Patient satisfaction evaluation is an important approach in hospital management. Since the health services have traits of service, specialty and some extent of public welfare, patient satisfaction evaluation meets doubts about the reliability of its results and the effectivity of its application in hospital management practice. The paper summarizes the difficulties in patient satisfaction evaluation from perspectives of theory, institution and technology, and puts forward some suggestions on improving the reliability of evaluation results and enhancing the effectivity of application of evaluation results.

Objectives To identify the status of iodine content in drinking water,edible salt and urine of children aged 8- 10 after implementing every village project in Qingdao for providing basic reference for government's decision-making.Methods From March 2008 to July 2009,residents' living and drinking water samples were collected in 12 districts and counties of Qingdao,and iodide content was measured by cerous sulfate catalytic spectrophotometry.Urine samples of children aged from 8 to 10 were collected,in which the iodide content was quantitative tested by arsenic cerium catalytic spectrophotometry.Samples of household edible salt were collected to determine iodide content by direct titration.Results A total of 5067 water samples were measured,the median iodine content of water was 7.35 μg/L.A total of 1182 urine samples of children aged 8 - 10 were tested,and the urinary iodine content ranged from 4.6 μg/L to 5995.3 μg/L with a median of 200.6 μg/L.Besides,3504 household salt samples were tested,and the percentages of non-iodized salt,iodized salt and qualified iodized salt were 1.74％(61/3504),98.26％(3443/3504) and 96.32％(3375/3504),respectively.Conclusions Qingdao is situated in environmental iodine deficient area,and the iodine nutritional status of residents is appropriate owing to the implementation of universal salt iodization policy in Qingdao region.Comprehensive prevention and control measures to iodine deficiency disorders,including marketing iodized salt,should be implemented continually.

OBJECTIVE:To observe the changes of lipid oxidation and polyol pathway metabolism of rat erythrocytes cultured in high glucose medium and intervention effect of metformin.METHODS:Rat erythrocytes were cultured in high glucose medium and the content of sorbitol in erythrocytes and the content of NO in culture medium were determined.The effect of metformin at different concentrations(2?10-5 mol?L-1,4?10-6 mol?L-1,8?10-7 mol?L-1)on the level of sorbitol and NO were studied with rat erythrocytes cultured in low glucose medium as normal control.RESULTS:Compared with normal control group,the level of sorbitol in high glucose group was increased while the content of NO was decreased(P

Objective To observe the clinical efficacy of stuck-needle pulling needling method in treating typeⅠgastroptosis.Method Fifty patients with typeⅠgastroptosis were randomized into a treatment group and a control group, 25cases each. The control group was intervened by ordinary acupuncture, and the treatment group was intervened by stuck-needle pulling needling at Zhongwan (CV12) in addition to the treatment given to the control group. Result The total effective rate was 96.0% in the treatment group versus 80.0% in the control group, and the total effective rate of the treatment group was significantly superior to that of the control group (P<0.01); the markedly effective rate was 88.0% in the treatment group versus 40.0% in the control group, and the markedly effective rate of the treatment group was higher than that of the control group; the treatment and control groups both showed significant efficacies in mitigating the gastroptosis symptoms (P<0.01).ConclusionStuck-needle pulling needling method can effectively manage the symptoms of typeⅠgastroptosis.

Adolescent ; Carcinoma, Squamous Cell ; pathology ; surgery ; Cell Transformation, Neoplastic ; Craniopharyngioma ; pathology ; surgery ; Humans ; Male ; Pituitary Neoplasms ; pathology ; surgery

Based on the assessment of protease (acid,neutral and alkaline protease) activity and amylase activity (?- amylase and ?- amylase),one Aspergillus oryzae K61 was selected from five wild Aspergillus oryzae which are original from spontaneous fermented soybean paste.One Aspergillus oryzae Y29 was screened with ultraviolet radiation.The Aspergillus oryzae Y29 can produce higher protease activity than original Aspergillus oryzae K61,and its hereditary stability is higher.Compared with Aspergillus oryzae 3.042,the Aspergillus oryzae Y29 showed higher protease activity,however,the both strains did not have significant difference on the amylase activity,growing speed of the strain and number of spore.Both strains were applied to producing soybean paste.The soybean that was produced by Aspergillus oryzae Y29 has full-bodied soybean paste flavor,and the soluble nitrogen (0.77g/100ml) is higher than the Aspergillus oryzae 3.042.

Objective: To examine the incidence of cancer-related fatigue in patients with advanced nonsmallcell lung cancer (NSCLC) and explore the relationship between chemotherapy and cancer-relatedfatigue. Methods: One hundred and twenty patients with advanced NSCLC were enrolled between January2009 and December 2009. All patients received four cycles of platinum-based doublet chemotherapy, andthen they were followed-up for one year. The fatigue score was evaluated before chemotherapy, every 2cycles during the period of chemotherapy and every three months during the follow-up by using fatiguenumerical rating scale. Results: In 120 patients with advanced NSCLC, 29 (24.2%) patients had mild fatigue,64 (53.3%) patients had moderate fatigue, and 27 (22.5%) patients had severe fatigue. The average cancer-relatedfatigue score was increased progressively during chemotherapy and reached the highest value of 5.31after 4 cycles of chemotherapy, and then it tended to decline and touch the lowest value of 3.95 after six-monthfollow-up. The Eastern Cooperative Oncology Group performance status (ECOG PS) score is the onlyone factor related to cancer-related fatigue (P<0.01), and the age, gender, pathology and clinical stagewere not associated with cancer-related fatigue. The fatigue score was decreased in patients with stabledisease (4.26±2.27 vs 3.64±1.75, P<0.01) or partial response (4.27±2.28 vs 2.33plusmn;1.50, P<0.01) after three-month follow-up as compared with that before chemotherapy, whereas the fatigue score was increased in patients with progressive disease (4.48±2.09 vs 5.00±1.75, P<0.01). Conclusion: The cancer-related fatigue occurred in advanced NSCLC with a very high incidence, and the chemotherapy can strengthen the intensity of cancer-related fatigue, which is related to ECOG PS score and response to chemotherapy. Copyright© 2011 by TUMOR.

Objective: To investigate the correlation between the single nucleotide polymorphism (SNP) of adiponectin (APM1) gene and type 2 diabetes mellitus. Methods: Three common binding sites (-11377C>G, +45T>G, and +276G> T) of SNP on the APM1 gene were genotyped by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay in 75 pedigrees (337 individuals) of type 2 diabetes mellitus. Genehunt software was used to analyze the transmission-disequilibrium (TDT) and to calculate SNP combining haplotypes. Meanwhile, the physiological and biochemical parameters were also determined in the pedigrees of type 2 diabetes mellitus. Results: We found no preferential transmission in the tested binding sites or any haplotypes of SNP in the APM1 gene in the filial generation of type 2 diabetes mellitus. In type 2 diabetes mellitus group, GG genotype had higher body mass index (BMD (P=O.032) and waist circumference (WC) (P= 0.030) compared to CC genotype in the patients with SNP-11377 binding site; patients with G allele had lower levels of high-density lipoprotein cholesterol (HDL-C) (P = 0.006) and higher levels of fasting plasma insulin (FINS) (P = 0.011) as compared to CC genotype. However, FINS levels (P=O.021) in subjects with CC genotype were significantly lower than those with G allele in healthy control group. For patients with SNP+45 binding site, those with GG genotypes had higher BMI (P= 0.036) and lower levels of FINS (P = 0.014) than those with TT genotypes in both groups. For patients with SNP + 276 binding site, those with GG genotypes had higher BMI(P = 0.043) than those with T allele in the control group. Conclusion: The SNP of the APM1 gene is not associated with the pedigrees of type 2 diabetes mellitus, but APMl gene has influence on the function of insulin B cells and the development of obesity.

It is generally accepted that locomotion in mammals, including humans, is based on the activity of neuronal circuits within the spinal cord (the central pattern generator, CPG). Recent studies indicate a plastic behavior of the spinal neuronal circuits following a spinal cord injuries (SCI). Studies have shown that body weight support treadmill training (BWSTT) is effective in restoring locomotor function in cats with a complete spinal lesion. It has become possible to regain some locomotor activity in patients with spinal cord injury through an intense training on BWSTT, as in cat. So, it is a staired problem how to take advantage of the plasticity of spinal locomotor pattern generator and design the gait training program for SCI patients.

Objective:To investigate the behavior of tobacco use among migrants in construction sites and explore the associated factors .Methods: A total of 652 migrants in 10 construction sites were selected in Xi’ an and Tongchuan .Chi-square and logistic regression were used to analyze the influencing factors of tobacco use.Results:The average age of the migrants in the construction site was (38.23 ± 10.61), and males occupied 82.7%(535/647) of the total.The current smoking rate of the migrants was 55.8%(364/652), with 64.3%(344/535) in males and 14.3%(16/112) in females.82.5%(329/399) smokers wanted to quit smoke , however only 52.7%(210/399) had tried quitting smoking in action, and 8.8%(35/399) quitted smoking successfully .Multivariable regression indicated that the migrants who were at lower age , and sick within 2 weeks, had perceived not difficult to stop smoking and who disagree with the benefits of smoking were more likely to try to quit smoking .Conclusion:Migrants in construction sites show their characteristics of old age , low level of health literacy , male-domination , high smoking rate and high intention of quitting smoking .Tobacco control projects should be implemented in construction sites to promote the translation of smoking quitting intention into action .