The BM self-test of GAMBRO AK95 hemodialysis machine is introduced, including venous pressure test, arterial pressure test, priming detector test, blood pump test, venous clamp test, arterial clamp test, air detector test, high venous pressure test, etc. The detail introduction of high venous pressure test is of great benefit to solve some faults of hemodialysis machine.

OBJECTIVE:To observe clinical efficacy and safety of Autoserum eye drops in the treatment of filamentary kerati-tis after excimer laser corneal refractive surgery. METHODS:46 patients (90 eyes) with filamentary keratitis after excimer laser corneal refractive surgery were selected and randomly divided into control group and observation group with 23 cases(45 eyes)in each group. The control group was given clearing mesh+wearing soft contact lens+bFGF eye drops;the observation group was giv-en clearing mesh+ wearing soft contact lens + Autoserum eye drops. The clinical efficacy,cure time,recurrence rate and ADR were compared between 2 groups. RESULTS:The total effective rate of observation group was 93.3%,which was higher than that (82.2%)of the control group,with statistical significance(P<0.05);the cure time of observation group was(2.7±1.1)d,which was shortened significantly compared with control group [(3.5±1.2)d],with statistical significance(P<0.05). The recurrence rate of filamentous keratitis was 4.4% in observation group and 15.6% in control group;the observation group was significantly lower than the control group,with statistical significance(P<0.05). During the treatment,there were 1 case(1 eyes)of corneal epitheli-al edema in observation group and 2 cases (2 eyes) of corneal epithelial edema in control group,there was no statistical signifi-cance(P>0.05). CONCLUSIONS:In the treatment of filamentous keratitis after excimer laser corneal refractive surgery,therapy of clearing mesh+wearing soft contact lens+Autoserum eye drops have high total effective rate,low recurrence rate and short cure period with less ADR.

The test procedure and content of valves pressure test of AK95 hemodialysis machine are mainly introduced.The valves pressure test are the key of the self test procedure in hemsdialysis machine.It is necessary to find the accurate process where problems occur.[Chinese Medical Equipment Journal,2008,29(2):94]

Unilateral neglect is one of the common advanced neurological deficits of stroke. This article highlights the post-stroke definition of unilateral neglect, incidence, sites of lesion resulting in neglect, possible mechanisms and clinical manifestation. It overviews the typing and complications of unilateral neglect, and points out that the significance on the assessment and treatment of unilateral neglect.

Objective:To explore the future development of pharmacists. Methods:The combination of on-site and mailed ques-tionnaire was adopted to investigate the present work situation of pharmacists in hospitals at different levels in 15 provinces and munici-palities of east China. Based on the statistical analysis of data, some problems in the present work of pharmacists were investigated. Results:The data showed that there was a wide gap of human resource among the hospitals at different levels, and the working condi-tion improvement for pharmacists should be performed. Continuing education and legislation were not standardized and unified yet, and the clinical pharmacy and the rational drug use needed further development. Conclusion:The relevant laws and regulations should be established and improved to guarantee the lawful right and interests of pharmacists. The pharmacist training system should be improved to raise the professional quality of pharmacists and promote the development of hospital pharmacy.

With the development of computing and storage techniques,there are a lot of medical records and clinical data stored.It raises the issue of how to mine knowledge from these records and to promote the development of traditional Chinese medicine (TCM).Several challenging research subjects of Chinese clinical medicine data mining and analysis have been introduced in the framework of disease-symptom-syndrome-formulaeffect,and the corresponding developments have also been reported.The significant meaning of the data mining and analysis to Chinese medicine is discussed.Then,the detailed works and recent achievements of seven subjects are given including:① Analysis of symptoms to obtain the optimal symptom subset for one disease or syndrome.② Symptom-syndrome or disease to obtain models for syndrome differentiation.③ Analysis of syndrome.④Analysis of Core formula as well as drug addition and subtraction.⑤ Formula-symptom-effect.⑥ Computerized symptoms.⑦ TCM knowledge engineering.

Objective To compare and analyze differences in clinical characteristics, auxiliary examination and im?munotherapy between children with anti-N-methyl-D-aspartate(NMDA) receptor encephalitis and adults. Methods Clinical data was retrospectively collected from 34 cases anti-NMDA receptor encephalitis. All people were divided into the child group and the adult according to the age of onset and the inpatient department. Score of Modified Rankin Scale (mRS) before and after treatment and follow-up period (6 months~24 months) were compared to estimate the neurologi?cal outcomes. Results Data from 34 patients including 19 children and 15 adults was analyzed. Hypoventilation, epilep?sy and status epilepticus were more common in the adult group than in the child. The positive rate of EEG delta brush was higher in child group than in adult group. Two women were complicated by suspicious ovarian teratoma. Intravenous immune globulin was used commonly in the child group, while the plasma exchange or immunosuppressant used common?ly in the adult group. Time of onset to hospital admission and final diagnosis were shorter in the child group than in the adult. Patients requiring ICU were fewer in the child group than in the adult. The scores of mRS were significantly lower in the child group than in the adult at hospital discharge (P<0.05). Conclusion Clinical characteristics is more compli?cated in adults with anti-NMDA receptor encephalitis compared with children including a worse disease severity and a poorer short-term outcome.

Objective To explore the diagnostic value of abdominal aortic aneurysm (AAA) with 16-slice spiral CT.Methods Forty patients with AAA were examinated with 16-slice spiral CT. Multiplanar reformation (MPR), maximal intensity projection (MIP) and volume rendering (VR) were performed in all cases.Results Forty patients with AAA included seven cases of cystiform, twenty-three cases of shuttle and ten cases of shuttle-cystiform aneurysm. There were three cases of multiple abdominal aortic aneurysm. There was one case of pseudoaneurysm after the rupture of true aneurysm. MPR definitely revealed the site, modality and extent of aortic disease and demonstrated the mural thrombus in the aneurysm. The calcifications of abdominal aortic aneurysm’s wall or in mural thrombus were well depicted by MIP. VR definitely showed the relationship between aneurysm and arterial branches with three-dimension form.Conclusion 16-slice spiral CT is the optimal imaging technique in diagnosing, following up pre-and post-operation of abdominal aortic aneurysms.

In recent years, there is some new recognition about the origin of prostatic carcinoma, prostatic carcinoma has been considered as a stem cell disease. Prostate cancer stem cells have close relationship with prostatic carcinoma formation, advancement, relapse, metastasis and drug resistance. As the development of science and technology continues, studies on the isolation and correlated phenotype identification of prostate cancer stem cells have lead us to further recognize prostate cancer stem cells, as well pave a new way for the diagnosis and therapy of clinical prostatic carcinoma.

Objective To explore surgical technique and clinical outcome of transabdominal preperitoneal hernia repair(TAPP)and totally extraperitoneal hernia repair(TEP)in inguinal hernia repair.MethodsThe clinical data of 23 patients underwent laparoscopic herniorrhaphy were retrospectively analyzed.Nine patients were underwent TAPP,and 14 patients underwent TEP.ResultsNone of patients was changed to open operation.Only one patient of TEP was changed to TAPP.Average operative time was(82.1?40.6)min.Blood loss was(5.7?3.0)ml.Disruption of peritoneum happened to 2 patients underwent TEP.The rate of postoperative complications was 21.7%(5/23),which included serum swelling(1 case),scrotal emphysema(2 cases),transient neurapraxia in the area of repair(1 case)and urinary retention(1 case).No chronic pain,foreign body sensation and infection were found.Average hospitalization after operation was(4.3?0.9)d.No recurrence was observed during a follow-up period of 1-15 months.ConclusionLaparoscope herniorrhaphy is safe due to lower recurrence and complications.It also has the advantages of slight pain and rapid recovery.