Free Online Consumer Health Classes

Abstract

The National Library of Medicine (NLM) provides many avenues for consumers to find and evaluate online health information. In addition to the consumer health Web sites NLM has developed, there are numerous online training modules available through The National Network of Libraries of Medicine's “National Training Center and Clearinghouse's Educational Database.” This database lists available classes and provides contact information for libraries across the country that offer training and education in using the NLM Web sites and in finding and evaluating health information online.     

Alternative and Complementary Medicine Web Resources for Autoimmune Diseases

Abstract

Autoimmune diseases affect over 14 million Americans, who may frequently search for alternative or complementary treatment methods aimed at reducing the debilitation associated with chronic disease. Included in this column is a select list of Web-based resources that explore the use of alternative and complementary medicine for autoimmune diseases.     

糖尿病低血糖中医治疗临床分析

目的探讨中医治疗糖尿病低血糖的方式与临床效果。方法选取糖尿病低血糖患者60例,依照随机平均分为治疗组与对照组,对照组给予一般性西医治疗,治疗组患者在对照组的基础上予以中药辨证组方治疗,对比不同疗法下两组患者治疗效果。结果①治疗组综合疗效明显优于对照组(P<0.05)。治疗组患者低血糖完全得到控制14例(46.67%)、低血糖基本得到控制16例(53.33%)、低血糖控制无效0例(0.00%),对照组患者低血糖完全得到控制7例(23.33%)、低血糖基本得到控制19例(63.34%)、低血糖控制无效4例(13.33%)。②治疗组患者低血糖控制率达100.00%,明显高于对照组的86.67%。③治疗组治疗预后效果明显优于对照组(P<0.05)。治疗组未见毒副作用及病情复发;对照组死亡2例,病情复发2例。结论中医辨证疗法应用于糖尿病低血糖临床治疗中,可有效控制低血糖、降低病情复发率及死亡率,无毒副作用,可有效提升糖尿病患者治疗效果及生活质量。     

超声在慢性附睾炎治疗中的应用价值

目的 观察慢性附睾炎治疗的临床效果和治疗前后超声图像的改变情况,为临床诊断提供参考.方法 2007年1月至2009年2月采用中西医结合治疗的慢性附睾炎患者78例,给予口服司帕沙星片,0.1g/片,3片/次,1次/d,同时采用中药丹红通精方,1剂/d,开水煎,分早晚服.治疗30 d后观察疗效,并采用超声观察治疗前、治疗中(治疗15d时)、治疗后患者附睾大小、内部回声强度、血流阻力指数(RI)、最大与最小血流速度(Vmax及Vmin)、动脉收缩压与舒张压的比值(S/D)、彩色超声多普勒(CDFI)血流变化情况.结果 治愈50例,好转20例,无效8例.有效(治愈+好转)患者治疗中、治疗后附睾大小、Vmax及Vmin、RI和S/D均较治疗前显著改善[附睾大小:尾部厚度:(1.14±0.19)、(0.75±0.13) cm比(1.68±0.25) cm,体部厚度:(0.54±0.17)、(0.46±0.11) cm比(0.63±0.12) cm,头部厚度:(1.12±0.16)、(0.80±0.15) cm比(1.53±0.27) cm;Vmax:(0.22±0.12)、(0.19±0.10)m/s比(0.28±0.13) m/s;Vmin:(0.14±0.05)、(0.07±0.02) m/s比(0.19±0.08) m/s;RI:0.64±0.13、0.52±0.10比0.89±0.17;S/D:3.64±1.40、2.78±1.26比4.35±1.62],差异均有统计学意义(P＜0.05).结论 超声能够较为准确地检测到慢性附睾炎患者治疗前后附睾大小、内部回声强度、RI、Vmax、Vmin及S/D、CDFI血流分级等指标的显著变化,能够给出预后判断,指导临床治疗,在慢性附睾炎的诊治中有重要的应用价值.     

子宫内膜息肉的研究进展及转化医学

近年来随着生殖医学和宫腔镜检查的发展,子宫内膜息肉的诊断率显著提高,受到临床的广泛重视.局部内膜的激素受体表达失衡以及细胞增生和凋亡的失衡导致内膜息肉的发病,内膜息肉长期处于雌激素刺激无孕激素对抗的状态,合并有腺体的癌前病变如腺体的不典型增生或内膜上皮内瘤样病变,P21ras蛋白的免疫组化强阳性或PTEN染色区域的缺失、MTP53蛋白的过表达等因素,有可能导致其内膜癌发病风险增高.各项基础研究成果为临床上子宫内膜息肉的诊治提供了大量有价值的提示,为转化医学的实现注入了新的动力.     

Endoscopy in otolaryngology utilising smartphone as the capturing device

Abstract

Mobile technology has been a significant development. With the advent of smartphones and many applications, it is possible to integrate endoscopic instruments. This is a study where the authors were able to use a smartphone as the capturing device for endoscopic examinations and were able to get satisfactory results on all but two of the 52 patients, doing four endoscopic examinations commonly being performed in otolaryngology clinics: rigid nasal endoscopy, rigid laryngoscopy, otoscopy and flexible fiberoptic naso-laryngoscopy. This article reveals their experience.     

The Role of Surgery in Neonatal Respiratory Distress

Compression of the newborn's lungs by one or another type of space-occupying lesion results in a crisis that can be dealt with only through immediate differential diagnosis followed by appropriate surgery. Most common among these space-occupying lesions are those caused by air trapped inside the pleural cavity or within the lung itself. Dr. Pickett outlines the steps in the essential differentiation and correction.     

The Cancer Series: An Introduction

A 77-year-old man presented to the emergency department with chest pain. Severe pain had occurred while he was walking, persisted for ten minutes, and was relieved when he took two nitroglycerine tablets. He had experienced intermittent chest pain for the past 11 days, mostly on exertion. The patient had hypertension, an elevated serum cholesterol level, and was a former smoker. His medications included aspirin, pravastatin, isosorbide dinitrate, metoprolol, and nitroglycerine.

The patient was in no apparent distress and without chest pain when he was examined. His blood pressure was 154/88 mm Hg; pulse, 70 bpm; respirations, 18 per min; temperature, 36.8° C; and oxygen saturation, 97% by pulse oximetry. The physical examination was unremarkable. The ECG is shown.