Tang hospital with ERCP techno

Recently, the fourth military medical University Hospital Tang successfully for 6 years in small digestive endoscopy center under x ray fluoroscopy endoscopic removal of patients with biliary Ascaris lumbricoides, and lifted the biliary obstruction, cure biliary tract infections, this is my province using Endoscopic Retrograde Cholangiopancreatography (ERCP) technical minimum age for treatment of patients with biliary Ascaris lumbricoides.standing only 6 years old boy xinxin 110cm and weighing 18kg, very weak, and with severe symptoms of malnutrition. Over the past year, xinxin recurrent abdominal pain, but because the symptoms are not particularly obvious, does not cause parents enough attention. Not long ago, xinxin started on severe abdominal cramps, sometimes up to 39 ° c fever, yellow skin and the whites, after many hospitals seeking treatment fail, parents with xinxin attracted to Tang Hospital to seek treatment. Pediatrics director Wang Baoxi careful checking diagnosis of biliary tract roundworm causing biliary obstruction, infection of biliary tract. But small age, physical fitness in children with weak, how can we on the premise of minimal harm out of Ascaris lumbricoides became a challenge that lies before you. Pediatrics, general surgery, Gastroenterology and other departments in a number of experts after consultation, decided to adopt the technique of ERCP treatment, minimize on children with organ damage. Professor Zhao Baomin digestive endoscopy center before operation carefully prepared, and psychological guidance, easing fears in children with; in strict accordance with the children's dose in drug delivery, pay special attention to protecting children's reproductive organs. Because of children gastrointestinal physiological particularities and limitations, Professor Zhao Baomin precision mastering endoscopy, cleverly adapt to the weak gut, eventually successfully drawn from children with biliary had necrosis made a large number of worms. Postoperative, xinxin jaundice quickly dissipated, liver function and normal, has now recovered and discharged.said Professor Zhao Baomin, biliary ascariasis is one of the most serious complications of intestinal ascariasis, found in the 6—8 late age children, farmers, and pregnant women. It is caused by a variety of reasons intestinal roundworm campaigns active, and drill into the bile duct on the occurrence of acute abdominal pain, or infection of biliary tract; at the onset of the patient is pain, hard to bear, if treatment is not prompt, there may be varying degrees of dehydration and acidosis in patients with advanced, or even life-threatening. Professor Zhao remind everyone that normally should be preventive, to develop good health habits, they washed their hands before meals they need to. Patients with intestinal worms, for insecticide treatment when it is important to follow doctors ' orders using a full-charge completely kill Ascaris, otherwise due to Ascaris lumbricoides and mild poisoning campaigns active, rampant everywhere, most likely drilled into the biliary tract and biliary ascariasis occurs.   

Tangshan first insect tick bit

11th, Hebei Tangshan first insect tick bites in a Li is not an obvious exception, weather the 14-day observation period. Recently on &ldquo to public; insect ” colour changes, experts caution that tick disease can prevent treatable without panic.at the PLA's Department of severe poisoning 255 hospital, a member of the public when you pull out the weeds be skin swelling and insect bites, he fears for ticks and insects injured. The Bureau Director Shao Li told him that within a short time after the insect tick bites people does not automatically fall off, even it is difficult to remove, and so is not caused by ticks and insects. Shao Li said that in recent days, many people to call and ask and show concern.Shao Li said that after exposed to insect bites, we must not take strong remove, you must seek medical advice in a timely manner. Increase pest disease has an incubation period appears to 1-2 week, probationary period, required regular check body temperature, blood count, liver and kidney function, cardiac enzymes. Symptoms can be demonstrated by the head does not speak up, swallowing difficulties, such as paralysis, and tick-borne encephalitis symptoms such as fever, thrombocytopenia.tick disease can be spread via the neurotoxin in its saliva, animal-borne viruses can also be transmitted to humans and thus lead to a corresponding bacterial diseases. Therefore, Shao Li says Sun an ear and head of children exposed to insect bites, most likely is due to hold a dog. He therefore reminded, to pay more attention to pets for ticks and insects, and weeds, not to rest on the grass.at present, Tangshan people with confirmed insect tick bite 5, 1 person through observation period, short time remaining appeared low white cell and creatine kinase is rising,, no significant exceptions, still watching.expert reminder: ticks and insects are not uncommon, but tick disease can lead to death, people's understanding of this should have the right, maintaining peaceful mentality. (Bai Yunshui   Hu Xiangming) related links: 1. Understanding insect tick 2. Jiangsu this year occurred two ticks bug bit the dead cases 3. CDC: this year's national reports “ 4 ticks infected with ”280 cases. Pest prevention and control of ticks bites, strengthening the monitoring and management  

Hepatitis e virus particle thr

Deputy Director of the Center for protein science, Peking University research teams under the leadership of Professor Yin Changcheng, application/x-freeze electron microscopy of Crystal technology, measurement of three dimensional structure of the hepatitis e virus particles, not only for how the virus Assembly, how to host and host immune response induced by providing structural biology, and laying a foundation for structure-based drug and vaccine design.　　　Research recently published in the United States Academy of [Proc Natl Acad Sci U S A 2009,106 (31): 12,992] on. (Fudonghong Yan Yifeng)  

Hepatitis e virus infection an

Shanghai Jiao Tong University agricultural and biology homes people beast total sick and comparison medical team through on in China Central part area General crowd and pig group of multiple HEV HIV strains gene group part measuring sequence and system evolution analysis, found the area people source and pig source HEV HIV strains in genetic relationship Shang respectively belonging to different gene Asia type, its crowd e type hepatitis infection source is not comes from pig group, turn revealed has HEV exists with across species between spread yiwai of specific species between spread way. Related articles: Hepatitis E Virus Infection in Central China Reveals No Evidence of Cross-Species Transmission 　　　Between Human and Swine in This Area post at prestigious international publication the PLoS ONE   (full text linking below). Hepatitis e virus is a type of person total for animal disease pathogens, pose a potential threat to human and animal health and public health. Currently a number of countries and regions of the world reported Hepatitis e virus (HEV) in the crowd and cross-infection transmitted between pigs. This study reveals the specific geographical, environmental, climate, population, living habits and other factors may cause the hepatitis e virus infection and transmission diversity exists, results of this research can provide further in-depth study on the molecular epidemiology of HEV, ecology and control to provide the scientific basis.   

Of Peking University Hospital

As of October 23, 2009, Beijing "social security card" (hereinafter referred to as "social security") of the patients to the people's Hospital of Peking University, can be directly part of the settlement date of diagnosis and treatment at their own expense, and Medicare reimbursement section by doctor medical institutions advance on the day, no longer to area health care claims. Enabled for this card will be "Medicare patient" provides a great convenience for profits. &Nbsp; to ensure this work as soon as possible, the Centre in the Centre, under the leadership of great importance to the, health insurance, information centre, registered charges window, and other related departments work together, to restructure and related healthcare process improvement, improving information systems, complete with information interface joins the health care sector reconstruction project of Beijing, to fit the new Medicare billing. &Nbsp; the "social security" card information including basic information, attention, and so on, will in the future with increased services continue to expand functions, solve the inconvenience of holding more cards, more locations in patients with a doctor, health care fixed-point medical institutions of high cost of this is fine.   

Of is the key to prevention of

2008 Hong Kong-Shanghai International Conference on liver disease (ILC 2008), the General Assembly President academician Tang Zhaoyou and Japan surgical society President Professor Morito Monden co-chaired the "China-Japan Forum", on the prevention of postoperative recurrence of liver cancer treatment for presentations and discussion.　　Shanghai Zhongshan Hospital of Fudan University, Associate Professor Sun huichuan are invited on this "China-Japan Forum" summary author, share with readers. Sun huichuan Shanghai Institute of Fudan University Zhongshan Hospital of liver cancer treatment to prevent recurrence after resection of hepatocellular carcinoma based on treatment of hepatocellular carcinoma lesions, divided into resectable hepatocellular carcinoma patients and patients with unresectable liver cancer.　　The former most promising long-term survival, it is critical for preventing recurrent treatment. At present, although hepatectomy for liver cancer has become a safe and effective treatments, but the recurrence rate is still as high as 40%~60%, seriously affecting the patient's survival of the extension.　　Liu Yunyi academicians of the Chinese University of Hong Kong introduced the risk factors for postoperative recurrence of liver cancer, and review the various measures that have been reported in the current literature, including systemic chemotherapy, treatment of local chemotherapy embolism, Retinoic acid, cytokine-activated killer cells (LAK cell) therapy, interferon, and so on. Academician of lipiodol in treatment of 131I labeled Liu Yunyi highlights iodine (131I) marking of lipiodol in treatment, considered this treatment can significantly improve patient survival. Included in the study of 43 patients with liver cancer, patients are accepting of radical resection. 21 cases of postoperative received 131I labeled within 6 weeks of lipiodol in hepatic artery infusion therapy. Results show that disease-free survival period of treatment and control groups were 57.2 and 13.6 month, 3-year overall survival rate and 84.6%, respectively.　　This research result also earned two France team support. Interferon treatment such as Zhongshan Hospital of Fudan University in Shanghai, Sun huichuan a study include acceptance of 236 cases of radical resection of liver cancer patients, of which 118 receiving interferon treatment to prevent relapse.　　Results showed that interferon treatment, and disease-free survival in patients with non-treatment group were 31.2 and 17.7 months, 63.8 per cent and 38.8-month overall survival. At present, worldwide, a total of 7 on interferon to prevent liver cancer recurrence of random group, support the foregoing findings of the study. History of HBV in patients with liver cancer, interferon is mainly inhibit residual tumor growth, and for a history of hepatitis c in patients with liver cancer, interferon in the treatment of major regeneration to reduce liver cancer.　　Associate Professor Sun huichuan also introduced a series of basic research on interferon in treatment of liver cancer, prompted tumors P48-positive patients receiving interferon therapy suitable objects. Interferon combined with chemotherapy medication Japan Tokushima University Shimada, combination treatment with interferon and chemotherapeutic drugs 5-fluorouracil and cisplatin prevention associated with tumor thrombus in hepatocellular carcinoma patients with postoperative recurrence to the naked eye. Results show that treatment group and 3-year survival rate of non-treatment group and 63.5%, respectively. While this study into the number of cases limited (25 patients), but the results are encouraging.　　This study suggests, combination of interferon and chemotherapeutic drugs for more advanced types of postoperative recurrence of liver cancer, there may be a better preventive effect. Japan, Tokyo University of Hepatobiliary and pancreatic surgery Hasegawa introduced after hepatectomy of oral chemotherapy drug to prevent recurrence.　　Result again, simple oral chemotherapy drug fluorouracil tegafur, on preventi

Of patients associated with ea

Shanghai Ruijin hospital a retrospective study of Wei Wu, gastric lesions with superficial mucosal congestive proof change, often for special change in early gastric cancer, congestive lesion of red lesions and the background of the occurrence site and there is an obvious degree of differentiation of cancer-related. Review from June 2006 to September 2007 researchers at Shanghai Ruijin hospital for treatment of 107 patients with early gastric carcinoma under gastroscopy in patients with performance, select lesions or lesions around the Central has significant congestion, redness changed a total of 28 cases, the included studies.　　Researchers focus on congestive lesion of observation sites, surface structure and focus the edge forms, verify their operative pathological specimen taken in carcinoma tissue differentiation, invasion depth and lymph node metastasis. Results showed that of patients associated with early gastric cancer according to their shape and relative position of patients can be divided into 3 types: type 1 for the SAG-irregular grid around the lesion patients; type 2 as a shallow depression with lesions of the central Red congestive particles and nodules; type 3 type eminence lesions with congestive superficial adenomatous hyperplasia. 28 cases of patients with type 1 in 17 cases (60.7%), 2 7 (25%), 3-4 (14.3%). Different form and congestive cancer there is an obvious degree of differentiation related to type 1 patients changed to carcinoma see (58.8%), type 3 to Carcinoma, undifferentiated carcinoma in 6 cases in type 2 (85.7%).