ObjectiveTo investigate the clinical value of serum procalcitonin(PCT) and C-reactive protein (CRP) piagnosis of in children with acute bacterial meningitis and virus meningitis.MethodsThe serum PCT and CRP levels in 30 children with acute bacterial meningitis and 30 children with virus meningitis were measured by electrochemiluminescence immune assay(ECLIA) and compared with 30 healthy children(control group).ResultsThe level of serum PCT in bacterial meningitis group was significantly higher than that in control group and viral meningitis group(t =7.67,5.67,P ＜ 0.01 ).The level of CRP in bacterial meningitis group and viral meningitis group was higher than that in control group ( t =2.52,2.47,P ＜ 0.05 ),but no significant difference between bacterial meningitis group and viral meningitis group (t =1.87,P ＞ 0.05 ).ConclusionPCT and CRP had clinical application value in the differential diagnosis of bacterial and viral meningitis.

Objective To investigate the diagnostic value of serum procalationin(PCT) in children with lower respiratory tract infection.Methods The serum PCT level in 60 children with lower respiratory tract infection was measured by electrochemiluminescence immune assay(ECLIA).The results were compared with the levels of C-reaction protein(CRP) and white blood cell count(WBC).Results The positive rate of the serum PCT in bacterial infected group was significantly higher than in non-bacterial infected group( P ＜ 0.01 ).In bacterial infected group,both positive rate of the serum PCT and CRP had no statistically significant difference( P ＞ 0.05 ),whereas,positive rate of the serum PCT was significantly higher than that of WBC ( P ＜ 0.05 ) ; In non-bacterial infected group,positive rate of the serum PCT was significantly lower than that of CRP and WBC( all P ＜0.01 ).Conclusion In children with lower respiratory tract infection,PCT was significantly better and specific for bacterial infection,diagnosis than CRP or WBC count.

Analysising of the students' role will contribute to improve the quality of clinical teaching.The core of the students' role is “student”,they are the principal part of the learning activities.At the same time,students have on the shoulders the practice role of clinical nurse.The remarkable thing is that the students have kinds of needs of different levels,they should be regarded as the holistic person who have the individual otherness and commonness and the inimitable value.The characteristic of students can influence their behaviors in clinical activities.

Objective To explore the in-patients' evaluation and the correlative requirement for the bachelor degree nursing students. Methods Investigated 10 patients by using the self-developed interview outline, and then summarized the key points of these talking. Results The evaluation from patients to bachelor degree nursing students had included 6 aspects: attitude, clinical nursing skills, knowing about the concrete condition of patients, the wide of nursing students' knowledge, the health education for patients and the ability of communication and cooperation. Conclusion Different have their own different emphasis when evaluate the nursing students, but the evaluation from patients were praiseful.

Objective To study the influence of Chiamydia trachmatis (CT) and Ureaplasma ure-alyticum (UU) infection on pregnant outcome and neonates. Methods 562 pregnant women were ran-domly selected, their cervical secretion was collected and detected for CT and UU by culture method. Groups were divided according to the results. All of them were followed-up till delivery. Results The in-cidence of infection of group CT、group UU、group CT and UU were 22.1%、28.8% and 3.7%;Compared with negative group,the group with positive result of CT、UU、 CT and UU had significant higher incidence of preterm labor, premature rupture of membranes, low weight infant and neonates pneumonia. Conclusions The infection of CT、UU can result in adverse pregnant outcome, preterm labor, premature rupture of mem-branes, low weight infant and neonate pneumonia.

Objective To assess the effectiveness of free distributing antipsychotics to the poverty schizophrenics.Methods 116 non-acute poverty schizophrenics were given free antipsychotics and their status were evaluated by Brief Psychiatric Rating Scale (BPRS) before and after administration of antipsychotics.Results The BPRS scores of schizophrenics decreased linearly with time （ P<0.05） during 4 months follow-up study.Conclusion Poverty schizophrenics acquire good therapeutic efficacy after accepting free antipsychotics, and the government should provide the poverty mental disorder patients with related policy and fund support.

Objective The purpose d this investigation was to evaluate the effect d influenza vaccination among medical staff. Methods We chose 134 medical staff who worked in out-patient department and the wards and received influenza vaccination as the inoculation group, 135 medical staff who did not receive influenza vaccination as the non-inoculation group. Investigation with questionnaires was carried out in the two groups 3 months after vaccination. Results The incidence rate of influenza-like disease in the observation group and the control group was 11.2% and 18.5% respectively. The protective rate was 39.46%. The average illness process of influenza-like disease in the observation group and the control group was 1.73 days and 2.96 days. The percent of patients with no medication, one kind of drug medication and two kinds of drag medication was 46.7%, 33.3% and 20.0% in the observation group and 32.0%, 8.0% and 60.0% in the control group. Conclusion Influenza vaccination exerted protective effect for medical staff and other people at high risk of emergency.

This study was aimed to observe influence on clinical symptoms of Qing-Fei Pei-Yuan Wei-Wan (QFPY-WW) for pulmonary infection HIV/AIDS cases with the syndrome of phlegm-heat obstructing the lung. A total of 141 pulmonary infection HIV/AIDS cases with the syndrome of phlegm-heat obstructing the lung were randomly divided into the treatment group (94 cases) and the control group (47 cases). The treatment group was given basic western medication combined with QFPYWW. The control group was given basic western medication. After 4 weeks treat-ment, observation was made on changes of main symptoms. The results showed that on the 28th day, compared with the control group, there was improvement on symptoms such as cough, breathing and chest tightness (P< 0.05). Com-parison on coughing up phlegm degree showed that the treatment group was significantly better than the control group (P< 0.05). On the 7th day treatment, the treatment group had better effect on lowering body temperature than the control group (P< 0.05). It was concluded that QFPYWW can improve symptoms such as cough, breathing, chest tightness and cough up phlegm among pulmonary infection HIV/AIDS patients.

Objective To discuss the influence of motor imagery therapy on the recovery of the stroke patients with aphasia.Methods Sixty cases of stroke patients with aphasia were divided into the treatment group and the control group according to the odd and even of last number.The single number was set into the control group.The double number was given to the treatment group.There were thirty patients in each group.Both groups received the conventional drug treatment and routine care of the Department of Neurology.On this basis,from the second day in hospital,the treatment group received the speech rehabili tation training with motor imagery therapy.Aphasia assessment was done for the two groups on the first day in hospital with CRRCAE.On the first day and after receiving ten-day treatment with motor imagery therapy,the grade of the severity for aphasia of Boston Diagnostic Aphasia Examination (BDAE) was done to assess the severity of aphasia in two groups.The scores of the two groups were compared.Results Before the treatment,there was no significant difference between the two groups.After receiving ten times treatment,both the two groups were improved.Compared with the control group,the treatment group became better.There was statistically significant difference between the two groups.Conclusions For the stroke patients with aphasia,motor imagery therapy has significant effect on their recovery.

OBJECTIVE To compare three surgical hand preparations for their effects on hand skin conditions.METHODS Three surgical hand antisepsis methods were selected to compare their immediate antimicrobial(efficacies) and effect on skin conditions,including 1% chlorhexidine gluconate(CHG)and 61% ethanol(pre-surgical) waterless,scrubless hand preparation,iodophor surgical scrub with sponge,and iodophor surgical scrub with brush.RESULTS All of the three methods could achieve satisfying immediate reduction in the normal(bacterial)(flora) of the hands.The alcohol-based surgical hand rub method was gentler to skin than the other two.(CONCLUSIONS) The alcohol-based surgical hand rub is recommended for surgical hand antisepsis.