This article interprets the " Screening for and Managing the Person with Frailty in Primary Care: Guidelines " developed in 2020 by the International Conference on Frailty and Sarcopenia Research (ICFSR) . This article also analyzes the characteristics of frailty assessment tools and management strategies for frail elderly in order to provide new ideas for the assessment and management of frail elderly in China, and achieve healthy aging of the elderly.

Objective To evaluate the feasibility and clinical therapeutic effect of unilateral pedicle screw fixation in treatment of thoracolumbar fractures. Methods From January 2008 to December 2012, 62 patients with thoracolumbar fractures were treated with unilateral pedicle screw fixation. X-ray were underwent after 3 to 5 days, 3 months, 6 months, 12 months respectively, observed vertebral fracture healing and compared the Cobb angle, vertebral front and rear edge height situation before and after surgery, sagittal last follow-up. Results All patients were followed up from 6~35 months with an average of 18 months. No internal fixation failure was found. The Cobb’angle, anterior and poste-rior vertebral body height before operation were(25.7±4.1)°, (49.6±1.8)%, (93.2±1.8)%, which by preoperative correction back to (9.2±1.5)°, (87.6±2.4)%, (97.2±1.9)% at last follow up. The kyphosis correction rate was (94.5±2.7)% and the correction loss rate was (2.3±0.7)%. Spinal cord function were improved level 1~3 (excepted 4 cases of patients with grade A and 2 cases with grade B). Conclusion The method of using unilateral pedicle screw fixation can strengthen the injured vertebra fixed strength and stability, and maintain the kyphosis deformity correction.

?? [Abstract]? Objective? To explore the training status and needs in Class Ⅱ hospital nurses in Shaanxi Province and to provide a reference for developing scientific, proper and targeted training plans for secondary hospitals. Methods? Seven nurses were randomly selected from each of 30 secondary hospitals in Shaanxi Province and received questionnaire survey from May to June 2017. Totally 210 nurses were included in this study. The nurses were investigated with the self-designed training status and need questionnaire for Class Ⅱhospital nurses. SPSS 17.0 was used for statistical analyses. Totally 203 valid questionnaires were collected, with a valid collection rate of 96.67%. Results? 77.34% of the 203 Class Ⅱ hospital nurses were trained at hospital;64.53% of them were trained in working days; over 78% of them were trained using traditional methods which focused primarily on basic training; 69.46% of the nurses believed that the training was not much beneficial, and only 51.73% of them were willing to attend the training. 60.95% of the nurses desired to participate in provincial and municipal training outside the hospital, and they have higher needs for professional and specialized theoretical knowledge and skills. Conclusions? The training content for Class Ⅱ hospital nurses is not targeted and they have less opportunities for external training. It is recommended that the curriculum be set scientifically with diverse training methods taking into consideration both posts and needs. Meanwhile, hospitals should pay attention to nurse training and provide financial support.