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 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 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 .

Objective:To discuss how to link the “No. 1 Military Medical Project”hospital network system with the local health insurance system.Methods: To analysis the interface demands of the social health insurance system and the rural cooperative health insurance system. Results: To solve the problem by modify the medical insurance interface program of the out-patient registration and charge, the in-patient registration and charge.Conclusion: the function and requirement has been realized by linking.

After the readjustment of the army organizations,employed civilians are becoming an important professional component of the army sanatorium.This paper introduces our experience in strengthening the management of the employed civilians,with an emphasis on how to normalize the management conduct and step up the construction and stabilization of the organizations of employed civilians,so as to provide an impetus of human resources to the sustainable development of the army sanatorium.

Patients w ith acute ischemic stroke often have increased blood pressure and cause sharp fluctuations in blood pressure. Analysis of blood pressure variability can quantize the degree of blood pressure fluctuations w ithin a certain period of time and provide reliable predictive information for the outcomes of ischemic stroke. While reducing the average value of blood pressure, decreasing the blood pressure variability can make the patients obtain greater benefits. This article review s the possibility of blood pressure variability in patients w ith acute ischemic stroke for its predictive value and the blood pressure variability as an intervention target.

Autonomic nerve dysfunction is common after onset of ischemic stroke.Heart rate variability (HRV) has been used widely because of the regulation effect of heart rate by the quantitative analysis of the autonomic nervous system.This article reviews the evaluation method of HRV and its clinical significance in ischemic stroke.