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.

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 the HPLC fingerprints of Apocynum Venetum leaves, determine the content of Quercetin in the sample and evaluate the variety and quality of commercial Apocynum Venetum leaves. METHODS: Quercetin was separated on Zorbarx-C18(250 mm?4.6 mm, 5 ?m),and the mobile phase consisted of methanol and 0.4% H3PO4(gradient elution) at a flow rate of 0.9 mL?min-1 with the detective wavelength set at 360 nm. RESULTS: The precision of Quercetin was satisfactory(RSD=0.21%,n=6),and the solution of Apocynum Venetum leaves was reproducible and stable within 10 hours. CONCLUSION: This study serves as a scientific basis for the identification and quality evalution of Apocynum Venetum leaves.

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.

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.

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.

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.

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.