Objective To analyze the effect of TSH inhibition on soluble interleukin 2 receptor ( sIL-2R), interleukin 44 variant 6 (CD44V6), tumor specific growth factor (TSGF) and T lymphocyte subsets in elderly patients with thyroid cancer.Methods 50 elderly patients with thyroid cancer in our hospital were collected.The patients were randomly assigned to experimental and control groups, 25 cases in each group, patients in the experimental group were given TSH suppression therapy after surgery , patients in control group were given thyroxine replacement therapy after operation, treatment for 1 month, serum SIL-2R, CD44v6, TSGF and peripheral blood T lymphocyte subsets situation were detected in all patients with .ResuIts After treatment, compared with the control group, ①in the experimental group, the level of serum sIL-2R was significantly lower, the difference was statistically significant(P<0.05);②the serum CD44V6 level was lower in the experimental group (P<0.05);③the serum TSGF level was lower in the experimental group (P<0.05);③in the experimental group,the levels of CD3 + and CD4 +were higher, levels of CD8 + were lower ( P<0.05 ) .ConcIusions TSH suppression therapy can reduce senile thyroid cancer patients serum SIL-2R, CD44v6, TSGF and CD8 +lymphocyte level, peripheral blood T lymphocyte CD3 +, CD4 +levels were elevated,and improve the immune function of patients , the clinical has guiding significance .

Dysphagia increases the risks of mortality and palindromia post stroke, and influences the rehabilitation and quality of life. All the patients with stroke need a set of clinical screening, and those positive would accept comprehensive evaluation, both bedside and lab-oratory. Many approaches have been used for dysphagic rehabilitation, but it is not clear what the best is.

Compared with normal children,the children with cerebral palsy are different in respiratory movement and respiratory function,showing a less concordant in respiratory muscles,abnormal thoracic cage,disturbance in ventilation and air exchange,decreased compliance,changed distribution in muscle fiber types,and so on.Dynamic and static lung volumes have also changed.Pronunciation and oxygen uptake are involved for the respiratory disturbance too.Hydrotherapy is an effective training in improving respiratory function,proper temperature can reduce respiratory muscular tension,hydrostatic pressure provides extensive stimulation of the exteroceptors and proprioceptors.This is expected to improve coordination,respiration,and related functions such as eating and speaking.

Aphasia, as one of the common complications of cerebrovascular diseases, showed the rising trend year by year with the increasing of cerebrovascular diseases incidence, and communication difficulties and psychological barriers caused by aphasia had seriously affected the patients' quality of life. Blood oxygen level dependent functional magnetic resonance imaging (BOLD-fMRI) made the brain morphology and function combined perfectly, had became the most widely available functional neuroimaging modality to explore the neuroplastic mechanisms responsible for recovery of language. This review made a summary about the neuroplastic mechanisms responsible for recovery of language

Hemiplegia is a common type of physical disability in children with brain damage. For many kinds of reasons, the outcome of rehabilitation of the affected upper limb is not good enough, especially in the affected hand. Recently, many studies engaged in the modified Constraint-induced Movement Therapy (mCIMT) to explore the child-friendly way of restraint to improve hand function in hemiplegic children, and were summarized in this paper.

Objective To comprehend the characters of sensory integration of children with brain injury and identify the effect of sensory integration training.Methods 127 children with brain injury were determined by the check form of sensory integration, Wechsler Preschool and Primary Scale of Intelligence (WPPSI), Wechsler Intelligence Scale for Children-China Recension (WISC-CR) and comprehensive function assessment for disabled children. These children were divided into the trial group (n=92) and control group (n=35). All children of two groups received rehabilitation training, but children of the trial group also received sensory integration training. The Results of them were compared before and after rehabilitation.Results The scores of the check form of sensory integration of the children with cerebral palsy were significantly higher than that of children with mental retardation (P<0.01). After rehabilitation training, the raising scores of comprehensive function assessment for disabled children of the trial group were significantly higher than the control group (P<0.01).Conclusion The ability of sensory integration are abnormal in children with brain injury. The sensory integration training can accelerate the comprehensive function of children with brain injury effectively.

It is important to screen high-risk children with cerebral palsy early to reduce the incidence of disability. Various tools has been developed to assess the development, motor function, spasticity, and comprehensive capacity of the children at risk of brain injury or with cerebral palsy. This paper reviewed the commonly used tools, and suggested to choose one or more tools to meet the special purpose.

The adductor spasticity is a common symptom in children with cerebral palsy. The ultramicrostructure damages have been found in adductor. If the spasticity is not treated in time, there will be some secondary injury, such as hip joint dislocation, muscle tendon crispation, contracture of joint, hip pain, and so on. The treatment for adductor spasticity includes stretching, orthosis, training device, selective posterior rhizotomy, neurotomy of anterior branch of obturator nerve, Adductor myotomy, phenol block, Botulinum Toxin injection, Intrathecal baclofen etc. Every method has its own advantage and disadvantage.

Objective To diagnose retinal detachment with International Classification of Diseases10 (ICD-10) and to analyze the surgical modalities of vitrectomy for the disease.Methods The clinical data of 1 648 hospitalized patients with retinal detachment undergoing vitrectomy in our hospital in 2013 were retrospectively analyzed.Results The ICD etiological classification showed that primary retinal detachment accounted for 50.18％ (827/1 648),tractional retinal detachment accounted for 32.52％ (536/1 648),exudative retinal detachment accounted for 0.61％ (10/1 648)and other types accounted for 16.69％ (275/ 1 648).The top 5 common etiological diagnoses were simple rhegrnatogenous retinal detachment (25.73％,424/1 648),diabetic tractional retinal detachment (12.62％,208/1 648),traumatic retinal detachment (12.08％,199/1 648),other primary retinal detachment (11.23％,185/1 648) and retinal detachment after intraocular surgery (10.62％,175/1 648).The top 4 modalities of vitrectomy were combined silicone oil implanting surgery (54.73％,902/1 648),basic vitrectomy (21.97％,362/1 648),combined silicone oil and lenticular surgery (14.38％,237/1 648) and combined lenticular surgery (5.58％,92/1 648).Conclusions Modern vitrectomy is used mainly for the treatment of primary retinal detachment and the treatment of retinal detachment related to diabetes,ocular trauma and intraocular surgeries.The complexity of various retinal detachment diseases requires different surgical modalities of vitrectomy for treatment.

Objective To investigate how to prevent deep-vein thrombosis(DVT) after total knee replace-ment(TKR).Methods Deep vein thrombosis in 87 patients after TKR from 2004 to 2007 in the Third Hospital Affiliated to Suzhou University was retrospectively analyzed.Results Amony the 87 patients,13 were found having deep vein thrombosis,5 of 38 using low-molecular-weight beparin after TKR having deep vein thrombosis,6 of 35 cases using aspirin after TKR having deep vein thrombosis,5 of the 10 eases using mechanical preventive measures having deep vein thrombosis.The difference between low-molecular-weight heparin and aspirin group was not statistically significant.Conclusion Using low-molecular-weight heparin before TKR can prevent the occurrence of deep-vein thrombosis.Using epidural anesthesia,and a low-molee-ular-weight heparin drugs or aspirin after TKR can better prevent the formation of deep-vein thrombosis.