ABSTRACT
Objective@# To investigate the diagnosis and clinical treatment of maxillofacial connective tissue hyperplastic trichoepithelioma. @*Methods@# The clinical data of two cases of maxillofacial connective tissue hyperplastic trichoepithelioma were summarized and analyzed along with the literature@*Results @# Two cases of maxillofacial connective tissue hyperplastic trichoepithelioma were male, aged 21 and 30 years. The clinical manifestations were painless pale brown and pale white plaques in the maxillofacial region. The lesion was tough and clear, with no ulcers in the middle depression. The course was 10-16 months, with 1-3 months before medical treatment, and the tumor had a significant history of enlargement. After surgery, the skin was cut 3 mm along the outer circumference of the tumor, and local tissue defects were repaired by the adjacent flap. The pathological report showed that the tumor cells were located in the dermis, and were striped, trabecular or nested. The tiny sac contained fibrous connective tissue proliferation. The tumor cells were amorphous without obvious nuclear division. Immunohistochemical analysis reported bcl-2(-), CK7(-), CK19(-), CD34(+), P63(+), CK56(+), and Ki67(±). The pathological diagnosis was connective tissue proliferative hair epithelial tumor. The patient was followed up for 24 months. There was no recurrence of the tumor, no obvious scarring, and no deformity or dysfunction of the maxillofacial region.@*Conclusion@#Pathological and immunohistochemical examination is the basis for the differential diagnosis of maxillofacial connective tissue hyperplastic trichoepithelioma, and surgical removal of tumors is an effective treatment.
ABSTRACT
Great Acupuncture is a special method to treat stroke patients on the relative health side, which reflects the whole view of the traditional Chinese medicine. With more and more clinical controlled trials reported recently, the origin, development and possible mechanisms of great acupuncture are worthy discussed for providing a neoteric method to treat cerebral apoplexy. The differences of great acupuncture and contralateral collateral needling were analyzed in this paper. Indications and attentions of great acupuncture were also summarized. Through comparing between the treatment of cerebral apoplexy by the great acupuncture and related techniques of the modern neurological rehabilitation, we found that the modern rehabilitation techniques focused on promoting the activities of the injured limbs, which might be much weaker in therapeutic intensity than great acupuncture. Therefore we believed that the concept of the great acupuncture of the traditional Chinese medicine is much advanced.
ABSTRACT
O vínculo de amor entre as pessoas sofreu modificações consideráveis, após tantas mudanças sociais e econômicas. O mundo atual destaca a fluidez dos relacionamentos, busca em satisfazer as próprias necessidades e desconfiança em relação ao outro para sobreviver. Este trabalho retoma a diferenciação entre o amar e o gostar, o vínculo experienciado pelo ego e pelo id, considerados à luz da psicanálise winnicottiana. O amar é visto como dificuldade em perceber o outro como diferente de si e o relacionamento vivido para satisfazer a própria necessidade, diferentemente do gostar winnicottiano, tido como relacionado ao ego e ao desejo de ter a companhia do outro, como complemento, não como parte de si mesmo. É comum na clínica contemporânea encontrar pacientes que buscam o outro para satisfação das próprias necessidades (relação anaclítica), o que acarreta sentimentos de solidão e desvalorização de si; com predomínio de organizações borderline. Finalmente, na relação analítica, é possível pensar o vínculo com o outro que possibilite autonomia e confiança, por meio do oferecimento de um ambiente suficientemente bom, holding e apoio ao estilo de ser pessoal.
Linking of love between the people suffered considerable modifications, after as many social and economic changes. The current world detaches fluidity of the relationships, searchs in satisfying their necessities and diffidence in relation to the other to survive. This work retakes the differentiation between loving and liking, the experience lived for ego and id, considered to winnicott's psychoanalysis. Love is seen as difficulty in perceiving the other as different of itself and the lived relationship to satisfy their necessity, differently of winnicott's liking, had as related to ego and the desire to have the company of the other, as complement, not as part of itself exactly. It is common in the clinical contemporary finds patient that searchs the other for satisfaction of their necessities (dependency relation), what it causes feelings of solitude and depreciation of itself; with predominance of organizations borderline. Finally, in analytical relation, it is possible to think the linking with the other that makes possible autonomy and confidence, by means of the provide a enough good environment, holding and support to the style of being personal.
El vínculo del amor entre las personas sufrió considerables modificaciones, después de tantos cambios sociales y económicos. El mundo actual separa la fluidez de las relaciones, la búsqueda de la satisfacción de las necesidades y falta de confianza en sí mismo apropiadas en lo referente a la otra para sobrevivir. Este trabajo vuelve a tomar la diferenciación entre el amor y teniendo gusto, el vínculo vivió para el ego y id, considerado a la winnicott psicoanálisis. El amor considerado como dificultad en percibir el otro como diferente de sí mismo y de la relación viva para satisfacer la necesidad apropiada, diferentemente de tener gusto de Winnicott, tenía con respecto al ego y al deseo de tener la compañía del otro, como complemiento, no como parte de sí mismo. Es común en el paciente contemporáneo clínico que la búsqueda el otro por satisfacción de las necesidades apropiadas (relación del dependencia), qué causa sensaciones de la soledad y depreciación de sí mismo; con predominio de las organizaciones borderline. Finalmente, en la relación analítica, es posible pensar vínculo con el otro que hace autonomía y confianza posibles, por medio del oferecimento de un bastante buen ambiente, holding y ayuda al estilo de apropiado de ser.