Through the practice of outpatient doctor station cored by the outpatient Electronic Medical Records (EMR),the paper discusses the disadvantages of outpatient paper medical records and the advantages of outpatient EMR,summarizes the key points and difficulties in promoting outpatient EMR,and meanwhile points out to pay attention to the integration with other information system,data standardization,perfection of the management system,integrated consultation system and other issues in the practice process.

Objective: To explore the breakthrough points of pharmaceutical care performed by clinical pharmacists for the patients with severe infection.Methods: One case of severe pneumonia patient with Pneumocystis carinii and aspergillosis was treated with pharmaceutical care and intervention, and the effect of anti infection treatment and adverse drug reactions were concerned and individualized dosing regimen were provided.Results: Through the pharmaceutical care for the patient with severe infection, the safety and effectiveness of drug use were ensured.Conclusion: Using the treatment contradictions and adverse drug reactions as the breakthrough points, clinical pharmacists participate in clinical practice to embody their own value.

AIM Analyze on characters of self-consistency and congruence of air force pilots and its in-fluential factors,so as to provide a background for counseling and psychotherapy.Methords Altogether 428 air force pilots were evaluated in our sanatorium using Self Consistency and Congruence Scale,Life Events Scale,Per-ceived Social Support Scale,Social Avoidance and Distress Scale,Trait Coping Styles Questionnaire,Eysenck Per-senality Questionnaire for Adults and Symptom Checklist 90.Results Self-inconsistent and incongruent and self stiffness of air force pilots were lower than that of army force (-13.10≤t≤-2.45,P<0.05) ;but self flexibil-ity was higher (5.11≤t≤11.98,P<0.01) ;the correlation between self-inconsistent and incongruent and the neuroticism of EPQ was good (0.406≤r≤0.529,P<0.001) ;the correlation between self-inconsistent and in-congruent and all the factors of perceived social support were goed(0.212≤r≤0.377,P<0.01) ;the correlation between it and negative family events was good (r=0.445,P<0.01) ;the correlation between self-inconsistent and incongruent as well as self stiffness and negative coping style was good (r=0.595,0.434,P<0.01);also and social distress was also good(r=0.456,P<0.01);then the result of the multiple factors analysis revealed that : the first reason that affect the self-inconsistent and incongruent of air pilots was negative life events β=0.53;and the second reason was mentality ill health β=0.40.Conclusion The self-consistency and congruence of air force pilots can be improved by replying the negative life events and enhancing mentality health.

Objective To investigate the effects among social mature,mental health and marriage quality of pilot's couples. Methods SCL-90,EPQ and ENRICH were conducted in 288 of pilot's couples. Correlation,regression were analyzed with SPSS 15.0 software. Results The marriage quality of pilot was significantly affected by the social mature and mental health of pilot himself(β=0.203,-0.274,P<0.001);meanwhile the marriage quality of pilot's wife was significantly affected by the mental health of pilot's couples(β=-0.276,-0.185,P<0.01). Conclusion The social mature and mental health of pilot's couples has a great influence in their marriage quality,so the social mature and mental health of pilot's couples should be taken into the system of the psychological counseling and therapy for pilots.

Objective To reveal the expression and potential mechanisms of TGF?_1 and CTGF mRNA in liver of rats with nonalcoholic fatty hepatic fibrosis induced by highly fat-enriched diet.Methods The model group(10 rats) was fed with highly fat-enriched diet while the normal control group(10 rats) was raised by standard animal feeds for 24 weeks.Hepatic histopathological changes were evaluated,and RT-PCR method was used to assay TGF?_1 and CTGF mRNA expression levels in the liver.Results The analysis indicated that liver inflammation and fibrosis were apparently present in model rats.RT-PCR analysis revealed that the expression of TGF?_1 and CTGF in hepatic tissue were inreased in the model group as compared with the normal control group.Conclusions The rats model for hepatic fibrosis can be established by feeding with highly fat-enriched diet for 24 weeks.The expression of TGF?_1 and CTGF were enhanced in hepatic liver tissue of fatty hepatic fibrosis rats,and these changes might stimulate the fatty fibrosis.

Along with increasing use of inferior vena cava (IVC) filter implantation, more and more attention has been paid to the filter - related complications by scholars both at home and abroad. For the present the generally accepted filter- related complications include filter deformation, filter tilt, filter fracture, filter migration, IVC perforation, IVC thrombosis, IVC occlusion, recurrence of pulmonary embolism, deep vein thrombosis (DVT), post - thrombosis syndrome (PTS), etc. Accurate recognition of filter - related complications and prompt use of appropriate measures that are directed against a given complication in order to reduce or avoid complications are of great clinical significance in applying the inferior vena cava filter to clinical practice in a more safe and effective way. This paper aims to make a comprehensive review about the filter- related complications and the research progress concerning their prevention in recent years.

ObjectiveTo observe the effect of acupuncture plus language function training on the recovery of language function in patients with post-stroke aphasia.MethodNinety patients were divided into an acupuncture-rehabilitation group (intervened by acupuncture plus language function training) of 30 cases, an acupuncture group (intervened by acupuncture alone) of 30 cases, and a control group (intervened by language function training alone) of 30 cases. The Western Aphasia Battery (WAB) was adopted to evaluate the language function, and also taken as criteria for diagnosis and therapeutic efficacy. The aphasia quotient (AQ), and the 4 basic language functions including spontaneous speech, auditory comprehension, repetition and nomination were observed. ResultAfter intervention, AQ, and scores of spontaneous speech, auditory comprehension, repetition and nomination increased significantly in the three groups (P<0.05,P<0.01). there were significant differences in comparing the scores of spontaneous speech, repetition and nomination between the acupuncture-rehabilitation group and the control group (P<0.05). There were no significant differences in comparing the indexes between the acupuncture group and control group (P>0.05).ConclusionAcupuncture plus language function training can produce a positive effect on patients with post-stroke aphasia, showing therapeutic advantage in improvingspontaneous speech, repetition, and nomination.

Objective To explore the value of OMOM capsule endoscopy in the diagnosis of gastrointestinal diseases in the elderly patients.Methods A retrospective analysis of the clinical data on 86 elderly patients completed OMOM capsule endoscopy during May 2008 to April 2013 were performed.Results All the patients were well tolerated,and capsules were successfully excreted.The mean detention time in gastrointestinal was 50.64 min,the mean run time was 315.86 min.Thirty-eight (44.19％,38/86) patients gained positive diagnosis.In 45 patients with unknown reason,28 patients (62.22％,28/45) gained positive diagnosis.In 28 patients with abdominal pain and diarrhea,5 patients gained positive diagnosis.In 4 patients with other reason,no patients gained positive diagnosis.Conclusions The manipulation of OMOM capsule endoscopy is simple,safe and effective.And the elderly patients can tolerate well.Obscure gastrointestinal bleeding is the main reason to check,and has a higher diagnostic yield.

0.05). CTVEGB could more correctly demonstrate the surface details of polyps which were viewed in a 3D fashion in any projection than ultrasound. CTVEGB corresponded well with color Doppler ultrasound and operation and pathology in demonstrating the size, configuration and location of the lesions. Conclusion CTVEGB is a noninvasive and accurate procedure, which has a important value in clinic applications.

Objective To evaluate the diagnostic values of location and qualitation of tendinitis of rotator cuff. Methods One hundred and sixty-two shoulders with shoulders pain or functional incapacity were performed ultrasonography and the sonograms were classified. Results Ultrasonic findings of these tendinitis were tendinitis of caput longum musculi bicipitis brachii in 39 cases, tendinitis of caput longum musculi bicipitis brachii in 33 cases, supraspinatus tendinitis in 51 cases, calcific supraspinatus tendinitis in 19 cases and bursitis of shoulder in 20 cases,especially. Conclusions Ultrasonography is a useful tool for diagnosis of tendinitis of rotator cuff in location and qualitation.