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Table of Content

    15 October 2015, Volume 14 Issue 10
    Effect of Periplaneta americana de-fat Extract on Immune Function in Mice
    Li Jiao, Zhang Bingqing, Liu Guangming, Xia Mengkai, Zhang Xiaodong, Liu Xiaobo
    2015, 14(10):  1-5. 
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    Objective: To research the effect of Periplaneta americana de-fat extract on immune function in normal mice and in
    immunocompromised mice caused by cyclophosphamide. Methods: In this study, immunosuppressive model was established in C57BL/6
    mice by cyclophosphamide. After the high, medium and low dose(4 g/kg, 2 g/kg, 1 g/kg)of P. americana de-fat extract were orally
    administered for 15 d, T and B lymphocyte proliferation was measured. And the organ weights and organ index, the number and
    classification of peripheral blood cell, bone marrow nucleated cell were tested. Results:P. americana extract can promote the
    peoliferrative function of splenic linphocytes, increase the weight of immunocompromised mice organs and organ index, improve their
    peripheral blood, and increase the number of bone marrow cells to enhance their immune function. Conclusion: The P. americana defat
    extract can improve and influence the immune function on immunocompromised mice, but it has no effect on the immune function of
    normal mice.

    Influence of Pu'er Tea Water Extracts on Artificial Caries Microhardness
    Chen Ying, Liang Yingdong, Yang Huafu, Tian Fuming, Lan Hai
    2015, 14(10):  6-8. 
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    Objective: To study the influence of the chemical composition of Pu'er tea on the hardness of the artificial caries.
    Methods: Put the bovine-cut-enamel into the demineralization solution pH=4 to remineralization to formulation artifical tooth decay.
    Select 72 demineralization bovine teeth, which hardness is about 310 kg/mm2, and put them into 12 groups in random: 20 mg/L NaF
    group(positive control), deionized water group(negative control), and 96 mg/mL, 48 mg/mL, 24 mg/mL, 12 mg/mL, 6 mg/mL cooked
    tea group as well as raw tea groups same concentration as above. Use microhardness meter measure the hardness date of the cattle
    incisive after be handle by different solutions and observe the vary date of the microhardness of the surface enamel before and after
    remineralization. Results: The enamel demineralization samples were 96 mg/mL raw tea group, 48 mg/mL raw tea group, 24 mg/mL
    raw tea group, 96 mg/mL cooked tea group, 48 mg/mL cooked tea group, 20 mg/mL NaF group, after treatment, each group enamel
    hardness mean value was significantly higher than the baseline (P<0.05). After remineralization between groups, a high concentration
    of raw tea and cooked tea was not statistically significant between group and group (P>0.05). Conclusion: High concentrations of raw
    tea and cooked tea extract on enamel demineralization of bovine incisors were significantly promote remineralization and no significant
    difference(P > 0.05), but not as good as remineralization 20 mg/mL NaF(P<0.05).

    EZH2 Protein Expression Changes in the Neuron Devlopment
    Sun Fang, Huan Tong, Pan Yun, Li Yan
    2015, 14(10):  9-12. 
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    Objective: To study the role of histone methyltransferase EZH2 in the neuron development. Methods: Mouse embryonic
    stem cells were induced into neural cells by all-trans retinoic acid(RA)in vitro, which was verified by cell morphology and real-time
    quantitative RT- PCR. EZH2 protein expression level during the differentiation procedure was evaluated by Western blot assays.
    Results: In 5 days of E14 embryonic stem cells differentiation, the protein expression levels of EZH2 were the highest in the state of
    embryonic stem cells and 1d after induction, the protein expression levels then declined rapidly. At the end of the 5d, protein expression
    level was the lowest. Conclusion: This research observed the specific expression change of EZH2 protein in the differentiation of neuron,
    which is the foundation for further study of EZH2.

    Survey of Hepatitis B Immunization and Serological Markers of HBV in Dali
    Li Ze, Liu Jizheng, Shen Yuanying
    2015, 14(10):  13-16. 
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    Objective: To understand the current infection status of virus hepatitis B(HBV)and the inoculation status of hepatitis B
    vaccines among the population of Dali city. To evaluate the effect of immunization with hepatitis B vaccine after the implementation of
    children planning immunization strategies. Thereby to provided scientific basis for relevant government department to make strategies
    to prevent and control hepatitis B effectively. Methods: 2 130 people who conducted medical examination at Center for Disease
    Control and Prevention of Dali City were selected to survey their inoculation status of hepatitis B vaccines. Serological markers of HBV
    were inspected by ELISA. Results: The rate of HBsAg positive, HBsAb, HBcAb is 3.29%, 63.80%, 5.63% respectively, and people
    with serological markers of HBV overcast percent in total inspection people are 27.37%(583/2 130), the HBsAg positive rate of
    children under the age of 11 groups is obviously lower than that of adult above 22 years old groups. Dali citizens' hepatitis B
    vaccination rates is 59.43% on average, while the inoculation rate of children younger than 11 years old groups(96.38%)is clearly
    higher than the adult above 22 years old group(21.43%). The inoculation rates of male are 10.02% higher than female, but the
    positive rate of HBsAg of male is 1.81% higher than females. Conclusion: Since adding hepatitis B vaccine into children's
    immunization program, inoculating hepatitis B vaccines in large-scale becomes the most effective way to reduce the HBsAg incidence
    rate and control HBV infection rate and HBV infection. It is recommanded that the government departments should increase adults
    inoculation,as well as strengthen immunization program.

    Clinical Observation of Sildenafil Treating Pulmonary Arterial Hypertension in 27 Patients with
    Congenital Heart Disease
    Dong Yu
    2015, 14(10):  17-19. 
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    Objective: To study the effect of sildenafil treating pulmonary arterial hypertension in patients with congenital heart
    disease. Methods: Twenty-seven patients with congenital heart disease complicated with pulmonary arterial hypertension were treated
    with sildenafil at 20 mg each time, 3 times a day. Results: Sildenafil significantly improved heart function and mean pulmonary artery
    pressure(P<0.01). Conclusion: Sildenafil improves cardiac function in patients with congenital heart disease and reduces the
    associated pulmonary arterial hypertension.

    Curative Effect of 32 Cases of Peripartum Cardiomyopathy Complicated with Heart Failure
    Chen Yu, Wen Xingyang, Shi Yankui, Song Fugang, Yang Guangcheng, Zhang Xuehui
    2015, 14(10):  20-22. 
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    Objective: To explore the treatment of peripartum cardiomyopathy(PPCM)complicated with heart failure. Methods: The
    clinical data of 32 cases of perinatal period cardiomyopathy complicated with heart failure were retrospectively analyzed. Results:
    Twenty-six cases were cured, 4 invalid, 2 dead. Conclusion: Peripartum cardiomyopathy with heart failure patients should be treated
    as soon as possible to avoid induction of PPCM.

    Application of Vacuum Sealing Drainage in Skin Grafting
    Guan Zhijiang, Yang Xiangdong, Shi Shengjun, Tang Xiaoyue, Zhou Guolin
    2015, 14(10):  23-24. 
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    Objective: To investigate the clinical effects of vacuum sealing drainage(VSD)in skin grafting. Methods: From May
    2012 to October 2014, 61 cases were conducted VSD instead of the traditional packing dressing link in our department. Results: The
    operation time was shortened, skin grafts survived completely. Conclusion: Vacuum sealing drainage(VSD)instead of pressure
    dressing process could shorten operation time and improve the success rate of operation in skin grafting.

    Clinical Analysis of Partial Hepatectomy for Hepatolithiasis in 67 Cases
    Zhao Xiaoming, Xu Chang, Luo Chao, Wang Zongli
    2015, 14(10):  25-27. 
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    Objective: To analyze the curative efficacy of partial hepatectomy for the patients with hepatolithiasis. Methods:
    Retrospective study was made on the clinical data of 67 patients with hepatolithiasis undergone partial hepatectomy from July 2012 to
    August 2013. The surgical efficacy was analyzed after 12 to 26 months follow-up. Results: No postoperative deaths occurred. Residual
    bile duct stones were found in 5 cases(7.5%), surgical incision infection in 5 cases(7.5%), subphrenic abscess in 1 case(1.5%),
    bile leakage in 1 case(1.5%)and pleural effusion in 7 cases(10.4%). The curative efficacy of 59 patients was good in the clinical
    data of 67 patients with hepatolithiasis underwent hepatectomy(88.0%), improvement in 6 cases(9.0%)and non-effective patients in
    2 cases(3.0%). The total effective rate was 97.0%(65/67). Conclusion: The surgical efficacy of partial hepatectomy for partial
    hepatectomy was remarkable.

    Prevention of Uroseptic Shock after Percutaneous Nephrolithotomy
    Zhang Aijian, Zheng Baoshou, Zhao Jiaxiang, Xiao Zhisong
    2015, 14(10):  28-30. 
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    Objective: To summerize and explore the prevention of uroseptic shock after percutaneous nephrolithotomy. Methods:
    Clinical data of 714 PCNL patients from January 2010 to November 2014 were retrospectively analyzed, among them, 9 were with
    uroseptic after percutaneous nephrolithotomy. All 9 patients were characterized by chills, a breathing over 30 BPM, a temperature over
    39.0 ℃, a heart rate from 120 to 160 BPM and a blood pressure below 90/60 mmHg within 1-4 hours after operation. They were
    diagnosed with uroseptic shock by clinical manifestations and were treated by anti-infection and anti-shock therapies. Results: At
    early stage, due to the lack of knowledge and experience, 3 patients died of multiple organ dysfunction failure. 6 patients were cured
    with early diagnosis and rapid treatment after summarizing the cause of failure. Conclusion: Uroseptic shock can develop rapidly after
    percutaneous nephrolithotomy. Effective prevention, early diagnosis and treatment can prevent uroseptic shock.

    Clinical Treatment of the I and II Degree Burn of Extremity
    Zhang Shimin, Ai Kewei
    2015, 14(10):  31-32. 
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    Objective: To summerize the features and treatment of the I and II degree burn of extremity. Methods: The features and
    treatment of the I and II degree extremity burns with 50 cases treated in our hospital from January 2012 to January 2015 were analyzed.
    Results: The clinical features were: ①Burn of extremity with children were 68%(34/50); ②58% had infected or contaminated
    wounds because they had treated the burns with folk medicine or methods before visiting the doctor. The treatments were: Sterile
    debridement was conducted to all patients. 29 cases with infected or contaminated wounds were applied iodophor gauze and multilayer
    dry gauze bandage. 21 cases burned within 6 hours were treated with moist exposed burn ointment(MEBO), vaseline gauze and
    multilayer dry gauze bandage. Bandage was changed when liquid appeared. The TBSA of all 50 cases were under 15%. 43 cases
    recovered(86%), 17 wound infections recovered after changing the dressing, 7 had scars and pigmentation. Conclusion: Sterile
    debridement, iodophor gauze or MEBO, and multilayer dry gauze bandage was the effective treatment of small area I and II degree burn
    of extremity.

    Clinical Application of Laparoscopic Assisted Vaginal Hysterectomy
    Wang Ying
    2015, 14(10):  33-35. 
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    Objective: To discuss the clinical effects of laparoscopic assisted total vaginal hysterectomy. Methods: Twenty-eight
    patients conducted laparoscopic assisted vaginal hysterectomy treating uterine benign lesion at our hospital from August 2011 to
    August 2014 were retrospectively analyzed. Results: All cases were successfully operated. Conclusion: Compared with total vaginal
    hysterectomy, laparoscopic assisted vaginal hysterectomy is widely used with safety.

    Inhalation Allergen Spectrum Analysis of 1970 Cases of Allergic Rhinitis in Chuxiong
    Liu Hui, Li Huihua, Zhang Meiling
    2015, 14(10):  36-38. 
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    Objective:To explore the spectrum distribution of inhale allergen in patients with allergic rhinitis (AR) in Chuxiong
    region. Methods: Inhaled allergen skin prick test (SPT) was conducted to 1 970 clinic patients with suspected AR treated in recent five
    years in Chuxion, among which 887 were male, 1 083 were female cases. Allergen distribution characteristics were comparatively
    analyzed. Results: Total positive rate ofiInhalation allergen SPT was 83.05% (1 636 cases); Five allergens ranked top in the SPT
    positive rate were respectively the household dust mites (68.12%), dust mite (64.11%), cockroach (41.22%), artemisia pollen (40.66%),
    and platanus (40.10% ). In inhaled allergens positive level (++ ) and above patients, dust mites and household dust mites were
    respectively 79.02% and 81.52%, which ranked the top two and were significantly higher than other allergens. In different age groups,
    the total positive rate fell with the increase of age, which had statistically significant difference ( χ2 =33.25,P <0.01). Conclusion: Dust
    mites, dust mites, roaches, artemisia pollen, platanus were the main inhaled allergens in Chuxiong region.

    Efficacy of Traditional Chinese Medicine Ointment in the Treatment of Phlebitis
    Duan Zhigang, Sun Xuejiao
    2015, 14(10):  39-41. 
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    Objective: To discuss the effect of Jingwanhong ointment, moisture exposed burn ointment and lithospermum burn ointment
    from traditional Chinese medicine ointments treating infusion phlebitis. Methods: Two hundred and forty patients with infusion
    phlebitis were randomly divided into four groups, with 60 cases in each group. Then the treating effectiveness of each group was
    observed. The observation group was coated with Jing Wan Hong ointment, moisture exposed burn ointment and lithospermum burn
    ointment. The control group was soaked by 50% magnesium sulfate. Results: Efficiencies in treating infusion phlebitis in the
    experimental group are higher than that in the control group(P <0.05). Conclusion: These three traditional Chinese medicine ointments
    can be widely used for the treatment of infusion phlebitis, and they are worthy of clinical promotion owing to their reasonable price and
    convenient use.

    Clinical Observation of 810 nm Diode Laser Combined with Skin Care in the Treatment
    of Facial Acne Vulgaris
    Ma Qiong, Chen Lihua, Wang Yan, Sun Sujiao, Duan Jingxian
    2015, 14(10):  42-44. 
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    Objective: To observe the clinical curative effect of 810 nm diode laser combined with skin care in the treatment of facial
    acne vulgaris. Methods: 110 patients with acne vulgaris were randomly divided into the treatment group(65 cases): laser combined
    with facial skin care treatment group; and the control group(45 cases): diode laser treatment group. Both groups were performed diode
    laser for a course. Results: The improvement rate of acne lesions in the treatment group was significantly higher(90.77%)than that of
    the control group(71.11%). There was significant difference between the two groups(P <0.01). Conclusion: 810 nm diode laser
    combined with skin care treating acne vulgaris has better curative effect than pure diode laser treatment

    Clinical Significance of the Specific Reference Value of Thyroid Function during Pregnancy in Dali Area
    Tang Jianlin, Zhang Yongyan, Ma Xu, Gao Liuyan
    2015, 14(10):  45-48. 
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    Objective: To establish and analyse the specific reference value of thyroid function of pregnant women in Dali area.
    Methods: The serum samples of women of childbearing age and pregnant women in Dali area are collected and tested for FT3, FT4,
    TSH, TPOAb and TgAb by Roche Elecsys e601, then 161 women of childbearing age and 696 cases of singleton pregnant women which
    consist of 228 cases in early pregnancy(T1), 344 cases in middle pregnancy(T2), and 124 cases in late pregnancy(T3)are selected
    according to the National Institute of Clinical Biochemical(NACB). The test results were statistically analyzed to establish the
    specific reference value of thyroid function in pregnancy. Results: The specific reference ranges of the FT3 are:T1 [4.86(3.69~6.02)]
    pmol/L, T2 [4.49(3.16~5.84)] pmol/L, T3 [3.83(2.33~5.32)] pmol/L; the FT4 are: T1 [17.01(12.25~21.77)] pmol/L, T2 [14.08
    (9.65~18.51)] pmol/L, T3 [12.53(7.62~17.43)] pmol/L; the TSH are: T1 [2.12(0.37~5.60)] mIU/L, T2 [2.31(0.39~5.09)] mIU/L,
    T3 [ 2.52(0.39~5.15)] mIU/L. The reference range of thyroid function of pregnant woman is obviously diffrent from that of the normal
    woman of childbearing age in the same area. Conclusion: To establish the specific reference range of the thyroid function of pregnant
    woman in Dali area is significant for diagnosing the abnormal thyroid function of pregnant woman.

    Survey on Hyperuricemia in Community of Anning City
    LYU Jingliang
    2015, 14(10):  49-51. 
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    Objective: To investigate the incidence of hyperuricemia in Anning City. Methods: A statistical analysis of 19 773 serum
    uric acid biochemical tests in community population was conducted. Results: The incidence of hyperuricemia in male was significantly
    higher than that in female, and the difference was statistically significant(P <0.05). The incidence of hyperuricemia among males was
    not significantly different among different age group(P >0.05). The incidence of hyperuricemia among women aged above 50 was
    significantly different from those of aged 20 to 49 years(P < 0.05). Conclusion: The incidence of hyperuricemia in community
    population was significantly higher than that in women of all ages. The incidence of hyperuricemia was not related with age, and there
    is a positive correlation between age and incidence of hyperuricemia in women above 50 years old.

    State Analysis of the Apheresis Platelet Donors in Dali Blood Center
    Li Jianbo, Yang Tianfu, Wang Yongjun, Yang Yuzhu, Ji Wenjie
    2015, 14(10):  52-53. 
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    Objective: To understand the state and distribution of the voluntary apheresis platelet donors in Dali; to provide scientific
    basis for the recruitment of blood donation without compensation; and to ensure the local clinical supply of the apheresis platelet.
    Methods: The statistical module in the through blood stations management information system was used to collect the data from the
    apheresis platelet donors who voluntarily donated in our blood bank from 2005 to 2013 for statistical analysis. Results: The number of
    the blood donors from 2005 to 2013 is 889. Among them, the number of the men is obviously larger than that of women , accounting for
    89.31%. There are two main age groups: aged from 25 to 35 and from 36 to 45. Most of them are junior school graduates and below,
    accounting for 66.14%; About 62.77% of them are famers; The characteristic of blood type distribution is A>O>B>AB. Conclusion: To
    satisfy clinical needs good recruitment of free donors and stable donation populator are important.

    Error Reason Analysis of 767 Cases of R Encoding Main Diagnosis
    Zhu Daqiao, Yong Lijiang, Zhang Wenjun, Liu Fu, Liu Jinting
    2015, 14(10):  54-56. 
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    Objective: To master R encoding rules, improve the accuracy of the main diagnosis and disease encoding. Methods: The
    ICD-10(R00-99 Encoding)was used as the standard, the medical record management system was applied to retrieve the 1 270
    documents of a children's hospital in 2014, and the data were retrospectively analyzed. Results: There were 1 270 cases diagnosed by
    R encoding, which accounted for 2.50% of the total number of hospital discharge records, and 767 cases were found to be incorrect on
    the main diagnostic disease name, main diagnosis and the disease encoding selection. Conclusion: Clinicians are not familiar with the
    knowledge of the international classification of disease and the principle of the main diagnostic encoding choice, the quality of
    personnel and job responsibility of encoding should be strengthened.

    Report of Emergency Medical Relief in Ludian Earthquake
    Li Dehui, Peng Bo, Chen Haolei, Xu Tianlei
    2015, 14(10):  57-59. 
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    Objective: To summarize and analyze the emergency medical relief of Longtoushan Town earthquake in Ludian County.
    Methods: The data of emergency medical relief from August 3 to 14 was retrospectively analyzed. Results: Rescue medical teams
    assembled quickly to the disaster areas after the earthquake. They treated 747 wounded, debrided 17, changed dressing for 89, infused
    60, transfered 33 to hospitals, and conducted psychological counseling for 30. Conclusion: At different stages of treatment, including
    the field first-aid, patient transfer and hospitalization, effective measures have been taken to minimize the mortality. It is helpful to
    improve rescue level and effect.

    Progress in the Diagnosis and Treatment of Ventilator Associated Pneumonia
    Liu Pinghua, Li Tingting
    2015, 14(10):  60-64. 
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    Objective: To review the latest progression of diagnosis and treatment of ventilator associated pneumonia (VAP).
    Methods: The relevant literature on the VAP diagnostic criteria and treatment measures were collected and summarized. Results: The
    lack of simple and reliable diagnostic criteria made the clinical diagnosis of VAP relatively difficult, and effective preventive measures
    can significantly reduce the incidence of VAP. Anti- infection is the key to the treatment of VAP, early application of effective
    antibacterial drugs can significantly reduce VAP mortality, and shorten the length of hospitalization time. Conclusion: The diagnosis
    and treatment of VAP still remained many problems, early diagnosis and effective prevention are important.

    Detection and Analysis of the Urea and Nitrite Concentration in Bean Sprout from Dali Market
    Yang Yixing,Li You
    2015, 14(10):  65-67. 
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    Objective: To find out the content of urea and nitrite from bean sprouts in Dali market. Methods: Green bean sprout and
    yellow bean sprout from the local farmer's markets and supermarkets were randomly selected to conduct the national standard
    measurement for the concentration of urea and nitrite. Results: Forty-four samples were detected. The concentration of urea was
    (2.51± 0.56)mg/kg, and that of nitrite was(1.94 ± 0.96)mg/kg, respectively; the content difference of urea and nitrite in the bean
    sprouts sold in the farmer's markets and supermarkets were statistically significant(t =29.5, P <0.01 and t =10.13, P <0.01). The
    content of urea and nitrite in yellow bean sprouts were higher than those of the green bean sprouts. Conclusion: The content of nitrite
    in bean sprouts in Dali markets meets the national standards of China, however, the concentration of urea is above the standards. And
    content of both nitrite and urea in the yellow bean sprout are higher than those of the green bean sprout.

    Effects of Vitamin C on Nitrite in Commercially Available Sauerkraut
    Liu Wendan, He Ping, Chen Yunxiang, He Qiongfang, Yang Yanping, Ji Shoulian
    2015, 14(10):  68-70. 
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    Objective: To determine the variation rules over time of nitrite in sauerkraut in Dali market and the effects of vitamin C on
    nitrite content. Methods: To determine different elimination rate of nitrite in different concentration of vitamin C of sauerkraut by
    spectrophotometry. Results: The nitrite content of sauerkraut in Dali market peaked on the fourth day in the process of pickling, which
    is 0.888 mg/kg, and then decreased. When adding vitamin C of 100 mg, nitrite content decreased from 0.888 mg/kg to 0.241 mg/kg, and
    the elimination rate was 73%. Conclusion: Sauerkraut having pickled for more than four days should be selected or eaten with vitamin
    C at the same time to ensure food safety.

    Study on Continuous Nursing on Life Quality in Patients with Ischemic Stroke
    Ma Xiuzhi, Ma Liping, Sun Peng, Wang Hao, Guo Liping, Yang Shoulin, Wang Wei
    2015, 14(10):  71-75. 
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    Objective: To investigate the changes of compliance behavior, the control of stroke risk factors and the changes of patients
    life quality in ischemia stroke patients with pre-discharged preparation,nursing interventions after discharged. Methods: One hundred
    and ninety- eight eligible patients were randomly divided into control group and observation group. The control group was given
    conventional nursing, the observation group was given conventional nursing care plus continuous nursing. Compliance, life quality,
    health service utilization and patient satisfaction were investigate after 6 months. Results: The medication compliance, satisfaction
    degree survey, return visit rate and survival ability were statistically improved in observation group, while there were no statistical
    significance in standard- reaching rates of blood glucose and blood pressure in two groups. Conclusion: Continuous nursing can
    significantly improve the regular medication compliance and patient satisfaction and return rate, which improved the patients survival
    ability.

    Nursing Care of Tracheal Stenting Patients
    Zhao Juanjuan, Xu Song, Fan Huiting, Song Fang, Xiang Shutian
    2015, 14(10):  76-78. 
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    Objective: To study the nursing measures of patients with recoverable tracheal stent implantation. Methods: The clinical
    data of 69 patients of benign or malignant tracheal stenosis and tracheal fistula treated by recoverable tracheal stent implantation from
    2008 to 2014 in 2nd People's Hospital of Yunnan Province were retrospectively analyzed, and nursing experience of perioperative were
    summarized. Results: Recoverable metallic stents were successfully implanted in all 69 patients, the symptoms of dyspnea and choking
    cough were significantly relieved in all patients postoperative,one case of stent migration after the surgery was observed. Conclusion:
    Correct perioperative nursing care in recoverable tracheal stent implantation could effectively reduce the occurrence of related
    complications.

    Application of Clinical Nursing Pathway in Cerebral Vascular Stent
    Li Hongfang
    2015, 14(10):  79-81. 
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    Objective: To evaluated the effect of clinical nursing path in the application of cerebrovascular carotid stenting.
    Methods: One hundred and fifty cases with cerebrovascular carotid stenting from January 2012 to October 2014 were randomly
    divided into experimental group(clinical nursing pathway care)and control group(conventional care).Questionnaire survey were
    statistical analyzed before discharge. Results: The incidence of complications, the rate of health knowledge mastering, medical staff
    satisfaction in experimental group were statistical significantly higher than that in control group(P<0.05). Conclusion: The clinical
    nursing path could provide patients with standardized, process oriented quality care services, improving the health education of patients
    and reducing the incidence of postoperative complications, which is a good way of patient management and worthy of clinical
    application.

    Nursing Experience in Intraoperative Cooperation and Care of Single Hole Thoracoscope
    for Pulmonary Bulla Resection
    Zhang Yongqin, Ma Li, Xu Ying, Wang Lan
    2015, 14(10):  82-83. 
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    Objective: To investigate the nursing experience in operative cooperation and intraoperative care of single hole
    thoracoscope for pulmonary bulla resection. Methods: Data of 28 cases of spontaneous pneumothorax underwent single hole
    thoracoscopic pulmonary bulla resection in the First People's Hospital of Yunnan Province from June 2014 to March 2015 were
    retrospectively analyzed and summarized care experience. Results: All patients were applied surgery with single hole thoracoscope, no
    transfer to open chest surgery. All patients were drainaged with 16# silicone intrathoracic drainage tube after operation. The operative
    times were 30 to 80 min(mean 55 min), bleeding were 5 to 30 mL and incision length were between 2.5-3.0 cm. Postoperatively all
    28 patients returned to the ward safely. Conclusion: The single hole thoracoscopic pulmonary bulla resection put forward higher
    requirements for nurses of operation room. Operation room nurses need to be more professional, skilled operation with technology, in
    order to meet the needs of the development of surgical operation.

    Feasibility Study on Applying "KSAO and Competency Model" in the Nursing Personnel Training
    and Selecting
    Li Qiaofen, Wang Yan, Yang Taoxian, Hou Cai'e, Long Lifen, Li Huiying, Shi Jianq
    2015, 14(10):  84-87. 
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    Objective: In view of the problems in nursing team construction in Qujing City, to explore the application of "knowledge
    skill ability others and competency" model in nursing talents selection, put forward to enhance the quality of nursing personnel,
    improve the service ability and optimize the nurse construction. Methods: Questionnaire on age, nursing age, educational background,
    professional title structure, attendance, recognition and satisfaction of professional nursing, as well as achievements were investigated.
    We also conducted individual in-depth interview of nursing managers and review on health bureau report data. Results: The lack of
    clinical nursing human resource, morbid nursing team, diversification of nursing staff identity, insufficiently untilized specialist nurses,
    inadequate career planning and guidance as well as poor scientific research publications were the main problems. Conclusion: "KSAO
    and competency model" was more scientific, objective and comprehensive in nursing personnel training and selecting.

    Comparitive Analysis of the Employment Intentions of the Undergraduate Nursing Students
    and Middle Vocational School Students
    Liu Junping, Qin Yan
    2015, 14(10):  88-90. 
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    Objective: To understand the employment intentions of the undergraduate nursing students and middle vocational school
    students and analyze the main reasons to provide a theoretical basis for career guidance and current uneven distribution of nurses.
    Methods: Questionnaire was sent to survey the employment intentions of the graduate nursing students in Dali Health School and Dali
    University. The employment intentions and influencing factors were analyzed. Results: Middle vocational nursing students' working
    intention as nurse was significantly higher than that of the undergraduate nursing students, however; while undergrauates' intention of
    continuing their studies and engaging in teaching is significantly higher than that of the vocational students. The difference was
    statistically significant. Conclusion: It is important to strengthen nursing students' professional education, raise the awareness, correct
    their career outlook and widen theire employment opportunities so as to encourage them to form a strong employment will and positive
    employment motives.

    Reflections on the Public Inyerests of Public Hospital Reform in China
    Pan Qiuyu, Cui Xiaoxi, Liu Jinyan, Peng Wei, Xie Dongmei
    2015, 14(10):  91-94. 
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    Objective: To find a way to turn public hospital reform back to the public welfare and provide the basis for health care
    reform. Methods: Literature was reviewed, and actual situation was explored. Results: The public benefits of some public hospitals
    were weakened due to the contradiction between government investment and hospital demand, unreasonable incentive mechanism and
    deficient supervision. Conclusion: The realization of public interests of the public hospital needs the efforts of the whole society,
    including the external support and understanding from government and the public, the hospital's own internal efforts, and health
    supervision.

    Practice Research of Teaching Reform on Pharmacology Experiment for International Students
    from South Asia in Dali University
    Shen Lei, Chen Junya, Li Chunyan, Lai Yong, Liu Xiaobo
    2015, 14(10):  95-97. 
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    Objective: To explore English teaching for pharmacology experiment course to international students from South Asia and
    to improve the teaching quality. Methods: The experimental teaching preparation, teaching course and feedback after class are
    explored and summarized. Results: Adequate class preparation before class, interactive teaching in the experiment and positive
    feedback after class are important. Conclusion: The experience of pharmacology English teaching could help to develop a suitable
    experiment teaching model for oversea students.

    Construction of the Cultivation Model of Foreign Language Capacities for
    Medical Undergraduates Based on CBI Teaching Theory
    Huang Guojun
    2015, 14(10):  98-100. 
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    The rapid development of modern medicine makes medical undergraduates have both basic knowledge of English and
    stronger abilities in academic research, including information retrieval, writing academic papers in English, participating in
    international academic conferences, applying for international projects and students exchange in international universities. The new
    English requirements for medical undergraduates promote the reform of the cultivation model of English capacities for medical
    undergraduates. Model of foreign language capacities for medical undergraduates will be intensively studied based on the contentbased
    instruction theory so as to construct a teaching model with the triad of general English, general education and academic English.