To assess the pharyngeal presentations and the diagnostic value of thyroid SPECT and thyroid fine needle aspiratory biopsy (FNAB) in subacute thyroiditis (SAT) as seen initially in ENT department, 30 patients, during the course of SAT, were examined for pharyngeal symptoms and tested for serum T3, T4 level. The thyroid SPECT imaging or thyroid FNAB were performed. Our results showed that, of the 30 patients, 21 had sore throat of various degrees, and 9 had abnormal sensation of throat. Six were diagnosed as having SAT by only SPECT, in the remaining 24, the final diagnoses was established by SPECT combined with FNAB. Two of them were finally diagnosed as having SAT by trial treatment with oral prednisone. It is concluded that sore throat and abnormal sensation of pharynx are the important presentations of SAT, and thyroid SPECT imaging and thyroid FNAB are valuable in diagnosing SAT.
Diagnosis, Differential ; Pharyngeal Diseases/diagnosis ; Pharyngitis/diagnosis ; Thyroid Gland/*radionuclide imaging ; Thyroiditis, Subacute/*diagnosis ; Thyroiditis, Subacute/radionuclide imaging ; Tomography, Emission-Computed, Single-Photon

Objective:To assess the effect of a course of intravenous dexamethasone on pain after tonsillectomy.Method:Sixty patients who underwent tonsillectomy or adenoidectomy and tonsillectomy were randomly divided into experimental group and control group. Postoperatively, 30 patients in experimental group received anti-inflammatory drug and dexamethasone for 4 days, and the other 30 patients in control group received anti-inflammatory drug and placebo. Degree of postoperative pain was measured with visual analogue scale in the patients more than 12 year old and with Wong-Baker faces pain scale in the patients less than or equal to 12 year old. The measurement was made twice daily for 5 days.Result:During the postoperative period, the scale value was decreasing every day in the all patients.But the value in experimental group was less than that in control group, and the difference was statistically significant (P<0.05).Conclusion:Dexamethasone given in this regime reduces postoperative pain and odynophagia after tonsillectomy.

Recently, the pharmacological study of Ganoderma spores and active components has be-come a focus of attention in the world. The present reviewis based on the auctorial research on Ganoder-maspores. It involves pharmacological effects of Ganodermaspores and its active components, includingimmunomodulating effect, antitumor activity and its mechanismin vivoandin vitro, liver-protectiveeffect, gastric ulcer preventing effect, serum glucose and blood fat depressing effects, anti-hypoxia andscavenging free redical, etc. The possible problems and their solutions in this research area are also dis-cussed.

Kidney damage caused by inappropriate use of some chinese herb drugs are quite common in our country. This review give a brief introduction of those reports concened, which include the most frequently used herb drugs of Aristolochia and their main components, the pharmacokinetic of Aristolochic acid, the different clinical manifestation of chinese herb nephropathy and the possible mechanism of the nephrotoxicity of Aristolochic acid.

To assess the curative effects of different reduction techniques on the dislocation of cricoarytenoid joint caused by intubation, indirect laryngoscope (IL) and direct laryngoscope (DL) were utilized for the closed reduction of the displaced arytenoid under local anesthesia. 23 patients who underwent the reduction for dislocated arytenoid under IL or DL from January 1991 to June 2001 were reviewed. The data were collected on the duration of the laryngeal injury, times of receiving reduction, side-effects after the treatment and the period for voice to return to normal. The relationship between the duration of the laryngeal lesion and the period of the voice rehabilitation was examined. 13 patients received the reduction under IL and 10 patients under DL. Except the times of the reduction, which showed significant difference, no differences were found between IL group and DL group in the course and the period of voice rehabilitation, as well as sore throat after the manipulation. The patients' voice recovery was positively related to their course of disease in both IL and DL group. It is concluded that the recovery of normal voice is obviously affected by the duration of arytenoid dislocation. The reduction under IL is as effective as under DL in the treatment of arytenoid dislocation. Reduction by DL is better suit the patients with long time course of disease.
Arytenoid Cartilage/*injuries ; Dislocations/diagnosis ; Dislocations/*etiology ; Dislocations/therapy ; Intubation, Intratracheal ; Laryngeal Cartilages/*injuries ; Laryngoscopes/adverse effects ; Laryngoscopy/*adverse effects ; Laryngoscopy/methods

Objective To investigate the correlation between infertility and TORCH infections ,analyse the possible influence factors .Methods TORCH infections of 2343 cases of pregnant women and 1356 cases of infertility women were detected by chemi‐luminescence method ,the positive rates of TORCH‐IgM ,IgG were compared .Results RV ,HSV infections of infertility women were higher ,mainly in 30 -34 years group .TORCH infections of infertility women among seasons were of significant difference (P<0 .05) .TORCH infections of infertility women have correlations with schooling levels ,source of family ,and history of expo‐sure to animals (P<0 .05) .Conclusion The less education ,rural aera ,and history of exposure to animals were high risk factors of TORCH infections ,so screening for TORCH infections of infertility women is very necessary .

Objective:To investigate the difference in expression of FasL and ICAM-1 in the tonsillar HEV associated with IgA nephropathy (IgAN) and recurrent tonsillitis (RT).Methods:Human tonsils were obtained from the patients with RT (n=18) or IgAN (n=12).HE staining was used to show the morophometry of the tonsillar HEV.CD20+,CD3+ lymphocytes and distribution of FasL and ICAM-1 in the HEV were observed with immunohistochemical stained tissue section.The quantitatively experimental data from pathological image analysis were compared between IgAN and RT group.Results:(1)The expressing intensity of ICAM-1 was (0.435 5?0.002) in IgAN group and (0.239 5?0.010 4) in RT group,respectively (P0.05).Conclusion:A significant increase in the number of tonsillar HEV and increased lymphocytes in HEVs may indicate the abnormalities in peripheral blood in the patients with IgAN,thus leading to an overactivation of the tonsillar HEVs that induce Fas-dependent apoptosis in such patients.A stronger biological effective adhesion molecule promotes the transendothelial migration of lymphocytes across HEVs of palatine tonsil,which appears to be connected with the development of IgAN.

Literatures about patella fracture fixation in recent years are analyzed retrospectively in this paper.Its characteristics and therapeutic purpose are investigated.A series of new type of internal fixations and external fixations are emphasized.

Purpose: There is no appropriate instrument or devices and corresponding technological specification for measurement of output dose and dose disdribution in stereotactic radiothrapy. Small field of the stereotatic radiotherapy can't be measured by normal ionization chamber for its characteristics.A practible instrument and method were developed for dose measurement in stereotactic irradiation.Materials and Methods:A diode detector with 1mm sensitivety volume and a 0.3cc graphite chamber developed by us are used to measure the dose output & dose distribution in warious phantom for the beams used in stereotactic irradiation.Results:The dose outputs and dose ditributions measured by SCD-61 diode developed by us were tested and verified by TLD dosemeter,and the results show tha there is a 5% consistency for the value at the focus point.Conclusion: the diameter of the detector used for measurement must be smaller than the halt size of the radiation beams to be measured. A diode detector with 1mm sensitivity volume is the best choice for the dosimetric measurements for smaller beams used in stereotactic irradiation.

[Objective]To develop a mini-pressure-sensor(MPS)for measurement of plantar pressure(PP)and to evaluate its clinical application.[Method]The MPS was installed in the shoes,and computer was used to accumulate and analyze the change of PP in whole walking stage.Pathologic changes of PP in clinical patients were also analyzed by MPS.[Result]In normal walking,the PP of forefoot was 49% of body weight(BW)and of midfoot and heel was totally 51% of BW,but at pathologic state,the equilibrium of walking was dynamically disrapted inducing a pathologic changes of foot bearing.[Conclusion]Self-developed MPS for measuring PP is help for dynamic analysis of normal PP and is valuable to recognize the pathologic distribution of PP in pathological state and to provide a guide for treatment.