Prevalence of anaemia in patients with Diabetes Mellitus

Background  

Anaemia is an increasingly recognised entity in patients with diabetes mellitus.     

Clinical study on the treatment of primary dysmenorrhea with preconditioning acupuncture

Objective:To observe the therapeutic effect of preconditioning acupuncture(PA) on the treatment of primary dysmenorrhea.Methods:Eighty patients suffered from primary dysmenorrhea were randomly assigned on the ratio of 1:1:2 into three groups,20 in Group A,20 in Group B,and 40 in Group C.Group A and B were treated with PA and immediate acupuncture(IA),respectively,while Group C received no acupuncture treatment and be taken as a blank control.The treatment was lasted for three menstrual cycles.The therapeutic effects were observed and compared.Results:Comparing the scores of the symptoms in the different groups, the therapeutic effect in different groups showed that the symptom scores in Group A at the second and third cycle of treatment,as well as at the first and third cycle of follow-up,were significantly lower than the scores in Group B,respectively(P<0.05 or P<0.01),and the duration of symptoms was shorter in Group A than in Group B at the third cycle of treatment and the first and third cycle of follow-up(P<0.05).Symptom scores in Groups A and B in the treatment and follow-up periods were all lowered as compared to those before treatment(P<0.01), and the scores were also lower than those in Group C measured at corresponding times(P<0.01).Conclusion: The therapeutic effect of PA,either the short-term or the long-term effect,was superior to that of IA in treating dysmenorrhea.     

Initial experiences with isolated limb perfusion for unresectable melanoma of the limb

Aims  

Our initial results with isolated limb perfusion (ILP) using melphalan ± TNF alpha in patients with unresectable melanoma of the limb were analyzed.     

Effect of Chinese drugs combining with chemotherapy on quality of life in 146 children with solid tumor

Objective:To explore the effect of Chinese drugs for supporting essence and strengthening Pi(脾, SESP) combining with chemotherapy on the quality of life(QOL) in the children with solid tumor.Methods:Using a digital table,146 children with solid tumor were randomized into two groups,77 in the control group and 69 in the treated group.They received conventional chemotherapy,but to the patients in the treated group,SESP were administered additionally.The patients' scores of QOL and adverse reaction occurred...     

Treatment of advanced non-small cell lung cancer with extracorporeal high frequency thermotherapy combined with Chinese medicine

Objective： To observe the clinical efficacy and benefit response of extracorporeal high frequency thermotherapy （EHFT） combined with Chinese medicine （CM） in the treatment of patients with advanced non-small cell lung cancer. Methods： The study adopted a prospective, small sample and randomized controlled method, and the advanced non-small cell lung cancer patients were assigned to two groups according to the table of random digits, one having the treatment of EHFT combined with CM （the treatment group）, the other only with CM （the control group）. The patients in the treatment group were treated with EHFT one hour once per day, together with CM differentiation decoction, 250 mL orally taken, twice daily for 14 days as one cycle, and 3-4 cycles was performed. The patients in the control group were treated only with CM differentiation decoction using the same dose as the treatment group. The efficacies were evaluated after three to four cycles of treatment. Primary endpoints were disease control rate （DCR） and time to progression （TTP）. Secondary endpoints were overall survival time and 1-year survival rate. Results： Sixty-six patients accomplished the study. After the patients underwent different treatments, none of the patients got a complete response or partial response in both groups. In the treatment group, DCR was 72.2%, and 10 had progression of disease （28.8%）, while the DCR of the control group was 63.3%, and 11 had progression of disease （36.7%）; there was a significant statistical difference （P0.05）, suggesting that the combined regimen had superiority on the DCR. As for long-term efficacy, the median survival time （MST） of the treatment group was 7.5 months, TTP was 5.5 months, and 1-year survival rate was 21.4 %; in the control group, the results were 6.8 months, 4.5 months and 16.6% respectively. There was significant statistical difference on TTP （P0.05）, but no difference on MST or 1-year survival rate. Conclusion： EHFT combined with CM differentiation has better tolerance and short-term efficacy in the treatment of patients with advanced NSCLC.     

Analysis on the effect of acupuncture in treating cervical spondylosis with different syndrome types

Objective:To observe the clinical effect of acupuncture in treating cervical spondylosis with different syndrome types.Methods:One hundred and seventeen patients were randomized into the treated group (59 cases),treated with normal acupuncture,and the control group(58 cases),treated with sham acupuncture, operated once every other day,9 times in total(in 18 days) as one therapeutic course,and a succeeding 3-month follow-up study was carried out after terminating the therapy.The efficacy of treatment was ...     

Clinical study on treatment of infantile cytomegalovirus hepatitis with integrated Chinese and Western medicine

<正>Objective:To evaluate the efficacy and safety of Chinese medicine(CM) in treating infantile cytomegalovirus hepatitis(ICH).Methods:A total of 100 infant ICH patients were randomly assigned to two groups,60 in the treatment group and 40 in the control group.Ganciclovir was administered to all patients via intravenous dripping at dose of 5 mg/kg every 12 h for 2 weeks,followed by 5 mg/kg once a day for 5 days every week;the whole treatment course lasted 8 weeks.Besides,the patients in the treatment group were treated with CM of Qinggan Lidan Decoction(清肝利胆汤,QLD) during icteric stage,and Yigan Jiangmei Decoction(益肝降酶汤,YJD) in non-icteric hyper-aminotransferase stage by oral medication,while for those in the control group,glucurolactone 50 mg was given three times per day.The efficacy of treatment was evaluated at the ends of 2nd,4th and 8th weeks,respectively.And a follow-up study was carried out for 6-24 months.Results: The total effective rate was 95.0%(57/60) in the treatment group and 77.5%(31/40) in the control group;the overall curative effect in the former was superior to that in the later,showing a significant difference(P=0.021). Cholestasis and liver function were Improved in both groups,and the effect of reducing serum bilirubin level in the treatment group was more rapid and extensive than that in the control group,which could reduce the post-hepatitis cirrhotic risk caused by long-term cholestasis and liver cell damage.Conclusion:The therapeutic efficacy of integrated CM and Western medical drug therapy,by using QLD during icteric stage and YJD in nonicteric hyper-aminotransferase stage,was significantly higher than that of routine Western medical treatment alone;it was an ideal project for the treatment of infantile cytomegalovirus hepatitis.     

Where do patients with cancer die in Belfast?

Background  

Most patients with cancer prefer to die at home but the majority die in institutions.     

Inhaled nitric oxide in combination with volume resuscitation refines a porcine model of endotoxic shock

Background  

Existing porcine models of endotoxic shock poorly represent the human situation.     

Rule of Chinese medicine syndrome differentiation in the patients with thoracic diseases at perioperation stage

Objective  

To study the rule of syndrome differentiation in the patients with thoracic diseases at perioperation stage.     

A case of back pain associated with neurology in a young man

Background  

We present the case of a 14-year-old with a 3-month history of back pain, who on presentation, was demonstrated to have neurological signs.     

An audit of hip fracture services in the Mater Hospital Dublin 2001 compared with 2006

Background  

Evidence-based practice supports the provision of integrated geriatric multidisciplinary care for older people with hip fractures.     

Splenic mass with remote trauma history: a management dilemma

Background  

Delayed presentation of splenic trauma is a well described entity.     

Clinical evaluation of oral Fructus Bruceae oil combined with radiotherapy for the treatment of esophageal cancer

Objective  

To evaluate the therapeutic efficacy and side effects of oral Fructus bruceae oil combined with radiotherapy in the treatment of esophageal cancer.     

Cannonball metastases with favourable prognosis

Background  

Secondary ‘cannonball’ metastases to the lung are frequent and usually associated with disseminated malignancy and poor prognosis.     

A comparison of papaveretum-promethazine with morphine-ondansetron for patient-controlled analgesia

Background  

Patient-controlled analgesia (PCA) with intravenous morphine is commonplace. Antiemetics are often added to reduce side-effects. In our institution an unusual combination of papaveretum-promethazine is in use.     

Intracoronary delivery of mesenchymal stem cells reduces proarrhythmogenic risks in swine with myocardial infarction

Introduction  

The electrophysiological consequences of mesenchymal stem cell (MSC) therapy in ischemic heart disease have not been fully understood.     

Clinical study on effect of shenlong oral liquid combined with radiotherapy in treating nasopharyngeal carcinoma

Objective  

To observe the effect of Shenlong Oral Liquid(SLOL)combined with radiotherapy in treating nasopharyngeal carcinoma (NPC).     

Research on frequency of application with modern Chinese herbal medicine

Objective:To study the relationship between 500 kinds of commonly used Chinese herbal medicine and the classification of their efficacies in Chinese Materia Medica in relation to the common diseases listed in Internal Medicine.Methods:Database retrieval frequency of the quantitative statistical method was adopted.First,the 8 980 kinds of Chinese herbal medicine recorded in Chinese Materia Medica were used as the original search objects,and 4 493 kinds which were cited in more than five articles were picked out and then rechecked for further title citations.Second,as judged based on the Criterion,the numbers of articles which included the medicines in the line of standards were examined.As a result,500 species of Chinese herbal medicine were singled out based on their retrieval frequency and were then used for compilation of the classification statistics according to their efficacy and the common diseases in Internal Medicine.Results:From the classification of Chinese medicines,herbs with wide efficiency and a meek nature had higher frequencies, but those which were not appropriate as decoctions had relatively lower frequencies.However,according to the average frequency,the Chinese herbal medicine for nourishing qi and tonifying blood,at 36 346 times and 34 544 times,respectively,were the most commonly used.Analyzed from the frequency of application of the Chinese medicine in the treatment of common diseases,most of the top 10 kinds of Chinese herbal medicine with the highest frequencies generally coincided with the 500 selected medicines.In addition,the Chinese medicines with clear pharmacological efficiency were easily isolated and purified to be made into injections, although other forms are more commonly used.Conclusion:The results of the research objectively reflected the current applications of Chinese herbal medicine,and could be used as references in teaching,research,clinical applications,and in compiling and increasing the drugs in textbooks and Pharmacopoeia.