Goals of traditional Chinese medicine(TCM)include precision,accuracy,and recognition by clinical practice.Establishment of a diagnosis and treatment system that closely conforms to the principle-method-recipe-medicine...Goals of traditional Chinese medicine(TCM)include precision,accuracy,and recognition by clinical practice.Establishment of a diagnosis and treatment system that closely conforms to the principle-method-recipe-medicines system and derivation of an accurate diagnosis and treatment plan should be considerations of TCM.Artificial intelligence research based on computer technology is one of the effective ways to solve this problem.In the research of intelligent diagnosis path,reflecting the characteristics of the overall view and dialectical treatment of TCM such as"Combination of four diagnostic methods""overall examination""combination of disease and syndrome"and"treatment individualized to patient,season and locality"are key for successful research of artificial intelligence in TCM diagnosis or recognition by clinical practice.展开更多
Objectives: EM physicians may be biased in seeing patients presenting with nonspecific complaints or requiring more extensive work-ups. The goal of our study was to ascertain if chief complaint affected time to be see...Objectives: EM physicians may be biased in seeing patients presenting with nonspecific complaints or requiring more extensive work-ups. The goal of our study was to ascertain if chief complaint affected time to be seen (TTBS) in the ED. Methods: A retrospective report was generated from the EMR for all moderate acuity patients who visited the ED from January 2005 to December 2010 at a large urban teaching hospital. Abdominal pain, alcohol intoxication, back pain, chest pain, cough, dyspnea, dizziness, fall, fever, flank pain, headache, infection, pain (nonspecific), psychiatric evaluation, “sent by MD”, vaginal bleeding, vomiting, and weakness were the most common complaints. Non-Parametric Independent Sample Tests assessed median TTBS between complaints, gender, and age. Chisquare testing assessed for differences in the distribution of arrival times. Results: We obtained data from 116,194 patients. Patients presenting with weakness and dizziness waited the longest time of 35 minutes and patients with flank pain waited the shortest with 24 minutes. Males waited 30 minutes and females waited 32 minutes. Younger females between the ages of 18 - 50 waited significantly longer when presenting with a chief complaint of abdominal pain, chest pain, or flank pain. There was no difference in the distribution of arrival times for these complaints. Conclusion: There is a significant bias toward seeing young male patients more quickly than women or older males. Patients might benefit from efforts to educate EM physicians on the delays and potential quality issues associated with this bias in an attempt to move toward more egalitarian patient selection.展开更多
目的本研究旨在分析中国低磷酸酶血症患者的基因突变特点和常见就诊原因,提醒相关医生加以注意,以提高诊断效率。方法通过中国知网、维普中文科技期刊数据库、万方数据库、Pub Med、Ovid、Web of Science和Embase,检索截止到2015年12月3...目的本研究旨在分析中国低磷酸酶血症患者的基因突变特点和常见就诊原因,提醒相关医生加以注意,以提高诊断效率。方法通过中国知网、维普中文科技期刊数据库、万方数据库、Pub Med、Ovid、Web of Science和Embase,检索截止到2015年12月31日的可能包含低磷酸酶血症的病例的文献。根据纳入与排除标准进行筛选和评价,然后提取所纳入文献中的就诊信息,进行归纳和统计分析。结果最终筛选出25篇包含中国低磷酸酶血症患者就诊信息的文献,共包含34位患者。笔者发现ALPL基因突变主要分布在5、10号外显子,其中75.0%为错义突变。34位患者中16位(47%)因乳牙早失就诊,12位(35%)因骨骼异常就诊。结论中国HP患者ALPL基因突变在外显子上的分布不同于其他种族,乳牙早失和骨骼异常是常见就诊原因。展开更多
基金the funding support from the Open Fund Project of State Key Subjects of Chinese Medicine Diagnostics,Hunan University of Chinese Medicine(No.2015ZYZD01).
文摘Goals of traditional Chinese medicine(TCM)include precision,accuracy,and recognition by clinical practice.Establishment of a diagnosis and treatment system that closely conforms to the principle-method-recipe-medicines system and derivation of an accurate diagnosis and treatment plan should be considerations of TCM.Artificial intelligence research based on computer technology is one of the effective ways to solve this problem.In the research of intelligent diagnosis path,reflecting the characteristics of the overall view and dialectical treatment of TCM such as"Combination of four diagnostic methods""overall examination""combination of disease and syndrome"and"treatment individualized to patient,season and locality"are key for successful research of artificial intelligence in TCM diagnosis or recognition by clinical practice.
文摘Objectives: EM physicians may be biased in seeing patients presenting with nonspecific complaints or requiring more extensive work-ups. The goal of our study was to ascertain if chief complaint affected time to be seen (TTBS) in the ED. Methods: A retrospective report was generated from the EMR for all moderate acuity patients who visited the ED from January 2005 to December 2010 at a large urban teaching hospital. Abdominal pain, alcohol intoxication, back pain, chest pain, cough, dyspnea, dizziness, fall, fever, flank pain, headache, infection, pain (nonspecific), psychiatric evaluation, “sent by MD”, vaginal bleeding, vomiting, and weakness were the most common complaints. Non-Parametric Independent Sample Tests assessed median TTBS between complaints, gender, and age. Chisquare testing assessed for differences in the distribution of arrival times. Results: We obtained data from 116,194 patients. Patients presenting with weakness and dizziness waited the longest time of 35 minutes and patients with flank pain waited the shortest with 24 minutes. Males waited 30 minutes and females waited 32 minutes. Younger females between the ages of 18 - 50 waited significantly longer when presenting with a chief complaint of abdominal pain, chest pain, or flank pain. There was no difference in the distribution of arrival times for these complaints. Conclusion: There is a significant bias toward seeing young male patients more quickly than women or older males. Patients might benefit from efforts to educate EM physicians on the delays and potential quality issues associated with this bias in an attempt to move toward more egalitarian patient selection.
文摘目的本研究旨在分析中国低磷酸酶血症患者的基因突变特点和常见就诊原因,提醒相关医生加以注意,以提高诊断效率。方法通过中国知网、维普中文科技期刊数据库、万方数据库、Pub Med、Ovid、Web of Science和Embase,检索截止到2015年12月31日的可能包含低磷酸酶血症的病例的文献。根据纳入与排除标准进行筛选和评价,然后提取所纳入文献中的就诊信息,进行归纳和统计分析。结果最终筛选出25篇包含中国低磷酸酶血症患者就诊信息的文献,共包含34位患者。笔者发现ALPL基因突变主要分布在5、10号外显子,其中75.0%为错义突变。34位患者中16位(47%)因乳牙早失就诊,12位(35%)因骨骼异常就诊。结论中国HP患者ALPL基因突变在外显子上的分布不同于其他种族,乳牙早失和骨骼异常是常见就诊原因。
