ObjectiveTo investigate the risk factors of the recurrence of cerebral infarction and the correlation between carotid atherosclerotic plaque and the recurrent cerebral infarction.MethodsOne hundred and twenty-six patients with cerebral infarction were divided into primary group with 72 cases and recurrent group with 54 cases.The age,habits (smoking,alcohol consumption),past medical history (including history of diabetes,coronary heart disease,atrial fibrillation and hypertension),triglyceride (TG),total cholesterol(TC),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C) and high blood pressure level of the two groups were compared.The carotid intimamedia thickness (IMT),and the echo intensity,quantity,location of atherosclerotic plaque were observed by neck ultrasound,and then these factors were analyzed by non-conditional Logistic regression analysis.ResultsAge,history of diabetes,coronary heart disease,atrial fibrillation and hypertension between recurrent group and primary group had significant differences(P＜0.01 or ＜0.05).High blood pressure level of the recurrent group was significantly higher than that of the primarv group(P＜ 0.01 ).While IMT of carotid artery,carotid bifurcation,internal carotid artery of the recurrent group were obviously higher than those of the primary group,respectively (P＜0.01).The number of cases detected having plaques in the primary group was 31,43.1％ (31/72),the total plaque number was 87,and average plaque number was 1.21 ±0.76.These values in the recurrent group were 46,85.2％(46/54),96,1.78 ±0.92.The number of cases detected having plaques and average plaque number of the recurrent group were significantly higher than those in the primary group (P＜0.01).There were more cases with soft plaque in the recurrent group (61.5％,59/96),while more hard plaque in the primary group (60.9％,53/87),and the difference was significant (P ＜0.01).Non-conditional Logistic regression analysis showed that age,high blood pressure level,history of diabetes and atrial fibrillation,IMT of internal carotid artery,the number of soft plaque were the risk factors of the recurrence of cerebral infarction (OR =1.315,2.435,1.072,2.131,3.024,5.162,respectively,P ＜ 0.01 or ＜ 0.05 ).ConclusionsAge,high blood pressure level,history of diabetes and atrial fibrillation,IMT of internaI carotid artery,the number of soft plaque are the risk factors of the recurrence of cerebral infarction.Observing the site and degree of carotid atherosclerosis,the characteristics of plaque besides monitoring blood pressure,blood glucose and other conventional indicators can have some predictive effect for the recurrence of cerebral infarction.

The level of serum sIL—2R in 16 cases of kidney transplantation were detected dynamiclypre-transplant and posttransplant 2 days,10 days and 30 days by ELISA and normal individaulswere also compared.The results showed that the level of sIL—2R in patients before operationwas markedly higher than that in normal individauls and it still remained in relative high level inpatients with rejection post-operation.But in patients without rejection,the level of sIL—2Rwere significantly decreased (P

OBJECTIVE: Controlled studies concerning intraocular lens implantation for treating diabetic cataract were analyzed using meta-analysis. Postoperative visual acuity and complications were assessed. METHODS: Controlled studies addressing intraocular lens implantation for treating diabetic cataract were collected from China National Knowledge Infrastructure (CNKI) from 1998 to 2008, Chinese Biological Medicine and Vip Database. Results were analyzed by meta-analysis. Experimental group contained diabetic cataract patients. Control group included non-diabetic cataract patients. Curative effects and difference evaluation index were expressed as odds ratio, weighed mean difference and 95% confidence interval (95%CI). Statistical analysis was analyzed using PEMS3.1 FOR WINDOWS software. RESULTS: A total of 6 randomized controlled literatures were collected. Meta-analysis results demonstrated that: Ratio of patients whose corrected vision ≥ 0.5 was lower in the diabetes group compared with the control group (P=0.004 8). Six literatures showed that OR value was 0.655 5 and 95%CI was (0.488 9, 0.879 0), which was in the left side of vertical line (P

The article introduced educational system of Korean medicine,and history and present courses of Korean medical universities.

Determination of the quantum yields of Gibberellin, Hypocrellin A and phenol showed that there were respectively ranges of excitation wavelengths for the relative constant of quantum yields of them. The quantum yields of Gibberellin excited by its own multiple excitaion wavelengths (285 and 410 nm) equaled each other. The quantum yields were similar by excitation of 585 nm and 625 nm with determination of the emission at 640 nm for Hypocrellin A. The emission at 690nm with Hypocrellin A would disappear after it had stood at room temperature for about one month, it suggests that it should be convenient to determine the quantum yield, at a shorter wavelength as for the excitation maximum, of a fluorophore whose concentration was low, weak quantum yield and wavelengths of the excitation and emission locating nearly, with a strong Reilagh scattering; and that the 690 nm emission of Hypocrellin A should be emitted by the groups which were subjected to the effects of physical or chemical disturbences.

The article introduced the varieties of medicinal liquors produced in Korea and Japan and the Chinese medicinal liquors sold in Japan.

Objective To evaluate the feasibility and efficacy of enhanced recovery after surgery (ERAS) combined with laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer. Methods 60 patients with distal gastric cancer from April 2016 to September 2016 in Shanxi Cancer Hospital were enrolled. According to the admission time, the patients were numbered randomly by odd and even. 30 odd patients received conventional treatment (traditional group), and were even 30 incorporated into ERAS group. Record and comparison of two groups were conducted, including age, sex, weight, body mass index (BMI), 1-day preoperative serum albumin (ALB) level, operation time, anastomosis type, total intraoperative blood loss, postoperative TNM staging, bowel movement recovery time, postoperative hospital stay, total cost of hospitalization, complications, and serum ALB level after operation. Results The level of ALB in ERAS group was (36.16 ± 2.46) g/L at 4th day after operation, and (39.61±2.03) g/L at 7th day after operation, which were higher than those in traditional group [(34.38 ±2.31) g/L and (37.98 ±1.96) g/L, respectively], with stable changes and statistical difference (P= 0.006, P= 0.003). The recovery time of intestinal peristalsis in ERAS group was shorter than that in traditional group [(51.23±9.05) h vs. (58.97±9.61) h, P= 0.003], and the total hospitalization cost in ERAS group was less than that in traditional group [(7.23±0.34) × 104 yuan vs. (7.58± 0.37) × 104 yuan, P< 0.001]. There were no significant differences in age, sex, weight, BMI, 1-day preoperative serum ALB level, operative time, anastomosis type, total intraoperative blood loss, postoperative TNM staging, complication and the postoperative hospital stay between the two groups (all P > 0.05). Conclusion The combination of ERAS and laparoscopic-assisted distal gastrectomy is safe and effective compared with traditional ways, which can relieve the stress reaction, promote the recovery of gastrointestinal function, reduce the hospitalization cost, and accelerate the rehabilitation of patients.

In daily medical work, it is common to carry out bedside ultrasound guided puncture surgery, which is easy to miss and inconvenient to operate when transporting medical devices. The department of emergency of the First Hospital of Jiaxing designed a kind of mobile ultrasound guided puncture vehicle, and obtained the National Utility Model Patent of China (ZL 2020 2 0100473.X). The utility model includes a car body, a work table, an ultrasonic machine, a storage cell and a material basket. The side of the car body is provided with an opening, and both sides of the opening surface are provided with a turnover mechanism, and the rotation axis of the turnover plate is horizontally arranged. The utility model can facilitate the operation of puncture bags, disinfection articles, monitors, oxygen bottles and other medical equipment, and can expand the use area of the operating platform, increase the storage function and store more. This device has good practical value.

Objective To compare the efficacy of liver preservation in SX-1 solution,HC-A solution and UW solution in the two-cuff technique orthotopic liver transplantation model in rats.Methods We confected SX-1 solution using of aseptic technique and built up two-cuff technique orthotopie liver transplantation model in rats.The SX-1 solution,UW solution and HC-A solution preserved rats livers in 2 h,8 h and 24 h,then went orthotopic liver transplantation.The various hepatic indices were determined when the rats survived for 6 hours after the operation.Results For the ALT,AST,the SX-1 solution group(2 h,8 h,24 h)and UW solution group went up synchronously,there was no statistical significance,(P＞0.05).Compared with HC-A solution group the SX-1 solution group (2 h,8 h,24 h)has already shown the statistical signifcance(P＜0.05).For the LDH,the SX-1 solution group (2 h,8 h,24 h)and HC-A solution group went up synchronously,there was no statistical significance(P＞0.05).Compared with UW solution group the SX-1 solution group(2 h,8 h,24 h)has already shown the statistical significance(P＜0.05).For the number of liver with bile production,each group didn1 show the statistical significance (P＜0.05).The time of preserving liver increased with the number of liver with bile production reducing.Conclusions Confirmed by the orthotopie liver transplantation model in rat,the SX-1 solution is the same as the UW solution in the indices of hepatic enzymologists.exceeding the HC-A solution.The SX-1 solution is the same as HC-A solution and UW solution in the number of liver with bile production.

BACKGROUND:Animal models can be used to study specific scientific problems of intervertebral disc biology.Model of disc degeneration is mainly used to resolve the relevant disease mechanisms and scientific and security issues of the treatment.OBJECTIVE:To summarize currently used experimental animal models of intervertebral disc degeneration study,and to dynamically observe and confirm the pathological process of disc degeneration based on disc imaging,morphology,biomechanics and bi(o)chemicel changes.METHODS:Using "intervertebral disc degeneration,animal models,in vivo,in vitro" in English as the search words,Cochrane Library (No.1 2009),Cochrane Library Database of Controlled Clinical Trials (No.1 2009),MEDLINE from 1990 to March 2009,EMbase from 1990 to March 2009,Current Controlled Trials,and the National Research Register were retrieved.Literature was limited to English language.The disc imaging,morphology,biomechanical end biochemical composition and other indicators,as well as the pathological process of disc degeneration served as the evaluation indices.The articles related to the intervertebral disc cell culture models,the whole disc tissue culture model,mechanical model,injury model,biological model,genetically modified models,spontaneous models were included.The repetitive researches and those unrelated to animal models of intervertebral disc degeneration were excluded.RESULTS AND CONCLUSION:The establishment of a reliable animal model can provide favorable conditions for studying the pathogenesis of intervertebral disc degeneration,at the same time,provides a good experimental vehicle for various researches about the repair treatment of intervertebral disc degeneration.Animal models of intervertebral disc degeneration can be divided into two categories:in vitro models and in vivo models of disc degeneration and repair.The former can be assigned into disc cell culture models and whole disc tissue culture model;the latter is assigned into mechanical models,injury models,biological models,genetically modified models,spontaneous models and so on.The above models are commonly used in the study of the occurring mechanism of disc degeneration,as well as the feasibility and effectiveness of a variety of treatments.However,there is still no generally accepted animal models as an ideal disc degeneration model,various types of models reported have their own advantages and disadvantages.