The therapeutic efficacy and possible mechanism of action of superficial needling therapy for knee osteoarthritis(KOA)are reviewed by analyzing relevant medical literature.Superficial needling therapy exerts certain efficacy in treating KOA,and the clinical efficacy could be further improved by combining it with conventional acupuncture,as well as Chinese medicine and other acupuncture methods alone.The therapy of stimulation of meridian qi and invigoration of yang qiare in line with the pathogenesis of KOA.Superficial needling therapy exerts certain effect on KOA by enhancing acupuncture stimulation,enlarging the treatment area,and releasing muscle and fascia.

Objective To observe the value of MRI texture features combined with apparent diffusion coefficient(ADC)for differentiating uterine sarcoma(US)and cellular uterine leiomyoma(CUL).Methods Pelvic MRI data of 27 US patients(US group)and 34 CUL patients(CUL group)were retrospectively analyzed.The texture features of lesions were extracted from T2WI and diffusion weighted imaging(DWI),the ADC value were measured,and the average ADC value(ADCmean),the minimum ADC value(ADCmin)and standard ADC value(ADCst)were recorded.Then logistic regression(LR)models were constructed based on ADC value,optimal texture features alone and their combination,respectively,including LRADC,LRtexture and LRADC+texture models.Receiver operating characteristic curves were drawn,and the area under the curves(AUC)were calculated to evaluate the efficacy of each model for differentiating US and CUL.Results The ADCmean,ADCmin and ADCst in US group were all lower than those in CUL group(all P＜0.05).A total of 3 750 texture features were extracted from pelvic T2WI and DWI,5 optimal features were finally obtained,and the constructed LRADC+texture model and LRtexture model had similar efficacy of differentiating US and CUL(AUC=0.921,0.887;P＞0.05),which were both higher than that of LRADC model(AUC=0.696;both P＜0.05).The calibration curve of LRADC+texture model was basically consistent with the ideal curve,which had better clinical benefits than LRADC and LRtexture models.Conclusion MRI texture features combined with ADC value could improve efficacy for differentiating US and CUL.

Objective? To understand the current situation of hospital infection related knowledge-attitude-behavior among practice nursing students. Methods? From 1st October 2018 to 31th October 2018, we selected 73 practice nursing students at Beijing Jishuitan Hospital, Chaoyang Hospital and Tongren Hospital as subjects by convenience sampling. All of the students were investigated with the self-designed hospital infection knowledge-attitude-behavior questionnaire. Results? The average scores of items in knowledge dimension, attitude dimension and behavior dimension were (0.55±0.17), (3.30±0.59) and (3.29±0.44). There was a correlation between attitude and behavior of hospital infection among practice nursing students (r=-0.342, P＜0.05). Conclusions? Practice nursing students lack hospital infection related knowledge and their attitudes are irresolute, however their behavior is good. Hospital managers should increase related curriculums and provide pre-job training. Besides, teachers should make themselves an example to improve knowledge-attitude-behavior of students.

This study was conducted to establish a functional mandibular biomechanical model for use in the follow-up biomechanical study of the integrated and fractured mandible. The integrated and dry human mandible was used, and the corresponding maxilla and cranial base was duplicated by resin and plaster. 2-mm silicon rubber was used for simulation of the temporomandibular joint (TMJ) disc. A simulated TMJ and physiological mandibular model was developed by four pairs of muscular loadings (Masseter= 180 N, Temporalis = 190 N, Medial Pterygoideus = 120 N, Lateral Pterygoideus = 40 N) in each muscular center, and the functional loading corresponding with physiological condition was reflected and simulated more realistically when compared with that of the previously reported mandibular models which were developed by occlusion loading or by only one pair of muscles loading. In summary, we have established a functional mandibular model which can be used to analyze the biomechanical behavior in various functional conditions.
Biomechanical Phenomena ; Humans ; Mandible ; physiology ; Masseter Muscle ; anatomy & histology ; physiology ; Masticatory Muscles ; physiology ; Models, Biological ; Pterygoid Muscles ; anatomy & histology ; physiology ; Stress, Mechanical ; Temporal Muscle ; anatomy & histology ; physiology ; Temporomandibular Joint ; physiology