Global Health ; Hepatitis B ; prevention & control ; Hepatitis B Vaccines ; immunology ; therapeutic use ; Humans ; Immunization Programs ; Vaccination ; World Health Organization

Objective To discuss the clinical curative effect of hysteroscopy,laparoscopic operation for the treatment of cesarean scar pregnancy(CSP).Methods Selected and analyzed the clinical data of CSP patients,inclu-ding transvaginal uterine scar pregnancy lumpectomy patients,14 cases of patients (group A),abdominal uterine scar pregnancy lumpectomy,14 cases of patients (group B),laparoscopic surgery,20 cases of patients (group C).The intraoperative,postoperative,postoperative complications were compared in three groups.Results Three groups of patients were completed excision of the lesion,the operation time,flatus time,hospital stay of group A were the shortest,followed by group C (compared with group A,t =6.8,6.5,0.62),group B longest (compared with group A, t =7.2,14.9,6.2).In group B,1 case had blood transfusion;blood HCG had no difference in recovery time of three groups;the lowest average cost of hospitalization in group A,followed by group B (t =3.1),the highest was group C (t =0.72);group B postoperative complications a minimum of two cases (15.0%),followed by group A,group B up to seven cases (50.0%).Conclusion Laparoscopic excision of caesarean scar pregnancy can be suitable in the treatment of exogenous caesarean sear pregnancy which offers advantages.This management could repair the uterine seals,and Conserves the fertility potential.

The method and developing progress on CT automated dose management are introduced. Modern method on CT automated dose management compromises real-time angular dose modulation and Z axis tube current modulation. Provided the automated dose management are correctly applied,the image quality can be optimized at minimum dose.

OBJECTIVE:To provide reference for the realization of zero error and zero complaint of pharmacy dispensing.METHODS:The experiences of pharmacy dispensing were summarized since the openning of our hospital.Zero defect concept was adopted to improve the management of pharmacy dispensing in the fields of all staff participating in the prevention of errors and disputes,improving service attitude and communication skills,arranging the manpower reasonably and selecting the appropriate position for the right person,improving the professional quality of pharmacy staff and operation procedures,establishing registration and exchange system for dispensing error,providing the training on rational use of drugs for physicians.RESULTS:In recent two years,the application of zero defects concept guaranteed the condition of zero errors and zero complaint of pharmacy dispensing.CONCLUSIONS:Basic measures for zero errors and zero complaint of pharmacy dispensing contain all pharmacy staff applies zero defects concept to guide pharmacy dispensing,to formulate management system for preventing defect and its countermeasures,to practice people-oriented management model of clinical pharmacist.

At present drug-induced renal injury is increasing due to a wide variety of drugs and drug abuse problem.Many pathogenesis includes hemodynamic changes,drug damage,inflammation,immunolesion,renal obstruction,rhabdomyolysis,metabolic disorders and so on.Each pathogenesis can influence each other.The complex pathogenesis and non-specific clinical symptoms in early stage lead to missed diagnosis.Early prevention,monitoring and intervention are important in the development of the disease.Supportive therapy is a critical part of the treatment.Some patients with renal impairment have poor prognosis.

Objective:To investigate the expression of FasL and its significance in thyroid adenocarcinomas. Methods: Immunohis-tochemical staining(S- P method) was used to detect expression of FasL in formalin - fixed and paraffin - embeded tissues from 27 cases of thyroid papillary adenocarcinomas(TPA) ,20 medullary carcinomas(MC)and 12 normal thyroid tissues. The relationship between the thyroid adenocarcinomas and the positive rates of FasL expression was analyzed. Results: FasL had various degrees of expression in TPA.The positive rate of high FasL expression was 81. 8% in group B,31. 2% in group A, with a significant difference of P

The present paper analyses 76 cases of electronencephalography of 32 followed-up patients with sporadic encephalitis, The electronencephalographic changes are closely correlated with the patients' clinical outcomes, About 83.87% of the cases parallel with one another. But the clinical improvements occur prior to the EEG changes, There are still no reliable clinical diagnostic criteris and specific etiologic methods to diagnose the disease, It is thought that performing EEG repeatedly during the follow-up of patients is the simplest but significant way to ascertain prognosis, outcomes and retrospective diagnosis for this disease.

Objective To develop a method to determine iodine of water. Methods Samples were derivatively treated and injected at no split injection mode into GC analysis system with the capillary column and ECD. Results Compared with the sanitary regulations of drinking water defined in 2001 China, the determination method showed a lowest detection mass of 0.001 ng, a linear range of 1.0-10 ?g/L and a detection limit of 1 ?g/L. RSDs and recovery rates were 2.5%-3.4% and 96.3%-101.5%. Conclusion This method is simple and the detection limit is low, the linear range is acceptable.

Objective To understand the distribution regularity of the clinical critical value in the plateau region by analyzing the clinical critical value distribution situation in order to provide the scientific basis for further perfect the critical value report system. Methods The critical value items reported by our department from July 1,2010 to June 30,2011 were retrospectively analyzed for studying its distribution regularity.Results The incidence rate of critical values report in our hospital was 0.29%,the incidence rate of critical value such as blood potassium,glucose and blood gas pH had no difference in distribution between genders in Xining region(P >0.05),but had significantly difference among different age groups(P <0.05).In addition,the report number of the criti-cal value of the blood potassium,glucose and blood gas pH in the internal medicine was significantly higher than that in the surgical departments(P <0.01).Conclusion The periodic retrospective analysis of critical value report helps to improve the clinical diagno-sis and the reporting system of critical value.

Objective To explore the curative effect of pituitrin in laparoscopic conservative surgery in the treatment of 60 patients with tubal pregnancy.Methods 120 eggs tube pregnancy patients were selected as the research subjects.According to the random blind points method,they were divided into the observation group and control group,60 cases in each group.The control group was undergoing laparoscopic conservative surgery directly,the observation group was injected pituitrin in the mesosalpinx before laparoscopic surgery.The intraoperative and postoperative condition,postoperative hospitalization days and blood β-human chorionic gonadotrophin(β-HCG) level changes and clinical curative effect were observed and compared in the two groups.Results The intraoperative blood loss,hemostatic time,operation time,postoperative body temperature,hospitalization days of the observation group were (21.12±7.86)mL,(3.61±1.68)min,(35.23±10.45)min,(37.35±0.65)℃,(5.64±0.66)d,respectively,which of the control group were (97.63±12.11)mL,(13.21±2.91)min,(67.97±20.13)min,(37.62±0.48)℃,(6.75±0.75)d,respectively,the differences between the two groups were statistically significant(t=41.049,22.130,11.181,2.588,8.606,all P<0.05).The serum β-HCG at 1d,4d,7d after operation of the observation group were (587.54±105.14)U/L,(141.28±41.21)U/L,(52.47±22.32)U/L,respectively,which of the control group were (609.45±114.89)U/L,(238.43±52.16)U/L,(115.33±26.15)U/L,respectively,the serum-HCG values of the two groups were lower than before operation,there were significant difference between the two groups in serum-HCG after operation at 4d and 7d(t=11.320,14.162,all P<0.05).The effective rate of the observation group was 98.33%,which of the control group was 86.67%,and the difference between the two groups was statistically significant(χ2=5.885,P<0.05).Conclusion The laparoscopic surgical treatment of tubal pregnancy patients with preoperative injection of pituitrin can not only reduce the bleeding in the operation and shorten the operation time and hospital stay,lower blood β-HCG level,also can improve the clinical curative effect,it is worthy of popularization and application.