高位腰椎间盘突出症

目的：通过147例高位腰椎间盘突出症的回顾性研究,旨在提高对本症的认识,减少漏诊,误诊,方法：回顾性分析报告147例高位腰椎间盘突出,结果：治疗腰1,210例,腰2。3 32例,腰3,4 105例,其中双间隙突出34例,跳跃性突出27例,伴椎管狭窄31例。瘫痪3例,非手术治疗34例,手术113例,优47例,良8例,差92例,重点讨论了高位腰椎及椎间盘和神经根的解剖特点和临床三大特征及诊断治疗,提出对不同程度的病人用不同治疗方式以及手术中需要注意的六个问题。     

Novices’ Transition from Separation into Non-Dual Being: A Transpersonal,Existential, Phenomenological Analysis

Cultivating non-dual awareness involves transcendent movement through specific stages of psyche development. This transition allows for freedom from the constraints of the ego self or the illusory self and the mind, and a new focus on the collapse of dualism into oneness and acceptance of life as it presents itself. Such non-dual awareness was thought to be a rare occurrence, but new research is pointing to its increasing availability and accessibility. This transcendence, however, is not without its plights, crises, fluctuations, and breakthroughs. Using a transpersonal, existential, and phenomenological approach the authors investigated consciousness as it manifested in the journeys of nine novice’s awakening and transitioning from duality and separation into non-dual being. This article focuses on the themes that manifested in the initial transition from duality to non-duality. Existential issues, as well as resistances to them, played an important role in serving as openings into such non-dual states of being. Themes in duality included: Seeking to the fill the void, frustration, and despair; reinforcement of the ego through the other and assumed roles; a lack of sense of belonging resulting in alienation and loneliness; patterns of childhood trauma and resultant wounding; and experiences of betrayal, fear, and adopted coping mechanisms. Themes during the transition into non-duality included: Disillusionment with seeking, failurehood, and the seeker’s hell; ego deconstruction and questioning of reality; experiences of intuitive knowing and gnosis; direct experiences of non-duality; recollection of childhood experiences of no-self and oneness; reassertion of the mind and ego, as well as fluctuations in and out of non-duality; avoidance of spiritual bypass by working through wounds and personal issues; and fueling of the non-dual journey by reconnecting to one’s authentic energy. These themes are explored in the context of transcendence through the stages of psyche development and the implications of the first part of the novice’s journeys of awakening into non-duality are discussed.     

Nutritional strategies in severe acute pancreatitis: A systematic review of the evidence

Nutrition in severe acute pancreatitis is a critical aspect in the management of this condition. This review aims to systematically review the evidence available to inform the use of nutritional support in severe acute pancreatitis. High quality (level 1) evidence supports naso–jejunal enteral nutrition (NJ-EN) over parenteral nutrition (PN) reducing infectious morbidity and showing a trend towards reduced organ failure although there is no detectable difference in mortality. Trial data may underestimate benefit as patients are often recruited with predicted rather than proven severe disease. NJ-EN is safe when started immediately (level 3 evidence). NJ-EN is often impractical and naso-gastric (NG) feeding seems to be equivalent in terms of safety and outcomes whilst being more practical (level 2 evidence).Regarding feed supplementation, probiotic feed supplementation is not beneficial (level 1 evidence) the and may cause harm with excess mortality (level 2 evidence). No evidence exists to confirm benefit of the addition of prokinetics in severe acute pancreatitis (SAP) although their use is proven in other critically ill patients. Level 2 evidence does not currently support the use of combination immuno-nutrition though further work on individual agents may provide differing results. Level 2 evidence does not support intravenous supplementation of anti-oxidants and has demonstrated that these too may cause harm.     

蒙药如达溃疡散对大鼠乙酸性胃溃疡及其血清促胃液素的影响

目的:探讨如达溃疡散对大鼠乙酸性胃溃疡的作用及对其血清促胃液素(gastrin)含量的影响.方法:采用乙酸法复制胃溃疡模型,将大鼠随机分为对照组、如达溃疡散组、雷尼替丁组,观察如达溃疡散对大鼠胃溃疡的作用,并检测其对大鼠血清中促胃液素含量的影响.结果:与对照组相比,如达溃疡散能明显抑制溃疡的发生,抑制血清促胃液素含量.结论:如达溃疡散具有抗胃溃疡的作用,其作用机理可能是通过抑制促胃液素释放,进一步减少胃酸分泌来实现的.