ObjectiveTo determine the diurnal variation,moon phase,and seasonal variation in the onset of stroke. MethodsThe time parameters,including the time,the moon phase and the season of the stroke occurrence for 905 in-patients from 1989-2001 were investigated.ResultsThere was a significant difference (D=0.155,P<0.01) for circadian rhythm in the onset of 321 cases with cerebral infarction,and the incidence frequency at dawn was much higher than that at other time,but the difference of the moon phase and seasonal rhythm in the onset of cerebral infarction were not significant(P>0.05).There were not diurnal variation,moon phase and seasonal rhythms in the onset for cerebral haemorrhage(P>0.05).ConclusionsThe cerebral infarction occur more frequently at dawn time.

Anemia, Iron-Deficiency ; prevention & control ; therapy ; Child ; Humans ; Iron ; deficiency

Child, Preschool ; Humans ; Rickets ; prevention & control ; therapy

Gastrectomy ; Gastroenterostomy ; Humans ; Laparoscopy ; Reconstructive Surgical Procedures ; Stomach Neoplasms

A case of insulin autoimmune syndrome (IAS) is reported and the related literature reviewed. A 49 year-old male patient with Graves' disease had been on tapazole therapy for one month. There was no history of diabetes hypoglycemia and previous administration of insulin. On the morning of 21 August, 1984, at 10 a. m. the patient presented an acute episode of hypoglycemia with plasma glucose dropped to 16 mg/dl and was relieved with I.V. glucose. Clinical investigations revealed fasting hypoglycemia, impaired glucose tolerance and postprandial hypoglucomia. There was a large amount of spontaneously occurred insulin antibody in the serum of the patient. After pretreatment with PEG, the measurements of plasma free insulin revealed fasting hyperinsulinemia and lack of insulin release peak after glucose loading. Immunological studies showed the presence of autoantibodies against insulin, TSH receptors, thyroid microsomes and pituitary cells. One month later the fasting hypoglycemia disappeared, the glucose tolerance test became normal and the amount of insulin autoantiboy markedly decreased.

Twenty three cases of thyrotoxicosis associated with leucopenia or neutropenia were treated with lithium carbonate alone, which was given orally in dosage of 750-1,000 mg per day for about 6 months, except one who discontinued the medication because of liver disease. After treatment almost all symptoms were relieved in 20 cases, and serum levels of T4 and T3 fell to normal in 15 of 18 cases who were reexamined later. The peripheral leucocyte count and absolute number of granulocytes increased to normal ranges in 22 cases. Few serious side-reactions were seen. The results indicate that lithium carbonate is an effective and relatively safe agent for the treatment of this condition.

The plasma fructosamine (FTS) level in 141 diabetics (2.99?0.69 mmol/L) was significantly higher than that in 42 non-diabetics (2.18?0.27 mmol/L), (P

OBJECTIVE:To discuss the urgency of honesty construction in medicine industry.METHODS:The gain and loss of honesty in medicine industry were analyzed,the significance and urgency of honesty construction in medicine industry were discussed,and meanwhile some specific advices would be put forward.RESULTS&CONCLUSION:The sustained de-velopment of the medicine industry must depend on the honesty of the medicine industry.It's urgent to construct all-round honesty in the medicine industry now.

BACKGROUND: Health status of elderly people is an important problem concerned by the whole society. To find the way of preventing loss of functional status of daily life for elderly people is the key to generally improving the quality of life in elderly people.OBJECTIVE: To observe the main characteristics of function loss in healthy elderly people and analyze the influencing factors of the change of functional indexes in elderly people in normal functional status.DESIGN: Contrast observation; Logistic analysis.SETTING: Student's Office, Shangrao Normal College.PARTICIPANTS: All the data were from the sampling questionnaire survey on health status of 1 700 people including retired cadres and employees from 11 cities of Jiangxi province. The survey was conducted by Senile Physical Education Association of Jiangxi Province in January 2004.METHODS: The test was performed depending on 4 indexes in physical self-maintenance scale including dressing, taking food, bathing and toileting along with other indexes of shopping, calling, riding, going upstairs to the third floor, walking for 1 000 m, taking things by fingers and squatting & standing. These 11 indexes were used for evaluating the functional status of daily life in elderly people. According to international definition,people with difficulty in one or more indexes could be defined as ability loss of self-cave in daily life. The participants were demanded to give the score of difficulty in independently completing each activity including not difficult (1), somewhat difficult (2), very difficult (3), completely impossible (4). The total sum of 11 scores was defined as functional status index of daily life. Its value reflected the whole situation of functional status of daily life in elderly people. The higher the index was, the worse the functional status was. Comparison was conducted among groups of different gender and age, and Logistic regression analysis was used for evaluationand analysis.MAIN OUTCOME MEASURES: Evaluation of functional index, function loss rate of daily life, index in independent physical self-maintenance ability of daily life.RESULTS: ① Normal functional status of elderly people is various due to the different age, gender, constitution, marital status, living situation,employment history, economic status and education background etc. ② As far as function loss rate of daily life in healthy elderly people was concerned, male was higher than female, and people taking part-time jobs and rehired after retirement were higher than other retirees. When it came to loss rate of motor function of lower limbs, widowed people were higher than not widowed, and the higher the education, the better motor functional status of lower limbs the male had, while the situation was reversed for female.CONCLUSION: Loss rate of normal functional status of elderly people significantly decreases as their age increases, and it is relevant to the complexity and difficulty of activities of life. Normal functional status of elderly people is related to social support, economic status, psychological and mental status.

Objective To compare the curative effect of transumbilical single port laparoscopic appendectomy and conventional laparoscope appendectomy .Methods 80 cases with acute appendicitis were divided into single hole group and routine group according to the operation mode ,40 cases in each group .The two groups were given transum-bilical single port laparoscopic appendectomy and conventional laparoscopic appendectomy ,respectively.The clinical efficacy was compared between the two groups .Results The patients in two groups were given successful operation without converted laparotomy .The postoperative anal exhaust time of the single hole group was (21.7 ±6.2)h,which was significantly shorter than that in the routine group [(26.9 ±7.3)h](t=2.18,P<0.05).However,the operation time,intraoperative bleeding amount ,postoperative length of stay ,intraoperative and postoperative complication had no obviously statistical differences between two groups (P>0.05).The patients were followed up for 3-21 months,no appendix stump inflammation , appendiceal stump fistula , adhesive ileus and other remote complication appeared . Conclusion Transumbilical single hole has safe and minimal invasive advantages on appendectomy , which can be favorable for the postoperative recovery of bowel function and cosmetic result .If it′s difficult to excise appendix , relevant operation skills shall be applied in accordance with the appendiceal lesions ,which can effectively reduce the occurrence of complication .