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Objective: To investigate the formula of traditional Chinese medicine to treat IgA nephropathy in the China National Knowledge Internet (CNKI) based on the Traditional Chinese Medicine Inheritance Support System (V2.5) .Methods: Cases of treating IgA nephropathy with Chinese herbal formulas was enrolled to establish IgA nephropathy prescriptions database and the medication rule was explored by the Traditional Chinese Medicine inheritance software.Results: There were 118 IgA nephropathy prescriptions in CNKI, including 227 traditional Chinese medicines. Among them, the commonly efficacy of traditional Chinese medicine was replenishing qi to invigorate the spleen, nourishing yin to clearing heat, promoting blood circulation and the most frequently couplet medicines was Huangqi-Fuling. The evolution resulted in 14 core combinations and 7 new prescriptions. Conclusion: The law of the medicine combination was revealed to treat IgA nephropathy in CNKI and find the novel prescriptions, and it may provide reference for clinical treatment.
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About 80％ of the patients with pancreatic cancer have glucose metabolism alterations,which suggests an association between diabetes and the occurrence and development of pancreatic cancer.Studies have shown that diabetes and hypoglycemic agents are closely related to the occurrence risk,clinical manifestation and prognosis of pancreatic cancer.Recent findings demonstrate that insulin resistance,hyperinsulinemia,the expression level of insulin-like growth factor related protein and inflammatory reaction are the possible mechanisms of the interaction between diabetes and pancreatic cancer.However,the definite mechanism still remains unclear,and further researches are still needed.
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80 patients with chronic periodontitis were randomly divided into 2 groups(n =40)and treated by ultrasonic sub-gingival sealing (ultrasonic group)and hand instrumentation(hand group)respectively.4 and 12 weeks after treatment,plaque index(PLI),gingival blee-ding index(GBI),probing pocket depth(PD)and clinical attachment level(CAL)of both groups decreased(P 0.05).
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Objective To investigate the effect of comprehensive nursing intervention on improving the cognitive level in patients with chronic heart failure and the prognosis, to provide basis for clinical nursing. Methods In our hospital from June 2012 to June 2014, 60 cases patients with chronic heart failure according to the nursing methods were divid-ed into control group and intervention group, 30 cases in each group, the control group was given routine nursing, the observation group based on routine nursing application of comprehensive nursing intervention. The psychological nurs-ing, exercise intervention, body position intervention, dietary intervention, medication nursing, health education, cogni-tive function level quality of life, the score before and after intervention, and the prognosis were compared between the two groups. Results After 3 months intervention, intervention time directional force, disorientation, immediate memory, attention and calculation, delayed memory, language, visuospatial scores of observation group were (8.97±0.59), (8.39±1.14), (2.93±0.82), (4.45±0.64), (2.26±0.14), (8.83±1.26), (2.62±0.34), significantly higher than the control group, the difference was statistically significant (P<0.05). 3 months after the intervention, the intervention group patients physical function, emotional function, role function, cognitive function, social function, the overall quality of life scores were (95.37±3.62) and (91.40±3.97), (89.42±4.13), (81.33±4.64), (59.01±3.92), (89.47±4.18), significantly higher than the control group, the difference was statistical significance (P<0.05). The intervention group's worsening rehospitalization for heart failure or emergency department visits and ratio were significantly lower than the control group, the difference was statistically significant (P<0.05). Conclusion The implementation of comprehensive nursing intervention on pa-tients with chronic heart failure, can raise the level of awareness of the disease of the patients, the quality of life of the patients and the prognosis is significantly improved.
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<p><b>OBJECTIVE</b>To explore the value of 3D printing technique in the surgical management and strategy of rehabilitation therapy of acetabular fracture.</p><p><b>METHODS</b>For a patient with acetabular fracture, the pelvis model was printed preoperatively by 3D printing technique for surgical simulation to determine the optimal position of the screw, measure the screw length, and design the route of screw entry. Laparoscopic assisted internal fixation was performed, and a gradual and systematic rehabilitation plan was carried out after the surgery based on the results of simulation.</p><p><b>RESULTS</b>The operation was completed successfully with a shortened postoperative recovery time.</p><p><b>CONCLUSIONS</b>The application of 3D printing allows more accurate and safer surgical management of acetabular fracture to promote postoperative recovery of the patient and lower the medical costs.</p>
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Adulto , Humanos , Masculino , Parafusos Ósseos , Fixação Interna de Fraturas , Métodos , Fraturas do Quadril , Reabilitação , Imageamento Tridimensional , Período Pós-Operatório , Impressão Tridimensional , Reabilitação , MétodosRESUMO
Objective To establish a multiple regression equation of long delayed recall of the amnestic mild cognitive impairment,in order to predict the scores.Methods 248 old people were investigated by convenience sampling.Auditory verbal learning test (AVLT) was used to evaluate the ability of memory of the old people,and their general demographic data were collected.Multivariate linear regression analysis was conducted,the regression model was established and AVLT-long delayed recall scores (N5) to the predicted value got from the 3 times scores of study stage scores (N1,N2,N3) and short delayed recall (N4) of Auditory Verbal Learning Test were compared.Results The multiple linear regression equation between the variables was established.There was no significant difference between N5 and the predicted value.Conclusions N2,N3,N4 could be used to predict N5 during screening of amnestic mild cognitive impairment to make the screening process faster and briefer.When the score ≤4 points,the screening continues,if the score ＞5 points,the screening ceases in order to improve the efficiency of screening.
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OBJECTIVE: To explore the mechanisms of the beneficial effects of Dahuang Zhechong Pill (DHZCP), a Chinese patent herbal medicine, in treatment of chronic renal disease, and to investigate the effects of DHZCP on the expressions of renal tissue inhibitor of metalloproteinase-1 (TIMP-1) and plasminogen activator inhibitor-1 (PAI-1) mRNAs in rats with adriamycin-induced glomerulosclerosis. METHODS: Focal segmental glomerulosclerosis and diffuse mesangial proliferation were induced in rats by combined procedures, including unilateral nephrectomy, intravenous injection of adriamycin and giving high-fat foods. The rats were randomly divided into untreated group, benazepril-treated group and DHZCP-treated group. Another 6 rats were sham-operated as control group. After 12-week treatment, rats were sacrificed, reverse transcription polymerase chain reaction (RT-PCR) method and computerized image analytical technique were used to determine the expressions of TIMP-1 and PAI-1 mRNAs. RESULTS: Compared with the untreated group, the ratios of TIMP-1/beta-actin and PAI-1/beta-actin of the DHZCP-treated group were decreased, suggesting that DHZCP could down-regulate the expressions of TIMP-1 and PAI-1 mRNAs (P<0.05). Benazepril could significantly inhibit the expression of TIMP-1 mRNA compared with that of the untreated group (P<0.05) CONCLUSION: DHZCP can down-regulate the expressions of TIMP-1 and PAI-1 mRNAs in renal tissues of rats with focal segmental glomerulosclerosis and diffuse mesangial proliferation, which may be its action mechanism in treating chronic renal disease.
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Objective To made the animal model which is similar to the human pyelonephritis to strengthen the experimental basis for the therapy of acute urologic infectious disease. Method Using the method of semi-ligation of the ureter on single lateral and the injection of Enterobacter into the bladder to get pathologic transformation. Simultaneously, giving the different preparation of Zishen- tongguan Capsule, Sanjin Pills to intervene the models. Result Zishentongguan capsule middle dosage, western medicine treatment team had get obviously effect on rat body weight increasing, the drug treatment were validity. Conclusion The rat model with the acute nephropyelitis is similar to the character in the break of human, which manifest on the appearance, mental condition, body weight coefficient, kidney weight coefficient and pathologic change of the kidney. Succeed in the model establishment.
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Objective To observe the effect of Astragalus Injection(AI) on aquaporin-1(AQP-1) expression of peritoneal mesothelial cells in rats with peritoneal dialysis.Methods Twenty-five male SD rats were divided into the normal control group(N =7),model group(N =9) and AI group(N =9).Except the normal control group,the model group was given intraperitoneal injection of peritoneal dialysate(containing glucose 42.5 g/L),and AI group was given intraperitoneal injection of peritoneal dialysate(containing glucose 42.5 g/L) plus AI(20 mg/mL),25mL/d for 10 continuous days.On the 11th day of experiment,the amount of dialysis ultrafiltration(UF) and net UF,and the concentration ratio of dialysate and plasma sodium(D/PNa) were measured,peritoneal pathological changes were observed with light microscope,and the expression of AQP-1 in peritoneal mesothelial cells was detected with immunohistochemical method.Results When the peritoneal dialysate was kept in the abdominal cavity for 60 min,the amount of UF and Net UF was increased in AI group(P