Objective To explore college students'achievement motivation level at basic medical education stage and its influencing factors.Method Achievement motivation scale and open questionnaire were applied in 223 college students at basic medical education stage.The effect of multiple influential factors on achievement motivation was analyzed from the perspectives of pursing for success and avoiding errors by multiple linear regression.Results The results showed that 70.4％ students had low achievement motivation level.Multiple factors had linear regression relation with Ms and Mf(RMs=0.644,RMf=0.898).Academic self assessment and learning attitude can increase the motivation for success significantly(P＜0.001).Performance evaluation and learning objective can significantly increase the motivation for avoiding errors(P＜0.001).Conclusion The study and application of achievement motivation can improve education quality at basic medical education stage.

After an analysis of the urgent need of systematic medical information service in village and township hospitals and doctors and the advantageous conditions for medical academic libraries to provide information service for them, its imple-mentation strategies were proposed and how to promote the construction of libraries and the development of medical cause in villages and townships by providing information service in countryside were pointed out.

10.3969/j.issn.2095-4344.2013.24.023

Objective To investigate the influence of early rehabilitation on cognitive function of patients with acute stroke.Methods 120 acute stroke patients were selected as research subjects,and according to the digital table,they were randomly divided into the study group and the control group.ESS,BI,QOF and NCSE Scale were used to evaluate the limb function,quality of life,cognitive function of patients before and after treatment.Results After treatment,ESS score was higher than before treatment.After treatment,ESS score of the study group was (81.4 ±7.7) points,which was significantly higher than the control group (75.1 ± 4.5) points (t =5.47,P ＜ 0.05).BI,QOF score after treatment were higher than before treatment.BI,QOF score in the study group were (67.3 ± 16.7) points,(8.2 ± 0.4) points respectively,which were significantly higher than those of the control group [(58.2 ± 14.5) points,(7.6 ± 0.7) points] (t =3.19,5.77,all P ＜ 0.05).After treatment,the scores of cognitive function in the study group were significantly higher than those in the control group (t =4.21,7.33,4.77,2.86,7.48,4.06,7.11,4.92,7.23,4.11,all P ＜ 0.05).Conclusion Early rehabilitation treatment can improve the patients' neurological deficit,improve the patients' limb movement disorder and cognitive function,improve quality of life.

Objective To search the effective approach of diagnosis for primarygallbladder carcinoma.Methods A retrospective analysis on clincal pathological data was made for 28 cases of primary gallbladdercarcinoma treated in our hospital from April,2002 to August,2007.Results The presenting symptom of 24 patients was right upper abdominal pain and chief complaint of 3 patients was jaundice.The accurate diagnosis rate preoperative was 96.43%.42.86%of the patients was accompanied with gallstone.In this study,the long-term survivor was in Nevin's Stage Ⅱ.The 1-year overal survival rate was 38.46%.Conclusion The primary gallbladdercarcinoma has no typical symptom.The check of imageology is very important.It is important for enhancing early diagnosis rate to pay more attention to the exist of gallbladdercarcinoma and screen patients in acceptable crowd by combining B-mode ultrasonography with tumor markers, such as CA199,CEA,and so on.

The paper summarized the current situation of diagnosis and treatment of pancreatic endocrine tumors (PETs)in China.In recent sixty years, we understand PETs more deeply, and have all kinds of imaging technique to localize the tumors.It makes more cases having been diagnosed.Operation is the most important and the first choice of treatment.The concept of minimal-invasion runs through the surgical procedure.Multi-model strategy is used in therapy for malignant PETs with liver metastasis.Basic research is focused in mechanism and early diagnosis and it helps the clinical practice.Specialization and co-operation are emphasized in the development of PETs diagnosis and treatment.

Objective To investigate the causes of ectopic pregnancy misdiagnosis.Thus we can increase the rate of early diagnosis and avoid complications that could threaten life.Methods 48 cases which were misdiagnesed were retrospectively analyzed.Results Of the 48 cases,28 cases were misdiagnosed as intrauterine pregnancy,accounting for 58.3%,of which 16 cases were early pregnancy;12 cases were threatened abortion;7 cases were acute inflammation annex;6 cases were acute appendicitis;2 cases were acute gastroenteritis;3 cases were corpus luteum rupture;and 2 cases were dysfunctional uterine bleeding.Conclusion The complicated clinical manifestation of ectopic pregnancy makes misdiagnosis easy to happen.In order to reduce the rate of misdiagnosis,clinical practitioners should strengthen the professional quality,make a detailed inquiry on the history of illness and inspect carefully.

OBJECTIVE:To establish a method for the microbial limit test of 29 hospital preparations.METHODS:A validation on the microbial limit test method was conducted in accordance with the counting method of bacteria,mycetes and yeasts and the control bacteria test method stated in the Appendix of China Pharmacopoeia(2005 edition).RESULTS:The recoveries of test organisms in 16 of the total 29 preparations by routine method were less than 70%,and the test organisms were failed to be detected in 6 preparations in the control bacteria test.For test organisms to meet the standard in recovery rate,medium dilution method,membrane-filter procedure,centrifugal method,neutralization method or the combination of these methods were needed.CONCLUSION:The test sample should undergo validation on the microbial limit test method to ensure the correctness of test result.

OBJECTIVE: To determine the contents of flavonoids in different part and different harvesting seasons of Hypericum japonicum.METHODS: The total content of flavonoids in H.japonicum was determined by colorimetry and the contents of quercetin,rutin and isorhamnetin in H.japonicum were determined by HPLC.RESULTS: The H.japonicum harvested in different seasons showed no significant difference in terms of the contents of total flavonoids.H.japonicum from Guangxi province contained no isorhamnetin but which was rich in the contents of quercetin and rutin.In H.japonicum,the content of total flavonoids was rich in the seeds and leaves but poor in the roots,and hardly had isorhamnetin,quercetin and rutin been detected in the roots.CONCLUSION:H.japonicum harvested in the spring season is low and small in size with low-yield;therefore,fall is its optimal harvesting season.Furthermore,the specification in Chinese Pharmacopeia that the medicinal part of H.japonicum is the entire herb has been proved to be scientific.

OBJECTIVE:To study the compatibility of Danshen Injections (in different dosage forms) and Quinolones Injections (in different varieties). METHODS:The contents of tanshinol sodium,protocatechualdehyde and tanshinone ⅡA in Danshen Injections as well as the contents of different Quinolones after mixing Danshen Injections (in different dosage forms) with Quinolones Injections (in different varieties) were determined by HPLC. The pH values of the mixtures were detected by acidometer and the properties of the mixtures were observed. RESULTS:After mixing of two,turbid reactions were noted in all the infusions of Quinolones; the contents of tanshinol sodium and protocatechualdehyde in the mixture were stable,whereas the content of tanshinone ⅡA decreased to almost 0; and the contents of Quinolones decreased slightly,and which were measured at about 90% of the labeled amount. The infusion reactions were independent of the pH value. CONCLUSION:Danshen Injection can't be mixed with Quinolones Injection in the same container; instead,they should be placed with suitable infusion separation and infused singly in different time period.