Objective To study the effect of extended nursing on puerperal melancholia incidence.Methods Two hundred perpetrates received interventions of extended nursing after delivery,including education about puerperal state,turning on hot line and creation of QQ group,follow-ups and supporting from family members.Result The incidence rate of puerperal melancholia since performance of extended nursing was significantly lower than what is after its performance(P<0.01).Conclusions The extended nursing can help perpetrates to receive nursing knowledge,alleviate their anxiety,strengthen the confidence to take care of baby.As the result,it can reduce the incidence of puerperal melancholia.

The study,based on Huizhou Chronicle,on official medical services in Huizhou and local medical officers in Xin'an in the Ming and Qing Dynasties finds out that the major affairs of Xin'an local medical officials were to rescue and cure poor and sick military and civilians,and dealt with plague in early Ming Dynasty.But official medical services and local medical officers have been gradually abolished since the Jiajing period of the Ming Dynasty,and stepped down gradually from the historical stage after the Qing Dynasty except of Wuyuan County.And then folk multiple forces have risen and become undertakers of social medical insurance in Huizhou.

Physicians of long family tradition in Xin'an emerged as a unique TCM school in Ming and Qing dynasties. They inherited family medical techniques, excelled in clinical practice and their specialties covered almost all fields for generations, with a total population of no less than 300 people. This TCM physician group accounted for one third of all TCM physicians in Xin'an. They were featured by excellence in both medical practice and Confucian literature. They were scholars who studied medicine; they were also professional practitioners with profound theoretical studies and satisfactory clinical efficacy. The family tradition of TCM physician education in early Ming Dynasty, support for medical care from clan system in Huizhou in middle Ming Dynasty,and high respect for TCM physician in Ming and Qing Dynasty in Huizhou all contributed to the formation of Xin'an school of TCM physician group during that historical period.

Objective To evaluate the hemostasis effect of balloon urinary catheter after vacuum-assisted breast biopsy (VABB).Methods From May.2016 to May.2017,270 patients undergoing VABB were randomized into study group (135 cases) and control group (135cases).Patients in the study group received VABB postoperative indwelling catheter balloon hemostasis,while patients in the control group received VABB postoperative conventional thoracic pressure bandage to stop bleeding.Postoperative bleeding and hematoma were recorded and compared between the two groups.Results The rates of postoperative bleeding and hematoma in the study group were significantly lower than that in the control group (6.7％ vs 16.3％,P＜0.05;8.9％ vs 24.4％,P＜0.05).Among patients with lesions ≤ 1.5 cm,the rates of postoperative bleeding and hematoma were 1.6％ and 4.7％ in the study group,and 6.5％ and 8.1％ in the control group.There was no significant difference between the two group (P＞0.05).Among patients with lesions ＞1.5 cm,the rates of postoperative bleeding and hematoma in the study group were significantly lower than those in the control group (11.3％ vs 24.7％,P＜0.05;12.7％ vs 32.9％,P＜0.05).Conclusion Hemostasis with balloon urinary catheter is a safe and effective method for postoperative bleeding and hematoma control after VABB.