Objective To evaluate the effects of acupuncture of acupoints selected on postsurgical gastrointestinal dysfunction in the patients undergoing non-gastrointestinal abdominal surgery.Methods A total of 160 patients of both sexes,aged 18-64 yr,of American Society of Anesthesiologists physical status Ⅰ or Ⅱ,scheduled for elective non-gastrointestinal abdominal surgery under general anesthesia,were randomly divided into 4 groups (n =40 each) using a random number table:control group (group C),common acupuncture group (group CA),acupuncture of acupoints selected group (group SA),and acupuncture of non-acupoint group (group NA).Acupuncture was performed at 30 min before induction of anesthesia in CA,SA and NA groups.Group CA received acupuncture at bilateral Taichong and Neiguan acupoints,group SA at bilateral Zusanli and Hegu acupoints,and group NA at the points 1 cm lateral to the acupoints of Zusanli and Hegu once every 30 min until the end of surgery.The time when the patients passed flatus,defecating time,and recovery time of bowel sounds were recorded after surgery.The occurrence of nausea and vomiting was recorded within 1 day after surgery.The electrogastrogram (EGG)was performed at 1 day before surgery and 2 days after surgery,and the frequency,amplitude and rhythm of EGG were recorded.At 1 day before and after surgery,the levels of plasma motilin and gastrin were determined using enzyme-linked immunosorbent assay.The recovery of postsurgical gastrointestinal function was assessed,and the recovery rate was calculated.Results Compared with group C,the incidence of postsurgical nausea and vomiting was significantly decreased,the time when the patients passed flatus,defecating time,and recovery time of bowel sounds after surgery were significantly shortened,the recovery rate was significantly increased,the frequency,amplitude and rhythm of EGG were significantly increased at 2 days after surgery,and the levels of plasma motilin and gastrin were significantly increased at 1 day after surgery in CA and SA groups (P＜0.05).Compared with group CA,the incidence of postsurgical nausea and vomiting was significandy decreased,the time when the patients passed flatus,defecating time,and recovery time of bowel sounds after surgery were significantly shortened,the recovery rate was significantly increased,the frequency,amplitude and rhythm of EGG were significantly increased at 2 days after surgery,and the levels of plasma motilin and gastrin were significantly increased at 1 day after surgery in group SA (P＜ 0.05).Conclusion Acupuncture of acupoints selected provides better efficacy than common acupuncture in improving postsurgical gastrointestinal dysfunction in the patients undergoing nongastrointestinal abdominal surgery.

This paper applies economic order quantities model and the theory of safety stock in hospital equipment management, calculating the economic order quantities to lower inventory costs and financial occupancy so as to raise the management level of medical equipment in hospital as well as economic and social benefits.

Objective:To study the relationship between psychosomatic symptoms and psychosocial factors of nursing students in military school.Methods:469 nursing students of a military medical school were investigated by SCL-90,EPQ,PSSS,Coping style inventory and self-esteem scale and so on.Results:Nursing students had lower SCL-90 score than the norm of Chinese female and that of military medical students.Their SCL-90 score correlated with EPQ-E、EPQ-L negatively and EPQ-N、EPQ-P positively.It also correlated with passive coping style positively; with positive coping style,self-esteem negatively.Conclusion:Nursing students of military school have less psychosomatic symptoms than medical students.The influential factors are similar to other populations.

The phenomenon of recessive absence was initiated by many malpractices in current medical educational system.In this article we try to analyze this phenomenon,speculate the subjective and objective reasons,propose countermeasures such as improving teachers quality,reforming traditional teaching mode,strengthening medical ethics education,enriching teaching means and addressing student-centered lectures.

0.05). Metastasis of the liver of colorectal cancer occurred higher in the patients with serum CEA concentration ≥15ng/ml than that in those with serum CEA

Object To study the chemical constituents from the stem of Photinia parvifolia (Pritz.) Schneid. Methods The compounds were isolated by silica gel column chromatography and their structures were elucidated by means of spectral analysis. Results Seven compounds were identified as lupeol (Ⅰ), ?-sitosterol (Ⅱ), betulinic acid (Ⅲ), pyracrenic acid (Ⅳ), epicatechin (Ⅴ), daucosterin (Ⅵ), pruasin (Ⅶ). Conclusion Compounds Ⅰ, Ⅲ-Ⅵ are isolated from the plants of Photinia Lindl. and compounds Ⅱ and Ⅶ are isolated from P. parvifolia for the first time. Compound Ⅳ shows anticancer effect.

Objective To explore the effects of repetitive transcranial magnetic stimulation ( rTMS ) on cognitive function in patients with mild cognitive impairmen ( MCI).Methods Fifty patients with MCI were randomly divided into rTMS treatment group ( rTMS group ) and piracetam treatment group ( control group ) , 25 patients in each group .The stimulated point of rTMS treatment were in the bilateral prefrontal area , for one time a day, continuous treatment for 6 d as a courses in rTMS group patients .Two courses of treatment was interval of 3 weeks, a total of 4 courses.The patients of control group were treated with piracetam 0.8 g, 3 times a day, for taking 16 weeks.Before and after treatment, the event-related potentials P300 and Montreal Cognitive Assessment (MoCA) scale examination were taken in two group respectively .Results Compared with before treatment , the P300 latency significant was significantly shortened and amplitude increased , scores of MoCA scale and delay memory were significantly increased (P<0.05-0.01) after treatment in the rTMS group.Compared with the control group, the difference of those had statistical significance ( all P<0.05 ) .The difference of those had no statistical significance before and after treatment in control group .Conclusion rTMS treatment can improve memory and cognitive in patients with MCI .It can delay the progress of dementia to some extent .

Scientific researchers , medical and nursing staff in Academy of Military Medical Sciences and Chinese PLA General Hospital are the main readers of Medical Library of Chinese PLA.The papers they published in CMCI-covered journals from 2010 to 2012 and their citations were analyzed by citation analysis in order to find the de-mand of users and the use of literature in militarymedical journals , and discover the demand for biological literature information in scientific researchers and nursing staff in Academy of Military Medical Sciences and Chinese PLA General Hospital.The authors proposed that library holding journals should be evaluated with the support rate of highly cited journals and zero citation rate of library holding journals to guide the development of journal resources , provide evidence for the adjustment of resource acquisition , and perfect the library holding resources ofuser-ori-ented demand.

Objective To investigate the clinical results of resection of periacetabular tumors and reconstruction with fibular autograft. Methods Eight patients with tumors around acetabular were treated surgically in Tongji Hospital between January 1999 and April 2003. The series comprised 5 males and 3 females, with an average age of 39.6 years old (range, 21-65 years old). One patient was diagnosed with osteosarcoma, 2 with chondrosarcoma, 3 with metastatic bone tumor, 1 with giant cell tumor(GCT), and 1 with aneurysmoid bone cyst. There were ⅠB in one patient, ⅡB in 3 patients according to Enneking surgical staging in four primary malignant tumors patients. The tumors involved the zones Ⅱ of Enneking classification in 5 patients, the zonesⅠand Ⅱin 3 patients. All the 8 patients with periacetabular tumors underwent resection and reconstruction with fibular autograft(including 3 cases of a free vascularized fibular graft). Functional results were evaluated according to the system of the Musculoskeletal Tumor Society. Results Bony union occurred 15.2 weeks (range 14-16 weeks) in 5 patients reconstructed with non-vascularized fibular graft and 13.6 weeks (range 12-15 weeks) in 3 patients reconstructed with vascularized fibular graft after the initial surgery. Five of them were followed up ranged from 14 to 42 months (mean 28 months). There were continuously disease-free without complications during follow-up. At the final followup, the average functional score was 22 (range 18-27) according to the system of the Musculoskeletal Tumor Society. The good and excellent rate of functional results was 100%. Conclusion Tumor resection and reconstruction by fibular autograft is an effective treatment for patients with periacetabular tumors. Satisfactory postoperative function was obtained, and relief of pain and walking independently could be achieved with a high level of patient satisfaction.