Objective To evaluate the effect of structured therapy and education based on personal strength on ischemic stroke. Methods From March,2021 to September,2023,a total of 114 patients with ischemic stroke from the First People's Hos-pital of Kunshan were randomly divided into control group(n=57)and experimental group(n=57).The control group received routine medicine,rehabilitation training and standard health education,while the experimental group received routine medicine,rehabilitation training and structured therapy and education based on personal strength,for six weeks.They were compared with the scores of modified Rankin Scale(mRS),motor-evoked po-tential(MEP)latency and amplitude,modified Barthel Index and Self-Recovery Efficacy Scale score and recur-rence within three months after the start of the study.The scores of Morisky Medication Adherence Scale(MMAS)and Five Facet Mindfulness Questionaire(FFMQ)were also compared. Results After treatment,the score of mRS(t=5.002),MEP latency period(t=9.739)and amplitude(t=4.394),modi-fied Barthel Index(t=11.261),the score of Self-Recovery Efficacy Scale(Z=-2.638),and the scores of MMAS(t=19.521)and FFMQ(t=15.381)were better in the experimental group than in the control group(P<0.05). Conclusion Structured therapy and education based on personal strength could faciliate to improve the recovery and self-management of ischemic stroke patients.

Objective To analyze the effect of early tracheotomy on pulmonary infection in patients with severe craniocerebral injury.Methods A total of 128 severe craniocerebral injury patients with craniotomy in ICU were randomly divided into early tracheotomy group and late tracheotomy group.The incidence of pulmonary infection,C-reactive protein (CRP) and procalcitonin (PTC) were compared.Results The infection rate of early tracheotomy group was significantly lower than that of late tracheotomy group (P ＜0.05).The CRP was significantly increased on the 1st,3rd,7th and 10th postoperative days in the two groups (P ＜ 0.05).PTC in the early tracheotomy group was significantly lower than that in the late tracheotomy group on the 7th and 10th days after operation (P ＜ 0.05).Conclusion Early tracheotomy can effectively reduce the incidence of pulmonary infection.Dynamic data of CRP and PTC in clinic can help control pulmonary infection.

Objective To analyze the effect of early tracheotomy on pulmonary infection in patients with severe craniocerebral injury.Methods A total of 128 severe craniocerebral injury patients with craniotomy in ICU were randomly divided into early tracheotomy group and late tracheotomy group.The incidence of pulmonary infection,C-reactive protein (CRP) and procalcitonin (PTC) were compared.Results The infection rate of early tracheotomy group was significantly lower than that of late tracheotomy group (P ＜0.05).The CRP was significantly increased on the 1st,3rd,7th and 10th postoperative days in the two groups (P ＜ 0.05).PTC in the early tracheotomy group was significantly lower than that in the late tracheotomy group on the 7th and 10th days after operation (P ＜ 0.05).Conclusion Early tracheotomy can effectively reduce the incidence of pulmonary infection.Dynamic data of CRP and PTC in clinic can help control pulmonary infection.

To analyze the epidemiological characteristics of human infection with avian influenza A(H7N9) virus from 2013 to 2016 in Xiaoshan,China,we collected the epidemiological data of human A(H7N9) cases as well as the results of environmental monitoring and analyzed it by case study,descriptive epidemiological method,and statistical analysis.Results showed that a total of 22 cases were confirmed,including 12 deaths.All the cases occurred in winter and spring,and most of them had been exposed to live poultry,and with the underlying condition of chronic diseases.Chi-square test showed that the ratio of cases with chronic diseases in death group was higher (P=0.01).The environmental monitoring result showed there were distinctive seasonal differences of positive rate with peaks in winter and spring and nadirs in autumn and summer.Positive rates for the samples from external environmental monitoring were consistent with the distribution of the case onset.Due to rise of environmental monitoring positive rate,we should be alert to the occurrence of new cases,especially in rural areas where live poultry fairs still exist and among people with occupational exposure.We should further improve ability to prevent and control this disease.

A 70-year-old male patient received ticagrelor 90 mg twice daily and aspirin 100 mg once daily as dual antiplatelet therapy after operation for coronary stent implanting. On day 2 of treatment,he developed traces of blood in sputum. The hemoptysis became worse and times became more after that. On day 42,the patient developed massive hemoptysis about 100 ml. Ticagrelor was discontinued by himself. The patient then was given oxygen inhalation,expectorant drug and hemostatic agents. Anticoagulant therapy was adjusted for the combined use of clopidogrel 75 mg once daily and aspirin 100 mg once daily. On day 4 of the ticagrelor withdrawal,the amount of hemoptysis was obviously reduced. On day 7,the hemoptysis ceased.

A 70-year-old male patient received ticagrelor 90 mg twice daily and aspirin 100 mg once daily as dual antiplatelet therapy after operation for coronary stent implanting. On day 2 of treatment,he developed traces of blood in sputum. The hemoptysis became worse and times became more after that. On day 42,the patient developed massive hemoptysis about 100 ml. Ticagrelor was discontinued by himself. The patient then was given oxygen inhalation,expectorant drug and hemostatic agents. Anticoagulant therapy was adjusted for the combined use of clopidogrel 75 mg once daily and aspirin 100 mg once daily. On day 4 of the ticagrelor withdrawal,the amount of hemoptysis was obviously reduced. On day 7,the hemoptysis ceased.