目的:为改进传统电刺激理疗仪的刺激方式固定、缺乏自适应调节能力、治疗模式单一等不足,设计一种便携式功能性电刺激理疗系统。方法:该系统基于STM32芯片设计,将患者自身的肌电信号强弱作为控制信号,将肌电信号频域特征作为肌肉疲劳的...目的:为改进传统电刺激理疗仪的刺激方式固定、缺乏自适应调节能力、治疗模式单一等不足,设计一种便携式功能性电刺激理疗系统。方法:该系统基于STM32芯片设计,将患者自身的肌电信号强弱作为控制信号,将肌电信号频域特征作为肌肉疲劳的控制参数。整个系统硬件由主控模块、肌电信号采集模块、刺激输出模块、采集/刺激切换模块以及电源模块组成。软件中的上位机程序基于Visual Studio 2013开发平台,采用C#语言编写;下位机程序基于Keil5开发平台,采用C语言编写。结果:功能测试实验表明,该系统在被动电刺激和肌电反馈电刺激2种模式下都能够有效地运行,而在肌电反馈电刺激模式下能够取得更好的康复效果。结论:该系统具有实时调节刺激强度、避免肌肉疲劳的特点,能够满足患者的个性化治疗需求。展开更多
Objective: To analyze the clinical and pathologic features and the treatmentoutcomes of primary lymphoma of respiratory system (PLRS). Methods: The clinical manifestation,imaging changes, pathologic subtypes, treatmen...Objective: To analyze the clinical and pathologic features and the treatmentoutcomes of primary lymphoma of respiratory system (PLRS). Methods: The clinical manifestation,imaging changes, pathologic subtypes, treatment and overall survival of 11 patients with PLRS wereanalyzed retrospectively. Results: Of the 11 patients diagnosed with PLRS by histopathology, thetumor of 2 patients occurred in trachea and the other 9 in lung. Cough, dyspnea and fever were themost frequent symptoms. Mass or infiltrative changes could be found on the chest X-ray and/or CTscan. Two patients were diagnosed as having Hodgkin's Lymphoma (HL) and 9 having non-Hodgkin'sLymphoma (NHL), including 7 patients with low degree NHL [5 of them (55.6%) were mucosa-associatedlymphoid tissue (MALT) lymphoma] and 2 with intermediate degree NHL. Of 10 patients undergoingexploratory thoracotomy and surgical treatment, 8 received adjuvant chemotherapy and 2 adjuvant ofradiotherapy. The remaining patient was subjected to combined chemotherapy. Both of HL patientssurvived more than 5 years without clinical disease. The median survival of MALT lymphoma and othertype of NHL was 39 months and 34 months respectively. Conclusion: Both the clinical manifestationand imaging changes are non-specific. The diagnosis was made through exploratory thoracotomy (10cases) and fiber-optical bronchoscopy (1 case). MALT lymphoma is the most frequent pathologicsubtype. Majority of patients are diagnosed and treated by surgical resection. The prognosis isacceptable.展开更多
We systematically reviewed the clinical trials which recruited antioxidants in the therapy of pancreatitis and evaluated whether antioxidants improve the outcome of patients with pancreatitis. Electronic bibliographic...We systematically reviewed the clinical trials which recruited antioxidants in the therapy of pancreatitis and evaluated whether antioxidants improve the outcome of patients with pancreatitis. Electronic bibliographic databases were searched for any studies which investigated the use of antioxidants in the management of acute pancreatitis （AP） or chronic pancreatitis （CP） and in the prevention of post-endoscopic retrograde cholangio-pancreatography （post-ERCP） pancreatitis （PEP） up to February 2009. Twenty-two randomized, placebo-controlled, clinical trials met our criteria and were included in the review. Except for a cocktail of antioxidants which showed improvement in outcomes in three different clinical trials, the results of the administration of other antioxidants in both AP and CP clinical trials were incongruent and heterogeneous.Furthermore, antioxidant therapy including allopurinol and N-acetylcysteine failed to prevent the onset of PEP in almost all trials. In conclusion, the present data do not support a benefit of antioxidant therapy alone or in combination with conventional therapy in the management of AP, CP or PER Further double blind, randomized, placebo-controlled clinical trials with large sample size need to be conducted.展开更多
Any prognosis of gastrointestinal (GI) cancer is closely related to the stage of the disease at diagnosis.Endoscopic submucosal dissection (ESD) and en bloc endoscopic mucosal resection (EMR) have been performed as cu...Any prognosis of gastrointestinal (GI) cancer is closely related to the stage of the disease at diagnosis.Endoscopic submucosal dissection (ESD) and en bloc endoscopic mucosal resection (EMR) have been performed as curative treatments for many early-stage GI lesions in recent years.The technologies have been widely accepted in many Asian countries because they are minimally invasive and supply thorough histopathologic evaluation of the specimens.However,before engaging in endoscopic therapy,an accurate diagnosis is a precondition to effecting the complete cure of the underlying malignancy or carcinoma in situ.For the past few years,many new types of endoscopic techniques,including magnifying endoscopy with narrow-band imaging (MENBI),have emerged in many countries because these methods provide a strong indication of early lesions and are very useful in determining treatment options before ESD or EMR.However,to date,there is no comparable classification equivalent to "Kudo's Pit Pattern Classification in the colon",for the upper GI,there is still no clear internationally accepted classification system of magnifying endoscopy.Therefore,in order to help unify some viewpoints,here we will review the defining optical imaging characteristics and the current representative classifications of microvascular and microsurface patterns in the upper GI tract under ME-NBI,describe the accurate relationship between them and the pathological diagnosis,and their clinical applications prior to ESD or en bloc EMR.We will also discuss assessing the differentiation and depth of invasion,defying the lateral spread of involvement and targeting biopsy in real time.展开更多
Since Murakami defined early gastric cancer(EGC) as a "carcinoma limited to the gastric mucosa and/or submucosa regardless of the lymph node status", several authors have focused on the most influential hist...Since Murakami defined early gastric cancer(EGC) as a "carcinoma limited to the gastric mucosa and/or submucosa regardless of the lymph node status", several authors have focused on the most influential histopathological parameters for predicting the development of lymph node metastases by considering the lymph node status as an important prognostic factor. A few authors have also considered the depth of invasion as one of the keys to explaining the existence of subgroups of patients affected by EGC with poor prognoses. In any case, EGC is still considered an initial phase of tumor progression with good prognosis. The introduction of modern endoscopic devices has allowed a precise diagnosis of early lesions, which can lead to improved definitions of tumors that can be radically treated with endoscopic mucosal resection or endoscopic submucosal dissection(ESD). Given the widespread use of these techniques, the Japanese Gastric Cancer Association( JGCA) identified in 2011 the standard criteria that should exclude the presence of lymph node metastases. At that time, EGCs with nodal involvement should have been asserted as no longer fitting the definition of an early tumor. Some authors have also demonstrated that the morphological growth pattern of a tumor, according to Kodama's classification, is one of the most important prognostic factors, thereby suggesting the need to report it in histopathological drafts. Notwithstanding the acquired knowledge regarding the clinical behavior of EGC, Murakami's definition is still being used. This definition needs to be upgraded according to the modern staging of the disease so that the appropriate treatment would be selected.展开更多
High salinity industrial wastewater is difficult to treat using biological treatment system because of the high concentrations of salt.The potential of a sequencing batch biofilm reactor(SBBR)process in treating synth...High salinity industrial wastewater is difficult to treat using biological treatment system because of the high concentrations of salt.The potential of a sequencing batch biofilm reactor(SBBR)process in treating synthetic high salinity wastewater was evaluated at laboratory scale during a 110-day operation.The reactor was operated in a 12 h cycle,and each cycle consisted of 0.25 h influent addition,8 h aeration,3 h anoxic reaction,0.5 h sedimentation and 0.25 h effluent withdrawal.Gradual increase in salinity gradient was applied during the acclimatization period.The acclimated SBBR system was demonstrated to be an effective process to remove organic compounds and ammonia nitrogen under high salinity conditions with chemical oxygen demand(COD)and ammonia nitrogen(NH3-N)removal efficiencies of 88% and 80%,respectively.The microscopic examination indicated that rather than rotifers or vorticella,the zoogloea,filamentous fungus mingled with a small quantity of swimming infusorians were dominant bacteria in SBBR system.The removal efficiencies close to 80% in COD and 75% in NH3-N were achieved at an organic loading rate(OLR)of 0.96 kg COD/(m3·d),pH of 7.0,salinity of 14 g/L and NH3-N of 30 mg/L.展开更多
Introduction Rhabdomyosarcoma is one of the most commonly seen soft-tissue sarcomas in children and teenagers, approximately accounting for half of all soft-tissue sarcomas. The tumor is usually found in head and neck...Introduction Rhabdomyosarcoma is one of the most commonly seen soft-tissue sarcomas in children and teenagers, approximately accounting for half of all soft-tissue sarcomas. The tumor is usually found in head and neck, four limbs and urogenital system. However, the tumor orig- inating from the laryngohypopharynx is rare. In 2008, a patient with alveolar rhabdomyosarcoma of the laryngohypopharynx was admitted to our hospital. Clinical information of the disease was reported as follows, and clinicopathologic features and current therapeutic principle were discussed and summarized in combination with the review of literature, to facilitate the diagnosis and treatment of the patients with rhabdomyosarcoma of the laryngohypopharynx in future.展开更多
This report describes the case of a patient with dysarthria during the administration of the third cycle of Folfu＇i for the treatment of metastatic colon cancer. After a thorough neurological examination and neuroima...This report describes the case of a patient with dysarthria during the administration of the third cycle of Folfu＇i for the treatment of metastatic colon cancer. After a thorough neurological examination and neuroimaging, structural causes were excluded and thus the dysarthria was attributed to the irinotecan infusion. A slowing down of the infusion rate to 180 min during the 15 subsequent cycles led to the cessation of the episodes of dysarthria. In 2016, it was estimated there will be 134,490 new cases of colorectal cancer with a five-year survival rate of 21% among patients with metastatic disease. As Irinotecan is often part of the therapeutic regimen in such cases, both in the first and second-line setting, there is a need to report rare adverse outcomes in order to fmd out ways to better manage of these events. The mechanism by which Irinotecan causes dysarthria is unknown and further research in this area is warranted.展开更多
IR （Image Registration） is one of the important operation of image processing system which is the process of aligning two or more images into one coordinate system that are taken at different times, from different s...IR （Image Registration） is one of the important operation of image processing system which is the process of aligning two or more images into one coordinate system that are taken at different times, from different sensors, or from different viewpoints. It has a lot of applications especially medical imaging and remote sensing. The main purpose of this paper is to provide a comprehensive review of existing literatures available on image registration system and proposed a new feature-based IR technique using edge of images. We used edges as a feature of images for registration. It will be a useful document for researchers who will work on feature-based image registration regardless for specific applications.展开更多
Objective To investigate the appropriate treatment of infectious renal stones. Methods Between April 1999 and June 2006, 60 patients presented to our department with infectious renal stones. Twenty-nine patients were ...Objective To investigate the appropriate treatment of infectious renal stones. Methods Between April 1999 and June 2006, 60 patients presented to our department with infectious renal stones. Twenty-nine patients were treated by extracorporeal shock-wave lithortripsy(ESWL) only, 31 patients were given a combination therapy. Thirty-four males and 26 females were evaluated by routine urine tests including urine culture and sensitivity before ESWL treatments. The total number of shock waves varied from 1 600 to 2 800 and the energy levels ranged from 1 to 6 unit. Results The fragmentation after ESWL was 61.6%; 18.3% after 2 ESWL sessions, 8.3% after 3 ESWL sessions, 5.0% after 4 ESWL sessions, 3.3% after 7 ESWL sessions and 1.66% after 9 ESWL sessions. Only one (1.66%) patient failed and changed to open surgery. Conclusion ESWL is an effective and reliable treatment for patients with infectious renal stones. However, better effects and shorter treatment time is obtained by the combination therapy of ESWL with other therapy options.展开更多
A complex multifactorial therapeutic system was established and developed during the past three years. Here present the basic approach and the individualized therapeutic strategies of this therapeutic system by exampl...A complex multifactorial therapeutic system was established and developed during the past three years. Here present the basic approach and the individualized therapeutic strategies of this therapeutic system by examples of specific case reports. The aim of the study is to point out to the real mission of our outpatient care, namely psycho-social reintegration that is achieved by a therapy with a unique pattern. Case reports： 1. A 59-year-old female patient suffering from psychosomatic muscular tension, which started two years ago. After a partially effective cognitive-behavioral therapy a severe traumatic event in the patient＇s past in connection with the symptoms was revealed, then the trauma was processed via psychodynamic approach. 2. A 56-year-old female patient suffering from psychosomatic symptoms and depression went through a therapeutic healing process, which focused on the development and maturation of her personality （from a ＂child＂ to an ＂adult＂）. Conclusion： All the processes of the complex group-centered dynamic therapy proved more effective compared to the classic static relationship between the psychiatrist and the patient. The multifocal therapy is appreciated more and more in parallel to the experiences gained, making it easier to establish and strengthen the therapeutic alliance. The patients have positive feelings about the help given and the possibilities offered. The author＇s therapeutic team is appreciated by the patients and they regard the author＇s center as a peaceful location of their lives being under cover, where voluntarily and willingly they can participate in the individualized therapy with great success.展开更多
We report here, a young male patients referred with ＂Obsessive Compulsive Disorder＂ symptoms which emerged after the successful treatment of pineal germinoma. OCD （obsessive-compulsive disorder） is a frequent, chr...We report here, a young male patients referred with ＂Obsessive Compulsive Disorder＂ symptoms which emerged after the successful treatment of pineal germinoma. OCD （obsessive-compulsive disorder） is a frequent, chronic, and clinically disorder which may presents in several neurologic disorders, especially occurs, in early adult life. Essential features of OCD are obsessional thoughts, compulsive acts as the ritualistic behavior, anxiety, and specific cognitive impairments. The cause of obsessive-compulsive disorder isn＇t fully understood. One of the many theories of the pathophysioiogy about to OCD is includes with hyperactivity in certain subcortical and cortical regions of brain also, dysfunction of the cortico-striatal circuits, particularly implicated in orbitofrontal cortices and basal ganglions. Additionally, pineal gland functioning is remarkable for the mental health disorders, particularly in OCD. On the basis of the investigations to present case report, we discussed the probable reasons of OCD symptoms, emphasizing the role of pathophysiology including the cortico subcortical pathways in genesis of the symptoms.展开更多
The article ＂Cationic liposome-mediated transfection of CD40 ligand gene inhibits hepatic tumor growth of hepatocellular carcinoma in mice＂ [doi： 10. 1631/jzus.B0820178] by Jiang et al.（2009） in a recent issue of...The article ＂Cationic liposome-mediated transfection of CD40 ligand gene inhibits hepatic tumor growth of hepatocellular carcinoma in mice＂ [doi： 10. 1631/jzus.B0820178] by Jiang et al.（2009） in a recent issue of the Journal of Zhejiang University SCIENCE B was highly thought provoking. The authors have clearly demonstrated the efficacy of CD40 ligand gene therapy in inhibiting the growth of hepatocellular carcinomas. The findings of Jiang et al.（2009） are highly important as they further support and corroborate the rapidly expanding role of CD40 ligand gene therapy in the management of systemic malignancies besides hepatocellular carcinomas.展开更多
文摘目的:为改进传统电刺激理疗仪的刺激方式固定、缺乏自适应调节能力、治疗模式单一等不足,设计一种便携式功能性电刺激理疗系统。方法:该系统基于STM32芯片设计,将患者自身的肌电信号强弱作为控制信号,将肌电信号频域特征作为肌肉疲劳的控制参数。整个系统硬件由主控模块、肌电信号采集模块、刺激输出模块、采集/刺激切换模块以及电源模块组成。软件中的上位机程序基于Visual Studio 2013开发平台,采用C#语言编写;下位机程序基于Keil5开发平台,采用C语言编写。结果:功能测试实验表明,该系统在被动电刺激和肌电反馈电刺激2种模式下都能够有效地运行,而在肌电反馈电刺激模式下能够取得更好的康复效果。结论:该系统具有实时调节刺激强度、避免肌肉疲劳的特点,能够满足患者的个性化治疗需求。
文摘Objective: To analyze the clinical and pathologic features and the treatmentoutcomes of primary lymphoma of respiratory system (PLRS). Methods: The clinical manifestation,imaging changes, pathologic subtypes, treatment and overall survival of 11 patients with PLRS wereanalyzed retrospectively. Results: Of the 11 patients diagnosed with PLRS by histopathology, thetumor of 2 patients occurred in trachea and the other 9 in lung. Cough, dyspnea and fever were themost frequent symptoms. Mass or infiltrative changes could be found on the chest X-ray and/or CTscan. Two patients were diagnosed as having Hodgkin's Lymphoma (HL) and 9 having non-Hodgkin'sLymphoma (NHL), including 7 patients with low degree NHL [5 of them (55.6%) were mucosa-associatedlymphoid tissue (MALT) lymphoma] and 2 with intermediate degree NHL. Of 10 patients undergoingexploratory thoracotomy and surgical treatment, 8 received adjuvant chemotherapy and 2 adjuvant ofradiotherapy. The remaining patient was subjected to combined chemotherapy. Both of HL patientssurvived more than 5 years without clinical disease. The median survival of MALT lymphoma and othertype of NHL was 39 months and 34 months respectively. Conclusion: Both the clinical manifestationand imaging changes are non-specific. The diagnosis was made through exploratory thoracotomy (10cases) and fiber-optical bronchoscopy (1 case). MALT lymphoma is the most frequent pathologicsubtype. Majority of patients are diagnosed and treated by surgical resection. The prognosis isacceptable.
文摘We systematically reviewed the clinical trials which recruited antioxidants in the therapy of pancreatitis and evaluated whether antioxidants improve the outcome of patients with pancreatitis. Electronic bibliographic databases were searched for any studies which investigated the use of antioxidants in the management of acute pancreatitis （AP） or chronic pancreatitis （CP） and in the prevention of post-endoscopic retrograde cholangio-pancreatography （post-ERCP） pancreatitis （PEP） up to February 2009. Twenty-two randomized, placebo-controlled, clinical trials met our criteria and were included in the review. Except for a cocktail of antioxidants which showed improvement in outcomes in three different clinical trials, the results of the administration of other antioxidants in both AP and CP clinical trials were incongruent and heterogeneous.Furthermore, antioxidant therapy including allopurinol and N-acetylcysteine failed to prevent the onset of PEP in almost all trials. In conclusion, the present data do not support a benefit of antioxidant therapy alone or in combination with conventional therapy in the management of AP, CP or PER Further double blind, randomized, placebo-controlled clinical trials with large sample size need to be conducted.
基金Supported by The fund of National Natural Science Foundation Financial of China,No. 81072913
文摘Any prognosis of gastrointestinal (GI) cancer is closely related to the stage of the disease at diagnosis.Endoscopic submucosal dissection (ESD) and en bloc endoscopic mucosal resection (EMR) have been performed as curative treatments for many early-stage GI lesions in recent years.The technologies have been widely accepted in many Asian countries because they are minimally invasive and supply thorough histopathologic evaluation of the specimens.However,before engaging in endoscopic therapy,an accurate diagnosis is a precondition to effecting the complete cure of the underlying malignancy or carcinoma in situ.For the past few years,many new types of endoscopic techniques,including magnifying endoscopy with narrow-band imaging (MENBI),have emerged in many countries because these methods provide a strong indication of early lesions and are very useful in determining treatment options before ESD or EMR.However,to date,there is no comparable classification equivalent to "Kudo's Pit Pattern Classification in the colon",for the upper GI,there is still no clear internationally accepted classification system of magnifying endoscopy.Therefore,in order to help unify some viewpoints,here we will review the defining optical imaging characteristics and the current representative classifications of microvascular and microsurface patterns in the upper GI tract under ME-NBI,describe the accurate relationship between them and the pathological diagnosis,and their clinical applications prior to ESD or en bloc EMR.We will also discuss assessing the differentiation and depth of invasion,defying the lateral spread of involvement and targeting biopsy in real time.
文摘Since Murakami defined early gastric cancer(EGC) as a "carcinoma limited to the gastric mucosa and/or submucosa regardless of the lymph node status", several authors have focused on the most influential histopathological parameters for predicting the development of lymph node metastases by considering the lymph node status as an important prognostic factor. A few authors have also considered the depth of invasion as one of the keys to explaining the existence of subgroups of patients affected by EGC with poor prognoses. In any case, EGC is still considered an initial phase of tumor progression with good prognosis. The introduction of modern endoscopic devices has allowed a precise diagnosis of early lesions, which can lead to improved definitions of tumors that can be radically treated with endoscopic mucosal resection or endoscopic submucosal dissection(ESD). Given the widespread use of these techniques, the Japanese Gastric Cancer Association( JGCA) identified in 2011 the standard criteria that should exclude the presence of lymph node metastases. At that time, EGCs with nodal involvement should have been asserted as no longer fitting the definition of an early tumor. Some authors have also demonstrated that the morphological growth pattern of a tumor, according to Kodama's classification, is one of the most important prognostic factors, thereby suggesting the need to report it in histopathological drafts. Notwithstanding the acquired knowledge regarding the clinical behavior of EGC, Murakami's definition is still being used. This definition needs to be upgraded according to the modern staging of the disease so that the appropriate treatment would be selected.
基金Projects(ZR2013BL010,ZR2012DL05)supported by the Natural Science Foundation of Shandong Province,ChinaProject(4041412016)supported by the Research Excellence Award of Shandong University of Technology,ChinaProjects(2013GG03116,2011GG02115)supported by the Science and Technology Development Planning Project of Zibo,China
文摘High salinity industrial wastewater is difficult to treat using biological treatment system because of the high concentrations of salt.The potential of a sequencing batch biofilm reactor(SBBR)process in treating synthetic high salinity wastewater was evaluated at laboratory scale during a 110-day operation.The reactor was operated in a 12 h cycle,and each cycle consisted of 0.25 h influent addition,8 h aeration,3 h anoxic reaction,0.5 h sedimentation and 0.25 h effluent withdrawal.Gradual increase in salinity gradient was applied during the acclimatization period.The acclimated SBBR system was demonstrated to be an effective process to remove organic compounds and ammonia nitrogen under high salinity conditions with chemical oxygen demand(COD)and ammonia nitrogen(NH3-N)removal efficiencies of 88% and 80%,respectively.The microscopic examination indicated that rather than rotifers or vorticella,the zoogloea,filamentous fungus mingled with a small quantity of swimming infusorians were dominant bacteria in SBBR system.The removal efficiencies close to 80% in COD and 75% in NH3-N were achieved at an organic loading rate(OLR)of 0.96 kg COD/(m3·d),pH of 7.0,salinity of 14 g/L and NH3-N of 30 mg/L.
文摘Introduction Rhabdomyosarcoma is one of the most commonly seen soft-tissue sarcomas in children and teenagers, approximately accounting for half of all soft-tissue sarcomas. The tumor is usually found in head and neck, four limbs and urogenital system. However, the tumor orig- inating from the laryngohypopharynx is rare. In 2008, a patient with alveolar rhabdomyosarcoma of the laryngohypopharynx was admitted to our hospital. Clinical information of the disease was reported as follows, and clinicopathologic features and current therapeutic principle were discussed and summarized in combination with the review of literature, to facilitate the diagnosis and treatment of the patients with rhabdomyosarcoma of the laryngohypopharynx in future.
文摘This report describes the case of a patient with dysarthria during the administration of the third cycle of Folfu＇i for the treatment of metastatic colon cancer. After a thorough neurological examination and neuroimaging, structural causes were excluded and thus the dysarthria was attributed to the irinotecan infusion. A slowing down of the infusion rate to 180 min during the 15 subsequent cycles led to the cessation of the episodes of dysarthria. In 2016, it was estimated there will be 134,490 new cases of colorectal cancer with a five-year survival rate of 21% among patients with metastatic disease. As Irinotecan is often part of the therapeutic regimen in such cases, both in the first and second-line setting, there is a need to report rare adverse outcomes in order to fmd out ways to better manage of these events. The mechanism by which Irinotecan causes dysarthria is unknown and further research in this area is warranted.
文摘IR （Image Registration） is one of the important operation of image processing system which is the process of aligning two or more images into one coordinate system that are taken at different times, from different sensors, or from different viewpoints. It has a lot of applications especially medical imaging and remote sensing. The main purpose of this paper is to provide a comprehensive review of existing literatures available on image registration system and proposed a new feature-based IR technique using edge of images. We used edges as a feature of images for registration. It will be a useful document for researchers who will work on feature-based image registration regardless for specific applications.
文摘Objective To investigate the appropriate treatment of infectious renal stones. Methods Between April 1999 and June 2006, 60 patients presented to our department with infectious renal stones. Twenty-nine patients were treated by extracorporeal shock-wave lithortripsy(ESWL) only, 31 patients were given a combination therapy. Thirty-four males and 26 females were evaluated by routine urine tests including urine culture and sensitivity before ESWL treatments. The total number of shock waves varied from 1 600 to 2 800 and the energy levels ranged from 1 to 6 unit. Results The fragmentation after ESWL was 61.6%; 18.3% after 2 ESWL sessions, 8.3% after 3 ESWL sessions, 5.0% after 4 ESWL sessions, 3.3% after 7 ESWL sessions and 1.66% after 9 ESWL sessions. Only one (1.66%) patient failed and changed to open surgery. Conclusion ESWL is an effective and reliable treatment for patients with infectious renal stones. However, better effects and shorter treatment time is obtained by the combination therapy of ESWL with other therapy options.
文摘A complex multifactorial therapeutic system was established and developed during the past three years. Here present the basic approach and the individualized therapeutic strategies of this therapeutic system by examples of specific case reports. The aim of the study is to point out to the real mission of our outpatient care, namely psycho-social reintegration that is achieved by a therapy with a unique pattern. Case reports： 1. A 59-year-old female patient suffering from psychosomatic muscular tension, which started two years ago. After a partially effective cognitive-behavioral therapy a severe traumatic event in the patient＇s past in connection with the symptoms was revealed, then the trauma was processed via psychodynamic approach. 2. A 56-year-old female patient suffering from psychosomatic symptoms and depression went through a therapeutic healing process, which focused on the development and maturation of her personality （from a ＂child＂ to an ＂adult＂）. Conclusion： All the processes of the complex group-centered dynamic therapy proved more effective compared to the classic static relationship between the psychiatrist and the patient. The multifocal therapy is appreciated more and more in parallel to the experiences gained, making it easier to establish and strengthen the therapeutic alliance. The patients have positive feelings about the help given and the possibilities offered. The author＇s therapeutic team is appreciated by the patients and they regard the author＇s center as a peaceful location of their lives being under cover, where voluntarily and willingly they can participate in the individualized therapy with great success.
文摘We report here, a young male patients referred with ＂Obsessive Compulsive Disorder＂ symptoms which emerged after the successful treatment of pineal germinoma. OCD （obsessive-compulsive disorder） is a frequent, chronic, and clinically disorder which may presents in several neurologic disorders, especially occurs, in early adult life. Essential features of OCD are obsessional thoughts, compulsive acts as the ritualistic behavior, anxiety, and specific cognitive impairments. The cause of obsessive-compulsive disorder isn＇t fully understood. One of the many theories of the pathophysioiogy about to OCD is includes with hyperactivity in certain subcortical and cortical regions of brain also, dysfunction of the cortico-striatal circuits, particularly implicated in orbitofrontal cortices and basal ganglions. Additionally, pineal gland functioning is remarkable for the mental health disorders, particularly in OCD. On the basis of the investigations to present case report, we discussed the probable reasons of OCD symptoms, emphasizing the role of pathophysiology including the cortico subcortical pathways in genesis of the symptoms.
文摘The article ＂Cationic liposome-mediated transfection of CD40 ligand gene inhibits hepatic tumor growth of hepatocellular carcinoma in mice＂ [doi： 10. 1631/jzus.B0820178] by Jiang et al.（2009） in a recent issue of the Journal of Zhejiang University SCIENCE B was highly thought provoking. The authors have clearly demonstrated the efficacy of CD40 ligand gene therapy in inhibiting the growth of hepatocellular carcinomas. The findings of Jiang et al.（2009） are highly important as they further support and corroborate the rapidly expanding role of CD40 ligand gene therapy in the management of systemic malignancies besides hepatocellular carcinomas.
