The article explores the relationship of the hepatitis C virus infection with interferon treatment and thyroid diseases and reviews the subtypes of the thyroid diseases.Autoimmune and nonautoimmune cases of thyroiditis are often seen in patients with chronic hepatitis C while undergoing interferon treatment,especially in females with positive thyroid autoantibodies.Graves' disease is very rare.The thyroid function may be as a transient thyrotoxicosis,then followed by hypothyroidism.The thyroid function in patients with nonautoimmune thyroiditis is usually easy to recover.

Objective To evaluate the application effect of quality control circle on reducing the defect rate of health education in perioperative period of gynecologic surgery patients. Methods To carry out quality control circle activities, analysis of gynecological surgery patients in perioperative health education defect rate to the cause, the development of countermeasures, to achieve the purpose of continuous quality improvement. Results Before implementation health defects rate was 43.3%(303/700), after the implementation health education defect rate was 11.4%(223/1 950). The health defects rate before and after the implementation showed significant difference (χ2=8.387, P=0.004). The incidence of anxiety before and after the implementation was 11.8%(23/195) and 4.1%(8/195), the difference was significantly different (χ2=7.885, P =0.005). Conclusions To carry out the quality circle activity, can effectively reduce the perioperative health education defect rate and improve the quality of care and patient satisfaction, method is simple and easy to operate, it is worth clinical promotion.

The study was carried out on 52 patients with severe falciparum malaria: 26 cases were treated by quinine, SMP in combination with Thymogene (control group). The results showed that: There is a reduction on cellular immune response in severe malaria. Thymogen has contributed to increase the immune response in comparison with this before treatment. Thymogen has contributed shortening time to defervescence, clearance of parasitaemia and coma duration in 2-days after treatment in comparison to control group. Thymogen also has contributed reducing mortality in severe malaria
Malaria ; thymogen ; Malaria, Falciparum ; therapeutics ; Pharmaceutical Preparations ; Drug Resistance

AlM: To observe the clinical effect of modified tightening operation of orbicularis combined with lower eyelid retractor muscle aponeurosis suture in the treatment of senile entropion, and to improve reference for clinical treatment planning.
METHODS:A retrospective analysis from August 2009 to August 2012, 218 cases of patients with lower eyelid entropion were treated in our hospital, according to the different operation methods for the observation group 128 cases and control group with 90 cases. The observation group was treated with modified tightening operation of orbicularis combined with lower eyelid retractor muscle aponeurosis suture, control group with suture plus margin incision for treatment. Follow-up of two groups were 1a, the clinical curative effect at 1mo and 1a postoperatively was observed.
RESULTS:The observation group healed in 124 cases at 1mo after operation, the cure rate was 96. 9%, the control group cured 84 cases, the cure rate was 93. 3%. The differences of cure rate in two groups were not statistically significant (P>0. 05);the observation group healed in 111 cases at 1a after operation, the cure rate was 86. 7%, the control group cured 58 cases, the cure rate was 64. 4%, the recovery rate of observation group was significantly higher than the control group (P<0. 05).
CONCLUSlON:The modified senile entropion operation has good curative effect, and the operation is simple, the recurrence rate is low, it is worth popularizing.

University spirit is the soul of a university.In higher education it is an urgent theoretic and practical issue to nurture university spirit.So this paper elaborates relationship between university spirit and campus culture as well as also deals with how to pay more attention to university spirit nurture in campus culture construction.

The traditional teaching modes and approaches of medicine are facing with unexpected challenges and opportunities.In order to train high-quality medical students,we now need to reconsider and reform the traditional teaching modes and approaches of medicine. This essay will provide some suggestions of teaching reform in clinic medicine.

Objective:To inspire students'interests in surgery,to enhance students observing,analyzing and problem-solving abilities and to explore methods of surgical teaching.Methods:According to typical cases,students referred to correlative information,wrote operations planning and implemented it.Results:All operations were completed according to their plans,the result of the survey shows that the overwhelming majority of the students approved of the teaching method and obtained good results,and in basic skills assessment the exam classes are superior to the control classes.Conclusion:In the process of surgery teaching,the implementation of designing experiment is feasible and can improve teaching effect.So it is necessary to set up designing experiment in surgery teaching of clinical medical specialty five-year program.

Ventricular septal defect is one of the most common congenital heart diseases in children.Surgical repair,transcatheter closure and hybrid procedure are common clinical treatments.The traditional therapy for ventricular septal defect is cardiac surgery with cardiopulmonary bypass.Recent publications have reported the safe and effective results of the transcatheter therapy and hybrid procedure for ventricular septal defect.This paper provides an overview of the indications,complications and latest progress about the main three therapies for ventricular septal defect in order to explore a more rational method.

Pneumonia is the primary cause of death in children under five years of age.About 2 million children younger than 5 years die of pneumonia each year worldwide,accounting for 19％ of the total number of deaths.According to the survey in 2008,7％ ～ 13％ of the children with pneumonia are severe pneumonia.Severe pneumonia is a life-threatening disease which needs for intensive care.Cytokine IL-10 is a anti-inflammatory cytokine,and IL-18 is a proinflammatory cytokine,both of them are released by the inflammatory response,and can be involved in severe pneumonia immune-mediated.They are closely related to the occurrence,development and prognosis of severe pneumonia.

ObjectiveTo discuss the zero point position of central venous pressure(CVP) by determining the difference of CVP under 45°,90°lateral position and supine position. MethodsThe CVP of 50 cases performed elective surgery undergoing tracheal intubation anesthesia were measured of lateral position and supine position at the same time,the position of the sensor in the chest wall was marked when the CVP values was the same in the two positions by means of moving the sensors,while changes of BP,HR,SpO2,RR were recorded. ResultsThe CVP under right 45°,90° and left 90° lateral position were statistically significant than that under supine position,the CVP under left 45° lateral position was not significanfly different from that under supine position.The zero point under right 45°,90°and left 45°,90°lateral position situated at the left side of the right anterior axillary line (0.8 ± 0.4)cm,the upper side of the right sterna border line (0.8 ± 0.2)cm,the right side of the left anterior axillary line(0.3 ± 0.2)cm,the lower side of the left sternal border line (2.2 ± 0.3)cm. ConclusionsThe zero point position determined by monitoring the changes of CVP under lateral position can not only comfortably measure CVP but also avoid discomfort and complications in patients by forced supine position.