Objective To explore the clinical effect of Xiyanping injection combined with bifidobacterium in the treatment of infantile virus diarrhea.Methods 80 cases of infantile virus diarrhea were selected,they were randomly divided into control group and research group according to the digital table,40 cases in each group.The control group received intravenous drip ribavirin treatment,the research group received treatment of intravenous drip Xiyanping injection combined with bifidobacterium at the same time.The symptoms disappear time(time of diarrhoea,antifebrile time),length of hospital stay and clinical curative effect were observed and compared between the two groups.Results The indicator of symptoms disappear time (time of diarrhoea,antifebrile time) and length of hospital stay of the research group were (2.19 ±0.43)d,(1.75 ±0.36)d,(4.13 ±0.85)d,respectively,which were shorter than those of the control group [(4.89 ± 0.61) d,(3.68 ± 0.52) d,(7.91 ± 1.13) d],the differences were statistically significant(t =22.89,19.30,16.90,all P ＜ 0.01).The total effective rate of the research group was 97.5％,which was significantly higher than 72.5％ of the control group (x2 =24.5,P ＜ 0.01).Conclusion Xiyanping injection combined with bifidobacterium in the treatment of infantile virus diarrhea has significantly shorter antidiarrheal time,antifebrile time,length of hospital stay than ribavirin,the clinical curative effect is distinct,which is worthy of clinical popularization and application.

Objective To explore the characteristics of family functioning between parents and adolescent and the association of adolescents' self-esteem,and depression.Methods Data were collected from reports of 257 middle school students and their parents in Shanghai,and by self-evaluation questionnaires including the depression scale,the self-esteem scale,and the family adaptability and cohesion scale.Results ①Adolescent perceived more negative than parents in the family adaptability (69.02 ± 11.49),(70.60± 9.60) and cohesion (43.84 ± 9.25),(46.56±7.86),and the difference in family adaptability were significant (t=4.064,P＜0.01).② Adolescents' self-esteem positively related to their family cohesion(r=0.525) and adaptability (r=0.427,P＜0.01),while depression negatively related to family cohesion(r=-0.565) and adaptability (r=-0.475,P＜0.01).③Students in families with high adolescent-parent perceptual differences in family functioning showed more depressive symptom,lower level of self-esteem than those in low adolescent-parent perceptual differences,and the difference were significant (P＜0.05).Conclusion Adolescents' self-esteem,depression symptoms are significantly related to their familyadaptability and cohesion,the adolescent-parent perceptual differences in family functioning may also affect adolescents' psychological well being.

Objective To study the relationship between the activity of interleukin-4 and interferon-? with steroid effect in children with primary nephrotic syndrome before initiation of steroid therapy. Methods The activity of interleukin-4 and interferon-? in the supernatants of monocytes cell cultures activated with phytohemagglutinin was assessed with enzyme-linked immunosorbentassay in 31 children with primary nephrotic syndrome before iniatiation of steroid therapy. After steroid treatment for 8 weeks, data of steroid sensitivity and resistance were analyzed. Results Before initiation of steroid treament, in steroid sensitivity children with primary nephrotic syndrome an increased proliferative response of interleukin-4 was found (P0.05). Conclusion The activity of interleukin-4 is a useful tool for evaluating the likelihood of steroid sensitivity in children with primary nephrotic syndrome.

Objective To detect the renal reserve in senility and deduce the clinic significance.Methods The glomerular filtration rate and filtration fraction were measured in 43 healthy citizens before and after infusion 18-amino acid to investigate the renal functional reserve.Results Before infusion the amino acid,the range of GFR basal value of senile persons was(58～101)ml/min 1.73m 2 mean value was(76?8.5)ml/min 1.73m 2.And after the amino acid infusion,the GFR value was (65～128)ml/min 1.73m 2,mean value was (103?8.1)ml/min 1.73m 2,there was obviously elevation (P

Objective To investigate the effect of fatty acid binding protein 4(FABP4)DNA methylation on abnormal lipid metabolism in placental trophoblastic dyslipidemia. Methods Human placental trophoblast cell line(HTR-8)was treated with L-NAME of 100 μmol/L for 48 h. The lipid content in placental trophoblasts was detected by chemical enzyme-colorimetry. The FABP4 DNA methylation level in placenta trophoblasts was detected by nested-touch down methylation specific PCR (NT-MSP). the mRNA and protein expression of DNMT1 and FABP4 were detected by qRT-PCR and Western Blot,respectively,in trophoblast cells. Results The lipid content in trophoblasts significantly increased as compared with the control(P < 0.05). Expression of FABP4 mRNA and protein increased(P < 0.05),while FABP4 methylation level and expression of DNMT1 significantly decreased (P<0.05)after treatment with L-NAME. Conclusions FABP4 DNA methylation is involved in the regulation of lipid metabolism in placental trophoblastic cells of hypertensive disorder complicating pregnancy.

Objective To discuss the effect of 7S on-site management to reduce the incidence of hidden dangers of clinical nursing .Methods Sixty nine cases of hidden nursing dangers reported on our hospital intellectualization nursing management system from June to December 2012 were collected .High risk factors of hidden dangers were listed according to the feedback analysis .7S theory was introduced since January 2013 to establish standardized management mode , QCC method was adopted for continuous quality improvement , and hidden nursing dangers from January to June 2013 were collected .Changes of nurses'emergency ability and nursing safety related quality indicators were compared before and after the implementation of 7S on-site management.Results The incidence of hidden nursing dangers was 0.64%before 7S on-site management, and 0.34%after, with statistically significant difference (χ2 =10.78,P<0.05).The pass percentage of emergency assessment, environmental safety and ward management , technical operation, nursing medical record writing quality and patient satisfaction was respectively 97.6%, 96.4%, 98.6%, 98.1%, 96.3% after 7S on-site management, all higher than 89.5%, 90.1%, 91.3%, 93.4%, 92.7% before, and the differences were statistically significant (χ2 =28.69, 32.11, 36.36, 38.84, 37.07, respectively;P<0.01).Conclusions The introduction of 7S on-site management into nursing safety can simplify its process , shorten service radius, improve nurses'emergency ability and nursing quality , and reduce the incidence of hidden dangers .

Objective? To analyze the risk factors of nosocomial infection in the pediatric ward in a hospital and nursing care for relevant prevention and control. Methods? Totally 1 460 pediatric inpatients admitted in Taizhou First People's Hospital from June 2017 to January 2019 were retrospectively analyzed and divided into the infection group and the control group according to the existence of infection. The children＇s medical records were organized; the risk factors of nosocomial infection in pediatric inpatients were analyzed;and relevant nursing measures were summarized. Results? Nosocomial infection was found in 89 out of the 1 460 children; most children were found with respiratory tract infection and digestive canal infection in the infected children, which accounted for 36 cases (40.4%) and 23 cases (25.8%), respectively; the proportion of children aged ＜3 years, hospitalized for ＞10 days, with malnutrition, invasive operation, receiving antibiotics for ＞10 days, or receiving immunosuppressors or unqualified sterile operation in the infection group was higher than that in the control group, and there was statistically significant difference between the two groups (P＜ 0.05). Logistic regression analysis revealed that nosocomial infection in pediatric inpatients was associated with length of hospital ＞ 10 days, invasive operation, use of antibiotics for ＞ 10 days, use of immunosuppressors and unqualified sterile operation. Conclusions? Pediatric inpatients are prone to nosocomial infection, and the type of infection is mainly respiratory tract infection and digestive canal infection. Relevant nursing measures should be taken based on the factors of infection in order to reduce the incidence rate of nosocomial infection in children.

Chronic disease medication adherence is directly related to the health and hospital admission rate of the aged in the community. This article reviews the progress of community interventions on medication adherence for elderly patients with chronic diseases at home and abroad, and systematically introduces the intervention objects, intervention locations, implementers, evaluation indicators, intervention implementation and effects, and cost-benefit evaluations, and puts forward thoughts and suggestions for existing problems so as to provide a reference for future community nursing intervention and research.

Intensive Care Unit (ICU) nurses, as the front-line personnel who directly care for critically ill patients, play an important role in clinical antimicrobial stewardship practice. Knowledge and attitudes of ICU nurses involved in antimicrobial stewardship directly affect the implementation effect of antimicrobial stewardship behavior. This paper reviews the current situation and influencing factors of ICU nurses' antimicrobial stewardship knowledge, attitude and practice at home and abroad, and proposes targeted intervention strategies, so as to provide reference and basis for promoting the sustainable development of antimicrobial stewardship in medical institutions in China, related research, education and training.