Pale Face Research Articles

Penerapan Pijat Akupresur pada Ibu Hamil Trimester I untuk Mengatasi Masalah Emesis Gravidarum di Wilayah Kerja Puskesmas Putri Ayu Kota Jambi

Nausea and vomiting or emesis gravidarum are the most common discomforts in the first trimester of pregnancy. If nausea and vomiting are not treated immediately, the body will become weak, dehydrated and have a pale face. Based on the results of the study, Mrs. D, 32 years old, first trimester of pregnancy with the main complaint of nausea and vomiting. One way to reduce nausea and vomiting is with acupressure massage techniques. Acupressure massage is done by gently pressing the PC 6 point for 2 minutes, the aim of which is to have an effect on giving acupressure massage to pregnant women in the first trimester to overcome the problem of emesis gravidarum. The method used is a case study with data collection techniques through observation, interviews and physical examination with the superior intervention of acupressure massage to reduce emesis gravidarum or nausea and vomiting. The results showed that there was a diagnosis of nausea with the intervention of giving acupressure massage for 3 days. The results showed that after the acupressure massage there was a decrease in the Pregnancy Unique Quantification of Emesis and/or Nausea (PUQE) score on the first day of the intervention with a score of 8 (moderate nausea and vomiting category) after the day all three interventions with a score of 3 (mild nausea and vomiting category). Conclusion: Application of acupressure massage can reduce emesis gravidarum or nausea and vomiting in first trimester pregnant women.

Characteristics of chronic enteropathy associated with SLCO2A1 gene (CEAS) in children, a unique type of monogenic very early-onset inflammatory bowel disease

Background Chronic enteropathy associated with SLCO2A1 gene (CEAS) is a unique type of inflammatory bowel disease. CEAS is monogenic disease and is thought to develop from childhood, but studies on pediatric CEAS are scarce. We analyzed characteristics of pediatric CEAS.MethodsEleven patients diagnosed with CEAS at Seoul National University Children’s Hospital were identified and analyzed. Clinical data of patients were collected. Sanger sequencing of SLCO2A1 was performed on all patients.ResultsPatients were diagnosed at a median age of 16.0 years (IQR 11.0 ~ 20.0), and the median age at symptoms onset was only 4.0 years (IQR 2.5 ~ 6.0). Growth delay was observed at the time of diagnosis. Patients showed multiple ulcers or strictures in the small intestine, while the esophagus and colon were unaffected in any patients. Almost half of the patients underwent small intestine resection. The major laboratory features of pediatric CEAS include iron deficiency anemia (IDA), hypoalbuminemia, and near-normal levels of C-reactive protein (CRP). Two novel mutations of SLCO2A1 were identified. The most prevalent symptoms were abdominal pain and pale face. None of the immunomodulatory drugs showed a significant effect on CEAS.ConclusionsPediatric CEAS typically develop from very young age, suggesting it as one type of monogenic very early onset inflammatory bowel disease. CEAS can cause growth delay in children but there is no effective treatment currently. We recommend screening for SLCO2A1 mutations to pediatric patients with chronic IDA from a young age and small intestine ulcers without elevation of CRP levels.

Shake the pale face, change the skin: performative paths to crossontologies and generations

The notions of wild soul and Amerindian perspectivism formulated by Eduardo Viveiros de Castro establish, by opposition, the contours of the pale face and inspire thoughts and actions to expand hegemonic visions linked to child drama. A narrative from the Nambikwara people, which situates “skin exchange,” encourages the search for actions in this direction with children at a public arts school on performative paths, in addition to guiding associations in transfigurations in different perspectives between the performing arts and shamanism. Generational transitions and the unveiling of the different skins that weave this writing echo the questions raised and performed in the writing.

The Level of Public Knowledge of Gastrointestinal Drug Self-medication for Gastritis Patients at Talita Pharmacy, Makassar City

Diseases of the gastrointestinal tract are quite dangerous diseases that cause many deaths number 6 in the world. Based on data from the WHO (World Health Organization), diseases of the gastrointestinal tract mostly occur in developing countries by looking at the prevalence rates of gastrointestinal diseases that occur due to disruption of the digestive system. human digestion. Poor eating habits can cause various digestive disorders such as heartburn, diarrhea, dizziness, difficult bowel movements, nausea, flatulence and fever. Gastritis is a digestive tract disorder caused by three main factors, such as (a) H. pylori (b) long-term use of Non-Steroid Anti-inflammatory Drugs (NSAIDs), and (c) Stress-Related Musocal Damage (SRMD). In addition, gastritis can also be caused by other factors, such as irregular eating patterns, consumption of coffee, tea, cola, alcohol and spicy foods, and stressful conditions. Gastritis sufferers will experience complaints including stomach pain, nausea, vomiting, weakness, flatulence, and feeling tight, pain in the pit of the stomach, no appetite, pale face, increased body temperature, cold sweat, dizziness or belching and bleeding can also occur digestive tract. The purpose of this study was to determine the level of public knowledge of self-medication of digestive tract drugs for gastritis patients at the Talita Pharmacy in Makassar City. The research method uses quantitative analysis with descriptive surveys, namely research that includes surveys with data collection techniques in the form of questionnaires. The results of the study showed that: Based on the results of the data obtained from this study, it can be concluded that the level of knowledge of the community regarding self-medication of digestive tract drugs for gastritis patients at the Talita Pharmacy in Makassar City with age criteria of 15-50 years, can communicate well, is willing to be a respondent and is classified as high with a percentage of 83%, the data shows that the level of public knowledge of self-medication of digestive tract drugs for gastritis patients at the Talita Pharmacy in Makassar is included in the tofu category.

Wounds That Kill, Wound Us All, and: Break, 2020

Wounds That Kill, Wound Us All, and: Break, 2020 Sean William Carrero (bio) Wounds That Kill, Wound Us All Morning's dry tongue receives no forgiveness.I know as much about deathas chicken gizzards know how to be eaten,or how to put the wind into boxes,pierce a dark room with my body,and make and unmake myself again. I fold what I know about death into memory,as much as little David knows, how hediscovered his mother's divorce from lifea wound in the backyard after school. Sinfulbefore heaven, she dead. Warfare never truly restores order,but transforms everything else that stays alive. There was no one else to clipthe eldest's toenails, leavered lipstick on my pale face annuallyor get excited about the Wizard of Oz. No one else to keep us, our little familyfrom sewing blank seeds in the garden.No one to fight the cotton mouth there. This poison stains us instead of your lipstick.I know as much about death as chicken gizzardsknow how to be eaten as an appetizer annually. [End Page 152] I am the size of a centimeter on a yard stick,thrash my boy fists into the rug floor foreverfeel rugged anger brush my knucklesalive without her. I foldwhat I know about death, lessthan what my cousin saw firsthand,a human body against a backyard treea bullet pierced clean through her brain.A poem reads differently when that poet has died.I read you distorted after you have died. [End Page 153] Break, 2020 In the middle of thousands dyingI learn how to come back home.The first and last time I ordercurbside pickup it's steak dinnerfor an ex, her son, and me.What is learned from the monotonyfits inside a pigeon pea: my small car,teaches me how to come back home.The UPS man came so oftenhe knew us by name back then.All performance. All pageantryfits inside a pigeon pea,all of the tragedy in Hollywood, FLteaches me how to come back homefits inside a pigeon pea.I learn from monotonyhow to pack everything insidemy small car, drive across three states.In the galley kitchen, the belly of a whale,her son begins unpacking our steakdinner alone. Typically, he' d never do that.Familiar the way eyes blink to catchthe moon, just the gistof it in the sky's mouththe sky says moon be gone.She speaks on the phone.This is a ghost signal. Callit a shell pluckedfrom the beach stuffedin your silent pocket. A dancestep out of time. Grazestoo close to the devil's tail. [End Page 154] Sean William Carrero sean william carrero holds the Master of Fine Arts in Creative Writing degree from the Creative Writing Workshop at the University of New Orleans. Carrero's poetry appears in Angel City Review and Ellipsis Literary Journal. He is from Hollywood, FL. Copyright © 2023 University of North Dakota

Bimbingan Qur’ani-Ruhani-Islami bagi Perawatan Kesehatan Mental Pasien

The various disturbances and difficulties that a person faces in his life may reduce his physical and mental health, The quality of each person's work is also closely related to the condition of his physical and mental health. If his body is mentally ill, he also suffers from illness which is marked by feelings of anxiety, pale face, decreased enthusiasm, difficulty sleeping, emotional instability, irritability (sensitive), negative thinking, and easily gives up and feels that the illness he is suffering from is a threat to him.Based on the results of surveys and observations conducted at various hospitals around Greater Jakarta and its surroundings, generally when a person experiences a physical disorder that requires him to receive medical treatment at a hospital (patient) will experience disturbances and psychological/mental. Of course, these phenomena and facts are related to the severity and severity of the illness, as well as the length or absence of the treatment period. Therefore, the presence and existence of qur'ani-ruhani-Islamic guidance and mentors as "friends" of patients in mental health care when they are sick is really needed to accompany them and their families who are facing sickness tests from Allah SWT.

An Indonesian adolescent with Turner syndrome and β-thalassemia in low-resource setting: A case report and literature review article

Turner syndrome and β-thalassemia very rarely occur together in an individual. An Indonesian adolescent, 18 years old, complained is fatigue a week ago. She has a medical history of β-thalassemia for age 6 months and Turner syndrome identification for age 16 years. Meanwhile, she regular consumes deferasirox 500 mg every day. Physical examination showed pale conjunctiva and pale face. Body view similar children aged 13 years old. Laboratories investigation values included Hb of 7.7 gr/dL, MCV of 79.5 fL, MCH of 25.9 pg, MCHC of 28.6%, WBC of 6780/mm3, PLT of 242,000/mm3, AST of 15 U/L, ALT of 20 U/L, Ferritin of 1692.32 ng/mL, growth hormone of 0.468 ng/mL, Estradiol of <11.80 pg/mL, luteinizing hormone of 53.50 mIU/mL, and follicle-stimulating hormone of 115.19 mIU/mL. Chromosomal analysis showed Turner syndrome. The patient received a packed red cell transfusion of up Hb of 10 gr/dL, deferasirox 500 mg daily, and a contraceptive tablet. Due to financial issue in Indonesia, patient with Turner syndrome does not get proper hormonal therapy such as growth hormone, vitamin D supplementation, and other hormone replacement therapy. Turner syndrome and thalassemia in low-resource settings are challenges in themselves, so in their implementation, only thalassemia can be controlled, but for therapy, it does not show an improvement in prognosis. Turner syndrome and thalassemia both worsen the patient's condition.

Laporan Kasus: Glossitis pada Penderita Anemia Defisiensi Besi

Anemia is a common hematological disorder. Anemia is a disorder in which erythrocytes or circulating hemoglobin cannot fulfill their function properly. A 21-year-old woman came to the General Sudirman University Dental and Oral Hospital with complaints of dizziness, weakness, pale face, burning tongue in the oral cavity, stinging sensation on the dorsum of the tongue, and getting sicker when eating spicy food. spicy or hot. Symptoms have been coming and going since last year. Complete blood count was performed and the patient was diagnosed with glossitis due to iron deficiency anemia. Discussion: Glossitis is an inflammation of the tongue characterized by depapilation of the tongue accompanied by pain or burning in the tongue area. Glossitis is one of the oral manifestations of iron deficiency anemia. Patients with anemia can experience glossitis. The therapy given is instructions to the patient to consume foods rich in iron.

KOMUNIKASI KELOMPOK TERARAH (FGD ) TENTANG ANEMIA PADA REMAJA DI DESA LAMPINEUNG KECAMATAN BAITUSSALAM KABUPATEN ACEH BESAR

Anemia is one of the nutritional problems in adolescent girls. Anemia is a condition when the hemoglobin level in the blood is less than the normal value (&lt;12gr/dl) in women which is characterized by clinical symptoms, namely lethargy, weakness, dizziness, light-headed eyes, and pale face. This activity was carried out using the FGD (Focused Group Communication) method in order to provide a detailed understanding to adolescents about responding to problems regarding anemia from an early age and in order to improve health status by consuming blood booster tablets, iron, and preventing anemia. The FGD method is effective because it has an informal and relaxed atmosphere so that the participants are more flexible and open in expressing their respective opinions. adolescence. The method of implementing this activity uses online and offline methods provided by the resource person or the extension agent. The results of this activity the youth understand and provide good feedback from the information submitted. The conclusion of this activity is that adolescents are able to understand and understand the meaning of anemia and can understand how to respond to the occurrence of anemia.&#x0D; Keywords: FGD, Anemia, Adolenscens

Future Perfect

Future Perfect

Menetrier’s Disease: a Surgical and Pathological Challenge

Menetrier’s disease (MD) is a rare hypertrophic gastropathy clinically characterized by digestive signs as epigastric pain, nausea, vomiting and diarrhea, with hypoalbuminemia and anemia, endoscopically by giant rugal folds and histologically by tortuous foveolar hyperplasia with dilated glands and hypertrophic muscularis mucosae. The current study presents a case of MD in 44 year-old-man admitted to the hospital of Hassan II in Fez, Morocco with epigastralgia, vomiting and weight loss. Physical examination fond a pale face and anemia in laboratory studies. A total gastrectomy was performed given the resistance to treatment and the persistence of symptoms, as well as the suspect endoscopic aspect. Macroscopic examination showed hypertrophic and polyploid gastric mucosa resembles cerebral convolutions. Histological examination showed a foveolar hyperplasia, tortuosity and dilatation of the glands. Hypertrophic muscularis mucosae with smooth muscle bundles extending into the lamina propria have also been observed. MD is considered as precancerous condition, and is associated with an increased risk of gastric cancer. This is a retrospective study of MD to describe his clinical, endoscopic and histological features, showing also the difficulty of the histological diagnosis.

No home for a kraken

No home for a kraken Charlotte Turnbull (bio) SCENE 1: LUCY'S KITCHEN, DAY A kettle boils, water pours, a teaspoon swooshes. LUCY: (pen clicks) Once a month there's this mums' writing group at the library and I never usually have anything to share, but my son wanted this colossal squid for his birthday and when it arrived, I thought—I can use this. (sips tea) This poor squid, I thought, 420 metres above sea level, landlocked in plush tangerine fur. And while I'm buttering toast I tell the boy there was this article I read in the local paper about finding tiny remains of sea creatures here, on the moor, and how we would all have been under the sea in cretaceous times, but how it must have been a thin, revealing sea, not a dark, forgiving one; no home for a kraken. But then I look at his pale face and think—oh, what have I done? (whispers) Sometimes I wonder if the other mothers are only there to fill time. They write such lovely stories about their husbands and children and the spring and the autumn and a bird they once saw, whereas I begin: (clears throat, nervous, lowers voice) This deep-sea predator is an ambusher in more ways than one. SCENE 2: LUCY'S KITCHEN, DAY Cereal pours into a bowl. LUCY: (sigh) It is so soft, though, this toy. Soft and giving, everywhere—it travels by mantle and fin, the rest trails behind, so despite its mature heft it is weightless and dreamy in water—it's so soft that my son's incredibly disappointed. [End Page 12] Apparently, the tentacles should have hooks, to stop things drifting away; to pull things closer in. I can use this, I thought. I can use the two antennae that he's always telling me are mistaken for tentacles. What's the difference, I think, who cares? They stretch out, you know, all around the flat. They're always wherever I'm standing, and it's only a one-bed so if I move an inch there are just another seven to trip over, and then when you add on the antennae etc. … But he cares, so, of course, we look it up. We run through the facts—maybe, three to forty times a day—and, oh, I can use this, I think, as he complains there is no beak where its beak should be, only the nylon sheath for your hand to go in. And while I struggle to think of this limp, orange puppet as anything other than starving to death without its evolutionarily-earned beak, I read about Abyssal Giganticism and how the females are so much bigger than the males and I do one of those exhales where the front of your own hair stands on end (exhales) because—oooh—I realise I can definitely use this. (pen clicks) (clears throat, less nervous, lowers voice) It hides in plain sight; its camouflage is the bioluminescence, the sparkle, that draws us in. SCENE 3: LUCY'S CAR, DAY Car engine stops. Hand brake pulled up. Keys removed. LUCY: Today I palpate life into this feeble beakless-maw for nigh on two hours just to get him into the car, (jingles car keys) and we're always late, and they're always understanding, and I'd leave the damned toy in the class with him, but the rest of them see it, still on my hand, tentacles swinging sadly, and don't children have their own weird antennae for the salty tug of pathos because they gather around, and he hates people near him, so I stuff it up my jumper like the world's meanest clown, with half of that bloody writing group watching me, and I'm thinking, well, should I use this? (pen clicks twice) [End Page 13] (lowers voice) It takes advantage of a natural instinct to pursue the unexpected and mysterious. SCENE 4: LUCY'S BEDROOM, NIGHT Storm outside a window—sheeting rain, howling wind. LUCY: At night, my boy sleeps where his father once slept, flinging himself around, whipping me with the slender, flexible limbs I gave...

PENYULUHAN TENTANG PEMBERIAN OBAT RANITIDIN TERHADAP PASIEN GASTRITIS DI PUSKESMAS DELI TUA

Gastritis is the most widely recognized wellbeing problem in the wellbeing place. Gastritis is a condition of aggravation or draining in the gastric mucosa that can be intense, persistent, diffuse or nearby. The two most normal kinds of gastritis are intense shallow gastritis and atrophic gastritis. In daily existence, gastritis is whined of like awful desire for the upper midsection, for instance the stomach is in every case full, queasiness, feeling hot in the stomach, torment previously or subsequent to eating, etc (Oka, 2018). Pharmacological treatment to treat gastritis sickness can be indicative treatment used to hinder corrosive emission and increment mucosal protection from corrosive. Medications utilized, for example, different stomach settling agents that for the most part contain aluminum hydroxide, magnesium hydroxide or calcium carbonate and histamine receptor inhibitor drugs H stomach, for example, simetidin, ranitidine, nizatidin, and famotidin that adequately lessen the corrosive reaction (Oka, 2018). Ranitidine is a class of acid neutralizer drugs utilized for the treatment of stomach and duodenal ulcers, esophagitis reflux, neurotic hypersecrescence states (which are broadly utilized by the public Side effects of gastritis torment notwithstanding indigestion likewise cause manifestations like sickness, retching, shortcoming, bulging, feeling claustrophobic, craving diminished, pale face, internal heat level up, cool sweats, wooziness, continually burping and in more serious conditions, can upchuck blood (Shamsu, 2017). The Middle for General Wellbeing (Puskesmas) is a medical services office that coordinates general wellbeing endeavors and top notch individual wellbeing endeavors, focusing on promotive and preventive endeavors, to accomplish the most elevated level of general wellbeing in their workspace. Puskesmas has the assignment of executing wellbeing strategy to accomplish wellbeing improvement objectives in its workspace to help the acknowledgment of sound subdistricts (Permenkes, 2014).

Effect of acupuncture combined with rehabilitation on cognitive and motor functions in poststroke patients.

The aim of the study was to explore the effect of acupuncture combined with rehabilitation on cognitive and motor functions in poststroke patients. All patients were divided into Group A and Group B based on different interventions (Group A: acupuncture + conventional rehabilitation, Group B: conventional rehabilitation alone). Acupuncture was conducted once a day, five times a week for 8 weeks, and rehabilitation (including physical therapy and occupational therapy) was conducted for 2 hr per session, once a day, five times a week for 8 weeks. Mini-mental State Examination (MMSE) and Fugl-Meyer Assessment (FMA) were used to assess the motor and cognitive functions at baseline and the end of 8 weeks. After the intervention, FMA and MMSE scores were improved significantly in the two groups (p <.05), compared with the scores prior to intervention. After 8 weeks of intervention, a statistically significant difference in the FMA and MMSE scores was observed between the Group A and the Group B. The results suggested that the combined intervention is more effective than the conventional rehabilitation alone in improving cognitive and motor functions in poststroke patients.

RELIABILITY OF MODIFICATION QUESTIONNAIRE OF KNOWLEDGE LEVEL ABOUT ANEMIA IN ADOLESCENT

Introduction: The problem that is often experienced by young women is anemia. This anemia condition causes them to feel lethargic, dizzy, and a pale face. This situation causes them to be less eager to carry out activities and interfere with their learning concentration.&#x0D; Objective: This study aimed to determine the reliability test results of the questionnaire on the level of knowledge about anemia in adolescents.&#x0D; Methods: This study used a cross-sectional study method. This research was conducted on February 28, 2021. The study population was all adolescents in the Islamic Boarding School of Tahfizh Putri Alfirdaus Hidayatullah, Sekardangan, Sidoarjo. The sampling technique used was total sampling. The sample size of the study was 24 adolescents. This study used a modified questionnaire for adolescent knowledge about anemia (Zulaekah, 2007). The questionnaire used in this study only used 8 items from the original questionnaire. The data analysis carried out was Mean, Standard Deviation, and Cronbach's Alpha.&#x0D; Results: Based on the results of the reliability test on the adolescent knowledge level questionnaire, it was found that Cronbach's Alpha was .594. This illustrates that the questionnaire is good enough to be used as an instrument in research.&#x0D; Conclusion: A modified questionnaire about the level of adolescent knowledge about anemia can be used in a study.

Pemantauan Penyebaran Penyakit Demam Derdarah (DBD) Pada Kota Pagar Alam Berbasis Web Dengan Metode Waterfall

Penyakit demam berdarah (DBD) adalah penyakit menular dan berbahaya. Hal ini dikarenakan waktu penyebarannya yang terjadi dalam waktu singkat dan sering menimbulkan wabah yang disebabkan oleh virus dengue Perubahan keadaan kondisi tubuh bagi penderita penyakit demam berdarah terjadi sangat mendadak yang ditandai dengam demam tinggi, pusing, nyeri tulang dan persendian, wajah pucat, serta pada kulit terdapat tanda merah yang diakkibatkan oleh gigitan nyamuk. Penelitian ini bertujuan untuk membangun suatu sistem pemantauan penyebaran penyakit demam berdarah (DBD) pada Kota Pagar Alam berbasis web agar dapat mempermudah pegawai dalam melakukan tugasnya memberikan informasi tentang penyebaran penyakit demam berdarah (DBD) dan dapat mengetahui tinggi rendahnya kasus DBD di puskesmas Sidorejo serta dapat mencari data kasus Demam berdarah (DBD) berdasarkan tahun. Metode yang digunakan pada penelitian adalah metode Waterfall menyediakan pendekatan alur hidup perangkat lunak secara sekuensial atau terurut dimulai dari analisis, desain, pengodean, pengujian,. Hasil dari penelitian ini dapat digunakan untuk pemantauan penyebaran penyakit demam berdarah (DBD) Kota Pagar Alam berbasis web.

Toward Premodern Globalism: Oceanic Exemplarity in Chaucer's Man of Law's Tale

This essay reads Chaucer's Man of Law's Tale—a retelling of the popular Constance exemplum—as a case study for thinking about a global Middle Ages. The tale's globalism emerges most pointedly in its depiction of the ocean and, more surprisingly, in Constance's pale face during her trial for a murder she did not commit. By reading these unlikely images together, this essay argues that both operate as oceanic sites of exemplary justice and that the Man of Law frames the Constance story as a call for global justice outside the reach of territorial law. Chaucer imagines a legality that works like exemplarity, conceptualizing witness testimony in particular as a fluid narrative form that can accommodate the needs and expectations of various audiences, cultures, and temporalities. (JKT)

Immediate vulvovaginal hematoma of the post-partum

Perigenital hematoma a rare cause of postpartum hemorrhage. It corresponds to the detachment of the paravaginal, paracervical or parametrial connective tissue by vascular lesions generally due to direct trauma during childbirth. We report a case of a 19-year-old female patient who presented painful swelling of the vulva after vaginal delivery. The examination found a patient with a pale face and stable vital constants. Inspection of the vulva reveals a purplish-pink swelling of the right hemivulva of 20/14 cm (A), reaching the inguinal fold, the large gluteal fold in the mount of venus by compressing the left lip inside and the vaginal orifice. The deep vaginal examination showed an extension of the hematoma to the right lateral wall of the vagina and two tears (at the lateral cul de sac and 2 cm from the vestibular bulb). The management was surgical and medical by hemostatic sutures after evacuation of a 700ml hematoma and we repaired the episiotomy. The patient was given antibiotics and local antiseptic. No recurrence was noticed in the post-partum.

Micklos. And I

Micklos. And I Jordon Conway (bio) Iknew Micklos for several months in my second year of high school. I'd seen him at lunch on the quadrangle or the oval but never had a class with him. Micklos stood out with a crop of tight blond curls and an almost blueish hue to his round pale face, but other than a passing glance, I'd never paid him much attention. That was until we met on a bench in the garden annex in front of the principal's office waiting to be called in. Waiting in the annex seemed to be a test of will. It was atop a slope overlooking the courtyard and oval and seemed strategically placed to tempt the detainee. If you were called before lunch, you were made to wait while your hour of liberty slipped agonizingly away. The compulsion to leave, when acted on, guaranteed further detention. Many of my lunch hours were squandered with eyes riveted, standing on the bench craning to see the action of the playground, squinting to make out the faces in the fray of sand and earth-colored uniforms. Often lunch hour would finish, and class would begin, exposing an insidious plot intended to render individual students perpetually inactive. If you left and attended your class, you'd be called to the annex again the following lunch hour to account for your desertion, and if you stayed, you'd be reported for skipping class. This day, the day Micklos was also called to the office, I'd decided to see how long they'd let me sit there. I braced myself for the long haul. I'd have waited all night If I had to. Micklos sat and glowered at the open door of the office building before slumping against the bench and spreading his legs till our knees nearly touched. "What are you here for?" he asked while turning his face away as though not caring to hear the answer. "Not sure," I replied, momentarily forgetting what the original reason was. "Could have been anything," I added to allude to my record of ill behavior. Micklos had a good idea why he was there and began, with a mix of pride and irritation, to tell me how he'd removed two louvers from the locked tuck-shop demountable, gaining access to the lunch trays. Micklos riffled through the brown paper bags of sandwiches, meat pies, and sausage rolls, each named in blue biro waiting to be distributed among those kids whose parents preordered lunches. He didn't replace the delicate, chicken-wire-embedded, glass louvers, leaving them leaning against the wall, and was spotted escaping by a teacher. He was clutching oily bags to his chest as they locked eyes for a moment before Micklos disappeared [End Page 118] down the steps at the opposite end of the veranda. Crouching hidden among the bike racks, Micklos ate so much he felt bloated and uncomfortable all afternoon. Deciding I was regaled with the telling of this brave and enviable deed, he laughed and patted his tight belly for effect as though it was an eternally satisfying achievement, until suddenly his joy faltered, and worry clouded his face. "I'll get the money; I'll pay for what I took." He pleaded as though practicing for the principal, but the words trailed away in defeat as he compelled a defiant, masterfully shot gob of spit into the Lomandras, and we began ruminating together in a long torpid silence. We sat waiting through our last classes and commiserated about being kept beyond the impending bell. We shared a look infused with an unarticulated terror of an endless school day as the clock approached three-thirty and teachers began raising their voices over the screech of chairs across the linoleum and the excited babble of soon-to-be-discharged students. ________ On our release, we walked home together. On discovering that our houses were fairly close to each other, we arranged to meet the next morning, beginning a daily ritual of malingering, groggy walks followed by a reluctant sprint to beat the morning bell. We started hanging out at lunch and circled the...

Efficacy of massage combined with microwave therapy in treating Children's bronchial pneumonia with syndrome of deficiency of lung-spleen Qi

Objective To investigate the efficacy of massage combined with microwave therapy in treating Children's bronchial pneumonia with syndrome of deficiency of lung-spleen Qi. Methods Two hundred forty-four bronchial pneumonia Children were selected in our hospital and randomly divided into the control group and the observation group with 122 cases in each group referring to random number table. The control group was administered with the routine treatment. Based on the control group, the observation group received the massage and microwave therapy. The course was 2 week for both groups. The syndrome scores of traditional Chinese medicine were performed before and after treatment, and the disappearance of gasping, antipyretic, disappearance of moist rale in the lungs, and absorption time of chest X-ray were observed and recorded. the flow cytometry was used to detect peripheral blood levels of CD4+ and CD8+, and serum levels of IL-6 and IL-8 were detected by ELISA. The clinical effect rate was evaluated. Results The total effective rate was 97.5% (118/121) in the observation group and 91.7% (110/120) in the control group,with statistically significant differences (χ2=4.406, P=0.044). After treatment, the scores of cough, phlegm, shortness of breath, pale face, fatigue, spontaneous perspiration, poor appetite in the observation group were significantly lower than those in the control group (t value were 10.008, 11.529, 11.778, 12.043, 11.309, 10.128, 11.008, P<0.01), and elapsed time of gasping, antifebrile time, disappear time of lung moist crackles, absorption time were significantly earlier than the control group (t value were 15.121, 10.099, 18.441, 14.310, P<0.01). After 2 week’ treatment, the scores of symptoms of deficiency of lung-spleen Qi in the observation group were significantly lower than those of control group (P<0.01). Compared with the control group, the duration of wheezing and antipyretic, duration of lung dampness and chest X-ray absorption in the observation group were significantly decreased (P<0.05). The total effective rate of the observation group was 97.52%, which was significantly higher than the control group 92.67% (P<0.05). After 2 week treatment, the CD4+ (41.03% ± 4.55% vs. 33.52% ± 3.95%, t=14.011) in the observation group was significantly higher, CD8+ (22.71% ± 2.83% vs. 26.65% ± 3.05%, t=10.061) was significantly lower than the control group, serum levels of IL-6 (28.13 ± 3.63 ng/L vs. 40.09 ± 4.61 ng/L, t=14.890) and IL-8 (21.41 ± 2.75 ng/L vs. 29.05 ± 3.61 ng/L, t=11.439) were significantly lower than the control group (P<0.01). Conclusions Massage combined with microwave therapy for the Children's bronchial pneumonia with deficiency of lung-spleen Qi syndrome can promote the improvement of symptoms, enhance the efficacy, increase the immune function and reduce inflammation level. Key words: Bronchopneumonia; Child; Infantile Tui Na therapy; Microwaves; Syndrome of deficiency of lung-spleen Qi