OBJECTIVE To investigate the clinical characteristic and counter measure of nosocomial infection in puerperal women.METHODS The data of nosocomial infection in puerperal women from Jan 2004 to Dec 2007 were analyzed.RESULTS Among all puerperal women,169 (1.12%) were infected,from them 96 cases were infected in respiratory tract(56.80%);28 cases in operative incisional wound(16.57%);17 cases in gastrointestinal tract(10.06%);7 cases in urinary tract(4.14%);and 3 vases in cavity of uterus(1.78%).CONCLUSIONS Puerperal women are high risk group of nosocomial infection because of strength depletion,blood loss and perinatal injury.Paying attention to aseptic manipulation,making the rational use of antimicrobial agents and properly nursing can effectively decrease the incidence of nosocomial infection.

Middle database of ACCESS is used to develop non-dispensed drug inquiry system. Current Oracle data structure is not destroyed and the requirements of hospitals can be satisfied.

Invasion and metastasis are critical determinants on cancer morbidity.Genes and molecules participating in these steps have been demonstrated as potential prognostic factors.Growth factors and their receptors,cell-cycle regulators,cell-adhesion molecules and m trix-degrading enzymes are potentially used as prognostic factors.However,increased understandings for molecular mechanisms underlying carcinogenesis and its implementation in the treatment of gastric cancers have recently been focused on the development and incorporation of targeted agents with chemotherapy.

Information processing for intelligent diagnosis of traditional Chinese medicine (TCM), an important part of the modernization of Chinese medicine, attracts world wide attention from the science circle. This article presents a systematic introduction to the development of information technology, especially the processing of pulse and tongue images and systems of computer-aided Chinese medical diagnosis. Furthermore, it points out four essential areas of future research, including epistemic logic system of syndrome differentiation, system construction technology, data miming technology and information acquisition and analysis in TCM diagnosis.

ObjectiveTo study the effects on hemodynamics of portal venous system of splenorenal shunt plus pericardia devascularization (SRS+PCDV), and evaluate the clinical significance of this operative procedure.MethodsThe hemodynamic parameters of portal venous system by Doppler color-flow imaging (DCFI) of 99 patients with portal hypertension (PH) were measured before and after operation.Results(1)In SRS group the postoperative portal venous flow (PVF), free portal pressure(FPP) decreased by (57?9)%, (52?5)% respectively (P0.05).(3)In SRS+PCDV group PVF,FPP decreased by (36?8)%, (34?10)% respectively(P

Objective To investigate the level changes of plasma insulin,serum lipids in type 2 diabetes with cholelithiasis.Methods 159 cases of types 2 diabetic patients was studied during recently 3 years in our department of endocrinology,the levels of blood glucose,plasma insulin and insulin sensitivity index(ISI),serum lipids,apolipoproteins(ApoA 1,B) were measured both fasting and post-prandial,and investigated their correlation between type 2 diabetic patients with cholelithiasis(n=103) and without cholelithiasis(n=56).Results Female was predominated in fifty-six diabetic with cholelithiasis,they had higher triglyceride(TG),fasting or post-prandial insulins,ApoA 1,ApoB,the top body weight index and lower ISI than 103 diabetics without cholelithiasis.There were no significant differences in total cholesterol(CH),HDL-Ch,LDL-Ch,blood glucose concentrations between the groups.Conclusions Obesity,insulin resistance and lipids metabolic disturbance might be related to the development of cholelithiasis in type 2 diabetic patients.

Objective To realize objectification and detailed quantification of palpation.Metbods A kind of automatic palpation device was developed to meet the needs of safeand easy operation,technique simulation,and multi-parameter monitoring in real time.Results This device mainly consisted of programmable controller and its analog-to-digital converter module,mechanical positioning device,pressing device,force testing device and hand-held touch screen,and it was designed to be operated by attenders independently.The device could collect multiple data including force,time and distance in the process of palpation,and monitor the force thresholds of pressing responses at all levels to achieve desired effects.Conclusion This device can be used in the automatic palpation for suitable body areas,especially in the comprehensive observation of acupoint-pressing responses or soft tissue tenderness.

ObjectiveTo investigate the values of C-reactive protein (CRP) and pleural effusion in predicting the severity in the early stage of severe acute pancreatitis (SAP) . Methods A total of 89patients with acute pancreatitis were collected from October 2008 through October 2010 for retrospective analysis. Patients were divided into two groups, namely mild acute pancreatitis (MAP) group and SAP group as per the Guidelines for Clinical Diagnosis and Classification of Acute Pancreatitis set by the Society of Chinese Medical Association in 2003. The levels of CRP were measured on the 1st, 2nd, 3rd and 7th days after admission. Pleural effusion was also observed on the 1 st day after admission. The data of two groups were analyzed and compared. ResultsThere were significant differences in CRP at all intervals between SAP group and MAP group (P ＜0.05) . The relative risk of increase in CRP ( ＞ 150 mg/L),pleural effusion and increase in CRP along with pleural effusion were analyzed, and each of these three markers can be used as an independent severity factor of SAP. Particularly, increase in CRP along with pleural effusion could be most sensitive in predicting the severity of SAP with relative risk (RR) to be 4. 8 and specificity of predictive value to be 100％. ConclusionsC-reactive protein and pleural effusion are available, simple and economic biomarkers which can help us predict the risk of acute pancreatitis in the early stage.

ObjectiveTo evaluate the therapeutic effect of combined portoazygous devascularization and shunt on portal hypertension. MethodsThe data of 56 cases of portal hypertension treated with portoazygous devascularization and shunt from April 1987 to April 1999 was summarized. ResultsThere was no death in 54 patients receiving selective operation;of 2 cases receiving emergency operation, one died. Among 49 followed-up cases, there was one rebleeding,2 hepatic encephalopathy, and one died of liver failure 4 years after opeation. The mean portal pressure before and after operation was(3.42±0.46) kPa and (2.50±0.35) kPa, respectively. ConclusionCombined portoazygons devascularization and shunt not only decreases portal pressure but preserve hepatic blood flow to some extent.

Objective To extract the specific symptoms of TCM syndromes of chronic fatigue (CF). Methods Epidemiological cluster sampling method was used in this trial. Totally 782 cases of CF patients were selected from universities,secondary schools,primary schools and hospitals of southern Fujian province. The subjects filled in "Scale of Clinical Symptoms of Chronic Fatigue" to record the clinical data of symptoms,tongue,and pulse for the diagnosis of specific TCM symptoms. The random forest (RF) method was adopted to encode the 95 symptoms extracted from the above-mentioned scale to select the main symptoms of common syndromes of CF and to measure the contribution of symptoms to the syndromes. Results Symptom groups of 4 syndromes of CF were achieved. Spleen deficiency syndrome:abdominal distention after eating or in afternoon,loss of appetite,sallow completion,loose stools,and emaciation; Heart deficiency syndrome:palpitation,chest fullness,thready pulse,insomnia or dream-disturbed sleep,and forgetfulness; Liver stagnation syndrome:hot temper or depression,sighing,bitter taste,dry throat,and string-taut pulse; Qi deficiency syndrome:swollen tongue with toothprints,shortness of breath,abrupt breathing,inactive talking,and spontaneous sweating. When the symptoms were inputted to the models,the model prediction accuracy was 96.13%,94.75%,95.89%,and 94.26% respectively. Conclusion The RF method has a good classification function on the syndromes of CF. Spleen deficiency syndrome,heart deficiency syndrome,liver stagnation syndrome,and qi deficiency syndrome are commonly appeared syndromes,each of them is provided with its own specific symptoms.