简介：在繁体中文药的天津学院的首先隶属于的医院的针灸部门的一位主要医生拉恩·尤林教授在脑血管的疾病和颈、腰部的疾病的治疗与完美的医疗技术和富有的经验自己从事中国药超过30年了，特别在由针灸的妇产科的混乱的治疗。我作为一个实习生跟随教授Lian并且由针灸在妇产科的混乱的处理学习了一些熟练技术。

简介：AbstractBackground:The symptomatic bradyarrhythmia is Class I indication for pacing therapy which is not a radical cure. The present study aimed to assess the feasibility and to present the initial results of the restricted ablation of the parasympathetic innervation surrounding sinus and atrioventricular (AV) nodes for treating patients with bradyarrhythmia.Methods:A total of 13 patients with cardiogenic syncope were included from May 2008 to June 2015. Under the guidance of fluoroscopy and /or three-dimensional geometry by 64-slice spiral computed tomography, atrial activation sequence in sinus rhythm was mapped. Chamber geometry was reconstructed manually or automatically using the Niobe II magnetic navigation system integrated with the CARTO-remote magnetic technology (RMT) system. Cardioneuroablation was targeted at the high-amplitude fractionated electrograms surrounding the regions of His bundle and the site with the earliest activation in sinus rhythm. Areas surrounding the sinus node, AV node, and the phrenic nerve were avoided.Results:Thirteen patients completed the studies. Ablation was successfully performed in 12 patients and failed in one. The high-frequency potential was recorded in atrial electrograms surrounding the sinus or AV nodes in all the patients and disappeared in 15 s after radiofrequency applications. The vagal reaction was observed before the improvement of the sinus and AV node function. No complications occurred during the procedures. Patients were followed up for a mean of 13.0 ± 5.9 months. During the follow up ten patients remained free of symptoms, and two patients had a permanent cardiac pacemaker implanted due to spontaneous recurrence of syncope. The heart rate of post-ablation was higher than pre-ablation (69.0 ± 11.0 vs. 49.0 ± 10.0 beats/min, t = 4.56, P = 0.008). The sinus node recovery time, Wenckebach block point, and atrium-His bundle interval were significantly shorter after ablation (1386.0 ± 165.0 vs. 921.0 ± 64.0 ms, t = 7.45, P = 0.002; 590.0 ± 96.0 vs. 464.0 ± 39.0 ms, t = 2.38, P = 0.023; 106.0 ± 5.0 vs. 90.0 ± 12.0 ms, t = 9.80, P = 0.013 before and after ablation procedure, respectively).Conclusions:Ablation of sinoatrial and AV nodal peripheral fibrillar myocardium electrical activity might provide a new treatment to ameliorate paroxysmal sinus node dysfunction, high degree AV block, and vagal-mediated syncope.

简介：无

简介：Objective:Differentiatedthyroidcarcinomas(DTCs)areclassifiedintopapillarythyroidcarcinoma(PTC)andfollicularthyroidcarcinoma(FTC).DTCsareanalyzedasasinglegroupinclinicalstudiesthatinvestigatedtheprognosticfactorsandprognosisofthesemalignancies.However,thebiologicalbehaviorsofthesecarcinomassignificantlydiffer.Inthepresentstudy,weaimedtodetectdifferencesintheoutcomesbetweenPTCandFTCinMansouraUniversityHospitalinEgypt.Methods:Atotalof558patientswithhistologicallyproventhyroidcarcinomasfromJanuary2003toDecember2012wereretrospectivelyenrolled.Theclinicalandpathologicaldataofpatientswerereviewed.Results:Largeprimarytumorsize,lymphnodeinvolvement,extrathyroidextension,anddistantmetastasisweresignificantpoorprognosticfactorsforoverallsurvival(OS)inoldPTCpatients.Coxhazardanalysisshowedthatthepatient'sage,extrathyroidextension,anddistantmetastasisweretheonlyindependentprognosticfactors.InFTCpatients,onlythedistantmetastasisanddegreeoftumorinvasionweresignificantpoorprognosticfactorsinOSunivariateanalysis.However,thesefactorswerenonsignificantinmultivariateanalysis.The10-yearOSrateswere97%and89%forPTCandFTC,respectively(P=0.003).The10-yeardisease-freesurvival(DFS)rateswere77.2%inPTCvs.65%inFTC(P=0.179).Conclusion:ThesignificantprognosticfactorsvarybetweenthetwotypesofDTCs.Therefore,PTCandFTCpatientsneedtobeanalyzedandreportedindependently.PTCsurvivaliswidelyandsignificantlyaffectedbyage,extrathyroidextension,anddistantmetastasis.Bycontrast,thesefactorswerenonsignificantinFTC,whichshowedpoorersurvivalthanPTC.

简介：Managingmicrotiapatientsisalwaysachallenge.Multidisciplinaryapproach,goodfamilysupport,wellestablisheddoctorepatientrelationshipandwellorganisedpatient-supportgroupsaretheessentialelementsforsuccess.Withtheadvancementofimplantablehearingdevices,moreoptionswillbeavailableforthemicrotiapatients.Otologistsplayaleadingroleinthewholemanagementprocess.Theynotonlyprovideproperguidancetothepatientsinchoosingthecorrectpathofthetreatment,butalsoplayakeyroleinorganisingandmaintainingacosteffectivemultidisciplinaryrehabilitationteamforthemicrotiapatients.

简介：Sincethe1993WorldConferenceonhumanRights,nineAfricancountrieshaveimplementedtenhumanrightsactionplans.AnanalysisofthetextsandrelatedimplementationoftheseplansrevealsthattherearefourmechanismsthatplayakeyroleinimprovingtheeffectivenessoftheimplementationofthenationalhumanRightsActionPlan,namely,thepositioningandfocusingmechanismforthecountry’scorehumanrightsissues,theintegrationmechanismbetweentheactionplansandthecountries’developmentstrategies,domesticeconomicgrowthandrelatedresourcesutilizationmechanism,andeffectivegovernanceofdomesticpublicconflictsandpublicorderguaranteemechanism.definingandcoordinatingthesemechanismsisofgreatpracticalsignificanceforimprovingtheeffectivenessofhumanrightsactionplansindevelopingcountries.

简介：这篇论文由脉搏感到在肿瘤的处理把简短介绍给了教授于的经验，它都通过整个针灸实践被进行。Wehope医生将在尝试在未来在脉搏诊断上做进一步、深入的研究揭示在脉搏和针灸之间的内在的关系提高临床的功效并且因此在肿瘤的治疗开创针灸的更宽广的空间。

简介：Objective:Toassessthecardiovascularabnormalitiesinpatientswithspontaneoussubarachnoidhemorrhage(SAH).Methods:AllpatientsadmittedtoourinstitutionwithaprimarydiagnosisofspontaneousSAHandhadatransthoracicechocardiogram(TTE)performedfrom1stofJuly2011until30thofMay2014wereenrolled.Results:Outof2058patientsadmittedtoourinstitutionwithadiagnosisofSAH,overathreeyearperiod,only244patients(12%)hadTTEperformedduringtheindexhospitalization.Inthisselectedcohort,themeanagewas59yearsand66%ofpatientswerefemale.ElevatedtroponinTwasnoticedin37%ofpatientsandQTcprolongationwasthecommonestECGabnormalityoccurringin49%ofthepatients.Thirtyninepatients(16%)hadarestingsegmentalwallmotionabnormalityontheTTE,includingfivepatientswithapicalballooning.In-hospitalmortalitywas15.6%(38patients).Conclusion:CardiovascularabnormalitiesinselectedpatientswithSAHwhohadcardiacultrasoundarerelativelycommon;howevertheincidenceofventricularballooningislow.InordertoattainthecorrectincidenceofcardiovascularabnormalitiesinSAHpatients,allpatientsadmittedwithSAHshouldundergoTTEandhaveECGandcardiacmarkerscheckedduringtheirhospitalization.

简介：ＴｈｅＩｍｐａｃｔｓｏｆＬｏｗｅｒＰｏｐｕｌａｔｉｏｎＧｒｏｗｔｈｏｎｔｈｅＱｕａｌｉｔｙｏｆＬｉｆｅａｎｄＥｃｏｎｏｍｉｃＤｅｖｅｌｏｐｍｅｎｔ：Ｃｈｉｎａ＇ｓＥｘｐｅｒｉｅｎｃｅＪｉａｎｇＺｈｅｎｇｈｕａ＆ＺｈａｎｇＬｉｎｇｇｕａｎｇＶｉｃｅＭｉ...

简介：无

简介：

简介：ＰｒｅｌｉｍｉｎａｒｙｄｉｓｃｕｓｉｏｎｏｎｅａｒｔｈｑｕａｋｅｐｒｅｄｉｃｔｉｏｎｒｅｓｅａｒｃｈＷｈｅｔｈｅｒｉｔｒｅｌｉｅｓｏｎｅｘｐｅｒｉｅｎｃｅｏｒｄｅｔｅｒｍｉｎａｃｙＬＩＵＱＩＡＯＷＡＮＧ（王六桥）ＳｅｉｓｍｏｌｏｇｉｃａｌＢｕ...

简介：DoctorHUAXue-gui,anassociatechiefphysicianinShanghaiResearchInstituteofAcupunctureandMeridian,hasbeenengagedinclinicalpracticeandscientificresearchofacupunctureforover30years.Shehascreatedasetofuniqueandcompleteacupuncturemodalitiesforneurotictinnitusand

简介：Thepurposeofthispaperistoclarifythequestionsconcerningstimulationoftheinnovationandthediffusionofenergysavingorlow-carbon.Todoso,thispaperexplainsusingtwocasesofJapan-energysavinginnovationaftertheOilShockandtheecopointssystem.Forthecaseaftertheoilshock,weexplaintheenergysavingtrendaftertheOilShockandthefactorsstatistically.Thenweputforwardthebusinessmodelforthelow-carboneconomy.Furthermore,weanalyzethecaseoftheecopointssystemfrom2009-2011inJapanandexplainthesignificanceofthebusinessmodelfordiffusionofthelow-carbonproducts.

简介：

简介：

简介：

简介：AbstractBackground:Pulmonary deportation of hydatidiform mole is an exceedingly rare entity. The underlying mechanisms and proper management strategies remain unclear based on sporadic case reports over the past six decades. This study aimed to investigate the clinical features and rational treatment of patients with benign molar pregnancies with pulmonary deportation based on our experience.Methods:Medical records of 20 cases of hydatidiform mole with pulmonary deportation were retrospectively reviewed at Peking Union Medical College Hospital from November 2006 to May 2019. The detailed information of all patients was recorded and analyzed. Patients were divided into different groups according to their characteristics and Mann-Whitney U test was used to compare the duration to achieve a normal β-human chorionic gonadotrophin (β-hCG) level after the first evacuation among groups.Results:Initial pulmonary computed tomography scans showed suspected bilateral, left and right chest deportation of hydatidiform mole in 12, four, and four patients, respectively, with the maximum nodular diameter ranging from 0.6 to 1.2 cm. Ten patients achieved lesion resolution while the remaining ten patients achieved decreases in the size of their pulmonary lesions. The median duration to achieve a normal β-hCG level after the first evacuation was 15.5 (13.0, 21.9) weeks. There was no significant difference in the duration to achieve a normal β-hCG level after the first evacuation between two groups based on age (≥40 years vs. < 40 years: 15.8 [12.2, 21.5] weeks vs. 15.5 [12.9, 23.0] weeks, Z = 0.094, P = 0.925), type of antecedent mole (partial mole vs. complete mole: 15.2 [12.5, 27.4] weeks vs. 15.9 [12.9, 21.5] weeks, Z = 0.165, P = 0.869), distribution of pulmonary nodules (bilateral lungs vs. unilateral lung: 15.2 [12.8, 22.5] weeks vs. 15.9 [13.2, 22.2] weeks, Z = 0.386, P = 0.700), maximum size of pulmonary nodules (>0.5 cm vs. ≤0.5 cm: 13.0 [11.3, 17.2] weeks vs. 16.0 [14.5, 23.8] weeks, Z = 1.815, P = 0.070), and number of uterine evacuations (once vs. twice or three times: 15.0 [13.0, 16.3] weeks vs. 16.0 [12.8, 23.9] weeks, Z = 0.832, P = 0.405). The post-molar cohort was followed up for 17 to 139 months, and no gestational trophoblastic neoplasia was observed.Conclusions:No surgeries other than uterine evacuation and no chemotherapy regimens are recommended for such patients if they achieve satisfactory decreases in the level of hCG and gradual decrease or disappearance of pulmonary deportation nodules. Patients should be informed about the necessity of long-term follow-up. More collaborative international studies on this exceedingly rare condition may guide decisions regarding optimal management strategies.

简介：

简介：