No abstract available.
Child* ; Fever* ; Humans

No abstract available.

No abstract available.
Primary Health Care*

Objective To analyze the cause of postmenopausal vaginal bleeding and diagnostic method. Methods The clinical and pathological data of 196 patients with postmenopausal vaginal bleeding were retrospectively analyzed. Results The benign diseases accounted for 46.94% (92/196), dysfunctional uterine bleeding accounted for 34.69% (68/196), malignant tumor accounted for 18.37% (36/196).Menopausal time 1--4 years, 5-9 years, 10-14 years, ≥ 15 years of malignant tumor incidence was 2.53%(2/79), 9.38% (6/64), 48.39% ( 15/31 ), 59.09 % (13/22). The age of onset in patients with malignant tumors was (61.28 ± 8.76) years old, menopausal time was (9.38 ±6.73) years, benign disease and dysfunctional uterine bleeding was (54.73 ± 6.72) years old and (4.12 ± 3.54) years, the differences were statistical significance (P ＜ 0.01 ). Conclusion The cause of postmenopausal vaginal bleeding bases mainlyon benign disease and dysfunctional uterine bleeding, but the older, longer menopausal time, which also increase the incidence of malignant tumors.

OBJECTIVE: In China, there are little literatures about nonspecific low back pain(NLBP) and no standardized diagnostic classification of it. This paper reviews the clinical and basic studies on NLBP, and discusses the clinical features and progress in related studies. It is necessary for rehabilitation and intervention of NLBP science norm.DATA SOURCES: Medline, China Wanfang, China Biomedicine (CBM),China Academy Journal(CAJ) and its VIP database.STUDY SELECTION: By searching "nonspecific" and"low back pain" for all data and information about NLBP, we obtained 163 English articles and 22 Chinese ones. These documents were further restricted by "in title" and "2000-2004" to obtain subject documents in the latest 5 years(28 English and 9 Chinese documents) . The main references of important documents were manually searched for full-text articles. Types of these documents were basic study, clinical study.DATA EXTRACTION: All the related information about NLBP in the full-text documents was classified and extracted.DATA SYNTHESIS:Low back pain is generally classified into 3 types according to the present clinical guidelines: NLBP, specific low back pain and sciatica. NLBP constitutes 85% of low back pain and its cause is not clear although it is related to many risk factors. Of the treatment methods for NLBP, all are selective ones.CONCLUSION: Standard classification of diagnosis of low back pain needs to be established to guide clinical practice. Prevention is better than treatment. Tertiary prevention combined with multidisciplines is a promising way to relieve pain and prevent recurrence and disability.

Objective To compare the efficacy of postoperative chemotherapy in combination with radiotherapy and simple radiotherapy in malignant glioma.Methods 82 patients with malignant glioma resection patients were randomly divided into observation group and control group,there were 41 patients in each group.The control were treated with simple three-dimensional conformal radiotherapy.The observation group were given temozolomide chemotherapy on the basis of three-dimensional conformal radiotherapy.The effects and adverse reactions were observed.Results Total effective rate of observation group was 63.4％ (26/41),significantly higher than that in the control group 34.1％ (14/41) (x2 =8.2439,P ＜ 0.01);gastrointestinal adverse reaction rates of the observation group was 100.0％,significantly higher than 58.5％ of the control (P ＜ 0.01),the difference of bone marrow suppression in two groups had no statistically significant (P ＞ 0.05).Conclusion Although with a higher incidence of gastrointestinal reactions,postoperative chemotherapy with radiotherapy have reliable effect,it is worth using in the condition of appropriate and timely symptomatic and supportive treatment.

Sepsis is currently a challenge in the pediatric intensive care unit.Especially septic shock and multiple organ dysfunction syndrome have become the main causes of death in patients from pediatric intensive care unit,and the mortality rate is up to 30％ ～ 70％.At present,procalcitonin is undoubtedly the best sepsis indicator.This article summarized the application of procalcitonin in children with sepsis.

Parkinson's disease (PD) caused by the deficiency of DA in the substantial nigra-striatum system in the brain is a chronically progressive disease. Early diagnosis and prompt treatment PD can prolong work time and improve life quality of the patient. There are three primary approaches to increase activity of dopaminergic system:vicarious treatment to compensate DA; promote releasing DA in nerve endings of dopamine neurons and to prevent decreasing DA metabolism,as well as application of agonists that stimulate dopamine receptors. Some specialists suggest that application of dopaminergic agonists in the initial stage can not only delay the occurrence of syndrome on side effects with long-term use of levodopa,but also prevent the damage of dopaminergic cell caused by levodopa or its metabolite,and delay the development of PD. There are positive and adverse effects with DA agonists. This paper discussed the usage and side effects of classic and new dopaminergic agonists.

ObjectiveTo explore the moderating effects of self-efficacy between perfectionism and depression.MethodsUsing a convenient sampling method,a sample of 570 university students completed almost perfect scale-revised ( APS-R),general self-efficacy scale (GSE),beck depression inventory (BDI).ResultsCorrelational analyses indicated maladaptive perfectionism was positively correlated with depression ( r =0.47,P ＜0.01 ),and negatively correlated with self-efficacy ( r =- 0.24,P ＜ 0.01 ).In contrast,adaptive perfectionism was positively correlated with self-efficacy ( r =0.26,P ＜ 0.01 ),and was not correlated with depression ( r =0.05,P ＞ 0.05 ).Hierarchical regression analyses indicated the moderation effects of self-efficacy was significant (β =-0.12,P＜ 0.01 ) in that maladaptive perfectionism has closer relationship with depression when self-efficacy was low,suggesting that self-efficacy enhances the influence of maladaptive perfectionism on depression ( β =0.536,P =0.000 ),whereas high self-efficacy reduces the corresponding influence (β=0.239,P=0.018 ).ConclusionSelf-efficacy moderate the relation between maladaptive perfectionism and depression.

ObjectiveTo analyze the impact of combined use of motherwort injection with oxytocin on hemorrhage in cesarean section and postoperative stage.Methods512 pregnant women after processing cesarean section were randomly divided into an experimental group (n=256) and a control group (n=256).The experimental group used motherwort injection and oxytocin,and the other group only used oxytocin.Intraoperative and postoperative bleeding and adverse drug reactions were observed.ResultsBleeding volume in the experimental group was less than the control group [ (210.43 ± 50.38)ml,(35.84 ±29.24)ml,(61.62 ±35.32) ml vs (234.14 ±16.91) ml,(52.37 ± 32.15) ml,(86.18 ± 36.67) ml],P＜0.05).There were no significant adverse reactions.ConclusionMotherwort injection and oxytocin used together can be more effective in reducing bleeding in cesarean section and postoperative stage.