Objective A pronunciation aid device had been made by using dental prosthodontic method for the treatment of pronunciation disorder, which is caused by movement dysfunction because of defect of soft palate tissues in cleft lip and palate patients.Methods According to the defect condition in the mouth, two types of pronunciation aid devices had been produced regularly by using maxillary impression, plaster casting and thermoplastic resin materials and so on. Results In the first group of cases, after 3 patients were wearing soft palate movement pronunciation aid device, and then they were given pronunciation training, it is found that their language clearances degrees had been promoted obviously. In the second group of cases, 2 patients were wearing naso-pharynx cavity closing pronunciation aid device, it is found that their nasal sound and nasal leakage were disappeared. And in the same time we gave patients pronunciation training, and after one year, their language clearances degrees were found to be more obviously increased than before.Conclusions Naso-pharynx cavity closing pronunciation aid device and soft palate movement pronunciation aid device are an effective non-surgical treatment methods for the treatment of naso-pharynx cavity closing dysfunction and soft palate movement dysfunction.

Objective To observe the different efficacy of combination of inhaled ipratropium bromide and salbutamol and inhaling the two drugs separately. Methods Sixty -five patients with COPD were divided into 3 groups,and treated with different drugs. We observed the lung function FEV1 , the improvement of symptoms and side - effects. Results The FEV_1 and improvement of symptoms in combination group were significantly better than those in seperatin group (P

Objective:To study the the correlation between the diameter or angle of thoracic-lumber pedicle and vertebral number.Method:X-ray and CT scan were performed on 46 male spine specimens.The length of pediele screw path,the cress-section angle(e) and the sagittal angle(f) of the pedicle,the width of the inner diameter of the pediele and the distance between the two pedicles were measured.The ordinal number of T1-L5 vertebral segment was numbered by 1-17.SPSS 11.5 software was used for statistical analysis.Result:The data showed a positive linear correlation with the vertebral numbers including length of T1-L4 pedicle screw path (R2=0.716),T8-L5 pedicle width (R2=0.673),T4-L5 pedicle distances (R2=0.771),T1-T2 f-angle (R2=0.767) ,T2-T4 f-angle (R2=0.908),T12-L5 pediele e-angle (R2=0.710).The negative linear correlation with thevertebral numbers included T2-T3 pedicle width(R2=0.792),T1-T4 pedicle distances(R2=0.866),T7-L5 f-an-gle(R2=0.931),T1-T6 pedicle e-angle (R2=0.774).However,the T1-T2 and T4-T7 pediele width,the T4-T6 pediele f-angle,as well as the T6-T12 pedicle e-angle had no significant correlation with the vertebral num-bers.Conclusion:Apart from the T1-T2 and T4-T7 pedicle width,the T4-T6 pedicle f-angle and the T6-T12 pedicle e-angle,the diameter or angle of the thoracic-lumbar pedicle have correlation with the vertebral numbers with meaningful linear regression equation.

The guidelines for the diagnosis and treatment of acute pancreatitis are the important reference for clinicians in treating acute pan-creatitis,especially severe acute pancreatitis (SAP).However,currently there is much discrepancy on the opinion and practice in China, which affects the treatment outcome and cure rate of this disease.Clinical focuses are described in terms of the diagnostic criteria and treat-ment for SAP,with the hope of initiating reflection and discussion on the clinical diagnosis and treatment of SAP.

Through the study and analysis of doctor-patient relationship in the morden medical conditions in China,in this article,the author,combing with her medical praltice for many years,points out some principal problems existing in the relationship,and also puts forward some feasible countermeasures which will be helpful to set up harmonious doctor-patient relationship and ensure the durable and normal development of Chinese medical and healthy cause.

Objective To explore the effect of active resistance exercise therapy on patients with chronic neck pain. Methods 39 femalepatients with neck pain more than 6 months were recruited in treatment group and received active resistance exercise therapy. 21 healthywomen were recruited in control group without any treatment. They were assessed with cervical curve (C2-7 Cobb's angle), CT attenuationvalue of cervical back muscle, neck muscular strength and endurance and visual analog scale (VAS) before and 12 months after treatment.Results Compared with the control group, the cervical curve of the treatment group was obviously less (P<0.05) and there was no significantdifference pre- and post-treatment P>0.05). The CT attenuation value of cervical back muscle was obviously less in the elder controlsthan in the middle aged ones (P<0.05); and was obviously less in the treatment group than in the controls (P<0.05), and not improved aftertreatment (P>0.05). Compared with the control group, neck muscular strength and endurance of the treatment group were obviously less (P<0.05), and improved after treatment (P<0.05). The score of VAS lowered 1 and 12 months after treatment (P<0.05). Conclusion Active resistanceexercise therapy can obviously improve neck muscular strength and endurance and relieve neck pain.

Objective To investigate the relationship between the pedicle and the transverse process in the thoracic and lumbar verte-brae. Methods 111antertior-posterior images of the lumbar vertebra and 111antertior-posterior images of the thoracic vertebra were chosen and lines were drawn between two pedicle centers of the same segment. The transverse process was divided into 4 equal parts by horizontal lines. The corresponding study was performed on the relationship between the pedicle and the transverse pro cess. Results Most of the T1～T2 pedicles corresponded to the midline of the transverse process. A large number of the T3～T11 pedicles corresponded to the upper 1/3 of the transverse process and the others corresponded to the upper margin, upper 1/4 or the midline of the transverse process. Most of the T12 pedicles corresponded to the upper margin of the transverse process. A large number of the L1, L2 and L5 pedicles corresponded to the upper 1/3 of the transverse process. A large number of the L3 and L4 pedicles corresponded to the midline of the transverse process. Conclusion The thoracic and lumbar pedicles have a multiform corresponding relationship with the transverse process.

China ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal ; trends ; Neonatology ; trends

Objective To know the related risk behaviour and counter nursing measures for patients with schizophrenia. Methods Investigated 162 patients with schizophrenia to know their disease-related risk behaviour. Results There were 48 patients had risk behaviour, 83.33% dangerous behaviour was occurred within 2 weeks after enter the hospital. Most dangerous behaviour such as uprash damage, self damage and went astray had occurred from 8:00 to 17:00, commit suicide often occurred from 12:00 to 14:00 or 17:00 to 8:00. Conclusions Evaluation in early stage, strengthen management, build up cooperated relationship between patients and nurses, carry out proper psychological nursing and avoid risk behaviour can effective protect patients with schizophrenia.