OBJECTIVETo explore the acupoints selection rules on peptic ulcer treated with acupuncture and moxibustion,so as to provide references for acupoints clinical selecting.

METHODSLiterature on clinical report and clinical study for peptic ulcer treated with acupuncture and moxibustion was retrieved in CNKI, WANFANG, VIP, CBM, PubMed, Web of Science and other databases from January 1, 2003 to August 31, 2014,and acupoints selecting rules were summarized according to syndromes and symptoms.

RESULTSOne hundred and ten articles were acquired, and acupoints the first to the fifth used were Zhongwan (CV 12), Zusanli (ST 36), Weishu (BL 21), Pishu (BL 20) and Neiguan (PC 6). The main acupoints were Zhongwan (CV 12) and Zusanli (ST 36). As to acupoints mainly selected in accordance with different syndromes: (1)Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6) were matched for the syndrome of deficiency cold in the spleen and the stomach. (2) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Geshu (BL 17) were combined for the syndrome of qi stagnation and blood stasis. (3) Weishu (BL, 21), Pishu (BL 20), Qimen (LR 14) for the syndrome of qi stagnation induced by liver depression. (4) Neiguan (PC 6) and Taichong (LR 3) for the syndrome of liver qi invading the stomach. (5) Weishu (BL 21) and Pishu (BL 20) for the syndrome of weakness of the spleen and the stomach. (6) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Gongsun (SP 4) for the syndrome of cold in the stomach. (7) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), San yinjiao (SP 6) for the syndrome of yin deficiency in the stomach. (8) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Yinlingquan (SP 9), Ganshu (BL 18) for the syndrome of phlegm and dampness stagnation. As for acupoints majorly selected according to different symptoms, (1) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Taichong (LR 3) were combined for acid regurgitation. (2) Weishu (BL 21), Neiguan (PC 6), Tianshu (ST 25), Gongsun (SP 4) were selected for abdominal distension. (3) Weishu (BL 21), Neiguan (PC 6), Liangqiu (ST 34), Gongsun (SP 4) for unbearable stomach pain. (4) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Qihai (CV 6), Gongsun (SP 4) for lacking in strength.

CONCLUSIONWe treating peptic ulcer with acupuncture and moxibustion mainly choose Zhongwan (CV 12) and Zusanli (ST 36), and attach importance to acupoints selection based on syndrome and symptom differentiation.

Objective To compare plasma levels of ANP in experimental and control groups and continuously explore the value of ANP in diagnosis and treatment of acute PTE. Methods Thirty guinea pigs were randomized to PTE group(n = 15) and control( n = 15) group. The plasma level of ANP was examined by radioimmunoassay.Moreover, pulmonary embolism(PE) was explored at dissection and on microscopic examination after PTE. Results (1)The plasma levels of ANP in the early phase of PTE group were significantly higher than those in control group(P＜0.05). (2)The plasma levels of ANP after PTE were significantly higher than those before PTE( P＜0.05). (3)In the late phase of PTE, the plasma levels of ANP in PTE group declined to normal levels, compared with control group, and there was no significant difference( P＞0.05). Conclusion (1) ANP, as a vasodilatory factor,was involved in mechanism of PTE,especially in the early phase of acute PTE. (2)The levels of ANP in plasma played as a sensitive marker used to observe conditions and seriousness of PTE.

Currently , social demands from basic education field , medical humanities education , the main threat to the national health service for medical psychology in our country is urgent and extensive .So, service di-rection of medical psychology also is shown as:medical psychology workers should play a role in basic education , in cultivating medical students and medical workers humanity take responsibility , and actively explore in residents′lifestyle changes .

The method of acupuncture combined with rehabilitation training in the treatment of shoulder hand syndrome after stroke is reliablet, quick, with simple operation and less adverse reactions. Among them, characteristic acupuncture could focus on the targeted points with obvious effect than ordinary acupuncture, and the combination with rehabilitation training could greatly improve the curative effect. However, there still exist some problems in the current research, such as the difficulty of conducting blind clinical trials of acupuncture therapy; the lack of follow-up data in the evaluation of curative effect, the uncertainty of long-term curative effect; the small sample size of clinical research, etc., so multi-centered and large sample RCT research are still needed.

Objective: To determine the content of polysaccharides in Cortex Moutan. Methods: The conversion coefficient of Cortex Moutan polysaccharides to glucose was obtained by refined polysaccharides, and then the content of polysaccharides in crude polysaccharides fraction was determined by sulfuric acid-phenol method. Results: The content of polysaccharides in crude polysaccharides from Cortex Moutan was 89.09%, the average content of polysaccharides in Cortex Moutan was 7.54%, and the average recovery rate was 101.22%. Conclusion: The content of polysaccharides in Cortex Moutan is comparatively high, which lays a foundation for the further research and development of Cortex Moutan.

Objective:To compare the shear bond strength of dentin to composite resin in different post-treatment time period after tooth bleaching with the TREE dental whitening gel and observe the dentin/composite interface of each group. Methods:Eighteen intact premolars were randomly divided into 3 groups(n=6):A:The specimens were immersed into artificial saliva for 3 weeks then adhesion without bleaching; B:Adhesion immediately after bleaching for 3 weeks,during bleaching the specimens were immersed into artificial saliva; C:Before adhesion the specimens immersed in artificial saliva for further 2 weeks after bleaching for 3 weeks. Five specimens from each group were randomly submitted to shear bond strength test. The specimen remained in each group were sectioned to be observed by the scanning electron microscope.Results:(1)The shear bond strength of the group B (10.74?3.03) MPa was significantly lower than that of the group A (18.61?3.56) MPa or the group C (17.21?3.15) MPa (P0.05); (2)The resin tags present in the dentin/composite interface was scarce for the group B,and that were shorter than the group A; The resin tags of the group A and group C were similar in number,but that of the group C was shorter than that of the group A. Conclusion:The use of TREE whitening gel immediately before bonding significantly reduces bond strength,but immersion of bleached teeth in artificial saliva for 2 weeks before bonding results in a return to control bond strength.

Objective To evaluate the clinical values of(M-slice computed tomography coronary angiography(CTCA) in contrast to conventional coronary angiography(CCA).Methods Assessment of the major and minor branches of coronary arteries by 64-Slice CTCA,showed the information of 100 patients with 64-slice CTCA,comparing with CCA regarded as the golden standard recently implemented.Results Among the 100 patients,920 coronary arteries were evaluated with 370 lesions found.Of them ,348 lesions were consisted with CCA,22 lesions were falsely positive and 10 lesions were found by CCA not picked up by 64-slice CTCA.The sensitivity,specificity,positive predict values and negative predict values were 97.2% ,96%,94% and 98.1% respectively for the detection of coronary artery disease(CAD),Further statistical analysis using a 2-related X~2 test showed no obvious difference in the discovery of CAD between 64-slice CTCA and CCA.Comparing both imaging modalities,there was concordance in assessing lesion severity in 311 lesions,and accuracy approaches 86.8%.Conclusions 64-slice CTCA has excellent sensitivity and specificity in detecting CAD,and also can give fairly accurate assessment of stenosis severity in most patients as compared to CCA.As a alternative method it is a useful non-invasive for detecting coronary arteries disease in symptomatic patients

Currently, about 300 million people worldwide are affected by asthma. Most of these sufferers inhale immunosuppressants (ie corticosteroids) and beta-adrenergic receptor agonists for their asthma treatment. However, about 5%-10% of patients of asthma have poor response to such treatment. Investigation of kinase signaling pathway and nuclear transcription factor as a target molecule in the treatment of allergic asthma has been the concern of scholars home and abroad. This paper reviewed inhibitors of kinase signaling pathway and nuclear transcription factors for the treatment of asthma.

Objective To evaluate the efficacy and safety of helmet delivered continuous positive airway pressure (Helmet-CPAP)for hypoxemia in airway extubated patients after cardiac surgery.Methods 120 adult patients in ICU from March 2014 to July 2015,who were after cardiac surgery,were enrolled.These patients who suffered hypoxemia within 48 hours after extubation,defined as that PaO2/FiO2 with oxygen mask could not reach 200,were divided into two groups.In the control group high concentration oxygen therapy with mask was delivered,while helmet-CPAP was delivered in the experimental group.Treatment duration was 6 hours.Results Helmet-CPAP significantly improved PaO2/FiO2 (144.35 ± 24.43 vs.201.35 ± 52.97,P ＜ 0.05) and left ventricular ejection fractions(0.5383 ± 0.0844 vs.0.5540 ± 0.0844,P ＜ 0.05).Breathing rate (22.60±5.08 vs.18.53 ±4.13,P＜0.05),heart rate(102.72±17.9 vs.95.15 ±13.79,P＜0.05)and shock index (0.85 ± 0.35 vs.0.75 ± 0.15,P ＜ 0.05) were significantly lower.The rate of using mechanical ventilation (6.67％ vs.28.33％,P ＜ 0.05) and length of ICU stay[41.0(25.0,67.5) hours vs.49.5 (32.5,90.8) hours,P ＜ 0.05] was significantly less than control group.Conclusion Helmet delivered continuous positive airway pressure is an effective and safe treatment for hypoxemia in airway extubated patients after cardiac surgery.