简介：除了常规触诊方法，运动(ROM)和活动性的脊椎的范围上的检查能帮助决定病理学的排水量并且因此为针的tuina操作提供稳固的基础。

简介：Objective:TocompareIOPreadingsobtainedbyGoldmannap-planationtonometrywiththoseobtainedwiththeProViewMonitorMethods:34patientswithopenangleglaucomaorocularhypertensionweretaughttousetheProViewtonometer.ThentheirIOPwasmeasuredthreetimeswiththeGoldmanntonometerandthenthreetimeswiththeProViewtonometer.In14ofthepa-

简介：AbstractObjective:The aim of this study was to analyze the outcomes and complications of endoscopic tympanoplasties and review the strategies for endoscopic revision surgeries.Methods:Revision endoscopic surgeries are performed on patients with unsatisfactory outcomes after endoscopic tympanoplasties. This study was approved by the Ethics Committee of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, China (approval No. 2020-0045-1).Results:Residual or recurrent tympanic membrane marginal perforation is treated by autogenous fat and cartilage grafting; graft collapse is treated using tissue from the tragus; and graft displacement is treated by endoscopic fixation of the cartilage-perichondrium complex. Lateral healing of the tympanic membrane, prosthesis fracture, prosthesis extrusion, middle ear adhesions, and recurrent perforation also required revision surgeries.Conclusion:Residual or recurrent tympanic membrane marginal perforation is the most common cause of unsatisfactory outcomes after endoscopic tympanoplasty; fat grafting is effective only for small perforations. Small cartilage grafts are an effective means of dealing with residual marginal perforation; the cartilage and perichondrium complex should be fixed securely. Patients with prosthesis implants require regular examination.

简介：AbstractObjective:Pemphigus is a life threatening autoimmune bullous disease which involves the skin and mucous membranes of the stratified squamous epithelium. The global distribution of Pemphigus varies according to genetic, ethnic, socioeconomic, and cultural backgrounds. The purpose of our study is to evaluate the epidemiological features of pemphigus a single center in Morocco and compare our results with those reported elsewhere.Methods:A retrospective analysis was conducted of 302 pemphigus patients seen between 1990 and 2020 in the Dermatology Department of Ibn Sina Hospital (Rabat, Morocco). We further collected all the Moroccan scientific researches published by now to compare.Results:The average annual incidence was 0.32/100,000 inhabitants. The incidence doubled to 0.72 in 2020. The most common variant was pemphigus vulgaris (125 cases) followed by pemphigus erythematosus (99 cases), pemphigus foliaceous (40 cases), and vegetans (27 cases). The female to male ratio was 0.75, the average age at onset was 53 years old and the mean duration of the disease before diagnosis was 13.36 months.Conclusion:This study joins the main characteristics of pemphigus in the Maghreb and around the world (pemphigus vulgaris most frequent subtype). In 2020, an epidemiological peak occurred during the coronavirus disease 2019 pandemic; probably related to stress and delayed time consultation for fear of contracting the severe acute respiratory syndrome coronavirus 2.

简介：BackgroundInmanyEuropeanandAmericanhospitals,representedbytheHouseEarClinic(HEC),theoverlaytympanoplastyisusedwithrareexception,withsimultaneouscanalwallupordownmastoidectomybeingtakenifneeded.InChina,underlaytympanoplastyisusedacrossthecountry,buttheoverlaytech-niqueisusedrarely.Theaimofthecurrentstudywastoreporttheauthors’experiencewithoverlaytympa-noplastyin83Chinesepatientsandstudyitsvalue.MethodsEight-threepatients(86ears)underwentover-laytympanoplastyinaccordancetothestandardoftheHEC.Thepatientswerefollowedupandconditionsoftheexternalauditorycanal,tympanicmembraneandhearingwerereviewedandanalyzed.ResultsAllpatientsgainedstageIincisionhealing.Thesizeofexternalauditorycanalandtympanicmembranemor-phologyweresatisfactory.Hearingeitherremainedunchangedorimproved.Therewerenohearingdeterio-rationorseriouscomplications.ConclusionsOverlaytympanoplastycarriespositivevalueintreatingchron-icotitismediaandcholesteatomawiththemeritsofprocedurestandardization,adequateoperativeexposure,thoroughdiseaseeliminationandextensiveadaptation.

简介：

简介：Inthisarticle,effectivefingerpressuremethodsforthetreatmentofinfantileindi-gestionwereintroduced,whichincludebackfingerknockingmethod,Jiajipointspressingmethodandabdomenfingerpressingmethod.64caseshavebeenobserved.Amongthem,cured:43cases,significantlyimproved:12cases.Thetotaleffectiverate:98.4%.Theresultsshowedthatfingerpressuremethodisaneffectiveexternaltreatmentmethodwhichhasthecharacteristicsofsimplicity,nodamage.Thismethodcanbewidelyacceptedbychildren.

简介：Objective:Implantableportthrombosis(IPT)incancerpatientsisarelativelyrarebutseverecomplication.Severalfactorsarereportedlyassociatedwiththeoccurrenceofthrombosis.WeaimedtodescribetheprevalenceandtheanatomoclinicalfeaturesofIPTobservedincancerpatientswhoweretreatedinamedicaloncologydepartmentinTunisia.Methods:Atotalof600cancerpatientswhohadportimplantationfromJanuary2013toDecember2015wereretrospectivelyidentified.Caseswithsymptomatic/incidentalIPT(radiologicallyconfirmed)werefurtheridentified.Epidemiologicalandanatomoclinicalfeatureswerecollectedfrompatientrecordsandthedepartmentdatabase.Results:Weobservedthat33ofthe600patientshadIPT;thus,theprevalencewas5.5%.Themedianagewas57years,andthegenderratiowas0.43.Overweightorobesitywasobservedin73%ofthepatients.IPToccurredmainlyinpatientswithbreast(36.4%)andcolorectal(33.3%)cancers,whichweremostlynonmetastatic(79%).Atleastoneidentifiedclassicalthromboembolicriskfactorwasfoundin13patients(smokingin9,tamoxifenin2).IPTwassymptomaticin93%ofthecases,occurringwithinanaveragetimeof56days.Implantableportswereremovedbecauseofinfectionin2casesandnonfunctionalityin3cases.IPTtreatmentwasbasedonlow-molecular-weightheparins(94%)andantivitaminK(6%)foranaverageof130days.Fourpatientshadpost-therapycomplications:onethrombosisrecurrenceandthreeinfections.Conclusions:IPTcasesinthe600patientswereobservedtooccurinobesenonmetastaticcancerpatientswithinthefirst3monthsafterIPimplantation.

简介：

简介：Aim:Toexaminethetherapeuticeffectofacupunctureinthetreatmentofwithpseudobularparalysispatients.Methods:PseudobularparalysiswasconfirmedbyCTscanningexamination.Relevanttreatmentswereadministeredaftersyndromedifferentiation.Acupoints:Fengchi(GB20),Fengfu(GV16)andTaichong(LR3)werepuncturedandstimulatedwithuniformreinforcing-reducingmethodforsubduingtheliver-yangandeliminatingwind.UpperLianquan(RN23)andFenglong(ST40)werepuncturedandstimulatedbyreducingmethodforresolvingphlegmtoclearawayobstructioninthechannels.AcupointZusanli(ST36)wasadministeredwithreinforcingmethodtotonifyqi.Atreatmentcoursecomprisedof10sessions,with1to2days'internalbetweentwocourses.Eachcasereceivedatotalof20treatmentsessions.AcupointonthenechsuchasFengchi(GB20)wasadministeredwithretainingtheneedleinthesittingpositionfor10minutes.Results:Atotalof14caseswereobserved.After2coursesoftreatment,12cases(86%)werecured,onecase(7%)hadimprovementandtherestonehadnoapparentchanges.13cases(93%)hadtheirnagogastricfeedingtubesremoved.Conclusions:Ourexperienceshowedthatacupuncturetreatmentforpseudobularparalysistypeapoplexywassatisfactoryinthetherapeuticeffect.

简介：

简介：Thereisagrowingneedworldwidetotakemedicalcaretodistantlocationsfarfromthemainurbancenters,particularlytoruralareas.Furthermore,thereistheethicalimperativetoprovideequalaccesstomedicalcaretoallpatients,regardlessoftheirplaceofresidence,soastosatisfyanincreasinglydemandingpopulation.Awidespreadproblem,fromwhichcardiologyisnotexcepted,istheinsufficientnumberofspecialistsandtheirunevendistribution.Theupsurgeininformationandcommunicationstechnologyhasmadeavailablealargecollectionoftools,mainlycomputers,smartphones,e-mail,andtheInternet,tonamejustafew,tomeettheneedsofcommunicationbetweenindividualsandorganizations.ThisarticledefinestelemedicineanddescribesitsapplicationinthepracticeofcardiologyanditsimpactinChile.

简介：韩碧英教授是在针灸部门ofGuang的一位主要医生汉语的中国学院的一所人医院医学科学。她从事临床的实践将近40年了并且积累了丰富的临床的经验，特别在临床的症候群区别。我是幸运的跟随教授汉在周末练习针灸并且向他学习。我现在为参考与证明的格介绍她的学术想法和临床的经验。

简介：

简介：客观：与胸或腹的损害调查polytraumapatients的早诊断和治疗。方法：有胸或腹的损害的所有polytrauma病人的数据回顾地在过去的10年期间被学习。结果:在现在的学习，有1540个polytrauma病人，为所有2368个损伤病人中的65.0%个的财务。这些病人，62.4%处于承认上的吃惊状态。起作用的率是15.0%(181/1206)并且79.9%(612/766)在有胸、腹的损害的病人(P<0.01)，5.2%(39/758)并且31.7%(142/448)在有钝、渗透的胸损伤的病人(P<0.01)，and72.4%(359/496)并且93.7%(253/270)在有钝、渗透的腹的损害(P<0.01)的病人分别地。处理腹的损害，angioembolization在43种情况中被执行，与42治好。全面死亡率是6.2%。并且在钝、渗透的亚群，死亡是7.9%(75/950)并且3.6%(21/590)，分别地(P<0.01)。大多数病人死了fromexsanguination。结论：“在损伤以后的第一个金色的小时”应该被掌握，自从在这个小时的治疗能极大地决定非常伤害的牺牲品是否能幸存。迅速的诊断和合适的治疗比这些更极大地作出贡献到牺牲品的幸存损害的真理。

简介：AbstractChronic hepatitis B virus (HBV) infection is a serious health issue because of its severe sequelae. Prevention of mother-to-child transmission (MTCT) of HBV is critical to eliminate chronic HBV infection. Here, we reviewed the progress toward the elimination of HBV infection in children in China in the recent decade. A universal hepatitis B vaccination program started from 2002 has been intensified, with the coverage of timely birth dose >95% of all newborn infants from 2012. Since 2011, China has taken a nationwide program to administer hepatitis B immunoglobulin (HBIG) with free of charge in all neonates of HBV-infected mothers, leading to a significant increment of timely use of HBIG. The prevalence of hepatitis B surface antigen (HBsAg) was declined from around 10% among children in 1980s to <0.5% among children born after 2011. Administration of oral antiviral agents in HBV-infected pregnant women with HBV DNA >2 × 105 U/mL during the third trimester is increasing, which will further reduce MTCT of HBV. However, there are some challenges in the elimination of HBV infection in children, which need to overcome by the concerted efforts. Nevertheless, it is anticipated that China will achieve the goal set by the World Health Organization that the prevalence of HBsAg in children aged <5 years is ≤0.1% by 2030.

简介：Dr.YINMingisskilledatthepediatricdiseasesandwinsthetrustfromherpatientsandtheirfamilies.Ilearnedalotfromtheclinicalpracticewithherandnowtheexperienceisasfollows.

简介：

简介：ObjectiveToreportoutcomesofnonsurgicalandsurgicalmanagementofMenière’sdiseaseatBeijingTiantanHospital.MethodsPatientswithMenière’sdiseasewerecategorizedintogroupsbasedonhearingandqualityoflife.Individualizedmanagementwasprovided,includinglifestylemodification,drugtherapies,endolymphaticsacdecompressionandlabyrinthectomy.Treatmentoutcomeswereevaluatedduringupto24monthsfollowup.ResultsEightysevenpatientsunderwentlifestylemodificationanddrugtherapies.ThevertigocontrolrateofGradeAandBwas76.9%and83.8%respectively.Sixpatientsreceivedsurgicalmanagement,includingendolymphaticsacdecompression(n=5)andlabyrinthectomy(n=1).Forthesepatients,thevertigocontrolrateofGradeAandBwas80%and100%,respectively.ConcluIsionsManagementofMenière’sdiseasedependsonseveralfactors,i.e.severitiesofvertigoandhearingloss,qualityoflife,surgicalcontraindicationsandpatientsubjectivedesire.Thetreatmentisdrugtherapiesforthemajorityofpatients,aswellaslifestylemodification.Surgicalindicationsarerareandtheleastinvasiveproceduresshouldbeconsideredfirst.Theresultsofsurgeryaregenerallysatisfying.

简介：无