Objective:Almost all leukemia patients died,fortunately now with the advancement of medicine and science and with the advent of treatment Chemotherapy,Radiotherapy,and Surgical treatment 75%of patients with leukemia w...Objective:Almost all leukemia patients died,fortunately now with the advancement of medicine and science and with the advent of treatment Chemotherapy,Radiotherapy,and Surgical treatment 75%of patients with leukemia who need treatment for up to 5 years,live longer than patients with leukemia who do not receive treatment.On the one side,in our country,Afghanistan the number of incidents has increased recently,and on the other side,we do not have data at the national level.Therefore,the child health hospital administration considered the necessary and left me to research this case in the last 6 months of 2018.Methods:This is an observational descriptive study,which observed 10,293 patients that come to the pediatric internal which 300 patients who indicate leukemia,and 200 patients with acute lymphoblastic leukemia(ALL),who were admitted to the oncology service of Andhra Gandhi Child Health Hospital in 2018 the study took place.Results:Based on the age we detect less than one year’s 10(5%)patients,1-10 years old 150(75%)patients,and more than 10 years old 40(20%)patients.Based on sex,boys were 120(60%)patients and girls 80(40%)patients.Based on clinical findings,anemia 155(77.5%)patients,fever 130(65%)patients,bleeding 90(45%)patients,spleen thickness 88(44%)patients,liver thickness 73(36.6%)patients,lymph nodes thickness 70(35.55%)patients,great pains 66(33%)patients and nervous system disorders 38(19%)patients.Conclusion:We can say with great conviction that 200 patients out of 10,293 had acute lymphoblastic leukemia.Further studies with prospective nature are required to confirm this observation.展开更多
目的探讨医联体模式下儿童变应性鼻炎的社区诊疗管理效果。方法研究纳入2022年7月—2023年6月在上海儿童医学中心(SCMC组,114例)和金杨社区卫生服务中心(JINYANG组,111例)就诊并诊断为变应性鼻炎的患者,采用标准统一的规范诊疗模式对患...目的探讨医联体模式下儿童变应性鼻炎的社区诊疗管理效果。方法研究纳入2022年7月—2023年6月在上海儿童医学中心(SCMC组,114例)和金杨社区卫生服务中心(JINYANG组,111例)就诊并诊断为变应性鼻炎的患者,采用标准统一的规范诊疗模式对患儿进行诊治和随访管理。每个月进行1次疗效评估,根据视觉模拟量表(visual analog scale,VAS)和儿童简化版鼻结膜炎生活质量问卷(mini rhinoconjunctivitis quality of life questionnaire,mRQLQ)评分,判断疾病严重程度并调整治疗方案。对2组患者的治疗效果(VAS和mRQLQ评分)以及就诊费用、就诊花费时间、就诊满意度等进行分析和比较。结果随访管理3个月时,2组间VAS评分的差异无统计学意义(P>0.05),JINYANG组mRQLQ评分显著优于SCMC组(P<0.01);与基线数据比较,SCMC组和JINYANG组VAS评分[2(2,3)vs 7(6,8);2(2,3)vs 6(6,7)]和mRQLQ评分[(4.21±1.21)vs(35.31±7.29);(3.64±1.18)vs(37.32±6.82)]均改善显著(P<0.05);SCMC组和JINYANG组单次门诊费用分别平均为(305±29.8)元和(159±21.9)元(P<0.05),单次就诊时间分别平均为3 h和1.5 h,就诊满意度分别为95%和99%。结论儿童变应性鼻炎患者在社区医院进行规范化治疗和管理,能获得与三级医院同质效果,且减少花费、节约就诊时间,并可获得较高的满意度。展开更多
Objective To investigate the status and trends of nosocomial infection in children’s hospital to provide references for prevention and control of nosocomial infection.Methods The retrospective study was conducted to ...Objective To investigate the status and trends of nosocomial infection in children’s hospital to provide references for prevention and control of nosocomial infection.Methods The retrospective study was conducted to analyze the data of nosocomial infection at Zhejiang University affiliated Children’s Hospital from 2005 to 2014.展开更多
文摘Objective:Almost all leukemia patients died,fortunately now with the advancement of medicine and science and with the advent of treatment Chemotherapy,Radiotherapy,and Surgical treatment 75%of patients with leukemia who need treatment for up to 5 years,live longer than patients with leukemia who do not receive treatment.On the one side,in our country,Afghanistan the number of incidents has increased recently,and on the other side,we do not have data at the national level.Therefore,the child health hospital administration considered the necessary and left me to research this case in the last 6 months of 2018.Methods:This is an observational descriptive study,which observed 10,293 patients that come to the pediatric internal which 300 patients who indicate leukemia,and 200 patients with acute lymphoblastic leukemia(ALL),who were admitted to the oncology service of Andhra Gandhi Child Health Hospital in 2018 the study took place.Results:Based on the age we detect less than one year’s 10(5%)patients,1-10 years old 150(75%)patients,and more than 10 years old 40(20%)patients.Based on sex,boys were 120(60%)patients and girls 80(40%)patients.Based on clinical findings,anemia 155(77.5%)patients,fever 130(65%)patients,bleeding 90(45%)patients,spleen thickness 88(44%)patients,liver thickness 73(36.6%)patients,lymph nodes thickness 70(35.55%)patients,great pains 66(33%)patients and nervous system disorders 38(19%)patients.Conclusion:We can say with great conviction that 200 patients out of 10,293 had acute lymphoblastic leukemia.Further studies with prospective nature are required to confirm this observation.
文摘目的探讨医联体模式下儿童变应性鼻炎的社区诊疗管理效果。方法研究纳入2022年7月—2023年6月在上海儿童医学中心(SCMC组,114例)和金杨社区卫生服务中心(JINYANG组,111例)就诊并诊断为变应性鼻炎的患者,采用标准统一的规范诊疗模式对患儿进行诊治和随访管理。每个月进行1次疗效评估,根据视觉模拟量表(visual analog scale,VAS)和儿童简化版鼻结膜炎生活质量问卷(mini rhinoconjunctivitis quality of life questionnaire,mRQLQ)评分,判断疾病严重程度并调整治疗方案。对2组患者的治疗效果(VAS和mRQLQ评分)以及就诊费用、就诊花费时间、就诊满意度等进行分析和比较。结果随访管理3个月时,2组间VAS评分的差异无统计学意义(P>0.05),JINYANG组mRQLQ评分显著优于SCMC组(P<0.01);与基线数据比较,SCMC组和JINYANG组VAS评分[2(2,3)vs 7(6,8);2(2,3)vs 6(6,7)]和mRQLQ评分[(4.21±1.21)vs(35.31±7.29);(3.64±1.18)vs(37.32±6.82)]均改善显著(P<0.05);SCMC组和JINYANG组单次门诊费用分别平均为(305±29.8)元和(159±21.9)元(P<0.05),单次就诊时间分别平均为3 h和1.5 h,就诊满意度分别为95%和99%。结论儿童变应性鼻炎患者在社区医院进行规范化治疗和管理,能获得与三级医院同质效果,且减少花费、节约就诊时间,并可获得较高的满意度。
文摘Objective To investigate the status and trends of nosocomial infection in children’s hospital to provide references for prevention and control of nosocomial infection.Methods The retrospective study was conducted to analyze the data of nosocomial infection at Zhejiang University affiliated Children’s Hospital from 2005 to 2014.