Objective To study the efficacy of pelvic reconstruction surgery in the treatment of pelvic organ prolapsey (POP).Methods 18 patients with POP underwent pelvic reconstruction surgery were selected.Clinical parameters during peri-operation were recorded.After 3 months and 6 months,pelvic organ prolapse quantitative examination(POP-Q) and anatomic improvement in these patients were analyzed.Comparisons of pelvic floor distress impact questionnaire short form 7 (PFIQ-7) and quality of sexual life of chinese women questionnaire in these patients before and after surgery were used to evaluate quality of life and quality of sexual life.Results Median operation time was (90.0 ± 13.2) minutes and median blood loss was (30.0 ± 1.2) ml,all the patients were followed.The objective cure rate was 100％.The mean score of post-operative PFIQ-7 were significantly lower than those of pre-operation (P ＜ 0.01),and those of qualify of sexual life of chinese women questionnaire was no significantly difference (P ＞0.05).The rate of mesh crosion was 0,and there was no case of de novo urinary incontinence and de novo dyspareunia.Conclusion Pelvic reconstruction surgery is a safe and efficacious management.It can improve qualify of life remarkably and have no influence on sexual quality of life.

AIM: To study the efficacy and adverse reactions of venlafaxine in the treatment of generalized anxiety disorder.　METHODS: Twenty-one patients (M 13, F 8; age 33 a± s 16 a) with diagnosis of generalized anxiety disorder according to CCMD-Ⅱ-R were treated with venlafaxine 50 mg*d-1 for 4 wk. Patients were assessed with the HAMA and TESS and routine experimental examination before and after treatment.　RESULTS: Venlafaxine was obvious effective to generalized anxiety disorder. The effectiveness appeared after 1 wk. The remarkable effective rate was 76% at 4 wk. The main adverse reactions of venlafaxine were thirst, sweating nausea and headache etc. 　CONCLUSION: Venlafaxine is an effective and safe drug in the treatment of generalized anxiety disorder.

Object To study the chemical constituents from leaves of Diplopanax stachyathus Hand Mazz aiming at searching for bioactive natural products Methods The compounds Ⅰ-Ⅹ were isolated by a combination of Sephedex LH 20 and silica gel column chromatographies, and their structures were identified by spectral methods Results Ten known compounds were isolated from leaves of D stachyathus Their structures were identified by means of spectroscopic analysis as: ? sitosterol (Ⅰ), betulinic acid (Ⅱ), oleanolic acid (Ⅲ), ursolic acid (Ⅳ), daucossterol (Ⅴ), quercetin 3 O ? D glucopyranoside (Ⅵ), 3,3′,4′ tri O methyellagic acid (Ⅶ), 3, 3′ di O methylellagic acid 4 O ? D xylopyranoside (Ⅷ), 3′ O methylellagic acid 4 O ? D xylopyranoside (Ⅸ), and 3, 3′,4′ tri O methylellagic acid O ? D glucopyranoside (Ⅹ) Conclusion Compounds Ⅰ-Ⅵ and Ⅸ are isolated from this plant for the first time

Our army medical morals was engendered and developed along with our army medical treatment work.This text is tight and tight hold the "a thought","twice important history affairs","two standard points"and "a slogan",tally up developments experience of the Land Revolution,expatiated process and the basically composition of the mode.

It is a clinical nursing management that can be adapted to chinese characteristic and the market ecnomic body.We studied 194 cases of patients nursed by 3-level nursing ward attendance using nursing procedure, and compared itwith the traditional way. Reault: The beneficial indicator of the study group was significantly higher than that of thetraditional group. 3 - level hursing ward attendance using nursing procedure is a scientific nursing management way. Itembodied the patients- centralized - nursing - management mode. The knoweldge and application of nursing managementwere also developed and increased

BACKGROUND: What deserves exploration is the relationship between menstrual cycle phase and athletic ability of female athletes, especially the mechanism of athletic performance influenced by different menstrual cycle phases.OBJECTIVE: To compare the hormone level of different menstrual cycle phases and the changes of athletic performance as well as its effect on athletic performance.DESIGN: Single sample and single factor analysis.SETTING: Zhejiang Insftute of Sport Science; College of Education,Zhejiang University; Department of Obstetrics and Gynecology, Zhejiang Provincial People's Hospital.PARTICIPANTS: Specially designed menses card were distributed to all the female athletes in the gig team and track & field team in Zhejiang Province in 2000. Consecutive 3-month recording was made to investigate the status of menstrual cycle phases of female athletes. Twenty-five athletes with regular menses were chosen as subjects, among whom 12 were specialized in gig racing with the average age of 19 years and 13 were specialized in track & field events with the average age of 18 years. They all had more than 3-year training experience, 6 days a week and 4-6 hours a day. They were healthy, had regular menstrual cycle, and had not taken any drug which influences the menstrual cycle.METHODS: Blood samples of the testees were collected at hour 8-9 AM at follicular phase (days 6-10) and luteal phase (days 19-23). Full-automatic chemiluminescence immunoassay equipment was used to measure the level of estradiol (E2), follicle-stimulating hormone (FSH), luteinizing hormone (LH), progesterone, and testosterone in serum. coefficient of variability in batch of reagent was ＜5%. Testees accomplished test of their athletic performance and the test of lactic acid 1 to 2 days after blood sample collection. Gig athletes performed 2000 m and 500 m full-strength pull with Concett Ⅱ boating ergometer while track & field athletes performed 100 m and 200 m full-speed running; the time needed was recorded. Gig athletes conducted 2000 m movements on the ergometer with the frequency of 26 times per minute. Track & field athletes carried out three times of 300-meter running with 90% of intensity with 3-minute intervals. Immediately after movements, the lactic acid value was measured following blood collection.Paired t test of the small sample study was used for significance detection.MAIN OUTCOME MEASURES: The level of E2, FSH, LH, proges-terone and blood lactic acid in serum; 2000 m and 500 m performance of gig athletes as well as 100 m and 200 m performance of track & field athletes were measured by the ergometer.RESULTS: Twenty-five athletes accomplished detection of all the indexes and entered the result analysis. The level of FSL, progesterone and testosterone of gig athletes was higher at luteal phase than at follicular phase;however, E2 and LH level did not significantly differ. The level of progesterone and testosterone of track & field athletes was higher at luteal phase than at follicular phase; however, E2, FSH and LH level did not significantly differ. 500 m performance of gig athletes detected by the ergometer, and 100 m and 200 m full-speed running performance of track & field athletes at luteal phase were superior to those at follicular phase, but no significant difference was found in 2000 m performance of gig athletes. When the same loading was accomplished at follicular phase and luteal phase, the lactic acid value at luteal phase was significantly lower than that at follicular phase.CONCLUSION: Tested athletes at luteal phase have good functional status, which may be related to the changes of menstrual cycle hormone level and synergistic effect of various hormones under thes state of athletic movements. It suggests that sufficient attention should be paid to the menstrual cycle of female athletes.

To find out the risk factors of hospital infection in childhood primary nephrotic syndrome(nephrosis) and prophylactico therapeutic measures, 190 cases of child patients hospitalized for nephrosis during the period lasting from 1991 to 1999 were collected. Then a retrospective analysis of the distribution of the various risk factors was made using the single factor analysis and the logistic multi factor regression model. The hospital infection rate was found to be 34.2%, with respiratory infection accounting for 69.7%. The single factor analysis indicated that the risk factors included quantity of urinary protein per kilogram of weight within 24 hours(urinary protein), length of stay, length of hormone usage, entities of antibiotics used and length of such usage. The multi factor analysis indicated that the risk factors included urinary protein, entities of antibiotics used and length of such usage. The authors present the view that strengthening the control of respiratory diseases, setting up clean wards, and ensuring the rational use of antibiotics are some of the key measures for reducing the rate of hospital infection. The quantity of urinary protein is a sensitive index of hospital infection in nephrosis. Once diagnosis of nephrosis has been confirmed, it is necessary to use ACH in full dose and for a complete course of treatment so as to reduce the loss of protein from the urine as soon as possible.

In the past 11 years ,the human genome research has made a great progress.This will bring about another revolution in the life sciences development and challenges of a series of social ethical principles.So it is necessary to abide by the basic point of social ethical principles and build up developmental system between human genome science and social ethical principles.It is favourable to coordinate their relations and bring about the healthful development of human genome science and bring benefits to mankind.

The revolution of moderm medical model promoted the infiltration and insection on Medical Science,Human social science and related subjects.Human social science is the guiding and ensuring on the mode of Biology-Psychology-Society-Environment built.It is the needs of times and inesorable trend of the development on medical science to promote the education of human social science and improve the synthetical quality of medical students.

To evaluate the efficacy of intravenous administration of aminocaproic acid in pre-venting secondary hemorrhage after traumatic hyphemas. Methods: 60 patients with traumatic hyphemaswere random separated into two groups: (1 ) Routine treated group: 31 patients received intramuscular ad-ministration of adrenosin or dicynone and oral administration of steroids t (2) Arninocaproic acid treatedgroup: 29 patients received aminocaproic acid in an intravenous drip. Results: The incidence of secondaryhemorrhage in the amin0caproic acid treated group was much lower than that in the routine treated group(P