Parkinson's disease (PD) is one of the prevalent neurodegenerative diseases in human being, which is characterized by the selective degeneration and death of dopaminergic neurons in the substantia negra. The etiology of PD is not illuminated yet. Currently this disease is thought to be the result of the co-operation of multiple factors. So far, PD can't be cured, and all the treatments are to control its symptoms. DA, PDI, Parkin gene, PINK1 gene and α-synuclein are all related to PD. Apoptosis may play a role in the degeneration and death of dopaminergic neurons. Disfunction of mitochondria appears to play a role in the pathogenesis of PD. The levels of CoQ10 from PD patients have been reported to be lower than that from normal people, and the supplement of CoQ10 favors the assistant treatment of PD.

Objective To observe the therapeutic efficacy of Treating chronic hepatitis B with compound BieJiaRuanGan pill plus entacavir. Methods 168 patients were randomly recruited into a treatment group and a control group. The treatment group was treated with compound BieJiaRuanGan pill plus entacavir and the control group was treated with entacavir exclusively, with a course of 48 weeks. Results Both groups showed statistical significance in improving the liver function, peripheral T lymphocyte subsets and indexes of serum liver fibrosis after the treatment (P<0.01 or P<0.05 ). The therapeutic effects in the treatment group were significant better than the control group after the treatment (P<0.01orP< 0.05 ) . Conclusion The treatment of chronic hepatitis B with compound BieJiaRuanGan pill plus entacavir is better than using entacavir exclusively.

This paper was aimed to summarize the concept of fuzzy mathematics inZhang Zhongjing’s Treatise on Febrile and Miscellaneous Diseases, in order to refine the accurate dialectical thinking ofZhang Zhongjing in aspects of the theory, method, prescription and medicine for the discussion of precision treatments byZhang Zhongjing. It was aimed to find a breakthrough point from evidence-based medicine (EBM) to precision medicine in traditional Chinese medicine (TCM). It also illustrated TCM by scientific theories. It provided evidences for the inheritance and promotion of TCM as well as methodological references for TCM research.

To investigate the antibiotic resistance of bacteria isolated from bile, the bile from the surgical in-patients with bile duct infection from June 1995 to December 1998 was cultured and the distribution and antibiotic resistance of the isolates (not including anaeobes) were analyzed. The results showed that the cultured positive rate in the specimens was 69. 76 % (143/205). Among the isolates, most of them were E. coli and P. aeruginosa (31. 74 % and 18. 56 %, respectively), while Enterobacter, K. pneumonia and Enterococci were also commonly seen. All the isolates were resistant more or less to the commonly used antibiotics.

Objective To explore the feasibility and the clinical effect of laparoscopic treatment of incomplete small intestinal obstruction.Methods Eighty-five patients with intestinal obstruction from January 2011 to January 2016 were analyzed retrospectively.Five cases caused by adhesion band were released by laparoscopic cut of the adhesion band.Seventy-five cases were caused by adhesion between intestine, abdominal wall, and pelvic cavity were given laparoscopic adhesion and angle separation.Laparoscopic exploration found appendicitis in 3 cases and a laparoscopic appendectomy was carried out.Two cases were given laparoscopic removal of foreign body inside the intestine.For patients with obvious abdominal distention, an indwelling ileus tube was placed in the intestine before the operation.Results All the laparoscopic surgeries were successfully performed except 2 patients required an additional small incision to perform partial enterectomy and intestinal anastomosis due to intensive local adhesion.No complications happened.Postoperative follow-ups for 3-60 months (mean, 35 months) found no recurrence.ConclusionsLaparoscopic treatment of small intestinal obstruction is feasible and minimally invasive, having advantages of small incision, rapid recovery and short hospitalization.It avoids the trauma caused by open operation.

Objective To study the mechanism of toxicity of methylmercury on primary cultured SD rat astrocyte.Methods Treat primary cultured SD rat astrocyte with methylmercury.Determine the level of cyto-oxidation redoxin with High Performance Liquid Chromatography(HPLC).Western-blot was applied to examine the protein expression of nuclear factor erythroid 2 related factor 2(Nrf2).Results With the increase of the concentration of methylmercury,the redoxin level of astrocyte was apparently decreasing.When the concentration of methylmercury was at a low level,the expression of Nrf2 was increasing with the increase of the methylmercury concentration.When the concentration of methylmercury was at a high level,the expression of Nrf2 was decreasing with the increase of the methylmercury concentration.Conclusion The toxicity of methylmercury on primary cultured SD rat astrocyte can be realized through altering the function of GSH and Nrf2.

0.05);It was related to the liquid filter press and sealing liquid(P0.05);And the rate of swelling incidence was obviously higher than the phlebitis incidence(P

There is persuasive clinical and experimental evidence that macrophages promote cancer initiation and malignant progression. The aggregation of macrophages indicates poor prognosis of tumor associated diseases. During tumor initiation, macrophages create an inflammatory environment that is mutagenic to cells and promotes cell growth; as tumors progressing, macrophages create premetastatic niche for the arriving tumor cells at premetastatic sites ; then macrophages provide critical nutrients for these initial metastatic tumor cells.Along with these great achievements in research of macrophage, it is believed that several novel directions of tumor therapy surely occur in the future.

Objective To investigate the clinical efficacy of flexible ureteroscopic lithotripsy combined with percutaneous nephrolithotomy treating for partial staghorn calculi.Methods 84 patients diagnosed as partial staghorn calculi in our hospital were randomly divided into group A and B with each group 42 patients.Patients in group A received the conventional minimally invasive percutaneous nephrolithotomy in the prone position,and patients in group B received the percutaneous nephrolithotomy combined with flexible ureteroscopic lithotripsy in the modified Valdivia position.The post-operative stone free rate and complications were recorded.Results The surgery time in group B was longer than that in group A [(106.44±18.46)min vs(83.69±10.29)min],with statistically significant difference(P<0.05).However,the first stone free rate in group B was higher than that in group A(85.71% vs 59.52%,P<0.05),and the blood loss in group B was lower than that in group A [(70.02±9.15)ml vs(87.41±9.89)ml,P<0.05].The common complication of patients in two groups was fever(temperature >38.5℃),but there was no notably difference between the two group(P>0.05).Conclusion Compared with the regular percutaneous nephrolithotomy,flexible ureteroscopic lithotripsy combined with percutaneous nephrolithotomy treating partial staghorn calculi has the shorter operation time,the less blood volume and the higher first stone free rate.Furthermore,the combination method did not significantly increasing the incidence of patient's complication.

BACKGROUND:In rehabilitation therapy teaching, it is crucial to cultivate professional knowledge and clinical skil s of rehabilitation therapy for students. SOAP (Subjective, Objective, Assessment, Plan) is the international most commonly used and accepted in the medical records of problem oriented method. SOAP is used to develop clinical thinking ability, improve analysis, judgment and the ability of solving clinical problem for students. OBJECTIVE:To retrospectively analyze the composition, teaching benefit and problems of SOAP in China. METHODS:Published articles about SOAP note were searched from PubMed, Web of Science and China National Knowledge Infrastructure, and the articles were retrieved from database building to September 2014. The key words were“SOAP note, rehabilitation, teaching”in Chinese and English. We excluded the repetitive researches. RESULTS AND CONCLUSION:After screening, we included 20 articles in the review. SOAP note was helpful to promote students’ independent thinking, strengthened the standardization of the records, rehabilitation treatment, and developed the students’ clinical thinking and the ability to deal with the problem. SOAP note has several chal enges in the rehabilitation teaching, however, with the popularity of SOAP teaching concept, and deep research and gradual generalization of SOAP teaching methods, SOAP has a wide application prospect for the rehabilitation education in China.