ObjectiveTo discuss the relationship between serum homocysteine (Hcy) level and severity of acute coronary syndrome(ACS) through measuring the level of serum Hey in the patients with ACS.Methods95 patients who were diagnosed ACS were divided into two groups:40 cases of unstable angina(UA) and 55 cases of a cute myocardial infarction(AMI).30 individuals were chosen as normal control(NC).In addition,according to the results of coronary angiography,the same 95 patients were further divided into three subgroups which were single-vessel disease( 28cases),double-vessel disease ( 36cases ) and multi-vessel disease ( 31 cases ).Level of serum Hcy was measured in all groups.ResultsSerum Hcy level of ACS patients was significantly higher than NC group( P ＜ 0.01 ).The level of serum Hcy in AMI group was significantly higher than that in UA group( P ＜ 0.05 ).The Hcy level in the multi-vessel disease group,double-vessel disease group and single-vessel disease group were increased in turn,and the difference of pairwise comparison was statistically significant ( P ＜ 0.05 ).ConclusionThe serum Hcy level has rela tionship with the severity of coronary lesions and is directly proportional to the number of coronary artery lesions.The result suggests that the level of serum Hcy maybe play an important role in the prevention,diagnosis,treatment and monitoring of ACS.

Child, Preschool ; Facial Paralysis ; etiology ; Female ; Hand, Foot and Mouth Disease ; complications ; drug therapy ; Humans

Diagnosis, Differential ; Drugs, Chinese Herbal ; therapeutic use ; Humans ; Medicine, Chinese Traditional ; Neoplasms ; diagnosis ; drug therapy ; Phytotherapy ; Quality of Life ; Treatment Outcome

Objective To investigate the effect of intensive nursing intervention on the secondary infection in chemotherapy of elderly patients with lung cancer.Methods 168 cases of elderly lung cancer patients whose neutrophil ≤ 1.0×109/L during chemotherapy were randomly divided into two groups,namely,the intensive care group and the control group,with 84 cases in each group.The control group was given routine nursing of infection prevention,while the intensive care group was given intensified nursing for infection prevention.A contrastive analysis was conducted in terms of the incidence,clinical characteristics and the duration of antibiotic treatment of the two groups of patients with secondary infection.Results The secondary infection rate of the intensive care group was lower than that of the control group during chemotherapy.What's more,the duration of fever and treatment of the intensive care group was shorter than that of the control group,hence the patients were safe during infection period.The difference was statistically significant.Conclusions Strengthening the nursing intervention can reduce the incidence rate of secondary infection in aged patients with lung cancer,increase the tolerance of patients to chemotherapy and ensure the successful completion of the chemotherapy cycle,prolong the life span of the patients with an improved quality of life.

Objective To study the effect of psychological factor in patients undergoing selective operation with preoperative interview by watching operation video. Methods 80 patients undergoing selective operation were divided equally into experimental group and control group randomly, the patients in experimental group accepted pre- operative interview with watching operation video, except for usual preoperative interview. The operation stress reac- tion could be identified by observation of change of blood pressure,pulse signal and emotion before operation. Results The emotion tensity in the experiment group was significantly lower than that of control group(P < 0.01 ). The blood pressure and pulse signal were significantly different between two groups(P < 0.05). Conclusion Application of preoperative interview with watching operation video helped patients to adopt to operation, more smoothly, to ele- vate the effect of operation and to boost the postoperative recovery.

Objective To investigate the effect of efficacious communication on easing mood in outpatients. Methods A review of outpatient service record in the period from January 2003 to November 2007 sum up and arrange the data in order to evaluate the emotion of outpatients with effective communication. Results The outpatients' complaint in the experiment group was significantly decreased than it of control group (P<0.01). Conclusion The important measure to prevent and reduce the outpatients' complaint was to develop the efficacious communication.

Objective To explore the relation between sealed tube method and retention time of intravenous catheter system . Methods Adopt direct injection seal-tube method, saline injection seal-tube method and heparin liquid seal-tube method with common intravenous catheter were adopted the intravenous catheter's retention time and incidence of phlebitis were observed. Results The retention time in direct injection seal-tube group and saline injec-tion seal-tube group respectively prolonged of 25.7% and 19. 3% compared with heparin liquid seal-tube group.There was significant difference (P < 0. 01 or P < 0. 05) through statistical analysis. But there was no significant differ-ence(P 0. 05) between direct injection seal-tube group and saline injection seal-tube group in retention time. Theincidence of phlebitis in both direct injection seal-tubo group and saline injection seal-tube group were below to the heparin liquid seal-tube group. There was significant difference(P 0. 05) in the three groups. But there was no sig-nificant difference(P 0. 05) between direct injection seal-tube group and saline injection seal-tube group in the inci-dence of phlebitis. Conclusion Direct injection seal-tube method and saline injection seal-tube method can signifi-cantly extend intravenous catheter's retention time and reduce the incidence of phlebitis.

BACKGROUND: Junior medic is a special population, which has high speciality and great pressure in study. To investigate the characteristics of personality and mental health of this population can explore the reasons of mental problems in junior medics, which can provide theoretic gist for the establishment of the intervention to improve the mental health of this population.OBJECTIVE: To provide approaches and methods for customized development of mental health education through the comprehension of the status of personality and mental health characteristics of junior medics.DESIGN: A stratified randomized cluster sampling survey.PARTICIPANTS: Totally 550 students of grade 1 and grade 2 in Harbin Medical University were selected by stratified randomized cluster sampling in the September 2004.METHODS: Self-rating depressive scale (SCL-90) and Eysenck personality questionnaire (EPQ) were independently answered by 550 students and taken back on the spot.MAIN OUTCOME MEASURES: Key consequences: EPQ scores for extroversion(E), neuroticism(N), pschoticism(P), reliability(L) and the SCL-90 scores for somatization, compulsion, sensitive human relationship,depression, anxiety, hostility, phobia, crankiness and psychosis. Minor consequence: the statistical typical correlative analysis between total score and score of 9 items in SCL-90 and the scores of 4 scales in EPQ.RESULTS: Junior medics had significantly higher scores in compulsion (1.83 ±0.52), anxiety(1.47 ±0.43), psychosis(1.43 ±0.43), and crankiness(1.54 ± 0.55) than Chinese norm( t = 6. 57 -9.09, P ＜ 0. 05).The characteristics of personality were introversion, optimism, humility, and active. The shortcomings were anxiety, depression and emotional There was positive correlation between personality problem and the severity of mental problem in junior medics.CONCLUSION: The proportion of students with personality problems or mental health problems is relative high in junior medics. Effective interventions should be employed.

The author thinks that the ethical problems of network society depend on its own character of network society the major ethical problems involved in the network society including:moral ideology,ethical relativism prevails again;on moral standard,traditional moral standard is been challenged greatly;on moral behaviour,all sorts of immoral standards appear at any time.These ethical problems also affect the medical morality and medical style.Therefore,this article puts forward the tactics to develop network morality education,plan systematical network behaviour standard,and build up new system of medical morality education。

Objective:To study the effect and applicability of interventianal therapy using elemene emulsion with gastric carcinoma in the advanced period or relapse after operation.Methods:The embolization of advanced gastric carcinoma in 68 cases via left gastric artery,arteria mesenterica superior and arteria coeliaca in 296 patients using elemene emulsion was done with the method of LEF,ELP pand EAP,the indexes of the angiogram before and after treatment,GI and CT were studied for evaluating the effect with the intervals ranging from 2 to 4 months.The regression rate of carcinoma,the retained time of embolism,the survival stage,the survival rate and histopathology were observed.Results:The survival rate of one year was 63.2%,of two years 29.4% and of three years 7.4%.the average survival time of liver metastasis and non-metastasis was 9.6 and 15.6 months respectively,the regression rate of the carcinoma was 64.8%.These figures were higher than those of other interventional radiology and chemotherapy.Conclusion:The embolism with elemene emulsion is a hopeful method to treat the advanced gastric carcinoma of being unable to operation.