Acupuncture and Tuina plus functional training were used to treat forty cases of shoulder impingement syndrome. Twenty-seven cases were cured clinically, accounting for 67.5%; 9 cases had marked effectiveness, accounting for 22.5%; 3 cases had effectiveness, accounting for 7.5%; 1 case obtained no effect, accounting for 2.5%; the total effective rate was 97.5%.

Objective To obtain a two-dimensional evaluation result of the quality of examination paper on fundamental nursing and the students' performance,so as to find the weakness and problems in teaching and learning,and to put forward some suggestions.Methods With the S-P chart analytic system which was designed by using the technology of Excel VBA,we made an analysis of 164 papers of fundamental nursing.Results Both the P-curve and S-curve were in the lower right corner.There wasn't any long vertical line in P-curve.There wasn't any long horizontal one in S-curve either.Caution index of 4 questions and 15 students exceed 0.75.The totality difficulty index of the paper was 0.79.The suitability index was 0.43.The stability index was 0.48.Conclusions Propositional contents about physician orders management,gastric lavage,administering medication,observation of disease and pain need to be reformed into both wide coverage and clear focuses.There are no faults in students' grades.Different learning levels do exist,but with little difference.S-P chart affords multiplex and huge amount of information.Its graphics and parameters help to analyze both the students' and teachers' performance from the macroscopic and microcosmic angle,so as to make teachers self-reflective on teaching fundamental nursing and producing papers from various aspects.

No abstract available.
Child ; Male ; Female ; Humans

Hemorrhage ; etiology ; physiopathology ; Humans ; Time Factors ; Vitamin K Deficiency ; complications

PURPOSE: The purpose of this study was to determine the relation between test anxiety and mental health in adolescents. METHOD: The subjects were 450 students of two academic high schools in J City, who were selected through convenient sampling. Data were collected through a survey using a structured questionnaire from September 1st to 15th 2005. Collected data were analyzed using SPSS 10.0 for Windows through descriptive analysis, Pearson's Correlation Coefficient, t-test, ANOVA, Scheffe's test and stepwise multiple regression. RESULT: The mean score of test anxiety was 2.40 (range:1.13-3.81) and that of mental health was 2.77 (range:0.64-5.03). A significant negative correlation was observed between test anxiety and mental health (r=-0.28, p=.000). Test anxiety was significantly different according to adolescents' general characters such as gender (t=-1.98, p=.048), grade (F=3.54, p=.030), school life satisfaction (F=10.73, p=.000) and relationship with the teacher (F=11.60, p=.000). Mental health was significantly different according to adolescents' general characters such as religion (t=2.14, p=.032) and school life satisfaction (F=4.13, p=.017). The most powerful predictor of mental health was test anxiety and it, combined with religion, accounted for 9.0% of variance in mental health in adolescents. CONCLUSION: Test anxiety and mental health was found to be in a significant negative correlation with each other in adolescents. Therefore, nursing intervention programs for adolescents needs to reduce their test anxiety to improve their mental health.
Adolescent* ; Anxiety* ; Humans ; Mental Health* ; Nursing ; Surveys and Questionnaires

Patient satisfaction evaluation is an important approach in hospital management. Since the health services have traits of service, specialty and some extent of public welfare, patient satisfaction evaluation meets doubts about the reliability of its results and the effectivity of its application in hospital management practice. The paper summarizes the difficulties in patient satisfaction evaluation from perspectives of theory, institution and technology, and puts forward some suggestions on improving the reliability of evaluation results and enhancing the effectivity of application of evaluation results.

The significance and principles of comprehensive evaluation system which is configurated for large medical equipment were discussed in this paper.Through literature analysis and Delphi method and questionnaire,comprehensive evaluation index and the corresponding weights were fixed.And the comprehensive evaluation system was designed in order to provide guidance for investment decision-making and scientific management.The data of the comprehensive evaluation system should be improved and perfect in practice.

Objective　To investigate the effect of combining use of methotrexate and mifepristone on treating unruptured tubal pregnancy.Methods　Treatment consisted of 300mg of mifepristone administered orally one time and 20mg of methotrexate injected intravenously consecutively for 5 days.The previous cases who received only 20mg methotrexate injected intravenously were selected as control group.Results　The success rate of the combination group was 87.5% which was significantly higher than that of the control group.The effect of treatment was related to serum β-hcG levels and whether there was embryos with cardiac activity or not.Conclusion　The treatment of unruptured tubal pregnancy with the combination of methotrexate and mifepristone is safe and effective.It is suitable for the unruptured tubal pregnancy with stable vital signs,but without acute abdominal pain or embryonic cardiac activity and β-hCG＜30μg/L.

Purpose　The aim is to investigate the effects of thymopeptide on LPS-induced release of nitric oxide (NO) from mouse peritoneal microphase in vitro.Methods　NO was detected by Griess reagent.Results　Thymopeptide 83.3～333.3 μg/ml reduced NO synthesis and secretion from mouse peritoneal microphase in vitro significantly.Conclusion　The effects of thymopeptide on LPS-induced release of NO from mouse peritoneal microphase may be one of mechanisms of its pharmacological effect.

The early life of nutrition is closely related to obesity and metabolic syndrome in adult.Lipid metabolic dysfunction is one of the important mechanisms in the development of adult diseases.Liver plays a key role in lipid metabolism.Hepatic lipid metabolism mainly includes fatty acid uptake,synthesis,esterification,oxidation and export.Exposed to a optimal nutrition environment in early life might lead to some adaptive effects in the liver and its organization structure,cell numbers and metabolic function.These adaptive responses might play a persistent effect in each way of hepatic lipid metabolism.Clarifying the programming effect of early nutrition on hepatic lipid metabolism and the relative molecular mechanism might provide related theoretical basis and practical molecular target for the prevention of adult diseases during childhood.