Objective To explore particularity of the diagnosis and treatment with massive bilateral chronic subdural hematoma (BCSDH) in elders.Method The clinical data of 25 elders with BCSDH treated in our hospital from 2007 to 2011 were analyzed retrospectively.All patients were examined with computerized tomography (CT) of 25 patients through the bilateral trephined hole.Results Twenty-four patients recovered better,the symptom significantly improved.After operative 1 month,14 patients? hematoma disappear,6 patents only had little bilateral subdural effusion,4 patents only had little unilateral subdural effusion.One patient appeared massive subdural effusion on the second day after operation,the familiality gave up therapy,and the patient was dead.Conclusion CT scanning should be taken before you make correct diagnisis.Bilateral single twist-drill craniostomy with irrigation and drainage is a chief method to massive BCSDH.

Aged ; Apraxias ; physiopathology ; Gait Apraxia ; physiopathology ; Humans ; Parkinson Disease ; diagnosis ; physiopathology

Humans ; Rectal Fistula ; surgery ; therapy

Biomedical Research ; Humans ; Integrative Medicine ; Medicine, Chinese Traditional

Rhizome anemarrhena,sweet and bitter to taste,cold,in the lung,stomach and kidney meridian,has the function clearing away heat and purging pathogenic fire,nourishing Yin and moistening dryness.Zhang Zhong Jin in "Essential Prescriptions of the Golden Chamber "with a different combination of herbs and Rhizome anemarrhenae,reflects the multiple efficacies of TCM and compatibility.

According to the concept of sagittal spinal balance, the alternating curves of cervical and lumbar lordosis and thoracic and sacral kyphosis enable the head to be positioned over the trunk and pelvis. But the sagittal imbalance represents departure from this ideal form. Cervical kyphosis may represent the most disabling of these imbalances, for it can cause pain, postural difficulties, or neurologic deficit. A summary and discussion is reviewed regarding the anatomy, biomechanics, etiology, clinical presentation, laboratory examination and treatment of this condition.

Obsessive-compulsive disorder (OCD) is a chronic disabling mental illness with thecore symptoms of obsession and compulsion, while its pathological mechanism has not yet been fully understood. In recent years, magnetic resonance (MR) technology has been used in the study of mental illness, because of its nonradiative and non-invasive advantage, etc. Many MR studies have found that OCD patients havecerebellar changes in structure and function, and these changes have contact with the incidence of OCD. This paper reviews the cerebellar's role in the onset of OCDapplying MR technology.

Heart transplantation(HT) has been an effective method to treat end-stage heart disease, one main factor affecting the long-term survival rate is acute and/or chronic rejection after HT. Trans internal jugular endomyocardial biopsy(EMB) has been the "gold standard" to judge the rejection after HT, but it is also limited. Electrocardiogram ,echocardiogram, immunological monitoring and imaging monitoring can judge the rejection after HT and induce the EMB.

Techniques for functional brain imaging are critical to analyze the information processing of brain and to reveal the advanced functions in brain. These techniques are the hot topics of international research. Great success has been obtained with neuroimaging techniques in the fields of neuroscience research and clinical diagnosis. Existing brain functional imaging such as magnetic resonance imaging (fMRI),positron emission tomography (PET),electroencephalogram (EEG),magnetoencephalography (MEG) and so on,have been successfully used to study brain function. However,these methods have some limitations unavoidably in the temporal or spatial resolution at present. Comparatively,the optical imaging technologies of brain function show their unique charms. Laser speckle imaging (LSI) and intrinsic optical signals imaging (IOSI) stand out because they offer a superior combination of spatial sampling,spatial resolution and temporal resolution; on the other hand,they have no need to use exogenous contrast agents. Great developments also have been obtained in both techniques and applications of brain optical imaging,and they have become powerful tools for in vivo studying functional architecture and pathophysiology in cerebral cortex by monitoring hemodynamics. However,the two optical imaging techniques are confronted with some challenges.

BACKGROUND:When leucocytes were activated in the process of lung ischemia-reperfusion,various cell factors will be released,including tumor necrosis factor ?(TNF-?) and interleukin 1?(IL-1?),which lead to ischemia-reperfusion injury.Recent research demonstrates that transforming growth factor-?1 plays a protective role in ischemia-reperfusion injury after lung transplantation OBJECTIVE:To investigate the level changes of TNF-? and IL-1?after interfered with transforming growth factor-?1 after lung ischemic-reperfusion injury DESIGN,TIME AND SETTING:The randomized controlled experiment of animal was performed in the Cardiothoracic Surgery Laboratory of Changhai Hospital,Second Military Medical University of Chinese PLA from August to October 2007.MATERIALS:Thirty Sprague-Dawley rats with clean grade,were randomly divided into the sham operation,ischemia-reperfusion and transforming growth factor?1 groups,with 10 animal in each group.The transforming growth factor?1 was phuchased from Peprotech INC.METHODS:The left lung of rat in the ischemia-reperfusion and transforming growth factor?1 groups was prepared for to ischemia-reperfusion model by blocking pulmonary circulation with hilar vessels ligation for 60 minutes,followed by reperfusion for 2 hours.Animals in the sham operation group were crossed hilar with 10# silk thread.Heparin was administered intravenously through vena cervicalis at 15 minutes before ischemia in each group.Concurrently,10 ?g/kg transforming growth factor?1 was administered in transforming growth factor?1 group.MAIN OUTCOME MEASURES:After 2 hours of ischemia-reperfusion,the tissues of left lung were removed,histomorphological changes,wet-dry weight ratio,the index of histological lung injury and the content of TNF-?and IL-1?were determined by light microscope,enzyme-linked immunosorbent assay(ELISA),respectively.RESULTS:A total of 30 animals were enrolled in the result analysis.There was no obvious pathological change of lung in the sham operation group.Visible tissue edema and neutrophil infiltration could be found in the ischemia-reperfusion group,while,there was mild tissue edema and little neutrophil infiltration in the transforming growth factor?1 group.The wet-dry weight ratio and index of histological lung injury in the ischemia-reperfusion group was obvious greater than that of the sham operation group(P