杭州市1992～2002年肺结核病例转归分析

目的 了解杭州市11年来，肺结核病例登记及治疗情况，为结核病控制可持续发展提供技术依据。方法 依据杭州市1992～2002年结核病登记报表，进行病例登记和治疗转归队列分析。结果 杭州市11年共新登记肺结核33734例．其中涂阳肺结核病人所占比例从1992年24．73％提高到2002年的36．04％，涂阳新登记率从1992年12．26／10万提高到2002年的19．78／10万。治愈率从1992年81．32％提高到2001年的90．31％。结论 杭州市现代结核病控制策略取得了预期的成效。     

Comments on: Perioperative von Willebrand factor dynamics are associated with liver regeneration and predict outcome after liver resection

正Recentlythearticle"PerioperativevonWillebrandfactordynamics are associated with liver regeneration and predict outcome afterliver resection" was published in Hepatology[1].Prof.Starlinger et al. aimed to assess the association of von Willebrand factor (vWF) levels and clinical outcome in patients with liver cancers post-liverresection(LR).Basedonthemechanismthatplatelets accumulation in the liver may promote liver regeneration after partial LR in mice, they found the vWF-dependent pattern of platelets accumulationduringliverregenerationinpatientsaftersurgery.     

HPLC法测定市售杭白菊中2种有机酸和2种黄酮的含量

摘 要 目的： 测定市售杭白菊中有效成分的含量,比较不同产地杭白菊质量。方法: 采用HPLC法测定绿原酸、3,5-O-双咖啡酰基奎宁酸2种有机酸成分以及木犀草苷、木犀草素2种黄酮成分的含量。结果: 收集杭白菊样品各有效成分差异较大,12批市售杭白菊绿原酸含量在0.22%～0.70%之间,木犀草苷含量在0.09%～0.25%之间,3,5-O-双咖啡酰基奎宁酸含量在0.84%～1.67%之间,木犀草素含量在0.008%～0.042%之间。结论: 市售杭白菊质量有较大差异,有必要进一步加强质量控制。     

Simple Analysis of the Computed Tomography Features of Gastric Schwannoma

ObjectiveThe objective of this study was to assess the computed tomography (CT) findings of gastric schwannoma (GS) and identify the difference between large (> 5 cm) and small (≤ 5 cm) GS.Materials and MethodsCT findings of 38 pathologically proven cases of GSs were retrospectively reviewed. The CT evaluation of GS included categorical variables (location, contour, growth pattern, enhancement pattern, necrosis, ulceration, calcification, and lymph nodes) and continuous variables (size, CT value of 3 phases, and enhancement degree). The lesion was divided into 2 groups (large [> 5 cm] and small [≤ 5 cm] GS) according to the tumor size. The Fisher exact test was used for categorical variables and the Student t or Mann-Whitney U test for continuous variables.ResultsOf the 38 patients, there were 32 women and 6 men. The median age was 54.5 years (range 39–79). Most of patients (65.8%, [25 of 38]) had nonspecific gastrointestinal symptoms such as abdominal or gastric pain, fullness and discomfort, bleeding, and melena. The tumors were mainly located in the stomach body (71.1% [27 of 38]), and the mean diameter was 3.7 cm (range 1.5 cm-10.3 cm), of which included large (> 5 cm) (n = 8) and small (≤ 5 cm) (n = 30). All of the GSs were benign, 9 of whom had palpable perigastric lymph nodes, which confirmed by pathology for the reactive inflammatory hyperplasia. Growth pattern, pattern of enhancement, necrosis, calcification, surface ulceration, and lymph node in the CT images were found to be significant variables for differentiating large (> 5 cm) and small (≤ 5 cm) GS (P < .05).ConclusionGSs were predominantly located at the gastric body and occurred most frequently in women between the ages of 40–70 years, and showed gradual enhancement after contrast enhancement. Palpable perigastric lymph nodes could not be considered as malignant factor of GS. There 7 computed CT criteria are significant difference between large (> 5 cm) and small (≤ 5 cm) GS.     

杭州社区医院发展的环境分析与战略研究

运用SWOT-PEST分析方法，从政治环境、经济环境、社会环境、技术环境四个方面对杭州社区医院发展的内部优势、外部机遇以及内部劣势、外部威胁进行了系统分析，并提出其发展的SO战略（即发挥优势，利用机遇）和WT战略（即减少弱点，回避威胁），以期对杭州社区医院的发展有所裨益，对其它各地社区医院的发展有所启示。     

杭州市某城区居民贫血状况调查分析

目的初步调查杭州市区居民贫血的流行情况,为预防部门开展贫血的防治提供依据,同时增强社区居民对贫血的认识.方法利用调查表对杭州市某城区3个社区卫生点共1 060名居民(成年人)进行问卷和个别咨询调查,调查内容包括贫血症状、相关病因学因素及实验室检查情况.同时在调查过程中对社区居民进行有关贫血知识及合理膳食的宣教.结果该城区居民(成年人)贫血患病率为2.83%,贫血分度以轻度为主;不同年龄的居民贫血患病率间差别有显著性意义(P＜0.05);男、女患病率分别为2.48%、3.13%,差别无显著性意义(P＞0.05).结论杭州市区成年居民贫血易患人群以老年为主,防治工作应以老年人群为主要对象,应采取普及营养知识、改善膳食结构、尽早发现慢性病,尽早治疗等综合防治策略.     

杭州疗养区自然疗养因子的调查分析及应用

调查杭州疗养区白然疗养冈子情况，以便发挥其自然疗养同子在防病治病、促进疾病康复、增强人民体质方面的作用。方法对杭州疗养区气温、气压、风速、湿度、降雨量、负离子浓度等气象资料及泉水状况进行分析。结果杭州疗养区年平均气温16．2℃，平均气压1.0115×105Pa，平均风速2.25m／s，平均湿度80％，平均降雨量1398．gmm，负离子浓度平均值为1099个／cm3；泉水资源个富.结论杭州疗养区自然疗养因子对疗养员在调节心理平衡、消除疲劳、矫治疾病、增强体质等方面起重要作用；对患有循环、神经、消化、血液、呼吸系统等疾病的患者计较好的治疗和康复作用。     

Cauliflower-like Neoplasm of Duodenal Papilla in a Liver Transplant Recipient: What Should We Think and Do? A Case Report

Background

With the continuous improvement of liver transplantation technology, the survival rate of liver transplantation has been improved, but recurrent or de novo malignancy remains one of the major factors affecting the long-term survival of liver transplant recipients.

Comparison of Sirolimus Combined With Tacrolimus and Mycophenolate Mofetil Combined With Tacrolimus in Kidney Transplantation Recipients: A Meta-Analysis

Purpose

The study was designed to compare the outcomes of sirolimus (SRL) combined with tacrolimus (TAC) and mycophenolate mofetil (MMF) combined with TAC in kidney transplantation recipients.