Complex regional pain syndrome (CRPS) is a neuropathic pain disorder, characterized by persistent and severe pain after trauma or surgery. Diagnosis is mainly based on clinical signs and treatment is based on a multidisciplinary approaches, including non-pharmacological approaches and occupational therapy，pharmacotherapy and invasive therapeutics. This article reviewed the current advice of diagnosis and treatment of CRPS.

Objective To study the technique of using the postauricular revolving door island flap in one-stage reconstruction of concha defect and its efficacy.Methods Fifteen cases of concha de fect were repaired by the postauricular revolving door island flap in one stage reconstruction from 2000-2010.The maximum size of defect was 2.7 cm× 3.0 cm,and the minimum was 1.0 cm×1.3 cm.Results All the island flaps were survived postoperatively,and satisfactory in auricular appearances of all patients by 6 months to 5 years follow-up.Conclusions The revolving door island flaps with abundant blood supply are transferred to reach the auricular defect,which match normal auricular tissue in contour,color,and texture. This flap on the retroauricular area is relatively concealed,and it therefore can be one of the best procedures for repair of the auricular defects,especially concha.

ObjectiveTo analyze the effect of speech therapy on severe hyperkinetic dysarthria. Methods30 patients with severe hyperkinetic dysarthria who received breath training, relaxation training of head and neck, ice stimulation, training of lip, tongue and mandible, phonation training were reviewed. They were assessed with CRRC dysarthria test. Results90% of them improved. ConclusionSpeech therapy can improve the symptom of severe hyperkinetic dysarthria.

Objective To observe the speech outcome of global aphasia after treatment.Methods 2 cases with global aphasia were trained using the Schuell aphasic stimulation approach,promoting aphasics communication effectiveness(PACE) and functional communication therapy(FCT),and assessed with the Standard Aphasia Examination of Chinese.Results Both patients showed obvious improvement.Conclusion The features of global aphasia can become as something of motor aphasia after speech training for several months or years.

Objective To observe the speech therapy for hyperkinetic dysarthria in children with athetoid cerebral palsy (CP). Methods A girl was reviewed with Evaluation of Dysarthia and Speech Intelligibility. Results The articulation and intelligibility of the speech improved after treatment. Conclusion Speech therapy is effective on hyperkinetic dysarthria in children with athetoid

Background: Over the past few decades, Myanmar has faced mass internal migration to seek job opportunities and pursue a better life. Migration gives rise to unambiguous stress and depression. This study aimed to assess the magnitude of depression and to identify the association between socioeconomic disparity and depression among migrant workers in Myanmar. Methods and Materials: Cross-sectional study was done among 1,201 migrants in Yangon Region. To assess the socioeconomic status, mental health status, accessibility of health care service and Quality of Life by developing self–administered questionnaire. The Generalized Linear Mixed Model was applied to determine the association between socioeconomic disparity and depression after adjusting for other covariates. Result: Their average age was 31.44 ±10.31 years. Gender distribution was not much different. About one third of respondents were factory workers and had low level of education. The magnitude of depression was 38.22% (95%CI= 35.50-41.00). Regarding the socioeconomic disparity, adequacy of income (AOR= 1.79, 95%CI: 1.35-2.37, p value<0.001) and floor surface area of the houses (AOR= 1.21, 95%CI: 1.00-1.47, p value<0.001) were strongly associated with depression. Moreover, other factors that were associated with depression were stress, quality of life and burden of medical service cost. Conclusion: Two-fifth of internal migrant workers suffered depression. The findings highlighted to develop intervention aimed to improve mental health status among migrants. In order to achieve the sustainable development goals, it is important to make investment on mental health of the migrant workers.

Objective To optimize the extraction conditions for total flavonoids from Cibotium barometz by response surface meth-od(RSM). Methods According to the center combination of Box-Benhnken,using the RSM,the effects of ethanol concentration,the ratio of solid to liquid,the extraction time,and the extraction frequency were studied by central composite design. Results The opti-mal conditions of extraction were as follows:60％ethanol,the ratio of solid to liquid 1:40,refluxing and extracting twice,and 1.5 h for each time. Conclusion The actual extraction yield was 1.44％. The method of extraction has higher extraction efficiency than other methods and can provide a basis for the industrial production of the total flavonoids from S. barometz.

0.05). CONCLUSION:3M Ketac Molar ultrahard glass ionomer cement is a good substitute for silver amalgam as the filling material for dental cavities,for not only can it repair dental facial defects,but also make teeth good-looking and prevent dental caries.

Objective:By adopting network pharmacology to study the mechanism of Yinchen-Erchen Decoction in treating non-alcoholic steatohepatitis (NASH). Methods:TCMSP was used to collect the chemical constituents of Yinchen-Erchen Decoction, and the effective active ingredients were obtained. Then the target of action was speculated. GeneCards database was used to collect the related genes of NASH. The visualized network of drug-target and disease-target was established by the Cytoscape software. After the analysis of key target genes, PPI network map was established to enrich GO and KEGG pathways based on key target proteins. Results:A total of 45 active ingredients and 114 drug target proteins, 463 NASH related genes and 33 drug and disease targets were obtained from the main chemical constituents of Yinchen-Erchen Decoction. The protein interaction network found that IL6, CASP3, MYC may be the key targets of Yinchen-Erchen Decoction in the treatment of NASH. GO and KEGG enrichment analysis identified 34 and 79 signal pathways related to inflammation, cell apoptosis, diabetes, NAFLD, cancer and so on. Conclusions:Yinchen-Erchen Decoction has multi-pathway and multi-target characteristics in treating NASH. It reveals the key targets, biological processes and signal pathways involved, and provide reference and basis for the following study.

Objectives To explore the effects of control measures and dynamic prevalence of drinking water endemic fluorosis in China, to provide basis and technique support for endemic fluorosis control in China. Methods The survey was carried out according to the national surveillance Scheme of Endemic Fuorosis. The fulfillment of control measures and the quality of water improving projects were surveyed. Household water sample and urine of children aged 8-12 years were collected and fluoride content was detected by iron selective electrode method. Check the teeth of children aged 8-12 years. Dental fluorosis was diagnosed by Dean's method. Results projects were build in 84 endemic villages in 2006, and the average water improving rate came to 73.98% fluoride contents of half the surveyed spots were over the standard, mainly between 1.0-2.0 mg/L, and the urine controlled just in only few spots and it was in moderate or severe status in some endemic areas for many years. Conclusions Little progress of control measures in drinking water endemic fluorosis counties surveyed has been made in these two years. Projects of running out of status and over standard of water fluorosis are frequently seen. Dental fluorosis in many spots is not controlled.