ObjectiveTo develop the military acute stress scale and examine the reliability and validity of this scale.MethodsBased upon the previous acute stress researches and the rule of psychometrics,the military acute stress scale was compiled according to open-ended inventory survey.A total of 630 personnel were chosen by random cluster sampling,and tested with this scale,50 of them were tested by Chinese Military psychosomatic health Scale simultaneously,and 50 of them were retested after two week.The reliability and validity were examined by exploratory factor analysis,confirmatory factor analysis and correlation analysis.ResultsThe military acute stress scale was comprised of 9 factors and one lie sub-scale ; Main fit indexes of model were the following CMIN =1219.476,DF =593,P =0.000,CMIN/DF =2.056,IFI =0.927,TLI =0.902,CFI =0.924,RMSEA =0.059; The conrelation coefficients between subscales and subscales were 0.284-0.572.The correlation coefficients between subscales and total scale were 0.700 ～ 0.846 (P ＜ 0.05 or 0.01 ) ; The correlation coefficients was significant between this scale and Chinese military psychosomatic health scale.The correlation coefficients were 0.338-0.962 (P ＜ 0.01 ).The test-retest correlation coefficients of total scale and subscales were 0.379-0.909 (P ＜ 0.01 ).The Cronbaeh's α coefficients were 0.606-0.926 ; and the split-half correlation coefficients were 0.466-0.855.ConclusionThe military acute stress scale has acceptable psychometrics properties on reliability and validity.

Venous thrombotic disease is a serious disease,which impact on health and life-threatening.Pulmonary embolism and deep-vein thrombosis are the two components of a single disease called venous thromboembolism in obstetrics and gynecology.but it can be difficult to diagnose because clinical symptoms and signs are non-specific or absent in early venous thrombus embolism (VTE).It has great value that how to use the most economic,simple,efficient method for screened high-risk groups,timely and accurate laboratory diagnosis of VTE.

Objective:To study the surface enhanced Raman scattering ( SERS) of safflower and identify safflower injections by SERS quickly and effectively. Methods:Through comparative analysis of the Raman spectroscopy of safflower injections and the corre-sponding control herbs, the rapid identification of safflower injections was realized. Results:The results showed that several character-istic peaks of safflower were enhanced obviously in SERS, which could be used to identify safflower injections. Conclusion:The meth-od is reliable, rapid, accurate and specific, which can be applied as a method to identify safflower and its injections.

Objective To observe the effect and safety of different doses of sufentanil plus subarachnoid block during labor. Methods One hundred parturients (single birth) were divided into 5groups by random digits table with 20 cases in each, which sufentanil 3,4,5,6,7 μ g in group A, B, C, D, E plus ropivacaine 3 mg were injected respectively into subarachnoid space. The onset and duration of subarachnoid analgesia were observed; visual analogue scale (VAS) were recorded respectively before injection and 5,15,30,60 min after injection; the vital sign,labor stage,labor type,adverse reactions of parturients,fetal heart rate (FHR) and the Apgar score at 1,5 min of neonate were recorded respectively.Results The onset of subarachnoid analgesia in group A was higher than that in group B,C, D,E;the duration of subarachnoid analgesia in group A,B was shorter than that in group C,D,E.VAS declined gradually 5,15,30,60 min after injection compared with before injection in 5 groups (P ＜ 0.01 );VAS in group B, C, D, E was lower than that in group A at 5 min after injection (P ＜ 0.05 ), and VAS in group C, D, E was lower than that in group A,B at 60 min after injection (P＜ 0.05). There was no significant difference in vital sign,labor stage,labor type,FHR and the Apgar score of neonate among 5 groups (P ＞0.05). The occurrence of itch of skin and nausea in group D,E [25%(5/20), 15%(3/20) in group D,and 40%(8/20),20%(4/20) in group E] was higher than that in group A, B, C [5%(1/20), 0 in group A, 10%(2/20), 0 in group B, 10% (2/20), 0 in group C] (P ＜ 0.05 ). Conclusion Subarachnoid block (sufentanil 4-6 μ g +ropivacaine 3 mg) can offer safety and efficacy of labor analgesia; sufentanil 5 μg is the best dose with subarachnoid block during labor at present.

Based on the analysis of the medical students' humanities quality and current college English teaching,this paper explored four strategies including pre-class lead-in activity,making full use of current teaching materials,reforming present college English teaching method and developing extracur-ricular practical activities in order to foster humanities quality in college English teaching and to improve medical students' humanities quality.

Objective To investigate the self-efficacy and other factors of the internship and discuss the effect of the self-efficacy in medical education.Methods Using the Face Scale,Trait Coping Style Questionnaire,General Self-efficacy Scale to measure the level of self-efficacy and other factors.Results Correlation was found between self-efficacy and other factors such as subjective well-being,positive coping style and professional stress.Conclusion The self-efficacy and other factors impact each other and reduce the professional satisfaction.

Objective: To establish an HPLC method for the determination of gentiopicroside,gardenia and baicalin in Xiegan Anshen pills.Methods: The analysis was carried out on a Phenomenex Luna C18(2) column(250 mm×60 mm, 5 μm).The mobile phase consisted of methanol-0.2% phosphoric acid solution with gradient elution and the flow rate was 1.0 ml·min-1.The column temperature was 30℃, the detection wavelength was 254nm, and the sample size was 10 μl.Results: The linear range of gentiopicroside was 10.55-168.80 μg·ml-1 (r=0.999 9),and the average recovery was 98.68%(RSD=1.2%, n=6).The linear range of gardenia was 29.85-477.60 μg·ml-1 (r=0.999 8), and the average recovery was 98.76%(RSD=1.1%, n=6).The linear range of baicalin was 43.05-688.8 μg·ml-1 (r=0.999 7), and the average recovery was 98.36%(RSD=1.4%, n=6).Conclusion: The method is simple and accurate, and can determine the contents of the three ingredients simultaneously, which can be used for the quality control of Xiegan Anshen pills.

Objective To investigate the dose-effect relationship of sufentanil combined with dexmedetomidine which used in clinical effectiveness and safety of intravenous analgesia after hip arthroplasty.Methods Sixty patients (after hip arthroplasty) were randomly divided into three groups:group A (sufentanil 0.5 μg/kg),group B (sufentanil 0.75 μg/kg),and group C (sufentanil 1 μg/kg).Each group was combined with dexmedetomidine 1.5 μg/kg in patient controlled analgesia (PCA) pump.Mean arterial pressure (MAP),heart rate (HR),SpO2,numerical rating scale (NRS) scores,and Ramsay sedation scores were recorded at T1 (4 h after operation),T2 (8 h after operation),T3 (24 h after operation),and T4(48 h after operation).Harris hip scores were recorded at T0(preoperative),T3,and T4.The total number of pushing patient controlled intravenous analgesia (PCIA),dezocine dosage,and the occurrence of adverse events in each group situation were recorded.Results There were no significant differences in MAP,HR,and SpO2 among groups.Compared to group A,NRS scores of groups B and C were lower during the analgesia (P ＜0.01).Compared to group A,Ramsay sedation scores of groups B and C were higher at T1,and T2 (P ＜ 0.01).Compared to group A,Harris hip scores of groups B and C were higher at T3,and T4 (P ＜ 0.01).Compared to group C,adverse reactions of groups A and B were less during the analgesia (P ＜ 0.01).Compared to group A,the total number of press PCIA and dezocine amount were decreased in groups B and C (P ＜ 0.01).Conclusions The 0.75 μg/kg sufentanil combined with 1.5 μg/kg right beauty holds the minimum for intravenous analgesia effect after hip arthroplasty and calm exactly satisfied,less adverse reaction,for PCIA ideal drug formula.

In this article the present situation is analyzed by retrieving the training pattern and the curriculum of the continuing medical education in China, and new thoughts and training patterns which are more suitable for China's national conditions are put forward. It can be strengthened by course offered that the knowledge and skill of basic medical knowledge, new medical technology, medicopsychology, medical dietetics, professional medicine and communication skills. So the medical technologists can get comprehensive continuing education and skill development. Finally, the high level of teaching quality of the continuing education organization and the effective monitoring and feedback system which will lay the foundation for further improving the quality of the continuing medical education.

Fifty-six middle and aged post-herpetic neuralgia patients were treated with Jiaji (Ex- B 2) of the correspondingly affected segments plus Ashi points. The major points were treated with even reinforcing-reducing manipulation and the auxiliary points were treated by puncturing subcutaneously around the skin lesion with reducing manipulation. Afterward the three-edged needle was used to insert into the tenderness spots rapidly and remove immediately for 3-5 consecutive times around the spot plus flash-fire cupping. The result showed recovery in 36 cases; marked effect in 17 cases; no effect in 3 cases and the total effective rate was 94.6%.