Objective: To study the relationship between negative behavior of preschool children and behavior of their mothers. Method.. 742 mothers of children in their 3 ～ 6 year old age were tested by self- made questionnaire. Results: Negative behavior was not significantly related to age and gender of children. It was negatively related to maternal supporting behavior and positively to maternal un- supporting behavior. The culture background (urban/rural), family income and mother' s occupation were found to be important factors mediating maternal un- supporting behavior. Conclusion: Negative behavior of preschool children is influenced by mother' s behavior, which in turn has its cultural - economical background.

Objective:To investigate the routine maintenance and inspection methods of magnetic resonance imaging (MRI) equipment, reduce the failure rate and improve the image quality, and ensure the normal operation of medical image diagnostic equipment.Methods:According to the characteristics of the equipment, to make maintenance inspection goals and complete the daily management of MRI equipment. According to the medical equipment management system requirements, to establish and maintain records to provide data to meet the requirements and the effective operation of quality management system, and to record the data for each equipment for continuity and traceability.Results: There are the potential problems through the management and analysis of MRI equipment data. And the problems were timely solved to make the device operate steady. It’s easy to get a clear and reliable image and to provide an objective and true diagnostic basis for clinical.Conclusion: The routine maintenance and inspection of MRI equipment is an indispensable and important work in medical engineering.

Objective To understand the current situation of multidrug-resistant organism (MDRO)infection in hospitalized patients in a tertiary first-class hospital,as well as efficacy of bundle intervention measures on preven-tion and control of infection. Methods Hospitalized patients who were infected with MDROs in this hospital during 2012-2014 were monitored and conducted bundle intervention. Results In 2012-2014,a total of 1909 MDRO strains were isolated. The isolation rates of MDROs in 2012-2014 were 30.69% ,31 .04% ,and 29.40% respec-tively,bedside intervention rates were 81 .02% ,92.05% ,and 94.23% respectively,implementation rates of clinical isolation were 69.97% ,82.98% ,and 93.04% respectively;MDRO isolation rates during 2012-2014 were not sig-nificantly different(P>0.05);bedside intervention rates and implementation rates of clinical isolation were both sig-nificantly different(both P<0.05). The top 3 isolated MDROs in 2012-2014 were extended-spectrumβ-lactamases (ESBLs)-producing Escherichia coli,multidrug-resistant Acinetobacter baumannii,and ESBLs-producing Klebsiel-lapneumoniae. Conclusion Bundle intervention measures,such as multi-department collaboration and strengthened on-site supervision,can promote more standardized management of healthcare-associated infection,enhance the im-plementation rate of clinical isolation,and effectively prevent and control the spread of MDRO in hospital.

The Medical Care Act of Japan has undergone five major revisions since it went into effect in 1947. Each revision has been designed to target and tackle main problems found in the medical and health sector in the country. These problems range from the making of regional healthcare plans to the establishment of the hospital with specific functions, from the division of rehabilitation beds to the establishment of nursing insurance scheme, from the birth of medical corporations to the establishment of social medical corporations, and from strengthening of non-profit nature of medical institutions to the construction of medical information system. These efforts were made to provide a safe and convenient health service for the Japanese people. These revisions are closely related to hospital management, and its experiences prove useful for the health reform in China.

BACKGROUND:Bulous keratopathy has an increasing annual incidence, but its treatment is restricted by few sources of materials for corneal transplantation and high cost of operation. Additionaly, some patients who present with serious symptoms have little chance of recovery and low success in corneal transplantation. Amniotic membrane from the corneal stroma has a rich source with low cost, which can effectively relieve the symptoms and improve the quality of life in patients.
OBJECTIVE:To observe the therapeutic efficacy of amniotic membrane implantation into the corneal stroma in the treatment of bulous keratopathy.
METHODS: Forty healthy adult New Zealand rabbits (half male and female) were randomly divided into four groups (A, B, C, D groups), with 10 rats in each group. Rabbit models of bulous keratopathy were made in the groups A, B, C. At 2 weeks after modeling, amniotic membrane implantation into the corneal stroma and corneal surface was performed in groups A and B, respectively, and in group C, corneal lamelar dissection was done but with no amniotic membrane transplantation. In group D, there was no surgical treatment (blank control). A slit lamp microscope with constant crack width and angle of light projection was used to observe the central corneal thickness, and corneal opacification degree, corneal epithelial bula of rabbits were observed at different time in each group. Under microscope, the rabbit corneal endothelial cels and healing were observed at different time.
RESULTS AND CONCLUSION: At 1 day and 2 weeks after transplantation, the central corneal thickness of rabbits had significant differences in the four groups (P< 0.05). At 4, 8, 12 weeks after transplantation, the central corneal thickness of rabbits showed no difference between groups A and B as wel as between groups C and D (both P > 0.05), but there was a significant difference between groups A, B and group C (P < 0.05). At 4 and 8 weeks after transplantation, the degree of corneal opacity was significantly better in group A than the other three groups (P < 0.05). There were obvious scars forming at the incision of rabbits in the group C. Compared with the other three groups, the bula was improved better in the group A (P < 0.05). At 2 weeks after transplantation, bulous keratopathy relapsed in the group B, and symptoms of edema with bula were stil seen in groups C and D at 12 weeks after transplantation. These findings indicate that amniotic membrane implantation into the corneal stroma can effectively repair rabbit corneal endothelial cels and aleviate the symptoms of edema, but its specific mechanism need to be further studies.

Objective To study and analyze the efficacy and safety of caspofungin in the treatment of acute exacerbation of chronic obstructive pulmonary disease patients complicated with pulmonary fungal infections.Methods 62 patients of acute exacerbation of chronic obstructive pulmonary disease complicated with pulmonary fungal infec-tions were randomly divided into study group and control group,31 cases in each group.Study group was intravenously given caspofungin,with an initial dose of 70mg/d,follow 50mg/d.The control group was intravenously given liposomal amphotericin B,dose control in 3mg? kg-1 ? d-1 .After treatment lasted symptoms 5d,clinical efficacy and side effects of two groups were recorded.Results The effective rate of the study group was 67.74%,which was signifi-cantly higher than 41.93% of the control group, the difference was statistically significant ( χ2 =2.0251, P =0.0429).The incidence rate of adverse reactions of the study group was 16.13%,which was significantly lower than 48.39% of the control group,the difference was statistically significant(χ2 =2.6948,P =0.0070).After treatment, liver and kidney function parameters in the control group such as ALT,AST,BUN,Cr had significant differences com-pared with before treatment (P <0.05).Conclusion For chronic obstructive pulmonary disease patients complicated with acute exacerbation of pulmonary fungal infection,the treatment efficacy and the incidence of adverse reactions of caspofungin therapy are significantly better than liposomal amphotericin B,and has small renal damage,which is wor-thy of clinical application.

Objective: To revise a coping style scale for adolescents and analyze the characteristics of adolescents' coping style.Methods: 1013 middle school students were sampled for the research: 783 for the explosive factor analysis and T test,while the other 330 for the confirmative factor analysis.Results: 5 factors were extracted through EFA and explained 45.17% of the variance.The results of CFA showed satisfactory construction validity: RMSEA = 0.067.The results of T tests for the effects of different age,gender,family type were significant.Conclusion: The Coping Style Scale for Adolescents achieves satisfactory reliability and validity;the adolescents' coping styles are influenced by age,gender and one-child family.

The auther dissected 168 adult and infant cadavers and the form and innervation of anal sphincter muscle complex (ASMC) were observed. It was found that there were individual variations in development of ASMC. The well-developed puborectalis accounted for 72.4%, the poorly developed 22.4% and no puborectalis 5.2%. Usually, the ratio of the thickness of the internal (IS) and external sphincter (ES) was 1: 1.5. Occasionally, IS was thinner than ES. Their ratio was 1 : 3 or 1: 5. On the other hand, IS might be 2~3 times thicker than ES. N. puborectalis existed in most cases. It mostly originated from the pelvic splanchnic nerve. The most frequent existence of the anal nerve (45.8%) was in those of single thunks originating from the perineal nerve. The clinical significance of ASMC in the ano rectal surgery is also discussed.

Epilepsy was arousing the attention of medical circles because of the complexity of its mechanism and the difficulty of its control.The project which used the pioneering research as the basement and was directed by the chinese medicine used the modern multidisciplinary research technologies and explored the mechanism of the brain damage in epilesy.The project′s treatment idea is different from the others,which provided a new way for seeking new medicines for treating epilepsy.The research techniques took use of the application of the behavioral methods and the electrophysiological methods creatively and the subject firstly used this way to observe it dynamically,which greatly improved the accuracy of evaluating the models and pharmacodynamics studies of the epilepsy.The research method of the project firstly observed the changing mechanism of the brain damage and the regulation of the apoptosis related genes,and even the efficiency of tsaoko-anemarrhenae decoction,which enriched the scientific intension of the decoction.The conclusions palyed a very important role in exploiting the new medicine for treating epilepsy and enriching the knowledge of the five visceras in chinese medicine.

Objective:To describe the status of self-rated health(SRH)among the elderly and find out the relationship between SRH and other health measures such as two weeks prevalence and chronic disease prevalence.Methods:The data used was generated from cross-sectional household health survey conducted in the year of 2009 in Shunyi district,Beijing.SPSS software was used to conduct univariate and multivariate liner regression analysis with self-rated health.Results:The average score of self-rated health among the elderly is 72.49.Univariate analyses suggest that are age,sex,marital status,income level,education,employment,medical insurance type,self-perceived anxious or depression,disease state are all associated with poor SRH score.Multiple liner regression model shows that age,job,medical insurance,self-perceived anxious or depression,suffer from two-week illness and chronic disease had effects on SRH of the elderly.Conclusion:Physical and psychological unhealthy are independent risk factors of SRH among the elderly,disease status is the most influential predictor on SRH score.Thus,a single measurement of SRH question can be used in health status assessment of the elderly.