Epistaxis is a common otorhinolaryngological emergency with complex etiological factors and varied clinical manifestations. The key to epistaxis treatment is accurate diagnosis and adequate hemostasis. Electrocoagulation is a reliable, safe and effective treatment for epistaxis. However, there are still several deficiencies in application of the commonly used electrocoagulation surgical products. This paper introduces a new type of radiofrequency head incorporating the dynamic circulatory functions of drip, irrigation, hemostasis and aspiration. We aim to achieve noninvasive, effective and accurate hemostasis in the treatment of epistaxis or nasal sinus surgery.
Humans ; Epistaxis/surgery* ; Electrocoagulation ; Treatment Outcome ; Paranasal Sinuses

Objective:To examine the expression of TRAF 6 in ovarian carcinomas ,discuss the relation between expression level and clinical characteristics of ovarian carcinomas and study the clinical significance .Methods: Specimens from 102 patients with ovarian carcinomas managed in our hospital between Augest 2001 and December 2009 were included in this study .Immunohistochemical staining was used to detect the expression of TRAF 6 in ovarian carcinomas and normal tissues .All the specimens were confirmed by pa-thology for ovarian carcinomas and normal tissues by HE staining .Then, the correlation between the expression and clinical characteristics of patients was analyzed .Furthermore ,survival analyses were performed according to the Kaplan-Meier method.Results:The positive expression rate of TRAF 6 in ovarian carcinomas and normal tissues was 68.6% and 20.5%, respectively.TRAF6 expression was significantly associated with tumor stage and distant metastasis ( P<0.05 ) .According to the survival analysis of 102 ovarian carcinomas patients ,cases in the TRAF6 low-expression group showed poorer overall survival rate when compared with low -expression group ( P<0.001 ) .Conclusion: These results indicate that the expression of TRAF 6 was closely related with in the progression of ovarian carcinomas and may have clinical utility in the prediction of prognosis of ovarian carcinomas .

The demand for knowledge of productive health and the current status of productive health services provided by relevant governmental institutions were qualitatively and quantitatively studied. The study identified the key factors that influenced the demand for the productive health services and results of the services. It also discussed the effective approaches to control, planning and sustainable development of the reproductive health services for the floating populations.
Attitude to Health ; China ; Health Services Accessibility ; Health Services Needs and Demand/*statistics & numerical data ; Questionnaires ; *Reproductive Health Services/supply & distribution ; Sampling Studies ; Transients and Migrants ; Travel ; Urban Health Services/*organization & administration ; Urban Health Services/standards ; Young Adult

Pectus excavatum and carinatum are the most common deformity of chest wall deformity.To get anatomical deformity correction,beautify,improve physical function and the quality of life are the therapeutic purposes.Among the various clinical research and treatment,non-invasive treatment,which is the trend,is popular in surgeons and patients as well.From clinical experience,combining international and domestic progress of treatment on chest wall deformity,this review discuss the application prospect of non-invasive treatment.

In order to analyze the mechanism of febrifugal effect of electric needling "Baihui (Hundreds Converge)" point of febrile rabbits, 108 rabbits were divided into 5 groups, serveing as experimental animals. The results obtained showed: 1. In febrile rabbits induced by monoeytic pyrogen, electric needling "Bai hui" points has significant febrifugal effect, i. e. inhibiting the rise of body temperature, in the meantime the cAMP content rose in c. s. f. was markedly inhibited. 2. On febrile rabbits, electric needling blocking "Bai hui" point and Non-acupoint exhibited no marked febrifugal effect, i. e. showing apparently fever response, and at the same time cAMP contents in c. s. f. was strikingly increased. 3. Blocking of "Bai hui" point itself did not produce any effect on pyrogen-induced fever and cAMP content increased.The author inferred that the mechanism of inhibitory effect of electric needling "Bai hui" points in febrile rabbits might be closele assocated with feeling of local sensible tissue (e. g. free nerve endings) in "Bai hui" point, and with producing nerve impuls which transmitted through some mode to brain. As a result, increased cAMP was inhibited and setpoint to move up was inhibited.

ion:Objective To study the effect of enteral nutrition on cardio-pulmonary function in elderly patients with chronic obstructive pulmonary disease (COPD) .Methods Fifty-eight elderly COPD patients were randomly divided into treatment group (enteral nutrition group ,n=29) and control group (free diet group ,n=29) .Their nutrition parameters (BMI ,serum total protein ,al-bumin and prealbumin) ,LVEF and pulmonary function (FEV1 ,FVC ,FEV1/FVC) were assayed before and after treatment .Results The BMI ,serum levels of total protein ,albumin and prealbu-min were significantly higher in treatment group after treatment than before treatment ( P<0.05) .However ,no significant difference was observed in these parameters in control group after treatment .The LVEF ,FVC ,FEV1 and FEV1/FVC were significantly higher in treatment group than in control group after treatment (P< 0 .05) .Conclusion Enteral nutrition in combination with conventional treatment can improve the nutrition and cardio-pulmonary function in elderly COPD patients ,thus shortening their hospital stay time .

OBJECTIVE To understand the status of sterilization in our hospital to provide the evidence for control of nosocomial infections.METHODS The quality of air sterilization,disinfectant liquid in use,the effect of autoclave sterilization,staff's hands and the object′s surface in 29 clinical departments of the hospital were monitored.RESULTS In 2006,the qualification rate of air sterilization was 70.74%.The qualification rate of disinfectant liquid and autoclave sterilization were 88.03% and 93.71%,respectively.CONCLUSIONS We should strengthen the monitoring of hospital sterilization,apply monitoring data reasonably and discover all kinds of risks for nosocomial infections in time to decrease the incidence rate of nosocomial infections.

OBJECTIVE To study the constituent ratio and drug resistance of Gram-negative bacilli to draft preventive and control measures.METHODS The sputum and lower respiration secretion of 354 patients infected with Gram-negative bacilli were cultured by routine methods.Disk diffusion test was used to analyze drug resistance.RESULTS The isolating rate of Pseudomonas aeruginosa(25.7%) was the highest.Then was Klebsiella pneumoniae,accounted for 21.5%.Except for Haemophilus influenzae,the other Gram-negative bacilli were resistant to the routine drugs in different degrees.The detection rate of extensive-spectrum beta-lactamases(ESBLs) producers in K.pneumoniae and Escherichia coli were 38.2% and 36.7%,respectively.CONCLUSIONS It is very necessary for clinical microbiology department to monitor pathogens to provide the scientific evidence for clinical usage of the antibiotics.

OBJECTIVE To study drug-resistance status of nosocomial infections caused by coagulase negative staphylococcus(CNS)to offer scientific basis for reasonable usage of antibiotics.METHODS CNS were all identified by VITEK32 system.The drug suspectivity was tested by K-B method.The results were judged according to NCCLS/CLSI2004.RESULTS Among 258 strains of CNS,111 strains of Staphylococcus haemolyticus ranked the top,accounting for 43.0% and followed by 98 strains of S.epidermidis(38.0%).The isolating rate of meticillin-resistant coagulase-negative staphylococcus(MRCNS)was 51.9%(134/258).The drug-resistance rate of MRCNS was higher obviously than that of methicillin-susceptible coagulase-negative staphylococcus(MSCNS).CONCLUSIONS CNS has been one of the important pathogens of nosocomial infections.MRCNS with higher isolating rate showed multi-drug resistance.The glycopeptide antibiotics are the first choice to cure MRCNS infections.