Humans ; Jugular Veins ; Neoplastic Cells, Circulating ; Thyroid Neoplasms ; complications

Objective To explore the effect of employee assistance program on male nurses' professional values and professional identity.Methods Fifty male nurses participated in the program by group counseling and individual counseling.The professional values scale (NPVS-R) and the occupational identity scale were used to investigate the changes in their professional values and occupational identity before and after the intervention.Result After intervention,the occupational values and occupational identity of male nurses were significantly better than before intervention (P＜0.01).Conclusion The employee assistance program for male nurses can promote the formation of positive professional values and professional identity sense.

Objective:To establish and validate a new model of health belief model(HBM) combined with theory of planned behavior(TPB).Methods:Path analysis was applied to set up a new model predicting iron-fortified soy sauce consumption behavior using baseline survey data among women in rural and urban areas in Beijing,and the model was validated in follow-up survey.Results:It was proved that health values had powerful direct effect on behavior identity and had relatively strong direct effect on attitudes towards behavior;behavior identity had strong effect on behavior barriers,mostly in a direct way,and on behavior intention in a direct or indirect way;control belief was an important external factor influencing behavior intention;behavior intention was the most direct and most important one of factors influencing actual behavior;and convenience to buy was an important external factor influencing actual beha-vior.Conclusion:The integrated model of TPB and HBM explains behavior better and may be attempted in other similar researches.

Acupuncture Points ; Acupuncture, Ear ; Adolescent ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Tourette Syndrome ; therapy ; Treatment Outcome

Drug safety has always been a global focus. Discovery and accurate information acquisition of adverse drug reaction have been the most crucial concern. Terminology of adverse drug reaction makes adverse reaction medical report meaningful, standardized and accurate. This paper discussed the domestic use of the terminology WHOART and MedDRA in terms of content, structure, and application situation. It also analysed the differences between the two terminologies and discusses the future trend of application in our country
Dictionaries, Medical ; Drug-Related Side Effects and Adverse Reactions ; Terminology as Topic ; World Health Organization

Objective　To analyse the development of mouse kidney. Method　Sterological methods were used in this study.Results　The nephrogenic zone appeared in 14th day's kidney of the fetus development, medulla could be found in the late stage of fetus development kidney and developed after birth. Inner medulla were observed on 21st day after birth, nephrogenic zone disappeared on 7th day after birth. Morphometric analysis proves that medulla developed mainly after birth, cortex volume also developed rapidly after birth, especially after 21st day postnatally, the development of corpuscle number was finished before 7th day postnatally. Conclusion　The development of mouse kidney begins on 14th day of embryo and stops on 21st day after birth, the period of the medulla development is between E 18 days and 21 days after birth.

AIM:To evaluate the availability and our experience of intraoperative image-guidance in endoscopic nasocular operation.METHODS:Seven cases of endoscopic nasal surgery with intraoperative image-guidance were retropectively reviewed,including 3 cases of optic nerve injury;3 cases of foreign object of optic behind the eyeball;1 case of retrobulbar tumor(angeioma).RESULTS:The preoperative preparatory time would take 15 minutes,including coordination,head holder localization,conventional instrument registration.In our cases,the localization accuracy between 3-D image landmarks of navigation system and actual anatomical landmarks was less than 1.3mm.The optic nerve and other anatomical points could be orientated accurately in intraoperative procedures.No complication occurred.CONCLUSION:Nasal endoscope combined with imageguidance systems provides accurate anatomical localization of anterior skull base with enlarged operation field.It is possible for surgeons to observe important anatomical structures during endoscopic surgery.It could increase the effectiveness and decrease surgical complications,especially in complicated cases.

?Optic neuritis ( ON) is one of the most common causes of vision loss by neural eye diseases in youth and middle-aged. In the past, the diagnosis simply according to the risk position, which did not distinguish from the pathogenesis and clinical characteristics, can not meet the current clinical diagnosis and treatment needs. Combining with the etiology, clinical characteristics and prognosis, the latest classification of the current international diagnosis of ON are typical and atypical ON. Typical ON relates to multiple sclerosis ( MS ) or demyelinating disease of the central nervous system, it has a relatively good therapeutic effect and prognosis. Rather than, atypical ON has complex etiology, clinical manifestation, and the treatment and prognosis are also different. At present there are many international ON treatment guidelines with level I evidence-based medical evidence, but with different genetic background, geographical environment and ethnic groups, they are not been determined. China lacks of such a multicenter large sample, a wide range of research evidence. In this paper, we will summarize the progress of the diagnosis and treatment about ON, especially about the atypical ON, in order to provide some suggestions to further improve the standardization and individualization for clinical diagnosis and treatment on ON.

Objective:To evaluate the reliability and validity of the adaptation OSSIQ in measuring the life quality of the populations with different types of subjective skin.Methods:A stratified samplings strategy was adopted to select 140 college students, workers, personnel of enterprises and institutions aged 18-60 years old.The reliability and validity of adaptation OSSIQ were evealuated using internal consistency validity, split half reliability, and construct validity.Results:The adaptation OSSIQ had a Cronbach's α efficient of 0.924 and 0.902.Split half reliability, the Spearman-Brown before and after skin care were 0.877 and the Guttman Split-Half coefficients were 0.876 and 0.874 respectively.Contentvalidity, the Item-scale correlation coefficients exceed 0.5 (P<0.001) before and after skin care.Satisfactory (100%) convergent validity and discriminant validity were found.The contract validity was checked by factor analysis;after quartimax rotation, the researcher extracted the factors by the default principle of eigenvalue>1.Each factor consisted of the items with factor loading≥0.6;the load factor value belonged to high level (≥0.6) by factor analysis.Conclusion:Adaptation OSSIQ has good reliability and validity for the evaluation on life quality of the populations with different types of subjective skin.It can be used to evaluate the influence of different types of skin in the life quality.

Objective To investigate the profile and mechanism of imipenem resistance in the clinical isolates of Serratia marcescens. Methods A total of 152 strains of S. marcescens were isolated from January 2013 to December 2014. Disk diffusion method?and?automated?systems?were?used?to?determine?the?susceptibility?of?the?isolates.?The?modified?Hodge?test?and?EDTA?synergy?test?were?employed?to?test?carbapenemase?phenotype.?Agar?dilution?method?in?combination?with?efflux?pump?inhibitor?MC207110?was used to observe the change of imipenem MIC values. The genes encoding carbapenemase, AmpC beta-lactamase and outer membrane protein were detected by polymerase chain reaction. Results? Imipenem?resistance?was?identified?in?87?of?the?152?strains?of S. marcescens.?Modified?Hodge?test?was?positive?for?12?of?the?87?imipenem-resistant?S. marcescens strains. EDTA synergy test was?positive?for?9?of?the?strains.?Imipenem?MIC?was?reduced?to?1/4?to?1/64?in?46?strains?by?agar?dilution?method?in?presence?of?efflux?pump inhibitor MC207110. Five strains were positive for KPC genes, 8 strains positive for IMP gene, and 6 strains positive for DHA gene. Loss of outer membrane protein was found in 16 strains by PCR. Conclusions Imipenem-resistant strains of S. marcescens are?prevalent?in?our?hospital.?KPC,?IMP,?DHA?genes,?and?loss?of?outer?membrane?proteins?and?efflux?pumps?may?all?contribute?to?imipenem resistance in S. marcescens isolates.