Objective To understand the job burnout conditions of nurses with different education levels in Ningyang county,analyze the influence of education level on job burnout,in order to find strategies to relieve the job burnout,reduce burnout,increase working enthusiasm,then further lower nurse turnover rate and stabilize of the nurse team.Methods A total of 150 nurses in the first hospital of Ningyang county participated in the investigation using Maslach Burnout Inventory (MBI) in December 2012.The survey data underwent statistical analysis.Results The results show that in the dimension of emotional exhaustion,education level showed main effect.While in the dimension of depersonalization and personal accomplishment,the education level showed no main effect.Conclusions Education levels have a significant impact on job burnout of nurses,mainly in the emotional exhaustion dimension.Hospital managers should pay attention to job burnout of nurses with college degree,reduce their occupational burnout through positive changes in personal and organizational factors.

Objective To discuss the impacts of different doses of alcohol on the level of microparticles (EMPs) of rat endothelial cells. Methods Sixty male SD rats were randomly allocated into four groups:high dose group (group A), me-dium dose group (group B), low dose group (group C) and the blank contrast group (group D). There were15 rats in each group. Rats were fed alcohol for 8 weeks. Flow cytometer was used to measure the level of circulating CD31+/CD42-EMPs in four groups, and which was compared with the alcohol dosage. Results Compared with group D, the level of circulating EMPs was significantly increased in group A and B (P＜0.05). There was no significant change in the level of circulating EMPs in group C (P>0.05). Conclusion The moderate and high doses of alcohol are harmful to the function of vascular en-dothelial cells in rats, which show a significant dose-effect relationship. The low dose of alcohol shows no effect on the func-tion of vascular endothelial cells in rats. The protective effect of alcohol needs further investigation.

ObjectiveThe aim of this paper is to investigate more effective ways in postgraduate academic training and research management by analysis of the scientific papers published in graduate school period.MethodsThe categories,quantity and quality of the scientific papers published by postgraduate students in Beijing Neurosurgical Institute from 2001 to 2010 were analyzed statistically.ResultsThe quantity of papers published by postgraduate students has been stably improved year by year,and the quality of the papers has shown an obvious tendency of increasing.ConclusionsAn outstanding research capability of the whole institute,the strict demand of supervisors and the reasonable encouraging systems in scientific research management are all the guarantee of the improvement of academic research ability of postgraduate students in Beijing Neurosurgical Institute.

BACKGROUND: Neural precursor cells exist in the central nervous system (CNS) of adult mammals, characterized fundamentally by such biological properties of multipotential differentiation and capability of maintaining their stable quantity.OBJECTIVE: To investigate the proliferation and migration of the neural precursor cells in adult rat brain following fluid percussion injury (FPI),and explore their role in the repair of CNS damage.DESIGN:Randomized controlled experiment.SETITNG: Laboratory of Pathophysiology, Beijing Institute of Neurosurgery.MATERIALS: This experiment was carried out at the Laboratory of Pathophysiology, Beijing Institute of Neurosurgery. Totally 67 adult Wistar rats were randomized into a control group (n=7) and 5 FPI groups (n=12)sampled 1, 3, 7, 14, and 30 days after FPI, respectively. Each FPI group was further divided into artificial cerebral spinal fluid (CSF) group (n=2),basic fibroblast growth factor (bFGF) group (n=5) and neurotrophin-3 (NT3) group (n=5).METHODS: Lateral fluid percussion brain injury was induced in rats in the FPI group and the rats in the control group were only subjected to craniotomy without percussion. The rats in FPI groups were given intraperitoneal injection of bromodexyuridine (BrdU) at the dosage of 50 mg/kg for three times a day in 1- and 3-day FPI groups, but only once a day in 7-and 14-day groups, with the final dose given 2 hours before sacrifice. The rats in bFGF subgroup and NT-3 subgroup were given bFGF at the total daily dose of 360 ng and NT-3 of 240 ng, respectively, while those in artificial CSF subgroup received perfusion fluid of 4 μL without bFGF or NT3 every day. The dynamic expressions of nestin and BrdU in the rat brain were determined with immunocytochemistry. BrdU labeling method was used to identify the differentiated neural progenitor cells, and nestin expression was used to identify the neural progenitor cells.MAIN OUTCOME MEASURES: Expressions of Brdu, glial fibrillary acidic protein (GFAP)+/Brdu+ and GFAP-/Brdu+ cells in the rat brain of each group at various time points.with the control group, nestin-positive cells in the cortex, hippocampus and subventricular zone on the injured side was obviously increased at 1day after FPI (3.1±1.1 vs 0, 5.5±0.9 vs 1.3±0.8 and 8.1±0.9 vs 2.3±0.8 in each visual field, respectively, P＜0.05), reaching the peak on day 7 (7.5±1.2,10.2±1.5, and 13.6±1.2 in each visual field, respectively) and disappeared BrdU-positive cells in the cortex, hippocampus and subventricular zone on the injured side increased to the highest level 3 days after FPI (12.6±1.5,9.9±1.1, and 13.4±1.0 in each visual field, respectively), but gradually delar zone gradually migrated to the opposite side across the corpus callosum.CONCLUSION: FPI can stimulate the proliferation and migration of neural progenitor cells in adult rat brain, such as in the cortex, hippocampus and subventricular zone, where the nestin-positive cells is the most 7 days after the injury, but BrdU-positive cells is the most 3 days after the injury.

Objective To know the status of mental health knowledge in Tai'an city community,and thus to provide the basis for the popularization of community about mental health knowledge.Methods A self-designed mental health knowledge questionnaire was used to survey 151 cases of community residents.Results The community mental health knowledge score was (6.73±2.72),and lower than the average.The mental health knowledge score had significant difference between male (6.26±2.50)and female (7.15±2.85) (t=-2.026,P＜0.05).The mental health knowledge score also showed significant difference in community residents with different age,culture degree and occupation (P＜ 0.05).Conclusion The community residents in Tai'an city generally lack of mental health knowledge.The relevant departments should actively take effective measures to popularize the mental health knowledge in different groups so as to enhance public awareness of mental health knowledge and thus to do better in prevention and control of mental disorders.

Objective To investigate the effect of anisodamine on calbindin-D28K(CaBP) expression in the ethanol-induced brain damage in rat cerebellum.Methods2 months aged male Sprague-Dawley rats were injected intraperitoeally with ethanol,normal saline,saline+anisodamine and ethanol+anisodamine respectively for 8 d.They were evaluated with Morris water maze.The counts,average area and density of CaBP positive neurons in cerebellum were measured with immunohistochemical technique and image analytical system.Results The latency of Morris water maze was significantly longer in the ethanol group than in the others(P<0.05),while the distance was significantly longer in the ethanol group than in the saline group and saline+anisodamine group(P<0.05).There is not significant difference between ethanol group and ethanol+anisodamine group(P>0.05),but is seemed some longer.The counts,average area and density of CaBP positive Purkinje cell were all significantly less in ethanol group than in the others(P<0.05).There Pwas not significant difference among ethanol+anisodamine group,saline group and saline+anisodamine group(P>0.05) in the counts,but the average areas and density in ethanol+anisodamine group were less than those in saline group and saline+anisodomine group(P<0.05).Conclusion The ethanol can reduce the CaBP expression in the Purkinje cells of the rats cerebellum.Anisodamine can protect the rats cerebellum from it.

Objective To study the neuropathological characteristics of late-onset Alzheimer' s disease (LOAD) in Chinese people, to ensure correct diagnosis of LOAD.Methods Choosing cerebral cortex of temporal layer of 8 cases of LOAD and 5 cases of age-matched normal control group by autopsy.Histopathologlc diagnosis was established in all these 13 cases.Cerebral cortex were taken from temporal layer in 13-101 hours after death and were fixed with 40 g/L paraformaldehyde, followed by paraffin-embedding and serial sectioning with 6 μm thickness.Brain tissue was analyzed neuropatholically by using immunohistochemical staining for β-amyloid (Aβ) and AT8 on these cases.Positive distribution of temporal layer was observed under light microscope.Results The results of immunohistochemical stainings of Aβ and AT8 were positive in all of LOAD.Aβ immunoreactant located in the cerebral cortex.The diffuse plaques, primitive plaques and burn-out plaques of senile plaques were displayed clearly by immunohistochcmical stainings of Aβ.AT8 immunoreactants showed neurofibrillary tangles, neuropil thread and senile plaques in nerve cell of cerebral cortex in different degree respectively.The positive rate Aβ and AT8 were both 8/8 by semiquantitative analysis in AD group.As the normal aging control group, which was 0 and 1/5 respectively.There was significant difference of the positive rate Aβ and AT8 in two groups(χ2 = 13.000,P=0.001; χ2=9.244,P=0.007).Conclusions Sensitive immunnhistochemical technique was significant to display senile plaques and neurofibrillary tangles.The findings demonstrate that immunohistochemistry staining of Aβ and AT8 can display senile plaques and neurofibrillary tangles clearly.The connection of the 2 different methods might improve diagnose accordance rate of AD.

OBJECTIVE:To investigate the characteristics and causes of cardiac ADR induced by quinolones,and to provide reference for clinical treatment. METHODS:Three thousaud two hundred and eighty-eighe 8 patients receiving common quinolones were selected from clinical departments in Zhengzhou Central Hospital of Zhengzhou University during Mar. 2012-Mar. 2016. Retro-spective analysis was conducted in terms of patients’age and gender,clinical departments,main clinical manifestations,route of administration,underlying disease,drug combination. The reasons for cardiac ADR were analyzed. RESULTS:Among 3 288 pa-tients,there were 34 patients(1.03%)with cardiac ADR. Among them,the incidence of cardiac ADR in patients over 50 years old was as high as 76.47%;patients with cardiac ADR were mainly in the respiration department,gastroenterology department and urology department,accounting for 76.47%;most of patients were from gastroenterology department(29.41%). In cardiac ADR, the main clinical manifestations were QTc interval prolongation torsadesde poiutes(TdP)and TdP,accounting for 58.82%. Among them,patients with QTc interval prolongation TdP occupied the highest proportion,there was no statistical significance compared to TdP(P>0.05);there was statistical significance in the difference with other clinical manifestations(P<0.05). Among common-ly used quinolones,levofloxacin(32.35%)and ciprofloxacin(41.18%)caused large proportion of cardiac ADR,there was statisti-cal significance compared to norfloxacin,moxifloxacin and other quinolones(P<0.05). The proportion of cardiac ADR induced by intravenous dripping(91.18%)was much higher than oral administration(8.82%),with statistical significance(P<0.05). Among patients with cardiac ADR,the patients with underlying disease (94.12%) and drug combination (91.18%) occupied the higher proportion,there was statistical significance compared to the patients without underlying disease and drug combination(P<0.01). Among drug combination,the patients receiving amiodarone (29.41%) and salbutamol (20.59%) occupied the large proportion, there was statistical significance compared to other types of drug combination(P<0.05). CONCLUSIONS:Cardiac ADR induced by quinolones in our hospital mostly occurs in respiration department,gastroenterology department and urology department,and mainly manifests as QTc interval prolongation TdP and TdP. The incidence of cardiac ADR may be greatly increased in elderly pa-tients,patients with underlying diseases,and drug combination as well as intravenous infusion. Therefore,clinicians should select suitable quinolones,and make reasonable individualized dosage regimen.

Objective To investigate the effect of brain derived neurotrophin factor (BDNF) transfected with cationic liposome in protecting nerve tissue and promoting regeneration of the myelin sheath. Methods Wistar rat Schwanns cells (SWCs) were cultured in vitro. The recombinant cationic liposomes mediated PCDNA 3 BDNF was transplanted into SWCs and then into electrical reticular lesion of the brain stem (Group Ⅰ). At the same time, pure cell transplantation group (Group Ⅱ), empty transfected vector cell transplantation (Group Ⅲ) and normal saline injection group (Group Ⅳ) were set. The concentration of BDNF in the brain stem was measured by ELISA, the survival of myelinated basic protein (MBP) and SWCs in the brain stem by immunohistochemistry and the regeneration of the myelin sheath by the transmission electron microscope (TEM). Results One week after transplantation, the concentration of BDNF in the brain stem in the Group Ⅰ was much higher than that in other three groups ( P

Objective To investigate the association between the genetic polymorphisms of vitamin D receptor(VDR)and bone mineral density (BMD) in elderly male patients with chronic obstructive pulmonary diseases. Methods Pulmonary function, body mass index(BMI), serum calcium, serum phosphorus and bone glaprotein were determined respectively in COPD group and control group. In the two groups the VDR gene polymorphisms were analyzed by polymerase chain reaction and restriction fragment length polymorphism (PCR RFLP) and BMD were investigated by dual energy X ray bone mineral density. Results There were differences in BMD, BMI and bone glaprotein between the two groups. The BMI, bone glaprotein and BMD of femur neck in COPD group were(22 65?3 18)kg/m 2 ,(2 50?0 57) ?g/L and(0 75?0 13)g/cm 2 respectively, which were more decreased than those in control group: BMI (24 86?3 68)kg/m 2 , bone glaprotein (2 87?0 61) ?g/L and BMD of femur neck (0 86?0 12) g/cm 2 ( P