AIM To explore the outcomes and the appropriate treatment for patients with moderately severe acute pancreatitis(AP).METHODS Statistical analysis was performed on data from the prospectively collected database of 103 ...AIM To explore the outcomes and the appropriate treatment for patients with moderately severe acute pancreatitis(AP).METHODS Statistical analysis was performed on data from the prospectively collected database of 103 AP patients admitted to the Department of Surgery,Hospital of Lithuanian University of Health Sciences in 2008-2013. All patients were confirmed to have the diagnosis of AP during the first 24 h following admission. The severity of pancreatitis was assessed by MODS and APACHE Ⅱ scale. Clinical course was re-evaluated after 24,48 and 72 h. All patients were categorized into 3 groups based on Atlanta 2012 classification: Mild,moderately severe,and severe.Outcomes and management in moderately severe group were also compared to mild and severe cases according to Atlanta 1992 and 2012 classification.RESULTS Fifty-three-point four percent of patients had edematous while 46.6 % were diagnosed with necrotic AP. The most common cause of AP was alcohol(42.7%) followed by alimentary(26.2%),biliary(26.2%) and idiopathic(4.9%). Under Atlanta 1992 classification 56(54.4%) cases were classified as "mild" and 47(45.6%) as "severe". Using the revised classification(Atlanta 2012),the patient stratification was different: 49(47.6%) mild,27(26.2%) moderately severe and 27(26.2%) severe AP cases. The two severe groups(Atlanta 1992 and Revised Atlanta 2012) did not show statistically significant differences in clinical parameters,including ICU stay,need for interventional treatment,infected pancreatic necrosis or mortality rates. The moderately severe group of 27 patients(according to Atlanta 2012) had significantly better outcomes when compared to those 47 patients classified as severe form of AP(according to Atlanta 1992) with lower incidence of necrosis and sepsis,lower APACHE Ⅱ(P = 0.002) and MODS(P = 0.001) scores,shorter ICU stay,decreased need for interventional and surgical treatment.CONCLUSION Study shows that Atlanta 2012 criteria are more accurate,reduce unnecessary treatments for patients with mild and moderate severe pancreatitis,potentially resulting in health costs savings.展开更多
On August 9, the National Statistical Office released data shows: in July, the general level of consumer prices in China rose by 1.8 % y/y. According to statistics, in January-July, the data rose by1.9% in urban, the ...On August 9, the National Statistical Office released data shows: in July, the general level of consumer prices in China rose by 1.8 % y/y. According to statistics, in January-July, the data rose by1.9% in urban, the data rose by1.5% in rural; Food prices rose by 2.4%,展开更多
The temperature change trends in January and July are analyzed and the results show that the trends descend in July but ascend in January except in South China and Southwest China. The relation between the temperature...The temperature change trends in January and July are analyzed and the results show that the trends descend in July but ascend in January except in South China and Southwest China. The relation between the temperature in January and July are discussed by using the wavelet. The results show that the trend phase in July and January are nearly in-phase in Southwest and South China, but are out-of-phase in other regions. Reconstruction of original temperature series in each of the regions indicates that their change trends are consistent with the original temperature series.展开更多
Viral hepatitis is an important challenge to public health worldwide.As hepatitis B is well controlled due to vaccination,the disease burden caused by the spread of hepatitis C has become increasingly prominent.Hepati...Viral hepatitis is an important challenge to public health worldwide.As hepatitis B is well controlled due to vaccination,the disease burden caused by the spread of hepatitis C has become increasingly prominent.Hepatitis C is an infectious disease that is mainly blood-borne.The rate of chronicity ranges from 55% to 85% after people are infected with the hepatitis C virus （HCV）.展开更多
sql server 2012能够方便的帮助用户实现数据的管理功能,保障了数据库中数据的有效性、正确性和相容性,提供给用户多种技术实现数据的完整性。比如约束、规则、外键和触发器。约束其实是通过对规则的完整性来实现数据的完整性目标,本文...sql server 2012能够方便的帮助用户实现数据的管理功能,保障了数据库中数据的有效性、正确性和相容性,提供给用户多种技术实现数据的完整性。比如约束、规则、外键和触发器。约束其实是通过对规则的完整性来实现数据的完整性目标,本文结合具体应用场景,主要对约束这一技术进行介绍。展开更多
在SQL Server 2012中,当管理员完成数据库及表的建立后,后期对表中数据进行插入、修改、删除等操作时由于操作不当,很可能会导致不符合规范的数据进入数据库。为避免这种情况发生,数据库表建立完毕后应通过数据完整性来保证存储的数据...在SQL Server 2012中,当管理员完成数据库及表的建立后,后期对表中数据进行插入、修改、删除等操作时由于操作不当,很可能会导致不符合规范的数据进入数据库。为避免这种情况发生,数据库表建立完毕后应通过数据完整性来保证存储的数据正确、有效、相容。约束是实现数据完整性的有效手段之一,本文介绍不同类型数据完整性的含义及实现手段,并结合具体的应用场景创建相关约束。展开更多
文摘AIM To explore the outcomes and the appropriate treatment for patients with moderately severe acute pancreatitis(AP).METHODS Statistical analysis was performed on data from the prospectively collected database of 103 AP patients admitted to the Department of Surgery,Hospital of Lithuanian University of Health Sciences in 2008-2013. All patients were confirmed to have the diagnosis of AP during the first 24 h following admission. The severity of pancreatitis was assessed by MODS and APACHE Ⅱ scale. Clinical course was re-evaluated after 24,48 and 72 h. All patients were categorized into 3 groups based on Atlanta 2012 classification: Mild,moderately severe,and severe.Outcomes and management in moderately severe group were also compared to mild and severe cases according to Atlanta 1992 and 2012 classification.RESULTS Fifty-three-point four percent of patients had edematous while 46.6 % were diagnosed with necrotic AP. The most common cause of AP was alcohol(42.7%) followed by alimentary(26.2%),biliary(26.2%) and idiopathic(4.9%). Under Atlanta 1992 classification 56(54.4%) cases were classified as "mild" and 47(45.6%) as "severe". Using the revised classification(Atlanta 2012),the patient stratification was different: 49(47.6%) mild,27(26.2%) moderately severe and 27(26.2%) severe AP cases. The two severe groups(Atlanta 1992 and Revised Atlanta 2012) did not show statistically significant differences in clinical parameters,including ICU stay,need for interventional treatment,infected pancreatic necrosis or mortality rates. The moderately severe group of 27 patients(according to Atlanta 2012) had significantly better outcomes when compared to those 47 patients classified as severe form of AP(according to Atlanta 1992) with lower incidence of necrosis and sepsis,lower APACHE Ⅱ(P = 0.002) and MODS(P = 0.001) scores,shorter ICU stay,decreased need for interventional and surgical treatment.CONCLUSION Study shows that Atlanta 2012 criteria are more accurate,reduce unnecessary treatments for patients with mild and moderate severe pancreatitis,potentially resulting in health costs savings.
文摘On August 9, the National Statistical Office released data shows: in July, the general level of consumer prices in China rose by 1.8 % y/y. According to statistics, in January-July, the data rose by1.9% in urban, the data rose by1.5% in rural; Food prices rose by 2.4%,
文摘The temperature change trends in January and July are analyzed and the results show that the trends descend in July but ascend in January except in South China and Southwest China. The relation between the temperature in January and July are discussed by using the wavelet. The results show that the trend phase in July and January are nearly in-phase in Southwest and South China, but are out-of-phase in other regions. Reconstruction of original temperature series in each of the regions indicates that their change trends are consistent with the original temperature series.
文摘Viral hepatitis is an important challenge to public health worldwide.As hepatitis B is well controlled due to vaccination,the disease burden caused by the spread of hepatitis C has become increasingly prominent.Hepatitis C is an infectious disease that is mainly blood-borne.The rate of chronicity ranges from 55% to 85% after people are infected with the hepatitis C virus （HCV）.
文摘在SQL Server 2012中,当管理员完成数据库及表的建立后,后期对表中数据进行插入、修改、删除等操作时由于操作不当,很可能会导致不符合规范的数据进入数据库。为避免这种情况发生,数据库表建立完毕后应通过数据完整性来保证存储的数据正确、有效、相容。约束是实现数据完整性的有效手段之一,本文介绍不同类型数据完整性的含义及实现手段,并结合具体的应用场景创建相关约束。
