Objective: To explore correlation between serum uric acid (UA) level and heart failure severity in patients with chronic pulmonary heart disease (CPHD).Methods:According to New York Heart Association (NYHA) cardiac function classification, a total of 98 CPHD patients were divided into class I~II group (n=36), class III group (n=31) and class IV group (n=31).Another 30 healthy subjects were enrolled as healthy control group simultaneously.Serum UA level was measured in all groups.Real time three-dimensional color Doppler echocardiography was used to measure left ventricular ejection fraction (LVEF) and left ventricular end-diastolic dimension (LVEDd), and the results were compared among all groups.Results: Compared with healthy control group, there were significant rise in serum UA level[(342.4±101.7) μmol/L vs.(459.6±110.3) μmol/L]and incidence rate of hyperuricemia (33.33% vs.58.16%) in CPHD group, P<0.05 both;along with NYHA class increased, there were significant rise in serum UA level[(350.7±103.4) μmol/L vs.(422.3±106.7) μmol/L vs.(491.8±113.2) μmol/L], LVEDd [(59.2±10.1)mm vs.(64.3±9.8)mm vs.(68.9±10.6)mm], and significant reduction in LVEF[(37.7±9.8)% vs.(31.9±8.6)% vs.(28.4±8.1)%]in CPHD patients, P<0.05 all;linear correlation analysis indicated that serum UA level was significant positively correlated with LVEDd (r=0.67, P=0.026), and significant inversely correlated with LVEF (r=-0.86, P=0.033).Conclusion: Serum uric acid level can be used as a reliable index evaluating heart failure severity in patients with chronic pulmonary heart disease.

One hundred fifteen surgical specimens were studied by gram-stain, aerobic and anaerobic cultu- res, as well as gas chromatography, respectively. One hundred seventy six strains, including ninety five aerobic and eighty one anaerobic strains, were isolated. The results suggested that diagnosis of anaerobic bacteria by gas chromatography could be accomplished within 1 h. The specificity of this method was 98.11% and the sensitivity, 90.47%. In addition, the early identification of anaerobic bacteria could be made also. There is higher value for rapid diagnosis of anaerobic infection with gas chromatography.

To study the clinical features and diagnosis of synovitis,acne,pustulosis,hyperostosis,osteitis syndrome(SAPHO) syndrome.One case of SAPHO syndrome was reported and the related data of SAPHO syndrome were reviewed.The main clinical features of the patient were articulatio carpi synovitis,acne,cervical rib hyperostosis,articulatio sternoclavicularis and osteitis,So the diagnosis of SAPHO syndrome was made.Though SAPHO syndrome is rare with yet unknown prevalence,it still can be seen in clinical practice,and can be diagnosed by careful examination.

Acupuncture Therapy ; Humans ; Muscle, Skeletal ; physiopathology ; Spondylosis ; physiopathology ; therapy

Biopsy ; Diagnosis, Differential ; Humans ; Lung ; diagnostic imaging ; pathology ; Lung Diseases, Interstitial ; classification ; diagnostic imaging ; pathology ; Radiography

In clinical treatment, it is found that certain patients always have some positive reaction points those are relevant with low back pain in the abdomen area. When the simple treatment on the low back is ineffective, the efficacy could be significantly improved if acupuncture or tuina is performed at the abdomen areas, which is called "regulating yin to treat yang", or "treating the back from abdomen". In this paper, with the diagnosis and treatment method of "treating the back from abdomen" for low back pain as principal line, the detailed manipulation is explained for low back pain that is induced by TCM meridian diseases or modern anatomy, which could open the methods for clinical treatment of low back pain and enrich the therapeutic options.
Abdomen ; anatomy & histology ; Acupuncture Points ; Acupuncture Therapy ; history ; China ; History, Ancient ; Humans ; Low Back Pain ; history ; therapy ; Massage ; history ; Medicine in Literature ; Meridians

Mammary stem cell is the subpopulation in mamnlary gland,capable of self-renewal and dif-ferentiating into ductal,alveolar and myoepithelial cells.Recently,several laboratories have employed various methods identifying mammary stem cells,including Sca-1,Hoechst dye efflux,CD24,CD3 1-CIM5-Terl19- CD24+CD29hi and so on.which offer a useful tool to elucidate the mechanism of mammary slem cell self-renew- al and design more effective therapies of mammary cancer.

Objective To observe the therapeutic effect of eucalyptol limonene and pinene enteric soft capsules on elder community acguired pneumonin (CAP) patients.Methods Use the retrospective cohort study methods,233 patients,above 65 year old,were breught into the study,101 patients were in the eucalyptol limonene and pinene enteric soft capsules group and 132 patients were in the control group.The clinical symptoms and length of stay in hospital were recorded.Results The improvement of clinical symptoms on the fifth day of the eucalyptol limonene and pinene enteric soft capsules group was better than that of control group (U =2.37,P ＜ 0.05).And the length of stay in hospital of the eucalyptol limonene and pinene entetic soft capsules group was shorter(U =3.06,P ＜ 0.05).Conclusion Eucalyptol limonene and pinene enteric soft capsules can quickly improve the elder CAP patients clinical symptoms and shorten the length of stay in hospital.

Objective The aim of this study was to explore the effects of volume controlled ventilation (VCV),pressure controlled ventilation(PCV)and pressure controlled ventilation-volume guaranteed (PCV-VG)on respiration and circulation in elderly patients undergoing thoracic surgery. Methods Thirty-six elderly patients who underwent thoracic surgery were enrolled in our study. Patients were divided into VCV,PCV and PCV-VG groups according to randomized design. The hemodynamic and respiratory data and the arterial blood gases had been recorded in the pre-operation,20 min,40 min,60 min after OLV and 20 min after the resumption of two lung ventilation. Results Compared with VCV group,Ppeak value was significantly lower in PCV and PCV-VG groups(P < 0.05),and the difference was not found between the PCV and PCV-VG groups. PaO2 levels in PCV and PCV-VG groups were higher than that in VCV group after the point of OLV+40(P < 0.05). Comparison of PCV group,PaO2 in PCV-VG group was higher,but did not show a significantly improved during OLV(P > 0.05). Conclusion Compared with VCV,the use of PCV and PCV-VG have significant advantages in the operative oxygenation and airway pressure for elderly patients undergoing OLV.

Objective To study the differences between the mandibular movement in empty opening and protrusion trace of the skeletal anterior reverse malocclusion before and after the early protraction treatment in early stage of mixed dentition. Methods ACRUSdigma system, a kind of ultrasonic mandibular movement record system, was used in the study. The kinematic center which can represent the translation and rotation of the condylar and the incisal points were used as reference point to compare the difference of the empty opening and protrusion mandibular movement trajectory of 30 individuals with skeletal anterior reverse bite malocclusions before and after the early protraction facemask treatment. Results For the kinematic center, the typical trajectory was changed, the upper movement disappeared and the distances between vertical and horizontal movements were increased at the end of the treatment in the empty opening movement on the sagittal plane. In the empty protrusion movement, the interplanar distance of the kinematic center was increased significantly on the sagittal plane. For the incisial point, it moved ahead at first and then downward vertically in the empty protrusion movement, and the interplanar distance was increased significantly on the sagittal plane in the empty opening movement. Conclusions By giving the protraction treatment, the relation of upper mandible and submaxilla of the skeletal anterior reverse bite malocclusions is changed. During the later stage of the treatment, for the occlusal splint was ground off, the normal occlusial inducement is built, which affords the rebuilding of temporomandibular joint (TMJ), ligaments and muscles. The trajectory also becomes normal. The normal trajectory may supply a better environment for the development and rebuilding of jaw, TMJ, ligaments and muscles.