This paper describes the principle and circuit design of a new hemorrhoids therapy apparatus applied in anorectal surgery,Through clinical,practices in more than two years,it is proved to be an ideal instrument that can replace a variety of traditional hemorrhoids therapy methods.

Objective: To evaluate the outcomes of current studies regarding the beneficial effects of infant massage therapy. Method: Firstly, some common knowledge related to massage is provided. Subsequently, research-based evidence on massage effects in neonatal unit has been examined, particularly on premature babies and newborns with jaundice. Result and Conclusion: the practice of massage therapy promotes the development of preterm babies and the treatment of neonates with jaundice generally safe, however the methodology employed in reviewed studies is of certain limitations, such as a lack of RCT with large sample size, inadequate follow-up period.

Objective To quantitatively assess the neovascularization within human carotid atheroclerltic soft plaque in patients with cerebral infarction using real-time contrast-enhanced uhrasonography. Methods One hundred and forty-two patients with carotid athemselerotic soft plaque were divided into two groups: cerebral infarction group (n = 44)and control group (n = 98).Real-time contrast-enhanced ultrasonography was examined. Acoustics quantitative analysis was made by auto-tracking contrast quantification (ACQ)technology. Results The enhanced intensity (EI)in cerebral infarction group was significandy higher than that in control group[(14.58±4.19)dB vs (11.26±3.77)dB, P< 0.01]. The difference of arrival time (DAT)and the difference of time to peak (DTrP)in cerebral infarction group was significantly shorter than those in control group [(2.21±0.42)s vs (2.46±0.51)s,(2.13 + 0.37)s vs (2.43±0.48)s, P all < 0.01]. Conclusions The real-time contrast-enhanced uhrasonography can provide a new non-invasire and quantitative tool to assess the neovascularizafion within carotid atheroselerofic soft plaque. EI is re-garded as an independent risk factor correhtes strongly with cerebral infarction.

Humans ; Laparoscopy

Because of the lymphatic drainage of the neck area level-Ⅰb of nasopharyngeal carcinoma is particular,and skip metastasis in the cervical lymph node is rare,the involved region of level-Ⅰb lymph node metastasis rate is low in nasopharyngeal carcinoma.In the three-dimensional radiotherapy era of precision radiotherapy,there is no consensus on whether level-Ⅰb need to be prophylactic irradiated in the clinic.

OBJECTIVE:To observe the efficacy and safety of Huanglian shangqing soft capsule in the adjuvant treatment of in-flammation around the implant. METHODS:40 patients(72 implants)with inflammation around the implant were randomly divid-ed into control group (20 cases) and observation group (20 cases). Control group received full mouth supragingival scaling tech-nique,subgingival curettage,root planing,occlusal adjustment,loose teeth fixation or removal can not be reserved teeth using ul-trasonic scaler row scaling postoperative with 3% hydrogen peroxide,0.9% Sodium chloride injection alternately flushing periodon-tal pocket,removing residue until the inflammation control after the break-adjusted+appropriate amount of Minocycline hydrochlo-ride ointment,along with fine needles inserted into the periodontal pocket wall slowly until bag after pushed into the bottom of Mi-nocycline hydrochloride ointment,slow retreated the drug overflow until the gingival margin,no gargle and drinking water within half an hour,once a week. Observation group additionally received 1.2 g Huanglian shangqing soft capsules,twice a day. 4-week was regarded as 1 course,and it last 2 courses. Clinical efficacy,PLI,PD,SBI,IL-1β,IL-6,IL-2 and IL-17 levels before and af-ter treatment,and the incidence of adverse reactions in 2 groups were observed. RESULTS:The total effective rate in observation group was significantly higher than control group,the difference was statistically significant (P<0.05). After treatment,the PLI, PD,SBI,IL-1β,IL-6,IL-2 and IL-17 levels in 2 groups were significantly lower than before,and observation group was lower than control group,the differences were statistically significant(P<0.05). The incidence of adverse reactions in observation group was significantly higher than control group,the difference was statistically significant (P<0.05),but the symptoms were mild. CONCLUSIONS:Based on conventional treatment,Huanglian shangqing soft capsule shows significant efficacy in the adjuvant treatment of inflammation around the implant,it can reduce inflammatory cytokine levels in gingival sulcus fluid,but with more ad-verse reactions.

Objective This study was intended to determine the role of microautologous fat transplantation (MAFT) in dealing with severe sunken upper eyelids.Methods The authors performed microautologous fat transplantation (MAFT) procedure,particularly in accurately delivering small fat parcels,to treat 238 patients with sunken upper eyelids with multiple folds.Results The average total injection volume of fat were 1.8 ml in right upper lid (from 1.1 to 2.4 ml) and 1.7 ml in left upper lid (from 1.1 to 2.4 ml) separately.Only 3 cases encountered prolonged swelling more than 2 weeks.There were no severe complications.All patients were satisfied with the final results and 2 patients asked for secondary enhancement procedure.Conclusions The therapeutic effects of MAFT and the long-term clinical results of patients with sunken upper eyelids with multiple folds indicate satisfactory outcomes.

Objective To investigate the clinical efficacy and value of low molecular weight heparin calcium combined with vertebroplasty in the treatment of osteoporotic vertebral compression fractures in elderly patients .Methods 67 elderly patients with osteoporotic vertebral compression fractures in our hospital from January 2013 to January 2016 were selected and randomly divided into control group 30 cases and treatment group 37 cases. All patients were treated with percutaneous vertebroplasty, the control group was given calcium carbonate D3 conventional treatment, the treatment group was treated with low molecular weight heparin calcium anti osteoporosis treatment, the course of treatment was one month.Measurement of bone mineral density before and after the operation of different follow-up time points ( BMD ) and the changes of the oswestry disability index ( ODI ) evaluation activities and the visual analogue scale (VAS) to assess the degree of pain, and the changes of vertebral height before and after operation were analyzed. Results All patients were followed up for an average of 16.4 months (12 to 21 months).Compared with before vertebroplasty, the BMD of the patients in the treatment group was higher than that in the control group at one month, three months and six months, the difference was statistically significant (P<0.05), the low molecular weight heparin treatment after January, treatment group VAS and ODI scores were significantly lower than the control group, and the subsequent different follow-up time points ODI and VAS score can effectively maintain, the difference was statistically significant ( P<0.05) .Compared with before vertebroplasty, postoperative anterior vertebral height, middle height better than preoperative vertebral height, the difference was statistically significant (P<0.05), and after one months of treatment, the treatment group of anterior vertebral height, middle height were better than the control group, the difference was statistically significant (P <0.05).Conclusion After treatment with low molecular weight heparin calcium, the healing process of vertebral body after vertebroplasty, to a certain extent, it can increase the bone mass and prevent bone destruction, increase bone strength, and further achieve the treatment of osteoporosis and prevention of osteoporotic fracture in elderly patients with osteoporotic vertebral compression fractures.

OBJECTIVE:To provide reference for the research and formulation of public health policies for children in the ru-ral area. METHODS:Questionnaire survey was designed to investigate the drug use of children in the township area of Fujian prov-ince using parents of children as subjects. RESULTS:Totally 986 questionnaires were sent out,and 969 were effectively received with effective rate of 98.28%.The education level of the respondents was low,that junior school education or below accounted for 54.49%;the respondents having trouble or difficulty in giving child drugs accounted for 97.85%;the frequency of choice for chil-dren who didn't cooperate with medication due to the taste or dosage was 17.91%;17.91% thought thatthere was not enough child-specific medication or varieties;17.71%didn't know the accurate dosage;when children suffer from common diseases,the majority of respondents would choose town clinics,accounting for 42.83%. Before giving the child drugs for the first time, 50.26% of respondents would read the instruction;16.49% of respondents couldn't understand the instruction;37.67% of respon-dentswould take the initiative to understand children's medication knowledge,22.19%wanted to know but did not have the channel,and 36.12%would read when had opportunity. 28.48%knew the difference of age and body mass in children's medi-cation,but 52.73%only had some understanding. 39.64% wanted to get the medication education from doctors,while 33.77%from pharmacist. Higher education held higher proportion on attention of children's medicine information,the extent of understand-ing children medication difference and the habit of reading drug instructions(P<0.001). CONCLUSIONS:Respondents in the town-ship have much trouble or difficulty in giving children drugs,children medication information is inadequate and inaccurate in pack-age inserts,there are many shortcomings in pharmaceutical care ability of township medical institutions,education and propaganda of rational drug use in children.

Since its first application for radical gastrectomy, laparoscopic surgical technique has been used for almost 20 years. Howev-er, given the complexity of the anatomic plane and vessels of stomach and the particular operation of laparoscopic instruments, lapa-roscopic lymph node dissection is still a difficult technique that requires experience. An appropriate approach is the key point to the success of laparoscopic lymph node dissection. On the basis of lymphatic drainage routes and anatomy of perigastric lymphatic sys-tem, different approaches are selected to dissect periodic gastric lymph nodes safely and radically. Surgery is performed according to the patient's position, surgeons' stance, and sequence of lymphadenectomy for laparoscopic gastrectomy and lymph node areas, such as suprapancreatic, cardial, and splenic hilar areas. In this article, we introduce different surgical approaches of laparoscopic radical gastrectomy with extended lymphadenectomy to provide information for surgeons who want to perform this surgery.