Objective To explore the effect of microsurgical endonasal transsphenoidal approach on the treatment of pituitary adenomas.Methods The clinical data of 46 cases with pituitary adenomas treated through microsurgical endonasal transsphenoidal approach were retrospectively analyzed.The relevant endocrine index and MRI were checked during the follow-up and the clinical effect and complication were analyzed.Results 38 cases achieved follow-up.There were 32 (84.2％) cases of total resection and 6 (15.8％) cases of subtotal resection.28 patients (93.3％) had vision improved in 30 patients with decreased vision before operation.24 patients(75.0％) got normal menstruation in 32 patients with menstrual disorder.4 patients (57.1％) got better in 7 patients with acromegaly.12 patients(75.0％) got normal endocrine in 16 hyper-prolactin patients.4 patients(57.1％) got normal growth hormone in 7 patients with somatotrophinomas.There was one postoperative death.12 cases (24.4％) suffered postoperative insipidus in 45 patients.Cerebrospinal rhinorrhea occurred in 3 patients(6.7％,3/45) postoperatively.Postoperative hyperglycemia occurred in 9 cases (20.0％,9/45).Conclusion Microsurgical endonasal transsphenoidal approach provides the first choice for operation of pituitary adenomas,which is effective and safe with reliable effect.

Objective:To study the bidimensional model of self-esteem and the relationship between self-esteem and self-consistency and congruency.Method:591 college students completed Rosenberg Self-Esteem Scale and Self-Consistency and Congruency Scale. Amos4.0 was applied to analysis the unidimensional model and the bidimensional model of self-esteem, regression between self-esteem and self-consistency and congruency were then analyzed.Results:The bidimesional model of self-esteem fit the data better (?2=126.52,df=34, ?2/df=3.72, CFI=1.00, TLI=0.99, RMSEA=0.07), and dissociation effect between self-consistency and congruency and positive dimension and negative dimension were found.Conclusion:The study tends to support the hypothesis of the bidimensional model of self-esteem.

Objective To remedy the general defects of external fixator such as poor stability,complexed operation,strong stress shielding and bad extension function. Methods A total of 102 patients with limb shaft fracture were treated with the self-made external fixation and the curative effect observed. There were 84 males and 18 females aged at 5-78 years. Of all, 76 cases had tibial and fibular fractures, 10 femoral shaft fractures (children), 4 intertrochanteric or subtrochanteric fractures, 7 ulnar or radial fractures and 5 humeral shaft fractures. Results All patients got good results through a all-course observation, among which 76 cases with tibial and fibular fractures were followed up for 3 months to one year. Furthermore, the mean substantial bone healing time was only 3.5 months. The joint functions of the knee and the ankle recovered synchronously, with an overall excellence rate of 93.4%. No displacement of the fractured part or further fracture occurred. Conclusions The structure and function of the self-made external fixation accord with the demanding of current external fixator in orthopaedics.

Objective: To explore the structure of coping styles in job-hunting of university students after first interview and study the relationship between coping styles and personality traits.Methods: 622 university graduates completed coping styles questionnaire and 238 of them completed QZPS-SF.Results: SPSS 10.0 was applied to analyze the structure of coping styles and the relationship between coping styles and personality traits.Conclusion: The study tends to support the bi-dimensional structure of coping styles and personality traits were the important determinants of two dimensions of coping styles.

Objective To investigate the characteristics in sleep architecture of sub-healthy people with in-somnia,and to study the relationship between the sleep architecture and the degree of insomnia.Methods Sleep ar-chitecmre and Pittsburg sleep quality index(PSQI)value and PSQI scale were detected respectively.Results Sleep architecture of 46 subjects was abnormal-including shortened total-sleep-time(26.1%),excessive superficial-sleep stage(100%).inadequate deep-sleep stage(87.0%),insufficient rapid eye movement sleep(REM) (60.9%),longer sleep latency(65.2%)-more wakening times(47.8%)and longer wakeful time(43.5%).PSQI value of each insomniac exceeded 7,and the valtie of most objects was between 12 and 16(73.9%).The in-gredients of sleep architecture were not significantly correlated with the values of PSQI (P>0.05).Conclusion The sleep architecture of sub-healthy people with insomnia is mainly characterized with difficulty in falling asleep,light sleep and festless sleep,but the characteristics of sleep architecture is not inevitablly related with the degree of insomnia.

Objective To estimate the incentive and guidance of degree policy for the doctoral student's capacity-building. Methods Totally 1185 published SCI papers completed by 1 013 doc-toral students from 2008 to 2012 in Capital Medical University were filed and impact factors of these SCI journals taken as analysis objects were organized using Microsoft Office Excellsoftware. ANOVA was used for data procession and t-test was used for statistical analysis. P<0.05 signifies statistically significant difference. Results This study showed that 97%doctoral students can complete SCI paper publication in compliance with requirements of doctoral degree policy. Quality of SCI papers of aca-demic degree PhDs was higher than that of professional degree PhDs(P=0.00). Level of SCI papers of PhDs in basic disciplines was higher than that of PhDs in clinical disciplines (P=0.00). In addition, this study found that higher leveled SCI papers originated primarily from the national key disciplines and co-first authors. Conclusions The appropriate degree policies play an important guiding role in enhancing the quality of doctoral students' education. Degree-granting units should make more specific guidance policies according to different types of disciplines and cultures, such as raising published arti-cle requirements to the clinical professional PhDs, improving and standardizing relevant degree poli-cies about SCI papers published by co-first authors, strengthening disciplinary conditions building, etc.

Objective: The goal of this research was to explore the relationship among attachment to parents,perceived academic achievement and self-esteem in high school students. Methods: High school students from four areas completed the following four questionnaires: Relationship Questionnaire(RQ),Experiences in Close Relationships Inventory(ECR),Self-esteem(SES) and Perceived Academic Achievement. Results: ①The scores of perceived academic achievement in students with attachment preoccupied to father were significantly lower than those with attachment dismissed to father. ②Attachment avoidance to father,attachment anxiety to father and self-esteem were positive correlated to perceived academic achievement (r=0.195,0.166 and 0.325). ③Attachment avoidance could predict the scores of perceived academic achievement. Conclusion: There are close relationship between adult attachment to father and perceived academic achievement,and self-esteem.

Objective:To study and design measurement scale which can judge and survey sub-health state and itscharacteristic of TCM syndrome.Methods:Making use of methods of scale technique,literature research,expertise consultation et al,based on TCM theory,via conceptualization and operation of sub-health and TCM syndrome,forming structure and type of scale,establishing item pool and results,and then through item selection,assessment of validity and reliability of pre-investigation,making the measurement scale.Results:The scale is made up of 4 parts:body function state,psychological function state,social function state and particular state of TCM.The 4 parts are divided into 15 sorts,including 120 items.Conclusion:The scale contributes much to the diagnosis of sub-health state and the clari cation of clinical manifestations,features,distributions of TCM syndrome of public of sub-health,which is one of the most important methods for investigating TCM syndrome of sub-health state.

ObjectiveApplying echocardiography to assess the effects of atrioventricular synchrony and ventricular activation sequence on left ventricular systolic function. MethodsTwenty patients with dual chamber pacemakers were included in the study. Pacemakers were programmed in random order to three different pacing modes:AAI,DOO or VVI.Applying echocardiography to measure left ventricular systolic function targets.A period of 5 minutes was allowed for each measurement.ResultsComparing with DOO and VVI,AAI increased SV,SVI,CO,CI,LVEF,FS and others significantly(P