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Postoperative infection of the skull base surgical site due to suppurative parotitis:A case report

World Journal of Clinical Cases 2022年第15期10卷 4991-4997页

作者： Yong Zhao Yang Zhao Li-Qin Zhang guo-dong feng Department of Otorhinolaryngology-Head and Neck Surgery Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China

BACKGROUND Paraganglioma occurring at the lateral skull base is a rare *** is the primary treatment of benign *** infection of the surgical site at the lateral skull base is very dangerous and hard to *** SUMMARY A 30-year-old man with a 1-year history of left-side progressive hearing loss,tinnitus,facial palsy,and choking failed conventional treatment and is the focus of this case *** revealed a mass around the left jugular foramen that was approximately 47 mm×38 mm×34 mm in size and had eroded the bone of the vertebral and horizontal segments of the internal carotid *** tumor breached the meninges and occupied the cerebella pontine region.A two-stage surgery was designed for the resection of the *** the first-stage,the epidural portion of the mass was *** abdominal fat and the temporal muscle flap were transposed within the surgical *** surgery was successful;however,25 d after surgery,he developed suppurative parotitis,and the infection spread to the surgical site at the skull ***-spectrum antibiotics were used,and debridement was *** that,the wound was cleaned *** months after the first-stage surgery,the wound was still unclosed,and there was intermittent purulent exudation within the surgical *** sealing drainage(VSD)was used,and the wound healed in a *** year after the first surgery,the second-stage of the operation was performed to remove the intracranial portion of the *** of the tumor was not detected after a 6-month *** After a lateral skull base surgery,suppurative parotitis can spread into the operative cavity leading to infection of the surgical *** can help to effectively heal the infected wound.A two-stage surgical approach offers a safer option for removing the lateral skull base paraganglioma that involves the meninges.

关键词： Postoperative infection Lateral skull base Suppurative parotitis Vacuum sealing drainage Two-stage surgery Case report

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Differences in Contents and Formation Methods of Clinical Questions in Chinese and Korean Clinical Practice Guidelines of Acupuncture-Moxibustion:Scoping Review

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Chinese Journal of Integrative Medicine 2023年第12期29卷 1133-1141页

作者： ZHAO Nan-qi LIU Ya-li DING Nan YUAN Jing-yun MOU dong-xiao dong guo-feng WANG Xin WU Xiao-dong Institute of Acupuncture-Moxibustion China Academy of Chinese Medical SciencesBeijing(100700)China Center for Clinical Epidemiology and Evidence-based Medicine Beijing Children's HospitalCapital Medical UniversityBeijing(100045)China College of Acupuncture and Massage Beijing University of Chinese MedicineBeijing(100029)China

Objective:To analyze the differences in the needs of users and the value orientation of clinical practice guidelines(CPGs)by comparing the contents and formation methods of clinical questions in Chinese and Korean CPGs of acupuncture-moxibustion(Acup-Mox).Methods:The full text of CPGs was systematically searched from the official websites of Chinese and Korean traditional medicine societies and Acup-Mox associations,with the topic"Acup-Mox for treating diseases"and the retrieval time up to September 28,*** researchers screened the CPGs independently,and extracted the guidelines'topics,content,quantity and formation methods of clinical *** quantitative data were collected by counting the frequency,and the qualitative data were classified and described by thematic ***:A total of 29 guidelines were included in this study,including 20 Chinese guidelines(305 questions)and 9 Korean guidelines(223 questions).The differences lie in the aspects of content and diversity,and formation *** for content and diversity,Chinese guidelines focused mainly on the questions related to treatment such as the operation of specific intervention(86,28.2%),efficacy of intervention(78,25.6%),and also involving questions in diagnosis,prevention,and *** the clinical questions in Korean guidelines were concentrated to efficacy of intervention(218,97.8%).As for formation method,in Chinese guidelines,questions were usually collected directly from clinicians,and then determined and optimized by *** Korean guidelines,frequently used clinical Acup-Mox interventions would be screened *** the expert group would set up corresponding intervention control measures so as to form clinical questions related to treatment ***:The differences reflect the different needs of clinical practitioners,and the different aims or concepts in developing Acup-Mox guidelines between China and South *** guidelines emphasized promoting oper

关键词： association of acupuncture-moxibustion clinical practice guidelines clinical questions optimize

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Discussion on Collection of Clinical Questions in International Clinical Practice Guidelines of Acupuncture-Moxibustion

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Chinese Journal of Integrative Medicine 2023年第4期29卷 353-360页

作者： WU Xiao-dong ZHAO Nan-qi DING Nan YUAN Jing-yun dong guo-feng WANG Xin LIU Bao-yan Institute of Acupuncture and Moxibustion China Academy of Chinese Medical SciencesBeijing 100700China College of Acupuncture and Massage Beijing University of Chinese MedicineBeijing 100029China

The clinical questions of acupuncture-moxibustion(Acup-Mox)guidelines are complicated,including not only the curative effect of Acup-Mox intervention measures,but also the operational elements of *** paper aimed to put forward the idea and process of collecting clinical questions in developing international acupuncture clinical practice *** experience was collected and the idea of collecting clinical questions of Acup-Mox was formed through expert consultation and discussion in combination with expert *** on the characteristics of Acup-Mox *** paper put forward the thinking of collecting elements of clinical questions following the intervention-population-outcome-control(I-P-O-C)inquiry process,according to the discipline of *** was emphasized that in the process of collecting clinical questions,"treatable population"and"alleviable outcome indicators"for a specific Acup-Mox intervention with certain therapeutic effect should be focused on,so as to highlight the pertinence of clinical questions of AcupMox guidelines in terms of population and outcome elements.

关键词： acupuncture-moxibustion intervention Chinese medicine I-P-O-C inquiry process suitable population outcome evaluation

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Pyoderma gangrenosum confused with congenital preauricular fistula infection: A case report

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World Journal of Clinical Cases 2020年第9期8卷 1679-1684页

作者： Yang Zhao Rou-Yu Fang guo-dong feng Ting-Ting Cui Zhi-Qiang Gao Department of Otolaryngology Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Department of Dermatology Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China

BACKGROUND Pyoderma gangrenosum resulting from or associated with congenital preauricular fistula is rarely *** SUMMARY We report a rare case of pyoderma gangrenosum misdiagnosed as preauricular fistula *** our knowledge,this is the first report to describe pyoderma gangrenosum originating from the site of preauricular *** lesion continued expanding even after combined treatment of systemic antibiotics and thorough *** into account the possibility of pyoderma gangrenosum,we applied soft care with normal saline and Vaseline gauze *** corticosteroids were not used until intestinal Clostridium difficile was *** local recurrence was noted at the 12-mo *** This case highlights the necessity of considering rare diseases,such as pyoderma gangrenosum,when the preauricular sinus deteriorates with general *** treatment strategy is mutually conflicting between pyoderma gangrenosum and infection of the preauricular sinus.

关键词： Preauricular fistula Pyoderma gangrenosum Glucocorticoids Case report

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Synthesis and characterization of adducts of p-azidostyrene derivatives to fullerene C_(60)

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Chinese Journal of Chemistry 1995年第6期13卷 525-531页

作者： LI,Ji-Sheng dong,guo-Xiao feng,Jun JI,Gai-JiaoInstitute of Chemistry,Chinese Academy of Sciences,Beijing 100080,China Institute of Chemistry Chinese Academy of Sciences Beijing 100080 China

Fullerene C60 reacted with p-azidostyrene derivatives in refluxing chlorobenzene,yielding monoadducts 2a and 2d as well as diadduct 2c with aziridine structure at 6/6-ring *** results showed that the addition of the second azide to the monoadduct was *** diadduct,of Cs symmetry in C60 moiety,was unstable by opening to be 1,6-imido[10]annulene structure.

关键词： Pullerene azkidine regioselective adduct azide

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Infective endocarditis with brain lesions misdiagnosed as viral encephalitis

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Neuroimmunology and Neuroinflammation 2016年第1期3卷 48-50页

作者： Jing-Jing Zhang guo-dong feng Department of Neurology Xijing Hospitalthe Fourth Military Medical UniversityXi’an 710032ShaanxiChina

Infective endocarditis(IE)is caused by infection of the endocardial surface of *** typically affects one or more heart valves,the mural endocardium,or a septal *** recent years,many IE patients suffered from atypical initial ***,in this case report,a 12-year-old patient was initially diagnosed as ***,it was later noticed that this was a misdiagnosis for the following reasons:the echocardiography showed a vegetation attached to his mitral valves;the cranial magnetic resonance imaging showed lesions that were consistent with a cardioembolic *** final diagnosis was IE.

关键词： Antiplatelet agents embolic events infective endocarditis

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Clinical and electrophysiological profiles in early recognition of polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes syndrome

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Chinese Medical Journal 2019年第14期132卷 1666-1672页

作者： Qin Wang Peng Liu Li-Li Ji Shuai Wu guo-dong feng Xin Wang Ji-Hong dong Department of Neurology Zhongshan Hospital Fudan UniversityShanghai 200032China Department of Haematology Zhongshan Hospital Fudan UniversityShanghai 200032China

Background:The detection of polyneuropathy,organomegaly,endocrinopathy,M-protein,and skin changes (POEMS) syndrome at early stage is challenging for *** polyneuropathy could be the first manifestation,it could be misdiagnosed as chronic inflammatory demyelinating polyneuropathy (CIDP).The present study aimed to determine the clinical and electrophysiological features of POEMS syndrome to distinguish from ***:The data of a group of patients with POEMS (n =17) and patients with CIDP (n =17) in Zhongshan Hospital Fudan University from January 2015 to September 2017 were analyzed in this retrospective *** clinical features,neurological symptoms,and electrophysiological findings were compared between the two ***:Clinically,patients with POEMS demonstrated significantly more neuropathic pain in the lower extremities than patients with CIDP (58.8 % vs.11.8 %,P =0.01).Multisystem features like edema,skin change,organomegaly,and thrombocytosis were also pointed towards the diagnosis of POEMS ***,terminal latency index (TLI) was significantly higher in patients with POEMS than that in patients with CIDP (median nerve:0.39 [0.17-0.52] vs.0.30 (0.07-0.69),Z =-2.413,P =0.016;ulnar nerve:0.55 [0.23-0.78] vs.0.42 [0.12-0.70],Z =-2.034,P =0.042).Patients with POEMS demonstrated a higher frequency of absent compound muscle action potential of the tibial nerve (52.9% vs.17.6%,P =0.031),less conduction block (ulnar nerve:0 vs.35.3%,P =0.018),and less temporal dispersion (median nerve:17.6% vs.58.8%,P =0.032) than CIDP *** combination of positive serum monoclonal protein and high TLI (if either one or both were present) discriminated POEMS from CIDP with a sensitivity of 94.1% and 47.1% and specificity of 76.5% and 100.0%,***:POEMS syndrome could be distinguished from CIDP through typical clinical and electrophysiological characteristics in *** combination of serum monoclonal protei

关键词： Polyneuropathy Organomegaly Endocrinopathy M protein and skin changes syndrome Chronic inflammatory demyelinating polyradiculoneuropathy Terminal latency index

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针灸能否标准化问题探讨

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针刺研究 2016年第6期41卷 565-569页

作者：董国锋中国中医科学院针灸研究所标准化研究中心北京100700

针灸是中医学不可分割的具有鲜明特点的重要组成部分,正是基于其特色,针灸能否标准化的问题在业内业外不断被一些关注其发展的人士提出。本文从针灸特色、针灸标准化后其特色是否还具备、针灸标准化作用、针灸标准化的实质、针灸标准化... 详细信息

针灸是中医学不可分割的具有鲜明特点的重要组成部分,正是基于其特色,针灸能否标准化的问题在业内业外不断被一些关注其发展的人士提出。本文从针灸特色、针灸标准化后其特色是否还具备、针灸标准化作用、针灸标准化的实质、针灸标准化的可行性、针灸标准化的实践与效果、针灸标准化的方略几方面展开分析,对这一疑问进行探讨并给出回答。

关键词：针灸标准化特色作用可行性

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Effect of conduction block in classification and prognosis of Guillain-Barre syndrome

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Neuroimmunology and Neuroinflammation 2014年第1期1卷 77-81页

作者： Yu-Chen Wang guo-dong feng Jing Wang Xue-dong Liu Gang Zhao Department of Neurology Xijing HospitalThe Fourth Military Medical UniversityXi’an 710032ShaanxiChina

Aim:The aim was to investigate the electro-physiological characteristics in disease progression of Guillain-Barre syndrome(GBS)and observe the effect of conduction block(CB)in classification and severity of the ***:Two hundred and ninety-four patients with GBS were divided into acute inflammatory demyelinating poly-neuropathy(AIDP)group,acute motor axonal neuropathy(AMAN)group and equivocal group according to their electro-physiological results and then reclassificated after electro-physiological *** of the patients were followed for 6 months since their ***:Bad prognosis is more pronounced in AMAN group than in AIDP group(P0.05).Conclusion:CB in the early phase of GBS indicates the probability of AIDP transforming into AMAN;it suggests that patients with CB in the early phase of the disease might be in serious conditions in a certain extent.

关键词： Clinical features Guillain-Barre syndrome nerve conduction block nerve electrophysiology

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用于激光成像雷达和被动红外成像复合的目标分类仿真

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中国激光 2007年第10期34卷 1347-1352页

作者：李琦董国峰王骐哈尔滨工业大学光电子技术研究所可调谐激光技术国家级重点实验室黑龙江哈尔滨150001

激光成像雷达主动发射激光,接收其反射回波,能成角-角-距离-强度像,较易于实现目标识别。激光雷达与被动红外(IR)成像结合可获取更多信息,并提高目标识别能力和抗干扰性。提出结合激光雷达距离像-强度像的像素级融合的相干激光雷达距离... 详细信息

激光成像雷达主动发射激光,接收其反射回波,能成角-角-距离-强度像,较易于实现目标识别。激光雷达与被动红外(IR)成像结合可获取更多信息,并提高目标识别能力和抗干扰性。提出结合激光雷达距离像-强度像的像素级融合的相干激光雷达距离像与被动红外成像复合的目标分类方法,利用Dempster-Shafer(D-S)证据理论,采用八值距离像模板进行仿真研究。其中,模板匹配的相关系数采用基于最多近邻点距离(MCD)的方法求得。研究结果表明,结合激光雷达距离像-强度像的像素级融合的目标分类的不确定度降低,降幅达40%,并提高了不易分类目标类的识别能力;距离像八值模板比二值模板分类效果好,物体质量函数差提高60%。

关键词：激光技术相干激光成像雷达数据融合 D-S证据推理目标分类被动红外成像

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