Objective To observe the effect of atropine mydriasis, wearing myopia glasses for short or long distance, and massage on preventing and controlling myopia in teenagers and children. Methods A total of 198 myopia cases (involving 393 eyes) were randomized into control group and treatment group. The control group was given eyesight examination after mydriasis with atropine sulfate eye gel and wearing myopia glasses for long distance. The treatment group was given eyesight examination after mydriasis with atropine sulfate eye gel, wearing myopia glasses for short distance, and massage therapy. Eyesight examination was carried out once every 2 months and lasted for one continuous year. The changes of diopter were compared between the two groups. Results ( 1) Of 194 affected eyes from the treatment group, 96 eyes were effective, 68 were stabilized, and the effective rate was 45.5%and stabilizing rate was 35.1%. Of 199 affected eyes from the control group, 3 eyes were effective, 9 were stabilized, and the effective rate was 1.5%and stabilizing rate was 4.5%. The differences of effective and stabilizing rates were significant between the two groups ( P<0.01). ( 2) After treatment, the myopia diopter was increased in the control group ( P<0.01 compared with that before treatment) , and the myopia diopter in the treatment group maintained stable ( P>0.05). The difference of diopter was significant between the two groups (P<0.01). (3) The difference of astigmatism was insignificant in both groups before and after treatment and between the two groups after treatment (P>0.05). Conclusion Mydriasis with atropine sulfate eye gel, wearing myopia glasses for short or long distance, and focal massage therapy show certain preventive effect on myopia in teenagers and children by controlling the development of myopia diopter.

AIM: To observe the effect of fluvastatin (FV) on left ventricular remodeling and expression of caspase-3 after myocardial infarction (MI) in rats. METHODS: Rats were divided into 4 groups: group Ⅰ (sham), group Ⅱ (sham+FV), group Ⅲ (MI) and group Ⅳ (MI+FV). group Ⅱ and Ⅳ were treated with FV (10 mg?kg -1?d -1) for 4 weeks. The left ventricular structure, echocardiography and hydroxyproline were observed. The expression of caspase-3 was measured by immunohistochemistry and RT-PCR. RESULTS: Compared with MI group, there was a improvement of ultrastructure and index of left ventricular remodeling, and decrease in hydroxyproline in MI+FV group (all P

0.05).The smoking group had a higher TG level and a lower HDL-C level than the control one with statistical significance(P0.05).The HL activities in serum,lung and liver of smoking group were lower than those of control group(P

Objective To discuss clinical effects of transurethral electrovaporization of the prostate(TUVP) for the treatment of large benign prostatic hyperplasia(BPH).Methods A total of 126 cases of large BPH were treated with TUVP.Two longitudinal trenches were made at the position of 6 and 12 o'clock,respectively.Then the lateral lobe was retrogradely dissected from the proximal end of the seminal colliculus and was removed.Results The international prostate symptom scores(IPSS) decreased from 28.6?4.5 preoperatively to 10.7?2.6 postoperatively(t=38.661,P=0.000);the quality-of-life scores(QOL) decreased from 5.3?0.7 preoperatively to(2.0?)0.5 postoperatively(t=43.061,P=0.000);the maximum urinary flow rate(Qmax) increased from 5.7?3.6 ml/s preoperatively to 18.2?4.2 ml/s postoperatively(t=-25.365,P=0.000);the resident urine(RU) decreased from 312.4?56.6 ml preoperatively to 32.8?9.2 ml postoperatively(t=54.732,P=0.000).There were significant differences in all these parameters between preoperatively and postoperatively.Threatened transurethral resection syndrome(TURS) occurred during operation in 2 cases.Postoperatively,transient urinary incontinence was observed in 5 cases.Conclusions Transurethral electrovaporization of the prostate for the treatment of large BPH is effective and safe.

Objective To investigate whether N-methyl-D-aspartate(NMDA) signal pathway is involved in platelet-activating factor(PAF)-induced apoptosis in neurons.Methods Mice cortex neurons were treated by PAF in different dose for 24 hours or pretreated by a PAF receptor antagonist BN52021, an NMDA receptor antagonist MK801 and a nitric oxide synthase(NOS) inhibitor L-NAME for 30 min. Then the neurons were stained by propidium iodide(PI)/calcein AM and the images were taken by a digital camera on a fluorescent microscope. Neuron death ratio(%) was calculated. In the mean time, neuron NOS(nNOS) expression of the cells was detected by Western Blot method, as well as nNOS activity was measured by 3H radioimmunoassay.Results (1)Neuronal death increased after neurons were treated with 0.01, 0.1, 0.3 and 0.6 ?mol/L PAF 24 h. There were signifitantly changed in 0.3 ?mol/L and 0.6?mol/L comparing control. (2)PAF-induced neurotoxicity was prevented not only by BN5021, but also by MK-801 or L-NAME. (3)PAF enhanced nNOS expression and activity in neurons.Conclusion NMDA signal pathway is involved in platelet-activating factor-induced neurotoxicity.

Objective To investigate the changes of excitatory amino acids of cerebrospinal fluid(CSF) in patients with acute cerebral infarction(ACI) and its clinical significance.Methods The CSF levels of excitatory amino acids including glutamate(Glu) and aspartate(Asp) in 30 cases with ACI and 20 control subjects with migraine were measured by high performance liquid chromatography.Results Glu and Asp levels in patients with ACI were significantly higher than those of the controls(all (P

Aged ; Humans ; Hypopharyngeal Neoplasms ; surgery ; Hypopharynx ; surgery ; Laryngeal Muscles ; transplantation ; Male ; Middle Aged ; Pyriform Sinus ; Reconstructive Surgical Procedures ; methods ; Surgical Flaps

目的探讨肾移植患者家庭支持与生活质量的相关性。方法采用家庭支持自评量表和生活质量自评量表,对门诊65例肾移植术后患者进行问卷调查。结果家庭支持与生活质量呈显著正相关(r=0.807,P<0.001)。结论护理人员在工作中应尽可能调动家庭成员的主观能动性,增加家庭支持,从而提高患者的生活质量。

BACKGROUND: Drug use is the most significant risk factor for viral hepatitis B and C infection. Female drug users present different drug-using characteristics from the other sex. And what about the influence of these characteristics on hepatitis B and C virus(HBV and HCV) double infection?OBJECTIVE:To explore the relationship of characteristics of drug using in female drug users on the incidence of HBV and HCV double infection.DESIGN: It is a cross section investigation of female drug users in January 2002.SETTING: A laboratory separtment, an epidemiological department in a university and a drug dependency treatment unit.PARTICIPANTS: A total of 320 female drug users who were in Baimalongdrug dependency treatment unit in Zhuzhou city were recruited in this study.METHODS: The drug-using characteristics were investigated through a questionnaire and the surface antigen of HBV(HBsAg) and antibody against HCV(anti-HCV)in serum were checked with ELISA.MAIN OUTCOME MEASURES: Relationship between HBV and HCV infection and injection of drug, injecting career and abstaining history.RESULTS:The incidence of HBV and HCV double infection in the 320 female drug users was 9. 37%. All of those with double infection were injection drug users, which was different from non-injection drug users(x2 = 6. 276,P ＜ 0. 05 ) . Longer career of drug-using meant higher possibility of double infection. The incidence of double infection (10. 3% ) in those of 5 - 10 years of drug-using career was higher than that (4.5%) of 1 - 5 years of drug-using career (x2 = 8. 344, P ＜ 0.05) . And that in those experienced more than 4times of abstaining was also higher than that less than in those experienced 3times (x2 =9. 418, P ＜ 0. 05) . Long career of drug using and repeated abstention abstaining were factors that leaded to HBV and HCV double infection (OR = 1. 923, 1. 597, 95% CI = 0. 964 - 3. 838, 0. 962 -2. 652).CONCLUSION: Injection drug use is the predominant factor that causes double infection of HBV and HCV and long career of drug using and rising in the number of times of abstaining also increase the double infection.

BACKGRUND:The high prevalence of hepatitis B virus(HBV) is related with the sexual characteristics in drug abusers.How about the relationship between prevalence of HBV/hepatitis C virus(HCV) co infection and the sexual characteristics in drug abusers? OBJECTIVE:To investigate the relationship between sexual characteristics and HBV/HCV co infection in drug abusers. DESIGN:A cross sectional survey taking the drug abuser as the subjects. SETTING:A department of clinical laboratory of a municipal hospital,an epidemiological department of the college of public health of a university,a professional drug abuser treatment center. PARTICIPANTS:Totally 452 male and 320 female drug abusers were randomly selected from the Changsha Xinkaipu Drug Abusers Treatment Center and Zhuzhou Baimalong Female Drug Abusers Treatment Center as the subjects from 1st to 31st January 2001. INTERVENTIONS:A self designed questionnaire was used to investigate the sexual characteristics of drug abusers.HBV surface antigen and HCV antibody were detected in the serums of the participants with ELISA. MAIN OUTCOME MEASURES:The relationship between HBV/HCV co infection and the sexual behavior, numbers of sexual partners,and the usage of condom in drug abusers. RESULTS:The total prevalence of HBV/HCV co infection in drug abusers was 21.24% ; the prevalence of HBV/HCV co infection in male drug abusers was 29.6% ),which was significantly higher than that in females(9.4% )(χ 2=46.016,P< 0.01).There was no significant difference in the prevalence of HBV/HCV co infection between male and female drug abuser whether they had or had not sexual behaviors(χ 2=3.775,P >0.05).The prevalence of HBV/HCV co infection was in an ascending tendency with the increase of sexual partner(χ 2=9.846,P< 0.05).The using frequency of condom was significantly higher in females than in males(U=14.80,P< 0.01). CONCLUSION:There is no correlation between sexual experience and prevalence of HBV/HCV co infection;male drug abusers have higher prevalence of co infection than females;the number of sexual partners is correlated with the prevalence of HBV/HCV co infection,the more sexual partners,the higher prevalence is.The protective effect of condom is greater in female drug abusers than in males.