1.Rehabilitation of occlusion---Science or art?
Journal of Practical Stomatology 2015;(1):116-122
The procedure of occlusal treatment involves improving the morphology and the stomatognathic function.Several practical methods and morphological endpoints have been described in occlusal rehabilitation.We made a selection of these (mandibular position,oc-clusal plane,occlusal guidance,occlusal contact,face-bow transfer,use of an adjustable articulator and occlusal support)and performed a literature review to verify the existence of compelling scientific evidence for each of these.A literature search was conducted using Medline /PubMed in March 2011.Over 400 abstracts were reviewed,and more than 50 manuscripts selected.An additional hand search was also con-ducted.Of the many studies investigating stomatognathic function in relation to specific occlusal schemes,most studies were poorly designed and of low quality,thus yielding ambiguous results.Overall,there is no scientific evidence that supports any specific occlusal scheme being superior to others in terms of improving stomatognathic function,nor that sophisticated methods are superior to simpler ones in terms of clini-cal outcomes.However,it is obvious that the art of occlusal rehabilitation requires accurate,reproducible,easy and quick procedures to re-duce unnecessary technical failures and /or the requirement for compensatory adjustments.Therefore,despite the lack of scientific evidence for specific treatments,the acquisition of these general skills by dentists and attaining profound knowledge and skills in postgraduate training will be necessary for specialists in charge of complicated cases.
3.Analysis on the occurance rate of pneumothorax after percutaneous pneumocentesis
Journal of Interventional Radiology 2001;10(2):103-104
Objective To analyze the influence of multiple variable factors on the occurance rate of pneumothorax associated with transthoracic needle aspiration biopsy of the lung. Methods Fluoroscopically guided lung biopsies were performed in 46 patients. Variable factors were analyzed including lesion size, location, number of puncture, presence of emphysema and patients position after needle biopsy of the lung. Results Pneumothorax occurred at 9 (19.6%) of 46 patients and that occurred at 4 (44.4%) of 9 emphysematous patients. Among them 2 necessitated chest drainage tube placement. The pneumothorax occurance rate was 30% (3/10) for lesions of diameter 3cm or less in size. In the dependent group, pneumothorax occurred in 4 of 20 patients (20%). In the nondependent group, pneumothorax occurred in 5 of 26 patients (19.2%). Conclusion The correlation showed that increasing frequency of pneumothorax with decreasing size of lesions. An increased rate of pneumothorax was correlated with presence of emphysema. Patients with emphysema are more likely to have a symptomatic pneumothorax. No significant differences were found in the incidence of pneumothorax between patients placed with the puncture site dependent after biopsy and those placed with the puncture site nondependent.
4.CT Findings of the Perinephric Space with Acute Ureterolithiasis
Qi ZHU ; Kun WANG ; Yihong SHEN
Journal of Practical Radiology 2001;0(01):-
Objective To explore the nonenhanced CT images,mechanism and clinical application of perinephric edema associated with acute ureterolithiasis.Methods Nonenhanced CT images in 73 patients with acute ureterolithiasis were retrospectively reviewed.Results Of 73 patients with acute ureterolithiasis,eight had no perinephric edema at CT,41 had limited edema and 24 had extensive edema.Conclusion Perinephric edema is a important CT finding of ureteral obstruction in patients with acute ureterolithiasis.
5.Effects of nanoscale titanium dioxide on intercellular gap junction communication in human lung fibroblasts
Kun QI ; Furong DENG ; Xinbiao GUO
Journal of Peking University(Health Sciences) 2004;0(03):-
Objective:To investigate the effects of nanoscale titanium dioxide(Nano-TiO2) on gap junctional intercellular communication(GJIC) between human lung fibroblasts.Methods: Human lung fibroblasts were exposed to two different sizes Nano-TiO2(25 nm and 80 nm) for 24 hours at the concentrations of 0,10,20,40 and 80 mg/L,respectively.The GJIC between cells was measured by using fluorescence redistribution after photobleaching(FRAP) assay.Results: The results showed that GJIC between cells was significantly inhibited both by 25 nm and 80 nm Nano-TiO2 in a dose-dependent manner.The fluorescence recovery rate was 20.81%?1.93% in control group,7.26%?0.91%(P
8.Design and implementation of integration of HIS and PACS
Kun JIANG ; Erping LUO ; Jiaxue QI ; Guangxue SHEN
Chinese Medical Equipment Journal 2004;0(07):-
Objective To realize the integration of PACS and HIS. Methods Powerbuilder was used in designing the electronic application system. Synchronization of PACS and HIS were accomplished by Oracle stored procedures. Results The integration of PACS and HIS were implemented successfully in Xijing Hospital and satisfied results were achieved. Conclusion The successfully integration of diverse systems should be based on the circumstance of hospital,led by information department,and discussed and demonstrated by relative departments. At the same time,the principal of high availability and low dependence among diverse systems should be followed. The alternate periods of old and new work flows should be decreased on the basis of practical software and reasonable procedure.
9.Effect of Probiotics on Feeding Intolerance in Infants with Very Low Birth Weight
xiang-ying, HE ; qi, LI ; kun, LIANG ; qun-wen, XIAO
Journal of Applied Clinical Pediatrics 1986;0(02):-
Objective To explore effect of probiotics on improving the feeding intolerance in very low birth weight infants(VLBWI). Methods Sixty cases of VLBWI were randomly divided into two groups, 30 infants as therapy group,another 30 infants as control group.All infants in two groups were given aggressive intravenous nutrition and enteral feeding with preterm formulars. At the same time, probiotics were administered combined with preterm formulars to infants in therapy group. Milk amount, gastric residual, initial time of enteral feeding, time required for full enteral feeding and body weight on day 21 after birth were all recorded.Results Rate of no gastric residual increased significantly in therapy group compared with that of control group(t=6.24 P
10.Design of integrated care pathway and payment reform program
Xueran QI ; Xue LI ; Wudong GUO ; Kun ZHAO
Chinese Journal of Hospital Administration 2016;32(8):564-568
The paper presented a reform program jointly launched by China National Health Development Research Center(CNHDRC) and the UK National Institutes of Health and Care Excellence (NICE) for integrated care pathway and payment reform in China,and its theory basis and framework as well.Intervention measures of the program in Shanxi,Chongqing,Shandong and Henan proved the program theory design as reasonable and implementation outcomes as successful.These two measures,though proven,fall far short of a total solution to overcome roadblocks in the ongoing healthcare reform,and further reforms are expected in the future.