Objective To clarify the relationship between endocrine treatment compliance and medication beliefs of estrogen receptor-positive (ER +) breast cancer patients. Methods Totally 219 patients who were diagnosed as breast cancer and received endocrine therapy in a tertiary hospital were investigated using general condition questionnaire, Morisky Medication Adherence Scale, Beliefs about Medicine Questionnaire(BMQ)by means of face to face,telephone,WeChat.Data analysis was conducted by SPSS 19.0. Results The score of universal beliefs for ER+breast cancer patients was(13.38±5.35) points.The score of the necessary perception was(9.98±4.69)points.The score of the adverse effects of medication was (5.35 ± 2.67) points. The drug compliance score was (5.82 ± 2.15) points.The correlation coefficient of the medication beliefs and the endocrine treatment compliance was 0.578.The Pearson correlation coefficient of each dimension and the total questionnaire was 0.411 to 0.456. Conclusions For ER+breast cancer patients, the higher the medication beliefs is, the better the endocrine treatment compliance is.So it is provided an insight that nurses should enhance the ER +breast cancer patients′medication beliefs in order to get a better and longer survival life.

Objective To explore clinical results of posterior debridement combined with atlantoaxial fusion for upper cervical Tuberculosis.Methods From March 2007 to April 2012,8 patients with upper cervical Tuberculosis underwent posterior debridement combined with atlantoaxial fusion in our hospital were selected for retrospective analysis.3 cases were males and 5 females,aged 29-65 (43.5 ±13.2) years.According to the pedicle destruction,using different screws (pedicle screw or laminar screw)fixation.In the preoperative and final follow-up,Japanese Orthopaedic Association score (JOA) and neck disability index (NDI) were used to evaluate neurological function and calculate improvement rate JOA score.At final follow-up,clinical efficacy was evaluated by Odom's grade.situation of internal fixation,fusion of upper cervical were assessed by imaging examination.During follow-up,complications were documented and analyzed.Results Postoperatively 12 months,all bony fusion were achieved.Tuberculosis were reached clinical cure in 12-18 months.The JOA score increased from 10.5 ± 2.0 preoperatively to 15.6 ± 1.1 in final follow-up(P ＜0.05),and the NDI decreased from 29.9 ± 6.2 preoperatively to 8.6 ±1.6 (P ＜ 0.05).At last follow-up,according to Odom's standard,excellent were obtained in 6 cases(75.0％),good 1 cases (12.5％) and ordinary 1 case (12.5％).No severe complications was documented during follow-up.Conclusions The treatment of posterior debridement combine with atlantoaxial fusion,and structure grafting and local anti-Tuberculosis drug using intraoperative,not only could obtain reliable clinical efficacy,completely removal of lesions,but also obtain strong stability,which plays an important role in the treatment of cervical tuberculosis.

Objective To explore clinical results of posterior debridement combined with atlantoaxial fusion for upper cervical Tuberculosis.Methods From March 2007 to April 2012,8 patients with upper cervical Tuberculosis underwent posterior debridement combined with atlantoaxial fusion in our hospital were selected for retrospective analysis.3 cases were males and 5 females,aged 29-65 (43.5 ±13.2) years.According to the pedicle destruction,using different screws (pedicle screw or laminar screw)fixation.In the preoperative and final follow-up,Japanese Orthopaedic Association score (JOA) and neck disability index (NDI) were used to evaluate neurological function and calculate improvement rate JOA score.At final follow-up,clinical efficacy was evaluated by Odom's grade.situation of internal fixation,fusion of upper cervical were assessed by imaging examination.During follow-up,complications were documented and analyzed.Results Postoperatively 12 months,all bony fusion were achieved.Tuberculosis were reached clinical cure in 12-18 months.The JOA score increased from 10.5 ± 2.0 preoperatively to 15.6 ± 1.1 in final follow-up(P ＜0.05),and the NDI decreased from 29.9 ± 6.2 preoperatively to 8.6 ±1.6 (P ＜ 0.05).At last follow-up,according to Odom's standard,excellent were obtained in 6 cases(75.0％),good 1 cases (12.5％) and ordinary 1 case (12.5％).No severe complications was documented during follow-up.Conclusions The treatment of posterior debridement combine with atlantoaxial fusion,and structure grafting and local anti-Tuberculosis drug using intraoperative,not only could obtain reliable clinical efficacy,completely removal of lesions,but also obtain strong stability,which plays an important role in the treatment of cervical tuberculosis.