Shoulder-hand syndrome is a common complication in patients with stroke.This paper would review the therapies or approaches for the shoulder-hand syndrome.

Evidence-based medicine(EBM) is a new medical model,which is an inevitable tendency of modern clinical education.This article analyses the advantages and disadvantages of the evidence-based medical education(EBME) and emphasizes the great significance of EBM in paediatrics teaching.

Objective To investigate the risk factors for heart failure in pregnant women with heart disease. Methods A retrospective analysis was made from 340 cases of pregnant women with heart disease in our hospital from January 2008 to December 2013. The pregnant women who presented heart failure were categorized in the observation group (n=65), and others were in the control group (n=275). Data was used to analyze by univariate and multivariate logistic regression for heart failure in pregnant women with heart disease. Results The total 340 cases of heart disease included 132(38.8%) of congenital heart disease, 86(25.3%) of rheumatic heart disease, 63(18.5%) of arrhythmia, 33(9.7%) of hypertensive heart disease and 26(7.6%) of peripartum cardiomyopathy. 65 cases (65/340, 19.1%) presented with heart failure, there were 4 cases resulted in death (1.2%). Multivariate logistic regression analysis showed that age≥35, the baseline parameters of New York Heart Academy (NYHA)≥Ⅱ, pulmonary artery pressure>50 mmHg (1 mmHg=0.133 kPa), baseline heart rate>100 bpm, cardiac events occurred before pregnancy were the independent risk factors for heart failure. Prenatal counseling and antenatal examination were the protective factors for heart failure. Conclusions There are a variety of influencing factors for the heart failure in pregnant women with heart disease. It is necessary to take targeted intervention measures in response to the influencing factors so as to reduce the development of heart failure.

OBJECTIVE:To study the risk factors of nosocomial infection(NI)in surgery of a hospital.METHODS:By a retrospective study,a total of 835 surgical medical records in 2007 of a hospital were analyzed statistically.RESULTS:Of the 835 cases reviewed,95 had NI which was related to 13 factors(P

Abortion, Induced ; Adult ; Chorionic Villi ; blood supply ; Endarteritis ; pathology ; Female ; Humans ; Pregnancy ; Pregnancy Complications ; pathology ; Stillbirth

Objective To analyze the clinicopathologic features of primary cutaneous CD30 positive lymphoproliferative disorders. Methods A clinical, pathological and immunohistochemical analysis was carried out in 4 cases of lymphomatoid papulosis and 5 cases of primary cutaneous anaplastic large cell lymphoma. Results Lymphomatoid papulosis was divided into 3 subtypes, A, B and C. The lymphomatoid papulosis of subtype A was pathologically characterized by pleomorphic anaplastic large cells or Steinberg-reed cells scattered or patchly distributed among many inflammatory cells; subtype B showed pathological changes characteristic of granuloma fungoides, and manifested as a broad infiltration zone of lymphocytes in dermis with scattered small- to middle-sized atypical gyrus-like lymphocytes; subtype C was characterized by a diffuse distribution of anaplastic large cells and could clinically subside spontaneously. Primary cutaneous anaplastic large cell lymphoma clinically manifested as subcutaneous nodules or papules, and was pathologically characterized by large, pleomorphic, round or ellipse cells with plentiful, eosinophilic or bicolor cytoplasm, large nuclei and obvious nucleoli. The neoplastic cells characteristically expressed CD30 antigen in both lymphomatoid papulosis and primary cutaneous anaplastic large cell lymphoma, and all the cases showed a favorable prognosis.Conclusions Primary cutaneous CD30 positive lymphoproliferative disorders are a spectrum of cutaneous T cell lymphoma with favorable prognosis, and a synthetic analysis of clinical, histopathological and immunohistochemical findings is beneficial to the diagnosis of these entities.

Objective: To compare the quantities of water-soluble, water-insoluble glucans synthesized by S. mutans in 3-4 years old children with high dmft and no caries. Methods: The quantities of water-soluble and water-insoluble glucans synthesized by S. mutans from dental plaques of children with high dmft (dmft≥5) and caries-free (dmft=0) were measured using the anthrone method. Results: S. mutans isolated from the children with high dmft had stronger ability in producing both water-soluble and water-insoluble glucans than those isolated from the caries-free children (0.0332 mg/ml v.s. 0.0192 mg/ml and 0.0357 mg/ml v.s. 0.0215 mg/ml respectively). Children with high dmft harbored more isolates with higher water-soluble or water-insoluble glucans producing ability than caries-free children. Water-insoluble glucans produced by all the clinical isolates is higher than water-soluble glucans (0.0301 mg/ml v.s. 0.0267 mg/ml) and the difference was statistically significant. Conclusion: There may be a correlation between the extracellular glucans producing ability of S. mutans and the caries susceptibility in deciduous teeth.

Objective To investigate the principles of combined traditional Chinese and western medicine treatment of early postoperation inflammatory small bowel obstruction(EPISBO).Methods 93 cases of EPISBO were randomly divided into two groups including group A,47 cases received combined traditional Chinese and west- ern medicine treatment,and group B 46 received only western medicine treatment.Results 93 patients were all cured through nonsurgical treatment.The combined traditional Chinese and western medicine treatment was better in symtom improvement and reduce of expense.Conclusion The principle treatment of EPISBO is mainly nonsurgical. The traditional Chinese medicine and somatostatin are very important.

Objective To detect unknown network worm at its early propagation stage. Methods On the basis of characteristics of network worm attack, the concept of failed connection flow (FCT) was defined. Based on wavelet packet analysis of FCT time series, this method computed the energy associated with each wavelet packet of FCT time series, transformed the FCT time series into a series of energy distribution vector on frequency domain, then a trained K-nearest neighbor (KNN) classifier was applied to identify the worm. Results The experiment showed that the method could identify network worm when the worm started to scan. Compared to theoretic value, the identification error ratio was 5.69%. Conclusion The method can detect unknown network worm at its early propagation stage effectively.