Objective To explore and compare the contents of complaint letters at psychiatric hospitals before and after the implementation of the Mental Health Law of the People’s Republic of China (MHLC),figure out measures to improve the complaint satisfaction and settled rate,reduce the number of complaints and re-complaint rate.Methods 1376 complaint letters were compared and analyzed in this retrospective research for statistics analysis and comparison,covering 958 letters received before the implementation of MHLC (from 2008 to 201 1 )and 418 letters received after the implementation of MHLC (from May 1st 2013 to April 30th 2014).Results Most of the complaints focus on hospital staff attitude before and after the implementation of MHLC, accounting for 39.67% and 30.38%respectively.The complaints targeted mostly at the outpatient clinic 46.45% and 49.28% respectively. Significant changes are found with the contents,departments and main reasons of the complaint letters. Conclusion The causes and the influencing factors of such changes were analyzed,and measures to improve the complaint services at psychiatric hospitals were proposed.

Although young anesthetists demonstrate the excellent characteristics of agile thought , strong manipulative ability and are ready to receive challenge, they are short of teamwork cooperation spir-it. Clinical anesthesia knowledge and skill can be improved and teamwork cooperation spirit can be culti-vated through correcting attitude , modest learning , implementing tutor system among young doctors , strengthening the understanding of team spirit , cultivating interpersonal communication ability and orga-nizing regular learning discussions.

Objective To evaluate the clinical value of anastomate in treatment of rectal lesion. Methods The anastomate was used to resect space occupying lesion which was 5~12cm from anal.Then thwe operation procedure,operation time, recurrence complications and correlated problems were summarized.Results The average operation time was 34 minutes. Exceot for one case of anastomtic bleeding and one case of recurrence 14 months post operation.there were No other complications.Conclusions Stapling-resecting the rectal lesion was feasible,but some problems were solved from the design of anastomate.

Objective To study the resuscitation effect of cavum ossis infusion of hypertonic saline solution on hemorrhagic shock canine,and investigate the corresponding internal microenvironment changes.Methods Eighteen healthy Wiggers dogs weighed 16-19kg were adopted in present study and assigned into three groups(6 each): group HSH,group NS and group Sham.Hemorrhagic shock canine model was established.Dogs in HSH group received a rapid cavum ossis infusion with 7.5% hypertonic resuscitation solution(sodium chloride + 6% hydroxyethyl starch),and the dogs in group NS was only given 7.5% sodium chloride solution,while the dogs in Sham group were treated by general anaesthesia,assisted respiration with breathing machine and without bleeding and transfusion.Changes of central venous pressure(CVP),mean arterial pressure(MAP),intramedullary pressure(IMP),and the levels of blood lactate and sodium were monitored during the resuscitation phase.Results During hemorrhagic shock stage,the haemodynamic parameters MAP,CVP and IMP in groups HSH and NS decreased significantly,while blood lactate significantly increased at each time point as compared with that in group Sham(P0.05).The lactate level during resuscitation phase in group HSH decreased significantly as compared with that during hemorrhagic shock stage(P

Objective To establish an automated spectrophotometic assay for serum total and free L-carnitine with enzymatic method(CAT-BTND). Methods To optimize the reaction conditions of hydrolysis,pH and L-carnitine Acetyl-transferase (CAT)concentration in the assay,to evalute the assay method and to measure the serum L-carnitine of health adults ( n =63) and children ( n =56). Results The calibration curve for L-carnitine was linear between 4 81 and 150 ?mol/L( r =0 999).The inter and intra average CV were 5 52% and 5 90% in free carnitine,5 78% and 6 14% in octanoylcarnitine.The mean recovery rate was 98 5% and 98 4% respectively.This method was free from interference by bilirubin(≤120 ?mol/L),hemoglobin(≤7 g/L),and ascorbate(≤500 ?mol/L).Total and free carnitine and acylcarnitine reference range: adults (48 5?17 7) ?mol/L , (39 2?14 2) ?mol/L and (9 3?5 3) ?mol/L(male, n =32),(42 7?17 3) ?mol/L, (32 4?18 0) ?mol/L and (10 5?5 5) ?mol/L respectively(female, n =31).Children (age between 9～12 years old) (57 3?19 3) ?mol/L , (45 1?14 4) ?mol/L and (12 3?10 4) ?mol/L(male, n =31), (59 4?15 7) ?mol/L, (46 6?12 6) ?mol/L and (12 8?7 8) ?mol/L respectively(female, n =25). Conclusion The procedure is rapid,accurate and automatable,and could be used to diagnose L-carnitine deficiency,and to estimate and monitor the effect of treatments.

This paper presents a new method for QRS complex self-assortment based on mathematical morphology, which measures the comparability of QRS complex with weighted Hausdorff distance. Beginning with the traditional Hausdorff distance, this paper introduces the weighted Hausdorff distance of planar object and the detailed algorithm of self-assortment of QRS complex. The evaluation results of this algorithm by MIT-BIHECG database show that this method has high self-assortment capability.

Objective:To observe the effect of Pihui Sachet on influenza A and B virus.Methods:The Pihui Sachet and mice were put in the same sealed container,four days later,the mice were infected with influenza A and B virus,the survival rate and lung index of the mice were compared.Results:The Pihui Sachet could alleviate the pulmonary disease,decrease the lung index,reduce the death rate,prolong survival days of the mice infected with influenza A and B virus.Conclusion:The Pihui Sachet had antiviral effect on the influenza A and B virus.

Coronary Vessels ; Humans ; Pulmonary Artery

Objective To evaluate the efficiency of nutrition support in critical ill patients. Methods A retrospective analysis was made to the efficiency of the nutrition support applied to 233 critical ill patients PN+EEN→EN+per os→per os was employed as the model of nutrition support, and a nasal feeding pump was used for enteral nutrition. Results During the period of nutrition support, in the 233 patients, 26 dead, the mortality was 11.16%. Early enteral nutrition significantly decrease the mortality in critical ill patients. There existed significant differences in complications in three kinds of enteral nutrition may methods. Conclusion It is feasible to give the critical ill patients, it might help to reduced the mortality in ICU patients.