The theory of 'restraint subsequent to disorders caused by unrestrained excess' is the essence of the doctrine on yunqi(five successive evolutive phases corresponding to five elements) as well as an important part of the theory of Chinese medicine.It reveals a phenomenon about growth,transformation and restriction that commonly exists in the natural world.Interpromotion and interrestraint of the five elements,opposition and mutual basement of Yinyang,system science,natural phenomena and cultural phenomena are all governed by this theory.This article approaches the theory of 'restraint subsequent to disorders caused by unrestrained excess' from the viewpoint of nature,physiology,pathogenesis,therapeutics and practice,pointing out its significance in the development and clinical modernization of Chinese medicine.

Objective To analyze the pathogens and antibiotic resistance profile in patients with urinary tract infections who were treated from 2011 to 2013 to provide evidence for rational use of antimicrobial agents.Methods SIEMENS MicroScan WalkAway 96 Plus system or API system was used for identification of bacteria and fungi.Antimicrobial susceptibility testing was conducted by disk diffusion method.WHONET 5.6 software was used for data analysis.Results A total of 344 (29.9%) strains of pathogens were detected from 1 151 midstream urine culture specimens,of which 76.5% (263/344)were gram negative bacteria,including E.coli (53.2%,183/344),K.pneumoniae (9.6%,33/344),Proteus (6.1%,21/344),and P . aeruginosa (3.5%,12/344).About 23.5% (81/344)of the isolates were gram-positive bacteria,including Enterococcus faecalis (4.9%,17/344)and coagulase-negative Staphylococcus (4.4%,15/344).ESBLs were produced in 51.9% of the E. coli isolates and 63.6% of the K.pneumoniae isolates.ESBLs-producing strains showed significantly higher resistance rates to cephalosporins,quinolones,tetracyclines,sulfonamides and other antimicrobial agents than non-ESBLs-producing strains (P <0.05).Enterobacteriaceae isolates were highly sensitive to carbapenems (90.5%-100% sensitive).P .aeruginosa strains were relatively sensitive to ciprofloxacin,amikacin and meropenem (83.3%).Gram-positive cocci remained highly sensitive to antimicrobial agents.Regular monitoring and timely analysis of the pathogens of urinary tract infections and their resistance profile are of great importance to rational use of antimicrobial agents.

Objective To investigate the analysis of Magnesium Sulfate labetalol in the treatment of early onset severe preeclampsia and intervention. Methods Randomly selected from 2015 to 2017 years with early onset of severe preeclampsia patients 40 cases as the object of this study, all patients were treated with labetalol and Magnesium Sulfate drug drug treatment, the treatment process of nursing the patients and the nursing results were summarized. Results The blood pressure of the patients were smoothly control, 40 patients were eclampsia, and did not appear the phenomenon of death. And 37 cases of neonatal had a higher Apgar score. Conclusion In Magnesium Sulfate labetalol on early onset severe preeclampsia were treated on the application of nursing intervention, can effectively control the blood pressure of patients, and effectively alleviate the condition.

The Traditional Chinese Medicine is one system of medical theory and practice which combine literae humaniores with natural science.The TCM is the sapiential result of Chinese people against disease during long history which bases on traditional Chinese culture.In order to understand the advantages and features of TCM,it is necessary for us to start from the point of Chinese science and culture.The more national it is,the more international it is.We should avoid overlooking succession to tradition of TCM while pursue modernization of TCM.The cases have shown that the ancient TCM could brilliant in clinic application,makes the past serve the present and makes foreign things serve China are the most important method in modernization of TCM.TCM has scientism,the main way of the modernization of TCM is literae humaniores,which is not equal to TCM scientific. We should not only stress modernization of TCM reasonably,but also include in the modernization of literae humaniores.We should adopt advantages and face challenges,and form a new situation of multiplicate study and develope of TCM.

Objective To application of solution focused approach in the functional gastrointestinal disorders.Methods 64 hospitalized clients with functional gastrointestinal disorders were randomly divided into the observation group and the control group with 32 cases in each group.We applied the normal nursing intervention to the control group,while applied the solution focused approach to the observation group.The anxiety and depression score,score of coping way and gastrointestinal symptoms were evaluated using t test.Results The scores of anxiety and depression,coping way and gastrointestinal symptoms were better in the observation group than those in the control group.Conclusions Adoption of solution focused approach can relieve FGID sufferers'negative emotion,such as anxiety and depression,increase sufferers' coping capacity and symptoms,which demonstrate pivotal significance for rehabilitation of functional gastrointestinal disorders.

Vitrectomy is helpful in the management of ocular trauma,but prolonged inflammation following vitrec tomy may be associated with a high incidence of traction retinal detachment. To test this hypothesis! ma-crophages.the main cellular component of vitreous inflammation,were injected into the vitreous cavity of rabbit eyes following vitrectorny. Fibrovascular proliferation over the medullary rays and optic disc and traction retinal detachment occurred in 13 of 15 vitrectomized eyes injected with macrophages,while in only three of 15 vitrectomized eyes injected with culture medium (controls). These results demonstrate that macrophages are capable of stimulating intraocular cellular proliferation. It is therefore suggested that anti-inflammation drugs and minimization of surgical intervention may improve the prognosis following vitrectomy.

Objective To evaluate the protective effect of prior ?-adrenergic blocker therapy to patients who have PCI therapy.Methods We analyzed 210 consecutive patients undergoing ?-adrenergic blocker,of whom 105 did ?-adrenergic blocker therapy,105 had not.CK-MB、E、NE were tested before PCI,and 6~8 h,16~24 h after PCI.Procedural complications in hospital and 1-year outside outcomes were evaluated.Results (1)There was no significant difference between the two groups on CK-MB、E、NE.(2)Both the in-hospital(2.1% vs 4.1%)and one year (5.5% vs 7.1%)mortality was lower in ?-group than in no-? group.Conclusion Prior ?-adrenergic blocker therapy can reduce the incidence of cardic events.

Based on the histopathological observation of the perforated eyes in 74 cases, it is suggested that, according to the severity of the trauma, perforating eye injuries may be classified into 3 degrees. Those having enucleation done within 1 week after injury were all severe cases; none of them developed sympathetic ophthalmia. The eyes with less and moderate degree of injuries were enucleated mainly duo to secondary complications. Among the eyeballs examinedlater than 2 weeks after injury, intraocular fibropla-sia was found in 49 cases (92%), ciliary membranes in 34 cases (64%), epiretinal membranes in 23 cases (43%), and retinal detachment in 47 cases (89%). Contractive tissues were found in 19 cases with retinal detachment. Cellular proliferation was originated from the wound as well as the intraocular cell elements such as the ciliary epithelium.The following factors might stimulate the proliferation, e.g. incarceration of tissue in the wound, failing of the epithelium to cover the inner surface of the wound, inflammation and intraocular hemorrhage. Therefore, it is important to close the wound as early as possible and to remove blood and inflamed tissue with vitrectomy within 2 weeks after injury.

Objective:To investigate the consistency of two methods in the measurement of bone mineral density in the lateral lumbar vertebra.Methods:The bone mineral densities of the 2nd,3rd and 4th lumbar vertebras in 18 female patients,at a preset side lying position,were measured respectively by two methods(lateral spine analysis,LS and lateral vertebral analysis,LVA) provided by the dual-energy(X-ray) absorptiometry(GE Lunar,Prodigy).The results were recorded and analyzed by SPSS(Version(10.0).) The values of bone mineral density were displayed by boxplot,paired and analyzed by(Wilcoxon's) signed rank test and(Pearson's) correlation analysis.Statistical significance was considered when P(0.05),) and were clearly correlated(P

? AIM: To evaluate efficacy of Ranibizumab and Conbercept for wet age-related macular degeneration ( wAMD) .?METHODS: This was a retrospective case series study. Thirty patients ( 30 eyes ) with wAMD were enrolled to receive intravitreal injections of ranibizumab (0.5mg) on 3 consecutive monthly schedule and 28 patients (30 eyes) with wAMD were enrolled to receive intravitreal injections of conbercept ( 0.5mg ) on 3 consecutive monthly schedule.Best corrected visual acuity ( BCVA ), optic coherence tomography ( OCT ) measurement were compared at 1mo after injections.?RESULTS: One month after every injection, the BCVA increased while the central macular thickness ( CMT ) decreased compared with those before treatment in group A and B (P<0.05).BCVA and CMT changes between two groups were no statistically different (P>0.05).?CONCLUSION:Ranibizumab and conbercept therapy can control the prognosis of wAMD and improve the vision effectively. There is no statistical difference on the curative effect between two drugs for 3mo.