Objective To analyze the clinical effect of acupuncture combined with speech rehabilitation training in the treatment of dysarthria after stroke.Methods 88 patients with dysarthria after stroke were selected as study subjects,and they were randomly divided into the control group and the treatment group,44 cases in each group. The control group was treated with speech rehabilitation training,and the treatment group was treated with acupuncture combined with speech rehabilitation training.At the end of treatment,the dysarthria efficacy,a number of aand the incidence of adverse reactions were observed and compared between the two groups.Results The cure rate(9.09%) and total effective rate (77.27%)in the control group were significantly lower than those in the treatment group (25.00%,97.73%),and the differences were statistically significant(χ2 =3.94,8.42,all P <0.05).Before treat-ment,there was no significant difference between the two groups in the number of a(P >0.05),after treatment,the number of ain the control group was (7.39 ±3.67),which was significantly lower than (16.32 ±7.83)in the treatment group(t =4.20,P <0.05).The incidence rate of adverse reaction between two groups had no statistically significant difference(χ2 =3.11,P >0.05).Conclusion For post -stroke patients with dysarthria,acupuncture combined with speech rehabilitation training has good treatment effect,and the method can increase the number of aof patients,and has high security,it is worthy of widely application in clinic.

No abstract available.
Animals ; Antibodies* ; Antibodies, Anticardiolipin ; beta 2-Glycoprotein I* ; Mice* ; T-Lymphocytes, Helper-Inducer*

BACKGROUND: Over the past several years, Clostridium difficile has become a major healthcare-associated pathogen. Fecal bacteriotherapy has been reported as an effective intervention for treating recurrent C. difficile infection by restoring the normal intestinal microbiota. METHODS: Articles on fecal bacteriotherapy were collected through PubMed, CINAHL, Cochrane Library, and Web of Science databases using the keywords "Clostridium difficile," "feces," "fecal transplantation," "fecal microbiota transplantation," and "fecal bacteriotherapy." Using a systematic literature review, variables of interest from articles that met the inclusion criteria were extracted and summarized. RESULTS: Among 141 articles that were published in English from January 1, 2000 to August 31, 2012, 8 studies were selected for analysis after assessing the titles, abstracts, and full contents. Fecal bacteriotherapy procedures varied with respect to donor selection, screening, infusion route, and preparation of the suspension. Donors were mostly family members or relatives, and donor screening included tests for blood borne and stool pathogens. Selected infusion routes were colonoscopy (62.5%), nasogastric tube (25%), and enema (12.5%). The success rate was reported to be 73-100%. There was a lack of a standard procedure for fecal bacteriotherapy in all of the selected studies. CONCLUSION: Fecal bacteriotherapy is an effective intervention for combating C. difficile infection that has a high success rate and no adverse effects. This therapy would be helpful for infection control in hospital settings by facilitating early eradication of C. difficile infection.
Clostridium ; Clostridium difficile ; Colonoscopy ; Donor Selection ; Enema ; Feces ; Humans ; Infection Control ; Mass Screening ; Metagenome ; Tissue Donors

No abstract available.
Positive-Pressure Respiration, Intrinsic ; Airway Resistance ; Bronchitis, Chronic ; Lung Compliance ; Vena Cava, Inferior ; Work of Breathing ; Heart Ventricles ; Blood Pressure ; Pulmonary Disease, Chronic Obstructive ; Lung ; Respiratory Muscles ; Pulmonary Emphysema ; Emphysema ; Pneumonia ; Cardiac Output ; Lung Transplantation ; Intensive Care Units ; Positive-Pressure Respiration ; Barotrauma ; Hypotension ; Korea

Laboratory testing for HIV infection is the most basic diagnosis evidence for HIV infection and case with AIDS.However,HIV testing is not only professional issue but also quite psychologically different from other tests for infectious diseases.It requires that the HIV test need reach up nearly both 100% of the sensitivity and specificity.If false positivity occurs,it may cause personal,familial and social problems,even result in extremist behavior such as action of suicide.If false negativity occur,it may lead not to receive medical intervention prompdy and to increase infection for society due to blood and sexual transmission modes.As of December 2007,there were 6 918 HIV screening labs and 202 HIV confirmatory labs,which has been approved in China.Therefore,the purpose of"the regulation on national management of HIV laboratory testing"(Management)is to require the management of HIV laboratory testing work legally and to ensure the testing as a technical protection measure for priority prevention and control of AIDS in the country.This paper presents the development and formulation of the Management,and also describes people's concern and understand some key points to carry out the Management in hospital laboratory departments currently.

Sepsis has become a widespread and very complex issue for modern critical care medicine.It is undoubtedly of great theoretical and clinical significance that we should strengthen the study of sepsis and explore new treatments and drugs.It has been found that curcumin had anti-tumor,anti-inflammatory,anti-virus,antibacterial,antioxidant and other pharmacological effects,low toxicity,and a good potential for clinical application.Moreover,it was thought to be potentially immunomodulatory in the last two decades.A number of experimental studies had elicited that curcumin could be used for sepsis and septic shock.This article reviews the immune regulation mechanism of curcumin in sepsis.

Congenital nephrotic syndrome,the common cause of end stage renal disease in chidren,is a rare kidney disorder.With the advanced molecular biology,much progress have been made in its etiology,diagnosis and treatment.This paper will mainly focus on its classification,diagnosis and therapy.

Objective:To study expression and significance of intercellular adhesion molecule-1(ICAM-1),vascular cell adhesion molecule-1(VCAM-1) and E-selectin in nasal polyps.Methods:Expression of three adhesion molecules in nasal polyps from 25 patients and in middle turbinates mucosa from 9 volunteers with deviation of nasal septum was measured with immunohistochemistry.All samples were also studied by HE stain and observed under optical microscope.Results:Abundant eosinophils(EOS) were observed in nasal polyps.Expression of three adhension molecules in nasal polyps upgrade significantly.There is a positive correlation between the expression in the vascular endothelium and in the matrix of nasal polyps.The statistical analysis also shows such a correlation between the expression of ICAM-1 and of VCAM-1 in the vascular endothelium of nasal polyps.Conclusion:In nasal polyps expression of these adhesion molecules increases significantly.They can express in the vascular endothelium and the matrix.They may play a key role in the chronic inflammation procedure with inflammatory cells to attach to the vascular wall,to migrate into the matrix,and to be activated.They may perform synergistic action to take part in the whole process of nasal polyps.

Objective To study the reconstructing esophagus operation via different paths to reduce postoperative complication and raise life quality.Method We analysed 15 patients with reconstruction of esophagus operation with part of colon via different paths.Results There was less injure in the operation via the path behind sternum.And the length 6～8 cm was than that via the path before sternum under skin.The rebuilt esophagus in anatomy construction is very similar to the original one,which assured full blood supply,reduce the postoperation complication.And the transplanted colon was not easily injured and did not influence the appearance.After the operation the patients took food freely and had satisfactory life quality.Conlusion The operation of esophagus reconstructed with is via the pathbehind breastbone is the most satisfactory.

An observation of nerve terminals in the induced glioblastoma of mouse was made by Nonidez and Glees impregnation method.In the marginal zones of the glioblastoma innoculated in the brain or muscle,nerve fascicles of various sizes with or without the blood vessels could be seen. In some case the nerve fibers formed a perivascular plexus through the perivascular space and some nerve fibers terminated on vascular walls.The nerve fibers within the tumor seemed to be related to those nerve fibers distributed in the brain tissue near the tumor or in the subcutaneous tissues, hair follicules of muscles around the tumor, hence, we suggest that the nerves whthin the tumor were growing in from the surrounding normal tissues.The amount of the nerve fibers was more abundant in the periphery than in the center of the tumor, the nerve fibers ran through the stroma or parenchyma of the tumor and gave out many branches to the tumor cells, we have also observed various types of nerve terminals for example: bulbar, isolated bifurcated, fusiform,circular, branched, brush-formed and club-formed endings.According to the findings mentioned above, it is concluded that the induced glioblastoma of mouse is innervated by nerve endings.