逐瘀通脉胶囊治疗急性脑梗死疗效观察

目的观察逐瘀通脉胶囊治疗急性脑梗死疗效观察。方法60例急性脑梗死患者随机分成2组,对照组和治疗组各30例,治疗组在对照组治疗的基础上加用逐瘀通脉胶囊,两组疗程均为14 d。比较治疗前后两组患者临床疗效、神经功能评分的变化和日常生活能力。结果总有效率治疗组为86.7%,对照组为76.7%,两组比较,差异有显著性P<0.01。2组神经功能缺损评分与治疗前比较,均明显下降,P<0.01;组间治疗后比较,神经功能缺损评分治疗组优于对照组,有显著性差异,P<0.01。ADL量表功能评定,治疗组治疗后生活基本能自理24例,生活需要帮助4例,需要很大甚至完全帮助2例;对照组治疗后生活基本能自理18例,生活需要帮助5例,需要很大甚至完全帮助7例;两组比较,差异有显著性P<0.01。结论逐瘀通脉胶囊治疗急性脑梗死疗效明显,使用方便,值得临床推广使用。

Quality of life and psychological outcome of donors after living donor liver transplantation

AIM: To investigate the health related quality of life (HRQoL) and psychological outcome of donors after living donor liver transplantation. METHODS: Participants were 92 consecutive liver transplant donors who underwent hepatectomy with- out middle hepatic vein at West China Hospital of Sichuan University between January 2007 and Sep- tember 2010. HRQoL was measured using the Chinese version of the Medical Outcomes Study Short Form-36 (SF-36), and psychological symptoms were measured using the Symptom Checklist-90-Revised (SCL-90-R). Data collected from donors were compared to previ- ously published data from the general population. Clin- ical and demographic data were collected from medical records and questionnaires.RESULTS: The general health score of the SF-36 was significantly lower in females (59.78 ± 12.25) than in males (75.83 ± 22.09). Donors more than 40 years old scored higher in social functioning (85.71 ± 14.59) and mental health (82.61 ± 20.00) than those younger than 40 (75.00 ± 12.13, 68.89 ± 12.98; social func- tioning and mental health, respectively). Donors who had surgery more than two years prior to the study scored highest in physical functioning (P = 0.001) and bodily pain (P = 0.042) while those less than one year from surgery scored lowest. The health of the liver recipient significantly influenced the general health (P = 0.042), social functioning (P = 0.010), and role- emotional (P = 0.028) of donors. Donors with full-time employment scored highest in role-physical (P = 0.005), vitality (P = 0.001), social functioning (P = 0.016), mental health (P < 0.001), the physical component summary scale (P < 0.001), and the mental compo- nent summary scale (MCS) (P < 0.001). Psychological measures indicated that donors were healthier than the general population in obsessive-compulsive behav- ior, interpersonal sensitivity, phobic anxiety, and para- noid ideation. The MCS of the SF-36 was significantly correlated with most symptom scores of the SCL-90-R. CONCLUSION: HRQoL and psychological outcome were favorable in living liver transplant donors after donation. Specifically, gender, age, time since opera- tion, recipient health condition, and employment after donation, influenced postoperative quality of life.

Quantitative Surface Chirality Detection with Sum Frequency Generation Vibrational Spectroscopy： Twin Polarization Angle Approach

Here we report a novel twin polarization angle （TPA） approach in the quantitative chirality detection with the surface sum-frequency generation vibrational spectroscopy （SFG-VS）. Generally, the achiral contribution dominates the surface SFG-VS signal, and the pure chiral signal is usually two or three orders of magnitude smaller. Therefore, it has been difficult to make quantitative detection and analysis of the chiral contributions to the surface SFG- VS signal. In the TPA method, by varying together the polarization angles of the incoming visible light and the sum frequency signal at fixed s or p polarization of the incoming infrared beam, the polarization dependent SFG signal can give not only direct signature of the chiral contribution in the total SFG-VS signal, but also the accurate measurement of the chiral and achiral components in the surface SFG signal. The general description of the TPA method is presented and the experiment test of the TPA approach is also presented for the SFG-VS from the S- and R-limonene chiral liquid surfaces. The most accurate degree of chiral excess values thus obtained for the 2878 cm^-1 spectral peak of the S- and R-limonene liquid surfaces are （23.7±0.4）% and （-25.4±1.3）%, respectively.

Introduction to cognitive assessment scales in screening for mild cognitive impairment after stroke: A review

Objective:In order to improve the quality of life of patients more effectively,this paper introduces the types and usages of scales for screening mild cognitive dysfunction after stroke and provides a basis for early identification of mild cognitive impairment.Methods:Read,analyze,summarize,and sort out relevant literature.Results:The mild cognitive impairment assessment scales are broadly divided into two categories:the comprehensive rating scales and the special assessment scales.There are 7 comprehensive assessment scales for the comprehensive rating scales,among which the Mini-mental State of Examination and the Montreal Cognitive Assessment Scale are the most widely used.The special assessment scales are mainly evaluated by the symptoms of cognitive dysfunction and can be divided into five types.Conclusion:Early diagnosis and intervention in patients with cognitive dysfunction will help improve the prognosis of patients.Each assessment scale has its advantages and limitations in both sensitivity and discrimination.Effective use of appropriate scales to diagnose cognitive dysfunction and to screen early,to prevent early,to treat early can effectively improve the quality of life of elderly patients.

Correct Path-Integral Formulation of Quantum Thermal Field Theory in Coherent State Representation

The path-integral quantization of thermal scalar, vector, and spinor fields is performed newly in the coherent-state representation. In doing this, we choose the thermal electrodynamics and psi(4) theory as,examples. By this quantization, correct expressions of the partition functions and the generating functionals for the quantum thermal electrodynamics and psi(4) theory are obtained in the coherent-state representation. These expressions allow us to perform analytical calculations of the partition functions and generating functionals and therefore are useful in practical applications. Especially, the perturbative expansions of the generating functionals are derived specifically by virtue of the stationary-phase method. The generating functionals formulated in the position space are re-derived from the ones given in the coherent-state representation.

中医证候诊断量表编制中的问题与思考

中医证候诊断量表在量表的功能、条目的表达、条目池的形成、条目的筛选与分级量化、量表的验证与应用方面仍存在尚未解决的问题。如量表的诊断与评价功能相混淆,条目的表达是否规范合理,量表缺乏诊断性试验角度的验证等。其中一些问题是可以避免的,如可以通过加深对诊断与评价二者概念的理解来避免量表功能的混淆;注意从诊断性试验角度来验证量表。而有些问题目前并无很好的解决方法,如量表条目的筛选、条目量化等,还有待于量表研制方法学的进一步发展与完善。

Clinical observation on tuina plus Baixiao moxibustion for temporomandibular joint dysfunction syndrome

Objective:To observe the clinical effect of tuina plus Baixiao moxibustion in the treatment of temporomandibular joint dysfunction syndrome(TJDS).Methods:A total of 70 TJDS patients who met the inclusion criteria were randomized into an observation group and a control group by flipping a coin,with 35 cases in each group.Patients in the observation group were treated with tuina plus Baixiao moxibustion,while patients in the control group received oral intake of diclofenac potassium(75 mg/pill),1 pill after every dinner.Both tuina and Baixiao moxibustion were done once a day during treatment.The therapeutic evaluation was evaluated after 10 treatments in both groups.The maximum mouth opening distanee and visual analog scale(VAS)were observed before and after treatment,and the therapeutic efficacy was also compared.Results:After treatment,the maximum mouth opening distanee and VAS improved in both groups(all P<0.05);both items in the observation group were superior to those in the control group(both P<00.05).The total effective rate was 91.4%in the observation group,versus 74.3%in the control group,and the between-group comparison of the total effective rate showed statistical significanee(P<0.05).Conclusion:Tuina plus Baixiao moxibustion can effectively improve TJDS patient's temporomandibular joint function and alleviate pain,with better efficacy than oral intake of diclofenac potassium.

The relations among the three kinds of conditional risk measures

Let（Ω , E, P） be a probability space, F a sub-σ-algebra of E, L^p（E）（1 p ＋∞） the classical function space and LF^p（E） the L^0（F）-module generated by L^p（E）, which can be made into a random normed module in a natural way. Up to the present time, there are three kinds of conditional risk measures, whose model spaces are L^∞（E）, L^p（E）（1 p ＋∞） and LF^p（E）（1 p ＋∞） respectively, and a conditional convex dual representation theorem has been established for each kind. The purpose of this paper is to study the relations among the three kinds of conditional risk measures together with their representation theorems. We first establish the relation between L^p（E） and LF^p（E）, namely LF^p（E） = Hcc（L^p（E））, which shows that LF^p（E）is exactly the countable concatenation hull of L^p（E）. Based on the precise relation, we then prove that every L^0（F）-convex L^p（E）-conditional risk measure（1 p ＋∞） can be uniquely extended to an L^0（F）-convex LF^p（E）-conditional risk measure and that the dual representation theorem of the former can also be regarded as a special case of that of the latter, which shows that the study of L^p-conditional risk measures can be incorporated into that of LF^p（E）-conditional risk measures. In particular, in the process we find that combining the countable concatenation hull of a set and the local property of conditional risk measures is a very useful analytic skill that may considerably simplify and improve the study of L^0-convex conditional risk measures.

Seiberg-Witten/Whitham Equations and Instanton Corrections in N = 2 Supersymmetric Yang-Mills Theory

We obtain the instanton correction recursion relations for the low energy effective prepotential in pure Ν = 2SU(n) supersymmetric Yang-Mills gauge theory from Whitham hierarchy and Seiberg-Witten/Whitham equations. These formulae provide us a powerful tool to calculate arbitrary order instanton corrections coefficients from the perturbative contributions of the effective prepotential in Seiberg-Witten gauge theory. We apply this idea to evaluate one-and two-order instanton corrections coefficients explicitly in SU(n) case in detail through the dynamical scale parameter expressed in terms of Riemann's theta-function.