Objective: To observe the therapeutic efficacy of acupuncture combined with hyperbaric oxygenation for cervical spondylosis of nerve root type in acute phase.
Methods: One hundred cases with cervical spondylosis of nerve root type in acute phase were randomly divided into two groups, with 50 patients in each group. The patients in the treatment group were treated by acupuncture combined with hyperbaric oxygenation, and those in the control group only received the same acupuncture therapy as the treatment group. The therapeutic efficacy was evaluated after 2 courses of treatment.
Results: In the treatment group, 27cases were cured, 9 cases showed markedly effective, and 4 cases were invalid, and the recovery rate was 67.5%, the total effective rate was 90.0%; in the control group, 18 cases were cured, 17 cases showed markedly effective, 15 cases were invalid, and the recovery rate was 36.0%, the total effective rate was 70.0%. There were statistically significant differences between two groupsin the recovery rate and the total effective rate (bothP<0.05). The average cure time of the treatment group was (15.56±7.13) d, and that of the control group was (22.13±7.78) d, which also had significant difference between the two groups (P<0.05).
Conclusion: Acupuncture combined with hyperbaric oxygenationhas rapid and reliable effects for cervical spondylosis of nerve root type in acute phase.

Both Jianpi Wenwei and Shugan Hewei Decoctions can markedly improved the naked eye changes, histopathologic changes inhibition of Hp growth, and bile regurgitation under gastroscopy. Stereo -determination of the thickness of gastricmucosa was made before and after treatment. The result showed that thethickness was markedly increased after treatment.

Objective To present a new method of motor power control in order to realize the precise motor power control of medical equipment. Methods The power control method based on PWM Modulation circuit was proposed by researching the DSP microcontroller TMS320LF240x. Results The test results fully satisfied the design requirements. Conclusion The system has simple structure,good programming,and can use different control algorithms in different applications without the need for change in the external circuit,which is easy to upgrade and meet the needs of special occasions.

At present,there are some problems about teaching acupuncture and massage elective course in colleges of western medicine,which are caused by student's specialty,thinking mode and the teaching material of elective course.To improve the quality of the teaching in acupuncture and massage,it is necessary to reorientate the teaching intention,adjust the course plan.

Study on the changes of osteophiphysis observed on the X ray film is quite practical for the age estimation of male teenager.210 male teenager cases,13～20 years old,from North China were studied for age estimation.Radiographic plates were taken from the following articles:shoulder joint,elbow joint,wrist joint,hipjoint,knee joint,ankle joint.Pedis 27 characteristics were found,phased and scored.By which the regression equations were constructed with SPSS.Four regression equations with highest multi relationship coefficient(r=0 758～0 787)and lowest standard error(SE=1 0136～1 0701)were then selected.The method presented here is quite useful for the age estimation of the teenage group in North China.

Objective To investigate the clinical value of intraoperative iodine-125 seed implanttation in treating pancreatic carcinoma. Methods Seventy-five patients (fourty-one men, thirty-four women;median age 54 years) with pancreatic adenocarcinoma were enrolled into the study. Thirty-one patients (group A) were accepted tumor resection,eighteen patients(group B) were implanted radioactive iodine-125 seeds into the tumors by a combination of bypass surgery, twenty-six patients(group C) were treated by bypass surgery.Results Sixty-seven patients were followed up. The median survival time was 19, 12 and 7 months in group A,B,C respectively, among which the difference was significant (P ＜ 0.05). The response rate(CR+PR) was 50 % and the effective rate of pain relieving was 80% in the group B. The 97.4 % of accordance rate of seed number was demonstrated by CT film, but the accordance rate of seed space distribution was only 56 %.Conclusion At present, the active resection of the pancreatic carcinoma, including the superior mesenteric vein and the retropancreatic fusion fascia, is essential for a curative resection. The combination of Intraoperative iodine-125 brachytherapy and bypass surgery is safe and effective for pancreatic carcinoma.The seed space distribution completed by seed computer therapeutic plan needs further study.

Objective: To observe the clinical effect of Tuina for stiffneck. Methods: All of 216 cases with stiff neck were randomly allocated into a tuina group (110 cases) and a control group (106 cases). The patients in the tuina group were treated with Three Parts, Four Points,Five Manipulation tuina therapy, while those in the control group were treated with pucturing Wailaogong (Ex-UE 8), Houxi (SI 3), Jianjing (GB 21) and Ashi points in the affected side,Once a day, and 3 times constitute one treatment course. The effect was observed after 2-course treatments. Result: The effective rate in the tuina group and the control group was 93.64% and 83.02%, respectively, and there was statistical difference between the two groups (P < 0.05).Conclusion: The tuina therapy of Three Parts, Four Points, Five Manipulations is better than simple acupuncture therapy in treating stiff neck.

Objective To study the effects of natural walking on human plantar pressure and surface electromyogrphy (sEMG) of lower limbs.Methods 28 healthy male volunteers were enrolled,and their plantar pressure and surface electromyogrphy related parameters were measured before and after 30 min natural walking.These parameters not only include plantar peak pressure and peak impulse,but also include time domain parameter (integral electromyogrphy,iEMG) and frequency domain parameter (mean power frequency,MPF) of tibial anterior muscle,gastrocnemius,femoral rectus,and biceps femoris muscle.The correlations between peak pressure and height as well as weight were analyzed.Results The feature parameters showed significant difference between left and right foot before and after 30 min natural walking (all P＜0.05).The differences of peak pressure and peak impulse values between left and right limb were found in different plantar areas.In the metatarsal areas M3,M4 and M5,the pressure parameters of left side were larger than those of right side (all P＜0.05).The values of iEMG and sEMG of left limb were larger than those of right side in tibialis anterior,gastrocnemius,rectus femoris and biceps femoris (all P＜ 0.05).The MPF values of sEMG of left limb were larger than those of right side in tibialis anterior and gastrocnemius (all P＜0.05).After 30 min natural walking,the peak pressures in right toe2-5 areas were decreased (all P＜0.05),the differences of iEMG of sEMG in all muscles were not significantly,and the MPF value of sEMG in left rectus femoris was decreased.Weak correlations were observed between peak pressure and height as well as weight.Conclusions The differences of left and right lower limbs were found in plantar pressure and sEMG values during natural walking.The results showed that 30 min natural walking did not cause significant stress-related fatigue in plantar areas.Therefore,the stability of gait can be maintained for a 30 min natural walking.However,that may lead to fatigue of the femoris rectus in the left limb.

BACKGROUND: Establishment of individual femoral model can describe the stereochemical structure of femoral accurately,which is conductive to measuring femoral anatomic forms. This model possesses unified standard, and removing the potential confounding factors, thus, it is more suitable for biomechanical test.OBJECTIVE: To explore a method for establishing an accurate individual femoral model.METHODS: A male, healthy, volunteer was selected from General Hospital of Tianjin Medical University, and the cross section of femur was successive scanned by 16 slice CT. In accordance with Dicom 3.0 standard, the CT image was reconstructed using Mimics software to establish the space model, and UG software was used to type on the workpiece, and cimatron software was used to sort, then set the coordinate system of computer numerical control machining, clamp and correct the workpiece to produce mold toolpath, so the mold was established. The femur model made by mould was compared with the femur by the method of point cloud.RESULTS AND CONCLUSION: An individual femur model was produced. The comparison results of point cloud showed that error was in allowing range. This is an advisable method to make a femoral model, which can achieve predetermined requirement.

BACKGROUND:At present,there are many established femoral finite element studies,but previous studies focused on femoral biomechanics of the outside are few.OBJECTIVE:To establish three-dimensional finite element model of structure of the proximal femur,and to analyze its biomechanics in normal standing position to provide reasonable evidence for clinical application.DESIGN,TIME AND SETTING:A three-dimensional finite element model analysis was performed in General Hospital of Tianjin Medical University from December 2008 to April 2009.PARTICIPANTS:One male volunteer aged 30 years was enrolled at General Hospital of Tianjin Medical University.Femur lesion or injury was excluded by means of X-ray.METHODS:The primitive femur CT data were adopted according to Dicom 3.0 standard in Mimics so as to obtain the primitive three-dimensional femur model which was established via threshold defining,region enlarging and morphological performing.The primitive model was remeshed and combined with ANSYS software to create a final finite-element model.The model obtained by using the Mimics was loaded with 200 N vertical loading to check out the difference of the stress distribution.MAIN OUTCOME MEASURES:Using 200 N as the external load in the vertical direction,the Vonmises stress distribution of the femur was detected.RESULTS:The applications of Mimics and Ansys software could create a finite element model of proximal femur.It was found that the correspondent relationship between stress and structure in proximal femur was verified.CONCLUSION:Mimics can build more three-dimensional finite element models in line with the proximal femoral mechanical structure and mechanical properties.The mechanical properties of the femur are more credible,and the results of the analysis support the clinical application of the guidance.