To discover medical teaching method which is more funny and effective in early clinical contact education, Eye optical hospital affiliated to Wenzhou Medical University set up oph-thalmic microsurgery experience teaching course for junior medical students and set a variety of eye surgery simulation experience content, such as conjunctival suture surgery, corneal suture surgery, cataract surgery, eye surgery simulation and so on, which can effectively arouse students' professional interest in learning and promote students' thinking and exploration to their profession.

Objective To examine the prevalence of depressive symptoms and related factors among HIV-positive men who have sex with men (MSM) in Shanghai.Methods All of the HIV-positive MSM were enrolled to participate in a cross-sectional study with questionnaire-based interview during Nov.,2014 to Nov.,2015.Depression was measured with a 12-item version of the Center for Epidemiological Studies Depression Scale (CES-D),where a score of 9 had been recommended as the cutoff score to indicate possible depressive symptoms.Results A total of 505 participants were recruited with a median age of 30.Among them,the majority were aged 21-44 (77.2％),non-local resident (64.6％),unmarried (73.1 ％) and university graduate or above (62.1 ％).Depressive symptoms were detected from 235 MSM and the prevalence of depression was 46.5 ％.Multiple logistic regression analysis showed that MSM who were non-local residents (OR =1.66,95 ％ CI:1.01-2.49)and had more than one male sex partner in the past year (OR=2.21,95％ CI:1.43-3.41) were more likely to have depressive symptoms compared with local residents and had only one male sex partner or less.On the contrary,compared with the education level of junior middle school or below and having no long-term partners,those who were senior high school educated (OR=0.39,95％ CI:0.21-0.74) and had homosexual behavior with main long-term partners without condoms (OR =0.38,95 ％ CI:0.17-0.85) had lower risk to be depressive.Conelusions The prevalence of depressive symptoms among HIV-infected MSM is high.Residence,education level,homosexual behavior with main long-term partner and number of male sex partner are significantly associated with depressive symptoms,suggesting psychological interventions should be further explored and studied.

OBJECTIVE To understand and use reasonably the strategy of prevention and management of overwhelming postsplenectomy infection(OPSI). METHODS According to intervention to patients with postsplenectomy by means of education,vaccination,antibotic prophylaxis after April 1998,clinical and follow-up data were reviewed and analyzed from 337 cases patients with traumatic splenectomy from Jan 1992 to Jan 2004,and correlative factors of four OPSI cases were further analyzed. RESULTS Incidence of OPSI descended obviously after intervention(P

Objective To investigate the clinical value of health empowerment theory applied to postoperative rehabilitation management of elderly patients with femoral fracture. Methods A total of 94 cases of elderly patients with femoral fractures hospitalized in the Second Hospital of Jilin University from March 2015 to February 2017 were selected as the research objects. Using random number table method,the patients were randomly divided into the observation group and the control group, with 47 cases in each group. Patients in the control group received routine nursing, and patients in the observation group received nursing with health empowerment theory. Perceived empowerment level, the total incidence of postoperative complications, grade A healing rate of incisions and the situation of hip joint function of patients were evaluated and compared between the two groups. Results There were interaction among different times and groups of the perceived empowerment between two groups, and the differences were statistically significant (P< 0.01). There was no significant difference in the total incidence of postoperative complications between the two groups (P> 0.05). The grade A healing rate of patients in the observation group was significantly higher than that in the control group (P<0.05). The Harris score of patients that six months after surgery in two groups all elevated, and there was significant difference compared with the score before surgery (P<0.05), and the Harris score of patients in the observation group was higher than that of the control group (P<0.05). The good rate of hip joint function of patients in observation group that 6 months after surgery was significantly higher than that of control group (P< 0.05). Conclusions The application of health empowerment theory in elderly patients with femoral fractures is favorable for postoperative rehabilitation, and it can reduce the patients' postoperative pain and improve their hip joint function.