Objective:To evaluate the impact of different glucose levels in women with gestational diabetes mellitus on maternal and neonatal outcomes.Methods:Data of 65 pregnant women with GDM admitted in our hospital from January 2001 to October 2006 were reviewed.A total of 46 GDM women had blood glucose levels under control before delivery and the rest 19 GDM women did not.The impact of different glucose levels on maternal and neonatal outcomes were compared between the two groups.Results:In the group with the glucose level uncontrolled,the incidence of hypertensive disorder complicating pregnancy,premature rupture of membrane,hydramnios,postpartum hemorrhage,premature infant,neonatal asphyxia,fetal macrosomia,and therapy after 34 weeks pregnancy were 42.11%,26.32%,31.58%,21.05%,47.37%,15.79%,36.84%,and 57.89%,respectively.compared with those of the group with glucose level controlled as 15.22%,4.35%,6.52%,2.17%,17.39%,0.00%,10.87%,and 28.26%,respectively.All the rates of the uncontrolled group were markedly higher than those of the controlled group.Conclusion:Gestational diabetes mellitus does great harm to mother and infant.Diagnosing GDM and controlling blood glucose as early as possible can decrease the complications of mother and infant.

The organization of Stand-by UN Peace-keeping Medical Contingent in PLA is at its Primary Stage.By Combining the Organization Practice of UN Peace-keeping Chinese Medical Contingent with the Draft MOU and Reality in our Army,The Authors Deeply Studied the Organization Plan,including the Mobilization,criteria for the candidates,and Medical Standards et al.

As an anti-epilepsy drug,gabapentin plays an important role in the treatment of neuropathic pain through a variety of central and peripheral mechanisms.Studies have shown that gabapentin has better efficacy for post-stroke pain,spinal cord injury-related pain,postherpetic neuralgia,and pain in diabetic peripheral neuropathy.For mild adverse effects,good tolerance and lack of interactions,gabapentin is an ideal drug for the treatment of neuropathic pain.

Child ; Evidence-Based Medicine ; Humans ; Lupus Nephritis ; diagnosis ; therapy ; Practice Guidelines as Topic

Objective To explore the changing indications of visual P300 evoked by facial expression stimulus in social anxiety disorder (SAD). Methods 30 patients with SAD were consecutively recruited, and matched with 30 normal controls (NC). They were evaluated by self-designed demographic questionnaire and Liebowitz Social Anxiety Scale (LSAS), Meanwhile the examination of the visual P300 evoked by five facial expression stimulus included sad, happy, surprise, angry and disgust was administrated to SAD patients and normal controls. Results Compared with NC group, SAD group had higher target P2 amplitudes ( ( 3.73 ± 3.06 ) μV )and higher target P3 amplitudes( ( 9.43 ± 4.01 ) μV ) evoked by angry facial expression (P＜ 0.05 ) and higher target P3 amplitudes( (9.57 ±4.42) μV) evoked by disgust facial expression (P＜0.05). The scores of LSAS in SAD was positively correlated with target P2 amplitudes (P＜0.05). Conclusion SAD group has abnormal changing indications of visual P300 evoked by facial expression stimulus.

Objective To discuss the pathogenesis and clinical characteristics of acute relapsing pancreatitis .Methods The clini-cal data and relevant data of 274 acute pancreatitis cases from January 2010 to and December 2012 were analyzed ,of which one group of 231 cases were first onset and the other group of 43 cases were relapsing .Results The probability of relapse of acute pan-creatitis were highest from 1 month to half a year after first onset (20 cases ,accounting for 46 .51% );biliary factors were the major causes of first onset and relapse cases ,where the relapsing group was higher than first onset group ,with statistical significance (P<0 .05);the relapsing group had more severe symptoms of hyperlipidemia than the first onset group ,with significant difference (P<0 .05) ,The relative risk (OR value) of relevant factors were higher than biliary factors ;improper diet ,alcohol and other factors of the relapsing group were lower than the first onset group ,without statistical significance (P> 0 .05);there was no significant difference between the occurrence rate of severe pancreatitis and the occurrence rate of surgeries and deaths .Conclusion Biliary diseases and hyperlipidemia are closely related with the relapse of acute pancreatitis .

Gastroesophageal reflux cough (GERC) is a special type of gastroesophageal reflux disease (GERD) and one of the common causes of chronic cough .The therapies of GERC include general treatment , medication and surgery .At present antireflux medicine is the major therapy to GERC .A lot of new kinds of medicine have being developed and applied in addition to antacid and gastric motility improver .The short-term and long-term effects of antireflux surgery have nott been confirmed due to the lack of reliable prospective randomized controlled studies .The advancements on therapy of GERC are reviewed in this paper .

Separations of neurotransmitters such as dopamine (DA), ser otonin (5-HA), norepinephrine (NE) and epinephrine (E) were performed successf ully using a homemade electric field modulated capillary electrophoretic system, which could offer both radial and axial electric fields with only one high volt age power supply. DA and 5-HT were eluted simulaneously and could not be resolv ed in 0.01 mol/L phosphate buffer at pH 2.5. Alcohol additives, such as methanol , ethanol or 1-propanol were added to the buffer to change the solvation shell of the solutes, which changed their effective sizes and electrophoretic mobiliti es of the solutes accordingly. The optimum composition was a buffer of 20% (V ／V） 1-propanol, with resulted resolutions 0.74 (DA/5-HT), 0.56(5-HT/NE) and 0.77 (NE/E). If a positive radial voltage of 6.6 kV was applied, the resolut ions were improved to 1.48, 0.71 and 1.32, respectively.

Objective To explore the factors that cause fluoride level in the brick-tea produced in Ya'an region and look for the method for reducing tea fluoride.Methods Compared the fluoride content in the old leaves and new leaves from different fluoride level regions.Results The tea content in the old leaves was higher than that in the new leaves,there was no difference among the different plant areas.Conclusion The content of fluoride in tea increases as the growth time goes on.

Objective To establish the methods for direct determination of manganese in the urine by flame atom absorption spectrophotometry (AAS). Methods Manganese in the urinary samples were determined directly and the result was compared with that by acid digestion. Results The results showed a good linearity, from 0.01 to 0.80 ?g/ml, r=0.9997, y=0.001 87+0.785 3 x. For the same urinary sample, the average urinary manganese content was 0.027 ?g/ml, standard deviation was 0.000 015 ?g/ml, RSD=0.056%. The average recovery rate was 95.1%. No significant difference was seen compared with the acid digestion. Conclusion The direct determination of urinary manganese by AAS is simple, rapid, accurate and feasible.