Objective To analyze the clinical effect of acupuncture combined with speech rehabilitation training in the treatment of dysarthria after stroke.Methods 88 patients with dysarthria after stroke were selected as study subjects,and they were randomly divided into the control group and the treatment group,44 cases in each group. The control group was treated with speech rehabilitation training,and the treatment group was treated with acupuncture combined with speech rehabilitation training.At the end of treatment,the dysarthria efficacy,a number of aand the incidence of adverse reactions were observed and compared between the two groups.Results The cure rate(9.09%) and total effective rate (77.27%)in the control group were significantly lower than those in the treatment group (25.00%,97.73%),and the differences were statistically significant(χ2 =3.94,8.42,all P <0.05).Before treat-ment,there was no significant difference between the two groups in the number of a(P >0.05),after treatment,the number of ain the control group was (7.39 ±3.67),which was significantly lower than (16.32 ±7.83)in the treatment group(t =4.20,P <0.05).The incidence rate of adverse reaction between two groups had no statistically significant difference(χ2 =3.11,P >0.05).Conclusion For post -stroke patients with dysarthria,acupuncture combined with speech rehabilitation training has good treatment effect,and the method can increase the number of aof patients,and has high security,it is worthy of widely application in clinic.

BACKGROUND: Over the past several years, Clostridium difficile has become a major healthcare-associated pathogen. Fecal bacteriotherapy has been reported as an effective intervention for treating recurrent C. difficile infection by restoring the normal intestinal microbiota. METHODS: Articles on fecal bacteriotherapy were collected through PubMed, CINAHL, Cochrane Library, and Web of Science databases using the keywords "Clostridium difficile," "feces," "fecal transplantation," "fecal microbiota transplantation," and "fecal bacteriotherapy." Using a systematic literature review, variables of interest from articles that met the inclusion criteria were extracted and summarized. RESULTS: Among 141 articles that were published in English from January 1, 2000 to August 31, 2012, 8 studies were selected for analysis after assessing the titles, abstracts, and full contents. Fecal bacteriotherapy procedures varied with respect to donor selection, screening, infusion route, and preparation of the suspension. Donors were mostly family members or relatives, and donor screening included tests for blood borne and stool pathogens. Selected infusion routes were colonoscopy (62.5%), nasogastric tube (25%), and enema (12.5%). The success rate was reported to be 73-100%. There was a lack of a standard procedure for fecal bacteriotherapy in all of the selected studies. CONCLUSION: Fecal bacteriotherapy is an effective intervention for combating C. difficile infection that has a high success rate and no adverse effects. This therapy would be helpful for infection control in hospital settings by facilitating early eradication of C. difficile infection.
Clostridium ; Clostridium difficile ; Colonoscopy ; Donor Selection ; Enema ; Feces ; Humans ; Infection Control ; Mass Screening ; Metagenome ; Tissue Donors

No abstract available.
Animals ; Antibodies* ; Antibodies, Anticardiolipin ; beta 2-Glycoprotein I* ; Mice* ; T-Lymphocytes, Helper-Inducer*

No abstract available.
Positive-Pressure Respiration, Intrinsic ; Airway Resistance ; Bronchitis, Chronic ; Lung Compliance ; Vena Cava, Inferior ; Work of Breathing ; Heart Ventricles ; Blood Pressure ; Pulmonary Disease, Chronic Obstructive ; Lung ; Respiratory Muscles ; Pulmonary Emphysema ; Emphysema ; Pneumonia ; Cardiac Output ; Lung Transplantation ; Intensive Care Units ; Positive-Pressure Respiration ; Barotrauma ; Hypotension ; Korea

BACKGROUND:After sports tendon injury, tendon adhesion is the main reason for the failure to repair tendon injury. So, an ideal anti-adhesion material plays an important role in the tendon reconstruction.
OBGECTIVE:To analyze the clinical effect and features of absorbable medical biomaterials in inhibiting tendon adhesion after repair of sports tendon injury.
METHODS:CNKI and Pub Med database were retrieved by the first author using computer to search relevant articles about meniscal repair and tissue engineering technology published from 1988 to 2015. The key words were “tendon repair, tendon adhesion, absorbable biomaterials” in Chinese and English, respectively.
RESULTS AND CONCLUSION:Basic and clinical studies on absorbable anti-adhesion materials have achieved remarkable results. Currently absorbable anti-adhesion materials include hyaluronic acid, polylactic acid, colagen and fibrin glue, which have good biocompatibility and can be absorbed and degradedin vivo. With simple clinical implementation, these materials can completely cover the wound surface. The main mechanisms are as folows: reducing the generation of colagen fibers, isolation barrier, accelerating hemostasis, antisepsis and anti-inflammation, thereby effectively reducing reconstructed tendon adhesion and promoting tendon healing. But they have their limitations: hyaluronic acid has short acting durationin vivoand immunogenicity; polylactic acid eventualy is decomposed into smal molecules that cancause aseptic inflammation; colagen and fibrin glue both have certain shortcomings in biocompatibility and activity.

Objective To investigate the ultrastructural features of primary pulmonary cryptococcosis (PC) and its roles in the pathologic diagnosis. Methods Two cases of PC were observed by light and electron microscopy and histochemical staining. Results The histopathological examination found cryptococcosis granuloma formation in the 2 cases, and the cryptococcous neoformans (CN) were detected in mucicarmine (MC), periodic acid-Schiff (PAS), and Grocot's methenamine-silver (GMS), respectively. Electron microscopy revealed that most of CN had a simple structure and a few organells. The cell wall, cytoplasm, and capsule could be seen, and part of them had nuclei. Conclusion The ultrastructure of CN is simple. Electron microscopic observation is helpful for the correct diagnosis and differential diagnosis of PC.

Objective:To construct a recombinant adeno-associated virus vector rAAV2-PD-L1 and to investigate the biological efficiency of rAAV2-PD-L1-transfected vascular endothelial cells in co-stimulating secretion of cytokines by T cells.Methods: Mouse PD-L1 cDNA was amplified by RT-PCR from total RNA of mouse liver tissues and was cloned into shuttle vector pSNAV1;the products were then transferred into BHK21 cells by lipofectamine and rAAV2-PD-L1 was screened out.Mouse vascular endothelial cell line 2F-2B was infected with rAAV2-PD-L1 and were co-cultured with activated mouse T cells,and the IFN? content was identified by ELISA in the supernatant.Results: The sequences of PD-L1 cDNA and pSNAV-PD-L1 were confirmed to be correct.The recombinant rAAV2-PD-L1 was verified by PCR and SDS-PAGE analysis.The virus physical titer was 4?10~(12) virus genome/ml and the protein concentration was 0.355 mg/ml.There was a high expression of PD-L1 in mouse vascular endothelial cells infected with rAAV2-PD-L1.The content of IFN? in the culture supernatant was significantly decreased 48 hours after co-culture.Conclusion: The recombinant rAAV2-PD-L1 can infect vascular endothelial cells and inhibit secretion of IFN? by activated T cells through costimulation.

Objective:To study expression and significance of intercellular adhesion molecule-1(ICAM-1),vascular cell adhesion molecule-1(VCAM-1) and E-selectin in nasal polyps.Methods:Expression of three adhesion molecules in nasal polyps from 25 patients and in middle turbinates mucosa from 9 volunteers with deviation of nasal septum was measured with immunohistochemistry.All samples were also studied by HE stain and observed under optical microscope.Results:Abundant eosinophils(EOS) were observed in nasal polyps.Expression of three adhension molecules in nasal polyps upgrade significantly.There is a positive correlation between the expression in the vascular endothelium and in the matrix of nasal polyps.The statistical analysis also shows such a correlation between the expression of ICAM-1 and of VCAM-1 in the vascular endothelium of nasal polyps.Conclusion:In nasal polyps expression of these adhesion molecules increases significantly.They can express in the vascular endothelium and the matrix.They may play a key role in the chronic inflammation procedure with inflammatory cells to attach to the vascular wall,to migrate into the matrix,and to be activated.They may perform synergistic action to take part in the whole process of nasal polyps.

Objective; To evaluate the role of total mesorectal excision in radical resection of rectal carcinoma. Methods:The data of 538 consecutive patients with middle and lower rectal cancer were analyzed retrospectively. These patients were treated with total mesorectal excision between January 1997 and March 2004. Results;All 538 patients had middle or lower rectal cancer, 322 male, and 216 female. No patients died perioperatively and presented presacral hemorrhea. A total of 420 patients were treated by anterior rectal resection; 118 patients had to undergo abdomino - perineal resection. 403 patients were followed - up (12-60 months). The rate of local recurrence was 4.5%. 1 year and 5 - year survival rates after curative resection were 90. 3% and 65. 8% respectively. Conclusion; In our experience, with TME technique, the postoperative mortality and complication would not be increased. The anus - saving rate is increased and the patients'living quality is improved. These findings recommend TME as gold standard procedure for middle and lower rectal cancer.

The interaction of Klebsiella mytoca NG13/pMC73A with Eucalyptus were studied. The results showed that the root surface and even the inner cortex of Eucalyptus were colonized by K. oxytoca. The K. oxytoca was reisolated from rhizosphere, root surface and inner root of inoculated Eucalyptus. The inoculation with K. oxytoca stimulated the excretion of Eucalyptus root and affected the contents of amino acids, carbohydrates, phytohormones of root exudates. The seedlings of Eucalyptusto to inoculation with K. oxytoca increased growth, total dry matter and N content by 29.81% - 100.40% after 3 months in comparinson to the uninoculated seedlings.