Objective To summarize the media image of traditional Chinese medicine (TCM) by analyzing the TCM-related reports onNew York Times.Methods A total of 113 pieces of TCM-related reports onNew York Times during the 1980-2015 period collected and analyzed from the aspects of the amount, genres, coverage resources, reporting attitudes and main issues under the framework of content analysis.Results①The amount of TCM-related reports has been on the rise since 1980s. There was a wide variety in the genres of the reports and the American local resources account for a large proportion.②The reporting attitude in general tended to be relatively positive, though a major difference can be found in the attitude toward acupuncture and herbs.③ Eleven main issues can be categorized in the reports.Conclusion Changes could be seen in the TCM-related reports over time. Despite the fact that the media image of TCM tends to be relatively positive, the negative attitude toward herbs may hamper their development in the US. External communication of TCM is to be strengthened so as to promote the media image of TCM.

Analysis of differences between traditional Chinese medicine (TCM) philosophy with malnstream western medicine was done with reference to intercultural communication theory. It was found that the differences are malnly manifested through holism philosophy of TCM and dualism of Western medicine, intuition thinking mode of TCM and mechanical thinking mode of western medicine, and ideographic Chinese language and objective description of the Western medicine. The translation principle was also discussed with the perspective of intercultural communication. It is of great significance to respect the recipient’s privilege, to create intimate text, and to understand the bilingual differences if TCM translation is to be promoted.

Objective To establish a guinea pig model of dermatophytosis caused by Trichophyton verrucosum.Methods Thirty-two guinea pigs were randomly and equally divided into four groups to remain untreated (group 1 ),receive depilation and skin abrasion in the back (group 2 and 4),or only depilation (group 3).The back was smeared with a suspension (100 μl) of Trichophyton verrucosum in group 1,2 and 3,and with that of Trichophyton mentagrophytes in group 4.Direct microscopy,fungal culture and histopathology were performed to validate the infection of guinea pigs by Trichophyton.Results Direct microscopy was persistently negative in group 1,turned to be positive from the 7th to 9th day in group 2,3,and 4.Colonies began to appear 7 days after the inoculation of scrapings onto Sabouraud's dextrose agar (SDA) in group 2 and 3,and were observed at all the inoculated sites 2 weeks after the inoculation,with a morphological similarity to Trichophyton verrucosum before inoculation into guinea pigs.Hematoxylin and eosin staining revealed strongly refractive hyphae and spores in stratum corneum epidermidis and infundibular regions of some hair follicles in group 2 and 3.Conclusion A guinea pig model of dermatophytosis caused by Trichophyton verrucosum is successfully constructed.

Objective To explore the feasibility and safety of laparoscopic resection of large uterus . Methods We performed laparoscopic hysterectomy in patients who had more than 3 months pregnant huge uterus in our hospital from January 2010 to December 2013.The mirror trocar was introduced at 5 cm above fundus .Surgical key steps were appropriate management of uterine blood vessels, electrical coagulation of the ascending uterine artery , and dissection of uterine vessels from front , rear, and lateral sides. Results The laparoscopic surgery was completed in all the 200 cases, without conversion to laparotomy .The operation time was 80-170 min,with a mean of 120 min;the blood loss was 20-250 ml,with a mean of 60 ml.No blood transfusion was required due to hemorrhage during operation .Two cases developed deep vein thrombosis at the third day after surgery , and were cured by anticoagulant therapy .Two patients with vaginal stump inflammation at 15 postoperative day were cured by applying the metronidazole powder at vaginal .One patient were sutured by 2 stitches for vaginal stump bleeding at the first month after the operation .The remaining patients had no serious complications .Postoperative hospital stay was (5 ±2) days.Follow-up reviews in 144 patients for 6 months found satisfactory heal of the vaginal stump , normal ultrasonographic results of bilateral ureters , and no abnormity in the pelvic cavity. Conclusion Laparoscopic hysterectomy of large uterus with bipolar coagulation is safe and feasible .

AIM: To study the risk factors of endophthalmitis after cataract surgery and prognosis of endophthalmitis after vitrectomy.
METHODS: One thousand nine hundred patients ( 1 900 eyes) of receiving cataract surgery in our hospital were selected and divided into infection group and control group according to the incidence of endophthalmitis. The influence of clinical index in the endophthalmitis after cataract surgery as well as related risk factors based on single factor and multi- factor Logistic regression was analyzed. All patients with endophthalmitis were received vitrectomy, and the prognosis of endophthalmitis after vitrectomy was observed.
RESULTS: Based on single factor analysis, the risk factors of endophthalmitis after cataract surgery including age, hypertension, diabetes mellitus, vitreous loss, operation time, common operating room and nonuse of anesthetics in the required time lead to the ocurrence of endophthalmitis after cataract surgery (P<0. 05). Based on multi-factor Logistic regression, the independent risk factors of endophthalmitis after cataract surgery included age (≥70 years old ) , hypertension, diabetes mellitus, vitreous loss, operation time (≥ 10min ), common operating room and nonuse of anesthetics in the required time (P<0. 05). After vitrectomy, the vision of patients was significantly improved (P<0. 05).
CONCLUSION:The risk factors of endophthalmitis after cataract surgery include age, hypertension, diabetes mellitus, vitreous loss, operation time, common operating room and nonuse of anesthetics in the required time. Vitrectomy can significantly improve the vision of patients.

Objective To observe the effect of occupational therapy(OT) on unilateral spatial neglect(USN) in stroke patients.Methods 108 stroke patients with USN were randomly divided into OT group(54 cases) with OT and other rehabilitation therapy and control group(54 cases) without OT.They were assessed with line bisection test,number cancellation test,copying drawing test and clock-drawing before and 2 months after treatment.Results The incidence of USN of both groups were significantly reduced after treatment(P<0.01),while that of the OT group were lower than of the control group(P<0.01).Conclusion OT can significantly improve the USN after stroke.

Objective To investigate the effects of hyperbaric oxygenation(HBO)therapy on serum cytokines and depression in post-stroke depression(PSD)and to study it's clinical implications.Methods Sixty patients with PSD were divided into two groups.Patients in routine treatment group(RT group)were treated with routine clinical treatment,whereas those in HBO group were treated with HBO therapy in addition to routine clinical treatment.The serum cytokines of tumor necrosis factor-α(TNF-α)and interleukin-1β(IL-1β)were measured by enzyme-linked immunosorbent assay(ELISA)before and after 30 days of treatment.All the patients were evaluated with Hamilton depression scale(HAMD),Chinese stroke scale(CSS)and Barthel index(BI).The evaluations were carried out at the 0 and 30 d.Results Before treatment,the concentrations of TNF-α and IL-1β in patients with PSD were significantly higher than those in patients with cerebral infarction without depression(P＜0.01),and the serum levels of TNF-α and IL-1β in those with serious depression were higher than those with moderate and mild depression(P＜0.01),and that in moderate depression patients were higher than that in mild depression patients{P＜0.01).At the 30th d post-treatment,those parameters all decreased significantly in RT group and HBO group(P＜0.01,P＜0.05).Moreover,those parameters were lower in HBO group than those in RT group(P＜0.01),and HAMD,CSS and BI scores in HBO group were significantly better than that in RT group(P＜0.05,P＜0.01).Conclusions Serum cytokines levels increased significantly in patients with PSD and were associated with the severity of depression.Serum cytokines might played an important role in pathogenesis of PSD.HBO therapy could help decrease the levels of TNF-α and IL-1β.HBO might exert therapeutic effect by reducing secondary the inflammatory injury in acute cerebral infarction.

Objective To investigate the dynamic change and different apoptosis of T lymphocyte subsets in patients with acute pancreatitis.Methods Forty-four patients with MAP and 32 with SAP were enrolled in this study.Blood samples were collected on the lst,3rd and 7th d after onset.T lymphocyte subsets and their apoptotic rate were determined by flow cytometry.Results Compared with the control group and MAP group,CD4+ T lymphocytes and the ratio of CD4+/CD8+remarkably decreased while the apoptotic rate of CD4+ T cells significantly increased in patients with SAP.However,there was no marked difference in apoptotic rate of CD8+ T cells among different groups.Conclusion The different apoptosis of T lymphocyte subsets in AP,especially in SAP,results in severe and sustained cellular immune suppression.

Objective To observe the therapeutic effect and safety of heavy silicone oil used as internal tamponade to treat complicated retinal detachment. Methods Retrospective 15 patients ( 15 eyes)with complicated retinal detachment, whose retinal detachment arising from inferior retinal tears. Heavy silicone oil was applied to patients during vitrectomy. Results The mean follow-up was (4.20 ± 1.62)months. Retinal reattachment and holes were closed in 15 cases. Conclusions The study shows that heavy silicone oil tamponade is effective to treat complicated retinal detachment and relatively few complications.However, its emulsification period is relatively short, which may constrain its application to a certain extent.

Early Diagnosis ; Humans ; Non-alcoholic Fatty Liver Disease ; diagnosis ; epidemiology ; prevention & control ; Risk Factors