Objective To improve the cognition of clinic characteristics about traumatic rupture of duodenum.Methods 16 cases of duodenal trauma were retrospectively analyzed.Results The history of trauma in midsection,ache in the right of midsection and waist aggravated progressive,clear and fixed ache in the right of midsection when pressed,positive abdominocentesis,the examination of ultrasound B and X-ray and increasing of serum amylase were helpful to diagnose.On the grounds of the traumatic condition of duodenum,8 cases were done with primary repair,3 cases with resection of peclunculated intestinal wall,1 case with cogbill techniques for duodenal diverticul arization,2 cases with Roux-en-Y duodenojejunostomy,2 cases with resection of partial duodenum.15 cases were cured and 1 case died.Conclusion Be familiar with the clinic characterstic about traumatic rupture of duodenum,early diagnosis and choosing suitable management for duodenal injury can increase the curative rate.

Objective To evaluate the impact of hypertension self-management on self efficacy of community residents.Methods November 2011 to February 2012,twenty-eight medium-sized and better adherence to community was selected from fourteen districts and counties in Beijing.In this community-based randomized controlled trial,323 hypertensive patients were randomly assigned to the treatment group (n =159,receiving hypertension self-management) and the control group (n=164,receiving standard hypertension management).A questionary survey was completed at baseline and 6 weeks.Rank sum test or Chi-square test was used for data analysis.Results The average age of the treatment group or the control group was (61.9 ±9.1) vs (61.8 ±9.0) years old,respectively.No significant difference in mean age,gender and education level was found between the two groups (F =0.164,x2 values were 0.782 and 2.093,respectively ; all P ＞ 0.05).In the treatment group,the scores of fatigue,headache and shortness of breath were declined (when compared with the controlled females,Z =-5.198,-3.873,-2.781 ; P ＜ 0.05).Self-efficacy score of the treatment group was increased after the intervention.Women's symptom management self-efficacy and common disease management self-efficacy were significantly higher (Z=-2.958,-2.582; P ＜ 0.05).In comparison with the control group,before and after self-management,the added scores of communication ability with doctors were increased.But the difference was not statistically significant (P ＞ 0.05).Conclusion Six-week self-management program may improve self efficacy among hypertensive patients.

OBJECTIVE:To evaluate therapuetic efficacy and toxic reaction of 2 therapuetic regimens for 56 cases of bone me-tastasis of cervical cancer. METHODS:56 cases of bone metastasis of cervical cancer with complete information were collected ret-rospectively and randomly divided into radiochemotherapy group(31 cases)and diphosphonate group(25 cases). Radiochemothera-py group was given radiotherapy,chemotherapy and diphosphonate;diphosphonate group was given palliative symptomatic treat-ment of diphosphonate;a treatment course lasted for 3-4 weeks,and both groups received 3 courses of treatment. Average survival time,survival quality and toxic reaction were comparison in 2 groups. RESULTS:After bone metastasis of cervical cancer,the av-erage survival time of radiochemotherapy group was 17 months (95%CI:9.1-24.9),and that of diphosphonate group was 19 months (95%CI:2.4-35.6);3 years later,the survival rate of radiochemotherapy group was 16.1%,and that of diphosphonate group was 16.0%,there was no statistical significance(P=0.820). To compared KPS after 3 treatment courses,the improvement rate of radiochemotherapy group(22.6%)was significantly lower than that of diphosphonate group(40.0%),with statistical signif-icance (χ2=4.36,P<0.05). Toxic reaction of radiochemotherapy group was more significant than that of diphosphonate group. CONCLUSIONS:Diphosphonate has little effect on survial quality and slight toxic reaction. It is worthy of spreading in some pa-tients with advanced,elderly and reccurred bone metastasis of cervical cancer.

Objective To explore the feasibility of endoscopic thyroidectomy without the use of ultrasonic scalpel.Methods Monopolar high frequency electrosurgical unit was used to complete endoscopic thyroidectomy in 6 cases of thyroid benign tumors.Results All the operations were completed successfully.The operation time was 80~200 min(mean,110 min) and the intraoperative blood loss was 25~50 ml(mean,36 ml).The patients got out-of-bed activities and took liquid diets at a mean of 24 hours postoperatively.No complications was found.The drainage tube was removed on 2 days after operation and the patients were discharged from hospital at 3~5 days.Conclusions Use of high frequency electrosurgical unit for endoscopic thyroidectomy is safe and feasible.

Endothelium, Vascular ; cytology ; Humans ; Mucocutaneous Lymph Node Syndrome ; complications ; pathology ; Neovascularization, Pathologic ; Stem Cells ; cytology

Coronary Artery Disease ; etiology ; therapy ; Humans ; Mucocutaneous Lymph Node Syndrome ; complications ; therapy

Diagnostic Imaging ; Echocardiography ; Humans ; Magnetic Resonance Imaging ; Myocarditis ; diagnosis ; Radionuclide Imaging

Objective To study the feature of the etiology of pediatric syncope by cases study,and to discuss the feasibility on identification between the cardiac and neurally-mediated syncope with its inducements and symptoms.Methods One hundred and eleven patients were etiologically classified by standard diagnostic procedure to summarize the inducements,presymptoms and symptoms.The data about cardiac and neurally-mediated syncope were statistically treated to find their characteristic manifestation.Results Among these,60.4% was non-cardiovascular syncope,18.9% was postural hypotension,18.0% was vasovagal syncope and 9% was cardiac syncope.Most of them were non-cardiac syncope and neurally-mediated syncope was on the top,while cardiac syncope was rare in children.Prolonged standing and nausea was the feature of the neurally-mediated syncope,and the cardiac syncope is associated with physical exercise.Conclusions Most pediatric inpatients were non-cardiovascular syncope in which neurally-mediated syncope is first on the list.The movement-related syncope is the feature of the cardiac syncope.The prolonged standing and nausea are due to neurally-mediated syncope.

Objective: To study the recycling technique for used nuclear-medicine tracer oxygen-18 water. Methods: A small-scale purification device for wasted oxygen-18 water was built. Six processes, including cotton core filtration, active carbon adsorption, ultraviolet oxidation, anti-osmosis filtration, ion exchange, and simple evaporation, were included in the device. Totally 10.5 kg experimental samples were evenly divided into 21 portions. Three portions of the samples were treated by each of the above 6 processes for 5 cycles by dosing pump. The electrical conductivity, TOC (total organic carbon), enrichment of oxygen-18 water, and the material consumption, were statistically analyzed after each recycling. Results: Samples were greatly consumed in the anti-osmosis filtration process and the enrichment of oxygen-18 in the ion exchange process dropped markedly; therefore, the above 2 processes were ruled out for the recycling. Though sample consumption was higher in the initial steps of cotton core filtration and active carbon adsorption, but was lower in the latter steps. Samples were hardly consumed in ultraviolet oxidation and simple evaporation; meanwhile, these processes had little influence on enrichment of isotope oxygen-18. The suitable processes for wasted oxygen-18 water purification were cotton core filtration, active carbon adsorption, ultraviolet oxidation, and simple evaporation. The 4 suitable steps were used for 1 500 g samples. The conductance value of the resultant samples (1 341 g) was (2.22±0.03)μS/cm, the TOC was(0.86 ± 0.01)mg/L, and the enrichment was (32.44 ± 0.04) atom% (dropped by 2.56%), with the sample consumption rate being 10.6%. Conclusion: Cotton core filtration, active carbon adsorption, ultraviolet oxidation, and simple evaporation can basically meet the demand for recycling oxygen-18 water.