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.

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

Background The cytochrome P450-dependent monooxygenase 2D6 (CYP2D6) ac- tivity can he estimated by investigating the metabolism of model drugs or by genotyping the most com- mon CYP2D6 alleles. The CYP2D6 allele frequencies are well investigated in Caucasians whereas no comprehensive allele analysis has been done in mainland Chinese. The aim of the study was to investi- gate C2938T, G1846T, G1846A and C188T gene mutation in mainland Chinese. Methods Three tet- ra-primer PCR assays and one allele specific amplification (ASA)-PCR assay were developed to easily genotype C2938T, G1846T, G1846A and C188T mutation in CYP2D6 allele in 223 cases of mainland Chinese. Results The most frequent allele was * 10 (C188T) with a prevalence of 51.3%, followed by * 2 allele (C2938, 15. 5%) in mainland Chinese. The distribution frequence of a novel variant CYP2D6 * 14B was 2.0%. This novel * 14B allele was different from * 14 allele by the absence of the C188T substitution and by the additional G1749C substitution. Conclusion This comprehensive study of CYP2D6 allele in mainland Chinese shows some genetic diversity compared to Chinese from other regions. Genotyping is a useful method in applying drug individuation.

BACKGROUND: Clinical study of insomnia is performed by monitoring the alpha wave of the brain signals with the polysomnography (PSG). PSG has two deficiencies in recording electroencephalogram (EEG): ①The testee is wrapped by long electrode wires so that they cannot sleep normally. As a result, the testee's mental and physical status is affected and the results are inaccurate. ②As the alpha wave consists of very weak biomedical signals, it is easily affected by the alternating current (AC) interference, so that the analytical software cannot identify the desired signals. For these reasons, a monitoring system that overcomes such deficiencies is needed. OBJECTIVE: To design a wireless EEG sensors system for detecting brain signals. It can obtain the brain signals in an accurate and non-disturbed way without affecting the testee's mental and physical status. DESIGN: The actual application circuit was implemented after analyzing and building the circuit model. SETTING: The 305 Hospital of Chinese PLA.MATERIALS: The clinical experimental environment was provided by the 305 Hospital of Chinese PLA. The PSG made by Beijing Rising Sun Science-Tech Co., Ltd. was served as experimental instrument for comparison test and analytical software was designed by MATLAB.METHODS: Theoretical analysis was performed at the 305 Hospital of Chinese PLA in 2005 to create the anti-interference model and the wireless EEG sensors system model. In 2006, the circuit model helped us realize the small-sized wireless brain wave sensor that could suppress the interference effectively. The sensor was put into practical use at the 305 Hospital of Chinese PLA from February to August 2006. The experiment was approved by the hospital ethics committee. The volunteer testees were those who worked in the hospital and they had full knowledge of the objective, process and results of the experiment. Besides, those signals were compared with what the PSG recorded. MAIN OUTCOME MEASURES: Frequency spectrum of signals obtained in interference environment. RESULTS: For the brain signals that were captured by the wireless EGG sensors in the presence of interference, the power spectrum peak value was 6 926.043 within the alpha wave ranged at 8-12 Hz. For the AC interference, the power spectrum peak value was 0.356 at 50 Hz. Meanwhile, for the brain signals that were captured by the PSG, the power spectrum peak value was 1112.3 within the alpha wave ranged at 8-12 Hz; for the AC interference, the power spectrum peak value was 85 440 at 50 Hz.CONCLUSION: The system can obtain satisfying brain alpha wave signals and can suppress AC interference effectively.

Objective To compare the efficacy and safety of combined epidural/general anesthesia (CEGA) versus total intravenous anesthesia (TIVA) for laparoscopic cholecystectomy. Methods Forty patients were assigned to group TIVA and group CEGA by random digits table with 20 cases in each. The systolic and diastolic arterial pressure,heart rate, oxygen saturation,Steward score, visual analogue scale (VAS) score and adverse reaction were monitored. Results Steward score 4,6 min after operation in group CEGA [(4.5 ±0.6), (5.7 ±0.2) scores] was higher than that in group TIVA [(2.8 ±0.4), (4.1 ±0.5)scores](P ＜ 0.05 ). The VAS score 2,3,4 h after operation in group CEGA [( 1.8 ± 0.3 ), (1.5 ± 0.4), (1.7±0.3 ) scores] was lower than that in group TIVA [( 3.2 ± 0.5 ), ( 3.7 ± 0.4), (4.2 ± 0.6) scores] (P＜0.05 ).There was no significant difference in abdomen pain, shoulder pain and adverse reaction between two groups.The incidence of postoperative side effects was lower in both groups (P ＞ 0.05). Conclusions The use of CEGA for laparoscopic cholecystectomy seems to be effective and safe, and to offer some advantages as compared to TIVA alone. CEGA can control pain due to CO2-induced peritoneal irritation, provide excellent infra-operative and postoperative analgesia. CEGA does not require the use of intraoperative intravenous opioids and shortens recovery time, without increasing the incidence of adverse reaction.

Methicillin-resistant Staphylococcus aureus (MRSA) is one of the major pathogens of the hospital infection.Its clinical features and drug-resisetance situations have always been concerned.But since the late 1990s,another class of MRSA has become a major concern worldwide as an emerging pathogen in the community.This new class of MRSA is called community-acquired MRSA (CA-MRSA).With the rapid development of the infection of CA-MRSA in 20 years,especially in the latest 3 years,CA-MRSA may be replacing the hospital-acquired MRSA strains(HA-MRSA) as one of the major pathogens in the hospital and the community as well.The characteristics of CA-MRSA are very different from those of HA-MRSA.This review summarizes the current studies of CA-MRSA on the epidemiology and the molecular characteristics.

Residency standardized training is an important part to perfect the medical graduates' continuing medical education. It has an important and profound significance to train qualified medical talents, improve the clinical physician, and promote the whole team professional quality. It can improve residents' professional ability and quality generally through the residency standardized training of basic knowledge, basic skills, communication skills, professional ethics and so on.

Objective To investigate the feasibility and safety of combined coronary and renal angiographies through transradial approch.Methods Three hundred and twenty patients in hospital from August 2007 to April 2009 who underwent combined coronary and renal angiographies through transradial approach were included in this study.Renal artery angiography of 300 cases was done by 5 FMP-A1 catheter (MP-A1 group),and 20 cases was done by TIG catheter (TIG group).Control group had 625 patients in hospital from January 2004 to April 2009 who underwent combined coronary and renal angiographies through transfemoral approach.The achievement ratio,operating time,dosage of contrast agent and complication of angiography were observed.Results The achievement ratio was higher in MP-A1 group [97.0%(291/300) ]and control group [98.4%(615/625)]than that in TIG group [40.0%(8/20)](P< 0.01).The operating time was (32.21 ± 3.37) min and the dosage of contrast agent was (52.72 ± 7.91) ml in MP-A1 group,and it was (30.78 ± 3.23) min and (51.88 ± 7.22) ml in control group respectively.There was no significant difference between two groups(P>0.05).The operating time was (26.42 ±4.31) min and the dosage of contrast agent was(51.72 ± 10.11) ml in TIG group.There was significant difference in the operating time between TIG group and the others groups (P < 0.05).The complications of angiography through transradial approach (0.9%,3/320) were less than those through transfemoral approach (3.0%,19/625) (P <0.05).Conclusions Renal artery angiography through transradial approach by 5 F MP-A1 catheter(125 centimeter) is safe and has minor complication.The achievement ratio of transradial approach for renal artery angiography by 5F MP-A1 catheter is higher than that by TIG catheter.

Objective　 To assess preoperative value of serum CA125 determination for uterine endometrial carcinoma including myometrial invasion, lymph node metastasis, surveillance and recurrence of the carcinoma. To explore the relationship between serum CA125 levels and pathological grades of endometrial carcinoma.　Methods　Serum CA125 levels were determined by ELISA test in 67 cases of postmenopausal endometrial carcinoma. 　Results　There were significant differences in CA125 levels between patients with clinical stage Ⅲ、 Ⅳ cases and clinical stage Ⅰ, Ⅱ (P<0.01). Serum CA125 levels of 10 cases with recurrent carcinoma were positive. Serum CA125 levels of patients with papillary serous adenocarcinoma were significantly higher than those of adenocarcinoma. No relation was found between pathological grades and serum CA125 levels. 　Conclusions　Serum CA125 levels was a useful clinical parameter for determination of postmenopausal endometrial carcinoma preoperatively.