Objective To investigate the application of pediatric early warning score (PEWS) in neurology department.Methods The clinical data and PEWS of 1,158 children with neurologic diseases (764 febrile seizures,259 viral encephalitis and 135 bacterial meningitis) admitted into neurology department from August 2013 to November 2016 were analyzed retrospectively.PEWS was compared among the three different diseases.According to the disease severity,cases were categorized into no-monitor-required group (n =996,697 febrile seizures,203 viral encephalitis and 96 bacterial meningitis),monitor-required group (n =138,67 febrile seizures,41 viral encephalitis and 30 bacterial meningitis) and PICU group (n =24,0 febrile seizures,15 viral encephalitis and 9 bacterial meningitis).PEWS was assessed at admission in both no-monitor-required group and monitorrequired group.PEWS was recorded 12 hours before PICU transfer in PICU group.Then PEWS was compared among all groups in different diseases respectively.Results The median (minimum ～ maximum) of PEWS in febrile seizures,viral encephalitis and bacterial meningitis was 0 (0 ～ 3),2(0 ～ 8) and 2(0 ～ 8),respectively and there was significant difference among three diseases (P ＜ 0.01).No patient of febrile seizures was transferred to PICU.PEWS of febrile seizures in monitor-required group was higher than that in no-monitor-required group (P ＜ 0.01).For both viral encephalitis and bacterial meningitis,PEWS in monitor-required group was higher than that in no-monitorrequired group,and the score in PICU group was higher than that in monitor-required group.The difference was significant (P ＜ 0.01).Conclusion PEWS is effective for the assessment of illness severity of hospitalized children in neurology department,and can be used for the prediction PICU transfer as an excellent screening tool.

Objective To explore the effects of increasing inspiring contents on health education in stroke patients.Methods According to a random number table, 363 stroke patients who were hospitalized in 2015 were randomly assigned to the experimental group and the control group. The control group received conventional health education while the experimental group received the education with increasing inspiring contents. To compare patients' awareness of the risk factors for stroke and the compliance of medication and rehabilitation between the two groups.Results Patients in the experimental group had a significantly higher awareness of risk factors and compliance compared with patients in the control group [(8.95±0.30) vs (5.05±0.40) for the awareness of risk factors; (9.35±0.35) vs (6.45±0.40) for medication compliance; (9.05±0.30) vs (5.70±0.45) for rehabilitation compliance](t=79.20,58.89,68.03;P<0.01). Conclusions Health education with increasing inspiring contents can effectively improve the awareness of disease and compliance of medication and rehabilitation in stroke patients.