Objective To study the effect of noninvasive pressure venrilation(NIPPV) on the treatment of acute exacerbarions of chronic obstructive pulmonary disease(COPD) with typeⅡrespiratory failure. Methods 46 cases of COPD were selected to treat with NIPPV in our hospital from 2001 January to 2005 May. The data in arterial blood gas(pH,PaO2,PaCO2),the course of disease in the hospital,the rate of endotracheal intubation, the mortality of the patients in NIPPV were analyzed and compared with those of the patients without NIPPV treatment before. Results The datas in arterial blood gas had been imprived significantly in NIPPV after 24h.The couse of disease in hospital was significantly shkrter,and the rate of endotracheal intubation and mortality of the patients was significantly lower in NIPPV than those in no NIPPV. There was remarkably difference between two groups. In NIPPV, the rate of endotracheal intubation were significantly lower in light and moderate trspiratkry failure than those in severe respiratory failure(P

ObjectiveTo study the rehabilitation effect on metatarsalyia with combination of thermotherapy, computerized medium-frequency electrotherapy,exercise therapy and ADL.Methods70 cases with metatarsalyia were randomly divided into two groups: the control group of 35 cases who were given routine treatment and the experiment group of 35 cases who were added thermotherapy, computerized medium-frequency electrotherapy, exercise therapy and ADL. 30 days later, the evaluating score for walking was used to evaluate the rehabilitation effect.ResultsIn the control group, 14 cases were cured, 8 cases remarkably effective, 10 effective and 3 ineffective, while that in the experiment group was 22 cured, 7 remarkably effective, 5 effective, and 1 ineffective(P<0.05). The mean of the difference in evaluation scoring before and after the treatment was (28.00±20.26) for the control,(38.29±21.35) for the experiment (P<0.05). The average cure days was (18.00±6.45) for the experiment and (23.00±7.64) for the control(P<0.05).ConclusionThe combined treatment produces is remarkably effective for metatarsalyia.

Objective To observe expression of resistin gene in adipose tissue of SD rats fed with high-fat diet and its correlation to insulin resistance, diabetes mellitus and leptin. Methods Using RT-PCR to mRNA from adipose tissue, the products were obtained, purified, constructed and squenced. Once its squence was verified, semi-quantitative RT-PCR and Northern Blot were employed to study its expressions in adipose tissues of rats with different diets. Oral glucose tolerance test and insulin release test were performed in 2 groups of rats. Results (1) The resistin gene was successfully constructed and sequenced, which was in accordance with the data of genbank. (2) Compared with the control, the expression of resistin in adipose tissue of high-fat diet rats was significantly enhanced, and blood glucose, serum insulin and leptin levels were also elevated in high-fat diet rats (P

Objective To investigate the efficacy and accuracy of 3D printing individualized navigation templates used in shoulder hemi-arthroplasty (HA).Methods We collected 9 adult cadaveric specimens of 18 shoulders with no obvious deformities or defects.After CT scanning was conducted on bilateral shoulders,the raw CT data in DICOM format were imported into software Mimics 10.01 and Imageware 12.0 to reconstruct 3D shoulder models.The retroversion angles and heights of bilateral humeral heads were measured to design individualized navigational templates using software Geomagic Studio 12.0.Rapid prototyping (RP) technique was used to manufacture the individualized navigation templates which were then used to assist shoulder HA in cadaveric specimens.CT scanning was performed postoperatively to measure the retroversion angle and height of the prosthesis implanted for comparison with the preoperative measurements.Results Before shoulder replacement in the 9 cadaveric specimens,respectively,the heights of left and right humeral heads averaged 300.0 ± 11.6 mm and 300.0 ± 11.4 mm,and the retroversion angles 15.6°±4.9° and 15.9°± 4.9°.After the replacement,the heights of left and right humeral heads averaged 300.0 ± 11.3 mm and 300.0 ± 11.7 mm,respectively,and the retroversion angles 15.7° ± 4.9° and 15.8° ± 5.2°,respectively.There were no significant differences between the left and right sides in the pre-or post-operative heights or retroversion angles of the humeral head (P ＞ 0.05).There were no significant differences either between preand post-operation in the heights or retroversion angles of the left and right humeral heads (P ＞ 0.05).The mean errors for the preoperative and postoperative heights and retroversion angles of the humeral heads were 1.44 ± 0.96 mm and 0.25° ± 0.15°,respectively.Conclusion Individualized navigation templates 3D printed can be used to assist effective and accurate shoulder HA because they are designed and manufactured according to accurate measurements of retroversion angles and heights of the humeral heads which are acquired by computer preoperatively.

Objective: To access the clinical effect of orthodontic treatment in patients with extraction of mandible first molar. Methods : Nineteen patients (three male and sixteen female) with extraction of mandible first molar because of caries, periapical disease were collected as experimental group. The age was 21.37 ± 5.07. Nineteen patients (seven male and twelve female) with extraction of four premolar as control group, The age was 20.42 ± 4.23. All the patients were treated with orthodontic space closure using MBT preadjusted appliance and sliding mechanics PAR index and cephalomertics that were compared before and after orthodontic treatment. Results : The two groups’ reduction in weighted PAR score and each of the PAR score differences were statistically significant (P<0.01). There was no significant difference between the two groups after treatment in PAR. There were significant changes in U1-NA (°)、U1-NA(mm)、U1-SN(°), but not in the rest of the value in experimental group (P<0.01). The L1-NB(°)、 L1-NB (mm) was significant difference before and after treatment. Extraction spaces of mandible first molars were closed (P<0.01); Good occlusal relationships and soft tissue profiles were achieved in all cases. Conclusion If the mandibular first molars have serious caries or periapical lesions, removal of mandibular first molar, making full use of the mandibular third molar and keeping health premolars for orthodontic treatment could receive satisfactory results.

Endo-periodontal lesions(EPLs)involve both the periodontium and pulp tissue and have complicated etiologies and pathogenic mechanisms,including unique anatomical and microbiological characteristics and multiple contributing factors.This etiological complexity leads to difficulties in determining patient prognosis,posing great challenges in clinical practice.Furthermore,EPL-affected teeth require multidisciplinary therapy,including periodontal therapy,endodontic therapy and others,but there is still much debate about the appropriate timing of periodontal therapy and root canal therapy.By compiling the most recent findings on the etiology,pathogenesis,clinical characteristics,diagnosis,therapy,and prognosis of EPL-affected teeth,this consensus sought to support clinicians in making the best possible treatment decisions based on both biological and clinical evidence.