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Objective To investigate the effect of VitalStim electrical stimulation combined with traditional swallowing therapy on severe dysphagia in patients with Parkinson's disease (PD). Methods In all, 36 PD pa-tients with severe dysphagia were randomly divided into a treatment group and a control group, each of 18. Both groups were given the traditional swallowing therapy, while the treatment group was additionally provided with VitalStim electrical stimulation. Before and 15 days after the intervention, both groups were assessed using the modi-fied Mann assessment of swallowing ability ( MMASA) and standardized swallowing assessment ( SSA) . ResultsAfter the intervention the average SSA score of the control group had dropped significantly, but no significant change was observed in their average MMASA score. However, significant improvement was observed in both the average MMASA score and the average SSA score of the treatment group. Moreover, the cure rate of the treatment group was 47.1％, significantly higher than that of the control group. Conclusion VitalStim electrical stimulation combined with traditional swallowing therapy is effective for alleviating severe dysphagia among PD patients. It is worthy of ap-plication and further study in clinical practice.
ABSTRACT
Objective@#To investigate the effect of VitalStim electrical stimulation combined with traditional swallowing therapy on severe dysphagia in patients with Parkinson′s disease (PD).@*Methods@#In all, 36 PD patients with severe dysphagia were randomly divided into a treatment group and a control group, each of 18. Both groups were given the traditional swallowing therapy, while the treatment group was additionally provided with VitalStim electrical stimulation. Before and 15 days after the intervention, both groups were assessed using the modified Mann assessment of swallowing ability (MMASA) and standardized swallowing assessment (SSA).@*Results@#After the intervention the average SSA score of the control group had dropped significantly, but no significant change was observed in their average MMASA score. However, significant improvement was observed in both the average MMASA score and the average SSA score of the treatment group. Moreover, the cure rate of the treatment group was 47.1%, significantly higher than that of the control group.@*Conclusion@#VitalStim electrical stimulation combined with traditional swallowing therapy is effective for alleviating severe dysphagia among PD patients. It is worthy of application and further study in clinical practice.
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Elastography can study the soft tissues by quantitative imaging of strain and elastic modulus distributions in soft tissues. For lymphedema, the strain profile of the soft tissues can be observed with the elastography to classify the lymphedema and evaluate the effect of rehabilitation.
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OBJECTIVE To explore the expression of Maspin in invasive fungal rhinosinusitis (IFRS) and the value of Maspin in the diagnosis of IFRS. METHODS Forty two cases of fungal rhinosinusitis (FRS) were set as the experimental group, which included 12 cases of IFRS and 30 cases of noninvasive fungal rhino-sinusitis (NIFRS). At the same time, 30 cases of chronic rhino-sinusitis were set as control group. Immunohistochemistry (IHC) was used to detect the expression of Maspin. RESULTS Compared with the control group, the expression of Maspin in FRS group decreased statistically (t=-3.367, P<0.05). The IFRS group, compared with other two groups, had the lowest expression of Maspin (t=-3.390, P<0.05; t=-4.143, P<0.05). By using Maspin score of 5.70 as the cut-off point, the sensitivity and specificity for the diagnosis of IFRS was 91.7% and 88.3% respectively. CONCLUSION The expression of Maspin is very low in IFRS group. Down-regulation of Maspin expression may be a potential indicator for diagnosis of IFRS.
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OBJECTIVE@#To summarize clinical features, diagnosis, differential diagnosis, treatment and prognosis of basal cell adenocarcinoma.@*METHOD@#A retrospective study were subjected to one case with basal cell adenocarcinoma of the nasal septum, and the related literature were reviewed.@*RESULT@#Basal cell adenocarcinoma often occurred in the salivary glands and minor salivary glands of salivary palate and other parts. The symptoms mainly presented with a local lump. Major treatment method was radical surgical resection and, if necessary, supplemented by radiotherapy.@*CONCLUSION@#Basal cell adenocarcinoma is rare seen in the salivary gland tumors. It has a tendency of low-grade malignancy but need long-term follow-up of a large samples.