Palmer-foot hyperhidrosis is one kind of focal hyperhidrosis, with symptoms of sweating hands or feet. Some people even have sweat dripping off their hands or feet. This article studied the views of TCM on palmer-foot hyperhidrosis, expounded the pathological and physiological relationship between palmer-foot hyperhidrosis and spleen and stomach, and proposed that clinical treatment should be based on the syndrome differentiation and treatment of spleen and stomach, which can achieve certain efficacy.

OBJECTIVE: To discuss the pressure changing characteristics of upper esophageal sphincter (UES), lower esophageal sphincter (LES) and the esophagus kinetic characteristics of pharyngeal paraesthesia patients. METHOD: To take high resolution manometry in 44 cases of pharyngeal paraesthesia patients and 23 normal subjects separately. According to the RSI score,the 44 patients were divided into group A (the group without reflux, RSI < 13, n = 25) and group B (the group with reflux, RSI ≥ 13, n = 19). RESULT: The UES average resting pressure and average residual pressure of patients group were higher than the control group (P < 0.05); The UES average resting pressure and average residual pressure of group B were higher than group A (P < 0.05); The LES average resting pressure and average residual pressure of group B were lower than group A and the control group (P < 0.05); The comparison of LES average resting pressure and average residual pressure between group A and the control group was not statistically significant (P > 0.05). The esophagus DCI of group B was lower than that of group A and control group (P < 0.05). The esophagus DCI comparison between group A and control group was not statistically significant (P > 0.05). CONCLUSION The pharyngeal paresthesia symptoms of'patients was associated with the increasing of UES pressure. The pharyngeal paresthesia symptoms of group with reflux was related to low pressure of LES and high pressure of UES. The last part of esophagus of group with reflux had obstacles in powers, which weaken the peristalsis and declined the ability to clear the bolus and gastric reflux material.
Case-Control Studies ; Esophageal Sphincter, Lower ; physiopathology ; Esophageal Sphincter, Upper ; physiopathology ; Gastroesophageal Reflux ; physiopathology ; Humans ; Manometry ; Paresthesia ; diagnosis ; pathology ; Peristalsis ; Pharynx ; physiopathology ; Pressure

Objective To explore the correlation of cognitive impairment with ischemic strokeinducing cerebral artery,in order to predict and find the correlations between different cognitive dysfunction and different intracranial arterial occlusion.Methods We used Montreal Cognitive Assessment (MoCA) to evaluate neuropsychological statuses in the 250 patients,who developed first time acute myocardial infarction for 2 weeks.MoCA scores and other neuropsychological cognitive assessment scores were recorded.Patients were grouped by the location of intracranial arterial occlusion.The neuropsychological cognitive assessment results were analyzed between groups.Results Middle cerebral artery occlusion was correlated with impairments of visual spatial/executive,attention,language and memory (B=-1.875 ～-1.094,P＜0.05).Anterior cerebral artery and vertebral basilar artery occlusion had correlations with attention impairment (B =-3.977,B =-1.833,P＜0.01).Posterior cerebral artery occlusion could cause visual spatial/executive,language and memory impairment(B=-1.714 ～-1.095,P＜0.05).No correlation of cognitive impairment characteristics with anterior choroidal artery occlusion was found.Conclusions Different arterial occlusion can cause different characteristics of impairment in cognitive function,which can help to predict cognitive impairment after sub-acute stroke.It suggests that some cognitive assessments must be conducted in sub-acute stroke management.

Objective To explore the mechanism of Shenkangwan in preventing the development of diabetic nephropathy(DN)through TGF-?1/Smad signaling pathway.Methods The diabetic rat models were established by intraperitoneal injection of streptozotocin(STZ)in male Wistar rats and randomly divided into 3 groups:model control group,Capoten group and Shenkangwan group.Another 8 normal Wistar rats served as normal control.After the rats had been treated for 8 weeks,the mRNA expressions of fibronetin(FN)and TGF-?1 were detected by RT-PCR and the protein expressions of Smad 2,Smad 3 by immunohistochemistry in the renal tissues.Results During the past 8 weeks,the blood glucose of the rats in the model control group was all over 16.7 mmol/L and they exhibited the symptoms of diabetes mellitus,such as excessive thirsty,extreme hunger,frequent urination and unusual weight loss.The mRNA expressions of FN and TGF-?1 in rat renal tissues of model control group were significantly higher than those in the rats of normal control group(P

This paper reviewed the epidemiology, pathogenesis of post-ischemic-stroke cognitive impairment and the correlation analysis between the lesion and cognitive impairment under imaging guidance.

ObjectiveTo observe the clinical features, complications, and prognosis of subarachnoid hemorrhage (SAH) in the aged. Methods132 old cases were analyzed retrospectively. Results56.8% of patients complained headache as the main symptoms, 43.2% with dizziness or vertigo, 40.1% with disturbance of consciousness, 70.5% with negative of meningeal irritation sign. The most common cause is the aneurysm. The mortality was more in those complicated with hypertension. ConclusionSAH in the old characterized variable clinical manifestations, no special signs, half of them with good prognosis.

Objective To investigate the depression after stroke in middle-aged patients and discuss the mental nursing.Methods Self-Rating Depression Scale was used to find 30 depression patients from 52 patients with stroke.They were analyzed and accepted mental nursing.Results The rate of depression mental state patients in 52 patients is 57.69%.After accepting mental nursing,the number of unsociability,morose and fatigue decreased,while that of role adaptation and self-confident increased significantly(P<0.05).Conclusion There is high incidence of depression in middle-aged patients with stroke.Mental nursing is helpful improve their adaptation and quality of living.

AIM: After human lung epithelial cells (A549) infected with respiratory syncytial virus (RSV), inducer cells over-express active transmitter. The study investigated the expression changes in nuclear factor ?B (NF-?B), inducible nitric oxide synthase (iNOS) mRNA and protein, nitric oxide (NO) and malonaldehyde (MDA) on human lung epithelial cells (A549) infected with RSV. METHODS: Experiments were performed at the Laboratory of Etiology and Immunology, Anhui Medical University between December 2006 and May 2007. ① Gyopreserved virus broliferated in Hep-2 cells after recovery. A549 cells infected with RSV in vitro were used to collect cells and cellular culture supernatant at hours 4, 8, 16 and 24. Cells non-infected with RSV were served as controls. ② Reverse transcription-polymerase chain reaction (RT-PCR) was used to evaluate the expression of iNOS mRNA. The expression of iNOS protein and NF-?B was detected by Western-Blot. The concentrations of NO and MDA were measured by nitrate reductase method and thiobarbituric acid method. RESULTS: ①The basal expression of NF-?B was increased with the prolongation of RSV infection to A549 cells. ②RSV infection to A549 increased the amounts of mRNA and protein of iNOS in a time-dependent manner. The expression of iNOS mRNA was about 12 times as many as basal expression. RSV infection promoted the expression of iNOS protein, which was higher than the control group. The activities of NF-?B significantly were positively correlated with the mRNA and protein expression of iNOS. ③RSV could improve A549 cells secreting NO and MDA, but the NO levels rose slowly during the 24 hours of infection. CONCLUSION: The inflammatory response of RSV can increase the activity of NF-?B and it is positive correlated with the increase in iNOS mRNA and protein levels.

Congresses as Topic ; Gastrointestinal Diseases ; physiopathology ; therapy ; Humans ; Integrative Medicine

【Objective】To observe the effect of Shenkang Pills(SP) on proliferation,extracellular matrix(ECM) secretion and cell cycle of in-vitro cultured rat mesangial cells(MC).【Methods】Sixteen Wistar male rats were randomized into 4 groups: normal serum group,Capoten(5 mg/kg) group,high-and low-dose SP(2.4 and 1.2 g/kg respectively) groups.Except the normal serum group,the rats in other groups received corresponding drugs according to the experimental design,and serum containing drug was isolated and prepared after treatment for 7 days.MC cultured with high glucose(30 mmol/L) in vitro were divided into 5 groups: A(cultured with high glucose 30 mmol/L),B(cultured with 5% normal serum),C(cultured with 5% serum containing Capoten),D and E(cultured with 5% serum containing high-and low-dose SP respectively).Another model group F(cultured with low glucose 10 mmol/L) was also established.After culturing for 72 hours,methyl thiazolyl tetrazolium(MTT) assay was used for the detection of MC proliferation,enzyme-linked immunosorbent assay(ELISA) for fibronectin(FN) content in the culture supernatant and flow cytometer for cell cycle.【Results】The proliferation of MC and FN content in supernatant were increased,and abnormal cell cycle was found in high-glucose group A.SP inhibited MC proliferation,increased the percentage of MC at G0/G1 phase,and decreased the percentage of MC at S phase and G2/M phase.【Conclusion】SP has an inhibition on MC proliferation and ECM secretion induced by high glucose,and its mechanism is probably related with the regulation of abnormal MC cell cycle.