Objective To analyze the effects of massage therapy on the inflammatory state and lung function of pediatric refractory Mycoplasma pneumonia(RMPP).Methods A total of 320 chil-dren with RMPP treated in Hebei Seventh People's Hospital from September 2022 to August 2023 were selected in the study.According to different treatment methods,they were divided into two groups,with 160 cases in each group.The western medicine group was given conventional anti-in-flammatory and other symptomatic treatment,while the massage group was given dialectical massage treatment based on the western medicine group.The clinical efficacy,duration of disappearance of clinical symptoms,pulmonary function indexes,serum inflammatory factors,immune function indexes and total incidence of adverse reactions were compared between the two groups.Results The total effective rate of massage group was higher than that of control group(P＜0.05).The disappearance time of fever,cough,sputum and lung moist rales in observation group was shorter than that in control group(P＜0.05).After treatment,the peak expiratory flow(PEF),maximum mid-expiratory flow(MMEF)and forced vital capacity(FVC)in the massage group were higher than those in the control group(P＜0.05).The levels of serum C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)in the massage group were lower than those in the control group after treatment(P＜0.05).After treatment,CD3+,CD4+,CD4+/CD8+in the massage group were higher than those in the control group(P＜0.05),and CD8+was lower than that in the control group(P＜0.05).There was nosignificant difference in the total incidence of adverse reactions between the massage group and the western medicine group(P＞0.05).Conclusion Massage based on syndrome differentiation combined with western medicine can effectively relieve fever,cough and other symptoms of RMPP children,reduce inflammatory response,improve lung function and immune function,and has less adverse reactions.

Objective To evaluate the application effect of a novel hemodialysis catheter fixing strap in clinical hemodialysis.Methods A total of 199 hemodialysis patients from the Second Affili-ated Hospital of Anhui Medical University between May and July 2023 were enrolled in this study.Employing the self-controlled study design,patients were initially fixed with conventional adhesive tape(fixation method A)for their dialysis tubing from May 20 to June 20,2023.Subsequently,from June 21 to July 21,2023,patients were transitioned to a novel hemodialysis catheter fixing belt(fixa-tion method B)for the fixation of their dialysis tube.The incidence of puncture needle,central ve-nous catheter displacement,the stability of fixation,and the satisfaction levels of nurses and patients were compared between the two fixation methods.Results The rate of puncture needle/central ve-nous catheter displacement with method B was significantly lower than that with method A(P＜0.001).No statistically significant difference was observed in the puncture needle/central venous catheter displacement between the two methods(P＞0.05).The stability of fixation with method B was significantly higher than that with method A(P＜0.001).Patients'satisfaction with fixation method B(in favor of mobility and comfort)was significantly higher than that with fixation method A(P＜0.001);similarly,nurses'satisfaction with fixation method B(in favor of cleaning and convenient operation)was markedly superior to that with fixation method A(P＜0.001).Conclusion Compared with the traditional adhesive tape fixation method,the novel hemodialysis catheter securing strap effectively secures the catheter with improved safety and significantly enhances the satisfaction of both nurses and patients.

Objective To analyze the effects of massage therapy on the inflammatory state and lung function of pediatric refractory Mycoplasma pneumonia(RMPP).Methods A total of 320 chil-dren with RMPP treated in Hebei Seventh People's Hospital from September 2022 to August 2023 were selected in the study.According to different treatment methods,they were divided into two groups,with 160 cases in each group.The western medicine group was given conventional anti-in-flammatory and other symptomatic treatment,while the massage group was given dialectical massage treatment based on the western medicine group.The clinical efficacy,duration of disappearance of clinical symptoms,pulmonary function indexes,serum inflammatory factors,immune function indexes and total incidence of adverse reactions were compared between the two groups.Results The total effective rate of massage group was higher than that of control group(P＜0.05).The disappearance time of fever,cough,sputum and lung moist rales in observation group was shorter than that in control group(P＜0.05).After treatment,the peak expiratory flow(PEF),maximum mid-expiratory flow(MMEF)and forced vital capacity(FVC)in the massage group were higher than those in the control group(P＜0.05).The levels of serum C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)in the massage group were lower than those in the control group after treatment(P＜0.05).After treatment,CD3+,CD4+,CD4+/CD8+in the massage group were higher than those in the control group(P＜0.05),and CD8+was lower than that in the control group(P＜0.05).There was nosignificant difference in the total incidence of adverse reactions between the massage group and the western medicine group(P＞0.05).Conclusion Massage based on syndrome differentiation combined with western medicine can effectively relieve fever,cough and other symptoms of RMPP children,reduce inflammatory response,improve lung function and immune function,and has less adverse reactions.

Objective To evaluate the application effect of a novel hemodialysis catheter fixing strap in clinical hemodialysis.Methods A total of 199 hemodialysis patients from the Second Affili-ated Hospital of Anhui Medical University between May and July 2023 were enrolled in this study.Employing the self-controlled study design,patients were initially fixed with conventional adhesive tape(fixation method A)for their dialysis tubing from May 20 to June 20,2023.Subsequently,from June 21 to July 21,2023,patients were transitioned to a novel hemodialysis catheter fixing belt(fixa-tion method B)for the fixation of their dialysis tube.The incidence of puncture needle,central ve-nous catheter displacement,the stability of fixation,and the satisfaction levels of nurses and patients were compared between the two fixation methods.Results The rate of puncture needle/central ve-nous catheter displacement with method B was significantly lower than that with method A(P＜0.001).No statistically significant difference was observed in the puncture needle/central venous catheter displacement between the two methods(P＞0.05).The stability of fixation with method B was significantly higher than that with method A(P＜0.001).Patients'satisfaction with fixation method B(in favor of mobility and comfort)was significantly higher than that with fixation method A(P＜0.001);similarly,nurses'satisfaction with fixation method B(in favor of cleaning and convenient operation)was markedly superior to that with fixation method A(P＜0.001).Conclusion Compared with the traditional adhesive tape fixation method,the novel hemodialysis catheter securing strap effectively secures the catheter with improved safety and significantly enhances the satisfaction of both nurses and patients.

Objective:Objectives To investigate the predictive value of color Doppler flow imaging (CDFI) for the proteinuria following pyeloplasty for congenital ureteropelvic junction obstruction (UPJO) in children.Methods:We identified a series of 206 children with a mean age of (20.0±28.8) months (1-132 months), consisted of 171 males and 35 females, diagnosed with congenital UPJO accepted pyeloplasty from January 2014 to September 2018, the preoperative mean urinary Albumin/Creatinine Ratio (ACR) was (17.3±160.1) mg/mmol and the mean β2-microglobulin/Creatinine Ratio (β2-MG/Cr) was (135.6±383.8) μg/mmol, ultrasound showed a mean renal pelvis dilatation of (3.1±1.5) cm and a mean cortical thickness of (0.3±0.1) cm, and classified as grade Ⅰ-Ⅴ according to the blood flow distribution in renal by CDFI, these children were divided into three groups of increased, decreased and unchanged blood flow according to the postoperative CDFI within 1 week, the postoperative urinary protein and renal function indexes within 1 week and 2 years were retrospectively analysed among groups.Results:Within 1 week postoperatively, an increased, decreased and unchanged blood flow occurred in 113 (54.9%), 31(15.0%), 62(30.1%) children, respectively. Urinary ACR in above mentioned groups was (112.3±400.7), (16.1±29.3), (32.7±48.4) mg/mmol, β2-MG/Cr was (887.4±6061.0), (50.2±62.7), (51.9±57.8)μg/mmol, there were significant differences among groups ( P<0.01). Contralateral hydronephrosis occurred in 21(18.6%), 4(12.9%), 8(12.9%) children, urinary N-Acetyl-β-D-glucosaminidase (NAG) was (7.5±5.2), (7.0±5.4)、(5.7±4.5) U/L, these indexes showed no significant differences among groups. There was a positive correlation between the increased blood flow level and the decreased renal pelvis dilatation (Spearman’s correlation coefficient 0.2, P<0.01), ACR (Spearman’s correlation coefficient 0.4, P<0.01) and β2-MG/Cr (Spearman’s correlation coefficient 0.3, P<0.01). After a follow up of 2 years, 67 children were diagnosed with proteinuria in this series, 51 cases of them with an increased blood flow, which had significantly higher percentage than children with a decreased (4 cases, 12.9%) or unchanged blood flow (12 cases, 19.3%). Logistic multivariate analysis indicated that early postoperative (within 1 week) increased blood flow ( OR=1.9, 95% CI 1.5-2.6), contralateral hydronephrosis ( OR=2.2, 95% CI 1.1-4.8) and urinary NAG ( OR=1.1, 95% CI 1.0-1.1) were predictive of proteinuria, the increased blood flow was independent predictor of proteinuria (Ⅰ level increased: OR=1.9, 95% CI 1.5-2.6). Conclusions:The CDFI reveals good predictive value for the postoperative proteinuria, an early marked increased blood flow postoperatively indicated risk of proteinuria in the long term.

Objective To evaluate the risk factors and sonographic findings of pregnancies complicated by placenta increta or placenta percreta. Methods Totally, 2219 cases were retrospectively analyzed from 20 tertiary hospitals in China from January 2011 to December 2015. The data were collected based on the original case records. All cases were divided into two groups, the placenta increta (PI) group (79.1％, 1755/2219) and the placenta percreta (PP) group (20.9％, 464/2219), according to the degree of placental implantation. The risk factors and sonographic findings of placenta increta or percreta were analyzed by uni-factor and logistic regression statistic methods. Results The risk factors associated with the degree of placental implantation were age, gravida, previous abortion or miscarriage, previous cesarean sections, and placenta previa (all P<0.05), especially, previous cesarean sections (χ2=157.961) and placenta previa (χ2=91.759). Sonographic findings could be used to predict the degree of placental invasion especially the boundaries between placenta and uterine serosa, the boundary between placenta and myometrium, the disruption of the placental-uterine wall interface and loss of the normal retroplacental hypoechoic zone(all P<0.01). Conclusions Previous cesarean sections and placenta previa are the main independent risk factors associated with the degree of placenta implantation. Ultrasound could be used to make a prenatal suggestive diagnosis of placenta accreta spectrum disorders.

Objective To establish a scientific training program that takes into account both anaerobic and aerobic training for pilots,and to explore the appropriate ratio of aerobic and anaerobic training.Methods According to the physical examination standards for pilots,a total of 16 healthy subjects aged 18-24 were selected from two batches.The two batches of subjects were trained with different aerobic and anaerobic ratios.Training period was 3 months.The changes in cardiopulmonary function of the subjects before and after training were evaluated using the cardiopulmonary function exercise testing system(CPET),and the changes in anaerobic capacity were evaluated using changes in strength as an indicator.Results After training,the weight load of the subjects in the two training programs,including barbell squats,leg flexion and hard pull,and barbell under 10RM and 3RM,was significantly increased(P<0.001),and there was no statistically significant difference in anaerobic strength growth between the two groups.The results of CPET showed that the maximum load,maximum heart rate,and respiratory quotient in the two groups were significantly increased after than before the training(P<0.01).The maximum load(Experiment group 1:29.12±19.69,Experiment group 2:72.00±46.24)and respiratory quotient(Experiment grouop 1:0.11±0.09,Experiment group 2:0.28±0.16)of the subjects in experiment group 2 before and after training were greater than those in experiment group 1.The difference was statistically significant(P<0.05).Conclusion The anaerobic and aerobic capacities of the subjects in the experiment group 2 are effectively improved,indicating that ratio of aerobic and anaerobic of the training scheme is better.

As a ligand-dependent transcription factor,retinoid-associated orphan receptor γt(RORyt)that controls T helper(Th)17 cell differentiation and interleukin(IL)-17 expression plays a critical role in the pro-gression of several inflammatory and autoimmune conditions.An emerging novel approach to the therapy of these diseases thus involves controlling the transcriptional capacity of RORyt to decrease Th17 cell development and IL-17 production.Several RORyt inhibitors including both antagonists and inverse agonists have been discovered to regulate the transcriptional activity of RORyt by binding to orthosteric-or allosteric-binding sites in the ligand-binding domain.Some of small-molecule inhibitors have entered clinical evaluations.Therefore,in current review,the role of RORyt in Th17 regulation and Th17-related inflammatory and autoimmune diseases was highlighted.Notably,the recently developed RORyt inhibitors were summarized,with an emphasis on their optimization from lead compounds,ef-ficacy,toxicity,mechanisms of action,and clinical trials.The limitations of current development in this area were also discussed to facilitate future research.

OBJECTIVE: In the context of coronavirus disease 2019 (COVID-19) pandemic, the subject was designed to develop a new tracheal intubation device based on magnetic navigation technology to improve the success rate of tracheal intubation and reduce the risk of occupational exposure of medical staff. METHODS: The new tracheal intubation device was designed with the uniqueness of the magnetic field environment and magnetic steering of magnetic navigation technology. And preliminary magnetic navigation tracheal intubation experiments were performed on the tracheal intubation simulator. RESULTS: Magnetic navigation tracheal intubation can successfully implement tracheal intubation, and the time required is lower than that of traditional laryngoscopy. CONCLUSIONS The tracheal intubation based on magnetic navigation technology is feasible, with high efficiency and easy operation. That is expected to be widely used for tracheal intubation during treatment of patients outside the hospital in the future. At the same time, magnetic navigation endotracheal intubation technology will be the key technology for the development of endotracheal intubation robots.
COVID-19/therapy* ; Equipment Design ; Feasibility Studies ; Humans ; Intubation, Intratracheal ; Magnetic Phenomena ; SARS-CoV-2 ; Technology

Ulcerative colitis (UC) is one of types of inflammatory bowel disease with high recurrence. Recent studies have highlighted that microbial dysbiosis as well as abnormal gut immunity are crucial factors that initiate a series of inflammatory responses in the UC. Modulating the gut microbiota-intestinal immunity loop has been suggested as one of key strategies for relieving UC. Many Chinese herbal medicines including some of single herb, herbal formulas and the derived constituents have been reported with protective effect against UC through modulating gut microbiome and intestinal immunity. Some clinical trials have shown promising results. This review thus focused on the current knowledge on using Chinese herbal medicines for treating UC from the mechanism aspects of regulating intestinal homeostasis involving microbiota and gut immunity. The existing clinical trials are also summarized.