Treatment of fever due to exopathic wind-cold by rapid acupuncture

57 cases of common cold, influenza, acute tonsillitis and acute bronchitis were treated by rapid needling with filiform needles at Dazhui (Du 14), Fengchi (GB 13), and Quchi (LI 11). The indices for observation were first determined, and the 19 cases that manifested an axilla temperature drop of over 1 degree C after treatment and a ratio of < 0.3 of the main symptom scores after treatment were regarded as markedly effective; the 27 cases that manifested an axilla temperature drop of 0.5-1.0 degree C and a symptom score ratio of 0.3-0.6 were regarded as effective, and the 11 cases that manifested an axilla temperature drop of < 0.5 degrees C and a symptom score ratio of > 0.7 were regarded as failures. The total effective rate was 80.7%. Analysis of the individual patients indicated that the peripheral blood leucocyte and lymphocyte counts differed insignificantly after needling, while the body temperature, rate of respiration, pulse, blood pressure and acupoint temperature all dropped, with a simultaneous increase in the percentage of T-lymphocytes. The immediate effects were especially marked in fevers due to exogenous wind and cold.

Clinical aspects of treadmill exercise testing

A study is made of 525 consecutive treadmill exercise tests. Horizontal or downsloping ST segment depression of 1 mm or more was considered or ischaemic response. A systolic blood pressure exceeding 200 mm Hg or a diastolic blood pressure exceeding 100 mm Hg during or after exercise was defined as a hypertensive response. An ischemic response was found in 48 subjects. In this group, 7 (15%) had previous myocardial infarction, 10 (21%) had minor ischaemic changes in the resting electrocardiogram. Twenty-eight (58%) complained of precordial pain or discomfort. A hypertensive response occurred in 101 subjects. Thirty-eight of them had precordial pain or discomfort. The resting blood pressure was elevated in 52, borderline in 32, and normal in 17 subjects. Cardiac arrhythmias were detected in 53 patients. Other abnormalities detected included 3 cases of hypertrophic cardiomyopathy and 1 case of post exercise bronchospasm due to propranolol.

[Lymphocyte subset and its apoptosis in chronic hepatitis C]

OBJECTIVE

To explore the autoimmune pathogenesis induced by hepatitis C virus.

METHODS

Serum anti-GOR and peripheral blood lymphocyte subset and its apoptosis rate after activated by Pokeweed mitogen (pwm) in vitro were measured by enzyme-linked immunosorbent assay and flow cytometry, respectively. Eighteen individuals with chronic hepatitis C and 16 healthy controls were observed.

RESULTS

The positive rates of serum anti-GOR (66.7%) and ANA (44.4%) were significantly higher in chronic hepatitis C than normal controls (chi(2)=26.86, chi(2)=9.30, P<0.005). The apoptosis percentage of PBMCs and CD3(+)T cell was elevated in individuals with chronic hepatitis C when compared with normal controls (t=2.44, P<0.05). However, the apoptosis percentage of CD4(+)T and CD19(+)B cells in PBMCs was significantly decreased in patients with anti-GOR positive compared to anti-GOR negative (t=3.17, P<0.01; t=2.294, P<0.05). Similarly, the percentage of CD4(+)CD8(+) T cells in anti-GOR positive patients was increased and CD3(+)/CD4(+) was decreased (t=2. 18, P<0.05) compared to anti-GOR negative (t=2.44, P<0.05; t=2.18, P<0.05).

CONCLUSION

autoimmune response exists in chronic hepatitis C patients. There is an imbalance of lymphocyte subset and its apoptosis, which may be one of the important reasons for the mechanism of autoimmune pathogenesis of chronic hepatitis C.

Myopia in Singapore kindergarten children

PURPOSE

The purpose of this study was to examine whether close-up work was related to myopia in Singapore kindergarten children.

METHODS

One hundred twenty-eight children, ages 3 to 7 years, from a kindergarten in Singapore were examined by cycloplegic autorefraction. The parents also completed a questionnaire on the different types of close-up work activities each child was engaged in, socioeconomic status, and parental history of myopia.

RESULTS

Myopic children spent 3.0 hours per day (median) on close-up work activity, while nonmyopic children spent 2.0 hours per day (median) on close-up work activity. The prevalence of myopia in the sample was 8.6%.

CONCLUSION

Close-up work activity was not related to myopia in pre-school children.

A Novel Skip-Connection Strategy by Fusing Spatial and Channel Wise Features for Multi-Region Medical Image Segmentation

Recent methods often introduce attention mechanisms into the skip connections of U-shaped networks to capture features. However, these methods usually overlook spatial information extraction in skip connections and exhibit inefficiency in capturing spatial and channel information. This issue prompts us to reevaluate the design of the skip-connection mechanism and propose a new deep-learning network called the Fusing Spatial and Channel Attention Network, abbreviated as FSCA-Net. FSCA-Net is a novel U-shaped network architecture that utilizes the Parallel Attention Transformer (PAT) to enhance the extraction of spatial and channel features in the skip-connection mechanism, further compensating for downsampling losses. We design the Cross-Attention Bridge Layer (CAB) to mitigate excessive feature and resolution loss when downsampling to the lowest level, ensuring meaningful information fusion during upsampling at the lowest level. Finally, we construct the Dual-Path Channel Attention (DPCA) module to guide channel and spatial information filtering for Transformer features, eliminating ambiguities with decoder features and better concatenating features with semantic inconsistencies between the Transformer and the U-Net decoder. FSCA-Net is designed explicitly for fine-grained segmentation tasks of multiple organs and regions. Our approach achieves over 48% reduction in FLOPs and over 32% reduction in parameters compared to the state-of-the-art method. Moreover, FSCA-Net outperforms existing segmentation methods on seven public datasets, demonstrating exceptional performance.

[A prospective investigation on interferon treatment of chronic hepatitis B]

Mismatched polymerase chain reaction and restriction fragment length polymorphism assay together with neutralization bioassay were performed in order to elucidate the influence of pre core mutation of HBV genome and neutralizing anti-INF on the therapeutic efficacy of IFN-2b. In 29 patients treated with IFN alpha-2b, HBV DNA pre core mutation were detected in 15 patients (15/29, 51.7%), HBV DNA in 7 of these 15 patients (7/15, 46.6%) turned to negative, all of whom were recurrent one year follow up. In the other 14 patients without pre core mutation, 7 patients (7/14, 50%) became serum HBV DNA negative, none of whom were recurrent. HBV DNA was undetectable in 4 of the 15 patients (4/15, 26.7%) with neutralizing antibody. In contrast, HBV DNA became undetectable in 10 of the 12 patients (10/12, 83.3%) without neutralizing antibody (P < 0.05).

Genetic disruption of host nitric oxide synthase II gene impairs melanoma-induced angiogenesis and suppresses pleural effusion

Our previous study showed that genetic disruption of nitric oxide (NO) synthase II (NOS II) expression inhibits the metastatic ability of non-immunogenic B16 melanoma cells in syngeneic mice. In the present study, the mechanisms for this metastasis suppression were determined. B16-BL6 and B16-F10 murine melanoma cells were injected i.v. into syngeneic wild-type (NOS II(+/+)) and NOS II-null (NOS II(-/-)) C57BL/6 mice. Both melanoma cells produced less and smaller experimental pulmonary metastases in NOS II(-/-) mice than in NOS II(+/+) mice. Moreover, less metastatic pleural effusion was observed in NOS II(-/-) mice than in NOS II(+/+) mice. Immunohistochemical analyses indicated that absence of NOS II expression was correlated with decreased vascular endothelial growth factor expression and tumor-associated vascular formation. After activation with lipopolysaccharide and IFN-gamma, neither melanoma cell line produced detectable levels of NO. Our data demonstrate that tumor-induced expression of host NOS II enhances melanoma metastasis and pleural effusion, at least in part, through regulation of vascular formation and vascular permeability.

Primary adenocarcinoma of cervical esophagus

Most upper esophageal malignancies are squamous cell carcinomas, rarely adenocarcinomas arising from Barrett's esophagus and very rarely adenocarcinomas from heterotopic gastric mucosa without evidence of Barrett's especially in the cervical part of the esophagus. We report a case of adenocarcinoma of the polypoid type in the upper esophagus (cervical esophagus) arising from ectopic gastric mucosa, in a 60 year-old man who presented with progressive dysphagia. Accurate diagnosis by esophagogram revealed a large mass in the cervical esophagus; CAT scan showed intraluminal mass at the level of thoracic inlet, esophagogastroscopy showed a fleshy polyp (3.2cm x 3.0cm) at 20 cm from the incisors with a biopsy confirming moderately differentiated adenocarcinoma with no evidence of Barrett's esophagus. Through a left cervical approach and resection of medial third of clavicle, the tumor was removed by partial esophagectomy followed by lymph node dissection, and proved to be T1NOMO, stage I (AJCC staging 6th ed.). Post operatively, the patient received chemoradiation with no evidence of recurrence or metastasis in six years of follow up. It seems this tumor has a much better prognosis than adenocarcinomas arising from Barrett's. To our knowledge only 19 cases have been reported in literature so far.

[Determination of metronidazole in gastric juice by high performance liquid chromatography]

Metronidazole (MTZ) is the first chosen drug of anti-anaerobe which was recommended by World Health Organization. In this paper a high performance liquid chromatographic (HPLC) method has been developed to determine the concertration of MTZ in human gastric juice. Gastric juice was obtained by intubation after taking drug, then the sample was precipitated with ethanol to remove proteins, centrifuged, filtered and finally assayed by HPLC. The operating conditions were reversed phase C18 column (4mm x 150mm), CH3OH:KH2PO4 (5mmol/L, pH 4.0) = 10:90 mobile phase with flow rate of 1.5mL/min and detection wavelength at 320nm. The standard working curve was Y = -1.63 + 1.15X, with r = 0.9999, n = 7. The linear range was 2.5-200mg/L. The detection limit was 0.4mg/L. The average recovery was 96.0% and the coefficient of variation was 3.07%. This method can be applied to guide clinical therapy and pharmaceutical research.

[Detection of the level of serum IgG antibody to hepatitis E virus]

The levels of serum IgG antibody to hepatitis E virus (anti-HEV-IgG) was detected in serum specimens from 50 patients with acute sporadic hepatitis E and 20 healthy donors who were positive for anti-HEV-IgG by ELISA titration. The results showed that the level of anti-HEV-IgG in acute hepatitis E patients was significantly higher than that in healthy donors and the average titer is 1:121 and 1:22, respectively (P < 0.01). So acute viral hepatitis E should be diagnozed when the titer of anti-HEV-IgG was over 1:40.