摘 要： 目的：观察平阴补阳针法对脑卒中后偏瘫BrunnstromlⅣ～Ⅵ期运动功能、神经功能和 日常生活活动能力（ADL）的影响。方法：将61例脑卒中患者随机分为观察组31例和对照组30例，观察组采用平阴补阳针法，对照组用“醒脑开窍”针法治 疗，并对2组患者采用简式Fugl—Meye运动功能（FldA）测评及神经功能缺损评分（NIHSS）和日常生活活动能力（ADL）评分，在治疗前、治 疗后7天、14天进行量化评定。结果：①治疗前2组各项评分比较差异无统计学意义（P〉0.05）；②2组治疗前后各项评分相比差异有统计学意义（P 〈0.05）；③治疗后2组FMA评分相比差异有统计学意义（P〈0.05），治疗组优于对照组。结论：①平阴补阳针法可以明显改善脑卒中后偏瘫 BrunnstromⅣ～Ⅵ期患者肢体的运动功能，促进神经功能恢复，提高El常生活活动能力；②平阴补阳针法在改善患者肢体运动功能上优于“醒脑开窍” 针刺法。
摘 要： 目的了解2008-2013年平阴县伤害监测病例分布特征及变化趋势。方法收集平阴县5所监测哨点医院报告的伤害住院病例数据，分析伤害事件特征、临床特征和变化趋势。结果 2008-2013年共报告伤害住院病例24 694例，男女性别比为2.04∶1，伤害发生原因以交通事故、跌倒或坠落为主，大部分为非故意、轻度伤害。2008-2013年平阴县住院伤害病例发生情况呈下降趋势。结论虽然平阴县住院伤害病例有下降趋势，但由于其高发生率，特别是对未成年人和老人的危害性更大，伤害仍是一个不容忽视的公共卫生问题。
目的了解平阴县手足口病发病现 状，为有效防控疫情提供科学数据。方法对2009～2012年平阴县报告的1 123例手足口病病例进行分析。结果 2009～2012年平阴县累计报告手足口病病例1 223例，重症病例1例，发病率为81.73/10万。手足口病发病率，2009～2012年分别为71.88/10万、65.72/10万、 113.86/10万、77.15/10万(P0.01);男性为108.14/10万，女性为55.25/10万(P0.01)。1 123例病例中，3月龄～1岁占8.10%，1岁占32.41%，2岁占25.82%，3岁占19.23%岁，4岁占7.93%，5～42岁占 6.50%;散居儿童占77.56%，托幼儿童占20.93%，学生占1.25%。结论平阴县手足口病散居儿童和城乡结合部居住人群发病人数较多。
正济南平阴县人民医院是集医 疗、急救、教学、科研、预防、康复、保健于一体的二级甲等综合医院，系全国百姓放心示范医院、国家级爱婴医院、卫生部电子病历试点医院、济南市公立医院改 革试点医院。医院在职在编530人，其中专业技术人员440人，拥有副高级以上44人、中级184人。设置床位486张，实际开放床位610张，年完成门 诊22万余人次，年收住住院病人1.6万人次。通过了卫生部医院信息化建设等级确定考核，全国196家试点医院，平阴县人民医院位居全国第二;通过了全国 百姓放心示范医院动态管理、复核验收和省级文明单位复核，巩固保持了全国百姓放心示范医院和省级文明单位荣誉称号。
摘 要： 目的分析平阴县2001-2013年出生缺陷发生情况，为制定降低出生缺陷发生的干预措施提供依据。方法调查收集平阴县近14年来围产儿出生缺陷资料，运用描述性统计分析方法分析出生缺陷发生率、缺陷种类及相关因素。结果平阴县出生缺陷平均发生率为10.8‰，产前诊断率为20.7%。出生缺陷病种占前五位的是脑积水、尿道下裂、副耳、唇裂合并腭裂、肾脏畸形。男性出生缺陷发生率高于女性;产妇年龄〉35岁的出生缺陷发生率高于其他年龄组;双（多）胎妊娠出生缺陷发生率高于单胎妊娠（P〈0.05）;农村和城镇的地区差异无统计学意义。结论出生缺陷发生率与围产儿性别、产妇年龄、孕母怀孕胎数具有相关性，与城乡地区分布不具有相关性。平阴县出生缺陷发生率低于全国平均水平，但产前确诊率有待进一步提高，运用多种方法的产前诊断技术仍有很大的发展空间。
Ifiok Udo Essiet， SIU Scholar The Société Internationale d’Urologie (SIU) offers training scholarships for young doctors with basic surgical or urologic qualifications. The SIU scholarships involve training in a recognized urology center of excellence located in the candidate's geographical region. These SIU-accredited centers provide an excellent environment for learning and， in many instances， hands-on experience， so that candidates may acquire knowledge and skills that they will be able to transfer to their own setting of practice. In this series of short communications， SIU scholars write about the impact that these training opportunities facilitated by the SIU had on their quality of care and career development. Information about applying for an SIU scholarship is available at http：//www.siu-urology.org/. I started my SIU scholarship training at the University College Hospital (UCH) in Ibadan， Nigeria on September 12， 2012， with great delight and anticipation. I was delighted because I considered it a privilege to be part of an institution that is not only the first tertiary health care facility in Nigeria， but also noted for excellent， prompt， and accessible health care in the West African subregion. As such， I was confident that I would have a worthwhile and rewarding experience during the 6-month program. I was introduced to Prof. O. B. Shittu， the Head of the Urology Division， who also doubles as the Head of the Department of Surgery. I was then directed to Prof. E.O. Olapade-Olaopa， the Director of the SIU training program and was warmly welcomed. The division has 3 professors of surgery and/or urology， 2 consultant urologists with different areas of specialization and interest， 3 senior registrars， and 1 SIU scholar. The division operates as a united family with members being very resourceful， proactive， and painstaking in caring for patients. The division is well structured with intense clinical and academic activities that span throughout the week. Ward rounds are done daily， with consultant teaching rounds on Wednesdays and Fridays. Other activities include out-patient consultation clinic， minor procedure clinic， theater sessions， grand rounds， journal club meetings， mortality and morbidity meetings， a joint urology and radiology conference， and a joint urology and pathology conference. I enjoyed wide exposure through active participation in surgical procedures such as anastomotic and substitution urethroplasty， radical nephrectomy， nephrolithotomy， pyeloplasty， retropubic prostatectomy， nephroureterectomy， hypospadias repair， epispadias repair， vesicovaginal fistula repair， and radical cystectomy. Limited theater space posed a problem because of the expanded program of the institution， with the increasing number of surgical subspecialties and only 2 theater sessions being assigned to the division weekly for elective operations. However， this was offset by embarking on day surgery， proper utilization of the minor procedure clinic， and proper time management， thus ensuring a high throughput of patients. Day surgery has become widely accepted and welcomed by our patients. I also actively participated in endoscopic procedures such as transurethral resection of the prostate， transurethral resection of bladder tumors， urethrocystoscopy and biopsy of bladder tumors， direct vision internal urethrotomy， and cystolithopaxy. I have acquired practical experience with setting up and caring for endoscopic equipment and could conduct lower urinary tract endoscopy. My practical experience with urodynamic studies was expanded toward the concluding part of the program with the procurement of necessary equipment. Until then， we could only perform uroflowmetry and abdominopelvic ultrasound scans for postvoid residual urine. Other areas in which I have benefited include uro-oncology， management of renal tumors， bladder tumors， and prostate cancer. The main challenge was that most of our patients presented with advanced disease， where palliative care was the only option. During my training， I fully participated in radical cystectomy with urinary diversion for bladder tumor. Part of my expectation was to be exposed to upper urinary tract endoscopy as well as other minimally invasive and noninvasive procedures， such as laparoscopic surgeries， lithotripsy， and so forth. Unfortunately， this was not attainable because of logistics and lack of equipment. The program has enabled me to sharpen my surgical skills. I have a better understanding of urologic disorders and their management. I have also had a remarkable experience in endourology， which was lacking in my center. I consider the practice of urology without endourology as an incomplete and rather gloomy endeavor. Endourology is indeed becoming a standard urologic practice. In the near future， I look forward to further exposure in upper tract endoscopy， minimally invasive surgeries， and nonsurgical treatment for stone disease， such as lithotripsy. Back in my center， I will teach and share my experiences with my contemporaries and junior colleagues， thereby ensuring best urologic practices. I shall advocate for proper funding of our health institution at every opportunity through public enlightenment， awareness campaigns through the media， and in liaison with nongovernmental organizations with a shared passion and vision. Urology Division， UCH has come of age as a training institution; it has the needed personnel， and modest and upgraded facilities. I see it becoming a rallying point soon for postgraduate training in various urologic subspecialties. I strongly recommend consideration for the commencement of a fellowship training program by the division， st
The oral disease burden in Nigerian rural areas is considered high with limited dental services. Normative need assessment to facilitate oral health promotion and interventional activities is essential. Therefore， the aim of this study was to evaluate the dental service utilization and trends of patents attending a rural outreach dental clinic. A retrospective study was conducted using data from clinical records of patients seen over a period of 54 months at a rural outreach dental clinic of comprehensive health center， Udo， Edo State， and were analyzed for descriptive variables with Chi-square test andPvalue set at ≤0.05 significance. One hundred and sixty four (164) patients [males = 74 (45.1%)， females = 90 (54.9%)] were seen with a mean age of 36.15 ± 18.05 years. The major reason for clinic visit was due to dental caries (sequelae) and condition representing 43.3% and 34.8%， respectively. Extractions (41.5%) and scaling and polishing (S and P) (21.3%) accounted for the most frequently provided treatment. Almost 20% patients did not receive any form of treatment. The study revealed a low health seeking behavior， low utilization of dental services among the rural dwellers and need for oral health awareness， periodic screening， and preventive approach in the rural population through more frequent outreach visits of dental personnel resident in the community.
Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Udo was a 9th-century nobleman of East Francia， a son of Gebhard， Count of Lahngau， and older brother of Berengar I of Neustria. He and his brother were afforded their position in the March of Neustria both by kinship to Adalard the Seneschal and the favour of Charles the Bald.With his brothers， Berengar and Waldo the Abbot， he took part in the 861 revolt of Carloman of Bavaria， possible his cousin-in-law， against Louis the German. The revolt was crushed and the three brothers fled with their relative Adalard to the court of the West Frankish king， Charles the Bald， who granted them wardship of the march against the Vikings while the march against the Bretons was granted to Robert the Strong.