By consulting ancient medical books on theory of nature of Chinese herb,the author makes confluence analysis on nature of Chinese herb based on analogy thinking guidance and finds that analogy thinking is widely used in theories of Chinese herb nature,including herb naming,four-nature & five-flavor,trend,channel tropism,toxicity,processing,etc.Herb naming based on analogy thinking includes naming by shape-properties,herb nature,flavor,function and growing environment.Four-nature & five-flavor includes determining by shape-properties,growth and substantial-function.Trend includes determining clear-turbidity-ascend-descend from Yin-yang,discussing ascenddescend from thin or thick flavor and determining the trend from shape-quality.Channel tropism includes channel tropism by shape,five-phase channel tropism theory and channel-collateral Zang-fu viscera tropism theory.Toxicity includes determining the toxicity from judging Yin-yang and four-nature,as well as explaining the toxicity from combining five-flavor.Processing includes processing consulting herb nature and flavor,as well as processing according to the nature of accessories.Based on three grades of image,sign and imagery,ancient physicians enrich the cognition of herb nature and form a dynamic Chinese herb nature system advocating the harmony between man and universe.

Objective To innovate the new training model of excellent nurse talents pool, so as to improve the quality of nursing professional team. Methods We established excellent nursing talents pool and set up 3 subsidiary pool including core specific personnel pool and nursing management backup talent pool and specialist pool. For different pool, we confirmed the targets of training, strictly selected the members, regulated selection procedure, made training plan, and scientifically checked and evaluated. The selected sample and managers were provided investigation about the attitudes of awareness and training demands by questionnaire. Results The nursing staffs presented a positive attitude for the establishment of nurse specialists pool, and the selected people hoped to be utilized multiple channel, multiple forms, and enhanced, supplied, improved the construction of knowledge, advanced nursing management, professional skills, teaching research, nursing development ability, and hoped the check and evaluation carried in clinical practice. To establish nursing specialist pool promoted connotation construction, and formed systematically the training model, and protruded the training target of practical nursing talents. Conclusions To establish excellent nursing talent pool cultivates the selected objects fully promoted all kinds of talents, innovates personnel training model; and provides the system guarantee for the correct selection and appointment of nursing talents.

Objective:To analyze the clinical characteristics of Group A Streptococcal(GAS) toxic shock syndrome (STSS) in children. Methods:The clinical data of 10 STSS children hospitalized in Shenzhen Children′s Hospital from January 2015 to March 2022 were downloaded from the electronic medical record system.The clinical manifestations were analyzed and treatment experience was summarized respectively.Results:There were 5 males and 5 females, with an average age of (5.29±2.87) years.All the patients were healthy in the past.The diagnoses were confirmed by blood culture in 2 cases, pus culture in 5 cases, and blood metagenomics next generation sequencing in 3 cases.The rapid detection of GAS antigen was positive in 7 cases.All cases had fever, and 9 cases of them developed fever after viral infection, including pneumonia in 7 cases, skin and soft tissue infections in 6 cases, necrotizing fasciitis in 3 cases, and purulent meningitis in 1 case.All cases also presented with shock.Six cases had liver function injury, and 4 cases suffered from acute kindey injury.Four cases had infection-related encephalopathy, and 7 cases were afflicted with disseminated intravascular coagulation.Two cases had respiratory failure, and 2 cases had rhabdomyolysis.There were 3 cases with a decreased white blood cell (WBC) count and 7 cases with an increased WBC count on admission.Seven cases were found to have thrombocytopenia, but their platelet levels were all elevated after recovery.C-reactive protein and procalcitonin and the proportion of neutrophils were markedly increased in all cases.All cases suffered from hypoalbuminemia, hyponatremia and hypocalcemia.All the 10 positive strains were sensitive to Penicillin, Ceftriaxone/Cefotaxime and Vancomycin.Eight cases were treated with combined antibiotics after admission.Eight patients received intravenous immunoglobulin.All cases were cured and discharged.Conclusions:The STSS progresses rapidly in children, so pediatricians should pay great attention to the disease.Early identification, diagnosis of infection sources, infusion of antibiotics and surgical treatment are the keys to disease management.

Objective To explore the efficiency of training of professional nurses.Methods A total of 31 nurses were enrolled in a 12-week training of a comprehensive and systematic teaching practice containing theory teaching,skills training and clinical practice 3 domains between September and November in 2014.Nurses′nursing theory on specialized nursing,specialized nursing skills before and after the training were compared.Results After training,the accumulated score and item score of trainees on 50 knowledge points of burn specialized nursing theory, such as burn ward management system,monitoring skills on critically ill patients,perioperative skills,medication knowledge on specific treatment,explanation of common inspection and examination results increased compared to those before the training(P <0.05).Total and each item score of 3 skills operation assessment (body position change using turn-over bed,suspension bed application,cardiopulmonary resuscitation)of trainees after training were higher than those before training(P <0.05).Total score of self-growth evaluation and each item of 4 programs (nursing theory,basic nursing skills,intensive care level,nursing competence)of the trainees were higher than those before training(P <0.05).Conclusions Systematic and comprehensive theory teaching and clinical practice training can increase the nurses′level of professional theory and skills.Scientific and practical training content combined with training form close to clinic can effectively raise their comprehensive ability in nursing practice.