Objective:To evaluate the long-term effectiveness of free transfer of Abductor hallucis muscle plus anastomosis of blood vessels and nerves for dynamic reanimation of the established facial paralysis.Methods: Twenty-eight patients who received the above-mentioned treatment during March 1999 to November 2006 were followed up.The follow-up period was 1 to 16 years,with a median period of 4 years.The facial pictures of frontal view were analyzed before and after operation.T-FGS and facial nerve function index(FNFI) were used to evaluate the facial nerve function before and after operation.Meanwhile,the survival of the graft,the width of the face,the scar,and the function of the foot were analyzed and compared.Results: All patients obtained satisfactory symmetric faces in static state and voluntary contraction of the transferred muscles.Twenty-two patients obtained ideal smiling faces.The T-FGS score increased by(27?7.2) points and the score of FNFI increased by(57?10.7)% after transplantation(P

Child, Preschool ; Female ; Gastrointestinal Diseases ; epidemiology ; etiology ; therapy ; Humans ; Incidence ; Infant ; Male ; Prognosis ; Retrospective Studies ; Sepsis ; complications

Objective: To evaluate the long-term effectiveness of free transfer of Abductor hallucis muscle plus anastomosis of blood vessels and nerves for dynamic reanimation of the established facial paralysis. Methods: Twenty-eight patients who received the above-mentioned treatment during March 1999 to November 2006 were followed up. The follow-up period was 1 to 16 years, with a median period of 4 years. The facial pictures of frontal view were analyzed before and after operation. T-FGS and facial nerve function index (FNFI) were used to evaluate the facial nerve function before and after operation. Meanwhile, the survival of the graft, the width of the face, the scar, and the function of the foot were analyzed and compared. Results: All patients obtained satisfactory symmetric faces in static state and voluntary contraction of the transferred muscles. Twenty-two patients obtained ideal smiling faces. The T-FGS score increased by (27±7.2) points and the score of FNFI increased by (57± 10.7)% after transplantation (P<0.05). Furthermore, the scars on the face were well concealed and there was no functional impairment in the donor loots. Conclusion: Free transfer of abductor hallucis muscle plus anastomosis of blood vessels and nerves has satisfactory long term outcome in dynamic reanimation of established facial paralysis, without functional impairment to the donor foot and is worth of popularizing.

Objective: To investigate the cultural and psychological adaptation of business expatriates in the Chinese mainland. Methods: The questionnaires included sociocultural adaptation questionnaire and psychological adaptation questionnaire. Results: The construct of sociocultural adaptation could be divided into three dimensions: living conditions, interaction and communication, and cognition and value system. The sociocultural adaptation pattern showed a double-U-curve and the psychological adaptation pattern showed a decreasing tendency by time. There was no significant discrepancy in sociocultural adaptation across cultural distance. Conclusion: The cultural and psychological adaptation is difficult for business expatriates in China. The reasons perhaps include insufficient cultural training and improper training time.

Animals ; Drugs, Chinese Herbal ; chemistry ; Humans ; Medicine, Chinese Traditional ; Microscopy, Confocal ; Muscle, Smooth, Vascular ; ultrastructure

Adult ; Aged ; Aged, 80 and over ; Drugs, Chinese Herbal ; therapeutic use ; Female ; Humans ; Male ; Middle Aged ; Phytotherapy ; Pulmonary Disease, Chronic Obstructive ; complications ; therapy ; Silicosis ; complications ; therapy

To explore an appropriate teaching model in medical computer science in China, this paper, based on the actual state of medical computer science,points out that PBL teaching model accords with our disciplinary goal in training medical education talents in medical university and discusses how PBL teaching model is applied to medical computer science.

Many investigations showed that abnormal blood insulin level is associated with the pathogenesis of Alzheimer′s disease and its clinical manifestation, suggesting that increasing blood insulin level and/or improving insulin sensitivity seem to be helpful for patients with Alzheimer′s disease.

Objective To study the effect of retrograde perfusion through the inferior vena cava (IVC) during moderate hypothermic lower body circulatory arrest on malondialdehyde (MDA) content and superoxide dismutase (SOD) activity in the serum, liver and kidney of pigs. Methods Twenty healthy pigs were randomly divided into two groups: group A had moderate hypothermic lower body circulatory arrest for 90 min, group B had moderate hypothermic lower body circulatory arrest and retrograde perfusion through IVC at the same time. SOD activities and MDA contents in the serum, liver and kidney were analyzed before retrograde perfuston(T1), 1 h after circulatory arrest(T2), and 1 h (T3), 3h (T4), and 5 h (T5) after reperfusion. Results There were no significant differences in SOD activities and MDA contents in the serum, liver or kidney between the two groups at T1 (P<0.05). Serum MDA contents were increased and the SOD activities were decreased in both groups at T3, T4, and T5, with the changes in group B being significantly small than those in group A (P<0.05). MDA contents in the liver and kidney in group A were significantly higher and the SOD accivicies were significantly lower than those in group B at T2-T5 (P<0.05). Conclusion Retrograde perfusion with autologous blood through IVC can partly alleviate the ischemic-reperfusion injury of liver and kidney during moderate hypothermic lower body circulatory arrest in pigs, showing a protective effect on the hepatic and renal function.

Dual source CT is a kind of 64 slices CT including two acquisition systems. It possesses such advantages as higher SNR of images,higher resolution of time,lower dose of radiation,bigger FOV of scanning,wider coverage of scanning and dual enrage subtraction imaging,etc. Weather these advantages could be brought into full play has great relationship with the preparations of dual source CT before its installation. The corresponding discussion is made in this text to see how to make preparations for dual source CT in different aspects such as room building,surrounding background,power supply,fire protection,radiation protection and periphery,etc.