Puroose:Intracardiac embolization of catheter fragments,andiatrogenic,and other foreign bodies,such as stents,intracardiacformation of knots in catheters,malpositioning of intracardiaccatheters,and thrombi formation i...Puroose:Intracardiac embolization of catheter fragments,andiatrogenic,and other foreign bodies,such as stents,intracardiacformation of knots in catheters,malpositioning of intracardiaccatheters,and thrombi formation in intracardiac catheters arc seriouscomplications of catbeterization techniques,associated with highmorbidity and mortality.Material and Metbods:We performed percutaneous retrieval ofintracardiac catheters and iatrogenic foreign bodies(n=40),unknottingof catheter knots(n=4),repositioning of malpositioned catheters(n=31),and stripping of catheters(n=25),in 100 adults and children.Interveotional equipment used included:retrieval baskets,retrievalwire loops,deflector wires,retrieval forceps,and differentangiographic catheters,alone or in combination.Results:Retrieval of catheter fragments and iatrogenic foreign bodieswas successful in 38 patients.There were 3 failures:an IVC filter,acatheter,ans a Wallstent,lodged in the right atrium.Unknotting ofcatheter knots,repositioning of misplaced catheters,and stripping ofcatheters was successful in all patients.There were no majorcomplications.Minor complications were infrequent.Cinclusions:These procedures are quick,safe,and effective tomanage potentially serious complications of percutaneouscatheterization techniques.Dialysis and other central catheters andports can be functional for longer periods.A major operation to solvethese problems,which may include open heart surgery,is avoided.展开更多
目的:观察小青龙汤加减治疗小儿支原体肺炎的临床疗效。方法:将92例小儿支原体肺炎患者按照随机数字表法分为对照组和研究组,每组46例。对照组给予常规治疗,肺炎急性期使用布地奈德雾化液雾化治疗,肺炎症状缓解期使用孟鲁司特钠咀嚼片...目的:观察小青龙汤加减治疗小儿支原体肺炎的临床疗效。方法:将92例小儿支原体肺炎患者按照随机数字表法分为对照组和研究组,每组46例。对照组给予常规治疗,肺炎急性期使用布地奈德雾化液雾化治疗,肺炎症状缓解期使用孟鲁司特钠咀嚼片口服治疗。研究组在对照组治疗的基础上给予小青龙汤加减治疗。观察两组患者临床疗效、肺功能[用力肺活量(forced vital capacity,FVC)、最大呼气流速(peak expiratory flow,PEF)以及第1秒用力呼气容积(forced expiratory volume in the first second,FEV1)]、气道高反应性、复发情况,并检测血清白细胞介素(interleukin,IL)-4、IL-5与外周血嗜酸性粒细胞(eosinophil,EOS)水平。结果:研究组有效率91.30%,对照组有效率为76.09%,研究组有效率高于对照组,差异有统计学意义(P<0.05)。研究组治疗后FVC、PEF、FEV1水平高于对照组,差异有统计学意义(P<0.05)。研究组治疗后最小诱发累积量、促使气道阻力增加至基础值的135%所需要的组胺累积剂量高于对照组,差异有统计学意义(P<0.05)。研究组治疗后血清IL-4、IL-5与外周血EOS低于对照组,差异有统计学意义(P<0.05)。研究组复发率为19.05%(8/42),对照组复发率为42.86%(15/35),研究组复发率低于对照组,差异有统计学意义(P<0.05)。结论:小青龙汤加减治疗治疗小儿支原体肺炎,能改善患者肺功能,减轻患儿气道高反应性,调节血清IL-4、IL-5水平以及外周血EOS水平,降低复发率。展开更多
目的归纳和总结抚养未成年子女的乳腺癌患者育儿干预的基本内容及干预效果。方法以JBI发布的范围综述指南为方法学框架,检索中国知网、万方数据、维普网、中国生物医学文献服务系统、PubMed、Embase、Cochrane Library、CINAHL、PsycINF...目的归纳和总结抚养未成年子女的乳腺癌患者育儿干预的基本内容及干预效果。方法以JBI发布的范围综述指南为方法学框架,检索中国知网、万方数据、维普网、中国生物医学文献服务系统、PubMed、Embase、Cochrane Library、CINAHL、PsycINFO、Web of Science等数据库,检索时限为建库至2023年11月30日。对纳入文献进行归类和分析。结果共纳入14篇文献,抚养未成年子女的乳腺癌患者育儿干预研究涉及针对乳腺癌患者、未成年子女及其配偶的干预,干预内容包括亲子交流指导、情绪管理指导、加强社会支持、自我效能感培训、健康知识教育及亲子相处指导等;育儿干预的频次、时间存在较大差异;育儿干预可改善患者的育儿能力、亲子沟通能力以及其未成年子女的情绪行为问题等。结论针对乳腺癌患者及其未成年子女开展的育儿干预内容、干预形式仍有待完善和优化,需重视以家庭为中心,并进一步探索基于互联网及针对特殊患者群体个性化的干预方案,以提升育儿干预效果。展开更多
MOST of China’s culturalundertakings are adminis-tered by the Chinese gov-ernment on five different levels.Top level:central departments,including the Ministry Culture,the Ministry of Radio,Film andTelevision,and the...MOST of China’s culturalundertakings are adminis-tered by the Chinese gov-ernment on five different levels.Top level:central departments,including the Ministry Culture,the Ministry of Radio,Film andTelevision,and the State Press andPublication Administration.The Ministry of Culture is thenational administrative organ forcultural and art undertakings.Ac-cording to the plan approved by theState Council in March 1989,itsmain powers and responsibilities are:to administer art undertakings,masscultural undertakings,libraries,cul-tural undertakings in minority-nationality areas and the culturalwork of juveniles and children;toadminister training and education ofcultural and art personnel,scientificresearch on art,and scientific andtechnological work on culture andthe arts;to administer art marketsand cultural and art exchange withTaiwan,and cultural and art ex-change and liaison with foreigncountries; to administer the StateCultural Relics Bureau.The Ministryof Culture has 14 units under展开更多
文摘Puroose:Intracardiac embolization of catheter fragments,andiatrogenic,and other foreign bodies,such as stents,intracardiacformation of knots in catheters,malpositioning of intracardiaccatheters,and thrombi formation in intracardiac catheters arc seriouscomplications of catbeterization techniques,associated with highmorbidity and mortality.Material and Metbods:We performed percutaneous retrieval ofintracardiac catheters and iatrogenic foreign bodies(n=40),unknottingof catheter knots(n=4),repositioning of malpositioned catheters(n=31),and stripping of catheters(n=25),in 100 adults and children.Interveotional equipment used included:retrieval baskets,retrievalwire loops,deflector wires,retrieval forceps,and differentangiographic catheters,alone or in combination.Results:Retrieval of catheter fragments and iatrogenic foreign bodieswas successful in 38 patients.There were 3 failures:an IVC filter,acatheter,ans a Wallstent,lodged in the right atrium.Unknotting ofcatheter knots,repositioning of misplaced catheters,and stripping ofcatheters was successful in all patients.There were no majorcomplications.Minor complications were infrequent.Cinclusions:These procedures are quick,safe,and effective tomanage potentially serious complications of percutaneouscatheterization techniques.Dialysis and other central catheters andports can be functional for longer periods.A major operation to solvethese problems,which may include open heart surgery,is avoided.
文摘目的:观察小青龙汤加减治疗小儿支原体肺炎的临床疗效。方法:将92例小儿支原体肺炎患者按照随机数字表法分为对照组和研究组,每组46例。对照组给予常规治疗,肺炎急性期使用布地奈德雾化液雾化治疗,肺炎症状缓解期使用孟鲁司特钠咀嚼片口服治疗。研究组在对照组治疗的基础上给予小青龙汤加减治疗。观察两组患者临床疗效、肺功能[用力肺活量(forced vital capacity,FVC)、最大呼气流速(peak expiratory flow,PEF)以及第1秒用力呼气容积(forced expiratory volume in the first second,FEV1)]、气道高反应性、复发情况,并检测血清白细胞介素(interleukin,IL)-4、IL-5与外周血嗜酸性粒细胞(eosinophil,EOS)水平。结果:研究组有效率91.30%,对照组有效率为76.09%,研究组有效率高于对照组,差异有统计学意义(P<0.05)。研究组治疗后FVC、PEF、FEV1水平高于对照组,差异有统计学意义(P<0.05)。研究组治疗后最小诱发累积量、促使气道阻力增加至基础值的135%所需要的组胺累积剂量高于对照组,差异有统计学意义(P<0.05)。研究组治疗后血清IL-4、IL-5与外周血EOS低于对照组,差异有统计学意义(P<0.05)。研究组复发率为19.05%(8/42),对照组复发率为42.86%(15/35),研究组复发率低于对照组,差异有统计学意义(P<0.05)。结论:小青龙汤加减治疗治疗小儿支原体肺炎,能改善患者肺功能,减轻患儿气道高反应性,调节血清IL-4、IL-5水平以及外周血EOS水平,降低复发率。
文摘目的归纳和总结抚养未成年子女的乳腺癌患者育儿干预的基本内容及干预效果。方法以JBI发布的范围综述指南为方法学框架,检索中国知网、万方数据、维普网、中国生物医学文献服务系统、PubMed、Embase、Cochrane Library、CINAHL、PsycINFO、Web of Science等数据库,检索时限为建库至2023年11月30日。对纳入文献进行归类和分析。结果共纳入14篇文献,抚养未成年子女的乳腺癌患者育儿干预研究涉及针对乳腺癌患者、未成年子女及其配偶的干预,干预内容包括亲子交流指导、情绪管理指导、加强社会支持、自我效能感培训、健康知识教育及亲子相处指导等;育儿干预的频次、时间存在较大差异;育儿干预可改善患者的育儿能力、亲子沟通能力以及其未成年子女的情绪行为问题等。结论针对乳腺癌患者及其未成年子女开展的育儿干预内容、干预形式仍有待完善和优化,需重视以家庭为中心,并进一步探索基于互联网及针对特殊患者群体个性化的干预方案,以提升育儿干预效果。
文摘MOST of China’s culturalundertakings are adminis-tered by the Chinese gov-ernment on five different levels.Top level:central departments,including the Ministry Culture,the Ministry of Radio,Film andTelevision,and the State Press andPublication Administration.The Ministry of Culture is thenational administrative organ forcultural and art undertakings.Ac-cording to the plan approved by theState Council in March 1989,itsmain powers and responsibilities are:to administer art undertakings,masscultural undertakings,libraries,cul-tural undertakings in minority-nationality areas and the culturalwork of juveniles and children;toadminister training and education ofcultural and art personnel,scientificresearch on art,and scientific andtechnological work on culture andthe arts;to administer art marketsand cultural and art exchange withTaiwan,and cultural and art ex-change and liaison with foreigncountries; to administer the StateCultural Relics Bureau.The Ministryof Culture has 14 units under
