OBJECTIVE To investigate the clinical characteristics and the present condition of infective diabetic foot. METHODS A total of 100 cases with infective diabetic foot were classified into the wet gangrene and composite gangrene, and treated by the systemic and local modality in combination. RESULTS The cure rate of the wet gangrene and composite gangrene was 29.5% and 18.2%, respectively and the effective rate was 83.3% and 68.2%, respectively. CONCLUSIONS The combined therapy is effective for the treatment of diabetic foot.

Objective To evaluate the effect of reminiscence therapy on quality of life and happiness degree of spouses of patients with Parkinson′s disease. Methods A total of 60 spouses of patients with Parkinson′s disease were divided into experimental group and control group according to the hospital number with 30 cases each. Both groups received routine health education. In addition, reminiscence therapy was implemented in experimental group for 8 weeks. The spouses were investigated with The World Health Organization Quality Of Life- BREF (WHOQOL- BREF) and Memorial University of Newfoundland Scale of Happiness (MUNSH) before and after intervention. Results Before intervention, the scores of WHOQOL-BREF was (59.47±13.52) points in control group and (59.42±13.45) points in experimental group,and there was no significant difference(t=1.00, P > 0.05). After intervention, the scores of WHOQOL- BREF was (60.12±13.48) points in control group and (72.65±11.32) points in experimental group,and there was significant difference (t=3.45, P < 0.05). Before intervention, the scores of MUNSH was (22.52±6.34) points in control group and (22.34±6.12) points in experimental group,and there was no significant difference(t=0.39, P > 0.05). After intervention, the scores of MUNSH was (22.75±6.24) points in control group and (34.56±5.78) points in experimental group,and there was significant difference(t=13.65, P < 0.01). Conclusions Reminiscence therapy could effectively improve the quality of life and happiness degree of spouses of patients with Parkinson′s disease.

Objective To investigate the clinical value of joint detection of procalcitoninl (PCT ) ,C-reactive protein (CRP) ,and myocardial enzymes in patients with neonatal hyperbilirubinemia .Methods 30 cases of each cause were included in the study ,which were neonatal hyperbilirubinemia caused by sepsis ,pneumonia ,ABO hemolytic and breast milk jaundice .20 cases of each cause were selected including neonatal hyperbilirubinemia caused by neonatal hepatitis and low birth weight infants .All the cases involved in the study were diagnosed .30 healthy full-term newborns in the same period were recruited as control group .PCT ,CRP and myocar-dial enzymes (AST ,CK ,CK-MB ,and LDH) concentration in serum were determined .Results Compared with the control group , CRP and PCT concentration increased significantly in bacterial infected group (P< 0 .05) .Myocardial enzyme concentration in-creased significantly both in infected group and non-infected group(P<0 .05) .Among myocardial enzymes ,CK-MB concentration increased significantly in bacterial infected group ,low birth weight infants group and ABO hemolytic group(P<0 .01) and increased significantly in breast milk jaundice group and hepatitis group (P<0 .05) .AST and LDH concentration increased very significantly in hepatitis group(P<0 .01) .The specificity of PCT in bacterial infected group was significantly higher than that of CRP (P<0 .05) ,while its sensitivity was significantly lower than that of CRP in pneumonia group (P<0 .01) .Conclusion Changes of PCT , CRP and myocardial enzymes concentration are related to the occurrence and development of neonatal hyperbilirubinemia ,determi-nation of these indicators can be complementary .

The importance of cultivating evidence-based consciousness of thinking and implementation capability of specialization postgraduates was analyzed,and experiences and suggestions acquired from the practice of teaching of specialization postgraduates were shared by demonstrating the enlightening of evidence-based consciousness of thinking,the cultivation of evidence-based implementation capability and the establishment of evaluation system,with PBL integrated.

Objective To explore the personality traits and professional profile of pharmacists, and compare the personality with other majors. Methods This study used 15FQ + personality factor questionnaire for comparing 92 pharmacists,who had been working more than 5 years in pharmacy department of general hospital,with 1064 other different professional staffs,who also had been working more than 5 years. Results The results showed that fA (17.61 ±3.58),fG (16.05 ±5.00),fI (15.82 ±4.26) ,tN (16.74 ±3.78) and fQ3 (18.04 ±3.28)scores of pharmacists were significant higher (P ＜ 0. 05 ), while fC ( 10.61 ± 4.16 ), fE ( 10.84 ± 4.14 ), fL ( 6.33± 4.15 ) and fQ2 ( 8.37 ± 3.94) scores were significant lower (P ＜ 0.05 ). Comparing pharmacists with dentists,fL was significant higher (P＜ 0. 05 ). Comparing with clinical and medical imaging profession, there were significant difference on fA,fI,fL, fM, fQ2 (P ＜ 0.05 ). Comparing with liberal arts and engineering, there were significant difference on fB, fC, fE, fI, fL, fQ1, fQ2 (P ＜ 0. 05 ). Conclusion Comparing with other different professional staffs ,pharmacists have their own personality traits, which are positive, perseverance, sensitive serious, self-discipline and so on. It provides a scientific basis for pharmacists selection and training.

Object To study the dynamic growth and reproduction of Hirudinaria manillensis Lesson in laboratory with providing the data of artificially breeding leech in the field. Methods The newly hatched juvenile from same cocoon were bred in 80 cm?60 cm?50 cm aquaria with natural water from rice paddy and weighted every ten days. Water temperature was recorded daily and water was exchanged monthly. Ten chemical elements of water from rice paddy were analyzed in the laboratory. Leeches were allowed to engorge the blood on living rabbits and the amount of engorged blood was measured every time to observe the growth and development, record the copulation and cocoon-deposit, and make the curve of dynamic growth of the leech. Results The newly hatched juvenile grew and developed for 14 months to sexual maturation period by engorging rabbit's blood of five or six times. The leeches were still juvenile in the first three times of engorging, became subadult in the fourth. Then some developed to the sexual maturation period individually in the fifth, and some individually in the sixth. The curve of dynamic growth displayed rising and falling with the record of copulation and cocoon deposit. Conclusion The above study elucidate the dynamic growth, reproduction and the successfully breeding of leeches in the door.

Aortic dissection is a common disease which is very dangerous,with high mortality rate.Bypass graft for the treatment of DeBakey Ⅲ dissection has outstanding advantages than the ordinary replacement of thoracic aorta,and some patients will inevitably require the use of the procedure.The purpose of this study was to explore the impact of the subclavian artery-abdominal aorta bypass graft on hemodynamic parameters in the false lumen and the effectiveness of surgical treatment.First of all,the idealized three-dimensional geometric models of DeBakey Ⅲ aortic dissection and its subclavian artery-abdominal aorta bypass graft operation were constructed,respectively.Then the models were imported into ANSYS 11.0 for finite element analysis.Results of numerical simulation showed that both velocity and pressure of the blood flow were reduced after bypass graft at the entrance and in the internal sac of false lumen,which is very favorable for reducing the impact of blood flow on false lumen,slowing down the further expansion of entrance,preventing the breakdown of false lumen,and promoting the healing of dissection.Therefore,the subclavian artery-abdominal aorta bypass graft operation is an effective surgical method for the treatment of DeBakey Ⅲ aortic dissection in some particular cases.This operation is with great prospects for clinical application.

Animals ; Brain ; drug effects ; metabolism ; Calmodulin ; metabolism ; Female ; Lead ; toxicity ; Male ; Maternal Exposure ; Pregnancy ; Protein Kinase C ; metabolism ; Rats ; Rats, Wistar

Hazardous Substances ; adverse effects ; Humans ; Occupational Exposure ; adverse effects ; Risk

Objective To study the image quality control system to ensure that equipment meet clinical needs.Methods It was scanning the Catphan504 phantom with models of high quality head,standard dose head and pelvis,we could get the results of CT numbers linearity,uniformity,spatial resolution,contrast resolution.Using T test to compare different scanning technique results.Results The standard dose head scanning technique was better than the pelvis scanning technique in CT numbers linearity test,and gets the best result in uniformity test.The result of CT numbers uniformity was higher in the standard dose head scanning than the high quality head and the pelvis scanning (9.7 ±3.9 vs.17.9 ±5.3,P =0.00 and 9.5 ± 4.0 vs.31.1 ± 5.7,P =0.00).The result of contrast resolution was higher in the pelvis scanning than the high quality head and the pelvis scanning (5.6 ± 0.1 vs.1.3 ± 0.5,P =0.00 and 6.0 ± 1.0 vs.1.3 ± 0.5,P =0.00).The result of spatial linear distance was very accurate,the range was 4.98 -5.06 cm.Conclusions The results of spatial linearity test are stable and accuracy,but CT numbers linearity and uniformity test are affected by the scanning technique significantly for device.To spatial resolution test and contrast resolution test,we need to set the standard and tolerance according to each linear accelerator specialty.