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Utileco de Esperanto

世界 2000年第Z6期 5-5页

作者： maria Martinez

Kion oni povas fari kun Esperanto?Se oni scipovas paroli Esperanton, oni po-vas partopreni en diversaj Esperantajrenkontioj en-kaj ekster-lande kaj interparolikun eksterlandaj samideanoj. Tio signifas, keoni ne bezonas eklerni multajn fremdajn lingvo-jn. Unu, Esperanto, jam estas sufie. Kom-preneble oni povas opinii, ke eklerni almenaǚ

关键词： bone

Modification in self-rated health in patients discharged by a geriatric rehabilitation ward

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Health 2013年第6期5卷 94-98页

作者： Eleonora Marelli Giuseppe Procino maria Cottino Giorgio Previderè Silvio Giorgi Davide Dell’Acqua Santina Bruno Marco Cairati Danila Ferrari Rosella Capuano Mauro Colombo Geriatric Institute “Camillo Golgi” Milan Italy Geriatric Institute “Camillo Golgi” Milan Italy

Self-rated health is a valuable outcome in geriatric rehabilitation besides objective results. The present work aims at measuring and analyzing overall health as it is perceived at admission into and at discharge from a geriatric rehabilitation ward. Overall health was self-appraised through a visual-analogue scale (vas), spanning from 0 (worst) to 10 (best). We studied 1997 patients (70% females), aged 79 (standard deviation, s.d. 8.7) years;most were frail, either functionally, clinically and cognitively. 80% of patients were discharged to home after a length of stay lasting 47.5 (s.d. 22.7) days. At admission, 3/5 patients appraised favorably their overall health (vas ≥ 6/10): at discharge, the proportion rose to 3/4, with a mean (s.d.) gain = 2 (2) points. The improvement in self-perceived health score positively correlates with the grade expressing clients’ overall satisfaction for the stay (p 0.001), and with discharge versus admission differences in: Barthel Index (BI) total score (p ination (MMSE), Geriatric Depression Scale (5?items GDS), pain (vas 0 to 10). A Linear regression model predicting the changes in self-perceived health included changes in BI, MMSE, GDS, pain, dropping Tinetti test. Changes in self-rated health were positively correlated to functional gain adjusted for pre-morbid level, and to relative functional gain. By analysis of variance, health self-appraisal changed more favorably in patients discharged to home than for other social outcomes (all p < 0.001). As expected, trends in self-perceived health parallel improvements in objective functional gauges and subjective indicators.

关键词： Cognition Functional Gains Geriatric Rehabilitation Mood Pain Self-Rated Health

Clinical Trial Demonstrates Efficacy of Transcranial Direct Current Stimulation (tDCS) in Improving Pain Management from Post-Laminectomy Syndrome

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Pain Studies and Treatment 2023年第4期11卷 27-42页

作者： Marilia Capuço Oliveira Fernanda Menezes de Faria Gerardo maria de Araújo Filho Ana Carolina Gonçalves Olmos Demosthenes Santana Silva Junior Camila Souza Alves Cosmo Department of Neurological Sciences Psyquiatry and Medical Psychology Faculdade de Medicina de S&#227o José do Rio Preto S&#227o Paulo Brazil

Chronic pain, a multidimensional experience affecting individuals’ sensory, cognitive, and emotional aspects, significantly impacts their quality of life. Post-laminectomy syndrome, a condition characterized by persistent back pain following spinal surgery, often leads to disability and increased healthcare utilization. Methods: This randomized, controlled, blind clinical trial aimed to investigate the efficacy of Transcranial Direct Current Stimulation (tDCS) in managing pain from post-laminectomy syndrome in patients. Twenty-four participants were assigned to three groups: sham stimulation, active stimulation over primary motor cortex (M1), or stimulation over dorsolateral prefrontal cortex (DLPFC). Stimulation was administered for five consecutive days, 20 minutes per session, using a current of 1.5 mA through 25 cm2 electrodes. Pain intensity was assessed using Visual Analog Scale (vas) before, during, and after intervention. Results: An ANOVA model demonstrates significant reduction in pain intensity compared to baseline in vas, (F(7, 285) = 12.292;p 0.001;Power = 1.000;η2p = 0.534), in tDCS applied to M1, after five days of intervention. After stimulation, a significant improvement was observed in WHOQoL-Bref Quality of life item 1 (p = 0.04), considering statistical significant difference p 0.05. Correlation between the variables: quality of life, depression, anxiety and pain also demonstrates reduction in depression and anxiety according to Beck’s Depression and Anxiety Inventories (BDI and BAI), p 0.05. This effect was not observed in DLPFC stimulation group. Patients who believed they received active stimulation, in sham group, demonstrated potential for effective blinding. Conclusion: The tDCS applied to primary motor cortex effectively improved pain management and psychiatry symptoms in post-laminectomy syndrome patients. The technique’s low cost, ease of use, and high tolerability make it a promising adjuvant therapy for chronic pain conditio

关键词： Non-Invasive Neuromodulation Transcranial Direct Current Stimulation Post-Laminectomy Syndrome Chronic Pain

脂质体包裹罗哌卡因在人口腔粘膜表面麻醉中的应用

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麻醉与镇痛 2008年第4期4卷 80-84页

作者： Michelle Franz-Montan André L. R. Silva Karina Cogo cristiane de C. Bergamaschi maria C.Volpato José Ranali Eneida de Paula Francisco C. Groppo 胥亮(译) 岳云(校) Department of Physiological Sciences Dentistry School of Piracicaba Piracicaba SP Brazil Department of Biochemistry Institute of Biology State University of Campinas-UNICAMP Campinas SP Brazil 不详

背景如果能够消除局部麻醉时针刺所导致的疼痛，将是牙科学的一个重大进步。方法在本交叉双盲研究中，我们评估了脂质体包裹罗哌卡因用于表面麻醉的效果。30例健康志愿者接受了各60mg的表面麻醉药：1％脂质体包裹罗哌卡因，1％普通罗哌... 详细信息

背景如果能够消除局部麻醉时针刺所导致的疼痛，将是牙科学的一个重大进步。方法在本交叉双盲研究中，我们评估了脂质体包裹罗哌卡因用于表面麻醉的效果。30例健康志愿者接受了各60mg的表面麻醉药：1％脂质体包裹罗哌卡因，1％普通罗哌卡因，2．5％利多卡因和2．5％丙胺卡因混合物（EMLA），以及20％苯佐卡因凝胶。麻醉位置在右上犬齿处的颊皱褶，各种药物于不同时间应用，每种使用2分钟。当30G针头刺入后，以视觉模拟评分法（vas）评估疼痛。用针刺试验测定表面麻醉的维持时间，用电子牙髓刺激器评估牙髓反应。结果在脂质体包裹罗哌卡因组、罗哌卡因组、EMLA组及苯佐卡因组中，vas中位数和四分位数间距（以cm计）分别为0．8（0．4～1．5），1．6（0．8～2．6），1．1（0．3～2．7），2．2（0．9～2．9）。脂质体包裹罗哌卡因组较苯佐卡因组的vas评分均数更低（P=0．0205）。在脂质体包裹罗哌卡因组、罗哌卡因组、EMLA组及苯佐卡因组中，软组织麻醉持续时间的中位数和四分位数间距分别为11（7～14），6．5（4～11），14（11～16），7（6～9）分钟。EMLA和脂质体包裹罗哌卡因的镇痛效能相当，与其他麻醉药相比，软组织麻醉持续时间更长（P=0．0001）。结论1％脂质体包裹罗哌卡因凝胶在减轻针刺疼痛和软组织麻醉维持时间上与EMLA相当。以上所有表面麻醉药均不能产生牙髓麻醉作用。

关键词：粘膜表面麻醉脂质体包裹罗哌卡因视觉模拟评分法 vas评分苯佐卡因 EMLA 口腔