AIM:To explore the histopathological classification and incidence of orbital space-occupying lesions in children in order to provide references for the diagnosis of orbital space-occupying lesions in children.
METHODS:A total of 290 paediatric patients with orbital space - occupying lesions diagnosed by pathological examinations at the Second Hospital of Tianjin Medical University from January 1998 to December 2012 were retrospectively reviewed.
RESULTS:In 290 paediatric patients with orbital space-occupying lesions, venous hemangioma was the most common (58 cases,20. 0%), the other commons were as follows: hemangio lymphangioma, dermid cyst, neurofibroma, optic nerve glioma, rhabdomyo sarcoma and so on. Capillary hemangioma, venous hemangioma, optic nerve glioma had the predominant age incidence. On the other hand, optic nerve glioma, venous hemangioma, rhabdomyosarcoma had the predominant sex incidence.
CONCLUSION: The majority of paediatric patients with orbital space - occupying lesions are congenital and embryonic lesions, the most common of which is venous hemangioma. Some lesions had the predominant age and sex incidence.

Objective To explore the difference of gene sequence between the yeast- and the hyphal-form of Candida albicans. Methods The genomic DNA of both the yeast-form and the hyphal-form of seven isolates were extracted. The isolates were obtained from the same patient infected with HIV, but their sensitivities to fluconazole were different. These isolates were derived from the same C.albican strain as identified by chromosomal analysis and DNA subtype analysis. DNA fragments (310 bp) of ERG11 were amplified by PCR and the difference of DNA sequence between the two forms of each isolates was compared by DNA sequencing. Results Three isolates were found to have sequence difference between the yeast- and the hyphal-form of C. albicans at the position of 1 547 bp, 1 587 bp and 1 617 bp. Conclusion The sequence difference of ERG11 gene exists between the yeast- and the hyphal-form of C. albicans.

What characterized post-thoracotomy pain is that companied by marked decrease in pulmonary function,which negatively affect rehabilitation of the patients.In this paper,the author reviewed the effects of clinically common used therapies on pain relief and pulmonary function in patient after thoracotomy.

Objective To explore the nursing experience of the safe intra-hospital transport of patients with the severe aspiration of the inhalation injury. Method The nursing measures for the intra-hospital transport of 2 cases of smoke pot inhalation injury caused by extracorporeal membrane oxygenation treatment were taken, including disease risk assessment, preparation for transport, organization of a transport team, effective vital signs monitoring during transport, extracorporeal membrane oxygenation (ECMO) pipeline monitoring and nursing and observation and nursing of complications. Result No emergency was found during the transport of patients and both of them were safely transported. Conclusion Such nursing measures as pre-transport assessment and preparation and bettering predictive nursing for the patients with severe inhalation pulmonary injury treated with extracorporeal membrane oxygenation are key to the safety during intra-hospital transport.

Humans ; Male ; Middle Aged ; Polychondritis, Relapsing ; surgery ; Tracheotomy ; methods

Chemical Industry ; Humans ; Occupational Exposure ; Risk Assessment

Most neonatal diabetes mellitus (NDM) is caused by genetic abnormality. Sulfonylurea (SU) has been successfully applied in NDM patients;The pathogenesis of NDM and mechanism of sulfonylurea on molecular level have been illuminated, and recent studies revealed that glycated albumin is a useful glycemic indicator. In this review, the research progress of NDM is summarized.

BACKGROUND:The large watercress molded piece is longer than that of the normal molded piece, which is suitable for dental restoration of elderly patients with gingival recession and relatively long crown.
OBJECTIVE:To test and verify the effect of large watercress molded piece on the auxiliary repair of approximal caries lesions in molars of the elderly.
METHODS:Eighty-seven senile patients with molar approximal caries were randomly divided into two groups: those were repaired by large watercress molded piece as experimental group, and those repaired by traditional amalgam molded piece ascontrol group. Then we compared the comfortable satisfaction rate, the excelent and good rate of repair and the gingival index between the two groups immediately, 1, 3, 6 and 12 months after repair.
RESULTS AND CONCLUSION:The comfortable satisfaction rate of the experimental group was significantly higher than that of the control group at 1, 3, 6 and 12 months after repair (P< 0.05), and the gingival index was significantly lower than that of the control group (P< 0.05). The excelent and good rate of the experimental group was significantly higher than that of the control group at different time points after repair (P< 0.05). No loss or fracture of the restorations occurred in the two groups. These results demonstrate that the large watercress molded piece for repairing approximal caries lesions in molars of the elderly can better restore the anatomical shape and approximal points of teeth, and reduce food impaction and gingival inflammation.

[Objective] To compare the axial length (AL) measured with IOLMaster and contact A-Scan in eyes with macular edema (ME) and to investigate the correlation between measurement difference and foveal thickness.[Methods] Sixty-seven ME eyes of 42 patients (ME group) and 40 healthy eyes of 30participants (control group) were enrolled in this study.Foveal thickness was measured with 3D optical coherence topography (OCT)-1000.The AL was prospectively measured by IOLMaster and contact A-scan,The correlation between measurement difference and foveal thickness was analyzed by Pearson correlation analysis.[Results] Mean foveal thickness of ME eyes was (377.85± 119.84) μm.Mean AL by IOLMaster and contact A-scan were (22.95±0.97) mm and (22.82±1.04) mm in ME group,and (23.21±1.08) mm and (23.17 ± 1.15) mm in the control group respectively.The difference between two groups was statistically significant (t=-3.102,P=0.003).There was no correlation between measurement difference and foveal thickness in ME group (r=-0.097; P =0.447).[Conclusion]s There is a difference of AL measurements using contact A-scan and IOLMaster in ME eyes.However,there was no correlation between measurement difference and the foveal thickness.

Objective To compare the analgesic effect, adverse effects of patient-controlled epidural analgesia (PCEA) vs patient-controlled intravenous analgesia (PCIA) and their influences on stress response in thoracotomy patients. Methods 33 ASA I-II patients undergoing elective esophagectomy were randomly assigned to receive either morphine plus droperidol (Group PCIA, n=17) or morphine plus bupivacaine (Group PCEA, n=16) for 3 days postoperatively. Serum concentrations of cortisol, angiotensin Ⅱ (Ang Ⅱ), endothelin (ET) and blood glucose were measured before operation, at the end of the operation and on the next morning after operation. Pain scores with visual analogue scale (VAS) at rest, deep breathing and with cough, and adverse effects were also recorded. Results Blood glucose and cortisol were increased to similar levels in both groups at the end of the operation, but were much lower in Group PCEA postoperatively (P0.05). Pain scores with VAS were much lower in Group PCEA, especially when the patient was at deep breathing or during coughing (P