No abstract available.

No abstract available.
Delivery of Health Care* ; Korea*

No abstract available.
Policy Making*

Objective To observe the effect of acupuncture combined with traditional Chinese medicine on serum leptin contents and the expression of leptin receptor in the hypothalamus in simple obesity rats so as to explore the underlying mechanism. Methods A total of 120 male Wistar rats were randomly divided into normal control group and high grease group, which was established by fed with high fat forage for 16 weeks. 60 successful rat models were divided into shilianyin+electro-acupuncture group, fatness model group, and control group with random digits table. Electro-acupuncture was applied to Zusanli and Zhongwan, and Shilian-yin 22.4 g/kg was administered, once daily, for 14 days in the shilianyin + electro-acupuncture group; Fatness model group was lavaged with isotonic Na chloride 2 ml/kg; while the control group was lavaged with sibutramine 1.6 mg/kg. The body weight, body length and Lee's index were measured once every 10 days. Serum leptin contents were measured by radioimmunoassay, and leptin receptor expression was detected with immunohistochemistry. Results In comparison with fatness model group (13.401 ± 6.138) ng/ml, the serum leptin content of shilianyin+electro-acupuncture group decreased significantly (9.467+ 3.587) ng/ml (P<0.01) , and the number of leptin receptor expression increased considerably (leptin-acceptor masculine cell was 52.30±21.35piece/mm2) (P<0.01). Conclusion The benign regulation of acupuncture combined with traditional Chinese medicine on hypothalamus and serum leptin of obesity body is a significant joint of improving leptin-counteract and abnormal internal hormone metabolism.

Galectin-9 is a novel eosinophil chemoattractant,which belong to Galectin family.Galectin-9exhibits a variety of biological functions,such as cell differentiation,maturation,adhesion and aggregation,cell chemotaxis,activity,and cell death.Galectin-9 may play important roles in the development of acute inflammation as well as chronic inflammation associated with allergies,autoimmune diseases,infectious processes.This review summarizes the advances in Galectin-9 study.

Objective: To study the clinical efficacy of acupuncture plus ear-points pressure for insomnia. Method: All 156 cases were randomized into the observation, acupuncture and Chinese herbal formula groups. Combined acupuncture and ear-points pressure, acupuncture alone and Chinese herbal formula were applied in each group respectively. Result: The total effective rates of the observation, acupuncture and herbal group were 94.2%, 75.0% and 78.8% respectively. This has indicated that combined acupuncture and Auricular Point Sticking could obtain significantly better effect than the acupuncture group (P＜0.01) and the herbal group (P＜0.05). Conclusion: Combined acupuncture and ear-point pressure can obtain a better effect for treatment of insomnia.

ObjectiveTo analyze the expression and clinical significance of Maspin, vascular endothelial growth factor (VEGF) in endometrioid adenocarcinoma tissue samples. MethodsForty-nine cases of endometrioid adenocarcinoma, 12 cases of atypical hyperplasia of endometrium and 15 cases of normal endometrium were selected. Immunohistochemistry was used to study the expression of Maspin,as well as VEGF. ResultsThe expression of Maspin was none in normal endometrium,while the positive rates of Maspin in atypical hyperplasia of endometrium (41.7％, 5/12 ) and endometrioid adenocarcinoma (59.2％,29/49) were ascending, there was statistical significance among the three groups (P＜0.01 ). The positive rates of VEGF in normal endometrium ( 13.3％, 2/15 ), atypical hyperplasia of endometrium ( 33.3％, 4/12 ),endometrioid adenocarcinoma (67.3％ ,33/49) also were ascending (P＜ 0.01 ). The expression of Maspin was related with the FIGO stage in endometrioid adenocarcinoma (P=0.034), and the expression of VEGF was related with the myometrial invasion(P = 0.036). There was positve correlation between the expression of Maspin and VEGF (r = 0.307,P＜0.05). ConclusionsThe expression of Maspin, VEGF in tumor tissue has a significant correlation with the level of invasion of endometrioid adenocarcinoma. The expressions of Maspin,VEGF apparently play an essential role in the development and invasion of endometrioid adenocarcinoma.

This study was aimed to analyze the dynamic accumulation of active ingredients of Echinacea purpurea. Contents of cichoric acid and total polyphenols in different parts through the whole growth process were determined by HPLC and colorimetry. The results showed that the content of total polyphenol changed little in annual plant. There were differences in content of cichoric acid of different parts in different periods. And the content reached the maximum at flowering stage. It was concluded that the harvest stage depended on the content of cichoric acid. The results provided theoretical basis for induced plant in Shandong province.

Toll-like receptors (TLRs) are key mediators of both innate and adaptive immunity by recognizing and eliciting responses to invading pathogens. The activation of TLRs must be stringently controlled in order to avoid exaggerated expression of signaling components as well as pro-inflammatory cytokines that can devastate the host,resulting in chronic inflammatory diseases,autoimmune disorders and aid in the pathogenesis of TLR-associated diseases. Therefore,it is essential that negative regulators act at multiple levels within TLR signaling cascades in order to synchronize the activation and negative regulation of signal transduction to limit potentially harmful immunological consequences. A summary of the various mechanisms employed by negative regulators of TLRs signaling to ensure the appropriate modulation of both immune and inflammatory responses was provided.

Objective To compare the efficacy and adverse reactions between floxuridine (FUDR) and 5-fluorouracil (5-Fu) treatment of gestational trophoblastic tumor.Methods 111 trophoblastic tumor patients of Ⅱ-Ⅲ stage including 62 cases of in vasive mole and 49 cases of choriocarcinoma were analyzed retrospectinely.The patients were divided into FUDR+KSM group (55 cases) and 5-Fu+KSM group (56 cases).FUDR was according to 23 mg/kg·d phleb instillation,keeping 8 hours,KSM was according to 6 μg/kg·d phleb instillation,keeping 4 hours.5-Fu was according to 26 mg/kg·d phleb instillation,keeping 8 hours.KSM was according to 6 μg/kg·d phleb instillation,keeping 4 hours.Both the two programs were 8 days.Results The cure rate was 98 ％ (54/55) in FUDR+DSM group,and that was 96 ％ (54/56) in 5-Fu+KSM group.The incidence rates of phlebophlogosis,dental ulcer and alopecie in the FUDR+KSM group were obviously lower than those in 5-Fu+KSM group [29.1％ (16/55) vs 85.7 ％ (48/56),54.5 ％ (30/55) vs 98.2 ％(55/56),21.8 ％ (12/55) vs 89.3 ％ (50/56),all P ＜ 0.05].Both the FUDR+KSM group and the 5-Fu+KSM group bad significant differences at phlebophlogosis dental ulcer and alopecie in Ⅲ stages.Conclusion The curative effect of the FUDR is aimilar with the 5-Fu,but the drug consumption of the FUDR is less.The incidence rates of dental ulcer,alopecie,and phlebophlogosis are less,but myelosuppression and alvi profluvium are rcscmble between the two sets.