ObjectiveTo compare the effect of psychological treatment only and psychological combined with fluoxetine treatment in reducing symptom of depression, anxiety and in improving of cognitive and daily living abilities for post-stroke depression patients.MethodsAll patients with post-stroke enrolled in hospital between 1996 and 2001 and were evaluated by using of the Self-rating Depression Scale (SDS), the Self-rating Anxiety Scale (SAS), Scale of Elderly Cognitive Function (SECF), and Ability of Daily Living (ADL). SDS score was equal or greater than 50 points (SDS≥50) selected as subjects for this study. A total of 115 patients were randomized divided into psychological with fluoxetine treatment group (Group A,54 patients) and psychological treatment group (Group B,61 patients). There is no significant difference between two groups in age, education, and left or right side of hemiplegics. Statistical analysis was performed by using Chi test and t test to compare the 2 groups at day 0 (baseline) and after 2 months.ResultsThe level of depression and anxiety reduced significantly in both Group A and Group B from baseline to end of treatment (P<0.001). Both groups had significant improvement in daily living ability (P<0.001).There was no significant improvement in cognitive ability (P>0.5). There was no significant differences on SDS, SAS, SECF, and ADL scores from baseline to end of treatment (P>0.5).Conclusions There were similar effect of psychological with fluoxetine treatment and of psychological treatment only on post-stroke depression.

ObjectiveTo analyze the relationship among depression and anxiety and other possible factors in post-stroke patients.Methods510 hospitalized stroke patients from 1997 to 2004 were evaluated with the Scale of Elderly Cognitive Function (SECF), Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), and Activities of Daily Living (ADL) in 7 days after admission and re-examined after two months.ResultsThe depression group exhibited the longer course of disease, a high ratio of hemiplegia in left side, lower ADL scores and higher SAS scores at time of admission. There were significant differences between depression and non-depression group. However, there was no significant difference between the depression and cognitive function. There were also significant differences between anxiety group and non-anxiety group. Patients with anxiety displayed symptoms of low ADL scores and higher SDS scores at time of admission, and ADL scores increased after treatment. Additionally, the course of disease was longer and reduction of anxiety level was lower. The levels of depression and anxiety significantly reduced in depression group and anxiety group when compared to the control group.ConclusionEarly rehabilitation can help to reduce depression level. Modest anxiety may help stroke patients to improve their ADL. There is close relationship between depression and anxiety.

Objective To analyze the injury mechanism and distribution of the motor vehicle engine shake shaft caused injuries (MVESSCI) in North Henan province. Methods A follow up was done on 520 patients with the motor vehicle engine shaft injuries treated in our hospital from January 1998 to May 2002. The epidemiological features were analyzed concerning gender, age, injury time and injury sites. Results There were 300 males and 220 females (age range of 9-53 years, mean 31 years) with ratio 1.36 ∶1 of male to female. The MVESSCI were dominated by Colles fractures and distal fractures of ulna and radius, accounting for 73.8% (384/520). The traffic accidents occurred most in May, June, September and October, which accounted for 85.0% (442/520). Conclusions (1) The vehicle engine shake shaft causes the injuries mainly at the distal part of the right forearm, mainly the Colles fracture and the distal fractures of ulna and radius. (2) The injury is mainly due to improper operation in busy farming seasons. (3) The countermeasures to reduce wounds and injuries are to pay much more attention to prevention, strengthen the safety awareness of individuals, improve the structures of motor vehicles and avoid improper manipulation of the vehicles by children.

MicroRNAs (miRNAs) are a class of small single-stranded noncoding RNAs which are involved in regulating many physiological and pathological processes.The rapid detection of miRNA is of great importance for the function of miRNAs.In comparison with traditional methods,the biosensor has the advantages of simple operation,rapidness,high sensitivity,and real-time detection.Thus,biosensors have been implemented for a number of applications in miRNA detection.

Because of the factors such as degeneration or congenital dysplasia which leads to medial tibiofemoral compartment tightness, the arthroscopic surgery of this part might have limited vision and narrow operating space, which causes missed diagnosis and iatrogenic injury.Medial collateral ligament ( MCL) release technique is a simple, effective and safe procedure.By releasing part of the ligament fiber, this operation can effectively expand the visual field and operation space.avoiding the risk of iatrogenic injury of cartilage and missed diagnosis.MCL release technique is an effective method to solve the arthroscopic examination and endoscopic operation for medial compartment tightness of the knee joint.This article reviewed the technique of MCL release.

Fludarabine (Flu) is a synthetic purine analog,which has been widely used in the treatment of B-cell chronic lymphoproliferative disorders (B-CLPD) such as chronic lymphocytic leukemia (CLL),nonHodgkin lymphoma (NHL) as an anti-metabolic cytotoxic chemotherapeutic drug and achieved good effect.Main adverse reactions in clinical application of Flu are dose-dependent bone marrow suppression and secondary infection.Non-hematologic adverse reactions are so rare and mild that most patients can tolerate.

Vitamin D is a steroid hormone that exerts its action by binding to the vitamin D receptor.In addition to its actions on calcium and phosphate metabolism,it exhibits a plethora of regulatory effects on proliferation,dfferentation and function of the cells of the immune system,thus play an important role in the regulation of the immune response.Systemic lupus erythematosus (SLE) is a multisystemic auto-Immune disease that is characterized by a number of autoantibodies.VitD and VDR can inhibit the activation of autoreactive lymphocyte and the production of auto-antibodies,thus play an important role in the development and mechanism of SLE.Supplementation of VitD may improve the progrosis of SLE.

Since 1981,neonatal screening of hyperphenylalaninemia(HPA) has been carrying on in China.The newborns with phenylketonuria(PKU) have been good growthing and developing.Some of them already take part in the marriage period.The fetal brain developmental disorders and various teratogenesis could be leaded if the pregnant women with PKU have high blood concentration of phenylalaninine,namely,maternal PKU syndrome would happen.Now,the international latest progress,including mechanism,prevention,tetrahydrobiopterin support treatment of maternal PKU and the comprehensive management for adult female patients with PKU were summarized,and would like to provide some references for preventing the occurrence of maternal PKU syndrome.

Objective To investigate the clinical value of spiral CT coronary angiography (SCTCA) and coronary angiography (CAG) in the diagnosis of coronary myocardial bridge in patients with coronary heart disease. Methods The imaging data of SCTCA and CAG of 877 patients with coronary heart disease were retrospectively analyzed. The diagnostic consistency of coronary myocardial bridge and the measurement result of myocardial bridge length and mural coronary artery stenosis degree between SCTCA and CAG were compared. Results Two imaging methods in the diagnosis of superficial type and deep type myocardial bridge in patients with coronary heart disease had good consistency (Kappa =0.872). The CAG measurement results of superficial type and deep type myocardial bridge length were significantly lower than the SCTCA measurement results: (5.46 ± 2.21) mm vs. (7.12 ± 3.04) mm and (9.75 ± 3.28) mm vs. (11.38 ± 4.44) mm, and there were statistical differences (P<0.05). The CAG measurement results of superficial type and deep type mural coronary artery stenosis degree were significantly higher than SCTCA measurement results: (38.08 ± 6.37)% vs. (31.69 ± 5.11)% and (60.40 ± 11.86)% vs. (52.38 ± 9.27)%, and there were statistical differences (P<0.05). Conclusions SCTCA and CAG in the diagnosis of coronary myocardial bridge in patients with coronary heart disease have good consistency. The SCTCA in diagnosis accuracy of myocardial bridge length is better than CAG, but the CAG in the diagnosis of mural coronary artery stenosis degree is better.

The current problems of Diagnostics the 5-year national programming textbook for undergraduates were analyzed and several compiling suggestions were proposed. Three suggestions were put forward:modifying the definition of chief complalnt, appending a list of errors and modifying the editing style of appendix I common clinical diagnostic techniques. With this revision, the noun definition in the teaching material can be made more accurate and the textbook compiling form more perfect, so that the errors have been corrected in a timely manner, which is beneficial to teachers' teaching and students learning and can improve the quality of clinical medicine professional talent tralning.