Objective To master the dynamics of schistosomiasis endemic situation and influencing factors in Mianyang City,so as to provide the evidence for making the control and prevention measures. Methods Six villages of six schistosomia?sis heavy endemic counties were selected as survey sites according to the national surveillance protocol(Revision in 2014)in Mianyang City. The surveys of the incidences of schistosomiasis in population and livestock as well as the prevalence of Oncome?lania hupensis snails were conducted in the 6 national surveillance sites. Results The serum positive rates of local residents and migrant people were 2.12%and 1.71%,respectively. The infection rate of cattle was 0. The area with snails was 9.344 8 hm2. The mean density of living snails was 0.25/0.1 m2. The occurrence rate of frames with snails was 7.07%,and no infected snails were found. Conclusions The infection rates of schistosome in human and livestock are low and the prevalence of O. hu?pensis snails is stable in the national surveillance sites in Mianyang City. However,the schistosomiasis transmission risk still ex?ists,therefore,we should strengthen the control measures to prevent the rebound of the endemic.

Objective To know the influence of intervention on rehaemorrhagia and prognosis of patients with clipping intraerania]aneurysn. Methods Divided 168 patients with clipping intracranial a-neurysm into the observation group (86 cases) and the control group (82 cases) randomly. Perioperative nursing of prospectivity was used in the observation group, while routine nursing cares was used in the con-trol group. Compared the GOS scores and condition of rehaemorrhagia. Results The incidence rate of rehaemorrhagia, cerebral angiospasm, dead and electrolyte disturbances in the observation group was significant lower than those of in the control group, there were 79.1% patients in the observation group had occurred proper rehabilitation, the radio in the control group was 63.4%, the difference was signifi-cant. Conclusions Perioperative nursing of prospectivity can effective avoid certain postoperative com-plicatioas, and then ameliorate the prognosis of patients.

Objective To explore the recent clinical effects of Xuefuzhuyu Decoction on acute ischemic stroke. Methods 72 patients were randomly divided into treatment group (n=36) and control group (n=36). The control group received routine medicine and Edaravone,and the treatment group received Xuefuzhuyu Decoction in addition, for 14 d. They were assessed with National Institute of Health Stroke Scale (NIHSS), Barthel index (BI) and Traditional Chinese Medicial (TCM) symptom accumulated points. Results The total rate of improvement were 97.22% and 77.78% for the treatment group and the control group respectively, while the rate of very improvement were 80.55% and 50.00% respectively (P<0.05). The scores of NIHSS, BI and TCM symptom accumulated points improved more in the treatment group than in the control group (P<0.001) after the treatment. Conclusion Xuefuzhuyu Decoction is effective on acute ischemic stroke.

OBJECTIVE According to the development of nosocomial infection management in China,we design a series of nosocomial infection surveillance and management system,in order to work effectively in real time to control nosocomial infection outbreak,standardly collecting and analyzing the surveillance data of the critical department/area and risk factors for nosocomial infection,so a scientific management for nosocomial infection can be realized.METHODS Adopting C/S framework,the backstage supporter adopted the large-scale database of SQL SERVER 2000 edition,the front application program used PowerBuilder7 programming.The application software where collected all data about nosocomial infection information was integrated into the each work station of the information system,in order to form nosocomial infection surveillance and management network related to any department of the hospital.RESULTS System could come down with the hospital infection case which every hospital department could find to check,put in order,report,count,analyze,have a look around,inquire about,feedback,form the monitoring chart with excellent pictures and texts,and make the better prognosis of the nosocomial infection outbreak.CONCLUSIONS Beijing nosocomial infection surveillance and management system is a medical quality control system of a hospital.This software could afford scientific and standard data for the health care institution and administration to realize the primary information of nosocomial infection and make decisions.

OBJECTIVE According to the characteristics of ophthalmic surgical instruments,to select the best sterilization method in order to guide clinic.METHODS The different methods of disinfection and sterilization,surgical volume and postoperative infection of ophthalmic surgical instruments from 2005 to 2007 were reiewed and compared the current pros and cons of various sterilization methods.RESULTS The use of low-temperature sterilizer before(2005) the number of surgical cases of 2275 cases,the infection rate was 0.04%;the use of low temperature plasma sterilizer after the(2006) the number of surgical cases of 2752 cases,the infection rate was 0;the use of low-temperature plasma and low-temperature steam formaldehyde sterilization sterilization(2007) Example surgery for 2830 cases,the infection rate was 0.035 percent;low-temperature sterilization of surgical instruments can ensure sterilization,but also enhance the volume of surgery.CONCLUSIONS Hydrogen peroxide plasma sterilization technology with the use of low-temperature range,fast,convenient and reliable features,more suitable for ophthalmic surgical instruments after the section of the sterilizer.

OBJECTIVE To investigate the hospitals containing above 500 sickbeds in the Beijing area,in order to find out the relationship between the environmental sanitation monitoring(including air,object surface,medical personnel hand,using desinfectant compound,and ultraviolet lamps) and the hospital infection control.METHODS Choosing hospitals with above 500 sickbeds in Beijing,through a written survey and questionnaire covering the actual environmental sanitation monitoring quantity,the positive rate and the situations of hospital infections outbreak in 2005,then calculate the statistical analysis.RESULTS After calculating the environmental sanitation monitoring cost for the hospitals with above 500 sickbeds,it could conclude the monitoring expense for 1000 sickbeds hospital per year for each bed was 192.10 RMB;the monitoring expense for 500 sickbeds hospital per year for each bed was 145.60 RMB.It could also conclude the positive rate of object surface and the hands of medical personnel was higher.CONCLUSIONS Through the analysis,each hospital carries out the monitor according to the requirement of the "Standards",the monitoring expense for hospitals with 1000 sickbeds is higher that of hospitals with 500 sickbeds.It is no correlation between the hospital monitoring positive rate and the hospital infection outbreak.The medical personnel′s knowledge of hospital infection control and hand hygiene training must be strengthened.

OBJECTIVE To search an applicable software in order to achieve real time monitoring and processing management for nosocomial infection which may improve the medical service efficiently through comparing with three different methods.METHODS To analyze and compare the three surveillance methods:the manual summed-up statistical methods,the National Computer Management System for Nosocomial Infection Surveillance Network and the Beijing Information System for Nosocomial Infection Surveillance and Control(Beijing System).RESULTS Beijing System is much more pragmatic and multipurpose than the two others.CONCLUSIONS Beijing System has the feature of wide coverage and convenience manipulating.It is confirmed practical and universal.And it is superexcellent and available for different kinds of hospitals.So Beijing System is worth for being popularized.

The incidence of hepatocellular carcinoma (HCC) has increased worldwide over the past two decades. Surgical resection and liver transplantation have been demonstrated as potentially curative treatment options, which could be considered in 30% -40% of HCC patients. Recent advancements of surgical treatment have focused not only on the surgical techpiques, but also the hepatic functional reserve evaluation, resectability assessment and the effects of biological characteristics of tumor on prognosis. There is no single variable to evaluate the hepatic functional reserve accurately. Combined Child-Pugh classification, ICGI5, portal vein pressure detection and remanent liver volume measurement are required prior to liver resection. The 5-year survival rate after liver resection for HCC is about 50%. The results are acceptable for some selected patients that underwent tumor resection with thrombectomy, including HCC with portal vein tumor thrombus or bile duct thrombosis. The choice of local resection or regular hepatectomy is still controversial although the former is commonly performed to treat HCC with cirrhosis, and the latter is applied to HCC patients without liver cirrhosis. The results of liver transplanta-tion for HCC are better than liver resection, and the Milan criteria is generally accepted. Any attempts to expand the selection criteria should be cautious because of organ shortage. Salvage transplantation for intrabepatic recurrence after liver resection may be a good choice in some resectable HCC. The recurrence and metastasis after surgical treatment are the main obstacles to achieve better results. Identification of predictive factors could be helpful to develop prevention strategies. Due to the importance of biological characteristics in tumor recurrence and metastasis, a molecular classification to predict prognosis of HCC patients will lead to a more personalized medicine. Targeting key molecules of biological pathways could optimize the therapeutic modality in HCC.

Cancer metastasis is considered as a complex process involving a series of sequential steps and a variety of molecalar signal transduction pathways.Tumor recurrence and metastasis are major obstacles for long-term survival of Liver cancer patients.Although the prognosis after recurrence and metastasis is dismal,the advancement of molecular researches of metastasis of liver cancer seems promising.In studies of origins of metastasis of liver cancer,the primary cancer cell and corresponding metastatic liver cancer cells share similar gene signature,which indicates that genes favoring metastasis progression are initiated in the primary tumors.The metastasis of liver cancer may be an early event in hepatic carcinogenesis and progression.Some molecular signatures have been developed to classify the metastatic potential of liver cancer.Furthermore,a variety of studies demonstrate that the tumor microenvironment instead of tumor cells plays a more important role in liver cancer metastasis.The pre-metastatic niche composed of non-tumoral cells may promote the cancer cell sedimentation and progression.The theory of cancer stem cell speculates that cancer stem cells were the real source of recurrent or metastatic tumors.Cancer stem cells will be one of the main targets of liver cancer treatment.The prevention and treatment of liver cancer recurrence or metastasis are quite difficult because liver cancer is resistant to traditional chemotherapy.Targeting the molecules involved in the metastasis of liver cancer WOuld be promising to cure those diseases.

Nuclear magnetic resonance (NMR) spectroscopy can be used to both identify and quantify chemicals from complex mixtures. Over the last several decades, significant technical and experimental advances have made quantitative nuclear magnetic resonance (qNMR) a valuable analytical tool for quantitative measurements of a wide variety of samples. This particular approach is now being exploited to characterize the metabolomes of many different biological samples and is called quantitative metabolomics or targeted metabolic profiling. In this review, some of the strengths, limitations of NMR-based quantitative metabolomics will be discussed as well as the practical considerations necessary for acquisition with an emphasis on their use for bioanalysis. Recent examples of the application of this particular approach to metabolomics studies will be also presented.