At present,the relationship between hospitals and patients is becoming increasingly tense,which makes feasible approaches of benignization of the relationship worthy of probing into.The sample survey shows that a doctor or a nurse who is able to win patients'trust should treat patients equally,respect patients'personality,enhance mutual understanding,regard patients as their relatives,possess noble professional morality and foster a nice individual image.

The reasons what the phenomenon of Hongbao exist are intricate and complex.The existence of the phenomenon of Hongbao blasphemes against the medical care justice,accelerate the relationship between hospital and patients tension.It will be a fact that the Chinese society unable to radical change in established period.We need to reduce the appearance of the phenomenon of Hongbao as many as possible,and prepare for eliminating the unreasonable and unjust social phenomenon finally.

This paper defines the implication of mutual love between doctors and patients,analyzes the tendency and imperfection in present physician-patient relationship,and points out that the mutual love between doctors and patients is the guarantee for a harmonious physician-patient relationship.It is not only a theoretical ideal,but also a practice of medical service.It holds to propose fair and initiative mutual love between doctors and patients in China,realize general love for all individuals by government,and strengthen the sense of love for others among all ranks of populations.

Objective To explore the value of the joint space in the prediction and evaluation of cervical vertigo(CV).Methods 45 CV patients were selected in our hospital from May 2011 to March 2015 as the observation group,and 45 healthy people in our hospital were selected as control group in the same period.The differences of atlas axis joint space including the atlantodental interval(ADI),LADI and VBLADI between the two groups were measured by three dimensional CT,evaluated the difference of indexes of joint space,CV symptom and function score of patients in observation group before treatment and 3 weeks after treatment were observed by CV symptom and function assess-ment scale,and analyzed theirs correlation.Results The differences of ADI and VBLADI between the two groups were statistically significant(t =3.430,87.753,all P <0.05 ).The vertigo,neck pain,headache,daily life and psychological of work and social adaptive capacity scores,ADI and VBLADI levels in the observation group were significantly decreased after treatment(t =67.236,31.795,25.198,18.494,19.180,98.194,10.972,75.895,all P <0.05).Correlation analysis showed that the ADI,VBLADI and the indexes scores of CV symptoms and function were positively correlated(r =0.456,0.829,0.578,0.456,0.378,all P <0.05;r =0.512,0.398,0.782,0.412, 0.477,0.891,all P <0.05).Conclusion Axial joint disease is an important factor in the pathogenesis of CV,and there is a significant correlation between the axial joint space and CV,which can be used as a predictive index for the assessment and treatment of patients with CV.

Drug Discovery ; Humans ; Multiple Myeloma ; drug therapy

Objective Explore the effective way to improve the research capacity of community nurses and to enhance their knowledge of scientific research.Methods Questionnaires were given to 10 community health service centers in Shanghai Qingpu District and 346 community nurses, who represent 93.51％ of the total community nurses, the results have been statistically analyzed which involves timely intervention.Results The effective ways to improve the research capacity of community nurses are listed as follows in proper order: organize scientific workshops;increase the support for nursing research;build a platform for access to literature;strengthen community care research tracking guidance.Conclusions Effective ways and means should be applied when carrying out community nursing researches in order to accelerate the scientific research ability of community nurses.

Objective To detect the effect of Rhubarb retention enema on patients with acute pancreatitis(AP).MethodsA total of 84 AP patients were enrolled in this study. Patients were divided into the control group(n=42) and Rhubarb enema observation group(n=42). Control group was treated with fasting, continuous gastrointestinal decompression, correcting water electrolyte and acid-base imbalance, with the oral administration of octreotide and gabexatemesilate to inhibit pancreatic secretion and enzyme activity. On the basis of the control group, the observation group was treated with rhubarb retention enema. IL-17, IL-10, and IL-6 expression was detected by ELISA analysis. The clinical effect was compared.Results The clinical effect rate (85.7%vs.71.4%,χ2=2.366,P=0.043) in observation group was significantly higher than that in control group. After treatment of 7 days, IL-17 (13.53 ± 3.16 ng/mlvs. 20.63 ± 4.83 ng/ml,t=2.416) and IL-6 (22.82 ± 4.56 ng/mlvs. 31.59 ± 6.63 ng/ml,t=2.421) expression was significantly lower and IL-10 (16.32 ± 4.15 ng/mlvs. 12.17 ± 3.22 ng/ml,t=2.326) expression was significantly higher in observation group than those in control group(P<0.05). The reduction of blood amylase (125.69 ± 32.47 U/Lvs. 259.26 ± 51.44 U/L,t=7.451) and urine amylase (204.73 ± 43.83 U/Lvs. 334.25 ± 60.18 U/L,t=7.323) in the observation group was significantly higher than those in the control group(P<0.01). Abdominal pain and abdominal distension recovery time (4.24 ±1.06 dvs. 3.02 ± 0.62 d,t=2.521), exhaust gas and defecation recovery time (5.42 ± 1.25 dvs. 3.26 ± 0.73 d,t=5.124), temperature recovery time (5.63 ± 1.46 dvs. 4.58 ± 0.92 d,t=2.418), and hospitalization time (18.65 ± 4.16 dvs. 13.78 ± 3.15 d,t=2.386) were higher in control group than those in observation group (P<0.05 orP<0.01). Conclusion Rhubarb enema can regulate the IL-17/ IL-10, and inhibit the inflammatory reaction.

Objective To explore the feasibility of the Coapresta2000 automatic coagulation analyzer for detecting C‐reactive protein(CRP) .Methods The performance of the Coapresta2000 automatic coagulation analyzer for detecting CRP was analyzed ,in‐cluding accuracy ,linearity ,precision ,carryover rate and the correlation between the Ottoman automatic special protein real time ana‐lyzer and the Coapresta2000 automatic coagulation analyzer .Results The men recovery rate of 3 batches of reagent by the Coapres‐ta2000 automatic coagulation analyzer for detecting CRP for detecting plasma CRP was 106 .0% with better accuracy ;the within‐run precision was less than 10% and the inter‐day precision was less than 15% ;the carryover rate was 0 .32% ;the related equation in the Ottoman automatic special protein real time analyzer and the Coapresta2000 automatic coagulation analyzer for detecting plas‐ma CRP was Y=0 .001 2X+0 .489 ,the correlation coefficient was r2 =0 .997 5 ,the difference was not statistically significant(P>0 .05) .The CRP results of plasma sample detected by these two instruments was highly correlative ;the linearity in the Coapres‐ta2000 automatic coagulation analyzer for detecting CRP was 0-200 mg/L .Conclusion The Coapresta2000 automatic coagulation analyzer for detecting CRP has better within‐run precision ,low carryover rate ,high correlation with the Ottoman automatic special protein real time analyze ,which has a value for further study .

Gallbladder stone is a common disease and frequently occurring disease in surgery.Laparoscopic cholecystectomy surgery is the main treatment for gallstones,but high complications and after cholecystectomy after biliary calculi induced colon cancer incidence,high risk factors,seriously affect the quality of life of patients.With the rapid development of endoscopy,endoscopic minimally invasive cholecystolithotomy has become a new method in the treatment of gallbladder stones,major complications of endoscopic minimally invasive cholecystolithotomy for the recurrence of cholecystolithiasis,cholecystectomy and comparison,significantly reduce the complications,and the preservation of gallbladder function,improve the the quality of life in patients.Grasp the surgical indications,regulate the operation and adjuvant drug treatment can reduce the recurrence of gallbladder stones.If it can further reduce the recurrence rate of stone,it will be expected to become a good gallbladder function in patients with gallbladder stones in the treatment of priority.

Objective To explore nursing scheduling mode in ICU. Methods Grouping was carried out on the basis of nursing decentralized management and the two-way selection between group heads and group members. The research target was the 60 nurses in ICU. Degrees of the nurses' job satisfaction and changes of nursing quality before and after grouping were compared and analyzed. Results The general degree of the nurses' satisfaction towards scheduling was (3.75±0.70) points before grouping while (4.30±0.50) points six months after grouping. The difference had the statistical significance (t=6.5645, P < 0.01);the scores of nursing quality check on classification management, ward management, nursing security, emergency management and hospital infection management were (91.97±1.47), (93.07± 1.66), (93.43 ± 1.50), (94.03 ± 1.10), (94.07 ± 1.39) points respectively before grouping and (95.08 ± 1.63), (95.77±1.55), (96.07±1.41), (97.37±1.56) and (97.07±1.48) points respectively six months after grouping. The differences had the statistical significance (t=6.5192-10.9934, P<0.01). Conclusions The two-way selection among nurses and decentralized management grouping can improve the degree of nurses′job satisfaction and nursing quality.