BACKGROUND:Biostimulation feedback treatment has been widely used for female stress urinary incontinence. The treatment principle is based on the electromyographic signal measured and the combination of biofeedback technique and electrotherapy technique.
OBJECTIVE:To evaluate the effect of biofeedback electrical stimulation in treatment of female stress urinary incontinence.
METHODS:Thirty female patients suffering from light or moderate stress urinary incontinence received biofeedback electrical stimulation for 4-8 weeks. The stimulation parameters were 60 Hz, 20-60 mA, 12-second feedback. The patients were instructed to contract pelvic floor muscle. The peak value of surface electromyography in pelvic floor muscular 2-second-rapid-contraction, mean value of pelvic floor muscular 10-second-contraction, mean value of the pelvic floor muscular 60-second-tolerance-contraction, and the rate of urine leakage were observed before and after treatment.
RESULTS AND CONCLUSION:The peak value of surface electromyography in pelvic floor muscular 2-second-rapid-contraction, mean value of pelvic floor muscular 10-second-contraction, and mean value of the pelvic floor muscular 60-second-tolerance-contraction were significantly increased after treatment, compared with before treatment (P<0.05). The rate of urine leakage was decreased obviously after treatment (P<0.05). Biofeedback electrical stimulation can significantly increase surface electromyography value of pelvic floor muscles during contraction, and is an effective treatment for female stress urinary incontinence.

Therapy of invigorating qi and ascending qicollapse,created by ZHANG Xi-chun,is a basic rule for curing the syndrome of sinking of qi.Shengxian Decoction is the classic recipe for curing the syndrome of sinking of qi.During studying with my tutor,Professor CAO Hong-xin,I witnessed the good efficacy of such therapy on a variety of diseases such as arrhythmia,myasthenia gravis,respiratory disease and female dysuria and so on.This article is to summarize and explain the therapy with some examples.

On inheriting the doctrines of Li Dong-yuan's'Internal damage of spleen and stomach causes diverse illnesses'and YE Gui's moistening stomach-yin etc.,Professor LU Zhi-zheng elaborates their academic thoughts further and proposes the core of spleen and stomach regulation in modern times——'cotrolling the center,operating four sides,keeping happy emotion,regulating ascending and descending,considering moistening and dryness,normalizing food and drink'.He does not only apply spleen and stomach to treat spleen and stomach illness but also treat vertigo,thoracic obstruction,cardialgia,apoplexy,liver and kidney diseases,rheumatosis and so on,which are all effective.However,as times,diets and living habits are changing,as well as social environment is different,the spleen and stomach diseases,which are caused by people's unhealthy diet,irregular work and rest,overworking and high spiritual pressure of work in this modern society with profound food and clothing and highly developed material civilization,has changed greatly from the spleen and stomach theory in Dongyuan times.In this case,Professor LU experiences that the reason for injured spleen and stomach in modern society has its unique pathogenic factor,thus sets up the etiology and pathogenesis for spleen and stomach of internal injury in the new times.

After rapid development over the past few years,interventional neuroradiology has become an important branch of mini invasive neurosurgery,it brought new methods and approaches in the treatment of intracranial aneurysms,intracranial arteriovenous malformations,duramater arteriovenous fistula,ischemic cerebrovascular diseases and so on.Particularly,the technique has also made impressive headways in the embolization of intracranial wide necked aneurysms and development of new embolizing materials.To accelerate its development,more emphasis should to be put on the basic theories of interventional neuroradiology,and more efforts should be made to develop new techniques,new materials and new equipments in the area.Finally,doctors should be trained and the manipulation regulations and quality control system should be established.

OBJECTIVE To investigate the characteristics of nosocomial infection,bacterial strains and antimicrobial resistance to provide references for the clinical application of drugs.METHODS Using the combined methods of initiative monitoring and recalling system to carry on the clinical informations′statistics,the analysis and the judgment for the 912 inpatients in the rehabilitation center from Jan Oct,2007 to oct,2008 were undertaken.RESULTS The rate of nosocomial infection was 16.9%,the infection site was in mainly respiratory tract,the next was urinary tract.The pathogens were mainly Gram-negative bacteria,in whith Escherichia coli,Klebsiella pneumoniae,and Pseudomonas aeruginosa were the top three.The resistance rate of 34 strains of E.coli to ampicillin was up to 83.0% and to quinolones was 70.0%.13 strains of P.aeruginosa were sensitive to imipenem and meropenem.The resistance rate of K.pneumoniae to the common drug was raising,to piperacillin and aztreonam was 90.0%.CONCLUSIONS The antibiotics must be choosen rationally to enhance effectiveness,reduce side effect and make the resistant strains decreasing in number.

Objective To explore the correlation between Helicobacter pylori (H.pylori) infection and colorectal cancer.Methods From January 2008 to January 2014,263 patients pathologically diagnosed as colorectal cancer were selected as colorectal cancer group,and at the same period 263 patients with normal colon mucosa under colonoscopy were set as control group.The rates of H.pylori infection,the rates of H.pylori infection in patients with different pathological types of colorectal cancer,the rates of H.pylori infection accompanied with atrophic gastritis and the rates of H.pylori infection accompanied with intestinal metaplasia of two groups were retrospectively analyzed.The difference of H.pylori infection between proximal colorectal cancer and distal colorectal cancer was compared.Chi-square test was performed for comparison and odds ratio (OR) value and 95％ confidence interval (CI) were calculated.Results Among 263 patients with colorectal cancer,the H.pylori infection rate of colorectal cancer group was 63.50％ (167/263),which was higher than that of control group (39.54％,104/263),and the difference was statistically significant (x2 =27.66,OR=2.66,95％ CI 1.85 to 3.83,P＜0.01).There was no statistical difference in rates of H.pylori infection among different pathological types of colorectal cancer (x2=0.15,P=0.93).The rate of H.pylori infection accompanied with atrophic gastritis in patients with colorectal cancer was 46.39％ (122/263) which was higher than that of control group (23.57％,62/263),and the difference was statistically significant (x2=28.53,OR=2.94,95％CI 1.98 to 4.36,P＜0.01).The rates of H.pylori infection accompanied with intestinal metaplasia in patients with colorectal cancer was 17.87％ (47/263) which was higher than that of control group (4.18％,11/263),and the difference was statistically significant (x2=23.56,OR=5.50,95％CI 2.76 to 10.95,P＜0.01).There was no significant difference in the rate of H.pylori infection between the proximal colorectal cancer and the distal colorectal cancer (x2 =1.48,P =0.22).Conclusion H.pylori infection,together with atrophic gastritis and intestinal metaplasia caused by it are correlated with colorectal cancer.

Mr. MA Ji-xing has devoted himself into the study of acupuncture medical history for more than 70 years. As a result, a great work of Zhenjiuxue Tongshi (see text), History of Acupuncture-Moxibustion) has been completed. The author has expensively studied for history of acupuncture medicine in time and space. Base on abundant historical materials, deliberate textual research as well as strategically situated academic view, it is considered as a masterpiece of acupuncture on real significance. It is worthwhile to note that the book has a systematic and profound explanation on Bian-stone therapy, unearthed literature relics of acupuncture, the bronze figure or illustration of acupoint as well as special topics of Japan and Korea acupuncture history. Filled several gaps of the field, and explored some significant new paths of study, it laid the groundwork for the profound study and unscramble of traditional acupuncture theory as well as the investigation of the academic history, which is considered to have a profound and persistent influence. The careful sorting and profound digging of many distinguish thoughts and methods of Mr. MA Ji-xing in the study of acupuncture medical history has significant meaning in references and enlightenment of the future research on acupuncture medical history.
Acupuncture ; history ; instrumentation ; methods ; Acupuncture Therapy ; history ; instrumentation ; methods ; History, 20th Century ; History, 21st Century ; Humans

Adult ; Aged ; Automobile Driving ; Female ; Helicobacter Infections ; epidemiology ; Helicobacter pylori ; Humans ; Male ; Middle Aged ; Peptic Ulcer ; epidemiology ; microbiology ; pathology ; Retrospective Studies

Objective: To compare carotid endarterectomy to carotid artery stenting for the treatment of severe symptomatic or asymptomatic atherosclerotic carotid artery stenosis. Methods: We conducted a multicenter randomized controlled trial for comparing carotid-artery stenting to endarterectomy in 166 patients with severe symptomatic or asymptomatic atherosclerotic carotid artery stenosis. The primary end point of the study was the cumulative incidence of death, stroke, or myocardial infarction within 30 days after the surgical intervention, or death or ipsilateral stroke between 31 days and 6 months. The secondary end point was the related complications of either intervention, or severe restenosis at 6 months after operation. Results: The primary end point occurred in 8 patients randomly assigned to undergo carotid artery stenting (cumulative incidence, 9.8 percent) and in 10 patients randomly assigned to undergo endarterectomy (cumulative incidence, 11.9 percent). The secondary end point occurred in 18 patients randomly assigned to undergo carotid artery stenting (cumulative incidence, 22.0 percent) and in 16 patients randomly assigned to undergo endarterectomy (cumulative incidence, 19.1 percent). Conclusion: Among patients with severe carotid-artery stenosis and coexisting conditions, the therapeutic result of carotid stenting is not inferior to that of carotid endarterectomy.

Objective To research the improvement effect of acupuncture combined with massage on clinical symptoms and function of cervical vertebra in patients with vertebral artery type of cervical spondylosis.Methods 100 patients with vertebral artery type of cervical spondylosis were included in this study.They were divided into the observation group (52 cases) and the control group(48 cases) by the random number table method.The patients in the control group were treated with conventional treatment,and the observation group was given acupuncture combined with massage on the basis of the conventional treatment.The clinical efficacy,the improve degree of clinical symptoms and cervical vertebra function were compared between the two groups.Results The total effective rate of the observation group was 94.23 ％,which was significantly higher than 79.17 ％ of the control group,and there was statistically significant difference between the two groups (x2 =5.008,P =0.025).Before treatment,there were no significant difference between the two groups in terms of symptom scores and hemodynamic parameters (all P ＞ 0.05).After treatment,the clinical symptoms scores of the two groups were significantly higher.The average blood flow velocity (TMFV),peak systolic velocity(PSV),pulsatility index(PI) and resistance index(RI) of the observation group were (26.87 ±5.14) cm/s,(61.63 ± 10.11) cm/s,(0.74 ± 0.13),(0.53 ± 0.08),respectively,which of the control group were (24.18 ±4.48)cm/s,(54.47 ±9.34)cm/s,(0.92 ±0.22),(0.66 ±0.13),respectively,there were statistically significant differences between the two groups (t =2.779,3.669,5.026,6.073,P =0.006,0.000,0.000,0.000).Conclusion Acupuncture combined with massage in the treatment of vertebral artery type of cervical spondylosis,the local blood flow of patients is significantly increased,and the blood supply of the brain is effectively alleviated,so as to improve the clinical symptoms and cervical function.It can play a positive role in the treatment of vertebral artery type of cervical spondylosis.