Parents and family background cast important influence on children's attachment style. Studies have consistently showed positive relations between maternal sensitivity and infant attachment security. Warm and harmonious family was also found to be an important factor. On the contrary, parents' poor marital status and high level of stress in family would result in insecure attachment style in children.

Magnetic resonance imaging (MRI),a commonly used imaging technique,has been extensively investigated in lung cancer diagnosis and staging.Many studies have demonstrated that MRI can be used for the differential diagnosis of benign and malignant pulmonary nodules and for the screening of lung cancer; it also has important value in TNM staging of non-small cell lung cancer (NSCLC),with equivalent sensitivity and specificity to 18F-fluorodeoxyglucose (18F-FDG) PET-CT,which suggests that MRI can be used as an alternative imaging modality in noninvasive diagnosis and staging of NSCLC.

The knowledge atlas for researches of invisible knowledge management was plotted after the key words and their relationship in papers on invisible knowledge published in the past 5 years were quantitatively and qualitatively analyzed by social network analysis, co-words cluster analysis, and impact factor analysis with the journal articles covered in CNKI, Wanfang, VIP Chinese Scientific and Technological Journals Databases as the data source.The hotspots and structure in researches of invisible knowledge management were then studied in order to provide reference for the innovative development and future research of invisible knowledge management.

Objective To investigate the application of continuous renal replacement therapy in critically ill patients and clinical nursing measures.Methods 100 critically ill patients receiving continuous renal replacement therapy were chosen from October 2009 to June 2011 in our hospital and were given nursing intervention.The biochemical indicators before and after treatment were compared and analyzed.Results The biochemical indicators in patients improved significantly after continuous renal replacement therapy.There was significant difference.Conclusions Effective and comprehensive nursing for critically ill patients in continuous renal replacement therapy can improve the patients vital signs,improve the survival rate of them,and it should be carried out in clinic.

ObjectiveTo explore the current occurrence of upper gastrointestinal bleeding in elderly patients in our hospital and its possible risk factors and treatment program.MethodsAn observational prospective analysis of medical records of 758 consecutive patients was performed.Clinical presentation,etiology and treatment were evaluated.The follow-up ended on the dates of a first occurrence of UGIB,stopping co-therapy,death or 6 months after admitted in the group.Results426 male and 332 female were admitted in the group,UGIB occurred in 48 patients.PPI,H2RA,gastric mucosa protectant plus PPI,gastric mucosa protectant plus H2RA and control were prescribed in 108,240,70,102,238 patients respectively.There were statistics difference in each group compared with control in bleeding rate.ConclusionThe occurrence of UGIB associated with A + C co-therapy in elderly was 6.3％.Co-prescription with PPI and gastric mucosa protectant was associated with a lower risk.

Objective To study the influence of stay-at-home college students' resilience,self-supporting personality on psychological health state.Methods A sampling survey include 536 college students was done by psychological resilience list,self-supporting personality list,90 samptoms list (SCL-90),225 stay-at-home college students were taken as study group,and 311 non-stay-at-home college students as control group.Then the results were calculated and analyzed by SPSS13.0,and the calculating methods were listed as follows:analysis of variance,chi-square test,correlation analysis,linear regression and so on.Results ① The scores of family supporting,interpersonal independence of stay-at-home college students were apparently lower than those of non-stay-at-homes(F =5.826,P ＜ 0.05 ; F =6.614,P ＜ 0.05 ; F =4.163,P ＜ 0.05 ),but the score of independence was apparently higher than those of non-stay-at-homes(F =3.980,P ＜ 0.05).②The SCL-90 total scores and each factor score of stay-at-home college were narrow higher than those of non-stay-at-home college students,while the difference level still didnt reach significant level( all P＞ 0.05 ).The relevance ratio of apparent psychological symptoms of the two group college students didnt has significent calculating difference( all P ＞ 0.05 ).③ The SCL-90 total score item and most individual factor item of stay-at-home college students had apparent negative correlation with the interpersonal independence factor of their resilience and self-supporting personality (r =- 0.537 ～ - 0.132,P ＜ 0.05 ),while not apparent negative correlation with the individual independence factor(r =-0.118 ～0.105,P ＞ 0.05 ),and also they had very few correlation with the SCL-90 factor item which was relevant with interpersonal flexibility.④Emotion control,psychological resilience and interpersonal independence apparently negatively predict the physical and mental symptoms of those stay-at-home college students,with the predicting rate of 33.7％.Conclusion Stay-at-home experience has effects on the family-supporting,bearing power,independence and interpersonal independence of college students ;Emotion control,psychological resilience and interpersonal self-supporting are the protecting factors of the psychological health condition of college students.

Digestive tract reconstruction is one of the important steps following pancreatoduodenectomy.Traditional methods of digestive tract reconstruction,such as Whipple,Child and Cattel method,had disadvantages of bringing damage to the normal physiological structure and raising the incidence of complications.In this review,the improvements of the digestive tract reconstruction in recent years were introduced,and their benefits and shortcomings were also analyzed.

Objective:To understand the effect and significance of rehabilitation nursing of the patients with total hip replacement. Method:In view of the rehabilitation nursing procedure, functional training before and after the operation were performed in 34 cases with total hip replacement. Result:21 cases made completely recovery; 9 cases complete independent living ;3 cases almost independent living; l case partial dependent, and no complications. Conclusion: Scientific rehabilitation nursing plan can decrease the incidence rate of complications after the operation and promotes functional recover to patients with total hip replacement.

To help pharmaceutical companies absorb lessons from the Ban on PPA, the article analyses the behavior of SinoUS Smith Kline & French, which led to great loss after the Ban of an PPA by SDA of China. It points out that the Ban of PPA did not come unexpectedly. Before the Ban many clinical reports had been released and the authorities of some countries had already introduced ban on PPA or issued warnings on the possible danger of PPA. If the company in question had taken timely measures to keep track of the information, the loss could have been minimized, It is concluded that the pharmaceutical companies should step up their effort for the monitoring and following-up of their products after introduction of their durgs to markets and attach importance to the study of pharmacoepidemioloy. Pharmaceutical companies should put emphasis on the collection of information.

Objective To observe the comparison of two different guide wire in endoscopic retrograde cholangiopancreatography (ERCP).Methods One hundred and twenty-four patients who were identified with ERCP indications were divided into the loach guide wire group (group A) and zebra guide wire group (group B) by random digits table,each with 62 cases.Intubation time,rate of successful intubation and postoperative complication was compared.Results The rate of of one-time successful intubation in group A was 95.2％(59/62),significantly higher than that in group B [82.3％(51/62)] (P ＜0.05).The average time of one-time successful intubation in group A was (1.38 ± 0.52) min,significantly lower than that in group B [(1.63 ± 0.61) min] (P ＜ 0.05).The rate of total successful intubation in group A was 95.2％(59/62),in group B was 96.8％(60/62),there was no significant difference (P＞ 0.05).The rate of postoperative hyperamylasemia and pancreatitis in group A was 12.9％ (8/62),in group B was 32.3％ (20/62),there was significant difference (P ＜ 0.05).Conclusion The application of the loach guide wire in ERCP operation is significantly better than that of the zebra guide.