Objective To explore the relationships between life events,automatic thoughts,coping style and internet addiction disorder(IAD) of adolescent . Methods 54 cases of the IAD were assessed with the Adolescent Self-rating Life Events,Automatic Thought questionnaire and Coping Style questionnaire. Results Life events, automatic thoughts,and coping style were significantly correlated with IAD (r =0.312,r =0.325,r =0.295) ( P <0.01).There were significant correlations between life events and automatic thought, life events and coping style(r =0.554,r =0.392) ( P <0.01).The multiple linear stepwise regression revealed that only life events entered on the regression equation when the score of IAD server as dependent variable. Conclusion There may be three ways that life events influence in IAD:life events influence in IAD directly,life events influence in IAD by the mediators,automatic thought and coping style indirectly.Automatic thoughts and life events is not a necessary condition that led to internet addiction and life events may be influence in IAD by other ways.

Objective To study the measure and two-year effects of cognitive-behavior therapy on adolescent with internet addiction disorder(IAD). Methods 76 cases with IAD were divided to randomized controlled trial, then 38 cases in each group. But 36 cases ( lost 2 cases) were completed in follow-up study group and control group of 34 cases (lost 2 cases). There were various forms of cognitive behavioral intervention in two years.The Chinese Internet Addiction Scale( CIAS), Symptom Gheck List-90 (SCL-90) scale and Coping Style Questionnaire(CSQ) were adapted to evaluate the effects when the cognitive-behavior therapy was started, after treatment at 2 months, 12 months, 18 months, 24 months respectively assessment for 5 times. Results The scores of CIAS in the study group were significantly lower than that of the control group( (43.53 ± 10. 37 ), (53.06 ± 5.40),(47.56 ± 10.02) ,(53.50 ±5.28) ,(42.68 ±6.23), (54.02 ±6.49), P＜0.05 or P＜0. 01 ) and decreased obviously with the extension of time (F= 14. 464, P＜ 0. 01; F= 0. 537, P＞ 0.05 ). Problem-solving and help factor of CSQ in the study group were significantly higher than that of control group( (0.82 ± 0. 11 ), ( 0.62 ± 0. 48 ), (0.78 ±0.12),(0.65 ±0.38) ,(0.90±0.28),(0.62 ±0. 37)); (0. 68 ±0.41), (0.45 ±0.29),(0. 74 ±0. 30),(0.45 ± 0. 11 ), (0.79 ± 0. 33 ), (0.46 ± 0. 18 ) ) and self-blame, fantasy , withdrawal factors were significantly lower than it((0. 21 ±0. 13),(0.40 ±0.27), (0.24 ±0.06),(0. 38 ±0. 19), (0.25 ±0.16),(0.42 ±0.24) );( (0.27 ±0.02) ,(0.45 ±0.27) ,(0.31 ±0.09) ,(0.44 ±0.28) ,(0.30 ±0.24) ,(0.46 ±0.19) ;(0.42 ±0.05),(0.54 ±0.33),(0.34 ±0.17),(0.55 ±0.29),(0.31 ±0. 19),(0.50 ±0.30), P＜0.05 or P＜0. 01 ). There were significant differences of SCL-90 total score between the study group and the control group at 4 times for evaluation ( ( 142.25 ± 30.44), ( 182.56 ± 36.23 ), ( 175.36 ± 26.44 ), ( 191.56 ± 38.32 ), ( 163.36 ±29.21),(196.75±35.46),(143.33±21.35),(194.11 ±28.19), P＜0. 05 orP＜0.01). Conclusion Developed cognitive-behavior therapy has obvious effects on the adolescents with IAD in two years.

To probe into the effect on the viscosity of distilled water natural water Nacl solution and glucose solution by He-Ne Laser. Ubbohde＇s viscosimeter was used to examine the solutions treated by different times of irradiation under the action of certain Laser power to determine its viscosity. He-Ne Laser has not an effect on the viscosity of distilled water and NaCl solution. Effect on the viscosity of the natural water by He-Ne Laser ,the irradiating times in ten minutes, the viscosity of natural water is markedly lower than that from control groups, which are significantly different(P <0.05)the irradiating times beyond ten minutes, the viscosity of natural water is markedly higher than that from control groups ,which are significantly different (P <0.05).the viscosity of the glucose solution irradiated by He-Ne Laser are lower than that from control groups, but which aren＇t significantly different (P >0.05)

Objective To study the clinical value of serum FL-6 detection in patients with Graves. Methods The level of IL-6 was detected in 75 Graves patients and controls with ELISA, the correlation between IL-6, other function parameter (T3, T4, etc.) and immune indicators (TRAb) were analyzed. Results The level of IL-6 in Graves patients was(1. 84 ±1. 58) ng/L, which was significantly higher than the healthy controls(l. 28 ±0.46)ng/L (t=2.55,P<0.05).IL-6 was positive correlation with T3(r =0. 55) ,T4(r =0. 40) ,FT4(r =0. 36) , FT3(r = 0. 35)and TRAb(r = 0. 47) (P <0. 05)and was negative correlation with TSH(r= -0. 58, P < 0. 05). Conclusions IL-6 can be used as a good index of immune derangement and thyroid function disorders in Grave patients.

The fatality rate of liver failure caused by fatal amanita poisoning is high, and there are no effective antidote drugs in China. On July 30, 2020, the department of infectious diseases and liver diseases of the First People's Hospital of Yunnan Province admitted a 67-year-old female patient with liver failure caused by fatal amanita poisoning. The patient went to the emergency department for treatment due to abdominal pain, vomiting and diarrhea after eating 350-400 g of amanita mushroom for 2 days, accompanied by fatigue for 1 day. There was no abnormality in physical examination. Laboratory indexes: alanine aminotransferase (ALT) 4 798 U/L, aspartate aminotransferase (AST) 10 030 U/L, activated partial thromboplastin time (APTT) 57.5 s, prothrombin time (PT) 72.1 s, international normalized ratio (INR) 8.66, prothrombinactivity (PA) 10%. Based on the patient's medical history, clinical manifestations and laboratory data, the diagnosis was amanita peptide mushroom poisoning and acute liver failure. According to the mechanism of amanita toxin poisoning as enterohepatic circulation, endoscopic retrograde cholangiopancreatography and ultrasound-guided gallbladder puncture and drainage for drainage of bile to discharge toxins were performed to interrupt the enterohepatic circulation of toxins. However, both methods failed, so open cholecystostomy was performed. Because the patient's coagulation function was very poor, artificial hepatic plasma exchange was given to improve coagulation function before open cholecystostomy, and eventually bile was drained successfully. After a total of 19 days of comprehensive medical treatment, the patient was cured and discharged from the hospital, and no sequelae was found after 1 year of follow-up. For such patients, early identification of the disease is required, and blocking the enterohepatic circulation of toxins as soon as possible according to the characteristics and toxicological mechanism of toxins may be the key treatment for rescuing patients with liver failure poisoned by amanita toxin, and it is necessary to combine comprehensive treatments such as active fluid replacement and blood purification to further improve the survival rate.