Objective To present a method based on wavelet transform for detecting the QRS complexes of electrocardio-gram(ECG) without preprocessing.Methods By comparing three different kinds of wavelets,the first derivative of Gaussian function wavelet whose coefficient of wavelet is more sensitive adopted for MIT-BIH Arrhythmia Database which is widely and internationally accepted in the end.The catastrophe points of QRS complexes are detected by time-frequency analyz-ing.Results The method is proved to be precise and effective by applied to detect the QRS complexes of the ECG record provided by MIT-BIH.Conclusion The method is satisfied real time of ECG monitoring system and has preferable potential application.

Objective:To observe the efficacy of gentle moxibustion combined with Western medicine in treating rheumatoid arthritis(RA)due to damp heat affecting bones/joints to further certificate the scientific nature of the theory that"heat pattern can be treated by moxibustion therapy". Methods:A total of 78 patients with RA due to damp heat affecting bones/joints were divided into an observation group and a control group using the random number table method,with 39 cases in each group.The control group was treated with regular Western medicine,on the basic of which the observation group was treated with additional gentle moxibustion.Patients in the observation group received gentle moxibustion therapy once a day for 8 weeks with a one-day rest every 2 weeks.The wrist circumference,wrist pain degree,skin color and temperature of the wrist,and range of dorsiflexion motion of the wrist in the two groups of patients were compared before and after treatment under the condition of safety observed. Results:The total effective rate in the observation group was 94.9%,which was higher than the result of 79.5%in the control group(P<0.05).Among the quantitative indicators of syndrome differentiation,the wrist circumference,pain degree,skin temperature,and range of dorsiflexion motion in both groups were significantly improved(P<0.01),and the improvements were more significant in the observation group than in the control group(P<0.05).The skin color of the wrist joint was improved in both groups after treatment(P<0.05),and there was no statistical significance in comparing the improvement of skin color and the occurrence of adverse reactions between the two groups(P>0.05). Conclusion:Compared with Western medicine treatment alone,the combination of gentle moxibustion and Western medicine treatment has significantly better treatment efficacy and shares high safety,which helps to prove the scientific nature of the theory that"heat pattern can be treated by moxibustion therapy".

Objective:To observe the clinical efficacy of herb-insulated moxibustion on the Governor Vessel in dog days of summer for postpartum pantalgia. Methods:A total of 64 patients with postpartum pantalgia were randomized into an observation group and a control group,with 32 cases in each group.Both groups were treated with herb-insulated moxibustion on the Governor Vessel.The control group was treated in non-dog days,and the observation group was treated in dog days of summer.Both groups were treated with moxibustion once every 3 d,3 times as one course of treatment,for a total of 3 courses.The range and degree of pain were evaluated by the 45-region body surface area score and visual analog scale(VAS)score before treatment,after treatment,1 month after treatment,and around the Winter Solstice.The revised fibromyalgia impact questionnaire(FIQR)was used to evaluate the quality of life of the patients.The clinical efficacy was compared between the two groups after treatment. Results:During the trial,there were 2 dropout cases in the observation group,and 2 cases were eliminated from the control group.After treatment,the total effective rate in the observation group was 93.3%,which was higher than 76.6%in the control group(P<0.05).Compared with before treatment,the number of pain sites and pain areas of the patients in both groups decreased after treatment,1 month after treatment,and around the Winter Solstice(P<0.05),and the FIQR score decreased(P<0.05).The score of each item in the observation group was lower than that in the control group(P<0.05).Compared with before treatment,the VAS score in the observation group decreased after treatment,1 month after treatment,and around the Winter Solstice(P<0.01),and was lower than that in the control group at the same time point(P<0.05). Conclusion:Herb-insulated moxibustion on the Governor Vessel can improve the range and degree of pain in patients with postpartum pantalgia and improve their quality of life.The total efficacy of the moxibustion performed in dog days is superior to that in non-dog days,and the effect lasts longer.

Objective To observe the expression and clinical significance of nuclear factorκB 65 (NF-κB65 ),intercellular adhesion molecule-1 (ICAM-1 )and vascular cell adhesion molecule-1 (VCAM-1 )in the placenta tissue of patients with pregnancy-induced hypertension syndrome (PIH). Methods 58 PIH patients received institutional delivery were designed as PIH group and 40 normal materials of the same period were designed as control group.Expression of NF-κB65、ICAM-1 and VCAM-1 in endothelial cells and trophoblast cells from villous capillary of placenta tissue of both groups were determined by using immunohistochemistry.Results The positive expression rate and ex-pression intensity in PIH group were significantly better than control group (P<0.05 or P<0.01 ). While the positive expression rate and expression intensity gradually increased with aggravation of PIH. Correlation analysis showed the expression intensity of NF-κB65 was significantly and positively correlated with that of ICAM-1 and VCAM-1 in capillary endothelial cells of PIH patients (r =0 .9 5 1 , 0.894,P<0.01 ).The expression intensity of NF-κB65 was significantly and positively correlated with that of ICAM-1 in villous trophoblast cells (r=0.801,P<0.01).Conclusion The expression of NF-κB 6 5 ,ICAM-1 and VCAM-1 increases or decreases significantly in placental capillary endothelial cells and trophoblastic cells of PIH patients.Activation of NF-κB65 may regulate the expression of ICAM-1、VCAM-1 and involved in the development of PIH.

Objective To observe the expression and clinical significance of nuclear factorκB 65 (NF-κB65 ),intercellular adhesion molecule-1 (ICAM-1 )and vascular cell adhesion molecule-1 (VCAM-1 )in the placenta tissue of patients with pregnancy-induced hypertension syndrome (PIH). Methods 58 PIH patients received institutional delivery were designed as PIH group and 40 normal materials of the same period were designed as control group.Expression of NF-κB65、ICAM-1 and VCAM-1 in endothelial cells and trophoblast cells from villous capillary of placenta tissue of both groups were determined by using immunohistochemistry.Results The positive expression rate and ex-pression intensity in PIH group were significantly better than control group (P<0.05 or P<0.01 ). While the positive expression rate and expression intensity gradually increased with aggravation of PIH. Correlation analysis showed the expression intensity of NF-κB65 was significantly and positively correlated with that of ICAM-1 and VCAM-1 in capillary endothelial cells of PIH patients (r =0 .9 5 1 , 0.894,P<0.01 ).The expression intensity of NF-κB65 was significantly and positively correlated with that of ICAM-1 in villous trophoblast cells (r=0.801,P<0.01).Conclusion The expression of NF-κB 6 5 ,ICAM-1 and VCAM-1 increases or decreases significantly in placental capillary endothelial cells and trophoblastic cells of PIH patients.Activation of NF-κB65 may regulate the expression of ICAM-1、VCAM-1 and involved in the development of PIH.

OBJECTIVE:To systematically evaluate the monitoring system for global short drugs,and provide evidence-based reference and policy recommendations for developing the short drug monitoring in China. METHODS:Relevant literatures pub-lished in PubMed,Embase,CNKI,Wanfang,VIP database from building to Apr. 3rd in 2017 were retrieved by using"Drugs (cheap drugs,essential medicines,emergency drugs) storage""Short drugs""Insufficient supply of drugs""Drug shortage"as Chinese keywords,and"Drug storage""Out-of-stock drug""Stortage of medicine""Stock out of medicine"as English keywords. Literatures about monitoring system for short drugs in Baidu,Google and national or regional health administration websites were collected,and general information,data collection,data validation,data reporting method,feedback and improvement measures of monitoring system were extracted. RESULTS & CONCLUSIONS:Totally 25 literatures were included,20 national or regional health administration websites were retrieved. 11 countries and European Union had established monitoring system for short drugs. The main reporting agencies in each country were different,which were production enterprises,business enterprises and medical in-stitutions. It was mainly reported by network. Data validation was mainly conducted by specialized departments or groups for short drugs in each country. The monitoring reporting included information of short drugs and discontinued drugs. Countermeasures in each country mainly included looking for alternative drugs,encouraging production,temporary import,looking for new or other sources of raw materials and speeding up the approval of short drugs. Besides, precautions included implementation relevant laws and guidelines for short drugs,and increasing the cooper-ation with non-government departments,etc. Monitoring sys-tem for short drugs needs to be further improved in China. Itis suggested to establish monitoring and early warning platform for short drugs,and hierarchical intervention mechanism,improv-ing relevant laws and developing guidelines on managing short drugs.

Objective: To investigate the management knowledge and attitudes of dysphagia in stroke patients in Nanning neurology nurses, and to provide evidence for clinical knowledge training and improvement of clinical nursing quality. Methods: A total of 360 neurology nurses from 7 different levels of hospitals in Nanning were investigated for knowledge and attitudes about stroke dysphagia management. Results: The average score of management knowledge of neurological nurses was 54.52±15.51, and the average score of attitude was 45.12±3.90. There was significant difference in the knowledge score of nurses from different hospital level, ages and titles (t=-1.007, P=0.035; F=3.994, P=0.009; F=0.347, P=0.002). There was significant difference in the attitudes score of nurses from different ages and titles (t=7.435, P=0.007); 61.1% (220/360) of nurses did not learn stroke management guidelines for dysphagia; 60%(216/360) of nurses administered dysphagia were based on their own experience, 73.9%(266/360) of nurses believe that the reason for hindering their own swallowing management is the lack of relevant knowledge and skills. Conclusions Neurology nurses have a positive attitude towards stroke management of dysphagia, but lack of knowledge. Nurses with low age, low professional title and low working years have poor knowledge of management of stroke dysphagia. Nursing managers should carry out targeted training for nurses, provide more education and training opportunities to improve the knowledge and service quality of nurses with dysphagia.