ObjectiveTo investigate the effect for self-management model in improving nurses' working morale, quality of work and self-efficacy.MethodsAll the hospital nurses were chosen as the research object. All the nursing staff was taken with self- management model on the basis of the traditional management. The changes in satisfaction degree of relationship, quality of work and self-efficacy score after three months of self-management model application were compared. ResultsAfter application of self-management model, the satisfaction degree of relationship, score of work quality and self-efficacy for the nurses were significantly better than before the application. The difference was significant.ConclusionsThe self-management model can fully mobilize the initiative of the nursing staff,so as to improve their mental outlook and self-efficacy as well as the quality of care, it is an effective nursing management method.

Objective　To study the effects of super-selected internal iliac artery incubation in the treatment of advanced gynecological malignant tumors. Methods　36 cases of advanced gynecological malignant tumors (16 ovarian carcinoma, 13 cervical carcinoma, 3 vaginal carcinoma, 2 endometrial carcinoma, 1 choriocarcinoma and 1 leiomyosarcoma of uterus) were treated with this method for 48 times. 31 of these 48 times were embolized in bilateral iliac arteries, 13,2 and 1 cases the inferior mesenteric artery, the hepatic proper artery and the ovarian artery were embolized respectively. Results　4 cases showed complete response, 23 showed partial response, no change in 5 cases and in the rest 4 cases the disease was still in progress. The main side effects were slight gastro-intestinal reactions and embolism symptoms but no incubation complication occurred. Conclusion　The super-selected artery of incubation will give high local density of chemotherapeutic drugs and low concentration in general circulation. The effects are better in cervical, endometrial and vaginal carcinomas than in ovarian carcinoma.

The paper briefly describes the current listening teaching in college English and medical humanities:viewing,listening and speaking,analyses and explores the strategies of teaching listening in this course in three aspects,namely training of reasoning ability-to train students to speculate about the main idea according to a number of key sentences and words ; teaching of notetaking skills-to teach students to take down key points of listening materials by applying certain notetaking format,simplified symbols and words of logical relation; teaching of phonetic knowledge-to teach students phonetic knowledge such as liaison,reduction,loss of plosive,assimilation,stress and intonation specifically according to the listening materials.

Objective To explore the emotional socialization development between boys and girls aged 1-3 years. Methods A total of 1008 children were randomly selected with 571 boys and 437 girls. Chinese version of Urban Infant-Toddler Social and Emotional Assess-ment (CITSEA) was used to assess the emotional socialization development situation between boys and girls. Results There were statistical-ly significant differences between boys and girls in the overt behavior domain and ability domain of CITSEA (t>2.136, P<0.05), and was not in the covert behavior domain and imbalance domain (t<1.172, P>0.05). Conclusion There are gender differences in emotional socialization development of children.

Objective To study the role of mestinon-phospholipid complex in promoting the intestinal absorption of mestinon in rats. Methods The mestinon-phospholipid complex was prepared and its composition rate, physico-chemical property and N-octanol/water partition coefficient were examined. Six healthy male rats were randomly divided into two groups. Using the rat model of intestinal absorption, we studied the intestinal absorption rate constant and effective permeability of mestinon-phospholipid complex and free mestinon. Results The composition rate of mestinon-phospholipid complex was (84.02±1.68)%. The characteristic endothermal peak of mestinon disappeared in the DSC curve of mestinon-phospholipid complex. The phase transition temperature of the complex was lower than that of phospholipids, the ultraviolet spectrum profile of the complex was similar to that of mestinon, and the infrared spectrum of the complex was significantly different from that of the physical mixture of mestinon and phospholipid. The particle size of mestinon-phospholipid complex was about (204.6±0.3) nm,and its zeta-potential was (-25.12±0.16) mV. The particle size was largely in a normal distribution. Both the coefficient of recovery and precision of mestinon in intestinal circulating fluid met the requirement. The N-octanol/water partition coefficient of mestinon-phospholipid complex was about 17 folds that of mestinon. The absorption rate constant and the effective permeability of mestinon-phospholipid complex were 2.32 and 2.52 folds those of free mestinon, respectively. Conclusion The mestinon-phospholipid complex can greatly improve the intestinal absorption of mestinon in rats.

Objective To investigate the clinical outcomes of alprostadil in prevention of portal vein thrombosis after splenectomy and devascularization.Methods 113 patients with PHT who were treated with prophylactic alprostadil after splenectomy and devascularization procedures from May 2009 to Apr 2013 were included into the treatment group.112 conservative patients with PHT who were treated with traditional prophylactic anticoagulants after the same operations before May 2009 were included as the control group.The postoperative complication rates,mortality,postoperative drainage volume from the abdominal cavity,blood platelet counts,prothrombin time,liver function,Child-Pugh's scores and portal vein thrombosis rates between the two groups were compared.Results When compared with the control group,the postoperative complication rate and mortality in the alprostadil group were not increased,while the postoperative drainage volume from the abdominal cavity was significantly reduced.The increase in blood platelet counts and prothrombin time were similar in the 2 groups.Furthermore,the extent of hepatic dysfunction on the 3rd and 7th after operation was significantly decreased.On short term follow-up,color droppler ultrasonography showed the portal vein thrombosis rate of the treatment group was significantly lower than the control group,with less extensive degree of thrombosis in the treatment group.Conclusion Alprostadil is a safe and effective anticoagulant which provided better prevention of portal vein thrombosis after splenectomy combined with devascularization.

Objective To discuss clinical effect of anti-inflammatory No.1 on prevention and treat-ment of chemotherapeutic phlebitis. Methods 200 patients undergoing peripheral venous chemotherapy were divided into the observation group and the control group with 100 patients in each group. The control group received routine nursing, the observation group was given local compression with gauze dipped with anti-inflammatory No.1 agents. The incidence of phlebitis was compared between the two groups and un-derwent χ2 test. Results The incidence of phlebitis in the observation group was lower than that of the control group. Conclusions Application of local compression with anti-inflammatory No.1 agents proves to be an effective method in prevention and treatment of chemotherapeutic phlebitis.

Pancreatic sinistral portal hypertension is a localized kind of portal hypertension that usually occurs as a result of the splenic vein obstruction caused by pancreatic diseases.Furthermore,it is also an important cause of upper gastrointestinal hemorrhage.Management in clinical practice should be directed at the sinistral portal hypertension and primary pancreatic diseases.

0.05).Conclusion The group of 13 months age of infants were rarely infected influenza virus in the first time exposure at the age of ≤4 months due to maternal antibodies protection.Whenas,the group of 8 months age who were exposed at the age of ≥5 months,were more easier infected the influenza virus than the group of 13 months age in the first time exposure at the age of ≤4 months.

Objective To determine the long-term outcomes of renal interventional therapy in patients with renal artery stenosis. Methods One hundred thirty-four consecutive patients reveived renal stenting in our hospital. The changes of BP and serum creatitine were measured 24 hours after the procedure and during the first and second year of follow-up. Results All procedures were performed successfully. The mean serum creatitine level increased [(109.8?24.6) ?mol/L vs (99.4?27.8 baseline level) ?mol/L] and the glomerular filtration rate decreased [(57.6?19.3)mL/min vs (68.5?18.9) mL/min] significantly after the procedure. However during the first and second year of follow-up, the serum creatitine level returned to the pre-procedure level. Sixty-four patients attained benefit of BP improvement at about 6 months after renal artery stenting. The mean systolic pressure 6 months after the procedure was (148.6?22.6) mm?Hg (1 mm?Hg=0.133 kPa), which was significantly lower than the baseline level. During the first and second year of follow-up, there were 56 patients (50.6%) and 50 patients (49.6%) achieved BP improvement from renal stenting respectively. Conclusion Renal stenting is efficient and has satisfactory long-term outcomes in treating renal artery stenosis.