Objective To investigate the clinical characteristics of peripheral arteriosclerosis in elderly males and to discuss corresponding nursing strategies. Methods 65 patients were divided into the peripheral arteriosclerosis group (the experimental group, 38 patients) and the nonperipheral arteriosclerosis group (the control group,27 patients) according to echocardiographic diagnosis. Questionnaires were designed to record factors such as age, smoking history, alcohol consumption history, primary hypertension, diabetes mellitus, coronary heart disease, blood pressure, height and body weight. Body mass index (BMI) was calculated. Results Hypertension course was much longer and proportion of patients with hypercholesterolemia and coronary heart disease and smoking index, TG, LDL-C and HDL-C levels were significantly higher in the experimental group than those in the control group. Conclusions Nursing care should be carried out from psychological, life style, medication and health education perspectives in elderly males with peripheral arteriosclerosis, aiming at improving their quality of life.

Objective] Making a discussion on academic features ofYi Lin Kou Pu Liu Zhi Mi Shu. [Method] With the research methods of philology, we collect Qing transcript ofYi Lin Kou Pu Liu Zhi Mi Shuand analyze its academic features. [Result]Yi Lin Kou Pu Liu Zhi Mi Shuwas additionally compiled, supplemented and annotated by Zhou Sheng, a famous doctor of the Qing Dynasty, on the base of Yi Lin Kou Pu which was composed by Lu Qi. Within four volumes, the contents of the book contain Medicine, Surgery, Gynecology, Pediatrics, etc. The diagnosis and treatment based on syndrome differentiation and Chinese herbal prescription in this book have their own characteristics. That is: theories from different schools make arguments on the facts; six treatments of syndrome lucidly expose the essential points; secret prescriptions and Chinese herbs are widely collected; opinions and knowledge from his teacher grasp the essence of the problem and bring out the crucial point. [Conclusion]Yi Lin Kou Pu Liu Zhi Mi Shu is a distinctive and only existing medical book with high academic value and practical significance.

Alzheimer Disease ; drug therapy ; genetics ; prevention & control ; Amyloid beta-Peptides ; genetics ; Animals ; Disease Models, Animal ; Mice ; Mice, Transgenic ; Phytotherapy ; Presenilin-1 ; genetics

OBJECTIVE:To explore the effects of Kangfuxin liquid combined with Oral ulcer powder on inflammatory cyto-kines and therapeutic efficacy of recurrent aphthous ulcer. METHODS:134 patients with recurrent aphthous ulcer were randomly divided into observation group and control group,with 67 cases in each group. Both groups received routine treatment;control group was additionally given Oral ulcer powder,q2 h;observation group was additionally given Kangfuxin liquid,10 ml/time,gar-gling for 5-10 min and then swallowing slowly,tid. Treatment course of 2 groups lasted for 7 d. Clinical symptoms,serum inflam-matory cytokines,clinical symptom improvement and recurrence were observed in 2 groups. RESULTS:Total effective rate of ob-servation group was 95.52%,which was significantly higher than that of control group(82.09%),with statistical significance(P<0.05). The levels of TNF-α,IL-1 and IL-6 in observation group were significantly lower than those of control group,with statisti-cal significance(P<0.05);ulcer duration and VAS score of observation group were significantly shorter or lower than those of con-trol group,with statistical significance(P<0.05);after followed up for 6 months,recurrence rate of observation group(11.94%) was significantly lower than that of control group(31.34%),with statistical significance(P<0.05). CONCLUSIONS:Kangfuxin liquid combined with Oral ulcer powder helps to lower levels of inflammatory cytokines of patients with recurrent aphthous ulcer, relieve the clinical symptoms,then improve therapeutic efficacy and reduce recurrence rate.

Objective To report our experience on closure of patent arterial duct using Hem-o-lok polymer ligating clip under a direct vision.Methods From May 2001 to May 2007,84 patients with cast patent arterial duct were treated with Hem-o-lok polymer ligating clips.Under a direct vision,the clips were placed to close the patent arterial duct through a small left subaxillary incision.Results The mean operation time was 42 minutes(ranged from 30 to 60).No intraoperative bleeding occurred in this series.After the operation,heart murmur disappeared in all the patients and none of them died.They were followed up for 2 to 50 months(mean 28 months),during which no residual shunting or recanalization occurred.Conclusion It is microinvasive and safe to close patent arterial duct by using Hem-o-lok polymer ligating clip.

Hydronephrosis after spinal cord injury (SCI) may result in renal insufficiency which ranks as the most common late cause of death in SCI patients. SCI may cause vesicourethral dysfunction of nerve regulation, which in turn brings about functional obstruction, high intravesical pressure, increase of the incidence and frequency of detrusor uninhibitory constractions, leading to hydronephrosis. The paramount principle of prevention and treatment of hydronephrosis is keeping low vesical pressure (storage pressure <40 cmH2O, voiding pressure <60 cmH2O). Oral anticholinergics combined with intermittent catheterization are the best choice for the slight hydronephrosis, urinary operations such as botulinum toxin injection into detrusor, transurethral sphincterotomy, ileocystoplasty may be needed for the moderate and severe hydronephrosis.

[ABSTRACT]OBJECTIVETo investigate the cytomegalovirus infection in neonates, characteristics of gap junction protein Connexin26 gene mutation and the hearing follow-up results, and to analyze their correlations. METHODS60 CMV-DNA positive and 40 CMV-DNA negative neonatal newborn from The Second Affiliated Hospital of Wenzhou Medical University and The first people's Hospital of Yongkang were screened, the blood biochemistry was analyzed, and the umbilical cord blood was reserved to detect the Connexin26 gene expression of mRNA with RT-PCR.PCR results was sequenced to track the newborn hearing, and analyze the correlations between neonatal cytomegalovirus types, the mutation of Connexin26 gene and hearing test results.RESULTS 26 cases from 60 CMV-DNA positive newborns were found with blood biochemical abnormalities. In all of the newborns, a total of 41 cases had 235delC mutation, 11 cases in the mutations for the development of hearing impairment. The results of correlation analysis showed that there were correlations between cytomegalovirus infection, gene mutation and hearing impairment.CONCLUSION Cytomegalovirus infection in neonates can lead to mutations in the Connexin26 gene, and may further lead to hearing impairment, and the probability of the mutation of Connexin26 gene and sensorineural hearing loss were higher in symptomatic cytomegalovirus infection neonates.

Objective To observe the effects of ultrashort wave diathermy on the expression of tumor necrosis factor-α (TNF-α) andBcl-2 in hippocampus, striatum and motor cortex of rats with cerebral ischemia/reperfusion. Methods The model of focal ischemia/reperfusionin Sprague-Dawley rats was induced with intraluminal middle cerebral artery occlusion (MCAO) with nylon monofilament suture. Therats were divided into 3 groups: sham group (n=6), model group (n=6) and ultrashort wave diathermy group (n=6). Brain tissue slices wereimmunohistochemically stained (SABC) to observe the expression of TNF-α and Bcl-2. Results The expression of TNF-α and Bcl-2 in lefthippocampus, striatum and motor cortex was higher in the model group than in the sham group (P<0.01). The expression of TNF-α was lowerbut Bcl-2 was higher in the ultrashort wave diathermy group than in the model group (P<0.05). Conclusion Ultrashort wave diathermycan affect the expression of TNF-α and Bcl-2, which may associate to the neuroprotection from focal cerebral ischemia/reperfusion injury.

Objective To summarize the experience of nursing cooperation for immediate breast reconstruction with the latissimus dorsi myocutaneous flap. Methods Twenty breast cancer patients underwent modified radical surgery with intraoperative immediate application of the latissimus dorsi myocutaneous flap in combination with the same period breast prosthesis for breast reconstruction. The nursing measures included preoperative preparation and mental support, intraoperative active cooperation, position care, sustaining of body temperature and strict aseptic and disease-free technology. Results All the breast cancer patients lived through breast cancer modified radical immediate breast reconstruction. No flap necrosis occurred , neither did obvious complications. The operations were satisfactory. Conclusion The key to the breast reconstruction for the breast cancer patients exists in preoperative psychological nursing , intraoperative strict aseptic and disease-free technology , the proper operation position and the correct use of instruments and equipment.

Both dysfunction of pancreatic β cells and β cells apoptosis were important factors contributing to type 2 diabetes. Abnormal glucose and lipid metabolism all existed in type 2 diabetes .With the study further progressing, more and more attention were paid to pancreatic β cells apoptosis accelerated by abnormal lipid metabolism. The literature about β cells injury by lipotoxicity, apoptosis induced factors accompanied by free fatty acids, and relevant mechanism was reviewed in this article.