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荣军医院
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     PARTICIPANTS Totally 48 patients admitted for obsolete spinal injury in the Department of Surgery Taian Rongjun Hospital between June 2004 and July 2005 were recruited.
     对象:纳入山东省荣军医院外科2004-06/2005-07收住院的陈旧性脊髓损伤患者48例。
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     SHUGUANG HOSPITAL
     曙光医院
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     South Shore Hospital
     南岸医院
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     Preliminary Analysis on Controlling Measures for Soil and Water Loss on Rongjun Farm
     浅析荣军农场水土流失治理措施
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     On the Capitalization Management of Tourism Resources and Environmental Economic Policies in Tourism Industry
     旅游资源的资产化管理与旅游业环境经济政策研究——兼与敖荣军等同志商榷
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     The status of soil and water loss in Rongjun farm is very serious,the erosion area is up to 10 747 hm 2,139 gullies were formed.
     荣军农场水土流失较为严重 ,水土流失面积达 10 74 7hm2 ,形成冲刷沟 139条。
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BACKGROUND Changing the local environment of spinal injury promotes the repair and regeneration of injured nerve and recovery of partial nervous function of spinal cord. Transplantation of olfactory ensheathing cells can improve the local internal environment of injured spinal cord.OBJECTIVE To probe into the effect and safety of transplantation of olfactory ensheathing cells on functional repair of spinal cord and nerve in patients with obsolete spinal injuryDESIGN Self-control experiment.SETTING Wards of the...

BACKGROUND Changing the local environment of spinal injury promotes the repair and regeneration of injured nerve and recovery of partial nervous function of spinal cord. Transplantation of olfactory ensheathing cells can improve the local internal environment of injured spinal cord.OBJECTIVE To probe into the effect and safety of transplantation of olfactory ensheathing cells on functional repair of spinal cord and nerve in patients with obsolete spinal injuryDESIGN Self-control experiment.SETTING Wards of the Department of Surgery Taian Rongjun Hospital of Shandong Province.PARTICIPANTS Totally 48 patients admitted for obsolete spinal injury in the Department of Surgery Taian Rongjun Hospital between June 2004 and July 2005 were recruited. There were 39 males and 9 females aged 7 to 59 years with the mean of 36 years.METHODS ①Cell culture Olfactory bulb of aborted fetus was digested into single olfactory ensheathing cells which were then cultured and purified for 1 to 2 weeks and finally made into single cell suspension. ②Operation and cell transplantation Under general anesthesia the purified single cell suspension about 0.05-0.20 mL of olfactory ensheathing cells was injected into the corresponding spinal injury site through multiple points with home-made syringe of 0.45 mm in diameter. Stitches were taken out at postoperative 10 to 14 days. ③Evaluation of spinal function Injury Scoring Standard made by American Spinal Injury Association ASIA was used for scoring comparison and statistical analysis at postoperative 1 day and 2 weeks to 2 months. ④Spinal function of 48 patients was observed or followed up through telephone at postoperative 3 weeks to 1 year.MAIN OUTCOME MEASURES Changes of postoperative sensory function of the patients. Changes of postoperative motor function of the patients. Changes of postoperative automatic nervous system of the patients.RESULTS ①All the 48 patients had improvement in spinal function and continued improved tendency was found in the observation and follow-up through telephone at postoperative 3 weeks to 1 year. ②Scoring by ASIA for sensory function was higher after operation than before operation touch sensation 56.9 51.2 P < 0.01 pain sensation 55.2 48.3 P < 0.01. Sensory function was improved obviously at the lower shift of sensory level generally more than 2 segments.③Scoring by ASIA for motor function was higher after operation than before operation 44.8 40.7 P < 0.01 but the improvement was slow. ④Scoring by ASIA for automatic nervous system was higher after operation than before operation 18.0 14.5 P < 0.01 diaphoresis increased enterokinesia and other automatic nervous system improved earliest.CONCLUSION Transplantation of olfactory ensheathing cells promotes the spinal and neurofunctional recovery of patients with malignant spinal injury and the therapeutic method is safe.!_

背景:通过改变脊髓损伤局部环境的方法,能够促使损伤的神经修复、再生和恢复脊髓部分神经功能。嗅鞘细胞移植能够改善脊髓损伤的局部内环境。目的:探讨嗅鞘细胞移植治疗对陈旧性脊髓损伤患者脊髓及神经功能修复的作用及安全性。设计:自身对照实验。单位:山东省泰安荣军医院外科病房。对象:纳入山东省荣军医院外科2004-06/2005-07收住院的陈旧性脊髓损伤患者48例。男39例,女9例;年龄7~59岁,平均36岁。方法:①细胞培养:取流产胎儿的嗅球消化成单个嗅鞘细胞,培养纯化1~2周,最后制成单细胞混悬液。②手术及细胞移植:在全麻下进行,将纯化好的嗅鞘细胞的单细胞悬液(约0.05~0.20mL)用自制的直经0.45mm的注射器分多点注射于相应脊髓损伤处,术后10~14d伤口拆线。③脊髓功能评定:术前1d及术后2周~2个月,采用美国脊髓损伤学会制订的脊髓损伤学会评分标准进行评分对比,并进行统计学处理。④术后3周~1年观察或电话随访48例患者脊髓功能情况。主要观察指标:①患者术后感觉功能变化。②患者术后运动功能的变化。③患者术后植物神经功能的变化。结果:①48例患者中均有脊髓功能的改善,且在术后3周~1...

背景:通过改变脊髓损伤局部环境的方法,能够促使损伤的神经修复、再生和恢复脊髓部分神经功能。嗅鞘细胞移植能够改善脊髓损伤的局部内环境。目的:探讨嗅鞘细胞移植治疗对陈旧性脊髓损伤患者脊髓及神经功能修复的作用及安全性。设计:自身对照实验。单位:山东省泰安荣军医院外科病房。对象:纳入山东省荣军医院外科2004-06/2005-07收住院的陈旧性脊髓损伤患者48例。男39例,女9例;年龄7~59岁,平均36岁。方法:①细胞培养:取流产胎儿的嗅球消化成单个嗅鞘细胞,培养纯化1~2周,最后制成单细胞混悬液。②手术及细胞移植:在全麻下进行,将纯化好的嗅鞘细胞的单细胞悬液(约0.05~0.20mL)用自制的直经0.45mm的注射器分多点注射于相应脊髓损伤处,术后10~14d伤口拆线。③脊髓功能评定:术前1d及术后2周~2个月,采用美国脊髓损伤学会制订的脊髓损伤学会评分标准进行评分对比,并进行统计学处理。④术后3周~1年观察或电话随访48例患者脊髓功能情况。主要观察指标:①患者术后感觉功能变化。②患者术后运动功能的变化。③患者术后植物神经功能的变化。结果:①48例患者中均有脊髓功能的改善,且在术后3周~1年的观察或电话随访中仍呈继续改善的趋势。②感觉功能脊髓损伤学会评分术后高于术前(触觉:56.9,51.2,P<0.01;痛觉:55.2,48.3,P<0.01),感觉功能改善以感觉平面下移最明显,一般在两个节段以上。③运动功能脊髓损伤学会评分术后高于术前(44.8,40.7,P<0.01),运动功能改善出现较慢。④植物神经功能脊髓损伤学会评分术后高于术前(18.0,14.5,P<0.01),植物神经功能改善如:出汗、肠蠕动增加出现最早。结论:嗅鞘细胞移植对脊髓损伤晚期患者的脊髓及神经功能的恢复有促进作用,治疗方法安全。

To provide a new micro-traumatic,safe and effective practical method to minimize the deep skin wrinkles by improving the operating process of treating facial deep wrinkles with special steel wire instrument,we selected 52 patients with complete facial deep wrinkles and follow-up data underwent the operation in the Department of Plastic Surgery,Rongjun Hospital between January 2003 and March 2006.The subcutaneous tissue below the position of facial deep wrinkles was separated from the muscles by the special steel...

To provide a new micro-traumatic,safe and effective practical method to minimize the deep skin wrinkles by improving the operating process of treating facial deep wrinkles with special steel wire instrument,we selected 52 patients with complete facial deep wrinkles and follow-up data underwent the operation in the Department of Plastic Surgery,Rongjun Hospital between January 2003 and March 2006.The subcutaneous tissue below the position of facial deep wrinkles was separated from the muscles by the special steel wire instrument to make traumatic hyperplasia,which could minimize the wrinkles.As the subcutaneous tissue regenerated heavily 1 to 6 months after operation,we regulated the cutting order and lessened the wound reaction.With self-control method and the patients as the subjects,the changes of 46 cases before,6 and 18 months after the improved operation were observed,and the curative effect was classified into 4 grades.All the 52 subjects were involved in the result analysis.①After 1-6 months,all the 6 cases with the early operation appeared hyperplasia.②In the 46 cases underwent the improved operation,the facial deep wrinkles were smooth out after 6-18 months,and 29 cases were favorite effective,10 effective,7 partly effective and 0 ineffective.The total efficient rate was 100% and no hyperplasia in scar tissue was found.The modified wrinkle-removal operation by using special steel wire instrument cannot only minimize the facial deep wrinkles but also avoid the hyperplasia.

对金属软组织解剖刀除皱术进行改进,为临床上处理面部深皱纹提供一种新的微创、安全、有效的实用方法。选择2003-01/2006-03在广东省荣军医院整形科就诊的面部深皱纹明显且有完整随访资料的受术者52例,使用解剖刀进行皮下切割,松解开皱纹深处皮肤与表情肌的粘连,并造成皮下组织创伤性增生,达到除皱的目的。根据早期6例病例术后1~6个月普遍出现创伤区增生过度的现象,通过调整切割层次、减轻创伤反应,采用以患者为试验对象的自身对照试验方法,观察改进后46例受术者术前、术后6个月及18个月面部深皱纹的深浅变化,将疗效分为四个等级进行评估。52例全部进入结果分析。①早期6病例术后1~6个月全部出现创伤区增生过度的现象。②改进后的46例,术后6个月、18个月面部深皱纹不同程度变浅,显效29例,有效10例,部分有效7例,无效0例,总有效率为100%,无一例创伤区增生过度的现象发生。改进后的金属软组织解剖刀除皱术,既能去除面部深皱纹,又能避免创伤区增生过度的发生。

>=In order to relieve insufficient lower-level labor force of some industries, the Taiwan government has opened local job markets to migrant workers since 1989. The Executive Yuan declared in 2000 that the number of migrant workers in Taiwan has reached about 32,000 people in 1999. While bringing with them their labor skills, the mass migrant workers also bring possible infections into Taiwan. Neglecting or poor hospital operations and leads to frequent suits may further aggravate this health problem concerning...

>=In order to relieve insufficient lower-level labor force of some industries, the Taiwan government has opened local job markets to migrant workers since 1989. The Executive Yuan declared in 2000 that the number of migrant workers in Taiwan has reached about 32,000 people in 1999. While bringing with them their labor skills, the mass migrant workers also bring possible infections into Taiwan. Neglecting or poor hospital operations and leads to frequent suits may further aggravate this health problem concerning the nation. Thus, there is an urgent need for assessing the quality of the structure, process and outcome of physical examination and its related quality improvement.

为了缓解某些行业低层劳动力不充足的问题,台湾当局自从1989年向移民劳工开放了地方劳务市场。行政长官元先生于2000年宣布1999年台湾的移民劳工数量已经达到32000左右。尽管劳工带来了劳动技能,但是他们也可能带来一些传染病。医院的疏忽或不良运作以及由此引发的频繁的诉讼加剧了关系到国家的健康问题。这样就迫切要求对身体检查的结构、过程和输出及相关的质量改进进行评价。运用戴明的14条,本次研究分析了来自台湾南部的荣军医院1999年到2000年27000名移民劳工进行了分析。根据当前对移民劳工进行身体检查的运行特性,我们的发现包括有13个符合的部分和1个不符合部分,以及传染信息和总结统计。在这项研究中,我们识别并建议了一些对身体检查的持续质量改进和预防缺陷的替代措施。

 
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