This paper reports nursing of 11 patients undergoing laparoscopic radical cystectomy with orthotopic ileal neobladder. The nursing points included preoperative bowel care,psychological care,observation of drainage tubes and complications,guidance of pelvic floor muscle training and bladder training with timed voiding. Patients receiving bladder training after catheter removal,and got self-control urination in 2 weeks. Only a patient left urinary incontinence at night occasionally.

By analyzing the goals and demands which the Ministry of Education cultivate to undergraduate and the deficiency which exists in present training of laboratory medicine,this text put forward the measure and method of training,in the meantime it also analyzes the training of laboratory physician and the difficulties which the position will face up.

Objective: To investigate impaired cognitive functions in post-JE pa tients. Methods:32 post-JE patients and 44 non-disabled su bjects were compared on various intelligence and memory measures. Results：25% and 34% post-JE patie nts showed significant cognitive impairments in intellectual and memory function s. Significant differences were found between groups on measures of FIQ，VIQ, PI Q and MQ. Conclusion: Impairment in cognitive functions wa s found to be a frequent sequelae of acute JE, which has often been overlooked.

Objective:To investigate impaired cognitive functions in post-JE patients. Methods:32 post-JE patients and 44 non-disabled subjects were compared on various intelligence and memory measures. Results:25% and 34% post-JE patients showed significant cognitive impairments in intellectual and memory functions. Significant differences were found between groups on measures of FIQ,VIQ, PIQ and MQ. Conclusion: Impairment in cognitive functions was found to be a frequent sequelae of acute JE, which has often been overlooked.

Objective To evaluate the relationship between carotid artery plagues and the clinical risk factors in patients with diabetes mellitus type 2 by observing the ultrasonic characteristics of carotid atherosclerosis plagues.Methods The ultrasound results of carotid arteries in 665 patients with diabetes mellitus type 2 from January 2009 to December 2011 in Beijing Amery General Hospital were retrospectively analyzed.The location and quantity of carotid atherosclerotic plaques were observed .The relationship between the occurrence and risk factors of diabetes such as hypertension ,family history of diabetes and age were analyzed.Single factor and multi-factor analysis were applied for the related risk factors .Results The ultrasonography showed 405 cases of carotid artery plaques.Most carotid artery plaques were located in the posterior wall of carotid sinus and were hyperechoic ,hypoechoic or isoechoic.The single factor analysis showed hypertension,family history of diabetes and age are risk factors of carotid atherosclerosis (χ2 =42.322,9.682 and 140.658,all P<0.01).Multi-factor logistic regression analysis showed age was an independent risk factor of carotid atherosclerosis in patients with diabetes mellitus type 2.The risk factors scores of patients who were less than 45 years,45-65 years and over 65 years of age were (3.50 ±1.16)scores,(3.46 ±0. 92)scores and (3.21 ±0.88)scores,and the difference was statistically significant (F=5.781,P<0.001). There were significant differences between risk factors scores of different age groups ( t =2.084,2.002, 3.786,3.474,2.877 and 2.504,all P<0.05).In patients more than 65 years of age,the risk of atherosclerosis plaques is 28.732 times higher than that of patients less than 45 years of age.After controlling the age factor,the possibility of atherosclerosis plaque increased 1.201 times for each additional one point of score. Conclusions Most carotid artery plaques in patients with diabetes mellitus type 2 are located in the posterior wall of carotid sinus and are hyperechoic ,hypoechoic or isoechoic.Age is an independent risk factor for the formation of carotid plaque.Patients more than 45 years of age should undergo early intervention to avoid the occurrence of major vascular complications .

Aged ; Drug Resistance, Bacterial ; Humans ; Intensive Care Units ; Male ; Microbial Sensitivity Tests ; Pneumoconiosis ; microbiology ; Sputum ; microbiology

Blood-Brain Barrier ; radiation effects ; Capillary Permeability ; radiation effects ; Electromagnetic Radiation ; Humans

2-year-old cutting seedlings of Taxus cuspidata have a three- month-growth period fromMay to July and its peak occures in June. The experiment showed that 18% of light permeability and 17% of soil moisture are most suitable conditions.

Objective: To develop a grinding intrument for removing the remaining bonding material and polishing the dental enamel after orthodontic treatment. Methods: A dental griding instrument was made based on ultrasonic principle with the frequency of 25～45 kHz. 60 premolars extracted for orthodontic purpose were used in the experiment, before treatment the surface roughness was measured and recorded as Ra 1. Brackets were adhered to the premolars, and then debonded. The surface enamel of 30 teeth were polished by the ultrasonic grinding instrument (group of GI), that of another 30 by conventional technique(group of CT) , the roughness was measured and recorded as Ra 2. Results: In group GI Ra 1 and Ra 2 were 0.846 6?0.428 2 and 0.740 5?0.372 1(P0.05), respectively. After treatment Ra 2 in group GI was smaller than that in group CT(P