Objective To explore the evidence of the hypophysis,pituitary gland danger advertises for the elephant and the reasonable treatment measure.Methods The clinical characteristics,misdiagnosis reason of the dangerous evidence in 35 hypophysis were retrospeceively analyzed.Results Only 11 cases were finally diagnosed in one year after onset of illness(31.8%).The misdiagnosis rate amounted to 68.2%.With the alimentary canal symptom the leader hair was 91.4%,32 cases.Do not adjust for the menses the next in order,anemia etc.3 cases had the central myelin sheath in the bridge of tapetum fuses,4 cases had organ dysfunction,4 cases dieds.Conclusion To sufferer who infurs big issue of blood in postpartum history on the appearence of the alimentary canal symptom,low serum natrium,hypoglycemia or hypotensions the evidence of the hypophysis,pituitary gland danger possibility should be watched out,on time proceed the relevant check,treatment as early as possible,can reduce the misdiagnosis rate and death rate.

Objective To explore the effect of Utstein registry on improving the missing key information during cardiopulmonary resuscitation.Methods A total of 111 emergency medical records of cardiopulmonary resuscitation from January 1 to December 31 2012 were as control group,and 100 Utstein registry of cardiopulmonary resuscitation from June 1 2013 to May 31 2014 were as experimental group.The missing key information during cardiopulmonary resuscitation were compared between two groups.Results The missing key information during cardiopulmonary resuscitation in monitoring the rhythm of the heart for the first time,cardiopulmonary resuscitation start time,defibrillation time for the first time,established assisted ventilation time,recovery delivery time for the first time,recovery termination time were 84.68％(94/111),16.22％ (18/111),89.58％ (43/48),76.58％ (85/111),72.07％ (80/111),30.63％ (34/111) in control group,and 9.00％(9/100),0,0,4.00％(4/100),7.00％97/1000,2.00％(2/100) in experimental group,and there were significant differences (P＜ 0.01).Conclusions Utstein registry can promote perfect cardiopulmonary resuscitation information registration,so as to provide the basis for cardiopulmonary resuscitation quality continuous improvement.

Objective To study the correlation of the adiponectin receptor 1 gene rs1139646C/G and rs10920531C/A single nucleotide polymorphisms with Chinese Han women with polycystic ovary syndrome (PCOS).Methods For PCOS group (n =80) and control group (n =80),polymerase chain reaction (PCR) was used to amplify the upstream and downstream 250 bases of rsl139646C/G and rs10920531C/A,respectively.PCR products were directly sequenced.Results For rs1139646C/G loci sites between PCOS and control groups,all were the homozygous genotype CC,and no statistical significance was found for genotype frequency and allele frequency between two groups.For rs10920531C/A loci sites between PCOS and control groups,no statistical significance was found for genotype frequency and allele frequency between two groups (P =0.683,0.580),and no statistical significance was found for two loci with genetic linkage disequilibrium analysis (x2 =0.307,Fisher 's P =0.579610,Pearson' s P =0.579608).Conclusions Adiponectin receptor 1 gene rs1139646C/G and rs10920531C/A single nucleotide polymorphisms have nothing to do with Chinese Han PCOS women.Genetic linkage disequilibrium analysis has nothing to do with PCOS.The rs1139646C/G in Chinese Han population is relatively stable site,and no locus mutation is found.

Objective To study the value of intensive care nursing scoring system(ICNSS) on care resource allocation in intensive care unit(ICU). Methods 108 ICU patients were divided into the observation group (55 cases) and the control group (53 cases) randomly. In the observation group,the ICNSS scale was applied to evaluate nursing workload, and care resource was allocated according to intensive care nursing scoring. In the control group, care resource was allocated according to dynamic monitoring of acute physiology and chronic health evaluation (APACHE Ⅱ ) scoring. The ICU monitoring time,medical cost,incidence of complications during the hospitalization,satisfaction of the nurses and the patients or their relatives were compared between two groups. Results The ICU monitoring time,medical cost and incidenceof complications during the hospitalization in the observation group were significantly less than those in the control group, while the satisfaction of the nurses and the patients or their relatives in the observation group was markedly better than that in the control group. Conclusions Care resource allocation according to ICNSS is worthy of promotion and application in ICU because it can more significantly improve nursing quality,satisfaction of nurses and patients or their relatives than care resource allocation according to APACHE Ⅱ scoring.

The article discussed the significance of studying campus culuture constructive and management models in New Campus,and then advanced the guiding ideology,basic thinking,key problems of improving the level of campus culuture constructive and management in new campus.

Objective To study the expression of HGF , RAGE in placentas of patients with gestational diabetes mellitus and its relationship with maternal and neonatal prognosis .Methods The complete clinical datas of late pregnancy,GDM treated group 40 cases,GDM untreated group 23 cases,the control group 30 cases.Immunohisto-chemical method was used to detect HGF and RAGE in the placentas of three groups ,the maternal and neonatal prog-nosis were recorded.Results In GDM untreated group,GDM treated group and the controlled group placenta ,HGF and RAGE expressed.The expression of HGF was gradually increased ,and any comparative differences between two groups were statistically significant ( F =7.56, P <0.05 );the expression of RAGE in placentas was gradually declined ,the differences among the control group and GDM untreated ,GDM treated group were statistically significant (F=11.62,P<0.05).The rates of maternal and neonatal complications in the GDM untreated group were signifi-cantly higher than that of the GDM treated group and the control group (χ2 =7.34,13.21,9.75,6.67,15.23, 12.53,all P<0.05).Conclusion HGF and RAGE may participate in the occurrence and development of GDM and maternal and neonatal prognosis closely ,regular treatment can improve the prognosis of mothers and infants .

Objective Investigate the current situation of emergency nurses' perception of hospital safety climate in tertiary hospitals. MethodsA total of 866 emergency nurses from 114 hospitals in 29 provinces,municipalities and autonomous re.gions were randomly selected,and the self-designed general information questionnaire and Chinese version of the hospital safety climate scale were used to investigate. ResultsThe overall hospital safety climatel was(3.97+0.61). Univariate analysis of variance showed that there were statistically significant differences in the hospital safe.ty climate of emergency nurses with educational background and employment form (P<0.05). ConclusionThe e-mergency nurses have a better sense of the overall hospital safety climate,but the obstruction of' the safety work and the cleanliness and neatness of the. working: environment need to be improved. Therefore,il is suggested Lhal the construction of hospital safety climate should be further strengthened in the rational allocation of human re-sources and emergency working environment.

Objective To explore the effect of babies’ nutritional status on their growth and intelligence about 3 years old. Method With stratified random sampling,according to the data of height and weight,obtained from general survey of nutritional status in all infants aged 0-1 in one county of Fuyang town,Anhui Province in April 2004,we classified the infants into three groups,corresponding to≥ x + s,

Objective To investigate the post-operative life quality in patients with gallstone surgery, analyze the influencing factors impacted on post-operative life quality, so as to provide the post-operative health interventions on time. Methods A total of 314 patients with gallstone surgery were selected, and was used to gastrointestinal quality of life index ( GIQLI) to measure the quality of life, and then we analyzed the influencing factors. Results There was different quality of life level in different ages ( P <0. 05 ); the patients with choledochoscope exploratory operation had higher quality of life than the patients with laparotomy exploration;multiple regression analysis showed that ages, operation methods, abdominal distension, defecate changes were the independent influencing factors of life quality (β = - 5. 366,12. 807,6. 217,11. 072;P < 0. 05). Conclusions After gallstone surgery, the patients have low quality of life, so corresponding measurement should take positively according to influencing factors.

Objective To explore the effect of Utstein cardiopulmonary resuscitation ( CPR) registry utilized in emergency department.Methods Totals of 167 cases, who suffered cardiac arrest from January 2011 to December 2012, had been retrospectively collected key data for CPR information from historical disease description, medical order and nursing documentation as control group.We designed registry based on Utstein model.Forty eight cases had been gathered key data prospectively from January to September 2013 as experimental group. We compared the deficiency rates of key data, and evaluate the effect of registry application.Clinical staff, who were trained with the standard of CPR registry, collected experimental information on time and consummated the quality of registry data strictly.Results The data deficiency in the experimental group was less than the control group on cardiac arrest time, reason of cardiac arrest, time of start-up CPR, time of first defibrillation and time of end CPR (χ2 =5.92,5.34,203.93,75.16 and 193.71;P <0.05). Conclusions The application of Utstein model reduces the deficiency of CPR key data and settles the foundation of CPR quality control.