Objective:To explore a new method for repairing the outpocketing of nasal tip and thin skin after the augmentation rhinoplasty Methods:Autogeneic dermis been obtained from the gluteal fold were properly cut and sutured to the tip of "L" model silicone prosthesis. Then the combined material of dermis and prosthesis were been put to the lacouna. Results:The phenomenon of outpocketing and thin skin of nasal tip disapeard and the noddle of nose satiated. The patients were traced 6~12 months, no obvious absorption and sharpping of nasal tip were found.Conclusion:Combind autogeneic dermis and silicone prosthesis can properly repaired the complication of the outpocketing of nasal tip and thin skin after augmentation rhinoplasty and the result can lasted a long time. We concluded that autogeneic dermis is a pragmatic and utility repairing meteria for the augmentation rhinoplasty.

Objective:To improve the shape of bad eyebrow and the appearance by eyebrow skin relaxation and blepharotosis,a new method be used to binding the incision with biomedical glue after eyebrow excision operation.Methods:For those bad or ptotic eyebrows and severe blepharotosis patients,the bad eyebrows and the additional skin of upper eyelid was removed first,then the loosend orbicularis muscle was suspended according to the different situations.Absorption suture be used in series intradermally,then biomedical glue be used to link the incision.After that a new eyebrow been painted to cover the incision immediately.Results:106 cases were carried out the above operations,the shape of bad eyebrows and the appearance of eyebrow relaxation and blepharotosis were repaired completely.After operation the patient's life were not be interrupted.They can shampoo and face-wash as one's pleases.No one can find the change after operation easily.Conclusion:The bad eyebrows and the aged look of orbicularis area could be improved significantly by this operation.The use of biomedical glue can make the operation's influence to minimum and the patients accepted this operation easily.

Objective To summarize the treatment experience of acute cerebral infarction (ACI)combined with deep venous thrombosis (DVT) of lower extremities in the elderly. Methods Thirty cases of elder patients with ACI combined with DVT (ACI group) were enrolled in this study, and 31 cases of elder patients with DVT were served as control group. All the patients were immobilized for 3 days and treated with low molecular heparin calcium (100 IU/kg,Q12 hX14 d). On the tenth day,warfarin was used and INR was controlled in 2.0～2.5. Low molecular dextran was infused intravenously per day for 14 days (500mg/d). Results Edema in the lower limbs of patients were apparently reduced. 4 eases had cerebral hemorrhage in ACI group, and none in the control group.Hemorrhage occured from 3 to 7 days during the treatment with low molecular heparin calcium. One of the patient died of massive intraeranial hemorrhage with lung infection. Conclnsions It should be more careful to use the low molecular heparin to treat the elder patients older than 80 years old with ACI combined with DVT.

Health poverty alleviation is an important part of taking targeted measures to help people lift themselves out of poverty, and it is the key link to achieve a Healthy Chinese Strategy.At present, the health problem of the poor in China is becoming increasingly prominent, and as a result, the low health status of the poor has exacerbated the level of poverty, mainly because of catastrophic disease.With this discussion paper, it was revealed that there are many problems in the system of poverty alleviation in China: The protection levels of all kinds of medical insurance are still low;the medical assistance system is still not perfect;the medical service facility of the county medical institutions is poor;the county outside referral rate is high;public health problems in poor areas are more prominent.As suggestions derived from the present discussion, China''s health and poverty alleviation system should adhere to the government led and multi-sectoral coordination of multiple health poverty alleviation.It should also strengthen health care and public health system construction in poverty-stricken areas, and establish a multi-path health security system.

OBJECTIVE TO improve the detection leval of bacterial pathogens caused food poison episodes. METHODS The baterial pathogens were cultured and identified in two food posison episodes.The antibiotic susceptibiity test was undertaken,retrospetirely. RESULTS Five enterotoxin-producing S.aureus strains were isolated from 55 samples collected in one event,and five enterotoxin-producing salmonella enteritidis strains were isolated from 66 samples collected in another event. CONCLUSIONS The two outbreak events are caused by bacteria contaminated foods.

Carpal Tunnel Syndrome ; etiology ; Humans ; Occupational Diseases ; etiology

From the development situation of chinese intemet and the need of college students' growth,this paper advanced six key problems on promoting university students' online ideological and political work.

Objective To compare the advantages of three-dimensional(3D) and two-dimensional(2D) ultrasound in embryo transfer. Methods A total of 319 patients accepted embryo transfter were included in this study. 2D and 3D ultrasound were used to investigate the uterine cavity and transfer distance from the fundus (TDF),respectivly. They were divided into four groups according to TDF difference(D-TDF) between 2D and 3D ultrasound(group of DTDF<3mm,group of DTDF3～5mm,group of 6～9 mm,group of DTDF≥10 mm. Pregnancy outcomes among the four groups were compared. Results Of the 319 patients, 41 were observed to have abnormal uterine cavity. For 140 patients, the TDF measured by 2D ultrasound were different from that measured by 3D ultrasound. Clinical pregnancy rate and implantation rate were found lowest in group of TDF≥10 mm mm (7.7% vs 34.1%,38.1% ,40.0% and 3.6% vs 18.2% ,21.2% ,20.0%, P <0.05). Conclusions 2D ultrasound is limit and deficient for embryo transfer, especially for the visualization of uterine cavity and location of catheter tip, however, it may be better achieved with 3D ultrasound. It is helpful to use the 3D ultrasound to place the catheter tip accurately and improve the pregnancy rate of embryo transfer.

Objective To analyze the colonization of Candida, Rhodotorula, Penicillium and Aspergillus in skin surfaces of patients with atopic dermatitis, and to assess the relationship between the four common fungal allergens and severity of atopic dermatitis. Methods Fifty patients with atopic dermatitis and 20 healthy controls were enrolled. Scales were scraped from lesional and non?lesional skin of flexural extremities of the patients, as well as from normal skin of the flexural elbow of healthy controls, then were subjected to microscopic examination and culture. Scale specimens were inoculated onto Sabouraud dextrose agar medium and cultured at 25 ℃ in a constant temperature incubator. Subsequently, suspected fungal or yeast?like colonies were collected for pure culture. Finally, fungal strains were identified according to colony morphology, color, growth speed, as well as microscopic features of spores and hyphae. Results No hyphae or pseudohyphae were found in any case by microscopic examination. Candida albicans and Rhodotorula were detected in 29(58%)and 17(34%)out of the 50 patients, respectively, and in 5(25%)and 2 (10%) out of the 20 healthy controls, respectively. The detection rates of Candida albicans and Rhodotorula were significantly higher in the patients than in the controls(χ2=6.23, 4.10, respectively, both P<0.05). Of 25 patients with severe lesions, 19(76%)and 12(48%)were colonized by Candida albicans and Rhodotorula respectively;among 25 patients with moderate lesions, 10 (40%) and 5 (20%) were colonized by Candida albicans and Rhodotorula respectively. An increase was observed in the detection rates of Candida albicans and Rhodotorula in the patients with severe lesions compared with those with moderate lesions(χ2=6.65, 4.37, respectively, both P<0.05). There was no significant difference in the detection rate of Penicillium or Aspergillus between the patients and health controls. Conclusion The colonization rates of Candida albicans and Rhodotorula on skin surfaces were higher in patients with atopic dermatitis than in healthy controls, and higher in patients with severe lesions than in patients with moderate lesions, indicating that the types of colonizing fungi are associated with the health status of skin and severity of symptoms in patients with atopic dermatitis.

Amino Acid Metabolism, Inborn Errors ; blood ; diagnosis ; Female ; Humans ; Infant ; Methylmalonic Acid ; blood