Correlation analysis of postpartum weight control and cardiovascular metabolic risk of gestational diabetes / 中国医师杂志

Objective To analysis the correlation between postpartum weight control and cardiovas-cular metabolic risk of GDM.And to investigate the important of nursing intervention in GDM postpartum weight control and cardiovascular diseases privation.Methods Two hundred GDMcases with normal pre-pregnancy body mass index were divided into the intervention group (n =100)and the control group (n =100).Cases of the intervention group received nursing intervention and positive control weight,while the control group took none of the nursing.Weight,BMI,blood glucose levels,HbA1c,TC,TG,HDL-C, LDL-C,blood pressure and other relative indicators were detected at 1 year postpartum.All of the detected value were compared with the healthy group (n =100).Results One year postpartum weight and BMI of the intervention group was significantly lower than that of the control group (P <0.05).Blood glucose lev-els,TC,TG,LDL-C of the control group were the highest in the three groups.Cardiovascular metabolic risk had positively correlation with postpartum weight,BMI,blood glucose levels and TC.Conclusions Nursing intervention programs may reduce 1 year postpartum weight and reduce cardiovascular metabolic risk of GDM.

A clinicopathological study of 14 cases of pulmonary inflammatory myofibroblastic tumor / 中国肺癌杂志

<p><b>BACKGROUND</b>Inflammatory myofibroblastic tumor (IMT) is an uncommon disease which usually occurs in the lung. Recently, several reports have suggested that IMT is a true neoplasm rather than a reactive lesion. In this retrospective study, we reviewed clinicopathological characteristics and prognoses of patients with surgically resected IMT of the lung at our department.</p><p><b>METHODS</b>From January 1999 to December 2003, 14 patients had surgical intervention for IMT of the lung at Tongji Hospital. The resected lesions were studied histologically and immunohistochemically. One to 5 years' follow-up was completed in all patients.</p><p><b>RESULTS</b>These 14 patients included eight men and six women. They ranged in age from 11 to 46 years old. Nine patients were asymptomatic. The other five symptomatic patients had cough, hemoptysis, and dyspnea. For all these patients, the diagnostic procedure was surgical excision. The resected tumor size ranged from 1.0 to 8.0 cm in diameter. Histologically, a variety of inflammatory and spindle cells were observed. The spindle cells corresponded ultrastructurally to myofibroblasts or fibroblasts. There was no recurrence in these patients, and all of them were in good health during the follow-up.</p><p><b>CONCLUSIONS</b>Histopathologically, IMT is characterized by myofibroblasts which are mixed with chronic inflammatory cells, including plasma cells, lymphocytes, and histiocytes. Surgical resection, when possible, should be chosen as the first choice and complete resection leads to excellent survival.</p>