膝关节肿痛中药康复治疗1例

Background: Most middle-aged and aged patients with knee joints swelling and pain (knee joints degeneration is shown by X ray) are obese, the knee joints are chronically damaged by heavy load and much walk or extra exercises. According to the Chinese medicine theories: the middle-aged and the aged have weak liver and kidney, their sinews and bones are not well nourished, when damaged by too much labor, they are attacked by wind and moist and it is the main cause of the disease. Objective: To discuss the treating effects of Chinese herb on knee joints swelling and pain. Unit: Chinese Medicine Hospital of Huzhou City.     

强者性脊柱炎38例分析

Background: Ankylosing spondylitis(AS) is a chronic inflammatory disease that affects the joints between the vertebrae of the spine, and the joints between the spine and the pelvis. It eventually causes the affected vertebrae to fuse or grow together.The special cause and therapy for this disease is unknown. It is past to think the AS is a kind of less spinal column disease.Along with progress in study of rheumatology at our country,AS is considered a kind of commonly encountered disease in China.     

意大利政府对残疾人的优惠政策及工法架构(英文)

The most important reference in Italian legislation concerning interventions in favour of people with disabilities came about with Law 104 from February 5th 1992 in which the most important rights for disabled people were established. This law led to a new vision,the person with disabilities is no longer seen only a subject needing help but as a person who has the right to live his life in the best possible way that his condition allows him to and thus,it is society’s duty and that of the Government,to do everything possible to remove invalidating causes,to promote a disabled person’s autonomy and to realise his best social integration possible. To implement what is foreseen by this law it was necessary to activate different important interventions,two of which are very significant:the realisation of Guidelines from the Ministry of Health on rehabilitation activities in which the aims are defined on how rehabilitation should be implemented and how it should be organised on a national level and at a community level. Law 68 from March 12th 1999 decreed the full rights of people with disability to be integrated into the workplace. In the article we will also report some significant data concerning the results of the applications of the law.     

耳尖放血加耳压治疗瘫痪卧床患者便秘的疗效观察

Background: The patients with paralysis lying on bed for a long time are easy to constipate,which causes great pain to them,especially the patients with the complications of hypertension、coronary atherosclerotic cardiopathy,inclined to aggravate patients' state of illness even hazard their lives.So it is very important to choose fast and effective ways to resolve the constipation in time. Objective: To observe the curative effect of the apex auride bloodletting combined with auricular plaster therapy adopted for constipation of patients with paralysis lying on bed. Unit:Specialty of Acupuncture and Moxibustion of the General Hospital of Shenyang Military Region. Subject: There were 86 patients of constipation with paralysis lying on bed in this group,male 40 cases,female 46 cases,average ages 65.There were 58 cases in the control group,male 28 cases,femal 30 cases,average ages 63.5.There was statistic comparability on sex,age,course of disease,and so on between the two groups. Design: The patients in the therapeutic group were divided into two dialectical types: the showing of constipation of excess type was: stool had been obstructed for several days,they tried very hard when they were defecating,or fever,excessive thirst,liking cool,reddened tongue,dry rough and yellowish fur,slippery and replete pulse,or disterding pain in hypochondrium and abdomen;the showing of constipation of insufficiency type was: constipation,dim complexion,dizziness and palpitation,fatigue,pale tongue,thin and whitism fur,feeble and thready pulse,or liking warm and fearing cold,pale tongue,deep and slow pulse.Therapy were completed seperately according to the types.     

Diagnosis of follicular lymphoma by laparoscopy: A case report

BACKGROUND Over the past years, only few cases of follicular lymphoma diagnosed by laparoscopy have been reported in the world. Since follicular lymphoma related ascites often causes occult disease and lacks specific clinical manifestations, it is often difficult to identify the cause by routine laboratory tests and imaging methods. Diagnostic experience is not sufficient and more cases need to be accumulated for further analysis.CASE SUMMARY Ascites due to unknown reasons often causes problems for clinical diagnosis and treatment. In this paper, we report one case with ascites in whom the reason causing ascites was not identified through routine examination. Laparoscopic examination of the celiac lesions and histological examination of the lesions were performed and the final diagnosis was peritoneal follicular lymphoma.CONCLUSION Laparoscopic abdominal examination is of great significance for the definite diagnosis of ascites due to an unknown reason.     

周围神经损伤后远端效应器的变化

INTRODUCTION The peripheral nerve injury can result in loss of neural function and the rehabilitation after injuries is the problem remained to be solved in medicine. The studies of nerve injury should begin with the study of the local depressed site. Then the neuron, axon and effective apparatus should be studied[1, 2]. The function of the nerve mainly depend on the distal effective apparatus, so it is more important to study it. Recently the scholars home and abroad pay more attention to form and dynamics of the cell proliferation of the distal effective apparatus such as motor endplate, sensory corpuscle and muscle. The review about this research is as follows.     

Evaluation and management of acute pancreatitis

Acute pancreatitis(AP) is one of the most common gastrointestinal causes for hospi-talization in the United States. In 2015, AP accounted for approximately390000 hospitalizations. The burden of AP is only expected to increase over time.Despite recent advances in medicine, pancreatitis continues to be associated with a substantial morbidity and mortality. The most common cause of AP is gallstones, followed closely by alcohol use. The diagnosis of pancreatitis is established with any two of three following criteria:(1) Abdominal pain consistent with that of AP;(2) Serum amylase and/or lipase greater than three times the upper limit of normal; and(3) Characteristics findings seen in crosssectional abdominal imaging. Multiple criteria and scoring systems have been established for assessing severity of AP. The cornerstones of management include aggressive intravenous hydration, appropriate nutrition and pain management.Endoscopic retrograde cholangiopancreatography and surgery are important aspects in management of acute gallstone pancreatitis. We provide a comprehensive review of evaluation and management of AP.     

中医养生学与现代康复

INTRODUCTION Traditional medicine and modem medicine are considered as twomain medic al systems and exist cooperately in our countrylong-term. The formation of traditional nedicine goes back to ancienttimes. The author thinks that extent the principle and method ofmodem rehabilitation are similar on some extent with therapy ofhealth preserving of traditional Chinese medicine. The later mainlystudy the contents of building body and preventing disease in order toprolong the time of life. It is essential of bringing into play thetherapy of health preserving of traditional Chinese medicine forbuilding the system of modem rehalbilitation having Chinese charac-teristics. Through developing and popularizing the therapy of healthpreserving of traditional Chinese medicine, the development of mod-ern rehabilitation can be accelerated.     

Multiple rare causes of post-traumatic elbow stiffness in an adolescent patient: A case report and review of literature

BACKGROUND Joint stiffness after elbow surgery is not a rare complication,and is always accompanied by deformity.The causes of joint stiffness are multiple in different patients,and divided into intrinsic and extrinsic causes.Herein,we report an unusual case of posttraumatic elbow stiffness due to multiple and rare causes.CASE SUMMARY A 19-year-old male was hospitalized with the loss of motion of the left elbow for over ten years.Left limb computed tomography revealed left elbow stiffness with bony block and connection.The patient underwent surgery,and the etiology of joint stiffness was found to be a rare combination of common and uncommon causes.During an 18-mo follow-up period,the patient’s left elbow had normal motion and he was symptom-free.CONCLUSION However,this case combined with multiple and rare causes highlights that the patient with scar physique is likely to be accompanied with more severe soft tissue,nerve contracture,and heterotypic ossification,even during recurrence.     

Pharmacogenomics of antirheumatic drugs and personalized medicine for rheumatoid arthritis

Rheumatoid arthritis (RA) is a chronic inflammatory disease of the joints. The inflammatory process causes a significant disability and may involve internal organs. The efficacy of disease modifying anti rheumatic drugs is widely accepted. However, the outcome of the treatment with these agents is known to vary among patients. Recently, the pharmacogenomic studies on methotrexate, sulfasalazine and tumor necrosis factor-alpha inhibitors have been reported, suggesting that the pharmacogenomic approach may be useful for the treatment of RA. Although there are points to be considered before the translation of the pharmacogenomic date into clinical practice, pharmacogenomics is considered to be an important tool for development of individualized medicine in the treatment of RA.     

蝮蛇伤病人特点及中西医结合护理对策

目的：探讨用中西医结合的方法护理蝮蛇伤病人。方法：对125例蝮蛇伤病人的职业、性别、年龄、咬伤部位，不同就诊时间的症状与体征及脏器损害率的统计与比较。结果：男性多于女性，以青壮年农民为主，咬伤部位主要是下肢，不同就诊时间神经毒症状体征有非常显著差异，肾脏损害与就诊时间关系不大，肝脏、心脏、两脏器及以上损害有显著差异。结论：对蝮蛇伤病人应根据其特点，采用辨证施护、中西医结合的方法护理，可降低发病率，减少并发症及早日康复。     

中西医结合治疗继发性顽固性癫痫持续状态

目的：探讨顽固性癫痫持续状态的治疗方法，以减少患者痛苦和病死率。方法：对１５例继发性顽固性癫痫持续状态的患者进行中西医结合治疗（治疗组），与１３例单纯西医治疗（对照组）的疗效作对比分析。结果：治疗组患者当天停止抽搐７例，第２天停止抽搐６例，第３天停止抽搐１例，死亡１例；对照组则分别为１例，３例，２例和７例。治疗组疗效明显好于对照组。结论：中西医结合治疗顽固性癫痫持续状态，较一般使用中药或西药治疗有明显的缩短抽搐时间及昏迷时间的效果。对减少病死率、提高抢救成活率有明显的实用价值     

风险管理在预防给药差错中的运用

目的探讨护理风险管理在预防给药差错中的运用。方法回顾性分析31例发生给药差错的原因。结果用药前后查对不清、药物混淆、治疗单字迹难辨、抄错输液标签、发错及发漏药、药物与治疗单不符、药物配伍问题、询问病人用药史不清是发生给药差错的原因,分别占19.4%、19.4%、12.9%、12.9%、9.7%、9.7%、9.7%、6.4%。结论启动护理风险管理系统;改进风险呈报;提高护士的风险意识;加强护士自身素质是减少给药差错,提高护理质量的保证。     

中西医结合治疗小儿难治性肾病50例疗效分析

目的：进一步探讨中西医结合治疗小儿难治性肾病的疗效。方法：针对５０例小儿难治性肾病患者的病情，调整激素和环磷酰胺的剂量及疗程，结合中医辨证施治，重用活血化瘀药物。结果：远期疗效评价：５０例中缓解３２例，部分缓解１５例，未缓解３例。结论：根据难治性肾病患儿的病情，及时调整激素及环磷酰胺的应用方案，重视中医辨证施治，中西医结合是治疗小儿难治性肾病的有效方法。     

Muskuläre Dysbalancen und Inkoordination im Bereich des Schultergelenks

Movement disturbances of the shoulder joint are often linked to functional disorders of the cervicodorsal junction, the upper thoracic aperture with the accessory joints and the upper ribs, the thoracic diaphragm and the joints of the hand. Using manual medicine findings-oriented treatment of the musculature can be successful. The course of investigation of the musculature and targeted treatment will be demonstrated exemplified by a 43-year-old pianist with recurrent, painful limitation of movement in the right shoulder. The patient was pain-free after treatment for several weeks with a combination of various methods, such as stretching therapy, facilitation, postisometric relaxation and self-exercise.     

激光器在临床上的应用及其进展

背景自1961年世界上第一台红宝石激光器研制成功以来,由于其具有功率/能量高,方向性好以及与生物组织相互作用的独特性能因而在临床上得到了广泛的应用.并随着不同种类的激光器的研制成功,激光器在临床上的应用也更加广泛.目的通过对不同种类的医用激光器在临床上应用的比较,明确未来激光医疗发展的方向.研究选择选择关于激光器临床应用的文献,不排除其是否为随机、盲法等论证推荐的文章.数据来源对1994-01/2004-01年之间关于激光临床应用、激光康复方面的资料进行全面的检索,检索手段包括电子检索、手工检索等.数据提取对检索到的激光临床应用、激光康复方面的研究文章中相关信息进行综述.主要观察指标对临床上不同种类的激光器在体积,光电转换效率、波长、治疗费用等方面进行比较.结果通过临床反馈和比较分析,半导体激光器在针灸理疗、牙病治疗、激光美容、激光手术等方面治疗效果明显优于其他类型的激光器.结论越来越多的临床病例表明用半导体激光器进行治疗,可以取得比其他类型激光器更好的疗效.由于半导体激光器的输出波长非常丰富,而且正朝着短波长方向扩展,并随着半导体激光器功率的进一步提高有可能在激光医疗方面取代气体和固体激光器.     

Undergraduate teaching of emergency medicine in Australasia

Study objective: To describe current undergraduate teaching of emergency medicine in Australasia and analyse the structural features of this teaching. Design: Cross sectional mail survey. Setting and participants: Fellows of the Australasian College for Emergency Medicine. Intervention: Questionnaires were sent requesting details of undergraduate teaching of emergency medicine at Fellows' parent institutions. Measurements and results: Australasia has 30 undergraduate programs in emergency medicine. Teaching is occurring across the clinical years with concentrations in years 4 and 6. Seventy-seven percent of programs employ a combination of structured and opportunistic learning experiences. Contact hours per student vary greatly, averaging 13 hours structured and 41 hours unstructured contact. Content of programs is highly variable. Input into assessment of programs is suboptimal. Program distribution across Australasia is uneven. Recommendations: An undergraduate strategy and learning objective guidelines for emergency medicine should be developed. Pressure must be placed on medical schools for the inclusion of emergency medicine in curricula with appropriate input into student assessment. Emergency physicians should be encouraged to develop skills in education.     

Dynamic sonography of external snapping hip syndrome.

OBJECTIVE: To evaluate the dynamic sonographic findings of external snapping hip syndrome. METHODS: Five patients with 7 cases of painful external snapping hip (3 male and 2 female; age range, 14-32 years; mean, 19 years) were examined with sonography. Two patients had bilateral snapping. Dynamic sonographic examinations of hips were performed with a linear 5- to 12-MHz transducer during hip motion. RESULTS: Dynamic sonographic studies of the affected hip revealed causes of the external snapping hip in all cases. It was elicited by an abnormal jerky movement of the iliotibial band overlying the greater trochanter in 5 of 7 cases and of the gluteus maximus muscle in 2 cases. The iliotibial band over the greater trochanter was hypoechoic in 3 of the 5 cases and thickened in 1 case. Dynamic sonography showed good correlations between the jerky movements of the iliotibial band and the gluteus maximus muscle and the painful snapping reported by the patients. CONCLUSIONS: Dynamic sonography was helpful in the diagnosis of external snapping hip syndrome; it showed real-time images of sudden abnormal displacement of the iliotibial band or the gluteus maximus muscle overlying the greater trochanter as a painful snap during hip motion.