Objective:To discuss the effect of bifid triple viable capsules on plasma D-lactic acid and stool S-IgA in the patients with colorectal cancer after the operation. Methods:Totally 68 cases of patients with colorectal cancer after the operation were selected and divided into the observation group and the control group at random. The patients in the two groups were given enteral nutrition and postoperative routine medical treatment with the treatment course of one week from the third day after the operation. The patients in the observation group were additionally given 620 mg bifid triple viable capsules, twice a day. The occurrence rates of diarrhea and flora imbalance, D-lactic acid in plasma, S-IgA in stool and adverse drug reaction ( ADR) in the two groups were observed and compared after the medical treatment. Results:After the one-week medical treatment, the occurrence rates of diarrhea and flora imbalance in the observation group were much lower than those in the control group (P<0. 05). After the treatment, D-lactic acid in plasma in the two groups was declined, while S-IgA in stool was decreased than that before the treatment, and the changes in the observation group were more notable than those in the control group (P<0. 05 or P<0. 01). No obvious ADR appeared in the two groups during the medical treatment. Conclusion:The application of bifid triple viable capsules in the patients with colorectal cancer after the operation can re-duce D-lactic acid in plasma and ralse S-IgA in stool, which can effectively recover intestinal mucosal barrier function and local immu-nity, and reduce alteration of intestinal flora and occurrence of diarrhea with high security.

The paper describes the major steps taken by Hongze County of Jiangsu Province in reforming the health personnel system. These include: (1)adopting the personnel agent system; (2)implementing the all-personnel appointment system; (3)exploring ways of reforming the executive personnel management system; (4)setting up a flexible mobility system of health technicians; and (5)putting into effect the system of yearly salaries for Party and government principals. By reforming the personnel system, the awareness of crisis on the part of the entire staff was evidently enhanced, the quality of medical services was significantly improved, and the advancement mechanism of the health cause was rendered more flexible. As a result, the development of the health cause in rural areas was pushed to a new stage.

Objective To evaluate the clinical efficacy of absolute ethanol combined with histoacryl sclerotherapy in treating high-reflux venous malformation in children.Methods The clinical data of a total of 339 sick children with venous malformation,who were admitted to authors' hospital during the period from April 2009 to April 2014 to receive interventional sclerotherapy under general anesthesia,were retrospectively analyzed.Sclerotherapy with absolute ethanol combined with N-butyl cyanoacrylate (NBCA) was carried out in 137 sick children with high-reflux type venous malformation.The patients were followed up for 6-24 months (mean of 15 months).Results Successful sclerotherapy with absolute ethanol combined with NBCA was achieved in all 137 sick children with high-reflux type venous malformation.Complete cure was obtained in 23 sick children,basic cure in 31 sick children,and effective response (improvement) in 42 sick children;the total effective rate was 70％ (96/137).Ectopic embolization due to reflux of NBCA occurred in one sick child,skin ulceration was seen in 8 sick children and intraoperative transient pulmonary hypertension was observed in 3 sick children.The adverse reaction rate was 8％(12/137).Conclusion For the treatment of high reflux venous malformation in children,sclerotherapy with absolute ethanol plus NBCA is safe and effective,this technique carries low incidence of adverse reactions.(J Intervent Radiol,2017,26:217-220)

Objective To explore the feasibility and safety of right ventricular septal pacing with active fixation electrodes.Methods This was a randomized and control clinical trial.Patients implanted with pacemaker were randomly divided into two groups.One group underwent the right ventrieular high septal pacing with the active fixation electrodes(RVS group),and the other group underwent the right ventricular apical pacing with the passive fixation electrodes(control group).The parameter was recorded in two groups in and after operation and compared accordingly.Results (1)There were no significant differences in the procedure time between two groups[averaged(59.6±3.2)and(60.2±3.7)minutes respectively].But the time of exposing X-ray was significant longer in RVS group.(2)There was no significant difference in acute implanting measurement,except perioperative and postoperative threshold 1 month in RVS group was higher than that in control group(P＜0.05 or＜0.01).After 3 months,there was no significant difference.(3)Impedance decreased significantly in 1 month and 3 months in RVS group[P＜0.01 or＜0.05).(4)There was no difference in R-wave sensing between two groups.(5)After 100%pacing,the mean QRS duration Was shorter in RVS group,but the difference was not significant.(6)Operations in two groups came off smoothly and there were no complications.Conclusion It is feasible and secure to pace from RVS with active fixation electrodes.

Objective To investigate the therapeutic effect of laparoscopic radical resection of rectal carcinoma via natural orificespecimen extraction(NOSE). Methods Laparoscopic resection of rec-tal carcinoma was performed using NOSE technique in 35 cases of rectal cancer from October 2013 to 2015 July. Analysis of clinical data,postoperative exhaust time,the number of resected lymph node,and anastomotic leakage rate was conducted. Results All 35 cases underwent laparoscopic radical resection of rectal cancer with successful anus preservation. There were no preventive transverse colostomy. Among them,the success rate of laparoscopic radical resection via NOSE for rectal cancer was 85. 71%(30 /35). The operation duration ranged from 105 to 186 min(mean 129. 50 min). Anal exhaust time was 22 to 80 h(average 38. 13 h). Postoperative hospital stay lasted for 9 ~ 21 days(mean 10. 27 d). Anas-tomotic leakage occurred in 1 case and puncture infection in 2 cases. Conclusion Laparoscopic radical resec-tion of rectal carcinoma in middle and low rectal cancer is safe and reliable,which is worthy of being spread.

Objective To explore the features of verbal working memory in elderly patients with anmestic mild cognitive impairment (aMCI).Methods Thirty patients with aMCI and 30 normal controls (NC), whose age were over 65 years old, were examined with verbal working memory software and the other neuropsychological tests, such as verbal fluency test (VFT) and digit span test.Results The correct rate of visual semantic verbal working memory test was significantly lower in aMCI patients (79.83% ± 3.22% )than in NC ( 87.00% ±: 1.93 % , t = - 1.03, P = 0.002).There was no significant difference of correct rate of the visual phonological verbal working memory test between the aMCI (78.92% ± 8.60% ) and NC (86.80% ±2.14%, t = - 2.34, P = 0.060).Also, aMCI cases achieved significantly lower scores than NC on VFT (22.96 ±2.31 vs 31.53 ±3.72, t = - 1.08, P =0.004) and BDS ( 1.53 ±0.86 vs 3.63 ±0.56, t = - 1.23, P = 0.027).Conclusion The visual semantic verbal working memory is impaired and visual phonetic working memory is saved in aMCI patients.Both scores of verbal fluency test and digit span test are significantly decreased in aMCI patients, too.

Objective To observe the effect of single kneeling position trunk intensive training on the balance of patients with stroke Pusher syndrome. Methods From January, 2014 to February, 2016, forty patients with stroke Pusher syndrome were randomly divided into observation group and control group equally. They all accepted routine rehabilitation, while the observation group added a trunk intensive training with one knee kneeled. They were assessed with Berg Balance Scale (BBS), Fugl-Meyer Assessment (FMA) of lower limb and Sheikh's Scale of Trunk Control before and after training. Results The scores of BBS, lower limb FMA and trunk control improved in both groups after eight weeks of treatment (t>1.756, P<0.05), and improved more in the observation group than in the control group (t>1.827, P<0.05). Conclusion Single kneeling trunk intensive training can effectively improve the balance in stroke patients with Pusher syndrome.

Objective To explore the value of three-dimensional interactive localization of the anterior ethmoidal canals(AECs)in minimally invasive nasal surgery.Methods Thin-section three-dimensional CT images of the paranasal sinus in 80 patients(160 sides)were analyzed by using interactive localization system.The length and angulation of the AECs were recorded.The relationship between the positions of the AECs and anatomical landmarks were viewed in coronal and sagittal planes.Results The length and angulation of the AECs were(6.9?1.8)mm and(126.6?16.0)?,respectively.The distance between the anterior ethmoidal foramen and the anterior ethmoidal canal to the roof was(7.0?2.2)mm and(2.8 ? 2.0)mm,respectively.The AEC was identified as a suspending separate canal in 35.0%(56/160)sides.In the AECs plane on coronal images,the sagittal part of middle turbinate was found as 74.4%(119/160),the basal lamella of middle turbinate was 25.0%(40/160),and the superior turbinate was 0.6%(1/160).While on the sagittal planes,the position of AECs located on the basal lamella of ethmoida,on the basal lamella of middle turbinate,between the basal lamella of uncinate process and the basal lamella of ethmoida,between the basal lamella of ethmoida,and the basal lamella of middle turbinate were found in 23.8%(38/160),45.0%(72/160),1.2%(2/160)and 30.0%(48/160)of the cases,respectively.Conclusion AECs can be measured and located correctly by three-dimensional interactive system.

Objective To explore the clinical features of acute myocardial infarction (AMI) complicated by cerebral infarction.Methods 857 AMI cases were divided into the groups with cerebral infarction and without cerebral infarction.The data were analyzed.Results The mean creatine kinase (CK) peak value,heart tip infarction,cardiogenic shock and arrhythmia were higher in the group with cerebral infarction than that in group without cerebral infarction (P

Objective To study the working memory changes in patients with Parkinson disease(PD).Methods The Smith working memory software was used and 66 cases of PD patients and 60 normal controls were enrolled.Results The results showed that the correct rate of visuo-spatial working memory was significantly decreased (P0.05) working memory impairment found in PD patients. The correct rate of visuo-spatial and visuo-object working memory in the middle stage of PD was significantly decreased than that in the early stage. The relative analysis showed that the Hoehn-Yahr stage, a negative relationship to the correct rate of visuo-spatial and visuo-object working memory.Conclusion Spatial working memory impairment without object shape and the color working memory impairment were found in the early stage of PD. As disease advanced both the visuo-spatial and object shape working memory deficits were found exacerbated.