This paper summarized the long-term follow-up results and our clinical treatment experience of 426 patients with carcinoma of salivary gland, who had undergone surgical treatment in our department from 1957 to 1976 su...This paper summarized the long-term follow-up results and our clinical treatment experience of 426 patients with carcinoma of salivary gland, who had undergone surgical treatment in our department from 1957 to 1976 successively. Our study showed that the 10-year and 15-year survival rates were 63.3% and 59.1% respectively, much higher than the results presented by other researchers. The following four points were concluded: 1. The long-term treatment result of salivary gland carcinoma is determined not only on mode of treatment and clinical stage, but more on its pathologic type. For high malignant salivary carcinoma, comprehensive multidiscipline treatments should be adopted. 2. Management of primary focus." The different operative principle and mode shouht be worked out in advance according to pathologic type and primary site of tumors. 3. Management of lymphonode: For cases with undifferentiated carcinoma, low-differentiated mucoepiderrnoid carcinoma, squamous cell carcinoma, adenocarcinoma and papillary cystadenocarcinoma, elective neck dissection should be performed. 4. Prevention of distant metastasis: Preoperative biopsy should be avoided. Frozen-section should be made during the operation and, diagnosis and treatment be accomplished in the meantime.展开更多
This paper delineates the images of Jiangxi Province as tourist destination perceived by about 2000 sample visitors at Lushan Mountain and other 3 famous resorts (Jinggangshan Mountains, Longhushan Mountain, and Sanqi...This paper delineates the images of Jiangxi Province as tourist destination perceived by about 2000 sample visitors at Lushan Mountain and other 3 famous resorts (Jinggangshan Mountains, Longhushan Mountain, and Sanqingshan Mountain), with a result that the most common image is the famous scenic mountain image with partial attribute of image of religious culture destination. In order to reveal the similarities and dissimilarities of images among the four destinations, a correspondence analysis on 16 image attributes was employed. The results indicate that the tourists’ images on Longhushan Mountain, Sanqingshan Mountain and Lushan Mountain are very similar: having a lot of good tourist sites, famous mountain scenery, being close to nature and having good guide service, and others, but religious culture and good shopping facilities having not made deep impression on tourist, while Jinggangshan Mountains is famous for its red culture. The correspondence analysis visualizes the strengths and weaknesses of the destinations, which is useful for market positioning among the competitive places. Finally, some marketing suggestions for the four destinations were provided.展开更多
Background Prior randomized trials have shown reduced bleeding with bivalirudin compared with unfractionated heparin （UFH） in patients undergoing percutaneous coronary intervention （PCI）. However, it is not known ...Background Prior randomized trials have shown reduced bleeding with bivalirudin compared with unfractionated heparin （UFH） in patients undergoing percutaneous coronary intervention （PCI）. However, it is not known if this benefit is also present when UFH doses are more tightly controlled （as measured by activated clotting time, ACT）.展开更多
目的:通过对既往文献进行系统评价,寻找针灸治疗卒中后认知障碍的循证医学根据。方法:选取1989年1月-2021年1月符合纳入标准的国内外针灸治疗卒中后认知障碍随机对照试验文献,评估其临床疗效及研究存在的问题。结果:按照既定检索策略最...目的:通过对既往文献进行系统评价,寻找针灸治疗卒中后认知障碍的循证医学根据。方法:选取1989年1月-2021年1月符合纳入标准的国内外针灸治疗卒中后认知障碍随机对照试验文献,评估其临床疗效及研究存在的问题。结果:按照既定检索策略最终纳入15篇文献(均为中文),所含病例数量555例、对照组530例,共涉及1085例患者。其中5项研究应用了总有效率进行疗效评价,试验组疗效优于对照组(P<0.0001);7项研究应用了简易智力状态检查量表(Mini-mental State Examination,MMSE)进行疗效评价,试验组效果优于对照组(P<0.01);5项研究应用了蒙特利尔认知评估量表(Montreal Cognitive Assessment,MoCA)评分进行疗效评价治疗组治疗效果优于对照组(P<0.01);4项研究应用了日常生活能力量表(Activities of Daily Living,ADL)进行疗效评价,试验组疗效优于对照组(P<0.01);4项研究进行了针灸综合疗法组与药物组疗效比较,针灸综合疗法治疗卒中后认知障碍的有效率优于西药(P=0.0002);3项研究采用MMSE评分比较针灸综合疗法组与认知训练对照组的疗效,针灸综合疗法的治疗效果优于认知训练(P<0.01)。结论:针灸改善卒中后认知障碍的疗效优于药物及其他干预措施。因纳入研究的文献质量较低,且缺乏统一的疗效判断标准,需要后续加强统一疗效标准的大样本、高质量临床规范研究。展开更多
文摘This paper summarized the long-term follow-up results and our clinical treatment experience of 426 patients with carcinoma of salivary gland, who had undergone surgical treatment in our department from 1957 to 1976 successively. Our study showed that the 10-year and 15-year survival rates were 63.3% and 59.1% respectively, much higher than the results presented by other researchers. The following four points were concluded: 1. The long-term treatment result of salivary gland carcinoma is determined not only on mode of treatment and clinical stage, but more on its pathologic type. For high malignant salivary carcinoma, comprehensive multidiscipline treatments should be adopted. 2. Management of primary focus." The different operative principle and mode shouht be worked out in advance according to pathologic type and primary site of tumors. 3. Management of lymphonode: For cases with undifferentiated carcinoma, low-differentiated mucoepiderrnoid carcinoma, squamous cell carcinoma, adenocarcinoma and papillary cystadenocarcinoma, elective neck dissection should be performed. 4. Prevention of distant metastasis: Preoperative biopsy should be avoided. Frozen-section should be made during the operation and, diagnosis and treatment be accomplished in the meantime.
文摘This paper delineates the images of Jiangxi Province as tourist destination perceived by about 2000 sample visitors at Lushan Mountain and other 3 famous resorts (Jinggangshan Mountains, Longhushan Mountain, and Sanqingshan Mountain), with a result that the most common image is the famous scenic mountain image with partial attribute of image of religious culture destination. In order to reveal the similarities and dissimilarities of images among the four destinations, a correspondence analysis on 16 image attributes was employed. The results indicate that the tourists’ images on Longhushan Mountain, Sanqingshan Mountain and Lushan Mountain are very similar: having a lot of good tourist sites, famous mountain scenery, being close to nature and having good guide service, and others, but religious culture and good shopping facilities having not made deep impression on tourist, while Jinggangshan Mountains is famous for its red culture. The correspondence analysis visualizes the strengths and weaknesses of the destinations, which is useful for market positioning among the competitive places. Finally, some marketing suggestions for the four destinations were provided.
文摘Background Prior randomized trials have shown reduced bleeding with bivalirudin compared with unfractionated heparin （UFH） in patients undergoing percutaneous coronary intervention （PCI）. However, it is not known if this benefit is also present when UFH doses are more tightly controlled （as measured by activated clotting time, ACT）.
文摘目的:通过对既往文献进行系统评价,寻找针灸治疗卒中后认知障碍的循证医学根据。方法:选取1989年1月-2021年1月符合纳入标准的国内外针灸治疗卒中后认知障碍随机对照试验文献,评估其临床疗效及研究存在的问题。结果:按照既定检索策略最终纳入15篇文献(均为中文),所含病例数量555例、对照组530例,共涉及1085例患者。其中5项研究应用了总有效率进行疗效评价,试验组疗效优于对照组(P<0.0001);7项研究应用了简易智力状态检查量表(Mini-mental State Examination,MMSE)进行疗效评价,试验组效果优于对照组(P<0.01);5项研究应用了蒙特利尔认知评估量表(Montreal Cognitive Assessment,MoCA)评分进行疗效评价治疗组治疗效果优于对照组(P<0.01);4项研究应用了日常生活能力量表(Activities of Daily Living,ADL)进行疗效评价,试验组疗效优于对照组(P<0.01);4项研究进行了针灸综合疗法组与药物组疗效比较,针灸综合疗法治疗卒中后认知障碍的有效率优于西药(P=0.0002);3项研究采用MMSE评分比较针灸综合疗法组与认知训练对照组的疗效,针灸综合疗法的治疗效果优于认知训练(P<0.01)。结论:针灸改善卒中后认知障碍的疗效优于药物及其他干预措施。因纳入研究的文献质量较低,且缺乏统一的疗效判断标准,需要后续加强统一疗效标准的大样本、高质量临床规范研究。
