1.Cracked tooth: diagnostic process and clinical management strategies
Chinese Journal of Stomatology 2024;59(8):863-870
Cracked tooth is an incomplete tooth fracture that begins from the crown and extends into the subgingival region. The invisibility and complexity of cracks pose challenges to clinical diagnosis, treatment, and prognosis evaluation. This article elaborates the research progress in the diagnosis, treatment, and outcome evaluation of cracked tooth, and proposes the diagnostic process and clinical management strategies to provide references for clinical practice and research.
2.Effects of ideation and imitation behavior training on rehabilitation in patients with chronic schizophrenia
Kaiwen WU ; Xiaohan CHEN ; Meiling XIANG ; Huihui HU ; Lan FANG ; Huiying ZHENG ; Wanling ZHENG ; Xiaoling ZHENG ; Rong HUANG ; Huasheng ZHENG
Chinese Journal of Modern Nursing 2018;24(18):2152-2155
Objective?To explore the effects of ideation and imitation behavior training on rehabilitation in patients with chronic schizophrenia. Methods?Totally 200 schizophrenia patients admitted and treated in 2016 from Fuzhou Neuro-Psychiatric Hospital were selected and equally randomized to treatment group (n=100) and control group (n=100) according to the random number table. Patients in the control group received conventional nursing, while patients in the treatment group received ideation and imitation behavior training for 8 weeks on this basis. Wisconsin Card Sorting Test (WCST), Nurses' Observation Scale for Inpatient Evaluation (NOISE) and Personal and Social Performance Scale (PSP) were used to compare the rehabilitation effects between the two groups. Results?After intervention for 8 weeks, the score for correct response in WCSI in patients in the treatment group was (24.78±7.39), higher than that of patients in the control group, and the score for continuous mistakes in WCSI in patients in the treatment group was (14.78±5.27), lower than that of patients in the control group (t=3.800, 3.640;P<0.01). After intervention for 8 weeks, the scores for NOISE (200.06±26.09) and PSP (79.83±4.21) in patients in the treatment group were higher than those of patients in the control group (t=6.880, 19.040;P<0.01). Conclusions?Ideation and imitation behavior training helps to improve the patients' cognitive performance, including attention, memory, linguistic competence and reasoning ability, as well as self-care ability of daily living and social function, and promotes chronic schizophrenia patients' rehabilitation.
3.Prognostic factors of sudden sensorineural hearing loss in children.
Fengjiao LI ; Xijun XUE ; Li WANG ; Fengbo YANG ; Hongyang WANG ; Jing GUAN ; Wan DU ; Wenping XIONG ; Kaiwen WU ; Mukun WU ; Zifang YIN ; Lan LAN ; Dayong WANG ; Qiuju WANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(22):1931-1935
OBJECTIVE:
The aim of this retrospective study was to analyze the recovery rate of sudden sensorineural hearing loss in children, and explore the prognostic factors in order to guide the clinical diagnosis and treatment.
METHOD:
A retrospective review was conducted for the prognosis of children with sudden sensorineural hearing loss during the past 5 years (from November 2010 to May 2015) in Chinese PLA General Hospital. This paper have a complete clinical data of 101 patients (113 ears)with sudden hearing loss, ranging from 0 to 18 years old Patients were divided into four groups according to hearing recovery and eight putative prognostic factors were analyzed.
RESULT:
Among 101 patients (113 ears), the ratio of male and female was 60:53. Treatment was initiated from 1 to 183 days after disease onset, with an average of (18.5 ± 22.1) d. Bilateral and unilateral hearing loss were 24 ears and 89 ears, respectively. The proportion of mild hearing loss, moderate hearing loss, severe hearing loss and profound hearing loss were 7.1%, 6.2%, 23.9% and 62.8%, respectively. Vertigo and tinnitus occurred in 54.9% and 77.9% of the patients, respectively. After the treatment, the complete recovery rate was 9.7% and the overall recovery rate was 36.3%. The degree of hearing loss, earlier treatment onset, sex and bilateral involvement were significantly associated with hearing recovery (P < 0.05).
CONCLUSION
Sudden sensorineural hearing loss in children was generally identified as severe and profound hearing loss, but after positive and timely treatment, it can be improved or even cured. The mild hearing loss, earlier treatment onset, unilateral hearing loss and female were positive prognostic factors. The concurrence of tinnitus or vertigo, the results of ABR and DPOAE had no significant influence on prognosis.
Adolescent
;
Child
;
Child, Preschool
;
Female
;
Hearing Loss, Sensorineural
;
diagnosis
;
Hearing Loss, Sudden
;
diagnosis
;
Hearing Loss, Unilateral
;
diagnosis
;
Hearing Tests
;
Humans
;
Infant
;
Infant, Newborn
;
Male
;
Prognosis
;
Retrospective Studies
;
Tinnitus
;
complications
;
Vertigo
;
complications

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