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KNOWLEDGE

KNOWLEDGE

How can we deal with osteoarthritis that cannot be ignored?

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Osteoarthritis (OA) is a very common chronic joint disease characterized by degeneration, destruction and bone hyperplasia of articular cartilage. Our knees are covered with cartilage, and the cartilage is soft. This will avoid the “just-to-just” sputum and cushion the impact between the bones. However, such a long-lasting impact, even the best protection pads will wear out. And as the body ages, the ability to repair cartilage will become worse and worse. Finally, the cartilage will be worn less and less, the surface of the joint will be uneven, and the bones will appear on the edge, replacing the cartilage in the original joint, and then develop into osteoarthritis. Degenerative osteoarthritis and osteoporosis are common bone diseases in middle-aged and elderly people. The causes, age, obesity, excessive joint use, etc. are all predisposing factors. Experts said: “Clinically found that there are more female patients than males, which may be related to the reduction of female estrogen secretion after menopause.” It is understood that the population of over 60 years old in China has exceeded 100 million, of which about 5000 patients with osteoarthritis. Million. Studies have found that the prevalence of osteoarthritis increases with age, the prevalence of OA in people over 75 years old reaches 80%, and the number of people over 60 years old drops to 50%. The 40-year-old population only has 10-17%. Many elderly people think that their knee pain is due to calcium deficiency, and then blind calcium supplementation has not improved, but this is not the case, so if this problem really occurs, it must be taken seriously, not sloppy. The symptoms of osteoarthritis are generally knee pain, swelling, cartilage damage, morning stiffness, inconvenient walking, etc.; in the late stage of the disease, the joints will be deformed, the patient’s activities will be gradually restricted, and the joint function will be lost and the disability will result. If you are only a mild osteoarthritis patient, you can still do some moderate physical exercise, the purpose is to enhance the strength and endurance of the surrounding muscles, to help the stability of the joints, and to maintain the range of motion of the joints. For example: cycling, swimming and other sports, avoid climbing, jogging, jumping and other activities that are very stressful to the knee; patients who develop severely to the late stage can only perform surgical replacement of the joints in order to avoid losing joint function. However, the joint is also a relatively closed cavity structure, and surgical treatment is also faced with problems such as allogeneic rejection and sequelae. For the key points of osteoarthritis, the No. 1 osteoarthritis brace can better relieve pain and swelling and repair degraded or damaged cartilage. Not only prevents further deterioration of the disease, but also reverses the pathological process and reduces side effects. This can be said to be an effective way to eat painkillers and surgical treatment.

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KNOWLEDGE

World Sleep Day: How much is your “sleep debt” owed?

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To maintain the stability of bedtime and wake-up time, staying up late, supplementation will affect the circadian rhythm.
“I have been insomnia recently.” “I didn’t sleep well last night.” Is there such a remark in your side? Statistics show that about 40% of adults have insomnia for several nights every year, and 10% of the population have reached the diagnosis of insomnia, with insomnia and accompanying discomfort. Common insomnia problems include difficulty in falling asleep at night, easy to wake up in the middle of the night, wake up and then sleep hard, wake up early in the morning, or sleep for a night, still feel no rest, tired and sleepy during the day, feeling anxious and anxious, difficult to concentrate, work There have been more mistakes in life, and I have been constantly worried about sleep problems, which is a vicious circle. Below, Zhang Bin, director of the Psychiatric Psychology Department of the Southern Hospital, explains the topic of insomnia and sleep improvement. Long-term poor sleep can affect the body and mind. Long-term insomnia can lead to more serious consequences. When people are not getting enough sleep, they will accumulate “sleep debt”, and “sleep debt” needs more time to compensate, just like after night. It will take several days to recover. Zhang Bin said that if the “sleep debt” accumulates too much, it will be difficult to repay. That is to say, long-term sleep failure will have a cumulative effect on our psychology and body, which will lead to obesity, high blood pressure, negative emotions, and There is a decline in behavioral ability, poor work or school performance, slower reaction time when driving, prone to accidents, increased risk of depression and anxiety, and a series of problems such as alcoholism and substance abuse. Therefore, untreated insomnia is harmful. Even if we think that the discomfort caused by insomnia can be tolerated, it has quietly buried the seeds of risk. Insomnia needs to first understand the cause of insomnia: As we all know, psychological factors account for a large part of insomnia, habitual over-thinking makes people still active in the night, work, academic, health, economic, family concerns Can occupy the sleeping space. Important family and friends’ illness, death, divorce, unemployment and other events can cause acute stress reactions leading to insomnia. Zhang Bin said that insomnia caused by such causes focuses on improving the source of psychological stimulation. Physiology: Some people have a state of high alertness and overreaction. This is a physiological change. Both daytime and nighttime, high-frequency EEG activity increases, systemic and brain metabolic activities increase, and heart rate increases. Sympathetic excitability, etc., and thus unable to maintain a stable sleep state. Disease: Insomnia may also be caused by a series of diseases, or coexist and promote each other. For example, depression, anxiety disorder, post-traumatic stress disorder and other diseases may disturb sleep, early awakening may be a manifestation of depression, and anxiety It is difficult to sleep; at the same time, some antidepressants used in the treatment of depression can interfere with sleep. Day and night rhythm: If life, work rhythm and inner circadian rhythm are not synchronized, such as frequent jet lag, overtime to late night, night shift, irregular working hours, etc., will cause circadian rhythm disorder, leading to insomnia. It is not synchronized with the sleep time of the same bed family, and it can cause insomnia. Hygienic habits: Poor sleep hygiene is also a common factor affecting insomnia, such as irregular bedtime schedule, day and night reversal, excessive sleep during the day, strenuous exercise before going to bed, dirty and noisy sleeping environment, and working, eating or watching TV in bed. Watching computers, TV, video games, smartphones before going to bed, screen light can interfere with sleep rhythm. Diet: There are many people who believe that a small amount of alcohol can help sleep, but it can hinder deeper sleep, cause wake up in the middle of the night, and may have long-term negative effects on health. It is worth noting that many weight loss products contain caffeine and other stimulants that can disturb sleep, and beauty lovers need to be mindful. Cognitive behavioral therapy for insomnia is the preferred treatment. Insomnia can be treated. Each person has different responses to different methods. In order to effectively treat insomnia, it is necessary to treat the above factors in a variety of ways, and if necessary, seek medical help. Zhang Bin said that insomnia caused by physical illness and psychological stimulation should be combined with clinical physical therapy, anti-depression and anti-anxiety treatment, psychotherapy treatment incentives, adjustment of physical medication, and reduce the impact of drugs on sleep. Many people take sleeping pills on their own, and they are worried about the dependence. They can be stopped and added at will, which will not only get enough curative effect to relieve insomnia, but also cause drug tolerance. Under the guidance of a psychiatrist, proper administration and discontinuation of sedative and hypnotic drugs is a safer and more effective way.For chronic insomnia, people need to find out their own bad sleep hygiene habits and inappropriate sleep maintenance strategies, and make corresponding changes. Correct sleep habits can greatly improve sleep quality and quantity. Zhang Bin introduced that cognitive behavioral therapy for insomnia is the preferred treatment recommended by the sleep medicine community, including setting normal bedtime and wake-up time, limiting sleep time, controlling bedroom stimulation, improving sleep hygiene, and forming correct sleep cognition. Specifically, as follows: keep the schedule of work and rest, regardless of the working day or weekend, maintain the stability of bedtime and wake-up time every day, alternately staying up late, supplementation will affect the circadian rhythm. Avoid or limit your nap and accumulate enough “sleep debts” during the day to fall asleep naturally at night. Set strict sleep rules, once you can not sleep on the bed for 20 minutes or more, immediately get up, go to other parts of the house, do not sleep, and then go back to bed to try to sleep, so that the bedroom and sleep Form a healthy connection between them. Organize the bedroom, remove unnecessary items, make the bedroom comfortable and quiet, only for sleep, no other use. Maintaining activity, regular activities help to accumulate sleep stress and promote good sleep. Learn to relax, insomnia patients can learn relaxation techniques from doctors, psychotherapists, and rehabilitation teachers. You can also find a lot of relaxation videos online, try to gradually relax your muscles, gradually tighten your head and toes and relax your muscles, and learn how to control your muscles. Reduce excessive awakening, help yourself calm down and prepare for sleep; try breathing exercises and meditation. Avoid or limit caffeine and alcohol, nicotine and other substances that interfere with sleep. Avoid plenty of meals and drinks before going to bed. Create a relaxing pre-sleeping ceremony, such as taking a hot bath, listening to soft music, drinking a cup of hot milk, and more. In addition, Zhang Bin stressed that it is also important to alleviate concerns about sleep. “The more you fight insomnia, the more you worry about insomnia, and this kind of worry will encourage more insomnia.” Reduce the excessive expectation of sleep, accept shorter sleep time, and pay attention to improve sleep quality. Guiding expert: Zhang Bin, director of the Psychology Department of Nanfang Hospital; Correspondent: Nanfang Hospital Li Xiaotong.

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KNOWLEDGE

The vaccination scar pattern on your arm exposes your age

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If you open the bar: We use the body every day, but do you really understand it? In order for the body to serve us better, we must first understand the structure and secrets of the human body. Today, let us explore the unknown body together! Current password: Which vaccines will leave scars? Why are some people’s arm vaccine scars “round flowers” and some people “well words”? Why do some people have particularly large scars on their arms, but some people don’t have them? Look at the “Physic Code” of this issue! Each of us is born with a variety of vaccines to prevent disease. What is BCG, hepatitis B vaccine, measles vaccine, polio vaccine, etc. Some vaccines leave some special marks after inoculation. Most of them are on the left arm, showing a small, recessed “flower” pattern, which is a medal for the body protection of the vaccine. However, on some of the arms after 50, 60, and 70, the vaccination scar pattern is a “well” word, which feels like a special gang organization. Why is it also vaccinated, but a completely different pattern appears on the arm? Is this related to the type of vaccination? Or is there any special mystery when vaccinating? 1, two kinds of vaccines, can leave a “character medal” on the arm. Although a lot of needles will be born at birth, there are only two kinds of needles that can really leave a mark: one is vaccinia vaccine, and the other is BCG. Vaccinia vaccine, also known as smallpox vaccine. In the 16th and 18th centuries, smallpox occupied almost all parts of the world, and more than 60% of the global population was threatened by smallpox. British surgeon Jenner found that a milk-smelted girl was infected with vaccinia by cows with vaccinia and would not be infected with smallpox. After more than 20 years of research, I finally invented the “cultivation of acne”. The inoculated person only needs a small amount of acne to get immunity and avoid becoming a “marijuana”. In May 1980, the World Health Organization finally announced that humans have eradicated the smallpox virus. In March 1981, the Ministry of Health issued a notice to cancel the vaccination of vaccinia nationwide. Therefore, most of the 80, 90, and 00 are not vaccinated with vaccinia, and the scar on the arm is not left behind by the vaccinia, but it is left by BCG. BCG is known as the “first shot of birth” and can prevent tuberculosis in children after vaccination. In China, it is stipulated that newborns should be injected with BCG as soon as possible after 24 hours of birth, and the World Health Organization (WHO) also explicitly recommends that newborns or children without HIV should be vaccinated as soon as possible. The importance of vaccination with BCG. Different from other vaccination reactions, BCG will undergo redness, pustules, pustules, crusting and other processes after inoculation. After healing, special scars can be formed. This scar is also called “calendar”. 2, card, why some are “circular flowers”, some people are “well words”? If you look closely, you can see that the pattern of vaccine scars on different people’s arms is slightly different. Some people’s vaccine scars are round, and some people are a well. Why is this? In fact, this depends mainly on the injection method of BCG. There are three main methods for inoculation of BCG: 1. Intradermal injection. This is the most common method of inoculation. The vaccine is injected on the outer edge of the lower left arm of the left upper arm. The attenuated bacteria in the vaccine cause local suppuration, and the pustules fade and form a round scar. 2. Scratch on the skin. In the lower edge of the lower left deltoid muscle, disinfect the skin with alcohol. After drying, drop 2-3 drops of the bacteriostatic liquid, and use a sterile needle to draw a “well” word, each length 1-1.5cm, gap 0.5cm After the red marks appear, apply the bacteria to make it penetrate into the skin. When the wound is ruptured and crusted, a “well” word scar will form. 3. Oral method. It is rare to see only babies within 2 months of birth. Among the three methods, the intradermal injection method and the oral method have higher conversion rate and better immune effect, while the skin scratch method has lower conversion rate. However, in the early stage, because the intradermal injection technique is not mature, especially the baby’s skin is extremely thin and tender, it is difficult to achieve satisfactory intradermal injection, and the oral vaccine is costly and requires multiple vaccination, so in the 60s and 70s in China. In the age of more popular, the “well” word was used to inoculate BCG. If you now observe people with “well” scars, they are basically older. However, after the 1980s, the intradermal injection method was basically adopted, and most people’s card is a round scar.3, then, why do some people have no “cash” on their arms, and some people have “cash” on their arms? In general, a normal-sized card is left after inoculation of BCG. There are two possibilities for a vaccine-free scar on the arm. One is that BCG has not been inoculated at all. Although BCG is a type of vaccine, it will be given to the hospital after the child is born, but it does not rule out the omission of some in remote areas. The other is that some people have less immune response after vaccination, and the scar is not obvious. As the age grows, the scar naturally fades, so it can’t be seen. So, if there is no card, the vaccination is not successful? Actually not. Studies have shown that about 10% of people with successful immunizations have no caries on their arms, and the size of the caries cannot be used as a sign of the strength of the immune response. What if the card is particularly noticeable and even has a bump? .

BCG in the process of forming abscess ulceration, local irritation, such as the inclusion of impurities, wiping, water soaking in the bath, clothing friction, etc., may appear granulation tissue proliferation in the inoculation. This situation is also very common, requiring parents to take care of their children after inoculation of BCG, such as not to wear tight clothes, try to avoid contact with water. Finally, what is the vaccination scar on your arm? Do you dare to say it in the comments?

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KNOWLEDGE

After 90, the white-collar workers read the picture: how to save the lifeline of life-saving death

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Are you white-collar haircuts that do not need to be thinned after hair loss? Are you relying on Liu Haier to save the precarious hairline? Congratulations! You caught up with a new wave of popular sweeping white-collar circles – “hair loss”! How can I not do the “waves of hair loss”? Netease Health specially invited the Director of the Hair Medicine Center of the China-Japan Friendship Hospital Yang Dingquan to talk to us about those things about hair loss~~

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KNOWLEDGE

Women’s and Children’s Health Association and the “She is Healthy and Happy” Women’s Health Promotion Activities Summary and Commendation Conference and the 5th 100th Presidents’ Forum – Health Poverty Alleviation Project Launching Meeting Held in Beijing

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In order to thoroughly implement the spirit of the 19th National Congress of the Communist Party of China, comprehensively sum up the valuable experience of the Women and Children Health Association in 2018 to build the “Healthy Women’s Health” women’s health promotion activities, carry forward advanced deeds, carry forward the exemplary spirit, and better carry forward the party building work in 2019. In the further implementation of the maternal and child system, and in order to actively cooperate with the National Health and Health Committee to implement the decision-making and deployment of the Party Central Committee and the State Council “Poverty Alleviation”, and effectively promote the “health and poverty alleviation” work, March 23, the Women and Children Health Association jointly established “her health home” The “Happiness” Women’s Health Promotion Activities Summary and Commendation Conference and the 5th 100th Presidents’ Forum – Health Poverty Alleviation Project Launching Conference was held in Beijing. The conference was hosted by the Women’s and Children’s Division of the National Health and Wellness Committee, the China Maternal and Child Health Association, and the Women’s and Children’s Health Association of China. Organized by the Endocrine Professional Committee, China Women’s Development Foundation, China Center for Disease Control and Prevention, Maternal and Child Health Center, Beijing Economic and Technological Development Zone Volunteer Service Association, Beijing TV Life Channel Co-organizer. Lifelong Honorary President of China Maternal and Child Health Association, former Minister of Health Zhang Wenkang, National Health Song Li, deputy director of the Women and Children Division of the Kang Committee, Chen Ziquan, president of the China Maternal and Child Health Association, Yu Xiaoqian, executive vice president and secretary general of the China Maternal and Child Health Association, Zhang Fan, deputy director of the Youth Volunteer Action and Guidance Center of the Youth League, China Women’s Development Foundation Secretary-General Zhang Jianwei, Deputy Secretary of the Party and Community Work Department of Beijing Economic and Technological Development Zone / Secretary of the Working Committee of the Communist Youth League / Vice President of the Volunteer Service Association of Beijing Economic and Technological Development Zone Yan Ying, Director of the Office of China Maternal and Child Health Association Song Shiqin, Shanxi Provincial Maternal and Child Health Association Chang Bai Ji Geng, director of Beijing TV Life Channel, Zhao Wei, attended the launching ceremony. Nearly 500 deans and experts from all levels of maternal and child health care institutions across the country attended the conference. In the speech, Deputy Director Song Li talked about no healthy women and children. There is no healthy China. In the future work, we must clarify the functional orientation and development direction of maternal and child health care in the new era, give full play to the professional resources of the platform of “her health and happiness”, explore the long-term mechanism for training women and children, and enrich the service connotation. To create a culture of maternal and child health with connotation. The former Minister of Health, China Maternal and Child Health Care Zhang Wenkang, the honorary president of the association, said in his speech that entering the new era, how to advance the maternal and child health work in depth and breadth is an issue that we need to think about. In 2016, the Central Committee of the Communist Party of China and the State Council issued “Health China’s 2030 “Planning Outline” will promote health education to an unprecedented height; in 2018, the National Health and Health Commission stressed that “strengthening health promotion and education and improving people’s health literacy is the most fundamental, economical and effective way to improve the health of the whole people. One of the measures. Therefore, launching the Health Poverty Alleviation Project is a great attempt to comprehensively improve women’s health literacy and promote the concept of “everyone is the first person responsible for health” and how to do a good job in the new era of maternal and child health, especially It is a health poverty alleviation work, and puts forward three requirements and hopes: one is to make one heart to the other; the other is to go to one place; the third is to go to one place. The lifelong honorary president of the China Maternal and Child Health Association, the former Minister of Health Zhang Wenkang, President Chen Ziquan, summed up the promotion activities of the “Mother Health Home Happiness” jointly organized by the Women and Children Health Association. He said, “She is healthy. “In 2018, it flourished and vigorously mobilized; actively responded to the call of the state and contributed to the development of primary medical care; the “eight big” quality training created by the platform strongly promoted the construction of disciplines in various places, and will continue to carry out various kinds in 2019. Form of activity. “She is healthy and happy” pays attention to the cultivation of young backbones and injects fresh blood into the construction of the talent echelon. Under the new situation, she actively responds to the call of General Secretary Xi’s call for help.

“Healthy Poverty Alleviation” is a tough battle. Chairman of the China Maternal and Child Health Association and former Vice Chairman of the Qinghai Provincial People’s Political Consultative Conference Chen Ziquan The host of the conference was hosted by the Executive Vice President and Secretary General of the China Maternal and Child Health Association, Yu Xiaoqian and the producer and host of the Beijing TV Life Channel, Wang Qian Studio Wang Qian, the person in charge, is the executive vice president and secretary general of the China Maternal and Child Health Association. Yu Xiaoqian, producer/host of Beijing TV Life Channel/Wang Qian, the head of Wang Qian Studio, also co-founded the Women and Children Health Association The “she is healthy and happy” promotion activities were commended by eight units that performed well in the implementation of the 2018 year. Professor Sun Aijun, deputy secretary-general of the China Maternal and Child Health Association, explained in detail the “Health and Poverty Alleviation Project of the Women’s and Children’s Health Association”, and pointed out that the Women’s and Children’s Health Association’s Gynecological Endocrinology Committee has kept pace with the times and thoroughly implemented the proposal of General Secretary Xi Jinping. The “we must persist in doing a good job in poverty alleviation, not winning and not receiving troops”, and leading the nation’s medical workers to take the initiative to take the responsibility of “health and poverty alleviation and improve the health of the whole people.” Deputy Secretary-General of China Maternal and Child Health Association and Chairman of the Gynecology Endocrinology Committee of China Maternal and Child Health Association Sun Aijun, President of Shanxi Maternal and Child Health Association, Bai Jigeng, introduced the implementation plan and blueprint for the health poverty alleviation project. The conference also launched the joint development of maternal and child health joint education. She is a healthy and prosperous project, and has established a health poverty alleviation work group to carry out “health and poverty alleviation” work in the country. Shanxi Provincial Maternal and Child Health Association President Bai Jigeng The Executive Secretary and Director of the China Maternal and Child Health Association, Song Shiqin, introduced the leaders of the Health Poverty Alleviation Project and issued letters of appointment to the main leaders. Song Shiqin, executive deputy secretary-general and director of the China Maternal and Child Health Association, “she” is a swearing-in meeting for the high-level dialogue on health and poverty alleviation. The leaders who participated in the interview included the executive vice president/general secretary of the China Maternal and Child Health Association, Yu Xiaoqian, and the Youth Volunteer of the Central Committee. Zhang Fan, Deputy Director of Action Guidance Center, Li Caiyun, Assistant Secretary General of China Women’s Development Foundation, Bai Jigeng, President of Shanxi Maternal and Child Health Association, Yao Jilong, Dean of Shenzhen Maternal and Child Health Hospital, Li Xiaodong, Deputy Director of Gynecology, Second Hospital of Hebei Medical University, Chinese Women and Children Sun Aijun, deputy secretary-general of the Health Care Association/director of the Gynecology Endocrinology Committee, talked about the significance of the “she” health poverty alleviation project, the specific work and implementation plan, social welfare, the strategy of winning the “tough battle” and “her health home” The solid foundation and strong guarantee laid down by Happiness for many years have been introduced in detail. The conference appointed the leaders of the 7 regions of the “Health Poverty Alleviation” project: North China Region – Li Xiaodong (Deputy Director of Gynecology, Second Hospital of Hebei Medical University), Central China Region – Fang Chaoying (Secretary and Deputy Dean of Hunan Provincial Maternal and Child Health Hospital), East China Region – Ren Mulan (Director, Department of Obstetrics and Gynecology, Zhongda Hospital Affiliated to Southeast University), South China Region – Yao Jilong (President of Shenzhen Maternal and Child Health Hospital), Northeast Region – Sun Xiao (President of Shenyang Maternal and Child Hospital), Northwest Region – Wang Xiaohong (Director of Obstetrics and Gynecology, Tangdu Hospital, Air Force Military Medical University), Southwest Region – Huang Wei (Director of Reproductive Center, West China Second Hospital, Sichuan University), predicts that “she is healthy and happy” will launch a “healthy poverty alleviation war” in the country. In the afternoon, the outstanding bases in 2018 were commended, and the second batch of “Health Science Popularization Base List” approved by the second batch was announced. At the same time, the dean and the experts from all levels of maternal and child health institutions across the country discussed the maternal and child health care institutions under the new situation. The development strategy and other aspects have been deeply exchanged and discussed. The delegates all expressed that they will take this conference as an opportunity to continue to hold high the banner of “Mother and Child Health Joint Education” under the leadership of the Women and Children’s Endocrinology Committee of the China Maternal and Child Health Association, and actively respond to the call for precision poverty alleviation and health poverty alleviation proposed by the party and the state. Concentrate on the strength of the sleeves, add fuel to the “health and poverty alleviation” battle, create a new situation of “health and poverty alleviation”, and contribute to the nation’s maternal and child health.
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KNOWLEDGE

Deputy Director of the Department of Otolaryngology, China-Japan Friendship Hospital, Wang Chengyuan, repairing facial nerve for injured students

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On March 14, 2019, the official Weibo of Fengrun Public Security Bureau released a news report. In the vicinity of Guanghuadao Primary School in Fengrun District, a student injury case occurred on the way to school. The Fengrun District police quickly organized police to attend the scene and launched an emergency plan. The first time, the injured students were sent to the hospital for treatment and the suspects were controlled. Subsequently, the National Health and Health Commission attached great importance to the deployment of medical experts such as critically ill medicine, maxillofacial surgery, and psychological intervention, and formed a national medical expert group to rush to the local area to fully treat the wounded and psychological comfort work. On the verge of death, the surgical repair of facial nerves at 5 pm on March 16th, 2019, just finished the presiding of the Shanghai International Forum, and the mobile phone ringing of the deputy director of the Department of Otolaryngology of the China-Japan Friendship Hospital of the Beijing-China High-speed Railway was rushing. The telephone was sent from the National Emergency Medical Team to inform the latest illness of two children with facial cuts. Deputy Director Wang Chengyuan discovered through the video consultation that the facial expressions of the two injured children disappeared and were diagnosed as facial nerve fracture. It is recommended that the facial nerve repair reconstruction operation be urgently performed within 72 hours. If the delay is missed, the best time will be missed, and the child is likely to have a lifelong facial disability. As the national emergency medical team expert, Deputy Director Wang Chengyuan immediately contacted the frontline medical staff to discuss the treatment plan for injured children and formulated a specific surgical plan. The leaders of the local health and health committee strongly supported and expressed every effort to allocate local medical resources to ensure that the facial nerves can be repaired for the children in the first place in the local area, and the operation is successful without regret. After receiving the national emergency task, Deputy Director Wang Chengyuan rushed to Fengrun for the first time. At 9:00 on March 17, 2019, facial nerve repair surgery was performed for the injured child. The first child’s facial nerve damage is extremely serious, and the knife edge continues from the left outer corner of the eye to the auricle. During the operation, the main blood vessels of the face and ankle were broken, and several branches of the facial nerve were cut off. Deputy Director Wang Chengyuan found the location of each facial nerve fracture under a 40-fold microscope. Using the 11-0 microsurgical suture, the nerve was connected and anastomosed and transplanted. After more than three hours of effort, all nerves were repaired with high quality. The operation ended smoothly. Immediately after the operation of the second child, the child’s broken nerves were deep and difficult to find. Deputy Director Wang Chengyuan experienced and calmly responded. After more than two hours of hard work, he finally located the nerve break and perfectly repaired the facial nerve. After nerve repair surgery, it usually takes three months to six months or so, and the motor function can be restored. On the first day after surgery, the two children can feel the face has strength before surgery. “This treatment of injured children reflects the need to go from the national emergency department to the national medical experts and primary health care workers. In response to emergencies, the first time to complete the consultation, implementation and high-risk surgery, to treat the wounded, The comprehensive ability to protect people’s health.” Deputy Director Wang Chengyuan said that facial nerve reconstruction is not a routine emergency operation. The software requirements for the hardware and surgeons of the hospital operating room are very high. The goal of this national treatment is to make every effort to save the child without regret. It reflects the more scientific and humanized side of China’s emergency medical work. Nerve repair, every second count of nerve damage can lead to facial paralysis, China has more than 3 million new facial nerve injury patients every year. But the facial nerve is very delicate, and there will be sequelae in the early treatment. Trauma is a common cause of facial nerve damage, such as car accidents, falls, and knife wounds. After the occurrence of emergency trauma, the focus should be on wound closure, infection prevention, blood loss prevention, etc. However, in clinical work, facial nerve function tests are often overlooked, and missed diagnosis of facial nerve injury occurs. When these patients noticed that the face could not move, the eyes could not be closed, or the food leaked, they often missed the best period of facial nerve treatment. In order to achieve the same therapeutic effect, the latter may have to pay a higher price. Pioneering breakthrough, the new hope of the patient Wang Chengyuan, deputy director is a well-known expert in the field of head and neck microsurgery and facial nerve repair and reconstruction in China. In the field of surgical repair of facial nerve injury and dynamic reconstruction of facial paralysis, he has carried out a large number of clinical research work and initiated a number of surgical techniques. “For patients with advanced facial paralysis, under the condition that traditional treatment has no way to go, I have carried out neuromuscular transplantation surgery, which is a step forward in the treatment of history.Even if my surgery does not reach a perfect smile for the patients with facial paralysis, the life status, facial function and mental state of the postoperative patients are substantially improved. My job is to give them new hopes when they are desperate. This is the objective meaning of my work. “Deputy director Wang Chengyuan has sentiment. For the early facial nerve repair, objectively speaking, most patients have good recovery effect, but there are also poor recovery, patients complain, and they are also very depressed. Wang Chengyuan deputy director analysis, the effect of surgery and the patient’s Age, time of injury and surgeon’s skills are closely related. Patients who have been injured within 72 hours of injury will generally have good postoperative results; patients who have been treated for 2 years will have a much worse effect. Children under 14 years old. The nerve growth repair ability is strong, and in elderly patients, the recovery will definitely be worse. “So, the factors that determine the surgical effect are mainly the timing of the operation, the age of the patient, the degree of nerve damage and the surgeon’s technique. But no matter how difficult the patient is, as the most professional neurosurgery doctor in China, I will do my best to help these patients and give them hope. In the field of facial paralysis, the breakthrough made by Deputy Director Wang Chengyuan and his team is not only in surgical technology, but also in reducing disability and improving the quality of life of patients.

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Zhongguancun Hospital: With no certificate, we are all doctors

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In the past few days, the news that “Zhang Ruoyu’s doctor rescued people on the plane and asked for a license” broke the circle of friends. It’s not uncommon for Zhongguancun Hospital to support the same group of medical experts in Wada. On March 24, on the CA1293 flight from Beijing to Xinjiang, the flight attendant sent a sweet and slightly anxious voice to the flight attendant: “There is currently a passenger in the cabin who is unwell and needs medical assistance. Is there any passenger who is a doctor? We need your help…” Pan Mingkang, a member of the expert group and vice president, immediately got up and found the crew. “We have a team of doctors here. Where is the patient?” “Great! Please come with me, the patient said she The heart is uncomfortable and can’t breathe…” The panelists rushed to the lounge to check the patient’s condition. “Do you have a practice certificate?” said the flight attendant, Pan Mingkang said to the patient to measure the pulse, while saying “I have a photo of the license in my mobile phone, I will first look at the patient’s situation, wait for you to take it.” The situation of emergency first aid did not know when and where it would happen. Pan Mingkang saved the photo of the license in the mobile phone in the early months. The patient is a 60-year-old Uyghur aunt. At this time, the aunt’s face is pale, cold sweat, difficulty breathing, and suffocation. “I need a sphygmomanometer.” Pan Mingkang asked the crew, then colleagues will also Pan Mingkang’s mobile phone. Brought to show the license. The crew chief immediately took the sphygmomanometer after seeing the license, and explained that “the airline has special regulations. You can’t open the first aid kit. You must see your qualifications before we can apply. Sorry, we are also in compliance with the regulations. “It doesn’t matter, it’s important to save people.” Pan Mingkang refused to listen to the crew’s explanation, the pulse was 120 beats/min, and the blood pressure was 160/90mmHg. “What disease do you usually have? What kind of medicine do you take?” The patient had a history of hypertension and did not take antihypertensive drugs on time in the past two days. However, according to experience, Pan Mingkang ruled out acute left heart failure, and then gave the patient auscultation. The breath sound was thicker and faster, and there was a little wheezing sound, but there was no wet rales. According to the patient’s own anti-asthmatic drug, the patient’s crown was preliminarily judged. Heart disease combined with myocardial ischemia, because the aircraft can not easily absorb oxygen, so Pan Mingkang took out the own Musk Baoxin Pill to give the patient 4 sublingual clothes, rest for a while, observe the patient’s breathing is gentle, the complexion recovers, the pulse after medication It was restored to 90 times/min and the whole process lasted nearly one hour. The patients and crew members expressed their gratitude to the members of the medical expert group. “This is what a doctor should do, let alone we will come to Afghanistan.” Mr. Pan’s words made the plane’s compatriots of Han and Wei. The heart is closer. The plane landed smoothly at Urumqi Airport. The members of the medical expert group embarked on a more difficult road to aid Xinjiang. No matter where they are, as medical workers, we all remember that it is our life’s responsibility to save the lives of the injured and get rid of the pain. THE CHEMICAL like the doctor said, “the most important trust between people, with or without evidence is not important, with or without us are doctors.” Author: Zhongguancun hospital Cao Yi Tian Xin

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KNOWLEDGE

Beijing Children’s Hospital 2019 during the Ching Ming Festival holiday clinic arrangement

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1. Patients are admitted 24 hours during the festival. 2, internal medicine, Chinese medicine, neurology: April 5th – 7th general outpatients, all levels of expert outpatient clinics throughout the day, professional clinics on the same day. 3, surgery: April 5th – 7th general outpatient clinic for all-day consultation, experts half-day morning clinic, professional clinics on the same day.
4, Otorhinolaryngology Head and Neck Surgery, Ophthalmology, Stomatology, Dermatology: April 5th – 7th all-day clinic. 5, pediatric gynecology: April 5th all-day clinic, April 6th half-day special needs clinic, April 7th stop. 6, blood professional clinic: April 5 morning half-day clinic,
The clinic was closed on April 6 and 7. 7. Health Center: Closed from April 5th to 7th. 8, inspection, radiation, CT, nuclear magnetic, B-ultrasound and other functional examination departments as usual; stomach electrogram room half-day clinic. 9, special needs clinic: April 5th – 7th, internal medicine all-day clinic, other professional visits will be subject to the same day. (The date of the visit during the holiday season shall prevail)

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Plant milk nutrition can completely replace milk. Really?

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In recent years, various vegetable milks have become popular in the market, such as peanut milk, almond milk, and walnut milk. Even some people say that plant milk can completely replace milk, so what is the nutrition of plant milk? The French health magazine “TOPSANTE” recently reported a related study of the French-speaking French Consumers Association. Let’s listen to what experts say. The main raw materials for vegetable milk are oatmeal, rice, chestnut, soybean, almond and hazelnut. So rich in vitamins, dietary fiber and minerals. According to the report, the Consumer Federation experts selected 10 different brands of soy milk, rice milk and almond milk to study their calcium, protein, sugar, omega-3, saturated fat, vitamin D2, B2 and B12 levels. The results showed that the nutritional value of these vegetable milks was minimal compared to milk, in which no protein was detected in rice milk and almond milk. According to Barbara Pfenniger, a food expert at the Consumer Confederation, plant milk just looks like milk and does not add enough protein to the body. She also pointed out that the main ingredient of rice milk is the sugar produced by rice fermentation. The valuable ingredients are only glucose, maltose and amino acids. The Consumers Association also emphasized that the nutrients of some vegetable milk are similar to those of sugar water. One exception to these vegetable milks is the soy milk. The results of the study showed that 3.3 grams of protein per 100 milliliters of soy milk was comparable to the white matter content of milk eggs. But in terms of nutritional value, vegetable milk still cannot completely replace milk. The Consumers Association said that when buying vegetable milk, you need to pay attention to the protein, calcium, vitamin D content displayed on the nutrition label, and whether sugar, additives and spices are added.

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The study found that people with strong creativity are more likely to remember dreams

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The physiological phenomenon of dreams has been plaguing philosophers, psychologists and sleep experts. Why do we dream? What does dream mean? Can you train yourself to remember your dreams? Recently, the US “Daily Health” website has answered the question. After getting up in the morning, some people can vividly recall the dreams of last night and share them with others, but in the afternoon, these memories are blurred; some people can’t remember what dreams they have. Is it a dream and can you think of the content that reflects the quality of sleep? Dr. Shelby Harris, director of the Behavioral Sleep Medicine Program at the Montefior Medical Center in New York, USA, believes that this may not be the case. Most dreams occur during rapid eye movement sleep. If you remember your dreams, you may have woken up during your dreams, so it is a fresh memory in your mind. If your REM sleep period accounts for 20% of your 7-hour sleep (less than an hour and a half), you may only remember the last 10 minutes of vivid dreams. Recalling dreams depends on many factors: when people are anxious or depressed, it is easier to remember their dreams, perhaps because the restlessness will make people wake up more; some drugs (such as some drugs for treating depression) ) affects the quality of deep sleep, which leads to more dreams; sleep apnea also affects dreaming time. In addition, research at the University of Basel in Switzerland shows that adolescent girls are more likely than boys to remember their dreams. The study also found that people with more creativity can recall dreams more. Whether there is enough vitamin B6 in the body will also affect whether you can remember your dreams. Researchers at the University of Adelaide’s School of Psychology in Australia say that people who take vitamin B6 before going to bed are more likely to remember their dreams. Researchers at Swansea University in the United Kingdom have found that a 10 minute break in the morning also helps to clearly recall the dream. This may be because a short sleep gives the brain enough consciousness to recall the dream in the final rapid eye movement cycle.

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