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Objective:To explore the relationship between executive dysfunction and brain functional connectivity in deaf children and its mechanisms.Methods:Twenty-eight deaf children were recruited from special education schools and twenty-seven children with normal hearing were treated as controls matched with deaf children in age, sex and education. All human subjects were scheduled to complete brain magnetic resonance scanning, based on the voxel-based morphometry (VBM) technique for detecting differences in gray matter volume (GMV) and a set of executive function (EF) tasks for detecting differences in EF behavior performance between deaf and normal hearing children. All human subjects were also performed resting-state fMRI, which were analyzed by independent component analysis (ICA) and the executive control network was selected and compared between the deaf and normal hearing children.Results:Compared with the children with normal hearing, deaf children had smaller volume of gray matter in the left angular gyrus (MIN coordinates: -48, -72, 45; 700 voxels), right superior parietal gyrus (MIN coordinates: 20, -62, 57; 594 voxels) and left middle occipital gyrus(MIN coordinates: -32, -87, 42; 782 voxels). Deaf children had weaker functional connectivity (FC) in the left middle frontal gyrus, orbital part/left inferior frontal gyrus (MIN coordinates: -24, 21, 3; 54 voxels) with normal hearing children. In the behavioral test, deaf children had defects in the switching function compared with normal children, which was statistically significant ( t(42)=2.39, P=0.02). Conclusion:The EF of deaf children has some defects, and its neural mechanism may be related with the reduced functional connectivity and gray matter volume in the brain regions related to executive function.
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OBJECTIVE： To evaluate therapeutic efficacy of reteplase versus alteplase in the treatment of acute myocardial infarction in China， and to provide evidence-based reference for clinical treatment. METHODS： Retrieved from Cochrane library， PubMed， Embase， Medline， CJFD， CSJD， Wanfang database by computor， etc.， also by manual search， RCTs about therapeutic efficacy （recanalization rate of thrombolysis） of reteplase （trial group） versus alteplase （control group） in the treatment of acute myocardial infarction in China were collected from Jan. 1995 to Sept. 2018. After data extraction and quality evaluation with Cochrane system evaluator manual 5.1.0， Meta-analysis was performed for recanalization rate of thrombolysis by using Rev Man 5.3 software. RESULTS： A total of 23 RCTs were included， involving 1 742 patients. Results of Meta-analysis showed that recanalization rate of thrombolysis in trial group was significantly higher than control group， with statistical significance [OR＝0.61，95％CI（0.50，0.73），P＜0.001]. Sub-group Meta-analysis was performed according to the successful time of thrombolysis. Results of Meta-analysis showed that recanalization rate of thrombolysis in trial group 1 h [OR＝0.38，95％CI（0.25，0.58），P＜0.001]， 1.5 h [OR＝0.44，95％CI（0.25，0.79），P＝0.006] and 2 h [OR＝0.62，95％CI（0.42，0.92），P＝0.02] after thrombolysis were significantly higher than control group， with statistical significance. CONCLUSIONS： The recanalization rate of thrombolysis by reteplase in Chinese patients with acute myocardial infarction in better than by alteplase.
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Objective To systematically review the correlation between polymorphisms of CYP2D6 genotypes and concentrations of tamoxifen and its activity in Chinese breast cancer patients.Methods Such databases as Cochrane Library, PubMed, EMBase, CNKI, CBM, WeipuData and WanfangDate,from January 1995 to October 2014 were searched on line for the studies about the correlation between polymorphisms of CYP2D6 genotypes concentrations of tamoxifen and its activity in Chinese breast cancer patients.And references about it were checked.The meta-analysis was performed with RevMan 5.3 software.Results A total of 4 articles involving 438 patients were included.The results of meta-analysis showed that,the concentrations of HTAM and endoxifen in patients who had CYP2D6*10/*10 genotypes were lower than the other genotypes ( P<0.0001 ) .The concentration of tamoxifen in patients who had CYP2D6*10/*10 genotypes was lower than CYP2D6Wt/Wt ( P<0.05 ) .There was no significant difference between CYP2D6Wt/Wt and CYP2D6Wt/*10.Conclusion We concluded that CYP2D6 polymorphisms may influence concentrations of tamoxifen and its activity in Chinese breast cancer patients.
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To survey the serum uric acid (SUA) levels and associated risk factors of hyperuricemia among youth and middle-aged residents in Guangzhou.A total of 1420 subjects,aged from 20 to 60 years,receiving health check-up at our hospital in 2010 were enrolled.The total prevalence of hyperuricemia was 22.04％,32.01％ in males and 14.07％ in females.The average SUA was (388 ±78) μmol/L in males and (288 ± 63) μ mol/L in females.The prevalence of hyperuricemia in males was 30.11％ before 40 years of age and 33.81％ between 40 and 60 years of age.The average level of SUA in males was significantly higher than that of females.logistic regression analysis showed that BUN,body mass index (BMI) and hypertriglyceridemia were the independent risk factors of disease while HDL-C and gender (females) the protective factors.
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OBJECTIVE:To explore the method and efficacy of occlusion with medicinal albumin gel for esophageal fistula. METHODS:Over the recent 5 years,a total of 11 patients with esophagus -respiratory fistula or esophagus-neck fistula confirmed by iodine imaging and / or gastroscopy were occluded with medicinal albumin gel under endoscope. RESULTS:The occlusion with medicinal albumin gel for esophageal fistula was successful in all the 11 cases,and 9 out of 11 were completely healed after one time occlusion treatment and the other 2 cases were completely healed after the second occlusion treatment. The average hospital stay was 27 days and the average cost was 24,500 yuan. There was no recurrence after follow-up of 3 to 6 months,nor was there any adverse complication. CONCLUSION:Compared to the conventional conservative treatment,occlusion with medicinal albumin gel for esophageal fistula under endoscope can reduce the length of hospital stay and the cost of hospitalization.
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<p><b>OBJECTIVE</b>To probe into clinical therapeutic effect of point injection combined with ultra-laser radiation on chronic pelvic inflammatory.</p><p><b>METHODS</b>Sixty cases of chronic pelvic inflammatory were divided into a treatment group and a control group, 30 cases in each group. The treatment group were treated with point injection of Yuxingcao Injectio combined with ultra-laser point radiation, and the control group with simple point injection of Yuxingcao Injectio, once each day, for 4 weeks.</p><p><b>RESULTS</b>Twenty-eight cases were effective with a total effective rate of 93.3% in the treatment group, and 23 cases were effective with a total effective rate of 76.7%; the weighty pain of lower abdomen, abnormal leucorrhea and signs of gynecological examination, etc. in the treatment group significantly improved as compared with the control group (P<0.05).</p><p><b>CONCLUSION</b>Point injection combined with ultra-laser radiation has definite therapeutic effect on chronic pelvic inflammatory.</p>
Subject(s)
Adolescent , Adult , Female , Humans , Male , Middle Aged , Acupuncture Points , Chronic Disease , Combined Modality Therapy , Injections , Laser Therapy , Medicine, Chinese Traditional , Pelvic Inflammatory Disease , TherapeuticsABSTRACT
<p><b>OBJECTIVE</b>To observe clinical therapeutic effect of acupuncture at Back-shu acupoints of five zang-organs on chronic fatigue syndrome (CFS).</p><p><b>METHODS</b>Forty cases of CFS were treated with electroacupuncture at main acupoints Back-shu, and Fatigue Assessment Instrument (FAI) and Mental State Self-rating Scale (SCL-90) were used for assessment of therapeutic effect.</p><p><b>RESULTS</b>After electroacupuncture treatment, clinical symptoms improved. The cumulative scores of FAI decreased from 148.36 +/- 26.53 before treatment to 98.63 +/- 28.36 after treatment (P < 0.01). And the scores of somatization, depression, anxiety and interpersonal relationship in SCL-90 reduced significantly (P < 0.01).</p><p><b>CONCLUSION</b>Electroacupuncture has a definite therapeutic effect on chronic fatigue syndrome.</p>
Subject(s)
Humans , Acupuncture Points , Acupuncture Therapy , Anxiety , Electroacupuncture , Fatigue Syndrome, Chronic , TherapeuticsABSTRACT
<p><b>OBJECTIVE</b>To explore the clinical efficacy of electro-acupuncture (EA) on 5-visceral Back-shu points in treating chronic fatigue syndrome (CFS).</p><p><b>METHODS</b>Fourty patients with CFS were treated by EA on Back-shu points, the changes of scoring by Fatigue Assessment Instrument (FAI) and Symptom Checklist 90 (SCL-90) were observed before and after treatment.</p><p><b>RESULTS</b>The scale of FAI and SCL-90 significantly decreased after EA (P < 0.01).</p><p><b>CONCLUSION</b>EA on Back-shu points is one of the effective approaches for treatment of CFS.</p>