ABSTRACT
Since the anatomical location of acupoints was recorded in The latest Practice of Western Acupuncture in 1915, and Lecture Notes on Advanced Acupuncture in 1931, the Japanese acupuncture works of Chinese translation version, the location of Dazhui (GV 14) (under the spinous process of the 7th cervical vertebra) and Yaoyangguan (GV 3) (under the spinous process of the 4th lumbar vertebra) had rarely been questioned for nearly a century. In order to confirm the above statement, the writers have reviewed ancient literature, combined with the modern anatomical knowledge and searched the evidences from the core arguments of the acupuncture Mingtang chart and the bronze acupuncture statue. It is believed that Dazhui （GV 14） should be positioned under the spinous process of the 1st thoracic vertebra, and Yaoyangguan（GV 3） be under the spinous process of the 5th lumbar vertebra. Accordingly, all of the other acupoints of these meridians should be moved down by 1 vertebra, i.e. those on the governor vessel from Dazhui (GV 14) to Yaoyangguan (GV 3), those on the 1st lateral line of the bladder meridian of foot-taiyang from Dazhu (BL 11) to Baihuanshu (BL 30) and those on the 2nd lateral line of the bladder meridian from Fufen (BL 41) to Zhibian (BL 54).
Subject(s)
Acupuncture Therapy/history , Meridians , Acupuncture Points , Lumbar Vertebrae , Thoracic VertebraeABSTRACT
Objective:To further clarify the location of cricopharyngeus in human body. Methods:From September, 2018 to December, 2019, 19 inpatients with swallowing disorders received video fluoroscopic swallowing study (VFSS).The videoes were used to measure the position of cricopharyngeus with Uniweb 4.0 software. Water model simulating the structure of an adult's neck was established to restore the real measurement scene, and obtain the scale ratio between the actual measurement and the computer measurement, then obtain the accurate actual position of the cricopharyngeus. Six adult specimens were dissected. The intersection point of the intended treatment plane and the long axis of cricopharyngeus was taken as the origin, the horizontal axis as X axis, and the sagittal axis as Y axis, to locate the position of cricopharyngeus precisely. Results:Cricopharyngeus was closest to the sixth cervical vertebra. The scaling ratio of the actual measurement obtained from the water model to the computer measurement was about 1∶1.340. The intended treatment plane was closest to the upper edge of the sixth cervical vertebra; on lateral edge of thyroid, cricopharyngeus was (33.47±2.21) mm deep to epidermis, with the angle of (43.37±1.34)° to sagittal axis; and it was (34.59±1.29) mm and (46.32±0.93)° on medial edge of internal jugular vein. Conclusion:The the accurate location of cricopharyngeus in human body has been measured, which can help for the rehabilitation for cricopharyngeal dysfunction.
ABSTRACT
Objective To analyze the risk factors of delayed recovery after laparoscopic prostate or bladder cancer radical surgery, and to provide information for early clinical prevention. Methods Three hundred and twenty-two cases of patients who underwent laparoscopic radical prostatectomy or bladder cancer surgery from September 2016 to January 2019 were enrolled in this study. The clinical data and surgical data of the patients were collected, the incidence of postoperative recovery delay was counted, and the risk factors of delayed recovery were analyzed by Logistic regression analysis. Results Six-noe cases of delayed recovery of laparoscopic prostate or bladder cancer were detected, the incidence rate was 18.1% (61/327) ; Univariate analysis found that delayed laparoscopic recovery of prostate or bladder cancer after radical surgery and age, combined with coronary heart disease, diabetes, respiratory disease, anemia, smoking, alcohol consumption, American Society of Anesthesiologists (ASA) classification, anesthesia time, intraoperative infusion, location clarity of anatomical landmarks were related. There was a correlation between the total amount, combined epidural anesthesia and intraoperative blood transfusion (P<0.05). Multivariate logistic regression analysis found that the age, diabetes, respiratory disease, anemia, smoking, alcohol consumption, location clarity of anatomical landmarks and intraoperative total infusion were independent risk factors for delayed recovery after laparoscopic prostate cancer or radical surgery for bladder cancer (P<0.05). Conclusion There is correlation between delayed laparoscopic recovery of prostate cancer or bladder cancer after radical operation and age, diabetes, respiratory disease, anemia, smoking, alcohol consumption, location clarity of anatomical landmarks and intraoperative total infusion. Accurate anatomical location can reduce the risk of postoperative recovery delay. It is conducive to the recovery of the patients after operation, and the corresponding hospitalization time of the patients is greatly shortened.
ABSTRACT
Objetivo: Determinar la asociación entre la edad con los tipos de lesiones encontradas en pacientes con diagnóstico de hemorragia digestiva baja sometidas a endoscopia baja en el servicio de Gastroenterología del hospital Santa Rosa. Métodos: Estudio observacional, analítico, retrospectivo, se recopiló información de los informes de endoscopia digestiva baja y los archivos de historia clínica del servicio de Gastroenterología. Las variables: edad, sexo, tipo de lesión y localización anatómica de la lesión; se resumieron a fichas para su uso estadístico utilizando los programas de SSPS versión 22 y Excel para los gráficos y tablas, se usó la prueba de Chi cuadrado, con un valor de p<0,05 como estadísticamente significativo. Resultados: Muestra significativa de 180 pacientes con edad promedio de 62 años, dividida en G1: (18-34 años) con 10% de la muestra, predomina el examen endoscópico sin evidencia de lesión, seguido de hemorroides, G2: (35-64 años) con 38% de la muestra, predomina hemorroides externas, G3: (65 a más) con 52% de la muestra, predomina hemorroides internas, con respecto al sexo 60% son de sexo femenino; la localización anatómica más frecuente se encontró a nivel del recto-ano. Además la asociación entre pacientes <35 años y 35 años a más respecto a la presencia o no de lesión endoscópica, nos generó un OR de 18.514 el cual fue estadísticamente significativo. Conclusión: Se concluye que existe asociación entre la edad y/o el grupo etario con el tipo de lesión endoscópica encontrada, predominando el grupo etario GIII que corresponde a los adultos mayores de 65 años, en el que se encontró la mayor cantidad de hemorroides internas y externas; habiendo asociación entre la edad del paciente con la presencia de lesión endoscópica, con un OR de 18.5; lo cual nos indica que existe 18.5 veces más riesgo que un paciente a mayor edad presente hemorragia digestiva baja encontrada por endoscopia baja, por lo cual esta relación fue estadísticamente significativa.
Objective: To determine the association between age with the types of lesions found in patients diagnosed with low digestive bleeding undergoing low endoscopy in the Gastroenterology service of Santa Rosa Hospital. Methods: Observational, analytical, retrospective study, information was collected from the reports of low digestive endoscopy and medical history files of the Gastroenterology service. Variables: age, sex, type of injury and anatomical location of the lesion; it was summarized to cards for their statistical use using the SSPS version 22 and Excel programs for the graphs and tables, Chi square test was used, with a value of p <0.05 as statistically significant. Results: Sample of 180 patients with an average age of 62 years, divided into G1: (18-34 years) with 10% of the sample, the endoscopic examination predominates without evidence of injury, followed by hemorrhoids, G2: (35-64 years) with 38% of the sample, external hemorrhoids predominate, G3: (65 to more) with 52% of the sample, internal hemorrhoids predominate, with respect to sex 60% are female; The most frequent anatomic location was found at the level of the rectum-anus. In addition, the association between patients <35 years and 35 years old more than the presence or absence of endoscopic lesion, generated an OR 18,514 which was statistically significant.Conclusion: It is concluded that there is an association between age and / or age group with the type of endoscopic lesion found, predominantly the age group GIII corresponding to adults over 65 years of age, in which the highest number of internal hemorrhoids was found. and external; there being an association between the age of the patient with the presence of endoscopic lesion, with an OR of 18.5; this indicates that there is an 18.5 times higher risk than an older patient with lower gastrointestinal bleeding found by low endoscopy, which is why this relationship was statistically significant.
ABSTRACT
Objective: Although CT and bedside X-ray are available to diagnose pneumonia, there is still an urgent need for a convenient, effective bedside examination to accurately diagnose pneumonia especially in critically ill patients. The purpose of this study was to explore the application of bedside pulmonary ultrasound in the anatomical location and size determination of pneumonia. Methods: Familiarizing pulmonary anatomical localization of healthy people with pulmonary ultrasonography, 40 patients with community acquired pneumonia who were hospitalized in the Affiliated Hospital of Nantong University from January 2015 to January 2019 met the diagnostic criteria of community acquired pneumonia were examined by bedside ultrasonography and chest CT scan at the time of admission. The anatomical location of pulmonary inflammatory lesions was localized and the size of the infected lesions was quantitatively compared. Results: Bedside ultrasound can clearly display pulmonary anatomical localization and accurately determine the size of pulmonary infected lesions. Conclusion: Bedside pulmonary ultrasonography has clinical application value in the anatomical location and size judgement of pulmonary infection focus.
ABSTRACT
The abducens nerve paresis generally can aid in the presumptive diagnosis of abducens schwannoma along with the typical radiological features of schwannomas. The authors present a case of a 76-year-old male patient with a abducens schwannoma without abducens nerve paresis. Peroperatively, abducens nerve located in the cerebellopontine cistern had normal in contour and diameter, despite the mass originated from this nerve. We hypothesize that anatomic location of abducens nerve may affect the vector of tumor growth to prevent destruction of its origin, the abducens nerve.
Subject(s)
Humans , Male , Abducens Nerve , Neurilemmoma , ParesisABSTRACT
Introducción: actualmente, las neoplasias malignas constituyen un grupo de enfermedades de gran importancia en la población anciana. Con la edad aumenta la incidencia de la mayoría de los tumores. En Cuba el 65 por ciento de las personas que fallecen por cáncer son mayores de 60 años. Objetivos: caracterizar el comportamiento de la mortalidad por los tumores malignos más frecuentes en el adulto mayor del municipio Plaza de la Revolución durante el quinquenio 2004-2008. Métodos: estudio descriptivo en el que se tomaron todos los fallecidos por esta causa, y que tuvieran residencia en el municipio a partir de las bases de datos de mortalidad de la Dirección Nacional de Estadísticas. Se tuvieron en cuenta las variables: localización anatómica, sexo y edad. Resultados: la localización en próstata ocupó el primer lugar como causa de muerte, con una tasa de 254,1 por 100 000 hab, seguido por el pulmón (189,6). En hombres fueron más frecuentes próstata (254,1) y pulmón (234,8), y en mujeres pulmón (116,5) y mama (112,1). Según la edad, el grupo de 75 años y más fue el más afectado en ambos sexos. Conclusiones: los datos de este estudio confirman un importante crecimiento de la mortalidad en las principales localizaciones, lo que, junto al progresivo envejecimiento de la población, determinará un crecimiento del número anual de casos diagnosticados que generará, a su vez, un aumento de demanda de distintos servicios relacionados con la atención de los pacientes oncológicos en la tercera edad
Introduction: nowadays, the malignant neoplasias are a diseases group very significant in elderly persons. With advanced age increases the incidence of most tumors. In Cuba the 65 percent of deceased persons due to cancer is aged over 65. Objectives: to characterize the behavior of mortality due to malignant tumors more frequent in elderly persons from the Plaza de la Revolución municipality during the five-year period 2004-2008. Methods: a descriptive study was conducted including all deceased persons due to this cause and residents of this municipality from the mortality database of National Management of Statistics. The following variables were into account: anatomical location, sex and age. Results: prostate location was in the first place as death cause with a rate of 254, 1 by 1000 000 inhabitants, followed by lungs (189,6). In men was predominance of prostate (254,1) and lungs (234,8) and in female predominance was of lungs (116,5) and breast (112,1). According to age, the group aged 75 and more was the more involved in both sexes. Conclusions: the data from present study confirm a significant increase of mortality in main locations what, together with progressive aging of population, will determine a growth in the yearly number of diagnosed cases, that will generate at the same time, an demand increase of different services related to care of third-age oncology patients