A clinical classification of hypertension

Hypertension is a common cardiovascular problem worldwide. As with any other disease it is important to assess the severity of the disease. However the present classification of hypertension by the Joint National Committee in its seventh report （JNC 7） with numerical values staging the severity of hypertension is theoretically correct but difficult to apply in practice （Table 1）. Admittedly this is a step in the right direction with lesser number of stages compared to the sixth report.     

Treatment of A Case of Spontaneous Rupture of Achille''''s Tendon

Mr.Guo,51 years old,paid his first visit onNovember 7,2001.The patient felt sudden pain inthe right Achille's tendon in June 1999 with noapparent predisposing factors.Several months laterhe palpated a small pitting in the middle of the rightAchille's tendon,which expanded gradually in size.In June 2000,two thirds of the tendon was diagnosedto be ruptured in a local hospital.Ten days later thetendon was ruptured completely when he felt suddensevere pain,numbness and distention,and he wasunable to raise the heel.The lesion was healed three     

A Study of the electronic information monitoring of bruxism

Objective:Bruxism is the term used for teeth grinding or jaw clenching. An electronic monitor of bruxism was developed to evaluate bruxism duration and frequency. Methods: Ten cases were selected in the Department of Prosthodontics of Jiangsu Stomatological Hospital to evaluate the monitor. A stabilization occlusal splint was fabricated for each of the 10 cases. The vertical dimension for each splint was 0.5 mm lower than mandibular postural position. Some sensors had been prearranged at each splint which could transfer the variation of the biting force into electronic signals. The data of sleeping duration, grinding duration and grinding frequency were recorded with this new type of bruxism monitor, which had been specifically invented to study bruxism. Results:The data from 10 bruxism cases were collected and the results were considered reliable. Subjects nocturnal duration parameters did not change significantly from night-to-night. Conclusion:The bruxism monitor can automatically measure and record bruxism data using an occlusal splint. This device is valuable for diagnosis and evaluation of bruxism.     

A Profile of the Pharmacy Department of Changzheng Hospital

The Pharmacy Department of Changzheng Hospital, Second Military Medical University was found in 1959. With unremitting efforts of several generations for over 40 years since its foundation, the     

A Study of Extra—auditory Effects of Noise

INTRODUCTI0NStudiesconductedinvariouspartsoftheworldhaveP0intedtothegrowingthreattoourphysiologicalandmentalwell-beingfromcommunitynoise,trafficnoiseandthenoiseprOducedbyvariousindustrialandcommercialprocesses.WorkersinlargeindustriesareatsPecialriskastheyareexposedtohighdecibelleveloveraneighthourshiftcontinuouslyforlongperiodsoftimeincourseoftheiroccupation.Noisecanaffectthenormalphysiologicalfunctioningofvarioussystemsincludingthoseofcardiovascular,respiratory,gastrointestinalandendocr…     

Tumours of the Scalp： A Review of Ten Cases

Background： The scalp is a common site for the development of tumours. Most of these tumours are benign; among the malignant ones, squamous cell carcinoma （SCC）） and basal cell carcinoma （BCC） predominate. In Ghana patients with scalp turnouts do not report to hospital unless they are symptomatic. Data on the condition is therefore scanty. Patients and Methods： The objective of the study was to document the hospital prevalence and the management outcome of patients with scalp tumours. Patients with turnouts of the scalp reporting at the Reconstructive Plastic Surgery and Burns Unit （RPSBU） at Komfo Anokye Teaching Hospital （KATH） who were managed by the author between June 2003 and June 2009 were entered into the study. The patients were examined clinically and the diagnosis confirmed by biopsy. The scalp tumours were excised and the defect closed directly, skin grafted, or repaired with a flap as appropriate. Results： Ten patients with eleven scalp tumours were managed during the study period from June 2003 to June 2009, made up of four males and six females. Their ages ranged from 16 to 70 years, with a mean age of 41.7 years. Two benign scalp turnouts, a sebaceous cyst and a sebeceoma were located in the frontal region; five cases of SCC and one case of basosquamous cell carcinoma （BSC） in the parietal region, two cases of SCC in the temporal region, and one case of SCC in the occipital region of the scalp. Eight of the tumours developed de novo from the scalp; one developed from a chronic burn scar （Marjolin＇s ulcer）; two tumours developed from the scalp of a patient with xeroderma pigmentosum. Two patients had excision and direct closure of the defect; six had excision and skin grafting; two had excision and flap repair. One patient had block dissection of the left cervical lymph nodes, and two patients had adjuvant radiotherapy. Conclusions： Most tumours of the scalp presenting at the RPSBU at KATH are SCC which developed de novo. Chronic burn scars and xeroderma pigmentosum were some of the aetiological factors identified. Early lesions can be cured by excision and skin grafting.     

A Review of Opioid Detoxification Treatment

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A case of diffuse panbronchiolitis.

ＡＣＡＳＥＯＦＤＩＦＦＵＳＥＰＡＮＢＲＯＮＣＨＩＯＬＩＴＩＳＨｕＨｏｎｇ胡红，ＬｉｕＹｏｕｎｉｎｇ刘又宁，ＣａｉＺｕｌｏｎｇ蔡祖龙ａｎｄＣｈｅｎＬｉａｎｇ＇ａｎ陈良安Ｄｉｆｕｓｅｐａｎｂｒｏｎｃｈｉｏｌｉｔｉｓ（ＤＰＢ）ｉｓａｃｈｒｏｎｉｃｉｎｆｌａ...     

A Review of Botulism in China

The epidemiological characteristics and etiology of botulisin in China, as well as the distribution of different types of Clustridium bolulinum in China; are described.Through 1989, 15 provinces and autonomous regions reported the occurrence of botulism.There were 2861 cases involved in 745 outbreaks.Among the cases 421 died, with a case fatality of 14.7%.The main epidemiological characteristics of botulism in China are: (i) the major foods causing botulism are homemade fermented bean products which accounted for 62.6% of the cases; (ii) the incubation period is longer (3 h-54 days) than that described in the western literature (mostly 2-7 days); (iii) the peak occurrence is from February to May; (iv) the progression of symptoms and signs is slower than that of western cases.All types of C.bolulinum.with the exception of type G, have been found in China.The distribution of various types of C.botnlinum is significantly different between southern and northern China; this is related to the latitude and is correlated with the prevalence of this disease.Most of the botulism outbreaks occurred above 30° north latitude in northern China and outbreaks rarely occurred below 30° north latitude.Nationwide surveys showed that the average detection rate of C bolulinum spores in soil and foods in the northern parts of China was 14.8%.while it was only 2.5% in the south.C.bolulinum types A, B, E.and F, which are involved in human botulism, were frequently found in the North, while types C and D, which are involved only in animal intoxication, were found more frequently in the south. 1990 Academic Press.Inc.     

A complication of becoming a centenarian

About three years ago a blind patient of mine reached his lOOth birthday. He held an open house at his home, a fisherman＇ s cottage perched high up overlooking the whole of Swansea bay. I was invited, as were many others, and even the mayor called in.     

A brief history of human constitutionology

Human constitutionology is a new theory after Virchow’s cell pathological theory, Pavlovism, and Selye’s stress theory from the standpoint of western medicine; and a new thought as a school of constitution formed after the school of seasonal febrile dis…     

Homotransplantation of testis. A report of 11 cases.

Testis homotransplantation has been carried out in 11 patients since 1986. Of them, 8 suffered from congenital testicular dysplasia and the other 3 from orchiatrophy as a result of orchitis. Preoperatively, manifestations were a small penis, small testes, sexual dysfunction, indistinct secondary sex characteristics and low serum testosterone (1.7-7.35 mmol/L). Three cases had cadaver transplants and 8 had living relatives' transplants. The patients were followed up for 7 months to 4 years. The secondary sex characteristics and sexual function were improved remarkably after transplantation. Serum testosterone increased up to 12.8-18.2 mmol/L. All of 5 married patients resumed sexual intercourse satisfactorily. Three others got married after transplantation and have enjoyed normal sexual functions. Spermatozoa have been found in the semen in 3 of the cases.

     

A Study of Immunological Indices for Diagnosis of Chronic Berylliosis

The results of the Be-induced leukocyte migration inhibition test(Be-MIT),the lymphocytetransformation test(LI),the E-rosette formation test(E-RFC),the old tuberculin test(OT),andsero-immunoglobulin(IgG,IgA,IgM)measurements on 13 cases of berylliosis,44 members ofthe observation group,and 51 members of the contact group are rèported.In the Be-MIT,2 ofthe berylliosis patients were new cases that had been diagnosed and treated for a long time,andboth tested positive(18%).Fourteen patients from the observation group tested positive(32%),and 15 from the contact group tested positive(30%).The 8 cases in the control group testednegative;7 patients from the observation group and 3 of the berylliosis cases tested negative afterbeing treated.The lymphocyte transformation rates of the observation group and the berylliosisgroup were significantly lower than that of the control group(P<0.01).Both Et-RFC and Ea-RFC contents in the group with berylliosis were much lower than those in the control group(P<0.01).OT tests were performed on 8 berylliosis patients and 10 healthy men.Seven patientsshowed negative reactions and one showed a positive reaction.All the healthy men showedpositive reactions.The IgG and IgA levels of the observation group were significantly higherthan those of the control group(P<0.01).The Be-MIT could detect active beryllium disease atan early stage as well as Be-sensitive individuals.This test could be used as a supplementarydiagnostic index for the differential diagnosis of berylliosis and for the evaluation of a curativeeffect.1989 Academic Press,Inc.     

A Synoptical Introduction of The Clinical Application of Tripterygium Glycosides

Tripterygiumglyco sides(TG)referstothe totalglycosides,mainly theepoxyditerpenelac tonesextractedfromthe rootofTripterygiumWil fordiiHookf(TW),a commonvine liketoxicplantgrowninthewidear eaofSouthChina.Itpos sessespotentanti inflam matoryandimmunesuppressiveeffectsandalso someanti coagulationandbacteriocidalaction,andcomparedwithotherpreparationsofTW,it showsthesuperiorityofbeingsmallindoseand havinglessadverseeffect.Ithasbeenreportedtobeeffectiveintreatingpatientswithsuchdiseases asrheuma…     

A case of aneurysmal bone cyst of maxillary sinus.

Aneurysmal bone cyst is a benign lesion characterized by bulging or ballooning of cortical bone due to associated underlying expanding fibrovascular mass. The condition is uncommon and found predominantly in the vertebral column and long bones, but scarcely in the facial bones. In the late 1950s. Bernier and Baskhar reported the first case of aneurysmal bone cyst in the jaw. Later on. some cases appeared subsequently in the literature. Now we report the first case of aneurysmal bone cyst of maxillary sinus in China. Its clinical features, radiological and histopathological characteristics, and treatment are discussed in detail.     

Effects of Cyclosporin A on Proliferation of Cultured Rat Mesangial Cells

Mesangialproliferativeglomeru-lonephritis(MsPGN)isacommonpatho-logicaltypeofglomerulardiseasesinchil-dren[l].Itischaracterizedbyincreasednumbersofmesangialcells(MC)andin-creasedmesangialmatrix,finallyresultinginglomerulosclerosis.ProliferationofmesangialcellsareofgreatimportanceinpathologicalchangesandprognosisofgIomerulardiseases.Thus,attentionispaidtosearchofaninhibitorofproliferationofMCandinvestigationofitsmechanism.Cy-closporinA(CsA)isanimmunosuppressiveagentusedinthetreatmentofglome…