No abstract available.
Child* ; Humans ; Mass Screening* ; Seoul*

Acupuncture Therapy ; Adult ; Female ; Humans ; Male ; Temporomandibular Joint ; physiopathology ; Temporomandibular Joint Dysfunction Syndrome ; physiopathology ; therapy

Catheterization ; Child ; China ; Heart Septal Defects, Ventricular ; therapy ; Humans

This article describes the activity of the "Medical termonology practical committee (MTPC) of Korean Medical Association (KMA). In 2001, MTPC of KMA published the 4th edition of "English-Korean, Korean-English Medical terminology" which contains about 5,000 medical terms. The MTPC will continue reviewing the vocabularies. Obsolete terms will be discarded, new terms will be added, and the remainder will be revised by through-going revision of vocabulary. Our aim is to reflect the current usage of medical terms in the form of easily understandable Korean terms.
Vocabulary

Objective To evaluate the clinical efficacy of lamivudine in the treatment of pulmonary tuberculosis patients with chronic hepatitis B.Methods 98 pulmonary tuberculosis patients with chronic hepatitis B were divided into two groups.49 patients in the control group were given conventional treatment,and 49 patients in the observation group received lamivudine on the basis of conventional treatment.The clinical efficacy and adverse reactions of two groups were compared.Results During treatment,the liver dysfunction rate of the observation group was 10.20％,which was significantly lower than 18.37％ of the control group(x2 =4.21,P ＜ 0.05).After treatment,the relevant indicators of liver function and HBV-DNA in the observation group were significantly lower than those in the control group(t =10.72,10.11,7.68,all P＜0.05).Conclusion Lamivudine in the treatment of pulmonary tuberculosis patients with chronic hepatitis B has significant effect,which is beneficial to the patients' early recovery,and it is worthy of extensive promotion and application.

With a high incidence, cancer pain is an unresolved clinical problem right now. Many randomized controlled studies have shown that intrathecal infusion of analgesic drugs is an effective way to relieve pain. Intrathecal drug infusion system provides cli-nicians with exact individualized treatment approach in the effective analgesia, but with minimum side effects. Patients who received in-trathecal analgesic therapy in the early stage would get more benefit. Before implanting intrathecal drug delivery devices, it is needed to test analgesic effect firstly, and the proper implementation of the test period is extremely important. This effectively maintaining time decides whether the patients need intrathecal analgesia system. However, there are many factors that may affect its application in clin-ic. This article focuses on the treatment principle, patient selection, testing, technical problems and complications when applying intra-thecal drug delivery devices.

Objective To study the etiology of surgical infection and antibiotic resistance of infective bacteria,so as to provide evidence for clinical treatment.Method The composition and antibiotic resistance in surgical specimens of pathogenic bacteria from January 2008 to December 2010 was analyzed retrospectively.Results A total of 321 pathogens isolated,Gram-negative bacteria 201,accounting for 62.6％,Gram-positive cocci 114,accounting for 35.5％,Fungus 6,accounting for 1.9％.Escherichia coli 116(36.1％),Klebsiella pneumoniae 24(7.5％),Staphylococcus aureus 34(10.6％),Pseudomonas aeruginosa 18(5.6％),Enterococcus faecalis 16(5.0％).Staphylococcus species of Staphylococci methicillinresistant Staphylococcus atureus(MRS),Coagulase-negative staphylococci MRS and ultra wide-spectrum beta-lactamases(ESBLs)detection rate was 52.9％(18/34),83.7％(36/43)and 35.0％(49/140),respectively.The resistance rates of Gram-negative bacilli to piperacillin/tazobactam,ceftazidime,amikacin,imipenem and meropenem were below 20％,Gram-positive cocci,staphylococci to new compound sulfamethoxazole,minocycline,rifampin,vancomycin,teicoplanin and fusidic acid resistance rates were less than 40％,various pathogens had varies resistance.Conclusions Specimens of surgical infection pathogens widely distribute in different drug-resistant bacteria,some strains of multi-drug resistant infection,causing clinical failure of empirical therapy,clinical laboratory susceptibility results should be based on the rational use of antibiotics,to avoid the overuse of antibiotics.

Objective:To explore the correlation between lipid metabolism and coronary atherosclerosis in advanced aged patients with coronary heart disease (CHD) .Methods:A total of 95 advanced aged patients ,who were suspec-ted CHD and received coronary angiography (CAG) in our hospital from Dec 2010 to Dec 2013 ,were selected .Ac-cording to CAG results ,the 95 patients were divided into CHD group (n=43) and non-CHD group (n=52) .Their clinical data were retrospectively analyzed ,and the correlations between blood lipids and coronary atherosclerosis were analyzed .Results:Compared with non-CHD group , the ratio of low density lipoprotein cholesterol to high density lipoprotein cholesterol (LDL-C/HDL-C) [ (2.01 ± 0.65) vs .(2.38 ± 0.92) , P=0.024] significantly rose in CHD group .In CHD group ,number of diseased coronary vessel was positively correlated with triglyceride (TG) level ,LDL-C/HDL-C ,TG/HDL-C and atherogenic index of plasma (AIP) , r=0.183~0.256 (P<0.05 all) ,and inversely correlated with HDL-C level (r= -0.243 ,P<0.05);coronary stenosis degree was positively correlated with LDL-C/HDL-C ,TG/HDL-C and AIP (r=0.225~0.331 ,P<0.05) ,and inversely correlated with HDL-C level (r= -0.261 ,P<0.05) .In CHD group ,total Gensini score was positively correlated with blood lipid indexes (r=0.068~0.201 ,P<0.05 or <0.01) and inversely correlated with HDL-C level (r= -0.138 ,P<0.01) .Con-clusion:Elevated plasma HDL-C level can delay progression of coronary heart disease in advanced aged patients with coronary heart disease .LDL-C/HDL-C and AIP are indexes evaluating severity and risk of coronary atherosclerosis in patients with coronary heart disease .

Objective]Observe the clinical effects of acupuncture treatment of athletes uterine bleeding. [Method]This study included 90 patients with uterine bleeding, randomly divided into three groups, treatment group 30 cases treated by acupuncture. The western medicine control group 30 cases treated with western medicine. Chinese medicine control group 30 cases were treated by traditional Chinese medicinal broth. One treatment course(after 30d) observation curative effect.[Results]The western medicine control group 15 cases cured, 6 cases were markedly effective, 6 cases better, 3 had no effect, the total effective rate was 90%. Traditional Chinese medicine control group 21 cases cured, 6 cases had marked effect, improvement in 3 cases, the total effective rate was 100%. Treatment group: 24 cases were cured, 3 cases had marked effect, improvement in 3 cases, the total effective rate was 100%.[Conclusions]Three treatments had curative effect, but the side effects of western medicine stopped taking the drug repeatedly; for the special athletes, the acupuncture treatment is worthy of popularization and application.

OBJECTIVE:To establish early warning mechanisms of antibiotics drug resistance,and to provide reference for ra-tional drug use in the clinic. METHODS:The consumption amount of top 3 to 10 drugs in the list of consumption sum and amount in outpatient prescription and inpatient medical orders of our hospital during 2014 was analyzed statistically,including antibiotics, anti-tumor drugs,drugs for cardiovascular system,drugs for digestive system,biologicals. Top 5 Gram-positive bacterial and Gram-negative bacterial which induced infection in our hospital in Nov. 2014 was analyzed statistically in terms of resistant rate. RE-SULTS:Total consumption sum of drugs was 16 038.28 ten thousand yuan in our hospital in 2014,accounting for 27.95%;antibi-otics drugs accounted for 9.55%(1 531.44 ten thousand yuan) of total consumption sum,drugs for cardiovascular system 3.30%(529.60 ten thousand yuan),drugs for digestive system 8.32%(1 333.68 ten thousand yuan),anti-tumor drugs 2.93%(469.27 ten thousand yuan),and biologicals 3.50%(561.22 ten thousand yuan). 1 575 bacterial samples were detected in Nov. 2014,and bacte-rial were detected in 358 samples with positive rate of 22.73%. 136 Gram-positive bacterial were detected,and top 5 were Staphylo-coccus epidermidis, Staphylococcus aureus, Enterococcus faecalis, Enterococcus faecium and Streptococcus agalactiae. 222 Gram-negative bacterial were detected,and top 5 were Escherichia coli,Klebsiella pneumoniae,Acinetobacter baumannii,Hae-mophilus influenzae and Enterobacter cloacae. CONCLUSIONS:Five categories of drugs used in our hospital is rational compara-tively,and the proprotion of antibiotics in total consumption sum is much lower than other hospitals;control and standardization of antibiotics use has made some achievements.