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.

Objective To investigate the clinical efficacy of Tianshu capsule in the treatment of migraine and its influence on vascular endothelial function,hemodynamics.Methods 80 patients with migraine from October 2014 to October 2015 in our hospital were selected as the research subjects,and according to the different treatment methods, they were divided into control group and observation group.The control group was treated with oral flunarizine hydrochloride capsules,the observation group was given Tianshu capsule on the basis of the treatment of the control group.The blood dynamics of the two groups before and after treatment and the clinical curative effect of the patients [the middle cerebral artery (MCA),anterior cerebral artery (ACA),Fu (PCA)after artery peak systolic velocity (Vs)and diastolic peak flow velocity (Vd)index,endothelin (ET)index]were observed.Results The curative effect of two groups was significantly improved compared with before treatment,the total effective rate of observation group (97.50%)was significantly higher than the control group (75.00%)(χ2 =8.54,P<0.05).The related indices of hemodynamics and endothelium were lower than before treatment,and after treatment,Vs of MCA,ACA,PCA in the observation group were (105.02 ±1.12)cm/s,(80.22 ±1.10)cm/s,(60.34 ±1.20)cm/s,Vd of MCA,ACA,PCA in the observation group were (35.22 ±1.13)cm/s,(40.33 ±1.21)cm/s,(21.23 ±1.12)cm/s,which were signifi-cantly lower than those in the control group[Vs of MCA,ACA,PCA:(120.10 ±1.13)cm/s,(95.33 ±1.12)cm/s, (80.21 ±1.13)cm/s;Vd of MCA,ACA,PCA:(42.33 ±1.10)cm/s,(50.23 ±1.10)cm/s,(30.21 ±1.10)cm/s] (t=25.46,25.76,33.38,12.30,17.04,15.55,all P<0.05).Conclusion The curative effect of Tianshu capsule in the treatment of migraine was improved in patients with cerebral blood flow velocity and vascular diastolic function, and is worthy of promotion.

In the period of economic globalization, the importance has been attached to cultural construction better and better, which acts as an advanced idea and model of management. In this article, insufficient concerns in some documents on hospital management are pointed out and the importance of the issue is emphasized. The author suggests that hospital management should learn from enterprises to make cultural construction in routine management, to have it in the assessment of hospital management system and to give great impetus to cultural construction in hospital management.

OBJECTIVE: To investigate the effect of interferon-? and verapamil on the reversal of multidrug-resistance(MDR) in breast cancer cell line.METHODS: Drug-sensitive MCF-7 and ADM-induced MDR phenotypic MCF-7/ADR were taken as in vitro experimental models,which were treated with interferon-? and verapamil in combination or alone,then the cell survival rate,IC50,drug-resistant times and reversal times of different experiment groups were measured by MTT test.The quantitive expression of P-170 on the surface of cells was detected by flow cytometry.RESULTS: Treated by interferon-? and verapamil in combination,the IC50 of adriamycin-resistance was lowered to 0.32 ?mol?L-1,superior to verapamil(1.23 ?mol?L-1) or interferon-?(2.29 ?mol?L-1) alone;the reversal times increased to 51.88 in combination group,superior to interferon-? and verapamil alone(7.25 and 13.49 respectively) and the expression of P-170 were lower than in groups treated with interferon-? and verapamil alone.CONCLUSION: The efficacy of interferon-? and verapamil exhibited a more remarkable efficacy on the reversal of multidrug-resistance(MDR) in breast cancer cell line when used in combination than alone.

Objective To investigate the effect and medical satisfaction of comprehensive intervention on the treatment success rate of patients with traumatic shock.Methods From February 2012 to February 2015,71 patients with traumatic shock were admitted into our hos-pital,and they were randomly divided into the observation group (36 cases)and the control group (35 cases)according to the random num-ber table method.Routine medical measures were adopted in the control group,while comprehensive intervention measures were taken on the basis of routine medical measures in the observation group.And then compared the treatment success rate,complications and medical satisfac-tion rate of the two groups.Results The treatment success rate was 94.44% in the observation group and 74.29% in the control group,the difference was statistically significant (P <0.05).The rate of complications occurred during the treatment was 16.67% (6 /36)in the obser-vation group,while it was 40% (14 /35)in the control group,and the difference was statistically significant(P <0.05).In the observation group,there was 29 cases (80.56%)of satisfied,6 cases (16.67%)of basically satisfied,and 1 cases (2.78%)of dissatisfied.In the con-trol group,there was 19 cases (54.29%)of satisfied,10 cases (28.57%)of basically satisfied,and 6 cases (17.14%of dissatisfied.The difference of satisfaction rate in the two groups was statistically significant(P <0.05).Conclusion Comprehensive inter-vention can efficiently improve the treatment success rate in patients with traumatic shock,reduce the rate of complications occurred during the treatment,help to improve the prognosis of the patients,and improve the medical satisfaction rate of patients.

Since the prevalence of nonalcoholic fatty liver disease (NAFLD)has been rising in recent years,more and more attention is be-ing paid to clinical trials of traditional Chinese medicine (TCM)treatment,which is one of the main methods for treating NAFLD.According to the reported clinical trials,consensus needs to be reached on such key points as syndrome selectivity,diagnostic criteria for disease,con-trol of behavior intervention,and establishment of outcome assessment indices.Considering the recent research progress in the world,these issues are reviewed,in order to provide better measures and suggestions for improving the quality of clinical trials of TCM treatment of NAFLD.

Objective To explore the clinical curative effect of biofeedback therapy on two kinds of functional constipation . Methods 50 cases of patients with functional constipation treated in our hospital from May 2013 to May 2014 were selected as the re-search objects.The clinical data and effects of patients before and after treatment were compared and analyzed .Results Through time monitoring of patients'colons, 72-hour discharge numbers of markers after treatment were improved significantly , with a signifi-cant difference (p<0.05).The quality of life score after treatment was significantly increased, with a significant difference (p<0.05 ) .Results of patients before and after treatment showed that the symptoms was significantly relieved after treatment , with a signif-icant difference (p<0.05).Conclusion The biological feedback therapy treated for two types of functional constipation can effec-tively enhance the therapeutic effect, improve the patients'ability of regulation and control of their own unreasonably physiological ac-tivities.Besides, for its high security, it is worthy of recommendation.

Objective:To analyze statistically the results of potassium, sodium, chlorine tests by blood-gas biochemical analyzer and automatic biochemical analyzer, in order to have a reference data for blood-gas biochemical analyzer in emergency biochemistry examination.Methods: A total of 101 cases were selected in emergency department. Arterial and venous blood samples of these cases were drawn and tested in electrolyte examination by blood-gas biochemical analyzer and automatic biochemical analyzer. The results of both instruments measured were analyzed statistically.Results: The results of potassium, sodium, chloride ion concentrations tested by blood-gas analyzer ABL80 were lower than the results tested by Beckman AU5800 automatic biochemical analyzer. The correlation analysis were performed in each tested item between the two instruments, and the differences were statistically significant(r=0.997,r=0.992,r=0.989;P<0.05).Conclusion: Although there were differences between two instruments in testing potassium, sodium and chloride ion concentration, the correlation was significant in each test item between the two instruments and the testing speed of blood-gas analyzer ABL80 is faster than the other. Therefore, in order to make quick and accurate clinical judgments about patient's condition, it is worth using blood-gas biochemical analyzer for a preliminary reference in clinical application.

OBJECTIVE:To investigate the effect of NGF on release of NO from peritoneal macrophages in mice METHODS:The content of NO in macrophages was detected with Griess agent RESULTS:NGF,in concentration of 0 73mg～5 83mg free amino acid per ml,could significantly inhibit release of NO from peritoneal macrophages in mice CONCLUSION:Inhibiting NO release may be one of the mechanism of NGF in protecting neurons