Objective To investigate the impacts of health education on awareness of hyperglycemia,self-efficacy and serum level of blood glucose in patients with coronary heart disease (CHD).Methods Two hundred CHD patients were enrolled in this study and assigned to the normal blood glucose (NGT) group ( n =60),impaired glucose regulation (IGR) group ( n =50),and type 2 diabetes mellitus (T2DM) group (n =90).Health education programme was carried out before and after discharge from the hospital.Fasting plasma glucose (FPG),2 h postprandial blood glucose (2 hPG) and glycosylated hemoglobin ( HbA1c ) of each group were assessed at baseline and 3 or 6 months after the intervention.Chisquare or t test was used for data analysis.Results After the intervention,the awareness of hyperglycemia was significantly improved in each of three groups (NGT group:x2 values were 17.207,23.582,37.046,39.046,38.686,46.218,28.643,39.895,37.046 and 33.333,respectively,all P ＜ 0.05 ; IGR group:x2values were 31.723,23.529,23.389,27.542,21.091,27.307,20.219,38.235,24.669 and 26.475,respectively,all P ＜0.05; T2DM group:x2 values were 21.161,20.680,14.612,23.104,22.383,29.436,19.444,32.526,24.671 and 31.696,respectively,all P ＜ 0.05 ).Self-efficacy scores of symptom selfmanagement and common disease management were increased after the health education intervention (t values were 12.75 and 7.21,respectively,both P ＜ 0.05 ).At 3 or 6 months,the NGT group showed on significant change in FPG,2 h PG and HbAlc (F values were 2.35,1.97 and 2.01,respectively,all P ＞0.05) ; however,FPG,2 h PG and HbAlc of the IGR and T2DM group were significantly decreased ( IGRgroup:F values were 8.07,8.89,and 10.23,respectively,all P ＜ 0.05 ; T2DM group:F values were 12.35,11.56 and 8.99,respectively,all P ＜ 0.05 ).Conclusion Health education could improve the awareness of hyperglycemia,self-efficacy and glucose metabolism in patients with CHD.

Objective The aim of the study was to determine the diagnostic value of color Doppler ultrasound in the assessment of the breast mass.Methods The results of ultrasonograph of the breast mass were retrospectively observed in 79 operation and pathological proven breast mass parients,in which 47 patients had proven malignant breast mass and 32 patients had proven benign malignant breast mass.Results Color Doppler ultrasound had a sensitivity of 100%for diagnosing breast mass,accuracy of 93.7%(30/32)and 91.4%(43/47)for diagnosing malignant and benign mass.Conclusion Color Doppler ultrasound has high diagnostie value in distinguishing malignant from benign mass.

Objective To explore the effect of the Yu-tone music to reduction of fear emotion. Methods 72 undergraduate students listened to Yu-tone Music or had a rest for ten minutes after elicitation of fear emotion by film clip;and measured from autonomic nerves system include skin conduction,BVP amplitude,heart rate,respiration,finger temperature and self-report subjective experience. Result 1.Compared with silence[(0.96±1.64)1/Ω,(0.85±1.73)min-1,(4.48±43.54)μV,(-5±15.37)min-1],music was associated with a significantly decreased skin resistance,respiration rate,heart rate and myoelectricity after fear emotion[(2.04±2.22)1/Ω,(0.09±1.79)min-1,(8.47±26.24) μV,(1.57±20.88) min-1,P <0.01,P <0.01,P <0.01,P <0.05]; 2.Compared with silence[(-0.37±2.71)μV, (0.13±1.16) ℃ ],music was enlarged BVP amplitude and skin temperature[(-0.53±3.8)μV,(-0.02±0.87)℃],but there was no significant difference( P ＞0.05,P ＞0.05).Conclusion Music advance the restore of negative emotion,and reduce excitability of the sympathetic and improve function of the parasympathetic nervous systems. Simultaneously,music significantly enhance the feelings of happiness as well as quietness of positive emotion.

Objective To investigate the effect of quantifying health education on nurse teaching in cardiovascular department. Methods Totally 98 nursing college students practicing in cardio-vascular department were randomly divided into experimental group and control group . Method of quantifying health education was employed in experiment group while traditional education was used in control group;all patients were guided by health education. After the internship, two ques-tionnaires were used separately to evaluate the health education effects on nurse students and patients. SPSS 17.0 software was used for statistical processing. The measurement data were expressed as x±s; The mean between the groups was compared using t test; the enumeration data between the groups were com-pared using字2 test, the ranked data were compared using rank sum test. α=0.05 was taken as inspec-tion level. Results The health education cognitive scores were higher in experimental group than in control group (P<0.05). The health education ability scores, theoretic test scores, and operation test scores were higher in experimental group than in control group, with statistical differences (t=3.20, 2.10, 2.87; P=0.001, 0.032, 0.004). There were statistical differences in patients' cognition after receiving health education. (Z=13.435, 14.290, 12.901, 12.466, 12.168, 11.350; all P=0.000). Conclusions Quantification of health education can improve health education cognition and ability of nursing students in cardiovascular department, enhance the ef-fectiveness of clinical practice, and help patients master knowledge of health education.

Objective The aim of the study was to determine the diagnostic value of color Doppler ultrasound in the assessment of the retinal detachment. Methods The changes of ultrasonograph of the retinal detachment were retrospectively observed in 35 cases of 31 opei-ation proven retinal detachment patients. Results Color Doppler ultrasound had an accuracy of 97.1% (34/35) for diagnosing retinal detachment. In 33 cases of retinal detachment, the results of color Doppler flow imaging(CDFI) showed the color blood-flow signal in the vitreous membrane echo,extending with central retinal artery and vein. Conclusion For the color blood-flow signal in the vitreous membrane echo by CDFI ,extending with central retinal artery and vein, has a specificity of diagnostic value for retinal detachment, and the color Doppler ultrasound has a high accuracy for diagnosing retinal detachment.

Objective To investigate the effect of Shengxue-zengbai Decoction on the expression of ICAM-1 and SCF in bone marrow tissue and on the mechanism of hematopoietic reconstitution in bone marrow transplantation (BMT). Methods The experimental animals were randomly divided into S groups: normal group received no treatment, BMT control group, G-CSF group, Shengxue group, and Shengxue +G-CSF group. BMT mouse models were established. Shengxue group, Shengxue + G-CSF group were given Shengxuezengbai Decoction. On days 9, 14, 24 after BMT, mice were killed and peripheral blood cells, bone marrow nucleated cells were detected. Histological observation of bone was made and the ICAM-1 and SCF expression were assayed by immunohistochemistry. Results In Shengxue-zengbai Decoction group, the peripheral blood cell, bone marrow nucleated cell on the days 9, 14, 24 after BMT were higher than the other control groups. The expression of ICAM-1 and SCF than in the other control groups (P<0.05 or P<0.01 > . Conclusion Shengxue-zengbai Decoction enhances ICAM-1 and SCF expression in bone marrow after syngenic bone marrow transplantation in mice, which may be related to the mechanisms of its accelerating hematopoietic reconstitution in allogenic bone marrow transplantation.

0.05).IGF-Ⅰlevel in the serum in carnosine group increased significantly(P

Flap pedicled with the arteria epigastrica superficialis was transposed to primarily repair firearm wound after the rabbit's posterior limb was shotted. Recovery of the wound was observed and the content of bFGF mRNA in myoideum of the concussion area was measured by reverse transcroption polymerase chain reaction(RT PCR). All wounds repaired with transposition of fascia flaps attained primary healing and the content of bFGF mRNA in myoideum of the concussion area was higher than that in the control group. The result suggests that transposition of arterialized fascia flaps could primarily repair firearm wounds successfully and the high expression of bFGF is one of the causes.

The results of this study showed that no deficiency of the spleen or kidney were seen in the normal control group animal. About 1/3 of the anemic -rat control group revealed, earlier or later, spleen deficiency, without kidney deficiency. For the group of rats with iron deficiency, deficiency of the kidney appeared after 17 days, with many rats suffered from spleen deficiency, in which 43 % of the animals changed from deficiency of the spleen to deficiency of both spleen -kidney or kidney deficiency alone. The difference between the iron -deficiency group and animic control group of spleen deficiency was that the serum iron was markedly lower in the former group, whereas the serum iron in the deficiency of both the kidney and spleen - kidney rats was even lower than the spleen deficiency group. When deficiency of the kidney was induced by iron deficiency, the abnormality in the membranous protein of RBC is even more serious. Conclusion: Iron might be one of the crucial biochemical basis of the relations between the kidney and spleen.

Objective To investigate the methods for emergency treatment of open tibial fractures of type ⅢB. Methods From February 1999 to February 2002, 16 cases of open tibial fractures of type ⅢB (age range: 19 47 years; average age: 27 years; the skin defect area: 4.5cm ?3cm-14cm ?6cm) were treated with administration of antibiotics, debridement, stabilization by unreamed locking intramedullary nails, and finally transfer or transplantation of cutaneous or musculo cutaneous flaps. Autografting from the iliac crest was done for 4 cases with bone defects. Results The follow ups averaged 9 months (ranging from 6 months to 14 months). The survival rate of flaps was 100%and all were free of deep infection. All fractures healed within 6 months in 14 patients and within 10 months in 2 patients. According to the Johner Wruchs method, the functions of ankle and knee were excellent in 14 cases, and good in 2 cases. Conclusion Emergency management of open tibial fractures of type ⅢB with unreamed locking intramedullary nails and skin flap grafting results in good outcome.