Objective To study the technology and the result of dual plane breast augmentation using nipple margin vertical incision of areola.Methods Totally 60 cases of augmentation mammaplasty were involved in this study.The nipple margin vertical incision of areola was applied obliquely into the breast through the pectoralis major fascia.The rib starting point of pectoralis major were cut off,medial to the side of the sternum.Under the pectoralis major the cavity was peeled according to the preoperative design range.Based on the different situation of the breast types Ⅰ,Ⅱ,Ⅲ,dual plane breast augmentations were stripped respectively.After implanting the breast prosthesis,the upper part of the prosthesis was under the pectoralis major and the lower part was under the mammary gland.Results The 60 patients were all after childbearing,20 of whom underwent type 2 dual plane breast augmentation,4 underwent type 3 double plane and the rest underwent type 1 double plane.After 3 months to 2 years follow-up,all cases got satisfactory results,except 1 case of postoperative hematoma and 1 case appeared capsular contracture.Conclusions The nipple margin vertical incision of areola can complete types Ⅰ,Ⅱ,Ⅲ dual plane breast augmentation operation,at the same time it can correct mild-to-moderate mastoptosis.

Objective The aim of this study was to investigate and analyze the etiology, seizure type and anti-epileptic drugs (AEDs) utilization of in-patients with epilepsy Methods The study included 5563 cases in-patients with epilepsy. The etiology and seizure type and the date of type, quantity of AEDs in-patient department were collected and their usage frequency were analyzed statistically. Results The most common etiology of epilepsy was traumatic brain injury(13.64%), followed by hippocampal sclerosis (11.52%), stroke (5.24%), nervous system infection (4.98%), perinatal injury ( 5 . 28 % ) and undefined etiology ( 40 . 80 % ) . The most common seizure type was partial seizures (45.43% ). The AEDs of carbamazepine and valproate were the most common used drugs in the clinical and their average usage frequency were 36.88% and 30.80%, respectively. The newer AEDs of Lamotrigine and Levetiracetam were used more frequently. The use of Lamotrigine increased from 16.16% to 28.44% and the Levetiracetam from 0.61% to 20.87% whereas the use of Oxcarbazepine and Topiramate remained a stable level of 15.07% and 9.42%. Conclusion The etiology of epilepsy is complicated and the seizure type of epilepsy was diverse. Among a great variety of anti-epileptic drugs, the newanti-epileptic drugs are being increasingly used.

Objective:To analyze the hot topics related to emergency emergency science popularization in China from 2001 to 2023, present the research trends, current situation, and hotspots in this field, and provide reference for emergency science popularization research.Methods:Using China National Knowledge Infrastructure, Wanfang Database, and VIP Journal as Chinese data sources, and WOS and PubMed as English data sources, relevant literature from January 2001 to December 2023 was searched. EndNote software was used as the literature management and deduplication tool, and Citespace software was used as the analysis tool to visually analyze the publication volume, authors, institutions, journals, and keywords of the included literature.Results:A total of 498 articles were included, all of which were journal articles; The annual publication volume continues to increase, with a slight decrease in 2023; The 19 core authors calculated by Price′s law accounted for 10.04%(50/498) of the total number of publications, which did not meet the half standard; The magazine with the highest number of publications is the Chinese Journal of Emergency Recovery and Disaster Medicine; The institution with the highest number of publications is the First Affiliated Hospital of the General Hospital of the People′s Liberation Army; Cardiopulmonary resuscitation, Emergency knowledge, Self rescue and Mutual aid, College students, and Science popularization bases are currently the five major research hotspots in this field.Conclusions:The popularization of emergency science in China focuses on " emergency knowledge" and " dissemination", showing a good development trend. In the future, it is necessary to strengthen cooperation between authors and institutions, improve academic influence, and continue to increase the efforts of science popularization.