Esophageal achalasia is an infrequent motility disorder characterized by a progressive stasis and dilation of the oesophagus; with subsequent risk of aspiration, weight loss, and malnutrition. Although the treatment o...Esophageal achalasia is an infrequent motility disorder characterized by a progressive stasis and dilation of the oesophagus; with subsequent risk of aspiration, weight loss, and malnutrition. Although the treatment of achalasia has been traditionally based on a surgical approach, especially with the introduction of laparoscopic techniques, there is still some space for a medical approach. The present article reviews the non-surgical therapeutic options for achalasia.展开更多
The existing bypotheses of coal and gas outburst mechanism are all based on the elasticity mechanies. Since they have not taken time factor into eonsideration, these hypotheses can not give a satisfactory explanation ...The existing bypotheses of coal and gas outburst mechanism are all based on the elasticity mechanies. Since they have not taken time factor into eonsideration, these hypotheses can not give a satisfactory explanation of the oceurrence and development of the outburst. A creep mathematital model of gas-contaming coal,which can better expdri the phenomenon of coal and methane outbursts,has been set up through creep tests and analyses under the condition of triaxiai compression.The tests have proved that there isn’ t essential difference between the rheological properties of outburst prone coal and non-outburst prone coal. Outburst can happen in any kind of coal if the rheologicai conditions exist. The creep mathematital model provides a soild foundation for establlshing a comprebcnsive criterion of coal and gas outburst.展开更多
AIM： To investigate whether the degree of rectal distension could define the rectum functions as a conduit METHODS： Response of the rectal and anal pressure to 2 types of rectal balloon distension, rapid voluminous ...AIM： To investigate whether the degree of rectal distension could define the rectum functions as a conduit METHODS： Response of the rectal and anal pressure to 2 types of rectal balloon distension, rapid voluminous and slow gradual distention, was recorded in 21 healthy volunteers （12 men, 9 women, age 41.7 ± 10.6 years）. The test was repeated with sphincteric squeeze on urgent sensation. RESULTS： Rapid voluminous rectal distension resulted in a significant rectal pressure increase （P 〈 0.001）, an anal pressure decline （P 〈 0.05） and balloon expulsion. The subjects felt urgent sensation but did not feel the 1^st rectal sensation. On urgent sensation, anal squeeze caused a significant rectal pressure decrease （P 〈 0.001） and urgency disappearance. Slow incremental rectal filling drew a rectometrogram with a ＂tone＂ limb representing a gradual rectal pressure increase during rectal filling, and an ＂evacuation limb＂ representing a sharp pressure increase during balloon expulsion. The curve recorded both the ist rectal sensation and the urgent sensation. CONCLUSION： The rectum has apparently two functions： transportation （conduit） and storage, both depending on the degree of rectal filling. If the fecal material received by the rectum is small, it is stored in the rectum until a big volume is reached that can affect a degree of rectal distension sufficient to initiate the defecation reflex. Large volume rectal distension evokes directly the rectoanal inhibitory reflex with a resulting defecation.展开更多
Internal hemiation of the small bowel is a relatively rare cause of intestinal obstruction. Left paraduodenal hernia resulting from abnormal rotation of the midgut during embryonic development is the most common form ...Internal hemiation of the small bowel is a relatively rare cause of intestinal obstruction. Left paraduodenal hernia resulting from abnormal rotation of the midgut during embryonic development is the most common form of congenital internal hernia. We report our experience in the diagnosis and management of a young male with left paraduodenal hernia presenting as recurrent intestinal obstruction. Correct preoperative diagnosis of left paraduodenal hernia had been difficult due to non-specific clinical presentations, but the advent of modern imaging technology makes early and correct diagnosis possible, Due to the risk of obstruction and strangulation, surgical treatment is indicated; however, timely intervention increases the likelihood of a favorable outcome.展开更多
In the present paper, the authors review recent progresses of acupuncture treatment of cerebral hemorrhage and theoretical research. Regarding the clinical application of acupuncture therapy, in the acute stage of the...In the present paper, the authors review recent progresses of acupuncture treatment of cerebral hemorrhage and theoretical research. Regarding the clinical application of acupuncture therapy, in the acute stage of the disease, many doctors adopt body acupuncture and scalp-acupuncture, fewer doctors applied eye acupuncture; while in the chronic stage of the disease, many medical workers employ body acupuncture, scalp-acupuncture, combined therapies of acupuncture, functional exercise, massage, acupoint injection, etc.. Concerning studies on the mechanisms of acupuncture in the treatment of cerebral hemorrhage, abundant experience evidence show that acupuncture can raise the activity of the plasma fibrinolytic system to promote the absorption of blood clots of the foci; improve microcirculation; reduce cerebral tissue edema; regulate some chemical substances’ levels to lessen harmful effects of oxygen free radicals; and enhance the patient’s immune function. However, some problems still exist in clinical researches at present and affect the reasonable evaluation on the clinical therapeutic effect of acupuncture.展开更多
Reduced blood flow is the principle pathophysiologic event in acute ischernic stroke.Hence,flow augmentation is the most important goal in stroke management.Improvement of cerebral blood flow can be accomplished by pr...Reduced blood flow is the principle pathophysiologic event in acute ischernic stroke.Hence,flow augmentation is the most important goal in stroke management.Improvement of cerebral blood flow can be accomplished by proximal arterial recanalization or by other systemic approaches.Diastolic counterpulsation is a non-invasive method to improve the perfusion of heart,kidneys and brain.This review summarizes the history,possible mechanism and the role of external counterpulsation in ischemic stroke.展开更多
The technological breakthroughs in generative artificial intelligence,represented by ChatGPT,have brought about significant social changes as well as new problems and challenges.Generative artificial intelligence has ...The technological breakthroughs in generative artificial intelligence,represented by ChatGPT,have brought about significant social changes as well as new problems and challenges.Generative artificial intelligence has inherent flaws such as language imbalance,algorithmic black box,and algorithmic bias,and at the same time,it has external risks such as algorithmic comfort zone,data pollution,algorithmic infringement,and inaccurate output.These problems lead to the difficulty in legislation for the governance of generative artificial intelligence.Taking the data contamination incident in Google Translate as an example,this article proposes that in the process of constructing machine translation ethics,the responsibility mechanism of generative artificial intelligence should be constructed around three elements:data processing,algorithmic optimisation,and ethical alignment.展开更多
文摘Esophageal achalasia is an infrequent motility disorder characterized by a progressive stasis and dilation of the oesophagus; with subsequent risk of aspiration, weight loss, and malnutrition. Although the treatment of achalasia has been traditionally based on a surgical approach, especially with the introduction of laparoscopic techniques, there is still some space for a medical approach. The present article reviews the non-surgical therapeutic options for achalasia.
文摘The existing bypotheses of coal and gas outburst mechanism are all based on the elasticity mechanies. Since they have not taken time factor into eonsideration, these hypotheses can not give a satisfactory explanation of the oceurrence and development of the outburst. A creep mathematital model of gas-contaming coal,which can better expdri the phenomenon of coal and methane outbursts,has been set up through creep tests and analyses under the condition of triaxiai compression.The tests have proved that there isn’ t essential difference between the rheological properties of outburst prone coal and non-outburst prone coal. Outburst can happen in any kind of coal if the rheologicai conditions exist. The creep mathematital model provides a soild foundation for establlshing a comprebcnsive criterion of coal and gas outburst.
文摘AIM： To investigate whether the degree of rectal distension could define the rectum functions as a conduit METHODS： Response of the rectal and anal pressure to 2 types of rectal balloon distension, rapid voluminous and slow gradual distention, was recorded in 21 healthy volunteers （12 men, 9 women, age 41.7 ± 10.6 years）. The test was repeated with sphincteric squeeze on urgent sensation. RESULTS： Rapid voluminous rectal distension resulted in a significant rectal pressure increase （P 〈 0.001）, an anal pressure decline （P 〈 0.05） and balloon expulsion. The subjects felt urgent sensation but did not feel the 1^st rectal sensation. On urgent sensation, anal squeeze caused a significant rectal pressure decrease （P 〈 0.001） and urgency disappearance. Slow incremental rectal filling drew a rectometrogram with a ＂tone＂ limb representing a gradual rectal pressure increase during rectal filling, and an ＂evacuation limb＂ representing a sharp pressure increase during balloon expulsion. The curve recorded both the ist rectal sensation and the urgent sensation. CONCLUSION： The rectum has apparently two functions： transportation （conduit） and storage, both depending on the degree of rectal filling. If the fecal material received by the rectum is small, it is stored in the rectum until a big volume is reached that can affect a degree of rectal distension sufficient to initiate the defecation reflex. Large volume rectal distension evokes directly the rectoanal inhibitory reflex with a resulting defecation.
文摘Internal hemiation of the small bowel is a relatively rare cause of intestinal obstruction. Left paraduodenal hernia resulting from abnormal rotation of the midgut during embryonic development is the most common form of congenital internal hernia. We report our experience in the diagnosis and management of a young male with left paraduodenal hernia presenting as recurrent intestinal obstruction. Correct preoperative diagnosis of left paraduodenal hernia had been difficult due to non-specific clinical presentations, but the advent of modern imaging technology makes early and correct diagnosis possible, Due to the risk of obstruction and strangulation, surgical treatment is indicated; however, timely intervention increases the likelihood of a favorable outcome.
文摘In the present paper, the authors review recent progresses of acupuncture treatment of cerebral hemorrhage and theoretical research. Regarding the clinical application of acupuncture therapy, in the acute stage of the disease, many doctors adopt body acupuncture and scalp-acupuncture, fewer doctors applied eye acupuncture; while in the chronic stage of the disease, many medical workers employ body acupuncture, scalp-acupuncture, combined therapies of acupuncture, functional exercise, massage, acupoint injection, etc.. Concerning studies on the mechanisms of acupuncture in the treatment of cerebral hemorrhage, abundant experience evidence show that acupuncture can raise the activity of the plasma fibrinolytic system to promote the absorption of blood clots of the foci; improve microcirculation; reduce cerebral tissue edema; regulate some chemical substances’ levels to lessen harmful effects of oxygen free radicals; and enhance the patient’s immune function. However, some problems still exist in clinical researches at present and affect the reasonable evaluation on the clinical therapeutic effect of acupuncture.
文摘Reduced blood flow is the principle pathophysiologic event in acute ischernic stroke.Hence,flow augmentation is the most important goal in stroke management.Improvement of cerebral blood flow can be accomplished by proximal arterial recanalization or by other systemic approaches.Diastolic counterpulsation is a non-invasive method to improve the perfusion of heart,kidneys and brain.This review summarizes the history,possible mechanism and the role of external counterpulsation in ischemic stroke.
基金supported by Guangdong Provincial Key Laboratory of Novel Security Intelligence Technologies(Grant No.2022B1212010005)XJTLU Research Development Funding(Grant No.RDF-22-01-053).
文摘The technological breakthroughs in generative artificial intelligence,represented by ChatGPT,have brought about significant social changes as well as new problems and challenges.Generative artificial intelligence has inherent flaws such as language imbalance,algorithmic black box,and algorithmic bias,and at the same time,it has external risks such as algorithmic comfort zone,data pollution,algorithmic infringement,and inaccurate output.These problems lead to the difficulty in legislation for the governance of generative artificial intelligence.Taking the data contamination incident in Google Translate as an example,this article proposes that in the process of constructing machine translation ethics,the responsibility mechanism of generative artificial intelligence should be constructed around three elements:data processing,algorithmic optimisation,and ethical alignment.
