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Is It Possible to Predict the Outcome of IVF Treatment in Poor Response Patients?

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Open Journal of Obstetrics and Gynecology 2014年第12期4卷 703-709页

作者： Adi Uretzky Avraham harlev Limor Man Eitan Lunenfeld Iris har-Vardi Michael Friger Eliahu Levitas Department of Epidemiology Faculty of Health Sciences Ben-Gurion University of the Negev Beer-Sheva Israel Fertility and IVF Unit Department of Obstetrics and Gynecology Soroka University Medical Center Beer-Sheva Israel

Poor ovarian response (POR)—retrieval of 3 or fewer eggs, is a challenging issue in IVF. A retrospective study included POR women who underwent 386 IVF cycles. The data were classified in four groups according to women’s age (years) during the treatment cycle: 1) 20 - 34 (n = 133), 2) 35 - 39 (n = 133), 3) 40 - 42 (n = 78), 4) 43 - 47 y (n = 42), and correlated with the characteristics of the population. The clinical pregnancy rates for groups 1, 2, 3, and 4 were: 23.3%, 12%, 2.6%, 4.8%, respectively. It was found to be significantly higher (p < 0.001) comparing group 1 with group 3 patients. The “take home baby” rate was much lower (p < 0.001) in group 3;there were no deliveries in group 4. Delivery rates for groups 1, 2, 3, and 4 were: 19.5%, 10.5%, 1.3% and 0%, respectively. Intraabdominal adhesions were more common (p = 0.005) as the cause of infertility in group 3 women compared to groups 2 and 1: 24.4% compared with 9% and 9.8%, respectively. According to multivariate regression analysis, the parameters that negatively reflect on the pregnancy rate in POR women are intraabdominal adhesions, POR in the past, and increased age. We suggest encouraging young POR patients to pursue IVF treatments since the “take home baby” rates are reasonably good.

关键词： IVF Poor Ovarian Response Failed IVF Treatments

Tumours of salivary glands in the stomatology and maxillo-facial surgery unit at the university hospital centre —Yalgado Ouédraogo

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Open Journal of Stomatology 2013年第9期3卷 465-470页

作者： Mathieu Millogo Tarcissus Konsem haréfétéguén Bissa Rasmané Béogo Dieudonné Ouédraogo Service of Stomatology and Maxillo-Facial Surgery of the University Hospital of Tokoin Lomé Togo Service of Stomatology and Maxillo-Facial Surgery of the University Hospital Souro SANOU Bobo-Dioulasso Burkina Faso Service of Stomatology and Maxillo-Facial Surgery of the University Hospital Yalgado Ouédraogo Ouagadougou Burkina Faso

The aim of this study was to contribute to strengthening the efficiency in the treatment of the salivary gland tumours in the Stomatology and Maxillo-facial surgery service at the University Hospital Centre/Yalgado OUEDRAOGO of Ouagadougou. It has been a retrospective and descriptive study covering seven (7) years [January 2006-December 2012] on epidemiology and the treatment of 54 cases of the salivary glands tumours histologically confirmed. Benign tumours (non-malignant tumours were prevalent (61.11% of cases). The annual incidences were 4.71 cases for non malignant tumours and 3 cases for malignant tumours. The average age was 34-45 years for non malignant tumours and 44-33 years for malignant ones. In both groups, the tumour was discovered lately with an average 32-48 months before consulting in case of non malignant tumours and 18-29 months for malignant tumours. The location of non malignant tumours was very often the parotid (42.42%), under mandible gland (27.28%). Malignant tumours very often concerned the parotid (76.18%) and the under mandible gland (14.29%). The histology has revealed that pleomorphic adenoma was the leading type of non-malignant tumours (93.94% of cases) whereas carcinoma was predominant in malignant tumours (80.95% of cases). Long term track keeping was difficult and it has been complicated by the loss of contact with some patients. The low living standard, the time wasted before consulting, limited human resources and therapeutic means constitute handicaps to the treatment in our African context.

关键词： Tumours Salivary Glands Epidemiology Histology Treatment

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多次波压制的可靠性

石油物探快讯 1991年第9期8卷 109-117页

作者： har.,HJJ 臧怀仁

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碰撞带岩浆活动的地球化学特征

国外地质（北京） 1989年第6期 22-30页

作者： har.,NBW 高战朝

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《针灸大成》针刺治疗中风病的文献研究

《针灸大成》针刺治疗中风病的文献研究

作者：傅碧霞（Poh Peck har）广州中医药大学

学位级别：硕士

目的:中医学中风病属风劳朦隔四大顽证之一,是中老年人的常见病,但近年来有年轻化的趋势。是现代医学的脑出血、脑血栓形成、脑梗塞等神经系统疾病的病范畴。中风病在临床中是一种常见的急性的多发病,其发病率、死亡率和致残率非常高。... 详细信息

目的:中医学中风病属风劳朦隔四大顽证之一,是中老年人的常见病,但近年来有年轻化的趋势。是现代医学的脑出血、脑血栓形成、脑梗塞等神经系统疾病的病范畴。中风病在临床中是一种常见的急性的多发病,其发病率、死亡率和致残率非常高。根据世卫组织统计全球十大死因中风是最大“杀手”之一,死亡率高、致残率对患者、家庭和社会造成精神和财务的负担。在新加坡中风病患过去十年增加近四成,而且有年轻化趋势。数千年来,应用针刺治疗方法预防和治疗中风病,对减轻和控制致残和病死率都有非凡的贡献。近代有许多关于治疗中风病的研究,不论是实验室及临床研究发展或对现代与古典文献的研究,但欠缺了《针灸大成》一书针刺防治中风病的研究。本论文选《针灸大成》一书针刺防治中风病除了它是一部汇集了明代以前重要的针灸经典所编写而成,书中有关中风病的论述十分富详尽,对治疗中风病临床学术有深远影响。同时也希望借此对《针灸大成》中针刺治疗中风病的经验传承与开拓这方面的补缺。本论文利用现代数据挖掘的技术与方法,把《针灸大成》书中针刺预防和治疗中风病的用穴规律,分析经典针灸处方的特点,总结出其治疗原则,并提出相关心得和高频处方。借此对《针灸大成》中针刺治疗中风病的经验传承与开拓这方面的补缺。求证前贤理论,寓继承之中求创新发展,为治疗中风病研究和临床提供选穴参考及以进一步提高中风病的疗效与质量。方法:输入电子版的《针灸大成》用机算机进行数据挖掘方法收集所有涉及针刺治疗中风病处方的相关的条文进行数据搜索、提取及纳入为下一步检索范围;再以2006年出版发行由黄龙祥整理的《针灸大成》为底本进行人工校对,确定纳入分析范围后再归类及整理。数据提取是按(一)按中风病不同时期的病名,按病名,如偏枯、偏风、薄厥、大厥、煎厥、癫疾、仆击、喑痱,中络、中经、中腑、中脏,中风候、风癔候、风痉、风痱等。(二)按症候,如突然昏仆、不醒人事、半身不遂、舌强不语、偏身麻木、口角㖞斜及兼证;如手足拘挛、肘挛、吐涎、四肢麻木、目上戴等,主症及兼症都纳入搜索范围。然后将所有涉及针灸治疗中风病处方的条文进行数据规范化及人工审核,通过统一病名、穴名及为主证统一归类为五大症状不省人事、半身不遂、口噤不开、言语不利、口眼㖞斜及四肢不利。将符合纳标准的原始处方条文,利用Microsoft Excel的功能表进行数据录入及建立可以进行数据分析的结构。再进行数据分析总结对中风病的常用腧穴频率,针对中风病的五大症状的腧穴运用频数,相关性归经,特定穴的运用,腧穴取穴分布及主症高频处方用穴规律的相关概念。结果:《针灸大成》治疗中风病纳入针灸腧穴处方共58条涉及到针灸治疗中风病相关的处方条文,共运用79穴位涉及全身14条经脉,经外奇穴共4个,属于特定穴的有64个。常用穴频次居前五位的腧穴为合谷、曲池、百会、足三里及阳陵泉:相关使用腧穴归经方面多集中在手阳明大肠经,占总腧穴总数的21%,其次是足少阳胆经占17.5%,第三位的是督脉占10.2%。这充分体现了“太阳为开,阳明为合,少阳为枢”的说法。按人体分布分析的结果治疗中风病的腧穴多分布在上、下肢占总数的77.4%和头面部占19.7%,项背及胸腹则少用;善用特定穴治疗中风病,以五输穴运用频次最高41.6%,五输穴又以曲池穴使用最多,顺序为交会穴占20.8%,以百会穴为常用穴位,原穴占13.1%,以合谷为常用穴位。结论:《针灸大成》针刺防疗中风病主要学术贡献为(一)重视辨证论治,根据七种中风证型临床表现以判断病情预后和疗效差异,对中风病的发病阶段的治疗(二)治疗手法,不同针刺手法、补泻手法及针刺手法对疗效的影响,(三)重用阳经,多集中在阳明经、少阳经和督脉的穴位,(四)善用特定穴以五输穴为主,开拓井穴的运用理论。(五)开创对穴先河。

关键词：《针灸大成》中风病针灸中风选穴规律

High-Grade Mucoepidermoid Carcinoma Ex-Pleomorphic Adenoma of the Parotid Gland: Case Report and Review of Literature

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International Journal of Otolaryngology and Head & Neck Surgery 2014年第1期3卷 9-13页

作者： Aron Z. Pollack Benjamin C. Paul Mike C. Sheu Gady har-El Department of Otolaryngology-Head and Neck Surgery New York Uni-versity School of Medicine and Lenox Hill Hospital New York USA

Background: Mucoepidermoid carcinoma ex-pleomorphic adenoma (MECxPA) is an extremely rare salivary gland malignancy. With only nine prior reported cases, this entity represents a challenging histopathological diagnosis. Methods: We present a case of a 71-year-old male with an enlarging left neck mass over several months. CT showed both a parapharyngeal space mass and a separate level II neck mass. Results: The patient underwent resection of the left parapharyngeal mass and ipsilateral selective level II-IV lymphadenectomy. The final pathologic diagnosis was metastatic high-grade mucoepidermoid carcinoma ex-pleomorphic adenoma. Conclusions: We describe a novel presentation of high-grade mucoepidermoid carcinoma ex-pleomorphic adenoma as a metastatic parapharyngeal mass.

关键词： Mucoepidermoid Carcinoma Carcinoma ex-Pleomorphic Adenoma Pleomorphic Adenoma Parotid Gland