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 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.

Objective To explore the clinical nursing path teaching method application in children with mycoplasma pneumonia and its effect.Methods 93 higher vocational nursing students of two classes of Grade 2011 were chosen as the subjects,one class as the experimental group(46),and the other class as the control group(47).The traditional teaching method was used in the control group,while method of clinical nursing path was used in the experimental group.Two groups of nursing students were given closed book exams and questionnaires to evaluate teaching effectiveness of the two groups.SPSS 13.0 was used for statistical analysis,count data using x2 test,measurement data using t-test,test level α=0.05.Results The experimental group students' test scores were significantly higher than the control group(85.26 ± 3.57)vs.(76.39 ± 4.16),and the difference was statistically significant P=-0.02.The survey showed that there were more students in the experimental group than in the control group who made a positive comment on the questionnaire's role in helping improve students'learning autonomy,their critical thinking ability,and promote their grasp of the content of the disease.Conclusion Clinical nursing path teaching method as a new kind of teaching method,can improve the teaching effect.

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 analyze the oil content and fatty acid constituents of Fructus Quisqualis.METHODS: The fatty oil of Fructus Quisqualis was extracted by supercritical fluid extraction (SFE) .The content of oil and compositions of fatty acid were determined by gravimetric analysis and GC - MS respectively .RESULTS:The oil content of Fructus Quisqualis was 27.70% .Among the fatty acids, oleic acid, linoleic acid and palmitic acid were dominant.The unsaturated fatty acids accounted for 63.93% of the total fatty acids, and the major saturated fatty acid was palmitic acid .CONCLUSION: The oil of Fruclus Quisqualis is of highquality,and the analytic results provide scientific basis for exploitation and utilisation of the oil of Fructus Quisqualis.

OBJECTIVE:To prepare compound rifampicin auristilla and to establish a method for its quality control.METHODS:The content of rifampicin was determined by HPLC and the sample was stored under the temperature of(6?2)℃for6months.RESULTS:The linear range for rifampicin was6～60?g/ml,the average recovery was100.33%(RSD=1.23%).The appearance,pH value and contents of the preparation were in conformity with the requirements after storage for6months.CONCLUSION:This preparation method of compound rifampicin auristilla is simple and cheap,and its quality is controllable.

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.

BACKGROUND: BO theory is introduced based on AO theory with the more attention to biological performance of fracture healing, which seriously promote the rapid development of bone plate. OBJECTIVE: To study the effect of the locking compression plate (LCP) by internal fixation on fracture healing of dog bilateral middle tibia. DESIGN, TIME AND SETTING: A contrast study was performed at the Traumatic Orthopaedics Tissue Engineering Laboratory of Southern Medical University from June 2006 to October 2007. MATERIALS: A total of 24 healthy adult dogs weighing 14.5-21.2 kg and of either gender were used to prepare bilateral middle tibia fracture models. LCP was made of 316L stainless steel and provided by Zhengtian Medical Apparatus Co., Ltd., Tianjin. Conventional AO stainless steel plate was provided by Mateshi (Shanghai) Medical Apparatus Trading Co., Ltd. METHODS: Right tibia was treated with internal fixation of LCP as the experimental group, and left tibia was treated with conventional AO plate as the control group. MAIN OUTCOME MEASURES: Samples were performed with X-ray examination, optic microscope, and microangiography, while microvessel image surface fraction was analyzed at 2, 4, and 6 weeks after operation. RESULTS: ① X-ray examination: The fractures healed well in both the experimental group and the control group, but a lot of bone calluses were found in the experimental group; while absorption and attenuation were found in bone cortex in the control group. ② Optic microscope: Bone absorption cavity was found in the control group, and structure of osteocytes was destroyed mostly. Bone absorption cavity was not found in the experimental group, and structure of plentiful osteocytes was intact. ③ Microangiography: A large area of ischemic region was found in bone cortex in the control group 2 weeks postoperatively and still observed 6 weeks postoperatively. A small area of ischemic region was found in the experimental group 2 weeks postoperatively; however, courser and distribution of microvessels were disorder. Six weeks later, the ischemic region disappeared generally, and courser of microvessels generally reached normal level. ④ Microvascular image surface fraction: At 2, 4, and 6 weeks postoperatively, the surface fraction in the experimental group was 1.78, 2.26, and 2.69 times as control group, and there was significant difference between them (P

Objective:To study the effect of substance P on sensation afferent of gastrointestinal tract and the corresponding mechanism. Methods:Forty SD rats were divided into 5 groups:control group,low dosage SP group(75 ng/kg),middle dosage SP group(150ng/kg), high dosage SP group(300 ng/kg)and spantideII+SP group.The electrophysiological method was used to record the change of spontaneous and gastric distention-induced afferent discharge of subdiaphragmatic vagus nerve in each group.Results:Intravenous SP (150 ng/kg,300 ng/kg)caused significantly increasing effect on the spontaneous afferent discharge(P

Objective To discuss the clinical effects and mechanism of using transcervical resection of adhesion (TCRA)combined with reinforcing kidney and removing stasis to treat intrauterine adhesion.Methods From June 2014 to December 2014,70 patients with intrauterine adhesion were selected in our hospital and randomly divided into the observation group and the control group (35 cases in each group).All the two groups had TCRA.The observation group had reinforcing kidney and removing stasis method,while the control group had climen treatment. Both two groups had 3 menstrual cycles of treatment.After treatment,the overall curative effect,menstruation recovery analysis caused by intrauterine adhesions degree before and after treatment and the endometrium,serum E2,FSH and uterine artery blood flow pulsation index and resistance index of the two groups were recorded and compared.Results After 3 menstrual cycles after treatment,the total effective rate in the observation group was 94.3%,which was significantly higher than 7 7 .1 % in the control group (χ2 =4 .2 0 0 ,P <0 .0 5 ).And the primary symptom menstruation recovery rate in the observation group was 97.2%,which was significantly higher than 82.8% in the control group (χ2 =3.968,P <0.05).After treatment,the IUA integral scores in the two groups had significant reduction (t =6.50,3.36,all P <0.05),but the observation group decreased more obviously (t =3.82,P <0.05). After treatment,RI in the two groups declined more significantly compared with before treatment (t =2.23,1.70,all P <0.05),but PI without statistically significant difference compared with before treatment (t =0.38,0.65,all P >0.05).After treatment,the uterine artery blood flow of PI,RI had no statistically significant differences between the two groups (t =0.42,0.56,all P >0.05).During treatment,the heart,liver,kidney,blood and urine routine in two groups were all within the normal range,and the incidence rate of adverse reactions was 11.4% in the control group, which was significantly higher than 2.8% in the observation group (χ2 =3.968,P <0.05 ).Conclusion Using TCRA combined with reinforcing kidney and removing stasis to treat intrauterine adhesion after treatment has better curative effects,which could promote the menstrual cycle of uterine cavity formation and recovery.Its mechanism may be related to uterine blood flow perfusion improvement and womb restoration.