Objective At present,health care for chronic diseases is the highlight of medical extended serv-ice.The article has systematically demonstrated the development and management modes of health care for chronic diseases both at home and abroad,and also raised various problems in the current management model.It is necessary to find the correct objects and standards,and build an inter-connected and all-round mechanism based on informa-tion and a powerful grass-root medical group backed up by the government and law.We call for the classified imple-mentation by joint efforts of all departments to provide valid theories for health care for chronic diseases.

It is believed that cardiac electrophysiological properties are not homogeneous, and the heterogeneity exists between pacemaker and conduction cells, atrial and ventricular cells, and among endocardium, midmyocardium, and epicardium of the transmural ventricular wall. The heterogeneous electrophysiology is related to the differential distribution and expression of transmembrane ionic channels. The present review involves literatures regarding the intrinsic biological basis of cardiac heterogeneous electrophysiology.

EV9 in proper order.Conclusion Three hybridoma cell strains are constructed successfully which stably secrete high-titer and high-specific McAb against rhIL-12.

Objective To investigate the best dignostic cut-off point of non-typical ectopic pregnancy(EP) through the determination of vascular endothelial growth factor(VEGF)in 154 cases of suspected ectopic pregnancy patients.Methods The serum level of VEGF in 154 cases with suspected EP was determined by means of immunossay technique,and the results were made into ROC-Curve.Results The acreage behind the curve was 0.95,illustrating that the VEGF can be as a better marker for early diagnosis of EP.The serum VEGF level of 200pg/ml was the cut-off point for early diagnosis of EP throash ROC-Curve.Condusion The serum VEGF can be considered as an early diagnostic marker of EP,which cut-off point is benifical to reducing misdiagnosis of EP.

Acupuncture Points ; Acupuncture Therapy ; Female ; Hirschsprung Disease ; therapy ; Humans ; Infant

Objective To study the chemical constituents of the petroleum and chloroform extracts of Galla Chinensis.Methods Using chromatography on silica gel column and thin-layer chromatography to isolate and purify the compounds;using spectroscopy methods to elucidate their structures;using double dilution to screen antibacterial activities on Fusarium oxysporum.Results Ten compounds were isolated and identified as 2-hydroxy-6-pentadecyl benzoic acid(Ⅰ),4-(pentadec-8-enyl) phenol(Ⅱ),plamitic acid-1,3-dipropyl ester(Ⅲ),?-sitosterol(Ⅳ),pentacosane(Ⅴ),4-hydroxy-3-methoxy-benzoic acid(Ⅵ),plamitic acid(Ⅶ),lauric acid(Ⅷ),myristic acid(Ⅸ),and gallic acid(Ⅹ).Conclusion Compounds Ⅰ-Ⅵ are obtained from Galla Chinensis for the first time.Compound Ⅰ shows moderate inhibitory activity on F.oxysporum.

Objective To investigate the early period cesarean scars pregnancy diagnosis and its influence on prognosis. Methods Clincal data of 42 cases diagnosed as cesarean scar pregnancy from May 2006 to February 2011 treated in our hospital were retrospective analysed. Results All cases underwent B ultrasound examination,which showed gestational sacs or inhomogeneous echo-enclosed mass in the lower segment of anterior wall of uterus. Thirty-nine cases were successfully eonservatively treated,3 cases underwent cleanrance of focal lesion and neoplasty. Conclusion The cesarean scar pregnancy diagnosis depends on a B ultra-sound examination, and the color Doppler ultra sound is reliable for the diagnosis. Floss plants in the crater of scar and developed to uterus wall. Curettage guided by B ultra-sound after uterine artery embolization is a safe and efficient treatment method.

Tetrandrine, a bis-benzy 1-i soqui noline alkaloid isolated from Radix Stephania tetrandra S. Moor, was proved to be a calcium antagonist. Its effects upon the heart conduction system were investigated in anesthetized rabbits.Tetrandrine 8 mg/kg iv could prolong the sino-atrial conduction time & the sinus node recovery time from 50 ? 13 ms & 286? 36 ms to 75?19 ms ( n= 8 , P

Neferine, an alkaloid, isolated form Nelumbo nucifera Gaertn,has antiarrhytbmic effect. The present report deals with its action on the ECG in rat & the surface potential of toad sciatic nerve.Neferine could prolong ECG, P-R & Q-T intervals, and widen QRS in a dose-dependent manner, The effects are similar to quini-dine, and dissimilar to tetrandrine. The inhibitory effects of neferine & quinidine on the surface potential of toad sciatic nerve are similar in potency.

Objective To evaluate the antireflux effect of hepaticoduodenostomy plus mucosal papilloplasty.Methods 16 dogs were divided into 3 groups receiving hepaticoduodenostomy plus mucosal papilloplasty (group A), cholecystojejunostomy with antireflux intussusceptive valve preformed in group B, and cholecystojejunostomy in group C, respectively. Postoperative biliary anterograde and retrograde pressure were measured. Clinically hepaticoduodenostomy plus mucosal papilloplasty was preformed in 13 patients suffering from choledochal cyst. Results The retrograde pressure in group A was significantly higher than that in group B and C (all P