b*h 发帖数: 353 | 1 LG 一直有胃酸反流的毛病,影响睡眠。他的医生让他这周去做Esophageal
Manometry Test,说这样可以准确测出他胃酸反流的原因,好针对治疗。老公说是把一
根细管子从鼻子插到胃里,管子上有探头测量胃里成分的数据。这个管子需要在身体里
呆一天收集数据,数据好像存到相连的一个仪器上(需随身携带一天)。
我听起来觉得很吓人,请问这里的朋友们有谁做过这种测试吗?是否很危险?有什么需
要注意的吗?
多谢了。 |
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i****t 发帖数: 2318 | 2 昨天去见了过敏专科的医生,医生详细问过我家娃儿过敏的各种症状后说,他目前认为
我娃儿的确对牛奶蛋白过敏,此外他觉得有一些非典型性的症状,怀疑娃儿可能是有
一 种叫做Eosinophilic esophagitis(EOE)病症,让我们先去食道科做一个喉部的活检
再 去做过敏测试。
回家后我们查了一下,这个EOE病症是一种比较新定义的病,发病率大概是1/2000,而
且 目前似乎没有FDA批准的药物,基本还是靠避免吃引起过敏的食物为主要防治手段。
我 和老公其实觉得我家娃儿有这个病的可能性比较小,而且做活检需要打麻药,做喉
镜从 娃儿食道取一块儿组织出来,类似胃镜,我担心这个检查对于一个这么小的bb来
说太痛 苦,而且我不确定对娃儿会不会造成一些伤害,希望最好不要做这个检查。想
问问是 否有人知道关于这个病症的更多的情况,以及喉镜对于小bb的伤害程度,谢谢!
(另外,我比较心里阴暗的想,今天医生都说了我娃儿过敏测试和这个活检都要做,但
是让我们先去做活检再做过敏测试,为什么不今天直接就把过敏测试给做了呢?会不
会 现在他们需要更多关于这个新病症的一些临床资料,所以在努力寻找患者?希望是
... 阅读全帖 |
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y**********7 发帖数: 52 | 4 esophageal spasm的中文是什么?-- 食管痉挛 ? |
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D*****3 发帖数: 259 | 5 食管痉挛是标准的医学词汇吗?还是弥漫性食管痉挛?在休息是有心绞痛症状。在中国
医生诊断是冠状动脉痉挛,在美国医生说也有可能是esophageal spasm。 食管痉挛和
弥漫性食管痉挛是一回事情吗? |
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发帖数: 1 | 6 11 月13日 终于找到另一股在我家害我的势力
昨天,这些人折腾了一天,白天,晚上皮啦啦,也不知道谁把谁杀了,谁把谁带走了。
反正我先生和孩子被绑架了,就不知道是不是已经遇害了。我本来是打算睡觉的,但他
们头上,地下装电磁波攻击器,让我几乎窒息。虽然我没倒下,但其实他们在我身上扎
的毒针已经蔓延,我能感觉到我的呼吸有窒息的感觉。我想我对他们已经非常仁慈了,
但他们不依不饶地攻击我,欲置我于死地,让我非常生气,特别是肆意伤害我家里的人
,绑架我先生和孩子,而且有许许多多无辜的生命毁于他们之手,有必要把他们曝光。
当然我还没分析这里边是那几个人具体攻击我,伤害我的,但他们显然都是一伙的。鉴
于他们伤害我的头部,胸部 和胃部,我就把这几部分的医生都曝光,受害者慢慢去调
查,追查他们吧。
Cleveland Clinic, Website: my.clevelandclinic.org
Call 855. REFER. 123 or 855.733.3712
Lung Cancer
Results: 57 Doctors
PREV123NEXT
Results per page:
Dav... 阅读全帖 |
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l****z 发帖数: 29846 | 7 American Cancer Society report finds continued progress in reducing cancer
mortality
More than a million deaths avoided since rates began to drop
ATLANTA – January 4, 2012 – The American Cancer Society's annual cancer
statistics report shows that between 2004 and 2008, overall cancer incidence
rates declined by 0.6% per year in men and were stable in women, while
cancer death rates decreased by 1.8% per year in men and by 1.6% per year in
women.
The report, Cancer Statistics 2012, published onli... 阅读全帖 |
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y***c 发帖数: 676 | 8 Pearls:
1. Vancomycin is used in febrile and neutropenic patients in addition to
ceftazidime when the patient has an indwelling central vascular catheter.
2. Chest pain, fever, tachycardia, subcutaneous emphysema, dysphagia, and
dyspnea are suggestive of an esophageal perforation. An esophageal
perforation may result from endoscopic procedures, external trauma,
esophageal disease, and spontaneous perforation from violent bouts of emesis
. Prompt recognition of an esophageal perforation is necess |
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V*****G 发帖数: 337 | 9 You may have esophageal spasm.
Did you do esophageal manometry (esophageal motility study)? You may try
this examination, and you can possibly drink stuff that will absolutely
cause your problem while doing that if possible.
If you have esophageal spasm, drugs like nitroglycerin or calcium channel
blocker will help you. |
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r*******g 发帖数: 5495 | 10 Selected Differential Diagnosis of Abdominal Pain
Pain location Possible diagnoses
Right upper quadrant Biliary: cholecystitis, cholelithiasis, cholangitis
Colonic: colitis, diverticulitis
Hepatic: abscess, hepatitis, mass
Pulmonary: pneumonia, embolus
Renal: nephrolithiasis, pyelonephritis
... 阅读全帖 |
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O**J 发帖数: 475 | 11 Try an Otolaryngologist/ear nose throat specialist. Here is what some mouth
-related conditions this specialist treats:
Tonsil problems
Throat cancer
Thyroid gland problems
Salivary gland problems
Chronic laryngitis (type of Laryngitis)
Acute laryngitis (type of Laryngitis)
Taste disease
Throat pain
Swallowing difficulty
Voice problems
Laryngeal nerve palsy
Facial paralysis
Vertigo
Menier's disease
Barotraumas
Allergies
Foreign bodies
Retropharyngeal abscess
Peritonsillar abscess
Hoarseness
Sin... 阅读全帖 |
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s**p 发帖数: 702 | 12 http://www.23andMe.com/a/ff1/y1v8a
Offer Expires: Dec. 27th, 2011
这个折扣好久没有了,上次还是2010年的DNA day,那次是99元,那次原本说全天打折
,可是到了下午4点多就提前结束了。
这次只要79!!!大家快去抢啊!
可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preli... 阅读全帖 |
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g*****j 发帖数: 1211 | 13 Acid reflux is caused by the weakening of the muscle tone at your
esophagus and gastric junction. There is a muscle sphincter (i.e.
valve) at this junction that prevents the back flow of stomach content.
Uncontrolled acid reflux can irritate your esophagus and increase risk
of esophageal cancer.
奥美拉唑 is a proton pump inhibitor. It simply decreases the acid content
in your stomach and therefore reduces your symptom and minimizes
esophageal irritation. There are several different types of prot |
|
s**p 发帖数: 702 | 14 可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preliminary Research
Bladder Cancer
Brain Aneurysm
Breast Cancer
Breast Cancer Risk Modifiers
C... 阅读全帖 |
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w***s 发帖数: 7132 | 15 小心,喝酒脸红者
秋秋发表于2011-01-06 11:54:55
http://www.guokr.com/article/4647/
你是一喝酒就脸红的人吗?会因为朋友的嘲笑,打算通过实战来提高实力吗?谣言粉碎
娘奉劝你不要
呀。脸红是一个标志,你就是个不能喝酒的人,不管这时你有没有醉,都不应该继续喝
了。霸王硬上
弓只会让你体内的乙醛越积越多,而你也在不知不觉中深陷险境。
流言: 大约三分之一的东亚裔喝酒会脸红,这种症状称为Asian Flush,会增加患致命
食道癌的危
险。有喝酒脸红反应者是因为其代谢酒精的酶的基因有缺陷,因而导致有毒的乙醛在体
内大量累积,
造成血管扩张,引起脸红反应。~~~不逞强了,以后少喝或不喝,坚决不能患食道癌呀!
真相: 流言里所指的,喝酒以后很快脸上身上的皮肤就变红的现象确实存在。由于常
常发生在亚洲人
的身上,所以才被称为“Asian Flush”,也被称为“Asian Red” 或是 “Asian Glow
”。但是很
多人都认为这是对酒精过敏的反应,还是不管不顾地继续喝,或者试图通过吃抗过敏药
来缓解。其实
这个是由于酒精代谢产生的乙醛在体内... 阅读全帖 |
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s**p 发帖数: 702 | 16 http://www.23andMe.com/a/ff1/y1v8a
Offer Expires: Dec. 27th, 2011
这个折扣好久没有了,上次还是2010年的DNA day,那次是99元,那次原本说全天打折
,可是到了下午4点多就提前结束了。
这次只要79!!!大家快去抢啊!
可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preli... 阅读全帖 |
|
s**p 发帖数: 702 | 17 以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preliminary Research
Bladder Cancer
Brain Aneurysm
Breast Cancer
Breast Cancer Risk Modifiers
Celia... 阅读全帖 |
|
r***u 发帖数: 1272 | 18 你是一喝酒就脸红的人吗?会因为朋友的嘲笑,打算通过实战来提高实力吗?谣言粉碎
工奉劝你不要呀。脸红是一个标志,你就是个不能喝酒的人,霸王硬上弓只会让你自己
深陷险境哒。
流言: 大约三分之一的东亚裔喝酒会脸红,这种症状称为Asian Flush,会增加患致命
食道癌的危险。有喝酒脸红反应者是因为其代谢酒精的酶ALDH2的基因有缺陷,不能把
乙醛代谢成醋酸盐,因而导致有毒的乙醛在体内大量累积,造成血管扩张,引起脸红反
应。~~~不逞强了,以后少喝或不喝,坚决不能患食道癌呀!
真相: 流言里所指的,喝酒以后很快脸上身上的皮肤就变红的现象确实存在。由于常
常发生在亚洲人的身上,所以才被称为“Asian Flush”,也被称为“Asian Red” 或
是 “Asian Glow”。但是很多人都认为这是对酒精过敏的反应,往往不管不顾地继续
喝,或者试图通过吃抗过敏药来缓解。其实这个和过敏可没有关系,是由于酒精代谢产
生的乙醛在体内堆积的结果。
酒精如何代谢
喝酒以后,酒精在消化道被吸收进入血液,除了不到10%的量是以乙醇原形由肺和肾排
出,主要的代谢发生在肝脏。简单来说,酒精首先经乙醇脱氢酶(... 阅读全帖 |
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r******0 发帖数: 357 | 19 BMC终于在最近做了一件值得尊敬的事情。我敢说下面的狗屎99%都是所谓的个性化生物
“信息”“润色”的畸形怪胎。一般以所谓的Meta分析或者随便下载一套狗屎基因芯片
数据,然后做一些似是而非的烂分析,发一堆垃圾,一篇文章卖给忙于召妓的医生5万
到10万。
1.
Retraction Note Open Access
Retraction Note: Impact of guidewire selection and operator expertise on
radiation exposure in transradial angiography
Jianmin Yang, Ningfu Wang, Xiaoshan Tong, Xianhua Ye, Liang Zhou, Guoxin
Tong, Yun Shen, Shuzheng Lv
Journal of Cardiothoracic Surgery 2015, 10:42 (27 March 2015)
Full text | PDF
2.
Retraction Note Open Access
Retracti... 阅读全帖 |
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e****0 发帖数: 678 | 21 • Exaggerated deep tendon reflexes can be seen in lock in syndrome.
• Non bleeding varices are managed with nonselective beta-
adrenergic antagonists, such as propranolol.
• Sclerotherapy, endoscopic band ligation, and surgery are
indicated after a patient has a first episode of variceal bleeding.
• TIPS is a last resort in variceal bleeding unresponsive to
medical and endoscopic intervention.
• Ischemic colitis
CT—thickening of eth bowel ... 阅读全帖 |
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k******e 发帖数: 80 | 22 我是08年10月底开始申请加州考试的,今年1月底通过审核。中间因为找学校教务处盖
章很麻烦,耽误了2个多月,材料才得以从学校寄出。个人觉得申请算是比较顺利。把
我当时准备的情况跟大家说一下也许对将要申请的人有一点帮助。
我个人从这里寄出去的材料包括:
1.国内护士执照的公正,在这里网上找的公证处,在纽约,叫最佳公正,电话
7183212810
2.指纹卡,就在我住的地方的警察局办的,free
3.handbook上的申请表,贴一张照片在右下角(handbook链接:http://www.rn.ca.gov/pdfs/applicants/exam-app.pdf)
这一页有一项是填社会安全号,我当时没有就空着的,没有关系。
4.两张支票,一张办指纹的($51),一张申请的($75)
5.写了一封信,表示感谢,一张纸,很客气的几句话
从学校寄出的材料:
1.中英文成绩单(学校有,我来之前到学校教务处办好的)
2.学位证书和毕业证书中英文版(来之前自己办好到学校教务处办好的,盖好了章)
3.课程描述9门(内外妇儿、精神科护理、生理、解剖、免疫、微生物,好像是这些,
请参考的人自己再斟酌。)... 阅读全帖 |
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s**********8 发帖数: 25265 | 23 来自主题: MedicalDevice版 - stent http://en.wikipedia.org/wiki/Stent
Stent
From Wikipedia, the free encyclopedia
For people named Stent, see Stent (surname).
Stent
Intervention
MeSH
D015607
In the technical vocabulary of medicine, a stent is an artificial 'tube'
inserted into a natural passage/conduit in the body to prevent, or
counteract, a disease-induced, localized flow constriction. The term may
also refer to a tube used to temporarily hold such a natural conduit open to
allow access for surgery.
Contents
[hide] 1 Etymology
... 阅读全帖 |
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d*******s 发帖数: 61 | 24 不想回国融入那种环境,就因为自己对科研还有真爱。
◇◇新语丝(www.xys.org)(newxys.com)(xys10.dxiong.com)◇◇
上海交通大学医学院附属仁济医院洪洁多篇论文图片造假
上海交通大学医学院附属仁济医院的洪洁多篇论文存在图片造假。
(1)洪洁以第一作者发表的Cancer Research论文(Bile Acid Reflux
Contributes to Development of Esophageal Adenocarcinoma via Activation
of Phosphatidylinositol-Specific Phospholipase Cγ2 and NADPH Oxidase
NOX5-S),图5B和图4B使用了相同的凝胶电泳图片,是刻意修饰之后试图作为不
同实验结果。而图6A和图6B同样存在这样的问题。
(2)洪洁作为共同通讯作者发表的Journal of Pathology论文因图片造假
问题被撤稿:
http://onlinelibrary.wiley.com/doi/10.1002/path.4179/abstract
R... 阅读全帖 |
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n*********7 发帖数: 4682 | 25 THR我给你看看盐酸是怎么治的,稀释小苏打是contraindications!!!!,插胃管过了30
分钟P用没有,因为早被吸收了
Gastric emptying and decontamination
Do not administer emetics because of risks of re-exposure of the
vulnerable mucosa to the caustic agent. This may result in further injury or
perforation.
Gastric lavage by traditional methods using large-bore orogastric Ewald
tubes are contraindicated in both acidic and alkaline ingestions because of
risk of esophageal perforation and tracheal aspiration of stomach contents.
Activat... 阅读全帖 |
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t******r 发帖数: 8600 | 27 15 Natural Remedies for Heartburn & Severe Acid Reflux
......
6. Get more acid
When you have acid burning your esophagus, it seems quite counterintuitive
to ingest even more acid. In many cases though, acid reflux is caused by
having not enough acid in your stomach, rather than having too much, as over
-the-counter or prescription “acid blockers” imply (although that can also
be the case, among other factors.) It is the acid itself that tells the
lower esophageal sphincter to tighten and close o... 阅读全帖 |
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T*******i 发帖数: 805 | 28 汉语强于拼音语言的地方:
1. 可望文生义。如食管,非医学专业人士也知道这是个什么东西。英文叫 Esophageal
。至于那些法律文件,普通人根本看不懂。
2. 可用现成的字、词组和表达新事物、新概念。电脑、电话、电弧、互联网。拼音语
言要不停造新单词。掌握800个常用字即可阅读80%的出版物。拼音语言8000词汇量还觉
得不够用。
3. 二维文字,精炼简洁。可用更少的字、词、句子表达相同或更复杂的意思。同样篇
幅的作品,中文比英文的要薄至少三分之一。
4. 亘古不变,历久弥新。现代人稍经训练即可阅读2000年前的古文著作。2000年的拼
音文字作品破解难度不亚于密码。这是中华文明成为唯一持续的古文明的重要物质基础。
汉语弱于拼音语言的地方:
1. 很难用作符号如数学公式、标签、型号
2. 很难用作编程语言(主要是因为现在电脑太傻)
3. 对上下文及语境依赖更大。 |
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t******w 发帖数: 22 | 29 不同意第一项。The word esophagus which derives from the Greek word
oisophagos, which means "to carry to eat." 如果知道eso- 和phag- 的意思,也可
猜个差不离。
Esophageal
础。 |
|
发帖数: 1 | 30 【 以下文字转载自 Biology 讨论区 】
发信人: dynabeads (dynabeads), 信区: Biology
标 题: 转XYS:上海交通大学医学院附属仁济医院洪洁多篇论文图片造假
发信站: BBS 未名空间站 (Sun Aug 5 12:00:39 2018, 美东)
上海交大,呵呵
◇◇新语丝(www.xys.org)(newxys.com)(xys10.dxiong.com)◇◇
上海交通大学医学院附属仁济医院洪洁多篇论文图片造假
上海交通大学医学院附属仁济医院的洪洁多篇论文存在图片造假。
(1)洪洁以第一作者发表的Cancer Research论文(Bile Acid Reflux
Contributes to Development of Esophageal Adenocarcinoma via Activation
of Phosphatidylinositol-Specific Phospholipase Cγ2 and NADPH Oxidase
NOX5-S),图5B和图4B使用了相同的凝胶电泳图片,是刻意修饰之后试图作为不
同实验结果。而图6... 阅读全帖 |
|
a**********a 发帖数: 544 | 31 It depends how deep you go. Sometimes, it could be an esophageal cancer.
stomach cancer, duodenal cancer. |
|
w********2 发帖数: 632 | 32 【 以下文字转载自 Biology 讨论区 】
发信人: vivien2009 (心寄悠然), 信区: Biology
标 题: 我是张辰宇的学生,说说最近的事
发信站: BBS 未名空间站 (Sun Nov 17 02:44:01 2013, 美东)
代朋友发帖,全文如下:
我叫陈熹,是张辰宇的学生。昨天有朋友告诉我,说你老板火了,在MITBBS被人“打脸
”了,让我去看一下。我心想,又是NBT这事,挺无语的,不过去看看国外的中国留学
生怎么看这个事情也好。看完我就郁闷了,我们课题组的文章怎么就是“垃圾”了,张
辰宇怎么就是“joker”了?其实以往对于这些事情我都是缄默的,搞科研的数据说话
,所以一直以来也在坚持做着这个领域,希望做出更多的东西来,弄明白一些问题,但
是心血被贬得一文不值,不吐不快。你说外洗地也好,说我是打手也好,我无所谓,我
就是想说说心里真实的想法。
1. 首先,我想澄清,我们的工作不是“垃圾”,张辰宇也不是“joker”。我们实验室
从2004年开始做miRNA,当时规模很小,就我一个人做,平台也刚开始建立,进展较慢
。但经过三年时间,miRNA的检测技术和... 阅读全帖 |
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w******l 发帖数: 1400 | 33 确实不好,副作用:
Cardiovascular: Angina, arrhythmia (ventricular), chest pain, flushing,
palpitation, sinus tachycardia, tachycardia (supraventricular), vasodilation
Central nervous system: Agitation, delirium, dizziness, hallucinations,
headache, insomnia, irritability, psychosis, restlessness
Dermatologic: Urticaria
Gastrointestinal: Esophageal sphincter tone decreased, gastritis
Neuromuscular & skeletal: Fasciculations
Ocular: Intraocular pressure increased (>180 mg caffeine), miosis
Renal: Diuresis... 阅读全帖 |
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l****z 发帖数: 29846 | 34 California governor bans Redskins name at public schools
LOS ANGELES (AP) — Four California high schools will be forced to change
mascots after Gov. Jerry Brown signed legislation barring public schools
from using the Redskins name for sports teams.
It was one of three sports-related bills approved by Brown in the last week.
He also signed a measure that bans players and coaches from using smokeless
tobacco at professional baseball parks and another that recognizes
competitive cheerleading as a ... 阅读全帖 |
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t**x 发帖数: 20965 | 35 Here's a (partial) list of all the pre-existing conditions the GOP bill may
not cover
感觉常见病都包了
Acne
Acromegaly
AIDS or ARC
Alzheimer's Disease
Amyotrophic Lateral Sclerosis
Anemia (Aplastic, Cooley's, Hemolytic, Mediterranean or Sickle Cell)
Anxiety
Aortic or Mitral Valve Stenosis
Arteriosclerosis
Arteritis
Asbestosis
Asthma
Bipolar disease
Cancer
Cardiomyopathy
Cerebral Palsy (infantile)
Chronic Obstructive Pulmonary Disease
Cirrhosis of the Liver
Coagulation Defects
Congestive Heart Failure
Cy... 阅读全帖 |
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t*******r 发帖数: 364 | 36 做了一篇miRNA上的SNP与esophageal squamous cell carcinoma的Association Study
,请问有哪些杂志可以考虑? |
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z*******x 发帖数: 103 | 37 半年前,我给下面的msg 送给Cancer Letters 的总编。雅,没理我。这次一气之下,
送给三个杂子的总编。马上得到一个期刊的回信。拭目以待。
> I would like to point out that the following three papers have large
overlap in tables and figures,
> J. Liu et al./Cancer Letters 373 (2016) 97–108
>
> “miR-143 inhibits tumorprogression by targeting FAM83F in esophageal
> squamous cell carcinoma”, Tumor Biology,
> (doi:10.1007/s13277-015-4760-9)
>
> “MiR-1290 promotes cancer progression by targeting nuclear factor I/X(
NFIX) inesophageal squamous cell carcinom... 阅读全帖 |
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b******t 发帖数: 595 | 38 谢谢大家。
今天去看了医生。他开了一瓶”Nexium(esomeprazole magnesium)".
its uses:
This medication is a proton pump inhibitor (PPI) used to treat ulcers,
esophagitis, and other conditions due to acid secretion (e.g.,GERD). It works
by blocking the production of acid in the stomach. When treating ulcers, this
medication may be prescribed along with antibiotics.
不敢sure啊,我是在学校校医院看的;医生说先吃两周这个药试试,不行才给我验血查HP
或做胃镜。
每天早上5:00am时常常会被痛醒;时常会饿,一饿就胃痛,吃饱就好;有时不饿时会
反酸或胃胀气。
怎么办?有没有什么食补的土方?或西药?日常饮食,作息需要注意些什么呢? |
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t*******n 发帖数: 4445 | 39 Depending on the person's age. For those >40yrs, it's probably worth
worrying.
Esophageal cancer often shows few symptoms up to the intermediate stage.
That's precisely why the survival rate is low... |
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f******I 发帖数: 769 | 40
some
on
big
spleen
can't tell much with very limited information you provided, the type of
liver cancer and whether is hepatic primary or metastatic would be helpful,
assume he had hepatocellular carcinoma from hep C, and maybe he had upper gi
bleed from either esophageal or gastric varices from portal hypertension
from cirrhosis from hep C, the outlook is not very good,
if it's metastatic disease with solitary hepatic mets sometimes they could
consider chemo embolization, |
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f******I 发帖数: 769 | 41
rarely see cardiac MRI though,
low potassium has something to do with arrythmia, but depends on how low
your potassium was,
as of chest pain, there are multiple factors when your doctor is considering
you case, from history, family history, ECG and labs, but even all those
you could still miss something serious,
to my understanding, when you presented to ER with chest pain, they will try
to rule out the 5 urgent condtions, including aortic disection, esophageal
rupture, pneumothorax, pulmonary |
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gq 发帖数: 321 | 42 nice and neat explanation!
cardiac MRI or ultrasound would be quite helpful in ruling out other
occult entities..such as small coronary aneurysm or other developmental
vascular abnormalities, cardiomyopathy, or neoplastic ... given the
possibility.
considering
try
esophageal
other
not |
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f******I 发帖数: 769 | 43
esophageal varices from liver cirrhosis is not the same as in varicose veins
in legs |
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u*****d 发帖数: 1009 | 44 Here's some information:
First of all, there's some esophageal tests that can be done to confirm the
presence of GERD. pH monitoring is one example and is usually done during
treatment when there's poor response. I don't know whether you can request
your pediatriatrian to at least administer a test to rule our other possible
causes.
Some non-pharmacological strategies include dietary changes and positioning
of the child:
Dietary changes: try not to feed in a completely supine position, make sure |
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f******I 发帖数: 769 | 45
calcium supplement plus biphosphonate, such as fosamax and actonel, both can
be taken once a week, but could cause esophagitis so recommend to take
30min before food and sit up at least 20 min or so,
boniva is new, can receive infusion every three months so much easier to
tolerate,
zometa is sometimes used, it's once a year infusion but it's not FDA
labelled use for osteoporosis,
both boniva and zometa should be used judiciously in patient with renal
insufficiency,
you could use miacalcin nasal |
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a**********9 发帖数: 348 | 46 Possible problems:
1) Gastritis, esophagitis, and acid-reflux disease.
2) Blood sugar problem. |
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t*******n 发帖数: 4445 | 47 Need to provide more details (age, health, symptoms, test results so far).
Generally, the prognosis of esophageal cancer is not good anywhere, China or
US. If curative surgery is not advisable, then focus on palliative care.
Bless... |
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j****i 发帖数: 496 | 48 Bless~~
That posiion is too hard to do surgery. If it's completely blocked, the
prognosis can't be optimistic. Family need to be prepared...
Even in US, there's no better way to treat esophageal cancer. There are some
alternative options that are available at some hospitals in China for those
who are not surgery candidates. Check out http://www.mtzyy.com.cn/dxbl/zlwczlzx.shtml. I've talked to Dr. 王洪武 personally for my dad http://www.fh21.com.cn/zjia/user2/zjia1.php?id=55. He is a very good |
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t*******n 发帖数: 4445 | 49
或者国内那些医院擅长治疗这种病例?
The overall prognosis of esophageal cancer is pretty bad :-(
To some degree it's a gamble. Even the best doctor cannot guarantee for a
specific case -- when the success rate is 99%, one may still end up as the
other 1%.
Generally, surgery may provide a chance of curing, but it's hard on the body
. When it fails it really reduces the patient's quality of life. Or the
patient and family can give up curing and focus on prolonging and making the
best of his/her remaining life. |
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g*****j 发帖数: 1211 | 50 It is not uncommon to see reflux (GER - gastroesophageal reflux) in babies.
The cause of reflux is often due to immaturity of the nervous system in the
esophageal sphincter.
Make sure that you burp your baby really well after each feed, and don't put
him in bed immediately. Reflux and aspiration can cause respiratory
symptoms.
The good news is that most baby outgrow their reflux. |
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