Abstract: Objective　To understand the epidemic characteristics of plague and the phenotypic characteristics of Yersinia pestis strains strains in Dulan County, Qinghai Province, so as to provide theoretical reference for timely adjustment of the local plague surveillance program and prevention of plague recurrence, as well as effective experimental basis for clinical treatment and prevention. Methods　The biochemical characteristics, virulence factor identification and plasmid analysis of 23 Yersinia pestis strains isolated from Dulan County, Qinghai Province from 1964 to 1994 were studied by conventional methods and molecular biology techniques. At the same time, the different region (DFR) method was applied to study the genetic typing of 23 Yersinia pestis strains isolated from Dulan County, Qinghai Province according to 23 different regions of plague genome and the designed primers based on PMT1. Results　Among the 23 Y. pestis strains isolated from Dulan County, 22 strains of Y. pestis were palaeotypic biotypes, and biochemical types were Qinghai-Tibet Plateau type, and 1 strain was incompatible with both biotypes and biochemical types in this area. And 86.96% (20/23) of Y. pestis strains had four virulence factors (F1+, Pst I+, VW+, Pgm+). All of the tested strains produced F1 and Pst I, while 95.65% (22/23) of tested strains were positive for VW, and 86.96% were Pgm positive. All the 23 strains carried three plasmids, with a relative molecular weight (Mr) of 6×106, 45×106, 52×106, and these plasmids formed a stable plasmid spectrum: 6×106, 45×106, 52 ×106. The DFR typing results showed that Yersinia pestis could be divided into two genotypes, namely G05 and G08. Nineteen Yersinia pestis strains were G08 and four strains were G05. Conclusions　The 23 strains of Yersinia pestis isolated from Dulan County were mostly of Qinghai-Tibet Plateau type, and had stable biochemical characteristics. The virulence of Yersinia pestis was strong. The results of plasmid analysis and genotyping showed that the Yersinia pestis had the etiological characteristics of Qinghai-Tibet Plateau, which was consistent with the characteristics of Marmota himalayana plague foci in Qinghai-Tibet Plateau.

目的了解残疾人生活满意度现状,分析社会支持、应对方式与残疾人生活满意度的关系。方法采用生活满意度指数A问卷(LSIA)、应对方式问卷、社会支持评定量表对某省级康复医院残疾病人进行调查。结果与结论不同性别的残疾人在生活满意度、社会支持和应对方式方面都存在差异。残疾人生活满意度与社会支持呈显著正相关;与应对方式中解决问题和求助因子正相关,与自责、幻想、退避和合理化因子负相关。

目的探讨目标健康教育对精神分裂症患者临床疗效。方法将100例精神分裂症患者随机分为研究组与对照组，配合药物治疗的同时，对照组采用传统的健康教育。研究组给予阶段式目标健康教育。患者入、出院时采用护士用住院患者观察量表、健康教育知识测评、满意度调查问卷评定健康教育效果。结果研究组患者出院时护士用住院患者观察量表总分较对照组明显升高（P<0.01），健康教育知识知晓测评表及满意度调查问卷评分均较对照组明显提高（P<0.01）。结论实施目标健康教育能提高精神分裂症患者的疗效。

Objective To explore the effects of conductive education on children with cerebral palsy. Methods 116 children were dividedinto observation group (n=60) and control group (n=56). The observation group received conductive education and the control group receivedcomprehensive rehabilitation therapy. The effects were compared. Results The motor function, performance state and social adaptationin the observation group were better than in the control group after treatment (P<0.05). Conclusion Conductive education can facilitatethe recovery of children with cerebral palsy.

The first-line chemotherapy with platinum-based regimens for 4 to 6 cycles is a standard care in advanced non-small cell lung cancer (NSCLC). However, for patients who got disease stabilization or maximal response after first line chemotherapy, how to choose safe and efficacy anticancer agents to extend first-line treatment and provide a better clinical benefit is deserving of more concerns currently. In this article,the clinical progress of the chemotherapy and molecular targeted agents as maintenance therapy for patients with advanced NSCLC is reviewed.

Atrioventricular septal defect (AVSD)is a frequently diagnosed congenital heart malformation affecting the atrioventricular valves and septa. Heart transcription factors play fundamental roles in atrioventricular valves development and atrioventricular septa formation. Now cardiac transcription factors ( GATA4, NKX2. 5,TBX5 ,ZIC3)have been identified to involve in the pathogenesis of AVSD in humans. Their abnormal expression or function change may cause atrioventricular valve and septa developmental anomalies. Here we review advances in the understanding of the relationship between these transcription factors and AVSD.

By analyzing the current situation of TCM science popularization, We found that internet is serving as the most influential and rapid developing media at present. Therefore, a through excavation and utilization of internet as a tool for TCM science popularization will not only expand TCM science popularization platform, enhance mass foundation, promote mass understanding and recognition of TCM, but also meet the need of TCM self-development.

Objective To investigate the clinical efficiency and immune adjustment of oxymatrine capsule and acitretin in the treatment of psoriasis.Methods Eighty patients with psoriasis were randomly divided into treatment (T) and control (C) groups.The T group took orally oxymatrine one capsule (0.2g) three times a day and one acitretin (10 g) two times a day.The C group only took orally one acitretin (10 g) two times a day.The T and C groups were applied the same drug for external use.Moreover,another 40 normal volunteers were set as normal control group.The peripheral blood T cell subset CD3 +,CD4 +,CD8 +,CD4 +/CD8 + were detected in all the three groups (T,C,and normal) before and after treatment.Results The effective rate was 92.5％ in the T group,and 72.5％ in the C group with statistical significance (x2 =8.66,P ＜ 0.05).The symptom integral decline index of two groups before and after treatment has statistical significance (t =10.02,P ＜ 0.05).For the peripheral T cell subset CD3 +,CD4+,CD8 +,CD4 +/CD8 + in the T group,a significant difference was found between pretreatment and posttreatment [(57.13 ±8.14)％,(37.62 ±7.97)％,(33.01 ±2.97)％,(1.24 ±0.51)％ vs (60.09 ±11.53)％,(43.02±7.67)％,(25.63 ±4.24)％,(1.73 ±0.69)％,t =3.08 ～9.02,P ＜0.01].However,there was not any statistical significance between pretreatment and posttreatment in the C group (P ＞ 0.05).Conclusions The treatment of common psoriasis combined with oxymatrine capsule and acitretin had a good curative effect and it improved the imbalance of peripheral blood T cell subsets.

Objective To summarize the experience of nursing Moyamoya patients undergoing STA-MTA bypass.Method The histories of nursing 14 Moyamoya patients undergoing STA-MTA bypass were retrospectively analyzed to summarize the nursing experience.Result The outcomes of all the 14 patients were good.TCD or DSA showed all the anastomosed arteries were patent, and cerebral perfusion was improved.Conclusion The nursing strategies including careful observation of patients,prevention of cerebral hemorrhage and ischemia and enhanced function exercises is critical for patients’rehabilitation.

OBJECTIVE:To study the protecting and therapeutic effect of compound Zigui capsule on climacteric syndrome and the mechanism of the action in rats,so that it may provide a theoretical basis for clinical treatment METHODS:The climacteric syndrome model was made by ovariectomy in rats and the effects of compound Zigui capsule on hemorheological parameters were observed RESULTS:Compound Zigui capsule could lower blood viscosity,plasma viscosity,blood reduced viscosity and red cell rigidity index It could also inhibit platelet adhesion CONCLUSION:Compound Zigui capsule has obvious preventive and therapeutic effects on rat's climacteric syndrome