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1.
Libai Cai Yanjin Liu Steve R. Woby Namassevayam Genoosha Miaoran Cui Lina Guo 《The Journal of arthroplasty》2019,34(6):1116-1121
BackgroundThe shortened version of the Tampa Scale for Kinesiophobia (TSK-11) has been well characterized in the literature. However, to the best of our knowledge, no previous studies have evaluated the reliability and validity of the TSK-11 for Chinese-speaking patients who have undergone total knee arthroplasty (TKA). Thus, the objectives of this study were to translate and adapt the TSK-11 cross-culturally into Chinese and to evaluate its reliability and validity in a sample of Chinese TKA patients.MethodsThe TSK-11 was translated and cross-culturally adapted into Chinese according to the international guidelines for the cross-cultural adaptation of self-report measures. The Chinese version of TSK-11 was administered to 254 patients following their TKA, along with the Fear-Avoidance Beliefs Questionnaire, Pain Catastrophizing Scale, Numerical Rating Scale, and 12-Item Short Form Health Survey. Psychometric testing included internal consistency, test-retest reliability, floor and ceiling effects, construct validity, and convergent validity.ResultsA high completion rate of 95.8% with no floor or ceiling effects was noted in the Chinese version of the TSK-11. The questionnaire also showed good internal consistency (Cronbach’s α = 0.883) and test-retest reliability (intraclass correlation coefficient = 0.798). Construct validity was assessed by exploratory factor analysis, and 3 factors were extracted that accounted for 65.2% of the variance. Convergent validity was confirmed by significant Pearson correlations between the Chinese version of the TSK-11 and the Pain Catastrophizing Scale (r = 0.751), Fear-Avoidance Beliefs Questionnaire (r = 0.719) and VAS (r = 0.450), as well as the 12-Item Short Form Health Survey subdomains Bodily Pain (r = ?0.391), Mental Health (r = ?0.356), Physical Functioning (r = ?0.339), Role-Emotional (r = ?0.317), and Role-Physical (r = ?0.277).ConclusionThe Chinese version of the TSK-11 demonstrated satisfactory acceptability, reliability, and validity; therefore, it can be used in clinical practice and research for assessing kinesiophobia in Chinese patients after TKA. 相似文献
2.
目的:探讨崔书克教授对瘿病的病因病机的认识和治疗经验,为临床治疗提供经验和参考。方法:通过门诊跟师,整理崔教授多年来诊治本病的典型医案,通过研究分析其辨证思维和用药规律,试总结相关治疗经验,将理论与实践相结合,辅以具体验案加以佐证。结果:崔师擅用经方,结合多年临床经验,认为本病的治疗多从肝脾论治,运用小柴胡汤和当归芍药散加减治疗瘿病,不仅能够改善临床症状,而且能够既病防变,有效减缓该病的进一步发展。结论:崔教授治疗瘿病经验丰富且疗效显著,诊治特色鲜明,临证方法独特,对诊治该病具有指导意义。 相似文献
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[目的]阐发细辛宣营功效在经方配伍中的体现。[方法]追思传承,运用文献分析的方法,搜集整理《神农本草经》和《名医别录》等中医药经典对细辛的阐述,通过分析张仲景在《伤寒论》及《金匮要略》中运用细辛的情况,选用以当归四逆汤为代表的经典方剂,从经方的配伍应用中探讨细辛宣营的特点。[结果]在以历代医家对细辛的认知基础上,仲景在经方的配伍应用中对细辛宣营之功的运用分为四方面:第一,细辛可宣营而散寒解表,如当归四逆汤;第二,细辛可宣营而温化水饮,如苓甘五味姜辛汤;第三,细辛可宣营而通阳行痹,如三黄汤;第四,细辛可宣营而和血安胎,如白术散。[结论]细辛在经方的配伍应用中宣营之功体现为四方面,即散寒解表、温化水饮、通阳行痹、和血安胎,虽为辛热之品,只要合理搭配,即可宣营且不伤阴。 相似文献
5.
XIAO Xiang BAI Juan LI Ming Song ZHANG Jia Yan SUN Xin Juan DONG Ying 《Biomedical and environmental sciences : BES》2019,32(8):578-591
Objective We aimed to explore how fermented barley extracts with Lactobacillus plantarum dy-1(LFBE) affected the browning in adipocytes and obese rats.Methods In vitro, 3T3-L1 cells were induced by LFBE, raw barley extraction(RBE) and polyphenol compounds(PC) from LFBE to evaluate the adipocyte differentiation.In vivo, obese SD rats induced by high fat diet(HFD) were randomly divided into three groups treated with oral gavage:(a) normal control diet with distilled water,(b) HFD with distilled water,(c) HFD with 800 mg LFBE/kg body weight(bw).Results In vitro, LFBE and the PC in the extraction significantly inhibited adipogenesis and potentiated browning of 3T3-L1 preadipocytes, rather than RBE.In vivo, we observed remarkable decreases in the body weight, serum lipid levels, white adipose tissue(WAT) weights and cell sizes of brown adipose tissues(BAT) in the LFBE group after 10 weeks.LFBE group could gain more mass of interscapular BAT(IBAT) and promote the dehydrogenase activity in the mitochondria.And LFBE may potentiate process of the IBAT thermogenesis and epididymis adipose tissue(EAT) browning via activating the uncoupling protein 1(UCP1)-dependent mechanism to suppress the obesity.Conclusion These results demonstrated that LFBE decreased obesity partly by increasing the BAT mass and the energy expenditure by activating BAT thermogenesis and WAT browning in a UCP1-dependent mechanism. 相似文献
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Sijing Chen Xiaorong Qi Lin Chen Qihua Yi Shimeng Dong Liufeng Xu Ying Zheng 《Journal of minimally invasive gynecology》2019,26(5):806
Study ObjectiveTo demonstrate the procedure and suspension skills of laparoendoscopic single-site (LESS) staging surgery with infrarenal para-aortic lymphadenectomy for early-stage ovarian cancer.DesignA presentation of the surgery through this technical video.SettingA hospital.Patient and InterventionsA 45-year-old woman presented with a pelvic mass on gynecologic examination and a serum cancer antigen 125 level of 5910 U/mL (normal = <35 U/mL). A computed tomographic scan revealed a mixture of solid and cystic components (70 × 77 × 71 mm) arising from the right ovary and characterized by the “ovarian vascular pelvic” sign. Clinically early-stage ovarian cancer was suspected. Subsequently, LESS staging surgery was performed by an experienced surgeon in our department.ResultsThe surgery lasted 280 minutes, and the volume of blood loss was 50 mL; there were no intra- or postoperative complications. We “hid” the incision perfectly for cosmetic purposes. The histopathologic findings supported high-grade serous ovarian cancer of the right ovary with the left fallopian tube involved as well. In addition, a total of 34 negative pelvic and 18 negative para-aortic lymph nodes were identified, and a stage of IIA was diagnosed as a result.ConclusionWe performed an LESS staging surgery for early-stage ovarian cancer successfully. Our video shows that the LESS approach provided feasible, cosmetic, and safe access among the selected malignant gynecologic surgery. Therefore, we have experienced that the effective suspension was an auxiliary measure for LESS lymphadenectomy. In addition, compared with multiport laparoscopy, the LESS approach could provide easier access to infrarenal para-aortic regions; furthermore, it was safe and quick to extract an unknown sample. 相似文献
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Ying ZHANG Shi Gong WANG Xiao Ling ZHANG Yi Fan CHENG Can Jun TANG 《Biomedical and environmental sciences : BES》2019,32(1):42-46
<正>We examined the attributed fractions of all-cause, cardiovascular, and respiratory mortality that were attributed to extreme and moderate cold and heat during 2010-2016 in Nanjing. Our results showed that 12.81%, 19.78%, and 25.33% of all-cause, cardiovascular, and respiratory mortalities, respectively, were attributed to temperature. The highest attributed fractions for three types of 相似文献
10.
Jian Zhou Shuo Jie Xiadong Du Yihan Li Wanchun Wang Tang Liu 《The Journal of arthroplasty》2019,34(11):2770-2773
BackgroundIt is considered the gold standard treatment for infected hip arthroplasty to remove and reimplant the corresponding whole set of implant components before and after infection control, but it usually causes substantial bone loss to remove the well-fixed cup or stem, which may increase the difficulty in reconstruction. We would like to determine whether infected hip arthroplasty can be treated without removal of a well-fixed cup or stem.MethodsPatients with infected hip arthroplasty and a radiographically well-fixed, cementless cup or stem were selected. During the first surgical stage, we retained the stem or cup if these cannot be removed using a stem or cup extractor. We performed the reimplantation surgery after control of infection.ResultsFrom January 2008 to December 2016, 26 patients underwent partial component–retained 2-stage reconstruction. All the patients were free of infection with a mean follow-up time of 43.85 months.ConclusionPartial component–retained 2-stage reconstruction may be a treatment option for infected total hip arthroplasty with a well-fixed component in patients. 相似文献