Table of Content

25 August 2013, Volume 30 Issue 4

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Effect of right-side stellate ganglion block on cardiovascular response to tracheal intubation in emergent cases with traumatic brain injury

WANG Ying,LI Yongle,WU Guangyi

2013, 30(4):  1-4.  DOI: 10.3969/j.issn.1674-490X.2013.04.001

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Objective To observe the inlfuence of right-side stellate ganglion block on cardiovascular response to tracheal intubation in emergency cases with traumatic brain injury. Methods 80 emergency cases with traumatic brain injury were randomly divided into two groups. Group A were treated with right-side stellate ganglion block before tracheal intubation. Group B were only treated with tracheal intubation. The heart rates, mean blood pressure and oxyhemoglobin saturation one minute before the intubation, at the moment of being intubated and one minute after the intubation were calculated. Meanwhile, it was evaluated whether the two groups coughed with the intubation. Variance analysis was applied to measurement data, and statistics analysis andχ2 were to count data. Results There was statistic signiifcance in comparing the cough responses of Group A and Group B, and the cardiovascular response to tracheal intubation of Group A was signiifcantly weaker than that of Group B. There was signiifcant difference between the two groups in heart rates and MAR. The heart rates and MAR of Group A was signiifcantly lower at the moment of being intubated and one minute after the intubation. Conclusion Right-side stellate ganglion block can signiifcantly decrease the cardiovascular response to tracheal intubation in emergentcy cases with traumatic injury. Hence, general anesthetic revulsion steadily proceeds in emergency cases with traumatic brain injury.

Study on ziprasidone combined with clonazepam in the treatment of agitation of schizophrenia

WANG Jian,DUAN Fei

2013, 30(4):  5-9.  DOI: 10.3969/j.issn.1674-490X.2013.04.002

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Objective To investigate the efficacy and safety of intramuscular ziprasidone combined with clonazepam in the treatment of agitation of schizophrenia. Methods 80 cases with agitation of schizophrenia patients were randomly divided into 2 groups, were treated with intramuscular ziprasidone combined with clonazepam and haloperidol. The evaluating indicators include the Brief Psychiatric Rating Scale (BPRS) score, behavior rating scale (BARS) and BPRS agitated symptoms subscale scores;Also include Simpson–Angus extrapyramidal side effects Rating Scale. Results From baseline to endpoint the subject BPRS agitation symptoms subscale score reduced more than 30%(>30%) was judged to be effective. The effective subjects of ziprasidone group was 37 cases (92.5%), and 32 cases in haloperidol group (80%).The two groups had no signiifcant difference (χ2=2.635, P=0.193). The extrapyramidal side effects occur in ziprasidone group was 1 cases (2.5%) less than haloperidol group of 14 cases (35%) (χ2=13.767, P<0.001). Conclusion Intramuscular ziprasidone combined with clonazepam in the treatment of agitation of schizophrenia is as efficacy as haloperidol, the extrapyramidal side effects is less than that of haloperidol.

Percutaneous nephrolithotomy for recurrent or residual renal calculus in patient with a history of open nephrolithotomy

CUI Zhenyu,YANG Wenzeng,MA Tao,WEI Ruojing,ZHANG Wei,LI Yu,AN Feng

2013, 30(4):  10-13.  DOI: 10.3969/j.issn.1674-490X.2013.04.003

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Objective To explore the efifcacy and safety of the recurrent or residual renal calculus with a history of open nephrolithotomy treated with percutaneous nephrolithotomy. Methods The data of 48 cases with recurrent or residual renal calculus with a history of open nephrolithotomy from September 2008 to January 2010 were analyzed retrospectively. All patients were treated with percutaneous nephrolithotomy. 21 cases were treated with pneumatic lithotripsy, 23 cases with combined pneumatic and ultrasound lithotripsy and 4 cases with dual probe ultrasonic lithotripsy. Results All the cases were cured successfully in one stage. 39 renal units were cured by one tunnel way, 8 renal units by double tunnel and 1 renal unit by multiple tunnel. The average time for whole surgery was 74 min. The average bleeding volume was 138.6 mL. The average hospital stay was 10 days. The calculi clearance rate was 89.58%(43/48) while 3 cases with residual calculus underwent second neohroscopy and 1 case was cued by ESWL. 1 case with severe hemorrhage was cured by superselective renal artery embolization. No other complication occurred and no recurrence was found in 3 to 15 months’ follow-up. Conclusion Percutaneous nephrolithotomy is an effective and feasible therapeutic option for patients with recurrent or residual renal calculus after open operation for its advantages of less invasiveness and complications, shorter duration for hospitalization and high safety.

Inlfuence on cervical axial symptom and the rang of motion caused by short-time duration of wearing a cervical collar

WANG Xiaodong,PAN Hao,JIANG Yuanyuan,WANG Jianzhong,GAO Wenshan

2013, 30(4):  14-18.  DOI: 10.3969/j.issn.1674-490X.2013.04.004

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Objective To assess the cause of axial symptom and the degree of inlfuence on cervical range of motion and axial symptom caused by the different duration of wearing a cervical collar in patients undergoing open-door laminoplasty. Methods From January 2010 to September 2011, a total of thirty-six patients underwent open-door laminoplasty and wore a cervical collar for 4 weeks .All of them were classiifed as group A. As the same, from January 2009 to January 2011 twenty-two patients wearing a cervical collar for 8-12 weeks were classiifed as group B. In both groups the neurologic recovery rate, cervical range of motion and axial symptom were recorded and compared. Results There was no signiifcant difference in the neurologic recovery rate between the two groups. But in group A, the cervical range was maintained effectively than that of group B (P<0.05). Meanwhile there was signiifcantly difference in axial symptom (P<0.05). Conclusion Patients treated with open-door laminoplasty, wearing a cervical collar can gain a good neurologic recovery rate, maintain the cervical rangeeffectively and reduce axial symptom obviously.

Clinical observation on the treatment of external humeral epicondylitis in 50 patients with heated Chinese medicine permeating combined with triamcinolone acetonide

SHI Shaobing,WANG Feiran,WU Liping

2013, 30(4):  19-22.  DOI: 10.3969/j.issn.1674-490X.2013.04.005

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Objective To observe the clinical curative effects of heated Chinese medicine permeating with Intermediate Frequency Electric Current combined with triamcinolone acetonide in the treatment of external humeral epicondylitis. Methods 100 cases with external humeral epicondylitis were divided into the experimental group (50 cases) and the control group (50 cases) randomly. The patients in the experimental group were treated with heated Chinese medicine permeating with Intermediate Frequency Electric Current combined with triamcinolone acetonide, and the controls were treated with triamcinolone acetonide only. Results The experimental group had a better improvement in elbow pain and gripping indices than the controls, and the difference was signiifcant. The difference in the excellent rate and the relapse rate between the two groups was signiifcant (P<0.05). Conclusion Heated Chinese medicine permeating with Intermediate Frequency Electric Current combined with triamcinolone acetonide has good efifciency in treating external humeral epicondylitis.

Study on Xuefu Zhuyu Decoction in curing metrorrhagia and metrostaxis

ZHAO Mukun,LIU Chunlei

2013, 30(4):  23-25.  DOI: 10.3969/j.issn.1674-490X.2013.04.006

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Metrorrhagia and metrostaxis is a common emmeniopathy disease,of which pathogenesis are viscera dysfunction,chong-ren impairment,not restricting the menstrual blood,so the menstrual bleeding time irregularly and menorrhagia or dripping from the uterus.The common reasons are kidney empty,spleen deficient,blood-heat and blood stasis.The blood stasis is one of the main causes. The main treatment of this disease is activating blood and dissolving stasis, promoting qi circulation and relieving pain,with iflling deifciency and supporting vital energy,and regulating chong-ren.The representative of Chinese Traditional Medicine prescription is Xuefu Zhuyu Decoction.

Clinical analysis on male OSAHS patients with central obesity and peripheral obesity

LI Zheng,ZHANG Zeming

2013, 30(4):  26-28.  DOI: 10.3969/j.issn.1674-490X.2013.04.007

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Objectives To analyze two kinds of obesity in male patients with obstructive sleep apnea hypopnea syndrome (obstructive sleep apnea - hypopnea syndrome, OSAHS) between central obesity and peripheral obesity group by comparing the sleep apnea low air index (AHI) and minimum blood oxygen saturation (SaO2) level. Methods Central obesity male OSAHS patients (central obesity group) and peripheral obesity OSAHS patients (peripheral obesity group) were selected randomly, and each group consisted of 30 patients respectively. AHI and SaO2 level of the patients were recorded, and the difference between two groups were compared statistically. Results AHI of male OSAHS patients in central obesity group was higher than that of the peripheral obesity group, while minimum SaO2 was lower than that of the peripheral obesity group, the differences were statistically significant. Conclusion Male OSAHS patients with central obesity are more serious than peripheral obesity patients, and central obesity is a greater inlfuence on OSAHS.

The clinical observation of treatment of tubal obstruction infertility tubal under placental tissue fluid joint hysteroscopic

LI Rui,LIANG Yijuan,GAO Yana,LIU Jin

2013, 30(4):  29-31.  DOI: 10.3969/j.issn.1674-490X.2013.04.008

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Objective To investigate the placental tissue lfuid therapy combined hysteroscopic tubal obstruction infertility. Methods 50 cases of patients with infertility to exclude male infertility factors, and the woman of the other aspects of infertility factors, line salpingography, and bilateral tubal obstruction, were randomly divided into two groups, of which 25 were divided into study groups given placental tissue fluid treatment underwent hysteroscopic tubal, remaining 25 patients as a control group, a simple application tubal. Results After treatment placental tissue fluid combined with hysteroscopy pregnancy rate of the treatment group compared with the control group improved signiifcantly. Conclusion Clinically it is proven, placental tissue lfuid combined hysteroscopic tubal obstruction infertility fallopian tube recanalization rate can increasa chances of pregnancy, which is worthing promoting.

Changes of serum cortisol level and its prognosis in full term infants with asphyxia

ZHU Weina,YANG Mei,HE Xin,MA Jing

2013, 30(4):  32-35.  DOI: 10.3969/j.issn.1674-490X.2013.04.009

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Objective To observe the effects of different degree of asphyxia on cortisol levels change in full term infants’ serum cortisol levels as the monitoring indicators. Methods 90 full term infants were selected, 28 cases with mild asphyxia and 32 cases with severe asphyxia, 30 cases with no suffocation as the control group. 2mL venous blood was collected to test the serum cortisol levels within 24 hours and a week after birth. Results (1) Serum cortisol of full-term infants with mild asphyxia and severe asphyxia was obviously different in 24 hours and 7days after birth. (2) The difference of serum cortisol was obvious in 24 hours after birth between group with mild asphyxia and the control group, while it became subtle in a week. (3) The difference of serum cortisol was obvious both in 24 hours and a week after birth between group with severe asphyxia and the control group. Conclusion Full-term infants have already perfect adrenal cortex function, and serum cortisol levels are related to the asphyxia degree.

Clinical observations on red-blue light combined with minomax in the treatment of acne vulgaris

SHEN Juan,ZHANG Weina,ZHANG Dan,CHEN Suqin

2013, 30(4):  36-38.  DOI: 10.3969/j.issn.1674-490X.2013.04.010

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Objective To evaluate the clinical efficacy and safety of joint red-blue light combined with minomax therapy for acne vulgaris. Methods Oral minomax 100mg daily and continued for 20 days. Topical clindamycin and metronidazole liniment, 2 times a day. Alternating red-blue light irradiation, 2 times a week for 4 weeks. Results After four weeks, the cure ratio was 62.3%in treatead patients, and the effective ratio was 89.1%. Conclusion Red-blue light combined with minomax therapy for acne vulgaris is safely and effectively, and patients have higher satisfactions with it.

Investigation on the prevalence of tobacco exposure and the relative knowledge, attitude among college students in Baoding

SONG Huijun,LIU Fengge,MI Guangming,JI Wenqi,ZHAO Yu

2013, 30(4):  39-43.  DOI: 10.3969/j.issn.1674-490X.2013.04.011

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Objective To understand the status of tobacco exposure in college students and their relative knowledge, attitude, so as to provide evidence for college tobacco control. Methods With stratiifed cluster sampling method, a questionnaire survey was carried out among 2 730 college students chosen from 4 universities in Baoding. Results 95.3%valid questionnaires were reclaimed. Among the 2 602 College Students, the proportion of smoking was 12.9%in total. There was a difference in the rate of current smoking between males(22.3%)and females(0.17%)(P<0.001). About the current smoking rate in male students, it had a tendency of getting worse in the higher grades(P<0.001). The passive smoking rate was 24.6%in 2 267 non-smokers, and the male students had a higher rate of passive smoking than female students(P<0.001). Their knowledge was limited although they had known a certain points about the harm of tobacco exposure. 38.2%of the students were disgusted very much with passive smoking, but only 16.3%of them would take the initiative to discourage the smokers from smoking. Conclusion Smoking and passive smoking among college students was popular. Their ability of refusing to smoke was weak. Active propaganda and health education for cigarette smoking and passive smoking control should be enforced in universities.

Epidemic analysis on Brucellosis in Baoding from 2007 to 2012

LI Wei,LIU Yanli,WANG Meng

2013, 30(4):  44-49,59.  DOI: 10.3969/j.issn.1674-490X.2013.04.012

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Objective To analyze epidemic distribution of brucellosis in the city of Baoding from 2007 to 2012. Methods The epidemic data of brucellosis in Baoding from 2007 to 2012 were analyzed epidemiologically, according to Disease Surveillance Information Reporting System. Results Human brucellosis was distributed in 24 counties out of 25 of the whole city. And the incidence was 1.36 to 2.38 hundred thousandth. From 3-month-olds to 83-year-olds, the patients were mostly the young and adults. The ratio of male and female patients was 2.59: 1. Brucellosis cases, which occurred more frequently from April to August, were apparently seasonal. Occupationally, stock breeding farm workers, butchers and fur processors were at high risk of infection. Conclusion The incidence of human brucellosis in the city of Baoding has been high since 2007. Public awareness had improved, since surveillance and health intervention has been continuously carried out by health department. Meanwhile, the separation of knowledge and behavior still exists. Eliminating animal brucellosis is the primary strategy, and multi-sector, inter-regional joint prevention and control by health, animal and other departments are actually the fundamental policies of human brucellosis control.

The urinary iodine level of children at 8-10 years old in Yixian County in 2012

ZHANG Jinguo,WANG Yanhui,SUN Xiaoli,LI Tieku,LIU Jianhua,FU Lane

2013, 30(4):  50-53.  DOI: 10.3969/j.issn.1674-490X.2013.04.013

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Objective To know the urinary iodine levels of school-age children at 8-10 years old in Yixian in 2012. Methods Five towns were selected at random in the range of the county according to azimuth (east, west, south, north and center). One elementary school was randomly chosen in every town of the ifve. And 20 urine samples of children at 8-10 years old were randomly drawn in every school selected and the iodine contents were determined through arsenic cerium catalytic spectrophotometric method. Results 240 urine samples of school-age children in 2012 were detected, The median urinary iodine was 256.67μg/L. The urinary iodine contents of the samples below 100μg/L were less than 50%, and the ones below 50μg/L were less than 20%. Overall, the highest values of urinary iodine stayed at between 100-400μg/L, showing positively skewed distribution that was skewed to the right. There was no great disparity in the urinary iodine levels of school aged children from different ages, genders, ethnic and area groups (P>0.05). Conclusion The median urinary iodine is at an appropriate range on school-age children in Yixian. We should continue implementation the new standards of edible salt, and continually strengthen the monitoring and intervention of urinary iodine to achieve the desirable range.

Qualitative analysis of children’s diets from a kindergarten of a community located between urban and rural areas in Baoding city

LIU Shufang,YANG Yang,YANG Yang

2013, 30(4):  54-59.  DOI: 10.3969/j.issn.1674-490X.2013.04.014

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Objective To know the current situations of children’s diets in kindergartens of rural-urban areas in Baoding and evaluate the nutrition quality, then supply scientiifc evidence for making nutrition diets which are suitable for kindergarten children’s physiological demand. Methods Through random selection of children’s diets from HuaYuanli kindergarten of rural-urban areas in Baoding HeBei Province, we analyzed the nutrition structure of children’s meals. We collected eight continuous weeks and once a week. Meanwhile, we evaluated the diet quality of these recipes according to the two guides which are Nutritious and Healthy Report of Chinese Children 2011-Develop Healthy Diet Behaviors and Promote Healthy Growth of Children and Dietary Guides for Chinese People. Results Kindergartens adopted three meals system at two times a day. Breakfasts were often included of two to three kinds of food-staples and soup, whereas milk and its products were just eaten once a week. Lunches were concluded of staples, stir-fry dishes and soup. However, they seldom ate plucks, seafood and dark vegetables. Dinners were similar with lunches, but contained fewer grains. Extra meals were based on puffed food and fruits. Conclusion The dietary system in this kindergarten is comparative reasonable.Breakfasts have rich nutrition, but lack enough milk and its products. The kinds of food are plentiful in lunches and dinners, whereas foods lack iron, calcium and vitamins. This paper suggests that kindergartens should make nutritious breakfasts, rich lunches and reasonable dinners. Meanwhile, the scientiifc extra meals are also very important.

Self-worth and coping styles of non-medical majors in medical colleges

JIAO Guihua,XIE Bo,YU Yulan,ZENG Jiayong

2013, 30(4):  60-64.  DOI: 10.3969/j.issn.1674-490X.2013.04.015

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Objective To explore the characteristics of self-esteem and coping styles between the medical students and non-medical majors in medical colleges. Methods 150 medical students and another 150 non-medical students from a medical school were selected randomly, each of participants took self-esteem and coping style scale for research. Results (1) Non-medical students’ overall sense of self-worth was higher than that of the medical students (t=2.43, P<0.05). The score on general sense of self-worth for non-medical students, including personal orientation(t=2.38, P<0.05) and social orientation (t=2.38, P<0.05) was higer than that of medical students. There was no signiifcant difference between the two groups concerning special sense of self-worth. (2) The score on mature coping style types for non-medical students was higer than that in medical students (t=3.07, P<0.01). (3) Students’ coping styles were associated with theirs presence of self-worth. Conclusion We suggest that in order to improve students' self-esteem, mature coping style, and shape a healthier personality, medical colleges should try to design better courses, training goals and directions of running the optimal based on the different personality traits of medical and non-medical students.

Experiences of foreseeable nursing in 21 patients with occipitocervical malformations

ZHANG Xiangqin,ZHAO Po,CHEN Yanping,HAO Mengran,WANG Ruiping,SUN Qian

2013, 30(4):  65-67.  DOI: 10.3969/j.issn.1674-490X.2013.04.016

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Occipitocervical malformations is a common entity in neurosurgery, the surgical treatment has always been a challenge in clinical practice due to complex regional anatomy. Such patients need focused and careful care in perioperative period. In this study we evaluated the foreseeable nursing in 21 cases with occipitocervical malformations. Nurses were required to observe with patients closely, assess the patients' condition, foresee the trend of the patient's condition. No complications due to nursing care were developed, and favorable outcome achieved in this group.

New view on proper exercises in preventing diabetes

HE Haiyan,SHI Shutang,WANG Baozhi,TANG Weiping

2013, 30(4):  68-71.  DOI: 10.3969/j.issn.1674-490X.2013.04.017

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For type 2 diabetes’s prevention and treatment, proper motion is regarded as one of the most effective nonpharmacologic methods. Many studies confirm that appropriate exercise can improve insulin sensitivity, reduce body fat, increase glucose uptake. Taking measures to prevent the amylin peptide deposition, reducing visceral fat through exercise or blocking amylin peptide generation through drugs can prevent islet B cell function failure, protect endogenous insulin secretion, delay the onset of type 2 diabetes mellitus and its complications and development. The mechanism of appropriate exercise for diabetes prevention and cure, insufifcient exercise leading to diabetes, different types of physical iftness exercise prescription for diabetics preparation and implementation, will become the important areas of diabetes research and control. Proper movement of the abdomen will show important signiifcance at the body composition improvement, weight loss, and prevention of type 2 diabetes.

Advance on intestinal mucosal barrier in patients with acute cerebral insult

WANG Huiling,LI Tongkai,LI Qiang,CHEN Yumin

2013, 30(4):  72-74,88.  DOI: 10.3969/j.issn.1674-490X.2013.04.018

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In recent years ,some studies show that acute cerebral insult can damage gut barrier function, resulting in bacterial translocation and endotoxemia, causing multiple organ dysfunction and systemic inflammatory response syndrome, serious impact on the prognosis of patients, this paper describes the different detection index of intestinal barrier function, intending to make the neurology the physician to pay attention to the protect the intestinal function.

Developments of S100B protein in perinatal medicine

LONG Aiyun,WENG Zhanping

2013, 30(4):  75-79.  DOI: 10.3969/j.issn.1674-490X.2013.04.019

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The fundamental diagnostic procedures of perinatal brain injury determined by domestic and foreign scholars are based on the clinical manifestations, cerebral ultrasound, dynamic electroencephalogram monitoring, cerebrospinal lfuid examination, cerebral CT, MRI and doppler ultrasound. However, these methods mentioned above have some shortcomings, such as inconvenience, complexity, poor dynamic monitoring, high medical cost, late for ifnding the brain injury, et.al, which often result in slow diagnosis and treatment. However, the S100B protein coming from the brain itself, as the direct predictive factors of cell injury in nervous system, have some advantages, such as high sensitivity, easy operation, good reproducibility, easy dynamic monitoring, et.al. Furthermore, it can quantitatively observe the brain injury. The paper introduces the biological characteristics, detection methods of S100B protein and the recent developments of its applications in perinatal medicine.

Study on clinical students’ opinion and attitude about medical ethics education in Xinjiang medical university

HE Guixiang,FENG Aiguo,TAO Kunpeng

2013, 30(4):  80-84.  DOI: 10.3969/j.issn.1674-490X.2013.04.020

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Objective To understand attitude of clinical students towards medical ethics education. Methods Questionnaire survey was done in 1145 clinical students of Xinjiang medical university. Results There was no obvious difference on the opinion of whether the one-child should strengthen medical ethics necessity in different ethnic groups (P>0.05). Students of different gender, different grade had different opinions on understanding the necessity of strengthening medical ethics (P<0.05). 97.16%of clinical medical students were willing to select medical ethics. There was a difference on the evaluation results of clinical students about different education stages (P<0.05). Conclusion Gender, school age are the main factors that affect understanding of students for the necessity of medical ethics. To change education methods for medical students of different gender and school age has important signiifcance to strengthen the necessity of ethics.

Training the innovative ability of medical undergraduates with science and technology innovation projects as a guide

WU Suhuan,DANG Zhiyong,DUAN Fei

2013, 30(4):  85-88.  DOI: 10.3969/j.issn.1674-490X.2013.04.021

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Medical undergraduate students' innovative ability is the important measures for medical colleges to implement innovative talents training and social needs. The cultivation of innovative ability includes innovative thinking, teamwork spirit and the cultivation of scientific spirit and scientific research quality. This research group in the process of guiding students of science and technology innovation projects found that college students of science and technology innovation projects can serve as a good way to cultivate students' innovation consciousness and innovation ability, and effective.

Advances on practice teaching model of preventive medicine education

YANG Hongru,ZUO Qun,MA Lixin

2013, 30(4):  89-92,112.  DOI: 10.3969/j.issn.1674-490X.2013.04.022

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Training qualiifed professionals with comprehensive practical skills under the new public health system is the objective of preventive medicine’s education. Strengthening the reform of experimental teaching is the basis of improving students’ practical skills and abilities. Practices have indicated that the teaching environmental changes such as the integration of experimental teaching, the creation of comprehensive experimental platform, the establishment of students’ opening laboratory, applying research-led teaching, conducting simulation scene teaching experiment, breaking the closed type teaching mode to make full use of social resources to make up for their lacks are effective teaching reform ways in training professionals of preventive medicine education.

Advantages and disadvantages and its countermeasures of Multi-media in teaching animal pathology

ZHAO Xiaomin,HUANG Yong,TONG Dewen

2013, 30(4):  93-96.  DOI: 10.3969/j.issn.1674-490X.2013.04.023

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Animal pathology is a bridging course that connects the basic course to clinical course and plays an important role in the veterinary. Now multi-media is used in teaching animal pathology widely and is convenient for teaching, but there are some problems. In order to probe the problems of multi-media during animal pathology teaching, the authors summarize the advantages and disadvantages of multi-media based on their experiences and propose some countermeasures.

Study on teaching pathology with PBL teaching model in promoting multidisciplinary fusion

GUO Ying,JIN Chunting,ZHANG Guohui,FAN Jie,LI Yuzhen,LI Haijun

2013, 30(4):  97-100.  DOI: 10.3969/j.issn.1674-490X.2013.04.024

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Objective To study “problem based learning” (PBL) teaching model to promote the role of the multidisciplinary fusion. Methods Students of grade 2010, ifve-year system medical science image and anesthesia were selected as the research objects, and were divided into two groups, experimental group using PBL teaching, and the control group using traditional teaching. Undertook normal test, ifnal exam, and a questionnaire to students to evaluate the teaching effectiveness. Results The scores of the ifnal grades and normal test in experimental group were signiifcantly higher than those in the control group, and the experimental group survey were found that students in this course had strong interest and could associate many disciplines related knowledge when mentioned one theme. Conclusion PBL teaching model can not only promote multi-disciplinary integration, but also improve students' ability of self-learning and problem solving, which is worthy of further research and extension.

Study on the path how to establish the brand of primary medical care services in the elderly population of the community

LI Xiliang,ZUO Qun,LIU Suping

2013, 30(4):  101-104,112.  DOI: 10.3969/j.issn.1674-490X.2013.04.025

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At present, China's basic medical and health service network has been basically perfect, but in the basic medical service network in actual operation, because of the lack of awareness, the ability of medical services have not been brought into full play. The elderly population has a large number of the crowd, high prevalence rate of diseases, high frequency of seeking medical services, convenient medical treatment characteristics of higher demand in the community. At the present stage, the elderly population can be classified as focus group in guiding primary care. This paper tries to analyze medical features and basic health services for the elderly, explore the speciifc methods for building effective grassroots medical institutions brand, which is based on the correct propaganda, the medical level, establishing and perfecting the archives of health contact to old people, the establishment of the elderly health promotion club and so on, to promote the brand point measures.

Investigation on basic public health service from the perspective of public participation

LI Haishan

2013, 30(4):  105-110.  DOI: 10.3969/j.issn.1674-490X.2013.04.026

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Basic public health service is an important component of public service, thus the discussion will be surrounded in public participation, which is a part of public health. This thesis explained the deifnitions of public participation and basic public health service, and summarized the reasons of the related problems from the perspective of public cognition, public information and public behavior, which were based on the current situation of public participation in basic public health service. Then, the author addressed some countermeasures against the related problems from the following views:establishing public’s concept of health;media’s proper guidance;promoting government’s credibility;and strengthening the construction of medical institutions.