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【Objective】 To retrospectively analyze the detection results of blood donors with HBsAg reactivity to single reagent detected by enzyme-linked immunosorbent assay (ELISA) in our center, so as to provide basis for further consolidating the blood donor team. 【Methods】 Samples of blood donors who had been deferred for at least 6 months due to HBsAg reactivity to sole ELISA assay were collected, and HBsAg ELISA and NAT were further performed. Meanwhile, HBsAg/HBsAb/HBeAg/HBeAb/HBcAb were detected by Roche electrochemiluminescence immunoassay, and the results were statistically analyzed. 【Results】 Among these 51 selected samples, 45 were negative to two assays, 6 were reactive to sole assay, with reactivity-yield rate at 11.76% (6/51). The results of NAT/ECLIA were all negative. For five indicators of hepatitis B virus infection, 23 samples were all negative and 28 were partially positive, mainly anti-HBs, anti-HBc and anti-HBe. 【Conclusion】 The follow-up detection of HBsAg ELISA sole-reagent reactive samples, supplemented with the detection of HBV serological markers, can reduce the number of deferred blood donors, increase the willingness to donate blood again, and protect the rights and interests of blood donors.
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Resumen El carcinoma escamoso (CEC) es un tumor maligno de la epidermis y sus anexos. Es el segundo en frecuencia después del carcinoma basocelular y presenta distintas variantes clinicopatológicas. El subtipo carcinoma verrucoso (CV) es una variante poco frecuente de CEC con características histopatológicas y comportamiento específico. Ocasionalmente, se pueden observar componentes carcinomatosos de células escamosas convencionales en el CV, denominándose a esta entidad tumores "híbridos", los cuales representan el 20% de los casos observados. Reportamos el caso de un paciente varón de 72 años con una gran lesión exofítica que compromete 5to dedo y planta de pie derecho con diagnóstico de carcinoma escamoso híbrido. El objetivo de la presentación es mostrar una asociación infrecuente, haciendo énfasis en su seguimiento cercano ya que puede manifestar cambios en su comportamiento clínico diseminándose a los ganglios linfáticos regionales.
Abstract Squamous carcinoma (SCC) is a malignant tumor of the epidermis and its appendages. It is the second most common after basal cell carcinoma and has different clinicopathological variants. The verrucous carcinoma (VC) subtype is a rare variant of SCC with histopathological characteristics and specific behavior. Occasionally, carcinomatous components of conventional squamous cells can be observed in the VC, this entity being called "hybridized" tumors, which represent 20% of cases.We report the case of a 72-year-old male with a large exophytic lesion involving the 5th right toe and foot with a diagnosis of squamous hybrid carcinoma. The objective of the presentation is to show an infrequent association, emphasizing its close follow-up as it can modify its clinical behavior by spreading to regional lymphnodes.
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RESUMEN La investigación se desarrolló en niños de 1012 años de edad del combinado deportivo "Pueblo Nuevo" del municipio de Holguín. Tuvo como con el objetivo demostrar la influencia que tiene la técnica control orientado del balón con la planta del pie en los practicantes de Futsal, categoría infantil del combinado "Pueblo Nuevo" de Holguín, para desarrollar el juego rápido. Se utilizaron métodos y técnicas de nivel teórico y empírico; dentro de estos últimos se trabajó con la observación, la entrevista, la encuesta y la medición, que permitieron elevar el rigor científico de los elementos analizados procesados. Los resultados obtenidos permitieron demostrar por qué es de vital importancia utilizar durante el juego la técnica control orientado del balón con la planta del pie en el juego de futsal y, específicamente, desarrollarla desde edades tempranas. La investigación, además, realiza un análisis de esta técnica, atendiendo a las reglas y sistemas de juegos, basada en la revisión y análisis de investigaciones anteriores, en la observación directa en los entrenamientos y juegos de la categoría infantil del combinado deportivo "Pueblo Nuevo" del municipio de Holguín.
RESUMO A investigação foi realizada com crianças de 10-12 anos do complexo desportivo "Pueblo Nuevo", no município de Holguín. O seu objectivo era demonstrar a influência da técnica de controlo orientado da bola com a sola do pé em jogadores de futsal, categoria infantil da equipa "Pueblo Nuevo" em Holguín, a fim de desenvolver um jogo rápido. Foram utilizados métodos e técnicas teóricos e empíricos; dentro destes últimos, a observação, entrevista, inquérito e medição foram utilizados para aumentar o rigor científico dos elementos analisados processados. Os resultados obtidos permitiram demonstrar porque é de importância vital utilizar a técnica do controlo orientado da bola com a planta do pé no futsal durante o jogo e, especificamente, desenvolvê-la desde uma idade precoce. A investigação realiza também uma análise desta técnica, tendo em conta as regras e sistemas dos jogos, com base na revisão e análise de investigações anteriores, na observação direta em sessões de treino e jogos na categoria infantil da equipa desportiva "Pueblo Nuevo" no município de Holguín.
ABSTRACT The research began with children 10-12 years of age from the "Pueblo Nuevo" sports complex in the municipality of Holguín. It had as the objective: to demonstrate the influence that the oriented control technique of the ball with the sole of the foot has on Indoor football practitioners, a children's category of the Holguín "Pueblo Nuevo" team, to develop fast play. Theoretical and empirical methods and techniques were used; within the latter, observation, interview, survey and measurement were worked on, which allowed raising the scientific rigor of the elements analyzed and processed. The results obtained allowed to demonstrate why it is vitally important to use the oriented control technique of the ball with the sole of the foot during the game in the game of indoor football and, specifically, to develop it from an early age. The research, in addition, performs an analysis of this technique, taking into account the rules and game systems, based on the review and analysis of previous research, on direct observation in the training and games of the children's category of the sports team " Pueblo Nuevo ". " of the municipality of Holguin.
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Objective:To investigate the surgical method and clinical effect of free medial plantar flap (MPF) combined with anterolateral thigh flap (ALTF) in repair of large soft tissue defect in the weight bearing area of sole.Methods:From April, 2017 to August, 2019, 8 patients with large soft tissue defects in plantar weight bearing area were repaired by free MPF combined with ALTF. Four patients had the defects located in the hindfoot and the surrounding area, 3 in the forefoot and 1 in the whole foot. A tandem flap made of free MPF combined with ALTF was used to repair the heel in 5 patients and repair the plantar forefoot in 3 patients. The size of defects ranged from 15.0 cm×10.0 cm to 26.0 cm×22.0 cm. The size of the MPF ranged from 6.0 cm×5.0 cm to 8.0 cm×6.5 cm. The donor sites repaired with full thickness skin graft. The size of ALTF ranged from 15.0 cm×7.0 cm to 27.0 cm×11.0 cm. Two donor sites were sutured directly, and the other 6 were repaired by full-thickness abdominal skin graft. The patients entered follow-up at outpatient clinic and via WeChat for 9 to 18 months.Results:All the 8 tandem flaps and the donor grafts survived. Only 1 ALTF had a distal necrosis and healed after change of dressing. All the flaps had good elasticity and good texture. All the recipient area of MPF achieved sensation recovery of pain and touch. But the ALTF only partially recovered tactile sensation. The weight-bearing and walking function were good. At the last follow-up, all patients were evaluated by Maryland foot score, of which 4 patients were excellent, 3 were good, and 1 was fair.Conclusion:The free MPF combined with ALTF is one of the ideal methods for the repair of plantar soft tissue defect in the weight bearing area of sole. It can better restore the foot weight-bearing and walking function with good clinical effect.
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To clarify the functions of Coix-seed Reactive Derivatives(CRD), we observed 2 cases of plantar keratosis (case 1. 34 years of age, female/ case 2. 29 years of age, female) successfully cured by intake of CRD for several months. Although CRD intake seemed to be effective in these cases, further studies are needed to define the optimal dose and duration.
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Objective To investigate high-frequency ultrasonic characters and screening method of plantar metatarsal level in normal adults.Methods Plantar metatarsal level were examined with high frequency ultrasound in 40 normal adults.The base,body and head of the first to the fifth metatarsal were used as anatomical location markers.The ultrasonic characters and screening method were described and recorded.Results The plantar skin,plantar fat pad,plantar aponeurosis and deep muscular structures,including the flexor digitorum brevis,abductor hallucis,abductor digiti minimi,lumbricalis,felxor hallucis brevis,flexor digiti minimi brevis,abductor hallucis and plantar interossei were illuminated in detail with high-frequency ultrasound.Conclusion High frequency ultrasound can be used to depict anatomical structures of plantar metatarsal level.
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Objective To observe the effects of ICB orthopedic sole combined with rehabilitation training on balance and walking function in stroke survivors.Methods Thirty hemiplegic stroke patients were recruited and divided into a study group (n =15) and a control group (n =15) by using a random number table.Both groups took exercises based on the principles of a motor relearning program and conducted core stability control training,and the study group additionally undertook hemiplegic lower extremity weight-bearing exercises and walking with ICB orthopedic sole used in daily living.The program was administered 20 min twice per day for 4 weeks.All patients were evaluated with Rest Calcaneus Standing Position (RCSP),Malleolar Position (MP),Forefoot Position (FP),Berg Balance Scale (BBS),l0 m Maximum Walking Speed (MWS) and walking section of Motor Assessment Scale (MAS)before and after the program.Results After 4 weeks of intervention,all the measurements except the FP in both groups improved significantly,and significant differences were observed between the two groups.After 4 weeks of training,the average RCSP (1.78 ± 0.32) ° and MP (13.33 ± 2.51)° were improved significantly compared to those of the control group [(2.58 ± 0.59) ° and (12.45 ± 3.31) °,respectively].Moreover,the average BBS,MAS and MWS improved significantly compared to the control group.Conclusions ICB orthopedic sole combined with rehabilitation training can improve the weight-bearing,balance and ambulation abilities of stroke survivors.
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BACKGROUND: The plantar aspect of the foot is a difficult area for wound coverage and offers restricted/limited possibility for surgical repair. Due to the shearing and ground-reactive forces that the sole of the foot encounters and its unique organizational makeup of plantar skin and fat pad, reconstructive surgical techniques used on other parts of the body cannot be readily adapted to the plantar foot. OBJECTIVE: The authors present an overview of wound repair after excision of benign or malignant tumor on plantar area. METHODS: Retrospective review was done on 27 patients whose benign or malignant tumors on the plantar area were excised. From January 2007 to December 2012, we repaired defects on the plantar foot after simple excision of benign cutaneous tumors or wide excision of malignant melanomas. Patients were reviewed for results and complications. RESULTS: Simple elliptical closure was used for the defects of which the short diameter was below 1.5 cm in 13 patients. Transposition flap was used in 2 patients. The local flap was used when the length to width ratio was smaller than 3 to 1, and the laxity of the skin adjacent to the defect was available. Larger defects of other 12 cases needed to be reconstructed with full thickness skin graft (FTSG) or by secondary intention healing (SIH). The re-epithelialization was shown to be faster in the FTSG group, but the functional and cosmetic results were better in the SIH group. CONCLUSION: Many defects on the sole were difficult to repair because of the distinct anatomy. In order to treat such large wounds in weight bearing area, both FTSG and SIH are relatively good options.
Subject(s)
Humans , Adipose Tissue , Foot , Intention , Melanoma , Re-Epithelialization , Retrospective Studies , Skin , Transplants , Weight-Bearing , Wounds and InjuriesABSTRACT
Subepidermal calcified nodule is a rare form of calcinosis cutis, which is not associated with any dermatologic or systemic diseases, and usually presents as a solitary hard nodule on the face or neck of children. A 25-month-old boy had a small pea-sized, tender nodule on his left sole that had been present for several months. There was no history of previous trauma or systemic illness. The clinical diagnosis as a viral wart was initially made and treated with cryotherapy. Because the lesion was not clear and a yellow-white firm papule was seen after cryotherapy, punch excision was done. Histologic examination showed cystic structure with calcium deposition in the upper dermis. Herein, we present the findings of a patient with a rare, solitary subepidermal calcified nodule on the sole.
Subject(s)
Child , Child, Preschool , Humans , Male , Calcinosis , Calcium , Cryotherapy , Dermis , Diagnosis , Neck , WartsABSTRACT
Chronic expanding hematoma (CEH) is a rare, slow-developing disease that occurs months to years after trauma or surgery. Most CEH in soft tissue occurs in the thigh or upper extremities and can occur with or without an inducible cause. Ninety-one cases of CEH in soft tissue have been reported previously in the Japanese and English literature but its occurrence on the sole has not been reported. Here, we report four cases of successfully treated CEH, including a case occurring on the sole, and provide a review of the literature.
Subject(s)
Humans , Asian People , Hematoma , Thigh , Upper ExtremityABSTRACT
La relación entre pobreza, monoparentalidad e infancia es un hecho constatado en numerosos estudios. Menos exploradas han sido las condiciones de vida de los niños y niñas de familias monoparentales inmigradas. En este artículo presentamos los hallazgos de una investigación cualitativa llevada a cabo en Barcelona entre 2008 y 2009 con 18 familias monoparentales encabezadas por mujeres latinoamericanas migrantes. Describimos el elevado riesgo de pobreza y de exclusión social que sufren estas personas menores y los efectos educativos y sociales que se derivan de sus condiciones de vida en España.
The relationship between poverty and sole parenthood is a fact found in many studies. The living conditions of children who live in sole-parent immigrant families and their social vulnerability in Spain has been less explored. In this paper we present the results of qualitative research carried out in Spain during the years 2008 and 2009 with 18 sole-parent families headed by Latin American women migrants. We describe the high risk of poverty and exclusion that these children suffer and the educational and social effects derived from their living conditions in Spain.
A relação entre pobreza, família monoparental e infância é um fato constatado em numerosas pesquisas. Menos exploradas, no entanto, foram as condições de vida dos filhos e filhas das famílias monoparetais imigradas. Nesse artigo, apresentamos os resultados de uma pesquisa qualitativa realizada em Barcelona durante os anos de 2009 e 2010 com 18 famílias monoparentais chefiadas por mulheres migrantes latino-americanas.Descreveremos o elevado risco de pobreza e de exclusão social que enfrentam essas crianças e os efeitos sociais e educacionais derivados dessas condições de vida em Espanha.
Subject(s)
Poverty , Social Conditions , Women , Family , Child , Single-Parent Family , Social Vulnerability , Qualitative Research , Emigration and ImmigrationABSTRACT
A 67 year-old women who suffered from painful palms and soles with burning sensation for 2 years was treated. At first, she visited the department of dermatology and then consulted our department. The authors considered these symptoms as already being described in the great classic <i>Kinkiyoryaku </i>(<i>Chin Keiu Yao Lueh</i>). We then prescribed shokenchuto, which resulted immediate clinical improvement. The authors have again realized that the classical textbook is based on proper clinical observations that are useful today.
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Objective To study the influence of sole massage on children’s analepsia from general anesthesia.Methods One hundred children in analepsia period were divided into the test group(50 cases)and the control group(50 cases).The routine nursing and monitoring during recovery stage were done in the control group.Based on the routine monitoring and nursing care as in the control group,the test group received sole massage for 10 minutes.The two groups were compared in terms of declining percentage of SpO2, rate of nausea,blood pressure,heart-rate variability,and post-analepsia dysphoria scores.Result The test group was significantly lower than the control one in all the indexes of the declining percentage of SpO2,rate of nausea,blood pressure,heart-rate variability,and post-analepsia dysphoria scores(all P<0.05).Conclusions Sole massage during children’s analepsia from general anesthesia is effective not only in lessening their declining percentage of SpO2,rate of nausea,blood pressure,heart-rate variability, and recovery dysphoria mark,but also easing their dysphoria,anxiety and fear.It may create a good condition for children to live through analepsia period successfully and safely.
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Subepidermal calcified nodule is an unusual type of idiopathic calcinosis cutis and usually presents as an asymptomatic, solitary, firm, verrucous, white or yellowish nodule. It commonly occurs in young children, generally on the face and neck, especially eyelid, cheek. However, sole is a very rare site. Four patients presented with several months??history of solitary 2~3 mm sized firm nodule on the sole. Three of the patients were less than 1 year old, with no history of trauma. Histopathologic examination revealed hyperkeratosis, acanthosis and amorphous basophilic material in cystic space beneath the epidermis, meaning deposition of calcium salt. These histopathologic features were consistent with subepidermal calcified nodule. Serum calcium and phosphorus levels of the patients were within normal limits. Herein, we present 4 cases of subepidermal calcified nodule on the sole, an atypical location.
Subject(s)
Child , Humans , Basophils , Calcinosis , Calcium , Cheek , Epidermis , Eyelids , Neck , PhosphorusABSTRACT
Molluscum contagiosum is a viral infection of the skin and mucous membranes which is caused by a DNA virus from the poxvirus family. It is usually transmitted by direct skin contact, autoinoculation or fomites. Children are generally affected, and adults who are immunocompromised or sexually active may also be afflicted. Although molluscum lesions can be presented on any skin surface of the body, its occurrence on the sole is unusual. Molluscum contagiosum virus appears to have a particular affinity for follicular epithethelium and it may explain its lack of sole involvement. A 30-year-old male had a small pea sized nodule on his right sole that had been present for several days. Histological examination showed numerous molluscum bodies within the epithelium. Herein, we report a rare case of solitary molluscum contagiosum on the right sole of a healthy male patient.
Subject(s)
Adult , Child , Humans , Male , DNA Viruses , Epithelium , Fomites , Molluscum Contagiosum , Molluscum contagiosum virus , Mucous Membrane , Pisum sativum , SkinABSTRACT
Adenolipoma is a rare microscopic variant of a cutaneous lipoma with entrapped eccrine units or rarely, apocrineunits. Since the first description in 1993, only 34 cases have been documented. The most frequent site of origin was the thigh, followed by buttock and shoulder. To our knowledge, this is the first case report of adenolipoma on the sole of the foot in a 64 year-old female.
Subject(s)
Female , Humans , Buttocks , Foot , Lipoma , Shoulder , ThighABSTRACT
Trichilemmal cyst is a common, benign, cutaneous tumor, which originates from the external root sheath. It usually occurs on the scalp of middle-aged women. It is rarely found on the face, neck, trunk and extremities. A 33-year-old male presented with a tender, skin-colored, hyperkeratotic, subcutaneous nodule on the right sole for 6 months, without any history of trauma. We clinically diagnosed this skin lesion as a callus. The histopathologic examination showed a well demarcated cystic mass that is lined by a stratified squamous epithelium, without granular layers, and is filled with eosinophilic, amorphous, and homogeneous keratins. The patient was diagnosed with a trichilemmal cyst. Herein, we report a case of trichilemmal cyst of unusual predilection site.