先天骨关节外性牙关紧闭征1例

患儿，男，30min，因张口受限30min于2015年12月30日入院。患儿为第3胎第2产，孕36“周，体外受精（IVF）术后，因“双胎妊娠”剖宫产娩出，系双胎之小，羊水、胎盘及脐带无异常，无窒息复苏史，出生体质量2．66kg。双胎之大女婴，外观无异常。患儿母亲孕期规律产检，未发现明显异常，父母体健，无遗传代谢性疾病及传染病史。

中风闭证的辨证施护

中风闭证的辨证施护漳州市中医院（漳州３６３０００）杨秀恋中风是常见疾病，其中闭症起病急骤，病情危重，及时正确地进行治疗，配合恰当的护理，可以大大减少病人的病残率、死亡率，使病人转危为安。１９８９～１９９０年，我院收治１５例闭证病人，其中男性９例，女性...

Degradation of joint surface morphology, shear behavior and closure characteristics during cyclic loading

In order to investigate the failure mechanism of rock joint,a series of laboratory tests including cyclic direct shear tests under constant normal load(CNL)conditions were conducted.Morphology parameters of the rock joint surface were precisely calculated by means of a three-dimensional laser scanning machine.All test results were analyzed to investigate the shear behavior and normal displacement behavior of rock joints under CNL conditions.Degradation of rock joint surface during cyclic shear tests was also analyzed.The comparison results of the height parameters and the hybrid parameters of the joint surface during cyclic tests show that the degradation of the surface mostly happens in the first shear and the constant normal loads imposed on the joints have significant promotion effects on the morphology degradation.During cyclic shear tests,joints surfaces evolve from rough state to smooth state but keep an overall undulation.Dilatancy of rock joints degrades with the degradation of joint surface and the increase of normal loads.The closure deformation of joint is larger than that of the intact rock,and the normal stiffness increases with the increase of shearing times.

Effect of temperature on soil-water characteristics and hysteresis of compacted Gaomiaozi bentonite

Laboratory tests under different constraint conditions were carried out to obtain the soil-water retention curves(SWRCs) of highly-compacted confined/unconfined Gaomiaozi(GMZ) bentonite at 20,40 and 80 ℃,respectively. The effect of temperature on the soil-water characteristics of the highly-compacted GMZ bentonite was analyzed. The results show that the water retention capacity of the highly-compacted GMZ bentonite decreases as the temperature increases under unconfined and confined conditions. At a certain temperature,the constraint conditions have little influence on the water retention capacity of the compacted bentonite at high suction,but the water retention capacity of the confined specimen is lower than that of the unconfined specimen at low suction. Under unconfined conditions,the hysteretic behaviour of the compacted bentonite decreases with increasing temperature. At high suction(>4 MPa) ,the hysteretic behaviour of the unconfined bentonite tends to increase with the decrease of the suction. In summary,the hysteretic behaviour of the compacted bentonite is not significant.

One patient of hepatic veno-occlusive disease with an increased cancer antigen-125 expression caused by misuse of Sedum aizoon

Nowadays hepatic veno-occlusive disease is mainly caused by Sedum aizoon in China,and its prognosis dependents on the dosage and courses of the Sedum aizoon treatment but lacks other objective indicators.There are a lot relationships between CA125 level and liver cirrhosis,this case had a obvious increased CA125 level in the serum,hydrothorax and ascites,following by the liver cirrhosis in a short time,and then died of upper gastrointestinal bleeding.By now we guess that CA125 level could forecast the liver cirrhosis following by hepatic veno-occlusive,which will become the prognosis of the hepatic veno-occlusive.

A Paradoxical Way of Communication in Children With Autism Spectrum Disorders Syndrome

This paper seeks to exemplify some of the intentional and unintentional nonverbal communication attempts expressea Dy children with Autism Spectrum Disorder （ASD） syndrome. It demonstrates that such interactions with the rest of the world are trying to establish some semiotic functions, in an effort behaviorally to overcome the children＇s disability. The author＇s aim is to analyze such a paradoxical way of communicational interaction of such a subject vs. a given objectively perceivable reality, thus attempting to reveal paradoxical social contexts. The focus is on interpersonal communication abilities and/or disabilities, thus allowing semiotically distinguishable units as an object of analysis. The problem of mental disorders, such as ASD, requires a multi-dimensional approach--e.g., biological, medical, and other related fields. In conclusion, by applying a semiotic analysis, it becomes necessary to communicate with such children in a whole new way which, by processes of transformation, can bring about a state of awareness of a paradoxical and/or abnormal phenomenon.

Shut-cut nitrification characteristics of aerobic granule in a sequencing batch airlift reactor at low temperature

To investigate the shut-cut nitrification characteristics of aerobic granule,an aerobic granular sequencing batch airlift reactor(AG-SBAR) was carried out with mixed carbon sources of sodium acetate and glucose at 10±1 ℃.Results indicated that ammonia oxidizing bacteria was accumulated inside the aerobic granules and the reactor performed stably with shut-cut nitrification for a long term at low temperature.During the stable operation period,the effluent ammonia nitrogen concentration was maintained at 13.6 mg/L without nitrate and nitrite when the COD/N ratio was 20:1.However,the effluent concentration of ammonia nitrogen was below 0.5 mg/L with effluent nitrosation ratio of 96.7% on average when the COD/N ratio was reduced to 15:1 and 10:1.And the effluent phosphorus concentration was less than 0.4 mg/L during the stable period with the sludge retention time of 30 d.The phosphorus removal efficiency was not strongly influenced by the adjustment of COD/N ratio in this experiment.The removal efficiencies for COD,NH4+-N and PO43--P were 91.3%-94.6%,97.9%-99.7% and 97.1%-99.5%,respectively.

Analytic study on the optimal control of water hammer waves in pipes

To realize the accurate control of water hammer in pipes by valve stroking, based on basic differential equations of water hammer subjected to initial and boundary conditions, the traveling solution of wave equations in finite region was applied to the linear water hammer problem. With the given velocity function at the valve and the introduction of curve integration independent of integral path, the exact analytic solution of dimensionless water hammer pressure was obtained in the course of valve closing. Based on the definition of eigen wave height, optimal eigen wave height and observation time, the control goal of water hammer pressure and the judgment rule of the optimal eigen wave height were determined, then the optimal velocity function in the calculated example was derived, which can reduce the water hammer pressure maximally. According to this function, a valve closing program was set, and the optimal control of water hammer could be realized.

Study on effects of acupuncture on menstruation and endocrine in patients of normal body weight with polycystic ovary syndrome

Objective To observe the effects of acupuncture on menstruation and endocrine in patients of normal body weight with polycystic ovary syndrome. Methods Twenty-seven patients were treated with acupuncture and moxibustion for six months. Guanyuan （关元 4）, Zhongji （中极 CV 3）, and Zigong （子宫 EX-CA 1） on the abdomen and Sanyinjiao （三阴交SP 6）, Zusanli （足三里 ST 36）, Yinlingquan（阴陵泉 sP 9）, Fenglong （丰隆 ST 40）, xiaxi （侠溪GB 43）, Taichong （太冲 LR 3） were punctured. CV 3 on the abdomen and EX-CA 1 on both sides were manipulated by moxisbustion. The menstrual frequency, B ultrasound examination of uterus and adnexa uteri, luteinizing hormone （LH）, follicle stimulating hormone （FSH）, testosterone （T）, prolactin （PRL）, progesterone （PROG） and estradiol （E2） were recorded. Results Menstrual cycles were restored in twenty-six patients after six- month treatment. The total frequencies of menstruation were 105, of which 79 with normal ovulation accounting for 75.23%. The testosterone level of （109.65 ± 43.38） ng/dL before treatment were reduced to （53.7 ± 19.24） ng/dL after treatment, LH/FSH ratio of 4.15 ± 1.38 before treatment were reduced to 1.75 ± 1.09 after treatment. The differences were statistically significant （both P〈O.O5）. Conclusion Acupuncture can promote normal ovulation and menstrual cycles in patients with PCOS by regulating endocrine level.

On the number of P-invariant closed characteristics on partially symmetric compact convex hypersurfaces in R^(2n)

In this paper, let n ≥ 2 be an integer, P = diag（-In-k,In-k,Ik） for some integer κ∈[0, n）, and ∑∪→R^2n be a partially symmetric compact convex hypersurface, i.e., x ∈∑ implies Px∈∑. We prove that if ∑ is （r, R）-pinched with R/r〈 √2, then there exist at least n -k geometrically distinct P-symmetric closed ∑ characteristics on ∑, as a consequence, Z carry at least n geometrically distinct P-invariant closed characteristics.

Sensorimotor dysfunctions as primary features of autism spectrum disorders

Motor impairments in autism spectrum disorders(ASD) have received far less research attention than core social- communication and cognitive features. Yet, behavioral, neurophysiological, neuroimaging and histopathological studies have documented abnormal motor system development in the majority of individuals with ASD suggesting that these deficits may be primary to the disorder. There are several unique advantages to studying motor development in ASD. First, the neurophysiological substrates of motor skills have been well-characterized via animal and human lesion studies. Second, many of the single-gene disorders associated with ASD also are characterized by motor dysfunctions. Third, recent evidence suggests that the onset of motor dysfunctions may precede the emergence of social and communication deficits during the first year of life in ASD. Motor deficits documented in ASD indicate disruptions throughout the neuroaxis affecting cortex, striatum, the cerebellum and brainstem. Questions remain regarding the timing and development of motor system alterations in ASD, their association with defining clinical features, and their potential for parsing heterogeneity in ASD. Pursuing these questions through neurobiologically informed translational research holds great promise for identifying gene-brain pathways associated with ASD.

Time constraints for the closing of the Paleo-Asian Ocean in the Northern Alxa Region: Evidence from Wuliji granites

The Wuliji pluton in the Northern Alxa Region, Inner Mongolia, is the principal part of Shalazhashan Mountain. It belongs to the Zongnaishan-Shalazhashan Arc Zone, northwestern North China Plate, whose north is Engger Us Ophiolite Belt and south is Qagan Qulu Ophiolite Belt. The pluton was emplaced into Upper Carboniferous-Lower Permian Amushan Formation. According to the research about the original Carboniferous Amushan Formation, the lower and middle sections of the Carboniferous Amushan Formation consist of volcanic, clastic, and carbonate rocks, interpreted to represent the sedimentary association of a volcanic arc and back-arc basin; the upper section of the Amushan Formation is a molasse composed of silty shale, sandstone, gravel-bearing sandstone, and conglomerate. The Wuliji pluton consists mainly of biotite monzonitic granite, amphibole-bearing biotite monzonitic granite, and monzonitic granite. Geochemical analyses show that the pluton has both metaluminous and peraluminous characteristics, and on average has SiO2>70 wt%, Al2O3 >14 wt%, and high contents of Na2O+K2O (8.5 wt%), which define a calc-alkaline series. In addition, REE patterns show enrichment of LREE and weak negative Eu anomalies (δ Eu=0.3-1). Altogether, the samples are depleted in Nb, Ta, Ti, P, Sr, and Ba, and enriched in Rb, Th, and K. These geochemical traits are interpreted to reflect an arc component. A secondary ion mass spectrometry (SIMS) U-Pb zircon age of the biotite monzonitic Wuliji pluton in the Northern Alxa Region, Inner Mongolia, is 250.8±2.0 Ma (1σ). Samples have ε Nd (t) values between 0.1 and 1.3, which suggests that the granites were derived from mixing between the crust and mantle. Based on the SIMS age and geochemical characteristics, Wuliji granite is interpreted to be a post-collisional granite, the result of mantle-derived melt and assimilated juvenile arc crust. However, according to the newest international stratigraphic classification standard, the upper section of the Amushan Formation is Lower Permian in age, indicating that the back-arc basin had already closed in Early Permian. We conclude that the Paleo-Asian Ocean represented by the Engger Us Ophiolite Belt subducted southward in Late Carboniferous, at the same time that the trench-arc-basin system formed in the Northern Alxa Region. The Paleo-Asian Ocean was closed in Early Permian and the Northern Alxa Region entered a post-collisional period in the Late Permian, as indicated by the Wuliji granites. This suggests that the genesis of the Wuliji granites is consistent with the pluton emplacement at the upper crust, which occurred widely in the northern margin of the North China Plate in Late Carboniferous to Triassic.

Forensic medical study on morphology and formative mechanism of blunt head injury

Objective： To study the patterns and morphologic characteristics of blunt head injury and analyse its formative mechanism in attempt to provide references for medicolegal expertise. Methods： The statistical analysis was done in terms of gender, age, as well as the nature, pattern, location, and feature of the injuries. Results： Among the 202 cases of head injury-induced death, 124 were male and 78 female with the age ranging from 1-81 years. Death caused by homicide was dominant （106, 52.5%）, followed by suicide （49, 24.3%） and accident （44, 21.8%）. The majority of suicide-induced death were byfalling from height, and traffic crash was responsible for majority of unexpected death cases. The morphology and pathogenesis of the injuries varied according to differences on the mode, magnitude, and orientation of the outside force giving rise to blunt injury as well as the character of vulnerants. Conclusion： Studies on the morphology and its forma- tive rationale of blunt head injury will offer easy access to medicolegal expertise on the mode and character of the injury.