Atopic dermatitis is a common chronic recurrent atopic constitution-associated inflammatory skin disease mainly characterized by eczematous lesions and itching. Its etiology and pathogenesis are still not very clear, and there are many controversies about its origin, definition, clinical phenotypes and diagnostic criteria. This review analyzes and discusses these controversies in order to provide a meaningful reference for the diagnosis and treatment of atopic dermatitis.

Objective To evaluate the influence of tracheal intubation guided with light wand on hemodynamics in patients with obstructive sleep apnea syndrome.Methods Seventy-four patients with obstructive sleep apnea syndrome were randomly divided into light wand group (n =37) and laryngoscope group (n =37).The time to successful intubation,rate of successful intubation,changes of heart rate (HR),systolic blood pressure (SBP),diastolic blood pressure (DBP) and complications were compared in two groups.Results The time to successful intubation of light wand group was significantly shorter than that of laryngoscope group,while the rate of successful intubation in light wand group was significantly higher than that in laryngoscope group (P＜0.05).The HR,SBP and DBP at T1 were significantly lower than those at T0 in two groups (P＜0.05).The HR,SBP and DBP in two groups at T2,T3 were significantly higher than those at T1 (P＜0.05),and those indexes of light wand group were significantly lower than laryngoscope group at T2 and T3 (P＜0.05).The incidence rates of complications in light wand group were significantly lower than those in laryngoscope group (P＜0.05).Conclusion With the advantage of higher success rate,shorter time to successful intubation,more stable hemodynamics and fewer complications,tracheal intubation guided with light wand is worthy of popularization and application in clinical.

0.05).Platelet aggregation was decreased on the 2nd postoperative day and significantly increased on the 4th postoperative day (P

Objective To investigate the diagnosis and therapeutic methods of primary tumors of the duedenum(PTD). Methods Clinical data of 124 patients with primary duodenal tumors who were hospitalized in the First Affiliated Hospital of China Medical University from 2001 to 2007 were analyzed retrospectively. Of all the tumors,10 cases were of benign tumors and 114 cases were malignant tumors. Diagnosis was established on endoscopy and radiography. Results Common clinical manifestations included upper abdominal pain, jaundice, weight loss and poor appetite. Lesion located in the superior portion of the duodenum in 9 cases, in the descending portion in 107 cases, in the horizontal portion in 7 cases, and in the ascending portion in 1 case. The correct preoperative diagnostic rate by endoscopy was 90.5%, by ERCP was 94.1%, by ultra-endoscopy was 100%, by air barium double radiography was 78.6%, by MRI was 80.5%, and by BUS was 40.6%. Among the 10 benign PTD cases, 5 cases underwent simple tumor resection, 2 cases underwent standard pancreaticoduedenectomy, 1 case received segmental duodenectomy and 2 cases didn't receive operation, the 5-year survival rate was 100%. Among the 114 malignant PTD cases, 47 cases underwent standard pancreaticoduodenectomy, 3 cases received pylorus preserving pancreaticoduodenectomy, 3 cases underwent pancreaticeduodenectomy in other hospitals, with the 5-year survival rate of 35.8%. Six cases underwent simple tumor resection, and 12 case received segmental duodenectomy, with the 5-year survival rate of 16.7%. Twenty-two cases treated by bypass operation died in 5-16 months after operation. 2 cases treated by stent-intervention, and 2 cases by PTCD (percutancous transhepatic cholangiodrainage) died in 3-11 months. Those not treated surgically died in 1-11 months. Conclusions Patients with PTD usually lack specific clinical manifestations, but combination of endoscopy, ultra-endoscopy, ERCP and other eximinations can improve the preoperative positive diagnosis rate. simple tumor resection and segmental duodenectomy are curable for PBTDs (primary benign tumors of the duodenum), while for PMTDs (primary malignant tumors of duodenum), pancreaticoduodenectomy should be done, and bypass operation is suitable for late-stage patients to improve survival rate and life-quality.

Objective To study the effect of Rhubarb as a supplemental emergency treatment for acute omethoate Poisoning (AOMP). Methods 80 male SD rats were randomly divided into 4 groups: slight intoxication group, severe intosieation group, therapeutial group of Rhubarb after severe intoxication and normal control group. The intoxication experimental model (one slight group, two severe groups) were made by intragastrically given at different dose of Omethoate. The severe group was received Rhubarb treatment. Results The rats action in Rhubarb treated group was significantly better than that in control group, and the level of cholinesterase (ChE) and superoxide dismutase (SOD) in serum st different time were significantly higher than those in other two intoxication groups. (P<0. 05 or P <0.01).Conclusions Rhubarb might be good for AOMP as a supple mental emergency therapy.

Antirheumatic Agents ; therapeutic use ; Arthritis, Juvenile ; therapy ; Biological Factors ; therapeutic use ; Humans

Adenocarcinoma, Sebaceous ; pathology ; Humans ; Male ; Middle Aged ; Parotid Neoplasms ; pathology

Objective To investigate the efficacy and side effect of induction chemotherapy plus concurrent chemoradiotherapy ( IMRT) in the treatment of 81 patients with locally advanced nasopharyngeal carcinoma ( NPC) . Methods 81 patients with locally advanced NPC were divided into the vinorelbine group and fluorouracil group . Patients in the vinorelbine group were given vinorelbine 25-30mg/m2 d1,d8,DDP 75mg/m2 ,d1-d3.Patients in the fluorouracil group were given DDP 75mg/m2,d1-d3,fluorouracil 750 mg/m2 d1-d5.The treatment schedules were recycled every 3 weeks.After 2-4 cycles, the patients received concurrent chemoradiotherapy .In the vinorelbine group,IMRT with NVB 25-30mg/m2,DDP 40mg d1,d8,d22,d29,d43,d51 from the first day of IMRT.In the fluorou-racil group,IMRT with fluorouracil 750mg/m2 ,DDP 25/m2 d1,d8,d22,d29,d43,d51 from the first day of IMRT. Results The overall leukopenia and thrombocytopenia decline was 47.5% vs 24.4% in patients with Ⅲ and Ⅳgrade(χ2 =4.73,P<0.05).5-year locoregional relapse-free survival rates were 85.0% vs 65.9%(χ2 =4.05,P<0.05).5-year overall survival rates were 85.0%vs 68.3%(χ2 =3.18,P<0.05).Conclusion NP regiment induc-tion chemotherapy plus concurrent chemoradiotherapy for advanced NPC can achieve better result in clinical response and 5-year locoregional relapse-free survival rate compared with FP and the effect is clinically acceptable .

Character Repertoires are supported by DICOM to encode Characters in different languages, in which UTF-8 and GB18030 are for Chinese characters. Each of them can replace Acquiesced Character Repertoire in Attribute Specific Character Set so that Chinese characters can be encoded in data elements. Utility programs compatible with DICOM are also required to support UTF-8 or GB 18030 for unerring representation and encoding.

Drugs, Chinese Herbal ; Education, Medical ; Translations