For the purpose of providing references for further research and practical application about the quality improvement of RCA,in this paper,various treatment methods were firstly classified into four categories:removing...For the purpose of providing references for further research and practical application about the quality improvement of RCA,in this paper,various treatment methods were firstly classified into four categories:removing old mortar (OM),strengthening OM,multi-stage mixing methods,and combination methods.Thereafter,the improvement mechanisms and important conclusions of various treatment methods were elucidated and summarised respectively.In the section of discussion,the improved effects as well as advantages and disadvantages of various treatment methods were compared and discussed respectively,and recommendations for the selection of treatment methods were proposed.Finally,the further research directions were pointed out,and an integrative programme on the quality improvement of RCA was recommended.展开更多
BACKGROUND Peritoneal metastasis(PM),arising from gastric cancer(GC),is the most common pattern of synchronous and metachronous dissemination and is generally associated with poor prognosis.New therapeutic modalities ...BACKGROUND Peritoneal metastasis(PM),arising from gastric cancer(GC),is the most common pattern of synchronous and metachronous dissemination and is generally associated with poor prognosis.New therapeutic modalities are being increasingly employed for such patients.AIM To develop more advanced methods,it becomes necessary to study the results of existing standard treatment methods in patients with PM in order to perform a comparative analysis of the strategies.METHODS A retrospective analysis of the efficiency of standard treatment methods(i.e.,palliative chemotherapy,palliative gastrectomy,and the best supportive care)was performed on 200 GC patients with synchronous PM.RESULTS The overall survival(OS)rate in 200 GC patients with PM under standard treatment was 5.4 mo.One-year survival occurred in 18.4%of patients.In multivariate analysis,the survival rate was significantly influenced by the following factors:Presence of extraperitoneal metastases,and stage of PM according to both the Japanese Gastric Cancer Association(JGCA)and the peritoneal cancer index(PCI).The median OS and 1-year survival of patients withР1,P2,and P3(JGCA)carcinomatosis were 9.8 mo,6.7 mo,and 4.0 mo,and 47.2%,18.8%,and 5.1%,respectively.The application of the palliative gastrectomy resulted in an increase in the median OS by up to 17 mo compared to the conservative approach where the value was 8.5 mo(P=0.05)in patients withР1РМ.In patients withР3,palliative chemotherapy increased the OS by up to 5.6 mo compared to the OS of 3.2 mo(P=0.0006)for best supportive care.The median OS and 1-year survival of patients withРCI of 1-6,7-12 and 13+points were 8.5 mo,4.2 mo,and 4.1 mo,and 39.8%,6.7%,and 5.5%,respectively.Palliative gastrectomy increased the median OS to 12.6 mo compared to conservative approach of 8.0 mo(P=0.03)in patients withРCI of 1-6 points.In patients withРCI 13+points,only palliative chemotherapy increased the OS to 6.0 mo compared to the OS of 3.4 mo for best supportive care(P=0.0008).CONCLUSION GC patients with PM are characterized by extremely poor prognoses.Long-term survivors were found in the group with PCI of 1-6 points,and there was no survival difference in groups with PCI 7-12 vs PCI 13+points.Palliative gastrectomy could prove effective in treating patients with early stage PM.The three standard treatment methods are equally effective for moderate stages of PM.In cases with advanced peritoneal carcinomatosis,a significant increase in prognosis was registered only after treatment with palliative chemotherapy.展开更多
Waste recovery is an environmental, agronomic and economic asset. The farm “Société de Provenderies du Cameroun” (SPC) processes its wastes by incineration and landfill. During this study, environmental im...Waste recovery is an environmental, agronomic and economic asset. The farm “Société de Provenderies du Cameroun” (SPC) processes its wastes by incineration and landfill. During this study, environmental impacts of these two treatment methods were assessed in this farm and a composting experiment was also conducted. For the experiment, chicken carcasses and droppings mixed with wood shavings, straw, incineration ash, egg shells and cattle dung were distributed differently in four experimental composters C1, C2, C3 and C4 with the same starting weight. C1 consisted of the first three waste types, for C2, C3 and C4 a new waste was added in the order they are listed above. The results show that the major impacts associated with the incineration and landfilling of SPC waste are the degradation of the health of workers and surrounding populations, the occurrence of conflicts, and the pollution of the air, soil and groundwater of the site. As far as composting is concerned, the characteristics of three of the four composts obtained are usable as soil fertilisers. Indeed, at the end of the experiment, the pH of the four composters was basic (8), the temperature values were between 24°C and 34°C and the humidity values were between 37% and 41%. However, the last parameter, the C/N ratio, was not satisfactory for C1 (13.42), which eliminated it from mature and ready-to-use composts according to FAO standards. The C/N ratios of C2 (15.71), C3 (16.30), and C4 (18) composters were found to be good for mature and ready-to-use compost.展开更多
Introduction: Treatment of solid medical waste (SMW) is a complex task requiring the proper practices with specific treatment methods corresponding to each type of SMW during pretreatment and final treatment. This stu...Introduction: Treatment of solid medical waste (SMW) is a complex task requiring the proper practices with specific treatment methods corresponding to each type of SMW during pretreatment and final treatment. This study targeted three treatment methods identified as the main used by the majority of health care facilities (HCFs) and treating a large amount of SMW. It aimed: 1) to evaluate the current practices by calculating the emergy investment and emergy costs that are required to treat one ton of SMW through the three treatment methods and 2) to evaluate and compare better technologies and provide policy suggestions for the final treatment of SMW in Burundi. Materials and Methods: This study used the emergy methodology to evaluate the relative efficiencies of three treatment methods used for to treat SMW in twelve HCFs in Bujumbura. Results and Conclusion: The total emergy input was 1.36E+20 seJ/yr, 3.54E+17 seJ/yr, and 1.681E+18 seJ/yr for low temperature incinerator, landfill and organic pit, respectively. Conclusion: Rapid improvement of organic pit by ensuring its maintenance, the gradual replacement of low temperature incinerator by high temperature incinerator with air control pollution and landfill by sanitary landfill are highly recommended by respecting its maintenance (fence, roof and monitoring evaluation) for reducing the risk.展开更多
Objectives:Call on people to treat the causes of physical diseases is to take into account the causes of psychological factors as well as external causes.Materials and Methods:The analysis was conducted by combining t...Objectives:Call on people to treat the causes of physical diseases is to take into account the causes of psychological factors as well as external causes.Materials and Methods:The analysis was conducted by combining the classical medical books of Tibetan medicine,as well as the traditional culture and living habits of Tibetan people,with modern research results.Results:Many of the theories mentioned in Tibetan medicine related to mind-body medicine have been confirmed by modern research.Mental and physical treatment related to psychosomatic diseases should be administered simultaneously.First,when a person is healthy,he should cultivate his mind to build a solid psychological defense against diseases.Developing both the mind and body contributes to creating a stable physical protection barrier against diseases.When a person is ill,he should realign his mind and help his body adjust and promote its early recovery with the help of medications.Conclusions:Treating related psychosomatic diseases should treat the mind and body simultaneously.And the mind and body should be cultivated before diseases to reinforce the psychological and physical defense against diseases.展开更多
This research is pointed up on“Adjustment disorder and adaptation with anxiety,stress and depression following the catastrophic life events”.We explained the results of psychopathological and psychosocial effects of...This research is pointed up on“Adjustment disorder and adaptation with anxiety,stress and depression following the catastrophic life events”.We explained the results of psychopathological and psychosocial effects of post-traumatic stress disorder(PTSD),especially depression and anxiety caused by catastrophic stressful life events or other factors(war,terrorist acts,etc.),and then discussed and presented different methods and forms of treatments.Our theoretical studies,in the fields of PTSD-Psychogeriatry and Psychiatry in one side and different Seminars in Paris etc.in other side,have completed this research;the studies at the University of Illinois,as full time Prof.are developed in this working research.Anxiety disorders,depression and stresses are not a new phenomenon in the field of psychiatry,they have existed several years B.C.,but their aetiology and physiopathology were not clear.Moreover,the treatments were on the basis of some medical plants or traditional and local methods which existed yet,more or less in some African or Asiatic countries,the hospitals for mental disorders had been limited;in plus,environmental factors,also heredity,quality of life and the degree of the vulnerability of individuals and the capacity of the patients to cope with the pain.etc were neglected.In our time,because of multifactorial reasons,anxiety disorders and depression,which are often accompanied by obsessive-compulsive disorders,are the most prevalent pathology in Psychiatry that we discussed in this paper(Figure 1).Actually,because of the global COVID-19 pandemic,the frequency of depression and anxiety disorders,according to the global news and audio-visual information,are significantly increased.Our teaching experiences,also clinical researches and observations in the Mental Health Centres showed clearly that in extreme cases when major depression and anxiety are accumulating and occur to coexist together,they can exert serious pathological effects not only on the cardiovascular system and endocrine glands but also on the cognitive system more particularly on flexibility,memory,creativity and attention(Figure 2);moreover,the coexistence of anxiety and a psychiatric condition can produce not only cognitive disorder,but in some cases-ex.inability to cope with pain or inadaptability to stress,may hasten and intensify ageing process.In many cases as shown,the anxious subjects,when confronted to psychosocial crisis,feel fear and expect to be facing to adverse events or catastrophic situations and believe to live negative future events;in plus,exhibit emotional distress,repetitive dreams and severe insomnia.In these cases,according to our experiences,in parallel to pharmacotherapy,the relaxation and complete massages in one side,physical education,meditation,positive emotion and muscular release etc.in other side,are useful to help these patients for a best control of emotional distress and relatively reduce anxiety and depression.We add that the syndrome of stress,depression and anxiety has been recognized not only in the different victims of war,but also in the non-war(cf.other factors noted in this paper:fig.1)traumatized population.展开更多
Diabetic kidney disease is one of the most serious and common chronic complications of diabetes and one of the leading causes of death in diabetic patients.In the case of diabetic kidney disease,sustained proteinuria ...Diabetic kidney disease is one of the most serious and common chronic complications of diabetes and one of the leading causes of death in diabetic patients.In the case of diabetic kidney disease,sustained proteinuria is irreversible until it develops into end-stage renal disease.Drug treatment of diabetic kidney disease is relatively limited.More and more evidences into the effectiveness and safety that related non-drug treatments not only have the characteristics of simple operation and high safety,but also can improve the clinical symptoms of patients with diabetic kidney disease,reduce laboratory indicators,and delay disease progression.This article summarizes the recent literature on non-drug treatment of diabetic kidney disease such as exercise therapy,acupuncture therapy,acupoint application,auricular acupoint pressing pill therapy,moxibustion therapy,in order to provide reference for clinical treatment.展开更多
Edema is a common postoperative complication in mixed hemorrhoids.With the development of medical treatment,surgical improvement has greatly reduced surgical trauma to the body,but the issue of postoperative edema sti...Edema is a common postoperative complication in mixed hemorrhoids.With the development of medical treatment,surgical improvement has greatly reduced surgical trauma to the body,but the issue of postoperative edema still exists.In order to explore the treatment progress of edema after surgery for mixed hemorrhoids,literatures on integrated traditional Chinese and western medicine for postoperative edema in hemorrhoids have been reviewed in hope to better understand the complication and provide reference for relevant clinical studies in the future.展开更多
Upper airway cough syndrome refers to a clinical syndrome with chronic cough as the main manifestation caused by the reverse flow of secretions from various upper airway diseases such as allergic rhinitis,rhino-sinusi...Upper airway cough syndrome refers to a clinical syndrome with chronic cough as the main manifestation caused by the reverse flow of secretions from various upper airway diseases such as allergic rhinitis,rhino-sinusitis,adenoid hypertrophy and other parts of the nose and pharynx.Professor Yin Dan believes that the main disease of upper airway cough syndrome is due to cold fluid retained in lung,blood stasis endogenous,compound feeling of wind evil.The pathogenesis is external wind evil and the hidden pathogen together to cause the disease.In the treatment,the warm cold fluid retention is the core,accompanied by the activation of blood and wind,so that the wind evil can go away,the cold evil can be warmed,the phlegm can be removed,and the blood stasis can be dispersed,so as to achieve the purpose of treating the upper airway cough syndrome of the children’s cold fluid retention in lung.展开更多
With the continuous development of economy and changes in people's lifestyle,rural domestic waste brought about serious harm to water,air,human health,ecological landscape and so forth.In this paper,taking Longfan...With the continuous development of economy and changes in people's lifestyle,rural domestic waste brought about serious harm to water,air,human health,ecological landscape and so forth.In this paper,taking Longfang Town in Loess Plateau region as example,the source,amount and harms of rural domestic waste were analyzed firstly,as well as the current situation and existing problems of treatment,and then a suitable waste disposal technology for the town was chosen,finally the reasonable treatment methods combining new countryside and non-new countryside with township was summed up,so as to realize the reduction,harmless and resource treatment of rural domestic waste.展开更多
Nationwide epidemiological surveys of idiopathic sudden sensorineural hearing loss(SSNHL) have been performed five times by the Research Committee of the Ministry of Health and Welfare or the Ministry of Health, Welfa...Nationwide epidemiological surveys of idiopathic sudden sensorineural hearing loss(SSNHL) have been performed five times by the Research Committee of the Ministry of Health and Welfare or the Ministry of Health, Welfare and Labour in Japan. These surveys included patients who had SSNHL in 1972, 1987, 1993, 2001, and 2012. Using the criteria for the grading of hearing loss in SSNHL or the criteria for grading the degree of hearing recovery after SSNHL established by the Research Committee, we compared the outcomes of SSNHL between the five nationwide surveys. The results revealed that the outcomes of SSNHL have not changed in the past 40 years. In 1972, 88% of patients received steroids, but none received prostaglandin E1(PGE1). The use of PGE1 has increased since the 1980 s, but its effect on SSNHL may not be significant. Intratympanic steroid injection has been introduced recently for the treatment of SSNHL, but it does not seem to be used widely in Japan. Intratympanic therapy that can reduce the total amount of steroids administered will be used more frequently if the true effects and indications for this therapy are known. Elucidation of the etiologies of SSNHL and development of treatments specific for these etiologies are expected.展开更多
Dear Editor,I am Dr.Jia X from the Department of Ophthalmology,Second Xiangya Hospital,Central South University,Changsha,China.I write to present a rare case report of 9p deletion syndrome with congenital infantile gl...Dear Editor,I am Dr.Jia X from the Department of Ophthalmology,Second Xiangya Hospital,Central South University,Changsha,China.I write to present a rare case report of 9p deletion syndrome with congenital infantile glaucoma in an infant,accompanying with an effective method of both diagnosis展开更多
Upper gastrointestinal bleeding is a common clinical disease with a relatively high incidence rate,and it is also an acute bleeding disease with a greater impact.If not rescued in time,it will greatly threaten the pat...Upper gastrointestinal bleeding is a common clinical disease with a relatively high incidence rate,and it is also an acute bleeding disease with a greater impact.If not rescued in time,it will greatly threaten the patient's physical and mental health and may even be fatal,especially in cases of non-varicose upper hemorrhage,which is closely related to digestive ulcers.In most cases,related diseases are selflimiting-However,some of the cases are relatively urgent and require internal meridian treatment to promote coagulation and improve existing disease situation.For endoscopic treatment process,related treatment methods have certain specificities,and their characteristics need to be fully understood.展开更多
From a historical point of view,this paper studies the characteristics of traditional Chinese medicine(TCM)theories and methods of prevention and treatment of pestilence.By collecting information on the prevention and...From a historical point of view,this paper studies the characteristics of traditional Chinese medicine(TCM)theories and methods of prevention and treatment of pestilence.By collecting information on the prevention and treatment of pestilence with TCM,we sorted out and studied the theories of pestilence prevention and treatment with TCM in the past dynasties and the clinical application methods of pestilence prevention.We explained the clinical application of TCM for the treatment of pestilence from 2 aspects,including internal treatment and external treatment,and discussed the clinical application of some famous prescriptions for the treatment of pestilence;and many external treatment methods,the clinical application of acupuncture and scraping are explained for modern epidemic prevention.展开更多
Objectives To study the effects of applying locking compression plates in the treatment of patients with limb fractures on postoperative fracture healing.Methods:115 patients with limb fractures who were treated in ou...Objectives To study the effects of applying locking compression plates in the treatment of patients with limb fractures on postoperative fracture healing.Methods:115 patients with limb fractures who were treated in our hospital from November 2019 to November 2020 were selected.In order to study the effective treatment method,the random-number table method was used in this study to divide the patients into two groups,namely the experimental group and the control group,and the locking compression plate treatment method and the pure plate and screw internal fixation treatment method were administered respectively to study their clinical application effects.Results:Compared with the control group,patients in the experimental group had a lower incidence of complications,shorter hospitalizations and shorter recovery time.Meanwhile,the experimental group had a better quality of recovery,and all data were significantly different from those of the control group,P<0.05,the intervention effect of the experimental group was better.Conclusion:The application of the locking compression plate in the treatment of patients with limb fractures is more conducive to promoting the postoperative healing of the patients'fractures,reducing the incidence of postoperative complications,and promoting the rapid recovery of patients,which has positive significance for clinical development.展开更多
With the change of people’s lifestyle and diet,the incidence of anorectal diseases is increasing year by year.Anal fistula is a common anorectal disease.Because it cannot heal by itself,surgery has become the main tr...With the change of people’s lifestyle and diet,the incidence of anorectal diseases is increasing year by year.Anal fistula is a common anorectal disease.Because it cannot heal by itself,surgery has become the main treatment method.Due to the particularity of wound location and physiological structure,the wound is easily contaminated by bacteria,so dressing change after surgery plays a decisive role in wound healing.Modern western medicine and traditional Chinese medicine have different dressing changing methods respectively.In this paper,we reviewed commonly used dressing changing methods of traditional Chinese and western medicine after anal fistula surgery.展开更多
This paper summarizes Hao Mingxia's experience in treating chronic hepatitis B with traditional Chinese medicine.Director Hao discussed the treatment from the dynamic changes of damp-heat,toxin,deficiency and blood...This paper summarizes Hao Mingxia's experience in treating chronic hepatitis B with traditional Chinese medicine.Director Hao discussed the treatment from the dynamic changes of damp-heat,toxin,deficiency and blood stasis,which mainly involved liver,spleen and kidney.Chronic hepatitis B is a chronic wasting disease,which always belongs to the combination of deficiency and excess,asthenic healthy qi with pathogen lingering,and pathogenic qi does not go for the progress of the disease.The four directions of this paper are based on supporting healthy qi,combining attack with tonic,so as to attack evil-qi without hurting positive.It not only follows the ancient method of TCM for syndrome differentiation and treatment,but also combines modern pharmacological effects to clarify the direction of disease.There are more accurate and comprehensive coverage of disease symptoms,so as to achieve the effect of systemic conditioning.Director Hao is good at comprehensive treatment,according to the physiological characteristics of viscera and body pathology,unified qi,blood and yin-yang of whole body,medication to often reach,knowing constantly and achieving change,the effect is immediate.展开更多
Due to the presence of old mortar (OM) and interfacial transition zone (ITZ),recycled concrete aggregate (RCA) is inferior to natural aggregate (NA).The purpose of this paper was to study the effect of accelerated car...Due to the presence of old mortar (OM) and interfacial transition zone (ITZ),recycled concrete aggregate (RCA) is inferior to natural aggregate (NA).The purpose of this paper was to study the effect of accelerated carbonation on the macro-properties and micro-properties of RCA under different pressure(0.05,0.15,0.30 MPa).The macro-property tests included colour change,apparent density,water absorption,and crushing value of RCA.The micro-property tests included scanning electron microscopy (SEM),X-ray diffraction (XRD),thermogravimetry-differential scanning calorimetry (TG-DSC),and Vickers micro-hardness(VMH).The results showed that the change trends of apparent density,water absorption,and crushing value of RCA displayed exponential relationships as pressure increasing,with the optimum pressure of 0.30 MPa.SEM images indicated that the calcite caused by the hydration products in RCA and the Ca(OH)_(2) derived from saturated lime water improved the properties of RCA;as the apparent density increased,the water absorption and crushing value decreased.The results of XRD and TG-DSC indicated that,as the pressure increased,the masses of Ca(OH)_(2) in carbonated RCA gradually decreased,while those of CaCO_(3) gradually increased,which demonstrated that the carbonation degree gradually increased.Besides,ITZ-2 was the weakest phase in RCA,but its improvement degree of VMH by accelerated carbonation was higher than that of OM.However,RCA was not completely carbonated,but only carbonated in a certain depth after 24 h accelerated carbonation.展开更多
BACKGROUND Paraganglioma of the urinary bladder(PUB)is a nonepithelial tumor of the bladder that is also known as bladder pheochromocytoma.The incidence of nonfunctional paraganglioma of the urinary bladder is rare in...BACKGROUND Paraganglioma of the urinary bladder(PUB)is a nonepithelial tumor of the bladder that is also known as bladder pheochromocytoma.The incidence of nonfunctional paraganglioma of the urinary bladder is rare in clinical practice.CASE SUMMARY A case of nonfunctional paraganglioma of the urinary bladder diagnosed and treated in our hospital is reported herein.A 2.5 cm×2.1 cm moderate-echo mass protruding into the right anterior wall of the bladder was incidentally found during transvaginal color Doppler ultrasound examination.Based on a contrastenhanced computed tomography scan of the bladder,the right anterior wall of the bladder was considered to present a hemangioma.The patient underwent laparoscopic partial resection of the bladder wall in our hospital,and pathological results showed paraganglioma of the bladder.At present,we have followed up with the patient for half a year,and there has been no recurrence of the tumor.CONCLUSION The imaging patterns of PUB and bladder hemangioma are similar.In clinical practice,the possibility of PUB should be considered for a single wide-based isoechoic mass in the bladder,especially functional PUB may cause some adverse effects during surgery.展开更多
The timely introduction and rapid development of precision medicine have provided strong theoretical support and technical support for tumor research.The treatment methods have been developed from single to multiple;t...The timely introduction and rapid development of precision medicine have provided strong theoretical support and technical support for tumor research.The treatment methods have been developed from single to multiple;the research technology has been transformed from macro to micro;the treatment drugs have been updated from systemic chemotherapy to targeted therapy and immunotherapy,and cancer has changed from a highly lethal disease to a"chronic disease".Based on the current international cancer research hotspots and treatment frontiers,this paper takes stock from five aspects,namely,treatment methods,detection technology,new drug research and development,information data and traditional Chinese medicine,with a view to"from the point to the surface","from the outside to the inside",and"the combination of Chinese and western",so as to explore the overall picture of cancer treatment and research.展开更多
基金Funded by Joint Funds of the National Natural Science Foundation of China(No.U1904188)National Science Foundation for Distinguished Young Scholars(No.51608179)the Key Science and Technology Program of Henan Province,China(No.202102310253)。
文摘For the purpose of providing references for further research and practical application about the quality improvement of RCA,in this paper,various treatment methods were firstly classified into four categories:removing old mortar (OM),strengthening OM,multi-stage mixing methods,and combination methods.Thereafter,the improvement mechanisms and important conclusions of various treatment methods were elucidated and summarised respectively.In the section of discussion,the improved effects as well as advantages and disadvantages of various treatment methods were compared and discussed respectively,and recommendations for the selection of treatment methods were proposed.Finally,the further research directions were pointed out,and an integrative programme on the quality improvement of RCA was recommended.
文摘BACKGROUND Peritoneal metastasis(PM),arising from gastric cancer(GC),is the most common pattern of synchronous and metachronous dissemination and is generally associated with poor prognosis.New therapeutic modalities are being increasingly employed for such patients.AIM To develop more advanced methods,it becomes necessary to study the results of existing standard treatment methods in patients with PM in order to perform a comparative analysis of the strategies.METHODS A retrospective analysis of the efficiency of standard treatment methods(i.e.,palliative chemotherapy,palliative gastrectomy,and the best supportive care)was performed on 200 GC patients with synchronous PM.RESULTS The overall survival(OS)rate in 200 GC patients with PM under standard treatment was 5.4 mo.One-year survival occurred in 18.4%of patients.In multivariate analysis,the survival rate was significantly influenced by the following factors:Presence of extraperitoneal metastases,and stage of PM according to both the Japanese Gastric Cancer Association(JGCA)and the peritoneal cancer index(PCI).The median OS and 1-year survival of patients withР1,P2,and P3(JGCA)carcinomatosis were 9.8 mo,6.7 mo,and 4.0 mo,and 47.2%,18.8%,and 5.1%,respectively.The application of the palliative gastrectomy resulted in an increase in the median OS by up to 17 mo compared to the conservative approach where the value was 8.5 mo(P=0.05)in patients withР1РМ.In patients withР3,palliative chemotherapy increased the OS by up to 5.6 mo compared to the OS of 3.2 mo(P=0.0006)for best supportive care.The median OS and 1-year survival of patients withРCI of 1-6,7-12 and 13+points were 8.5 mo,4.2 mo,and 4.1 mo,and 39.8%,6.7%,and 5.5%,respectively.Palliative gastrectomy increased the median OS to 12.6 mo compared to conservative approach of 8.0 mo(P=0.03)in patients withРCI of 1-6 points.In patients withРCI 13+points,only palliative chemotherapy increased the OS to 6.0 mo compared to the OS of 3.4 mo for best supportive care(P=0.0008).CONCLUSION GC patients with PM are characterized by extremely poor prognoses.Long-term survivors were found in the group with PCI of 1-6 points,and there was no survival difference in groups with PCI 7-12 vs PCI 13+points.Palliative gastrectomy could prove effective in treating patients with early stage PM.The three standard treatment methods are equally effective for moderate stages of PM.In cases with advanced peritoneal carcinomatosis,a significant increase in prognosis was registered only after treatment with palliative chemotherapy.
文摘Waste recovery is an environmental, agronomic and economic asset. The farm “Société de Provenderies du Cameroun” (SPC) processes its wastes by incineration and landfill. During this study, environmental impacts of these two treatment methods were assessed in this farm and a composting experiment was also conducted. For the experiment, chicken carcasses and droppings mixed with wood shavings, straw, incineration ash, egg shells and cattle dung were distributed differently in four experimental composters C1, C2, C3 and C4 with the same starting weight. C1 consisted of the first three waste types, for C2, C3 and C4 a new waste was added in the order they are listed above. The results show that the major impacts associated with the incineration and landfilling of SPC waste are the degradation of the health of workers and surrounding populations, the occurrence of conflicts, and the pollution of the air, soil and groundwater of the site. As far as composting is concerned, the characteristics of three of the four composts obtained are usable as soil fertilisers. Indeed, at the end of the experiment, the pH of the four composters was basic (8), the temperature values were between 24°C and 34°C and the humidity values were between 37% and 41%. However, the last parameter, the C/N ratio, was not satisfactory for C1 (13.42), which eliminated it from mature and ready-to-use composts according to FAO standards. The C/N ratios of C2 (15.71), C3 (16.30), and C4 (18) composters were found to be good for mature and ready-to-use compost.
文摘Introduction: Treatment of solid medical waste (SMW) is a complex task requiring the proper practices with specific treatment methods corresponding to each type of SMW during pretreatment and final treatment. This study targeted three treatment methods identified as the main used by the majority of health care facilities (HCFs) and treating a large amount of SMW. It aimed: 1) to evaluate the current practices by calculating the emergy investment and emergy costs that are required to treat one ton of SMW through the three treatment methods and 2) to evaluate and compare better technologies and provide policy suggestions for the final treatment of SMW in Burundi. Materials and Methods: This study used the emergy methodology to evaluate the relative efficiencies of three treatment methods used for to treat SMW in twelve HCFs in Bujumbura. Results and Conclusion: The total emergy input was 1.36E+20 seJ/yr, 3.54E+17 seJ/yr, and 1.681E+18 seJ/yr for low temperature incinerator, landfill and organic pit, respectively. Conclusion: Rapid improvement of organic pit by ensuring its maintenance, the gradual replacement of low temperature incinerator by high temperature incinerator with air control pollution and landfill by sanitary landfill are highly recommended by respecting its maintenance (fence, roof and monitoring evaluation) for reducing the risk.
基金supported by The National Natural Science Foundation of China(81774448),project leader:Ren XiaoqiaoThe key research and development and transformation project of Qinghai Provincial Department of Science and Technology,the study on the mechanism of action and clinical efficacy evaluation of Tibetan medicine Shiwei Weiming capsule in the treatment of"Sorong disease"+1 种基金No.2021-SF-C21The National Natural Science Foundation of China(81973697),project leader:Zhao Huihui。
文摘Objectives:Call on people to treat the causes of physical diseases is to take into account the causes of psychological factors as well as external causes.Materials and Methods:The analysis was conducted by combining the classical medical books of Tibetan medicine,as well as the traditional culture and living habits of Tibetan people,with modern research results.Results:Many of the theories mentioned in Tibetan medicine related to mind-body medicine have been confirmed by modern research.Mental and physical treatment related to psychosomatic diseases should be administered simultaneously.First,when a person is healthy,he should cultivate his mind to build a solid psychological defense against diseases.Developing both the mind and body contributes to creating a stable physical protection barrier against diseases.When a person is ill,he should realign his mind and help his body adjust and promote its early recovery with the help of medications.Conclusions:Treating related psychosomatic diseases should treat the mind and body simultaneously.And the mind and body should be cultivated before diseases to reinforce the psychological and physical defense against diseases.
文摘This research is pointed up on“Adjustment disorder and adaptation with anxiety,stress and depression following the catastrophic life events”.We explained the results of psychopathological and psychosocial effects of post-traumatic stress disorder(PTSD),especially depression and anxiety caused by catastrophic stressful life events or other factors(war,terrorist acts,etc.),and then discussed and presented different methods and forms of treatments.Our theoretical studies,in the fields of PTSD-Psychogeriatry and Psychiatry in one side and different Seminars in Paris etc.in other side,have completed this research;the studies at the University of Illinois,as full time Prof.are developed in this working research.Anxiety disorders,depression and stresses are not a new phenomenon in the field of psychiatry,they have existed several years B.C.,but their aetiology and physiopathology were not clear.Moreover,the treatments were on the basis of some medical plants or traditional and local methods which existed yet,more or less in some African or Asiatic countries,the hospitals for mental disorders had been limited;in plus,environmental factors,also heredity,quality of life and the degree of the vulnerability of individuals and the capacity of the patients to cope with the pain.etc were neglected.In our time,because of multifactorial reasons,anxiety disorders and depression,which are often accompanied by obsessive-compulsive disorders,are the most prevalent pathology in Psychiatry that we discussed in this paper(Figure 1).Actually,because of the global COVID-19 pandemic,the frequency of depression and anxiety disorders,according to the global news and audio-visual information,are significantly increased.Our teaching experiences,also clinical researches and observations in the Mental Health Centres showed clearly that in extreme cases when major depression and anxiety are accumulating and occur to coexist together,they can exert serious pathological effects not only on the cardiovascular system and endocrine glands but also on the cognitive system more particularly on flexibility,memory,creativity and attention(Figure 2);moreover,the coexistence of anxiety and a psychiatric condition can produce not only cognitive disorder,but in some cases-ex.inability to cope with pain or inadaptability to stress,may hasten and intensify ageing process.In many cases as shown,the anxious subjects,when confronted to psychosocial crisis,feel fear and expect to be facing to adverse events or catastrophic situations and believe to live negative future events;in plus,exhibit emotional distress,repetitive dreams and severe insomnia.In these cases,according to our experiences,in parallel to pharmacotherapy,the relaxation and complete massages in one side,physical education,meditation,positive emotion and muscular release etc.in other side,are useful to help these patients for a best control of emotional distress and relatively reduce anxiety and depression.We add that the syndrome of stress,depression and anxiety has been recognized not only in the different victims of war,but also in the non-war(cf.other factors noted in this paper:fig.1)traumatized population.
文摘Diabetic kidney disease is one of the most serious and common chronic complications of diabetes and one of the leading causes of death in diabetic patients.In the case of diabetic kidney disease,sustained proteinuria is irreversible until it develops into end-stage renal disease.Drug treatment of diabetic kidney disease is relatively limited.More and more evidences into the effectiveness and safety that related non-drug treatments not only have the characteristics of simple operation and high safety,but also can improve the clinical symptoms of patients with diabetic kidney disease,reduce laboratory indicators,and delay disease progression.This article summarizes the recent literature on non-drug treatment of diabetic kidney disease such as exercise therapy,acupuncture therapy,acupoint application,auricular acupoint pressing pill therapy,moxibustion therapy,in order to provide reference for clinical treatment.
文摘Edema is a common postoperative complication in mixed hemorrhoids.With the development of medical treatment,surgical improvement has greatly reduced surgical trauma to the body,but the issue of postoperative edema still exists.In order to explore the treatment progress of edema after surgery for mixed hemorrhoids,literatures on integrated traditional Chinese and western medicine for postoperative edema in hemorrhoids have been reviewed in hope to better understand the complication and provide reference for relevant clinical studies in the future.
文摘Upper airway cough syndrome refers to a clinical syndrome with chronic cough as the main manifestation caused by the reverse flow of secretions from various upper airway diseases such as allergic rhinitis,rhino-sinusitis,adenoid hypertrophy and other parts of the nose and pharynx.Professor Yin Dan believes that the main disease of upper airway cough syndrome is due to cold fluid retained in lung,blood stasis endogenous,compound feeling of wind evil.The pathogenesis is external wind evil and the hidden pathogen together to cause the disease.In the treatment,the warm cold fluid retention is the core,accompanied by the activation of blood and wind,so that the wind evil can go away,the cold evil can be warmed,the phlegm can be removed,and the blood stasis can be dispersed,so as to achieve the purpose of treating the upper airway cough syndrome of the children’s cold fluid retention in lung.
文摘With the continuous development of economy and changes in people's lifestyle,rural domestic waste brought about serious harm to water,air,human health,ecological landscape and so forth.In this paper,taking Longfang Town in Loess Plateau region as example,the source,amount and harms of rural domestic waste were analyzed firstly,as well as the current situation and existing problems of treatment,and then a suitable waste disposal technology for the town was chosen,finally the reasonable treatment methods combining new countryside and non-new countryside with township was summed up,so as to realize the reduction,harmless and resource treatment of rural domestic waste.
文摘Nationwide epidemiological surveys of idiopathic sudden sensorineural hearing loss(SSNHL) have been performed five times by the Research Committee of the Ministry of Health and Welfare or the Ministry of Health, Welfare and Labour in Japan. These surveys included patients who had SSNHL in 1972, 1987, 1993, 2001, and 2012. Using the criteria for the grading of hearing loss in SSNHL or the criteria for grading the degree of hearing recovery after SSNHL established by the Research Committee, we compared the outcomes of SSNHL between the five nationwide surveys. The results revealed that the outcomes of SSNHL have not changed in the past 40 years. In 1972, 88% of patients received steroids, but none received prostaglandin E1(PGE1). The use of PGE1 has increased since the 1980 s, but its effect on SSNHL may not be significant. Intratympanic steroid injection has been introduced recently for the treatment of SSNHL, but it does not seem to be used widely in Japan. Intratympanic therapy that can reduce the total amount of steroids administered will be used more frequently if the true effects and indications for this therapy are known. Elucidation of the etiologies of SSNHL and development of treatments specific for these etiologies are expected.
基金Supported by the Natural Science Foundation of China(No.81370913)
文摘Dear Editor,I am Dr.Jia X from the Department of Ophthalmology,Second Xiangya Hospital,Central South University,Changsha,China.I write to present a rare case report of 9p deletion syndrome with congenital infantile glaucoma in an infant,accompanying with an effective method of both diagnosis
文摘Upper gastrointestinal bleeding is a common clinical disease with a relatively high incidence rate,and it is also an acute bleeding disease with a greater impact.If not rescued in time,it will greatly threaten the patient's physical and mental health and may even be fatal,especially in cases of non-varicose upper hemorrhage,which is closely related to digestive ulcers.In most cases,related diseases are selflimiting-However,some of the cases are relatively urgent and require internal meridian treatment to promote coagulation and improve existing disease situation.For endoscopic treatment process,related treatment methods have certain specificities,and their characteristics need to be fully understood.
基金Jin Education Student Letter[2020]No.105-2021 Excellent Project of Ideological and Political Work in Colleges and Universities in Tianjin-Exploration and Practice of Ideological and Political Teaching Reform in Traditional Chinese Medicine Colleges and Universities Based on"Dream Class"。
文摘From a historical point of view,this paper studies the characteristics of traditional Chinese medicine(TCM)theories and methods of prevention and treatment of pestilence.By collecting information on the prevention and treatment of pestilence with TCM,we sorted out and studied the theories of pestilence prevention and treatment with TCM in the past dynasties and the clinical application methods of pestilence prevention.We explained the clinical application of TCM for the treatment of pestilence from 2 aspects,including internal treatment and external treatment,and discussed the clinical application of some famous prescriptions for the treatment of pestilence;and many external treatment methods,the clinical application of acupuncture and scraping are explained for modern epidemic prevention.
文摘Objectives To study the effects of applying locking compression plates in the treatment of patients with limb fractures on postoperative fracture healing.Methods:115 patients with limb fractures who were treated in our hospital from November 2019 to November 2020 were selected.In order to study the effective treatment method,the random-number table method was used in this study to divide the patients into two groups,namely the experimental group and the control group,and the locking compression plate treatment method and the pure plate and screw internal fixation treatment method were administered respectively to study their clinical application effects.Results:Compared with the control group,patients in the experimental group had a lower incidence of complications,shorter hospitalizations and shorter recovery time.Meanwhile,the experimental group had a better quality of recovery,and all data were significantly different from those of the control group,P<0.05,the intervention effect of the experimental group was better.Conclusion:The application of the locking compression plate in the treatment of patients with limb fractures is more conducive to promoting the postoperative healing of the patients'fractures,reducing the incidence of postoperative complications,and promoting the rapid recovery of patients,which has positive significance for clinical development.
基金Shaanxi Provincial Key Research and Development Program(Project number:2021SF-351)。
文摘With the change of people’s lifestyle and diet,the incidence of anorectal diseases is increasing year by year.Anal fistula is a common anorectal disease.Because it cannot heal by itself,surgery has become the main treatment method.Due to the particularity of wound location and physiological structure,the wound is easily contaminated by bacteria,so dressing change after surgery plays a decisive role in wound healing.Modern western medicine and traditional Chinese medicine have different dressing changing methods respectively.In this paper,we reviewed commonly used dressing changing methods of traditional Chinese and western medicine after anal fistula surgery.
基金Social Development Project of Shaanxi Provincial Department of Science and Technology(2018SF295)。
文摘This paper summarizes Hao Mingxia's experience in treating chronic hepatitis B with traditional Chinese medicine.Director Hao discussed the treatment from the dynamic changes of damp-heat,toxin,deficiency and blood stasis,which mainly involved liver,spleen and kidney.Chronic hepatitis B is a chronic wasting disease,which always belongs to the combination of deficiency and excess,asthenic healthy qi with pathogen lingering,and pathogenic qi does not go for the progress of the disease.The four directions of this paper are based on supporting healthy qi,combining attack with tonic,so as to attack evil-qi without hurting positive.It not only follows the ancient method of TCM for syndrome differentiation and treatment,but also combines modern pharmacological effects to clarify the direction of disease.There are more accurate and comprehensive coverage of disease symptoms,so as to achieve the effect of systemic conditioning.Director Hao is good at comprehensive treatment,according to the physiological characteristics of viscera and body pathology,unified qi,blood and yin-yang of whole body,medication to often reach,knowing constantly and achieving change,the effect is immediate.
基金Funded by Joint Funds of the National Natural Science Foundation of China (No.U1904188)Key R&D and Promotion Projects in Henan Province,China (No.212102310288)the Key Science and Technology Program of Henan Province,China (No.202102310253)。
文摘Due to the presence of old mortar (OM) and interfacial transition zone (ITZ),recycled concrete aggregate (RCA) is inferior to natural aggregate (NA).The purpose of this paper was to study the effect of accelerated carbonation on the macro-properties and micro-properties of RCA under different pressure(0.05,0.15,0.30 MPa).The macro-property tests included colour change,apparent density,water absorption,and crushing value of RCA.The micro-property tests included scanning electron microscopy (SEM),X-ray diffraction (XRD),thermogravimetry-differential scanning calorimetry (TG-DSC),and Vickers micro-hardness(VMH).The results showed that the change trends of apparent density,water absorption,and crushing value of RCA displayed exponential relationships as pressure increasing,with the optimum pressure of 0.30 MPa.SEM images indicated that the calcite caused by the hydration products in RCA and the Ca(OH)_(2) derived from saturated lime water improved the properties of RCA;as the apparent density increased,the water absorption and crushing value decreased.The results of XRD and TG-DSC indicated that,as the pressure increased,the masses of Ca(OH)_(2) in carbonated RCA gradually decreased,while those of CaCO_(3) gradually increased,which demonstrated that the carbonation degree gradually increased.Besides,ITZ-2 was the weakest phase in RCA,but its improvement degree of VMH by accelerated carbonation was higher than that of OM.However,RCA was not completely carbonated,but only carbonated in a certain depth after 24 h accelerated carbonation.
文摘BACKGROUND Paraganglioma of the urinary bladder(PUB)is a nonepithelial tumor of the bladder that is also known as bladder pheochromocytoma.The incidence of nonfunctional paraganglioma of the urinary bladder is rare in clinical practice.CASE SUMMARY A case of nonfunctional paraganglioma of the urinary bladder diagnosed and treated in our hospital is reported herein.A 2.5 cm×2.1 cm moderate-echo mass protruding into the right anterior wall of the bladder was incidentally found during transvaginal color Doppler ultrasound examination.Based on a contrastenhanced computed tomography scan of the bladder,the right anterior wall of the bladder was considered to present a hemangioma.The patient underwent laparoscopic partial resection of the bladder wall in our hospital,and pathological results showed paraganglioma of the bladder.At present,we have followed up with the patient for half a year,and there has been no recurrence of the tumor.CONCLUSION The imaging patterns of PUB and bladder hemangioma are similar.In clinical practice,the possibility of PUB should be considered for a single wide-based isoechoic mass in the bladder,especially functional PUB may cause some adverse effects during surgery.
基金This study is supported by the National Natural Science Foundation of China(Nos.81673784,81673783,81520108031,81830120)the Science Foundation for Shanghai Committee of Science Project(Nos.18QA1404200,17QA1404100)+1 种基金the Shanghai Health Bureau Science Foundation(No.ZY(2018-2020)-FWTX-4026)the Xinglin Young Scholar,Shanghai University of Traditional Chinese Medicine.
文摘The timely introduction and rapid development of precision medicine have provided strong theoretical support and technical support for tumor research.The treatment methods have been developed from single to multiple;the research technology has been transformed from macro to micro;the treatment drugs have been updated from systemic chemotherapy to targeted therapy and immunotherapy,and cancer has changed from a highly lethal disease to a"chronic disease".Based on the current international cancer research hotspots and treatment frontiers,this paper takes stock from five aspects,namely,treatment methods,detection technology,new drug research and development,information data and traditional Chinese medicine,with a view to"from the point to the surface","from the outside to the inside",and"the combination of Chinese and western",so as to explore the overall picture of cancer treatment and research.
