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简介：ObjectiveToreportoutcomesofnonsurgicalandsurgicalmanagementofMenière’sdiseaseatBeijingTiantanHospital.MethodsPatientswithMenière’sdiseasewerecategorizedintogroupsbasedonhearingandqualityoflife.Individualizedmanagementwasprovided,includinglifestylemodification,drugtherapies,endolymphaticsacdecompressionandlabyrinthectomy.Treatmentoutcomeswereevaluatedduringupto24monthsfollowup.ResultsEightysevenpatientsunderwentlifestylemodificationanddrugtherapies.ThevertigocontrolrateofGradeAandBwas76.9%and83.8%respectively.Sixpatientsreceivedsurgicalmanagement,includingendolymphaticsacdecompression(n=5)andlabyrinthectomy(n=1).Forthesepatients,thevertigocontrolrateofGradeAandBwas80%and100%,respectively.ConcluIsionsManagementofMenière’sdiseasedependsonseveralfactors,i.e.severitiesofvertigoandhearingloss,qualityoflife,surgicalcontraindicationsandpatientsubjectivedesire.Thetreatmentisdrugtherapiesforthemajorityofpatients,aswellaslifestylemodification.Surgicalindicationsarerareandtheleastinvasiveproceduresshouldbeconsideredfirst.Theresultsofsurgeryaregenerallysatisfying.

简介：玩游戏之前，先龄听光碟，留意国画及相关英文生字的读音。请把以下词汇填在适当的空格里，把蓝色格子内的安母组成另一个生字，把这生字写在最下面的格子里。

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简介：NiXinischiefphysician,professoranddoctoralsupervisor.HeisDirectorofBeijingChildren'sHospitalaffiliatedwithCapitalMedicalUniversity;DirectorofBeijingResearchInstituteofPediatrics;DeputyDeanofE.N.T.DepartmentinCapitalMedicalUniversity;ViceChairmanofSocietyofHeadandNeckSurgeryofChineseAnti-

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简介：ＩＤｅｐａｒｔｍｅｎｔｏｆＴｈｏｒａｃｉｃ＆ＣａｒｄｉｏｖａｓｃｕｌａｒＳｕｒｇｅｒｙ，ＦｉｒｓｔＵｎｉｖｅｒｓｉｔｙＨｏｓｐｉｔａｌ，ＷｅｓｔＣｈｉｎａＵｎｉｖｅｒｓｉｔｙｏｆＭｅｄｉｃａｌＳｃｉｅｎｃｅｓ，Ｃｈｅｎｇｄｕ，Ｓｉｃｈｕａｎ６１００４...

简介：Thispaperpresentsahumandetectionsysteminavision-basedhospitalsurveillanceenvironment.Thesystemiscomposedofthreesubsystems,i.e.backgroundsegmentationsubsystem(BSS),humanfeatureextractionsubsystem(HFES),andhumanrecognitionsubsystem(HRS).ThecodebookbackgroundmodelisappliedintheBSS,thehistogramoforientedgradients(HOG)featuresareusedintheHFES,andthesupportvectormachine(SVM)classificationisemployedintheHRS.Bymeansoftheintegrationofthesesubsystems,thehumandetectioninavision-basedhospitalsurveillanceenvironmentisperformed.Experimentalresultsshowthattheproposedsystemcaneffectivelydetectmostofthepeopleinhospitalsurveillancevideosequences.

简介：AbstractObjective:The prevalence of midline birth defects, such as gastroschisis, has increased worldwide, over the last few decades. This study aims to explore the prevalence, maternal epidemiological characteristics, and natural history of neonates affected by gastroschisis at the University Hospital of León city, Nicaragua.Methods:Data were collected from the birth defect surveillance system of the Hospital Oscar Danilo Rosales (HEODRA). The analysis included all pregnancies that had gastroschisis complications between January 1 and December 31, 2020. The prevalence of gastroschisis was calculated according to maternal age. The mothers were interviewed, and the clinical records of the newborns were reviewed.Results:Among the 4,460 deliveries included in this study, four cases of gastroschisis were identified, including three live births and one stillbirth. The gastroschisis rate was 8.9 per 10,000 live births (95% confidence interval [CI]: 0.18-17.8). The prevalence among mothers younger than 20 years and those older than 20 years was 26.4 (95% CI: -3.43 to 56.25) and 3.01 (95% CI: 2.89-8.90)/10,000 births, respectively. Mothers of gastroschisis-affected fetuses were of rural origin (n = 3), had normal body mass indexes (n = 3), were exposed to tobacco and wood smoke (n = 2), and one was exposed to pesticides during the periconceptional period. Primary closure of the gastroschisis was performed on one patient, and complex gastroschisis for intestinal perforation was observed in another patient. The mean hospitalization duration was 33 days, and two patients were discharged alive.Conclusions:Gastroschisis was a significant birth defect among children delivered at HEODRA in 2020. Its prevalence in Nicaragua was higher than that in other countries in the region. All complicated pregnancies were young women with unplanned pregnancies, from rural areas, with exposure to secondhand smoke, and without vitamin supplements before or during the first trimester of pregnancy. Only 67% of infants survived after hospital discharge.

简介：PracticehasprovedthatHospitalCultureandEnvironmentinfluenceseconomiceffectsdi-rectly.Soadaptingthenewlydirectedpatientmarketandcreatingagoodhospitalcultureandenvironmentwilltakeanactiveeffectonstrengtheningthecompetitiveadvantage.Besides,appropriateformsofartisticmovementworkindifferentaspectsofpatients.Theyrecuperatepatientsphysiologically,mentally,sociallyandpsychologically,anddispeltheirmisgivingsandhelpthemregainhealth.

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简介：AbstractPurpose:Road traffic accidents (RTAs) are a public health issue and cost a lot to individuals, families, communities and nations. Trauma care systems in India are at a nascent stage of development. There is gross disparity between trauma services available in various parts of the country. Rural area in India has inefficient services for trauma care, due to the varied topography, financial constraints, and lack of appropriate health infrastructure. The present study is to study the trends of occurrence of RTA cases by month, week and time of accident occurrence as well as to research the types of vehicle involved in accidents and other various risk factors related to them.Methods:During 1st January 2017 to 31st December 2017, a hospital-based and cross-sectional study of RTA victims was conducted. The patients were admitted in emergency department of Uttar Pradesh University of Medical Sciences, Saifai, Etawah, when stabilized, they were shifted to the orthopaedics and surgery ward.Results:In the study, 654 road accident victims were included, of which the majority were males (77.5%) and the most of them belonged to rural (67%). RTA victims according to the month of occurrence majority were found in January (12.5%) and evening was time of a day with maximum accidents (32.1%). Mortality cases of RTA victims based on type of road user and it shows decreasing trend of mortality of motor-cyclists (54.2%) followed by pedestrian (25.1%).Conclusion:There should be control over people driving vehicles under the influence of alcohol and drivers over-speeding and rash driving on urban roads as well as rural village roads.

简介：Objective:ToelucidategeneralcharacteristicsofHIV/AIDSpatientsseekingcareatDitanHospitalinanattempttoguideearlydiagnosisinroutinemedicalcare.Materialsandmethods:Aretrospectiveanalysisof185HIV/AIDScasesfromJanuary1990toJune2002wascompletedusingSPSSstatisticalanalysis.Results:Maletofemaleratiowas1.8:1.Subjectsrangedinagefrom1yearoldto64yearsold.16caseswereyoungerthan20yearsoldwiththemedianageamongtheyoungersubsetat7.7years.169caseswereolderthan20yearsoldwithamedianageof36yearsold.29%ofthesubjectswerepeasants.Theremaining71%,wereofotherunspecifiedoccupations.90.8%ofindividualswereofHandescentwhile3.7%ofindividualswereofaminorityheritage.50.3%ofsubjectsweremarried;23.8%havenevermarried;8.1%weredivorced;andtheremaining17.8%wereofunknownmaritalstatus.Ofthoserepresentedinthisstudy,36.8%camefromtheHenanprovince;17.8%werefromBeijing;8.6%werefromShanxi;31.4%fromtheother20provincesofChina;and5.4%fromoutsideofChina.Modeoftransmission:40.0%(74/185)contractedHIVthroughunprotectedsexualcontact;29.2%(54/185)throughreceivingbloodorplasmatransfusions;21.1%(39/185)throughdonatingplasma;7caseswereintravenousdrugusers;7caseswereverticallytransmitted.Modeoftransmissionwasunknownin4cases.Clinicalcategories:Anincluded45cases;Bincluded85cases:Cconsistedof76cases.12casesweredeceased.Initialpresentation:39casespresentedwith_fever,coughanddiarrhea.37caseshadfeverandcoughonly-38casespresentedwithchronicdiarrhea.16caseswerediscoveredincidentallyattimeofoperation.8casespresentedwithfungalinfectionoftheoralcavityorinesophagus.ThecommonHIVassociatedsymptomsandopportunisticinfectionswere:weightlossanddiarrhea,respiratorydiseases,dermatologicdiseases,anemia,neutropenia.Diseasesofotherorgansystemswerelesscommon.Commonmisdiagnosesincluded

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简介：Alongwiththeincreasinglyurgentmanagementneedsofintranetterminalsinhospital,andlargescaleddeploymentofterminalmanagementsystem,terminalaccesscontrolhasbecomeoneofthestandardfunctionsofterminalmanagement.Thispapermainlyaimsatsomesimpleresearchforthesystemconstructionofhospitalintranetterminalaccesscontrol.

简介：Objective:Tostudytheemergencymanagementprinciplesofseveretraumainhospital(injuryseverityscore≥16).Methods:Weused'ATPprinciple'tomanageseveretraumaticpatients.TheATPprincipleiscomposedof:1)attendingsurgeonsofferinginitialmanagement(A);2)teamworkcommencementimmediatelyafterpatientsadmittedtohospital(T);3)parallelprinciple,ie,emergencyresuscitation,evaluationandlaboratorytestperformedsimultaneously(P).ClinicaleffectsbeforeandafterapplyingATPprinciplewereretrospectivelyanalyzedandcompared.Results:DuringJanuary1,2002toDecember31,2003,338patientsweretreatedwithoutapplyingATPprinciple,inwhichISSwas25.9±6.4,152casesdiedwiththemortalitybeing39.2%,andthetimestayedinemergencydepartmentandthetimetooperationroomafteradmissionwere(102.8±16.7)min,(140.3±20.6)min,respectively.DuringJanuary1,2004toDecember31,2005,438patientsweretreatedbasedonATPprinciple,inwhichISSwas28.6±7.8,87casesdiedwiththemortalitybeing19.9%,andthetimeinemergencydepartmentandthetimetooperationroomafteradmissionwere(69.5±11.5)min,(89.6±9.3)min,respectively.ISSshowednosignificantdifferencebetweenthetwogroups(P>0.05),butthemortality,thetimestayedinemergencydepartmentandthetimetooperationroomafteradmissionweregreatlyreducedandshowedsignificantdifferencebetweenthetwogroups(P<0.05).Conclusions:ApplyingATPprincipletotreatseveretraumaticpatientscanshortenemergencytreatmenttimeinhospitalanddecreasemortality.

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