Objective To investigate the primary cause of stoma fistula in cervical part of esophageal carcinoma.Methods Improve the treatment methods before operations to prevent the infection of incisional wound in cervical part.Treatments before the improvement was set as pollution group,and the improved treatments as depuratory group.?2 test is used to compare the incidence of stoma fistula between the two groups.Results The incidence of pollution group was 12.5%,and the depuratory group was 2.4%,(?2=9.258,P=0.002).The difference was significant.Conclusion The infection of incisional wound in cervical part is the primary cause of stoma fistula in cervical part of esophageal carcinoma.

Objective:To explore the personality types a nd the features of clinical subtypes of obsessive-compulsive disorder (OCD). Methods:82 cases of OCD were tested using Chinese MMPI that w as revised by MMPI normative cooperative group. We used MMPI-B auto-analysis sys tem made by Ji Shumao et al to calculate the basis scores and T scores of 73 sca les.Results:Basis scores (+K)of scales F,Hs,D,Hy,P d,Pa,Pt,Sc,(males and females)and Si,Mf(males) and K (females) on OCD group were higher that the scores of the normal group. The two-point code of T scores in O CD was 72/27.The factor analysis in 13 scales showed that there were fo ur personality factors in OCD: neuroticism factor (Hs,Hy,D,Pt), psychotic factor (F,Pd,Sc),suspicious factor( F,Ma,Pa), Social introvers ion factor (L,Si,Mf).82 cases of OCD were divided into three groups by K-means o f quick cluster analysis,T scores of 73 MMPI scale s were different among three groups (P<0.000).Conclusio n:The ps ychological features a nd comorbidity and responses to psychotherapy of three groups OCD are different.

OBJECTIVETo investigate the influencing factors for asthma control level in children and the practicability of evaluation indicators for asthma.

METHODSA total of 185 children with asthma were enrolled. Questionnaires and pulmonary function test were used to evaluate the asthma control level and the factors influencing the control level. The correlation between evaluation indicators and asthma control level was analyzed.

RESULTSAmong the 185 children with asthma, 139 (75.1%) achieved full control, 36 (19.5%) achieved partial control, and 10 (5.4%) had uncontrolled asthma. Application of inhaled corticosteroids and eosinophil count showed significant effects on asthma control level (P<0.05). There were significant differences in the percentage of forced expiratory volume in 1 second (FEV1%), fractional exhaled nitric oxide (FeNO), childhood asthma control test (C-ACT) questionnaire score, and pediatric asthma quality of life questionnaire (PAQLQ) score between the full control, partial control, and uncontrolled groups (P<0.05). In the children with asthma, FEV1% was positively correlated with C-ACT and PAQLQ scores (P<0.05), while there was no significant correlation between FEV1% and FeNO (P=0.214).

CONCLUSIONSApplication of inhaled corticosteroids and eosinophil count are factors influencing asthma control in children. A combination of FEV1%, FeNO, C-ACT score, and PAQLQ score helps with the evaluation of asthma control level.

Asthma ; physiopathology ; therapy ; Child ; Child, Preschool ; Female ; Forced Expiratory Volume ; Humans ; Male ; Nitric Oxide ; analysis ; Surveys and Questionnaires