Objective To explore the clinical effectiveness of transcervical resection of polyps (TCRP) under hysteroscopes and dilatation and curettage in treatment for endometrial polyps infertility.Methods Ninety patients with endometrial polyps infertility from October 2010 to August 2012 were enrolled in this study.In them,45 patients were treated with TCRP under hysteroscopes (TCRP group),45 patients were treated with dilatation and curettage (dilatation and curettage group).Patients were followed up for 1 year,menstrual blood volume and endometrial thickness in ovulatory before operation and after operation for 3,6 and 12 months were recorded and compared between two groups.While the recurrence rate after operation for 6,12 months and 1-year pregnancy rate were also recorded and compared between two groups.Results The menstrual blood volume and endometrial thickness in ovulatory before operation between two groups had no significant difference (P ＞ 0.05).The menstrual blood volume after operation for 3,6 and 12 months in TCRP group was (125.2 ±56.4),(154.0 ±72.3) and (189.8 ±96.6) ml,respectively.While in dilatation and curettage group was (215.3 ± 87.8),(267.5 ± 98.4) and (297.5 ± 125.6) ml.There were significant differences (P ＜ 0.05 or ＜ 0.01).The endometrial thickness in ovulatory after operation for 3,6 and 12 months in TCRP group was significantly lower than that in dilatation and curettage group (P ＜ 0.05 or ＜ 0.01).The recurrence rate after operation for 6,12 months and 1-year pregnancy rate in TCRP group was 4.4％ (2/45),8.9％ (4/45)and 20.0％ (9/45) ; in dilatation and curettage group was 8.9％ (4/45),35.6％(16/45) and 26.7％ (12/45).The recurrence rate after operation for 12 months in TCRP group was significantly higher than that in dilatation and curettage group (P ＜0.01).Conclusions The prospective efficacy of TCRP under hysteroscopes in treatment of endometrial polyps infertility is better than dilatation and curettage.It is one of better methods and worthy to spread.

Objective To explore the efficacy of borneol and Norfloxaein in treating patients with stage IV pressure sore. Methods 132 patients with pressure sore were randomly divided into the obser-vation group(applying borneol and Norfloxaein)and the control group(applying iodophors and gentamycin). The effect of the two methods was compared. Results The curative rate of the observation group was 98.5%,and 47.7% for the eantrol group. Total effective rate of the observation group was 100%,and 81.5% for the control group.The average curative time for the observation group was shorter than that of the control group. Conclusions Borneol and Norfloxaein is superior to iodophors and gentamycin in treating pa-tients with stage Ⅳ pressure sore.

Objective To study the different clinical effects between the method ofperipheral iridectomy+trabeculectomy combined with cataract extraction with small incision+intraocular lens implantationand the method ofperipheral iridectomy+trabeculectomy combined with cataract with phacoemulsification+intraocular lens implan-tation,so as to provide guidance for clinic.Methods 40 cases were randomly divided into A and B groups,and A group included 19 patients (31 eyes),while B group included 21 patients (37 eyes).A group was treated with the peripheral iridectomy +trabeculectomy combined with cataract extraction with small incision +intraocular lens implantationmethod,and B group was cured with the method ofperipheral iridectomy+trabeculectomy combined with cataract with phacoemulsification +intraocular lens implantationmethod.In each group,the eye pressures, visual acuity,central anterior chamber depths of before and after treatment were compared to study the clinical effect. And after treatment,the improvement amount of eye pressure,visual acuity,central anterior chamber depths and the complication rates were compared between the two groups,so as to determine the better method.Results After treatment,the eye pressure,visual acuity,central anterior chamber depths in A group were significantly improved [(21.71 ±10.17)mmHg,(0.29 ±0.09)and (1.97 ±0.47)mm,t=11.12,6.93,17.39,all P<0.05].The eye pressure,visual acuity,central anterior chamber depths in B group were significantly improved[(19.45 ±9.54)mmHg, (0.35 ±0.16)and (1.98 ±0.39)mm,t=6.52,5.78,17.78,all P<0.05].After treatment,the eye pressures in A and B groups were cut down[(21.74 ±10.17)and (19.45 ±9.54)mmHg],and there was no statistical significant difference between the two groups (t=0.96,P=0.17).The visual acuity in A and B groups were improved[(0.29 ± 0.09)and (0.35 ±0.16)degrees],and there was no statistically significant difference between the two groups (t=1.86,P=0.97).The central anterior chamber depths in A and B groups were improved[(1.97 ±0.47)and (1.98 ± 0.39)mm],and there was no statistically significant difference between the two groups (t=0.09,P=0.54).The incidence rates of complication in A and B groups were 48.39% and 21.62%,respectively,and the difference between two groups was significant (χ2 =5.44,P=0.02).Conclusion The two treatments had significant and equal clinical effects,while because of its lower incidence rate of complication,the method ofperipheral iridectomy+trabeculectomy combined with cataract with phacoemulsification+intraocular lens implantationis more safe than the other one.

OBJECTIVE:To study the relationship between the price-lowering policy and the shortage of low-price essential medicines.METHODS:We expounded the practice of price-lowering policy in China and its effect on the production and circulation of low-price essential medicines,and analyzed the shortage problem of the low-price essential medicines using economic equilibrium analysis.RESULTS:The shortage of low-price essential medicines mainly manifested as shortage of supply,and the price-lowering policy has enlarged the gap between market demand and the supply of low price essential medicines.CONCLUSION:The national essential medicine policy should provide institutional protection for reasonable drug price level as well as the production and supply of low-price essential medicines,and the simple price-lowering policy must evolve to be included in the comprehensive institutional "healthcare reform" strategy.

A specific solid-phase immunoradiometric assay (IRMA),optimized for maximal sensitivity, has been developed for measurement of human growth hormone in urine. One monoclonal antibody was iodinated using modified Ch-T method, another was linked to CNBr activated Sepharose-4B. The assay sensitivity was 125 pg/L: Intra- and inter-assay variation were 3.8%, 5.19% respectively. The dilution test and the recovery test were satisfactory. This assay is not influenced by the changes of following conditions: pH(5.0- 7.4), 0-0.25 mol/L sodium chloride and 0-0.5 mol/L urea. The GH values in the urine of 10 hours at night in healthy young males (n=9), females (n = 9), patients with acromegaly (n = 9), and patients with complete GH deficiency(n = 8) were 0.55 ?0.50 ng, 0.44 ?0.33 ng, 58.07?35.90 ng, and unde-tectable, respectively. In young males and females, the urinary GH values were not significantly different, while in patients with acromegaly, the urinary GH values were significantly different from that in normal adults(P

Objective To survey health management cognition of residents in Shanghai city communities,and to analyze the causes,and to put forward related suggestions.Methods In October of 2013,this study was conducted in communities of Shanghai central district (Xuhui District),urban border area (Minhang District),and suburban area (Jinshan District); 800 residents from each health management cognition outpatient clinic (400 people from each of hospitals and community health service center),totally 2 400 residents were studied and investigated in the communities of Shanghai city,and 2 082 questionnaire were received (the questionnaire recovery rate was 86.75％).We used stratified random cluster sampling method,and self-designed investigation form,and did pre-experiment.The Survey included:Whether family doctors need to carry out the evaluation work about risk factors,to implement health management for school students,to implement health management for people over 60 years old,to implement the elderly health management for pension agencies,to implement special crowd health management for special people;conduct questionnaire of demand level for different population groups (type,age,gender,marital status,retirement,occupation,level of education and medical insurance form).Results The research results found that,when asked about the family doctor whether to carry out risk assessment,family doctor whether to implement special health management,whether family doctors need to teach health management to students, whether family doctor should undertake the health management work for the people over the age of 60,whether family doctors should implement special health management,whether a person thinks that it is indifference (9.3％,7.4％,3.8％,6.2％ and 5.7％) and unnecessary (3.6％,4.4％,2.5％,4.2％ and 3.9％)in the minority,the majority of people believe that they need (51.1％,52.9％,57.2％,55.6％ and 55.3％),then the general (24.5％,18.9％,12.4％,18.0％ and 16.5％) and very necessary (11.5％,16.4％,24.1％,16.0％ and 18.6％).Among them,the occupation,whether retired or not,level of education,medical insurance form and different age groups had different cognition and demand level for health management work.Conclusion To Strengthen the health management training,to take specific health management services according to different groups of people and to improve community health management services are very important.

A pressure swing adsorption nitrogen generating device for producing nitro- gen enriched gas from compressed air was discussed.Utilizing the feature of the molecular sieve carbon with the property of selective adsorbing oxygen and ni trogen,the device enriches the product nitrogen at gas phase,and uses the gas lower in concentration than the product nitrogen for flushing residual gas,it help molecular sieve carbon with desorption.

Objective: To establish a simple and accurate method for Chuanxinlian Tablets (Herba Andrographis). Methods:The contents of dehydroandrographolide in Chuanxinlian Tablets was determined by FIA. The detection wavelength was at 540nm. Results:The linear was 0.2～1mg?mL -1 , the average recovery was 101.7%, RSD was 0.7% , respectively. The sampling frequency was 120 samples?h -1 . Conclusion:The method is simple, rapid and stable. It is suitable for the analysis of this preparation.

Objective:To investigate the factors related to insulin resistance and islet ? cell secretory function in subjects with normal glucose tolerance(NGT).Methods:Insulin resistance and islet ? cell secretory function were estimated by Homeostasis Model Assessment in 2120 NGT subjects.Results:(1)ANOVA showed that there were significant differences in Homa-IR and Homa-? cell among different age groups(P

Objective To discuss the ultrasonic features of iliac artery blocked and way of collateral circulation,in order to provide the basis for discovering the illness early and treating methods,provide the reference for judging the prognosis of illness.Methods 5 patients with iliac artery blocked and diagnosed by ultrasound were selected,including 4 arteriosclerosis patients and 1 non-arteriosclerosis patient.The ultrasound showed the blood flow in the limb from the beginning to the end and after the establishment of the circulation.But it was difficult to show the way of collateral circulation.Results It was right to get the treatmentconfirmed by DSA.The ultrasound can judge the iliac artery blocked correctly.It can show the situation of the vessel lemon that was blocked and the blood flow in blocked lower segment inside limb clearly.It can check the flow rate and the index of the resistance.It showed low speed(＜30cm/s) and low resistance (＜ 0.65).But it was difficult to show the way of collateral circulation.Conclusion CDFI is the right way to check the stenosis or blocked in iliac artery.It can ascertain the llow rate in the collateral circulation.Then it can judge the ability of compensation.But it is difficult to show the way of collateral circulation.