Comparison of CT-guided thoracic sympathetic nerve block and radiofrequency in the treatment of primary palmar hyperhidrosis.

Background: Primary palmar hyperhidrosis (PPH) is a condition marked by an overactive secretion of the hand's exocrine glands and is frequently hereditary. The profuse sweating associated with this condition can significantly impair the patient's daily activities and quality of life. Objective: The objective of this study was to compared the benefits and drawbacks of thoracic sympathetic block and thoracic sympathetic radiofrequency in the treatment of PPH. Methods: A retrospective analysis was conducted on 69 patients. They were divided into groups A and B according to their treatment. Group A (34 cases) received CT-guided percutaneous thoracic sympathetic nerve chain anhydrous alcohol chemical damage block, and group B (35 cases) received CT-guided percutaneous thoracic sympathetic nerve chain radiofrequency thermocoagulation. Results: Palmar sweating disappeared immediately after the operation. The recurrence rates at 1, 3, 6, 12, 24, and 36 months were 5.88% vs. 2.86% (P > 0.05), 20.59% vs. 5.71% (P > 0.05), 32.35% vs. 11.43% (P < 0.05),32.35% vs. 11.43% (P < 0.05), 25% vs. 14.71% (P < 0.05), and 68.75% vs. 20.59% (P < 0.05), respectively. The incidence of intercostal neuralgia and compensatory hyperhidrosis was higher in group A compared with of group B (52.94% vs. 22.86%, P < 0.05; 55.88% vs. 22.86%, P < 0.05). Conclusion: Both methods were found to be effective in treating PPH, but thoracic sympathetic radiofrequency had a longer-term effect, a lower recurrence rate, and a lower incidence of intercostal neuralgia and compensatory hyperhidrosis than a thoracic sympathetic block.

Calibration point distribution study of a four-wheel alignment optimization device based on a blanket technology algorithm.

Optimal wheel alignment improves fuel efficiency, safety, and driver comfort. An explicit formula for determining kingpin parameters, namely, caster and kingpin inclination angle (KIA), in four-wheel alignment is lacking. Currently, caster and KIA values are estimated by repetitive large-scale computing with a mathematical model aimed at obtaining values infinitely close to real solutions. In this study, a four-wheel aligner calibration device was used to collect large amounts of data for a variety of four-wheel aligner measurements with a short data interval. The data were subjected to the local fractal dimension analysis with fractional dimension-based blanket technology (BT) to optimize the number of measurement points. Dramatic changes in data were attributable to local areas with a large fractional number dimension. Appropriate increase in the number of calibration measuring points in areas with a relatively low fractional number dimension can reduce the overall quantity of measuring points. The results provide a scientific basis for the development of alignment calibration standards and demonstrate that these parameters can be assessed based on a small number of measurements. Our BT-based methodology can facilitate factory inspection and performance testing of four-wheel aligners and may improve the accuracy of wheel positioning parameter assessments.

Developmental Psychology Research Based on Educational Practice in China.

As a developmental psychologist who has conducted studies in educational practice for about thirty years. A series of developmental psychology studies rooted in Chinese culture were performed, and the findings led us to focus on students' potential in growth, developmental fullness and educational ecosystem. This article mainly talked about three aspects: the viewpoints about the nature of psychological development formed in the context of school; promoting students' development by continually constructing cultural ecosystem; the characteristics of researches by taking the perspective of cultural ecology and discoveries about deficiency in basic abilities. All of these were based on educational objectives and conducted in educational practice, so they were integrative and dynamic transformation. In educational intervention, aesthetic potential was also found. The relation between aesthetic potential and full development was put forward.

Efficacy analysis of methylprednisolone plus adrenaline to treat wasp sting injury.

OBJECTIVE: To observe the effect of methylprednisolone (MP) plus adrenaline to treat patients injured by wasp stings. METHODS: This study was carried out at The First College of Clinical Medical Science, China Three Gorges University, Yichang, Hubei Province, China, from June to November 2008. A total of 45 cases were divided into 2 groups. The MP was used alone in the control group, and MP plus adrenaline was used in the observation group. We compared the clinical effect between the 2 groups. RESULTS: The alanine aminotransferase (ALT) (64.05 +/- 59.31 versus 124.14 +/- 80.01 U/L), and creatine kinase isoenzyme (CKMB) (90.32 +/- 85.19 versus 216.68 +/- 277.58 umol/L) levels of the observation group were significantly lower than those of the control group. The length of hospital stay of the observation group was significantly shorter than that of the control group (7.23 +/- 2.93 versus 11.23 +/- 8.02), while complications from the wasp sting were fewer than those of the control group. In addition, the level of peripheral blood leukocytes was positively correlated with the number of stings (r=0.733, p=0.001), levels of ALT and CKMB (r=0.627, p=0.001, and r=0.705, p=0.001), and length of hospital stay (r=0.667, p=0.001). CONCLUSION: Allergic and inflammatory responses play an important role in addition to the direct effect of wasp venom on the human body. Compared with MP alone, early combination of adrenaline helps to further inhibit the diffusion of allergy and inflammatory cytokines, and therefore reduce the severity of injury.