Multiple trauma management requires the application of modem trauma care theories. Optimal treatment results can be achieved by reinforcing cooperation and stipulating a treatment plan together with other disciplines. Based on modem theories in trauma care and our understanding of the theoretical points, this paper analyzes the injury assessment strategies and methods in oral and maxillofacial multiple trauma management. Moreover, this paper discusses operating time and other influencing factors as well as proposed definitive surgical timing and indications in comprehensive management of oral and maxillofacial multiple trauma patients associated with injuries in other body parts. We hope that this paper can help stomatological physicians deepen their understanding of modem trauma care theories and improve their capacity and results in the treatment of oral and maxillofacial multiple trauma.
Humans ; Maxillofacial Injuries ; therapy ; Multiple Trauma ; Patient Care Planning ; Treatment Outcome

*Epidemiology ; *Leptospirosis ; *Malaysia

Objective To compare the effect of gatifloxacin and levofloxacin for treating acute bacterial infection.Methods According to the digital table,228 patients with respiratory or urinary tract infections were randomly divided into group A and group B,114 cases in each group.Group A was given gatifloxacin 200mg,adding 5％ glucose injection 100ml intravenous drip injection twice daily; Group B was treated with levofloxacin 200mg,by adding 5％ glucose injection 100ml intravenous infusion twice daily.The treatment course lasted 7-14 days.The clincal effect,bacterial clearance rate and adverse reactions of the two groups were observed.Results The cure rate and total effective rate of group A was 68.4％,93.0％,respectively,which of group B was 66.7％,90.3％,respectively,the differences were statistically significant (x2 =0.184,0.213,all P ＞0.05).The bacterial clearance rate and bacterial drug sensitivity test sensitivity was 89.4％,78.8％,respectively,which of group B was 77.2％,70.3 ％,respectively,the differences were all statistically significant (x2 =4.812,4.236,all P ＜ 0.05).The incidence rate of adverse reactions of group A was 7.0％,which of group B was 6.1％,there was no statistically significant difference (x2 =0.672,P ＞0.05).Conclusion Gatifloxacin has better effect and lower adverse reactions in the treatment of acute bacterial respiratory or urinary tract infections,and there is no significant difference compared with levofloxacin treatment,and it is worthy of clinical application.

Objective To analyze the clinical features and significance of the samples which the expression of ANA is positive and the expression of anti‐ENA antibody is negative .Methods Detect ANA and anti‐ENA antibody of all the 297 samples by indi‐rect immunofluorescence method and biological chip technology ,repectively .And analyze the fluorescence karyotype of ANA posi‐tive specimens with double‐blind method .Screen the samples which anti‐ENA antibody express negative from ANA positive sam‐ples .Compare and analyze the fluorescent karyotype .Results Of all the 297 samples ,74 cases were positive for ANA ,the positive rate was 24 .9% (74/297) .The majority of patterns were speckled pattern (43 cases ,58 .1% ) ,cytoplasmic granular pattern (9 ca‐ses ,12 .2% ) ,and antibody to centromere antigen(9 cases ,12 .2% ) ,respectively .In 74 cases of ANA positive specimens ,ENA anti‐body the negative rate of ENA antibody is 17 .6% (13/74) .Of the 13 cases ,the most frequently occurred pattern was the speckled pattern(11 cases ,84 .6% ) ,the rate of cytoplasmic granular pattern and antibody to centromere antigen was 7 .7% (1/13) respec‐tively .Conclusion In the serum samples which express ANA positive and ENA antibody negative ,the rate of speckled pattern is significantly higher than the other patterns ,and far more than the rate of speckled pattern in the samples which express ENA anti‐body and ANA positive (52 .5% ) (chi‐square= 5 .018 ,P< 0 .05) ,with statistical significance .We consider the speckled pattern samples be in favour of discovering new antibodys of this kind of serum sample .

ObjectiveTo observe the clinical efficacy of electroacupuncture plus magnetic resonance in treatingpostoperative gastroparesis syndrome.MethodPatients with postoperative gastroparesis syndrome were recruited and coded according to the onset time, and then randomized into a treatment group of 10 cases and a control group of 10 cases. The treatment group was intervened by electroacupuncture plus magnetic resonance, while the control group was by electroacupuncture. The recovery time of gastrointestinal motility and drainage volume of gastric fluid were observed after treatment.ResultThe drainage volume of gastric fluid was significantly reduced (P<0.05) and it took less time to recover the gastrointestinal motility in the treatment group;compared to the control group, it took a significantly shorter time to recover the gastrointestinal motility in the treatmentgroup (P<0.05); after 20-day treatment, the drainage volume of gastric fluid was markedly reduced in the treatment group (P<0.05). ConclusionElectroacupuncture plus magnetic resonance can produce a more significant therapeutic efficacy in treating postoperative gastroparesis syndrome thanelectroacupuncture alone.

Abnormal auditory responses is one of the common features in autism. The characteristics and pathogenesis of the abnormality is not quite clear. The results of electrophysiological hearing evaluation ( i. e,brainstem auditory evoked potentials, otoacoustic emissions) in autistic children are inconsistent. The abnormal aduitory responses may contribute to the poor social interaction and communication in autism.

Diabetes and cancer, two heterogeneous multffactorial severe chronic diseases, are closely related. Epidemiological studies clearly indicate that diabetics have an increased risk and mortality of several cancers, including cancers of the pancreas, liver, breast, colorectum and urinary tract. Insulin is a growth factor with preeminent metabolic and mitogenic effects and functions at both receptor and post-receptor level during cancer development. As a result, hyperinsulinemia is the most likely cause of cancers among diabetic patients. However, anti-diabetic drugs, obesity, hyperglycemia, and increased oxidative stress may also contribute to the increased cancer risk among diabetics.

Objective:To investigate the mechanism in growth inhibition of garcinia acid to kidney cancer cell lines ( RC-2 ) . Methods:RC-2 cells were cultured in vitro, and garcinia acid at various concentrations was co-cultured with RC-2 cells. The antipro-liferative activities were determined by CCK-8 assay, the percentage of apoptosis was determined by flow cytometry analysis, and the expression levels of Survivin and related proteins in Wnt3α/β-catenin signal pathway were measured using Western Blot analysis. Re-sults:After the treatment with garcinia acid for 24h and 48h, the proliferation of RC-2 cells was significantly suppressed by garcinia acid in a dose-dependent manner, and all garcinia acid groups had significantly higher apoptosis percentage of RC-2 cells than the con-trol group. In G0/G1 period, RC-2 cells reduced while increased in G2/M period, and in S period, the cells remained the same a-mount. The expression levels of Survivin, Wnt3α and β-catenin decreased in RC-2 cells after the treatment with garcinia acid. Con-clusion:Garcinia acid can inhibit the proliferation and promote the apoptosis of RC-2 cells, and the mechanism may be related with the inhibition of Wnt3α/β-catenin signal pathway and further decreasing the expression levels of Survivin.

AIM: To evaluate the therapeutic effect and safety of irbesartan in treatment of chronic congestive heart failure. METHODS: 80 patients with chronic congestive heart failure were randomizedly divided into the irbesartan group and the routine group, 40 cases in every group. The routine group was treated with nomal treatment digtoxin ethacrynicum and dilation vasocular, and the irbesartan group was treated with irbesartan 75- 300 mg one time daily based on the nomal treatment. The course of treatment was 12 weeks. RESULTS: Irbesartan could improve symptom and heart function clearly (P

Twenty-two casts of either sex were anesthesized with urethan, and their respiration, carotid arterial pressure (BP) and ECG were recorded.6 of the 22 cats were given trilobine iv of different doses of 1.25, 2.5,5.0, 10.0, 20.0mg/kg. It was found that all the dosage levels of trilobine produced a fall in blood pressure ranging from 30 to 60 mmHg. The extent of the hypo-tensive effect seems to be dose-dependent.The other 16 cats were divided into 3 groups and used to analyse the mechanism of the hypotensive action of trilobine.The first group (6 cats) was treated with the cholinergic M-receptor blokage-atropine, adrenergic ?-receptor blokage-propranol, ganglionic biokage-C6, and section of bilateral vagus nerve.The second group (5 cats) was treated with the adrenergic ?-receptor agonist-noradrenaline.The third group (5 cats) was treated with the histaminergic H1, H2-receptor blokage-diphenhydramine, cimetidine.The experimental results indicated that all of the above treatments had no influence on the hypotensive effect of trilobine, suggesting that the mechanism of hypotensive effect of trilobine may not relate to the cholinergic M, N receptor,the adrenergic ?, ? receptor, the histaminergic H1,H2 receptor and the vagus nerves.It is possible that a direct action on blood vessel may be involved.