A cutaneous branch of the suprascapular nerve was observed in 9 from 180 Chinese adult arms (5.0?1.62%), it has been found bilaterally in 3, and unilaterally in other 3 male cadavers.The cutaneous branch arose from the stem of an essentially normal suprascapular nerve under the superior transverse scapular ligament. After passing between the coraco-clavicular and coraco-acromial ligaments the cutaneous branch pierced obliquely the deltoid muscle and supplied the proximal third of the antero-lateral aspect of the arm. The distribution territory of the cutaneous branch coincided with the anterior half of the deltoid muscle.

Objective To observe the clinical effectiveness of alprostadil combined to pancreatic kininogenas in the treatment of gerontal diabetic peripheral neuropathy.Methods Totally 90 gerontal patients with diabetic peripheral neuropathy were randomly divided into three groups,the first group received the treatment of mecobalamin,the second group received mecobalamin plus pancreatic kininogenas,the last group received mecobalamin,alprostadil and pancreatic kininogenas (30 cases for each).The course of treatment was 4 weeks,the nerve conduction and effective rate of 3 groups were compared after treatment.Results Compared with the first group(53.3％),the total effective rate was significantly improved in the second group (80.0％)and the third group(100.0％) (P＜0.05).After treatment,the therapeutic effect of every group was boosted,and the second group was better than the first group,and the last group was best(P＜0.05).Conclusions Alprostadil combined to pancreatic kininogenas is effective and safe for the treatment of elderly diabetic peripheral neuropathy.

The branches of the a. iliaca int. and ext. of 60 Chinese male adult cadavers (120sides) were studied and the findings are as follows: 1. The average length of the internal iliac trunk is 4.35?0.17cm,?=?1.34cm,in the left, and 4.56?0.21cm,?=?1.63 cm in the right. It is inversely proportionalto the average length of the common iliac artery. 2. The patterns of the branching of the superior, inferior gluteal and internalpudendal artieries may be classified into 5 types: type Ⅰ is present in 63 sides (cases)(52.5?4.55%); type Ⅱ and Ⅲ occur in 26 cases (21.67?3.76%); type Ⅳ occursin 4 cases (3.33?1.64%) and type Ⅴ is present only in 1 side (0.85 0.83%). 3. In most of the cases, the superior gluteal artery passes between the lumbosacraltrunk and the first sacral nerve (79.83%), while the inferior gluteal (66.67%) and theinternal pudendal artery (62.19%) usually pass between the second and third sacralnerve into the gluteal region. A few of these vessels may divide into 2 or 3 branchesbefore leaving the pelvis. 4. The accessory pudendal artery is present in 13 cases (10.83?2.83%). 5. The obturator artery originates from the internal iliac artery in 102 cases(85.0?3.26%), most of them spring from the anterior trunk of the internal iliacartery. In the other 18 cases, 2 spring directly from the external iliac artery (1.67?1.17%), 13 from the inferior epigastric artery (10.83?2.85%), and 3 have doubleorigins (2.5?1.42%), in which the 2 branches spring separately from the internal iliacand inferior epigastric artery. These abnormal obturator arteries occur in 14 cadavers(23.33?5.44%). 6. The iliolumbar artery is present in 80 cases (66.67?4.30%) as a singlebranch, in 37 cases (30.83?4.2%) with 2 separate branches and in 3 cases (2.5?1.43%) with 3 branches. It has various origins, most of them spring from the maintrunk or from the posterior trunk of the internal iliac artery. 7. The lateral sacral artery occurs in 54 cases (45.0?4.54%) as a single branch,in 57 cases (47.5?4.55%) with 2 branches, and in 9 cases (7.5?2.44%) with 3branches. Its origin is comparatively constant, usually arising from the posterior trunkof the internal iliac artery. 8. Most of the superior vesical arteries spring from the root of the umbilical artery.The number of branches of this vessel varies from 1 to 6, but most of them have 1 (46cases, 38.33?4.43%) or 2 (45 cases, 37.5?4.42%) branches. 9. The inferior vesical artery has 1--3 branches. Most of them have a singlebranch (104 cases, 86.67?3.1%), it springs commonly from the anterior trunk of theinternal iliac artery or from the internal pudendal artery. 10. The deferent artery springs in 85 cases (70.83?4.15%) as a single branch,and in 35 (29.17?4.15%) with 2 branches. In the single-branch type it springsmostly from the root of the umbilical artery, and in the two-branch type both springcommonly from the superior vesical artery. 11. The inferior rectal (middle hemorrhoidal) artery is present only in 106 cases(88.33?2.93%), most of them spring from the internal pudendal and inferior glutealarteries. In 3 cadavers (5.0?1.99%) they spring from the middle sacral artery sym-metrically. 12. In 103 cases (85.85?3.32%) the inferior epigastric artery springs indepen-dently from the external iliac artery, in 16 cases (13.33?3.13%) it springs as a com-mon trunk with the obturator artery, and in one side (0.83?0.83%) with the medialfemoral circumflex artery. Its origin-site on the external iliac artery is proxmal to theinguinal ligament in 69 cases (57.5?4.51%) with an average distance of 0.95?0.10cm,?=?0.59cm in the left, and 0.73?0.08 cm,?=?0.43 cm in the right; in 43cases (35.83?4.67%) the origin-site is just behind the ligament; and in 8 cases(6.67?2.28%) it is distal to the ligament, its average distance is 0.48?0.09 cm,?=?0.18 cm in the left, and 0.45?0.11 cm,?=?0.22 cm in the right. 13. The deep iliac circumflex artery, a single branch, is present in 115 cases(95.83?1.82%), the remaining 5 cases (4.17?1.82%) have 2 branches. In 54cases (45.0?4.54%) its origin-site is just behind the inguinal ligament; in 36 cases(30.0?4.18%) is proximal to the ligament with an average distance of 0.56?0.09cm,?=?0.38 cm in the left, and 0.61?0.09 cm,?=?0.35 cm in the right; and in25 cases (20.83?3.72%) it is distal to the ligament, the average distance shows0.62?0.12 cm,?=?0.45 cm in the left, and 0.69?0.12 cm,?=?0.41 cm in theright.

Objective To evaluate the effects of music on improving psychosomatic distress in severe patients. Methods The data were collected via China national knowledge infrastructure ( From January 1979 to December 2014), Vip journal integration platform (From January 1989 to December 2014) and Wanfang data ( From January 1982 to December 2014 ) , conducted by two researchers separately. The inclusive literatures were related to the intervention effects of music on anxiety and depression in severe patients, and the data were analyzed by Meta-analysis. The searching strategies determined by the first author; the third party would be involved into the determination in case of the divergence emerged. Results The researchers invited 11 literatures into the study and randomly compared them. Meta-analysis demonstrated that music had protective function on anxiety and the WMD(weighted mean difference)values for SAS, VAS and TAI were: -10. 13 (95%CI:-14. 56, -5. 69),-0. 73 (95%CI: -1. 21, -0. 24) and -3. 71 (95%CI: -5. 18, -2. 25);the WMD values for SDS and for UCLA were -0. 05 (95%CI: -0. 08, -0. 03) and -6. 24 (95%CI: -8. 62,-3. 87), suggested that music had protective effects on depression and on loneliness;the WMD values for sleeping time and awakening time were 1. 09 (95%CI:0. 72, 1. 45) and -0. 93 (95%CI: -1. 49,-0. 36), suggested that music could significantly increase the sleeping time and reduce the awakening time in order to cope with sleep disorder;the WMD value for blood pressure was -5. 41 (95%CI: -20. 08, 9. 27), suggested that the protective effects of music on blood pressure was uncertain;the WMD value for heart rate was -12. 35 (95%CI:-14. 68,-10. 01), suggested that music could protectively reduce the heart rate. Conclusions Music should be highly recommended for it plays a significant role in dealing with psychosomatic distress such as anxiety, depression, lonely and sleep insufficiency.

Objective:To explore the current situation of clinical nurses' disaster nursing ability and its influencing factors, and to provide basis for carrying out clinical nurses' disaster nursing education and training.Methods:By convenient sampling method, 322 clinical nurses from Peking University Shenzhen Hospital in September 2020 were selected. The disaster nursing ability assessment tool and general information questionnaire were used to conduct a questionnaire survey to analyze the current situation of clinical nurses' disaster nursing ability and its main influencing factors.Results:The total score of disaster nursing ability of clinical nurses was (199.07±34.31) points, which was at the middle and lower level; the scores of each dimension from high to low were as follows: disaster preparedness score was (72.94±12.89) points, coping ability score was (80.00±13.82) points, disaster reduction/prevention capability score was (28.19±6.09) points, recovery/reconstruction ability score was (17.94±3.27) points. Regression analysis showed that the highest degree, clinical department, whether they have autonomously studied disaster nursing related courses after work, and whether they have participated in disaster rescue after work were the main influencing factors of clinical nurses' disaster nursing ability ( t values were -4.715-5.508, P<0.05). Conclusions:The overall level of disaster nursing ability of clinical nurses is at the middle and lower level. It should be combined with clinical nurses' work department, whether clinical nurses have disaster rescue experience and whether they have independently studied disaster nursing related courses, and targeted disaster nursing related training should be carried out to improve their disaster nursing knowledge and skill.

Objective:To investigate and analyze the current situation and influencing factors of professional decision-making self-efficacy of male nurses.Methods:Convenience sampling was used to select 133 male nurses from September to October 2020 in Shenzhen City as the research objects. The Self-efficacy Scale for Career Decision-making was used to conduct self-evaluation, career information collection, career goal selection, career planning formulation, and job-selection problem resolution.Results:Attitudes towards nursing majors, academic qualifications, reasons for applying for nursing majors, monthly family income, whether it is an only child, family residence, work status, number of job changes, mother′s education level, and married or not were the factors that affect male nurses′ professional self-efficacy ( t values were -1.989-12.523, F values were 7.476-325.316, P<0.05 or 0.01). Conclusion:Career decision-making self-efficacy has a good guiding role in the career selection, development and planning of male nurses. Medical units should formulate reasonable training methods or related training for new male nurses entering the clinic, so as to increase male nurses′ recognition of their occupations, thereby enhancing them Career decision-making self-efficacy.

Objective To evaluate the predictive value of 18F-fluorodeoxyglucose (FDG) PET/CT before or after autologous hematopoietic stem cell transplantation (Auto-HSCT) in patients with non-Hodgkin's lymphoma (NHL).Methods Fifty-eight NHL patients who underwent PET/CT scan before or after Auto-HSCT were retrospectively analyzed.Between June 2007 and May 2016,40 patients (32 males,8 females;median age 39 years) underwent 18F-FDG PET/CT pre-transplantation,and 34 patients (23 males,11 females;median age 34 years) underwent 18F-FDG PET/CT post-transplantation.There were 16 patients underwent both pre-and post-transplantation imaging.PET/CT results were categorized as positive or negative according to the standard response criteria.The predictive value of PET/CT was evaluated with progression-free survival (PFS) and overall survival (OS) using Kaplan-Meier survival analysis and logrank test.Three-year PFS and OS of different groups were compared with Fisher exact test.Results (1) 18 F-FDG PET/CT before Auto-HSCT:PFS of patients in PET/CT negative group (n =27) and positive group (n=13) were significantly different (x2=4.187,P＜0.05),3-year PFS was 63.6％(14/22) vs 1/7 (P=0.031).However,OS of the 2 groups were not significantly different (x2=1.777,P＞0.05).(2)18F-FDG PET/CT after Auto-HSCT:PFS and OS of patients in PET/CT negative group (n=18) and positive group (n =16) were significantly different (x2 values:15.430,7.726,both P＜0.01).The 3-year PFS and OS of the 2 groups were 8/10 vs 2/12(P=0.005) and 8/10 vs 4/12 (P=0.038),respectively.Conclusion 18F-FDG PET/CT before or after Auto-HSCT could provide prognostic information for NHL patients.

Objective To evaluate the targeted surveillance of health care-associated infections in ICU. Methods PubMed, EMBASE ( Excerpt Medica Database ) , China Biology Medicine disc, China National Knowledge Infrastructure, Vip Journal Integration Platform and Wanfang Data were searched from 2009 to 2013 by two researchers. Full-text studies on targeted surveillance of healthcare-associated infections in ICUs were included. Studies were evacuated using STROBE and GRADE. Random effects meta-analyses were used to generate summary estimates of infection rates. Results Totals of 21 studies met eligibility criteria, which were all Chinese research papers. Taking the infection rate as an example, 74 600 cases were observed within which 7 318 cases were infected. Pooled meta-analyses of eligible studies revealed that adjusted infection rate:infection rate, case infection rate, daily infection rate, case daily infection rate were 3. 27%, 4. 92%, 4. 58‰, 6. 49‰, respectively. The infection rates were 23. 12‰ in ventilator associated pneumonia, 5. 26‰ in catheter-related bloodstream infections, and 2. 38‰ in catheter-associated urinary tract infections. The lower respiratory tract, the blood, and the urinary tract were the main infection sites, accounting for 58. 07%, 18. 16%, and 15. 35%, respectively. A. baumanii, P. Aeruginosa, fungi, S. aureus, K. pneumoniae, E. coli were the main pathogens, accounting for 20. 54%, 14. 28%, 14. 35%, 11. 62%, 10. 92% and 6. 86%, respectively. Conclusions The burden of health-care-associated infection in ICU is high. Our findings indicate a need to improve surveillance and infection-control practices.

Chaihu Shugansan composed of Bupleuri Radix， Paeoniae Radix Alba， Chuanxiong Rhizoma， Aurantii Fructus， Citri Reticulatae Pericarpium， Cyperi Rhizoma， and Glycyrrhizae Radix et Rhizoma has the effects of soothing liver， relieving depression， regulating Qi movement， and relieving pain. It is a classic formula for treating gastric distension recommended by doctors of later ages. This article systematically reviews the clinical application and basic experimental progress of Chaihu Shugansan in the treatment of functional dyspepsia. In modern clinical practice， Chaihu Shugansan and its modified formulas are used to treat functional dyspepsia， and they can be applied in combination with other formulas （Si Junzitang， Jinlingzisan， Zhizhuwan， etc.）， western medicine （domperidone tablets， deanxit， Saccharomyces boulardii， etc.）， traditional Chinese medicine （TCM） acupuncture and other therapies. The results of clinical studies have shown that Chaihu Shugansan and its modified formulas can significantly reduce the Hamilton depression scale （HAMD） score， Hamilton anxiety scale （HAMA） score， and TCM syndrome score， ameliorate the symptoms， improve the quality of life， and decrease the recurrence rate. The experimental pharmacological studies have demonstrated that Chaihu Shugansan can inhibit the autophagy of Cajal interstitial cells， regulate the endoplasmic reticulum stress signaling pathway， and modulate the brain-gut peptide level to improve the gastrointestinal motility. Chaihu Shugansan can inhibit the expression of 5-hydroxytryptamine in the colon tissue and reduce the abdominal withdrawal reflex （AWR） score to improve visceral hypersensitivity. Furthermore， Chaihu Shugansan can lower the levels of pro-inflammatory cytokines such as interleukin-6 and tumor necrosis factor-α to repair duodenal mucosal inflammation. In addition， it can regulate intestinal flora to maintain intestinal flora balance. The main active ingredients such as saikosaponin， paeoniflorin， hesperidin， and naringin in Chaihu Shugansan can exert anti-inflammatory， antioxidant， and antimicrobial effects.

In the context of the rapid development of 5G technology， the development of artificial intelligence （AI） in traditional Chinese medicine （TCM） faces new opportunities and challenges. Focusing on how to uphold tradition while innovating in the development of AI in TCM， starting from the current development status of AI in Chinese medicine， including the integration of four diagnostic methods， syndrome differentiation and treatment， auxiliary diagnosis and treatment， research and development of Chinese herbal medicine， prevention and treatment of diseases， knowledge inheritance， and other aspects， this paper discussed the support of policies and technical advancements， as well as development opportunities such as increased demand for health. Regarding machine ethics， data ethics， regulatory review， and other aspects， it also proposed some suggestions that the training algorithm should be improved to assist medical work； data ownership should be clarified to ensure data security； and an AI ethics committee should be set up to improve the review system， aiming to maximize the advantages of smart healthcare and accelerate the modernization of TCM for the benefit of patients and the service of human health.