Acute retinal necrosis syndrome (ARNS) is a group of eye syndrome.Acute uveitis, retinal artery occlusive vasculitis, fused necrotic retinitis and late stage of retinal detachment is the main clinical manifestation.A part of patients may be associated with increased intraocular pressure.The etiology and pathogenesis is still not clear completely and most people think that may be related to the virus infection, which mainly to reflected to be herpes simplex virus (HSV), varicella zoster virus (VZV), EB virus and giant cell virus (CMV) infection.Its diagnosis mainly depends on clinical manifestation, examination and etiological examination.Acute retinal necrosis syndrome is urgent and develops quickly, and it is lack of specific clinical symptoms in early times.By the way, it enjoys high misdiagnosis rate and poor prognosis.It is hard to cure, therefore, it is an important reason for the blindness.Once diagnosed, treatment should be adopted by carrying local and systemic antiviral, preventive laser photocoagulation in time.At the same time, it is essential that vitreous body resection combine with silicone oil tamponade treatment when necessary.The study shows that the effective measures of early treatment will be able to prevent disease progression and improve visual acuity.Therefore, early diagnosis and treatment of acute retinal necrosis syndrome is very important.In this paper, combination of the literature on the diagnosis and treatment of acute retinal necrosis syndrome were reviewed.

To understand the present situation of sport participation in community residents of Shanghai，study infecting factors to the regular sport participation rate and evaluate recognition degree of the relationship of sport and chronic disease，we carried out questionnaire survey indoors among the permanent residents,aged 35～74,in East Nanjing Road community, including survey on chronic disease and sport participation situation. The material was statistically analyzed and the related factors were proved by x2 test. The results showed that in 1457 permanent residents,470 regularly participat in sport, and were classified as sport population. The prevalence was 32.3%.The gender, age, education level, occupation and chronic disease had statistical significance (P<0.05) and they were probably infecting factors of the regular sport participation rate. Currently,the regular sport participation rate in community is relatively high and the purpose of sport participation was evident, however, the age structure of sport population was imbalance. The sport participation in residents was individualized and without proper scientific instruction.

BACKGROUND: Cervical spondylosis is a common disease in middleaged and elderly people. There are many methods of rehabilitative treatment such as traction, massage, medical gymnastics, acupuncture and local blocking, etc.OBJECTIVE: To observe the effects of rehabilitative exercise on patients with cervical spondylosis by way of quantitative generalized boxing exercise combined with local cervical medical exercise.DESIGN: Self-control study on patients with cervical spondylosis in the community for 3 monthsSETTING: Department of Rehabilitation Medicine, Huashan Hospital Affiliated to Fudan University PARTICIPANTS: The indoor questionnaire investigation about chronic diseases in community was carried out on 1 457 inhabitants with the age from 35 to 74 in a community of South Nanjing district, Shanghai in order to check out the patients with cervical spondylosis who had been diagnosed confirmatively by hospital and exclude the patients with the disease of spinal cord type. There were total 114 patients volunteering to participate in the 3-month rehabilitative treatment with an informed content, including of 12 with cervical type of the disease, 39 with nerve root type, 23 with vertebroarterial type, 5 with sympathetic nerve type, 35 with mixed type and none with spinal cord type.METHODS: 3-month rehabilitative exercise was carried out for the 114 patients with cervical spondylosis.① One or several kinds of generalized boxing exercise such as shadow boxing, eighteen-gesture training practice and joint exercise were chosen by the patients according to their own in terest and physical energy. It was required that patient exercise was done for 3 months with one time a day, and each time for no less than 30 minutes, with the intensity after each exercise arriving to the target heart rate level of 170 subtracting their age. ② Aiming to exercise the cervicalshoulder part and to relax its related functions, the local cervical medical exercise has 12 procedures including turning left and right, moving neck around, shrinking head and relaxing shoulders, stretching neck and extending back, turning head and watching the moon, waving arms, putting up arms, lifting chest and squaring elbows, and trying hard to stretch neck.It was required that each procedure be repeated 5 to 10 times at the beginning and later more times increasing gradually, and the whole set of exercise be practiced for 3 months with lor 2 times each day and each time lasted at least 10 minutes.③No other treatment was performed by the patients except for the above exercise intervention. The effects were evaluated after 3 months.MAIN OUTCOME MEASURES: ①The evaluated results of the curative effect in all patients with 3-month rehabilitative exercise.② Relationship between types of cervical spondylosis and curative effect ③ Relationship between course of disease and curative effect RESULTS: According to the intention-to-treat analysis, all the 114 patients persisting in the 3-month exercise intervention entered the result analysis. The curative effect evaluation: among the 114 patients, 44 were with the general curative effect, 40 with marked improvement, 25 with improvement, 5 with inefficacy. The percentage of the general curative and marked improved is 73.7%, and that of total improvement is 95.6% The clinical manifestations of all patients with cervical spondylosis including cervicoscapulargia, radioactive numb and pain in unilateral or bilateral upper arms, dizziness, tinnitus, headache, etc.were distinctively improved ② Relationship between the types of cervical spondylosis and curative effect: after 3-month treatment of rehabilitative exercise, the percentage of the general curative effect and marked improvement in patients with cervical type and nerve root type was higher than that in patients with verteboarterial type, sympathetic nerve type and mixed type (91.7%,97.4%, 47.8% ,20.0% ,65.7% respectively and p value below 0.01). ③ Relationship between the course of cervical spondylosis and curative effects: the percentage of the general curative effect and marked improvement in patients with the course of less than one year is 90.9% and that in patients with the course of 1 to 5 years is 88.6%, which were all higher than that in patients with a course of 5 more years (p value below 0.01).CONCLUSION: Quantitative generalized boxing exercise combined with local cervical medical exercise is helpful to improve the radiculopathy symptoms, but only combined with other treatments could patients with vertebroarterial type receive the best curative effect. In addition, there is a certain relation between the course of disease and curative effect, and patients with cervical spondylosis should be treated with rehabilitative exercise as early as possible, which suggestes that it is worthy of popularization that patients with cervical spondylosis are organized to practice quantitative boxing exercise combined with cervical medical exercise in the community.

Objective To improve the diagnosis and treatment of hepatic angiomyolipoma. Methods Retrospective analysis was made on 8 cases of hepatic angiomyolipoma in terms of clinical findings,image,pathologic examination and surgical treatment.Results Correct preoperative disgnosis was made in only 1 case, 4 were misdiagnosed as malignancy. All 8 cases underwent hepatectomy with an uneventful recovery and without recurrence at follow up.Conclusions Hepatic angiomyolipoma is characteristic of clinical as well as image features, although it is often difficult to make correct diagnosis before operation owing to low incidence and variable imaging appearances.

Thyroid neoplasm is one of the most common endocrinal tumors. In general, thyroid cancer patients are usually presented with asymptomatic neck nodules. A differential diagnosis between malignant and benign thyroid neoplasm is very important for these patients. This review article primarily discusses biological markers used to aid the differential diagnosis of thyroid neoplasia, which may lead to a more rational approach to the treatment. It mainly describes the recent development of molecular biological markers VEGF-C, Cytokeratin-19, HBME-1, Pax8-PPAR and Galectin-3 for the differential diagnosis of thyroid neoplasms.

The contents of coumarins in the sulfur fumigated Angelicae Dahuricae Radix (Baizhi, ADR) were reduced significantly. To achieve the quality control of ADR, the qualitative identification of sulfur fumigated ADR and quantitative model of imperatorin content should be established. The near-infrared (NIR) spectrograms of non-sulfur and sulfur fumigated ADR were collected by NIR diffuse reflectance spectroscopy technology and pretreated by the method of first derivative derivation and vector normalization. The Ward's Algorithm method was used for the cluster analysis. The non-sulfur and sulfur fumigated ADR can be quickly identified in the range of 8,806. 0-3 811.0 cm(-1) based on the cluster analysis. The NIR quantitative model of imperatorin was established by the contents of imperatorin determined by HPLC in combination with partial least squares regression analysis. According to the calibration model established in this study, correlation coefficients (R2), the root-mean-square error of cross-validation (RMSECV), and the root-mean-square error of prediction (RMSEP) for imperatorin were 0.982 8, 0.006 8, 0.011 8, respectively. The quantitative model of imperatorin can be applied to determine the content of imperatorin in ADR accurately.
Angelica ; chemistry ; classification ; China ; Chromatography, High Pressure Liquid ; Drugs, Chinese Herbal ; chemistry ; Quality Control ; Spectroscopy, Near-Infrared ; methods ; Sulfur ; chemistry

Objective To investigate the relationship between cognitive function and emotional status in functional constipation patients.Methods Thirty-five functional constipation patients (the functional constipation group) and 24 healthy controls (the HCs) were enrolled in an event-related potential (ERP),behavior and electroeneephalogram study while performing an oddball auditory task.Response time,accuracy,latency and P300 amplitude were compared between the two groups.The Hamilton depression rating scale (HAMD-17),Hamilton anxiety scale (HAMA),symptom check list-90 (SCL-90) and Eysenck personality questionnaire (EPQ) were administered prior to the oddball task.Results The average HAMD-17,HAM A and SCL-90 (the somatization,obsessive-compulsive disorder,depression,anxiety and psychosis dimensions) scores of the functional constipation group differed significantly from those of the HCs.The intro-extraversion and neurosis dimensions of the EPQ were also significantly different.There was no significant difference in response time or latency between the two groups.The ERP results showed that the P300 amplitudes at the F3 and F7 sites were significantly different between the functional constipation group and the HCs.But there was no significant difference in P300 latencies at F3 or F7 between the two groups.Conclusions The findings suggest that patients with functional constipation are more susceptible to depression and anxiety,as well as somatization,obsessive-compulsive tendencies and other neurotic personality characteristics.Patients may employ psychological defense mechanisms to avoid the depression and anxiety.The ERP results imply there may be the implicit cognitive dysfunction with emotion in patients with functional constipation.

Objective To observe the clinical efficacy and safety of close-loop muscle relaxant injcction system (CLMRIS) combined with auditory evoked potentials index for monitoring in elderly patients during general anesthesia.Methods A total of 100 patients undergong abdominal operation with ASA Ⅰ-Ⅱ anesthesia in our hospital from February 2012 to October 2012 were selected.Patients were randomly divided into 2 groups:the traditional group (n=50) and the CLMRIS group (n=50).The traditional group was anaesthetized according to clinical experience,and the CLMRIS group was used with the muscle relaxant guided by the close-loop muscle relaxant injection system.The auditory evoked potential (AEP) index and the life index were observed,and the dose of muscle relaxant,the time of consciousness recovery,dynamic response rate during operation and the adverse reaction were recorded at the time points at entering the operating room,induction of anesthesia,tracheal intubation,incision,into the abdominal,exploration,closing abdomen,skin suture,consciousness recovery,tracheal extubation,out of room (T0-T10).Results The vital signs in all patients were stable.The dynamic response rate during operation was lower in the CLMRIS group than in the traditional group at each time points of T8-T10 (all P＜0.05).There was no increase in mean artery pressure (MAP) and heart rate in groups at the time points of T0-T1,T8-T10 (all P＞0.05).The time of tracheal intubation,tracheal extubation and consciousness recovery were shorter in the CLMRIS group than in the traditional group [(268±30.4) min vs.(172±23.7) min,(14±6.4) min us.(18±7.9) min,(8.8±2.9) min vs.(12.2±4.6) min,respectively,t=3.277,6.341,3.346,all P＜0.05].There were no significant differences in AEP index between groups at the time of T0 (P＞0.05),but at the time of T1,the AEP index was lower in CLMRIS group than in the traditional group (P＜0.05).Conclusions The application of close loop muscle relaxant injection system can improve the safety of general anesthesia in the elderly and reduce the incidence of postoperative residual paralysis.The CLMRIS combined with the auditory evoked potential for monitoring depth of anesthesia can prevent and reduce the incidence of intraoperative awareness,has a strong controllability in general anesthesia with smooth induction,and can reduce the dose of anesthetic drugs to achieve the best anesthetic effect.

Objective:The clinicopathological features, diagnosis, and prognosis of follicular thyroid carcinoma (FTC) with distant me-tastasis as the first manifestation were evaluated in this study. Methods:A total of 129 FTC cases with clinical data were retrospective-ly analyzed in the Department of Pathology, Tianjin Medical University Cancer Institute and Hospital (January 2001 to January 2016). Survival analysis and conjoint analysis on FTC with clinical data, diagnosis, and morphological characteristics with distant metastasis as the first manifestation were performed. Results:Among the 129 FTC cases, 24 cases demonstrated distant metastasis as the first mani-festation (18.6%). Bone metastasis was the most common (13.2%). The presence of mass and pain at the metastatic sites were the usu-al clinical complaints. The morphological characteristics of FTC with distant metastasis can be classified into four subtypes:microfollicu-lar (10 cases), solid (4 cases), normofollicular (9 cases), and macrofollicular (1 case). Immunostaining tests on thyroglobulin and thyroid transcription factor-1 showed positive results in FTC with metastasis. Survival analysis showed that the five-year survival rates in the 24 cases were 87.1%. The prognosis of patients with solitary metastasis was better than that of patients with multiple metastasis (P=0.022). A higher survival rate was found in the normofollicular and macrofollicular subtypes than that detected in the microfollicular and solid subtypes (P=0.012). Conclusion:FTC is susceptible to distant metastasis. Some patients with FTC demonstrated distant me-tastasis as the first manifestation, and their diagnosis can be confirmed by pathological feature analysis and immunostaining. The prog-nostic significance is possibly related to the number of lesions of FTC with distant metastasis and histopathological subtypes.

Objective:To observe and compare the therapeutic effect of metoprolol by routine increasing dose method and rapid titration method on acute myocardial infarction (AMI).Methods:A total of 60 inpatients,who were di-agnosed with AMI within 24h and without contraindications for metoprolol,were randomly divided into two groups:routine therapy group (received metoprolol using routine methods,the dose was added in seven days)and rapid ti-tration group (metoprolol was added in three days using titration).The dosage maintained with 190 mg/d after both groups reaching the target dose of 190mg/d;then therapeutic effects were observed in both groups.Results: ①There were no re-myocardial infarction,rehospitalization caused by heart failure and sudden death etc.in both groups;② Patients received echocardiography in outpatients after three months.Compared with routine increasing dose group,there was significant reduction in left ventricular end-diastolic diameter [LVEDd,(55.00±7.56)mm vs.(50.00± 5.81)mm]and significant rise in left ventricular ejection fraction [LVEF,(49.13 ± 10.18)% vs. (57.84±10.34)%]in rapid titration group,P <0.01 both.Conclusion:Rapid titration method could make the pa-tients rapidly reach the targeted dose of metoprolol and inhibit renin release earlier,block the renin-angiotensin sys-tem,and improve myocardial remodeling and cardiac function.