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Zhao J, Zheng X, Gao M, Chi J, Wei S, Yun X. Video-assisted superior mediastinal lymphadenectomy for papillary thyroid cancer: a case report. Ann R Coll Surg Engl 2022; 104:e227-e231. [PMID: 35713097 PMCID: PMC9433169 DOI: 10.1308/rcsann.2021.0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2020] [Indexed: 09/03/2023] Open
Abstract
Superior mediastinal lymph node metastases in papillary thyroid cancer are uncommon. The clinical characteristics and surgical strategy of superior mediastinal lymph node metastases remain unclear. Superior mediastinal lymphadenectomy can be accomplished either by a transcervical or transsternal approach. Transsternal approach for superior mediastinal lymphadenectomy can cause great damage; transcervical approach sometimes results in inadequate exposure. Here we report our experience of a papillary thyroid cancer patient with superior mediastinal lymph node metastases who underwent video-assisted superior mediastinal lymphadenectomy. A 49-year-old woman diagnosed with papillary thyroid cancer in left thyroid underwent unilateral lobectomy and ipsilateral central and lateral node dissection in the local hospital 4 years ago. Currently lymph node metastases were found in mediastinum and the right neck, some of which were adjacent to the right innominate vein. Unilateral lobectomy, ipsilateral central and lateral node dissection, and video-assisted superior mediastinal lymphadenectomy were successfully performed by transcervical approach. Subsequently, the patient received thyroxine suppression therapy and adjuvant radioiodine treatment. Video-assisted superior mediastinal lymphadenectomy, providing adequate exposure for a complete superior mediastinal lymphadenectomy, is proved to be safe and feasible.
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Affiliation(s)
- J Zhao
- Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin’s Clinical Research Center for Cancer, Tianjin, P. R. China
| | - X Zheng
- Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin’s Clinical Research Center for Cancer, Tianjin, P. R. China
| | - M Gao
- Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin’s Clinical Research Center for Cancer, Tianjin, P. R. China
| | - J Chi
- Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin’s Clinical Research Center for Cancer, Tianjin, P. R. China
| | - S Wei
- Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin’s Clinical Research Center for Cancer, Tianjin, P. R. China
| | - X Yun
- Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin’s Clinical Research Center for Cancer, Tianjin, P. R. China
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Yun X, Zhang Y, Sun X, Hu X, Zhang H, Yin Z, Zhang X, Liu M, Wang X. PROGNOSTIC VALUE OF APOLIPOPROTEIN A IN CHRONIC LYMPHOCYTIC LEUKEMIA. Hematol Oncol 2021. [DOI: 10.1002/hon.16_2881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- X Yun
- Shandong Provincial Hospital Cheeloo College of Medicine Shandong University Department of Hematology Jinan Shandong China
| | - Y Zhang
- Shandong Provincial Hospital Cheeloo College of Medicine Shandong University Department of Hematology Jinan Shandong China
| | - X Sun
- Shandong Provincial Hospital Cheeloo College of Medicine Shandong University Department of Hematology Jinan Shandong China
| | - X Hu
- Shandong Provincial Hospital Cheeloo College of Medicine Shandong University Department of Hematology Jinan Shandong China
| | - H Zhang
- Shandong Provincial Hospital Cheeloo College of Medicine Shandong University Department of Hematology Jinan Shandong China
| | - Z Yin
- Shandong Provincial Hospital Cheeloo College of Medicine Shandong University Department of Hematology Jinan Shandong China
| | - X Zhang
- Shandong Provincial Hospital Cheeloo College of Medicine Shandong University Department of Hematology Jinan Shandong China
| | - M Liu
- Shandong Provincial Hospital Cheeloo College of Medicine Shandong University Department of Hematology Jinan Shandong China
| | - X Wang
- Shandong Provincial Hospital Cheeloo College of Medicine Shandong University Department of Hematology Jinan Shandong China
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Liu J, Shao D, Cheng S, Guo F, Yuan Y, Hu K, Wang Z, Meng X, Jin X, Yun X, Chai X, Li H, Zhang Y, Zhang H, Ye M. Frequency of mutations in 21 hereditary breast and ovarian cancer susceptibility genes among 882 high-risk individuals. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz250.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Ailing Z, Jing Y, Jingli L, Yun X, Xiaojian Z. Further evidence that a variant of the gene NUDT15 may be an important predictor of azathioprine-induced toxicity in Chinese subjects: a case report. J Clin Pharm Ther 2016; 41:572-4. [PMID: 27381176 DOI: 10.1111/jcpt.12420] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Accepted: 06/14/2016] [Indexed: 12/12/2022]
Abstract
WHAT IS KNOWN AND OBJECTIVE Thiopurine methyltransferase (TPMT) enzyme is an important component in the metabolism of azathioprine (AZA). Its mutation may lead to AZA-induced toxicity. The dysfunctional genetic variant TPMT *3C is of low frequency among Asians. Moreover, AZA-induced toxicity still occurs in some patients with normal TPMT activity. This suggests that additional factors, including other genetic variants, may contribute to such toxicity. Recent studies described a strong association between a variant of the NUDT15, a gene that mediates the hydrolysis of some nucleoside diphosphate derivatives, and thiopurine-related myelosuppression in Asians. We report the first case of a Chinese patient with AZA-induced severe toxicity with no clinically significant TPMT variant but with the NUDT15 c.415C>T allele. CASE SUMMARY A 40-year-old Chinese patient with PBC-AIH overlap syndrome had been receiving for one month, azathioprine (50 mg/day) and methylprednisolone (24 mg/day) based on his TPMT*3C wild-type genotype. The patient developed serious myelosuppression and hair loss. AZA was stopped, and the patient was given liver-protective drugs and supportive treatment. TPMT and NUDT15 gene sequencing suggests that NUDT15 c.415C>T mutation was the likely cause of the adverse reaction. WHAT IS NEW AND CONCLUSION NUDT15 c.415C>T may be another predictor of AZA-induced leukocytopenia. If further well-controlled studies validate this association with sufficient predictive power, NUDT15 and TPMT genotyping before starting AZA treatment may become appropriate.
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Affiliation(s)
- Z Ailing
- Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Y Jing
- Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - L Jingli
- Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - X Yun
- Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Z Xiaojian
- Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
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Li LL, Dong Y, Wang RX, An N, Yun X, Liu RZ. Sperm aneuploidy and implications for genetic counseling in a pedigree of three t(1;3) balanced translocation carriers. Genet Mol Res 2015; 14:5003-9. [PMID: 25966275 DOI: 10.4238/2015.may.12.3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
A reciprocal translocation between the short arm of chromosome 1 and the long arm of chromosome 3 was observed in a pedigree of three carriers (proband, and his brother and mother). In this study, the three carriers had different clinical manifestations: the proband with infertility, his brother with spousal miscarriages, and his mother with no adverse reproductive history. Cytogenetic analysis of metaphase chromosomes was performed, and triple-color fluorescence in situ hybridization was applied to the detection of aneuploidy sperm related to the interchromosomal effect (ICE). An increase of aneuploidy of chromosome 21 in the proband and aneuploidy of chromosomes 13, 21, and Y in the brother were observed. Since patients with reciprocal translocations and spermatogenetic impairment are candidates, with their partners, for intracytoplasmic sperm injection, the study of the level of sperm aneuploidy rates would provide useful information for couples at risk, as well as contributing to a better understanding of the ICE.
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Affiliation(s)
- L-L Li
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, The First Hospital, Jilin University, Changchun, China
| | - Y Dong
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, The First Hospital, Jilin University, Changchun, China
| | - R-X Wang
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, The First Hospital, Jilin University, Changchun, China
| | - N An
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, The First Hospital, Jilin University, Changchun, China
| | - X Yun
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, The First Hospital, Jilin University, Changchun, China
| | - R-Z Liu
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, The First Hospital, Jilin University, Changchun, China
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Liu Y, Yun X, Gao M, Yu Y, Li X. Analysis of regulatory T cells frequency in peripheral blood and tumor tissues in papillary thyroid carcinoma with and without Hashimoto's thyroiditis. Clin Transl Oncol 2014; 17:274-80. [PMID: 25387566 DOI: 10.1007/s12094-014-1222-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2013] [Accepted: 08/24/2014] [Indexed: 01/15/2023]
Abstract
PURPOSE Regulatory T cells (Treg) suppress the immune reaction. The aim of the present study was to investigate the clinicopathologic significance and roles of Treg in papillary thyroid carcinoma (PTC) patients with and without Hashimoto's thyroiditis. METHODS Flow cytometry was used to detect the percentage of CD4+CD25+CD127low/- Treg among CD4+ T cells in peripheral blood. FoxP3+ Treg were detected by immunohistochemistry in the tumor tissues. RESULTS The percentage of CD4+CD25+CD127low/- Treg among CD4+ T cells was significantly higher in PTC patients than that in multinodular goiter (MNG) patients. There were large numbers of tumor-infiltrating FoxP3+ Treg in primary PTC and metastatic lymph nodes tissues; however, there was no FoxP3 expression in the MNG tissues. Higher percentage of Treg both in peripheral blood and tumor tissues was associated with extrathyroidal extension and lymph nodes metastasis. The percentage of CD4+CD25+CD127low/- Treg among CD4+ T cells in peripheral blood of PTC patients with Hashimoto's thyroiditis (HT) was significantly lower, whereas the infiltration of FoxP3+ Treg in tissues of PTC with HT tended to be increased. CONCLUSIONS We concluded that the percentage of Treg increased in peripheral blood as well as in the tumor tissues of PTC patients compared with that of MNG patients. The high percentage of Treg was associated with aggressiveness. There may be a compensatory expansion of Treg at the sites of inflammation in tissues of PTC with HT contributing to the immune response suppression.
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Affiliation(s)
- Y Liu
- Department of Head and Neck Tumor, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, Huanhuxi Road, Ti-Yuan-Bei, Hexi District, Tianjin, 300060, People's Republic of China
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Dong Y, Li LL, Wang RX, Yu XW, Yun X, Liu RZ. Reproductive outcomes in recurrent pregnancy loss associated with a parental carrier of chromosome abnormalities or polymorphisms. Genet Mol Res 2014; 13:2849-56. [PMID: 24535899 DOI: 10.4238/2014.january.17.4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The subsequent reproductive outcomes in couples with a history of recurrent pregnancy loss (RPL) associated with chromosome abnormalities or polymorphisms are generally not reported in China. Many RPL carrier couples have decided not to have children. The present study recorded the subsequent delivery, miscarriage, and unpregnancy outcomes of 113 RPL carrier couples and 226 non-carrier couples, and compared differences in reproductive outcomes between couples with different types of chromosome abnormalities or polymorphisms and chromosome normal couples. Our results showed that couples with RPL associated with parental chromosome abnormalities or polymorphisms did not have significantly lower live birth rates than non-carrier couples in China. These results suggest the current guidance given to Chinese RPL couples.
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Affiliation(s)
- Y Dong
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, First Hospital, Jilin University, Changchun, China
| | - L L Li
- Department of Cell Biology, Norman Bethune College of Medicine, Jilin University, Changchun, China
| | - R X Wang
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, First Hospital, Jilin University, Changchun, China
| | - X W Yu
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, First Hospital, Jilin University, Changchun, China
| | - X Yun
- Department of Cell Biology, Norman Bethune College of Medicine, Jilin University, Changchun, China
| | - R Z Liu
- Center for Reproductive Medicine, Center for Prenatal Diagnosis, First Hospital, Jilin University, Changchun, China
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Zhou QH, Xiao WP, Yun X. Epidural anaesthesia with goal-directed administration of ropivacaine improves haemodynamic stability when combined with general anaesthesia in elderly patients undergoing major abdominal surgery. Anaesth Intensive Care 2013; 41:82-9. [PMID: 23362895 DOI: 10.1177/0310057x1304100114] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The use of epidural ropivacaine may result in significant haemodynamic fluctuations during combined epidural and general anaesthesia. We designed this study to investigate whether epidural anaesthesia with a goal-directed approach, when combined with general anaesthesia, improved haemodynamic stability in elderly patients undergoing major abdominal surgery. Seventy-five elderly patients undergoing major abdominal surgery were randomly and evenly assigned to one of three groups receiving intraoperative epidural anaesthesia with either ropivacaine 0.1% (Group 1), ropivacaine 0.375% (Group 2) or ropivacaine 0.375% for abdominal wall pain and ropivacaine 0.1% for visceral pain (Group 3). General anaesthesia was induced using a target-controlled infusion of combined propofol and remifentanil. The remifentanil target concentration was adjusted according to the mean arterial pressure and heart rate, and vasoactive agents were administered to maintain stable haemodynamics. The need for vasoactive drug administrations was 1.4 (standard deviation 0.9) in Group 3 (n=24), representing a significantly lower frequency of administration compared with Groups 1 (n=24) and 2 (n=24) (P <0.05 versus Group 1; P <0.01 versus Group 2). The total intraoperative dose of remifentanil was significantly greater in Group 1 (P <0.01 versus Group 2; P <0.05 versus Group 3) but did not differ significantly between Groups 2 and 3. Goal-directed epidural anaesthesia with different ropivacaine concentrations can improve haemodynamic stability when combined with general anaesthesia for elderly patients undergoing major abdominal surgery.
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Affiliation(s)
- Q H Zhou
- Department of Anesthesia, Second Affiliated Hospital of Jiaxing University, Jiaxing, China
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Yun X. Evaluation of regional myocardial systolic function of left ventricular in patients with constrictive pericarditis by two-dimensional speckle-tracking imaging. Heart 2011. [DOI: 10.1136/heartjnl-2011-300867.366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Yun X, Ling C, Li H, Fok A. Effect of artificial aging on bonding strength of fissure sealants. Dent Mater 2010. [DOI: 10.1016/j.dental.2009.11.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Ling C, Yun X, Li J, Fok A. Evaluation of microleakage at sealant–enamel interfaces: A nondestructive study using micro-CT. Dent Mater 2010. [DOI: 10.1016/j.dental.2009.11.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Li H, Yun X, Li J, Shi L, Fok AS, Madden MJ, Labuz JF. Strengthening of a model composite restoration using shape optimization: a numerical and experimental study. Dent Mater 2009; 26:126-34. [PMID: 19818487 DOI: 10.1016/j.dental.2009.09.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2009] [Revised: 09/01/2009] [Accepted: 09/09/2009] [Indexed: 11/18/2022]
Abstract
OBJECTIVE This study aims to validate a cavity shape optimization approach for improving the debonding resistance of dental restorations by carrying out fracture tests on restored model teeth with standard and optimized cavity designs. METHOD The bio-mimetic stress-induced material transformation (SMT) optimization method was incorporated into the finite element (FE) program ABAQUS as a user material (UMAT) subroutine. The method uses stress minimization to optimize the cavity shape of a MOD restoration in an artificial premolar with special reference to the tooth-restoration interface under occlusal loads. The mechanical performance of the optimized design was first verified through FE analysis and then compared with that of the conventional design using fracture tests on model teeth. RESULTS The SMT optimization process indicated a T-shape cavity as a more favorable design for the MOD restoration in the artificial premolar. Compared with the conventional parallel wall, or undercut design, the T-shape cavity was shown numerically to reduce the interfacial stresses by up to 69%, and experimentally to increase the mean debonding resistance of the model teeth by 23% (p<0.05). SIGNIFICANCE Cavity shape optimization can help increase the debonding resistance of restored teeth by reducing the interfacial stresses between tooth and restoration under occlusal loads.
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Affiliation(s)
- H Li
- Minnesota Dental Research Center for Biomaterials and Biomechanics, School of Dentistry, University of Minnesota, 16-212 Moos Tower, 515 Delaware Street SE, Minneapolis, MN 55455, USA.
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Zhou J, Wei Y, Liu D, Ge X, Zhou F, Yun X, Jiang J, Gu J. Identification of 1,4GalT II as a Target Gene of p53-mediated HeLa Cell Apoptosis. J Biochem 2007; 143:547-54. [DOI: 10.1093/jb/mvn003] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Tan J, Feng H, Yun X. [Effect of occlusal interference on fluctuation of body's gravity center]. Zhonghua Kou Qiang Yi Xue Za Zhi 2001; 36:186-8. [PMID: 11812338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE To study if the occlusal interference affects the fluctuation of body's gravity center. METHODS An artificial occlusal interference was separately applied on 14 volunteers (7 males and 7 females, mean age 23.2 years). Fluctuations of body's gravity center were measured before wearing the occlusal interference appliance, at 30 minutes and 24 hours after wearing the appliance. RESULTS The length and area of fluctuation of body's gravity center with the interference appliance were greater than that without it. The length of fluctuation of gravity center was 40.22 cm, 41.66 cm and 43.21 cm in eye-opening conditions and 56.96 cm2, 61.93 cm2, 66.9 cm2 in eye-closing condition. The area of fluctuation of gravity center was 3.3 cm2, 3.43 cm2, 3.61 cm2 in eye-opening condition and 4.63 cm2, 5.00 cm2, 6.47 cm2 in eye-closing condition. The female volunteers showed more changes than the male ones. CONCLUSION Occlusal interference does affect the fluctuation of body's gravity center.
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Affiliation(s)
- J Tan
- Department of Prosthodontics, Peking University School of Stomatology, Beijing 100081, China
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Abstract
Western rehabilitation techniques were first introduced into China in the early 1980s. The predominantly 'medical model' of health care in China has resulted in a shortage of rehabilitation personnel and limited experience determining the needs of clients. Occupational therapy practitioners in China are learning their new roles and clients, having never had any contact with occupational therapy, are unaware what services can be offered. The purpose of this research was to determine the most frequently self-identified functional problems (in the ares of self-care productivity and leisure) identified by 113 in-patients in four different hospitals in China, in order to assist therapists to develop programmmes that are responsive to clients' needs. Using the Canadian Occupational Performance Measure, both males and females identified significantly more self-care than leisure or productivity problems (P = 0.01). Females identified more productivity problems than males (P = 0.01) while males appeared to consider leisure difficulties as a priority more frequently than women. The study was jointly undertaken by a Canadian and a Chinese researcher. To our knowledge, this is the first time that occupational therapy personnel in China have formally surveyed clients about their rehabilitation needs, in order to develop priorities for programming.
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Affiliation(s)
- T L Packer
- School of Rehabilitation Therapy, Queen's University, Kingston, Canada
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Yun X, Kumar V. An approach to simultaneous control of trajectory and interaction forces in dual-arm configurations. ACTA ACUST UNITED AC 1991. [DOI: 10.1109/70.97873] [Citation(s) in RCA: 60] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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