检索结果-南通市图书馆

THERAPEUTIC EFFECT OF HE-NE LASER IRRADIATION OF POINT ERMAN IN SCHIZOPHRENIC AUDITORY HALLUCINATION—A CLINICAL ASSESSMENT

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Traditional Chinese Medicine 1986年第4期6卷 253-256页

作者：刘佐泽王幼君张蜀中贺安国陈远德刘协和 Department of Psychiatry mianyang county hospital for mental diseases sichuan sichuan Medical College

From July 1984 to May 1985 we treatedschizophrenic auditory hallucinations with He-Nelaser irradiation of Point Ermen(SJ 21).We re-port below the results,which seemed fairly sa-tisfactoryMATERIALS AND METHODSSubjectsPatients subjetced to observation in thisseries must have had auditory hallucinations de-finitely schizophrenic in origin for more than onemonth.

关键词： A CLINICAL ASSESSMENT THERAPEUTIC EFFECT OF HE-NE LASER IRRADIATION OF POINT ERMAN IN SCHIZOPHRENIC AUDITORY HALLUCINATION

Development of subdural empyema from subdural effusion after suppurative encephalitis:A case report

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2023年第10期11卷 2315-2320页

作者： Rui-Xi Yang Bei Chen Yun Zhang Yao Yang Shu Xie Lin He Jian Shi Department of Infectious diseases Mianyang Central HospitalMianyang 621000Sichuan ProvinceChina Department of Psychosomatic Medicine Mianyang Central HospitalMianyang 621000Sichuan ProvinceChina Department of Psychosomatic Medicine Mianyang Central HospitalSchool of MedicineUniversity of Electronic Science and Technology of ChinaMianyang 621000Sichuan ProvinceChina

BACKGROUND Chronic subdural effusion is very common in the cranial imaging of middle-aged and older ***,we report a patient misdiagnosed with subdural effusion,who was eventually diagnosed with chronic subdural empyema(SDE)caused by Streptococcus *** SUMMARY A 63-year-old man was brought to our emergency room with a headache,vomiting,and disturbed *** tomography(CT)revealed a bilateral subdural effusion at the top left side of the frontal *** fluid examination after lumbar puncture indicated suppurative meningitis,which improved after anti-infective ***,the patient then presented with acute cognitive dysfunction and right limb *** CT showed an increase in left frontoparietal subdural effusion,disappearance of the left lateral ventricle,and a shift of the midline to the *** burr hole drainage showed SDE that was culture-positive for Streptococcus *** condition improved after adequate drainage and antibiotic *** Patients with unexplained subdural effusion,especially asymmetric subdural effusion with intracranial infection,should be assessed for chronic *** surgical treatment may be beneficial.

关键词： Subdural effusion Subdural empyema Streptococcus pneumoniae Meningoencephalitis Drainage Case report

Harnessing interventions during the immediate perioperative period to improve the long-term survival of patients following radical gastrectomy

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2023年第4期15卷 520-533页

作者： Lin-Bo Liu Jian Li Jian-Xiong Lai Sen Shi Department of General Surgery(Vascular Surgery) The Affiliated Hospital of Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina Department of Vascular Surgery The Third Hospital of MianyangSichuan Mental Health CenterMianyang 621000Sichuan ProvinceChina Department of General Surgery The Third Hospital of MianyangSichuan Mental Health CenterMianyang 621000Sichuan ProvinceChina Cardiovascular and Metabolic diseases Key Laboratory of Luzhou Luzhou 646000Sichuan ProvinceChina Key Laboratory of Medical Electrophysiology Ministry of Education and Medical Electrophysiological Key Laboratory of Sichuan ProvinceLuzhou 646000Sichuan ProvinceChina

Although the incidence and mortality of gastric cancer(GC)have been decreasing steadily worldwide,especially in East Asia,the disease burden of this malignancy is still very *** for tremendous progress in the management of GC by multidisciplinary treatment,surgical excision of the primary tumor is still the cornerstone intervention in the curative-intent treatment of *** the relatively short perioperative period,patients undergoing radical gastrectomy will suffer from at least part of the following perioperative events:Surgery,anesthesia,pain,intraoperative blood loss,allogeneic blood transfusion,postoperative complications,and their related anxiety,depression and stress response,which have been shown to affect long-term ***,in recent years,studies have been carried out to find and test interventions during the perioperative period to improve the long-term survival of patients following radical gastrectomy,which will be the aim of this review.

关键词： Radical gastrectomy Perioperative events Gastric cancer Survival Metastasis

Isolated coagulopathy without classic CRAB symptoms as the initial manifestation of multiple myeloma: A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2022年第12期10卷 3822-3827页

作者： Ya Zhang Fang Xu Jing-Jing Wen Lin Shi Qiao-Lin Zhou Department of Hematology Mianyang Central HospitalMianyang 621000Sichuan ProvinceChina

BACKGROUND Multiple myeloma patients usually present with CRAB symptoms(hypercalcemia,renal disease,anemia and bone diseases)as initial *** symptoms are less common,most of which result from thrombocytopenia or infiltration of ***,coagulopathy is not so common,especially isolated coagulopathy without CRAB manifestations,which is very ***,we report a 54-year old female who was hospitalized for intermittent and recurrent mild oral mucosal hemorrhage without other bleeding symptoms for almost one month or typical myeloma *** SUMMARY Two months before admission,the patient underwent implantation of a permanent pacemaker due to sick sinus *** time and activated partial thromboplastin time were significantly *** X deficiency was demonstrated to account for the coagulation *** M protein peak was shown by serum protein electrophoresis.26.11%of abnormal plasma cells were detected in bone marrow by flow cytometry,expressing CD38,CD138,CD56 and intracellular immunoglobulin Kappa light *** marrow biopsy also proved the presence of abnormal plasma cells,but Congo red stain was *** patient was finally diagnosed with multiple myeloma IgA-κtype.A literature review indicated that factor X deficiency was highly related to *** bleeding signs,the patient had cardiac arrhythmia,enlargement of the heart,and progressive heart failure;thus,cardiac amyloidosis was *** Bleeding related to coagulation dysfunction is uncommon in multiple myeloma,especially as the initial *** is a well-recognized cause of isolated acquired factor X deficiency.

关键词： Multiple myeloma Coagulation function Hemorrhage Factor X Deficiency Case report

An analysis of the transcriptional landscape in hypoxia-treated primary nucleus pulposus cells

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Genes & diseases 2024年第2期11卷 558-560页

作者： Zhicai Peng Zhuo Wang Shuaichi Guo Bing Tan Ruichao Cao Shengqiang Cheng Jun Chen Chunwang Xie Dehong Mao Zhenming Hu Department of Orthopaedics Yongchuan Traditional Chinese Medicine Hospital of ChongqingChongqing 402160China Department of Orthopaedic Surgery The First Affiliated Hospital of Chongqing Medical UniversityChongqing 400010China Department of Spine Surgery The Third Hospital of MianyangSichuan Mental Health CenterMianyangSichuan 621000China

Intervertebral disc degeneration(IDD)is the main cause of lower back *** back pain places a huge burden on society,and all current treatments for IDD cannot restore the original function of the intervertebral *** new treatments for IDD requires clarifying the mechanisms of *** hypoxia is an important feature of the nucleus pulposus because of its special anatomical *** RNA sequencing(RNA-seq),we obtained the whole transcriptome of nucleus pulposus cells(NPCs)under hypoxia and hypoxia-inducible factor(HIF1A)*** demonstrated possible effects of oxygen concentration and HIF1A on *** addition,our results showed that hypoxia can affect lipid metabolism in NPCs.

关键词： structure metabolism degeneration

Immune checkpoint inhibitors break whose heart? Perspectives from cardio-immuno-oncology

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Genes & diseases 2024年第2期11卷 807-818页

作者： Yingying He Hui Yu Shuang Dai Miao He Ling Ma Zihan Xu Feng Luo Li Wang Oncology Department Deyang People's HospitalDeyangSichuan 618000China Department of Medical Oncology Lung Cancer CenterWest China HospitalSichuan UniversityChengduSichuan 610000China Cardiovascular Department Mianyang Central HospitalMianyangSichuan 621000China Department of Rheumatology and Immunology Deyang People's HospitalDeyangSichuan 618000China

Immune checkpoint inhibitors (ICIs) are monoclonal antibody antagonists,which can block cytotoxic T lymphocyte antigen-4 (CTLA-4),programmed death-1/ligand-1 (PD-1/PD-L1) pathways,and other molecules exploited by tumor cells to evade T cell-mediated immune *** have transformed the treatment landscape for various cancers due to their amazing *** anti-tumor therapies,including targeted therapy,radiotherapy,and chemotherapy,combine ICIs to make the treatment more ***,the off-target immune activation caused by ICIs may lead to a broad spectrum of immune-related adverse events (irAEs) affecting multiple organ *** irAEs,cardiotoxicity induced by ICIs,uncommon but fatal,has greatly offset survival benefits from ICIs,which is heartbreaking for both patients and ***,such cardiotoxicity requires special vigilance,and it has become a common challenge both for patients and *** article reviewed the clinical manifestations and influence of cardiotoxicity from the view of patients and clinicians,elaborated on the underlying mechanisms in conjunction with animal studies,and then attempted to propose management strategies from a cardio-immuno-oncology multidisciplinary perspective.

关键词： Cancer management Cardio-immuno-oncology multidisciplinary Cardiotoxicity Immune checkpoint inhibitors Immune tolerance

Treatment of Candida albicans liver abscess complicated with COVID-19 after liver metastasis ablation:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Oncology 2023年第7期15卷 1311-1316页

作者： Wen Hu Xi Lin Meng Qian Tao-Ming Du Xi Lan Department of Oncology Chengdu Seventh People’s HospitalChengdu 610000Sichuan ProvinceChina Department of Oncology Yanting County People’s HospitalMianyang 621600Sichuan ProvinceChina Department of Radiology Chengdu Seventh People’s HospitalChengdu 610000Sichuan ProvinceChina

BACKGROUND Liver interventional surgery is a relatively safe and minimally invasive ***,for patients who have undergone Whipple surgery,the probability of developing a liver abscess after liver interventional surgery is very *** liver abscess has a high mortality rate,especially when complicated with malignant tumors,diabetes,coronavirus disease 2019(COVID-19)and other *** liver abscess is rare,and there are no guidelines or expert consensus on the course of antifungal *** SUMMARY A 54-year-old woman with pancreatic head cancer received albumin-bound paclitaxel in combination with gemcitabine chemotherapy after laparoscopic *** metastasis was found 1 mo after completion of 8 cycles of chemotherapy,followed by ablation of the liver *** half a month of liver metastasis ablation,the patient experienced fever after chemotherapy and was diagnosed with liver abscess complicated with COVID-19 by contrast-enhanced abdominal computed tomography and real-time polymerase chain reaction *** results of pus culture showed Candida albicans,which was sensitive to *** patient underwent percutaneous catheter drainage,antifungal therapy with fluconazole,and antiviral therapy with *** antifungal therapy,the patient showed a significant increase in liver enzyme levels and was discharged after liver protection *** fluconazole was continued for 1 wk outside the hospital,and fluconazole was used for a total of 5 *** patient recovered well and received 4 cycles of fluorouracil,leucovorin,oxaliplatin,and irinotecan after 2 mo of antifungal *** Effective treatment of Candida albicans liver abscess requires early detection,percutaneous catheter drainage,and 5 wk of antifungal ***,complications such as COVID-19 should be actively managed and nutritional support should be provided.

关键词： Fungal Liver abscess COVID-19 Liver metastasis ablation Pancreatic head cancer Case report

Relationship between intracranial pressure and neurocognitive function among older adults after radical resection of rectal cancer

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2024年第10期16卷 3261-3268页

作者： Bo Song Li-Ping Li Xiao-Lin Wang Yong Guo Jun Li mianyang Key Laboratory of Anesthesia and Neuroregulation Department of AnesthesiologyMianyang Central HospitalMianyang 621000Sichuan ProvinceChina Department of Anesthesiology Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina Department of Anesthesiology The People’s Hospital of Yanting CityMianyang 621000Sichuan ProvinceChina

BACKGROUND Older patients are prone to postoperative cognitive decline after laparoscopic rectal cancer surgery,which may be associated with increased intraoperative intracranial pressure(ICP).This study investigated the correlation between intra-operative ICP changes,as indicated by measurements of the optic nerve sheath diameter(ONSD)using ultrasonography,and subsequent cognitive function to provide better patient *** To evaluate changes in ICP and associated postoperative neurocognition in older adults after laparoscopic radical resection for rectal *** We included 140 patients who visited the mianyang Central hospital for malig-nant rectal tumors,measured their ONSDs before surgery and 30 and 60 minutes after the Trendelenburg position during surgery,and evaluated the patients’cog-nitive function 1 day before surgery and 1,4,and 7 days after *** Mini-mental State Examination(MMSE)and confusion assessment method(CAM)scores of the patients with different ONSDs were compared at different times after *** In patients with an ONSD greater than 5.00 mm(group A1),the MMSE scores at 1 day and 4 days after surgery were significantly lower than those of patients with an ONSD less than or equal to 4.00 mm(group A2)(P<0.05).The CAM scores of group A1 were significantly higher than those of group A2(P<0.05).The MMSE scores of group A1 on days 1 and 4 after surgery were significantly lower than those 1 day before and 7 days after surgery(P<0.05),while the CAM scores 1 day and 4 days after surgery were significantly higher than those 1 day before and 7 days after *** Decline in cognitive function among older adults after the procedure may be related to intracranial hypertension during surgery.

关键词： Ultrasound Optic nerve sheath diameter Intracranial pressure Cognitive function Radical resection Rectal cancer

Cerebral proliferative angiopathy in pediatric age presenting as neurological disorders:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2023年第33期11卷 8071-8077页

作者： Fu-Ren Luo Ying Zhou Zhong Wang Qi-Yu Liu Department of Radiology The Affiliated Hospital of Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina Department of Radiology Mianyang Central HospitalMianyang 621000Sichuan ProvinceChina

BACKGROUND Cerebral proliferative angiopathy(CPA)is a rare subtype of arteriovenous *** is extremely rare in pediatric patients and has serious implications for developing ***,reports of these disorders worldwide are limited,and no uniform reference for diagnosis and treatment options *** report the case of a 6-year-old with CPA having predominantly neurological dysfunction and review the literature on pediatric *** SUMMARY We report the case of a pediatric patient with CPA analyzed using digital subtraction angiography(DSA)who presented initially with a neurological disorder as the main *** case is the basis for further discussion of the clinical presentation,pathogenesis,diagnosis,and treatment of CPA in *** the cerebral DSA,the patient was treated conservatively with sedation,fluid replacement,and blood *** could not cooperate with the followup magnetic resonance imaging examination because of her young age,and her family declined further treatment because of the surgery’s high *** was followed up for 3 months;her symptoms did not *** This report of rare pediatric CPA can inform and advance clinical research on congenital cerebrovascular diseases.

关键词： Pediatric cerebral proliferative angiopathy Pathogenesis Diagnosis Treatment Case report