Correlation of monitoring the renal pelvic pressure in RIRS and the morbidity of postoperative fever / 局解手术学杂志

Objective To investigate the clinical significance of monitoring the renal pelvic pressure( RPP) and regulating the manual perfusion pressure in flexible ureteroscope holmium laser lithotripsy. Methods A total of 189 patients with upper urinary tract calculi treated by RIRS in our hospital were retrospectively analyzed from August 2014 to August 2017. The renal pelvic pressure was monitored during RIRS in 136 cases( monitored group) whereas no monitoring occurred in the rest 53 cases( unmonitored group) . The monitored group was divided into two sub-groups of 49 cases named high-pressure group(the cumulative time of renal pelvis pressure upon 40 cmH2O≥1 min) and 87 ca-ses named low-pressure group respectively. The morbidity of postoperative fever ( T≥38. 5℃) was evaluated statistically between monitored group and unmonitored group,meanwhile between high-pressure group and low-pressure group. Results Postoperative fever did not correlate to age,sex,involved kidney,and postoperative urinary tract infection. Whether renal pelvic pressure was monitored or not,infection calculi, duration of operation and whether the cumulative time of renal pelvis pressure upon 40cmH2O≥1 min contributed to postoperative fever. The rate of postoperative fever in unmonitored group was higher than monitored group while the same between high-pressure group and low-pres-sure group,with statistically significant difference(P<0. 05). Conclusion Monitoring the intraoperative RRP and regulating the manual perfusion pressure during RIRS has positive significance in postoperative recovery and contribute to reducing postoperative fever.

Edible oil safety in Shanghai catering service / 上海预防医学

[Objective] To investigate the purchase and use of edible oil , as well as recycling of kitchen waste oil in Shanghai catering service units , providing reference for relevant regulatory authorities . <br> [ Methods] A total of 976 units of various types of catering service in Shanghai were selected via strati-fied sampling methodology , a self-designed questionnaire used to investigate the purchase and use of edi-ble oil, as well as recycling of kitchen waste oil .Meanwhile, an on-site rapid detection technology was used to test items including acid value , peroxide value , polar components of unused pre -packaged edible oil and also the process of using frying oils on site . [ Results] The amount of edible oil used in catering service units of Shanghai was about 1235 tons per day;6.0% of the oil purchased was bulk cooking oil , which accounted for 5 .6%of the total amount consumed;44 .3%of the catering service units signed with professional companies for the recycling of kitchen waste oil;3615 samples were detected using an on -site rapid detection , of which 17 were suspected to be positive .The lab confirmed that test results were quali-fied. [ Conclusion] The edible oil used in Shanghai catering service units is safe in general , while bulk cooking oil may have potential safety hazards .Food practitioners have low awareness of health risk caused <br> by using edible oil repeatedly and for too long time , which makes some enterprise use “old oil” for too long;There does exist the possibility of kitchen waste oil returning to food chain as its recycling has not been standardized .

Urethroplasty with transection of urethral orifice and preservation and lengthening of urethral plate: highly applicable to the treatment of hypospadias / 中华男科学杂志

<p><b>OBJECTIVE</b>To explore the feasibility of urethroplasty with transection of the urethral orifice and preservation and lengthening of the urethral plate in the treatment of hypospadias.</p><p><b>METHODS</b>Forty-eight patients with hypospadias (18 of the coronal type, 21 the penile type, 8 the penoscrotal type and 1 the perineal type) underwent urethroplasty with transection of the urethral orifice and preservation and lengthening of the urethral plate. The surgical effects were observed by following up the patients for 3-27 months.</p><p><b>RESULTS</b>One-stage surgical success was achieved in 44 of the cases, with satisfactory functional and cosmetic results but no complications. Two cases developed urinary fistula and another 2 urethral stricture, but all cured by the second surgery.</p><p><b>CONCLUSION</b>Urethroplasty with transection of the urethral orifice and preservation and lengthening of the urethral plate is a simple, safe and effective surgical procedure for the treatment of hypospadias.</p>