Objective To explore the effect of early rehabilitation with electro-acupuncture on locomotion in hemiplegia patients after stroke in early stage.Methods 98 patients were randomly divided into treatment and control group.Both groups were given early rehabilitation.Patients in treatment group were given electro-acupuncture in addition.Results The scores of Fugl-Meyer Assessment increased significantly in both groups after treatment,and were improved in treatment group compared that of control group.Conclusion Electro-acupuncture can facilitate the improvement of locomotion in hemiplegia patients after stroke.

Acupuncture Therapy ; Aged ; Dysuria ; etiology ; physiopathology ; therapy ; Herpes Zoster ; complications ; virology ; Herpesvirus 3, Human ; physiology ; Humans ; Male ; Perineum ; virology

ObjectiveTo investigate the levels of serum interleukin -17(1L-17) and tumor necrosis factor -alpha( TNF- α ) and synovium pathological changes in patients with rheumatoid arthritis ( RA ) and its clinical significance.MethodsThe levels of serum IL-17 and TNF- α in 50 patients with active phase of RA ( active phase of RA group),50 patients with stable phase of RA ( stable phase of RA group ) and 50 normal controls (NC group) were measured by enzyme-linked immunospecific assay(ELISA),and the synovium was detected by pathological examination.ResultsThe levels of serum IL- 17 and TNF- α in active phase of RA group [(42.60 ± 11.30),( 113.20 ± 13.11 ) mg/L]were significantly higher than those in stable phase of RA group [( 19.60 ± 5.75),( 14.50 ± 5.33) mg/L]and NC group [(7.40 ± 3.32),( 10.90 ± 2.24 ) mg/L](P ＜0.01 ),the level of serum IL-17 in stable phase of RA group was significantly higher than that in NC group ( P ＜ 0.05),but the level of TNF- α had no significant difference between stable phase of RA group and NC group ( P ＞ 0.05).The synovium was significantly different between RA patients and NC group.Conclusion IL-17 and TNF-α are more sensitive index for detecting the activity of RA and may play important rolesinmonitoring the therapeutic effects and prognosis of RA.

Objective To analyze the changes in body size of Chinese newborns in nine cities during 1975-2005.Methods The data of weight,height and head circumference of newborns within 3 days after birth from four national physical growth surveys named “a national survey on growth of children under seven years of age in nine cities of China” in 1975,1985,1995 and 2005 were used.The investigation areas were urban and suburban areas of Beijing,Harbin and Xi'an in the northern part;Shanghai,Nanjing and Wuhan in the central part; Guangzhou,Fuzhou and Kunming in the southern part of China.Random cluster sampling method was used,7325,6660,7109 and 6144 healthy newborns were examined in 1975,1985,1995 and 2005,respectively.The changes of body size between 1975 and 2005,urban-suburban difference and regional difference were compared with u test,ANOVA or x2 test.Results(1)The average weight had increased during the past 30 years no matter boys and girls,from urban and suburban areas.The increments was 40 ～ 100 g.The percentiles of weight had also increased and the distribution had shifted noticeably towards heavier weights.The proportion of macrosomia had increased from 3.2％(212/6660)in 1985 to 4.3％(265/6144)in 2005.(2)The length of newborns remained unchanged over the 30-year period no matter boys and girls,from urban and suburban areas.Head circumference of newborns showed only a minor increase(0.1～0.3 cm).(3)Ponderal index(PI)had increased gradually from 1975 to 2005.The means of PI had increased from 25.4 kg/m3 in 1975 to 26.0 kg/m3 in 2005.(4)Body size of urban newborns was slightly bigger than that of suburban newborns.The urban-suburban difference of weight and height became smaller and smaller in the 30 years,while the urban-suburban difference in PI became slightly bigger in 2005.(5)Weight,height and head circumference of newborns in northern and central areas were higher than those of southern newborns and the regional difference had not significant changes in the 30 years.The PI of newborns in northern and central areas was higher than that of southern part in 1975,while the PI of southern part became the highest in 2005.Conclusions The body size of newborns became slightly bigger and the proportion of macrosomia increased between 1975 and 2005.The urban-suburban difference became smaller and the regional difference remained in the 30 years.

Esophageal cancer is one of the most common malignancies in the world.Surgical treatment is the first choice for the treatment of esophageal cancer because it could radically resect the tumor and significantly improve the patients'condition.Minimally invasive esophagectomy (MIE) was rapidly developed because of its advantages of minimal invasion,small volume of blood loss,slight pain,low complication rate and quick recovery of patients.The extent of lymphadectomy and postoperative survival rate of MIE were comparable to those of traditional thoracotomy.MIE has become the treatment of choice for benign esophageal diseases and early esophageal cancer in some medical centers.However,debate still exists regarding the role of MIE in the treatment of esophageal cancer,particularly given the limitations in the widespread implementation of this technically challenging operation.This review summarized the current status of the use of minimally invasive surgery for the treatment of esophageal cancer and some thoughts on the development of MIE were provoked.

Purpose to explore a CT classflication of hepatic echinococcal cysts and its clinical application. Materials and Methods reviewed 85 patients who had underwent CT scan in our hospital from 2008-01～2009-12.The CT classification was made according to WHO classification and the CT appearances were analyzed retrospectively.Results Among the lesions,there were 16 CL type,appeared as a unilocular round cyst without wall.15 CE1 type,appeared as a unilocular cyst with a smooth uniform wall.28 CE2 type,appeared as a fluid collection with septa (honeycomb sign),and 6 CE3 type,CT appeared as a fluid collection with a split wall,10 CE4 type,CT appeared as a fluid collection with a split wall (water-lily sign).36 CE5 type,CT appeared as a calcified mass.Conclusion CT classification according to WHO classification for cystic echinococcosis is using to differentiate it from other liver cystic lesions,such as simple cyst and abcess,and is essential when planning clinical treatment.

With the existence of capsules,lens regeneration occurs in some mammals after extracapsular lens extraction.It is usually thought that lens regenerates from resident lens epithelial cells (LECs) in the capsule.However,lens regeneration dose not mean simple redupilication of development,and transparency of the lens is affected by irregular growth,migration and transdifferention of the resident LECs.Previous studies mainly focus on the dysplasia of LECs,but update theory about lens regeneration is proposed to be associated with stem cells.Some views and suggestions in lens regeneration are concerned in current researches to better illuminate the mechanism and therapy of posterior capsular opacity.

Peritoneal macrophages from thioglycollate-treated C57BL/6 mice were separatedby centrifugation on Percoll discontinuous gradients.Macrophages were so separ-ated into four subpopulations and their tumor cytotoxicity and the effect of sodi-um selenite on different subsets were studied.There was no marked difference inphagocytic activity and Fc recepter activity among the four subpopulations.High-density macrophages activated by MAF were kighly cytostatic and cytolyticto tumor cells,while low-density macrophages were not Peritoneal injection of sodiumSelenite(lmg/kg)augmented macrophage-mediated cytotoxic activity by increasingtheir MAF responsiveness which occurred mainly in the low-density macrophages.sodium selenite did not affect macrophage maturation as the percentage of theperoxidasepositive macrophages remained unchanged,

Objective To discuss the effect of group counseling for medical students in reducing academic procrastination,and explore effective means to improve learning efficiency.Methods 24 students identified as voluntary research subjects were divided into the experimental group and the control group,male and female ratio was 1:1.The experimental group received counseling activities for eight times,the control group members did not receive any intervention.This thesis took use of Procrastination Assessment Scale-Students (PASS) as an evaluation tool in before and after test and tracing test,and did the significance test,as a quantitative analysis of this study.Results The quantitative study showed that the difference between the experimental group and the control group in pre-test was insignificant,indicating these research subjects belong to homogeneous research subjects; differences in pre-test and post-test of the experimental group were significantly greater than the differences of pre-test and post-test in the control group,indicating the group counseling producing an effect on learning procrastination.In order to verify the effect's continuity of the group psychological counseling,a tracking test was conducted on the members three months later.After three months,the tracking test scores of the experimental group and the control group were not significantly lower than the pre-test score.In tracking tests,the experimental group's scores were lower than before-test,indicating the effect of group psychological counseling was sustainable.Conclusions Group psychological counseling activities can reduce academic procrastination of medical school students and the group psychological counseling scheme has effectiveness and feasibility.

Objective To compare the clinical characteristics and prognosis of bacterial liver abscess in patients with or without type 2 diabetes mellitus, in order to guide clinical diagnosis and treatment.Methods The clinical data of 110 patients with bacterial liver abscess at the First Affiliated Hospital of Anhui Medical University were retrospectively analyzed.Among them, 45 cases with type 2 diabetes mellitus and 65 cases without type 2 diabetes mellitus were included in the study.The demographic data, clinical signs and symptoms, laboratory findings, pathogenic results, imaging findings, treatment and prognosis were compared between the two groups.Differences among the quantitative data with normal distribution were compared using t test, while count data were compared with χ2 test or Fisher exact test.Multivariate Logistic regression was used to determine the prognostic risk factors of two groups.Results Fever as initial symptom in diabetic group and non-diabetic group were 37 cases and 40 cases, respectively, while abdominal pain presented in 7 cases and 22 cases of the two groups, respectively, both with statistically significant difference (χ2=5.417 and 4.582, respectively, both P<0.05).As for laboratory examination, neutrophil counts in the two groups were (12.87±8.83)×109/L and (10.24±4.86)×109/L, respectively, the percentages of neutrophils were 0.841±0.077 and 0.799±0.103, respectively, albumin levels were (28.36±4.65) g/L and (30.67±6.16) g/L, respectively, with statistically significant difference (t=2.010, 2.317 and-2.265, respectively, all P<0.05).Patients with elevated blood urea nitrogen in the two groups were 13 cases and 8 cases, respectively, patients with elevated creatinine were 9 cases and 4 cases, respectively, with statistically significant difference (χ2=4.733 and 4.892, respectively, both P<0.05).In diabetic group, pus culture was positive in 13 out of 19 cases, and blood culture was positive in 7 out of 21 cases.In non-diabetic group, pus culture was positive in 9 out of 13 cases, and blood culture was positive in 6 out of 25 cases.The positive rates of Klebsiella pneumoniae in the two groups were 37.5% (15/40) and 15.8% (6/38) , respectively, with statistically significant difference (χ2=4.669, P=0.031).The effective rates of the two groups with glycemic control were 84.4% (38/45) and 84.6% (55/65), respectively, and the mortality rates of the two groups were 2.2% (1/45) and 1.5% (1/65), respectively.Multivariate Logistic regression showed that multiple abscess (OR=34.61, 95% CI: 1.601-748.457, P=0.024) was prognostic risk factor and invasive intervention (OR=0.028, 95%CI: 0.001-0.984, P=0.049) was protective factor in the diabetes mellitus group.Hypoalbuminemia (OR=14.793, 95% CI: 1.605-136.322, P=0.017) and the history of abdominal surgery within two years (OR=7.624, 95% CI: 1.294-44.913, P=0.025) were prognostic risk factors in the non-diabetic group.Conclusions Patients with bacterial liver abscess showing symptoms of severe infection in diabetic group are more frequently than patients in non-diabetic group.Klebsiella pneumoniae infection rate is also higher in diabetic group.Patients with bacterial liver abscess and diabetes mellitus should receive antibiotic treatment combined with invasive therapy in time.