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Background The United Kingdom (UK) adopts active surveillance and passive surveillance to jointly collect occupational injury data, and builds a relatively complete occupational injury surveillance system, which can provide reference for the construction of China's occupational injury surveillance system. Objective To compare the results of active surveillance and passive surveillance of occupational injuries in the UK, and to explore the joint application value of active and passive surveillance methods in the field of occupational injury prevention and control. Methods The non-fatal occupational injury active surveillance data from Labor Force Survey were used to calculate indicators such as number of reported cases, reporting rate, lost workdays per year, lost workdays per capita, and average lost workdays per case. The fatal passive surveillance data reported by the employers were used to calculate number of reported deaths, reported mortality, and other indicators. Join-point regression was used to estimate the reported trends of fatal and non-fatal occupational injuries from 2004 to 2020, and the annual percentage change (APC) and average annual percentage change (AAPC) were calculated. Results The active surveillance data showed that from 2004 to 2020, the number of reported cases of absenteeism ≥0 d due to occupational injury decreased from 89.7 (95%CI: 85.2, 94.2) per ten thousand to 44.1 (95%CI: 39.1, 49.2) per ten thousand, and the reporting rate of occupational injury decreased from 32100/100000 (95%CI: 3050/100000, 3370/100000) to 1410/100000 (95%CI: 1250/100000, 1570/100000), showing a linear downward trend (both APC and AAPC were −3.88%, P<0.05); the average lost workdays per case in 2019 was 9.1 (95%CI: 6.8, 11.5) d. The passive surveillance data showed that from 2004 to 2020, the number of reported deaths due to occupational injury decreased from 223 to 142, and the reporting rate of occupational injury decreased from 0.78/100000 to 0.44/100000, showing a linear downward trend (both APC and AAPC were −4.59%, P<0.05). Conclusion The reporting rates of fatal and non-fatal occupational injuries in the UK are showing a linear downward trend. The active surveillance method based on Labor Force Survey provides more surveillance indicators for non-fatal occupational injuries, and the passive surveillance method based on employer report has more advantages in assessment of fatal occupational injuries. Jointly applying the two surveillance modalities and the combination of trend analysis indicators, such as AAPC, provide a more comprehensive picture of the epidemiological characteristics of occupational injuries.
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Background The severity of occupational injury in countries such as the United Kingdom, the United States, and Germany is usually analyzed using lost workdays, but in existing occupational injury surveillance research in China, the application of this index is rare. Objective To evaluate the application value of lost workdays in non-fatal occupational injury surveillance, and provide a reference for the construction of occupational injury surveillance index system. Methods The public data of European Statistics on Accidents at Work (ESAW) from 2010 to 2019 on non-fatal injury accidents in 27 member states of the European Union were used. Non-fatal occupational injury is defined as an injury event during occupational activities or at work resulting a victim's absence from work for ≥4 d. According to the European Statistics on Accidents at Work-Summary methodology, the lost workdays were divided into 8 categories (4-6 d, 7-13 d, 14-20 d, 21-30 d, 31-91 d, 92-182 d, 183 d and above, and unknown). Annual percentage change (APC) and the average annual percentage change (AAPC) were used to evaluate the overall trend changes in the incidence rate of non-fatal occupational injury accidents in different lost workdays from 2010 to 2019, and the non-fatal occupational injury accidents in key industries. The characteristics of the occurrence of non-fatal occupational injuries were analyzed in conjunction with the changes in non-fatal occupational injuries in different lost workdays in the industry. Results From 2010 to 2019, the overall incidence of non-fatal occupational injury accidents in the European Union showed a downward trend, and the AAPC was −1.0% (P<0.05). The accident rates of lost workdays of 4-6 d and 92-182 d showed an upward trend, and the AAPC were 7.9% and 5.8% respectively (P<0.05). The average annual accident rates of non-fatal occupational injuries (≥4 d) in Categories C (manufacturing industry), E (water supply, sewage treatment, waste management and remediation), and F (construction industry) showed a linear downward trend, and the AAPC were −3.0%, −2.5%, and −1.5%, respectively (P<0.05). However, among them, the rate of non-fatal occupational injury accidents with 92-182 d of lost workdays in the manufacturing industry showed a significant upward trend, with an AAPC of 3.7% (P<0.001). Conclusion Using lost workdays combined with APC and AAPC by Join-point linear regression analysis can measure the severity and trend changes of non-fatal occupational injury accidents in different industries and different lost workdays. This indicator has an important practical significance in evaluating the effectiveness of occupational injury prevention and control strategies adopted by countries and enterprises.
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Background Occupational injury is one of the important causes of death among the working population and a worldwide hot topic, but there are few relevant studies on the trend and prediction of occupational injury attributable deaths in China. Objective To analyze the trend of occupational injury attributable deaths in China from 2000 to 2019, predict the deaths of occupational injuries in China from 2020 to 2024 by contructing a gray GM(1,1) model, and provid a reference for surveillance and assessment of occupational injuries. Methods Mortality, crude mortality rates, and standardized mortality rates of occupational injuries in China by year, sex, and age groups were calculated using data of the Global Burden of Disease (GBD) 2019 study. Join-point model was used to analyze possible trend of standardized mortality rate from 2000 to 2019, and calculate annual percentage change (APC) and average annual percentage change (AAPC). After a gray model GM(1,1) was established, the accuracy of the model was evaluated by posterior error ratio (C) and small error probability (P) and rated as Level 1 (good, C≤0.35 and P≥0.95) or Level 2 (qualified, 0.35<C≤0.50 and 0.80≤P<0.95). Then the gray model was further used to predict the number of deaths and standardized mortality rates of occupational injuries in China from 2020 to 2024. Results From 2000 to 2019, the deaths due to occupational injuries in China showed a downward trend, the number of deaths decreased from 111557 to 61780, the crude mortality rate decreased from 8.58/100000 to 4.34/100000, the standardized mortality rate decreased from 7.67/100000 to 3.65/100000, and the AAPC of standardized mortality rate was −4.0% (P<0.05); the number of male deaths decreased from 87760 to 49192, and the male standardized mortality rate decreased from 11.78/100000 to 5.68/100000; the number of female deaths decreased from 23797 to 12588, and the female standardized mortality rate decreased from 3.34/100000 to 1.55/100000; the AAPCs of male and female standardized mortality rate were −3.9% and −4.1% respectively. The accuracy of the established gray model for deaths (C=0.09, P=1) was rated as Level 1, and that for standardized mortality rate (C=0.41, P=0.9) was rated as level 2, which allowed for prediction extrapolation. The model showed that from 2020 to 2024, the number of occupational injury attributable deaths would be 76039, 73849, 71721, 69655, and 67649, and the standardized mortality rate would be 4.23/100000, 4.07/100000, 3.92/100000, 3.77/100000, and 3.62/100000, respectively. Conclusion From 2000 to 2019, the standardized mortality rate of occupational injuries in China showed a downward trend, and it is predicted that the standardized mortality rate from 2020 to 2024 will still show a downward trend, but the number of deaths will remain high, so it is necessary to continue to strengthen prevention and control of occupational injuries.
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RESUMEN La artrogriposis múltiple congénita es una enfermedad de baja frecuencia, esporádica, no progresiva, que aparece en el período prenatal y se caracteriza por varias contracturas articulares presentes al nacimiento en los cuatro miembros. Se estima una incidencia de 1/10 000 nacidos vivos. El diagnóstico es posible al realizar los ultrasonidos en un feto que tiene posiciones viciosas y que no se mueve. La prevalencia de la artrogriposis múltiple congénita es variable, resultando la más frecuente la artrogriposis múltiple clásica (amioplasia), presente entre el 40 y el 50 % de los afectados. La búsqueda ultrasonográfica en el tercer trimestre del embarazo es fundamental con fines diagnósticos, para brindar asesoramiento genético y preparar un equipo para el nacimiento. Es importante tener sospecha diagnóstica para sugerir la vía alta por cesárea, para bienestar fetal. Un grupo multidisciplinario debe llevar a cabo el manejo y tratamiento de estos enfermos. Se presenta el caso de un neonato nacido a las 39 semanas por parto eutócico prolongado por presentación de cara, con sufrimiento fetal agudo, meconio ++++, apgar 5-7, con peso de 3 300 g, que presentó luxación y contractura generalizada de hombros, codos, así como de caderas, rodillas y tobillos, con dedos de manos y pies en flexión.
ABSTRACT Congenital multiple arthrogryposis is a low-frequency, sporadic, non-progressive disease that appears in the prenatal period, and is characterized by several contractures present at birth in the four limbs. The estimated incidence is 1/10 000 born alive. The diagnosis is possible performing ultrasounds on a fetus that has vicious positions and does not move. The prevalence of congenital multiple arthrogryposis is variable, being classical multiple arthrogryposis (amyoplasia) the most frequent one, present in between 40 and 50 % of the affected persons. Ultrasonographic search in the third semester of pregnancy is essential for diagnostic purposes to provide genetic counseling and to prepare a ream for birth. It is important to have diagnostic suspicion to suggest the high cesarean way for fetal well-being. A multidisciplinary group should carry out the management and treatment of these patients. The case of a newborn is presented, who was born at 39 weeks by prolonged eutocic delivery due to presenting face, with acute fetal suffering, meconium ++++, apgar 5-7, weighing 3 300 g, that presented luxation and general contracture of shoulders, elbows, and also hips, knees and ankles, with fingers and toes in flexion.
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Background: Gout causes attacks of pain and swelling in one or more joints and control of serum uric acid level has been used as one of the therapeutic methods for gout. Inhibition method of xanthine oxidase (XO) activity which can oxidize hypoxanthine to uric acid has been commonly used to decrease serum uric acid level. On the other hand, Elephantopus scaber Linn leaf has been used for the treatment of rheumatoid arthritis as folk medicine by some people in Indonesia. Aims: This study was to determine the hypouricemic effect of ethanol extract of Elephantopus scaber leaf by in vivo study in caffeine (PO)-induced hyperuricemic male rats. Methodology: The E. scaber leaf was obtained from Research Institute for Spices and Medicinal Plants, Bagor, Indonesia. Preparation of E. scaber leaf extract was done by cold maceration extraction technique using ethanol 70%. Male rats (Sprague-Dawley) were induced by using caffeine with dose 27 mg/200 g b.w until the levels in the blood of male rats become hyperuricemic. Equipment (Easy Touch) was used by detecting the level of uric acid in a rat blood. Equipment (Easy Touch) was used by detecting the level of uric acid in a rat blood. Rats were divided into 6 groups, as a positive control was used allopurinol 36 mg/200 g b.w, test preparation were used 3 doses, i.e, 175 mg/200 g b.w, 350 mg/200 g b.w and 700 mg/200 b.w which suspended in Na-CMC 0.5%. Results: The results from a decrease in blood uric acid levels in rats, on the 15th days showed that a dose of 350 mg / 200 g b.w gave decrease in the highest percentage ie 43%. Statistical analysis on the 15th day showed that all of the test preparation groups of E. scaber had effects decrease uric acid in blood serum of rats and significantly different from negative controls (p ≤ 0.05). The dose of 350 mg/200 g b.w of E. scaber had the same effect with a dose of 36 mg/200 g b.w allopurinol in reducing uric acid in experimental rats. Conclusions: E. scaber is a plant that is quite potential to be used in the treatment of gout.
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A disfunção temporomandibular (DTM) pode acometer os músculos mastigatórios, articulação temporomadibular (ATM) e estruturas adjacentes. Os sintomas mais comuns são: dor na região da ATM e dos músculos da mastigação, mas, em casos mais graves, podem acometer outras regiões faciais, que afetam diretamente a qualidade de vida dos pacientes. Tanto as abordagens cirúrgicas como não cirúrgicas podem ser usadas dependendo da etiologia e gravidade da doença. O tratamento tem como objetivo aliviar os sintomas e, consequentemente, melhorar a qualidade de vida dos pacientes. Objetiva também descrever um caso no qual foi realizada a discopexia como alternativa cirúrgica em uma paciente que teve tratamentos conservadores mal sucedidos para aliviar a dor facial, discutindo as características dos distúrbios de articulação e as formas de tratamento. A paciente continuou com tratamento fisioterápico funcional e evoluiu sem queixas álgicas, relatando melhora na qualidade de vida. A abordagem cirúrgica não deve ser considerada a primeira escolha, quando houver dor facial, no entanto, sob condições de sintomas persistentes e crônicos, alternativas, como a discopexia e cirurgia na articulação temporomandibular, podem ser consideradas para benefício do paciente... (AU)
Temporomandibular dysfunction (TMD) can affect the masticatory muscles, temporomandibular joint (TMJ) and adjacent structures. The most common symptoms are pain in the TMJ region and chewing muscles, but in more severe cases can affect other facial regions that directly affect the quality of life of patients. Both surgical and non-surgical approaches may be used depending on the etiology and severity of the disease and the goal of treatment is to alleviate symptoms and thereby improve patients' quality of life. The aim of the present article is to describe a case where discopexy was performed as a surgical alternative in a patient who had unsuccessful conservative treatments to relieve facial pain, discussing the characteristics of joint disorders and treatment modalities. The patient continued with functional physiotherapeutic treatment and evolved without pain complaints, reporting improvement in quality of life. The surgical approach should not be considered the first choice when there is facial pain. However, under conditions of persistent and chronic symptoms, alternatives such as discopexy and temporomandibular joint surgery may be considered for the benefit of the patient... (AU)
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Humanos , Femenino , Persona de Mediana Edad , Dolor , Articulación Temporomandibular , Dolor Facial , Trastornos de la Articulación Temporomandibular , Disco de la Articulación Temporomandibular , Tratamiento Conservador , Masticación , Calidad de Vida , Signos y Síntomas , Articulaciones , Músculos MasticadoresRESUMEN
ABSTRACT Objective: To evaluate the inter-observer relationship of the "lumbar facet hypersignal classification" and the correlation with disc degeneration. Methods: Retrospective study of magnetic resonance images obtained from 24 (N=24) patients (9 males and 15 females), aged 35 to 79 years, mean age 48 years and 1 month. The images were reviewed by two spine surgeons, by five orthopedists in training in the specialty of spine surgery and one radiologist to evaluate and quantify the presence of hypersignal lumbar facet and the Pfirrmann Classification for disc degeneration. Results: One hundred and twenty lumbar discs and their joint facets were evaluated by the eight examiners, with data analyzed by the Cronbach test and the Spearman Correlation Analysis with statistically high results, confirming good inter-observer relation for the "Lumbar Facet Hypersignal Classification" and for the classification of Pfirrmann. There was no statistically significant relationship between facet arthrosis and disc degeneration. Conclusions: The results confirm that there is good inter-observer relationship for the classification of Facet Hypersignal and for the Classification of Pfirrmann. However, in spite of a positive relationship, a correlation between facet arthrosis and disc degeneration was not statistically significant. Level of Evidence III; Retrospective Comparative Study.
RESUMO Objetivo: Avaliar a relação inter observadores da "classificação de hipersinal facetária lombar" e a correlação com a degeneração discal. Métodos: Estudo retrospectivo de imagens de ressonância magnética obtidas de 24 (N= 24) pacientes (nove homens e 15 mulheres) com idade variando de 35 a 79 anos, com média de de 48 anos e um mês. As imagens foram revisadas por dois ortopedistas especialistas em cirurgia de coluna, por cinco ortopedistas em treinamento na especialidade de cirurgia de coluna e um radiologista, para avaliar e quantificar a presença de hipersinal facetário lombar e da Classificação de Pfirrmann para degeneração discal. Resultados: Foram avaliados e classificados 120 discos lombares e suas facetas articulares pelos oito examinadores, com dados analisados pelo Teste de Conbach e da Análise de Correlação de Spearman com resultados estatisticamente elevados, confirmando boa relação inter observadores para a "Classificação de Hipersinal Facetario Lombar" e para a classificação de Pfirrmann. Não foi observada relação estatisticamente significante entre artrose facetária e degeneração fiscal. Conclusão: Os resultados confirmam que existe boa relação inter observadores para a classificação de Hipersinal Facetário e para a Classificação de Pfirrmann. Porém, apesar de relação positiva, não se atingiu de maneira estatisticamente significante, correlação entre artrose facetaria e degeneração discal. Nível de Evidência III; Estudo Restrospectivo Comparativo.
RESUMEN Objetivo: Evaluar la relación inter-observadores de la "clasificación de hiperseñal facetaria lumbar" y la correlación con la degeneración de disco. Métodos: Estudio retrospectivo de imágenes de resonancia magnética obtenidas de 24 (N = 24) pacientes (9 hombres y 15 mujeres), con edad variando de 35 a 79 años, con promedio de 48 años y 1 mes. Las imágenes fueron revisadas por dos ortopedistas especialistas en cirugía de columna, por cinco ortopedistas en entrenamiento en la especialidad de cirugía de columna y un radiólogo para evaluar y cuantificar la presencia de hiperseñal facetaria lumbar y la Clasificación de Pfirrmann para degeneración de disco. Resultados: Fueron evaluados y clasificados 120 discos lumbares y sus facetas articulares por los ocho examinadores, con datos analizados por el Test de Cronbach y del Análisis de Correlación de Spearman con resultados estadísticamente elevados, confirmando buena relación inter-observadores para la "Clasificación de Hiperseñal Facetaria Lumbar" y para la clasificación de Pfirrmann. No se observó relación estadísticamente significativa entre artrosis facetaria y degeneración de disco. Conclusiones: Los resultados confirman que existe una buena relación inter-observadores para la clasificación de Hiperseñal Facetaria y para la Clasificación de Pfirrmann. Sin embargo, a pesar de una relación positiva, la correlación entre la artrosis facetaria y la degeneración de disco no fue estadísticamente significativa. Nivel de Evidencia III; Estudio Retrospectivo Comparativo.
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Humanos , Columna Vertebral , Sinovitis , Imagen por Resonancia Magnética , Dolor de la Región Lumbar , Degeneración del Disco IntervertebralRESUMEN
Tumoral calcinosis is an uncommon condition which has been described to exist in primary and secondary forms. A lack of awareness of this entity can lead to unnecessary procedures and incorrect management. We report a case of a patient on peritoneal dialysis who presented with multiple painful joint swellings to the orthopaedic department. An initial diagnosis of septic arthritis was made, then revised to chronic tophaceous gout and referred to the rheumatology unit.
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Objective By discussing the Achilles tendon rupture line of two different methods of plaster fixation after operation,embodies the advantages of downward legs plaster fixation method when the new operation.Methods From January 2014 to December in the inpatient department for Achilles tendon repair in 34 cases as the control group,krackow suture after upward leg plaster fixation;from January 2015 to December in the inpatient department for Achilles tendon repair in 32 cases of patients as the observation group, the concept of krackow suture after downward leg plaster cast, 6 week of daily life were compared between the two groups at discharge and after the operation,the function of ankle and knee joint situation ability. Results At the time of discharge and 6 weeks after operation,the self-care ability,ankle function and knee joint function of the observation group were better than those of the control group (all P＜0.001).The complication rate in the observation group was lower than that in the control group (P＜0.05).Conclusion The new downward Achilles tendon plaster fixation is superior to the traditional plaster fixation method,can improve the patients'self-care ability,reduce complications,promote the recovery of limb function,promote early rehabilitation of patients.
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El siguiente estudio descriptivo analiza los casos reportados sobre trastorno de la enfermedad temporomandibular de la base de datos del Registro de Egresos Hospitalarios del Área de Estadísticas de Salud de la Caja Costarricense del Seguro Social, acontecidos durante los años 1997 al 2013, los cuales fueron analizados por el comportamiento de las variables epidemiológicas de tiempo, lugar y persona; medidas de frecuencia y estadística no paramétrica. La finalidad de este artículo es investigar la casuística que propicie en el profesional en Odontología una herramienta para el diagnóstico precoz, que contribuya al establecimiento individual de medidas de prevención e intervención de los factores de riesgo detectados. Se registró un total de 167 casos de trastorno de la articulación temporomandibular según la Clasificación Internacional de las Enfermedades CIE-10. Dentro de los resultados obtenidos se tiene que la razón fue de 2,71 mujeres por cada hombre egresado con tal trastorno. La tasa por edad obtuvo mayor predominio en la población de 20 a 44 años, y fue de 5,63 X 100.00 habitantes, así como un riesgo relativo para este mismo grupo de 10,64, pero la tasa por localización geográfica en nuestro país fue de 8,37 por cada 100.000 habitantes para el caso concreto de la provincia de Limón.
The following descriptive study analyzes reported cases of temporomandibular disease disorder, according to the database of registered hospital discharged from the Health Statistics Area of the Costa Rican Social Security occurred during the years 1997 to 2013, which analyzed the behavior of the epidemiological variables of time, place and person; frequency measurements and nonparametric statistics. The purpose of this article is to investigate the mix of case that would give the professional in dentistry, a tool for early diagnosis which contributes to the individual establishment of prevention and intervention of risk factors detected. A total of 167 cases of temporomandibular joint disorder were recorded according to the International Classification of Diseases ICD-10. The ratio from the obtained results was 2.71 females for every male graduate with temporomandibular joint disorder. Age rate obtained predominance in the population of 20-44 years being 5.63 X 100.00 inhabitants and a relative risk for this same group of 10.64 and the rate per geographical location in our country was 8.37 per 100,000 inhabitants, this for the case of the Limon province.
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A síndrome de Moebius (SM) é pouco frequente e caracterizada por paralisia total ou parcial de certos pares cranianos, obrigatoriamente VI e VII, podendo associar-se a outras anormalidades. Clinicamente ocorre falta de expressão facial, hipoplasia da língua, micrognatia, lábio curto e maloclusão. Disfunção temporomandibular (DTM) não tem sido estudada em pacientes com SM. O objetivo deste estudo é conhecer a prevalência de DTM em pacientes com SM e comparar a incidência e tipo de DTM com um grupo controle. Para tanto, foi realizado um estudo clínico caso controle observacional randomizado, no Centro de Atendimento a Pacientes Especiais (CAPE) da Faculdade de Odontologia da Universidade de São Paulo (FOUSP), entre julho de 2007 e dezembro de 2009, que avaliou 101 pacientes divididos em dois grupos: Grupo de estudo (GE) composto por 36 pacientes com SM, sendo 16 do gênero masculino e 20 do gênero feminino, com idade média de 10,2 anos, variando de 3 a 18 anos de idade; e grupo controle (GC) composto por 65 pacientes sem SM e sem nenhuma deformidade crânio facial, sendo 36 do gênero masculino e 29 do gênero feminino, com idade média de 10,7 anos, variando entre 3 e 18 anos. Nossos resultados mostraram que dos 36 pacientes do GE, 20 tinham DTM ou sinal de DTM (bruxismo). Desses 20 pacientes com DTM, 15 realizaram tomografias computadorizadas de ATM (TCs). Dos 65 pacientes do GC, 8 tinham DTM ou sinal de DTM (bruxismo) e 6 concordaram em realizar as TCs. Foram obtidas imagens volumétricas multiplanares e 3D. As alterações morfológicas indicando processo degenerativo encontrado nos exames de imagem encontradas nos dois grupos foram semelhantes. Concluimos que DTM é mais frequente em pacientes com SM e que o diagnóstico em idade tenra pode representar uma oportunidade de prevenção e tratamento precoce da doença evitando sequelas futuras. Por esta razão a avaliação da ATM deve ser incluída no exame clínico odontológico rotineiro de pacientes com a SM.
Moebius syndrome (MS) is rare and characterized by partial or total paralysis of some cranial nerves, unavoidably VI and VII, and may be associated with other abnormalities. The clinical aspects include lack of facial expression, hypoplasia of the tongue, micrognathia, short lip and malocclusion. Temporomandibular Joint disorders (TMJ) has not been studied in patients with MS. The aim of this study is to assess the prevalence of TJD in patients with MS and to compare the incidence and type of TMJ with a control group. We conducted a case-control randomized observational clinical study at the Special Care Dentistry Center, Dental School, University of São Paulo, between July 2007 and December 2009, which evaluated 101 patients divided into two groups: Study group (SG), composed of 36 patients with MS, 16 males and 20 females, mean age 10.2 years, ranging from 3 to18 years of age, and the control group (CG) composed of 65 patients without MS and with no craniofacial deformity, 36 male and 29 female, mean age 10.7 years, ranging between 3 and 18 years. Among 36 patients of the SG, 20 had TMJ. Among them, 15 were submitted to computed tomography (CT). Of the 65 CG patients, 8 had TMJ and 6 were submitted to CTs. Volumetric multiplanar and 3D images were obtained. The morphological changes of the TMJ demonstrating the pattern of the degenerative process found in patients with SM was similar to that found in people from control group. We concluded that the prevalence of TMJ in patients with MS is higher in SM patients and the diagnosis at an early age may represent an opportunity for prevention and early treatment of disease by avoiding future sequels. For this reason the evaluation of the TMJ should be included in routine clinical dental examination of patients with MS.
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Patología Bucal , Parálisis Facial/diagnóstico , Síndrome de Mobius/diagnósticoRESUMEN
Objective To improve the recognization of hip joint lesion in ankylosing spondylitis and it's related factors.Methods Pelvis computed radiography(CR) and HLA-B27 were examined in 100 cases of ankylosing spondylitis proved by clinical.Results 58% cases appeared differed degree of narrowing of the interticular space,osteoporosis on head of femur and acctabulum,cystis under the surface of acctabulum and joint inosculated.This probability was higner at thoe patients that had diaease at youthful or HLA-B27(+).Conclusion Hip joint lesions of ankylosing spondylitis appear characteristic signs in CR.It relates with the age that the disease come on and HLA-B27.
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OBJECTIVE:To discuss the significance of passing GSP authentication of mono-drugstores by joining in the drugstore chain.METHODS:The status quo of GSP authentication was surveyed so as to find the merits of the GSP authenti-cation-passed drug chain retailers and the drug chain wholesalers.RESULTS&CONCLUSION:The mode of achieving the passage of GSP authentication of the mono-drugstore by joining in the drug store chain is feasible and essential.
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Objective To evaluate the application of MSCT in diagnosing the injury of atlantoaxial joint.Methods MSCT data of 20 cases of traumatic atlantoaxial joints were analyzed,the ability of different reconstruction methods in showing the traumatic aspects were evaluated.Results Axial MSCT and in combination with reconstruction methods such as MPR and Direct 3D could distinctly depict atlantoaxial joint in full view.Conclusion MSCT plays an important role and could be the first choice of imaging examination in the detection of injury of atlantoaxial joint.
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Objective: To study the relationship between orthodonti c treatment and temporomandibular joint disorders(TMD). Methods: The survey tables and their corresponding database were designed with the aid of computer. The questionnaire and clinical examination were administered t o 173 cases who had received orthodontic treatment (orthodontic group), 95 case s with morphologic malocclusion and without having orthodontic treatment ( maloc clusion group) and 32 cases with normal occlusion (normal group).Symptoms and s igns of TMD were collected,the data were analyzed with the databases. Results: The survey tables and their corresponding database were se t up. There were statistically significant differences between the orthodontic g roup and malocclusion group in the distribution of anamnestic, clinical dysfunct ion and occlusion indices (P