压力性尿失禁(stress urinary incontinence,SUI)是指喷嚏、咳嗽、大笑或运动时腹压增高后出现不自主的尿液自尿道口漏出.SUI限制了女性日常活动及运动,严重影响其生活质量,并导致巨大心理压力.SUI的危险因素有:年龄、遗传 因素、雌激素水平降低、便秘、慢性咳嗽及肥胖等[1],其中肥胖是SUI的独立危险因素[2].

Objective To investigate the role of quality control circle (QCC) activities in the management of hospital nutrition catering.Methods The steps of QCC was followed to grasp the status,analyze the key causes,and formulate countermeasures.Results The errors of the doctor's dietary instructions on cancer patients were significantly decreased.The standard rate of therapeutic diet was 96.3 ％ and the standard rate of self-selected catering was 96.3％.Conclusion QCC had a satisfying effect on promoting the level of clinical catering management,which deserved popularizing.

Objective To observe the changes of clinical and nutritional status in type 2 diabetic patients after eating diet containing pumpkin seed oil. Methods Seventy eight patients with type 2 diabetes mellitus (including 29 males and 49 females) in our hospital from Sep. 2014 to Apr. 2015 were recruited, aged (63.05 ± 7.24) years old. They were provided diets containing three stages, basic diet (BD group, before admission), diabetic diet (DD group, intervention for 3 days after admission), pumpkin seed oil+diabetic diet (PODD group, intervention for 7 days after DD). Patients in DD group were given soybean oil 25 ml/d, and patients in PODD group were given pumpkin seed oil 10 ml+soybean oil 15 ml/d. The changes of clinical and nutritional status of patients in different stages were compared. The items observed included blood routine examination including C-reactive protein (CRP), glucose metabolism indexes [blood glucose, glycosylated hemoglobin (HbA1c), serum insulin], lipids metabolism indexes [triglyceride (TG), cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol], nutritional indexes [height, weight, body mass index (BMI), waist cir-cumference, hip circumference, waist to hip ratio, triceps skinfold thickness, mid-upper arm muscle circumference (MUAMC), serum albumin, total protein, Fe, total Fe binding force, lymphocyte count (LC) and SGA score], as well as other indexes (liver function, renal function). Results The levels of blood glucose, HbA1c, TG, BMI, wait circumfer-ence in DD group and PODD group were significantly lower compared with those in BD group (P<0.05), but no signif-icant difference was found between DD group and PODD group (P>0.05). The level of CRP in PODD group was sig-nificantly lower than that in BD group (P<0.05), but showed no statistically significant difference with that of DD group (P>0.05). The levels of MUAMC, Fe, LC and SGA score in PODD group were significantly higher compared with those in BD group and DD group (P<0.05), but other indexes showed no statistically significant difference (P>0.05). Conclusion Eating diet containing pumpkin seed oil may benefit type 2 diabetic patients by improving glucose and lipid metabolism, as well as nutritional status.