按摩手法和穴位注射对骨骼肌拉伤治疗的临床观察

运动员与非运动员产生急性骨骼肌半撕裂性拉伤后,各类疼痛及肿胀程度都非常接近;采用舒筋活血类中药治疗方法,可有效缓解和消除急性骨骼肌半撕裂性拉伤患者的疼痛及肿胀症状。     

分析化学实验中常见废弃物的处理

根据学生在分析化学实验中产生废弃物的特点,以经济合理,简便易行,减小污染为出发点,探讨了这些废弃物低毒处理及回收利用的方法。     

天津高校大学生运动性跟腱损伤治疗与康复的调查研究

目的了解高校大学生运动性跟腱损伤的发病、治疗与康复情况,为高校大学生有针对性的预防以及治疗运动性跟腱损伤提供参考。方法采用自制问卷与访谈的方式,对天津10所高校在校大学生以及3所三甲医院的骨科医生进行问卷调查。结果高校大学生发生跟腱损伤的项目主要是跳跃性项目;在损伤人群上,研究生高于大三、四学生以及大一、大二学生;在跟腱损伤影响因素中,显性因素与隐性因素存在显著性差异(χ2=25.78;P=0.014)。在跟腱治疗与恢复上,68.6%的大学生进行过相关性的针灸、按摩等理疗以及专业运动康复手段促进恢复,31.4%的大学生未采用,仅靠自然状态下的恢复。建议高校大学生在从事剧烈活动时需要了解自身情况,在热身的前提下科学适度锻炼,跟腱一旦损伤需在治疗与康复上给予重视,以免影响今后的运动能力。     

关于腰椎间盘突出症治疗方法选择的探讨

LDH治疗方法甚多,其观点不一,本文综述关于保守、有限及手术治疗的文献报道。结果显示保守治疗腰椎间盘突出效果肯定,其镇痛方法多种多样,认为充分利用针灸、按摩等易操作、风险小、效果明显的方法,并且充分发挥中药的药效长、副作用小的特点。认为优先采取保守治疗充分利用按摩、针灸、中药的优势,在保守治疗3疗程无效的情况下根据适应症选择手术方式,在手术选择中,微创有限手术已成为主流。     

髌骨劳损的损伤机制、治疗方法及康复手段

在体育教学训练过程中,膝关节的损伤比较常见,其中髌骨劳损在膝关节损伤中占较大的比例。文章对髌骨劳损的损伤机制、治疗方法及运动康复手段进行了阐述,并提出了预防髌骨劳损的手段和措施。     

运动锻炼对原发性高血压患者治疗作用的研究

目的:探讨运动锻炼对原发性高血压(EH)患者治疗的作用。方法:将18例EH(轻度10例为A组,中度8例为B组)患者经三个月的运动(散步、慢跑及太极拳等)治疗,进行诊断和疗效判定;A、B两组的疗效以及全部患者治疗前、后的血压值分别进行比较。结果:经诊断11例血压达到正常,6例轻度,1例中度:按疗效标准判定,显效12例,有效5例,无效1例,总有效率94.4%;A组的疗效优于B组(P<0.01);治疗后的血压明显降低(P<0.01)。结论:适当的运动锻炼对轻、中度EH患者疗效显著,是一种较好的降压疗法;轻度EH患者的疗效更显著,更适合运动疗法;散步、慢跑及太极拳等运动组合是一种治疗轻、中度EH有效的运动处方。     

Medical neglect at a tertiary paediatric hospital

Medical neglect is under-researched and the extent of the problem in Australia is unknown. We conducted a review of the referrals for medical neglect to the Child Protection Unit (CPU) at a tertiary children’s hospital in Sydney over a 5 years period, from 2011 to 2016, to determine what medical conditions are being referred, the reason for the medical neglect concern and whether cases are managed in line with American Academy of Pediatrics (AAP) guideline on medical neglect.61 cases of medical neglect were identified, constituting 4.1% of all referrals to the Child Protection Unit for physical abuse and neglect. There was a wide variety of medical conditions. Most were chronic medical conditions (87%). The top two medical conditions were chronic and complex multi-system disorders (37.7%) and endocrine disorders (18%). The majority of medical neglect were related to concerns that the caregivers were unwilling to follow medical advice (45.9%) or unable to provide necessary medical care (26.2%). In line with the AAP guideline on medical neglect, all cases were managed by addressing communication difficulties (100%) and resource issues were addressed in 80% of cases. A report to statutory child protection agencies was made in 50% of cases. Directly observed therapy and medical contracts were used in 30% and 26% of cases. We conclude that children with chronic medical conditions may be at risk of medical neglect. Communication difficulties were a factor in all cases. Statutory agency intervention is often required.     

《模具选材与热处理技术》精品课程建设探索与实践

精品课程建设是高等学校教学质量与教学改革工程的重要组成部分,自治区级《模具选材与热处理技术》精品课程在提高教师素质、优化教学内容、改革教学方法、完善教材体系、加强教学监控、改革考试考核方法、加强师生互动等方面做了许多探索和实践,收到了良好的教学效果。     

Diagnosis and treatment of primary spontaneous pneumothorax

Primary spontaneous pneumothorax (PSP) commonly occurs in tall, thin, adolescent men. Though the pathogenesis of PSP has been gradually uncovered, there is still a lack of consensus in the diagnostic approach and treatment strategies for this disorder. Herein, the literature is reviewed concerning mechanisms and personal clinical experience with PSP. The chest computed tomography (CT) has been more commonly used than before to help understand the pathogenesis of PSP and plan further management strategies. The development of video-assisted thoracoscopic surgery (VATS) has changed the profiles of management strategies of PSP due to its minimal invasiveness and high effectiveness for patients with these diseases.     

Estrogen receptor expression in adrenocortical carcinoma

Objective: Adrenocortical carcinoma (ACC) is a rare but highly malignant tumor, and its diagnosis is mostly delayed and prognosis is poor. We report estrogen receptor (ER) expression in this tumor and our clinical experiences with 17 ACC cases. Methods: The data of the 17 patients (9 females and 8 males, age range from 16 to 69 years, mean age of 42.6 years) with ACC were reviewed, and symptoms, diagnostic procedures, treatment, and results of follow-up were evaluated. Immunohistochemistry was used to detect ER expression in tumor samples from the 17 patients. Results: At the time of diagnosis, 4 tumors were classified as Stage Ⅰ, 4 as Stage Ⅱ, 3 as Stage Ⅲ, and 6 as Stage Ⅳ. Eight patients demonstrated positive nuclear immunostaining of ER. The prognosis of patients with ER positive was significantly better (P<0.05) than that of patients with ER negative, with 1- and 5-year survival rates at 86% and 60% for ER-positive patients, and 38% and 0% for ER-negative patients, respectively. Conclusion: ER-positivity may be one of the factors associated with a worse prognosis of ACC.