Importance:Neonatal appendicitis(NA)is a rare and potentially fatal neonatal disease.However,misdiagnosis is common owing to atypical clinical manifestations and non-specific laboratory tests.Objective:The aim of this...Importance:Neonatal appendicitis(NA)is a rare and potentially fatal neonatal disease.However,misdiagnosis is common owing to atypical clinical manifestations and non-specific laboratory tests.Objective:The aim of this study was to summarize the clinical characteristics,treatments,and prognoses of infants with NA.Methods:This retrospective analysis included 69 patients diagnosed with NA admitted to Beijing Children’s Hospital between 1980 and 2019.The patients were divided into surgical and non-surgical groups based on whether surgery was performed.Their clinical characteristics were analyzed using the chi-square test,t-test,or the Mann-Whitney U test.Results:The study included 47 males and 22 females with NA.The primary symptoms were abdominal distension(n=36,52.2%),fever(n=19,27.5%),refusal to feed or decreased feeding(n=16,23.2%),and vomiting(n=15,21.7%).Sixty-five patients underwent abdominal ultrasound examinations;43 had definite appendiceal abnormalities,10 had right lower abdominal adhesive masses,and 14 had neonatal enterocolitis manifestations.Twenty-nine and 40 patients were in the surgical and non-surgical groups,respectively.No statistically significant differences were observed between the groups regarding sex,age at onset,birth weight,admission weight,or hospitalization time.However,parenteral nutrition was prolonged in the surgical group(P=0.001).Additionally,two patients(2.9%)died.Interpretation:NA is a rare neonatal disease with atypical clinical manifestations.Abdominal ultrasonography may aid in the diagnosis.Similarly,appropriate treatment can improve the prognosis.展开更多
Following Dibooglu and Kutan(2005),we construct a structural VAR model to investigate the impact of RMB(the Chinese currency)appreciation on growth and inflation in China.The empirical results show that RMB appreciati...Following Dibooglu and Kutan(2005),we construct a structural VAR model to investigate the impact of RMB(the Chinese currency)appreciation on growth and inflation in China.The empirical results show that RMB appreciation has negative effects on output growth and inflation while neither effect is statistically significant.However,exchange rate shocks are important in the fluctuations of output growth and inflation.We also simulate the scenario of a sharp currency appreciation compared to the gradual approach adopted by the Chinese government.In the counterfactual analysis we find that a sharp appreciation would lead to more violent shocks in economic growth and inflation compared to the gradual approach.展开更多
文摘Importance:Neonatal appendicitis(NA)is a rare and potentially fatal neonatal disease.However,misdiagnosis is common owing to atypical clinical manifestations and non-specific laboratory tests.Objective:The aim of this study was to summarize the clinical characteristics,treatments,and prognoses of infants with NA.Methods:This retrospective analysis included 69 patients diagnosed with NA admitted to Beijing Children’s Hospital between 1980 and 2019.The patients were divided into surgical and non-surgical groups based on whether surgery was performed.Their clinical characteristics were analyzed using the chi-square test,t-test,or the Mann-Whitney U test.Results:The study included 47 males and 22 females with NA.The primary symptoms were abdominal distension(n=36,52.2%),fever(n=19,27.5%),refusal to feed or decreased feeding(n=16,23.2%),and vomiting(n=15,21.7%).Sixty-five patients underwent abdominal ultrasound examinations;43 had definite appendiceal abnormalities,10 had right lower abdominal adhesive masses,and 14 had neonatal enterocolitis manifestations.Twenty-nine and 40 patients were in the surgical and non-surgical groups,respectively.No statistically significant differences were observed between the groups regarding sex,age at onset,birth weight,admission weight,or hospitalization time.However,parenteral nutrition was prolonged in the surgical group(P=0.001).Additionally,two patients(2.9%)died.Interpretation:NA is a rare neonatal disease with atypical clinical manifestations.Abdominal ultrasonography may aid in the diagnosis.Similarly,appropriate treatment can improve the prognosis.
基金Yongwei Chen acknowledges the financial support from the National Natural Science Foundation of China (No. 71001107)
文摘Following Dibooglu and Kutan(2005),we construct a structural VAR model to investigate the impact of RMB(the Chinese currency)appreciation on growth and inflation in China.The empirical results show that RMB appreciation has negative effects on output growth and inflation while neither effect is statistically significant.However,exchange rate shocks are important in the fluctuations of output growth and inflation.We also simulate the scenario of a sharp currency appreciation compared to the gradual approach adopted by the Chinese government.In the counterfactual analysis we find that a sharp appreciation would lead to more violent shocks in economic growth and inflation compared to the gradual approach.
