Objective To observe clinical effect of treating diabetic nephropathy by syndrome differentiation of TCM. Methods 62 patients with diabetic nephropathy were randomly recurited into a control group and a treatment group. The control group was treated with routine western medicine, and the treatment group was treated by syndrome differentiation of TCM. The clinical effect was observed in both groups after the treatment. Results The total effective rate of the treatment group and the control group was 90.3% and 74.2% respectively, showing the clinical effect in the treatment group being significantly higher than that of the control group (P<0.05). Conclusion The treatment by syndrome differentiation of TCM on diabetic nephropathy is better than routine western medicine.

Objective To observe clinical effect of treating diabetic peripheral neuropathy with Shuxuetong injection combined herbal oral administration. Methods A total of 51 patients with diabetic peripheral neuropathy were randomly recruited into a control group and a treatment group. The control group was treated with western medicine, and the treatment group was treated with Shuxuetong injection combined with Buyang Huanwu decoction. The clinical effect was observed in both groups after the treatment. Results The total effective rate was 88.5% and 68.0% in the treatment group and the control group respectively. The clinical effect in the treatment group was significantly higher than that of the control group (P＜0.05). Conclusion The effects of Shuxuetong injection combined herbal oral administration on diabetic peripheral neuropathy was better than western medicine.

Objective To explore methods for hypertension intervention healthy promotion, improve villagers 'healthy consciousness and facilitate their behavior change in country. Methods Adopted "point to lead side and point combine with side" to develop community diagnosis and mobilization, establish system for measuring blood, organize villagers abstain from tobacco and supervise those who with hypertension in experimental village. Use self comparison to evaluate intervention effects. Results Understanding rate(full understanding means knowing all parts of the project ) about the clinical manifestation and harmful influence of hypertension have increased from 2.0% to 10.4% and 0.2% to 8.7% respectively just after intervening, but preventive knowledge level hasn't improved obviously between 2003(before intervening) and 2006(after intervening).Before 2003, There were no villagers have ever measured their blood pressure on their own, and the rate of medical workers who have measured blood pressure for patients on their own was 28.5%. But after 2006, the rate of villagers who know ought to measure blood pressure periodical was 97.6%, and among them, 83.0% have measured their blood pressure on their own. Medical workers who have measured blood pressure for patients increase to 80%~90%. Through medical institution launching a program named " measuring blood pressure for above 35 years free charge", 137 822 hypertensive were found in 3 years in 6 item country 256 health institutions of township and village levels. Among those 51 505 were found freshly. Conclusion We adopted a series of measures, which were take countryside government to be guidance, take village hospital to be technical support, take village hospital to be flat, take village committee to be support and take villagers prescript to be obligation. Through every intervention, we improved villagers' healthy consciousness and facilitated their behavior change. Trough" measuring blood pressure for above 35 years free of charge", it can make more hypertensive get diagnosis and therapy timely.

A retest of 30 deaf children(58 ears) being trained in our centre who used hearing aids for at least half a year showed that two children(2 ears) suffered from hearing loss. To inquire into the cause of hearing loss, we analysed the frequency,range,gain,SSPL 90. volume control of the hearing aids worn by the children as well as the auditory training habits if the deaf children's parents and teachers,compared the children's hearing before and after using the hearing aids and pointed out the possible reasons that caused the children's hearing loss. Here.We sum up the aspects that should be paid attention to when testing and selecting hearing aids for deaf children.

Objective:To discuss the maintenance and testing method, reduce CT machine fault, ensure the quality of CT machine performance, reduce the use of CT machine cost, increase the use value of CT machine,the better service for the masses and treatment.Methods:Using regular maintenance and inspection, specific Toshiba 64 row CT machine each time the content of maintenance and testing content.Results:Regular service and maintenance are the most effective CT machine performance quality guarantee the most basic method, can avoid 30% to 50% of the machine fault, not only greatly reduce the machine hardware damage failure incidence, software programs or data error of failure rates.Conclusion: The regular maintenance and maintenance is hotly debated in recent years the core content of preventive maintenance, periodic testing is an effective guarantee quality of CT machine performance of necessary measures, called on metrology institute and the centers for disease control and coordinated with the hospital, turn the two detection time about half a year, also accord with the national strong inspection requirements so that the rationality of the quality assurance, to avoid most of the repeated testing of national resources waste.

Objective To study the effect of Ceftriaxone on glutamate-induced neurocyte injury. Methods Cultured rat cerebral cortical neurocytes were divided into Ceftriaxone (A)group, glutamate(B) group ,Ceftriaxone-pretreated (C) group and control (D) group. Observe morphous and MTT colorimetry were used to detect cytoactive. Laser scanning confocal microscope was used to measure the change of Ca2+ in rest state and after brief glutamate-induced Ca2+ loading. RT-PCR was used to determine the change of GLT1 mRNA expression.Results Compared with B group, cellular morphous was closer to normal in C group. Absorptance values of groups A,B,C,D were 0.795?0.010, 0.624?0.028, 0.738?0.021 and 0.813?0.023, respectively, which there were lower in groups B and C compared with group D, but absorptance value was higher in group C than that in group B(allP

Objective: To study the effect of bilirubin on the functional changes of sarcoplasmic reticulum (SR) induced by acute exercise. [WT5FZ]Methods:[WT5BZ] 41 Wistar male rats were divided into five groups, control group, exercise group, exercise recovery group, bilirubin treated exercise group and bilirubin treated exercise recovery group. The rats were administered with 1 ?mol/kg body weight of bilirubin or saline once every day for 4 weeks. After swimming with load for 2 h, all of the rats were killed and several indices were determined. [WT5FZ]Results:[WT5BZ] Bilirubin could inhibit the decrease of Ca 2+ content and the increase of Ca 2+ ,Mg 2+ ATPase activity in SR induced by acute exercise, and inhibit the increase of Mg 2+ content in cytoplasm. [WT5FZ]Conclusion:[WT5BZ] Bilirubin may delay the development of fatigue induced by acute exercise through protecting certain functions of SR.

Objective To evaluate the efficacy of nasendoscopic resection of the inner wall of the maxillary sinus for the treatment of inverted papilloma of the nasal cavity and paranasal sinuses.Methods From January 2002 to December 2006,10 patients with nasal inverted papilloma received nasendoscopic resection of the inner wall of the maxillary sinus in our hospital.The clinical data of the patients were anlayzed retrospectively.Results The operation was completed in all the 10 cases.They were follwed up for 12 to 72 months with a mean of 30 months.Only one of the patients had recurrent papilloma in 1 year after the treatment.None of the patients devleoped epiphora.Conclusions Nasendoscopic resection of the inner wall of the maxillary sinus is feasible for patients with nasal inverted papilloma.By using the procedrue,facial scars can be avoided;moreover,owing to a clear surgical field,the surgeons can completely resect the tumor,and the patients have less trauma and low recurrence rate after the treatment.

Brain Diseases ; etiology ; Carbon Monoxide Poisoning ; complications ; Humans ; Pulmonary Embolism ; complications

Objective To investigate the prevalence of depression in maintenance hemodialysis (MHD) patients. Additionally,to explore the relationship between depression and microinflammation,serum zinc levels and malnutrition in MHI) patients.Methods One hundred fifty-seven MHD patients were enrolled in this study.The patients were divided into two groups:depressed patients and non-depressed patients,according to the Beck Depression Inventory.The following data were collected:social factors,biochemical index,serum zinc levels,malnutrition-inflammation (MIS) score and IPI score.Binary logistic regression analysis was performed.Results Symptoms of depression were exhibited by 45.2％ of MHD patients (71/157 ).Symptoms of moderate or severe depression were exhibited by 24.2 ％ of the patients ( 38/157 ).However,signicant differences were shown in age [( 62 ± 11 ) vs.( 50 ± 13 ) years old],MIS score [( 7.2 ± 2.2 ) vs.( 3.3 ± 1.6 ) scores],white blood cell count [( 6.4 ± 1.8 ) × 109/L vs.( 5.8 ±1.5) × 109/L],high sensitivity C-reactive protein (hsCRP) [(9 ±6) vs.(4 ±4) mg/L],hemoglobin [(10.7±1.5) vs.(11.3±1.5) g/L],albumin[(33±4) vs.(37 ±3) g/L],fasting glucose [(6.7±3.5) vs.(5.6±2.1) mmol/L],serum zinc [(8.5±2.6) vs.(10.1 ±2.9) μmol/L] between depressed patients and non-depressed patients ( All P ＜ 0.05 ). Binary logistic regressive analysis revealed that the independent risk factors of depression in MHD patients were their MIS score ( OR =2.908,95％ CI =2.037 -4.151 ),as well as their hsCRP( OR =1.217,95％ CI=1.075 - 1.370),serum zinc and fasting glucose levels(OR=1.315,95％CI=1.039 - 1.664).Conclusions There was a high prevalence of depression in MHD patients.Depression is also highly correlated with microinflammation,serum zinc levels,and malnutrition.MIS scores,hsCRP,serum zinc levels and fasting glucose levels.