Objective To analyze multislice CT characteristics of intestinal obstruction transition zone caused by different patholo-gy.Methods 67 cases of intestinal obstruction were collected in our hospital.Multislice spiral CT scan combined with multi-plane re-organization (MPR)of the bowl obstruction transitional zone were analysed.Results Among 67 cases of intestinal obstruction,there were 28 cases of simple mechanical intestinal obstruction,1 7 cases adhesion intestinal obstruction,5 cases paralytic intestinal obstruc-tion,4 cases internal hernias and 4 cases mixed intestinal obstruction.Conclusion Intestinal canal transitional zone and arounding tis-sues of intestinal obstruction have certain characteristics for the same pathology which can be clearly displayed by multislice CT scan combined with MPR.

The long-year program for medical education is the major way to train the high level medical professionals.This paper colleeted the research papers on this topic published in Chinese journals in recent years,extracted their key words and counted the high frequent key words According to the co-occurrence of a pair of key words in one paper.these high frequent keywords were clustered into groups.The research structure and main directions of the long-year program were outlined as the study of macro-planning of long-year program,the study of teaching models and teaching system,study of teaching practice.These results could be a useful reference for the medical educational researchers and managers.

Objective To find a new method of tangential view of patello femoral joint. Methods 62 cases of lateral knee radiographs were studied. The knee flexion angles, patello femoral angles, patello tibial angles and frontal patello tibial angles were measured and their relationships analyzed. The knee flexion angles and the patello femoral angles had linear relationship with a linear equation = 2 + 0.8x . The angles of posterior patellar line with tibial long axis and frontal tibial line were 3.3? and 12.7?respectively. According to the measurement results, an accessary positoning table was designed. The patients′ patello femoral joints were examined with the knee flexed at an angle of 30?. The patients were in supine position and the central X ray was angled at 73?vertically toward the film. Results 58 patello femoral joints of 40 patients were radiographically studied (10 males, 30 females) .All radiographs were classified into 4 degrees as Grade A, B, C and D. Eighteen cases were Grade A (31%), 30 cases were Grade B(52%), 8 cases were Grade C(18%)and 2 Grade D(3%).The reason for Grade D was due to small or negtive anterior patellotibial angles. Conclusion This new method of tangential view of patello femoral joint is accurate, comfortable and simple and could be used as routine examination for patello femoral joint diseases.

Objective:To compare the visual quality of patients with astigmatic multifocus intraocular lens (ART IOL) and astigmatic monofocus IOL (Toric IOL) after implantation.Methods:A prospective, non-randomized, controlled study was conducted to include 72 eyes of 72 cataract patients with corneal astigmatism (1.0-2.5 D) who were scheduled to receive phacoemulsification combined with IOL implantation in Chaoju Eye Hospital of Inner Mongolia from July 2017 to October 2018.Patients were divided into ART IOL group (37 eyes) and Toric IOL group (35 eyes) according to different IOLs implanted.All patients were followed up for 1 year after surgery.The main and secondary outcome indicators were compared.The main outcome indicators included distance (5 m), intermediate (80 cm), and near (40 cm) uncorrected visual acuity and best corrected visual acuity, defocus curve, contrast sensitivity, postoperative IOL rotation and residual astigmatism, while the secondary outcome indicators included visual subjective symptoms and spectacle independence rate.The above outcome indicators were compared between the two groups.This study followed the Declaration of Helsinki.The study protocol was approved by the Ethics Committee of Chaoju Eye Hospital of Inner Mongolia (No.CJYKLL202012).Written informed consent was obtained from each patient before surgery.Results:There was no statistically significant difference between the two groups in average uncorrected distance visual acuity and best corrected distance, intermediate and near visual acuity (all at P>0.05).The average intermediate and near visual acuity in the ART IOL group was significantly higher than that in the Toric IOL group, showing statistically significant differences (both at P<0.05).The defocus curve of the ART IOL group presented a double peak, which reached the peak at the far focus (0.0 D) and near focus (-2.5 D), respectively.The visual acuity range from 1.5 to-3.0 D was above 0.2 logarithm of the minimum angle of resolution (LogMAR), and the focus depth range was 4.5 D (1.5 to -3.0 D).The defocus curve of the Toric IOL group had only one crest, which was located at best corrected visual acuity (0.0 D).The visual acuity reached 0.2 LogMAR or above were from 1.0 to -1.0 D, and the focal depth range was 2.0 D (1.0 to -1.0 D).There was no statistically significant difference in contrast sensitivity at different spatial frequencies between the two groups in bright light, bright flashing light and dark light (all at P>0.05), while the contrast sensitivity of the ART IOL group at high dark flashing light frequency was lower than that of the Toric IOL group, showing statistically significant difference ( P<0.05).In the ART IOL group and the Toric IOL group, the average residual astigmatism after surgery was (-0.47±0.51)D and (-0.49±0.42)D, respectively, with no statistically significant difference ( t=0.408, P>0.05).There was no significant difference in postoperative IOL rotation between the two groups ( t=1.906, P>0.05).The total postoperative spectacle independence rate in the ART IOL group was 97.30%(36/37), which was higher than that in the Toric IOL group (17.14%, 6/35), showing statistically significant difference ( χ2=15.320, P<0.05). Conclusions:Both Toric IOL and ART IOL can better correct corneal astigmatism and improve patients' distance visual acuity, but ART IOL implantation can provide better distance, intermediate and near visual acuity, and higher spectacle independence rate.

Objective To discuss the clinical effects of interventional therapy in patients with BCS. Methods 32 patients with BCS were treated with interventional therapy under the guidance of color Doppler ultrasound and DSA,and the clinical effects were analysed. Re-sults The success rate was 90. 6% (29/32),and 11 inferior vena cava stents were implanted. There was no serious complications such as pulmonary embolism,no intraoperative deaths. Postoperative complication rate was 12. 5% (4/32),including 1 case of acute renal failure who died with treatment failure,2 cases of acute heart failure,who recovered after the anti-heart failure treatment,and 1 case of bloody ascites be-cause of hepatic vein rupture who recovered after hemostasis and anti-infective therapy. The recurrence rate was 9. 7%(3/31)during the fol-low-up. Conclusion Intervention therapy can obtain a more desired therapeutic effect with smaller trauma,faster recovery in patients with BCS,and it is becoming the preferred treatment method gradually.

Objective To study the effects of containing bismuth sequential therapy on interleukin-10 (IL-10) and interleukin-17 (IL-17) in patients with peptic ulcer.Methods 162 patients with peptic ulcer were randomly divided into two groups,the observation group(n =81 cases) and the control group (n =81 cases).The patients in the observation group were treated through containing bismuth sequential therapy,while the patients in the control group were treated through traditional triple therapy.IL-10 and IL-17 were detected before and after treatment.Results The total effective rates were 97.5% in the observation group and 87.7% in the control group,which of the two groups had significantly difference (x2 =3.96,P ＜ 0.05).Hp eradication rate of the observation group was 96.3 %,and which of the control group was 80.2%,and there was significant difference between the two groups (x2 =4.17,P ＜ 0.05).IL-10 and IL-17 in both groups were significantly decreased after treatment.There was a significant difference between two groups after treatment (t =3.7244,9.3422,all P ＜ 0.05).Conclusion Bismuth-containing sequential therapy can significantly reduce IL-10 and IL-17 in the serum of patients with peptic ulcer.

Objective To explore the risk factors of the stroke patients with depression and the life quality.Methods 300 patients with the first stroke were divided into depression group and non depression group.The risk factors of depression and the life quality were analyzed.Results The HAMD score of ≥ 45 years old patients was (21.28 ± 6.01),which was higher than that of ＜ 45 years old (16.09 ± 4.15) (t =3.64,P =0.02).Medical burden from light to heavy were(12.53 ± 2.96),(16.11 ± 3.42) and (24.39 ± 6.11) (t =4.02,P =0.01).HAMD score without comorbid had significant difference(P =0.01).Logistic regression analysis showed that the influence factors of depression were associated with age,medical expenditure,complications and the degree of nervous function defect and others(OR =1.26,1.19,1.24,1.12,P =0.02,0.01,0.01).BI,FM and AS of the depression group were (57.19 ±6.27),(59.28 ±5.92) and(21.52 ±4.63),compared with the non depression group,the difference was significant(t =4.87,5.46,3.29,P =0.01,0.01,0.02).Conclusion The influence factors of depression were age,medical expenditure,complications and neurological deficits.The life quality of depression group was significantly lower than the non depression group.

Advanced colorectal cancer mainly classified as locally advanced,locally recurrent and distally metastatic colorectal cancer.Distal metastasis of colorectal cancer includes peritoneal metastasis,liver,lung and other organ metastasis.Surgical resection remains the only possible cure for patients with advanced colorectal cancer.Preoperative systemic evaluation based on radiographic images,especially the evaluation on the resectability of hepatic metastatic lesions from colorectal cancer is very important.Neo-adjuvant and adjuvant therapy increased the resection rate of primary and metastatic lesions of advanced colorectal cancer.In recent 10 years,with the development of oncolegical surgery,treatment modality of multi-disciplinary team has been proposed and implemented,which increased the survival time and improved the life quality of patients with colorectal cancer.

The clinical and laboratory findings of 2197 cases of systemic lupus erythematosus(SLE) were reviewed and analyzed to reveal the abnormal incidence of each item and their value and specificify for the diagosis of the disease,Accor- ding to the realistic conditions of our country and the experience of many authors, a new set of diagnostic criteria for SLE was established and systematized into a computer program.Tested with 223 non-SLE cases and 92 confirmed SLE cases,this new set of diagnostic criteria had the rates of specificity and sensivity of 91.9％ and 95.7％ respectively.It is considered that the new set of diagnostic criteria is characterized by its comparatively comprehensive content and its conformity to the conditions at home,and if is especially helpful for the early diagnosis of SLE.

The biological effects of rape pollen collected from the honey-bees were evaluated through the feeding experiments of the pollen to different species of mice.It was found that the young mice of pollen-fed group gained weight more evidently than those of the control taking ordinary food(P