Objective To explore the effect of psychological capital on nurses′job performance and satisfaction and the mediating role of positive emotion. Methods 523 nurses employed in eight hospitals in Anhui province were selected through multistage sampling and interviewed using questionnaires . Structural equation modeling was used to test the proposed relationships. Results Nurses′psychological capital was significantly positive correlated with positive emotion (r=0.473), job performance (r=0.505) and satisfaction (r=0.358), all P<0.01. Nurses′positive emotion was also significantly positive correlated with job performance (r=0.343) and satisfaction (r=0.452) , all P<0.01. The mediating test showed that nurses′positive emotion acted as a partial mediator between psychological capital and job satisfaction while medium effect accounting for 61.5%(0.24/0.39) of the whole effect. Nurses′positive emotion also played a role of being a partial mediator between psychological capital and two aspects of job performance, professional development ability and scientific research innovation ability,while medium effect accounting for 10.0%(0.06/0.60) and 12.9%(0.08/0.62) of the whole effect, respectively. Conclusions Psychological capital affects nurses′job performance and satisfaction and suggests nurses′positive emotion play a role of being a partial mediator in this relationship.

The chief physician MEI Da-zhao uses TCM for treatment of children with incurable diseases, which is accurate in syndrome differentiation and with obvious efficacy. This article selected 4 cases (liver wind syndrome, convulsion disease, cough, palpitations), and carried out in depth analysis.

Congenital pseudarthrosis of the tibia(CPT) is one of the most challenging diseases confronting pediatric orthopedic surgeon.The goal of the treatment is to achieve primary union and minimize the incidence of refracture and residual deformities.An optimal surgical treatment for the management of CPT is currently unavailable.Combined surgery can obtain good results.However, duo to heterogeneity of the disease, variable patients require individualized treatment to get a better prognosis.

Objective To investigate the relationship of serum level of 25 hydroxyl vitamin D3 [25(OH)D3 ] with insulin resistance (IR) and bone metabolism in diabetic patients with chronic kidney disease (CKD) . Methods From April 2012 to February 2014 ,200 diabetic patients with CKD were selected ,and they were divided into three groups according to eGFR:60 subjects in eGFR> 45 ~ 59 ml/(min?1.73 m2 ) group ,60 subjects in eGFR 30~44 ml/(min?1.73 m2 ) group and 80 subjects in eGFR 15~29 ml/(min?1.73 m2 ) group .Clinical features ,IR and indexes of bone metabolism among different groups were compared .Indexes of bone metabolism between two groups with different HOMA‐IR level were also compared . Results The difference of age ,gender ,BMI ,blood pressure and FPG among three groups had no statistical significance (P> 0 .05) .The difference of duration of diabetes mellitus ,duration of CKD ,urine protein ,blood lipid ,eGFR ,HbA1c ,FIns ,HOMA‐IR and indexes of bone metabolism had statistical significance (P< 0.05) .In 200 patients ,there were 129 patients (IR) with HOMA‐IR≥3.28 ,and 71 patients (non‐insulin resistance) with HOMA‐IR<3.28 .The difference of bone metabolism indexes between two groups had statistical significance (P<0.05) .The serum level of 25(OH)D3 was positively related to HOMA‐IR ,bone mineral density (BMD) at left proximal femur , BMD at lumbar ,P ,Ca and BSAP (P<0.05);while it was negatively related to osteoprotegerin and PTH (P<0 .05) . Conclusion The serum level of 25 (OH )D3 has relevance to IR and bone metabolism in diabetic patients with CKD .

Objective To explore the value of combined application of qualitative detection of TB-DNA serum anti-PPD-IgG and acid-fast staining methods in the diagnosis of tuberculosis infection .Methods Totally 278 pulmonary tuberculosis patients and 121 non-pulmonary tuberculosis patients were collected from Qingyuan people′s hospital during the period from January 2013 to June 2015 .Tuberculosis in patients with TB-DNA qualitative and serum anti-PPD-IgG and acid-fast staining test results was analyzed . Sputum TB-DNA qualitative and serum anti-PPD-IgG detection and joint application of acid-fast staining in the diagnosis of tuber-culosis infection .Results Sensitivities of acid-fast staining ,TB-DNA and serum anti-PPD-IgG in the TB group were 32 .01% , 51 .44% and 48 .56% respectively .The detectable rate of combining TB-DNA with serum PPD-IgG was 67 .63% .The detectable rate of combining TB-DNA with acid-fast staining was 54 .68% .The detectable rate of combining serum anti-PPD-IgG with acid-fast combined rate was 57 .55% .The detectable rate of combining three assays improved to 68 .71% .Conclusion Serum anti-PPD-IgG detection in the diagnosis of tuberculosis is simple ,effective ,qualitative detection of acid-fast staining sensitivity better than TB-DNA ,but it had a poor specificity .Bacteriologic diagnosis are tuberculosis diagnostic gold standard,but the detectable rate for acid-fast bacilli is low .The qualitative of TB-DNA test had a better sensitivity and specificity than other two assay .Combining with three assays could increase detectable rate and improve diagnosis of tuberculosis disease .

Objective:To analyze the work status, existing problems and development strategy of clinical pharmaceutics of Chinese medicine. Methods:The literatures on clinical pharmaceutics of Chinese medicine in recent years were comprehensively analyzed to summarize the present situation, find out the existing problems and difficult points and put forward the development strategy. Results:At present, the main work performed in clinical pharmaceutics of Chinese medicine was as follows:clinical pharmacist of Chinese med-icine made the rounds of the wards in clinics, wrote the medication records, studied the pharmacokinetics of traditional Chinese medi-cine ( TCM) and monitored the therapeutic drugs, monitored and intervened the adverse reactions of TCM, carried out the prescription comment on TCM, studied the boiling, administration and processing methods of TCM, performed the clinical pharmaceutical service and pharmaceutical information service of TCM, and researched the pharmaceutical economics and evidence-based medicine of TCM. Conclusion:Significant achievement and development in clinical pharmaceutics of Chinese medicine have been achieved. However, some problems and deficiency still exist, which should be improved and standardized. The paper puts forward some strategies and thoughts for the improvement of clinical pharmaceutics of Chinese medicine for the purpose of providing reference for the comprehensive development of clinical pharmaceutics of Chinese medicine.

Objective: To study the method for improving reading ability of professional English literature medical engineering graduate students. Methods:Combinations of teaching practice, find out the problems in reading literature, and proposes the solution. Results:Put forward specific proposals for improving the ability in English literature retrieval, literature reading, literature review etc. Conclusion: English literature studying ability is the basis for scientific research of graduate students. Only mastering correct method can improve literature studying ability.

Objective:In order to develop a new standard of curative effect,this study was designed to track the number of CTCs in patients with lung cancer during chemotherapy.Methods:Samples of peripheral blood was taken from each lung cancer patients(n=32) on the day before chemotherapy as well as the third week after the chemotherapy cycle.The samples were subjected to real-time fqRT-PCR.Meanwhile the tumour size was determined by chest X-ray or computed tomograghy. Results:Compared to that of pre-chemotherapy,the expression level of CK19 in the patients significantly declined after chemotherapy(t=4.659,P=0.000 1).The level of CK19 mRNA in patients with SCLC was higher than that of patients with NSCLC(t=1.944,P=0.041).The change of CK19 mRNA correlated well with the type during the treatment.Relatively the shift of SCLC is more obvious(t=6.073,P=0.000 1).Conclusions:The real-time fluorescent quantitative-PCR approach is useful for measuring the relative number of CTCs in a patients' peripheral blood to monitor the effectiveness of treatment,and for designing more comprehensive and reasonable therapeutic regimes at earlier dates for patients.

Objective To observe the effect of glass fiber post combined with gingival retraction in the treat-ment of teeth with severe wedge -shaped defect.Methods 53 patients with 120 teeth treated for severe wedge -shaped defect were selected.All the teeth were given root canal treatment,glass fiber post was applied after root canal prepared and resin was applied to fill wedge-shaped defect after gingival retraction.All the teeth were followed up for 2-3 years.Results In 2-3 years follow-up after treatment,there was no adverse outcome such as crown fracture or root fracture,neither filling material falling off in all the 53 patients with 120 teeth.The effect was good and satis-fied.Conclusion The indication should be strictly grasped and then it is convenient to apply glass fiber post com-bined with gingival retraction to treat premolar with severe wedge -shaped defect,and complete coronal restoration should be avoided to reduce the cost of health care.

OBJECTIVE:To discuss the historical development and management of the dispensary(drugstore) of TCM.METHODS:Approaches and directions for the development of the dispensary(drugstore) of TCM as well as the basis for the importance attached to its management were pointed out by reviewing the historical development and management of the dispensary(drugstore) of TCM.RESULTS & CONCLUSION:The development and management of the dispensary(drugstore) of TCM has achieved a great evolvement after a historical development from rudimentary stage,innovation forming stage,and universal mature stage to boosting stage,however,it is still lag far behind n the development of modern TCM.Therefore,TCM workers should spare no effort to attach great importance to and intensify the management of the dispensary(drugstore) of TCM.