General anesthesia versus deep sedation for dental treatment in children: comparison of parental acceptance, oral health-related quality of life, and treatment efficacy / 南方医科大学学报

OBJECTIVE@#To compare the parental acceptance of dental treatment under general anesthesia and deep sedation in children and assess the changes in postoperative oral health-related quality of life and treatment efficacy.@*METHODS@#The parents of 131 children undergoing dental treatment in the Department of Stomatology of Sichuan Provincial People's Hospital from January, 2022 to June, 2022 were surveyed using a questionnaire of children's advanced oral behavior management, and 83 children receiving general anesthesia or deep sedation for dental treatment between January, 2018 and December, 2021 were also investigated for changes in quality of life after the treatment using a questionnaire. The treatment efficacy was assessed at the 1-year follow-up visit in 149 children who received dental treatment under general anesthesia or deep sedation during the same period.@*RESULTS@#The survey of perantal acceptance showed that 62.6% of the parents preferred deep sedation, 29.01% preferred general anesthesia, and 8.4% preferred compulsory treatment. Dental treatments under general anesthesia and deep sedation both significantly improved oral health-related quality of life of the children. While dental surgeries under general anesthesia resulted in the most significant improvement of pain symptoms, deep sedation was associated with both obvious relief of the children's pain symptoms and reduction of the parents' pressure level. No significant difference was found in the efficacy of treatments under general anesthesia and deep sedation at the 1-year follow-up.@*CONCLUSION@#Dental treatment in children under deep sedation has the highest parental acceptance, followed by treatment under general anesthesia, and the acceptance of compulsory treatment is the lowest. The treatments under general anesthesia and deep sedation significantly improve the quality of life of the children and their parents and both have good treatment efficacy.

Clinical study of benign paroxysmal positional vertigo recurrence / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To investigate the cause of recurrence and clinical significance in benign paroxysmal positional vertigo (BPPV).@*METHOD@#By retrospectively analyzing the clinical data and results of TCD, CT or MRI of head of 65 patients with non-recurred BPPV and 44 patients with recurred BPPV in 2 years after successful canalith repositioning maneuver.@*RESULT@#The prognosis of BPPV shows significant correlated with age, family history, migraine history, intracranial arterial and carotid stenosis and stroke history.@*CONCLUSION@#Many causes play part in the recurrence of BPPV, but most of them correlate with blood disturbance of labyrinth. We can know the causes of recurred BPPV from the clinical data and results of TCD, CT or MRI of head and predict its recurrence, and do corresponding intervention eventually.

The relationship between body mass index, hypertension and all-cause mortality in the populaton over 55 year old in Beijing / 中华流行病学杂志

<p><b>OBJECTIVE</b>To study the relationship between body mass index (BMI), hypertension and all-cause mortality in the elderly population in Beijing.</p><p><b>METHODS</b>In 1992, a cohort of 3 257 people above 55 years old was selected from 3 different areas of Beijing, i.e. urban and suburbs (both plain and mountain areas). Information on physical condition, history of chronic diseases, self-perceived health, as well as smoking and drinking status was collected. Blood pressure, body height and weight were measured among 2 086 of 3 257 subjects.</p><p><b>RESULTS</b>BMI was decreasing with age, while the prevalence of hypertension increased with age. Meanwhile the prevalence of hypertension increased with age as well as with BMI. There was a reverse relationship between BMI and all-cause mortality, i.e. the risk of death was 39.0% lower for those with BMI = 20.0 - 24.9 kg/m(2) (Hazard ratio: 0.61, 95% Confidence interval: 0.49 - 0.75) and 62% lower for those with BMI >/= 25.0 kg/m(2) (Hazard ratio: 0.38%, 95% Confidence interval: 0.29 - 0.49) than those with BMI < 20.0 kg/m(2). After controlling for age, gender, residential place, hypertension as well as self-perceive health status and cognition function, low BMI remained a significant and independent predictor to death.</p><p><b>CONCLUSION</b>The distribution of BMI was different in elderly from the youth. The findings suggested that it was important to control the body weight among the elderly hypertensives.</p>