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Rehabilitation of spinal cord injuries

World Journal of Orthopedics 2015年第1期6卷 8-16页

作者： Kemal nas Levent Yazmalar Volkan ?ah Abdulkadir Ayd?n Kadriye ?ne? Department of Physical Medicine and Rehabilitation School of MedicineSakarya University Department of Physical Medicine and Rehabilitation School of MedicineDicle University Department of Phsyical Treatment and Rehabilitation Erzincan University Mengucek Gazi Training and Research Hospital Orthes and Prothes Center Dicle University Istanbul Physical Medicine and Rehabilitation Research and Training Hospital Physical Therapy and Rehabilitation Clinic

Spinal cord injury(SCI) is the injury of the spinal cord from the foramen magnum to the cauda equina whichoccurs as a result of compulsion, incision or contusion. The most common causes of SCI in the world are traffic accidents, gunshot injuries, knife injuries, falls and sports injuries. There is a strong relationship between functional status and whether the injury is complete or not complete, as well as the level of the injury. The results of SCI bring not only damage to independence and physical function, but also include many complications from the injury. neurogenic bladder and bowel, urinary tract infections, pressure ulcers, orthostatic hypotension, fractures, deep vein thrombosis, spasticity, autonomic dysreflexia, pulmonary and cardiovascular problems, and depressive disorders are frequent complications after SCI. SCI leads to serious disability in the patient resulting in the loss of work, which brings psychosocial and economic problems. The treatment and rehabilitation period is long, expensive and exhausting in SCI. Whether complete or incomplete, SCI rehabilitation is a long process that requires patience and motivation of the patient and relatives. Early rehabilitation is important to prevent joint contractures and the loss of muscle strength, conservation of bone density, and to ensure normal functioning of the respiratory and digestive system. An interdisciplinary approach is essential in rehabilitation in SCI, as in the other types of rehabilitation. The team is led by a physiatrist and consists of the patients' family, physiotherapist, occupational therapist, dietician, psychologist, speech therapist, social worker and other consultant specialists as necessary.

关键词： Spinal cord Injury Tetraplegia Paraplegia Rehabilitation

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Rehabilitation in spinal infection diseases

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World Journal of Orthopedics 2015年第1期6卷 1-7页

作者： Kemal nas Mehmet Karako? Abdulkadir Ayd?n Kadriye ?ne? Department of Physical Medicine and Rehabilitation School of MedicineSakarya University Department of Physical Medicine and Rehabilitation School of MedicineDicle University Orthotics and Prosthetics Center Dicle University Istanbul Physical Medicine and Rehabilitation Research and Training Hospital Physical Therapy and Rehabilitation Clinic

Spinal cord infections were the diseases defined by Hypocrite yet the absence of modern medicine and there was not a real protocol in rehabilitation although there were many aspects in surgical treatment options. The patients whether surgically or conservativelytreated had a lot of neurological, motor, and sensory disturbances. Our clinic has quite experience from our previous researchs. Unfortunately, serious spinal cord infections are still present in our region. In these patients the basic rehabilitation approaches during early, pre-operation, post-operation period and in the home environment will provide significant contributions to improve the patients' sensory and motor skills, develop the balance and proriocaption, increase the independence of patients in daily living activities and minimize the assistance of other people. There is limited information in the literature related with the nature of the rehabilitation programmes to be applied for patients with spinal infections. The aim of this review is to share our clinic experience and summarise the publications about spinal infection rehabilitation. There are very few studies about the rehabilitation of spinal infections. There are still not enough studies about planning and performing rehabilitation programs in these patients. Therefore, a comprehensive rehabilitation programme during the hospitalisation and home periods is emphasised in order to provide optimal management and prevent further disability.

关键词： Spinal infections Rehabilitation Exercises

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Treatment of HBeAg-negative Chronic Hepatitis B Patients with Nucleos(t)ide Analogues in Burkina Faso

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Open Journal of Gastroenterology 2016年第12期6卷 387-396页

作者： Kounpiélimé Sosthène Somda Abdel Karim Sermé Aboubacar Coulibaly Steve Léonce Zoungrana Inès Compaoré Serges Kouamou Damien Ouattara Roger Sombié Alain Bougouma Hepato-Gastroenterology Unit Teaching Hospital Yalgado Ouédraogo Ouagadougou Burkina Faso Gastroenterology Unit UFR/SDS CUP Ouahigouya Burkina Faso

The treatment of chronic hepatitis B (CHB) has increased significantly in recent years. In patients affected by HBeAg-negative CHB, it is necessary to distinguish the inactive carriers (low viral DNA 2000 IU/mL, normal ALT, histological lesions absent or minimal) who does not need treatment, and patients suffering from active CHB (DNA > 2000 IU/ml, high transaminases or fluctuating, significant fibrosis and/or necro-inflammatory activity > 1) who must be treated. The main purpose of treatment is to obtain a long-lasting viral suppression to improve the histological lesions and reduce the risk of evolution towards cirrhosis, liver failure and hepatocellular carcinoma (HCC). It about an indefinite treatment (unless HBsAg seroclearance) expensive and often inaccessible for the majority of our patients. Our study aimed to report the results of four years follow-up of HBeAg-negative patients treated by Nucleos(t)ide analogues (nas) in Ouagadougou (Burkina Faso). It was a clinical observational study with 133 patients including 95 men;the average age was 41.2 years, completing the criteria of treatment. One hundred and twelve patients were treated by tenofovir (TDF), fourteen by lamivudine and seven co-infected HIV/HBV patients by Atripla® (combination TDF, Emtricitabine and Efavirenz). Virological and biochemical responses were respectively 100% and 94% after 4 years. The rate of HBsAg seroclearance was 1.5%. Twelve of fourteen patients (85.7%) had lamivudine resistance and no cases of resistance in the TDF and Atripla® groups. One co-infected patient developed HCC during treatment. Among patients treated by TDF, two cases of hypophosphatemia were noticed and no case of kidney failure. The treatment of CHB is certainly progressing;updated guidelines (EASL, AASLD) exist but should be adapted to the African context.

关键词： Chronic Hepatitis B HBeAg-negative Nucleos(t)ide Analogues Tenofovir Lamivudine Burkina Faso

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Revisit to Two-Proton Radioactivity of 19Mg and Observation of Two-Proton Decay of 30Ar

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原子核物理评论 2016年第2期33卷 197-202页

作者：徐晓栋 I.Mukha L.Acosta E.Casarejos A.A.Ciemny W.Dominik J.Duénas-Díaz V.Dunin J.M.Espino A.Estradé F.Farinon H.Geissel A.Fomichev T.A.Golubkova A.Gorshkov L.V.Grigorenko Z.Janas G.Kamiński O.Kiselev R.Knbel S.Krupko M.Kuich Yu.A.Litvinov G.Marquinez-Dur'an I.Martel C.Mazzocchi C.Nociforo A.K.Ord'uz M.Pfützner S.Pietri M.Pomorski A.Prochazka S.Rymzhanova A.M.S'anchez-Benítez C.Scheidenberger P.Sharov H.Simon B.Sitar R.Slepnev M.Stanoiu P.Strmen I.Szarka M.Takechi Y.K.Tanaka H.Weick M.Winkler J.S.Winfield Ⅱ.Physikalisches Institut Justus-Liebig-Universitt Gie?en GSI Helmholtzzentrum für Schwerionenforschung Gmb H School of Physics and Nuclear Energy Engineering Beihang University National Research Centre "Kurchatov Institute" INFN Laboratori Nazionali del Sud Instituto de Física Universidad Nacional Autónoma de México University of Vigo Faculty of Physics University of Warsaw Department of Applied Physics University of Huelva Veksler and Baldin Laboratory of High Energy Physics Department of Atomic Molecular and Nuclear PhysicsUniversity of Seville University of Edinburgh Flerov Laboratory of Nuclear Reactions advanced Educational and Scientific Center Moscow State University FSBI "SSC RF ITEP"of NRC "Kurchatov Institute" National Research Nuclear University "MEPh I" Institute of Nuclear Physics PAN Faculty of Physics Warsaw University of Technology Faculty of Mathematics and Physics Comenius University IFIN-HH University of Tokyo

An experiment aimed to investigate the two-proton(2p) decay of the previously unknown nucleus ^(30)Ar was performed at GSI. By tracking the decay products in-flight with silicon micro-strip detectors, the 2p decays of ^(30)Ar were observed for the first time. For the calibration purpose, 2p decays of ^(19)Mg were also remeasured by tracking the coincident ^(17)ne+p+p trajectories. By comparing the measured angular p-17 ne correlations with those obtained from the corresponding Monte Carlo simulations,the simultaneous 2p decay of ^(19)Mg ground state and the sequential 2p emission of several known excited states of ^(19)Mg were confirmed. One new excited state in ^(19)Mg and two new excited states in ^(18)Na were observed.

关键词： proton drip line decay by proton emission nuclear energy level

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