The association of gastrointestinal malignancy with aplastic anemia has rarely been reported in the literature. Although it is not clear whether there is any direct relationship between aplastic anemia and gastrointes...The association of gastrointestinal malignancy with aplastic anemia has rarely been reported in the literature. Although it is not clear whether there is any direct relationship between aplastic anemia and gastrointestinal cancers, a retrospective analysis did suggest the notion that patients with aplastic anemia might have a higher incidence of colorectal cancer. Here, we report the diagnostic and therapeutic challenges in managing a patient with aplastic anemia and advanced colorectal cancer. Early diagnosis is challenging due to overlapping symptomatology and clinical features, increased risk of diagnostic procedures, and confounding complications arising from aplastic anemia and its treatment. A high index of suspicion and multidisciplinary input are essential.展开更多
Objective: This study was aimed to compare the efficacy among chronic asthma patients who received 1 course treatment, 2 courses treatment and 3 courses treatment of Tianjiu Therapy in Sanfu Days. Methods: This study ...Objective: This study was aimed to compare the efficacy among chronic asthma patients who received 1 course treatment, 2 courses treatment and 3 courses treatment of Tianjiu Therapy in Sanfu Days. Methods: This study was comparing efficiency with 3 courses (baseline, the 1st course, the 2nd course, the 3rd course) of Tianjiu Therapy for asthma in 91 chronic asthma patients. For each course, patients received 3 times Tianjiu Therapy treatments, pretreatment assessment and posttrestment assessment. Results: 91 asthma participants completed at least 3 courses of Tianjiu Therapy in Sanfu Days. 1) Days for asthma attacked during the last 12 months;the frequency for asthma attacked during the last 12 months;incidence of admitting to clinic (Integrated Chinese Medicine & Western Medicine Clinic) when asthma attack during the last 12 months;times of admitting to clinic;times of solving by persistent medicine;times of solving by own medicine when asthma attack during the last 12 months;and symptoms associated with Chinese medicine of waking by asthma symptoms, lack of strength, lassitude, rapid or difficult breathing were improved at the 1st course, the 2nd course and the 3rd course compared with baseline (All P < 0.05);2) The incidence of admitting to In-patient Hospital and solving by persistent prescription when asthma attacked;the frequency of Chinese Herbal Medicine used during Tianjiu Therapy;the status of asthma under controlled and no improved by self-evaluation were similarly improved at the 2nd course and the 3rd course (All P 3) Incidence of admitting to A & E for asthma attacked during the last 12 months, and other treatments except Western Medicine, Chinese Herbal Medicine, and Acupuncture & Moxibution during the last 12 months were improvement at the 3rd course (All P 4) Symptoms associated with Chinese medicine of spontaneous sweating and reduction of exercise were improved at the 1st course (P < 0.05);5) Symptom of diarrhea after intake of oil food was became a little bad at the 2nd course and the 3rd course (P < 0.05);6) The frequency of bronchodilator used when asthma attack was reduced in the 1st course and the 2nd course (All P < 0.05);7) Lung function of FEV1 and FEV1/FVC(×100) were a little improvement, but have no significant statistical difference (P > 0.05);8) The total score of ACT at the 1st course, the 2nd course, and the 3rd course did not improved significantly (All P > 0.05). Conclusion: After Tianjiu Therapy in Sanfu Days participants have achieved good efficiency, and as the course get longer, the efficiency of more symptoms associated with chronic asthma were improved. Suggest patients with chronic asthma continuous receive Tianjiu Therapy in Sanfu Days which will be a feasible treatment.展开更多
文摘The association of gastrointestinal malignancy with aplastic anemia has rarely been reported in the literature. Although it is not clear whether there is any direct relationship between aplastic anemia and gastrointestinal cancers, a retrospective analysis did suggest the notion that patients with aplastic anemia might have a higher incidence of colorectal cancer. Here, we report the diagnostic and therapeutic challenges in managing a patient with aplastic anemia and advanced colorectal cancer. Early diagnosis is challenging due to overlapping symptomatology and clinical features, increased risk of diagnostic procedures, and confounding complications arising from aplastic anemia and its treatment. A high index of suspicion and multidisciplinary input are essential.
文摘Objective: This study was aimed to compare the efficacy among chronic asthma patients who received 1 course treatment, 2 courses treatment and 3 courses treatment of Tianjiu Therapy in Sanfu Days. Methods: This study was comparing efficiency with 3 courses (baseline, the 1st course, the 2nd course, the 3rd course) of Tianjiu Therapy for asthma in 91 chronic asthma patients. For each course, patients received 3 times Tianjiu Therapy treatments, pretreatment assessment and posttrestment assessment. Results: 91 asthma participants completed at least 3 courses of Tianjiu Therapy in Sanfu Days. 1) Days for asthma attacked during the last 12 months;the frequency for asthma attacked during the last 12 months;incidence of admitting to clinic (Integrated Chinese Medicine & Western Medicine Clinic) when asthma attack during the last 12 months;times of admitting to clinic;times of solving by persistent medicine;times of solving by own medicine when asthma attack during the last 12 months;and symptoms associated with Chinese medicine of waking by asthma symptoms, lack of strength, lassitude, rapid or difficult breathing were improved at the 1st course, the 2nd course and the 3rd course compared with baseline (All P < 0.05);2) The incidence of admitting to In-patient Hospital and solving by persistent prescription when asthma attacked;the frequency of Chinese Herbal Medicine used during Tianjiu Therapy;the status of asthma under controlled and no improved by self-evaluation were similarly improved at the 2nd course and the 3rd course (All P 3) Incidence of admitting to A & E for asthma attacked during the last 12 months, and other treatments except Western Medicine, Chinese Herbal Medicine, and Acupuncture & Moxibution during the last 12 months were improvement at the 3rd course (All P 4) Symptoms associated with Chinese medicine of spontaneous sweating and reduction of exercise were improved at the 1st course (P < 0.05);5) Symptom of diarrhea after intake of oil food was became a little bad at the 2nd course and the 3rd course (P < 0.05);6) The frequency of bronchodilator used when asthma attack was reduced in the 1st course and the 2nd course (All P < 0.05);7) Lung function of FEV1 and FEV1/FVC(×100) were a little improvement, but have no significant statistical difference (P > 0.05);8) The total score of ACT at the 1st course, the 2nd course, and the 3rd course did not improved significantly (All P > 0.05). Conclusion: After Tianjiu Therapy in Sanfu Days participants have achieved good efficiency, and as the course get longer, the efficiency of more symptoms associated with chronic asthma were improved. Suggest patients with chronic asthma continuous receive Tianjiu Therapy in Sanfu Days which will be a feasible treatment.
