irty elder patients above 65 years were randomly divided into two groups. group I induced with disoprivan 1.5 mg·kg-1and group Ⅱ induced with disoprivan 1.5 mg·kg-1 combined with ephedrine 0.075 mg·kg-1Changes of systolic pressure, diastolic pressure, heart rate, ECG, SpO2 wer eabserved. Every their base values before induction every determining ralues, after induction, and after tracheal intubatton were controlled and statistical an alyzed. Results: Each value after induction and after tra cheal intubatton were lower than their base value (P＜0.05) in two groups, respectirely. The declining ranges of SBP, DBP, HR after induction and after trac heal intubatton in group Ⅱ were lower than that in group Ⅰ, there was a signif icant difference between both groups (P＜0.05). Conclusion:There is a certain using importance that general anaesthesia induced with disoprivan combined with ephedrine 0.075 mg·kg-1to be used for elder patients.

A remote interactive consultation system based on wireless sensor networks is proposed for family health care works and non-hospital special case patient monitoring. The sensor nodes are integrated into a local area network to collect a variety of human physiological information, which is uploaded to Internet through the Code-Division Multiple Access (CDMA) wireless network technology and sent to the database based on GIS spatial location query technology for achieving electronic diagnosis. Users or administrators can visit remote monitor region through Internet. The results show that the system, using a star passive topology of static gateway and mobile detection node, combines intelligent-distributed wireless sensing, computing and wireless communication technologies. Hence the proposed system has a great practical value.
Biosensing Techniques ; methods ; Computer Communication Networks ; Diagnosis, Computer-Assisted ; instrumentation ; Equipment Design ; Humans ; Monitoring, Ambulatory ; instrumentation ; methods ; Monitoring, Physiologic ; methods ; Signal Processing, Computer-Assisted ; instrumentation ; Telemedicine

Objective To evaluate the diagnostic value of virtual touch tissue quantification (VTQ) in the diagnosis of renal allograft fibrosis.Methods The renal allografts of 82 patients with biopsies or nephrectomy were assessed by virtual touch quantification.The renal allograft fibrosis was categorized according to the 2005 updated Banff criteria for a G0～G3 grade.All the results were compared among four groups.Results The mean SWV values in G0～G3 were (2.39 ± 0.31)m/s,(2.45 ± 0.34)m/s,(2.58 ± 0.18) m/s,(3.11 ± 0.40)m/s,respectively.There were no significant differences in the mean SWV value between G0 and G1 group,or between G1 and G2 group(P ＞0.05).There were significant differences in the mean SWV value between G0～G2 and G3 group,or between G0 and G2 group(P ＜0.05).Stiffness of renal allograft was significantly correlated to the mean SWV value (Spearman r =0.671,P ＜0.001).According to the area under the ROC curve,the sensitivity and specificity of SWV (area under ROC curve =0.847,cut-off=2.64 m/s) for grade ≥G2 was 78.9％ and 79.5％ respectively.Conclusions Stiffness measured by VTQ reflects the interstitial fibrosis in renal allograft.VTQ technique might be a new tool to identify patients with chronic allograft injury.

Objective To extract principal components from valuable indicators on conventional ultrasoundand contrast-enhanced ultrasound (CEUS) in the differential diagnosis of thyroid benign and malignant lesions and to discuss the diagnostic value of each indicator.Methods One hundred and three patients with 125 thyroid lesions (65 malignant lesions and 60 benign lesions) underwent preoperative grayscale ultrasound (GSUS),color Doppler ultrasound (CDUS) and CEUS examinations.Eighteen indicators were chosen to evaluate every lesion and principal components were extracted by principal component and valuable indicators were ordered by importance.Results There were significant differences on GSUS and CEUS indicators between benign and malignant lesions.The first principal component was the representation of contrast enhanced ultrasound and was valuable in the differential diagnosis of thyroid benign and malignant lesions.The rank of valuable CEUS indicators were homogeneity of enhancement,filling defect,relative arrival time of periphery,peak interior echogenicity,relative arrival time of interior,peak peripheral echogenicity and ring enhancement.Conclusions GSUS and CEUS are valuable in the differential diagnosis of thyroid benign and malignant lesions.