Objective To observe the efficacy and side effect of olanzapine combined with tropisetron, dexamethasone for the pre-vention of highly emetogenic chemotherapy-induced nausea and vomiting ( CINV) . Methods A total of 78 patients with highly emetogen-ic single day chemotherapy were randomly divided into two groups:trial group ( olanzapine combined with tropisetron, dexamethasone n=40) and control group (Tropisetron Combined with Dexamethasone n=38). The control of acute CINV, delayed CINV and adverse reac-tions were observed. Results The control rates of acute vomiting in trial group and control group were 87. 5% vs 81. 6%, 65. 0% vs 57. 9% in acute nausea, 75. 0% vs 52. 6% in delayed vomiting, 32. 5% vs 13. 2% in delayed nausea. The trial group was better than the control group in delayed vomiting and delayed nausea which there was difference between them (P < 0. 05). There was no statistical differ-ence between the two groups in the incidence of adverse reactions (P>0. 05). Conclusion Olanzapine combined with tropisetron, dexa-methasone for the prevention was significantly better than tropisetron combined with dexamethasone in the control of delayed CINV in pa-tients received highly emetogenic chemotherapy.

Objective To analyze the relative factors of bone marrow suppression after chemotherapy with different-dose carboplatin and paclitaxel (TC) on the patients with ovarian cancer.Methods Sixty-two patients with ovarian cancer admitted in Beijing Obstetrics and Gynecology Hospital from January 2002 to December 2007, using TC regimen ,a total of 196 cycles of chemotherapy ,were divided into two groups by the doses of carboplatin [area under concentration-time curve(AUC) 4 -6 for low-dose,AUC >6 -7 for hight-dose, the carboplatin dose calculated with AUC] or by the doses of paclitaxel (135 -< 150 mg/m2 low-dose,150 - 175 mg/m2 hight-dose). After each TC cycle, the routine blood was test to determine the graduation of the marrow suppression, and then the correlation factors were analyzed with logistic regression. Results (1) The occurrence rate of bone marrow suppression:there were 159 cycles (81.1%) grade 0 - Ⅱ bone marrow suppression, while 37 cycles (18.9%) of grade Ⅲ - Ⅳ. (2) Factors related to bone marrow suppression:the results shown that there were not related to bone marrow suppression,which incluced cellular differentiation, tumor type, height, weight and paclitaxel dose(P>0.05). While,the different cycle, age, the later stages of tumor, serum creatinine concentration, endogenous creatinine clearance rate, AUC values were the relative factors of bone marrow suppression(P =0.000,0.000,0.018,0.033,0.001,0.000). Seven variables were conducted into the logistic regression and the results shown that the different cycles, the age, AUC grades were independent risk factors (P = 0.030,0.043,0.009).(3) When low-dose of paclitaxel was given, the occurrence of bone marrow suppression was related to the carboplatin dose AUC. The higher AUC values for carbopaltin were chosen, the higher of severe bone marrow suppression would happen. (4/14 vs 0,P=0.015). When the dose of high grade of paclitaxel was given, the occurrence of bone marrow suppression in cases with hight-dose carboplatin was statistically significant than that in cases treated with low-dose carboplatin [45.7%(16/35) vs 13.7% (17/124), P=0.000]. Conclusions The independent risk factors of myelosuppression after chemotherapy with TC regime on the patients with ovarian cancer including the cycles, age and AUC values. The carboplatin dose calculating with AUC is related to the occurrence of bone marrow suppression, the higher AUC values for carbopaltin would chosen,the higher of severe bone marrow suppression would be happen.

ObjectiveTo explore the ability of inhibition resistibility of multiple displacement amplification (MDA)in samples with inhibitors. To explain the application and value of MDA in forensic medicine by comparing with using magnetic beads methods(MBM)to purify sample.MethodsDifferent concentra-tions of hemoglobin and humid acid(HA)mixed with DNA samples and then divided the samples into MDA group, MBM group and control group.D3S1358locus was amplified and detected by polyacry-lamide gel electrophoresis detection system and AmpF?STR? IdentifilerTM Plus Kit-capillary electrophore-sis detection system.ResultsWhen hemoglobin concentrations exceed 1 ng/μL or HA concentrations ex-ceed 0.1 ng/μL, amplification products could not be obtained by single-locus system in control group. When hemoglobin concentration exceeds 100 ng/μL or HA concentrations exceed 1 ng/μL, the samples could not be amplified by MBM. Inhibitors in different concentrations were amplified successfully in MDA group without any influence from inhibitors.ConclusionMDA has the capability to remove the inhibi-tion of hemoglobin and HA, which is better than MBM and has a certain value in forensic practices.

Child ; Evidence-Based Medicine ; Glomerulonephritis, IGA ; diagnosis ; therapy ; Guidelines as Topic ; Humans

Child ; Child, Preschool ; China ; epidemiology ; Evidence-Based Medicine ; Humans ; Kidney Diseases ; diagnosis ; epidemiology ; therapy ; Practice Guidelines as Topic

Bartter Syndrome ; complications ; Diarrhea ; etiology ; Female ; Humans ; Infant ; Male ; Syndrome

Biomedical Research ; education ; methods ; trends ; Humans ; Kidney Diseases ; complications ; genetics ; Kidney Failure, Chronic ; genetics ; Meta-Analysis as Topic

Objective To observe the effects of nebulizing Budesonide combined with Salbutamol in patients with acute attack of bronchial asthma of acute attack.Methods 60 patients suffered from acute attack of bronchial asthma were randomly divided into two groups,that is,the therapeutic group(n=30)was treated by nebulized Budesonide combined with Salbutamol and the control group(n=30)was treated only by nebulized Salbutamol.The symptoms and signs were measured before the treatment,and 15 minutes,3 days and 7days after the treatment.Results The heart rates and breathing frequency of the treatment group were improved significandy(P＜0.05).Conclusion Nebulizing Budesonide combined with Salbutamol can be used to treat the acute attack of bronchial asthma effectively.

Objective To evaluate the maternal and infant outcomes in the pregnancies of severe early-onset preeclampsia. MethodsWe retrospectively studied the pregnancy outcomes in 38cases with severe early-onset preeclampsia and 112 cases with later-onset preeclampsia and their 172 neonates in Huainan maternal and child care service centre during Jan 2009 to Mar.2010. ResultsAs for the mothers' complications such as preeclampsia,cardiac insufficiency,HELLP syndrom,liver function abnormality,kidney function failure,placental abruption,mass ascites,and infant death in uterus,in early-onset group the incidence rate was 36.8%,significantly higher than that in the late-onset group 16.1%(P＜0.01).the perinatal outcome:birth weight in the early-onset group was 1950 ±603.1,significantly less than the late-onset group 2854 ± 672.9(P＜0.01);neonates asphyxia incidence rate in the earlyonset group was 17.4%,significantly higher than the late-onset group 3.1%(P＜0.01),infant death incidence rate in the early-onset group was 15.2%,significantly higher than the late-onset group 1.6%(P＜0.01),and FGR incidence rate in the early-onset group was 23.9%,significantly higher than the late-onset group 11.1%(P＜0.05). Conclusionthe early-onset preeclampsia is strongly associated with a number of pregnancy complications and perinatal conditions.

Objective To investigate the effect of clinical health education path on maternity patients carrying the hepatitis B virus.Methods Two hundred and ten maternity patients carrying hepatitis B virus were randomly divided into two groups equally:In the control group the routine health education method for the parturients was used and in the experiment group the clinical health education path was used.Before discharge,the two groups were compared in terms of the qualification rate for health education and the satisfaction degree among the parturients.Result The qualification rate for health education in the experiment group was significantly higher than that of the control group(P<0.05)and the satisfaction degree of the experiment group was significantly higher as well than that of the control group(P<0.05).Conclusion The clinical health education path is effective in enhancing the effect of health education,increasing the satisfaction with nursing service,improving the quality of nursing and thus improve the holistic nursing.