Objective To investigate the effective regimen and security to treat the hepatitis C virus (HCV) recurrence after orthotopic liver transplantation (OLT).Methods The clinical data of 9 cases of HCV related end-stage hepatopathy after liver transplantation were retrospectively analyzed.Five patients with recurrent HCV after OLT were selected for treatment,and all of them were given pygylated interferon αα-2a and ribavirin.The treatment course was 48 weeks.The changes in hemoglobin,white blood cells,transaminase,and HCV RNA copies were observed before and after treatment.The early viral response (EVR),sustained viral response (SVR) and adverse reactions were assessed.Results Three cases out of 5 cases of HCV recurrence after OLT obtained EVR within 12 weeks,all of them obtained SVR after the treatment,and the function of the transplanted liver returned to normal; In one case,HCV RNA was declined by less than 102 copies after 12 weeks of treatment,and the treatment was terminated; In one case,HCV RNA was declined by greater than 102 copies after 12 weeks of treatment,and at 24th week,HCV RNA was still positive and the treatment was terminated,but HCV RNA remained at a low level at 48th week.Side effects occurred in all 5 cases after antiviral treatment,and alleviated after symptomatic treatment.Conclusion To treat the recurrence of HCV timely after OLT by pygylated interferon (in combination with ribavirin was safe,and the majority of patients could achieved sustained virological response.

The terrible triad of elbow is a kind of complex elbow fracture dislocation, after reduction, it should get a concentric circles joint reduction and elbow stability, if radial and coronoid process fractures is less piece, the conservative treatment can be performed, but regularly follow up is mandatory. If surgical treatment was chosen, radial head fractures and the lateral collateral ligament complex must be repaired. Single lateral approach can be used and also can be combined with anteromedial approach in surgery. Some problems are still controversial in the treatment of coronoid process fracture with Morry type I and type II, such as fixation or not, whether additional external fixation and repair of the medial collateral ligament injury at the same time.

Studying the literature of blood stasis syndrome (BSS), we reviewed the research course and the perspective of molecular regulation network and BSS. The essence study of BSS was firstly proposed by Chen Ke-ji and Wang Jie, and developed for more than thirty years. The course for BSS study mainly included the formulation of BSS diagnostic standard, the establishment of BSS animal model, pedigree methods, twins combined clinical epidemiological survey of BSS research, the four "zu" subjects combined molecular regulation network of BSS, signal transduction system network and BSS research, and so on. Along with a new sequencing approach in basic research, clinical diagnostics, and drug development, we are promising to see the whole gene network research of human diseases, such as metabolic disease, cancer, and etc. These achievements could provide a new way of thinking for further studying the essence of BSS.
Diagnosis, Differential ; Genomics ; Humans ; Medicine, Chinese Traditional ; methods

Adult ; Aged ; Chromosomes, Human, Pair 7 ; genetics ; Female ; Humans ; Male ; Middle Aged ; Pedigree ; Polydactyly ; genetics

Adolescent ; Adult ; Aged, 80 and over ; Arthrogryposis ; genetics ; Child ; Female ; Humans ; Male ; Middle Aged ; Pedigree

Adult ; Brachydactyly ; genetics ; Chromosome Aberrations ; Female ; Fingers ; abnormalities ; Humans ; Male ; Pedigree

Adult ; Child ; Female ; Humans ; Keratoderma, Palmoplantar ; genetics ; pathology ; Male ; Pedigree

OBJECTIVE：To promote rational use of OTC in the family ，and to provide reference for the formulation of related policy by health administration department. METHODS ：By stratified cluster sampling method ，using residents of 4 cities from Gansu province as objects ，face-to-face questionnaire household survey was conducted in Jan. 2019. The general information of the residents and their family self-medication behaviors were collected ，and the influential factors [tendency factors （including cognition of OTC and attitude towards self-medication ），contributing factors and strengthening factors ，and odds ratio （OR）was used to study the correlation between factors and results] of self-medication behaviors were analyzed by PRECEDE-PROCEED model. Epi Data 3.10 software was used to establish database ，and SPSS 16.0 software was adopted to analyze the family self-medication behavior of residents statistically. RESULTS ：A total of 3 600 questionnaires were sent out ，and 3 111 valid questionnaires were recovered ，with an effective recovery rate of 86.4％. 81.8％（2 541/3 106）of the respondents had self- medication behavior in the past 1 year. The results of binary Logistic regression and χ2 test showed that female residents ，irregular daily life ， no chronic disease ，low monthly family income ，new rural cooperative medical care and urban residents ’medical insurance were more inclined to self-medication. In the tendency factors ，residents who knew that OTC could be purchased in the pharmacy without the doctor ’s prescription （OR＝1.322）， Δ 基金项目 ：国家自然科学基金资助项目 （No.41405108， No.21472077） drug package with OTC logo （OR＝1.397）and the Chinese ＊讲师，硕士。研究方向：药物新制剂、新剂型、新技术。E-mail： herbal medicine also had toxic side effects （OR＝1.750），the 410843130@qq.com possibility of self-medication was greater ；the residents who # 通信作者：教授，博士。研究方向：药物活性分子的设计与合 seldom cleaned the family medicine box （OR＝0.462），quick 成。E-mail：wangshh@lzu.edu.cn and effective drugs （OR＝0.670） and ADR （OR＝0.688） 中国药房 2020年第31卷第11期 China Pharmacy 2020Vol. 31 No. 11 ·1377· were the factors that prevent the occurrence of se lf-medication behavior ，while low drug price （OR＝5.298）was the tendency factor of self-medication behavior. In the contributing factors ，the incidence of self-medication of residents with regular drugs in their home was 2.997 times higher than that those without reserves ；the convenience of self-medication （OR＝1.376），the proximity of drugstores to home （OR＝1.680），the credibility of drug quality （OR＝1.355） had a facilitating effect on the occurrence of self-medication. In the strengthening factors ，the suggestions of relatives and friends （OR＝3.388），books， newspapers and TV network advertisements （OR＝2.043）had a strengthening effect on the occurrence of self-medication. The above factors had a significant effect on the residents ’self-medication（P＜0.05）. CONCLUSIONS ：The family self-medication behavior of residents in Gansu province is common. The residents with higher cognitive level tend to self-medication ；the lower the drug price ，the more likely the self-medication behavior will occur. The factors contributing to the occurrence of self-medication are the regular drugs at home ，the proximity of drugstores to home ，and the credibility of drug quality. The suggestions of relatives and friends，online advertising and other factors are the strengthening factors of the occurrence of self-medication behavior.

OBJECTIVETo investigate the effects of open reduction by palm side for the distal radius fracture and T shape plate internal fixation with simultaneous anterior transverse carpal ligament resection for the prevention of delayed carpal tunnel syndrome after operation.

METHODSFrom March 2000 to March 2007, 32 patients (8 males and 24 females, ranging in age from 46 to 66 years) with distal radius fracture were treated with open reduction by palm side and T shape plate internal fixation with simultaneous anterior transverse carpal ligament resection; while 30 patients (7 males and 23 females,ranging in age from 45 to 65 years) only with open reduction by palm side and T shape plate internal fixation. The incidences of delayed carpal tunnel syndrome between the two groups were compared.

RESULTSAmong 32 patients treated with open reduction by palm side and T shape plate internal fixation with anterior transverse carpal ligament resection, 3 patients had delayed carpal tunnel syndrome; while in 30 patients treated with open reduction by palm side and T shape plate internal fixation, 10 patients had delayed carpal tunnel syndrome. There was significant statistically difference (P < 0.05%).

CONCLUSIONSimultaneous anterior transverse carpal ligament resection can effectively prevent the delayed carpal tunnel syndrome occurrence for the distal radius fracture with open reduction by palm side.

Aged ; Carpal Bones ; Carpal Tunnel Syndrome ; prevention & control ; Case-Control Studies ; Female ; Fracture Fixation, Internal ; Humans ; Ligaments, Articular ; surgery ; Male ; Middle Aged ; Radius Fractures ; complications ; surgery

Adult ; Humans ; Male ; Pedigree ; Polydactyly ; genetics