Objective To investigate the changes of cardiac structure and function in type 2 diabetes mellitus (T2DM), analyze the related risk factors of heart failure, and improve the awareness of the effect of diabetes on the heart. Methods Randomly selected 170 cases of T2DM patients As the object of study, 170 cases of non diabetic patients as con-trol group, according to whether complicated with heart failure were divided into heart failure patients and non heart failure patients.Comparison of each group left ventricular posterior wall thickness, left ventricular end diastolic diameter, left ven-tricular end systolic diameter, left ventricular ejection fraction, E/A ratio Differences, analysis of the related risk factors of heart failure by logistic regressive.Results T2DM group left ventricular posterior wall thickness, left ventricular end diastolic diameter and left ventricular end systolic diameter increased , Left ventricular ejection fraction decreased, E/A ratio de-creased, were statistically significant difference compared with the control group (p <0.05).These differences are mainly come from non heart failure patients.Logistic regression showed that factors in patients with diabetes duration, HbA1c, com-pliance and complications of hypertension, coronary heart disease, is a risk factor for heart failure complicated with T2DM (all p<0.01).These may be the risk factor for diabetic patients with heart failure.Conclusion Diabetes can cause cardiac remodeling, systolic and diastolic dysfunction maybe some T2DM patients.They did not show symptoms of heart failure in the clinical, but their Cardiac structure and function are abnormal.We should pay attention to the cardiac function examination and early evaluation, prevention of risk factors, to avoid the occurrence of heart failure.

Objective To explore research methods in nursing of ankle pump exercises for femoral shaft fractures. Methods 60 cases with femoral shaft fractures were randomly divided into the experiment group and the control group.The experiment group was required to do with the plantar flexion of ankle joint by 45°for 3 seconds and dorsiflexion by 30°to neu-tral position for 3 seconds, while the control group was required to maintain the posture (the same in the experiment group) for 10 seconds.Femoral vein blood flow, the surface electromyography of hindlimb flexors and extensors and limb swelling, as well as the VAS score in both two groups were observed.Results The peak blood flow velocity of femoral vein, the surface muscle strength of hindlimb flexors and extensors, the treatment efficiency of limb swelling and the VAS score in the experi-ment group were superior to those in the control group (p<0.05).The peak time of femoral venous reflux was 3 seconds in both two groups, with no statistical significance (p>0.05).Conclusion Ankle pump exercises with the plantar flexion of ankle joint and dorsiflexion maintaining for 3 seconds beneficial for limb functional rehabilitation.

Objective To investigate the different clinical efficacy of traditional Chinese medicine and laparoscopy surgery treatment for endometriosis infertility.Methods The 45 cases of endometriosis infertility were randomly divided into two groups, for the control group,22 patients were treated by laparoscopy surgery treatment;for the experimental group, 23 patients combined with traditional Chinese medicine treatment after laparoscopy surgery.Results The efficiency of the two groups are as follows:the effective rate of the experimental group 913%, the control group 727%；the two groups were significantly different（p<0.05），the pregnancy rate of the experimental group is 696%, and the control group is 454%, the two groups were significantly different（p<0.05）.Conclusion After laparoscopy surgery combined with traditional Chinese medicine treatment for endometriosis infertility is significantly effective, and it is worthy of clinical application.

Objective To explore the early screening of f type 2 diabetes in communities.Methods 1058 residents were selected during community health service for health examination and the health documents were established .he type 2 diabetes pa-tients were screened.According to the risk factors for type 2 diabetes, the screening was done to find out the suspicious patients and high risk individuals, whom received selective intervention.The health records of 982 community residents before the intervention were used for comparisons.The difference inthe indicators such as awareness rate, treatment rate, disability rate and mortality rate of diabetes patients before intervention were compared with those after intervention .Results 76 cases of type 2 diabetes without symp-toms were screened out after intervention and 81 cases before intervention.The awareness rate and treatment rate after intervention were 96.05% and90.79%, significantly higher than 74.07% and67.90%.After treatment, the disability rate was 6.58%, signifi-cantly lower than 19.75%before intervention (p<0.05).Conclusion The model such as“screening-intervention-follow-up-treatment” is the key strategy for three-level prevention of diabetes .It has the important social value to curb the prevalence of diabe-tes, reduce the burden on families or society and improve the quality of life of patients .

Objective To explore the mental health situation of left -behind students.Methods 207 left-behind students and 210 non-left-behind students were selected from 5 schools in Shan'xi Province.SCL-90 scale questionnaire was used to inves-tigate the mental health of the left -behind students.Results The mental health level of non -left-behind students was better than the left-behind students.Besides, gender and age differences were distinct between the two groups.Conclusion Psychological measurement technology has great influence on left -behind students'mental health.We should make analysis from the prospective of family, school and themselves so as to improve their mental health.

Objective To investigate feature on the diagnosis and treatment and care and recovery of tuberculous tenosynovitis.Methods From October 1998 to March 2008,7 cases of tuberculous tenosynovitis at the wrist,hand and ankle,food were treated using surgery and antitubercular agents.The outcomes,misdiagnosed reason and treatment points and revovery instruction were analyzed respectively.Results All cases were cured.There was no recurrence after postoperative 0.3 to 10 year follow up.Excellent function was obtained in 6 cases.There was 1 case with somewhat disability because of late treatment.Conclusions Early diagnosis of tuberculous tenosynovitis depends on the clinical manifestation、lab test and MRI.Healing could be achieved if focal cleaning,antitubercular medication and functional rehabilitation ware performed on time.

Objective To probe into the treating method for 8 patients with amniotic fluid embolism and summarize the cognition and experience.Methods A retrospective analysis was made on the treatment of 8 patients with amniotic fluid embolism and the prognosis clinical material of mother and baby.Results All of them had the drop of blood pressure and shock.7 cases had premonitory symptom.7 cases had survived and 1 case had been dead.Conclusion It is very important for the successful rescuing that the symptom is found out in early period, diagnosis is correctly made, adrenocortical hormones and heparin are used in time, amount of blood and fibrinogen level were supplied quickly, pathogenic factors are removed and subtotal hysterectomy can be carried out early, which has absolutely clinical value for the successful rescuing patients with amniotic fluid embolism.

Military hospital human resources management departments is somewhat scattered, unfit to the hospital mission tasks and not conducive to the development of hospital.To integrate management department, to establish specialized human resources management departments is the new trend of military hospital human resources management development, and is also an important problem to be resolved.Change the military status of hospital human resources management, it is necessary to break through institutional constraints, use a development perspective and operating means, transform management and expand management thinking, so that to achieve the maximum effectiveness of management.

Objective To observe the effect of different concentration sodium bicarbonate gastric lavage on newborn with swallow syndrome.Methods 88 patients from our hospital were enrolled in this study.They were randomly divided into control group (A group) and experimental groups(B、C、D、E group) according to numerical table.Separately using water and 1.0%, 1.5%, 2.0%, 2.5% sodium bicarbonate solution gastric lavage.Vomiting, abdominal distention, gastric retention and weight changes was observed.Results The result showed that the vomiting, abdominal distention, gastric retention of patients in experimental group were better than that of patients in control group, and there were significant differences between them(p<0.05).but there were no significant difference among the experimental groups (p>0.05).And there were no significant difference among experimental and control groups in weight changes(p>0.05).Conclusion 1%sodium bicarbonate can much shorten the time to stop vomit and reduce complication.Therefore it is highly recommended and popularized.

Objective Discuss how to develop nurse arrange in groups mode in basic level hospital, resolve more effectively the problem of nurse delayed on duty to ensure nursing care quality and patients' safety.Methods Divide nurses of different level, different working ability and work experience into several groups to carry on arranges in groups.According to the quantity of patient in ward, the nursing work load, nurse establishment and so on, arrange groups with different number of nurse to attend duty.Results Realized nurse level management, the senior nurse's sense of responsibility strengthened, the work value feeling promoted, nurse delayed on duty rate reduced 89.5%;has realized three satisfactions, namely doctor, nurse, the patient were satisfied.Conclusion Basic level hospital, according with practical work characteristics, develop arranges in groups pattern continuously, and thus has safeguarded the noon and at night patient's safety well, has manifested truly take the patient as the center service idea;reduced times of handover, effectively save time of work, raises the working efficiency, reduces the safe hidden danger;realized nurse level management, enhanced nurse the value feeling.