Adolescent ; Adult ; Colic ; chemically induced ; nursing ; Female ; Humans ; Lead Poisoning ; nursing ; Male ; Middle Aged ; Young Adult

Through comparison of teaching approach of problem-based learning (PBL) and subject-based learning in physiotherapy of rehabilitation sciences, it is important for lecturer to understand the inevitable trend of PBL in future, the choice of the subject and the requirement for the lectures and students when using this new method, the detailed teaching methods and the significance of application were also discussed in this article respectively.

It has a vital clinical implication in applying the bilingual education teaching approach in physiotherapy of rehabilitation sciences, it is inevitable trend for reforms in teaching approach of school system. The effect of bilingual education in teaching of physiotherapy of rehabilitation sciences was analyzed in this article. The inevitable trend for reforms in teaching approach of school system, the problems and strategies exited when applying the teaching approach of bilingual education were also discussed respectively, the teaching program of bilingual education were planned in detail.

Objective To examine the relative effectiveness of extracorporeal shock wave therapy (ESWT) and ultrasound therapy (US) on managing heel pain. Methods Thirty seven patients were divided into 3 groups, two treatment groups (groups 1 and 2) and one control group (group 3).Group 1 received ESWT once a week for 3 consecutive weeks.Parameters were set at a frequency of 4Hz with a total of 1000 impulses, intensity at 0.23 to 0.37mJ/mm 2. Group 2 received continuous ultrasound therapy for 5 minutes in each session, three times a week for three consecutive weeks. Parameters were set at 1MHz, intensity level at 1W/mm 2. Group 3 was the control group and no treatment was given during the study period.The intensity of morning pain on weight bearing, pain triggered by prolonged walking/standing, pain on tension and palpation tests were assessed by use of Visual Analogue Scale (VAS) before and after each treatment session, including the follow up session.In addition, Mayo Clinical Scoring System (MCSS) was used to evaluate the treatment outcomes. Results After 3 weeks of treatment plus 3 weeks follow up,outcome measures had shown statistical significant difference on the intensity of pain on tension test( P =0.037),the intensity of pain on palpation test ( P =0.019) and the maximum duration of prolonged walking or standing ( P =0.002). Conclusion ESWT is more effective and efficient for managing heel pain than ultrasound therapy.

地震后不同类型的截肢患者需要全面、科学、专业的评价,康复治疗师根据患者的具体情况,制定出相应的治疗方案。佩戴假肢前应着重训练患者的肌力,矫正挛缩的关节;佩戴假肢后,除肌力外还应以恢复日常生活活动能力(ADL)为目的,训练患者各方面的能力,使之尽早回归家庭和社会。

地震后不同类型的截肢患者需要全面、科学、专业的评价,康复治疗师根据患者的具体情况,制定出相应的治疗方案。佩戴假肢前应着重训练患者的肌力,矫正挛缩的关节;佩戴假肢后,除肌力外还应以恢复日常生活活动能力(ADL)为目的,训练患者各方面的能力,使之尽早回归家庭和社会。

Child ; Female ; Humans ; Muscular Dystrophies ; complications ; congenital ; Spondylitis, Ankylosing ; complications

Objective:To study the regulatory effect of somatostatin analogue octreotide on human gastric cancer cell line SGC7901 and to explore the corresponding mechanisms.Methods:Moderately differentiated human gastric carcinoma SGC-7901 cells were treated with octreotide in vitro.SGC-7901 cells treated with 5-FU were the positve controls and human fibroblasts were the normal controls.MTT assay was used to observe the inhibitory effect of octreotide on human gastric carcinoma cells and human fibroblasts.We observed the apoptosis through fluorescent microscope.The influence of octreotide on cell cycle distribution and the apoptosis rate of human gastric carcinoma cell were analyzed with FCM.Radiommunoassay was employed to determine the changes in IGF-1 levels in cell culture fluid.Results:Octretide can not inhibit the growth of gastric cells at low concentration(50ug/L).With the increase of octretide concentration,the inhibitory effect increased gradually,in a dose-dependent manner.Octretide had an evident inhibitory effect on human fibroblasts(P>0.05).There was no difference in the inhibition of SGC-7901 cell growth between octretide (500ug/L)and 5-FU(50mg/L)(P>0.05).At 48 hours after treatment with octretide(1 mg/L),the morphological changes of apoptosis were seen under fluorescent microscope.At 48 hours after treatment with octretide (500ug/L),most cells were blocked at G_0/G_1 phase(72.07±2.40).The percentage of cells at S phase was decreased signiflcantly(14.99±1.42).The proliferation of cells was inhibited and the apoptosis rate was increased(21.40±2.71).With octretide treatment at different concentrations.IGF-1 level in cell culture fluid was significantly lower than that in the control group(P<0.01),indicating that octretide down-regulated IGF-1 level in the call culture system.Conclusion:Octroetide can inhibit the growth of gastric carcinoma cells in vitro,with no significant inhibition on the growth of non-target cells.Octroetide can induce gastric cancer cell stagnation at G_0/G_1 phase and apoptosis,inhibiting the proliferation directly.Octroetide can also inhibit the secretion of IGF and restrain tumor cell growth indirectly.

Objective To investigate the clinical effectiveness of fast track surgery ( FTS) nursing during laparoscopic cone-shaped resection of renal tumor. Methods Forty patients who was planned to accept laparoscopic cone-shaped renal tumor resection was divided into either FTS group ( n=20 ) or control group ( n=20 ) according to odd-even number of their admission IDs. The control group was given routine perioperative nursing procedure, and the FTS group was given FTS nursing. Results The operation time, intraoperative blood loss and incidence of complications had no statistical significance between the two groups (P>0. 05). As compared to the control group, patients in the FTS group experienced a shorter anal exhaust time [(30. 3 ± 11. 7) h vs. (43. 0 ± 15. 5) h, t= -2. 924, P=0. 006], shorter post-operative fasting time [(26. 6 ± 12. 1) h vs. (56. 1 ± 18. 1) h, t= -6. 059, P=0. 000], earlier ambulation [(33. 6 ± 16. 8) h vs. (66. 9 ± 28. 6) h, t= -4. 490, P=0. 000], shorter urethral catheterization [(40. 2 ± 18. 5) h vs. (83. 4 ± 39. 6) h, t= -4. 420, P=0. 000], shorter drainage time [(50. 3 ± 22. 5) h vs. (102. 9 ± 46. 0) h, t= -4. 594, P=0. 000], and shorter length of hospitalization [(5. 5 ± 1. 5) d vs. (9. 0 ± 2. 1) d, t= -5. 911, P=0. 000]. Conclusions FTS nursing procedure can reduce the rate of post-operative complications and shorten hospitalization stay. It can not only guarantee the efficacy of surgical treatment but also help the patient to achieve the goal of fast rehabilitation, being worthy of extensive application.

Objective To study the expression and significance of CD44v6 and E-Cadherin( E-cd) in human renal cell carcinoma. Methods Immunohistochemical method was used to detect CD44v6 and E-cd expression in 20 normal renal tissues and 72 primary renal cell carcinoma tissues. Results The postive expression rate of CD44v6 in normal renal tissues and primary renal cell carcinoma tissues was 15 00% and 66 67% respectively with significant difference (P