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Objectives To investigated the clinical characteristics and prognosis of hypothyroid myopathy Methods The clinical characteristics were analyzed in 10 patients diagnosed with polymyositis-like hypothyroid myopathy. Symptoms and indicators at baseline and after levothyroxine replacement therapy were compared. The correlations of muscle enzyme levels with thyroid function were analyzed. Results A total of 10 patients, including 3 males and 7 females, were enrolled. The average onset age was 46.1 ± 10.3 years and duration of disease was 2.1 ± 0.9 months. The first manifestation comprised proximal muscle weakness and myalgia or arthralgia. Liver dysfunction, hyperlipidemia, muscle enzyme increased, pericardial effusion, pleural effusion, and fatty liver was common. All patients were Hashimoto's thyroiditis and negative for myositis antibodies. Pathological muscle biopsies revealed myxoid degeneration and muscle atrophy. The proportion of patients who experienced proximal muscle weakness, myalgia, and/or arthralgia, ALT increased, AST increased, CHOL increased, TG increased, CK increased , CK-MB increased, LDH increased, fT3 decreased, and fT4 decreased were significantly lower after treatment(all PPPConclusion Hypothyroid myopathy was more common in female. Most patients had liver dysfunction, hyperlipidemia and abnormal muscle enzyme levels, serous cavity effusion and fatty liver. Electromyography and muscle pathology had no specific alterations. The prognosis was well after levothyroxine replacement therapy.

Currently, villages “besieged with garbage” have become a serious problem in rural areas of China. Separation of rural residential solid waste (RRSW) is one of the main strategies for waste reduction. Although previous studies have analyzed the social and psychological motivations of residents’ separation intention for municipal solid waste (MSW), little attention has been paid to the situation in rural areas. This paper investigates key factors influencing rural residents’ separation intention, as well as analyzing the moderating effects of perceived policy effectiveness on the relationship between the determinants and the intention, using survey data of 538 rural residents in the province of Sichuan in China. The results show that all the proposed key factors influence the separation intention significantly. Furthermore, the policies were divided into two types and the moderating effects were tested for each type. The results show that the perceived effectiveness of both the inducement policy and the capacity building policy moderated the relationship between attitude and separation intention positively, while the perceived effectiveness of the inducement policy moderated the relationship between subjective norms and intention negatively. The findings provide insightful information for policymakers to design effective RRSW separation policies.

A real‐time environment information acquisition system is essential if models and vegetable‐crop information are to be integrated with a greenhouse management expert system for good decision making. Our greenhouse management expert system has four functional modules: (1) cultivation techniques, (2) pest and disease diagnosis and prevention, (3) nutrient deficiency diagnosis and fertilisation, and (4) environment control. The hardware and software of the environment information acquisition system are incorporated into the expert system, which also offers a multi‐interface for sensors and is easily extended and maintained. Implementation was accomplished with the whole system to ensure its reliability and applicability for expert system, on‐line decision making. The results show that a dynamic integration of a greenhouse management system and an environment information acquisition system can supply sufficient information for good control strategies and for decision‐support.

Objective: To study the nature of preoperative nursing care of a Laryngoscope facilitated vocal polyp excision procedure using general anesthesia. Methods: Clinical data from 238 cases of the aforementioned laryngoscope procedure from May 2012 to May 2014 in our hospital’s Otolaryngology department was collected. Psychological nursing was administered including preoperative preparation, postoperative monitoring, close observation of vital signs, post-operative nursing, diet, care, and also enhanced nursing skills such as discharge guidance. Results: 238 cases of vocal cord polyp patients were all completely cured and discharged, there was no postoperative infection and other complications. After reviewing the condition of the vocal cords, primarily if the sutures at the incision are fine, there is apparent improvement. Conclusion: The laryngoscope facilitated vocal polyp excision under general anesthesia procedure can deliver satisfying results when coupled with close patient observation and improved understanding of diseases by the preoperative nurses.