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Lung cancer is one of the most common cancers worldwide, and its mortality rate remains high. In addition to conventional surgery, radiotherapy, and chemotherapy, immunotherapy methods have been developed and used in recent years for the treatment of non-small cell lung cancer (NSCLC). However, only a small number of patients with NSCLC can benefit from immunotherapy strategies, and some patients even have hyperprogression after receiving immunotherapy. Therefore, precision immunotherapy requires effective biomarkers to guide it. In this paper, tissue samples, blood samples, intestinal microbiota, and other biomarkers are reviewed according to different sample sources. Blood samples, including TCR immune repertoire, Tregs cells, cytokines, lactate dehydrogenase, and other markers, are summarized and analyzed to provide reference for clinicians' diagnosis and treatment decisions.
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Objective:To explore the effect of modified multifunctional dressing bag with glauber's salt for relieving swelling and pain in early patients with limb fracture.Methods:A total of 111 patients with limb fracture in Tongde Hospital of Zhejiang Province were divided into two groups according to the admission time. The control group consisted of 53 patients with limbs fracture using common mirabilite bag with glauber′s salt and ice bag for external application admitted from January to August 2018, and the observation group consisted of 58 patients with limbs fracture using modified multifunctional dressing bag with glauber′s salt admitted from September 2018 to January 2020. The degree of pain, the time of appearance of dermatoglyphia, the cases of severe swelling, waiting time for operation, compliance and comfort of the patients were observed within 72 hours after injury.Results:The degree of pain, the time of appearance of dermatoglyphia, the waiting time, the cases of severe swelling for surgery in the observation group were (1.8±0.7) points, (4.5±1.2) days, (5.7±1.2) days,1 case, respectively, which were all lower than those in the control group (2.2±0.8) points, (6.0±1.5) days, (6.5±1.4) days, 19 cases, the differences between the two groups were statistically significant ( t values were -2.6,-5.6,-3.3, χ2 value was 21.8, all P<0.05). The total compliance rate in the observation group was 82.76% (48/58), higher than that in the control group 56.60% (30/53), the differences were statistically significant ( χ2 value was 9.34, P<0.05). The comfort of the observation group was 82.76% (48/58), significantly higher than that of the control group 3.77% (2/53), the difference was statistically significant ( χ2 value was 69.8, P<0.05). Conclusions:The modified multifunctional dressing bag with glauber′s salt can reduce the swelling of limbs, reduce the appearance of skin blisters, stop bleeding and pain, and shorten the waiting time for operation, at the same time, it improves the compliance and comfort of the patients.
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Objective To observe the pregnancy period of subclinical thyroid dysfunction disease incidence rate in Yueqing City, evaluation effect of comprehensive intervention and provide the basis for carrying out routine screening. Methods All of 1028 cases of gestational age<20 weeks gestation pregnant women from January 2013 to January 2014 were collected, serum TSH, FT4 and TPOAb in thyroid function screening were all screened. Results 141 cases were abnormal, the detection rate of 13.72%, There were 58 cases of subclinical hypothyroidism among them, and subclinical hypothyroidism in 21 cases, 33 cases of hypothyroidism, 9 cases of hyperthyroidism,simple thyroid peroxi-dase antibody(TPOAb) positive 20 cases;Subclinical hypothyroidism group, TPOAb was positive in 27.59% (16/58), the foreign population accounted for 29.31%(17/58), the average age of (28.72±4.22) years old, normal thyroid function group TPOAb was positive in 2.25%(20/887), the foreign population accounted for 14.32%(127/887), there were sig-nificant differences between the groups (P<0.05). According to thescreening results, for different groups took different intervention measures. Thesubclinical hypothyroidism group key follow-up to evaluate the effect after the intervention of clinical hypothyroidism in 2 cases, accounted for 1.42%, 10 cases ofsubclinical hypothy-roidism, accounted for 7.09%, 6 cases of low T4 level, accounted for 4.26%. Conclusion The abnormal rate of thyroid function in pregnancy is high, especially subclinical hypothyoidism which can not be ignored. To be screened and early intervention can effectively reduce the incidence of complications and birth defects.
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[ Objective ] To investigate the mechanism of Jianxin Pinglu Pill (JPP) in counteracting arrhythmia. [Methods] Ninety rats were randomized into 3 groups: model (normal saline), high-dose JPP (1.6 g/kg) and low-dose JPP (0.8g/kg) . The treatment lasted 7 days. Rat models with myocardial ischemia /repermsion were established by blocking left coronary artery. Ⅱ lead of electrocardiogram was recorded, connexin 43 (Cx 43) was detected by immunohistochemical assay. The effect of JPP on incidence of arrhythmia, death rate and the expression of connexin 43 in the myocardium was observed. [Results] JPP could decrease the incidence of arrhythmia and death rate obviously and enhance the expression of connexin 43 in myocardium. [ Conclusion ] JPP can counteract the damage of myocardial ischemia /reperfusion to enhance Cx 43 expression, and this is one of its possible mechanism.