Objective To investigate the effect and prognosis of intensive insulin therapy on cerebral infarction combined with hyperglycemia.Methods Seventy cases of cerebral infarction combined with hyperglycemia were divided into two groups by random number table method.Thirty-five cases in control group,were treated with insulin,and the blood glucose was controlled ＜ 11.1 mmol/L; 35 cases in intensive group,were treated by insulin pump,and the blood glucose was controlled in 4.4-8.3 mmol/L.The degree of neurological damage and improvement of daily life in two groups before and after treatment was compared by National Institutes of Health Stroke Scale(NIHSS) and modified Rankin Scale(mRS) scores.Insulin dosage,the time for reaching the standard,incidence of hypoglycemia,pulmonary infection rate and fatality rate was recorded in two groups.Results The NIHSS and mRS scores between two groups before treatment had no statistical significance (P ＞ 0.05),and after 30 d treatment,the NIHSS and mRS scores in control group [(8.29 ±2.74),(2.96 ±0.74) scores] and intensive group [(6.83 ±3.16),(2.02 ±0.62) scores] were obviously improved compared with those before treatment,and the improvement in intensive group was better than that in control group (P＜ 0.05).In intensive group,the insulin dosage and the time for reaching the standard was less than that in control group [(36.40 ± 6.91) U/d vs.(51.70 ± 9.86) U/d,(4.30 ± 0.87)d vs.(6.60 ± 1.24) d],incidence of hypoglycemia and fatality rate was lower than that in control group[5.7％ (2/35) vs.25.7％ (9/35),0 vs.8.6％ (3/35)],the difference was statisticly significant (P ＜ 0.05),but the pulmonary infection rate between two groups had no statisticly difference (P ＞ 0.05).Conclusion The curative effect of intensive insulin therapy on cerebral infarction combined with hyperglycemia is better,and is helpful to the neural functional recovery.

Objective:To observe the curative effect of transfer factor oral solutions as the adjunctive therapy in ederly patients with recurrent respiratory tract infection ( RRTI) . Methods:Totally 74 ederly patients with RRTI were selected and divided into the observation group and the control group randomly. The patients in the two groups were given anti-infection and symptomatic treatment during the acute stage of attack. The patients in the observation group were additionally given transfer factor oral solutions 10ml, po, tid for 3 months. The changes in serum immunoglobulin IgG, IgA and IgM levels in the two groups before and after the medical treat-ment were compared, and the clinical curative effect and adverse drug reactions ( ADR) were observed as well. Results: After the medical treatment, the serum IgG, IgA and IgM levels in the observation group were obviously increased than before (P<0.05), while those in the control group showed no obvious changes (P>0. 05). The total clinical efficiency in the observation group was much higher than that in the control group (P<0. 01). The ADR between the two groups with light symptoms showed no statistical differ-ences (P>0. 05). Conclusion:Transfer factor oral solutions as the adjunctive therapy in ederly patients with RRTI has the favorable clinical curative effect and safety, and the underlying mechanisms may be concerned with the effect of enhancing serum immunoglobulin IgG, IgA and IgM levels, as well as humoral immune function.

Objective To analyze the effect of blood glucose control level on prognosis in cerebral infarction with stress hyperglycemia.Methods Ninety-two cases of new cerebral infarction within 24 h with stress hyperglycemia were divided into control group (46 cases) and observation group (46 cases).The blood glucose was controlled in 4.0-6.0 mmol/L in control group and 6.1-8.3 mmol/L in observation group.The hypoglycemia rate,infection rate,fatality rate,NIHSS score and Barthel score was observed in two groups.Results In control group,there were 14 cases cured,19 cases significantly improved,12 cases improved and 1 case invalid,while in observation group,there were 11,17,15,3 cases respectively,and the difference was not statisticly significant (P ＞ 0.05).The hypoglycemia rate,infection rate,fatality rate was 19.6％(9/46),10.9％(5/46) and 2.2％(1/46) respectively in control group,while in observation group was 4.3％ (2/46),15.2％ (7/46) and 4.3％ (2/46) respectively.The hypoglycemia rate was different between two groups(P ＜ 0.05),but the infection rate and fatality rate was not statistic difference between two groups(P ＞0.05).The NIHSS and Barthel score was not different between two groups before treatment (P ＞ 0.05).In control group the NIHSS after 1 week and 30 days after treatment and Barthel score 30 days after treatment was (15.47 ± 7.78),(9.85 ± 6.47),(67.18 ± 20.24) scores respectively,in observed group was (16.01 ±7.49),(10.17 ±5.84),(65.82 ± 19.93) scores respectively,which was improved compared with that pretreatment,but there was no significant difference between two groups(P ＞ 0.05).Conclusion The blood glucose controlled in 6.1-8.3 mmol/L does not increase the infection rate and fatality rate,but can reduce the hypoglycemia rate and promote neural function recovery in cerebral infarction with stress hyperglycemia.

0.05).But in the reported 6 groups patients,the fatality rate in 5 groups was higher that in the 16 patients,and the difference(P

Objectine To study the performance between CR and DR equipments. Methods To compare chest x-ray between the CR and DR equipment. Results The pathological detection with DR equipment is 20% higher than that with CR. Conclusion The quantity of information of DR is higher than CR.

This article expounds the formation,connotation and development of the etiology theory in TCM.By analyzing the deficiency of the existent etiology theory in TCM,we proposed that the essence of the etiology theory in TCM should be studied based on the concept of unification of human and nature.With the guidance of the concept of unification of human and nature,the etiology theory in TCM could be formed an integrated theory.The classification of etiology in TCM which includes basic etiology,secondum etiology and developing etiology was proposed,which makes the etiology theory system in TCM more scientific and logical.

Objective To investigate the expression of GINS2 in endometrial cancer(EC) tissues and its correlation with prognosis.Methods The differential expression of GINS2 gene in EC and normal control tissues was analyzed using GEPIA,TIMER, and UALCAN databases. The endometrial tissues of 115 patients with EC(EC group), 30 patients with uterine fibroid(uterine fibroid group) and 26 patients with normal endometrium(normal control group) treated and followed up from May 2017 to December 2022 at the Department of Gynecology, Yunnan Cancer Hospital were collected. The transcription and translation levels of GINS2 gene in the samples were detected by qPCR and Western blot, respectively. Additionally, the expression levels and localization of GINS2 in different samples were analyzed using immunohistochemistry. Furthermore,the correlation between GINS2 expression levels and the clinicopathological features of EC was analyzed, and potential independent prognostic factors for EC were evaluated using Kaplan-Meier survival analysis and Cox proportional hazards regression model.Results The mRNA expression level of GINS2 gene was significantly higher in EC tissues than in normal control tissues according to all three databases(P < 0. 05). In the clinical validation cohort, both the transcriptional and protein expression levels of GINS2 gene were significantly higher in the EC group than in the uterine fibroid group and normal control group(t = 7. 707 and 8. 330, respectively, each P < 0. 01). GINS2 protein was mainly located in the cell nucleus and partially in the cytoplasm of EC tissues, with positive expression rates of 81. 74%, 46. 67% and 38. 46% in EC tissues,uterine fibroids, and normal endometrial tissues, respectively. GINS2 levels in EC tissues were associated with differentiation degree and lymph node metastasis(t = 4. 125 and 3. 589, respectively, each P < 0. 05), but not with age, tissue type, International Federation of Gynecology and Obstetrics(FIGO) stage, depth of invasion, estrogen receptor(ER) expression, or progesterone receptor(PR) expression(t = 0. 214, 0. 247, 0. 125, 0. 211, 0. 238, and 0. 314, respectively, each P > 0. 05). Multivariate Cox regression analysis showed that elevated GINS2 expression [hazard ratio(HR) = 2. 091, 95% confidence interval(CI): 1. 048-3. 135, P = 0. 019] and lymph node metastasis(HR = 1. 106, 95% CI: 1. 064-1. 149, P = 0. 027) were independent prognostic factors for EC patients.Conclusion The high expression of GINS2 in tissues is associated with poor prognosis of EC patients, and it is speculated that it may be related to the occurrence and development of EC.

PRL-3, belonging to the family of protein tyrosine phosphatase, has been found to be high expressed in colorectal cancer, gastric cancer, ovarian cancer and melanoma.It also has been reported that PRL-3 plays an important role in the progression of tumor.With the distinction of PRL-3 in tumor progression, especially in the metastatic tumor, there are more and more researches about the regulating mechanism of PRL-3.This paper reviews the development of signaling pathway of PRL-3.

The dynamism and health of the mitochondrial network are regulated by fission and fusion proteins , which help to maintain organelle vitality and the physiological state of the cell .Recently, accumulated evidence has demon-strated that the changes of mitochondrial dynamics have a great effect on inflammation in a variety of diseases .To the con-trary , inflammatory mediators regulate mitochondrial dynamics at the same time .The aim of this reviews is to summarize the relationship between them and to provide new clinical reference for preventing and curing diseases .