Zoucheng was a high endemic area of bancrotian filariasis with Culex pipiens pallens as the principal transmitting vector. Transmissiom of the disease was interrupted in 1981. Epidemiological surveillance has been then carried out. After 1989, parasitological and immunological examinations were conducted for those cases previously with and without microfilaremia, entomological surveillance was also carried out. Results showed that the antibody level in inhabitants has been at normal level, and no infection has been found in mosquitoes.

Objective To explore the strategies of diagnosis and treatment of severe multiple injuries in Emergency Intensive Care Unit (EICU).Methods The clinical data of 226 patients with severe multiple injuries were analyzed retrospectively.188 patients were treated by surgical operation,and 38 patients were not treated by surgical operation.Results Among these patients,46 patients (accounted for 20.3%)were with pulmonary infection and atelectasis,41 patients (accounting for 18.1%)were with multiple -organ dysfunction syndrome (MODS), 35 patients (accounted for 15.5%)were with acute respiratory distress syndrome (ARDS),and 19 patients (accounted for 8.4%)were with stress ulceration and bleeding.198 patients (accounted for 87.6%)were successfully rescued, and 28 patients (accounted for 12.3%)died.The main cause of death in the early stage was the serious craniocerebral injury,and the main cause of death in the later stage was the multiple -organ dysfunction.Conclusion EICU plays a very important role in comprehensive treatment of severe multiple injuries,and can obviously increase the success rate of treatment and cure of severe multiple injuries.

Objective To evaluate the value of intravascular interventional embolization in the emergency treatment of patients with hemodynamically unstable pelvic fracture.Methods The retrospective analysis was made on the medical records of 45 cases treated from October 2012 to December 2014.There were 27 male and 18 females(39.2-± 10.3) years (range,28-54 years).Time from injury to admission was within 3 h.Injury severity score (ISS) was (25.3 ± 8.1) points.The pelvic fracture included 32 cases of Type B and 13 Type C according to Tile classification system.After admission,anti-shock treatment and pelvic immobilization with the belt or external fixator were performed,and emergent intravascular interventional embolization was used to stanch bleeding after the bleeding of other organs was excluded.Vascular intervention,post-treatment vitazl signs and prognosis were evaluated.Results Time from admission to interventional therapy was 1.2-2.7 h [(1.9 ± 0.8) h].Time of interventional treatment was 1.6-3.2 h [(2.3-± 0.6) h].Of the 45 cases,contrast extravasation was seen in 38 cases,abnormal vascular morphology in 5 cases,no obvious bleeding in 1 case,and contrast extravasation in the angiographic venous phase in 1 case.Among the 38 cases of contrast extravasation,the offending vessels involved were internal pudenda artery (26 cases),obturator artery (16 cases),superior gluteal artery (4 cases),inferior gluteal artery (4 cases),inferior epigastric artery (1 case) and external iliac artery (1 case),but 8 cases were noted to have two offending vessels and 1 case had delayed bleeding.Of the 45 cases,the hemostatic effect was good in the early stage.After the interventional embolization therapy,the heart rate was (105.2 ± 14.8) beats/min,arterial pressure was (79.0 ± 10.6) mmHg,central venous pressure was (5.1 ± 0.8) cmH2O,and shock index was 1.1 ±-0.5,showing improved vital signs postoperatively (P ＜ 0.05).Four cases died mainly due to the multiple organ failure.One case had abdominal distention aggravated 3 days after operation,which were confirmed to be bleeding in the branch of external iliac artery,and the symptom was alleviated after embolization therapy.Forty-one cases survived with ICU length of stay of (14.5 ± 5.4) d,hospitalization time of (35.2 ± 12.8) d and medical expense of (96,755.3-± 20,568.1) CNY.Conclusion In the emergency treatment of patients with hemodynamically unstable pelvic fracture,the intravascular interventional embolization has become an important measure of comprehensive treatment that allows fast and mini-invasive procedure hemostasis,and deserves clinical promoting.

Accurate diffusion was used to get low concentrations samples, and then the samples were detected by UV photoionization high-field asymmetric ion Mobility spectrometry ( UV-FAIMS ) . The samples were chemical warfare agent simulants ( CWAS) vapor:dimethyl methylphosphonate ( DMMP ) , dimethyl sulfoxide ( DMSO) , tributyl phosphate ( TBP ) and dimethyl sulfoxide ( DMF) . The results of FAIMS spectra data were analyzed by separation of spectra at different dispersion voltage ( DV ) and compensation voltage ( CV ) . A two-dimensional spectrum of α2 and α4 of CWAS was established. It was shown that FAIMS could identify CWAS well and have a good sensitivity. Take DMMP as a example, the detection limit was better than 0. 55 μg/L.

Non-invasive (NI) blood glucose measurement is a new method, this article deals with current researches and analyzes the advantages and shortages of different measurement methods, including electrochemical process and Optical methods (transmission, polarimetry and back scattering). Then, the technology of near-infrared spectra is emphasized in the analysis. Finally, the problem and technical analysis of non-invasive (NI) blood glucose measurement at the present time are discussed. We preliminarily aim at the method of NI blood glucose determination and the original concept of measuring apparatus, including the choice of incident light wavelength, determination of receiver point, establishment of the optical model of biological tissue, and apparatus design.
Blood Glucose ; analysis ; Blood Glucose Self-Monitoring ; instrumentation ; methods ; Diagnosis, Computer-Assisted ; instrumentation ; Equipment Design ; Humans

Chylothorax is one of the complications of surgery and lymphatic diseases. The incidence rate of chylothorax has been increasing in recent years. X-ray-guided interventional therapy is a new method for treating chylothorax, and its curative effect is no less than the traditional surgical treatment. Based on discussing the aetiology and diagnosis of chylothorax, this paper briefly summarizes the application progress of X-ray-guided interventional therapy for chylothorax to provide further reference and a basis for clinical practice.