An analysis of 200 cases of abdominal enhancement scan on the 64-row CT scan / 中国基层医药

Objective To discuss the main points of abdominal enhancement scanning on the 64-row spiral CT.Methods 200 patients with CT scan were selected .For patients with abdominal CT scan ,the contrast agent was used in accordance with the 1.5mL/kg,handle and dorsal vein with high pressure syringe injection ,the pressure of 300 pounds,flow rate of 2.5mL/s,note medicine before scanning ,note after the drug was not phase scanning 2-3 times at the same time.Results 180 cases showed the abdominal aorta ,hepatic artery,splenic artery,hepatic portal vein branch,portal vein,and inferior vena cava.In 20 cases,the results were not ideal,and 3 cases failed.Conclusion The upper abdomen enhancement scan of the 64-row CT scan can obtain satisfactory images to meet clinical needs .

The Advantages and Disadvantages of Computer Simulation in the Teaching of Abdominal Diagnosis / 昆明医科大学学报

Objective To compare the effectivenessbetween the use of computer simulationin the teaching of abdomen diagnosis skills and the traditional teaching mode by conducting the real－time assessment and after－school questionnaire survey. Method Weselected 308 undergraduates with 165 (4 classes) majoring in clinical medicine and 143 (4 classes) majoring in medical laboratory in Kunming Medical Universityas the research object. Students were randomly divided into two groups and taught using demonstration method. One group practiced abdominal examination on other students while the other group adopted computer simulation.Both groups were giventests of practical skills and anonymous open－ended questionnaires after class.Results The average score of computer simulation group was higher than the other group. The questionnaire survey showed that computer simulation was suitable for repeatable exercises and easy to review after class (P＜0.05).Conclusion In thediagnostic practice of abdominal examination,teaching assisted with computer simulation showing an outstanding performance should be combined and promoted with the traditional teaching.

<b>Various Descriptions of Abdominal Examinations among Traditional Kampo Medical Books Beyond the Showa Era</b> / 日本東洋医学雑誌

The practical use of abdominal examination is a major characteristic of Kampo medicine. Although most Kampo medical texts describe an abdominal examination for a Kampo formula, comparative studies between texts have not contributed to any standardized descriptions for such examinations. We investigated descriptions of 147 prescription Kampo extract formulations in Kampo texts written after the Showa Era, and obtained the following results. Abdominal examinations were described differently by authors, even for the same prescription. Additionally, we examined the descriptions for anchusan (安中散) and kososan (香蘇散), which are called the <i>Gosei </i>school formulae (後世方). Descriptions of abdominal examinations for these drugs were not quoted from an original Chinese medical text, but were empirically constituted in Japan. As knowledge was accumulated, these various descriptions were created through limited personal connections, and/or the opinions of particular authorities. We suggest that a consensus on abdominal examinations would further studies on the viability of traditional medicines, and better characterize Kampo medicine.

Relationship between the Metabolic Syndrome and Abdominal Tension / 日本東洋医学雑誌

Metabolic syndrome develops because of an accumulation of intra-abdominal fat. In Kampo medicine, an abdominal examination is commonly performed for the diagnosis of diseases. Thus, we examined the relationship between metabolic syndrome and abdominal tension. Our subjects were 999 people (619 males and 380 females) who underwent regular physical check-ups. Metabolic syndrome was diagnosed in 14.5% (21.3% of males and 3.4% of females) and the prevalence rate of subjects with metabolic and pre-metabolic syndromes was 40.8% (55.9% of males and 16.3% of females). In addition, abdominal examinations detected 19.1% of hyperfunction, 64.6% of intermediate function, and 16.3% of hypofunction. Almost subjects with abdominal hyperfunction were classified as metabolic or pre-metabolic syndrome, and neither metabolic nor pre-metabolic syndrome was present in subjects with abdominal hypofunction. In conclusion, assessment of abdominal tension may become an additional valuable screening method for metabolic syndrome.