Humans ; Liver Failure, Acute ; etiology ; therapy

Adult ; Humans ; Liver Transplantation ; United States

Objective To investigate the clinical features and treatment programs in children with Takayasu arteritis (TA) in order to improve awareness of the disease. Methods A retrospective study of hospi-talized children with TA in our hospital from Jan. 1999 to Dec. 2012 was performed. Results Between the 15 patients with TA, the ratio of male to female was 1∶2. The onset was from 14 months to 15 years old, with average age at (10 ±4) years old. It is according to (the European League against Rheumatism/the Pediatric Rheumatology European Society (EULAR/PRES) criteria for the diagnosis of TA. The most common clinical manifestations are hypertension, which occurred in 13 cases(87%), weak pulse or pulseless in 11 cases (73%), and heart failure in 10 cases (67%). About two-thirds of patients were diagnosed when the onset of heart failure occurred. The most common clinical type was type Ⅱ, which occrred in 9 cases (60%). Antihypertensive drugs, oral steroid and congestive heart failure controlling were the main treatment. Three patients with positive purifiedproteinderivative (PPD) test received anti-TB treatment. Three patients had vascular bypass surgery, one patient had percutaneous transluminal angioplasty. Conclusion TA may be life-threatening and progressive. Many patients are with advanced disease at the time of treatment, so the prognosis is generally poor. Early recognition is necessary to initiate appropriate therapy. The disease should be considered in patients with unexplained arterial hypertension or unexplained inflammatory syndromes without local signs.

We have discussed the current medical professional ethic education status in china regarding international students coming to china,and analyzed the problem and the reason fo it.Combing with the practical experience of ourselves,we try to explore how to perfect the above-mentioned situation.

The bone turnover markers are composed of the metabolic products of bone matrix and bone cells.The changes of these markers in serum and/or urine represent the status of bone metabolism.To measure the level of these markers will offer important information for evaluating the diagnosis and the responses of therapy in metabolic bone diseases,and to predicat the risk of bone fracture.The biochemistry,measurement and clinical aplication will be introduced in this paper.

Objective To understand the present situation of therapeutic drug monitoring(TDM)on cyclosporine A(CsA) application in renal transplant recipients.Methods The clinical data of the first postoperative month of 50 renal transplant cases admitted to our hospital during May 2000 to March 2005 were collected and retrospectively analyzed.Results Total 50 cases(male∶female= 3∶1) had accepted the trigeminy of CsA,prednisone and azamun.The average initial dose and average maintenance dose for the male were higher by 59.94 mg/d and 52.00 mg/d than that for the female(P

Objective To measure the changes of enamel diameter and depth after Er :YAG laser irradiation .Methods 80 enam-el samples were randomly divided into two supergroups according to irradiation time (10 s and 20 s) ,each supergroup was randomly divided into 5 groups according to different irradiation energy (0 .5W ,1 .0W ,1 .5W ,2 .0W and 2 .5W) ,separately underwent the Er :YAG laser irradiation with different time and different energy .Observed and measured the diameter and depth of each pit with a stereoscopic microscope after irradiation .Results After 10 seconds irradiation ,the differences of enamel diameter between illumi-nate power 0 .5W and 1 .0W ,0 .5W and 1 .5W ,0 .5W and 2 .0W ,0 .5W and 2 .5W were statistically significant(P<0 .05) ,the differences of enamel depth between two groups were statistically significant (P<0 .05) eliminating 1 .5W and 2 .0W .After 20 sec-onds irradiation ,the differences of enamel diameter between illuminate power 0 .5W and 1 .0W ,1 .0W and 2 .0W ,1 .0W and 2 .5W were statistically significant(P<0 .05) ,the differences of enamel depth were the same to 10 seconds irradiation .Conclusion The diameter and depth of enamel were changed under the irradiation of different time and energy ,which was helpful to clinical treat-ment of enamel caries .

0 05).Plasma ET in the active LN was significantly higher than that in the inactive LN and normal control group ( P

OBJECTIVE: To avoid the infection induced by the clinical application of total parenteral nutrition solution( TPN) . METHODS: The experience of quality control and etiological examination in the preparation and application of TPN for 62 patients in our hospital were analyzed retrospectively. RESULTS & CONCLUSION: The key to reduce the incidence of infection in the preparation and application of TPN is to keep the infection source under control.

OBJECTIVE:To review the status quo and problems in the study of TCM formula granule.METHODS:Recent literature concerning the preparation technology and the normalization of quality criteria,etc.of TCM formula granule reported were reviewed and analyzed.RESULTS&CONCLUSION:TCM formula granule was of many merits such as safe and sani-tary,accurate in dosage measurement,portable etc.However,there are also some problems yet to be solved.