消化内分泌科用药护理中断事件的现状及分析

护理中断事件是引发护患纠纷及护理不良事件的重要因素之一,同时也是造成护理用药错误的重要原因,近几年已逐步引起护理工作者的高度重视.护理中断事件是指在规定的时间角色和环境中,护理人员按照伦理规范要求为患者提供护理服务过程中,所遇到的突然发生、打断或延缓当前事务、分散接收者注意力的外来行为.临床用药护理过程是保障患者用药安全的最后环节,若发生中断事件,不仅降低临床护理工作效率,而且使临床用药错误风险大大增加.

Multitask Data Processing in a Wireless Alarm System

Aim To achieve multitask data procssing in a wireless alarm system by computer. Methods The alarm system was composed of hardware and software. The hardware was composed of a master master computer and slave transmitters. On urgent ugent occasion, one or more of the transmitters transmitted alarm signals and the master computer received the signals; interruption, residence, graph and word processing were utilized in software to achieve multitiask data processing . Results The main computer can conduct precise and quick multitask data procesing in any condition so long as alarm signals are received. The processing speed is higher than ordinary alarm System. Conclusion The master computer can conduct safe and quick multitask data processing by way of reliable design of software and hardware , so there is no need of special processor.

试论文字合流

"文字合流"指两个或更多个原本不同的文字在文字应用、形体简化潮流中变得一样,词与词之间的同音关系是文字合流现象发生的根本原因,而形体简化则是文字合流的方向。本文通过个案考索概括出文字合流的七种情形,并探讨了文字合流现象在截断文字形义关联、造成古籍阅读障碍以及使文字所承载的文化信息流失等方面产生的影响。

Research on Text Mining of Syndrome Element Syndrome Differentiation by Natural Language Processing

Objective Natural language processing (NLP) was used to excavate and visualize the core content of syndrome element syndrome differentiation (SESD). Methods The first step was to build a text mining and analysis environment based on Python language, and built a corpus based on the core chapters of SESD. The second step was to digitalize the corpus. The main steps included word segmentation, information cleaning and merging, document-entry matrix, dictionary compilation and information conversion. The third step was to mine and display the internal information of SESD corpus by means of word cloud, keyword extraction and visualization. Results NLP played a positive role in computer recognition and comprehension of SESD. Different chapters had different keywords and weights. Deficiency syndrome elements were an important component of SESD, such as "Qi deficiency""Yang deficiency" and "Yin deficiency". The important syndrome elements of substantiality included "Blood stasis""Qi stagnation", etc. Core syndrome elements were closely related. Conclusions Syndrome differentiation and treatment was the core of SESD. Using NLP to excavate syndromes differentiation could help reveal the internal relationship between syndromes differentiation and provide basis for artificial intelligence to learn syndromes differentiation.

Cotton Physiological Parameters Affected by Episodic Irrigation Interruption

Improving cotton irrigation management practices in West Texas is important for increasing farmers＇ profits and for sustainability of the Ogallala aquifer. The objective of this work was to evaluate the effects in field controlled episodic drought conditions on cotton gas exchange. Irrigated cotton was subjected to water stress at different timings. Irrigation was interrupted at the squaring stage, early flowering stage, from three weeks at peak bloom, and from peak bloom to the crop termination. These episodic drought treatments were compared with cotton fully irrigated throughout the whole season. From 2010 to 2012, cotton cultivar FM9180 gas exchange was measured throughout the season using a LiCor-6400 portable photosynthesis system. In 2011 and 2012, measurements were also made on DP0935 cultivar. The cotton physiological parameters evaluated included photosynthesis, transpiration and temperature. From the several parameters evaluated, some relationships were presented. Episodic drought periods can affect leaf-level gas exchange and impact yield. Photosynthesis and yield were particularly sensitive to water deficit at early flowering. Despite an increase in leaf water use efficiency under water deficit, overall growth and yield were inhibited in all treatments with a stress component. Understanding the relative sensitivity at different growth stages can help with irrigation decisions when water resources are limited.

Multiple MIPS 4Kc cores based interrupt controller design and its implementation on HDTV SoC platform

A multiple MIPS 4Kc processor cores based interrupt processing system is introduced. The interrupt controller plays a key role in the high definition television （HDTV） system-on-a-chip （SoC） platform, especially when it is a multiple processor system. Based on a general introduction to the whole HDTV SoC platform, a layered interrupt controller and its implementation are discussed in detail. The proposed scheme was implemented in our FPGA verification board. The results indicate that our scheme is reliable and efficient. Meanwhile, as a functional intellectual property （IP）, the interrupt controller has reusability and expandability with the layered structure.

The Analysis of Secure HARQ with Chase Combining over Block Fading Channel

In this letter, the physical layer security of hybrid automatic repeat request with chase combining(HARQ-CC) scheme is investigated from the viewpoint of information theory. Different from the literature which used Wyner code, our analysis focuses on the general scenario without specific code. We firstly obtain the outage probability of both main channel and wiretap channel. Since retransmissions are completely determined by main channel, we then prove that its achievable diversity order equals to maximum transmission number() while this order of wiretap channel is only one. Furthermore, we evaluate the metric of secure gap which demonstrates the difference between main channel and wiretap channel with reliable and secure constraints. As increases, the secure gap decreases monotonously. When is large enough, the security can be guaranteed even if wiretap channel is better than main channel.

ENDOMYOCARDIAL FIBROSIS IN CHINA

To introduce the epidemical, pathological, and clinical characteristics as well as the diagnostic and therapeutical experiences of endomyocardial fibrosis(EMF) in China. [WT5”BX] Data sources.[WT5”BZ]A CMBdisc search was done of the Chinese language literature published from January 1983 through June 1997 about EMF and/or restrictive cardiomyopathy. A manual search was then done for other contributions, including abstracts, between January 1965 and June 1997. [WT5”BX] Results. [WT5”BZ]Eighty seven Chinese cases of EMF were collected in this paper. There were 49 men and 38 women, with a mean age of 28±13 years(range, 8 to 68 years). The distribution of the cases is mainly in the south of China. Combined right and left ventricular disease occurs in 48 percent of cases, with pure right ventricular involvement occurring in 42 percent and pure left ventricular involvement in the remaining 10 percent of patients who are examined postmortem. The diagnosis of EMF was confirmed in 21 cases at autopsy, and in 66 cases by echocardiography, angiocardiography, and/or endomyocardial biopsy which showed the characteristic changes. Clinically, right sided disease is the commonest variety. Endocardiectomy and tricuspid(n=7) or mitral(n=1) valves replacement have been performed in 8 patients. There were 2 operative deaths. Six patients had a satisfactory recovery postoperatively and living well in the follow up duration. [WT5”BX] Conclusion.

Myxoid adrenal cortical adenoma—the first case reported in China

Myxoid adrenal cortical adenoma is a rare tumor and till now only 9 cases have been presented in the world. We here report another case of myxoid adenoma of the adrenal gland in a 45-year-old Chinese man who was admitted to hospital because of the right adrenal mass and mild hypertension. At surgery, the mass was well-circumscribed, measured 3.3 cm in diameter. Light-microscopic findings showed most of the tumor region with myxoid stroma, and the tumor cells were benign-look- ing. Immunohistochemical study showed the tumor had the positivity for vimentin, synaptophysin, neuron specific endolase but negative with cytokeratin and epithelial membrane antigen. Moreover, it was negative with alpha-inhibin that is not in accordance with those reported. There was no finding corresponding to malignancy.

Can TCM Treatment be Performed on the Basis of Differential Diagnosis of the Diseases Instead of the Syndromes?

Great advances have been achieved in the integration of western and traditional Chinese medicine (TCM).More and more TCM physicians in their practice accept the term 'differential diagnosis of the diseases' instead of the syndromes since western medicine has been introduced into the TCM circle.

Excision of a large abdominal wall lipoma improved bowel passage in a Proteus syndrome patient

Proteus syndrome is an extremely rare congenital disorder that produces multifocal overgrowth of tissue. This report presents a surgical case of a large lipoma in the abdominal wall of a patient with Proteus syndrome. She was diagnosed with Proteus syndrome based on certain diagnostic criteria. The neoplasm increased in size gradually, producing hemihypertrophy of her left lower extremity and trunk, and spread to her retroperitoneum and her left abdominal wall. She experienced gradually progressive constipation, nausea, vomiting, and abdominal pain. Computed tomography （CT） of the abdomen demonstrated a large mass in the subcutaneous adipose tissue of the left lower abdominal wall which measured 12 cm×8 cm×6 cm in diameter and encased the left colon. This mass in the abdominal wall was excised. The weight of the excised mass was 1550 g. The histopathological diagnosis of this mass was lipoma. After surgery, the encasement of the left colon was improved, and the patient was able to move her bowels twice per day. The excision of the large lipoma in the abdominal wall contributed to the improved bowel passage in this patient with Proteus syndrome.

Perioperative anesthetic management of interrupted aortic arch associated with severe pulmonary hypertension in a young adult: case report and review of the literature

The interrupted aortic arch (IAA) is rare congential heart defect and entails a very poor prognosis without surgical treatment. We describe a young adult patient with IAA associated with severe pulmonary hypertension and discuss the perioperative anesthetic management of single-stage surgical correction in this patient. Preoperative anesthetic preparation with better understanding of the malformation, intraoperative hemodynamic monitoring, and adequate alveolar ventilation in the perioperative period were all important factors contributing to a successful outcome.

The Fault Line in Chinese Reflective Thinking

Behind what is called ＂Needham＇s Grand Question＂ （why was China overshot by the West in science and technology？） lies a deeper question of how China came to lose the capacity of deeply reflective thought clearly present in the ancient Chinese philosophers. This is a loss felt by all Chinese as a psychological sense of hollowness, a loss of identity, made worse by the seeming inaccessibility of the ancient Chinese wisdom to the modern Chinese mind. It is clear that at some historical point China suffered an extreme psychological blow sufficient to traumatise it at the threshold of reflective thought, unable to look inwards any more. The paper identifies that point as the utter devastation wrought by Kublai Khan and the Mongols 750 years ago. What devastates reflective thought is wilfulness, the insistent focusing of all attention and energy on external, material things, and Kublai Khan was wilful in the extreme. What confirms this as the crippling point is that, in response to Kublai Khan＇s Mongol invasion the Chinese, over time, not only completely altered the geography of China itself, moving their capital to the North （Beijing）, but have ever since fought to establish as ＂China＂ all the territory over which Kublai Khan ruled. China is clearly not free of Kublai Khan＇s shadow. But even more precisely, in the process of doing this--and showing their own wilfulness--in building the Forbidden City in Beijing they built it in the shape of the Chinese metaphysical model of the universe, the Chinese version of the Tree of Life metaphysical glyph But it has an error in it. And the error is precisely that in where it places things, it makes what would have been the attributes of reflective thought subservient to wilfulness. The model itself thus shows the hollowness of the Chinese mind from that moment on. The outer form--the ＂appearance＂---of the ancient wisdom was still there. But the content--the ＂substance＂--of it was not. And with no reflective thought, true creativity disappears.

Correlation Analysis between TCM Syndromes and Physicochemical Parameters

Traditionally, differentiation of syndromes of Traditional Chinese Medicine (TCM) mainly depends on the information obtained from four diagnosis methods. Now many physicochemical parameters are available in clinic. There exists great correlation between TCM syndromes and physicochemical parameters. The objective of the paper is to analyze the correlation between TCM syndromes and physicochemical parameters quantitatively. Correlation analysis has been widely studied and many analysis methods have been developed. Mutual information based on entropy can measure arbitrary dependence between variables. It has been applied to many kinds of fields, especially to pattern recognition. But most works are restricted to discrete variables and little work has been done to study the relation between discrete and continuous variables. A novel algorithm is proposed to calculate the mutual information between discrete and continuous variables. It is used to analyze the correlation between TCM syndromes and physicochemical parameters.

Antimicrobial stewardship program in China’s tertiary hospitals in 2018:a nationwide cross-sectional online survey

In the present study,we aimed to assess the development of the antimicrobial stewardship(AMS)program in China’s tertiary hospitals to identify the potential challenges for the AMS program and provide references and benchmarks for strategic policymaking.A nationwide cross-sectional study was conducted online by sending questionnaires to tertiary hospitals under China Antimicrobial Resistance Surveillance System(CARSS).The questionnaire included 5 sections regarding structure,technical support,antimicrobial use management,antimicrobial use surveillance,and education.Descriptive statistics were used for data analysis.Of the 1044 tertiary hospitals under CARSS,13.4%(140)hospitals participated in the study.Among them,99.3%(139/140)set up the AMS program.The hospital president(82.1%,115/140)and medical service department(59.3%,83/140)were responsible for AMS outcomes in most hospitals.Structured antimicrobial formulary restriction management was adopted by 99.3%(139/140)hospitals.Infectious disease department,infection control department,and microbiological laboratories were established in 87.1%(122/140),99.3%(139/140)and 100%(140/140)hospitals,respectively.Up to 85.6%(124/140)hospitals applied clinical pathways,and 33.6%(47/140)hospitals implemented hospital-specific guidelines for infectious diseases.Outpatient prescription auditing,inpatient prescription auditing,and prophylactic antimicrobial prescription auditing of aseptic operation were performed in 99.3%(139/140),98.6%(138/140)and 95.7%(134/140)hospitals,respectively.Up to 97.1%(136/140)hospitals participated in antimicrobial use surveillance network,and 99.3%(139/140)hospitals established the specialized management of carbapenem and tigecycline.Staff education and public education were provided with various ways and frequencies in 100%(140/140)and 90.0%(126/140)hospitals,respectively.AMS programs in China’s tertiary hospitals were primarily headed by hospital presidents and involved collaboration among various disciplines and administrative departments.More efforts should be put to further promote and strengthen the development of hospital-specific guidelines and the establishment of a progress and outcome evaluation system.