ObjectiveTo observe the clinical efficacy of acupuncture plus neuromuscular electrical stimulation in treating motor aphasia after ischemic stroke.MethodSeventy-five patients were randomized into a control group of 38 cases and a treatment group of 37 cases. The two groups both received basic treatment. Besides, the control group was given acupuncture treatment; the treatment group was given acupuncture plus neuromuscular electrical stimulation. The acupuncture treatment and neuromuscular electrical stimulation were given once a day, 10 d as a treatment course, totally for 2 successive courses. The Aphasia Battery of Chinese (ABC) was observed before and after treatment to evaluate the speech function.ResultThe total effective rate was 81.6%in the control group versus 89.2% in the treatment group, and the difference was statistically significant (P<0.05). The Communication Activities of Daily Living (CADL-T) scores were significantly increased after intervention in both groups (P<0.01), and the CADL-T score of the treatment group was significantly higherthan that of the control group (P<0.01).Conclusion Acupuncture is effective in improving the speech dysfunction and the quality of life in patients after ischemic stroke, and it can produce a higher therapeutic efficacy when combined with neuromuscularelectrical stimulation.

Objective To evaluate the value of barium meal examination in diagnosing heterotopic pancreas in the stomach and duodenum.Methods Five cases with pathologically or stomach endoscopy proved heterotopic pancreas were analyzed retrospectively with emphasis on imaging findings.Results Heterotopic pancreas localized in the stomach in 3(the antrum of stomach in 2 and the body of stomach in 1) and in the duodenal bulb in 2.On barium meal examination,the atypical findings were well-defined as oval or round masses with smooth margins and omphaloid barium patch in three,dilatation of heterotopic pancreatic duct in two.The lesions ranged from 1.5 cm to 3.5 cm in size.Conclusion The characteristic findings of heterotopic pancre as are well-defined as oval or round masses with smooth margins and omphaloid barium patch,and dilatation of heterotopic pancreatic duct.To understanding these X-ray findings may be helpful in making a correct diagnosis.

Objective To evaluate the value of MRI in diagnosis of prostate diseases.Methods Clinical data and MRI findings of prostatic carcinoma(PC) in 43 cases and benign prostatic hyperplasia(BPH) in 33 cases confirmed pathologically were reviewed blindly by two radiologists and compared with that of pathology.The sensitivity,specificity,positive predictive value(PV+),negative predictive value(PV-) and accuracy of MR imaging were also calculated.Results The sensitivity,specificity,PV+,PV-and accuracy of MR imaging in diagnosing prostatic lesions were 90.7%,84.8%,88.6%,87.5% and 88.2% for PC,84.8%,90.7%,87.5%,88.6% and 88.2% for BPH,respectively.PC located in the peripheral zone were 67.4%(29/43 cases),in the central zone were 9.3%(4/43 cases),the prostates presented irregular enlargement with diffuse low signal intensity in 16.3%(7/43 cases),7.0%(3/43 cases) lesions did not found by MRI even after getting pathological results.The size of the mass ranged from 0.3~10.0 cm,mean 2.4 cm.All of 40 cases,the lesions showed low signal intensity without border and capsule.The affected structures around the lesions inculuded prostatic capsule(n=34),seminal vesicle(n=24),muscle(n=8),rectal(n=5),bladder(n=6) and ilium(n=1),lymph nodes metastasis(n=11),bone(n=13) and lung(n=2).The lesions of BPH located in the central zone were 87.9%(29/33 cases),showing enlargement of the central zone with inhomogeneous signal intensity,the other 4 cases in peripheral zone showed low signal intensity with border and 2 cases with capsule.Conclusion MRI has higher sensitivity,specificity,positive predictive value,negative predictive value,and accuracy in diagnosis of prostatic diseases.

[Objective]To study the pertinency of position of the lesser trochanter and lateral shaft of femur for internal fixation of fracture of the lesser trochanter.[Method]One hundred and twenty thigh bones were taken X-ray films on normotopia and lateral position,anatomical observation and measurement of the the lesser trochanter were completed with angel and length relative to lateral shaft of femur.[Result]Vertical axis length of the lesser trochanter was 26.38?2.44 mm and transverse diameter was 15.61?1.49mm.Its retroverted angle was 17.66??10.56?and uptilted angle was 26.33??3.33?.[Conclusion]The appropriate position in fixation of the fracture of the lesser trochanter is the point on the besctor of the lateral cortex of the femur on level of the lower of the lesser trochanter.Its retroverted angle is 10?-15?and uptilted angle is 25?-30?.The length of the screw is 45-50 mm,it is beneficial to design the plate in femur with the data.

Objective To evaluate the findings of fat necrosis in the breast.Methods 9 caes of fat necrosis of the breast proved by pathology and were reviewed.All patients underwent mammography,3 cases underwent plain CT and contrast-enhanced CT.Results The mammographic features of fat necrosis included: the lesion out of gland tissue showed multiple rope and node with fat density(7 cases);thelesion in gland tissue showed regular(1 case) and irregular mass(1 case).Conclusion The image has a higher accuracy than physicalexamination in distinguishing fat necrosis and breast carcinoma.Multiple rope and node with fat density is the typical signs of fat necrosis of the breast.

Objective To analyze the effect of iodine-131I in the treatment of patients with hyperthyroid heart disease(HHD).Methods The clinical materials and therapeutic effect by 131 I were reviewed in 100 patients with HDD.Results The heal rate of hyperthyroidism and HHD were 82.3％,86.5％ in treatment group,and were higher than that of the control group (69.0％ and 76.2％ ) ( x2 =3.80,3.83,P ＜ 0.05 ) ; HHD with atrial fibrillation was 65.0％,average cardioversion after 131I treatment was 74.4％ after the treatment by 131I;The LVEDD、LVESD、LVEDV and HR after 131 I treatment were lower compared with before treatment ( all P ＜ 0.05 ),SV and EF were increased ( all P ＜ 0.01 ).Conclusion 131I treatment in patients with HHD,can significantly improve the efficacy of a heart disease

This paper reviews the treatment of depression syndrome by acupuncture in the recent years.

Objective To identify the factors influencing the response to clopidogrel.Methods Seventy-two patients with acute coronary syndrome who were treated at Beijing Tongren Hospital from September,2005 to April,2006 were eligible for this study.10 ?mol/L ADP induced platelet aggregation was measured before and 7 days after clopidogrel treatment by the traditional optical aggregometry.According to the inhibition of platelet aggregation(?A),the population was divided into low response group and normal response group.Then some factors possibly influencing the response to clopidogrel were analyzed by specific statistical methods.Results Baseline characteristic showed that compard with that of normal response group,the body mass index and the percentage of obesity and STEMI were lower in low response group,while its percentage of hypertension and diabetes were higher(P

Objective To understand the relationship between Toxoplasma gondii infection and pet-breeding and hygienic status. Methods One or two districts were chosen from Jining City, Za-ozhuang City and Linyi City as study areas and the questionnaire surveys were carried out for hygienic status, etc. The pet-breeders and non-pet-breeders were paired by sex, age, living place and occupation so on in a ratio of one to one. Blood samples taken from each were tested for antibodies against T. gondii with ELISA in a double-blind method. Results The total infection rate was 14. 25%, much higher than that investigated ten years ago (1. 53%). The mean positive infection rate was 19.91% in the pet-breeding groups and 8.60% in the control groups (x2 = 11.57, P

Objective To evaluate the influence of sevoflurane anesthesia on the expression of growth-associated protein 43 (GAP-43) and neural cell adhesion molecule (NCAM) in hippocampal neurons of neonatal rats.Methods Thirty-six pathogen-free Sprague-Dawley rats,aged 7 weeks,weighing 15-20 g,were randomly divided into 4 groups (n =9 each) using a random number table:control group (C group),1.5％ sevoflurane 6 h group (L group),3％ sevoflurane 2 h group (H1 group) and 3％ sevoflurane 6 h group (H2 group).Group L inhaled 1.5％ sevoflurane in oxygen for 6 h.H1 and H2 groups inhaled 3％ sevoflurane in oxygen for 2 and 6 h,respectively.Group C inhaled 30％ oxygcn only.When the neonatal rats were 14 days old,the rats underwent Morris water maze test for 7 consecutive days.Place navigation and spatial probe tests were carried out.After the end of Morris water maze test,the rats were sacrificed,and the hippocampus was obtained for determination of the expression of GAP-43 and NCAM in hippocampal neurons.Results Compared with group C,the escape latency was significantly prolonged,the time of staying at the original platform quadrant was shortened,and the expression of GAP-43 was down-regulated in L,H1 and H2 groups,and the frequency of crossing the original platform was decreased in L and H2 groups.There was no significant difference in NCAM expression among the four groups.Conclusion The mechanism by which sevoflurane anesthesia decreases the cognitive function may be related to down-regulated expression of GAP-43,but not related to NCAM expression in hippocampal neurons of neonatal rats.