Because of the lack of professional knowledge guidance,in addition to the blind fear and eating disorders,leading to the incidence of hypertension in rural community of China was Showing an up-ward trend year by year.Hypertension was a chronic disease,was the potential risk factor for cardiovascular and cerebrovascular disease,severe heart,the function of brain,kidney and other important organ were fail-ure,to made people's life health and quality of life received threats.With the development of economy and society and the acceleration of the process of population aging,hypertension in the rural elderly population had became a common disease.,as a representative of non communicable chronic diseases,hypertension has seriously affected the normal development.Specification and strengthening the management of hyperten-sion in rural areas has become a hot topic,At present,mainly to the community as the main front for the prevention and treatment of hypertension.The traditional model of community hypertension management has gradually been eliminated.In recent years,China has carried out various aspects of community hypertension management model,In this study,we analyzed the community management of hypertension in rural areas in recent years,and made the following survey.

Objective To compare the probability of anastomotic leak in the Chinese patients with carcinoma of esophagus using anastomat anastomose and manual anastomose in order to provide some refer -ence for patients with carcinoma of esophagus .Methods By meta-analysis, we made a comprehensive a-nalysis of 12 literatures published in China on anastomat anastomose and manual anastomose in preventing anastomotic leak in patients with carcinoma of esophagus .Results The probability of anastomotic leak in patients with carcinoma of esophagus was obvious heighten in using anastomat anastomose compared to that in using manual anastomose,with the combined odds ratio(OR)value being 0.53(95%CI:0.40-0.71) >0,( P <0.01 ).Conclusion To preventing anastomotic leak in patients with carcinoma of esophagus , anastomat anastomose is more predominant than manual anastomose .

Various properties of the raw drug Horsc Bozoar were studied by microscopic observation, X-ray phase analysis, thermal analysis, elementary analysis and solubility test .Resul.ts showed that Horse Bezoar mainly contains magnesium ammonium phosphate as well assome magnesium -phosphorus stones.

Objective: To establish an experimental unilateral internal carotid artery stenosis model in New Zealand albino rabbits that can be detected in vivo. Methods: A 2 F Foley's tube was inserted into unilateral carot id artery for performing intimal injury in 5 rabbits, and causing intimal hyperplasia and angiostenosis. The hemodynamic changes of unilateral carotid artery were detected by transcranial Doppler (TCD); the reduction of cerebral blood flow (CBF) after stenosis was calculated by mathematical formulas. The degree of stenosis was confirmed by digital subtraction angiography (DSA), and the arterial intimal hyperplasia and stenosis were confirmed by pathological examination. Results: Two rabbits survived after the procedure. TCD, DSA and pathological examination showed that the model of experimental unilateral internal carotid artery stenosis in rabbits was established successfully. The reduction of CBF after unilateral internal carotid artery stenosis was calculated in the 2 rabbits, they were 17% and 45%, respectively. Conclusion: The rabbit model of unilateral internal carot id artery stenosis has been established successfully, and the severity of stenosis can be detected and evaluated in vivo.

Acute pancreatitis (AP) is activated trypsin-induced pancreatic and its peripheral tissue inflammation caused by their own digestion.The activation in advance of trypsinogen and the inflammation cascade in pancreatic acinar cells are thought to be a key mechanism of the onset and development of AP.Autophagy pathway acting as Ⅱ type of programmed cell death occurs in the early pathological course of AP,blockade of which contributes to aggravating necrosis of acinar cells in AP.This article mainly discussed the recent advances in the understanding of autophagy researches and its function in the mechanism of AP.

Objective To discuss the value of enlargement of geniculate fossa of facial nerve canal in the diagnosis of facial nerve canal fracture.Methods Thirty patients with facial nerve canal fracture underwent axial and coronal CT scan.The correlation between the fracture and the enlargement of geniculate fossa of facial nerve canal was analyzed.The ability of showing the fracture and enlargement of geniculate fossa of facial nerve canal in axial and coronal imaging were compared.Results Fracture of geniculate fossa of facial nerve canal was found in the operation in 30 patients,while the fracture was detected in CT in 18 patients.Enlargement of geniculate ganglion of facial nerve was detected in 30 patients in the operation,while the enlargement of fossa was found in CT in 28 cases.Enlargement and fracture of geniculate fossa of facial nerve canal were both detected in CT images in 18 patients.Only the enlargement of geniculate fossa of facial nerve canal was shown in 12 patients in CT.Conclusion Enlargement of geniculate fossa of facial nerve canal was a useful finding in the diagnosis of fracture of geniculate fossa in patients with facial paralysis,even no fracture line was shown on CT images.

Acoustic Stimulation ; Animals ; Auditory Perception ; physiology ; Behavior, Animal ; physiology ; Noise ; adverse effects ; Rabbits ; Sound ; Swine

Objective:To analyze the visualized citation of evidence in the research fields of clinical pharmacy. Methods: The visualized citation analysis tool HistCite was used, and science citation index-expanded core collections in Web of Science was applied to obtain the data. Biliometric analysis, citation analysis and visualization technology were used to investigate the number and year-dis-tribution, country and region, distribution of research institutions and core authors of the literatures in clinical pharmacy research fields. Results:During 2002 to 2013, the number of literatures of clinical pharmacy was increased year by year. The literatures were published mainly in 62 countries and regions, especially in the United States of America. The major research institutions were college of pharmacy in university. Conclusion: Over the past decade, the research on clinical pharmacy is increased rapidly. The software HistCite can reveal the development track of clinical pharmacy research fields quickly and visually.

Objective To observe the influence of subarachnoid space associated with epidural anesthesia at different posture on the hemodynamics during cesarean section.Methods One hundred and twenty uterine-incision delivery patients were chosen,the patients were separated into the left lateral decubitus group(LL group) and right lateral decubitus group(RL group) with 60 cases each by random digits table method,all the patients were blocked by subarachnoid space associated with epidural anesthesia after puncturation 2 ml 0.5％ ropivacaine was given.Then the head end epidural catheter insertion in 3-4 cm,asked maternal supine after fixed catheter enjoin.Systolic blood pressure (SBP),diastolic blood pressure (DBP),heart rate were recorded before anesthesia and at 3,5,10,15 min after anesthesia.Apgar scores of 1 and 5 min were observed as well.Results SBP and DBP at 3,5 min after anesthesia were significantly lower than those before anesthesia in RL group,SBP was (120.1 ± 11.2),(106.7 ± 17.2),(127.3 ± 13.6)mmHg (1 mmHg =0.133 kPa) respectively,DBP was (77.5 ± 6.3),(55.2 ± 21.2),(80.3 ± 10.5) mmHg,respectively,and there were significant differences (P ＜0.05).And SBP,DBP in RL group were also significantly lower than those in LL group,SBP was (123.2 ± 12.4),(110.3 ± 16.3) mmHg,DBP was (80.1 ± 9.9),(63.1 ± 13.2) mmHg,and there was significant difference (P ＜ 0.05).There was no significant difference in Apgar scores of 1 and 5 min between two groups.Conclusion The left lateral decubitus position could effectively reduce the incidence of hypotension during caesarean section under subarachnoid space associated with epidural anesthesia.

OBJECTIVE To explore how to establish the hospital infection control process by using evidence-based medicine.METHODS In order to establish the hospital infection control process for every department the data related to hospital infection were collected through searching related literature from MEDLINE,Chinese biomedicine literature database authorized by Institute of Medical Information.Chinese Academy of Medical Sciences and evidence-based medicine network then estimated thoroughly.RESULTS The incidence of hospital infection patients,environment sanitation inspection,medical staff hand-washing compliance,and occupational exposure all were up to scratch(P