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Comment on Introduction to Research-- Due Diligence (DD)

bcd156 — Fri, 03 Feb 2012 10:45:47 GMT

Anisodamine particles combined treatment of allergic purpura purpura efficacy

Histamine drugs, mood, liver, kidney diseases. A total of 108 cases, male 58, female 50 cases. The 108 patients were randomly divided into treatment group and control group, treatment group of 54 patients, male 3l patients, 23 females, age (3 to 26) years, mean l2.23 years, duration 2 days to 0.5 years, which simply type in 43 cases, 4 cases of abdominal, joint, 3 cases, mixed in 4 cases. Control group of 54 patients,beats by dre detox, 27 males and 27 females, age (3 to 24) years, mean l2.18 years, duration 2 days to 5 months, simply type in 44 cases, 5 cases of abdominal, joint,moncler torino, 3 cases, mixed in 2 cases; the two groups in gender, age, duration and severity of disease were not statistically different, comparable. 1.2 treatment of disabled patients in both groups of suspected drug allergies or food. Treatment group anisodamine pin ~ 120mg +5% glucose 250mL, infusion 2 times / d, severe illness 40mg +5% glucose 250mL infusion 2 times / d; symptoms disappeared after the change nHal0mg, 3 times / d , 10mg increments every 2 days to each 30rag purpura granules (Fang Eclipta, buffalo horn, Lithospermum, madder root, Rhizoma Imperatae, Agrimony, Radix, tonkinensis, rhubarb, forsythia) 10g, 2 times / d. The control group only anisodamine injection, the method with the treatment group. Were treated for 4 weeks. 1.3 observed indicators were observed rash, abdominal pain, bloody diarrhea, joint and muscle pain, hematuria and other symptoms, and signs of adverse drug reactions, the three regular routine fecal check urine, liver and kidney function. 1.4 determine the efficacy of the standard cure for the drug 2d ~ 3d no new rash appeared after 3 weeks of rash dissipated, joint and muscle pain, abdominal pain, bloody diarrhea, hematuria disappeared, feces, blood examination was normal; markedly after 3 weeks of treatment rash dissipated, joint and muscle pain, abdominal pain, blood in the stool disappeared, renal damage to a small amount of microscopic hematuria or proteinuria; improved as part of treatment 3 weeks after the rash subsided, there is still a small amount of new rash appears, the original symptoms and signs to reduce; ineffective for the treatment 2 in Table 1 compared two groups of short-term effect (%) Note: The two groups are more efficient, x4.09, P <0.05 more than a week the rash has not subsided, recurring, emerging or existing kidney damage symptoms and signs heavier. To cure plus markedly effective computing. 2 results in Table 1. 90.47% effective rate of treatment group, significantly shorter than the control group 74.07%, the efficiency of the two groups was significant difference (x = 4.09, P <0.05). Two groups of patients were no significant adverse reactions. 3 Discussion of allergic purpur

Comment on Introduction to Research-- Due Diligence (DD)

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Comment on Introduction to Research-- Due Diligence (DD)

rst178 — Fri, 03 Feb 2012 07:23:35 GMT

Characteristics of children with severe head injury and clinical analysis

ical: ~ alclan0e1974; 2:8112. Zhongcheng, editor. Neurosurgery. Traumatic brain injury. First edition. Beijing: People's Health Publishing House. 1974.1993. SullivmHGeta] Ruid-Pem'ussionmodelofmechanicalbraninjuryinthecatJ · Neurosurg1976; 45:5204. Dix0nCE. etalAfluidp ~ cussionmodelofexperimentalbraimi ~ uryintheratJ. Nourosurg1987; 67:1105. Zhang Xiang, Yi Yu sound. Children with acute intracranial hematoma. PLA Journal of Medicine, 1987; 12:186 Marlon County nearly 11 years of monitoring and analysis of maternal mortality in Yunnan Province Malone county MCH (655,100) set Dingheng Wei Zhang Abstract Objective: To summarize and analyze the main reasons for maternal deaths, in order to further reduce maternal mortality provide a scientific basis, to ensure maternal safety. Methods: l1-year maternal mortality data, a retrospective study of methods. Results: l1 average maternal mortality rate of 96.8/10 million,ralph lauren online, of which up to 1992, 265.41/10 million; in 2002 dropped to 32.23/10 million, the maternal death were obstetric hemorrhage,moncler paris, accounting for 61.76%, medical complications,diesel jeans sale, accounting for 26.47%, the first is the home place of death, accounting for 44.12% in maternal mortality, the primary school culture in 31 cases, accounting for 91.18%; small monthly income per capita economic at 100 yuan in 22 cases, accounting for 64.71%; death review can prevent death in 21 cases, accounting for 61.76%. Conclusion: Obstetric hemorrhage and medical complications leading to the main direct cause of maternal mortality. Keywords analysis of maternal death is a measure of the level of maternal mortality in a national or regional economic conditions and social progress indicators that reflect the political, economic, cultural, education, maternal and child health quality and health of the population, the analysis of maternal death is to reduce maternal mortality, to ensure maternal and child health, development of effective interventions to provide a scientific basis, is now on the county during the period 1992 to 2002 34 cases of maternal death cause of death as follows: 1 Materials and Methods 1.1 Source Malone County from 1992 to 2002 cases of maternal mortality table, maternal and child health village, township report, County MCH provides. 1.2 Object Malone County from 1992 to 2002 period from diagnosis of pregnancy to 42 days postpartum maternal death. 1.3 Methods village and township (town) and county levels of maternal mortality reports and quality control system, the city and county training of county and township maternal and child health personnel according to uniform standards required to fill in Yunnan death report card, promptl

Comment on Introduction to Research-- Due Diligence (DD)

stu888 — Thu, 02 Feb 2012 21:52:17 GMT

Diabetes and two cases of hypothyroidism

Edema subsided. 2 to discuss the two cases were elderly female patients, has many years of history of diabetes and hypertension, diabetic nephropathy is currently merging boring, hypertensive heart disease. There was no history of goiter and thyroid, unused drugs affect thyroid function. Diabetes is a defect in insulin secretion and insulin function or barrier, leading to a group characterized by chronic high blood sugar metabolic disorders. Hypothyroidism is caused by a variety of foot (thyroid hormone) synthesis, secretion or lack of biological effects caused by a group of endocrine diseases. Marrow with age-old thyroid function declined. Basis of thyroid secretion. Total T] T or free T3 levels were lower, especially Wu. In particular, [1-q decline in the occurrence of the original diagnosis of hypothyroidism is more sensitive to elevated TSH value higher A and TSH in the elderly also reduced the amount of endocrine basis. So is the upper limit of normal TSH levels who should pay attention to the possible presence of hypothyroidism. Some scholars believe that the severe renal insufficiency, congestive heart failure patients there may reduce the concentration of L I. }. Diabetes delicious absolute or relative lack of insulin allows the 5 'deiodinase Rui Chinese Medicine Clinical Research magazine No. 148 of 2006 total activity decreased, leading to the formation of L L decrease, and tend to translate into the formation of low-L High blood. DN (diabetic nephropathy), the increase in plasma albumin, white discharge reduction, thyroid hormone and protein decreased, the occurrence of low-L syndrome [71. Low L,abercrombie paris, T. Hyperlipidemia when TSH is normal or reduced thyroid function is normal at this time, no clinical manifestations of hypothyroidism without treatment. And the two patients with fatigue, lack of energy, sluggish, unresponsive and other symptoms of hypothyroidism, L, L is significantly lower, TSH increased. So different from the diabetic and low-L, L hyperlipidemia. Consider diabetes with primary hypothyroidism, given euthyrox signs and symptoms significantly improved after treatment. Diabetes and thyroid disease have a common genetic, immunological basis grieved, due to genetic defects in and damage susceptibility and immune balance likely to occur between autoimmune diseases overlap, with the virus, diet, environment, emotions, etc. predisposing factors,abercrombie deutschland, may occur in both diseases in the beginning of an important role. Autoimmune endocrine syndrome hydrazone can not easily explain these two patients, the disease, the former mostly type 1 diabetes and hypothyroidism, Addison disease, and these two patients were type 2 diabetes. Clinical hypothyroidism, diabetes is less common, slow, no specific clini

Comment on Introduction to Research-- Due Diligence (DD)

lmn256 — Thu, 02 Feb 2012 20:07:09 GMT

Prevention of wound infection

The dispute. Therefore, effective prevention and treatment of postoperative wound infection, one of the keys to successful operation, should pay close attention. Based on the l05 cases of wound infection control measures analysis: the correct technique is to reduce the operating premise of wound infection, early detection and effective local treatment is the key to prevention of wound infection. 1 Clinical data 1.1 Sources hospital from March 2006 to March 2009 medical records of all hospitalized patients in the surgical wound infections. 1.2 Diagnostic criteria issued by the Ministry of Health in 2001, surgical site infection in hospital diagnostic criteria. 1.3 General Information The group of 105 patients, 35 males, female 70 cases, aged 5 to 65 years old, were 95 cases infected in the skin, deep and muscular layers were lO cases, while 8 patients with diabetes. 2 results in 105 cases of wound infections, I kind of wound infection in 8 cases (7.6%), B are healed, the healing time of 7 ~ l0d. Ⅱ type of wound infection were 35 cases (33.3%), of which B healed in 32 cases, the healing time of 7 ~ l5d; C healing in 3 cases, the healing time of 15 ~ 25d. Class Ⅲ a total of 62 cases of wound infection (59%), of which B 5O patients healed, the healing time of 7 ~ l5d; C healed in 12 cases, the healing time of 15 ~ 25d. 3 Discussion 3.1 General measures (1) to take formal and effective disinfection measures to block exogenous incision infection, such as the surgical staff of the arm, the patient surgical areas of the skin, the air operating room, surgical instruments, dressings, etc.; (2) According to the incision type, a reasonable choice of l ~ 3 kinds of effective antibiotics to prevent wound infection, paying particular attention to intraoperative systemic antibiotics. 3.2 Intraoperative incision partial operational measures (1) cut the skin, subcutaneous tissue, to minimize the number of cuts to reduce the generation of free living tissue loss; (2) Ⅱ type incision handle hollow organs, the stump application of complex iodine disinfected and properly protected, cut pollution, reduce opportunities; (3) Class Ⅲ incision at 54 foreign medical CHINAFOREIGNMEDICALTREATMENT should change gloves, instruments, gauze, etc.; (4) incision should completely stop bleeding, to prevent blood clots infection, and rinse; (5) incision without leaving dead space, subcutaneous fat, seam or seam as little as possible to reduce rejection of skin sutures is not easy too close, too tight, so as not to affect blood circulation, for class Ⅲ necessary to place the drainage of the incision. 3.3 Incision of treatment (1) of the current antibiotics has been widely used in clinical, but still can not eliminate the wound infection, early detection and timely treatment is the right of local infection of wound healing acceleration key, so surgery should be performed routinely after 2 ~ 3d

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fgh857 — Thu, 02 Feb 2012 17:46:32 GMT

Maxillary sinus maxillary sinus catheter irrigation treatment

, Nasal congestion, nasal swelling, maxillary tenderness. 1.4CT shows maxillary sinus cavity with purulent discharge. 1.5 Treatment with 1% tetracaine conventional cotton piece mucosal anesthesia twice, conventional maxillary sinus puncture, remove the needle core, down into the small plastic catheter, withdraw the needle, the plastic tube fixed with tape on the cheek, with the physiological repeatedly washed with saline fluid in the maxillary sinus cavity to no purulent secretions, the injection of gentamicin 1, ephedrine 1. Strong pine Long lml. Since then,ralph lauren sale, the use of these drugs once a day washing, seven days a course of treatment. 2 results of patients 2 to 3 times washing significantly reduced the symptoms. Washed 7 times, the symptoms disappeared completely. CT showed normal sinus. 3 maxillary sinusitis among teenagers is currently no good treatment. Intravenous drip, the patient affect their learning. Surgical treatment, juvenile development period pain is great. Indwelling catheter, into the treatment of pain medication, rapid onset. ① celebrate a great anti-inflammatory effect. ② ephedrine mucous membrane contraction. ③ strong pine dragon has anti-allergic, reduce sinus mucosal edema, co-medication, increase the efficacy. This method of treatment of juvenile maxillary sinusitis, in clinical practice, and achieved better clinical results. Analysis of surgical treatment of 36 cases of thymoma First Hospital of Zibo City, Shandong Province, Department of Cardiothoracic Surgery (255200) Zheng Qi Chun-Rong Wang January 1988 to December 2002, a total of surgical treatment of thymoma, 36 cases are as follows: 1 Clinical data of the group of patients a total of 36 cases, including 30 males, 6 females; aged 23--67 years. Average of 47 years; with myasthenia gravis (MG) ll cases, 2 cases with full month fatigue, shortness of breath and other symptoms. Preoperative myasthenic crisis occurs, accompanied by chest pain, chest tightness, irritating cough in 13 cases; 12 cases asymptomatic. In the chest X-ray or CT examination revealed mediastinal tumor. Preoperative diagnosis in 31 cases, postoperative diagnosis in 5 cases. The group of 36 patients were under general anesthesia, which by the sternal incision in 21 cases, transverse sternal incision and anterolateral in 10 cases, posterolateral incision in 5 cases; full thymectomy in 26 cases. Simple tumor resection in 5 cases, partial resection in 3 cases, 2 patients failed to remove the tumor and adjacent organ invasion, and pleural metastasis. Pathological diagnosis: cell type in 12 cases, 8 cases of epithelial cells mixed in 16 cases. 2 Results 1 case in 5 days after surgery, died of respiratory failure, 3 cases 1,3,4, respectively, after the first day of myasthenic crisis, respiratory insufficiency, ventilation b

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nop022 — Thu, 02 Feb 2012 15:31:53 GMT

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Controlled analgesia after cesarean section with care

Saturation <80%, cyanotic lips and fingernails turn blue, stop delivery, intensive care, oxygen and respiratory support in time, to speed up the infusion rate, if necessary, prescribed intravenous injection of sodium casein-one 0.4mg, vital signs can be gradually back to normal. 4.2.3 Observation and side effects and complications of indwelling catheter care 4.2.3.1 retention period, observe the color of urine, the amount and the catheter is smooth, the best post-operative indwelling catheter to continue analgesia pump is unplugged, the test occlusion catheter l2h, the patient can consciously pull out the catheter before urination. Encourage patients to get out of bed after removal of urinary catheter, and close observation of urination, dysuria, if appropriate, raise the upper body or to help her mother sat up, as far as possible to normal voiding habits of posture, but also enable mothers to listen to the sound of water, use warm water Rinse the perineum, or heat, massage the bladder trigone, to relax the muscles induce urination, poor results may acupuncture Sanyinjiao, Yin Ling Quan, air sea, in a very, Guan Yuan and other points. 4.2.3.2 nausea, vomiting, leaving women head to one side, keeping the airway open and prevent vomit strayed into the respiratory tract caused by suffocation, to maintain oral hygiene, oral care to do 2 times / d. Such as nausea, vomiting, urge them to do deep breathing, pressing with both hands on both sides of the incision to protect the wound to prevent wound pain. Such as nausea, vomiting, symptoms are not alleviated, may follow doctor's orders intramuscular promethazine 25mg, or intravenous ondansetron 4mg. ChineseJournaIofClinicalPracticalMedicine. February2007. Vbl8, NO4.2.3_3 gastrointestinal function of observation and care in the use of pain pump after surgery should be to help mothers during the effective bed activities, such as stand up, massage the abdomen, limbs and other sports. Ld get out of bed after surgery to promote recovery of gastrointestinal function and reduce bloating. 48 ~ 72h after surgery generally free to flatus. 72h if not exhaust, could acupuncture Zusanli, gu, etc., in order to achieve spasm, clear dirty, exhaust purposes. In severe cases, can be taken orally to achieve Dachengqitang qi Tongfu role. L after the first day on the diet to the liquid diet, the first 2 to 3 days to the semi-liquid diet, a gradual transition to a normal diet, and eating gas-producing foods, to prevent flatulence. 4.2.3.4 pruritus mainly for the exact positioning of the body without urticaria, usually at 24h after mitigation, the group of five patients had urticaria, first disable-controlled analgesia pump, Victoria topical skin cream, and compliance doctor to use antihistamines such as diphenhydramine, cyprohe

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rst544 — Thu, 02 Feb 2012 12:41:38 GMT

Tubal ligation before and after the daily needs and care

349 leeks, bananas, celery and so on. Salt-rich foods are spinach, water chestnuts,columbia sportwear, seaweed, black fungus and so on. By the surgeon according to the specific circumstances of individual consumption, should not eclipse. ② ligation can not be abused tonic, some people are afraid frail after surgery, eat ginseng to fill, it was also the astragalus, angelica, Codonopsis, Panax, gelatin-like medicine with chicken,uggs Günstig, pork, and even dog meat cook, the result was blistering, mucosal ulceration, bleeding nose, but not conducive to rehabilitation. ③ should not eat more sweets, by the surgeon after eating some candy, canned food, malted milk, etc., mostly sweets, eat these things easily affect appetite, thereby affecting protein intake for tissue repair, wound healing and physical recovery will have adverse effects, Moreover, eating too many sweets, sugar will soon enter the bloodstream, causing insulin secretion, may have induced diabetes. ④ should not eat more protein, eat digestible, by the surgeon after less active, resulting in overeating as abdominal distention, constipation, but the occurrence of adverse effects on the human body. ⑤ preoperative preparation, by the surgeon to lift the ideological concerns, good explanation and consultation by the surgeon according to the specific circumstances, the use of video, slides, pictures, flyers and so on. Various forms of media, to explain briefly the process of tubal ligation. Patience, go for surgery questions, give detailed explanations, let get satisfactory results, by patients who have been allowed to listen to the person about to enhance the confidence of those affected by surgery, so before surgery, and happy. ⑥ sideways to bed rest after 6 hours, can eat, and appropriate activities to encourage the recovery room, it is a good wound healing, prevent infection and the occurrence of adhesion. ⑦ to keep the dressing on the wound clean, summer, try not to sweat a lot. To frequently changes underwear, underwear, dressing kept dry to avoid postoperative infection. Do missionary carefully before sterilization, to strengthen the sense of responsibility, to eliminate the fear of surgery and misconceptions, postoperative care and good daily diet for postoperative recovery and reduce complications play a crucial role . Three cases of recovery of patients after hanging Nursing Boshan District, Zibo,uggs norge, Shandong Stone mazhen Health - (255200) Xia HofrnarnBrouardel confirmed by experiment: 2kg of gravity can be closed carotid artery pressure, 5kg of gravity can be pressed closed jugular vein, 15l [g gravity may pressure closed airway, 16.6 ~ 30l [g gravity vertebral artery can be pressed closed. Can be seen hanging by just 17kg more