Objective To draw up the learning strategy scale for vocational nursing students and discuss its characteristics. Methods Structure model of learning strategies was constructed by summarizing and analyzing current learning connotation and structure research, through the view of application combining with theory. Results The results showed that the learning strategy of the vocational nursing students included five factors: cognitive strategy, meta-cognitive strategy, emotions regulation strategy, resource management strategy and practical operation strategy. Conclusions The strategy scale is very reliable and valid and can be used to measure these learning strategies. Results also indicates that excellent students show much more profitable strategies than students of lower levels, no difference is found in different grades.

Objective To retrospect survey of elderly patients potentially inappropriate medication among in -patients.Methods With Beers standard of judgment (2012 Edition) as the basis of our hospital, 320 patients over 65 years old hospitalized patients with potential risk of drug evaluation were to determine the prevalence of potentially inappropriate medication.Results 320 cases of elderly hospitalized patients with an average age of 73.4 years old, the average drug 8, 43 cases (13.6%) of potential drug -related inappropriate medication, 28 cases (8.7%) of po-tential associated with the disease or condition is not appropriate medication .Conclusion Elderly hospitalized pa-tients potentially inappropriate medication is serious , and we should take various measures to prevent the irrational drug use.

Objective To understand the current status of learning motivation of high vocational nursing students, In order to increase their learning effect and teach quality. Methods 334 high vocational nursing students were investigated with college students learning motivation questionnaire, the results underwent analysis. Results High vocational nursing students had low learning motivation, their learning motivation was diversified. Significant difference existed between top students and low students. Conclusions High vocational nursing students had weak learning motivation, and is not related with grades and source places. It had individual orientation and utility color, but low social property. Learning motivation is an important factors for academic achievement.

Objective:To investigate the changes of interleukin(IL)-4 and IL-12 following active immunotherapy of women with unexplained habitual abortion(UHA) .Metbods:The expression of IL-4 and IL-12 mRNA was measured by semi-quantitative reverse transcription-polymerase chain reaction (RT-PCR) in peripheral blood mononuclear cells(PMBC) . The samples were taken from 30 non-pregnant(NNP) women and 30 UHA women before and three weeks after active immunotherapy.Results: (1)IL-4 mRNA expression was lower significantly ( P

Objective:To explore an improved osteotomy of mandible ascending ramus for the surgical approach to large tumors in parapharyngeal space.Methods:According to the operation of parotid gland, masseter muscle was cut near the border of mandibular angle till subperiosteum dissection to mandibular notch, vertical osteotomy outside mandibular foramen to 1.0 cm under mandibular notch, vertical to posterior border of ascending ramus, tumor was exposed and removed, bone plate was repositioned and fixed with titanium. Results:Tumors were completely removed in this way in 3 patients without complications. Conclusion:This surgical approach is suitable for the surgical removal of parapharyngeal interstitial giantism tumor.

Objective: Based on the nature, location and size of parotid tumor, different incisions were chosen and method of selecting the best cosmetic incision for parotid gland tumor operation would be discussed. Methods: 33 cases of parotid benign tumor patients that received by Department of Oral and Maxillofacial surgery of First Affiliated Hospital of Nanchang University during 2015-2017 were included in this study. According to the size of the tumor location, different incisions, mainly pretragal vertical, pretragal crutch and rhytidectomy incision were selected. The facial nerve and the great auricular nerve were protected during the operation. In 1-month and 3-month follow-up, clinical examination of temporary facial paralysis, salivary fistula, especially the cosmetic outcome after the surgery were evaluated. Results: The satisfaction rate of parotid cosmetic incision was significantly higher than that of the traditional group, the incidence of transient facial paralysis, salivary fistula was not statistically significant compared with the traditional incision. Conclusions According to the location of parotid tumor, we should choose the proper cosmetic incision approach, which is better than the traditional surgical incision.

Objective To evaluate efficacy and safety of locally-produced pazufloxacin mesilate sodium chloride injection in the treatment of bacterial infections of respiratory and urinary tract.Methods A multi-center double-blind randomized controlled clinical trial was carried out to evaluate efficacy and safety of pazufloxacin mesilate sodium chloride in treatment for acute bacterial infection, as compared to those of levofloxacin hydrochloride and glucose injection as control treatment.A total of 244 patients with acute bacterial infection of respiratory and urinary tract were enrolled in the studies.120 in trial group and 120 in control group, with four withdrawals.Pazufloxacin mesilate and levofloxacin were administered intravenously by drip at a dose of 300 mg and 200 mg, every 12 hours for 7 to 14 days for trial and control groups, respectively.Resuits Overall efficacy of pazufloxacin mesilate was 77.0 percent and 93.5 percent in treatment for acute bacterial infections of respiratory and urinary tract.respectively, and that of levofloxacin was 80.6 percent and 89.6 percent, respectively.Overall bacterial clearance rate WaS 91.5 percent for pazufloxacin mesilate, 89.6 percent for respiratory tract infection and 94.1 percent for urinary tract infection, respectively.and 93.4 percent for levofloxacin, 97.3 percent for respiratory tract infection and 89.7 percent for urinary tract infection, respectively.No significant difference in adverse drug reactions between the two groups(P＞0.05)was found, with 4.88 percent and 7.44 percent for trial and control groups, respectively.Conclusions Pazufloxacin mesilate sodium chloride injection produced locally is a safe and effective antibiotic in treatment for acute infections of respiratory and urinary tract.

To study the chronic hepatotoxicity of Chinese medicine Zishen Yutai pill (ZYP) prepared from Polygonum multiflorum with the recommended dosage in normal Beagle dogs. Low, middle and high doses of ZYP (1.5, 3.0, 6.0 g·kg⁻¹; i.e. 3×, 6× and 12× equivalent doses) were given orally to dogs for 39 consecutive weeks. At the same time, the same volume of deionized water was used as the solvent control group, one time a day. The general condition of the animals was observed every day during the period of administration, and the blood was collected before and 13, 26, 39, 43 weeks after administration to detect the biomarkers related to the hepatotoxicity of the dog serum. 2/7, 3/7 and 2/7 animals were dissected after 13, 39, and 43 weeks of administration to observe the pathological changes of the animal organs, weigh the mass of main organs and conduct pathological examination of the liver. As compared to the solvent control group, 11 liver hepatotoxicity traditional biomarkers such as ALT, AST were found no ZYP-related changes at month 3, 6, 9 of the administration and month 1 in recovery period; There was no significant difference in liver viscera index and liver pathology. Therefore, no obvious hepatotoxicity was shown by ZYP administered up to 6.0 g·kg⁻¹ for 9 months in normal dogs at doses of 1.5, 3.0, and 6.0 g·kg⁻¹.