Objective:To investigate the effect of electroacupuncture on hemiplegia after stroke.Methods:A total of 102 patients with post-stroke hemiplegia who received treatment in Zhejiang Medical and Health Group from November 2018 to November 2019 were included in this study. They were randomly assigned to receive routine rehabilitation training (control group, n = 51) or routine rehabilitation training combined with electroacupuncture (study group, n = 51) for 2 weeks. Before and after 2 weeks of treatment, traditional Chinese medicine symptom scores (facial paralysis, sensory disturbance, limb numbness) and gait time-space parameters (10-m maximum walking speed, stride length, strides frequency), limb function (modified Barthel index, Fugl-Meyer Assessment score) and quality of life (Stroke Specific Quality of Life Scale) were compared between the control and study groups. Results:After treatment, facial paralysis score [(2.15 ± 0.63) points vs. (1.12 ± 0.71) points, (2.14 ± 0.60) points vs. (1.65 ± 0.74) points], sensory disturbance score [(2.45 ± 0.23) points vs. (1.32 ± 0.73) points, (2.46 ± 0.25) points vs. (1.88 ± 0.63) points] and limb numbness score [(1.89 ± 0.73) points vs. (1.04 ± 0.53) points, (1.88 ± 0.67) points vs. (1.42 ± 0.48) points] in the study and control groups were significantly decreased compared with before treatment. These scores after treatment in the study group were significantly lower than those in the control group ( t = 3.691, 4.147, 3.795, all P < 0.001). After treatment, 10-m maximum walking speed [(0.34 ± 0.15) m/s vs. (0.53 ± 0.21) m/s, (0.33 ± 0.15) m/s vs. (0.42 ± 0.16) m/s], stride length [(61.54 ± 16.04) cm vs. (78.93 ± 20.48) cm, (59.80 ± 17.35) cm vs. (69.68 ± 18.32) cm], stride frequency [(65.52 ± 10.98) step/min vs. (78.12 ± 12.04) step/min, (63.10 ± 10.89) step/min vs. (71.15 ± 9.28) step/min] in the study and control groups were significantly increased compared with before treatment. These outcomes after treatment in the study group were superior to those in the control group ( t = 2.976, 2.404, 3.274, all P = 0.001). After treatment, modified Barthel index [(44.94 ± 3.29) vs. (75.27 ± 3.56), (43.32 ± 4.51) vs. (64.51 ± 3.95)], Fugl-Meyer Assessment score [(52.36 ± 6.89) points vs. (73.20 ± 5.24) points, (52.35 ± 6.79) points vs. (61.97 ± 4.88) points] and Stroke Specific Quality of Life Scale score [(9.42 ± 1.95) points vs. (15.69 ± 1.78) points, (9.24 ± 2.32) points vs. (13.65 ± 1.96) points; (8.97 ± 2.58) points vs. (19.52 ± 1.35) points; (9.48 ± 1.77) points vs. (16.20 ± 1.72) points; (12.32 ± 2.56) points vs. (25.26 ± 2.45) points; (12.41 ± 2.50) points vs. (18.20 ± 2.44) points; (13.03 ± 3.16) points vs. (20.07 ± 2.67) points; (12.49 ± 2.77) points vs. (16.60 ± 2.78) points; (5.98 ± 1.23) points vs. (12.30 ± 1.36) points; (5.99 ± 1.21) points vs. (8.25 ± 1.37) points] in the study and control groups were significantly increased compared with before treatment. After treatment, these scores in the study group were significantly higher than those in the control group ( t = 14.451, 11.200, 5.502, 10.843, 14.581, 6.429, 14.983, all P < 0.001). Conclusion:Electroacupuncture can effectively improve the symptoms and limb function of patients with post-stroke hemiplegia, and improve their gait and quality of life.

This article studied and analyzed the important status and the function,the main contradiction and stern challenge in basic chemistry experimental teaching in the universities,and put forward some concrete reform measures.

In this paper,modular structure of teaching Organic Chemistry experiment has been studied.Practice has proved that this approach can not only bring the students into main role fully,but also can improve the students’scientific quality,research capacity and innovation spirit.

Objective To evaluate the application value of the one-stepdiabetes education management system in clinic. Methods The “one-step” diabetes education management system was construct.80 newly diagnosed patients with type 2 diabetes mellitus were selected and randomly divided into the control group and the experimental group with 40 patients in each group.The patients in the experimental group received “one-step”diabetes education management system by diabetes specialist nurses,while patients in the con-trol group received routine diabetic education.The fasting blood glucose (FBG),HbAlc,medical compliance behaviors and other indices were compared between two groups. Results FBG,HbAlc and medical compliance were better,and the risk score of complications was higher in the experimental group than those of the control group,there were significant differences between them. Conclusions Application of “one-step”diabetes education management system in treatment and nursing of patients shows maneuverability and practicality.It has clinical application value and deserves to be spread.

ObjectiveTo study the constituents in the twigs and leaves of Rhododendron primulaeflorum.MethodsThe constituents were separated and purified with chromatographic methods.Their structures were elucidated by spectroscopic methods (1D,2D NMR,IR,and HR-ESI-MS) and chemical analyses.Results One new phenylpropanol glycoside,4-hydroxyl-5-methoxyl-phenylpropanol-3-O-β-D-glucopyranoside (1),and its aglycone (2) were successfully isolated from the twigs and leaves of R.primulaeflorum.ConclusionCompound 1 is a new phenylpropanol glycoside.Compounds 1 and 2 are isolated from this plant for the first time.

Air Pollutants ; analysis ; Environmental Monitoring ; methods ; Esters ; analysis

Objective: To analyze the social insurance guarantee of pneumoconiosis patients in Kaizhou from 2006 to 2018, and to provide basis for the prevention and treatment of pneumoconiosis in the future. Methods: The social security situation of pneumoconiosis patients in Kai Zhou District in 2006-2018 years was analyzed. Results: There were 3357 cases of pneumoconiosis in Kaizhou District, with a social security rate of 99%; 79.4% of the coal mine pneumoconiosis patients, 87.5% of whom enjoy industrial injury insurance; the majority of the Xiangyu Railway pneumoconiosis patients were over 60 years old, accounting for 3.4%, all enjoy special treatment of Xiangyu Railway; the former township enterprises restructure pneumoconiosis patients, mainly under 60 years old, accounting for 3.4%. Among them, 79% enjoy work-related injury insurance, and 15.2% were rural poverty victims. Conclusion Kaizhou district provides better social security for pneumoconiosis patients in this area, which can provide basis for formulating social security policies for pneumoconiosis patients in other areas.

Objective The aim of the study was to explore the relationship between hypertriglyceridemic-waist(HTWC) phenotype and clustering of cardiovascular risk factors in adolescents. Methods A cross-sectional study was conducted in 3 136 Han adolescents aged 13-17 years in Qinhuangdao. The HTWC phenotype was defined as serum triglyceride concentrations ≥1. 47 mmol/ L and waist circumference ≥90 th percentile for age and sex. Results The prevalence of HTWC phenotype was 3. 3% . The prevalence of clustering of cardiovascular risk factors was 0. 4%in adolescents with normal waist circumference and serum triglyceride and 14. 7% in adolescents with HTWC phenotype. After adjustment for sex, age, body mass index, and family history of diabetes and hypertension, the prevalence of clustering of cardiovascular risk factors in adolescents with HTWC phenotype was 9. 286 fold(95% CI 3. 161-27. 282, P<0. 01) of that in adolescents with normal waist circumference and triglyceride. Conclusion There was a significant correlation between HTWC phenotype and clustering of cardiovascular risk factors, suggesting that this phenotype may be applied as a simple marker for identifying adolescents with clustering of cardiovascular risk factors.

Objective: To investigate the current status of social security among pneumoconiosis patients from two areas of Chongqing, China with different economic levels from 2006 to 2018, and to provide a reference for the development of security policy for pneumoconiosis patients. Methods: The current status of social security was analyzed for pneumoconiosis patients from A and B counties of Chongqing who were diagnosed from 2006 to 2018, and a comparative analysis was performed. Results: From 2006 to 2017, there was a significant increase in the number of newly diagnosed pneumoconiosis patients in A county, while the number of newly diagnosed pneumoconiosis patients remained relatively stable in B county. As of May 2018, there were 5738 pneumoconiosis patients in A county and 4155 pneumoconiosis patients in B county. Among the 5738 pneumoconiosis patients in A county, 5335 (93%) had employers, and among these patients, 2729 (47.6%) received one-time compensation from occupational injury insurance, and currently 1884 (32.8%) were covered by the insurance. Among the 4155 pneumoconiosis patients in B county, 2482 (59.7%) received one-time compensation from occupational injury insurance, and currently 3062 (73.7%) were covered by the insurance. The social security rate of pneumoconiosis patients was 71.0% in A county and 81.4% in B county, and there was a significant difference in the distribution of social security among pneumoconiosis patients between the two counties (χ²=4704.9, P<0.01) . Conclusion Strict implementation of social security policies for pneumoconiosis patients by local governments is the key to solving social assistance for pneumoconiosis patients and improving their quality of life and social security level.

Objective: To analyze the incidence of pneumoconiosis among workers in the coal industry in the past 13 years in Chongqing, understand the different epidemiological characteristics of new pneumoconiosis among workers in the coal industry in the city, provide basic evidence for the prevention and treatment of pneumoconiosis. Methods: Collecting new cases of pneumoconiosis diagnosed in the coal industry in Chongqing in January 2006-May 2018, and analyze its epidemiological characteristics. Results: In January 2006-May 2018, 25329 cases of pneumoconiosis were added to workers in the coal industry in Chongqing, and 23, 328 cases were present, all male. Among the existing cases: coal workers' pneumoconiosis accounted for 89.30%, silicosis accounted for 10.70%; age distribution was 50-59 years old. The main, accounting for 45.19%, the average age of onset was 52.21±7.45 years; the actual dusting age was mainly 10-19 years, the average actual working age was 17.52±8.47 years; the distribution of the work was mainly by the main coal mining (53.20%) ; There are more new cases in enterprises, accounting for 88.86%; distributed in 36 districts and counties. Conclusion There was a large number of new pneumoconiosis diseases in the coal industry in Chongqing. Different measures should be taken according to the characteristics of different enterprises, and relevant enterprises should be urged to take the initiative to carry out occupational health surveillance, effectively protect the health of workers, improve the coordination mechanism, improve medical security, and gradually realize government assistance and Social care is combined.