As a challenging complication of neonatal jaundice, bilirubin encephalopathy can be subdivided into acute and chronic isoforms with the latter also named kernicterus. Its mechanism remains unclear. Its main sequelaes lie in auditory deficiency and dyskinesis. Brain stem auditory evoked potentials test is highly valued in the early diagnosis of kernicterus and the screening of auditory deficiency. MRI manifests symmetrical Tl-weighted signals on pallidum in acute phase and T2-weighted signals in chronic phase. The practical value of magnetic resonance spectrum yet demands further exploration.

Blount disease is a common childhood condition that requires surgical correction. The conventional method of osteotomy and acute correction is associated with risk of neurovascular complications and occasionally displacement of the intra operative alignment. This case report describes a new technique that involves multiple longitudinal osteotomies over the proximal tibia without loss of cortical continuity between the proximal and distal tibia. It simulates an incomplete (greenstick) fracture that allows p
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Objective To develop a fast medical air(including oxygen,negative pressure air and positive pressure air) concentrated supply system for field infirmary.Methods Designed in modularized type,three subsystems can be quickly united together.Results Medical air can be supplied for large quantities of the wounded and sick in field treatment.Conclusion The system guarantees the smooth treatment for patients in field infirmary.[Chinese Medical Equipment Journal,2008,29(2):69,75]

OBJECTIVE To explore the clinical distributed features and drug-resistant conditions of pathogenic bacteria in nosocomial infection in the last three years for the reference to clinical drug administration. METHODS Retrospective analysis was performed about drug-resistant conditions of pathogenic bacteria in nosocomial infection in the last three years from 2004 to 2006. RESULTS Totally 488 pathogenic strains, including 289 strains of Gram-negative bacteria (59.22%);95 strains of Gram-positive bacteria (19.47%) and 104 strains of fungi (21.31%),were isolated from patients in the last three years, the isolation rate of fungi,Acinetobacter baumannii and Enterobacter cloacae tended to increase year by year. They resisted to commonly used antibiotics at different degree, the rate of multiple-resistance was 80.33%. CONCLUSIONS Most pathogens isolated from patients with nosocomial infection are Gram-negative bacteria, which always display multi-resistant tendency to routine antimicrobial agents. The culture of pathogenic bacteria and rational use of antimicrobial agents should be emphasized to decrease the incidence of nosocomial infection, the factors which easily caused nosocomial infection should be reduced as well.

Intellectual disability is a genetically heterogeneous disease,however,more than half of the genetic etiologies still remain unexplained.Since whole exome sequencing is applied for intellectual disability,a mature work flow has been established,which firstly discovered some important causative genes.This paper reviews the application,advantages and disadvantages of whole exome sequencing for sporadic,unexplained intellectual disability.

The paper first expounds the concept and content of patients＇ right of privacy, introduces some law regulations of patients right of privacy in our countryand dicusses the legal character and the legal responsibility about the violation of patients＇ right of privacy, administrative legal responsibility and civil legal responsibility.

Structural fat grafting has been considered as a valid option for soft-tissue augmentation in cosmetic surgery.However,its result has often been considered poor or unpredictable and is largely surgeon dependent.Less desirable outcome after fat grafting is probably due to lack of good surgical technique.In order to help plastic surgeons to gain more insight to this valid fat grafting technique,the author conducted a critical review of the current literature in this subject.To better address the findings of the study,the fat grafting technique was arbitrarily classified into 4 essential steps to determine how the donor sites should be selected and how the fat grafts should be harvested,processed,and placed.It becomes clear that several basics in an established fat grafting technique have gained much of scientific support and should be followed in order to achieve an optimal outcome for our patients.These basics include the proper selection of donor sites,to harvest fat grafts with an atraumatic technique,to process fat grafts with centrifugation in an appropriate setting,and to place fat grafts with a unique fashion.

Gastric cancer is one of the leading causes of cancer mortality in the world.The development and progression of gastric cancer is attributed to a number of genetic and epigenetic alterations of oncogene and tumor suppress gene.

Objective:As the main component of human capital, health capital's dynamic path has been generally received attention. Methods: According to Grossman’s theory of health capital, the health investment return is defined as the monetary benefits and psychological benefits and the optimum control theory is used to study the optimal path of health investment. Results:The optimum path of health investment has sole saddle point equilibrium with both stability and uniqueness. Conclusion: The maximum utility of consumers depends on the their subjective judgment of future life. As a rational consumer, it needs to consider that health risk rises with age gradually, health investment should be increased to maximize lifetime utility.

Objective To investigate the clinical effect of the application of autologous venous blood and rubber plaster in treating patients with necrotic ulcerative pressure sores. Methods A total of 70 patients with pressure sores were divided into the group and the control group according to random digit table with 35 cases in each group. Based on the systematic support and routine nursing, the control group was treated with rubber plaster, while the observation group received combination treatment of autologous venous blood and rubber plaster. Results In the observation group the cure rate and total effective rate were 65.7%(22/35), 94.3%(33/35) , significantly higher than those of the control group, which were 45.7%(16/35), 71.4% (25/35),the differences were significant (χ2=5.285, 7.513, P<0.05 or 0.01). The wound abscess regression time and total sore healing time was (12.8±1.6) and (12.4±2.8) months in the observation group, significantly shorter than that of the control group, which was (16.1±5.7) and (18.5±3.9) months, the differences were significant (t=3.278, 7.517, P<0.01). Conclusions Combination of autologous venous blood and rubber plaster for treatment of necrotic ulcerative pressure sores had distinct curative effect, it can accelerate surface healing process as well as improve the adherence to treatment and life quality of patients.