Objective To evaluate the clearance effect of hemodiafihration(HDF) and hemopeffusion combined with hemodialysis( HP + HD) on serum calcium,phosphorus and parathyroid hormone in patients with uremia.Methods Fifty-eight uremia patients treated with maintenance hemodialysis in our hospital from May 2009 to October 2010 were randomly divided into two groups:HDF group (n =29)and HP + HD group (n =29).Patients in HP + HD group underwent HD conventional treatment 5 times and HP + HD.treatment once every two weeks,while those in HDF group underwent HD treatment 5 times and HDF treatment once every two weeks.All subjects were treated for 12 weeks.Serum calcium,phosphorus and parathyroid hormone were detected and analyzed before and after the treatment.Results After therapy,the serum calcium ( [ 2.41 ± 0.32 ] mmol/L v.s.[ 2.22 ± 0.35 ] mmol/L,t =5.47,P ＜ 0.01 ),phosphorus( [ 1.98 ± 0.34 ] mmol/L v.s.[ 1.70 ± 0.31 ] mmol/L,t=8.13,P ＜0.01)and parathyroid hormone( [645.19 ± 184.52] ng/L v.s.[296.79 ± 103.54]ng/L,t =6.54,P ＜ 0.01 ) levels of HP + HD group decreased significantly.Similarly,the serum calcium ( [ 2.43 ± 0.33 ] mmol/ L v.s.[ 2.32 ± 0.37] mmol/L,t =6.72,P ＜ 0.01 ),phosphorus ( [ 1.97 ± 0.36 ] mmol/L v.s.[ 1.83 ± 0.35 ] mmol/L,t =6.47,P ＜ 0.01 ) and parathyroid hormone ( [ 639.47 ± 208.73 ] ng/L v.s.[ 409.91 ± 152.72 ] ng/L,t =5.27,P ＜ 0.01 ) levels of HDF group also decreased significantly.Comparison of the two blood purification methods indicated that the clearance effect of HP + HD on serum calcium,phosphorus and parathyroid hormone was significantly better than HDF( t =4.24 and t =7.24,P ＜ 0.01 ).Conclusion Both HDF and HD + HP could clear serum calcium,phosphorus and parathyroid hormone effectively,while the clearance effect of HD +HP is better than HDF.

ObjectiveTo investigate the influencing factors of preoperative fearful anxiety,and explore the effect of nursing intervention for the improvement of preoperative fearful anxiety. Methods500 cases of surgical patients in our hospital from January 2009 to January 2010 were chosen as the research objects.They were randomly divided into the control group and the observation group with 250 patients in each group.The control group was given routine preoperative nursing care.The observation group was given preoperative nursing intervention.The general information,surgery program,knowledge of surgical program,the patients' family situation and economic situation were taken for statistics.Their SAS score 30 minutes before the surgery was determined,and the influencing factors of preoperative fearful anxiety were analyzed. ResultsThe study showed that the influencing factors of fearful anxiety included:character,education background,family economic status,knowledge of the situation of surgery and other factors.The anxiety score 30 min before surgery was compared,the observation group was significantly lower than that of the control group.The difference between the two groups was significant. ConclusionsThe preoperative fearful anxiety was directly related to patients' own situation and level of medical services.Fully understanding of the situation before surgery and targeted preoperative nursing interventions can effectively reduce preoperative anxiety,and is conducive to the successful implementation of operation and postoperative rehabilitation.

Objective To investigate the psychological state and its correlation factors of family members of elderly cancer patients. Methods A total of 76 family members of elderly cancer patients were investigated with questionnaires with Zung's self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Their psychological state and its correlation factors were analyzed. Results Incidence rate of anxiety of elderly cancer patients' family members was 52.63%, and incidence rate of depression was 46.05%. The mean standard score of SAS and SDS of elderly cancer patients' family members were both significantly higher than domestic norm. Difference of family member's gender, ways to pay health care fee, pain degree and disease condition led to different SAS and SDS score. Conclusions Family members of elderly cancer patients possessed different degree of psychological obstacle which related with multiple factors. Medical staff should not only think highly of patients' psychological state, but also their family members'. And meanwhile they should take corresponding strategy to reduce the incidence rate of anxiety and depression state in those family members.

This article discussed the reform of library cataloguing induced by library standardization and automation from four aspects of expansion of cataloguing scope, the change of cataloguing methods, deep revealing of literature cataloguing, and the elevation of personnel quality.

Objective To study the effects of sucking sputum with face upwards and neck raised in order to supply a new method for sputmn sucking.Methods One hundred and twenty-three patients were randomly divided into the experimental group(n=61)and the control group(n-62).The experimental group adopted modified mode:cleaned up the sputum within the mouth and nasal cavities with the traditional manner firstly,then the patients lay down,the nurses raised the patients'neck softly with one hand,removing the pillows,while putting the hypothenar of the other one on his forehead,kept the airway open to suck sputum.The control group adopted common mode,but using the modified method when the common mode failed.Results There was significant difference in phlegm sucking effect between the two groups(P＜0.01).Besides,the first-time success rate d tube insertion,incidence of trachcotomy,mucosal injury and hemorrhage and satisfaction degree of patients'family were statistically different between the two groups(P＜0.01).Conclusion Sucking sputum with face upwards and neck raised waS superior to the traditional one.

By conducting exchanges of international periodicals,the author graphically categorized publishing information of Taiwan traditional Chinese medicine periodicals,organizations,relevant websites as well as data base in order to provide readers with information from more aspects.The author wished to raise the awareness of the importance of academic communication from both sides by analyzing conditions for the future cooperation between both sides of the Taiwan Straits.This study aimed to stimulate the development of scientific research and of the cause of traditional Chinese medicine by utilizing resources.

The paper introduces the bar code technology applying in medical reports management with the combination experience of Taizhou hospital, including relevant equipments and applying methods, statistics mode for bar code medical records circulation: medical records recovery subsystem, circulation management subsystem, query and return subsystem, bar code production subsystem, etc, as well as noted issues during the operation.

OBJECTIVE:To optimize the preparation technology of Baicalein sustained release microspheres.METHODS:The microspheres containing baicalein were prepared using solvent evaporation technique.Multiple linear regression equation and quadratic polynomial equation were fitted respectively with the mass ratio of the matrix materials,sodium dodecyl sulfate(SDS)concentration in water phase and drug content as independent variables,and with the accumulative drug release percentage at 2,12 and 24 h(Y1,Y2,Y3)as dependent variables.RESULTS:The baicalein sustained release microspheres prepared in accordance with the above technology were spherical and even.The optimized technical conditions were as follows:the drug content was 25%;the ratio of the matrix materials was 3.5;SDS concentration was 0.08%;Y1,Y2 and Y3 were 21.05%,55.70% and 87.75%,respectively.All the three equations fitted using quadratic polynomial equations achieved good fitting results.CONCLUSION:Central composite design is convenient to use and it has satisfactory predictability thus deserving popularization.

Health history,clinical syndrome and imaging examination are key factors for early diagnosis of pancreatic trauma,while the effects of the test of the serum amylase for the diagnosis of pancreatic trauma remain unclear.Laparotomy plays an important role in the diagnosis of pancreatic trauma for patients,particularly urgent patients.The grading of pancreatic trauma functions as a bridge between the diagnosis and treatment of the pancreatic trauma.So far,the organ injury scale grading system proposed by the American Association for the Surgery of Trauma (AAST-OIS) provides guidelines for operative versus nonoperative management in solid organ injuries.Surgery is an important treatment method for pancreatic trauma according to injury control and surgical procedures grading principles.Recently,minimally invasive surgery has been involved in the diagnosis and treatment of the pancreatic trauma.

OBJECTIVE:To establish a method for the simultaneous determination of rhein,emodin,chrysophanol and phy-scion in Niuhuang shangqing pill. METHODS:HPLC was performed on the column was Kromasil C18 with mobile phase of metha-nol-0.5% phosphoric acid(75:25,V/V),the column temperature was 30 ℃,the flow rate was 1.0 ml/min,the detection wave-length was 230 nm,and the injection volume was 10μl. RESULTS:The linear range was 1.50-150 mg/L for rhein,0.95-95 for em-odin,1.30-130 for chrysophanol and 1.15-115 mg/L for physcion(r≥0.995 0);RSDs of precision,stability and reproducibility tests were lower than 2%;recoveries were 97.03%-100.40%(RSD=1.23%,n=9),98.37%-102.50%(RSD=1.15%,n=9),98.03%-101.10%(RSD=1.05%,n=9)and 97.83%-104.50%(RSD=2.16%,n=9). CONCLUSIONS:The method is simple,stable with good re-producibility,and can be used for the contents determination of rhein,emodin,chrysophanol and physcion in Niuhuang shangqing pill.