China ; epidemiology ; Disease Management ; Hepatitis ; epidemiology ; prevention & control ; therapy ; Humans

BACKGROUND: To assess the balance function of post-stoke patients would be conducive to establish rehabilitative goal and to set up therapeutic plan.OBJECTIVE: To investigate the relationship between parameters of three commonly used measures and those of other functional evaluation for patients with post-stroke hemiplegia.DESIGN: Analysis of the relationship between parameters of balance rating scales.SETTING: At otolaryngology department and rehabilitative medicine department of the general military hospital.PARTICIPANTS: From September 2002 to July 2003, totally 57 patients with post-stroke hemiplegia, 45 males and 12 females, aged from 14 to 78years old, with the course of disease ranged from 0. 3 to 11 months, received rehabilitative treatment at rehabilitative department of the general military hospital, were selected to take part in the study. All were confirmed of internal carotid artery system lateral hemispheric disease.METHODS: Three balance measures, namely Berg balance scale, modified Balance subscale of the Fugl-Meyer test and Postural assessment scale for stroke patients were administered on 57 patients for evaluating their lower limb motor function, daily life capability and walking ability after rehabilitative treatments. The relationship between three measures was analyzed with Pearson-correlative analysis, and the relationship between three measures and lower limb motor function, daily life capability and walking ability were also investigated.MAIN OUTCOME MEASURES: ① relationship between three measures;② relationship between three measures and lower limb motor function, daily life capability and walking ability.RESULTS: The data from 57 stroke hemiplegic patients was analyzed without missing. ① Scores for Berg balance assessment, Fugl-Meyer balance rating scale and posture controlling scale for stroke patients was 46.70 ± 5. 15, 10. 26 ± 1.58 and 32.56 ± 2.06, respectively, and the scores of lower limb motor function in Fugl-Meyer assessment was 22. 35 ± 5.82,and moving and marching item in functional independence assessment 24.95 ± 5.2, 10 m maximum walking speed(49.06 ±24.68) m/s. The three measures were proved of significantly higher consistency( r = 0.613-0. 766,P ＜ 0.001 ). ② The three measures were also found to be obviously associated with the lower limb motor function, daily life capability and walking ability of patients with stroke( r = 0. 479-0. 718, P ＜ 0. 001 ).CONCLUSION: Berg balance assessment, modified Fugl-Meyer balance rating scale and posture-controlling scale have been proved of higher consistency and efficacy for assessing the balance function of post-stroke patients, thereby can be used as predictor for the balance functional outcomes,as well as the recovery of the lower limb motor function, daily life capability and walking ability of post-stroke patients.

Objective To investigate the test-retest reliability and inter-rater reliability of the Fugl-Meyer assessment (FMA),Wolf's motor function test (WMFT),the box-block test (BBT) and the nine-hole peg test (NHPT) in assessing the upper limb motor function of stroke patients.Methods Eighteen stroke patients participated in the study.Each patient was assessed twice within 2 hours with the U-FMA,WMFT,the BBT and the NHPT.Two raters recorded each session separately.Test-retest reliability was investigated by comparing the assessment results of different sessions; interrater reliability was identified by analyzing the assessment results of different raters.Results The intraclass correlation coefficients (ICC) for the U-FMA were 0.988 on test-retest reliability and 0.959 on inter-rater reliability.The ICC of WMFT by mean and median time were respectively 0.996 and 0.393 on test-retest reliability and both 1.000 on inter-rater reliability.The ICC of WMFT by score mean was O.989 for test-retest reliability and 0.977 for inter-rater reliability.The ICC for test-retest reliability of the BBT using affected hand counts and the difference in counts between the affected and un-affected hand were respectively 0.975 and 0.982.The ICC of the NHPT using affected hand times and the difference between the affected hand and unaffected hand times were respectively 0.937 and 0.936 for test-retest reliability,and both 1.000 for inter-rater reliability.Conclusion The U-FMA,WMFT,the BBT and the NHPT are all measurements with good test-retest reliability and inter-rater reliability.They are reliable for assessing the upper extremity motor function of stroke patients.

Objective To evaluate the ability of force control of elbow and shoulder during isometric contraction in patients with chronic stroke. Methods From January to December, 2015, 22 chronic stroke patients and 12 healthy people were measured the maximum force dur-ing shoulder abduction/adduction and elbow flexion/extension with instrument for measuring force of upper extremity. The coefficient of variation was calculated. Results The maximum force was less in the patients than in the healthy controls (t>2.349, P<0.05), and the coeffi-cient of variation increased (t>1.974, P<0.05), except those of elbow extension. Conclusion The force measure and the coefficient of varia-tion can reflect the force control in shoulder and elbow motion in stroke patients.

Background C57BL/6andB10R Ⅲareroutinemurinespeciesusedinexperimental autoimmune uveitis (EAU).The inflammation is light for mouse after immunization whereas it is prominent for B10R Ⅲ.ObjectiveThis study was to observe the killing effect of interphotoreceptor retinoid binding protein (IRBP) 1-20-specific T cells on mouse retinal astrocyte.Th1 and Th17 cells effect in the EAU mechanism was discussed.MethodsB10RllⅢ mice and C57BL/6 mice were immunized with IRBP 161-180 and IRBP 1-20 in complete Freund adjuvant (CFA).The infiltrating cells of diseased B10R Ⅲ eyes were analyzed by flow cytometry.IRBP 1-20-specific T cells were isolated from the drainage lymph node and spleen and cultured in IL-2 or IL-23 for Th1 and Th17 cells polarization,respectively.Th1 and Th17 cells cultured for 5 days were seeded on the mouse retinal astrocyte monolayer pretreated with gamma interferon.Cell interaction was observed and the quantity of TNF-α was tested by ELISA.Every test was repeated 6 times and the mean was calculated.The maintenance of experimental animals complied with the Statement of ARVO.ResultsThere were lots of infiltrating cells in the eyes of B10Rm mice after immunization,including 9.5％ IFNγ+ cells,5.1％ IL-17+cells and 41.4％ CD45+ cells.Six days after IRBP1-20 stimulation and cultured by IL-2 and IL-23,44.0％ and 8.0％ cells were IFNγ+,and 1.0％ and 26.0％ cells were IL17+.Twentyfour hours after the interaction between Th1 or Th17 and retinal astrocyte,retinal astrocyte died and detached.The killing effect of Th17 was stronger than Th1.48 hours after co-culture of Th1 or Th17T cells with astrocytes,the concentrations of TNF-α were ( 500± 10 ) and ( 801 ±24 μg/L) μg/L,respectively,with a significant statistical difference (t =-20.36,P =0.00).ConclusionsBoth Th1 and Th17 can kill retinal astrocyte,but Th17 plays a key role in the EAU pathogenesis process.The killing effect is caused by intercellular contact and interaction under the induction of cytokines.

Objective To investigate the criterion validity of Wolf motor function test (WMFT), BOX-BLOCK TEST (BBT), Nine-Hole Peg Test for assessing upper limb motor function in stroke patients with hemiplegia, as well as the correlation between them. Methods 21 stroke patients participated in the study. 21 stroke patients were assessed once with WMFT, BBT, Nine-Hole Peg Test and U-FMA by one rater. All the 4 tests were assessed on the same day for each patient. The total time of WMFT, the total score of WMFT, the counts of BBT, the time of Nine-Hole Peg Test and the sore of U-FMA were recorded. The Spearman correlation was used to analyze the criterion validity and the correlation. Results and Conclusion Both the total score of WMFT and the BBT counts correlated with U-FMA score (P<0.01). The time of Nine-Hole Peg Test and the total time of the WMFT were not correlated with U-FMA score (P>0.05). The total time of the WMFT and the total score of the WMFT were not correlated (P>0.05). The BBT counts and the total score of the WMFT were correlated (P<0.01). The time of Nine-Hole Peg Test and the total time of WMFT were correlated (P<0.01).

The visual signal generated by the eye receiving external light stimulation reaches the visual center through the visual pathway and is processed and integrated by the visual center to form a subjective sensation called cerebral vision.Cerebral vision reflects the function of the whole visual nervous system from the retina to the visual cortex.Abnormal cerebral vision has been found in myopes using electrophysiology, magnetic resonance imaging (MRI) and functional near-infrared spectroscopy (fNIRS). The abnormal electrophysiological results are mainly found in patients with high myopia and pathological myopia.MRI shows abnormal changes in the structure and function of several vision-related brain regions in patients with high myopia.Recently, by applying near-infrared brain function imaging technology combined with self-developed equipment, our team conducted a series of studies on the brain function of myopic patients and found that adult patients with moderate myopia and patients with pathological myopia have the abnormal cerebral vision.The mechanism of neural regulation of eye accommodation in myopic children needs further investigation.In this article, we reviewed the current status and outlook of myopic brain vision research in terms of myopia classification, myopic brain vision research methods, and myopic visual electrophysiology, MRI, and fNIRS studies.