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Objective To discuss the prenatal MRI features and the fetal outcomes of meconium peritonitis (MP).Methods The clinical data of 23 cases with MP were collected.The prenatal MRI features and fetal outcomes were analyzed retrospectively.Results Prenatal MRI features included meconium peritonitis pseudo-cyst (9/23,39.1%),fetal ascites (23/23,100.0%),bowel dilatation (9/23,39.1%), meconium leakage (3/23,13.0%),scrotal effusion (2/23,8.7%)and polyhydramnios (2/23,8.7%).Of the 23 fetuses,2 were induced and 2 1 were delivered.In 2 1 neonates,7 cases received surgical treatment,1 3 cases received conservative treatment and 1 case was dead due to treatment refusal of the family.Neonates with bowel dilatation and meconium leakage all underwent surgery,neonates with meconium peritonitis pseudo-cyst and fetal ascites underwent conservative treatment,and the rate of operation was 100%,100%,22.2% and 35.0%,respectively. Conclusion Prenatal MRI findings of MP are characteristic.Bowel dilatation,meconium leakage,growing meconium peritonitis pseudo-cyst and meconium peritonitis pseudo-cyst connectted with adjacent intestine are highly suggestive of early surgical intervention in neonate.
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Objective To investigate whether there are correlation among changes of Treg/Th17 ratio with virological response and serological re?sponse in patients with hepatitis B e antigen(HBeAg)?positive chronic hepatitis B(CHB)after receiving entecavir. Methods 27 patients with HBeAg?positive CHB were enrolled for the study. Peripheral blood Treg cell frequency and Th17 cell frequency,HBV DNA,alanine aminotransfer?ase levels,hepatitis B virus marker were detected before and after entecavir treatment at 4,12,24,36,and 48 weeks. Peripheral blood Treg cell frequency and Th17 cell frequency of 20 healthy volunteers were detected as well. Results Treg/Th17 ratio of patients decreased from 4 week and reached the lowest point at 12 weeks. Treg/Th17 ratio(12 weeks)of the patients who got the early virological response and HBeAg disappeared was lower than others,and the difference was statistical significant. Conclusion Treg/Th17 ratio changes in HBeAg?positive CHB patients receiv?ing entecavir antiviral treatment. Treg/Th17 ratio(12 weeks)showed significant correlation with early virological response and HBeAg disappear?ance. The changes of Treg/Th17 ratio may provide a reference of curative effect.
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Wearable devices are used in the new design of the maternal health care system to detect electrocardiogram and oxygen saturation signal while smart terminals are used to achieve assessments and input maternal clinical information. All the results combined with biochemical analysis from hospital are uploaded to cloud server by mobile Internet. Machine learning algorithms are used for data mining of all information of subjects. This system can achieve the assessment and care of maternal physical health as well as mental health. Moreover, the system can send the results and health guidance to smart terminals.
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Female , Humans , Algorithms , Clothing , Electrocardiography , Equipment Design , Internet , Machine Learning , Maternal Health , Monitoring, Ambulatory , TelemedicineABSTRACT
[Objective]For revealing the definition of the concept of the Yin of liver and the Yang of liver ,and its historical evolution. [Method]The definition of the concept of the Yin of liver and the Yang of liver and the mainstream view of Yin and Yang of before the Song Dynasty, Song Dynasty and modern is investigated in this paper. The definition of the concept of the Yin of liver and the Yang of liver of different periods, different ideological background and different mainstream view of Yin and Yang is clarified by historical investigation. [Result]Because of the influence of Confucius studies, there is not the definition of the concept of the Yin of liver and the Yang of liver based on the object of liver in the TCM theory of Han and Tang dynasties. The Yin of liver and the Yang of liver mainly refer to the yin qi and yang qi in the liver. Because of the influence of neo-confucianism, the concept of the Yin of liver and the Yang of liver based on the object of liver was established in the TCM theory of Song and Ming dynasties. The Yin of liver and the Yang of liver mainly refer to the body and function of liver. Under the background of modernization of TCM, the concept of the Yin of liver and the Yang of liver based on the object of liver was established in the basic theories of TCM. However, there is a controversy of the concept of the Yin of liver and the Yang of liver, because of the effect of modern philosophy and science, ignoring the change of Chinese philosophy. [Conclusion]The clear concept of the Yin of liver and the Yang of liver of different periods, different ideological background and different mainstream views of Yin and Yang will reduce the influence of the fictional historical. Whether in ancient literature research, the liver like zang-fu theory of TCM theory, research, or the modern liver zang-fu theory of TCM, and establishing the theory of Chinese medicine has a positive meaning.
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Objective]This paper is for the theoretical formation of clear livering factors development process . [Method]Adopt the method of literature investigation, explore the meaning of liver governing smoothing and dispersing Qi. [Result]It has three meanings: Like smooth doesn't like depression;dredge(The ascending and descending of Qi);spread. The support theory behind it is:Five elements theory;The movement theory of Qi;Zhu Zhenheng ’ s theory of“Liver Governs Smoothing and Dispersing”. Relationships between three meanings and support theory is:With five elements theory explaining the function of the liver governing smoothing and dispersing Qi ,it eventual y uses the movement theory of Qi; With Zhu Zhenheng ’s theory of“Liver Governs Smoothing and Dispersing”, explain the function of the liver governing smoothing and dispersing Qi is different from the the movement theory of Qi. [Conclusion]Liver governing smoothing and dispersing Qi is a new theory of reconstruction by modern scientific theories and methods.
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This paper presents a motion rehabilitation-training instrumentfor stroke patients.Taking linear motion mode and circinal motion mode as training trajectory. we are aimed to help patients to accomplish nerve rehabilitation according to preset motion trajectory. Rehabilitation-training instrument takes pneumatic artificial muscle as a motion driver.Pneumatic artificial muscle has the following characteristics,such as,light weight,strong power,good flexibility,safety in use, easiness and cleanliness in source, etc. and it is suitable for rehabilitation medical treatment.The compression of gas,the nonlinearity of pneumatic artificial muscle and the existence of inherent hysteresis in the joint make the driving joint position in pneumatic artificial muscle be poor controlled and the response time be delayed,and thereby,the trajectory planning problem will be influenced directly.Therefore,we adopts proportional-integral-derivative (PID) controller by neural network to control the position of pneumatic artificial muscle.
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polysaccharide has become a research focus in tumor therapy because of possessing positive immunomodulating and antitumor activities.At present,a series of polysaccharides with novel structures and unique function have been isolated from marine resources,which are potential choices for anti-tumor drugs.However,few reviews are reported about the antitumor mechanism of marine polysaccharide,so the progress in research of antitumor mechanisms of marine polysaccharide are reviewed in this paper.
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Objective To evaluate the difference of diagnostic efficacy and complications between 18 and 20 gauge(G)core needle in transcutaneous lung biopsies under CT-guided.Methods Transcutaneous lung biopsies were performed using 18G (group A) and 20G(group B) core needles in 60 cases respectively.Their diagnostic efficacy and complications were compared.Results In group A, 45 of48 patients with lung cancer were accurately diagnosed by biopsies( 93.8% ) and another 3 cases were false-negative( 6.2%). 10 of 12 patients with benign lesions were diagnosed by biopsy as well . In group B , 42 of 46 patients with lung cancer were diagnosed by biopsy ( 91.3%) and another 4cases were false-negative (8.7%) .10 of 14 patients with benign lesions were accurately diagnosed by biopsies . Pneumothorax was found in 20 cases in group A , only 2 cases of which were handled with drainage,whereas a little pneumothorax was found in 8 cases in group B without special handling.No differences between two groups in diagnostic accuracy,false-negative rate and pneumothorax rate found . Conclusion There are more complicated with pneumothorax and much severe degree in group A than that in group B,but the diagnostic accuracy,false-negative rate and pneumothorax rate are not significantly different between two groups.
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Based on the histories of moxibustion and moxibustion apparatus, this paper studies two basic patterns and the problem of categorizing about moxibustion instrument, and summarizes and experimentalizes its mechanism. Its developing way is brought up.