Objective To explore the correlation between nurses' job burnout and social support and the source of job stress. Methods 138 doctors and 162 nurses from 4 general hospitals were investigated by different questionnaires. The nurses were investigated by Maslach Burnout Inventory(MBI),perceived social support scale(PSSS)and Chinese nurse job stress source scale. While the doctors only underwent investigation using Maslach Burnout Inventory (MBI).The results were collected and analyzed. Results The MBI results showed that the scores of emotional exhaustion and non-humanity were apparently higher, while the score of sense of working achievement was lower in nurses than those in doctors. The level of job burnout in nurses was higher than that of doctors with statistical difference. The score of social support was lower and the score of source of job stress was higher in nurses with increased level of job burnout than those with decreased level. Conclusion The status of nurses' job burnout should cause the attention of nursing managers. Prompt and selective measures should be adopted to improve the psychological health of nurses.

Cancer-testis antigens (CTAs) are protein antigens with normal expression restricted to adult testis and yet are aberrantly activated and expressed in a proportion of various types of tumor tissues. The expressions of CTA correlate with tumor staging, histopathological subtype, recurrence and metastasis in nonsmall cell lung cancer. CTAs are immunogenic in lung cancer patients and have a good prospect in lung cancer Immunotherapy.

Objective To investigate the influence of social support on work-family conflict and psychological control ability of nurses. Methods 126 women nurses from four general hospitals by the method of random cluster sampling were divided into two groups according to the scores of the social sup-port scale(SSRS). Nurses with score lower than 35 were set as low social support group(totally 38 nurses), nurses with score higher than 45 were named as high social support group(46 nurses).The two groups were assessed by SSRS, work-family conflict scale (WFCS) and IPC respectively. The results underwent stati-s-tical analysis with t test, χ2 test and Pearson correlation analysis. Results The age and nurses' work-ing age in high social support group were significantly higher than that of the low social support group, the to-tal score of WFCS,the time,pressure and behavior score of subscales in high social support group were sig-nificanfly lower than that of the low social support group. The internality was higher, while the power-ful others and chance were lower in high social support group than those of low social support group. SSRS was negatively correlated with all factors of WFCS, positively correlated with internality factor of IPC, neg-atively correlated with powerful others and chance factors of IPC. Conclusions The nurses with high SSRS have low work-family conflict score and strong psychological control ability, so we should strengthen the social support of nurses.

Objective To explore the application value of color Doppler ultrasound in diagnosis of intrahepatic artery aneu-rysms.Methods Thirty-six cases of intrahepatic artery aneurysm was diagnosed by color Doppler ultrasound.And the data were analyzed retrospectively.Results In the 36 cases of hepatic artery aneurysm,1 7 cases were located in the left lobe of liver,13 cases were located in the right lobe of liver,and 6 cases were located in the left and right hepatic lobe.A total of 27 cases were solitary, 6 cases were 2 aneurysm,and 3 cases were 3 and above aneurysm.Maximum was 28 mm×27 mm,and minimum was 8 mm×7 mm. There are 3 cases with mural thrombus.Liver oval cystic echo free zone was found by two-dimensional ultrasonography.The bound-ary was clear.The wall was smooth and thin.The rear echo was strengthened.The pulsatile red,blue single color flow signal(n=1 5)or vortex like red and blue color flow signal(n=21)were showed by color Doppler ultrasonography.The hepatic artery blood flow velocity spectrum was 12-29 cm/s,and resistance index was 0.60-0.68.Conclusion Color Doppler ultrasonography was the preferred imaging methodology of early screening and diagnosis of intrahepatic artery.

Plasma level of KPTT,factor Ⅷ coagulant activity,factor Ⅷ-related antigen,fib-rinogen,antithrombin Ⅲ activity,antithrombin Ⅲ antigen,tissue-plasminogen activator activity (t-PA:C),plasminogen activator inhibitor activity(PAI:C),PAI:C/t-PA:C,plasmin activity (PLm:C),D-dimer and plasma platelet α granule membrane protein were ditermined in 26 patients treated by long-term peritoneal dialysis(PD group),17 patients with chronic renal failure under-going conservative therapy(CRF group),36 patients on maintenance hemodialysis(HD group) and 20 age & sex-matched normal controls(NC group).The results showed:1.PD group had hypercoagulable state than NC group.The prothrombotic state in PD patients was most severe in contrast with CRF patients and HD patients.2.When PD group was compared with NC group,PLm:C showed no significant differences,but they had secondary fibrinolysis following enhanced coagulation.Moreover,PLm:C in PD group was significantly depressed as compared with in CRF group.3.the activated platelets in the PD patients were significantly elevated as compared with in the normal controls.

Arrhythmias in children with congenital heart disease may be associated either with the underlying abnormality or result from surgical intervention.The treatment rationale bases on the rapid and accurate diagnosis.As a general rule,risk-benefit analysis of drug therapy should be considered when facing an arrhythmia in a child,due to the negative inotropy.In the last decades,non-pharmacological therapy is progressively used in pediatric population.

Thirty-one children suffered from speech retardation were found to have normal hearing level through ABR and/or acoustic immittance tests. Some of them were further checked by psychiatrists and pediatricians. The results demonstrate that among reasons for speech retardation in children,autism and mental retardation are important factors that can not be ignored. A-mong children with unclear diagnosis .some harmful factors were found on themselves and in surroundings. We emphasize that for children with speech retardation,not only hearing disorders,but also other factors should be considered.

Objective To study the preoperative nursing care in excision of adrenal tumor by using laparoscope. Methods 72 patients with adrenal tumor have undergone the excision of adrenal tumor by using laparoscope in our hospital. Preoperative nursing included mental care, cardiac and pulmonary function assessement, pharmacotherapy, gastrointestinal and skin preparation. Postoperative monitoring the condition of all the patients, and given oxygen uptake to prevent hypercarbonemia. All the patients were encouraged to do functional recovery early and were guided to diet properly. Results All patients were successful obtained the excision of adrenal tumor by using laparoscope except two were reversed to open surgery. The patients could take food and leave bed in the first post-operative day. The mean post-operative stay was 6 days. Hydrothorax occurred in 2 cases and fat liquidation and wound infection occurred in 2 cases. There were no major complications such as hemorrhage and hypercarbonemia occurred. Conclusion The excision of adrenal tumor by using laparoscope is safe and reliable. Sufficient preoperative preparation, careful post-operative monitoring and timely using counter-measure are the key points in nursing care.

Chylous Ascites ; congenital ; therapy ; Humans ; Infant ; Male ; Parenteral Nutrition, Total ; Somatostatin ; therapeutic use

Diabetic macular edema (DME) is thickening retina with two disc diameter,which is the leading cause of blindness in diabetic retinopathy patients.The initial studies demonstrated that laser treatment of DME prevented further visual deterioration but did not improve visual acuity.Although glucocorticoid slow-release system can extend the time of effective drug concentration,to help glucocorticoid better carry out its biological effect,further studies are needed to warrant their safety due to increasing intraocular pressure and cataract progression.Novel studies identifying the presence of vascular endothelial growth factor (VEGF) in the eye with DME allowed for the development of an alternative anti-VEGF therapy,which revolutionized the management of DME by not only preventing vision loss,but also improving overall vision.Anti-VEGF therapy is becoming the first-line treatment of DME.However,present treatment modalities including anti-VEGF for DME had limitations,which build on the current understanding of DME pathogenesis.Further in-depth study of the development and outcome of DME is needed to optimize the therapeutic schemes,based on objective and scientific observation of treatment response.Finally we need to fully utilize the public health services and clinical management resources for diabetic patients,to prevent the visual impairment of DME before its occurrence.