Endometrial Hyperplasia ; genetics ; pathology ; Female ; Genital Neoplasms, Female ; genetics ; pathology ; Humans ; Tandem Repeat Sequences ; Uterine Cervical Neoplasms ; etiology

The origin and development of "five elements motion and six kinds of qi" acupuncture technique are reviewed, and acupuncture for treatment and prevention of disorders of "five elements motion and six kinds of qi" is summarized. Also its principle is analyzed. Problems such as the inconformity of acupoint selection, lack of systematic theory are discussed. It is pointed out that, instead of indiscriminate copy, treatment should be based on the observation of the transportation and transformation of qi; it is suggested that the classics should be inherited and innovated, combining the tradition with contemporary, and according to a sixty-year cycle, the acupuncture technique of "five elements motion and six kinds of qi" can be improved systematically for promotion and application.
Acupuncture Points ; Acupuncture Therapy ; history ; methods ; Books ; history ; China ; History, Ancient ; Humans ; Medicine in Literature ; Meridians ; Qi ; history

There are many controversies for how to treat the occurrence of ischemic stroke on the basis of infective endocarditis would be more reasonable,especially there is no consensus on whether to treat with anticoagulants.The article discusses about this.

Objective To investigate the exfoliative toxin serotype genes and antibiotic resistance of Staphylococcus aureus (SA) isolated from children with staphylococcal scalded skin syndrome (SSSS). Methods In total, 108 strains of SA were isolated from 36 patients with SSSS, 36 patients with impetigo and 36 patients with abscess. Multiplex PCR was used to detect the staphylococcal exfoliative toxin A, B and D genes, Kirby-Baner method to test the susceptibilities of SA strains to 20 antibiotics. Results All the 36 SA isolates from SSSS patients were ET-positive, and 2 (6%) produced ETA, 7 (19%) ETB, 27 (75%) both ETA and ETB; of the 36 isolates from patients with impetigo, 78% produced ET, and 14% produced ETA, 64% produced both ETA and ETB, while no single ETB-producing strain was found; ET was detected in only one (2.8%) SA isolate from abscess patients, which produced both ETA and ETB. ETD was detected in none of the SA isolates. There was a statistical difference in the distribution of ET serotype among the three diseases (χ2=89.4, P < 0.01) and the proportion of ET-producing strains in SSSS group was signifi-cantly higher than that in impetigo group (χ2=9.0, P < 0.01) and abscess group (χ2= 68.1, P < 0.01). All the SA isolates were highly resistant to penicilin, ampicillin, macrolides and clindamycin, but sensitive to other 15 common antibiotics such as cephalosporin. Two strains of MRSA were found in patients with abscess. Conclusion In Chongqing, ET-producing SA is the common pathogenic bacteria of SSSS and impetigo, and most of SA strains produce both ETA and ETB.

Carotid stenosis is an important risk factor for isehemie stroke. For many years, there have been controversies surrounding how to treat carotid artery stenosis, and then effectively realize stroke prevention. This article analyzes them.

Objective To investigate the clinical value of color Doppler in the early diagnosis of diabetic nephropathy (DN).Methods 69 cases of DN Phase I,II patients (group A) and 75 cases Phase III (B group) all underwent renal artery line Doppler flow imaging inspection .Renal aorta ( MRA) ,interlobar artery ( IRA) ,renal seg-mental artery blood flow (SRA) peak systolic velocity (Vsmax),resistance index (RI) and diastolic minimum speed ( Vdmin) and other hemodynamic parameters of two groups were analyzed .Results The Doppler spectrum renal blood flow characteristics of early renal damage were:between group A,B,the main renal artery (MRA),the kidney arterial segment Vdmin significantly reduce ,RI was significantly higher;the interlobar artery Vsmax (t=3.562 5,P=0.000 5),Vdmin (t=5.252,P=0.000 0) were significantly lower,RI was significantly higher (t=9.166 0,P=0.000 0);with the severity of renal dysfunction ,kidney color flow imaging reduce ,the kidney volume was significantly reduced in patients with stage Ⅲ.Conclusion Color Doppler ultrasound can clearly show the size of the patient′s kidney and renal artery blood flow parameters ,which has certain value in the diagnosis of early DN .

Objective To study hysteroscopy plus laparoscopy on stress response and pregnancy in patients with tubal infertility.Methods According to the digital table,80 patients with tubal infertility were randomly divided into two groups,the control group(n =40 cases) and the observation group(n =40 cases).The control group were operated through hysteroscopy,while the observation group were operated through hysteroscopy plus laparoscopy.Operative time,blood loss and hospital stay were observed.Serum cortisol (Cor) and hsCRP were measured before and after surgery.Results In the observation group,operative time,blood loss and hospitalization stay were less than those of the control group(t =3.268,4.928,2.728,all P ＜ 0.05).Postoperative serum Cor and hs-CRP were significantly higher,but the observation group were lower than the control group,there were a significant differences between the two groups(t =3.165,2.147,all P ＜ 0.05).In the observation group,intrauterine pregnancy was significantly higher and ectopic pregnancy was significantly lower than those of the control group(x2 =4.78,4.16,both P ＜ 0.05).Conclusion Hysteroscopy plus laparoscopy can improve pregnancy and decrease stress response in patients with tubal infertility.

This paper has made a distinction between the materialist concept of qi on the medical philosophical level and its substantial existence, and illustrated the materiality and multiplicity of qi. Materiality refers to the objective reality, a summation of various things or phenomena related to human beings; while multiplicity refers to diversity of specific substances, each holding its individual essence. Based on two essential conceptions "xiang" and "xiangji", and combining the theories of traditional Chinese medicine and Western medicine, this paper has also made a preliminary study on the substantial existence of qi at macro- and micro-levels, and on physiological (normal) and pathological (abnormal) aspects. It is the author's argument that studies of the substantial existence of qi from different aspects, micro-dimension in particular, will push the syndrome differentiation of traditional Chinese medicine to a more subtle sphere.

Early weaning from mechanical ventilation in children will lead to an extubation failure,however,prolonging mechanical ventilation will increase the risk of ventilator associated complication and the economical burden of disease.Nowadays there is no unified and objective ventilator weaning indexes in pediatrics,so it is significant to searching for appropriate and feasible ventilator weaning indexes.This article detailed the current progress on the condition and predictors of ventilator weaning in children,and comparing the predictability and accuracy of ventilator weaning indexes in children,also looking forward to the possibility of higher accuracy or scheme in ventilator weaning that used for clinical purposes.

Post-examination quality management is an important part in clinical microbiology,which includes systematic review,standardized result reporting format and interpretation,protection of private infomation in accordance with the medical ethics system,consulting services,and proper storage of clinical microbial specimens in course of post-examination procedures.Only in this way,the clinical microbiology laboratory could play greater roles in guiding doctors to rational antibacterial drug usage and preventing the produce of drug-resistaut strains.