Acupuncture and Tuina plus functional training were used to treat forty cases of shoulder impingement syndrome. Twenty-seven cases were cured clinically, accounting for 67.5%; 9 cases had marked effectiveness, accounting for 22.5%; 3 cases had effectiveness, accounting for 7.5%; 1 case obtained no effect, accounting for 2.5%; the total effective rate was 97.5%.

Objective To obtain a two-dimensional evaluation result of the quality of examination paper on fundamental nursing and the students' performance,so as to find the weakness and problems in teaching and learning,and to put forward some suggestions.Methods With the S-P chart analytic system which was designed by using the technology of Excel VBA,we made an analysis of 164 papers of fundamental nursing.Results Both the P-curve and S-curve were in the lower right corner.There wasn't any long vertical line in P-curve.There wasn't any long horizontal one in S-curve either.Caution index of 4 questions and 15 students exceed 0.75.The totality difficulty index of the paper was 0.79.The suitability index was 0.43.The stability index was 0.48.Conclusions Propositional contents about physician orders management,gastric lavage,administering medication,observation of disease and pain need to be reformed into both wide coverage and clear focuses.There are no faults in students' grades.Different learning levels do exist,but with little difference.S-P chart affords multiplex and huge amount of information.Its graphics and parameters help to analyze both the students' and teachers' performance from the macroscopic and microcosmic angle,so as to make teachers self-reflective on teaching fundamental nursing and producing papers from various aspects.

Hemorrhage ; etiology ; physiopathology ; Humans ; Time Factors ; Vitamin K Deficiency ; complications

No abstract available.
Child ; Male ; Female ; Humans

PURPOSE: The purpose of this study was to determine the relation between test anxiety and mental health in adolescents. METHOD: The subjects were 450 students of two academic high schools in J City, who were selected through convenient sampling. Data were collected through a survey using a structured questionnaire from September 1st to 15th 2005. Collected data were analyzed using SPSS 10.0 for Windows through descriptive analysis, Pearson's Correlation Coefficient, t-test, ANOVA, Scheffe's test and stepwise multiple regression. RESULT: The mean score of test anxiety was 2.40 (range:1.13-3.81) and that of mental health was 2.77 (range:0.64-5.03). A significant negative correlation was observed between test anxiety and mental health (r=-0.28, p=.000). Test anxiety was significantly different according to adolescents' general characters such as gender (t=-1.98, p=.048), grade (F=3.54, p=.030), school life satisfaction (F=10.73, p=.000) and relationship with the teacher (F=11.60, p=.000). Mental health was significantly different according to adolescents' general characters such as religion (t=2.14, p=.032) and school life satisfaction (F=4.13, p=.017). The most powerful predictor of mental health was test anxiety and it, combined with religion, accounted for 9.0% of variance in mental health in adolescents. CONCLUSION: Test anxiety and mental health was found to be in a significant negative correlation with each other in adolescents. Therefore, nursing intervention programs for adolescents needs to reduce their test anxiety to improve their mental health.
Adolescent* ; Anxiety* ; Humans ; Mental Health* ; Nursing ; Surveys and Questionnaires

Bacterial Vaccines ; biosynthesis ; Drug Resistance, Bacterial ; genetics ; Genetic Engineering ; Humans ; Leptospira interrogans ; genetics ; immunology ; pathogenicity ; Leptospirosis ; prevention & control ; Mycobacterium tuberculosis ; drug effects ; genetics ; Streptococcus pneumoniae ; drug effects ; genetics ; Vaccines, Synthetic ; biosynthesis

Patient satisfaction evaluation is an important approach in hospital management. Since the health services have traits of service, specialty and some extent of public welfare, patient satisfaction evaluation meets doubts about the reliability of its results and the effectivity of its application in hospital management practice. The paper summarizes the difficulties in patient satisfaction evaluation from perspectives of theory, institution and technology, and puts forward some suggestions on improving the reliability of evaluation results and enhancing the effectivity of application of evaluation results.

Objective To compare the effect of extracapsular cataract extraction and phacoemulsification. Methods Three hundred and twenty-six cases (360 eyes) of senile cataract were divided into two groups by random digits table with 163 cases (180 eyes) in each. One group underwent phacoemulsification (phacoemulsification group),and the other group underwent extracapsular cataract extraction with small incision(no-phacoemulsifieation group). A comparison was carried out between the two groups of the vision and complications after operation. Results In phacoemulsification group,7 d after operation 18.33%(33/180)had 0.4 or less in vision,66.11%( 119/180) were 0.5-0.9,15.56%(28/180) were 1.0 or better. In no-phacoemulsification group,7 d after operation, 18.89% (34/180) were 0.4 or less in vision,66.67% (120/180) were 0.5-0.9,14.44% (26/180) were 1.0 or better. During operation,posterior capsular ruptured and vitreous prolapsed in 4.44% (8/180) in phacoemulsification group and 3.33%(6/180) in no-phacoemulsification group. Corneal edema:there were 16.11%(29/180) in phacoemulsification group and 17.22%(31/180) in no-phacoemulsification group. The curative effect between the two kinds of operation mentioned above was almost the same and had no significant difference (P ＞0.05). Conclusion The no-phacoemulsification is simple and economical, wihch is suitable for basic hospitals.

Objective:To construct and identify the small hairpin RNA(shRNA) expression vector for Smad 4/DPC 4 gene. Methods:Three shRNA sequences targeting Smad 4 were designed by software and cloned into the expression vector pGCsi-H1/Neo/GFP.DNA sequencing was used to confirm that the plasmids were constructed correctly.The constructed plasmids with different shRNA and the control plasmid were transiently transfected into the 293 cell line cells.Fluorescene quantitative PCR was used to detect the efficiency of RNA interference against Smad 4. Results:Double enzyme(HindⅢ and BamHⅠ) digestion(analysis) and DNA sequencing confirmed that Samd 4 specific shRNA expression vectors were constructed successfully.Fluorescene quantitative PCR showed that the inhibition rates of Smad 4 mRNA expression in cells transfected with shRNA expression vector psiSmad 4-1,psiSmad 4-2 and psiSmad 4-3 were 39.00%,8.80% and 73.80%,respectively,which indicated Smad 4 mRNA expression was specifically inhibited. Conclusion:Smad 4 pGCsi-H1/Neo/GFP/shRNA plasmid was constructed successfully,which may provide a novel applicable strategy for gene therapy and study of its role in carcinogenesis.

Objective To observe the changes of serum adiponectin and free fatty acids in different glycometabolic states and to ex- plore their roles in the development and progression of diabetes. Methods The serum adiponectin and free fatty acids in 25 subjects with normal glucose (NGT) ,27 subjects with impaired glucose tolerance (IGT) and 25 subjects with diabetes (T2DM) , and the effects of these factors on insulin resistance (HOMA - IR) and islet ficell function(HBCI) were analyzed respectively. Results (1) Serum levels of adiponectin was lower in T2DM and IGT as compared with NGT and the level of FFA was increased in T2DM and IGT compared with NGT and the differences were significance (P