Objective To observe the therapeutic effect of the combination of traditional Chinese medicine and western medicine for pediatric mycoplasma pneumonia (accumulation of phlegm-heat syndrome).Methods Consecutive 116 children treated for mycoplasma pneumonia ( accumulation of phlegm-heat syndrome ) were randomly divided into the two groups by software:the treatment group(58 cases) and control group(58 cases).The control group accepted the sequential therapy of azithromycin ,and the treatment group accepted azithromycin sequential therapy ,in combina-tion with traditional Chinese decoction Wuhu Tingli Dazao Xiefei Tangand Chinese medicine iontophoresis thera-py.Clinical indicators were observed:antifebrile time,lung sound disappearing time,cough disappearing time,lung inflammation (X-ray) disappearing time.Results Antifebrile time[(2.4 ±0.5)d vs (4.2 ±0.6)d,t=3.221,P<0.05],lung sound disappearing time [(5.2 ±0.7)d vs (7.6 ±1.1)d,t=3.514,P<0.05],cough disappearing time [(9.4 ±1.6) d vs (11.7 ±2.1) d,t =3.661,P<0.05)] and lung inflammation ( X-ray) disappearing time [(13.2 ±2.3)d vs (15.5 ±2.5)d,t=3.101,P<0.05)] in the treatment group were shorter than those of the con-trol group;Hospital stays [(6.3 ±1.5)d vs (8.6 ±2.8)d,t=3.712,P<0.01] and hospitalization costs [(3 976.4 ± 473.5)yuan vs (5 468.1 ±726.6)yuan,t=3.804,P<0.01)] in the treatment group were significantly less than those of the control group .Conclusion The therapeutic effects of the combination of traditional Chinese medicine and western medicine for pediatric mycoplasma pneumonia ( accumulation of phlegm -heat syndrome ) is better than single western medicine treatment ,which can shorten hospital stays and reduce treatment costs ,deserves clinical promotion .

Objective To develop an aged care aptitude assessment scale and to test its reliability and validity.Methods Based on the family caregivers care aptitude model,self-management theory and holistic nursing model,and with reference to the national standard of"specification for ability assessment of older adults",the first draft of the scale was formed through review of literature,semi-structured interviews,expert inquiry and pre-survey.From April to August 2023,675 aged caregivers in several communities in 9 provinces including Hubei,Guangdong etc.were investigated to test the reliability and validity of the scale.Results The aged care aptitude assessment scale included 3 dimensions and 33 items.The overall Cronbach's α coefficient of the scale was 0.99;the split-half reliability was 0.92;the two-week test-retest reliability was 0.84;the overall content validity index of the scale was 0.94;the content validity index of each item was 0.83-1.00;exploratory factor analysis extracted 3 common factors;the cumulative variance contribution rate was 85.88％;confirmatory factor analysis were x2/df=1.260、IFI=0.993、TLI=0.995、CFI=0.994、RMR=0.047、RMSEA=0.074.Conclusion The aged care aptitude assessment scale has good reliability and validity,and it can be used as an assessment tool to measure the level of aged care aptitude for the aged.

Group A Streptococcus (GAS) is a very important pathogen, especially for children.On a global scale, GAS is an important cause of morbidity and mortality.But the burden of disease caused by GAS is still unknown in China and also has not obtained enough attention.For this purpose, the expert consensus is comprehensively described in diagnosis, treatment and prevention of GAS diseases in children, covering related aspects of pneumology, infectiology, immunology, microbiology, cardiology, nephrology, critical care medicine and preventive medicine.Accordingly, the consensus document was intended to improve management strategies of GAS disease in Chinese children.