Objective To study the correlation between economic status and quality of life among patients with chronic ob -structive pulmonary diseases ( COPD) in Xinzhou region of Shanxi province .Methods One hundred forty -eight COPD patients in rural and urban area were randomly selected for the survey , and they filled out a questionnaire and we also accessed to medical records . The survey contains included economic burden on patients , medical expenses and mortality et al .Further to analyze the correlation be-tween economic status and quality of life in patients with COPD .Results For patients with COPD , economic burden in rural area was severe than those in urban area in economically backward areas in Xinzhou region ( P <0.05 ) , the investment on treatment in rural area was lower than in urban area ( P <0.05 ) , the quality of life in rural area was poorer than in urban area ( P <0.05 ) .Conclu-sions Backward economic situation severely restricts the treatment and quality of life in patients with COPD , and it increases the fi-nancial burden on the patient's family.It is necessary to increase the government investment , strengthen social management , and to carry out the supporting work for the patients with COPD in economically backward areas .

Objective To explore the psychometric properties of the Chinese version of the Functional Ability of Visually Impaired Questionnaire (CfaVIQ) by using Rasch Analysis. Methods The faVIQ was translated and adapted into the Chinese-version faVIQ (CfaVIQ). The CfaVIQ was completed by 215 visionlly impaired patients. The data were Rasch-analyzed with the Rating Scale Model of Andrich for calculating item fit statistics, determining the separation index by using Winsteps Rasch measurement program. Results Rasch model analysis indicated individual separation index (3.55) and project separation index (8.01) were both arithmetic greater than 2; the inlier-sensitive fit Mean Square (infitMnSq) and outlier-sensitive fit Mean Square (outfitMnSq) of Items, Persons were both within the range of 0.5-1.5, indicating great coincidence to the model;Wright map analysis showed the distribution of the sample ability and item difficulty was ideally normal. Coefficient of internal consistency was 3.55, separation reliability was 0.93. Pearson correlation coefficient of test-retest reliability was 0.92. Pearson correlation coefficient between CfaVIQ and vision (-0.67), visual acuity (-0.14). The National Eye Institute 25 Item Visual Function Questionnarie (NEI-VFQ25) (0.79) indicated a good construct validity. All the items′outfitMnSq, except outfitMnSq>1.5 of item 10 and item 23,were within the range of 0.5-1.5. Criterion Validity was 0.922 (95%CI:0.858-0.987). Conclusions The CfaVIQ is a culturally specific vision quality of life measure instrument. It can sensitively assess the quality-of-life in the visually impaired group. Rasch measurement model can provide comprehensive and positive information and has good application prospects for analysis of CfaVIQ.

Objective:To investigate in vitro metabolism method and HPLC method for the dextromethorphan.Methods:Total protein of normal liver specimens metabolismed dextromethorphan in vitro.An HPLC method with fluorescence was developed to study the contents of dextromethorphan and metabolites by joining an internal standard(Adriamycin).Methanol-10mmol/l,sodium dihydrogen phosphate solution(50:50,contain 0.01% sodium heptanesulfonate,5% triethylamine,pH 3.5)was used to the mobile phase.Results:Total protein of normal liver specimens metabolismed dextromethorphan in vitro efficiently with coenzyme,Mg~(2+), suitable temperature and pH value.Dextromethorphan and metabolites were analyed by HPLC method with fluorescence.The metabolic rate of dextromethorphan was 16.09%.Conclusion:It is suggested that the metabolism method of dextromethorphan in vitro is simple,convenient and accurate.It can be used for the determination of metabolism dextromethorphan in vitro.

Objectives:To investigate the effects of total parenteral nutrition (TPN) and somatostatin in the treatment of acute pancreatits. Methods: Patients were divided into two groups. Group A was patients treated from 1990 to 1994 with traditional non operative methods. Group B was patients treated from 1995 to 2000 with traditional methods plus both TPN and somatostatin. Results: In group B, morbidity, mortality and hospital stay were improved when compared with group A. The serum albumin concentration was below the normal at the beginning and was not different between the two groups. After the treatment of 15 days,the serum albumin concentration of group B was increased significantly and it remained almost the same in group A. Conclusions: Somatostatin and TPN can significantly improve the treatment effects of acute pancreatitis.

Objective To investigate the relationship between single nucleotide polymorphism (SNP) at position + 10225 in adiponectin receptor 1 gene and type 2 diabetes.Methods The genotypes of + 10225C/G of adiponectin receptor 1 were detected by polymerase chain reaction with sequence specific primers (PCR-SSP) in 200 type 2 diabetes and 100 health controls.Fasting blood samples of all cases were obtained to extract DNA and detect genotype.Statistical software spss 13.0 was used to analyzed.Results Frequency of G-type allele in type 2 diabetes was 40.5％,that in normal controls was 23.5％,there was significant diffierences in the genotype frequencies of SNP+10225 between type 2 diabetes and health controls (x2 =128.0,P＜0.01).Conclusion AdipoR1 + 10225C/G polymorphism was probably associated with type 2 diabetes,G-type allele might be a genetic risk factor of type 2 diabetes.

Objective To investigate the efficacy of mifepristone in the treatment of early ectopic pregnancy and its effect on the fertility of patients. Methods 90 patients with early ectopic pregnancy admitted in our hospital from January 2011 to December 2012 were randomly divided into two groups. The control group was treated with methotrexate. The combination group was treated with mifepristone. Patient treatment effectiveness and fertility. Results There were no significant differences in β-HCG (human chorionic gonadotropin) and mass in the two groups before treatment. After treatment, the patients were significantly improved, the study group was significantly better than the control group (P<0.05). The rate of intrauterine pregnancy was significantly higher in the study group than that in the control group (P<0.05). The rate of ectopic pregnancy and secondary infertility were significantly lower than those of the control group (P<0.05 ). The incidence of adverse reactions in the study group was lower than that in the control group (P<0.05). Conclusion The efficacy of mifepristone in the treatment of early ectopic pregnancy is ideal for the retention of patient fertility and should be promoted.

Setting criterion of teaching system,improving examination methods and strengthening the cultivation of basic medical skills and practice ability might be beneficial to the increase of the practice quality.

Good learning motivation can improve the learning interest and learning activity,enable students to form good learning habits,and achieve satisfactory effects.This research is to find out the problems of learning motivation and interest in the teaching of topographic anatomy,and provide some psychological evidences for the reform of topographic anatomy teaching.

OBJECTIVE:To investigate the effects of tramadol combined with midazolam on prognosis of patients underwent tumor resection in gastrointestinal surgery department. METHODS:In retrospective study,200 tumor patients of gastrointestinal sur-gery department were divided into observation group(100 cases)and control group(100 cases). Observation group was given Tra-madol hydrochloride tablet 100 mg,3 times a day+Midazolam injection 30 mg,added into 0.9% Sodium chloride injection 60 mL,via intravenous pump,2.5 mL/h,for consecutive 24 h,for consecutive 3 d. Control group was given Tramadol hydrochloride injection 100 mg,intramuscular injection,3 times a day,for 3 d. The hospitalization duration,postoperative ambulation time, sleep quality score,pain degree score,the occurrence of postoperative hypostatic pneumonia,and the incidence of adverse reactions in 2 groups were observed. RESULTS:The hospitalization duration and postoperative ambulation time of observation group were significantly shorter than those of control group;the sleep quality score of observation groups was significantly higher than that of control group;the severity of pain,the incidence of hypostatic pneumonia were significantly lower than control group,with statisti-cal significance(P<0.05). There was no statistical significance in the incidence of ADR between 2 groups(P>0.05). CONCLU-SIONS:Midazolam combined with tramadol can significantly reduce the postoperative pain of tumor patients in gastrointestinal tu-mor surgery department,shorten hospitalization time and postoperative ambulation time,improve the sleep quality of patients and reduce the incidence of hypostatic pneumonia with good safety.

Esophageal carcinoma represents high incidence and mortality rate in China.Irinotecan (CPT-11) has shown promising activity in a number of gastrointestinal cancers,including esophageal cancer.This article reviews recent clinical trials of irinotecan-based chemotherapy and radiochemotherapy in esophageal carcinoma.