BACKGROUND: Parental rearing styles has profound and long-range effects on the mental development of their children.OBJECTIVE: To investigate the relationship between parental rearing styles and its correlative factors and the mental health of medical students.DESIGN: A transactional survey study based on medical students.SETTING: Department of psychology in a clinical medical college of a normal school.PARTICIPANTS: The study was conducted in the faculty of medicine of Hangzhou Normal School in December 2002. Totally 165 students of grade 2000-2002 including 106 college students, 59 undergraduates, and 98males, 67 females were selected as subjects. The youngest was 19 years old and the oldest was 24 years old. Totally 161 students had both parents (97.60%), 4 students had single parent (2.40%), 53 students were the only child of their family (32. 10%), and 112 students were not the only child of the family (67.90%).METHODS: Egna minnen barndoms uppfostran(EMBU) and symptom checklist 90(SCL-90) was introduced to evaluate the parental rearing styles and the mental health level in 165 medical students. SPSS 10.0 software was used for correlation analysis and multifactor stepwise regression analysis.MAIN OUTCOME MEASURES: Scores for 11 factors in EMBU including father' s emotional warmth and understanding, father' s punishment and stringency, father' s excessive interference, father' s favoritism, father' s rejection of deny, father' s excessive protection, mother' s emotional warmth and understanding, mother' s excessive interference, mother' s excessive protection, mother' s punishment and stringency, and mother' s favoritism, and the selection status of the factors correlated with the parental rearing styles including the relationship between father and mother, family income, and family type, etc. Total mean and scores for 9 factors in SCL-90 including somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paraniod ideation and psychoticism.RESULTS: Correlation analysis displayed that there was significant positive correlation between father' s punishment and stringency and somatization,sensitive human relationship(r=0. 186, r=0. 162), between mother' s punishment and stringency and sensitive human relationship( r =0. 185),between father' s favoritism and obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paraniod ideation and psychoticism factor and total mean( r = 0. 161, 0. 243, 0. 224, 0. 182,0. 166, 0. 193), between mother' s favoritism and depression( r=0.132),between father' s excessive protection and depression, anxiety, and total mean( r = 0. 177, 0. 204, 0. 162), and between mother's rejection of deny and sensitive human relationship( r = 0. 162) . There was significant negative correlation between father' s emotional warmth and anxiety, hostile ( r =-0. 187,-0. 241 ). As indicated by multifactor stepwise regression analysis for the impacts of parental rearing styles and its correlative factors on SCL-90 total mean, rearing styles including mother' s education background and father' s excessive protection entered into regression equation (β= -0. 269, P =0. 001; β=-0. 187, P=0. 016).CONCLUSION: Parents' punishment and stringency, parents' favoritism, father' s excessive protection and mother' s rejection of deny are not good for the mental health of medical students. Father' s emotional warmth is good for the improvement of mental health in medical students. The impacts of father' s excessive protection and mother' s education background are even more important to the mental health of medical students. Hence, the improvement of mental health in students should extend to the instruction of parental rearing styles.

Objective To investigate the influence of bundled care strategies on compliance of conscious patients with continuous renal replacement therapy(CRRT). Methods A total of 56 conscious patients with CRRT from October 2013 to February 2015 were recruited and divided into control group and observation group according to the hospital number with 28 cases each. In addition, all the enrolled patients were reluctant to cooperate with the nurses during CRRT. Patients in control group were given conventional nursing operation. Patients in observation group were given bundled care strategies interventions. Results Totally 267 times of CRRT were analyzed in 56 patients. The rate of complete cooperation and general cooperation were 42.1%(51/121), 45.5%(55/121) in observation group, and 28.1%(41/146), 40.4%(59/146) in control group, and there was significant difference(χ2=14.77, P<0.05). The incidence of planed interruption was 53.7%(65/121) in observation group, and 39.0%(57/146) in control group, and there was significant difference(χ2=5.74, P<0.05). Conclusions Bundled care strategy can effectively improve the compliance of conscious patients with CRRT. The patients show better cooperation during the therapy, which is very important to assist the patients to overcome difficulties and do good for the therapy getting along well.

Objective To study effect of rapid rehabilitation surgery on the curative effect and pulmonary function of elderly patients with lung cancer. Methods 240 patients of lung cancer who received therapy from March 2014 to March 2016 in Ningbo Yinzhou People's Hospital were selected as research objects. According to the draw method divided into control group and experimental group, 120 cases ineach group. The control group was treated with routine nursing intervention, while the experimental group was treated with concept intervention of rapid rehabilitation surgery. Then extubation time, exhaust time, antibiotic use time, ambulation time, hospitalization time, lung function index, the MOS item short from health survey (SF-36) and Visual Analogue Scale/Score(VAS ) , adverse reactions rate of two groups were compared. Results The extubation time, exhaust time, antibiotic use time, ambulation time and hospital stay in the experimental group were significantly lower than those in the control group, the difference was statistical y significant (P<0.05); The levels of forced expiratory volume in one second (FEV1), forced vital capacity(FVC), forced expiratory volume in one second(FEV1/ FVC)were significantly higher than those of the control group, the difference was statistical y significant (P<0.05),Psychological quality, role quality, physiological quality and social quality score were significantly higher than those of the control group, the difference was statistical y significant (P<0.05), VAS scores were significantly lower than those in the control group, the difference was statistical y significant (P<0.05). The total incidence of adverse reactions was significantly lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion The concept of rapid rehabilitation surgery has significant curative effect on elderly patients with lung cancer surgery, can improve the pulmonary function, reduce the incidence of complications, reduce the length of stay and benefit the prognosis of patients.

Objective: To explore the relationship between parental rearing styles and medical students' personality characteristics. Methods: 260 medical students were assessed by the Egna Minnen Barndoms Uppfostran (EMBU)Scale and the Eysenck Personality Questionnaire(EPQ).Results:(1) The single children obtained higher scores than non-single children on father's over-interference and parents' favorite factor of EMBU ( P

Purpose To observe the curative effect of interventional therapy by CT localization combined traditional Chinese medicine on prolapse of lumbar intervertebral disc. Method The inpatients of lumbar intervertebral disc prolapse were randomly divided into treatmentgroup and control group. Interventional therapy by CT localization combined TCM was used in the treatment group while in the control group TCM therapy was taken only. The treatment lasted for 10 days in both groups. Results The curative effect was 94.3% in the treatment group while 76.8% in the control one (P < 0.05), which had statistical meaning. Conclusion Interventional therapy by CT localization combined TCM on prolapse of lumbar intervertebral disc had better effect and shorter treatment course.

There are some common problems such as recurrent symptoms and poor compliance among patients with chronic diseases. Although scientific knowledge and skills have been learned from traditional health education, patients with chronic diseases cannot improve their life style continuously. At present, many researches abroad have proved that health coaching contributes to setting feasible goals and encourages continuously behavior change of patients. In China, health coaching is in the stage of becoming familiar with its scientific definition, intervention effect and application characteristics. And health coaching also needs evidences from high-level evidence-based studies. Along with continuous improvement of intervention techniques on health management, health coaching will get further development and standardization.

Objective To investigate the clinical efficacy of acupuncture in treating subhealth.Methods One hundred and fifty-four patients with subhealth were allocated, using a random number table, to observation and control groups, 77 cases each. The control group received basic treatment by diet, exercise, rest and rest and psychological intervention and the observation group, acupuncture therapy in addition. Subhealth scale subscores and the 36-Item Short-Form Health Survey (SF-36) subscore were recorded and blood biochemical indicators were measured in the two groups before and after treatment. the clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 96.1% in the observation group and 83.1% in the control group; there was a statistically significant difference between the two groups (P<0.05). There were statistically significant pre-/post-treatment differences in subhealth scale subscores in the two groups (P<0.05). After treatment, sleep, digestion, urination, positive emotion, ability and social relation subscores were higher, and fatigue, discomfort and negative emotion subscores were lower in the observation group than in the control group (both P<0.05). There were statistically significant pre-/post-treatment differences in blood biochemical indicators in the two groups (P<0.05). After treatment, blood uric acid (UA), total cholesterol (TC), triglyceride (TG) and low-density lipoprotein cholesterol (LDL-C) were significantly lower and high-density lipoprotein cholesterol (HDL-C) was significantly higher in the observation group than in the control group (both P<0.05). The 36-Item Short-Form Health Survey (SF-36) subscore were higher in thetwo groups after treatment than before treatment (P<0.05). After treatment, physiological function, role-physical, role-emotional, body pain and general health subscore were significantly higher in the observation group than in the control group (P<0.05).Conclusions Acupuncture helps to improve subhealth status in population, regulate blood biochemical indicators and enhance the clinical therapeutic effect to raise the quality of life in the patients.

Objective:To establish an HPLC method for the determination of oxidized glutathione in glutathione tablets. Meth-ods:AnAgilentTC-C18(250mm×4.6mm,5 μm)columnwasusedwiththemobilephaseofphosphatesolution(pH3.0)-methanol (96∶4). The flow rate was 1. 0 ml·min-1. The detection wavelength was 210 nm. The column temperature was 30℃ and the injec-tion volume was 20 μl. Results:The linear range of oxidized glutathione was 1.403-22.450 μg·ml-1(r=0.999 9). The recovery was 98. 9% with RSD of 1. 5%(n=9). Conclusion:The method is accurate and repeatable, and can control the content of oxidized glutathione in glutathione tablets effectively. .

Objective To observe the effect of apatinib on the invasion ability and epithelial-mesenchymal transition (EMT) of non-small cell lung cancer (NSCLC) cell line A549 and H460.Methods Different doses of apatinib were incubated with the A549 and H460 cells,then the effect of apatinib on the invasion of A549 cells was detected by Transwell assay,and the change of cell morphology was observed by optical microscope,and the expression of EMT related proteins were detected by Western blotting.Results The cell viability of A549 and H460 have no change when the concentration of apatinib was under 120 nmol·L-1.Therefore,60 nmol·L-1 and 120 nmol·L-1 apatinib were used in the further experiments.The invasion of A549 cells was reduced after apatinib incubation for 48 h,with cell morphology changes,and the expression of E-cadherin was enhanced,with the depresion of N-cadherin,Vimentin and Snail,which were related to the progress of EMT.Conclusion Apatinib could induce the MET,and reduce the invasion ability of A549 and H460 cells.