简介：MNS血型于1927年被发现,是血型系统抗原多态性数目仅次于Rh系统的一个血型系统,最主要的抗原为M、N、S、s4个抗原,Mur抗原在中国人中的发生率为6%～7%﹝1-2﹞。在MNSs系统的抗体中，抗M是最为常见的，抗M和抗N多为目然友生的抗体，其中抗M是干扰血型鉴定最常见的抗体，抗S和抗Mur大多数为免疫性抗体，能够引起严重的输血后溶血反应和新生儿溶血病（HDN），抗Mur在东南亚和东亚地区发生率很高。

简介：Objective:Toinvestigatethemorphologicalcharacteristicsofthebridgetendongraftinginnoman'slandtoreconstructthetendondefectandtheeffectofpassivemobilizationonit.Methods:A2cmdefectwasmadeinbilateralflexordigitorumprofundustendonsofthemiddlechickentoes,andwasthentransplantedtotheoppositesitetoserveasasegmentalautografttendon.Postoperatively,passivemobilizationoftheleftandrightmiddletoesbeganat5and21dseparately.Specimenswerestudiedbylight,scanningandtransmissionelectronmicroscopyat5,10,21and35d.Results:Earlyrepairofthetendon-graftoftheleftmiddletoeswasmadebyproliferationandingrowthoftheepitenoncellsintermingledwithnewly-formedcollagenfibers.aglidingsurfaceformedat10and21d.Thetendongraftitselfplayedanactiveroleintherepair.Incontrast,adhesionsobliteratedthesurfaceandoccupiedthespacebetweenthetendongraftandsurroundingtissuesintherightmiddletoes.Conclusions:Itindicatesthattheuseofthesegmentalbridgetendongraftinnoman'slandcoupledwithearlypassivemotionstimulatesanintrisicrepairprocessinboththetendonstumpandtheautogenoustendongraftandresultsinafunctionalhealing.

简介：

简介：摘要铸造企业的现场管理工作水平高低直接关系到生产的安全、生产质量以及生产效率。为了提高铸造企业现场管理水平，本文围绕铸造企业现场6S管理的议题进行了研究和探讨，文章从企业生产现场实施6S管理的目的、从实施的过程以及实施的效果方面进行了论述，供相关人士参考。

简介：Bell’spalsyisacommonlyseencranialnervediseaseandcanresultincompromisedfacialappearanceandfunctions.Itsetiology,prognosisandtreatmentarestillbeingdebated.Thispaperisareviewofrecentdevelopmentintheunderstandingofetiology,diagnosisandnon-surgicaltreatmentofBell’spalsy.

简介：BACKGROUND:ToevaluatethequalityoftheliteratureaddressingtraditionalChinesemedicinefortreatingParkinson'sdisease.DATASOURCE:Acomputer-basedonlinesearchofChinesepublicationsfromJanuary2001toJuly2008wasconductedinChineseBiologyMedicalDiscDatabaseandChinaNationalKnowledgeInfrastructure.SearchkeywordswereParkinson'sdisease,integratedtraditionalChineseandWesternmedicine,traditionalChinesemedicinetherapy,andChineseherbtherapy.DATASELECTION:Articlesdescribingrandomized,controlledtrialsandquasi-randomized,controlledtrialswereincluded.Literaturequalitywasassessedusingthecriteria-SystematicevaluationofclinicalliteraturerelatedtotreatmentofParkinson'sdiseasewithtraditionalChinesemedicine.Thisincludedmethodology,interventionsinthetreatment/controlgroup,evaluationcriterionofoutcomes,andfrequency.MAINOUTCOMEMEASURES:Evaluationcriterionofoutcomes(variousscoremethodsandevaluationscales),methodologicalquality,andfrequencydistributionwereallmeasured.RESULTS:Atotalof33articleswithrandomized,controlledtrialswereincluded.Ofthese,sixdescribedarandommethod,andtheremainingdidnotdescriberandomallocationmethodsorrandomsequencegenerationmethods.Noneofthestudiesestimatedsamplesize.Casedescriptionsofwithdrawalandlosstofollow-upwereunclear.BoththeUnifiedParkinson'sDiseaseRatingScaleandWebsterscalewereusedintheeligiblestudiesasevaluationcriteria.CONCLUSION:Therearenohigh-qualitystudiesthataddresstraditionalChinesemedicinetherapyandintegratedtraditionalChineseandWesternmedicinefortreatingParkinson'sdiseaseinChina.EligiblestudieswerenotperformedinaccordancewithConsolidatedStandardsofReportingTrialsstatementorStandardsforReportingInterventionsinControlledTrialsofAcupuncturecriteria,andtheliteraturequalitywaslow.ThepresentlyusedcriteriaforevaluatingtherapeuticeffectsdonotcompletelyassessoutcomesoftraditionalCh

简介：

简介：Pyrimidinederivativeshavebeenreportedasneuroprotectiveagentsusefulforthetreatmentofvariousneurodegenerativedisorders.Inthepresentstudy,severalpyrimidineanalogueshavebeenevaluatedasneuroprotectiveagentsinMorriswatermazemodel.Itwasobservedthatpyrimidinederivatives8–17considerablyimprovelearning,memory,andmovementdeficitsinanimalmodels.Biochemicalestimationsofbrainserumoftreatedanimalsrevealedsuppressionofoxidativeandnitrosativestress,acetylcholinesteraseactivity,andotherparameterswhichleadstoneurodegenerationofbrain.Ofallthepyrimidinederivatives,thiomorpholinederivative8andpiperazineethanolderivative17werefoundtobethemostactiveneuroprotectiveagentsandproducedeffectscomparabletostandarddrugrivastigmineintermsofbehavioral,biochemical,andmolecularaspects.

简介：MemorylossandmentalconfusionarethefirstovertsignsofAlzheimer'sDisease,anincurableandfatalbrainailment.Butscientistsarestartingtofindevidenceofthediseaselongbeforesymptomsappear.

简介：腹股沟是躯干与下肢相连接的区域，其中，髂外血管由此穿过进入下肢并移行为股血管。这一结构使其周围存在一些薄弱的部位，使得在股血管周围有腹外疝形成的可能。其中较为常见的即股疝（股血管内侧），较少见的有Hesselbach＇s疝（股血管外侧）、Teale疝（股血管前方）、Serafini＇s疝（股血管后方）以及Laugier＇s疝（较股血管更偏内侧）。近来，我院收治Laugier＇s疝1例，就此病例并结合有关文献进行报告。

简介：AbstractIntroduction:Erosive adenomatosis of the nipple is a rare benign lesion involving nipple which can be easily misdiagnosed as more ominous entities such as Pagets disease.Here we reported a case of erosive adenomatosis on the nipple masquerading as paget’s disease.Case presentation:A 21-year-old woman presented with a 6-year history of breast erythema involving her left nipple with tenderness and mild itching. The nipple appeared rough and thickened with areas of erosion and fissuring. Physical examination of other areas of breast as well as imaging studies including ultrasound and mammography showed no abnormalities. The histological examination reveal adiagnosis of erosive adenomatosis of nipple (EAN). The patient was treated by a simple surgical excision without complications and recurrence during 9-month follow-up.Discussion:In the early stage, it can mimic eczema, but in the later stage, more serious diagnosis such as Pagets disease should be differential. It is diagnosed by histopathological examination. Surgical excision is an optimal choice for treament with or without plastic reconstruction.Conclusion:EAN should be considered in the diagnosis of erythema and erosion lesions involving nipple. The gold standard for diagnosis is histopathological examination. A prompt and correct diagnosis of EAN can avoid both unnecessary over treatment and patients emotional stress.

简介：韩静先教授在1970在TianjinMedical大学里从药的部门毕业了。他在Kitasato大学里做了实验医学的进一步的研究，在1987和1988之间的日本。他在京都大学里在老鼠从事老化研究，Japanbetween1988-1989，并且在从1991～1994在Mutian和另外的医院练习繁体中文药(TCM)。在1997，他从卫生部赢得了一件优秀归还学生奖品并且被国务院授于特殊津贴。作为一个研究家伙，他赢得了国家科学、技术的进步的一件奖品和本地科学、技术的进步的七件奖品。他国内外出版了超过二十篇文章，包括五篇SCI论文；并且写了四本书，哪个之一，针灸技术(用日语)在日本在针灸圆为针灸实践被看作了一本指导书。

简介：

简介：ObjectiveToreportoutcomesofnonsurgicalandsurgicalmanagementofMenière’sdiseaseatBeijingTiantanHospital.MethodsPatientswithMenière’sdiseasewerecategorizedintogroupsbasedonhearingandqualityoflife.Individualizedmanagementwasprovided,includinglifestylemodification,drugtherapies,endolymphaticsacdecompressionandlabyrinthectomy.Treatmentoutcomeswereevaluatedduringupto24monthsfollowup.ResultsEightysevenpatientsunderwentlifestylemodificationanddrugtherapies.ThevertigocontrolrateofGradeAandBwas76.9%and83.8%respectively.Sixpatientsreceivedsurgicalmanagement,includingendolymphaticsacdecompression(n=5)andlabyrinthectomy(n=1).Forthesepatients,thevertigocontrolrateofGradeAandBwas80%and100%,respectively.ConcluIsionsManagementofMenière’sdiseasedependsonseveralfactors,i.e.severitiesofvertigoandhearingloss,qualityoflife,surgicalcontraindicationsandpatientsubjectivedesire.Thetreatmentisdrugtherapiesforthemajorityofpatients,aswellaslifestylemodification.Surgicalindicationsarerareandtheleastinvasiveproceduresshouldbeconsideredfirst.Theresultsofsurgeryaregenerallysatisfying.

简介：Ａｓｐｅｒｇｅｒ’ｓ综合征是儿童广泛发育障碍中的一种类型。也称之为“高功能孤独症”。国内报告甚少,尤其是具有典型临床表现的病例更少。1　临床表现患者为14岁男孩初中三年级学生,因行为异常数年就诊。该患儿小时候电视只看广告及天气预报节目,自6岁上学起就不守纪律,上课时不听讲,行为如在家一般,为所欲为。不与同学玩,无论什么东西都爱闻,经常将手放至眼前翻动。至今在校时与同学、老师几乎不说话,提问时无论懂与不懂,都不出声,只静静地站着或嘟哝嘴。毫无是非感,根本不知道什么事能做,什么事不能做,经常在别人书上乱图、乱画。曾经连续三天上课时将同学的水杯放在裤档里直接拉尿,老

简介：~~

简介：摘要目的通过对治疗室实施“5S”管理，保持治疗室环境整洁，药品、物品分类放置，防止混淆、误用和错用，提高工作效率。方法将“5S”理论用于治疗室的管理，使之渗透到质量、服务、安全、效率、人员素质等各个层面。结果通过“5S”管理，使工作效率和服务质量大大提高，治疗室环境整洁，药品、物品放置规范，实现了人、物、场所在时间和空间上的优化组合。结论“5S”用于治疗室的管理，可改善工作环境，同时治疗室实施“5S”管理，使物品分类放置，定位明确，防止了混淆、误用和错用，减少了护士工作的盲目性和重复性，提高了护理质量和工作效率。

简介：

简介：摘要：目的：观察分析内镜附件 7s管理效果。方法：我院自 2018年 1月起开始在内镜附件管理中采用 7s管理模式，将 2018年 1-12月期间的内镜附件管理情况作为观察组、 2017年 1-12月期间的内镜附件管理情况作为对照组，观察对比两组的内镜附件检查质量评分和拿取内镜附件用时，同时调查对比两组医护人员的满意度评分。结果：对比两组的内镜附件检查质量评分显示观察组明显高于对照组，差异具有统计学意义（ P＜ 0.05）。对比两组的拿取内镜附件用时显示观察组明显短于对照组，差异具有统计学意义（ P＜ 0.05）。对比两组医护人员的满意度评分显示观察组均明显高于对照组，差异具有统计学意义（ P＜ 0.05）。结论：在内镜附件管理中采用 7s管理模式的管理质量更高，值得推广。

简介：[摘要]呼吸机为人体支持通气与进行呼吸治疗的设备，在进行病人生命体征维系的治疗过程中尤为重要。在日常使用过程中，呼吸机产生的各种故障会直接影响设备使用，通过对故障类型的整理分析，可以更好地了解呼吸机各项故障，有效帮助故障排除。本文介绍了呼吸机常见故障，分享了一例多起故障合并的维修案例，通过故障可能性分析，从气泵、气路检查到管路、流量传感器及电路板维修，一步步找到问题所在，解决该台呼吸机系统故障和潮气量忽大忽小等问题，为该台设备正常使用提供有效的保障。