Pleomorphic adenoma (PA) is a rare benign tumor in the pharynx. We presented a case with a huge PA in the pharynx. MRI displayed oropharyngeal mass, considering benign tumor. Preoperative fine-needle aspiration and cytology biopsy were important to confirm the diagnosis of PA preliminary. Extracapsular complete dissection for PA was performed under general anesthesia with tracheotomy subsequently. Postoperative histopathological examination confirmed the diagnosis of PA. The patient was discharged a week after operation and no recurrence was found in the following 8 months.
Adenoma, Pleomorphic ; diagnosis ; surgery ; Biopsy, Fine-Needle ; Humans ; Magnetic Resonance Imaging ; Neoplasm Recurrence, Local ; Pharyngeal Neoplasms ; diagnosis ; surgery ; Pharynx

Objective To observe the effect of Chinese Medical massage on the development of cerebral palsy infants. Methods 60 infants with cerebral palsy were randomly divided into treatment group (n=30), who accepted Vojta therapy and Chinese massage, and control group (n=30), who accepted Vojta therapy only, for 3 months. They were assessed with Gross Motor Function Measure (GMFM), Gesell Developmental Schedules (GDS) and Ashworth scale before, 3 months and 6 months after treatment. Results The scores of Dimension A of GMFM, the adaptative, personal social quotient of GDS improved more in the treatment group than in the control group (P<0.05) 3 months after treatment, as well as the scores of Dimension B and C of GMFM, and the scores of Ashworth scale 6 months after treatment (P<0.05). Conclusion Chinese medical massage can further improve the development of motor and social function in infants with cerebral palsy

Objective To investigate the influence of traditional Chinese medicine on nutritional status and function of immune in post-esophagectomy patients with esophageal carcinoma.Methods 70post-esophagectomy patients in our hospital were randomly divided into 2 groups:a control group (35 cases)and a observation group (35 cases).The control group were treated with postoperative nutrition programs of our hospital,while the observation group were treated postoperative nutrition programs combined with Chinese traditional medicine group in order to observe and analyze the nutritional status and the function of immune at preoperative and 7 days treatments.Results The TP/ALB/IgG/CD3+were (54.5±18.3)g/L and (50.5±11.8)g/L,(36.3±11.7) g/Land (32.8±12.2)g/L,(8.7±3.1)g/L and (7.5±2.8)g/L,(75.4±12.8)％ and (70.1±12.9) ％ in the observation group and the control group respectively,showing significant difference (P＜0.05).The CD4+/CD8+ were (2.5±0.8)and (2.1 ±0.6)in the observation group and the control group respectively,showing significant difference(P＜0.05).Conclusion The nutritional status and function of immune in post-esophagectomy patients with esophageal carcinoma were declined.Rational application of traditional Chinese medicine assisted the nutritional status and function of immune in post-esophagectomy patients with esophageal carcinoma.

A systematic review is based on randomized controlled trials (RCTs), and the reliability of its conclusion is closely related to the quality of original literature. The low quality of existing RCTs in China leads to the failure of conclusive findings in systematic reviews when evaluating the effectiveness of interventions. It is almost universal for systematic reviews to draw the conclusion that "further well-designed multicenter and large-scale RCTs are still required to confirm the beneficial effects of interventions". This paper analyzed the current status of RCTs in China, discussed the influence of including trials of low quality in a systematic review and assessed how a systematic review should be carried out under such circumstances. Furthermore, the methods to evaluate the quality of RCTs were introduced and evaluated. Finally, several strategies were proposed to improve the quality of RCTs in China: foster an honest academic and social environment, enhance the training of doctors on clinical research methodology, promote the implementation of clinical registration systems and strengthen the quality control of clinical research and the medical journals regulations on the quality of submitted papers.

Objective To observe curative effect of acupuncture treating children acute upper respiratory infections (AURI).Methods According to random digits table,150 children from clinic emergency department were averagely bring into a acupuncture treatment group and a western medicine treatment group.Patients in the acupuncture treatment group received the treatments of acupunctureing one side of “SiGuan”points,bloodletting in apex satyri,and reducing temperature with tepid sponge bath; while patients in the western medicine treatment group received the treatments of taking ibuprofen suspension,using external pyretolysis patches on forehead,and reducing temperature with an alcohol sponge bath.After the treatment,the near future therapeutic effects:the time of pyretolysis,fevering again in 24 hours and convulsion time,and the prostecdtive efficacy:the time of cough continuing,AURI happening again in 3 months and recovery time of appetite were both observed.Results The time of pyretolysis,fevering again in 24 hours,convulsion time,the time of cough continuing,recovery time of appetite and AURI happening again in 3 months of acupuncture treatment group was(15.6±5.8) minutes,(12.7±3.3) hours,(0.6±0.1) times,(2.3±1.8) days,(2.4±1.6)days,and (35.2±3.9) days respectively; and the western medicine treatment group was (25.5±7.3) minutes,(8.6±4.1) hours,(2.1±0.5) times (6.2±2.4) days,(3.8±1.5) days,and (18.4±5.2) days respectively.Comparing between the two groups,P＜0.05.Conclusion Acupuncture can significantly decrease the time of pyretolysis,cough continuing,recovery time of appetite and convulsion time,and significantly increase the time of fevering again in 24 hours and AURI happening again in 3 months in patients with AURI.

A total of 450 residents from three neighborhood committees of Ba'nan were selected to assess their willingness to accept paid influenza vaccine and the influencing factors.Among them,273(60.7％) were willing to accept paid influenza vaccine.Age,economic status,health,flu recognition and vaccine approval were the major influencing factors of vaccination.

Titanium & titanium alloy are popular in dentistry as dental material because of their good mechanical properties and extremely good biocompatibility. The bonding strength between the titanium and the resin agent is the decisive factor in evaluating the success of resin-bonded restoration. Appropriate surface treatment on the titanium is an effective way to reinforce the bending strength. The purpose of this review is to summarise the relevant studies and introduce some latest findings.

The glucose metabolism pathways including glycolysis and oxidative phosphorylation in vivo.The metabolism of tumor cells depends on glycolysis,which enhances the adaptability of tumor cells to the microenvironment and promotes the proliferation of tumor cells,which is called Warburg effect.Arsenic is one of the chemical pollutants,which is widely distributed in natural environment.International agency for research on cancer (IARC) has made it clear that arsenic and its compounds are carcinogens.However,the mechanism of carcinogenesis induced by arsenic still remains obscure.Recently,researchers have found that Warburg effect plays an important role in the process of arsenic carcinogenesis.In this paper,we have reviewed the definition and function of glycolysis,its relationship with inflammation and tumorigenesis,and the role of Warburg effect in arsenic carcinogenesis.

To study the relationship between angiotensin converting enzyme(ACE) gene polymorphism and angiotensin converting enzyme activity,the polymerase chain reaction(PCR) was used to detect an insertion/deletion(I/D) polymorphism of ACE gene in its sixteenth intron.The genotype,enzyme coupling spectrophotometry were used to measure serum ACE activity among the three genotypes.Results showed that the Serum ACE activities were (337 6?92 0),(292 7?76 5 )and(243 5?58 9)u/L for genotypes DD,ID and ⅠⅠ respectively.The findings indicate that the ACE gene polymorphism closely associated with serum ACE activity.

Objective To investigate the correlation between the coagulation function and fibrinolytic activity with deep venous thrombosis (DVT) after traumatic fracture operation.Methods One hundred and thirty-four cases of traumatic fracture from April 2010 to May 2014 were divided into the DVT group(24 cases) and non-DVT group,and at the same time 110 healthy people were selected as the control group.The venous blood at different time points was collected for observing the levels change of prothrombin time (PT),activated partial thromboplastin time (APTT),fibrinogen (FIB),platelet aggregation rate (PAgT),dipolymer (D-D),thrombin antithrombin complex (TAT),plasminogen activity (PIg) by using appropriate methods.Results There was no difference in APTT and PT groups among the groups(P>0.05).Preoperative FIB,PAgT,D-D and TAT levels was the DVT group >non-DVT group > control group,while the level of PIg was the DVT group0.05).Conclusion The increase of D-D and TAT is closely related with DVT in traumatic fracture and,which is an independent risk factor.