Objective To evaluate the effectiveness of concept maps in developing critical thinking ability in nursing baccalaureates. Methods Divided 60 nursing students into the experimental group and the control group randomly, there were 30 cases in each group. Traditional nursing care plans was used in the control group, while concept maps was used in the experimental group when analysis typical case. Evaluated the critical thinking ability between the two groups by CTDI-CV at the beginning and the end of term. Results The difference of CTDI-CV scores in the experimental group at the beginning and the end of term was significant, while the difference in the control group was not. Conclusions Concept maps can effective improve nursing students' ability of critical thinking.

Objective To investigate the application of no-tumor touch isolation and killing tumor technique in gastric cancer radical cure. Methods 52 patients with gastric cancer underwent D 4 radical therapy from October 1997 to October 2003 in our hospital. No-tumor touch isolation and killing tumor technique was applied to all the cases. 44 patients with gastric cancer received D 1 radical therapy without the application of no-tumor touch isolation and killing tumor technique served as control. The 5-year survival rate of the two groups was compared. Results There were not obvious post-operative complications in the two groups. The 5-year survival rate of D 4 and D 1 radical therapy groups were 42.3% and 18.2%, respectively(P

Objective To explore the significance of non-neoplasma touch and neoplasmacide technology on cancer of colon D_3 radical correction.Methods 67 cases of cancer of colon D_3 radical correction were selected from 1998 January to 2003 March.They were treated with non-neoplasma touch and neoplasmacide technology and their curative effect were compared with the control group treated with D_ 1～2 modus operandi and without non-neoplasma touch and neoplasmacide technology.Results In the treatment group,no complication appeared after the operation.All cases cured.After 3 years follow-up,the recurrence rates were 34.9% in the control group and 14.9% in the treatment group.It had significant difference(P

Objective To investigate the clinical character of axillary node involvement(ANI) in breast carcinoma and provide a theory evidence for breast-conserving therapy. Methods 200 cases of breast cancer from 2000 to 2005 in our hospital were analyzed and were divided into two groups according to the states of ANI or not. The datas about its tumor size,course of disease,axillary lymph node palpared were regiscered. Results When the tumor size 5cm,ANI decreased 26.8% ,when the tumor surgery inside the three months the ANI were 57.1 %. Conclusion Lower ANI rate is related with that the tumor small,after discovered and surgery at once,the axillary lymph node non-palpated and the tumor resected at outpatient department.

Objective To investigate the risk factors of pressure ulcers in elderly patients with hip fracture. Method Single factor analysis was done to investigate the possible risk factor by looking into the clinical data of 147 elderly patients hospitalized in our hospital during January 2010 and December 2014 to find out the varieties with statistical significance were introduced onto Logistic regression model for multivariate analysis. Results During hospitalization, 55 patients contracted pressure ulcers, accounting for 37.4%. Seven factors including diabetes, malnutrition, conservative treatment like simple traction, obesity, pain score, hypertension and hypertlipemia, were related to the pressure ulcers in elderly patients with hip fracture. The high risk factors included malnutrition and obesity. Conclusion Malnutrition and obesity are closely related to pressure ulcers in elderly patients with hip fracture. It is indicated that we should attack importance to disease assessment and preparation to prevent the occurrence of pressure ulcers.

The US federal government regards health information technology (HIT) as an important action to stimulate growth of the health information economy.To implement HIT,the federal government proposed a tiered plan from organization guarantee,institutional innovation,HIT system design to economy stimulating mechanism,and to health care providers as well.In view of China's HIT development,it is proposed that HIT must proceed with healthcare reform in parallel.Stage-setup by the government,competition among enterprises,and active role of medical service providers constitute fundamental guarantee to ensure HIT go on wheels.Electronic health records of individuals should play key roles in promoting pragmatic and shared medicine health care information system.

Objective To summarize the experiences and long-term follow-up results in the treatment of severe mitral stenosis by balloon expansion in one step. Methods A new one-step method for direct mitral balloon expansion of the mitral valve was performed in 492 patients with mitral stenosis. Their mean age was 41.2?10.5y (15-68 y). 156 patients were male, and 336 were female. Results PBMV was effectively performed in 492 cases,and the success rate was 98.2% (483/492);mitral valve area was enlarged from 0.89?0.18cm 2 to 2.21?0.41cm 2 . 211 cases were followed-up from 8 months to 98 months. Restenosis rate for the dilated mitral valve was 11.4% (24/211),death rate 4.2%(9/211),and mitral valve replacement was done in 5.2% (11/211). Mean operation time was 36.5?12.1min. Conclusion Percutaneous mitral commissurotomy by balloon dilatation gave excellent immediate and late clinical results.

Objective To avoid the adverse reactions resulted from scalp scar, alopecia, operation trauma and the length of recovery and other syndromes in the traditional frontotemporal-face lifting. Methods The small incision to dissect the tissue at the frontoparietal and temporal part was used. And the muscle that caused the wrinkle was cut before lifting the dissected tissue and skin while smoothing the wrinkles on the face. Results Of 68 cases in the clinic, 11 cases were with temporal lifting by embedding suturing; 25 with temporal lifting with mini incision by embedding suturing; 32 with frontotemporal lifting with mini incision by embedding suturing. The follow up showed that the result of such operation method was satisfactory. No scalp scar, alopecia and other syndromes occurred. Conclusions This method of frontotemporal lifting with mini incision by embedding suturing has such advantages as: operating process is simple and can be done in the operating room of the Out patient Department, the trauma is not so serious that it takes little time to recover, the cut is so small that the scar is invisible, frontotemporal face lifting is very positive and satisfactory.

AIM To investigate the relationship between myocardium chymase like activity and cardiac hypertrophy. METHODS The model of pressure overload hypertrophy was eatablished in rats. The changes of the HW/BW and LVH/BW and myocardium chymase like activity were investigated in the two groups of rats. RESULTS In cardiac hypertrophic rats 2,6,12 weeks after operation,the HW/BW and LVH/BW and myocardium chymase like activity were all significantly increased ( P