To reduce treatment-related side effects in low-risk prostate cancer(PCa),both focal therapy and deferred treatments,including active surveillance(AS)and watchful waiting(WW),are worth considering over radical prostat...To reduce treatment-related side effects in low-risk prostate cancer(PCa),both focal therapy and deferred treatments,including active surveillance(AS)and watchful waiting(WW),are worth considering over radical prostatectomy(RP).Therefore,this study aimed to compare long-term survival outcomes between focal therapy and AS/WW.Data were obtained and analyzed from the Surveillance,Epidemiology,and End Results(SEER)database.Patients with low-risk PCa who received focal therapy or AS/WW from 2010 to 2016 were included.Focal therapy included cryotherapy and laser ablation.Multivariate Cox proportional hazards models were used to compare overall mortality(OM)and cancer-specific mortality(CSM)between AS/WW and focal therapy,and propensity score matching(PSM)was performed to reduce the influence of bias and unmeasured confounders.A total of 19292 patients with low-risk PCa were included in this study.In multivariate Cox proportional hazards model analysis,the risk of OM was higher in patients receiving focal therapy than those receiving AS/WW(hazard ratio[HR]=1.35,95%confidence interval[CI]:1.02–1.79,P=0.037),whereas no significant difference was found in CSM(HR=0.98,95%CI:0.23–4.11,P=0.977).After PSM,the OM and CSM of focal therapy and AS/WW showed no significant differences(HR=1.26,95%CI:0.92–1.74,P=0.149;and HR=1.26,95%CI:0.24–6.51,P=0.782,respectively).For patients with low-risk PCa,focal therapy was no match for AS/WW in decreasing OM,suggesting that AS/WW could bring more overall survival benefits.展开更多
AIM: To determine parental knowledge about acute otitis media(AOM) and its antibiotic therapy, antibiotic resistance and the willingness to comply with the watchful waiting(WW) approach in primary care settings in sou...AIM: To determine parental knowledge about acute otitis media(AOM) and its antibiotic therapy, antibiotic resistance and the willingness to comply with the watchful waiting(WW) approach in primary care settings in southern Israel.METHODS: The study was conducted in 3 primary care clinics and the pediatric emergency room of Soroka University Medical Center. Questionnaires(20 questions on education background, previous AOM experience, knowledge on antimicrobial resistance and attitude vs the WW approach) were filled by 600 parents(150 at each centers) of children < 6 years of age.RESULTS: Mothers represented 69% of parents; 2% had an education of < 10 school years, 46% had high-school education and 17% had an academic degree. 69% parents reported previous experience with AOM and 56% thought that antibiotics represent the only treatment for AOM. Knowledge on bacterial resistance to antibiotics was reported by 57% of the parents; 86% parents were willing to accept/probably accept the WW approach for their children. Logistic regression analysis revealed a significant association between parental education and knowledge about bacterial resistance to antibiotics and that previous experience with AOM was significantly associated with reluctance to accept the WW approach. More parents with knowledge on bacterial resistance were willing to accept the WW approach compared with parents without such knowledge. No correlation was found between the education level and willingness to accept the WW approach. CONCLUSION: A significant correlation was found between previous parental education and experience with AOM and the knowledge about antibiotic use, bacterial resistance and acceptance of the WW approach.展开更多
Prostate cancer(PCa)is the second-most common cancer among men.Both active surveillance or watchful waiting(AS/WW)and focal laser ablation(FLA)can avoid the complications caused by radical treatment.How to make the ch...Prostate cancer(PCa)is the second-most common cancer among men.Both active surveillance or watchful waiting(AS/WW)and focal laser ablation(FLA)can avoid the complications caused by radical treatment.How to make the choice between these options in clinical practice needs further study.Therefore,this study aims to compare and analyze their effects based on overall survival(OS)and cancer-specific survival(CSS)to obtain better long-term benefits.We included patients with low-risk PCa from the Surveillance Epidemiology and End Results database of 2010–2016.Multivariate Cox proportional hazard analyses were conducted for OS and CSS in the two groups.To eliminate bias,this study applied a series of sensitivity analyses.Moreover,Kaplan–Meier curves were plotted to obtain survival status.A total of 18841 patients with low-risk PCa were included,with a median of 36-month follow-up.According to the multivariate Cox proportional hazard regression,the FLA group presented inferior survival benefits in OS than the AS/WW group(hazard ratio[HR]:2.13,95%confidence interval[CI]:1.37–3.33,P<0.05).After adjusting for confounders,the result persisted(HR:1.69,95%CI:1.02–2.81,P<0.05).According to the results of the sensitivity analysis,the inverse probability of the treatment weighing model indicated the same result in OS.In conclusion,AS/WW and FLA have the advantage of fewer side effects and the benefit of avoiding overtreatment compared with standard treatment.Our study suggested that AS/WW provides more survival benefits for patients with low-risk PCa.More relevant researches and data will be needed for further clarity.展开更多
Objective:Recent studies have reported the underuse of active surveillance or watchful wait-ing for low-risk prostate cancer in the United States.This study examined prostate cancer-specific and all-cause death in eld...Objective:Recent studies have reported the underuse of active surveillance or watchful wait-ing for low-risk prostate cancer in the United States.This study examined prostate cancer-specific and all-cause death in elderly patients older than 75 years with low-risk tumors managed with active treatment versus watchful waiting with active surveillance(WWAS).Methods:We performed survival analysis in a cohort of 18,599 men with low-risk tumors(early and localized tumors)who were 75 years or older at the time of prostate cancer diagnosis in the linked Surveillance,Epidemiology,and End Results(SEER)-Medicare database(from 1992 to 1998)and who were followed up through December 2003.WWAS was defined as having an-nual screening for prostate-specific antigen and/or digital rectal examination during the follow-up period.The risks of prostate cancer-specific and all-cause death were compared by Cox regression models.The propensity score matching technique was used to address potential selection bias.Results:In patients with well-differentiated(Gleason score 2-4)and localized disease,those managed with WWAS without delayed treatment had higher risk of all-cause death(hazard ratio 1.20,95%confidence interval 1.13-1.28)but a substantially lower risk of prostate cancer-specific death(hazard ratio 0.62,confidence interval 0.51-0.75)than patients undergoing active treatment.Patients managed with WWAS with delayed treatment had comparable mortality outcomes.Sensi-tivity analyses based on propensity score matching yielded similar results.Conclusion:In men older than 75 years with well-differentiated and localized prostate cancer,WWAS without delayed treatment had a lower risk of prostate cancer-specific death and compa-rable all-cause death as compared with active treatment.Those patients in whom treatment was delayed had comparable mortality outcomes.Our results support WWAS as an initial management option for older men with well-differentiated and localized prostate cancer.展开更多
People read many things online these days.It's an easy way to get a lot of information fast.They look at news,see posts and watch videos.But how much of the information is true?Some things online are fake.So it...People read many things online these days.It's an easy way to get a lot of information fast.They look at news,see posts and watch videos.But how much of the information is true?Some things online are fake.So it's important to check the facts before you believe or share anything.You can ask people or look at other sources first.Check newspapers or official websites.Always think carefully before you believe something online.展开更多
Incidental asymptomatic gallstone disease(AGD)is prevalent,but its management remains contentious.Old-fashioned conservative care is under scrutiny today with precision medicine and artificial intelligence(AI)on the h...Incidental asymptomatic gallstone disease(AGD)is prevalent,but its management remains contentious.Old-fashioned conservative care is under scrutiny today with precision medicine and artificial intelligence(AI)on the horizon.Unlike previous overviews,this review primarily focuses on clinical outcomes,surgical decision-making,and the integration of genomics,predictive analytics,and precision tools into AGD management.We emphasise how AI-based models and precision diagnostics enable tailored recommendations,preventing unnecessary cholecystectomy in low-risk patients while requiring early elective surgery in high-risk subgroups(e.g.,single large stones,polyps,endemic cancer areas).We also compare cost-effectiveness,surgical safety,and quality of life(QoL)measures within this precision strategy.Our vision is to overcome the binary"operate or observe"model by leveraging technology-enabled forecasting and collaborative decision-making to deliver future-proof care for AGD.The terminology of asymptomatic gallstones was used more meticulously in the era of open cholecystectomy,when neither the diagnostic tools nor the concept of minimal access surgery were available.After careful consideration of the evidence on natural history,risk of surgery,QoL,and cost,we recommend that clinicians utilise shared decision-making and present information regarding cholecystectomy as an intervention option to all patients with asymptomatic gallstones.展开更多
Find It What do boat captai ns try to do?W hale and dolphin watching is a popular thing to do off the coast of Hualien.*It is an amazing adventure!Imagine this:You are on a boat.Then a big whale jumps out of the water.
My mother is a worker in a factory and she is very busy every day.After got1up at six o'clock,she brushes her teeth and washes her face.Then she does breakfast2for us.She often has breakfast at half past six and s...My mother is a worker in a factory and she is very busy every day.After got1up at six o'clock,she brushes her teeth and washes her face.Then she does breakfast2for us.She often has breakfast at half past six and she goes to work at seven.She works for eight hours every day.She often gets home at six thirty in the evening.Then she cooks dinner for us.After dinner,she watches TV or reads books for a while.Sometimes she helps me with my homework.She usually goes to bed about3twenty to eleven.展开更多
[Objectives]To investigate the clinical efficacy of acupoint injection of nerve growth factors combined with task-oriented training for patients with post-stroke hemiplegic gait,and quantitatively evaluate the outcome...[Objectives]To investigate the clinical efficacy of acupoint injection of nerve growth factors combined with task-oriented training for patients with post-stroke hemiplegic gait,and quantitatively evaluate the outcomes using the Gait Watch analysis system.[Methods]A total of 90 patients with post-stroke hemiplegia,who were hospitalized at the Rehabilitation Center of Taihe Hospital between January 2023 and December 2023,were selected for this study.The participants were randomly assigned to three groups:the task-oriented rehabilitation training group(control group I,n=30),the ordinary acupuncture combined with task-oriented training group(control group II,n=30),and the acupoint injection combined with task-oriented training group(observation group,n=30).Each group underwent treatment for 4 weeks.The Gait Watch analysis system was employed to assess the spatiotemporal gait parameters of the patients prior to treatment,as well as 2 weeks post treatment and 4 weeks post treatment.The efficacy of the treatment was subsequently analyzed.[Results]After 4 weeks of treatment,the spatiotemporal gait parameters,specifically step length,step speed,step frequency,percentage of the standing phase,and percentage of the swinging phase,exhibited significant improvement in the observation group compared to those before treatment(P<0.05).Furthermore,the degree of improvement in the observation group was superior to that observed in both control group I and control group II,with the differences reaching statistical significance(P<0.05).[Conclusions]Acupoint injection combined with task-oriented training has been shown to significantly enhance gait function in patients with post-stroke hemiplegia.The Gait Watch analysis system offers an accurate and objective quantitative assessment,making it a valuable tool for clinical application and promotion.展开更多
Find It What did the shepherd boy do for fun?nce there was a shepherd boy,His job was watching the village's flock of sheep.He watched them in a field near some trees.He was not far from the village,but he was all...Find It What did the shepherd boy do for fun?nce there was a shepherd boy,His job was watching the village's flock of sheep.He watched them in a field near some trees.He was not far from the village,but he was all by himself.展开更多
“As a director,I hope that the audience will see a movie in cinemas instead of watching threeminute commentaries,about which I’m really speechless,”internationally renowned film director Zhang Yimou said in a recen...“As a director,I hope that the audience will see a movie in cinemas instead of watching threeminute commentaries,about which I’m really speechless,”internationally renowned film director Zhang Yimou said in a recent interview.Zhang said he believes the ritual and immersive feeling brought about by watching movies in the cinema cannot be replaced by watching movie commentaries online.He called on audiences to go to the cinema and experience in person the audio-visual feast delivered by the big screen.Zhang’s views on the so-called“threeminute movies”have become a trending topic on social media.The new genre,in which content creators on short-video platforms create summarized versions of films,also includes the creator’s own observations.The rise of these platforms has lowered barriers to entry for aspiring movie content creators,giving rise to not only high volume and great diversity but also large discrepancies in quality.Moreover,this content sometimes infringes the copyrights of the movies it features,while also misinterpreting their plots and themes.展开更多
1.Introduction Hepatocellular carcinoma(HCC)is the most common primary malignancy of the liver.HCC is the sixth most frequently diagnosed cancer and the third leading cause of cancer-relatedmortality worldwide.[1]Part...1.Introduction Hepatocellular carcinoma(HCC)is the most common primary malignancy of the liver.HCC is the sixth most frequently diagnosed cancer and the third leading cause of cancer-relatedmortality worldwide.[1]Partial hepatectomy is recommended for patients with early stage HCC.[2]A large proportion of patients with HCC inChina are diagnosed in the intermediate to advanced HCC stages,rendering them ineligible for hepatectomy due to aspects such as liver dysfunction,insufficient residual liver volume,or surgical technique.展开更多
The Last Watch Chief Director:Ma Wanting Length:Eight Episodes Producers:bilibili and Shanxi Cultural Relics Bureau Broadcasting Platform:bilibili Cultural relics are symbols of the wisdom of Chinese ancestors and tra...The Last Watch Chief Director:Ma Wanting Length:Eight Episodes Producers:bilibili and Shanxi Cultural Relics Bureau Broadcasting Platform:bilibili Cultural relics are symbols of the wisdom of Chinese ancestors and traditional Chinese culture.Shanxi,a mountainous province in north China,is now a popular travel destination with a rich cultural heritage.展开更多
With the first rays of dawn peeking through the rainforest at Shiti Village,Dehong Dai and Jingpo Autonomous Prefecture,Yunnan Province,Xu Xiaolong,a bird-watching guide from the Jingpo ethnic group,led a German bird-...With the first rays of dawn peeking through the rainforest at Shiti Village,Dehong Dai and Jingpo Autonomous Prefecture,Yunnan Province,Xu Xiaolong,a bird-watching guide from the Jingpo ethnic group,led a German bird-watching group into the jungle.His great-grandfather made a living by hunting“weird-looking birds”in the mountains.Today,the birds(Great Hornbill)are attracting tourist dollars from other parts of the world without dodging bullets.In Shiti Village,bird-watchers can enjoy the chirping of Great Hornbills and feel the rumbling in the air as the birds fly past.The village on the Chinese border with Myanmar was formerly poverty-stricken,with an average annual income of barely 2,000 yuan(US$305)per household 10 years ago.Today,the average annual income has grown to 150,000 yuan(US$23,075).It is a shining example of the successful practice of the notion that“lucid waters and lush mountains are invaluable assets.”展开更多
The treatment of locally advanced rectal cancer(LARC)has evolved significantly over the past century,driven by a deeper understanding of tumor biology,technological advancements,and multidisciplinary approaches.This a...The treatment of locally advanced rectal cancer(LARC)has evolved significantly over the past century,driven by a deeper understanding of tumor biology,technological advancements,and multidisciplinary approaches.This article reviews the historical progression of LARC management,emphasizing the latest breakthroughs that are reshaping treatment paradigms.Key developments include the watch and wait strategy for patients achieving a complete clinical response after neoadjuvant therapy,the emergence of total neoadjuvant therapy as a standard approach,and the adoption of minimally invasive surgical techniques,such as transanal endoscopic microsurgery.Watch and wait may reduce treatment-related morbidity and help preserve anorectal function,but it requires rigorous patient selection and close long-term surveillance to ensure oncologic safety.Additionally,the role of targeted therapies and immunotherapy is gaining prominence,offering new opportunities for personalized treatment.These innovations aim to improve oncological outcomes while minimizing morbidity and preserving organ function,ultimately enhancing patients’quality of life.Despite these advancements,challenges remain in optimizing patient selection,refining treatment strategies,and ensuring long-term safety and efficacy.A multidisciplinary approach involving surgeons,oncologists,and radiation specialists is crucial to tailoring therapies to individual patient profiles.As research continues,integrating novel therapeutic strategies will be key to further improving survival rates and reducing treatment-related morbidity in LARC patients.展开更多
基金supported by the National Key Research and Development Program of China(SQ2017YFSF090096)the National Natural Science Foundation of China(81770756)the Sichuan Science and Technology Program(2017HH0063)。
文摘To reduce treatment-related side effects in low-risk prostate cancer(PCa),both focal therapy and deferred treatments,including active surveillance(AS)and watchful waiting(WW),are worth considering over radical prostatectomy(RP).Therefore,this study aimed to compare long-term survival outcomes between focal therapy and AS/WW.Data were obtained and analyzed from the Surveillance,Epidemiology,and End Results(SEER)database.Patients with low-risk PCa who received focal therapy or AS/WW from 2010 to 2016 were included.Focal therapy included cryotherapy and laser ablation.Multivariate Cox proportional hazards models were used to compare overall mortality(OM)and cancer-specific mortality(CSM)between AS/WW and focal therapy,and propensity score matching(PSM)was performed to reduce the influence of bias and unmeasured confounders.A total of 19292 patients with low-risk PCa were included in this study.In multivariate Cox proportional hazards model analysis,the risk of OM was higher in patients receiving focal therapy than those receiving AS/WW(hazard ratio[HR]=1.35,95%confidence interval[CI]:1.02–1.79,P=0.037),whereas no significant difference was found in CSM(HR=0.98,95%CI:0.23–4.11,P=0.977).After PSM,the OM and CSM of focal therapy and AS/WW showed no significant differences(HR=1.26,95%CI:0.92–1.74,P=0.149;and HR=1.26,95%CI:0.24–6.51,P=0.782,respectively).For patients with low-risk PCa,focal therapy was no match for AS/WW in decreasing OM,suggesting that AS/WW could bring more overall survival benefits.
文摘AIM: To determine parental knowledge about acute otitis media(AOM) and its antibiotic therapy, antibiotic resistance and the willingness to comply with the watchful waiting(WW) approach in primary care settings in southern Israel.METHODS: The study was conducted in 3 primary care clinics and the pediatric emergency room of Soroka University Medical Center. Questionnaires(20 questions on education background, previous AOM experience, knowledge on antimicrobial resistance and attitude vs the WW approach) were filled by 600 parents(150 at each centers) of children < 6 years of age.RESULTS: Mothers represented 69% of parents; 2% had an education of < 10 school years, 46% had high-school education and 17% had an academic degree. 69% parents reported previous experience with AOM and 56% thought that antibiotics represent the only treatment for AOM. Knowledge on bacterial resistance to antibiotics was reported by 57% of the parents; 86% parents were willing to accept/probably accept the WW approach for their children. Logistic regression analysis revealed a significant association between parental education and knowledge about bacterial resistance to antibiotics and that previous experience with AOM was significantly associated with reluctance to accept the WW approach. More parents with knowledge on bacterial resistance were willing to accept the WW approach compared with parents without such knowledge. No correlation was found between the education level and willingness to accept the WW approach. CONCLUSION: A significant correlation was found between previous parental education and experience with AOM and the knowledge about antibiotic use, bacterial resistance and acceptance of the WW approach.
文摘Prostate cancer(PCa)is the second-most common cancer among men.Both active surveillance or watchful waiting(AS/WW)and focal laser ablation(FLA)can avoid the complications caused by radical treatment.How to make the choice between these options in clinical practice needs further study.Therefore,this study aims to compare and analyze their effects based on overall survival(OS)and cancer-specific survival(CSS)to obtain better long-term benefits.We included patients with low-risk PCa from the Surveillance Epidemiology and End Results database of 2010–2016.Multivariate Cox proportional hazard analyses were conducted for OS and CSS in the two groups.To eliminate bias,this study applied a series of sensitivity analyses.Moreover,Kaplan–Meier curves were plotted to obtain survival status.A total of 18841 patients with low-risk PCa were included,with a median of 36-month follow-up.According to the multivariate Cox proportional hazard regression,the FLA group presented inferior survival benefits in OS than the AS/WW group(hazard ratio[HR]:2.13,95%confidence interval[CI]:1.37–3.33,P<0.05).After adjusting for confounders,the result persisted(HR:1.69,95%CI:1.02–2.81,P<0.05).According to the results of the sensitivity analysis,the inverse probability of the treatment weighing model indicated the same result in OS.In conclusion,AS/WW and FLA have the advantage of fewer side effects and the benefit of avoiding overtreatment compared with standard treatment.Our study suggested that AS/WW provides more survival benefits for patients with low-risk PCa.More relevant researches and data will be needed for further clarity.
基金by grants from the National Cancer Institute(U54 CA-116867-01 to Li Li)the National Institute of Aging(P20 CA10373 to Li Li)Siran M.Koroukian was supported by a Career Development Grant from the National Cancer Institute(K07 CA096705).
文摘Objective:Recent studies have reported the underuse of active surveillance or watchful wait-ing for low-risk prostate cancer in the United States.This study examined prostate cancer-specific and all-cause death in elderly patients older than 75 years with low-risk tumors managed with active treatment versus watchful waiting with active surveillance(WWAS).Methods:We performed survival analysis in a cohort of 18,599 men with low-risk tumors(early and localized tumors)who were 75 years or older at the time of prostate cancer diagnosis in the linked Surveillance,Epidemiology,and End Results(SEER)-Medicare database(from 1992 to 1998)and who were followed up through December 2003.WWAS was defined as having an-nual screening for prostate-specific antigen and/or digital rectal examination during the follow-up period.The risks of prostate cancer-specific and all-cause death were compared by Cox regression models.The propensity score matching technique was used to address potential selection bias.Results:In patients with well-differentiated(Gleason score 2-4)and localized disease,those managed with WWAS without delayed treatment had higher risk of all-cause death(hazard ratio 1.20,95%confidence interval 1.13-1.28)but a substantially lower risk of prostate cancer-specific death(hazard ratio 0.62,confidence interval 0.51-0.75)than patients undergoing active treatment.Patients managed with WWAS with delayed treatment had comparable mortality outcomes.Sensi-tivity analyses based on propensity score matching yielded similar results.Conclusion:In men older than 75 years with well-differentiated and localized prostate cancer,WWAS without delayed treatment had a lower risk of prostate cancer-specific death and compa-rable all-cause death as compared with active treatment.Those patients in whom treatment was delayed had comparable mortality outcomes.Our results support WWAS as an initial management option for older men with well-differentiated and localized prostate cancer.
文摘People read many things online these days.It's an easy way to get a lot of information fast.They look at news,see posts and watch videos.But how much of the information is true?Some things online are fake.So it's important to check the facts before you believe or share anything.You can ask people or look at other sources first.Check newspapers or official websites.Always think carefully before you believe something online.
文摘Incidental asymptomatic gallstone disease(AGD)is prevalent,but its management remains contentious.Old-fashioned conservative care is under scrutiny today with precision medicine and artificial intelligence(AI)on the horizon.Unlike previous overviews,this review primarily focuses on clinical outcomes,surgical decision-making,and the integration of genomics,predictive analytics,and precision tools into AGD management.We emphasise how AI-based models and precision diagnostics enable tailored recommendations,preventing unnecessary cholecystectomy in low-risk patients while requiring early elective surgery in high-risk subgroups(e.g.,single large stones,polyps,endemic cancer areas).We also compare cost-effectiveness,surgical safety,and quality of life(QoL)measures within this precision strategy.Our vision is to overcome the binary"operate or observe"model by leveraging technology-enabled forecasting and collaborative decision-making to deliver future-proof care for AGD.The terminology of asymptomatic gallstones was used more meticulously in the era of open cholecystectomy,when neither the diagnostic tools nor the concept of minimal access surgery were available.After careful consideration of the evidence on natural history,risk of surgery,QoL,and cost,we recommend that clinicians utilise shared decision-making and present information regarding cholecystectomy as an intervention option to all patients with asymptomatic gallstones.
文摘Find It What do boat captai ns try to do?W hale and dolphin watching is a popular thing to do off the coast of Hualien.*It is an amazing adventure!Imagine this:You are on a boat.Then a big whale jumps out of the water.
文摘Yesterday I lost my favorite watch.It was a gift from my grandfather.I was so sad and worried.I looked for it here and there,but I just couldn't find.
文摘My mother is a worker in a factory and she is very busy every day.After got1up at six o'clock,she brushes her teeth and washes her face.Then she does breakfast2for us.She often has breakfast at half past six and she goes to work at seven.She works for eight hours every day.She often gets home at six thirty in the evening.Then she cooks dinner for us.After dinner,she watches TV or reads books for a while.Sometimes she helps me with my homework.She usually goes to bed about3twenty to eleven.
基金Supported by Hospital-level Project of Shiyan Taihe Hospital(2019JJXM117).
文摘[Objectives]To investigate the clinical efficacy of acupoint injection of nerve growth factors combined with task-oriented training for patients with post-stroke hemiplegic gait,and quantitatively evaluate the outcomes using the Gait Watch analysis system.[Methods]A total of 90 patients with post-stroke hemiplegia,who were hospitalized at the Rehabilitation Center of Taihe Hospital between January 2023 and December 2023,were selected for this study.The participants were randomly assigned to three groups:the task-oriented rehabilitation training group(control group I,n=30),the ordinary acupuncture combined with task-oriented training group(control group II,n=30),and the acupoint injection combined with task-oriented training group(observation group,n=30).Each group underwent treatment for 4 weeks.The Gait Watch analysis system was employed to assess the spatiotemporal gait parameters of the patients prior to treatment,as well as 2 weeks post treatment and 4 weeks post treatment.The efficacy of the treatment was subsequently analyzed.[Results]After 4 weeks of treatment,the spatiotemporal gait parameters,specifically step length,step speed,step frequency,percentage of the standing phase,and percentage of the swinging phase,exhibited significant improvement in the observation group compared to those before treatment(P<0.05).Furthermore,the degree of improvement in the observation group was superior to that observed in both control group I and control group II,with the differences reaching statistical significance(P<0.05).[Conclusions]Acupoint injection combined with task-oriented training has been shown to significantly enhance gait function in patients with post-stroke hemiplegia.The Gait Watch analysis system offers an accurate and objective quantitative assessment,making it a valuable tool for clinical application and promotion.
文摘Find It What did the shepherd boy do for fun?nce there was a shepherd boy,His job was watching the village's flock of sheep.He watched them in a field near some trees.He was not far from the village,but he was all by himself.
文摘“As a director,I hope that the audience will see a movie in cinemas instead of watching threeminute commentaries,about which I’m really speechless,”internationally renowned film director Zhang Yimou said in a recent interview.Zhang said he believes the ritual and immersive feeling brought about by watching movies in the cinema cannot be replaced by watching movie commentaries online.He called on audiences to go to the cinema and experience in person the audio-visual feast delivered by the big screen.Zhang’s views on the so-called“threeminute movies”have become a trending topic on social media.The new genre,in which content creators on short-video platforms create summarized versions of films,also includes the creator’s own observations.The rise of these platforms has lowered barriers to entry for aspiring movie content creators,giving rise to not only high volume and great diversity but also large discrepancies in quality.Moreover,this content sometimes infringes the copyrights of the movies it features,while also misinterpreting their plots and themes.
文摘1.Introduction Hepatocellular carcinoma(HCC)is the most common primary malignancy of the liver.HCC is the sixth most frequently diagnosed cancer and the third leading cause of cancer-relatedmortality worldwide.[1]Partial hepatectomy is recommended for patients with early stage HCC.[2]A large proportion of patients with HCC inChina are diagnosed in the intermediate to advanced HCC stages,rendering them ineligible for hepatectomy due to aspects such as liver dysfunction,insufficient residual liver volume,or surgical technique.
文摘The Last Watch Chief Director:Ma Wanting Length:Eight Episodes Producers:bilibili and Shanxi Cultural Relics Bureau Broadcasting Platform:bilibili Cultural relics are symbols of the wisdom of Chinese ancestors and traditional Chinese culture.Shanxi,a mountainous province in north China,is now a popular travel destination with a rich cultural heritage.
文摘With the first rays of dawn peeking through the rainforest at Shiti Village,Dehong Dai and Jingpo Autonomous Prefecture,Yunnan Province,Xu Xiaolong,a bird-watching guide from the Jingpo ethnic group,led a German bird-watching group into the jungle.His great-grandfather made a living by hunting“weird-looking birds”in the mountains.Today,the birds(Great Hornbill)are attracting tourist dollars from other parts of the world without dodging bullets.In Shiti Village,bird-watchers can enjoy the chirping of Great Hornbills and feel the rumbling in the air as the birds fly past.The village on the Chinese border with Myanmar was formerly poverty-stricken,with an average annual income of barely 2,000 yuan(US$305)per household 10 years ago.Today,the average annual income has grown to 150,000 yuan(US$23,075).It is a shining example of the successful practice of the notion that“lucid waters and lush mountains are invaluable assets.”
文摘The treatment of locally advanced rectal cancer(LARC)has evolved significantly over the past century,driven by a deeper understanding of tumor biology,technological advancements,and multidisciplinary approaches.This article reviews the historical progression of LARC management,emphasizing the latest breakthroughs that are reshaping treatment paradigms.Key developments include the watch and wait strategy for patients achieving a complete clinical response after neoadjuvant therapy,the emergence of total neoadjuvant therapy as a standard approach,and the adoption of minimally invasive surgical techniques,such as transanal endoscopic microsurgery.Watch and wait may reduce treatment-related morbidity and help preserve anorectal function,but it requires rigorous patient selection and close long-term surveillance to ensure oncologic safety.Additionally,the role of targeted therapies and immunotherapy is gaining prominence,offering new opportunities for personalized treatment.These innovations aim to improve oncological outcomes while minimizing morbidity and preserving organ function,ultimately enhancing patients’quality of life.Despite these advancements,challenges remain in optimizing patient selection,refining treatment strategies,and ensuring long-term safety and efficacy.A multidisciplinary approach involving surgeons,oncologists,and radiation specialists is crucial to tailoring therapies to individual patient profiles.As research continues,integrating novel therapeutic strategies will be key to further improving survival rates and reducing treatment-related morbidity in LARC patients.
