简介：OneofthemostcommoncausesofvertigoisBenignParoxysmalPositionalVertigo(BPPV),asensationofspinningthatiscausedbyasuddenchangeinheadposition.ThistypeofvertigowasfirstdescribedbyRobertBaranyintheearly1920s[1].HesuggestedthatBPPVwascausedbyabnormalotoliths,alsocalledstatoconiumorotoconius,astructureinthesacculeorutriclein

简介：AbstractBackground:Thermal ablation of thyroid nodules is new modality for the management of the benign and malign lesions. This minimally invasive treatment is performed as an outpatient, local anesthetic, single professional procedure that can treat neoplastic lesions without removing normal thyroid tissue and thus avoiding hypothyroidism.Method:A comprehensive review of the most relevant literature regarding the thermal ablation of benign and malign nodules was performed in order to currently define its role on the management of the nodular thyroid disease. The data was divided into benign and malign literature.Results:The benign nodules can be effectively treated by radiofrequency ablation (RFA) but some limitation exists regarding the nodule’s size but not nodules characteristics. The RFA of primary malign tumors of the thyroid recently demonstrated positive and safe long-term follow-up and encouraged additional investigation and possibly a definitive role in the management of these low risk nodules.Conclusion:RFA is a safe, cost-effective minimally invasive procedure that avoids thyroid tissue removal while destroying neoplastic one thus, preventing hypothyroidism.

简介：Benignparoxysmalpositionalvertigo(BPPV)isprobablythemostcommondiagnosisatvertigoclinics.Seasonalcyclesofseveralhumanillnessescouldbeattributedvariouslytochangesinatmosphericorweatherconditions.Inthisretrospectivestudy,patientswithBPPVfromJanuary2010toDecember2012werestudied,andtheirchartswerereviewed.Statisticalanalysisrevealedastatisticallysignificantdifferenceinpatients’numbersamongdifferentmonthsoftheyear.Alsothereisasignificantstatisticalcorrelationbetweenthenumbersofpatientswithclimaticvariationsespeciallythetemperature.ThepresentpaperdiscussesthepossibleexplanationsfortheseresultswhichconfirmstheseasonalvariationsinBPPV,togetherwithareviewofliteraturetoviewthepossibleassociationswithotherdisordersthatcausessuchseasonality.

简介：AbstractBenign paroxysmal positional vertigo (BPPV) is the most common vestibular peripheral disease, and has increasingly become the focus of research on vertigo diseases in recent years. In particular, otolaryngology and neurology societies worldwide have placed a greater focus on the study of BPPV. This article reviews the current diagnosis and treatment status and research progress of benign paroxysmal positional vertigo in China from the aspects of disease etiology, pathology, and pathophysiology. We will also consider potential future research in this field.

简介：Objective:Tostudythetechniquesofplacementofmemoryalloyplatinggoldbiliarystentandplasticstentforpalliationofmalignantandbenignbiliaryobstruction,andtoassessitsclinicaleffectiveness.Methods:Thepatientsinplasticstentgroupincludedpaplillaofduodenuminflamationalstrictures(n=24),commonbileductinflammationalinferiorsegmentstrictures(n=4),choledocholithiasis(n=5),bileleak(n=11),bileductsurgeryinjurey(n=7)andpancreaticcarcinoma(n=1).Thepatientsinplatinggoldstentgroupincludedcommonbileductcarcinoma(n=5)andpancreaticcarcinoma(n=6).Underfluoroscopicguidancethestentwasinsertedintobiliaryobstructionsitesfromoralcavityinallcases.Complications,liverfunctionandbloodserumamylasewereinvestigatedduringthestudyperiod.Results:Successfulstentplacementwasachievedinallcases.Afteroperationof7days,ingoldbiliarystentgroups,theratesofdecreaseofbloodserumtotalbilirubin,glutamic-pyruvictransaminase,r-glutamyltranspeptidaseandalkalinephosphatasewere67.16%,58.37%,40.63%and41.54%respectively.Inplasticstentgroup,theratesofdecreaseofSTB,ALT,r-GTandAKPwere53.24%,55.03%,37.15%,34.12%respectively.Earlycomplicationincludedpost-ERCPpancreatitisandcholangititis.Occlusionofstentwasthemajorlatecomplication.Conclusion:Memoryalloyplatinggoldbiliarystentandplasticstentweresafeandefficaciousmethodsformalignantandbenignbiliaryobstruction,andcouldimprovepatient'slivingquality.Plasticstentwasanefficientcomplementfortherapyofbileleakandbileductinjury.

简介：Earlyrepolarizationisawell-described,commonelectrocardiographicvariant.Itwasinitiallyfelttobebenign,butinthelasttwentyyearsasuggestedalinkbetweenspecifictypesofearlyrepolarizationandsuddencardiacdeathhasemerged.ThisassociationwashasbeentermedtheJwavesyndromeandincludesboththehighriskearlyrepolarizationandBrugadaECGpatterns.Theoddsofearlyrepolarizationchangebeingassociatedwithpooroutcomesarestillexceedinglysmall.Nevertheless,theassociationofafairlyubiquitousECGfindingwithfatalornearfatalclinicaloutcomeshasraisedconcern.Howcanweidentifythetrulyhigh-riskpatients?IfapatienthasasignificantclinicaleventwithaconcerningECGrepolarizationpattern,whatshouldbedonenext?TheauthorsofthisreviewpresentcurrentinformationregardingtheEarlyRepolarizationandBrugadaSyndromesandhowtoproceedwithdiagnosis,management,andriskstratificationwhenearlyrepolarizationchangeisobservedonECG.

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简介：Ithaslongbeenappreciatedthatahealthylifestyleplaysacriticalroleincardiovascularhealth.Itisnowapparentthatthesameistrueinthedevelopmentofbenignprostatichyperplasia(BPH).ProspectivecohortdataoriginatingfromrecentlypublishedrandomizedtrialsonthemedicaltreatmentofBPHandpreventionofprostatecancerhavebeeninvaluable.Agrowingbodyofevidencesuggeststhatexerciseandtheintakeofspecificmacronutrientsandmicronutrientsthroughregulardietplayabeneficialrole.Moststrikingly,themagnitudeoftheseeffectsissimilartomedicaltherapiesusingalpha-blockersand5-alpha-reductaseinhibitors.Theuseof

简介：Benignparoxysmalpositionalvertigo(BPPV)isthemostfrequentepisodicvestibulardisorder.Itisduetootolithreststhatarefreeintothecanalsorattachedtothecupulas.Wellover90%ofpatientscanbesuccessfullytreatedwithmanoeuvresthatmovetheparticlesbacktotheutriculus.Amongthegreatvarietyofproceduresthathavebeendescribed,themanoeuvresthataresupportedbyevidenced-basedstudiesorextensiveseriesarecommentedinthisreview.SometopicsregardingBPPVtreatment,suchascontrollingtheaccuracyoftheproceduresortheutilityofpost-manoeuvrerestrictionsarealsodiscussed.

简介：瞄准：与良性的职业人员静电干扰增生(BPH)在病人为职业人员静电干扰发炎程度和感染调查风险因素以便更高效地管理职业人员静电干扰发炎。方法：有在四川大学的韦斯特中国医院里经历在2005年9月和2005年12月之间的TURP的BPH的六十个病人被学习。前列腺液体(PF)为能分泌的IgA(SIgA)的测量被收集并且补充3(C3)。前列腺织物为由即时PCR的严峻的细菌的16SrDNA是镇定的，检验在织物的SIgA并且检验发炎。为职业人员静电干扰发炎或感染的可能的临床、有免疫力的风险因素被使用逻辑回归方法分析。结果：在尿分析法，职业人员静电干扰感染和在PF的C3的高集中的反常的白血房间计数是为职业人员静电干扰发炎程度的风险因素(P=0.025，0.034和0.035，分别地并且机会比率[或]=18.269，8.284和1.508，分别地)。为职业人员静电干扰感染的风险因素在PF包括C3集中和SIgA的集中(P=0.003和0.013，分别地并且OR=1.645并且0.993，分别地)。结论：现在的学习建议那职业人员静电干扰发炎与泌尿道感染，职业人员静电干扰感染和激活的补充被联系，那职业人员静电干扰感染与BPH在病人的前列腺与激活的补充并且在调整粘膜免疫下面被联系。单个有免疫力的规定应该与BPH在职业人员静电干扰发炎的治疗和病人的感染被考虑，这也被建议。

简介：IntroductionSuddensensorineuralhearingloss(SSNHL)isdefinedasahearinglossofatleast30dBoverthreecontiguousfrequenciesoccurringinlessthan3days[1].VertigoandprofoundhearinglossareconsideredpoorprognosticfactorsinSSNHL[2-4].ThemostcommondiseasesassociatedwithvertigoinSSNHLincludeBPPV,vestibularneu-[3]

简介：Aim:Tostudytheapoptoticrate(AR)andtheandrogenandestrogenmilieuintheproximalanddistalductalsystemsofprostate,inordertohelpexploringtheeffectsofthesefactorsonprostaticgrowthandthepathogenesisofbenignprostatichypertrophy(BPH).Methods:Theproximalanddistalendsoftheductalsystemwereincisedfrom20normalprostateaswellasthehypertrophicprostatetissuefrom20patientswithBPH.TheARwasdeterminedbytheDNAend-labelingmethodanddihydrotestosterone(DHT)andestrodiol(E2),byradioimmunoassay.Results:TherewasnosignificantdifferenceinDHTandE2densitybetweentheproximalanddistalendsoftheductalsystemsinnormalprostate.E2appearedtobehigherinBPHthaninnormalprostatictissues,butthedifferencewasstatisticallyinsignificant.Innormalprostatictissue,theARwassignificantlyhigherinthedistalthanintheproximalendsoftheductalsystem(P＜0.05),whiletheARoftheproximalendswassignificantlyhigher(P＜0.01)thanthatintheBPHtissue.NosignificantcorrelationwasnotedbetweentheDHTandE2densityandtheARbothinthenormalprostateandBPHtissues.Conclusion:ThepaperisthefirsttimedescribingadifferenceinARindifferentregionsoftheductalsystemofnormalprostate,whilethehormonalmilieuissimilar,indicatingafunctionalinhomogeneityoftheseregions.AlowARintheproximalduct,whereBPHoriginates,andanevenlowerARintheBPHtissue,suggestingtheparticipationofapoptosisintheBPHpathogenesis.

简介：AbstractBackground:Benign epilepsy with centrotemporal spikes (BECTS) is the most common type of childhood idiopathic focal epilepsy. BECTS is associated with pervasive cognitive deficits and behavior problems. While seizures can be easily controlled, it is crucial to select anti-epileptic drugs that do not impair cognition, do not cause psychosocial effects, and improve the quality of life. Previous studies showed effects of oxcarbazepine (OXC) monotherapy on the cognitive and psychosocial profiles of patients with BECTS. Here, we studied the effects of OXC monotherapy on the neuropsychologic profiles and quality of life in patients with BECTS in China.Methods:Thirty-one patients aged 6 to 12 years newly diagnosed with BECTS were recruited. A psychometric assessment was performed before and during the follow-up of OXC monotherapy with Cognitive Computerized Task Battery, Depression Self-Rating Scale for children, Screen for Child Anxiety Related Emotional Disorders, and Quality of Life in Epilepsy-31 (QOLIE-31). The results of the assessments were compared to explore the effect of OXC monotherapy in patients with BECTS.Results:Thirty children with BECTS completed the study. Five of ten cognitive test scores improved after treatment via OXC monotherapy, including visual tracing (F = 14.480, P < 0.001), paired associated learning (language) (F = 6.292, P < 0.001), paired associated learning (number) (F= 9.721, P < 0.05), word semantic (F = 6.003, P < 0.05), and simple subtraction (F = 6.229, P < 0.05). Of the neuropsychology data concerning the quality of life, statistically significant improvements were observed in emotion (F = 4.946, P < 0.05), QOLIE-social (F = 5.912, P < 0.05), and QOLIE-total (F= 14.161, P < 0.001).Conclusions:OXC is safe and does not impair neuropsychologic functions, with no obvious mood burden on children with BECTS. Most importantly, OXC has positive impacts on children’s perception of quality of life, especially in terms of happiness and life satisfaction.

简介：Objective:Toinvestigatetheefficacyofquickrepositioningmaneuverforhorizontalsemicircularcanalbenignparoxysmalpositionalvertigo(H-BPPV).Methods:Clinicaldataof67patientswithH-BPPVwhounderwentquickrepositioningmaneuverinourhospitalfromJuly2009toNovember2014wereretrospectivelyanalyzed.Themaneuverinvolvedrotatingthepatientintheaxialplanefor180fromtheinvolvedsidetowardscontralateralsideasquicklyaspossible.Results:Completesymptomresolutionwasachievedin61patients(91.0%)atoneweekandin64patients(95.5%)at3monthspost-treatment.Duringtherepositioningmaneuverprocess,therewerenoobviousuntowardresponsesexcepttransientnauseawithorwithoutvomitinginafewpatients.Conclusion:TheresultsindicatethatthequickrepositioningmaneuverisaneasyandeffectivealternativetreatmentinthemanagementofHBPPV.

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简介：Theepidemiologyofbenignprostatichyperplasia(BPH)andmalelowerurinarytractsymptoms(LUTS)hasevolvedconsiderablyduringthepastseveralyears.ThetermLUTSdescribesadistinctphenotypeandallowsforabroadepidemiologicdescriptionofurinarysymptomsatapopulationlevel.Althoughitisbecomingthepreferredtermforstudyingurinarysymptomsinpopulations,LUTS

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简介：Theexpressedproteinswereextractedfromhumanbenignprostatichyperplastictissuesobtainedwithtransurethralresectionoftheprostatebeforeandaftertheirirradiationwithradioactivenuclide.Theproteinswereseparatedbytwo-dimensionalgelelectrophoresisandanalyzedbymassspectrometry.Fourproteinsweredifferentiallyexpressedandwereidentifiedwithadatabasesearch.ThreewereassociatedwiththeregulationofcellmotionandonewaslactatedehydrogenaseB,whichplaysanimportantroleintheprocessofcellenergymetabolismandcellstatechangesintissue.Thecomparativeproteomicanalysisindicatesthatafterirradiationwithradioactivenuclide,changesoccurinhumanbenignprostatichyperplasticcells,andassociatedproteinsareexpressed.Analysisoftheseproteinsshouldhelptoidentifythemechanisminvolvedwhenhumanprostatichyperplasiaistreatedbyirradiationwithradioactivenuclide.