeated sharp button needle puncture and extend the service life of fistula so as to improve the patients’ life quality. The high practicability of blunt button needle puncture is worthwhile popularized in the clinical application.

Clinical experience of dressing treatment for acute mammitis in early lactation with garlic and mirabilite

JIA Siyue, ZHANG Caifen, WANG Lijuan

2015, 32(6):  53-55.  DOI: 10.3969/j.issn.1674-490X.2015.06.012

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ObjectiveTo observe the therapeutic effect of joint treatment for acute mammitis in early lactation with garlic, mirabilite and regular milk emptying. Methods 328 cases with early lactation acute mammitis were randomly divided into the treatment group and the control group. 228 patients of treatment group were treated with this therapy, magnesium sulfate hot compression and regular milk emptying were applied in 100 patients in control group. Both groups were treated for three days, lasted for 1 to 2 courses of, then the time of lump decreasing in size, the time of lessen pain and curative effect of two groups were observed and compared. Results The time of lump decreasing in size and the time of lessen pain of the treatment group, were shorter than those in the control group, the differences were statistically different(P<0.05). The curative rate and effective rate had statistically difference(P<0.05). Conclusion The results indicate that such therapy show significant promising effects. There is no need for suspending suckling, it is without any side effects, with low cost, little pain, which is recommended to apply in clinical practices.

Investigation on the caring situation of rural aged person in Hebei province under the background of integration

QIU Hongjie, ZHAO Yu, MA Yicheng

2015, 32(6):  56-60.  DOI: 10.3969/j.issn.1674-490X.2015.06.013

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Objective To study the life satisfaction and its risk factors of bad marriage in the elderly for providing references for policy-makers to improve the quality of them. Methods 838 participants over 60 years of age in Baoding were surveyed with the inventory of life satisfaction index A, and the influential factors were studied by the method of multiple linear stepwise regression. Results The percentage of bad marriage in the elderly was 51.8%, and there LSI was lower than the elderly with a good marriage. The main influential factors on life quality of the bad marriage in the elderly were endowment way, social activities, daily consumption source and life self-care ability by the analysis multiple linear stepwise regression. Conclusion The elder people with bad marriage state have higher requirements on the endowment way, social activities, daily consumption source and life self-care ability.

Investigation on the correlation of genital mycoplasma infection with bacterial vaginal in Chengde area

ZHOU Liang, HAN Yuanyuan, LUO Jingmei, CHEN Yicheng, FENG Keqing, DU Luanying1, WU Xiaoling

2015, 32(6):  61-64.  DOI: 10.3969/j.issn.1674-490X.2015.06.014

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Objective To understand femal genital infection situation of mycoplasma in Chengde area ,thus to investigate the correlation of women genital Mycoplasma infection with bacterial vaginal(BV). Methodsquestionnaire was conducted. The nucleic acid(DNA) extraction and polymerase chain reaction (PCR) were used and agarose gel electrophoresis experimental technologies were applied to detect the infection of ureaplasma urealyticum(Uu) and mycoplasma hominis(Mh),and the influences between genital mycoplasma infection and bacterial vaginal were analyzed by considering the results of the questionnaire. ResultsOf 715 specimens, 285 people were infected with Uu, accounting for 39.86%. 142 people were infected with Mh, accounting for 19.86%. In all the people infected with mycoplasma, 125 were infected with bacterial vaginal, accounting for 55.31%. Conclusion OR=4.37>1, the results suggest that Uu and Mh infection could be the risk factor for women suffering from bacterial vaginosis

Effects of new mode of comprehensive nurse training on subjective well-being of nurses

ZHOU Xingjiu, YAN Xingna, ZHANG Lijing, XING Ying, LI Wei, LIU Fang, CUI Cong

2015, 32(6):  65-68.  DOI: 10.3969/j.issn.1674-490X.2015.06.015

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Objective To investigate the effects of new mode of comprehensive nurse training on subjective wellbeing of nurses. Methods 162 nurses were inquired before and after adopting new mode of comprehensive nurse training with the self-designed general condition questionnaire and general well-being schedule and the changes of the subjective well-being of the nurses before and after the implementation of the new comprehensive nurse training mode were compared. ResultsAfter the implementation of the new comprehensive nurse training mode, the general well-being score and the score of life satisfaction and entertainment, energy, depression and cheerful mood, control of the emotions and behavior and tension and easement were significantly higher than that of before training, the difference was statistically significant(P<0.05). Among the nurses with different degree, title, guard age, positions and marital status, the difference of nurses subjective well-being in those with bachelor’s degree or above and working time was over 10 years had no statistically significance(P>0.05). After training, the subjective well-being scores of other nurses with difference features were significantly improved, with statistical significance(P<0.05). Conclusion The new mode of comprehensive nurse training can improve the subjective well-being of nurses.

Application research on comprehensive nursing risk factors assessment in neurology

JIANG Xuelian, BAI Guoxin, ZHENGXinying, YI Zhanhua, KONG Lingjun

2015, 32(6):  69-71.  DOI: 10.3969/j.issn.1674-490X.2015.06.016

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Objective To study the application of applying comprehensive nursing risk factors assessment in neurology and the impact on the incidence of nursing adverse events. Methods Nursing adverse events happened in the department of neurology in 2013 and that happened in 2014 when using various kinds of risk factors assessment were analyzed. Results The incidence of all kinds of nursing adverse events after applying comprehensive nursing risk factors assessment in the patients reduced significantly. Conclusion Proper use comprehensive nursing risk factors assessment can effectively reduce the incidence of neurology hospital patients’ nursing adverse events and its nursing disputes.

Medical nursing of 23 patients with straddle injury treated with urethral realignment under endoscopic

LI Hongmei, LIANG Dongli, PAN Xiumin, GAO Yanjun, MU Yinjing

2015, 32(6):  72-74.  DOI: 10.3969/j.issn.1674-490X.2015.06.017

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Objective To discuss the medical nursing of the patients with urethral straddle injury conducted urethral realignment treatmentunder endoscopic. Methods The experience in treating 23 cases with urethral injury straddle performed urethral realignment and their psychological care, primary care and specialist nursing were summarized and analyzed. ResultsThe results indicated that 23 patients had success surgery treatment without nursing complications. The patients were followed up for 1-12 months, of which 21 cases of voiding after catheter removal, 2 cases of dysuria after catheter removal, recovery soon after urethral dilatation. Conclusion Effective nursing measures are important. This can reduce the suffering of patients, prevent complications, and improve the cure rate.

Evidence-based nursing in treating patients with knee joint osteoarthritis under the arthroscope

FENG Jingjing, MENGJing, AN Ming, WANG Wei, LI Yan

2015, 32(6):  75-79.  DOI: 10.3969/j.issn.1674-490X.2015.06.018

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Objective To explore the evidence-based nursing in the treatment of knee joint osteoarthritis under the arthroscope. Methods102 cases who had knee osteoarthritis from January 2012 to January 2014 were randomly divided into the treatment group (51 cases) and the control group (51 cases). The patients of the control group were given routine nursing care, the patients of the treatment group were given evidencebased nursing. The knee joint pain and daily function score,patient’ satisfaction and early functional exercise adherence were analyzed. Results (1) The level of knee pain and daily function score had significant difference between the 2 groups (t= 2.033, 2.073; P<0.05). (2) The satisfaction rate was 82.3% (42/51) and 100.0% (51/51) in the controls and the experimental group respectively. It had significant difference between the 2 groups (Z= 9.365, P<0.05). (3) The compliance degree had no significant difference between the 2 groups before treatment (χ2=0.025, P>0.025). The compliance degree had significant difference between the 2 groups after treatment (χ2=5.144, P>5.144).Conclusion Applying evidence-based nursing in treating knee osteoarthritis under arthroscopy can improve the function of knee pain and daily score and the patients' satisfaction and early functional exercise adherence

Investigation on Kazak medicine in Altay region

DENG Qun, LANG Tao, XIA Jianxin

2015, 32(6):  80-84.  DOI: 10.3969/j.issn.1674-490X.2015.06.019

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Objective To understand the current situation ofthe Kazakh traditional medicine in Altay region and promote the development ofthe medicine. Methods By getting the relevant information about current situation ofthe Kazakh traditional medicine in Altay region by checking available literature, key informant interview, questionnaire, participant observation and field visit. , two Kazakh medical institutions, one college for culturing Kazakh medicine talents were visited, 11 Kazakh folk doctors were interviewed, 250 questionnaires were distributed. Results Great changes have taken place in Altay region of Kazakh traditional medicine research, theoretical research results were remarkable, two Kazakh medical hospitals were set up, key specialty, characteristic specialty construction had made certain achievements, the research and development of a batch of curative effect, the high social awareness of the medicine in Altay region’s popularity were very good, which had very high social recognition, won local residents hold high recognition for the medicine, which was generally believed that the medicine in the local residents had played a positive role in health care, and the medicine could live on in the form of more effectively. Conclusion Kazakh traditional medicine in Altay region needs more development by policy and funding support and there is also much work to do in theoretical research, talent cultivation, medicine development, and industrialization.

Value of early screening of islet autoantibodies in patients with high risk of diabetes mellitus

GUO Yaping, MENG Fanjun, LIU Yulin, LYu Huihui, LIU Guoxin, WANG Kunling, GUO Shuqin

2015, 32(6):  85-88.  DOI: 10.3969/j.issn.1674-490X.2015.06.020

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Islet autoantibodies is the general term for a group of autoantibodies against the islet cells themselves and their components. It is often regarded as a symbol of distinction between type 1 and type 2 diabetes, especially in the latent autoimmune diabetes in adults, It has a great significance in diagnosis. The positive population of islet autoantibodies is followed for several months or years after the development of diabetes mellitus. So it has far-reaching significance for people at risk of diabetes and early islet autoantibodies screening for diabetes early prevention and treatment.

Advances on prediction on adherence

YANG Hui, WANG Yan

2015, 32(6):  89-93.  DOI: 10.3969/j.issn.1674-490X.2015.05.023

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Adherence has an important significance on clinical effect and disease recovery. It is critical to predict adherence early and find out the important factors, which will help medical staff take specific interventions and then improve the patients’ adherence. This paper mainly introduces the development of concept of adherence, influence factors, prediction model and adherence rating score system. It will provide some basis to the research about adherence prediction.

vascular anastomosis training under microscope in postgraduate students of department of neurosurgery

LI Jian, ZHAO Yongxuan, SUN Tao, MA Jun, YU Renchao, SU Hexian

2015, 32(6):  94-97.  DOI: 10.3969/j.issn.1674-490X.2015.06.022

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Objective To carry out the training of vascular anastomosis under the microscope in postgraduate students of department of neurosurgery. Methods After the postgraduates carried out the basic operation of the microscope, then they were trained to perform the common carotid artery end to side anastomosis of the rats. Results All the 20 Sprague-Dawley rats who were underwent this procedure survived the operation. The success rate was up to 100%. The anastomoses were almost 100% patent immediately and 1 months after the procedure. HE staining showed good anastomotic healing,without stenosis and false aneurysm. Conclusion Through establishing the a rat model of end to side anastomosis of the carotid artery and special training, the standardization of the operation and a good foundation of applying its skills were developed.

Application of new type of nurse training mode in training clinical nurse

CUI Cong, MENG Jing, ZHOU Xingjiu, WANG Yunmei, ZHANG Lina, LIU Fang, YAN Xingna

2015, 32(6):  98-101.  DOI: 10.3969/j.issn.1674-490X.2015.06.002

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ObjectiveTo investigate the effects of the new mode of comprehensive nurse training in the application of the high qualification nurses training. Methods 124 nurses from January 2013 to June 2014 were selected as subjects of the study, who were randomly divided into observation group(n=62) and control group(n=62). The persons in the observation group were adopted the new nurse training mode, and the people in the control group were trained with traditional dispersion pattern. The assessment of nursing staff and nursing satisfaction on nurse's operation technique were observed and compared. Results The nurses’ “three basics theory” pass rate, operationing pass rate, the eligible rate of lectures and operation and nursing satisfaction of the observation group were significantly higher than those in the control group, the differences had statistical significance (P<0.05). Conclusion The new mode of comprehensive nurse training can improve the basic theoretical knowledge and integrated professional skills effectively. Compared with traditional distributed training mode, the effects are remarkable.

Analysis on effects of interation of health care resources in a public hospital of Shijiazhuang

XU Xin

2015, 32(6):  102-107.  DOI: 10.3969/j.issn.1674-490X.2015.06.024

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This study was based on questionaire, interviews, discussion and filed research to analyze the situation of a public hospital of Shijiazhuang before and after the integration. Meanwhile, it adopted the experience from both domestic and overseas public hospitals, and based on the local environment to propose the solutions of the problems and shortcomings that might exist in the integration process. This study also provided suggestions about exploring the pattern of integration of health care resources, and setting a new model to the local area and the whole country.