In every important historical event from the Founding Ceremony of New China in 1949 to today's opening and reform, from domestic economic construction to regional wars in the word, Chinese women journalists have l...In every important historical event from the Founding Ceremony of New China in 1949 to today's opening and reform, from domestic economic construction to regional wars in the word, Chinese women journalists have left their footprints. The eight pictures shown here are not able to display all of their charms, but at least our readers may see how they cover their reports with diligence and hard work.展开更多
This study assessed agreement between two measures of medicine use, self-report by mail and pharmaceutical claims data, for a national sample (N = 4687) of older women aged 79 to84 in2005, from the Australian Longitud...This study assessed agreement between two measures of medicine use, self-report by mail and pharmaceutical claims data, for a national sample (N = 4687) of older women aged 79 to84 in2005, from the Australian Longitudinal Study on Women’s Health. Medicines used for common chronic diseases in older people were selected, with pharmaceutical claims data retrieval periods of three and six months. For six month retrieval, Kappa’s ranged between 0.44 (nervous system medicines) and 0.94 (glucose lowering medicines). For three month retrieval, aspirin (Kappa: 0.35) and folic acid (Kappa = 0.48) had lowest agreement. Women were least able to accurately report use of nervous system medicines (sensitivity 80%). Specificity was consistently high across all classes, suggesting women could accurately report using a medicine. Pharmaceutical claims data can assist evaluation of judicious medicines use, changes to availability and uptake of medicines, and track medicine expenditure for chronic conditions. Over-the-counter medicines, medicines not covered by pharmaceutical subsidies and those used on an as needed basis may be best measured by self-report, as use may be underestimated using pharmaceutical claims data.展开更多
妊娠期自发性腹腔内出血(spontaneous hemoperitoneum in pregnancy,SHiP)是一种严重的妊娠并发症,临床罕见且表现缺乏特异性,与子宫内膜异位症密切相关,会增加母胎不良结局的发生率。报告1例SHiP患者经手术救治,母胎平安的病例。该患...妊娠期自发性腹腔内出血(spontaneous hemoperitoneum in pregnancy,SHiP)是一种严重的妊娠并发症,临床罕见且表现缺乏特异性,与子宫内膜异位症密切相关,会增加母胎不良结局的发生率。报告1例SHiP患者经手术救治,母胎平安的病例。该患者30岁,初产妇,既往有子宫内膜异位症病史,本次妊娠前4个月因双侧卵巢子宫内膜异位囊肿破裂行腹腔镜手术。于妊娠39+2周因持续下腹疼痛半小时入院,考虑有胎儿窘迫、胎盘早剥可能,行紧急剖宫产,术中见腹腔内出血1200 mL,娩出一女婴,1 min Apgar评分10分,胎盘未见早剥征象。盆腔探查见子宫右后壁中下段一新生静脉血管自发性破裂,伴活动性出血,局部予缝合止血。因此,临床上对于SHiP应及时发现、快速诊断,选择合适的干预措施,有助于改善母胎妊娠结局。展开更多
文摘In every important historical event from the Founding Ceremony of New China in 1949 to today's opening and reform, from domestic economic construction to regional wars in the word, Chinese women journalists have left their footprints. The eight pictures shown here are not able to display all of their charms, but at least our readers may see how they cover their reports with diligence and hard work.
文摘This study assessed agreement between two measures of medicine use, self-report by mail and pharmaceutical claims data, for a national sample (N = 4687) of older women aged 79 to84 in2005, from the Australian Longitudinal Study on Women’s Health. Medicines used for common chronic diseases in older people were selected, with pharmaceutical claims data retrieval periods of three and six months. For six month retrieval, Kappa’s ranged between 0.44 (nervous system medicines) and 0.94 (glucose lowering medicines). For three month retrieval, aspirin (Kappa: 0.35) and folic acid (Kappa = 0.48) had lowest agreement. Women were least able to accurately report use of nervous system medicines (sensitivity 80%). Specificity was consistently high across all classes, suggesting women could accurately report using a medicine. Pharmaceutical claims data can assist evaluation of judicious medicines use, changes to availability and uptake of medicines, and track medicine expenditure for chronic conditions. Over-the-counter medicines, medicines not covered by pharmaceutical subsidies and those used on an as needed basis may be best measured by self-report, as use may be underestimated using pharmaceutical claims data.
文摘妊娠期自发性腹腔内出血(spontaneous hemoperitoneum in pregnancy,SHiP)是一种严重的妊娠并发症,临床罕见且表现缺乏特异性,与子宫内膜异位症密切相关,会增加母胎不良结局的发生率。报告1例SHiP患者经手术救治,母胎平安的病例。该患者30岁,初产妇,既往有子宫内膜异位症病史,本次妊娠前4个月因双侧卵巢子宫内膜异位囊肿破裂行腹腔镜手术。于妊娠39+2周因持续下腹疼痛半小时入院,考虑有胎儿窘迫、胎盘早剥可能,行紧急剖宫产,术中见腹腔内出血1200 mL,娩出一女婴,1 min Apgar评分10分,胎盘未见早剥征象。盆腔探查见子宫右后壁中下段一新生静脉血管自发性破裂,伴活动性出血,局部予缝合止血。因此,临床上对于SHiP应及时发现、快速诊断,选择合适的干预措施,有助于改善母胎妊娠结局。
