Objective To explore the antalgic value of infiltrating anesthesia of intra-uterine cavity in the interventional therapy of uterine arterial embolization.Methods 69 patients with hysteromyoma were divided into group A(25 cases),B(21 cases) and C(23 cases),then transcatheter superselective uterine arterial angiography and embolization were performed with intramuscular injection of Pethidine,administration of Dexamethasone with Ibuprofen through uterine artery and infiltrating anesthesia of uterine cavity respectively in group A,B and C.The antalgic effect after embolization was evaluated.Results The antalgic excellent rates were 29%,52% and 84% respectively in group A,B and C.Conclusion The antalgic efficiency with infiltrating anesthesia of uterine cavity is well, it is worthy to be used in the treatment of uterine aterial embolization in clinic.

An audio communication system in field medicine based on wireless transmission is introduced.It mainly comprises MSP430 ultra low-power and 16-bit microcontroller of Texas Instruments and wireless audio streamer nRF24Z1 of Nordic VLSI in Norway.The system realizes the call-and-talk communication between doctors and patients conveniently in one-to-many way in good audio quality and flexible mobility,so that doctors can be timely informed the state of an illness by using it.

Objective To compare the effects of total intravenous anesthesia(TITA) by using remifentanil combined with propofol and intravenous-inhaled anesthesia by using propofol combined with sevoflurane on emergence agitation(EA) in children undergoing surgery of obstruction sleep apnea syndrome(OSAS). Methods Forty children of 3 to 7 years old scheduled for elective surgery of OSAS were randomly divided into TITA group(group T,n=20) and combined anesthesia group(group C,n=20).Patients in group T were induced with remifentanil 1 ?g/kg,midazolam 0.2 mg/kg,propofol 2.5 mg/kg and rocurolnium 0.6 mg/kg and maintained with remifentanil(0.4-0.5 ?g?kg-1?min-1) and propofol(4-6 mg?kg-1?h-1) until the end of the operation.Patients in group C were induced with midazolam 0.2 mg/kg,propofol 2.5 mg/kg and rocurolnium 0.6 mg/kg and maintained with propofol 4-6 mg?kg-1?h-1 and sevoflurane inhalation(1.2-1.4 MAC) until the end of the operation.EA was evaluated by 5-point scoring scale. Results The score of EA was significantly lower in group T than that in group C(P

Objective To improve the recognition in clinical features,diagnosis and treatment of POEMS syndrome.Method Twenty-one cases of POEMS syndrome were analyzed retrospectively.Results The major clinical features were shown as follows: 21 cases of polyneuropathy, organomegaly, edema and skin changes, 13 cases of monoclonal plasma proliferative disorder, 19 cases of endocrinopathy, 1 case of sclerotic bone lesions, 1 case of Castleman disease,5 cases of papilledema.Conclusions POEMS syndrome is a rare multi-system damage disease.Screening for POEMS syndrome with serum protein electrophoresis, immunofixation electrophoresis,electromyogram and radionuclide bone scanning are essential for all patients with unexplained peripheral neuropathy or multi-system damage.If the index of suspicion is high enough, bone marrow cytomorphologic examination or biopsy with immunohistochemical staining may be required,in order to make an early diagnosis and try to avoid misdiagnosis and mistherapy.

Objective To develop a kind of mobile Bluetooth temperature sensor with removable measurement and wireless transmission.Methods The device was designed with technology of high precision sensor and newly developed Bluetooth base on MCU MSP430 as control unit which could apply in real time measurement,data storage,transmission and emergency alarm.Results The problem that at the scene of many cables in clinical care of the devise was resolved.Any devices with Bluetooth sensor can receive temperature data.Conclusion The traditional work mode is changed by the Bluetooth device and reduces the workload of nursing staff,which provides a new solution for integration of Bluetooth and clinic care technology.

Injectable bone substitutes can repair bone defect via percutaneous injection, including organic bone graft materials and inorganic bone graft materials. Furthermore, some materials considered as vector can composite with cells to generate tissue engineering materials, which are injected into bone graft to improve fusion rate. The development of injectable bone substitutes provides a new way to treat some relative diseases. Here, the article was divided three parts to introduce biological characteristics and clinical application of organic bone substitute materials, inorganic bone substitute materials, and bone tissue engineering vector materials. Although bone tissue engineering research achieves some effects initially, there are still a lot of problems, such as collection and preparation of extracellular matrix materials, composite and transplantation of cell and vector; all of them need to be further studied.

Objective:To establish a method to determine the entrapment efficiency of loratadine binary ethosomes. Methods:The gel microcolumn centrifugation method was employed to separate the free drug from loratadine binary ethosomes. The content of lorata-dine was determined by HPLC to calculate the entrapment efficiency. Results: A calibration linear curve of loratadine concentration was within the range of 10. 2-102. 0 μg·ml-1(r=0. 999 5). The average entrapment efficiencies of three batches of loratadine binary ethosomes were 86. 75%, 87. 26% and 86. 00%, respectively. Conclusion:The method is simple and rapid, and can be used to de-termine the entrapment efficiency of loratadine binary ethosomes accurately.

In natural condition, two years were needed for Panax quinquefolius seeds to break dormancy. In the first year, the embryo developed slowly, and the activities of amylase and peroxidase were low. In the second year the embryo developed rapidly, and the activities of both enzymes also increased gradually. But with the treatment of hormones enzymatic activ ities accelarated remarkably and speeded up the decomposition of stored nutrients in endos perm, so that starch and non-reducing sugar decreased while reducing sugar incrcased rapidly, resulting in earlier germination.

Abstract: Objective To explore the relationship between peripheral blood and pleural effusion tuberculosis (TB) infection effector T cells, and to further evaluate the value of combined pleural effusion adenosine deaminase (ADA) for rapid diagnosis of tuberculous pleurisy. Methods The test data of 80 cases of tuberculous pleurisy and 70 cases of nontuberculous pleurisy treated in the Sixth People's Hospital of Nantong City from January 2017 to December 2020 were analyzed. The TBinfected effector T cells were also detected simultaneously in the peripheral blood and the pleural effusion by the T-SPOT technique, and the pleural effusion ADA was detected by the rate method. The subject operating characteristic curve (ROC) was applied to take the optimal pleural effusion ADA threshold to compare the sensitivity and specificity of different critical values. Person phase analysis was applied to analyze the correlation between peripheral blood and pleural effusion T-SPOT.TB. Data of peripheral blood, pleural effusion T-SPOT.TB and ADA were integrated. Results When pleural effusion ADA>45 U/L, the sensitivity and specificity for the diagnosis of tuberculous pleurisy were 50.0% and 94.3%, respectively; when ADA > 25.15 U/ L, the sensitivity and specificity were 80.0% and 72.9%. When ADA > 45 U / L, pleural/ blood T-SPOT.TB spot ratio (spot forming cells, SFCs) > 2 times, the specificity for the diagnosis of tuberculous pleurisy was 100% (highest); when 25.15 U/L< pleural effusion ADA ≤ 45 U/L, pleural/blood T-SPOT.TB spot ratio > 2 times, the specificity for the diagnosis of tuberculous pleurisy was 92.3% (second). When pleural effusion ADA ≤ 25.15 U/L, and the pleural effusion/blood T-SPOT.TB spot number ratio > 2 times, with 83.3% specificity (the lowest of the three groups). Conclusions The level of pleural effusion ADA is one of the most used methods for diagnosing tuberculous pleurisy. Further combination of pleural effusion and blood T-SPOT.TB, if the ratio of pleural effusion / blood T-SPOT. TB spots is greater than 2 times, it can further improve the diagnosis rate of tuberculous pleurisy.

Objective:To investigate the efficacy and safety of ketogenic diet (KD) therapy in the epilepsy of infancy with migrating focal seizures (EIMFS) associated with TBC1D24 gene mutation.Methods:Clinical data of two children with TBC1D24 gene-related EIMFS were collected retrospectively, who were admitted to Department of Pediatrics, Fujian Medical University Union Hospital from 2019 to 2020. Their clinical characteristics and the efficacy and safety of KD therapy were analyzed, and literature review was conducted.Results:Seizures were onset before six months old in the two children with TBC1D24 gene-related EIMFS. Multifocal myoclonic seizures were manifested and happened frequently, lasting for more than 30 minutes sometimes. Developmental retardation was obvious in the two children. A small amount of focal sharp, spike, sharp-slow complex, and spike-slow complex waves were showed in the interictal electroencephalography (EEG). TBC1D24 gene mutations were found in the two children, one with a compound heterozygous mutation (c.1025C>T, p.S342L; c.229_c.240delATCGTGGGCAAG,p.I77_K80del), and the other with a homozygous mutation [c.119G>A,p.R40H(Arg40His)]. Both of those were potentially pathogenic. A variety of anti-epileptic drugs showed poor outcome for the two children. The epilepsy was drug-refractory one. After four to 17 months of KD therapy, the epilepsy in the two children was controlled effectively. There was not obvious adverse reactions. Among six children with TBC1D24 gene-related EIMFS in the literature review, four cases were effective or partially effective for KD therapy, one was discontinued due to insufficient ketogenic ratio, and one was discontinued without effect. There were no obvious adverse reactions in the six children.Conclusions:TBC1D24 gene-related EIMFS is mostly drug-refractory epilepsy. Early KD therapy may help to control seizures.