Correlation of Hamstring Tendon Size in Pre-Operative MRI Measurement with Intra-Operative Graft Size in Primary Anterior Cruciate Ligament (ACL) Reconstruction

Background: The size of Hamstring autograft of less than 8.0 mm in ACL re-construction is one of the key factors that may contribute to the failure of the graft. In this study, we are going to assess the correlation of pre-operative MRI measurement of Hamstring tendons with the intra-operative ACL graft. Thus, it may help surgeons to anticipate the needs for graft augmentation should the final graft size be smaller than expected. Methods: We retrospectively re-viewed 41 cases of ACL reconstructions in which MRI were done pre-operatively, in Hospital Pakar Sultanah Fatimah (HPSF), Muar between January 2019 until December 2022. MRI measurements of Hamstring tendon (semitendinosus: ST, and gracilis) were done by a radiologist, and the in-tra-operative notes were reviewed for the final graft size. Pearson’s correlation coefficients were calculated to determine the relationship between graft size and tendon cross-sectional area. The intraclass correlation (ICC) by using two-way mixed model with type consistency, the reliability based on average measure was 0.41 (95% CI: ?0.10, 0.69). A p-value < 0.05 was considered sig-nificant. Results: Of 105 patients with primary ACL reconstruction done be-tween January 2019 to December 2022, only 41 patients were included in this study. There was fair correlation (p = 0.048) between pre-operative MRI measurement and the graft diameter intra-operatively. The mean of 17.0 mm of combined diameter of ST and gracilis tendon in MRI may results in graft diameter of 8.3 mm. There was also positive correlation between patients’ height and the intra-operative graft size. Conclusion: These results showed good correlation between pre-operative MRI measurement of Hamstring ten-don size with the intra-operative graft size, hence it is a reliable tool to predict the Hamstring autograft size in ACL reconstruction.

"Australian Companies Remain Committed to the China Market"——Exclusive Interview with David Olsson,President and Chairman of Australia China Business Council

This year marks the10th anniversary of the establishment of the comprehensive strategic partnership between China and Australia,and the development of bilateral relations are getting back on the right track.Recently,David Olsson,President and Chairman of the Australia China Business Council,stated his comments,when accepting an exclusive interview with China's Foreign Trade.

The Impact of Street Interviews on Chinese EFL Undergraduates’Intercultural Communicative Competence

The study adopts Byram’s Intercultural Communicative Competence(ICC)model as the theoretical framework,and structured interviews were conducted to explore the impact of street interviews on the participants’ICC.Analysis results revealed street interviews help students acquire knowledge in intercultural attitudes,intercultural knowledge,skills of discovery and interaction,and critical cultural awareness,aligning with the four components of Byram’s ICC model.Meanwhile,they have positive perceptions of street interviews.Therefore,street interviews have a positive effect on the development of participants’ICC.

Hypo-Calories with Micronutrients and Fat Emulsion of Pre-Operative Peripheral Parenteral Nutrition in Malnutrition Risk Rectal Cancer Patients: A Retrospective Cross-Sectional Study

Malnutrition has been recognized as a significant risk factor for the post operated patients, especially for those patients undergoing abdominal operations. This study evaluated the effect of hypo-calories with micronutrients of pre-operative peripheral parenteral nutrition support (PPPN) for rectal cancer patients. Retrospective cross sectional study method was used to investigate. We screened rectal cancer patients past year pre-operative with malnutrition risk from our cancer database and divided into 2 groups, received or not received PPPN and compared the post-operative outcomes. The results showed that the post-operative serum albumin of the 25 patients received PPPN averaged 2.5 ± 0.32 g/dl;significantly better than those of the 15 patients not received PPPN (non-PPPN), which averaged 1.92 ± 0.42 g/dl. The first ambulatory time required 3.0 ± 0.8 days for the PPPN, significantly shorter than those for the non-PPPN, which averaged 4.9 ± 2.4 days. Post-operative hospital days for the patients received PPPN were 18.2 ± 10.5 day, also significantly fewer than the non-PPPN, which averaged 33.7 ± 20.0 day. More than 25% of the non-PPPN was infected with sepsis, while none was infected in the PPPN patients. In conclusion, this study verified the benefits of micronutrients of pre-operative peripheral parenteral nutrition support for rectal cancer patients.

Effective Communication in the Pre-Operative Environment

Introduction: Building a strong patient rapport is a founding principle instilled early on in medical education. For many specialties, this relationship can be developed through repeated encounters. However, anesthesiologists are limited in opportunity for which such rapport can be built. Therefore, it is critical that the pre-operative visit is used effectively to develop a strong patient-physician relationship and help relieve patient anxiety. Methods: The primary objective of this study was to determine what communication aspects are most important to patients in the pre-operative period. Secondary objectives were to evaluate the effectiveness of our current communication practices and their impact on patient’s anxiety. This study was an anonymous and voluntary survey conducted in the pre-operative area prior to elective surgical cases at Mayo Clinic Arizona from Dec. 2018-Jan. 2019. Patients completed a one-page questionnaire ranking the importance of various communication aspects and its subsequent impact on their anxiety level. Results: Of the communication qualities evaluated, patients most valued their physician’s thoroughness and ability to describe their anesthetic plan. Greater than 95% of patients felt “very satisfied” with their anesthesia provider encounter and on a 1 - 5 point scale, with 5 being the highest, there was an average reduction of 0.75 in anxiety level after completion of the anesthesia interview. Conclusion: Incorporation of and improving these communication aspects during your pre-operative evaluation can help improve rapport, reduce patient anxiety, and improve the patient’s overall experience. Implementing a communication-focused curriculum during training may prove beneficial in improving resident’s effectiveness in communicating.

Pre-Operative Hyponatremia in a High Dependency Cardiovascular Surgical Center of a Tertiary Health Facility in Nigeria: Risk Factors, Prevalence, Clinical Correlates and Treatment Outcome. A Retrospective Cohort Study

Introduction: Hyponatremia is the commonest electrolyte derangement seen in medical and surgical wards and in high dependency treatment units. It is associated with prolonged hospital stay, high economic burden and increased morbidity and mortality. Hyponatremia is well reported in medical and surgical conditions but literature is scanty concerning its relationship with treatment outcome in patients managed in high dependency heart and vascular surgical centers. Objectives: To determine the prevalence, determinants, clinical correlates and outcome of pre-operative hyponatremia. Methods: Retrospective study involving patients that had surgery (cardiac and vascular) between January 2015 and December 2019. Data were obtained from patients’ case files, perioperative and intensive unit charts. All participants with preoperative hyponatremia had their serum sodium corrected to ≥135 mmol before surgical incision and those with hypernatremia had their sodium corrected to <145 mmol. The socio-demographic, clinical, laboratory findings were entered. Statistical analysis was done using student’s t-test and Chi square. Results: Of the 305 participants (186 males and 119 females), pre-operative hyponatremia was found in 30.8% and normonatremia in 59.7%. Pre-operative hyponatremia was more common in advance age, overweight, those presenting for open heart and other major surgeries and those with background chronic heart failure and chronic liver disease. Participants with pre-operative hyponatremia had shortened and also prolonged hospital stay and higher risk of death than with normonatremia. Conclusion: Pre-operative hyponatremia is common in high dependency surgical unit particularly in the elderly, those with comorbidities and those presenting for major heart surgeries. It impacts negatively on the morbidity and mortality as it could shorten hospital stay through death, and could prolong hospital stay with increased health burden on patients, their care givers and the general population. The impact of this finding across different races needs further evaluation.

Transcutaneous acupoint electrical stimulation(TAES)for pre-operative anxiety:a prospective observational pilot investigation

Objective:Transcutaneous acupoint electrical stimulation(TAES)treatment is effective for post-operative anxiety.The investigation was designed to study the feasibility and effectiveness of TAES treatment for pre-operative anxiety.Methods:62 volunteered surgical patients were included in the pilot investigation.They all received TAES treatment for 30 minutes in the evening of the day before operation.Hegu(LI4)and Neiguan(PC6)of both sides were selected as the treatment acupoints.The anxiety degrees were measured by State-Trait Anxiety Inventory.Heart rate and blood pressure were also recorded.Results:After TAES,pre-operative anxiety measured by State-Trait Anxiety Inventory dropped by almost 12%,and both heart rate and systolic blood pressure decreased significantly.Conclusion:The pilot investigation of TAES for pre-operative anxiety can successfully test the feasibility of outcome measurements and provide necessary data for calculating the sample size of a subsequent randomized controlled trial.

China’s Investors Demonstrate Confidence in Thailand——Exclusive Interview with Mr.Narit Therdsteerasukdi,Secretary General of BOI

China is a key strategic partner of Thailand and plays a vital role in the Thai economy through investment,trade,and tourism.This year marks a decade since the establishment of the Comprehensive Strategic Cooperative Partnership between the two countries.Recently,Mr.Narit Therdsteerasukdi,Secretary General of BOI,participated in an exclusive interview with China’s Foreign Trade magazine to share his views on bilateral investment and future prospects.

THE JAKARTA-BANDUNG RAILWAY BOOST Exclusive interview with Ayodhia Kalake,Secretary of the Coordinating Ministry for Maritime and Investment Affairs of Indonesia

This year marks the 10th anniversary of the comprehensive strategic partnership between China and Indonesia.Over the last 10 years,bilateral relations between the two countries have maintained sound momentum of development,and strategic mutual trust has been continuously enhanced.

China-Laos Railway to Upgrade The Lao Economy Exclusive interview with Chairman of the Lao Chinese Chamber of Commerce Yao Bin

On December 3,2021,the China-Laos Railway,a flagship project of the Belt and Road Initiative(BRI),officially began operation.As of August 16,2023,the cross-border railway had made a total of 20.09 million passenger trips including 17.09 million in the Chinese section and 3 million in the Laos section,which has significantly boosted the port economy,cross-border tourism,and cultural and people-to-people exchanges between China and Laos.

RESOLVING BUSINESS DISPUTES AT THE EARLIEST STAGE POSSIBLE Exclusive interview with ICDPASO Secretary-General Liu Chao

Business mediation is an alternative dispute resolution method that helps avoid court litigation.An effective means of settling commercial disputes and protecting interests,business mediation allows companies to have an equal say to achieve win-win results based on flexible rules.In recent years,mediation has played an increasingly important role in handling international commercial disputes and optimizing the global business environment.

UPGRADING THE CAMBODIAN ECONOMY WITH CHINESE ASSISTANCE Exclusive interview with Phana Veunida,director of the Asia Pacific and Oceania Countries Department of the Council for the Development of Cambodia

This year was designated the Year of China-Cambodia Friendship as part of activities to commemorate the 65th anniversary of the establishment of diplomatic relations between China and Cambodia.Over the years,China has firmly supported Cambodia’s development in all areas and the two countries have yielded fruitful achievements in cooperation.Their traditional friendship has stood the test of time.

NEW HEIGHTS OF IRONCLAD FRIENDSHIP Exclusive interview with Dr.Kung Phoak,Secretary of State of the Ministry of Foreign Affairs and International Cooperation of Cambodia

The year 2023 marks the 65th anniversary of diplomatic relations between China and Cambodia,in honor of which the“Year of China-Cambodia Friendship”was designated.Over the years,the two countries have joined hands to nurture their close bond into an ironclad friendship.Under the China-Cambodia Free Trade Agreement(FTA),which took effect in 2022,China and Cambodia have actively promoted practical cooperation in six priority areas including politics,production capacity,agriculture,energy,security,and people-to-people exchanges to build a“diamond hexagon”cooperation framework.In the new era,through a deepening comprehensive strategic partnership of cooperation,the two countries are giving construction of a China-Cambodia community with a shared future a fresh new look with fruitful results achieved under the Belt and Road Initiative(BRI).

BRI Opportunities for Overseas Chinese Businesses--An interview with Dr.Derek Goh Bak Heng,President of Teochew Poit Ip Huay Kuan

This year marks the 10th anniversary of the Belt and Road Initiative(BRI).Countries along the route have been responding enthusiastically to the BRI since it was proposed by China,and many overseas Chinese people have acted as bridges for cooperation.The Teochew people or Chaoshan people,native to the historical Chaoshan region in south China’s Guangdong Province,represent around 20 percent of the entire Chinese population in Singapore.Established in Singapore in 1929,Teochew Poit Ip Huay Kuan(TPIHK,meaning Chaoshan eight districts association)has a membership of more than 6,000 Singaporeans who have traced their origins to the eight Chaoshan districts including Chao’an,Jieyang,Chenghai。

PROMISING PROSPECTS FOR SUSTAINABLE CHINA-THAILAND COOPERATION Exclusive interview with Thailand’s Ambassador to China Arthayudh Srisamoot

This year marks the 20th anniversary of China’s accession to the Treaty of Amity and Cooperation in Southeast Asia(TAC)and the 10th anniversary of China’s proposal of the Belt and Road Initiative(BRI).Over the years,as natural partners in the BRI,China and Thailand have been promoting practical cooperation and deepening friendly relations.China has been Thailand’s largest trading partner,largest export market for agricultural products,and a major source of foreign investment for many years.Since the COVID-19 outbreak,China and Thailand have worked together to meet the challenge while maintaining close cultural and people-to-people exchanges.

SETTLING COMMERCIAL DISPUTES IN BRI COOPERATION Exclusive interview with ICC Belt and Road Commission Chairman Yu Tengqun

Recently,the Belt and Road Commission of the International Chamber of Commerce(ICC)held a conference in Hong Kong entitled“Ten Years of Belt and Road-Noteworthy Experience and Legal Risk Prevention.”Participants shared views through panel discussions on three topics:How Compliance Management Creates Value:Experience of the Belt and Road,Risk Prevention:A Multi-Dimensional Review of the Belt and Road,and Dispute Resolution on“Belt and Road”Disputes:Arbitration and Beyond.

中青年缓解期精神分裂症患者社会疏离体验的质性研究

背景精神分裂症患者在整个生存期常感知到的较为严重的社会歧视,出现自我疏离或者社会性疏离。目前针对中青年缓解期精神分裂症患者社会疏离方面的研究较少。目的描述中青年缓解期精神分裂症患者社会疏离的体验,旨在为缓解该人群社会疏离体验制订支持干预方案提供一定的借鉴和参考。方法采用目的抽样法选取18~59岁,曾在新乡医学院第二附属医院住院且出院后愿意继续接受随访的中青年缓解期精神分裂症患者为研究对象,于2022年5—12月通过对受访者进行面对面半结构式深入访谈,并以内容分析法归纳和提炼主题。结果共纳入18名中青年缓解期精神分裂症患者。通过对访谈资料进行分析,共提炼出3个主题和8个亚主题:中青年缓解期精神分裂症患者社会疏离的表现(包括2个亚主题:负性情感体验、期待与行为之间的退缩);中青年缓解期精神分裂症患者社会疏离的主观原因(包括2个亚主题:自我疏离、自我歧视)、中青年缓解期精神分裂症患者社会疏离的客观原因(包括4个亚主题:社会歧视和被动疏离、药物不良反应的影响、精神疾病引起的生活和照护负担加重、缺乏社会支持)。结论中青年缓解期精神分裂症患者由于生理健康受损、心理状况不良、社会支持不足等存在社会疏离,医护人员应加强对该人群的症状管理和心理疏导,政府及社会各界应积极引导对精神疾病的正向认知并给予一定的社会支持;同时强化家庭内部支持,以帮助其重返和适应社会。

LA Skateboarders:An Interview

Monica and Carl are teenagers from Los Angeles in the United States.They both love skateboarding.Read this interview and find out more about their favourite sport.Where can you go skateboarding?Monica:There are skate parks in lots of towns and cities.You can practise jumps and meet other skateboarders.

医疗护理员培训体验及需求的质性访谈

目的了解医疗护理员培训体验及需求,为完善课程体系提供参考。方法本研究采用目的抽样法,以信息饱和为原则,对揭阳市人民医院2020年8月至12月18名参与“医疗护理员岗位技能培训班”的医疗护理员进行半结构式访谈,了解培训感受及需求。其中,男性5人,女性13人,年龄(44.12±5.12)岁。采用Nvivo20.0进行资料分析,总结归纳访谈主题。结果形成医疗护理员培训后体验和需求的5个相关主题,包括“教学组织与培训效果”“考核组织体系”“职业价值感”“内源性不足”和“其他培训需求”。结论本次课程培训实用性强,医疗护理员培训体验良好。未来将结合医疗护理员培训需求,完善培训方案。通过多样的评价形式反映医疗护理员的核心能力,使职业教育和培训管理方案更具科学性、先进性和实用性。

基于个人潜力指数的结构化面试在临床医学研究生招生复试中的应用研究

在“双一流”背景下,研究生教育是引领“双一流”发展的关键因素,而研究生教育的发展和改革的首要措施是招生选拔制度改革。针对当前研究生复试存在的问题,为使临床医学研究生选拔更加科学、公平,为高校输送潜力大、高素质的临床医学人才,本文创新性地将美国教育考试服务中心为评价测试者“非认知技能和个人核心品质”而提出的“个人潜力指数”运用于“结构化面试”中,通过聚焦临床医学研究生招生复试面试环节,为研究生招生选拔改革提供了参考。