[Summary] Pruritus is one kind of skin disease that has itching symptom with no primary skin lesions , may develop excoriation , crust and pigmentation secondary . Pruritus is a common skin complication affecting on patients with diabetes ,which is also one of the clues of early diagnosis .This article focus on the etiology ,pathogenesis ,clinical manifestation ,prevention and treatment of diabetes patients complicated with skin pruritus .

Objective:To investigate the difference of amplitude and duration in submental muscles and infrahyoid muscles activities during pharyngeal swallowing between normal adults and post-stroke dysphagia by using surface electromyography technique and analysis system.Method:The clinical data from 30 cases of PSD and 30 healthy controls were collected.ME6000-T8-type sEMG machine was used to collect sEMG of two groups in resting state,saliva swallow and wet swallow,and therefore calculate the average amplitude and duration.Result:①In resting state:there were no statistical difference in the average amplitude of submental and infrahyoid muscles between PSD group and control group(P＞0.05);In PSD group:statistical differences were not observed in the amplitude between submental muscles and infrahyoid muscles;In control group:there were no statistical difference in the average amplitude between submental muscles and infrahyoid muscles;②During dry swallowing:the results indicated that the average amplitude of submental and infrahyoid muscles in PSD group were significantly lower than that in control group;and the duration of submental and infrahyoid muscles was significantly lower with statistical difference(P＜0.05).③During wet swallowing(swallowing5ml water):the average amplitude of submental and infrahyoid muscles in control group were significantly higher than that in PSD group(P＜0.005);and the duration of submental and infrahyoid muscles were also significantly prolonger (P＜0.001);④Intra-group comparison:statistically differences were not observed in the amplitude and duration between submental muscles and infrahyoid muscles for both PSD group and control group(P＞0.05).Conclusion:sEMG could be used as a non-invasive、simple、rapid tool in detecting the sEMG activities of related muscles during pharyngeal swallowing.The average amplitude and duration of submental and infrahyoid muscles can not only preliminarily screen and evaluate swallowing function,but also reflect the complexity and the elevation persistence time of the hyoid bone and the larynx in elevation movement,which were used to evaluate the neuromuscular function and predict the risk of aspiration of patients.

Objective To understand the status of knowledge,attitude and practice(KAP)of foodborne parasitic diseases among senior high school students in Three Gorges Reservoir Region. Methods A total of 1 353 senior high school students were selected with the cluster sampling method and investigated with the questionnaires in Zigui County,and the data were ana?lyzed statistically. Results Among the 1 353 students surveyed,the awareness rates of parasitic diseases,their hazards and transmissions were 62.23%(842 cases),80.78%(1 093 cases)and 83.89%(1 135 cases)respectively. The awareness rate of parasitic diseases in the students of senior Grade One was higher than that of Grade Two(χ2 =7.037,P<0.05). The formation rates of behaviors of refusing of raw food,refusing of unboiled water,and dining at home or school in the students of senior Grade One were higher than those of Grade Two(χ2=6.970,12.749 and 12.921 respectively,and all P<0.05). Fifty?one per?cent(690 cases)of students would not have the food with the infection risk of parasitic diseases. Conclusion The awareness of parasitic diseases of high school students in Zigui County is not efficient,and the health education should be strengthened.

Objective To investigate the current status of nursing information services on the hospital web sites,and provide empirical reference for the development of nursing information services. Methods Seventy three level hospitals were recruited in the study. The famous search engines such as Baidu and Google were used to locate the target hospital web sites. The nursing-related information was recorded and classified. Results Nursing related information could be found on 41(58.6%)hos-pital web sites. The data was not updated timely,and the click frequency was low. The contents were far of abundant and the presentation rates were under 25.0% except the contents of introduction to nursing and nursing news. Conclusions The nurs-ing-related information on the hospital web-sites were insufficient. Nursing administrators should pay close attention to the defi-ciency of nursing information on hospital web-sites and take actions to promote the development of nursing information ser-vices.

Objective To understand the production condition of Chinese medicinal materials in Dingxi City during 2004-2014 from the aspects of planting area, yield of per unit area and total product; To provide technical guidance for future research on Chinese medicinal materials in Dingxi City. Methods Statistics like planting area, yield of per unit area and total product in counties (districts) collected by Dingxi Municipal Statistics Department were adopted for analysis. Results During 2004-2014, planting area of Chinese medicinal materials in Dingxi City reflected an upward trend, and Minxian County had the largest planting area, followed by Longxi County, Weiyuan County. Lintiao County showed the most obvious increase in planting area, followed by Zhang County. Planting area in Anding County and Tongwei County reflected a downward trend. Minxian County has the highest average per unit area yield of Chinese medicinal materials, as the 3.10 t/hm2. Total product of Chinese medicinal materials in Dingxi City showed great changes, and decreased in Anding County. Conclusion Conclusion During 2004-2014, the planting area, yield of per unit area and total product of Chinese medicinal materials showed an upward trend in general and differences in different counties (districts).

Mesenchymal stem cells (MSCs) have been the hot spot of rehabilitation and tissue engineered medicine.Due to their origination from the adult tissues,the multilineage differentiation potential and immune escape characteristics,MSCs become the ideal seed cells for cell transplant treatment.This article summarizes the biological characteristics of MSCs and its application in the treatment of liver disease.

Continual strengthening medical worker's service consciousness in the first condition th eliminate the disputes; serous cultivating dedication spirit is an essential way to avoid the disputes; raising moral state is a crucial factor to avert disputes.

In order to prosecute and implement the regulation how to deal with unskillful and faulty medical treatment and the hospitals must put to the proof concerning no faulty,the author considers the hospital should pay attention to build new doctor-patient relationship.Moreover, the author puts forward some rationalization proposal, such as medical staff should realize that doctors are the main side in the doctor-patient tradiction;medical staff should strengthen the legal consciousness,etc.

Objective To evaluate the merits and demerits of three different closure methods for femoral artery access site in the interventional therapeutic procedures for senile patients with coronary artery disease. Methods We managed the femoral artery access sites in 60 cases undergoing interventional operation using three different hemostasias, including manual compression, Femostop equipment and Perclose suture (20 cases for each group). The procedure time, time for patients staying in bed, expenditure obedience, the percentage of procedure failure and vagal vascular reflex, and local vascular complications were observed and analyzed statistically. Results The study showed that the procedure time in Perclose suture group was about 12 minutes, much shorter than that in finger pressing and Femostop equipment groups (respectively 23 and 55 minutes, P

Objective To explore the clinical value of dynamic electrocardiogram ( DCG) in the diagnosis of coronary artery damage (CAD) in children with Kawasaki disease (KD).Methods A total of 125 cases of children with KD admitted to hospital in recent years was analyzed , without CAD as the control group (83cases), and others as the experimental group (42cases).All cases were undertaken DCG and electrocardiogram (ECG).The results of heart rate, heart Rhythm, and voltage changes were compared be-tween two groups .Results The abnormal rate of total ECG and DCG in the control group was significantly lower than the experimental group ( P <0.01 ) , The total ECG and DCG abnormal rate was no difference in control group ( P >0.05 ) , but DCG abnormal rate of experimental group was significantly lower than ECG (χ2 =15.30, P <0.01).The sensitivity, specificity, Youden index, and diag-nostic accuracy of normal ECG , DCG and Joint were 59.5%, 86.7%, 0.463 , and 77.6%;95.2%, 94.0%, 0.892 , and 94.4 %;95.2%, 84.3%, 0.796 , and 88.0%.Common ECG results were lower than DCG and joint ( P <0.05 ) , But DCG results were sim-ilar with the joint ( P >0.05 ) .Conclusions DCG test provides scientific parameter in the diagnosis of CAD in children with KD , and is superior to normal ECG , but the value of Joint is the same .