In 2002, 99.807 blood slides were taken and examined in Thanh Hoa province, of which 33.464 slides were taken from fever patients (33.52%). 196 positive cases were detected. 52 microscopic points were checked, of which 10 microscopic points were very good functioning (19.23%), 27 points were good (59.9%), 12 were average and 3 were not good (5.76%). The quality of slides taken by the commune and village health workers was not so good, the slides were too thick or too thin with blood. In some villages, the slides were taken massively in order to fulfill the target. Checking the quality of microscopy showed that the mistake rate of microscopy was 13.16% as compared with the total slides sent for rechecking. In some microscopic points, the mistake rate was high (the provincial hospital had the mistake of 6/19 positive slides)
Malaria ; Parasites ; Quality Control ; diagnosis ;

From March 1997 – September 2002, study on 31 patients intracerebral hemorrhage (28 male, 3 female) and 16 patients of control group (14 male, 2 female). The mortality of surgical treatment group was 32% and control group was 56%. Most of the benefit was in patients with lobar hemorrhage and following criteria: volume of hematoma  60cc, age  70, GCS  8. These is some suggestion that in the next future the treatment of intracerebral hemorrhage will involve non-invasive, stereotactic aspiration of hemorrhage through a single burr hole within hours
Intracranial Hemorrhage ; Hypertensive ; Surgery ; Cerebral Hemorrhage, Traumatic ; therapeutics ; surgery

Diabetes and diabetic foot is an increasing threatening for community. In the case of diabetic foot, it’s necessary to evaluate accurately and appropriately so that there may be effective therapy. Till now, preservation is a great challenge in the treatment, which distal bypass surgery and advances in excision, amputation and local treatment were gradually striving for gaining
Diabetic Foot ; Amputation ; Diabetes Mellitus

Over the last decade there is strong evidence indicating that hyperhomocysteinemia appears to be an important risk factor for vascular diseases, including cerebrovascular disease and myocardial infarction. Several multicenter-randomized trials have demonstrated that it is independent to other well known risk factors such as hypertension, diabetes mellitus, hyperlipidemia and smoking. Given the intense interest of our community concerning the prevention of cerebrovascular diseases we begin to measure homocysteinemia with a simple and accurate technique. The first results of our study raise the exciting possibility that homocysteinemia levels can be normalized by an inexpensive, well tolerated therapy with folate, pyridoxine hydrochloride and cyanocobalamin.
Cerebrovascular Disorders ; Homocysteine

AIM:To compare the effect of three types of pterygium surgery and on tear film in patients with type 2 diabetes mellitus. ·METHODS:A total of 102 patients ( 102 eyes ) with pterygium combined with type 2 diabetes mellitus treated in our hospital from March 2013 to March 2016 were analyzed retrospectively. The patients were divided into three groups including the 34 cases ( 34 eyes ) with simple excision of pterygium ( resection group ) , pterygium excision combined with conjunctival flap transplantation in 34 cases (34 eyes, as conjunctival flap group ) and pterygium excision combined with limbal stem cell transplantation in 34 cases ( 34 eyes, as stem cell group ) . The wound repair time, complications, recurrence rate, uncorrected visual acuity (UCVA), tear film break-up time ( BUT ) and basal tear secretion test (SⅠt) were observed before, and 6 and 12mo after surgery in the three groups, respectively. ·RESULTS:The postoperative UCVA of the three groups was significantly higher than that preoperation ( P =0. 039, 0. 013, 0. 024 ), and there was no significant difference among the three groups ( P = 0. 317 ). The wound repair time was 5. 67 ± 1. 45d in the resection group, which was significantly higher than that in the conjunctival flap group (4. 18 ± 0. 76d) and the stem cell group (4. 09±0. 79 d) (P<0. 001), there was no significant difference between the conjunctival flap group and the stem cell group ( P = 0. 937 ). There were 4 cases in resection group reappeared, and the recurrence rate was 11. 8%, which was significantly higher than the other two groups ( P = 0. 037 ). There were 1 recurrences in the conjunctival flap group, and the recurrence rate was 2. 9%, while the patients in the stem cell group had no obvious recurrence. SⅠt and BUT increased significantly after operation (P<0. 05), especially in conjunctival flap group and stem cell group (P<0. 001). There was no significant difference between the conjunctival flap group and the stem cell group (P=0. 845, 0. 894). · CONCLUSION: Pterygium excision combined with conjunctival flap transplantation or limbal stem cell transplantation for the treatment of type 2 diabetic patients with normal blood glucose and tear film function has the similar effect, and is better than simple pterygium excision.

Objective The aim of this study was to investigate the distribution of body weight related index and to explore the relationship between weight related index and cardiovascular diseases in rural residents in Yunnan Province. Methods By random cluster sampling method,rural residents were selected in Yunnan Province. The data were collected by face-to-face questionnaire and medical examination. Results 4070 rural residents in Yunnan participated in this study. The survey results showed that gender,age,education level and ethnicity affected both the distribution of body weight related index and low body weight,overweight,obesity,and central obesity(P < 0.05). Compared with low body weight,non overweight,non obesity and non central obesity group,non low body weight,overweight,obesity and central obesity group had higher prevalence rate of hypertension(P < 0.01). Among central obesity group,the prevalence rate of coronary heart disease was higher than non central obesity group(P < 0.01). Conclusion The distribution of body weight related index in rural residents of Yunnan province showed some special characteristic. The overweight,obesity,and central obesity were related to cardiovascular diseases. Change unhealthy living habits or behavior as well as improving their cultural quality have effects on controlling body weight related index and help to reduce the prevalence rates of overweight,obesity and central obesity which can further reduce the prevalence rates of cardiovascular diseases.

Objective: To investigate the therapeutic effect of combination of acupuncture and medicine in treating allergic rhinitis. Methods: Acupuncture, moxibustion, nasal inhalation and oral administration of Chinese materia medica were used as a composite treatment for different constitutions. The relations of the patient's age, syndrome type and course of disease to the therapeutic effect were investigated. Results: Among the treated 92 cases, marked effectiveness occurred in 68, effectiveness in 16 and ineffectiveness in 8, with a total effective rate of 91.3%. The therapeutic effect was not good in the patients who belonged to dry heat in lung meridian type and had the course of disease for more than 20 years. Conclusion: A combination of acupuncture and medicine has an exact therapeutic effect on allergic rhinitis.

OBJECTIVETo explore effects of color Doppler ultrasound and magnetic resonance imaging (MRI) in diagnosis intramuscular hemangioma of skeletal muscle.

METHODSFrom December 2000 to January 2013, 54 patients treated by operation confirmed as intramuscular hemangioma of skeletal muscle by pathology postoperatively, there were 19 males and 35 females aged from 11 to 59 years old (averaged 33.6); the courses of disease ranged from 2.5 to 15 years with an average of 5.2 years. Thirty-eight patients were checked by color Doppler ultrasound, and 14 patients were inspected by MRI. All patients were treated by operation. Postoperative operative time, blood loss in operation, and complications and pathology postoperatively were observed, and IMH clinical effective evaluating standard were used to evaluate clinical outcomes.

RESULTSForty-three patients were followed up from 7 to 49 months with an average of 28.4 months. Operative time was (53 to 187) min with average of 76.3 min, blood loss was (70 to 350) ml with an average of 223.6 ml. No infections and death occurred. Thirty-five patients were diagnosed by color Doppler ultrasound and 13 patients were confirmed by MRI. Twenty patients were capillary type, 22 patients were spongy vascular type and 12 patients were mixed type according to Brown pathological type. In accordance with IMH clinical effective evaluating standard, 29 cases obtained excellent results, 8 moderate and 4 dissatisfaction and 2 poor.

CONCLUSIONColor doppler ultrasound and MRI get a high rate diagnosing patients with intramuscular hemangioma and have an significant valuable in clinical application, and surgical operation which has advantages of relieve symptoms obviously, improve life quality and reduce recurrence rate, could receive good curative effect.

Adolescent ; Adult ; Child ; Female ; Hemangioma ; diagnosis ; pathology ; surgery ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Muscle, Skeletal ; pathology ; Ultrasonography, Doppler, Color

PROPELLER (periodically rotated overlapping parallel lines with enhanced reconstruction) is a new method of MRI data collection and reconstruction technique for reducing motion artifact. However, the minimum imaging time in PROPELLER is markedly longer than in conventional fast MRI. Through the current research of K-Space Undersampling algorithm based on PROPELLER technique, a proper undersampling method is conducted and then proved by simulation. The new data collection method can shorten the PROPELLER time without causing more image artifacts, which improves the value of PROPELLER technique.
Algorithms ; Image Enhancement ; methods ; Image Processing, Computer-Assisted ; methods ; Magnetic Resonance Imaging ; methods

Objective This report was to discuss the efficacy and complications of non-surgical therapy for patients with early lower extremity deep vein thrombosis.Methods A total of 412 patients were treated with thrombolysis or anticoagulation in our department during January 2000 and December 2006.Their clinical data were retrospectively analyzed.Results All patients were followed up for 12 to 83 months (mean,41 months).After treatment,42 patients(10.2%)were completely recovered,331 patients (80.3%)experienced large improvement,32 patients(7.8%)had mild improvement and 7 patients (1.7%)were failed,resulting in total effective rate of 98.3%.In comparison with long clinical course group(>7 days),the recovery rate and improvement rate of short clinical course group(≤7 days)was significantly increased(11.0% vs 5.4%,χ2=4.17,P<0.05;8.7%vs 1.8%,χ2=4.96,P<0.05).Complications included bleeding(2.2%),pulmonary embolism(1.9%),cerebral accident(0.7%),post-thrombotic syndrome(84.0%)and recurrence(6.1%).Bleeding rate in patients≥60 years was significantly higher(4.3%vs 0.8%,χ2=6.82,P<0.01).Incidence of post-thrombotic syndrome was significantly increased in long clinical course group(98.2% vs 81.7%,χ2=3.67,P<0.05).Condusions Non-surgical therapy,including thrombolysis and anticoagulation,might be safe and effective for patients with early lower extremity deep vein thrombosis.Early identification and management would be helpful to improve outcomes and reduce post-thrombotic syndrome.