无神经系统定位体征的癲癇大发作患者的EEG和CT分析

目的探讨无神经系统定位体征的癲癇大发作患者的脑电图(EEG)和脑CT变化.方法 68例无神经系统定位体征的癲癇大发作患者作EEG 及脑CT检查.结果 EEG异常率为82.35%,CT异常率为32.35%.CT正常组和异常组中,EEG异常率无明显差异.CT异常率与病程关系不大,但有发病诱因的继发性癲癇CT异常率较无明显原因者显著增高.结论 EEG为癲癇诊断的重要电生理检查方法,且有粗略定位意义,而CT能显示脑结构方面的病理改变,有利于查找病因及病变部位.     

Examen clinique des ruptures du muscle grand pectoral

The pectoralis major tendon tears are rare pathologies but not exceptional and probably under diagnosed. Clinically, severe lesions of the pectoralis major's tendon can cause conformational changes of the fossa axillaris whose for understanding requires a perfect knowledge of the tendon's anatomy. Through our three cases experience, we present in this article the detailed methods of the inspection of the pectoralis major and explain the sometimes-surprising modifications of the fossa axillaris’ anterior wall conformation. While traditionally, only total or subtotal tears are considered as surgical, it appears more pertinent to describe total rupture, major partial tears and minor partial tears. As in the majority of tendinous ruptures, the diagnosis is mainly clinical and based primarily on the inspection of the fossa axillaris. A well-conducted inspection, while respecting a delayed time after the event, could help to classify the tears in these three categories without multiplying investigations. This attitude could have significant impacts and facilitate the following management.     

Trends in Laboratory Utilization

Laboratory utilization is definitely a hot topic in clinical laboratory medicine, but what's all the buzz about? Laboratory utilization encompasses a number of efforts aimed at managing laboratory resources and improving patient care. Many laboratory utilization programs have proven to dramatically decrease clinical laboratory spending. Likewise, many have proven to benefit patient care by decreasing blood loss due to phlebotomy, reducing the risk of spurious results, and helping to get the right test for the right patient at the right time. This article reviews examples of laboratory utilization trends, including laboratory utilization committees, laboratory test formularies, electronic tools, and test approval systems.     

扬州:大运河上的天下第一都市

人类文明的起源,大都与水有着不解之缘.傍水而居,似乎是原始先民的一个通例.水不仅对于人类文明的发源有着十分重要的作用,水利交通更影响了人类文明的发展与进步.号称"天下第一都市"的扬州,可以作为这方面最有力的证明.扬州之兴衰,正与运河的兴衰息息相关.