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A study on sleep apnea in patients with abnormal sewda type of depression 异常sewda型抑郁症患者睡眠呼吸暂停的研究
Pub Date : 2020-06-01 DOI: 10.1142/s2575900020500044
Aman Gul, Nassirhadjy Memtily, Pirdun Mijit, Palidan Wushuer, Ainiwaer Talifu, M. Imin, Hua Rui, Zuhoumaer Nuermaimaiti
Objective: To preliminarily investigate the clinical features and PSG in abnormal sewda-type depressive insomnia. Methods: A total of 127 abnormal sewda-type depressive insomnia patients were evaluated with overnight PSG, and 32 normal participants were compared. Results: Patients with abnormal sewda-type depressive insomnia were compared with the control group; the sleep symptoms showed a long incubation period of sleep, low sleep maintenance rate, low sleep efficiency and poor sleep quality as well as daytime dysfunction. At process and continuity of sleep: Total sleep time, sleep efficiency, sleep maintenance rate in abnormal sewda-type depressive insomnia group were shorter than the control group. Wake after sleep onset, and sleep latency were longer than the control group. At sleep structure: N1 ratio and N2 ratio in depressive insomnia group were longer than the control group, N3 ratio and REM sleep ratio shorter than the control group. At REM index: REM latency, REM cycles, and REM sleep time were shorter than the control group. Conclusion: Insomnia symptoms in abnormal sewda-type depression comorbid insomnia patients were similar to the ordinary insomnia patients. The PSG characteristics had significant changes in sleep process, sleep structure and REM indicators. The severity of the abnormal sewda-type depression was closely related to REM indicators. Change of REM sleep characteristics may be the specificity, and these could be taken as reference in diagnosis and identification of abnormal sewda-type depressive insomnia.
目的:初步探讨异常sewda型抑郁性失眠的临床特点和PSG。方法:对127例异常sewda型抑郁性失眠患者进行夜间PSG评价,并与32例正常患者进行比较。结果:异常sewda型抑郁性失眠患者与对照组比较;睡眠症状表现为睡眠潜伏期长,睡眠维持率低,睡眠效率低,睡眠质量差,白天功能障碍。在睡眠过程和睡眠连续性方面:异常sewda型抑郁性失眠组总睡眠时间、睡眠效率、睡眠维持率均短于对照组。睡眠开始后醒来,睡眠潜伏期均长于对照组。在睡眠结构上:抑郁症失眠组N1比、N2比均长于对照组,N3比、REM睡眠比均短于对照组。快速眼动指数:快速眼动潜伏期、快速眼动周期、快速眼动睡眠时间均短于对照组。结论:异常sewda型抑郁合并症失眠患者的失眠症状与普通失眠患者相似。PSG特征在睡眠过程、睡眠结构和REM指标上发生显著变化。异常sewda型抑郁症的严重程度与REM指标密切相关。快速眼动睡眠特征的变化可能是特异性的,可作为异常sewda型抑郁性失眠的诊断和鉴别参考。
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引用次数: 0
Effects of progressive Orff vocal therapy on BODE index and quality of life in patients with low lung function after non-small cell lung cancer surgery 进行性Orff声乐治疗对非小细胞肺癌术后低肺功能患者BODE指数及生活质量的影响
Pub Date : 2020-06-01 DOI: 10.1142/s2575900019500186
Yijie Du, Mingyue Su, H. Xue, Mengyu Ma, Xilong Wu, Hanyu Xue, Tao Yi, Zhao Tang, Qing Kong, Yizhe Xu, Yuxue Cao
Objective: To explore the effect of Orff vocal therapy on BODE index and quality of life of patients with low lung function after non-small cell lung cancer surgery. Methods: From March 2014 to March 2019, 231 patients with NSCLC postoperative (their pulmonary functions FEV1 [Formula: see text] of the expected value) in the Huashan Hospital, Fudan University were selected and randomly divided into observation groups and control group. On the basis of conventional treatment of NSCLC, the control group used lung rehabilitation training, and the observation group used the Orff music therapy. They carry out vocal and breath training step by step, using a combination of online and offline methods, 1[Formula: see text]h per day online interactive training, 2[Formula: see text]h of offline group vocal therapy once a week, continuous intervention for 12 months. The patient’s BODE index and FACT-L scores were monthly follow-up. Results: Compared with the control group, the BODE index and FACT-L scores improved more significantly in the vocal therapy group ([Formula: see text]). Especially in the FEV1pred, family/society module and functional status module, the improvement was most significant, compared with the control group ([Formula: see text]). And the loss of follow-up rate in the vocal therapy group was lower than that in the lung rehabilitation group ([Formula: see text]). Conclusion: Orff vocal therapy can improve the BODE index and quality of life of patients with low lung function after non-small cell lung cancer surgery, and its compliance and intervention effects are better than ordinary lung rehabilitation training.
目的:探讨Orff声带治疗对非小细胞肺癌术后低肺功能患者BODE指数及生活质量的影响。方法:选取2014年3月至2019年3月复旦大学华山医院非小细胞肺癌术后患者231例(肺功能FEV1[公式:见文]期望值),随机分为观察组和对照组。在NSCLC常规治疗的基础上,对照组采用肺康复训练,观察组采用奥尔夫音乐疗法。他们采用线上与线下相结合的方法,循序渐进地进行声音和呼吸训练,1[公式:见文]h /天的线上互动训练,2[公式:见文]h的线下团体声乐治疗,每周一次,持续干预12个月。每月随访患者的BODE指数和FACT-L评分。结果:与对照组相比,声带治疗组BODE指数和FACT-L评分改善更明显(公式见文)。尤其是在FEV1pred、家庭/社会模块和功能状态模块中,与对照组相比,改善最为显著(公式:见文)。而声带治疗组的失访率低于肺康复组(公式:见文)。结论:Orff声乐治疗可提高非小细胞肺癌术后低肺功能患者的BODE指数和生活质量,其依从性和干预效果优于普通肺康复训练。
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引用次数: 0
Traditional Chinese Medicine in the United States: Current state, regulations, challenges, and the way forward 美国的中医:现状、法规、挑战和前进的道路
Pub Date : 2020-06-01 DOI: 10.1142/S2575900020100023
L. Jin, Jin Zheng, Niyaz M. Honarvar, Xiqun Chen
In the United States, there has been a steady presence and growth of Traditional Medicine (interchangeable in this paper with Complementary or Alternative Medicine) over the past few decades. The costs for such practices are relatively low along with minimal-to-no obvious side effects. Amongst a variety of traditional medical systems, Traditional Chinese Medicine is one of the most popular alternatives to help manage chronic health conditions or to improve the overall quality of life. While not exhaustive, this paper provides a snapshot of Traditional Chinese Medicine in the United States with insights into its current state, regulations, challenges, and the way forward.
在美国,传统医学(在本文中可与补充医学或替代医学互换)在过去的几十年里稳步存在和发展。这种做法的成本相对较低,而且几乎没有明显的副作用。在各种传统医疗系统中,中医是最受欢迎的替代方案之一,有助于控制慢性健康状况或改善整体生活质量。虽然不是详尽无遗,但本文提供了美国传统中医的概况,并对其现状、法规、挑战和前进方向有了深入的了解。
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引用次数: 1
An analysis of TCM disease syndromes of 36 cases of coronavirus disease 2019 (COVID-19) in Kunming, China 昆明市2019冠状病毒病(新冠肺炎)36例中医证候分析
Pub Date : 2020-03-01 DOI: 10.1142/s2575900020500019
Jiangchun Zhu, S. Gan, Jinsong Bai, Yingrong Du, Jianpeng Gao, Jiangli Peng, Chunyan Yang, Liu Qing, Jinghua Li, Fu Yi
Objective: To analyze the distribution characteristics of syndrome of TCM of the patients with COVID-19 in Kunming, China. Methods: To classify and summarize the TCM syndrome types of COVID-19 patients via Cluster analysis combining with tongue image, chest CT and clinical expertise of 36 Covid-19 patients in Kunming. Results: In the 36 cases of Kunming region confirmed COVID-19 patients, 17 cases had fever (47.2%), 18 cases had cough (50%), 16 cases felt bitter taste in the mouth (44.4%), 18 cases felt dry throat (50.0%), 17 cases had poor appetite (47.2%), 15 cases had nausea (41.7%); 12 cases had diarrhea (33.3%), 15 cases had insomnia (41.7%); 12 cases had chest tightness (33.3%); 3 cases had dyspnea (8.3%); 6 cases had nasal congestion and running nose (16.7%); 15 cases had fatigue (41.7%); 6 cases had headache and body pain (16.7%); 5 cases had red tongue (13.9%); 18 cases had pale red tongue (50%); 8 cases had tongue with red edge and tip (22.2%); 3 cases had dark red tongue (8.3%); 2 cases had cyanosis (5.6%); 3 cases had swollen tongue (8.3%); 18 cases had dentate tongue (50%); 4 cases had yellow tongue coating (11.1%); 5 cases had yellow sticky tongue coating (13.9%); 12 cases had white sticky tongue coating (33.3%); 6 cases had thin white tongue coating (16.7%); 2 cases had no tongue coating (5.6%). The chest CT results showed that: There were five cases without lesions. The lesions were located in the upper lobe of one lung in 13 cases located in the lower lobe of one lung in seven cases, located in the upper middle lobe in three cases, located in the lower lobe in five cases, and in the upper middle and lower lobes of double lung in 13 cases. There were 14 cases of Shaoyang syndrome, 17 cases of wet Resistance Tir-juao Syndrome. According to the time of onset, the disease was followed by Shaoyang Syndrome (1 day), the Wet blocked tri-jiao Syndrome (3 days), epidemic poison retention lung syndrome and syndrome of flaring heat in qifen and yingfen (5 days), and dampness-toxicity lung-stagnation syndrome (6 days). Conclusion: The TCM syndromes of COVID-19 in Kunming are mainly the Wet Resistance Tri-Jiao Syndrome and Shaoyang syndrome, followed by dampness-toxicity lung-stagnation syndrome, epidemic poison retention lung and syndrome of flaring heat in qifen and yingfen.
目的:分析新冠肺炎患者中医证候分布特点。方法:采用聚类分析方法,结合昆明市36例新冠肺炎患者的舌象、胸部CT及临床特点,对新冠肺炎患者中医辨证分型进行分类总结。结果:昆明地区36例新冠肺炎确诊患者中,发热17例(47.2%),咳嗽18例(50%),口苦16例(44.4%),咽干18例(50.0%),食欲不振17例(4.72%),恶心15例(41.7%);腹泻12例(33.3%),失眠15例(41.7%);胸闷12例(33.3%);呼吸困难3例(8.3%);鼻塞和流鼻涕6例(16.7%);疲劳15例(41.7%);头痛和身体疼痛6例(16.7%);舌红5例(13.9%);舌浅红色18例(50%);舌缘及舌尖红8例(22.2%);舌暗红色3例(8.3%);发绀2例(5.6%);舌肿胀3例(8.3%);齿状舌18例(50%);舌苔黄4例(11.1%);舌苔黄粘5例(13.9%);舌苔白黏12例(33.3%);舌苔薄白6例(16.7%);无舌苔2例(5.6%),胸部CT结果显示:无舌苔5例。病变位于一肺上叶13例,位于一肺下叶7例,位于中上叶3例,位于下叶5例,位于双肺中上下叶13例。其中少阳综合征14例,湿阻性体举综合征17例。按发病时间依次为少阳证(1天)、湿阻三焦证(3天)、流行毒留肺证及七分、营分燥热证(5天)、湿毒肺滞证(6天)。结论:新冠肺炎昆明地区中医证候以湿阻三焦证、少阳证为主,其次为气滞肺毒证、流行毒滞肺证、七分营火证。
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引用次数: 0
Analysis and thinking of the COVID-19 infection TCM intervention plan COVID-19感染中医干预方案分析与思考
Pub Date : 2020-03-01 DOI: 10.1142/s2575900020200037
Simin Tao, Fengsen Li
Traditional Chinese medicine (TCM) plays an active role in the prevention and control of COVID-19 epidemic. Currently, there are many TCM intervention programs for the COVID-19 infections, and the clinical effect is better. However, there are some problems in the design of actual clinical programs. This paper analyzes the advantages and disadvantages of various TCM interventions for the COVID-19 infection from the perspective of scientific and clinical research. We can scientifically use the TCM theory to guide and design clinical research, and come up with real data and treatment, to provide new models and explorations for the research of the modernization of Chinese medicine.
中医药在新冠肺炎疫情防控中发挥了积极作用。目前,针对COVID-19感染的中医干预方案较多,临床效果较好。然而,在实际的临床方案设计中存在一些问题。本文从科学和临床研究的角度分析了各种中医干预措施对COVID-19感染的利弊。我们可以科学地运用中医理论指导和设计临床研究,提出真实的数据和治疗方法,为中医现代化的研究提供新的模式和探索。
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引用次数: 0
The clinical application of a traditional Chinese medicine prescription issued by Professor Liangduo Jiang in the prevention of coronavirus disease 2019 (COVID-19) 蒋良铎教授处方在预防2019冠状病毒病(COVID-19)中的临床应用
Pub Date : 2020-03-01 DOI: 10.1142/s2575900020500032
Jinfang Yao, Jian Yang, Zhen Yu, J. Chui, Simin Lee, Xiaomei Zhang, Liang-duo Jiang
Objective: To summarize the clinical experience of Professor Liangduo Jiang in the prevention and control of the new coronavirus disease COVID-19. Methods: Between January 2020 and February 2020, 87 subjects who have had contact with patients tested positive for COVID-19 in an isolated observation site in Tianjin were given the Chinese medicine prescription for prevention prescribed by Professor Liangduo Jiang continuously for three days. Their basic information, clinical manifestations and medication adherence were statistically analyzed, and the clinical manifestations, temperature changes and infection status after medication were summarized. Results: After the 14-day isolation observation period, only one patient who had close contact with confirmed patients developed a positive test for COVID-19 after taking the preventive Chinese medicine prescription, with the infection rate of 1.149%. Conclusion: The preventive treatment by Professor Liangduo Jiang is effective in the prevention and control of the epidemic.
目的:总结蒋良铎教授在新型冠状病毒疾病新冠肺炎防控中的临床经验。方法:在2020年1月至2020年2月期间,在天津一个隔离观察点接触过新冠肺炎检测呈阳性的87名受试者连续3天服用蒋良铎教授开具的预防性中药处方。对其基本情况、临床表现和用药依从性进行统计分析,总结用药后的临床表现、体温变化和感染状况。结果:经过14天的隔离观察期,只有一名与确诊患者有过密切接触的患者在服用预防性中药处方后新冠肺炎检测呈阳性,感染率为1.149%。
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引用次数: 0
A comprehensive review of diagnosis and treatment in critically ill adults with COVID-19 新冠肺炎成人危重症诊断与治疗的综合评价
Pub Date : 2020-03-01 DOI: 10.1142/s2575900020300015
Shuanglan Xu, Zi Chen, Linyang Ge, Aiping Chen, Wei Zhang, Zi-kai Sun, Tonghua Yu, Suofang Shi, Lin-fu Zhou
The highly infectious coronavirus disease 2019 (COVID-19) that emerged in Wuhan, China, was caused by a novel strain of coronavirus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Subsequently, it was considered as one of the serious potential threats to global public health due to rapid spread worldwide. The purpose of this paper is to describe the characteristics of epidemiology, clinical manifestations, diagnosis, differential diagnosis, and treatment of traditional Chinese medicine and modern medicine in critically ill adults with COVID-19. We searched the related papers published up to April 20, 2020 on the PubMed and the China National Knowledge Infrastructure database. The findings will improve the potential recognition of COVID-19 among clinicians and the general public, and presumably contribute to the reduction of mortality.
在中国武汉出现的高度传染性冠状病毒疾病2019(新冠肺炎)是由一种新型冠状病毒引起的,即严重急性呼吸综合征冠状病毒2(SARS-CoV-2)。随后,由于它在全球范围内的快速传播,它被认为是对全球公共卫生的严重潜在威胁之一。本文旨在介绍新冠肺炎危重成人的流行病学特点、临床表现、诊断、鉴别诊断及中医、现代医学治疗。我们检索了截至2020年4月20日在PubMed和中国国家知识基础设施数据库上发表的相关论文。这些发现将提高临床医生和公众对新冠肺炎的潜在认识,并可能有助于降低死亡率。
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引用次数: 2
The role of acupuncture during the COVID-19 pandemic: From the historical perspective to practical application 针灸在新冠肺炎疫情中的作用:从历史视角到实际应用
Pub Date : 2020-03-01 DOI: 10.1142/s2575900020200013
Yemeng Chen
Acupuncture has valuable therapeutic effects on combating pestilence based on ancient literature and practical experiences acquired during the COVID-19 pandemic in China. Inner Classic of Nei Jing had laid out the principles and therapeutic methods for acupuncture applied to treat febrile diseases and special preventive treatment for pestilence as well, which was an idle sample of Cosmo-Human Correspondence doctrine of Chinese medicine. The author developed a practical protocol for acupuncture in body-resistance enhancement, symptom management, and post-pandemic care during COVID-19 outbreak. The protocol is more suitable for practicing in the western countries. Special precautions of practice during the pandemic and reopening clinic issues aftermath are also introduced.
根据古代文献和中国在新冠肺炎疫情中获得的实践经验,针灸在防治鼠疫方面具有宝贵的治疗作用。《内经》提出了针灸治疗温病和防治鼠疫的原则和治疗方法,是中医天人对应学说的一个空泛样本。作者在新冠肺炎疫情期间制定了针灸增强体抗、症状管理和大流行后护理的实用方案。该礼仪更适合在西方国家实践。此外,还介绍了大流行期间的特殊预防措施和重新开放诊所的问题。
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引用次数: 1
Pandemic response and international law: The case of COVID-19 大流行应对与国际法:以COVID-19为例
Pub Date : 2020-03-01 DOI: 10.1142/s2575900020500020
Q. Qin, T. Luo
The coronavirus pandemic is currently raging throughout the world. The ensuing crisis has acquired a multidimensional nature, affecting all levels of society, including international health legal order. For international health law, the World Health Organization (WHO) is the international institution with a core mandate in issues of global health. Moreover, the International Health Regulations (IHR) is the main legally binding instrument laying down rules for the cross-border spread of contagious diseases. Against this backdrop, this paper evaluates the issues and disputes under the current regimes of international health law. The paper then offers some thoughts by way of answers to the research questions.
冠状病毒大流行目前正在全球肆虐。随之而来的危机具有多层面性质,影响到社会各个层面,包括国际卫生法律秩序。就国际卫生法而言,世界卫生组织(世卫组织)是在全球卫生问题上负有核心任务的国际机构。此外,《国际卫生条例》是为传染病跨界传播制定规则的主要具有法律约束力的文书。在此背景下,本文评估了现行国际卫生法制度下的问题和争端。然后,本文通过回答研究问题的方式提出了一些想法。
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引用次数: 0
A comparison of epidemic prevention of COVID-19 between China and the US 中美新冠肺炎疫情防控比较
Pub Date : 2020-03-01 DOI: 10.1142/s2575900020200049
Qin Bian
COVID-19 is becoming a large health and economic threat worldwide. Here, the epidemic statistics and prevention measures between China and the US are compared. It is noted that wearing masks at different stages of virus breakout, quarantine pattern, and policy executive strength may be the major factors causing the difference in effectiveness of the epidemic control.
新冠肺炎正在全球范围内成为一个巨大的健康和经济威胁。在这里,我们比较了中美两国的疫情统计数据和预防措施。值得注意的是,在病毒爆发的不同阶段戴口罩、隔离模式和政策执行力度可能是导致疫情控制效果差异的主要因素。
{"title":"A comparison of epidemic prevention of COVID-19 between China and the US","authors":"Qin Bian","doi":"10.1142/s2575900020200049","DOIUrl":"https://doi.org/10.1142/s2575900020200049","url":null,"abstract":"COVID-19 is becoming a large health and economic threat worldwide. Here, the epidemic statistics and prevention measures between China and the US are compared. It is noted that wearing masks at different stages of virus breakout, quarantine pattern, and policy executive strength may be the major factors causing the difference in effectiveness of the epidemic control.","PeriodicalId":23184,"journal":{"name":"Traditional Medicine and Modern Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/s2575900020200049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49559585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Traditional Medicine and Modern Medicine
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