A drill protector which can lock the drilling depth was designed, which is easy and safe.
Equipment Design ; Fracture Fixation ; instrumentation ; Surgical Instruments

Objective To study the characteristics and clinical value of blink reflex in patients with diabetes mellitus. Methods Blink reflex were measured in 40 diabetes melletus and 30 normal adults. Results The result showed that diabetic group R1, R2 and R2' wave latency was significantly longer than the control group,meanwhile their amplitudes were significantly lower than that of control. And to 112 and R2' extended significantly,which showed that the damage to the central nervous system in diabetes can affect the brain stem. With the extension of duration of diabetes BR abnormal rate gradually increased. Conclusion It was concluded that BR provide an objective and sen-sitive index for the damage of the central nervous system in diabetes.

Objective To investigate the variation of thyroid hormone therapy in patients with hypothyroidism before,during and postpartum pregnancy.Methods Thirty-eight patients who suffered from hypothyroidism and had successful pregnancy were collected.Among them,15 cases of hypothyroidism were caused by autoimmune thyroiditis caused,11 cases were induced by thyroid surgery; in 131I treatment induced hypothyroidism were 5 cases,7 patients had unclear reason pregnancy clinical thyroid dysfunctions.Thirty-eight cases of non-pregnant patients with hypothyroidism were also collected as the control group.They achieved efficacy standards by levothyroxine (L-T4) treatment and dose variation of L-T4 was statistically analyzed.Results There was a significant difference before pregnancy,postpartum and different periods of pregnancy.L-T4 dose had a significant increase after pregnancy.At 10-12 weeks,16-18 weeks,22-24 weeks,26-30 weeks,34-36 weeks respectively,L-T4 dose was significantly increasing compared with before pregnancy and postpartum 3 months((110.51 ± 10.42),(113.81 ± 21.04),(108.32 ± 21.01),(105.58 ±21.54),(105.89±10.24),(84.42 ±10.45) and (86.43 ±10.29) μg/L,F=15.631,P＜0.001),but between before and pregnancy postpartum,there was not significantly difference (P ＞ 0.05).Among the various stages of pregnancy,there was also no significant difference; In the patients with hypothyroidism due to thyroid surgery and 131I therapy,L-T4 dose were significantly higher than autoimmune thyroiditis and patients with no clear reason(before,during and after pregnancy,F =4.98,5.15,5.04,P ＜ 0.001).Conclusion Patients with hypothyroidism during pregnancy should increased therapeutic dose of thyroid hormone with average about 30％-40％ of the original dose,and in postpartum,levels before pregnancy could resume.High doses of L-T4 treatment should be taken in patients with hypothyroidism after 131I therapy and after thyroid surgeries.

Through decades of innovation and transcendence,foreign medical universities consistently promoted integration of medicine and humanities and carried out curriculum and teaching reform.Both the ideas and measures are advanced and worthy study.Currently,the development of medical humanities education in China is confronted with difficulties.Medical students need to promote their humanistic quality urgently.The study explored the effective measures to innovate and transcend by analyzing the advancement of foreign medical humanities education and problems of medical humanities education in China.

Objective To compare the short-term perioperative outcomes of video-assisted mini-thoracotomy(VAMT),multiple port-video-assisted thoracoscopic surgery(MP-VATS)and single utility port-VATS(SP-VATS)in treatment of early stage non-small cell lung cancer(NSCLC).Methods A total of 157 cases of early stage NSCLC patients were collected and divided into three groups:66 cases received VAMT treatment as group VAMT;45 cases received MP-VATS treatment as group MP-VATS;46 cases received SP-VATS treatment as group SP-VATS.The intraoperative and postoperative conditions,lung function indexes including forced expiratory volume in one second(FEV1),forced vital capacity(FVC)and maximal voluntary ventilation(MVV)among the groups were compared.Results There were no significant differences in the operation time and the number of lymph node dissection among the SP-VATS group,MP-VATS group and group VAMT[(154.89±32.34)min vs(158.43±36.78)min vs(161.21±40.02)min,(12.34±4.55)pieces vs(12.47±3.81)pieces vs(11.78±3.32)pieces,P>0.05];the incision length,blood loss,amount and time of postoperative drainage and the postoperative ambulation in groupSP-VATS were significantly lower than group MP-VATS and VAMT[(4.11±0.65)cm vs(6.42±0.65)cm vs(12.14±2.23)cm;(170.31±45.68)ml vs(166.23±43.21)ml vs(228.96±63.21)ml;(623.42±231.56)ml vs(681.23±278.54)ml vs(924.54±324.51)ml;(5.27±1.32)d vs(7.43±2.27)d vs(7.66±2.89)d;(3.36±0.78)d vs(4.62±1.26)d vs(4.78±1.43)d,all P<0.05].The time of postoperative drainage and postoperative ambulation in group SP-VATS was significantly lower than group MP-VATS(P<0.05);The rate of postoperative complications in group SP-VATS was 2.17%,significantlylower than 15.15% in group VAMT(P<0.05);The postoperative recurrence rate within 6 months among the group SP-VATS, group MP-VATS and group VAMT were no significant difference(6.67% vs 4.44% vs 3.03%,P>0.05);After surgery,the lung function(FEV1,FVC,MVV)among the three groups were significantly decreased,and the group SP-VATS was significantly higher than VAMT group(P<0.05),but there was no significant difference with group MP-VATS(P>0.05).Conclusion The SP-VATS for early stage NSCLC has similar short-term efficacy with VAMT and MP-VATS,but SP-VATS has faster recovery and maller postoperative pulmonary dysfunction.

The paper mainly probes into the engineering characteristics and ethical dilemmas of life science and technology.It holds that only through the strengthening of scientists' and their community's sense of responsibility,the construction and supervision of ethics committee and popularization of life science and technology and bio-ethics could its ethical dilemmas be surpassed.

OBJECTIVE:To establish a method for the contents determination of 5 coumarins in sulphur-fumigated and no sul-phur-fumigated Glehnia littoralis,and investigate the effect of sulphur fumigation on the coumarins in G. littoralis. METHODS:HPLC was performed on the column of Hypersil ODS C18 with mobile phase of acetonitrile-0.1% phosphoric acid (gradient elu-tion)at a flow rate of 1.0 ml/min,detection wavelength was 295 nm,column temperature was 30 ℃,and the volume was 20 μl. RESULTS:The linear range was 0.121 5-12.15 μg/L for psoralen,0.389-38.9 μg/L for xanthotoxin,0.055-5.5 μg/L for bergapten, 0.070 5-7.05 μg/L for imperatorin and 0.092 5-9.25 μg/L for isoimperatorin(r≥0.999 7);RSD of precision test was lower than 1.0,RSDs of reproducibility and stability tests were lower than 3.0;recovery was 98.01%-101.97%(RSD<3.0%,n=6). CON-CLUSIONS:The content of coumarins in G. littoralis was obviously decreased after sulphur fumigation. the method is simple and accurate,and canbe used for the quality control of sulphur-fumigated and no sulphur-fumigated G. littoralis.

Object To understand pollen life of Cistanche deserticola Y.C.Ma in natural conditions. Methods To determine pollen viability of C. deserticola in natural state by pollen germination method in vitro.Results The optimum conditions of C. deserticolapollen germination are pollens in primary flowering time and a culture medium with 0.6% agar + 10% sucrose + 0.1% boric acid, cultured in 25 ℃, which is benefit to pollen germination and pollen tube growth; low temperature (4 ℃) is benefit to pollen short-dated storage and can prolong pollen life. Conclusion The study provides a theoretical basis for conserving better seed resources and artificial cultivating by pollen of C. deserticola.

Objective:To investigate the feasibility,safety and superiority of transvagina endo- scopic cholecystectomy used in clinical application.Methods:31 patients with gall-bladder diseases were treated in transvagina endoscopic cholecystectomy.Through a 5mm cut below the umbilicus, inserted laparoscopic guide gastroscope and NOTES manipulator enter abdominal cavity through posterior fornix 15mm cut.After the gastroscope can capture stable vision,withdraw the laparoscope and insert normal laparoscopic manipulator.With the gastroscope monitoring,accomplish cholecystectomy using umbilical and pudendum manipulator.Results:All of patients were accepted this new type operation.The operation time was 60～150 minutes,and the average time was 85 minutes.No postoperative draining,bleeding and biliary fistula occurred in those patients. There was no obvious scar in belly,and all of patients felt no pains after operation.The average inpatient time was shorten,the medical cost decreased.Conclusion:Transvagina endoscopic cholecystectomy is feasible and safety.Comparing to traditional laparoscopic operation,it has obviously superiority.Transvagina endoscopic cholecystectomy should be widely applied in good condition hospitals.

The article introduces the types as well as biological characteristics of hernia repair materials, and compares the application value of different kinds of hernia repair materials in inguinal hernia repair.According to the chemical composition and biological characteristics, the hernia repair materials are divided into three kinds:nonabsorbable, absorbable and compound materials The best advantage of absorbable material is anti-infection, which can provide temporary support and protection for infective abdominal defect.Another advantage is that the absorbable material can improve the proliferation of collagen.The non-absorbable material also has the anti-infected effect.Once the infection occurs, the nonabsorbable material does not need to be carried out.But the nonabsorbable material is forbidden to place in the abdominal cavity and contact with viscera, because of the severe adhesion occuring between the material and the viscera, resulting in digestive tract obstruction and even intestinal fistula.The compound material has the both advantages of absorbable and nonabsorbable materials.We should select the different kinds of hernia repair material according to self-condition of patients.