Background: An interrupted family history, as is the case after taking someone into care, can complicate collecting family anamnesis data. In addition, the interrupted family history itself could be considered part of...Background: An interrupted family history, as is the case after taking someone into care, can complicate collecting family anamnesis data. In addition, the interrupted family history itself could be considered part of a person’s risk profile. Aim and methods: Literature analysis was conducted to examine whether there are scientific studies on health development after placement in out-of-home-care in order to recognise any existing medical characteristics that may be relevant for internal medical care. Results: There are few scientific publications on the health development of people after being placed in out-of-home-care. Direct reactions to the stress of being taken into custody include nausea and fever. However, effects that go beyond the acute situation and last into adulthood have also been described, such as AD(H)D, asthma, diabetes, cancer, hypertension and cardiovascular diseases (myocardial infarction, stroke), epilepsy and increased overall mortality in adulthood. Studies show that not only previous experience but also the stress of being taken into care is triggers for this. Conclusion: Information about a previous institutionalisation can hence be important for internal medical practice. The available scientific literature shows heterogeneous study methodology and no group of people with experience of out-of-home-placement has yet been scientifically accompanied for a long time period. Further studies on this could help to better weigh up the consequences of omitting and conducting an intervention for child/youth protection as well as to improve the medical care for this group of people.展开更多
目前,国内高速铁路使用基于全球铁路移动通信系统(Global System for Mobile Communications-Railway,GSM-R)的双向无线通信系统,实现列车与地面之间的安全信息传输。然而,无线通信存在传输延迟和丢包,严重时会影响运行效率,因此需要研...目前,国内高速铁路使用基于全球铁路移动通信系统(Global System for Mobile Communications-Railway,GSM-R)的双向无线通信系统,实现列车与地面之间的安全信息传输。然而,无线通信存在传输延迟和丢包,严重时会影响运行效率,因此需要研究GSM-R系统服务质量(Quality of Service,QoS)参数,以满足实时性和可用性需求。选取传输延时作为待优化的GSM-R无线通信系统QoS参数,定量分析端到端传输延迟时间,提出基于无线传输参数自适应的加强学习优化方案。仿真结果表明,该方法可以显著提升无线通信系统性能。展开更多
在铁路数字移动通信系统(GSM-R)中,分组域通用分组无线业务(General Packet Radio Service,GPRS)系统主要承载调度、状态监测等非实时性业务,为提高研发效率,需要设计一种符合GSM-R要求的GPRS仿真系统。介绍GSM-R分组域仿真系统的系统架...在铁路数字移动通信系统(GSM-R)中,分组域通用分组无线业务(General Packet Radio Service,GPRS)系统主要承载调度、状态监测等非实时性业务,为提高研发效率,需要设计一种符合GSM-R要求的GPRS仿真系统。介绍GSM-R分组域仿真系统的系统架构,分析仿真系统的技术难点,阐述仿真系统在信令流程上与现网的区别,给出仿真通信系统无线与IP侧全协议栈的实现方法,构建出满足研发测试要求的GSM-R分组域仿真系统,同时对传输速率、网络时延等多项性能指标进行测试,表明所设计GSM-R分组域仿真系统能支持真实铁路应用产品在仿真环境中的无差异通信。展开更多
OBJECTIVE To access the efficacy and safety of the double-ProGlide technique for the femoral vein access-site closure in cryoballoon ablation with uninterrupted oral anticoagulants(OAC),and its impact on the electroph...OBJECTIVE To access the efficacy and safety of the double-ProGlide technique for the femoral vein access-site closure in cryoballoon ablation with uninterrupted oral anticoagulants(OAC),and its impact on the electrophysiology laboratory time as well as hospital stay after the procedure in this observational study.METHODS Patients with atrial fibrillation undergoing cryoballoon ablation with uninterrupted OAC at Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing,China from May 2019 to May 2021 were enrolled in this study.From October 2020,double-ProGlide technique was consistently used for hemostasis(ProGlide group),and before that conventional manual compression was utilized(manual compression group).The occurrence of vascular and groin complications was accessed during the hospital stay and until the three-month follow-up.RESULTS A total of 140 participants(69.30%of male,mean age:59.21±10.29 years)were evaluated,70 participants being in each group.Immediate hemostasis was achieved in all the patients with ProGlide closure.No major vascular complications were found in the ProGlide group while two major vascular complications were occurred in the manual compression group.The incidence of any groin complication was obviously higher in subjects with manual compression than patients with ProGlide devices(15.71%vs.2.86%,P=0.009).In addition,compared with the manual compression group,the ProGlide group was associated with significantly shorter total time in the electrophysiology laboratory[112.0(93.3–128.8)min vs.123.5(107.3–158.3)min,P=0.006],time from sheath removal until venous site hemostasis[3.8(3.4–4.2)min vs.8.0(7.6–8.5)min,P<0.001],bed rest time[8.0(7.6–8.0)h vs.14.1(12.0–17.6)h,P<0.001]and hospital stay after the procedure[13.8(12.5–17.8)h vs.38.0(21.5–41.0)h,P<0.001].CONCLUSIONS Utilization of the double-ProGlide technique for hemostasis after cryoballoon ablation with uninterrupted OAC is feasible and safe,which has the clinical benefit in reducing the total electrophysiology laboratory time and the hospital stay length after the procedure.展开更多
文摘Background: An interrupted family history, as is the case after taking someone into care, can complicate collecting family anamnesis data. In addition, the interrupted family history itself could be considered part of a person’s risk profile. Aim and methods: Literature analysis was conducted to examine whether there are scientific studies on health development after placement in out-of-home-care in order to recognise any existing medical characteristics that may be relevant for internal medical care. Results: There are few scientific publications on the health development of people after being placed in out-of-home-care. Direct reactions to the stress of being taken into custody include nausea and fever. However, effects that go beyond the acute situation and last into adulthood have also been described, such as AD(H)D, asthma, diabetes, cancer, hypertension and cardiovascular diseases (myocardial infarction, stroke), epilepsy and increased overall mortality in adulthood. Studies show that not only previous experience but also the stress of being taken into care is triggers for this. Conclusion: Information about a previous institutionalisation can hence be important for internal medical practice. The available scientific literature shows heterogeneous study methodology and no group of people with experience of out-of-home-placement has yet been scientifically accompanied for a long time period. Further studies on this could help to better weigh up the consequences of omitting and conducting an intervention for child/youth protection as well as to improve the medical care for this group of people.
文摘目前,国内高速铁路使用基于全球铁路移动通信系统(Global System for Mobile Communications-Railway,GSM-R)的双向无线通信系统,实现列车与地面之间的安全信息传输。然而,无线通信存在传输延迟和丢包,严重时会影响运行效率,因此需要研究GSM-R系统服务质量(Quality of Service,QoS)参数,以满足实时性和可用性需求。选取传输延时作为待优化的GSM-R无线通信系统QoS参数,定量分析端到端传输延迟时间,提出基于无线传输参数自适应的加强学习优化方案。仿真结果表明,该方法可以显著提升无线通信系统性能。
文摘在铁路数字移动通信系统(GSM-R)中,分组域通用分组无线业务(General Packet Radio Service,GPRS)系统主要承载调度、状态监测等非实时性业务,为提高研发效率,需要设计一种符合GSM-R要求的GPRS仿真系统。介绍GSM-R分组域仿真系统的系统架构,分析仿真系统的技术难点,阐述仿真系统在信令流程上与现网的区别,给出仿真通信系统无线与IP侧全协议栈的实现方法,构建出满足研发测试要求的GSM-R分组域仿真系统,同时对传输速率、网络时延等多项性能指标进行测试,表明所设计GSM-R分组域仿真系统能支持真实铁路应用产品在仿真环境中的无差异通信。
基金supported by the National Natural Science Foundation of China(No.81100143)the Beijing Nova Program(Z121107002512053)+4 种基金the Beijing Health System High Level Health Technology Talent Cultivation Plan(No.2013-3-013)the Beijing Outstanding Talent Training Program(No.2014000021223ZK32)the Beijing National Science Foundation(No.7212100)the Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support(ZYLX201303)the National Key Clinical Speciality Construction Project。
文摘OBJECTIVE To access the efficacy and safety of the double-ProGlide technique for the femoral vein access-site closure in cryoballoon ablation with uninterrupted oral anticoagulants(OAC),and its impact on the electrophysiology laboratory time as well as hospital stay after the procedure in this observational study.METHODS Patients with atrial fibrillation undergoing cryoballoon ablation with uninterrupted OAC at Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing,China from May 2019 to May 2021 were enrolled in this study.From October 2020,double-ProGlide technique was consistently used for hemostasis(ProGlide group),and before that conventional manual compression was utilized(manual compression group).The occurrence of vascular and groin complications was accessed during the hospital stay and until the three-month follow-up.RESULTS A total of 140 participants(69.30%of male,mean age:59.21±10.29 years)were evaluated,70 participants being in each group.Immediate hemostasis was achieved in all the patients with ProGlide closure.No major vascular complications were found in the ProGlide group while two major vascular complications were occurred in the manual compression group.The incidence of any groin complication was obviously higher in subjects with manual compression than patients with ProGlide devices(15.71%vs.2.86%,P=0.009).In addition,compared with the manual compression group,the ProGlide group was associated with significantly shorter total time in the electrophysiology laboratory[112.0(93.3–128.8)min vs.123.5(107.3–158.3)min,P=0.006],time from sheath removal until venous site hemostasis[3.8(3.4–4.2)min vs.8.0(7.6–8.5)min,P<0.001],bed rest time[8.0(7.6–8.0)h vs.14.1(12.0–17.6)h,P<0.001]and hospital stay after the procedure[13.8(12.5–17.8)h vs.38.0(21.5–41.0)h,P<0.001].CONCLUSIONS Utilization of the double-ProGlide technique for hemostasis after cryoballoon ablation with uninterrupted OAC is feasible and safe,which has the clinical benefit in reducing the total electrophysiology laboratory time and the hospital stay length after the procedure.
