Objective:To investigate the efficacy of different treatment of oral lichen planus (OLP) patients with thyroid antibody positive and its correlation with thyroid antibody, providing more targeted treatment for OLP patients with thyroid antibody positive.Methods:Patients who were admitted to Department of Oral Medicine, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine for OLP with serum thyroid peroxidase antibody (TPOAb) and thyroglobulin antibody (TGAb) from February 2020 to June 2024 were included. Demographic and clinical data were recorded, and qualitative status and quantitative titers of TPOAb/TGAb were collected. TPOAb and/or TGAb positive patients were included into the thyroid antibody positive group, while patients with both TPOAb and TGAb negative were included into the thyroid antibody negative group. According to the treatment methods, they were divided into topical treatment group, topical treatment combined with oral immunosuppressant group, and topical treatment combined with oral immunoenhancer group. After 2 weeks and 1 month of treatment, the clinical efficacy of thyroid antibody positive group and negative group in OLP patients under different treatment methods were compared, and the correlations of different clinical efficacy with age, sex and thyroid antibody titer were analyzed.Results:A total of 116 OLP patients were included in this study, of which 38 (32.8%) were thyroid antibody positive and 78 (67.2%) were thyroid antibody negative. Compared with untreated, the modified OLP score and pain degree in thyroid antibody negative group were significantly improved after 2 weeks and 1 month of topical treatment and topical treatment combined with oral immunosuppression ( P<0.01). Although the thyroid antibody positive group also showed a remission trend, there was no statistical significance before and after treatment ( P>0.05). For topical treatment combined with oral immunoenhancer, the modified OLP score and pain degree in both groups of antibody positive and negative were statistically significant different after 2 weeks and 1 month of treatment compared with before ( P<0.01), while there was no statistically significant difference between the two groups ( P>0.05). Multivariate Logistic regression analysis showed that the treatment efficacy of OLP in topical treatment group, topical treatment combined with oral immunosuppressant group, and topical treatment combined with oral immunoenhancer group had no significant correlation with age, sex, as well as the TPOAb and TGAb titer ( P>0.05). Conclusions:Thyroid antibody TPOAb and TGAb could be reference factors for the selection of OLP treatment plan. For patients of OLP with positive thyroid antibodies, topical therapy combined with oral immunoenhancers may be preferred.

Objective:To explore the effects of a method combining the knowledge, attitude, and practice (KAP) model with objective structured clinical examination (OSCE) on soft skill evaluation score, training satisfaction, personal growth, and radiation effect in training perinatal specialist nurses, and to evaluate the effectiveness of this method in improving the comprehensive clinical nursing ability and training effect of perinatal specialist nurses.Methods:Using the cluster sampling non-random grouping method, 63 trainees who received training at the Perinatal Specialist Nurse Training Base of Chongqing Maternal and Child Health Hospital from 2019 to 2020 were selected as the control group, and the conventional theoretical and clinical practice training and assessment methods were adopted. Additionally, 60 trainees who received training from 2021 to 2022 were selected as the experimental group, and the training method combining OSCE and KAP was adopted. General information questionnaire, training assessment satisfaction questionnaire, and a nursing soft skill evaluation scale were used for investigation. SPSS 25.0 software was used for descriptive analysis. The independent samples t-test and chi-square test were used to compare the differences in soft skill evaluation score, training satisfaction, personal growth, and radiation effect between the two groups of trainees after training. Results:The average difficulty of OSCE was 0.7 and the average discrimination was 0.5. The total score of soft skill evaluation in the experimental group was significantly higher than that in the control group ( t=3.73, P<0.001). After training, the total satisfaction score of the experimental group was (30.95±5.36), which was significantly higher than that of the control group (28.73±4.72) ( t=2.44, P=0.016). There were no significant differences in personal growth and radiation effect between the two groups after training ( P>0.05). Conclusions:The combination of KAP and OSCE in training perinatal specialist nurses is helpful to improve the trainees' soft skills and training satisfaction, and is worthy of promotion and application in clinical specialist nurse training.

Glucocorticoids possess potent anti-inflammatory and immunosuppressive properties,rendering them a common therapeutic option for oral mucosal diseases.The mechanisms of glucocorticoid action are diverse,encompassing both genomic and non-genomic effects.Given the ubiquitous presence of glucocorticoid receptors in nearly all human cells,their impact is widespread.While the effi-cacy of glucocorticoids is evident,prolonged or high-dose administration can lead to various adverse effects.Therefore,it is crucial to understand the mechanism of action and adverse reactions of glucocorticoids,master the indications and dosage of glucocorticoids in the treatment of oral mucosal diseases,and apply glucocorticoids correctly and reasonably in the diagnosis and treatment of oral mucosal diseases.At the same time,it is important to monitor the adverse reactions after medication and deal with them timely to ensure the safety of medication for patients.

Objective:To investigate the efficacy of different treatment of oral lichen planus (OLP) patients with thyroid antibody positive and its correlation with thyroid antibody, providing more targeted treatment for OLP patients with thyroid antibody positive.Methods:Patients who were admitted to Department of Oral Medicine, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine for OLP with serum thyroid peroxidase antibody (TPOAb) and thyroglobulin antibody (TGAb) from February 2020 to June 2024 were included. Demographic and clinical data were recorded, and qualitative status and quantitative titers of TPOAb/TGAb were collected. TPOAb and/or TGAb positive patients were included into the thyroid antibody positive group, while patients with both TPOAb and TGAb negative were included into the thyroid antibody negative group. According to the treatment methods, they were divided into topical treatment group, topical treatment combined with oral immunosuppressant group, and topical treatment combined with oral immunoenhancer group. After 2 weeks and 1 month of treatment, the clinical efficacy of thyroid antibody positive group and negative group in OLP patients under different treatment methods were compared, and the correlations of different clinical efficacy with age, sex and thyroid antibody titer were analyzed.Results:A total of 116 OLP patients were included in this study, of which 38 (32.8%) were thyroid antibody positive and 78 (67.2%) were thyroid antibody negative. Compared with untreated, the modified OLP score and pain degree in thyroid antibody negative group were significantly improved after 2 weeks and 1 month of topical treatment and topical treatment combined with oral immunosuppression ( P<0.01). Although the thyroid antibody positive group also showed a remission trend, there was no statistical significance before and after treatment ( P>0.05). For topical treatment combined with oral immunoenhancer, the modified OLP score and pain degree in both groups of antibody positive and negative were statistically significant different after 2 weeks and 1 month of treatment compared with before ( P<0.01), while there was no statistically significant difference between the two groups ( P>0.05). Multivariate Logistic regression analysis showed that the treatment efficacy of OLP in topical treatment group, topical treatment combined with oral immunosuppressant group, and topical treatment combined with oral immunoenhancer group had no significant correlation with age, sex, as well as the TPOAb and TGAb titer ( P>0.05). Conclusions:Thyroid antibody TPOAb and TGAb could be reference factors for the selection of OLP treatment plan. For patients of OLP with positive thyroid antibodies, topical therapy combined with oral immunoenhancers may be preferred.

Objective:To explore the effects of a method combining the knowledge, attitude, and practice (KAP) model with objective structured clinical examination (OSCE) on soft skill evaluation score, training satisfaction, personal growth, and radiation effect in training perinatal specialist nurses, and to evaluate the effectiveness of this method in improving the comprehensive clinical nursing ability and training effect of perinatal specialist nurses.Methods:Using the cluster sampling non-random grouping method, 63 trainees who received training at the Perinatal Specialist Nurse Training Base of Chongqing Maternal and Child Health Hospital from 2019 to 2020 were selected as the control group, and the conventional theoretical and clinical practice training and assessment methods were adopted. Additionally, 60 trainees who received training from 2021 to 2022 were selected as the experimental group, and the training method combining OSCE and KAP was adopted. General information questionnaire, training assessment satisfaction questionnaire, and a nursing soft skill evaluation scale were used for investigation. SPSS 25.0 software was used for descriptive analysis. The independent samples t-test and chi-square test were used to compare the differences in soft skill evaluation score, training satisfaction, personal growth, and radiation effect between the two groups of trainees after training. Results:The average difficulty of OSCE was 0.7 and the average discrimination was 0.5. The total score of soft skill evaluation in the experimental group was significantly higher than that in the control group ( t=3.73, P<0.001). After training, the total satisfaction score of the experimental group was (30.95±5.36), which was significantly higher than that of the control group (28.73±4.72) ( t=2.44, P=0.016). There were no significant differences in personal growth and radiation effect between the two groups after training ( P>0.05). Conclusions:The combination of KAP and OSCE in training perinatal specialist nurses is helpful to improve the trainees' soft skills and training satisfaction, and is worthy of promotion and application in clinical specialist nurse training.

Glucocorticoids possess potent anti-inflammatory and immunosuppressive properties,rendering them a common therapeutic option for oral mucosal diseases.The mechanisms of glucocorticoid action are diverse,encompassing both genomic and non-genomic effects.Given the ubiquitous presence of glucocorticoid receptors in nearly all human cells,their impact is widespread.While the effi-cacy of glucocorticoids is evident,prolonged or high-dose administration can lead to various adverse effects.Therefore,it is crucial to understand the mechanism of action and adverse reactions of glucocorticoids,master the indications and dosage of glucocorticoids in the treatment of oral mucosal diseases,and apply glucocorticoids correctly and reasonably in the diagnosis and treatment of oral mucosal diseases.At the same time,it is important to monitor the adverse reactions after medication and deal with them timely to ensure the safety of medication for patients.

Proliferative verrucous leukoplakia (PVL) is a special oral leukoplakia, which has the characteristics of high recurrence and canceration rate. In 2021, the American Society of Oral and Maxillofacial Pathology and the North American Association of head and neck Pathologists published "Proliferative verrucous leukoplakia: an expert consensus guideline for standardized assessment and reporting", and divided PVL into four categories: ①Corrugated ortho(para)hyperkeratotic lesion, not reactive; ②Bulky hyperkeratotic epithelial proliferation, not reactive; ③Squamous cell carcinoma, or suspicious for squamous cell carcinoma; and ④Does not fit any above category. This paper intends to interpret the new classifications of PVL in the guidelines in order to provide guidance for clinical diagnosis and treatment.

Fever is an increase in body temperature beyond the normal range, acting as a protective inflammatory mechanism. This article summarizes diseases with fever encountered in dental clinics, including what is known about pyrexia in coronavirus infection, and further proposes a "six steps in one" identification and analysis strategy to guide the clinical work of stomatology.
Humans ; Dental Clinics ; Fever/diagnosis* ; Coronavirus Infections

Objective:To clarify patterns of skin diseases among outpatients at first and return visits to Hospital of Dermatology of Chinese Academy of Medical Sciences in 2019.Methods:Data were collected from the outpatient electronic medical record information system in Hospital of Dermatology of Chinese Academy of Medical Sciences from January 1st to December 31st, 2019, and patterns of skin diseases among outpatients at first and return visits were analyzed retrospectively.Results:The total number of outpatient consultations was 1 440 580 in 2019, including 941 755 (65.37%) first visits and 498 825 (34.63%) return visits, and the daily average number of outpatient consultations was 4 332. The top 10 most prevalent skin diseases were eczema, acne, urticaria, psoriasis, seborrheic dermatitis, vitiligo, neurodermatitis, pigmented nevus, tinea pedis and onychomycosis among outpatients at the first visits, with the number of outpatient visits being 739 175 and accounting for 78.49% of the total first visits; the top 10 most prevalent skin diseases among outpatients at the return visits were eczema, acne, psoriasis, urticaria, vitiligo, seborrheic dermatitis, neurodermatitis, pigmented nevus, keloid and rosacea, with the number of outpatient visits being 399 594 and accounting for 80.11% of the total return visits.Conclusion:In 2019, skin diseases predominated by common diseases, such as eczema and acne, among outpatients at Hospital of Dermatology of Chinese Academy of Medical Sciences.

Mucosal disease is one of the most common oral cavity diseases in children, among which mucosal erosion and ulceration account for about 50%. Oral mucosal erosion and ulcer diseases in children are mostly acute with obvious pain, affecting speech, eating and swallowing. Some oral mucosal diseases are caused by infection and would result in epidemic among children. The onset age, sites, lesions size and quantity could vary, and some would have recurrence. The detailed medical history and comprehensive physical examination are necessary, some diseases can be diagnosed according to the medical history and clinical manifestations. If diagnosis can not be made, biopsy, blood test and immunofluorescence staining, immunohistochemistry, molecular biology detection, gene diagnosis, tuberculin test and other tests should be considered, and further investigation of systemic diseases should also be carried out if necessary. In some cases, multidisciplinary consultation should be sought. For those who still have no abnormal findings, therapeutic diagnosis can be tried out or secondary biopsy should be performed. In this article, the research progress of oral mucosal diseases in children is reviewed and our own clinical experiences of oral erosive and ulcerative diseases in children are summarized.
Child ; Humans ; Neoplasm Recurrence, Local