Acupuncture Therapy ; Adult ; Female ; Humans ; Trigeminal Neuralgia ; therapy

Objective To investigate the influence of plasmid spread and ampD mutation to Enterobacter cloacae that leads to the AmpC β-lactamase change from inducible type to constitutive type. Methods The Enterobacter cloacae were isolated from the patients with nosocomial infection. The inducible type isolations and their constitutive type changers were put into the same group. The plasmid ampC gene and chromatin ampD gene in pairs in each group were amplified, sequenced and compared. Results Of 195 patients infected by Enterobacter cloacae of inducible type, 25 (12.82%) were changed to the ones of constitutive high type. In these 25 changed groups, 10 were caused by plasmid spread, 10 by ampD mutation, 1 by both, and 4 by neither. Twelve changed constitutive type strains had ampD significant mutations, in which 7 were frame-shift mutations and 5 were spot mutations. Conclusions The change ratio of Enterobacter cloacae from inducible type to constitutive type is rather high. Both plasmid spread and ampD mutation are possibly the mechanism of such change. Plasmid mediated AmpC β-lactamase spreads among different species and interregionally. The mutation rate of chromatin ampD gene is also higher than the natural mutation rate. These two mechanisms should be considered in clinical treatment.

Objective To summarize the main results and characters of the research literature by reviewing systematically and comprehensively,we get an overall awareness of the current status of the nursing needs of the aged at home and discover the deficiency.Consequently,we provide evidence to improve the nursing services for the aged at home.Methods We systematically searched CNKI (1979-2014.5),CBM (1978-2014.5)and VIP (1989-2014.5).According to the including criteria and excluding criteria,we screened the literature twice.Main results and characters of the literature were described.Results A total of 975 articles were included.The first literature were published in 1986.From 2006,the amount of the literature increased annually.42.36％ (413/975)of the research types were descriptive research.The contents of the literature mainly focused on the need of comprehensive nursing services,such as community nursing services [37.44％(365/975)];home care [20.10％(196/975)];long-term care [10.26％(100/975)].The overall quality of the hterature was not high.Experimental research and descriptive research were implemented mostly in developed areas.The 46.97％(458/975) of the first authors worked in hospitals.Conclusions There is a small quantity of literature published with low quality.Questionnaire with comprehensive items describing needs demanded by the aged are required.We should put an eye on the aged living in undeveloped areas or with recognition impairment.Meanwhile,depending on the general hospital,we should carry out high-quality experimental research,as well as exploring multidisciplinary model.

In this study, biological activities of the lipopolysaccharide (LPS) extracted from Bacteroides fraglis NCTC 9343 were measured in animals. The results showed that LPS expressed typical endotoxicities, e.g. pyrogenicity in rabbits, lethality in mice and chick embryoes, ability to induce local Shwartzman reaction and coagulability for limulus emoebcyte lysate. But its biological activities were lower compared with that of Enterobacteriaceae. It is suggested that the weaker biological activities are related to the unusual chemical structure of the LPS.

The position,length,size,and the site and pattern of ramification of the innominate arteries and common carotid arteries were studied in 76 specimens(♂44,♀32)of one- year-old to three-year-old Chinese infants. 1.The position relation between the innominate artery and trachea may be divided into three patterns:type Ⅰ:2 infants(2.63?1.8%),type Ⅱ:33 infants(43.42? 5.72%),type Ⅲ:41 infants(53.95?5.71%). 2.In 76 specimens the ramification region of innominate arteries of the Chinese infants were studied,among which in 57 specimens(75.0?4.96%)the site of ramifi- cation of innominate arteries is situated above the upper border of the sternoclavicular joint,and in 19 specimens(25.0?4.96%)behind the sternoclavicular joint.The region of ramification is higher in position in the infant than in the adult. 3.The average length of innominate arteries of all 76 specimens of 3 age groups: one,two,and three years old,is 20.7?0.42mm,19.2?0.56mm and 21.8?0.94mm respectively.The average circumference is 19.8?0.64mm,20.3?0.21mm and 21.0? 0.51mm respectively. 4.In 63 cases(82.9?4.32%)the innominate artery arises from the aortic arch by itself,in the other 13(17.1?4.32%)it arises from a common trunk,which is formed by the union of the innominate artery with the left common carotid artery.Among the 76 specimens,71 cases did not give off branches on its way,but in 4 specimens(5.26? 2.56%)the thyroidea ima is branched off directly from the innominate artery on its way,while in 1 specimen(1.32?1.31%)it arises from the common trunk. 5.The average site of ramification of the common carotid artery of the 76 Chinese infants is situated at the level of npper border of the intervertebral disc between the third and the fourth cervical vertebrae,but it is different on both sides:37 cases(48.7? 5.73%)with a higher level on the left,14 cases(18.4?4.44%)with.a higher level on the right side,25 cases(32.9?5.38%)with both sides on the same level. 6.The ramification angle of the common carotid arteries of the 76 infants fall into three patterns:60 sides(39.5?3.96%)belong to the acute angle pattern,40 sides(26.3? 3.57%)belong to the arcform pattern and 52 sides(34.2?84%)belong to the in- termediate pattern.The acute angle pattern is more common than the arcform pattern in the infants. 7.The average length of common carotid arteries of all 76 specimens of the three age-groups in one-、two-、three-year-old Chinese infants was 42.9?1.55mm,45.7?0.57 mm and 47.8?1.50mm on the right side and 59.0?1.10 mm,56.7?2.99mm and 64.9?1.62mm on the left side respectively,but the average circumference was 14.8 ?0.77mm,16.3?0.14mm and 16.6?0.19mm on the right side and 15.6?0.61 mm, 16.6?0.13mm and 17.3?0.40mm on the left side respectively.

The aortic arch and its ramifications were studied in 76 chinese infant specimens (♂44,♀52)We examined its position,length and circumference and the types of its ramifications. 1.In average,the superior border of infant's aortic arch is situated at the level of the intervertebral disc between the second and third thoracic vertebrae,and the inferior border is situated at the level of the upper one-third of the fourth thoracic vertebra. 2.The medial point between the superior and inferior borders of the aortic arch,in average,is situated at the level of lower one third of the third thoracic vertebra.In the 3 age-groups,1,2 and 3-year old infants,in 76 specimens,we found that the levels of the medial point of aortic arches,corresponding to 6.05,6.10and 6.19 in the 7 th region of the vertebral column respectively,Comparison of this figures with those of the adult revealed that its height in the infant is higher than in the adult. 3.The average lengths of aortic arch of the 3 age-groups of the Chinese infants were 20.6?1.31mm,19.3?0.59mm and 20.8?0.43mm respectively. 4.The circumferences of the aortic arch of the 3 age-groups of the Chinese infants before the aortic arch divided int?the innominate artery,in average,were 35.8?0.86 mm,36.4?1.04 mm and 38.6?0.83 mm respectively,and after dividing into the left subclavian artery,in average,they were 26.1?1.01mm,26.9?1.25 mm and 29.7?0.79 mm respectively. 5.Seven types can be distinguished in the patterns of the ramifications of the aortic arch.One type was not included in the twenty types of the ramification that have been suggested by Chang Wei-lung according to McDdonald and Anson's classification.This new type increases the number of the types of the human aortic arch to twenty one.The seven types viz: Type A:52.infants,68.42?5.33%.Type B:11 infants,14.47?4.03%.Type G: 4 infants,5.26?2.56%.Type D:1 infant,1.32?1.31%.Type F:4 infants,5.26? 2.56%.(One of the four cases is named thyro-thymus trunk).Type BF:1 infant,1.32 ?1.31%.(This type was composed of a common trunk,which consisted of the inno- minate and left common carotid,the left subclavian and the thyroidea ima arising from the common trunk.According to De Garis's classification,we combine type B with type F into type BF).Type J:3 infants,3.95?2.23%.(This type was more common in infants than in adults). 6.By comparing the types of ramification of aortic arch in 76 specimens with those of the adult,it reveals that the types of the ramifications of aortic arches vary with age.

Thymosin ?1 is a multiple peptide of hormone and protein isolated from thymus gland,and it has many biological functions.It has been reported that it plays an important role in immune response,neuroendocrine modulation and gene expression.The article is to review the progress of thymosin ?1 and its mechanisms.

The article dicusses the status and roles of libraries in building a harmonious socialist society and probes into the main ways of building harmonious college libraries.

Objective To solve the problem about abundance information but poverty of knowledge by training the information analysis ability of users.Objects Medical graduate students who have the basic knowledge of literature retrieval.Curriculum Bibliometric parameters,reference management software,literature analysis software,Excel and the analysis function of bibliographic database were explained in 18 class hours.Results Satisfactory results have been got.Discussion Users can analyze retrieval results effectively after short time learning with no additional cost.

Objective To investigate the family caregivers of patients with indwelling catheter care behavior .By analyzed its in‐fluencing factors to help caregivers improve the quality of life for patients .Methods Convenience sampling method by visit 70 pri‐mary caregivers of family indwelling catheter for the patient′s .They were investigated with gathering general information and Gen‐eral Self‐Efficacy Scale(GSES) ,following with caregivers awareness questionnaire indwelling catheter .Indwelling catheter care be‐havior questionnaire survey analyze behavior and other items to take care of the relationship .Results The general self‐efficacy and caregiver indwelling catheter cognition ,which account for 73 .9% of the total variance of caring behaviors ,were the important fac‐tors affecting care behaviors .Conclusion There is a big shortage in indwelling catheter home care caregiver knowledge and care be‐haviors .According to above professionals can provide targeted guidance for caregivers .