Collaterals is a term in Traditional Chinese Medicine (TCM) in human body.It is the branch of the Channels and Collaterals that consists of DaLuo,XiLuo,ChanLuo,SunLuo and FuLuo,etc.Its function are transporting qi and blood,connecting zang- fu organs and limbs, as well as the upper and the lower,the interior and the exterior, and regulating all parts of the body.Collaterals disease is the disorder of the function of transporting qi,blood and body fluid,and the pathologic metabolite interference in Collaterals due to various agents. There are many therapy such as communicating Collaterals with Pungent Flavour and Moistening,Pungent Flavour and Worm, Pungent Flavour,Clearing away Heat and promoting the dispersing function, Aromatic,Clearing away Heat,Clearing away thrombosis,Clearing away sputum,insect and ants therapy,promoting qi, moistening and promoting,Clearing and moistening,worming and moisting and Softening liver, etc.

BACKGROUND: Levodopa substitutive therapy is essential and effective method for PD for a long time, but it can not delay the course of PD. Side effect is more and more and severe, for taking levodopa long term. It is benefit to patients to postpone the usage of levodopa or decrease the dosage of it.OBJECTIVE: To systematically investigate the curative effect of the selfmade Bushenpingchan formula combined with madopar on pathogenetic condition of PD patients after onset.DESIGN: Randomized controlled observation.SETTING: Senile Disease Research Center, Xuanwu Hospital, Capital University of Medical Sciences.PARTICIPANTS: Seventy patients diagnosed as having PD were recruited from the Xiyuan Hospital of Chinese Academy of Traditional Chinese Medicine between December 1999 and May 2002. Inclusive criteria: The patients must be diagnosed as PD finally; ②be at 1.5-4 grade of modified Hoehn & Yahr measuring scale; ③less than 80 years old; ④The Traditional Chinese Medicine (TCM) diagnosis was deficiency of liver and kidney. Exclusive criteria: ①secondary PD; ②accompanying with other sever central nervous system diseases. ③patients with severe diseases of heart,lung, kidney or multi-viscera-failure; ④mental sickness patients; ⑤drug and alcohol abuse; ⑥severe adverse effect.METHODS: Totally 70 patients were divided into two groups based on the proportion of one to one: There were 35 patients in treatment group containing 22 males and 13 females. The average age was (67.9±16.5)years. There were 35 patients in control group including 25 males and 10females. The average age was (65.5±16.5) years. There was no significant difference in their general condition. Patients in the control group received 62.5-500 mg madopar (250 mg in each pill), 2-4 times a day (to change the dose according to patients' condition). The patients in the treatment group were given with 62.5-500 mg madopar (250 mg in each pill), 2-4times a day orally and 200 mL self-made Bushenpingchan formula (twice a day) in addition, which was composed of 20 g tuber fleeceflower root, 1 g hairy deerhorn, 10 g tall gastrodia tuber, 15 g gambirplant, 12 g Chinese thorowax root, 15 g twolobed officinal magnolia bark, twice a day. The course of medication was 3 month in patients of the two groups. The patients were determined with unified Parkinson disease rating scale (UPDRS) before treatment and at weeks 2, 4, 8 and 12 after treatment, respectively. The symptoms in traditional Chinese medicine after treatment were measured. The dose of madopar before and after medication as well as the adverse effect were observed.MAIN OUTCOME MEASURES: Score of UPDRS before treatment and at weeks 2, 4, 8 and 12 after treatment in patients of the treatment group and control group; the dose of madopar before and after treatment and the adverse effect after treatment.RESULTS: Total effective rate was 69% and 51% in the treatment group and control group, respectively after treatment. There was no significant difference in therapeutic efficacy (x2=0.86, P=0.222 3). ①The score of UPDRS reduced significantly 8 weeks after treatment in the treatment group as compared with that before treatment (t=2.18 ,P ＜ 0.05). ②The daily dosage decreased in the patients of the treatment group after treatment as compared with that before treatment, which had significant difference (t =2.862 8,P ＜ 0.01 ). The daily dosage in the patients of control group had insignificant difference with that before treatment (t=2.320 3,P ＜ 0.01 ). ③There were 2 cases with lightly dry mouth, nausea, dizziness,which could relieve two weeks later in the treatment group; 5 patients with nausea and 2 patients with light dizziness in control group, which could relieve. The blood pressure had no significant change in the two groups before and after treatment.CONCLUSION: The Chinese medicine Bushenpingchan formula combined with western medicine can decrease the UPDRS score in PD patients,can improve the syndromes in Chinese medicine.

Objective:To analyze and evaluate the uncertainty of spectrophotometer detection device, stability, repeat-ability, the accuracy of the standard testing devices for the detection of spectrophotometer in laboratory.Methods: To calculate the uncertainty of measurement of standard gear, stability, repeat ability for evaluating the accuracy of the standard device.Results: According to the national standard, through analysis and calculation, the veracity and reliability of standard device were proved.Conclusion: Through analysis and evaluation, the uncertainty of verification device of spectrophotometer met the requirement of value. The repeatability and stability complied with the requirement of standard establishment. It can use in detection spectrophotometer, and make sure the results accurate and reliable.

Objective: The system of quality control management of medical equipment is an important management means to maintain medical security, achieve quality control management by the information technology, and it can quickly improve the efficiency of management and increase the effectiveness of the management. Methods: Using the tools of B/S of three layer architecture technology, the management of medical device adverse event, assessment of medical equipment, management of medical equipment scrap, management of medical metrology certificate, and other functions are developed. Results:The adverse events, examine, scrap, certificate management, and other functions are designed through the software, the quality of the equipment is mastered in time through different testing cycle of data comparison, so that the related departments can take preventive maintenance to make the equipment in good state. Conclusion: The informational system of quality control management is used to promote the modernization of medical management and guarantee effectively the quality and safety of medical equipment.

Objective:To investigate the effect of the control quality detection method and common problems of the non-invasive blood pressure. We analyzed the function and characteristics of two kinds of non-invasive blood pressure quality tester to improve quality control testing technology. Methods:We are use theFLUKEBP Pump2 noninvasive blood pressure quality detector of US and Olico BP-SiM noninvasive blood pressure testing instrument to test. We analyzed the results of test. Results:The regular quality control can effectively improve the reliability and reduce the failure rate of the non invasive blood pressure monitor. Conclusion:We are Use the two kinds of non-invasive blood pressure quality testing to ensure the quality and safety of multi-parameter monitor. We are monitor the unqualified for clinical through regular inspection, as the same as, we can ensure the accuracy of clinical diagnosis and the life safety of patients.

Objective:According the review of three grade hospital, it is analysis the problems that evaluation experts pointed out. We can take effective measures and improve insufficient of control management to increase management efficiency. Methods: We can perfect quality control management system, improve the assessment mechanism, establishment of information management system to strengthen the quality control management of medical equipment. Results:After implementation of improvement measures, improve the management mechanism, the quality control management come into the information, scientific management stage. Conclusion:Through the review, we can promote construction by evaluation;the quality control and management work are improved. We can ensure the quality and safety of medical equipment, which can give full play to efficiency, better services for patients.

Objective:To design the medical equipment quality control management system and it can improve the efficiency of management, and provide data of quality evaluation of equipment for purchasing.Methods: Quality control management system adopts three layer architecture technology of B/S and publishing tools of IIS, it can implement the various functions of quality control in the management.Results: The system realized some function, like data entry, modify, query and extracting features, et al. The system can evaluate the performance of the equipment through the data analysis. So the maintenance department can preventive maintenance through the data. The equipment is insured in good condition, the purchasing department choose stability equipment in clinical. Conclusion: Quality control management system can evaluate the quality of the medical equipment through the testing data, at the same time the system can intuitive understanding controlled state of the medical equipment for managers, the mangers can take the effective measures to ensure the safety of the medical equipment quality through the system.

Objective:Putting digital electrocardiograph detection method into practice, some problems could be find out and analyzed. Moreover, the quality safety of digital electrocardiograph can be guaranteed.Methods: According to the relevant national standards and regulations, EGC-1 c type verification instrument and CMRR tester can be used to detect the electrocardiograph. By checking the appearance of the electrocardiograph machine, testing various performance parameters to judge the accuracy of the electrocardiograph machine.Results: Through regular detection, not only can eliminate potential risk of digital electrocardiograph but also can make sure quality safety of clinical use.Conclusion: Quality control detection to digital electrocardiograph is an important component of medical safety. Detection on time and maintenance in time can ensure that the measurement size of monitors is correct and credible and these monitors serve the patients better.

0. 05). The treatment group in the improvement of most clinical symptoms were superior to the control group (P

Objective To analyze thyroid papillary carcinoma (PTMC) neck lymph node metastasis (LNM) related factors,and further to explore the diagnostic value of ultrasonography in LNM.Methods A retrospective analysis of 384 cases of patients with PTMC confirmed by pathology and ultrasonic data were performed,according to the presence of cervical lymph node metastasis,they were divided into transfer group (116 cases) and nontransfer group (268 cases).Analysis was made to summarize the clinical and sonographic features of the two groups.Chi-square test and the multi-factor Logistic regression analysis were used to study the risk factors.Results ①The single factor analysis of sonographic features showed that the factors of gender (X 2 = 3.893,P = 0.048),age (P = 0.001),tumor diameter (P = 0.008), boundary(X 2 =6.327,P =0.012),acoustic halo (X2 = 15.562,P =0.001),and place (X 2 =9.441 ,P =0.024) were statistical different between the two groups;②Multiariable Logistic regression analysis showed that:patient age,tumor diameter,and acoustic halo were independent risk factors for PTMC neck lymph node metastasis,if Logistic model was used to predict the probability P =0.50 as a threshold,its accuracy was 74.2%,and the area under the ROC curve was 0.744.Conclusions Patients with age ≤ 45 years, tumor diameter ≥ 0.7 cm,located in the lower pole,boundary with uneven acoustic halo,were prone to LNM,and easy to Ⅵ area,suggest preventive cleaning lymph node in central region.