Objective To evaluate the application effect of quality control circle on reducing the defect rate of health education in perioperative period of gynecologic surgery patients. Methods To carry out quality control circle activities, analysis of gynecological surgery patients in perioperative health education defect rate to the cause, the development of countermeasures, to achieve the purpose of continuous quality improvement. Results Before implementation health defects rate was 43.3%(303/700), after the implementation health education defect rate was 11.4%(223/1 950). The health defects rate before and after the implementation showed significant difference (χ2=8.387, P=0.004). The incidence of anxiety before and after the implementation was 11.8%(23/195) and 4.1%(8/195), the difference was significantly different (χ2=7.885, P =0.005). Conclusions To carry out the quality circle activity, can effectively reduce the perioperative health education defect rate and improve the quality of care and patient satisfaction, method is simple and easy to operate, it is worth clinical promotion.

The article explores the relationship of the hepatitis C virus infection with interferon treatment and thyroid diseases and reviews the subtypes of the thyroid diseases.Autoimmune and nonautoimmune cases of thyroiditis are often seen in patients with chronic hepatitis C while undergoing interferon treatment,especially in females with positive thyroid autoantibodies.Graves' disease is very rare.The thyroid function may be as a transient thyrotoxicosis,then followed by hypothyroidism.The thyroid function in patients with nonautoimmune thyroiditis is usually easy to recover.

The study was carried out on 52 patients with severe falciparum malaria: 26 cases were treated by quinine, SMP in combination with Thymogene (control group). The results showed that: There is a reduction on cellular immune response in severe malaria. Thymogen has contributed to increase the immune response in comparison with this before treatment. Thymogen has contributed shortening time to defervescence, clearance of parasitaemia and coma duration in 2-days after treatment in comparison to control group. Thymogen also has contributed reducing mortality in severe malaria
Malaria ; thymogen ; Malaria, Falciparum ; therapeutics ; Pharmaceutical Preparations ; Drug Resistance

Cardiology ; trends

China ; Heart Failure ; Humans

Adult ; Cell Differentiation ; Female ; Granulosa Cell Tumor ; pathology ; surgery ; Humans ; Microtubules ; pathology ; Neoplasm Metastasis ; Neoplasms, Multiple Primary ; pathology ; surgery ; Ovarian Neoplasms ; pathology ; surgery ; Sertoli Cell Tumor ; pathology ; surgery ; Sex Cord-Gonadal Stromal Tumors ; pathology ; surgery

This study reviewed the history and major issues of the reimbursement system reform on public hospitals in China,and analyzed the impact mechanism of specific reform approaches including price adjustment of health service and government special appropriation on the health care services provided by hospitals using qualitative analysis methods.This study has the following findings:if the public hospital is allowed to operate independently,the compensation by health service price adjustment will encourage hospitals to increase their service provision;the compensation method of government special appropriation will decrease the amount of service,and probably cut back the amount of drugs sold;with both reforms combined,hospitals will be encouraged to increase their medical service provision to make up for the revenue lost caused by canceling drug mark-ups.Finally,there were several policy suggestions.

Acupuncture Points ; Acupuncture Therapy ; Adult ; Female ; Hand ; anatomy & histology ; Humans ; Male ; Meridians ; Middle Aged ; Periarthritis ; Shoulder Injuries

OBJECTIVE: To evaluate the in vitro and in vivo antibacterial activities of cefodizime from both home and abroad. METHODS: The minimal inhibitory concentrations (MICs) of domestic and imported cefodizime, cefotaxime sodium against 300 clinical isolates of bacteria were tested by standard agar dilution method and the test tube dilution method. The in vivo antibacterial activities of cefodizime were determined in mice with experimental systemic infection caused by E.coli, K. pneumoniae and S.aureus. The values of ED50 were calculated by Bliss method. RESULTS: Both domestic and imported cefodizime had remarkable potency against majority gram- negative bacteria and gram- positive bacteria, including pneumococcus and beta streptococcus, and the MIC90 of cefodizime stood at 0.012～1.0?g?mL-1; and they showed medium grade antibacterial activity against bacillus cloacae, bacillus aerogenes and serratia but mild effects on MSSA and S.epidermidis, and the MIC50 stood at 4?g?mL-1. In this trial, bacillus aeruginosus, acinetobacter, enterococcus and MRSA showed resistance against the domestic and imported cefodizime. The in vivo antibacterial activities of domestic and imported cefodizime were similar and remarkable in mice infected with E.coli, K.pneumoniae and S.aureus. CONCLUSION: Domestic and imported cefodizime had excellent and similar antibacterial activity.

This paper reports three cases of hemoehromatosis confirmed by liver biopsy and iron staining. An investigation was made on family history. Their parents of two out of these patients married close relatives. Etiology and diagnostic methods are discussed. We expound our own view on the differential diagnosis of primary and secondry hemochiomatosis.