阻生智齿拔除术是口腔颌面外科门诊中最常见的手术之一[1],但其依然是一种侵入性手术,不仅术中会造成牙龈及颌骨的损伤,术后还会发生肿胀、疼痛、麻木、张口及发音受限等并发症[2]。这些均可能直接或间接影响患者拔牙术后的口腔健康相...阻生智齿拔除术是口腔颌面外科门诊中最常见的手术之一[1],但其依然是一种侵入性手术,不仅术中会造成牙龈及颌骨的损伤,术后还会发生肿胀、疼痛、麻木、张口及发音受限等并发症[2]。这些均可能直接或间接影响患者拔牙术后的口腔健康相关生活质量(oral health-related quality of life,OHRQoL)。而医生的技术、拔牙时间的长短及去骨量的多少等均会影响患者术后生活质量[3]。患者就医时,通常愿意选择专家拔除阻生牙,侧面造成了医疗资源的分配不平衡及浪费。因此,分析医生经验水平与患者拔牙术后口腔健康相关生活质量的相关性,可合理分配医疗资源,指导患者就医及科学培训青年医生提供参考。展开更多
Goals: This study was performed to evaluate the use of wireless capsule endos copy in a community gastroenterology practice. Background: Experience with wirel ess capsule endoscopy at referral centers has been reporte...Goals: This study was performed to evaluate the use of wireless capsule endos copy in a community gastroenterology practice. Background: Experience with wirel ess capsule endoscopy at referral centers has been reported, but little has been reported about community gastroenterologists’ experience. Study: A retrospect ive review of charts and wireless capsule endoscopies performed at a community h ospital was performed. Results: A total of 99 wireless capsule endoscopies were reviewed and complete data were available in 72 cases. Indications included susp ected obscure GI bleeding in 97% of cases; 55% of patients were taking anti - platelet or anti- coagulant medications; 71% of examinations were complete . Pathologic findings included angioectasias (36% ), gastritis/erosions (21% ) , bleeding (18% ), small bowel ulcers (16% ), duodenitis (7% ), and small bow el erosions (6% ). Strictures, Crohn’ s disease, and tumors were each seen in 3% . There were no abnormal findings in 37% . One complication, nonnatural exc retion of the capsule, caused a transient bowel obstruction but passed without e ndoscopic intervention or surgery. Conclusions: In a community- based gastroent erology setting, wireless capsule endoscopy is a safe tool that shows abnormalit ies in a significant proportion of exams.展开更多
Background. Cutaneous leishmaniasis is a common disease in Iran, espe cially i n the north-east, central and southern parts of the country. Many treatments h ave been suggested for this disease but none is completely ...Background. Cutaneous leishmaniasis is a common disease in Iran, espe cially i n the north-east, central and southern parts of the country. Many treatments h ave been suggested for this disease but none is completely effective and without side-effects such as pain, arthralgia and renal or cardiac complications. Las ers have been used for treatment of several skin diseases since 1970, and CO2 la sers are now being used for treatment of leishmaniasis. In this study, a CO2 las er (Sonic 500 machine)-was used as a source of a continuous CO2 laser wave. Me thods. Atotal of 123 patients (68 female and 55male) with 183 lesions were treat ed with the CO2 laser. The maximum power was 100 W and the pulse width was 0.5- 5 s. For the control group, 110 patients (with 250 lesions) were treated with g lucantime 50 mg/kg/day for 15 days and, after 15 days of rest, this treatment wa s repeated (GlucantimeAmps, 1.5 g in a 50- mLsolution,was used). For follow-u p, the patients were visited 1, 3, 4, 8, 12 and 24 weeks after treatment and any complications, recurrences or other wound characteristics were recorded. In the second group, Finally, all collected data were analyzed statistically. Results. Statistical analysis with the χ 2 test showed that treatment with the CO2 lase r was more effective than treatment with glucantime (P=0.0007). Complications we re also seen less often with the laser treatment than with glucantime and were l imited to the ulcer site. The CO2 laser was more effective in treating cutaneous leishmaniasis than glucantime (1.12 times), had fewer side-effects (4.5% vs . 24% ) and resulted in a shorter healing time (1 month vs. 3 months), and trea tment could be applied in a single session. Conclusions. The results of this and previous studies suggest that cutaneous leishmaniasis can be treated effectivel y with CO2 laser if those providing the treatment are sufficiently experienced. Laser treatment is more cost-effective than other treatments and can be used a s first-line therapy for cutaneous leishmaniasis (wet and dry types).展开更多
President Lian-Sheng Ma, Editor-in-Chief of World Journal of Gastroenterology （WJG）, met with Dr. Parimal Chowdhury, from the University of Arkansas for Medical Sciences, member of WJG Editorial Board, and his wife ...President Lian-Sheng Ma, Editor-in-Chief of World Journal of Gastroenterology （WJG）, met with Dr. Parimal Chowdhury, from the University of Arkansas for Medical Sciences, member of WJG Editorial Board, and his wife in Beijing on November 29, 2006. The two sides held cordial and friendly talks.展开更多
Zhang Ren, a master of medicine, professor, chief physician, and State Council expert for Special Allowances. He is the current vice president of Chinese Acupuncture Society, the honorary chairman of Shanghai Acupunct...Zhang Ren, a master of medicine, professor, chief physician, and State Council expert for Special Allowances. He is the current vice president of Chinese Acupuncture Society, the honorary chairman of Shanghai Acupuncture Society, a member of Shanghai Intangible Cultural Heritage Assessment Committee. He used to be the director of Shanghai Municipal Literature Museum of Traditional Chinese Medicine and the director of the Shanghai Information Institute of Traditional Chinese Medicine. He has been engaged in acupuncture clinical and literature research for more than 40 years. He has been to Europe to give lectures and treat patients in clinic for 3 times, and received a favorable evaluation. And he has independently written and edited more than 60 books on acupuncture and traditional Chinese medicine as a chief editor （including English and Japanese versions）, which were published in Beijing, Shanghai, Chongqing, Taipei and Tokyo. He has published nearly 100 papers in both English and Chinese. He has also chaired Shanghai Municipal Public Health Bureau research projects, and participated in a number of projects such as Shanghai Municipal Science and Technology Commission project, the National 973 project. He has accumulated a wealth of clinical experience on acupuncture treamlent tor multiple modem intractable diseases, especially has unique experience on the acupuncture treammnt for stubborn eye diseases.展开更多
文摘阻生智齿拔除术是口腔颌面外科门诊中最常见的手术之一[1],但其依然是一种侵入性手术,不仅术中会造成牙龈及颌骨的损伤,术后还会发生肿胀、疼痛、麻木、张口及发音受限等并发症[2]。这些均可能直接或间接影响患者拔牙术后的口腔健康相关生活质量(oral health-related quality of life,OHRQoL)。而医生的技术、拔牙时间的长短及去骨量的多少等均会影响患者术后生活质量[3]。患者就医时,通常愿意选择专家拔除阻生牙,侧面造成了医疗资源的分配不平衡及浪费。因此,分析医生经验水平与患者拔牙术后口腔健康相关生活质量的相关性,可合理分配医疗资源,指导患者就医及科学培训青年医生提供参考。
文摘Goals: This study was performed to evaluate the use of wireless capsule endos copy in a community gastroenterology practice. Background: Experience with wirel ess capsule endoscopy at referral centers has been reported, but little has been reported about community gastroenterologists’ experience. Study: A retrospect ive review of charts and wireless capsule endoscopies performed at a community h ospital was performed. Results: A total of 99 wireless capsule endoscopies were reviewed and complete data were available in 72 cases. Indications included susp ected obscure GI bleeding in 97% of cases; 55% of patients were taking anti - platelet or anti- coagulant medications; 71% of examinations were complete . Pathologic findings included angioectasias (36% ), gastritis/erosions (21% ) , bleeding (18% ), small bowel ulcers (16% ), duodenitis (7% ), and small bow el erosions (6% ). Strictures, Crohn’ s disease, and tumors were each seen in 3% . There were no abnormal findings in 37% . One complication, nonnatural exc retion of the capsule, caused a transient bowel obstruction but passed without e ndoscopic intervention or surgery. Conclusions: In a community- based gastroent erology setting, wireless capsule endoscopy is a safe tool that shows abnormalit ies in a significant proportion of exams.
文摘Background. Cutaneous leishmaniasis is a common disease in Iran, espe cially i n the north-east, central and southern parts of the country. Many treatments h ave been suggested for this disease but none is completely effective and without side-effects such as pain, arthralgia and renal or cardiac complications. Las ers have been used for treatment of several skin diseases since 1970, and CO2 la sers are now being used for treatment of leishmaniasis. In this study, a CO2 las er (Sonic 500 machine)-was used as a source of a continuous CO2 laser wave. Me thods. Atotal of 123 patients (68 female and 55male) with 183 lesions were treat ed with the CO2 laser. The maximum power was 100 W and the pulse width was 0.5- 5 s. For the control group, 110 patients (with 250 lesions) were treated with g lucantime 50 mg/kg/day for 15 days and, after 15 days of rest, this treatment wa s repeated (GlucantimeAmps, 1.5 g in a 50- mLsolution,was used). For follow-u p, the patients were visited 1, 3, 4, 8, 12 and 24 weeks after treatment and any complications, recurrences or other wound characteristics were recorded. In the second group, Finally, all collected data were analyzed statistically. Results. Statistical analysis with the χ 2 test showed that treatment with the CO2 lase r was more effective than treatment with glucantime (P=0.0007). Complications we re also seen less often with the laser treatment than with glucantime and were l imited to the ulcer site. The CO2 laser was more effective in treating cutaneous leishmaniasis than glucantime (1.12 times), had fewer side-effects (4.5% vs . 24% ) and resulted in a shorter healing time (1 month vs. 3 months), and trea tment could be applied in a single session. Conclusions. The results of this and previous studies suggest that cutaneous leishmaniasis can be treated effectivel y with CO2 laser if those providing the treatment are sufficiently experienced. Laser treatment is more cost-effective than other treatments and can be used a s first-line therapy for cutaneous leishmaniasis (wet and dry types).
文摘President Lian-Sheng Ma, Editor-in-Chief of World Journal of Gastroenterology （WJG）, met with Dr. Parimal Chowdhury, from the University of Arkansas for Medical Sciences, member of WJG Editorial Board, and his wife in Beijing on November 29, 2006. The two sides held cordial and friendly talks.
基金supported by Project of Shanghai Science and Technology Committee(12401904600)
文摘Zhang Ren, a master of medicine, professor, chief physician, and State Council expert for Special Allowances. He is the current vice president of Chinese Acupuncture Society, the honorary chairman of Shanghai Acupuncture Society, a member of Shanghai Intangible Cultural Heritage Assessment Committee. He used to be the director of Shanghai Municipal Literature Museum of Traditional Chinese Medicine and the director of the Shanghai Information Institute of Traditional Chinese Medicine. He has been engaged in acupuncture clinical and literature research for more than 40 years. He has been to Europe to give lectures and treat patients in clinic for 3 times, and received a favorable evaluation. And he has independently written and edited more than 60 books on acupuncture and traditional Chinese medicine as a chief editor （including English and Japanese versions）, which were published in Beijing, Shanghai, Chongqing, Taipei and Tokyo. He has published nearly 100 papers in both English and Chinese. He has also chaired Shanghai Municipal Public Health Bureau research projects, and participated in a number of projects such as Shanghai Municipal Science and Technology Commission project, the National 973 project. He has accumulated a wealth of clinical experience on acupuncture treamlent tor multiple modem intractable diseases, especially has unique experience on the acupuncture treammnt for stubborn eye diseases.
