The present situation of data acquisition of principal diagnosis on front page were introduced and analyzed,the importance of selection and filling out the principal diagnosis on from page were expounded.Meanwhile,how to select the principal diagnosis correctly,clear and definite the definition of Principal Diagnosis,rule of selection of principal diagnosis were also introduced.Besides,some experience on how to select the principal diagnosis were presented.All of these,that analyzing the present situation and the problems of principal diagnosis,in order to assisting medical staff to select principal diagnosis correctly.

Objective:To confirm the efficacy of Compound Xueshuantong Capsule on diabetic retinopathy in hemorrhage period.Methods:Randomly selected out-patient cases,took oral medicine accordance with the dose on time,observed visual acuity and retinal changes before and after treatment.Results:After 3 months observation,visual acuity was improved overall response rate 76.6%,retinal hemorrhage to improve the overall efficiency 70%.Conclusion:The Compound Xueshuantong Capsule was effective in clinical treatment of diabetic retinopathy in hemorrhage period.

Objective To control the quality of Huoxue Quyu syrup,the content of Ferulic acid was determined by RP -HPLC.Methods Ferulic acid was separated on C18column.Methanol -water -acetic acid(40∶60∶2)was used as mobile phase and the detecting wavelength at 322nm.Results The linearity of Ferulic acid was in t he range of 10～40?g?mL -1 (r =0.9997,n=5);the average recovery was 99.52%with RSD being 0.58%(n=5).Conclusion The method is simple and rapid and can be used for controlling the quality o f Huoxue Quyu syrup.

Objective To observe the effect of enzymes-hydrolyzed wheat bran(EHWB) on antioxidant system in diabetic rats.Methods Diabetes mellitus models were induced by alloxan injection and EHWB was used to test its effect on anti-oxidative capacity;the EHWB was given intragastrically(i.g.),sodium ferulate(SF) as a positive group.The level of blood glucose,total anti-oxidative capacity(T-AOC),the activities of superoxide dismutase(SOD),glutathione peroxidase(GSH-Px),and xanthine oxidase(XOD),and the content of malondiadehyde(MDA) were detected respectively in serum and liver of rats.Results EHWB significantly decreased the level of blood glucose and increased the level of T-AOC,as well as the activities of GSH-Px and SOD,and decreased the activity of XOD and the content of MDA.However,there was no difference between the groups feeding SF and EHWB.Conclusion EHWB can be used to decrease blood glucose and improve antioxidant ability in diabetes mellitus rats,the effect of EHWB is similar to SF.The effect of decreasing blood glucose of EHWB is related to protecting liver.

To embark on a standard,systematic and legal metrology work in grassroots medical units,it is recommended that the position of a full-time gauger should be set and more effort should be put into publicity and supervision of metrology law,which is an indispensable part of equipment management.[Chinese Medical Equipment Journal,2008,29(2):108-109]

Objective: To study the features of the emotional status of patients with thyroid dysfunction and analyze the relationship between levels of thyroid hormone and the emotion status.Methods: The levels of FT3,FT4 and TSH of 32 patients with hyperthyroidism,25 patients with hypothyroidism and 30 healthy persons(as normal control group) were measured.And Hamilton Anxiety Rating Scale(HAMA) and Hamilton Depression Rating Scale(HAMD) were used for evaluation of emotion status.The status of anxiety and depression in all groups were compared and the relationship between thyroid function and total scores of HAMA and HAMD were also analyzed.Results: There was statistical significant difference between the total scores of HAMA and HAMD in the hyperthyroidism group and hypothyroidism group and those of the normal control group(P

Objective:To discuss the bacteria detection before and after disinfection by using central negative pressure suction device terminal socket, reduce cross infection probability in hospitals and provide evidence for disinfection management specification. Methods:one hundred and thirty clinical central terminal devices with negative pressure were disinfected spirally with iodine swabs and among them, Department of respiration 48, Department of cerebral surgery 46, and Pediatrics 36, were sampled and sent to be cultured by clinical laboratory personnel before and after disinfection. The specimens were administered in a sterile blood AGAR plate culture medium, and the bacterial growth conditions were observed to detect the bacteria number as pollution standards. Results: The pollution rates of clinical equipment central pressure suction into the terminal socket after disinfection were: Department of respiration 8.33%; Department of cerebral surgery 6.52%; Pediatrics 5.56%, and the average pollution rate was 7.69%.The detected cases of pathogenic bacteria were gram-negative bacteria pollution, and contrasting the pollution rates before and after disinfection was statistically significant(x2=14.08, P<0.05). Conclusion: Using based iodine swabs disinfection central pressure suction mouth terminal socket can reduce the cross infection between the patients with risk and provide patients with safe medical environment.

A comparative observation of the quality of human immunoglobulin separated by the Rivanol-coldethanol combination method(R-E),the cold ethanol method(E)and the Rivanol-Ammoniumsulphate method(R-As)was performed.The experimental data and control data are as follows:Purityof immunoglobulin:96.67?0.93%(R-E,n=10);89.20?5.45%(E,n=8)and 96.22?0.67%(R-As,n=6).Proportion of IgG,IgA and IgM:89.26?0. 81%,6.29?0.38% and 1.16?0.28%(R-E,n=10);88.59?4. 87%,0.34?0.21% and 0.15%?0.09%(E,n=8)and 88.90?1.46%,7.08?1.28% and 0.24?0.29%(R-As,n=6)respectively.Proportion of IgG monomers and dimers,polymers,and fragments:95.96?1.38%,3.04?0.73% and 1.02?1.04%(R—E,n=7)and 98.43?0.57%,0.96?0.25% and 0.62?0.33%(E,n=3)respectively.All the preparations separated bythe three methods have been heated for 4 hours at 57℃,with their appearance being unchanged.

Childhood asthma and obesity are significant public health problems all over the world.In the past decades,the prevalence of both diseases has increased considerably.Because both asthma and obesity appear to have their beginnings in early childhood,common exposures that predispose individuals to both conditions may explain how they are associated.These exposures include common genetic predictors,prenatal exposure to specific nutrients and overall maternal nutrition, colonization patterns of the neonatal and infant gut,birth weight and infant weight gain,and sedentary behaviors in early life.

Objective To explore the application of transanal drainage tube in decompression of acute left- sided colorectum obstruction and its nursing. Methods Twenty- one cases of patients, with acute left-sided colorectal obstruction, were enrolled in this study from 2011 and 2014, Results Of the 21 cases, 5 failed to drip, 6 was difficult to drain, 2 having loose stools around the anus, 2 with the tubes out of the anus, and 6 with obstructed tubes during the drainage. Nineteen finally underwent surgery, 16 of which with 1- stage operation, and 13 of the 16 with sufficient lymph node dissection, without stoma leakage. Conclusions Transanal drainage tube plays an important part in acute left- sided colorectal obstruction, and a professional nursing work could help maintain the unobstruction of the tube, which is of much importance in the procedure of the drainage and the decompression of the obstruction.