In order to supply some reference about the construction of network course of physiology, we summed up the establishing experience from the course design, construction and application.

Objective To investigate the relationship between electrical stimulus intensity and postopera-tive complications of puncture trigeminal ganglion radiofrequency thermocoagulation (PTGRT). Methods 86 pa-tients with trigeminal neuralgia (TN) on the second and the third branch underwent trigeminal ganglion radiofre-quency thermocoagulation in Xuanwu Hospital , Capital Medical University from June 2013 to December 2015 enrolled in this study. Electrical stimulus intensity in surgery and postoperative pain VAS score , numbness score, masseter muscles score and complications were recorded at 0, 24 and 48 hours post-surgery. Correlations among electrical stimulus intensity in surgery and postoperative pain VAS score,numbness score, masseter mus-cles score were analyzed. Result The 86 patients had different degrees of facial numbness , some patients had different degrees of masseter weakness , and 2 patients had mild sialorrhea in two days after PTGRT without serve complications. Eighty-three patients (96.51%) had no pain, and VAS score wass 0 at 0, 24 and 48 hours post-PTGRT. Electrical stimulus intensity in surgery had apparent negative correlation with numbness score at 0 , 24 and 48 hours popst-PTGRT (P < 0.01), with negative correlation with masseter muscles decreasing at 48 hours post-PTGRT (P < 0.05). Conclusion Suitable temperature and time in PTGRT were needed to be chose ac-cording to the electrical stimulus intensity.

Objective To investigate the effect of Jinlida granules on blood glucose level, physiological index, and the nuclear factor-kappa B (NF-κB) pathway in mice. Methods Mice were randomly divided into a positive control group (acarbose group), an experimental group (Jinlida granule group), and a blank control group. The effects of Jinlida granules on blood glucose levels and weights of the mice were measured after single and multiple ingestion of sucrose or starch. The levels of superoxide dismutase and malondialdehyde were measured in mice via enzyme-linked immunosorbent assay. Changes in serum lipids and other indicators were detected using an automatic biochemical analyzer in order to determine the regulatory effect of Jinlida granules on blood lipid levels and liver and kidney damage. Changes in NF-κB, interleukin (IL) -1β, and IL-6 levels were detected via Western blotting. Results Jinlida granules downregulated postprandial blood glucose levels without reducing body weight in mice. Jinlida granules also reduced serum triglyceride concentration without causing damage to the liver or kidneys in mice, showed protective effects on muscle cells, and may reduce activation of the NF-κB pathway. Conclusion Jinlida granules may contribute to ameliorating diabetes.

0.05). 100% occlusion was achieved in 18 patients with cerebral aneurysms by using embolization. Conclusion 3D DSA may improve the accuracy in diagnosing SAH and in showing clearly the stereo conformation of aneurysm and the relationship of sac and parent artery. It is helpful in the evaluation and guidance of embolization of cerebral aneurysms.

Objective To investigate the therapeutic mechanism of Dan Hong in a rat model of cervical spondylotic myelopathy (CSM).Methods Thirty Sprague-Dawley rats were divided into an experimental group (n=10),aCSM modelgroup (n=10),and acontrol group (n=10).The CSM model group received a Dan Hong injection,while the control and experimental groups received an injection of an equivalent volume of physiological saline.The motor function of the rats was assessed before administration and at 4 weeks after administration,at which time the rats were sacrificed.The expression of cytokines and bcl-2 was detected by ELISA and Westem blotting.Results Four weeks after treatment,the number of oblique plates in the experimental group increased.Additionally,the expression of cytokines (IL-6 and TNF-α) in the CSM model group was higher and the expression of bcl-2 was lower.Conclusion Dan Hong injection can reduce the inflammatory response and reduce cell apoptosis in CSM.

Polyorchidism is a rare congenital malformation of the urogenital system, in which a man has three or more testes, and the excess testes are usually located in the scrotum. A case of polyorchidism was reported in this paper. The patient presented with a scrotal mass, and ultrasonography showed an echogenic mass resembling testicular tissue in the right scrotum. A palpable mass in the right lower pole of the testis was found during the operation and completely removed. Pathological examination showed that the nodule parenchyma was seminiferous tubules under the microscope, and the nodule was covered with a white structure, which was considered as polytorchidism. Six months after the operation, the bilateral testis and epididymis were normal.

Objective:To evaluate the clinical effect of Guanxin Tongmai plaster combined with conventional western medicine in the treatment of phlegm and blood stasis syndrome of coronary heart disease and angina pectoris.Methods:A total of 60 patients in the Department of Cardiology of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine (TCM) from February to August 2020 who met the inclusion criteria were randomly divided into two groups with 30 in each group. Both groups were treated with conventional western medicine. On this basis, Guanxin Tongmai plaster was applied at the acupoints in the treatment group and placebo plaster was applied in the control group. TCM syndrome score was performed before and after treatment, angina score was evaluated from three aspects of angina attack frequency, duration and pain degree, and blood lipid TG, TC, LDL-C and HDL-C were detected by enzyme quantitative method. The blood homocysteine (Hcy) was detected by enzyme circulation method, the ECG and the nitroglycerin reduction rate were recorded, and the safety index was detected according to the ECG changes.Results:In the treatment period, 2 patients in the treatment group fell off, 3 in the control group. A total of 28 patients in the treatment group and 27 in the control group were analyzed. The total effective rate of ECG efficacy in the treatment group was 67.9% (19/28) and the control group was 48.1% (13/27). There was significant difference between the two groups ( χ2=4.46, P=0.040). After treatment, the TCM syndrome score and angina score in the treatment group were significantly lower than those in the control group ( t values were 9.12 and 4.45, P values were 0.004 and 0.042, respectively). The reduction rate of nitroglycerin in the treatment group was 82.1% (23/28) and 55.6% (15/27) in the control group. There was significant difference between the two groups ( χ 2=4.72, P=0.030). After treatment, the plasma TG, TC, LDL-C in the treatment group were significantly lower than those in the control group ( t values were 4.17, 6.57 and 6.52, P<0.05 or P<0.01), the level of HDL-C was significantly higher than that of the control group ( t=7.07, P=0.010), and the level of plasma Hcy was significantly lower than that in the control group ( t=6.70, P=0.012). There was no significant difference in liver, kidney and coagulation function between the two groups. Conclusion:Guanxin Tongmai plaster combined with conventional western medicine can improve the clinical symptoms of patients with coronary heart disease and angina pectoris, reduce the level of blood lipid and Hcy, and improve the clinical curative effect.

Objective:To reevaluate the systematic reviews on application effect of high-flow nasal cannula oxygen therapy in preterm infants.Methods:Systematic reviews or Meta-analysis on the use of high-flow nasal cannula oxygen therapy in preterm infants were searched by computer from Cochrane Library, PubMed, Embase, CNKI and Wanfang databases. The retrieval period was from establishment of databases to December 6, 2022. Literature screening and data extraction were conducted independently by two researchers. A Measure Tool to Assess Systematic ReviewsⅡ and The Grading of Recommendations Assessment, Development and Evaluation system were used to evaluate the methodological quality and evidence quality grading of the included literature, respectively.Results:A total of 13 systematic reviews were included, and the results showed that the methodological quality of 4 literatures was low, and that of 9 literatures was very low. The hierarchy of evidence of 112 outcome indicators was evaluated. The results showed that the evidence quality of 7 outcome indicators was extremely low, evidence quality of 78 was low, evidence quality of 26 was intermediate and 1 was high.Conclusions:High-flow nasal cannula oxygen therapy is not sufficient to replace the role of non-invasive positive pressure ventilation in respiratory support for premature infants, but it can reduce the incidence of nasal injury and the incidence of air leakage or pneumothorax in respiratory support after extubation. The methodological quality of systematic evaluation included in the study is low, and the credibility of evidence is insufficient. Clinical application needs to carefully adopt relevant evidence and further carry out more standardized and rigorous research.

Objective:To analyze the differentially expressed genes (DEGs) in visceral adipose tissue of patients with type 2 diabetes mellitus (T2DM) based on bioinformatics.Methods:The microarray dataset GSE78721 was downloaded from the Gene Expression Omnibus (GEO) database, including visceral fat samples data from 19 T2DM patients and 16 non-diabetic subjects. The analysis of transcriptomic profiling results from tissue samples was conducted, and a comparison between different groups of samples based on gender was performed. The online Xintao Academic Database was utilized for the analysis, employing the "limma" package in R language to filter DEGs. Subsequently, the DEGs were visualized, and Gene Ontology (GO) functional annotation along with Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis were carried out and visualized. Based on the Search Tool for the Retrieval of Interacting Genes/Proteins (STRING) database, a protein-protein interaction network (PPI) of DEGs was constructed and key differentially expressed genes were identified and visualized using Cytoscape software.Results:Analysis of visceral adipose tissue gene expression profiles revealed 168 DEGs (|log 2FC|≥1, P<0.05). In females, 42 mRNAs were up-regulated, 3 were down-regulated; in males, 105 were up-regulated, 37 were down-regulated, 19 genes were shared by the two groups. GO analysis linked DEGs to insulin-like growth factor receptor signaling and regulation, nutrient response, and leukocyte migration. KEGG analysis implicated extracellular matrix receptor interactions and leukocyte transendothelial migration. The PPI network unveiled 10 key genes, including COL1A1, COL1A2, TGFB3, PCOLCE, TIMP1, COL6A2, COMP, COL14A1, VCAM1 and THY1. Conclusion:Bioinformatics technology can effectively analyze and screen DEGs in visceral adipose tissue of T2DM patients, providing useful clues for further exploring its molecular mechanism and finding therapeutic targets.