Social Work Intervention of Stranded Patients from the Ecosystem Perspective: Based on the Clinical Case Record Analysis of Social Work Department in Shanghai D Hospital / 中国医学伦理学

Based on the service of stranded patients in D Hospital, this study aimed to explore the multiple needs of stranded patients and construct an intervention mode from the ecosystem perspective. Using the method of case study, taking the service of stranded patients in hospital D as an example, 49 case records and verbatim interviews with stakeholders were analyzed. The discharge and resettlement of stranded patients faces multiple obstacles from individuals, families, medical and social systems. This study constructed the social work intervention model from the ecosystem perspective: information collection and needs assessment, empowerment of individual system, reconstruction of family support system, coordination of medical system and linking social support system. The intervention process achieved efficient effects. Social work intervention of stranded patients should pay attention to patients’ psychosocial needs and improve awareness of system difficulties; mobilize the multi-system support network and deliver services in combination with case management method; conduct social advocacy for the breakthrough of law and policy.

Implementation and influencing factors analysis of nursing evidence of perioperative deep vein thrombosis prevention for patients with brain neoplasms based on the Ottawa model of research use / 中国实用护理杂志

Objective:To evaluate the clinical status, and analyz obstacles and facilitators for perioperative deep vein thrombosis prevention of brain neoplasms based on the Ottawa model of research use (OMRU).Methods:A total of 93 patients with brain tumors who were admitted to the Department of Neurosurgery, the First Affiliated Hospital of Nanjing Medical University from April to May 2021 and 33 nurses in the neurosurgery ward and operating room neurosurgery special group were selected as the baseline review subjects by convenience sampling. Based on the framework of evidence-based continued quality improvement of Fudan University, we searched BMJ Best Practice, UpToDate, The Joanna Briggs Institute Library, International Guideline Library, American Guideline Network, Scottish Intercollegiate Guideline Network, National Institutes for Health and Clinical Technology Optimization, Medline, Medlive, China National Knowledge Infrastructure, VIP, Wanfang and SinoMed according to the '6S' evidence pyramid from inception to January 1, 2021 for all clinical decisions, recommended practices, best practice information, evidence summary, guidelines and expert consensus on venous thrombosis assessment, prevention, screening, nursing and health education. The best evidence was summarized, and the final review indicators were formulated through two rounds of expert correspondence. According to the results of baseline review, barriers and facilitators were analyzed, and countermeasures were developed guided by OMRU.Results:A total of 19 best evidences were included, and 34 review indicators were developed in this study. Among them, only 4 indicators had a compliance rate of 100%, 18 ones had a compliance rate of 0, and the other 12 ones had a compliance rate of 6.5%-97.8%. A multi-factor analysis of the review results showed that the main obstacles of evidence implementation were the feasibility and comprehensibility at evidence level, the lack of knowledge and heavy workloads at the potential practitioner level, insufficient education materials, trainings and preventive equipment at system level. Furthermore, the reliable sources of evidence at evidence level, supports from practitioners at the potential practitioner level and system resources (such as training, national and hospital policies, etc.) at system level may contribute to the clinical application of evidence.Conclusions:There was still a huge gap between the best evidence and clinical practice. The obstacles and facilitating factors in evidence transformation should be evaluated scientifically and comprehensively, and corresponding countermeasures should be given to promote the application of evidence in clinical practice.

Correlation analysis between continuous cropping obstacle of Gastrodia elata and Ilyonectria fungi and relieving strategy / 中国中药杂志

The continuous cropping obstacle of Gastrodia elata is outstanding, but its mechanism is still unclear. In this study, microbial changes in soils after G. elata planting were investigated to explore the mechanism correlated with continuous cropping obstacle. The changes of species and abundance of fungi and bacteria in soils planted with G. elata after 1, 2, and 3 years were compared. The pathogenic fungi that might cause continuous cropping diseases of G. elata were isolated. Finally, the prevention and control measures of soil-borne fungal diseases of G. elata were investigated with the rotation planting pattern of "G. elata-Phallus impudicus". The results showed that G. elata planting resulted in the decrease in bacterial and fungal community stability and the increase in harmful fungus species and abundance in soils. This change was most obvious in the second year after G. elata planting, and the soil microbial community structure could not return to the normal level even if it was left idle for another two years. After G. elata planting in soils, the most significant change was observed in Ilyonectria cyclaminicola. The richness of the Ilyonectria fungus in soils was significantly positively correlated with the incidence of G. elata diseases. When I. cyclaminicola was inoculated in the sterile soil, the rot rate of G. elata was also significantly increased. After planting one crop of G. elata and one to three crops of P. impudicus, the fungus community structure in soils gradually recovered, and the abundance of I. cyclaminicola decreased year by year. Furthermore, the disease rate of G. elata decreased. The results showed that the cultivation of G. elata made the Ilyonectria fungi the dominant flora in soils, and I. cyclaminicola served as the main pathogen of continuous cropping diseases of G. elata, which could be reduced by rotation planting with P. impudicus.

Effects of chloropicrin fumigation on soil and growth and development of Panax notoginseng / 中国中药杂志

The continuous cropping obstacle of Panax notoginseng is serious, and effective control measures are lacking. Soil disinfection with chloropicrin(CP) has been proven to be effective in reducing the obstacles to continuous cropping of other crops. In order to ascertain the effect of CP in the continuous cropping of P. notoginseng, this paper explored the influences of CP at different treatment concentrations(0,30,40,50 kg/Mu, 1 Mu≈667 m~2) on soil macro-element nutrients, soil enzyme activity, growth and development of P. notoginseng, and the accumulation of medicinal components. The results showed that CP fumigation significantly increased the content of total nitrogen, alkali-hydrolyzable nitrogen, ammonium nitrogen, nitrate nitrogen, and available phosphorus in the soil, but it had no significant effect on potassium content. The soil protease activity showed a trend of first increasing and then decreasing with the prolonging of the treatment time. Both the soil urease and acid phosphatase activities showed a trend of first decreasing and then increasing with the prolonging of the treatment time. The higher the CP treatment concentration was, the lower the urease and acid phosphatase activities would be in the soil. The protease activity was relatively high after CP40 treatment, which was better than CP30 and CP50 treatments in promoting the nitrogen-phosphorus-potassium accumulation in P. notoginseng. The seedling survival rates after CP0, CP30, CP40, and CP50 tratments in October were 0, 65.56%, 89.44%, and 83.33%, respectively. Compared with the CP30 and CP50 treatments, CP40 treatment significantly facilitated the growth and development of P. notoginseng, the increase in fresh and dry weights, and the accumulation of root saponins. In summary, CP40 treatment accelerates the increase in soil nitrogen and phosphorus nutrients and their accumulation in P. notoginseng, elevates the seedling survival rate of P. notoginseng, enhances the growth and development of P. notoginseng, and promotes the accumulation of medicinal components. CP40 treatment is therefore recommended in production.

Rhizosphere Exudate-mediated Synergistic Harm of Soil Microorganisms to Medicinal Plants in Continuous Cropping / 中国实验方剂学杂志

Continuous cropping obstacle is the bottleneck of medicinal plant cultivation, which seriously affects the quality and yield of medicinal materials. The research on the mechanism of continuous cropping obstacle has evolved from soil physical and chemical properties and allelopathy in the 1970s to the changes of rhizosphere microenvironment and plant response mechanism at present. According to the available studies in this field and our previous research work, we systematically analyzed the mechanism of rhizosphere exudate-mediated microbial community reconstruction in the soil of the medicinal plants in continuous cropping. Specifically, rhizosphere exudates, providing the carbon source and energy for microbial growth, act as inducers or repellents to induce microbial growth or transfer, thereby changing the physicochemical properties (such as acidity) of rhizosphere soil and further altering the structure of rhizosphere microbial community. Further, we comprehensively discussed the ways of synergism between rhizosphere exudates and soil microorganisms in causing harm to the medicinal plants in continuous cropping. That is, rhizosphere exudates mediate the infection of the rhizosphere by pathogenic microorganisms, increase the susceptibility of the nearby plants, inhibit the defense of the host plants, and protect the pathogens to occupy the dominant niche. The synergistic interaction results in the release of more pathogenic factors such as mycotoxins by rhizosphere pathogens, enhanced toxicity of rhizosphere allelochemicals, and deterioration of soil physical and chemical properties. This paper summarizes the role of interaction between rhizosphere exudates and soil microorganisms in the formation of continuous cropping obstacles, aiming to provide a new research idea for revealing the formation mechanism as well as the theoretical support for overcoming continuous cropping obstacles of medicinal plants.

Plantar Pressure Characteristics of the Elderly With Different Fall Risks before and after Obstacle Crossing / 医用生物力学

Objective To explore dynamic characteristics of the gait for the elderly with different fall risks before and after obstacle crossing. Methods Twenty-seven elderly people in community were graded as fall risk by using the time up and go test and five-time sit to stand test. The plantar pressure parameters of the elderly before and after obstacle crossing were measured and analyzed by foot pressure measurement system. Results There was no significant difference in the characteristic value of bimodal curve of overall plantar pressure between the high and low fall risk groups before and after obstacle crossing(P>0.05). The center of pressure (COP) trajectory in X direction of high fall risk group after obstacle crossing was significantly greater than that of low fall risk group (P0.05). Conclusions The support time of the elderly with high fall risk is longer than that of the elderly with low fall risk during obstacle crossing, the peak pressure of plantar metatarsal region of the crossing leg increases, and the plantar COP curve shows asymmetry, with an increase in transverse range of the coronal plane. In clinical evaluation, plantar pressure characteristics of people with fall risks during obstacle crossing should be focused on.

Influences of Quadriceps Femoris Spasticity on Obstacle Crossing for Stroke Patients / 中国康复理论与实践

Objective:To observe the effect of quadriceps femoris spasticity on the movement parameters in stroke patients during obstacle crossing. Methods:From October, 2017 to November, 2018, 20 stroke patients were divided into spasticity group (n = 11) and non-spasticity group (n = 9) based on the score of modified Ashworth Scale (MAS) of quadriceps femoris. A 10-camera 3D motion analysis system and two force plates were used to synchronously measure the movement parameters of the patients during obstacle crossing of 15 cm high, such as step length, step width, anterior-posterior velocity of the center of mass (COMAPV) and medio-lateral velocity of the center of mass, toe-obstacle distance of unaffected limb, toe-obstacle clearance of affected limb, heel-obstacle distance, double support phase, and the swing phases of affected and unaffected limb. Results:Compared with the non-spasticity group, the COMAPV decreased as both affected and unaffected limb above the obstacle in the spasticity group (F > 10.006, P < 0.01), as well as the toe-obstacle distance and step length before obstacle crossing (F > 13.456, P < 0.01); while, the double support phase and the step width after obstacle crossing increased (F > 4.533, P < 0.05). Conclusion:The quadriceps femoris spasticity may make the strategy of obstacle crossing more carefully for stroke patients, and less efficiently.

Gait Characteristics during Horizontal Obstacle Crossing / 中国康复理论与实践

Objective:To observe the gait characteristics related to the horizontal obstacle crossing, to optimize obstacle crossing strategy to reduce the risk of falling. Methods:A total of 15 healthy young men were recruited in September, 2019, to complete horizontal obstacle crossing tasks (0 cm, 45 cm, 55 cm and 65 cm wide), with dominant and non-dominant limbs first on a specific experimental path. Gait parameters were collected with infrared camera and biomechanics force plate. Results:As the width of the obstacle increasing, the speed, stride length, step length and toe clearance of trailing limb (TCt) increased; while the heel-to-obstacle distance (HOD) and toe-to-obstacle distance (TOD) decreased. As the non-dominant limb crossing first, the speed of following step was slower, and the TCt, step width, step length and HOD increased. Conclusion:The risk of falling increases with the width of the obstacle during horizontal obstacle crossing. It is recommended to use non-dominant limbs leading crossing, and increase stride length, step length and TCt to reduce the risk of falling.

Influences of Natural Fibrous Root Decay on Growth and Active Component Content of Paris polyphylla var. yunnanensis / 中国实验方剂学杂志

Objective:To explore the effect of natural decay of exogenously added fibrous roots on the growth and development of <italic>Paris polyphylla</italic> var. <italic>yunnanensis </italic>and its medicinal quality. Method:The effects of natural decay of fibrous roots at different amounts on mycorrhizal infection rate， physiological and biochemical indexes， and saponin contents of <italic>P. polyphylla</italic> var. <italic>yunnanensis </italic>were studied in pot culture experiments at room temperature. Result:The results showed that the infection rate of arbuscular mycorrhizal （AM） fungi in the root of <italic>P. polyphylla</italic> var. <italic>yunnanensis </italic>was not significantly affected by different fibrous root treatments， but there were significant differences in infection intensity. The photosynthetic pigment content in the leaves declined significantly with the increase in fibrous root amount， and the total chlorophyll was decreased by 78.7% at most. The contents of soluble protein， soluble sugar and malondialdehyde in the leaves of <italic>P. polyphylla</italic> var. <italic>yunnanensis </italic>showed an overall upward trend. The activities of the three protective enzymes varied. The peroxidase and malondialdehyde were reduced by 181.6% and 200.0% at most. In the root system of <italic>P. polyphylla </italic>var. <italic>yunnanensis</italic>， the contents of the above-mentioned six components decreased to varying degrees， with the largest reductions of peroxidase and malondialdehyde reaching 44.6% and 69.7%. Different fibrous root treatments resulted in a decrease in active component content of <italic>P. polyphylla </italic>var. <italic>yunnanensis</italic>. The total content of the four saponins was decreased by 58.9% at most， and the total saponin content by 46.9%. Conclusion:The natural decay of fibrous roots affects the soil microbial environment of root system， reduces the photosynthetic pigment content in leaves， and destroys the stability of cells， thus interfering with the growth and development of <italic>P. polyphylla </italic>var. <italic>yunnanensis</italic>， reducing its medicinal components， and causing continuous cropping obstacles.

Gait Characteristics in Old People with Various Risks of Falling as Obstacle Crossing in Community / 中国康复理论与实践

Objective:To explore the kinematics characteristics of obstacle crossing in old people with high or low falling risks in Community. Methods:From July to September, 2016, 27 old persons in community were divided into high falling risk group (H group, n = 15) and low fall risk group (L group, n = 12) according to the performance of Timed "Up and Go" Test and Five Times Sit to Stand Test. The kinematics characteristics were analyzed with Ariel Performance Analysis System as obstacle crossing. Results:The total time of crossing and the swing time of crossing legs were longer in H group than in L group (t > 2.073, P < 0.05), and the maximum height of standardized centre of mass was less in H group than in L group (t =-2.014, P < 0.05). As the crossing leg was just above the obstacle, the angle of knee of crossing leg was more in H group than in L group (t > 2.106, P < 0.05), the velocity of hip of crossing leg was less in H group than in L group (t = -2.119, P < 0.05), and the acceleration of ankle of swinging leg was less in H group than in L group (t = -3.038, P < 0.05). Conclusion:When the old people cross the obstacle, they trend to fall if they spend more time to overcome, lower in mass centre, in less speed of crossing hip and less acceleration of swinging ankle.

Fall Risk Analysis of Elderly People with Different Load Distributions during Obstacle Crossing Based on Surface Electromyography / 医用生物力学

Objective To study the factors leading to the increased risk of falls when the elderly cross obstacles with different load distributions in their hands, and to explore the gait strategies to prevent falls for elderly people with different load distributions during obstacle crossing. Methods Twelve young healthy (control group) and 12 elderly healthy participants performed walking tasks with or without obstacle crossing at their daily speed under different load distributions. Surface electromyography (sEMG) signals were collected from both sides of the lateral femoris, rectus femoris and medial femoris. Then the average sEMG was analyzed and compared. The numbers of contact incident during obstacle touching were also recorded. Results Age, weight carrying and obstacle all had significant influences on the activity level of lower limb muscles in elderly people. A total of 9 contact incidents occurred in 1 152 obstacle crossing tests. In addition, the contribution of right vastus medialis muscle was the greatest in the elderly and young adults when they completed the weight carrying and obstacle crossing tasks. Conclusions The elderly people had the lowest risk of falling down by taking advantage of the dominant side of the leg to take the lead in obstacle crossing under the uniform distributions of load. The research findings provide references for systematic assessment of fall risk in the elderly and have certain guiding significance for lower limb exercise or rehabilitation training in the elderly.

Comparison of effect of concurrent phone texting on gait speed in young and middle aged healthy subjects

Background: Around the world today, adoption of mobile media phones and its advancement have been growing at dizzying pace in all age groups. People use phone while walking on/crossing roads, climbing stairs, driving cars, etc. Using a smartphone while walking has shown decrease in walking speed and affect dynamic balance by reducing cognitive ability. The objective of study is to see and compare effect of concurrent phone texting while obstacle walking on walking time in young and middle-aged healthy subjects.Methods: An observational study with 100 healthy individuals (50 young and 50 middle-aged) were taken and had to walk on a 15 m walkway with obstacle (approximately 10% of subject’s height) at 8m distance from start without and with texting. The text messages used were all short objective questions and were sent to them approximately 2 steps prior to reaching the obstacle. Their walking time was analyzed.Results: Wilcoxon test used to analyze difference within group. In young people without phone texting it was11.41±1.24 seconds and with texting was14.79±2.67seconds, (z=-6.101, p<0.001) and in middle aged was14.93±1.20 seconds and 20.52±1.87 seconds respectively (z=-6.154, p<0.001). Mann Whitney test used to analyze difference between groups. For without texting in young and middle aged walking time (U=48.0, p<0.001), with texting young and middle aged walking time (U=122.00, p<0.001) and comparing the difference in walking time between young and middle aged with and without phone texting (U=372.5, p<0.001).Conclusions: Phone texting increases walking time in young and middle aged with difference in walking time more in middle aged adults.

Cloning and expression analysis of LncRNA-RgAGT2 responding to consecutive monoculture in Rehmannia glutinosa / 中国中药杂志

The consecutive monoculture obstacle is a major problem in the field of Rehmannia glutinosa( R. glutinosa),has severely declined the yield and quality of R. glutinosa. Here,using hi TAIL-PCR and RACE techniques,we have cloned the full-length transcript( 1 573 bp) of Unigene 29334＿All screened by DGE as a consecutive monoculture obstacle response gene of R. glutinosa. Based on ORF Finder prediction,all ORFs detected in the full-length transcript were less than 300 nt,which suggested that the above transcript was confirmed to be a long non-coding RNA( LncRNA). With alignment in R. glutinosa transcriptome,this LncRNA was partially homologous to alanine glyoxylate transaminase 2 gene( Rg AGT2),which was named LncRNA-RgATG2. To further explore the function of LncRNA-RgAGT2,we have examined expression patterns of LncRNA-RgAGT2 and Rg AGT2 at five critical development stages( seedling,elongation,pre-expanding,mid-expanding,late-expanding) in the first and second year replanting of R. glutinosa,respectively. The results indicated that LncRNA-RgAGT2,as a potential regulator,is possible to play a vital role in Rg AGT2 expression regulation. Meanwhile,LncRNA-RgAGT2 has presented significant variation in all development stages of R. glutinosa,which could be used as a " diagnostic label" to assess consecutive monoculture obstacle. This study,for the first time,showed that LncRNA was responsible for the response and regulation of consecutive monoculture obstacle,which would be a powerful supplement to reveal the molecular mechanisms of consecutive monoculture obstacle of R. glutinosa.

Relationship between Alzheimer's disease and non-verbal listening comprehension obstacle / 中华老年医学杂志

Objective To study the relationship between Alzheimer's disease(AD)and nonverbal listening comprehension obstacle,and to observe the different specific performance of AD patients in the non-verbal listening comprehension tests involving music and non-verbal semantics,in order to identify the yalue of these tests in the differential diagnosis of AD.Methods The internalized 104 subjects meeting inclusion and exclusion criteria were divided into 4 groups of normal group(n =24),a-MCI group(amnesia-mild cognitive impairment,n =30),mild-AD group (n =27) and moderate AD group (n =23).All subjects received a series of central non-verbal listening comprehension tests which were scored and evaluated,including categorizing and naming according to the sound which involved the non-verbal semantic aspect,judging the emotion and rhythm according to the melody which involved the music aspect.Then the scores were analyzed.Mini-mental state examination(MMSE)and Montreal cognitive assessment(MoCA) were used for assessing the degrees of cognitive impairment.Results All test scores had a positive moderate to high correlations with MMSE and MoCA(all r＞0.4,P＜0.01),in which sound classification and nomination had better positive correlations than other tests.The statistically significant differences were found in all tests among the four groups(all P＜0.05).There was a significant difference in sound nomination between a-MCI group and normal group(P＜ 0.05).There were significant differences in sound classification,nomination and judging melody rhythm between mild AD group and normal group or a-MCI group (both P ＜0.05).There were significant differences in all tests between moderate AD group and normal group or a-MCI group (both P ＜ 0.05).The sound classification tests,especially sound nomination tests,had better diagnostic value than the rhythm and emotion judgment tests for identifying AD.Conclusions Patients with AD,even with a-MCI,can develop the non-verbal listening comprehension obstacle,which is aggravated along with the exacerbation of cognitive impairment.AD patient's semantic aspect-involving non-verbal listening ability degeneration is faster than involving the music aspect.Non-verbal listening comprehension tests involving non-verbal semantic aspect,especially sound nomination tests,have better diagnostic values.

Overcoming obstacles to creativity in science / Superando obstáculos à criatividade na ciência

Creativity is a crucial issue in science. Scientific research should not be restricted to the logical development and application of known ideas, but should promote new ideas to expand knowledge beyond the existing frontiers. Stimulating scientific creativity means not only giving a boost to creative thinking, but also taking into account the factors that put a brake on creativity. This article is devoted to factors that keep scientific creativity in check and how we could address them. We analyze several obstacles lying inside and outside the researcher's mind. The most important obstacles inside the researcher's mind are epistemological obstacles and cognitive bias (confirmation bias). While the most important obstacle outside are the social norms, i.e. the pressure for the scientific community and, sometimes, the whole society, to conform to the dominant scientific model. We conclude with some proposals to overcome these obstacles.

A criatividade é uma questão crucial na ciência. Sua pesquisa científica não deve se restringir ao desenvolvimento e aplicação lógica de ideias já conhecidas, mas deve promover novas ideias para expandir o conhecimento além das fronteiras existentes. Estimular a criatividade científica significa não apenas estimular o pensamento criativo, mas também levar em conta os fatores que dificultam a criatividade. Este artigo é dedicado aos fatores que mantêm a criatividade científica sob controle e como podemos resolvê-los. Analisamos diversos obstáculos dentro e fora da mente do pesquisador. Os obstáculos mais importantes dentro da mente do pesquisador são os obstáculos epistemológicos e o viés cognitivo (viés de confirmação). Enquanto o obstáculo externo mais importante é composto pelas normas sociais, ou seja, a pressão por parte da comunidade científica e, por vezes, por parte de toda a sociedade, para se adequar ao modelo científico dominante. Concluímos com algumas propostas sobre como superar esses obstáculos.

Advances in research on allelopathic autotoxicity effects of medicinal plants / 中草药

Allelopathic autotoxicity is one of the important factors for the continuous cropping obstacle of medicinal plants, which will reduce the yield and quality. With the development of medicinal plants industry, the problem of continuous cropping obstacle is becoming more and more serious. How to alleviate the continuous cropping obstacle of medicinal plants needs to be solved urgently. This paper combines the research status of allelopathic autotoxicity in medicinal plants. On the one hand, expounds the mechanism that the allelochemicals of medicinal plants inhibit the growth and development of medicinal plants by damaging the cell structures, interfering with the metabolism of reactive oxygen species and phytohormones, affecting photosynthesis and so on. On the other hand, based on the analysis of the relationship between allelochemicals and continuous cropping obstacle of medicinal plants, this paper elucidated some methods to alleviate the continuous cropping obstacle of medicinal plants, such as breeding antiallelopathic autotoxicity medicinal plants varieties, rational fertilizing, selecting proper cropping system and using microbial agents, in order to provide reference for the production of medicinal plants.

Relationship between occurrence of root-rot and changes of bacterial community structure in rhizosphere soil of Panax quinquefolius / 中草药

Objective In this paper, the changes of bacterial community structure in the rhizosphere soil of healthy and root-rot Panax quinquefolius were investigated to explore the occurrence mechanism of root-rot in P. quinquefolius. Methods The changes of bacterial communities structure in uncultivated soil (group C), rhizosphere soil of 4-year-old healthy ginseng (group N), and 4-year-old root-rot ginseng (group R) were analyzed by using the Illumina MiSeq high-throughput sequencing technology. Results A total of 636 654 effective sequences and 8 422 OTUs were obtained from nine samples based on high-throughput sequencing of the 16S gene. Bacterial species detected in these samples covered 42 phyla, 106 classes, 180 orders, 158 families, and 246 genera. The main phylums were the same in the three groups, including Proteobacteria, Actinobacteria, Acidobacteria, and Chloroflexi with significantly different relative abundance. At the genera level, the composition and relative abundance of the bacterial communities in the three groups are very different. Among them, Rhodoplanes, kaistobacter, and Sphingobium may be the key bacteria causing root rot of P. quinquefolius and should be focused in the further research. Conclusion There are significant differences in the bacterial community composition from the rhizosphere soil of healthy and root-rot P. quinquefolius. This finding plays a theoretical guiding role in exploring the micro-ecological mechanism of root-rot of P. quinquefolius and improving the soil microbial community during the cultivation of P. quinquefolius.

Mechanism of the medical insurance negotiations: obstacles and countermeasures / 中华医院管理杂志

Introduced in the paper are the connotation and current operations of the medical insurance negotiation mechanism.The authors also discussed obstacles blocking operations of the mechanism, including insufficient coordination capacity of the medical insurance institution over the negotiation, and lack of motivation of the institution for curbing costs and the contradiction against the profit pursuit of drug companies.Corresponding countermeasures and suggestions are put forward in the end, namely system reform for inter-governmental functions, enhancement of the capacity of both medical institutions and doctors against risks, and perfecting the restraint and incentive mechanism for medical institutions, aiming at smooth operation and optimization of the medical insurance negotiation mechanism.

Development of obstacle avoidance device based on gait detection algorithm / 医疗卫生装备

Objective To develop a shoe-cover-style obstacle avoidance device based on gait detection algorithm for the visually impaired.Methods The device was composed of shoes covers and an electric control box.The hardware involved in MSP430F1132 SCM as the control unit,triaxial accelerometer to measure foot acceleration,ultrasonic sensor to detect obstacles and solar battery for power supply.A gait detection algorithm was proposed to implement a foot motion states detection program,and the motion states included static and moving ones.Results The device executed obstacle detection when'the feet were raised and let down,and obstacle detection were stopped in case the feet were kept unmoving,shaking and hanging.The rate for mis-alarm was decreased and the operation procedure was simplified.Conclusion The device behaves well in timeliness,efficiency,mis-alarm,portability,low cost and easy operation,and thus is worthy studying and practical application.

Effect of early rehabilitation combined with abdomen needle therapy for motor function and psychological obstacle of stroke / 中国针灸

<p><b>OBJECTIVE</b>To study the clinical effect of early rehabilitation combined with abdomen needle therapy for the motor function and psychological obstacle of stroke based on the western medical treatment.</p><p><b>METHODS</b>Ninety patients with acute stroke were randomly divided into an observation group A,an observation group B and a control group, 30 cases in each group. Conventional western medical treatment and early rehabilitation for the affected limbs wete applied in the three groups for one month. Besides,abdomen needle therapy was used on Qihai(CV 6),Guanyuan(CV 4),Tianshu(ST 25),Daheng(SP 15),Huaroumen(ST 24),Wailing(ST 26),andin the observation group A. The needles were retained for 20 min without activity of the affected limbs. Based on the treatment as the group A,early rehabilitation was adopted in the observation group B. All treatment was given once a day,and 10 times were taken as a course. Three courses were required with two days at the interval. Fugl-Meyer assessment(FMA),Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD) and China stroke scale(CSS) were used before and after treatment.</p><p><b>RESULTS</b>Scores of FMA、HAMA、HAMD and CSS after treatment were improved than those before treatment in the three groups(all<0.05). All the above scores of the two observation groups were better than those of the control group(all<0.05). The scores of HAMA and HAMD of the observation group B were superior to those of the observation group A(both<0.05).</p><p><b>CONCLUSIONS</b>Conventional treatment combined with abdomen needle therapy can improve the motor function and the psychological obstacle of stroke,and the effect is better than that of the conventional treatment. Early rehabilitation based on the two therapeutic methods can help relieve psychological status.</p>