Objective To explore particularity of the diagnosis and treatment with massive bilateral chronic subdural hematoma (BCSDH) in elders.Method The clinical data of 25 elders with BCSDH treated in our hospital from 2007 to 2011 were analyzed retrospectively.All patients were examined with computerized tomography (CT) of 25 patients through the bilateral trephined hole.Results Twenty-four patients recovered better,the symptom significantly improved.After operative 1 month,14 patients? hematoma disappear,6 patents only had little bilateral subdural effusion,4 patents only had little unilateral subdural effusion.One patient appeared massive subdural effusion on the second day after operation,the familiality gave up therapy,and the patient was dead.Conclusion CT scanning should be taken before you make correct diagnisis.Bilateral single twist-drill craniostomy with irrigation and drainage is a chief method to massive BCSDH.

Aged ; Apraxias ; physiopathology ; Gait Apraxia ; physiopathology ; Humans ; Parkinson Disease ; diagnosis ; physiopathology

Humans ; Rectal Fistula ; surgery ; therapy

Biomedical Research ; Humans ; Integrative Medicine ; Medicine, Chinese Traditional

Techniques for functional brain imaging are critical to analyze the information processing of brain and to reveal the advanced functions in brain. These techniques are the hot topics of international research. Great success has been obtained with neuroimaging techniques in the fields of neuroscience research and clinical diagnosis. Existing brain functional imaging such as magnetic resonance imaging (fMRI),positron emission tomography (PET),electroencephalogram (EEG),magnetoencephalography (MEG) and so on,have been successfully used to study brain function. However,these methods have some limitations unavoidably in the temporal or spatial resolution at present. Comparatively,the optical imaging technologies of brain function show their unique charms. Laser speckle imaging (LSI) and intrinsic optical signals imaging (IOSI) stand out because they offer a superior combination of spatial sampling,spatial resolution and temporal resolution; on the other hand,they have no need to use exogenous contrast agents. Great developments also have been obtained in both techniques and applications of brain optical imaging,and they have become powerful tools for in vivo studying functional architecture and pathophysiology in cerebral cortex by monitoring hemodynamics. However,the two optical imaging techniques are confronted with some challenges.

OBJECTIVE:To investigate the characteristics and regularity of adverse drug reaction (ADR) in a third grade class A hospital,and to provide reference for rational drug use in clinic. METHODS:A total of 813 cases of ADR reported to Na-tional ADR Monitoring by the hospital during 2013-2015 were summarized and analyzed retrospectively in terms of age,gender,route of administration,drug type,organs or systems involved in ADR,clinical manifestation and outcome. RESULTS:Among 813 cases of ADR,there were 391 male (48.09%) and 422 female (51.91%). Patients aged more than 60 were with high inci-dence of ADR,involving 347 cases(42.68%). Among routes of administration,most ADR cases were caused by intravenous ad-ministration,involving 747 cases (91.88%). Among all drug types,the number of ADR cases caused by anti-infective drugs was the most,involving 382 cases(46.99%);cephalosporins took up the highest proportion,being 38.22%(146 cases). Organs or sys-tems involved in ADR were mainly skin and its appendants,involving 434 cases (53.38%). CONCLUSIONS:ADR monitoring should be strengthened for elderly patients receiving anti-infective drugs intravenously so as to reduce the occurrence of ADR and guarantee medication safety.

Obsessive-compulsive disorder (OCD) is a chronic disabling mental illness with thecore symptoms of obsession and compulsion, while its pathological mechanism has not yet been fully understood. In recent years, magnetic resonance (MR) technology has been used in the study of mental illness, because of its nonradiative and non-invasive advantage, etc. Many MR studies have found that OCD patients havecerebellar changes in structure and function, and these changes have contact with the incidence of OCD. This paper reviews the cerebellar's role in the onset of OCDapplying MR technology.

Rhizome anemarrhena,sweet and bitter to taste,cold,in the lung,stomach and kidney meridian,has the function clearing away heat and purging pathogenic fire,nourishing Yin and moistening dryness.Zhang Zhong Jin in "Essential Prescriptions of the Golden Chamber "with a different combination of herbs and Rhizome anemarrhenae,reflects the multiple efficacies of TCM and compatibility.

0.2).The lymphocyte counts of the KD area grain group and the group of the KD area grain supplemented with Se were lower than that of the non-KD area grain group, and the CIC level and the hepatic Se content were much lower in the group of the KD area grain than in the other groups (p

To observe the application effect of anti-eyebrow small incision cataract extraction combined with lOL implantation in blindness prevention and treatment
●METHODS: A total of 526 cataract patients included in regaining sight project of China Disabled Persons' Federation were underwent anti - eyebrow small incision cataract extraction combined with lOL implantation from May 2010 to August 2013.
●RESULTS: Postoperative 1d, uncorrected visual acuity >0. 3 were 345 cases (65. 6%), 0. 1 - 0. 3 were 152 cases (28. 9%), <0. 1 were 29 cases (5. 5%); 1wk after surgery:>0. 5 were 395 cases (75. 1%), 0. 3 - 0. 4 were 101 cases (19. 2%), < 0. 3 were 30 cases (5. 7%). Visual recovery rate was 100%, residual rate was 92. 5%. lntraoperative, 16 cases occurred posterior capsular rupture, 3 cases iridodialysis, 2 cases were Descemet's membrane avulsion. Postoperative, 56 cases ocurred corneal edema, 10 cases of central cornea stroma edema, 22 cases of secondary high intraocular pressure, were restored to normal bansis on the corresponding treatments.
●CONCLUSlON: Anti - eyebrow small incision cataract extractio combined with lOL implantation is effective, and has low complication rate, high security, can popularization and application in large - scale sight rehabilitating project.