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Objective To study the clinical efficacy of percutaneous transluminal angioplasty (PTA) and vacuum sealing drainage technique on patients with diabetic foot and arteriosclerosis obliteration of the lower extremity.Methods Sixty-four patients were divided into two groups.Group A (32 patients) were treated by traditional methods,while 32 patients in Group B treated by vacuum sealing drainage technique in addition to percutaneous transluminal angioplasty.Results One week after surgery,ABI in group A was 0.53 ±0.17 vs 0.85 ±0.27 in group B,P =0.00.Ulcer healing rate increased from 31.25％ in group A to 81.25％ in group B,P ＜0.01.The amputation rate decreased from 56.25％ in group A to 18.75％ in group B,P =0.00.Claudication distance extended and ulcer recurrence rate in group A was 40％,while in group B it was 0,P =0.00.Conclusion The combination of PTA and vacuum sealing drainage significantly improves the prognosis of patients with diabetic foot and arteriosclerosis obliteration of the lower extremity.
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Objective To study the effect of stigma maydis aqueous extract(SMAE) on glucagon in type 2 diabetic rats.Methods Type 2 diabetic male Sprague-Dawley rat mode was induced by high-fat and high-sugar dietary feeds and low dose streptozotocin(STZ). After 8 weeks of treatment,levels of fasting blood glucose(FBG) and glucagon(Glu) in serum were respectively assayed.Immunohistocmical study was adopted to analyze the expression of glucagon in islet cells.Results Compared with model control group,SMAE of middle and high dose remarkably reduced the level of FBG and Glu(P
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BACKGROUND: In order to enhance the rate and degree of osseointegration of cementless implants, hydroxyapatile(HA) was applied on the different prosthesissurfaces. Themajoritiesofthesestudieshaveutilized non-weight-bearing in vivo dog models and have focused on the fixation of the femoral component. What is the osseointegration of macrotextured acetabular components in a weight-bearing model(dog) like?OBJECTIVE:To evaluate the various macrotextured surface coatings applied to acetabular components of the same design in aweight-bearing canine total hip replacement model.DESIGN: Randomized conparative study using theexperimentalanimals as subjectsSETTING: Department of Ortopaedics, Beijing Tongren Hospital;PathologyDepartment, Bone and Joint Laboratory,St. Michael' s Hospital, U of T,Toronto,CanadaMATERIALS: The experiment was completed in the Pathology Department,Bone and Joint laboratory, St. Michael' s Hospital, U of T, Toronto, Canada from October 2001 to December 2001. Acetabular components with the selected surface characteristics were implanted into forty dogs with the body mass of 29 - 44 kg of either gender and divided into seven groups, including group 1 (AD/HA), Group 2 (CoCr beads/PA), Group 3 (CPTi bead surface),Group 4(CPTi 30 PPI foam),Group 5(CPTi 30 PPI/PA foam),Group 6(CPTi 40 PPI foam), Group 7(CPTi 40 PPI/PA foam).METHODS: Exercise was restricted to leash walks for the first fourteen days post-operatively. After this, dogs were allowed unrestricted activity. The dogs were euthanized at either three or sixmonths after surgery as the project' s protocol. The whole acetabulum,divided into weight-bearing and non weightbearing areas, containing the component was harvested and submitted for histological and histomorphological assessment. MAIN OUTCOME MEASURES:The bone ongrowth and ingrowth with weight bearing and without weight bearing areas in each group.RESULTS:There was significantly greater bone apposition and bone ingrowth for implants withHAcoatingsascompared to uncoated implants. There was also significantly greater bone ingrowth in weight-bearing areas as compared tonon weight-bearing areas at both time periods. The bone growth into AD/HA was 17％ at 3 months and descended to 14％ at 6 months. The bone growth into CPTi beads surface was 21％ at 3 months,30％ at 6months in weight-bearing areas. All four foam-coating surfaces there were 15％ to 21％ ongrowth at 3 months,15％ to 32％ at 6 months and 21％to 32％ingrowth at 3 months,29％to 45％at 6 months in weight-bearing areas( P ＜ 0.05).CONCLUSION: Hydroxyapatite coating produces significantly greater boneingrowth andappositionin all thesurfacetreatmentstestedinthis study. Weightbearingproducesagreater boneingrowththannon weight-bearing areas and obviously increases with the time prolonging, especially the foam coating