Child ; Hematuria ; diagnosis ; Humans

OBJECTIVE: To evaluate the economic effects of different therapeutic schemes for knee osteoarthritis.METHODS: The clinical data of 116 patients with knee osteoarthritis were divided into three groups,namely,Group A(taking Celebrex 200 mg q.d for 28 days);Group B(Celebrex 200 mg daily orally plus topically application of Diclofenac diethylammonium);and Group C(Celebrex 200 mg daily orally plus topically application of 4 boxes of Capsacin ointment).The improvement of knee osteoarthritis was evaluated by Lysholm rating system.And a cost-effectiveness analysis was conducted.RESULTS: The costs of Group A,B,and C were 206.97 yuan,252.77 yuan and 298.53 yuan respectively;the effective rates were 61.54%,71.05% and 84.62%,respectively;the cost-effectiveness ratios were 336.32,355.76 and 352.79,respectively.The incremental cost-effectiveness ratios of Group B and C as against Group A were 481.60 and 396.71,respectively.CONCLUSION: In Group C compared Group A,the effective rate was significantly higher;and as compared with Group B,the cost for gaining each unit of effectiveness in Group C was significantly lower.Group C is the optimal one among the three schemes.

Objective To compare and analyze the clinical curative effect of pituitrin and oxytocin applying in laparoscopic uterine myomectomy intraoperation .Methods According to surgical hemostasis method ,68 patients with uterine fibroids were divided into pituitrin group (group A) and oxytocin group(group B).The surgery time,intr-aoperative blood loss ,the change of postoperative hemoglobin levels and the change of blood pressure before and after treatment were observed.Results In A group,the operative time was (69.8 ±18.0)min,blood loss was (68.3 ± 19.1)mL,postoperative discharge time was (15.2 ±7.8)h,preoperative and postoperative hemoglobin difference val-ue was (10.4 ±2.6) g/L,which were significantly better than those in group B [(82.8 ±17.6) min,(88.5 ± 25.6)mL,(19.4 ±5.9)h,(13.5 ±2.9)g/L],the differences were statistically significant (all P<0.05).Postopera-tive morbidity rate in group A was 5 cases,that in group B was 9 cases,the difference was not statistically significant (P>0.05).In A group,the systolic blood pressure was (152.0 ±8.5)mmHg after treatment for 15min,which was significantly higher than (132.5 ±10.2)mmHg in group B,the difference was statistically significant (P<0.05). There were no statistically significant differences in the systolic blood pressure after treatment for 30min and 45min, and the diastolic blood pressure before and after treatment (all P>0.05).Conclusion Application of pituitrin in laparoscopic surgical hemostasis for patients with uterine fibroids can effectively reduce the surgery time ,decrease the blood loss ,its surgical hemostasis effect is better than oxytocin ,which is worth further clinical application .

Brain metastases from lung cancer is a significant cause of morbidity and mortality,whichis lack of effective treatment.Because chemotherapeutic drugs are thought to not cross the blood-brain barrier(BBB), the role of chemotherapy in the treatment of brain metastases remains controversial. For yearsradiotherapy has been the standard treatment for brain metastases.However, recent studies have confirmedthat the BBB in patients with brain metastases tumors are broken down.At the same time,researchers havefound some new methods for chemotherapeutic drugs to reach the brain metastases.Chemotherapy will play amore and more active role in the treatment of brain metastases tumors.

It has been shown that two pathways of signal transduction are activated under the stimulation of cytokines , such as IL-1?TNF-? ?EGF?TGF-? ?PDGF?IGF-1, secreted by fibroblast-like synoviocytes with rheumatoid arthritis. They are receptor tyrosine kinases-Ras-MAPK pathway and non- receptor tyrosine kinases-JAK-STAT pathway. The former activation plays an important role in chronic synovitis of rheumatoid arthritis. More researches are expected to focus on G-protein-AC-cAMP signal transduction pathway and the internal relations of all kinds of pathways.

Diagnosis, Differential ; Humans ; Incidence ; Lung ; pathology ; Lung Diseases, Interstitial ; epidemiology ; pathology ; therapy ; Prognosis ; Pulmonary Fibrosis ; epidemiology ; pathology ; therapy

Objective To investigate the expression of human defensin-alpha1-3 (HNP1-3) in breast cancer and in normal tissues and determine whether there exists a relationship between HNP1-3 expression and clinicopathologic features.Methods Immunohistochemical staining was used to detect the expression levels of HNP1-3 in 59 breast cancer specimens,and 20 normal tissues (fibroadenoma of breast or tumor-adjacent tissues).The relationship of the expression levels of HNP1-3 with patient’s age,clinical stage,histological grade,lymph node metastases and expression of PR/ER/C-erB-2 was analyzed.Results High level expression of HNP1-3 (95%) was expressed in those normal breast tissues.Different expression of HNP1-3 was found in breast cancer specimens and closely correlated with tumor histological stage and lymph node metastases (P

Object To explore the protoplast fusion of Dendrobium candidum Wall ex. Lindl. and Gynostemma pentaphyllum. (Thunb) Makino. Methods The two kinds of protoplasts were fused by PEG method, and then cultured in the modified liquid medium containing 2 mg/L BA and 1 mg/L NAA. Results High yield, viability, and pure mesophyll protoplasts were isolated from D. candidum and G. pentaphyllum. Conclusion The first cell division occurres within three days after fusion. And some of the cells are divided three times.

Objective To discuss the management and maintenance of clean operation room. Methods The equipment and operation section in operation room were managed and maintained to meet the requirement of clean operation room. Results Under the management, all indexes reached the standard. Conclusion Only if the importance be attached to the management and maintenance of clean operation room, and the rules be strictly observed, does the clean operation room be well maintained, the hospital infection caused by operating room be effectively controlled and the quality of medical treatment be improved.

The development of international academic exchanges has brought a growing de-mand for college English teaching. English for academic purposes (EAP) is playing an increasingly important role in students' study and research. In this essay, a conclusion of college English curricu-lum in the Third Military Medical University was introduced with the theoretic and practical back-ground of oral English for academic purposes (OEAP) teaching. The training strategies of OEAP abilities were discussed from multi-level teaching, personalized teaching and academic forums. The experience of OEAP training was summarized and reflected through teaching practice.