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guidelines for management of pediatric acute hyperextension spinal cord injury

Chinese Journal of Traumatology 2023年第1期26卷 2-7页

作者： Lian Zeng Yu-Long Wang Xian-Tao Shen Zhi-Cheng Zhang Gui-Xiong Huang Jamal Alshorman Tracy Boakye Serebour Charles H.Tator Tian-Sheng Sun Ying-Ze Zhang Xiao-Dong Guo on behalf of Chinese Orthopaedic Association,Spinal Cord Injury and Rehabilitation Group,Chinese Association of Rehabilitation Medicine,Group of Spinal Injury and Functional Reconstruction,Neuroregeneration&Neurorestoration Professional committee,Association of Chinese Research Hospital,Sino-Canada Spinal and Spinal Cord Injury Center Department of Orthopaedics Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan430022China Department of Orthopedics Wuhan No.1 HospitalWuhan Integrated TCM&Western Medicine HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina Department of Pediatric Orthopaedic Surgery Wuhan Children's HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan430016China Toronto Western Research Institute Toronto Western Hospital and University of TorontoTorontoOntarioCanada Department of Orthopedics The Seventh Medical Center of Chinese PLA General HospitalBeijing100700China Department of Orthopedic Surgery The Third Hospital of Hebei Medical UniversityShijiazhuang 050051China

Pediatric acute hyperextension spinal cord injury(SCI)named as PAHSCI by us,is a special type of thoracolumbar SCI without radiographic abnormality and highly related to back-bend in dance training,which has been increasingly *** present,it has become the leading cause of SCI in children,and brings a heavy social and economic *** domestic and foreign academic institutions and dance education organizations lack a correct understanding of PAHSCI and relevant standards,specifications or *** order to provide standardized guidance,the expert team formulated this guideline based on the principles of science and practicability,starting from the diagnosis,differential diagnosis,etiology,admission evaluation,treatment,complications and *** guideline puts forward 23 recommendations for 14 related issues.

关键词： Spinal cord injury Pediatric acute hyperextension spinal cord injury SCIWORA Pediatric back bend paralysis Diagnosis and treatment guidelines

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中国ERCP致十二指肠穿孔并发症管理指南(2023版)

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中华消化外科杂志 2024年第1期23卷 1-9页

作者：中华医学会消化内镜学分会内镜外科学组中国医师协会外科医师分会内镜外科专家工作组中国医师协会胰腺病专业委员会李汛不详兰州大学第一医院普通外科兰州730030

ERCP目前已成为诊断和治疗胆胰疾病的重要手段之一。十二指肠穿孔是ERCP术后最严重的并发症,其处理棘手,病死率高。为规范ERCP临床管理,改善患者结局,中华医学会消化内镜学分会内镜外科学组、中国医师协会外科医师分会内镜外科专家工作... 详细信息

ERCP目前已成为诊断和治疗胆胰疾病的重要手段之一。十二指肠穿孔是ERCP术后最严重的并发症,其处理棘手,病死率高。为规范ERCP临床管理,改善患者结局,中华医学会消化内镜学分会内镜外科学组、中国医师协会外科医师分会内镜外科专家工作组、中国医师协会胰腺病专业委员会组织国内ERCP领域专家,基于最新循证医学证据,制订《中国ERCP致十二指肠穿孔并发症管理指南(2023版)》,就临床医师最关注的ERCP致十二指肠穿孔并发症管理的6个方面给出16条推荐意见,以期进一步规范我国ERCP致十二指肠穿孔的诊断与治疗流程,促进ERCP技术的安全推广。

关键词：经内镜逆行胰胆管造影术内镜外科十二指肠穿孔并发症指南

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CSOG MFM committee guideline: Management of Hepatitis B During Pregnancy and Prevention of Mother-to-Child Transmission of Hepatitis B Virus (2020)

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Maternal-Fetal Medicine 2021年第1期3卷 7-17页

作者： Maternal-Fetal Medicine committee,Chinese Society of Obstetrics and Gynecology,Chinese Medical Association Chinese Society of Perinatal Medicine,Chinese Medical Association Chinese Academy of Maternal-Fetal Medicine Yi-Hua Zhou Yali Hu Xinghui Liu Huixia Yang 不详 Departments of Laboratory Medicine and Infectious Diseases Nanjing Drum Tower HospitalThe Affiliated Hospital of Nanjing University Medical SchoolNanjing 210008China Department of Obstetrics and Gynecology Nanjing Drum Tower HospitalThe Affiliated Hospital of Nanjing University Medical SchoolNanjing 210008China Department of Obstetrics and Gynecology West China Second University HospitalSichuan UniversityChengdu 610041China Department of Obstetrics and Gynecology Peking University First HospitalBeijing 100034China

Mother-to-child transmission (MTCT) of hepatitis B virus (HBV) is the main cause of chronic hepatitis B. The prevention of MTCT plays a critical role in control chronic hepatitis B. The main purpose of the present clinical guidelines is to aid healthcare providers in managing pregnant women with positive HBsAg and in preventing MTCT of HBV. We recommend: (1) all pregnant women require prenatal screen for hepatitis B serological markers;(2) newborn infants of mothers with negative hepatitis B surface (HBsAg) require administration of hepatitis B vaccine on a 0, 1, and 6 month-schedule;(3) newborn infants of mothers with positive HBsAg need hepatitis B immunoglobulin (HBIG) and birth dose vaccine within 12 hours (the sooner the better) after birth, followed by injection of the second and third dose of hepatitis B vaccine at the age of one and six months respectively;(4) in preterm neonates or neonates with poor health conditions born to HBsAg-positive mothers, the immunoprophylaxis measures should be appropriately taken;(5) to further reduce MTCT of HBV, pregnant women with HBV DNA levels >2×105 IU/mL or positive hepatitis B e antigen may receive oral antivirals, starting from 28 to 32 weeks of gestation and discontinuing the drug on the delivery day;(6) cesarean section is not recommended to reduce MTCT of HBV;(7) breastfeeding is recommended in infants of HBsAg-positive mothers, regardless of maternally positive hepatitis B e antigen, maternal nipple injury or bleeding, oral mucosal injury in neonates or infants;(8) breastfeeding is recommended in infants born to HBsAg-positive mothers who require continuation of antiviral therapy after delivery, and the infants should be followed up to observe whether adverse effects develop;and (9) the infants born to HBsAg-positive mothers should be tested for hepatitis B serological markers at the age of 7-12 months, and those who are negative for HBsAg and anti-HBs should receive three doses of hepatitis B vaccine on the 0, 1,

关键词： Antiviral agents Hepatitis B virus Immunoprophylaxis Management Mother-to-child transmission Pregnancy

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原发性肝癌转化及围手术期治疗中国专家共识(2024版)

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中华消化外科杂志 2024年第4期23卷 492-513页

作者：中国抗癌协会肝癌专业委员会转化治疗协作组樊嘉白雪莉毕新宇纪元英卫东黎功刘嵘刘秀峰饶圣祥沈顺利施国明唐浩文王嘉倍王征吴志峰谢青徐立曾昭冲张岚张伟赵明朱小东不详复旦大学附属中山医院、复旦大学肝癌研究所上海200032 浙江大学医学院附属第一医院肝胆胰外科浙江省胰腺病研究重点实验室国家癌症中心国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院肝胆外科复旦大学附属中山医院病理科中国科学技术大学附属第一医院肝脏外科清华大学附属北京清华长庚医院肝胆胰中心复旦大学附属中山医院介入治疗科东部战区总医院秦淮医疗区肿瘤科复旦大学附属中山医院放射科中山大学附属第一医院肝胆胰外科中心复旦大学附属中山医院肝肿瘤外科复旦大学肝癌研究所解放军总医院肝胆胰外科医学部中国科学技术大学附属第一医院肝胆外科复旦大学附属中山医院放疗科复旦大学附属中山医院肿瘤防治中心上海交通大学医学院附属瑞金医院感染科中山大学肿瘤防治中心肝脏外科复旦大学附属中山医院肝肿瘤内科天津医科大学肿瘤医院肝胆肿瘤科中山大学肿瘤防治中心微创介入治疗科华南国家重点实验室

我国目前仍有超过一半的肝癌患者在初诊时即为中晚期,丧失手术切除机会,而部分可手术患者术后复发转移率高,导致患者总体生存较差.随着外科手术技术的革新、系统治疗和局部治疗手段的丰富和进步,通过多模式综合治疗策略为肿瘤转化提供... 详细信息

我国目前仍有超过一半的肝癌患者在初诊时即为中晚期,丧失手术切除机会,而部分可手术患者术后复发转移率高,导致患者总体生存较差.随着外科手术技术的革新、系统治疗和局部治疗手段的丰富和进步,通过多模式综合治疗策略为肿瘤转化提供可能、使患者获得手术切除机会,同时有效降低术后复发转移率,从而实现患者长期生存获益.此外,近年来研究者对转化及围手术期治疗过程中手术时机的选择、病灶评估、疗效预测、并发症处理等方面进行了进一步有益探索.在原有共识的基础上修订并更新形成《原发性肝癌转化及围手术期治疗中国专家共识(2024版)》,提出了在肝癌转化治疗和围手术期治疗领域的治疗策略和实施过程需要解决的问题,以期为推动该领域研究和临床实践奠定基础.

关键词：肝肿瘤转化治疗围手术期治疗共识中国

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广东省炎症性肠病围手术期加速康复外科管理专家指导意见

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中华炎性肠病杂志（中英文） 2024年第2期8卷 116-131页

作者：广东省医学会加速康复外科学分会第一届委员会陈创奇不详中山大学附属第一医院胃肠外科中心广州510080

有相当比例的炎症性肠病(IBD)患者会在其自然病程中出现肠道狭窄、梗阻、穿孔、消化道瘘、出血、癌变等需要外科手术干预的并发症,除少部分IBD患者因并发急性消化道穿孔、大出血或严重肠梗阻需急诊手术外,其余大部分患者可以通过药物优... 详细信息

有相当比例的炎症性肠病(IBD)患者会在其自然病程中出现肠道狭窄、梗阻、穿孔、消化道瘘、出血、癌变等需要外科手术干预的并发症,除少部分IBD患者因并发急性消化道穿孔、大出血或严重肠梗阻需急诊手术外,其余大部分患者可以通过药物优化、肠内或肠外营养支持、腹腔脓肿穿刺引流等治疗措施改善营养状态、控制炎症反应后行择期手术。对于加速康复外科(ERAS)能否安全地应用于IBD患者,目前未见相关共识或指南。因此,广东省医学会加速康复外科学分会组织相关学科的专家经讨论提供本指导意见,以进一步规范ERAS路径在IBD围手术期管理中的应用。

关键词：炎症性肠病克罗恩病溃疡性结肠炎加速康复外科预康复

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中国成人心肌炎临床诊断与治疗指南2024

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中国循环杂志 2024年第6期39卷 521-536页

作者：国家心血管病中心心肌病专科联盟中国医疗保健国际交流促进会心血管病精准医学分会陈瑞珍宋雷国家心血管病中心心肌病专科联盟中国医疗保健国际交流促进会心血管病精准医学分会

心肌炎是一类以心肌炎症为特征的疾病,本指南拟围绕临床核心问题,总结梳理心肌炎病因、诊断标准和治疗方法等,并给出推荐意见,以期指导临床实践。

关键词：心肌炎诊断治疗指南

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guidelines on clinical research evaluation of artificial intelligence in ophthalmology(2023)

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International Journal of Ophthalmology(English edition) 2023年第9期16卷 1361-1372页

作者： Wei-Hua Yang Yi Shao Yan-Wu Xu Expert Workgroup of guidelines on Clinical Research Evaluation of Artificial Intelligence in Ophthalmology(2023) Ophthalmic Imaging and Intelligent Medicine Branch of Chinese Medicine Education Association Intelligent Medicine committee of Chinese Medicine Education Association Shenzhen Eye Institute Shenzhen Eye HospitalShenzhen 518040Guangdong ProvinceChina The First Affiliated Hospital of Nanchang University Nanchang 330006Jiangxi ProvinceChina School of Future Technology South China University of TechnologyGuangzhou 510641Guangdong ProvinceChina Pazhou Lab Guangzhou 510320Guangdong ProvinceChina 不详

With the upsurge of artificial intelligence(AI)technology in the medical field,its application in ophthalmology has become a cutting-edge research ***,machine learning techniques have shown remarkable achievements in diagnosing,intervening,and predicting ophthalmic *** meet the requirements of clinical research and fit the actual progress of clinical diagnosis and treatment of ophthalmic AI,the Ophthalmic Imaging and Intelligent Medicine Branch and the Intelligent Medicine committee of Chinese Medicine Education Association organized experts to integrate recent evaluation reports of clinical AI research at home and abroad and formed a guideline on clinical research evaluation of AI in ophthalmology after several rounds of discussion and *** main content includes the background and method of developing this guideline,an introduction to international guidelines on the clinical research evaluation of AI,and the evaluation methods of clinical ophthalmic AI *** guideline introduces general evaluation methods of clinical ophthalmic AI research,evaluation methods of clinical ophthalmic AI models,and commonly-used indices and formulae for clinical ophthalmic AI model evaluation in detail,and amply elaborates the evaluation methods of clinical ophthalmic AI *** guideline aims to provide guidance and norms for clinical researchers of ophthalmic AI,promote the development of regularization and standardization,and further improve the overall level of clinical ophthalmic AI research evaluations.

关键词： artificial intelligence ophthalmology evaluation clinical research machine learning deep learning

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痛风及高尿酸血症中西医结合诊疗指南

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中医杂志 2023年第1期64卷 98-106页

作者：无刘维中国中西医结合学会风湿类疾病专业委员会天津中医药大学第一附属医院

痛风(gout)是由于嘌呤代谢紊乱和(或)尿酸排泄减少,导致机体血尿酸水平(uric acid,UA)升高,形成高尿酸血症(hyperuricemia),单钠尿酸盐(monosodium urate,MSU)析出、沉积所致的晶体相关性关节病,是临床常见的代谢性风湿病[1],高尿酸血... 详细信息

痛风(gout)是由于嘌呤代谢紊乱和(或)尿酸排泄减少,导致机体血尿酸水平(uric acid,UA)升高,形成高尿酸血症(hyperuricemia),单钠尿酸盐(monosodium urate,MSU)析出、沉积所致的晶体相关性关节病,是临床常见的代谢性风湿病[1],高尿酸血症是痛风发生的病理基础。

关键词：嘌呤代谢紊乱高尿酸血症血尿酸水平关节病痛风中西医结合诊疗风湿病单钠尿酸盐

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A Summary of Chinese Expert Consensus on Fetal Growth Restriction (An Update on the 2019 Version)

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Maternal-Fetal Medicine 2022年第3期4卷 162-168页

作者： Fetal Medicine Subgroup,Chinese Society of Perinatal Medicine,Chinese Medical Association Maternal-Fetal Medicine committee,Chinese Society of Obstetrics and Gynecology,Chinese Medical Association Luming Sun Yali Hu Hongbo Qi 不详 Shanghai Key Laboratory of Maternal Fetal Medicine Department of Fetal Medicine&Prenatal Diagnosis CenterShanghai First Maternity and Infant HospitalSchool of MedicineTongji UniversityShanghai 201204China Department of Obstetrics and Gynecology Nanjing Drum Tower HospitalThe Affiliated Hospital of Nanjing University Medical SchoolNanjing 210008China Department of Obstetrics Women and Children’s Hospital of Chongqing Medical UniversityChongqing 400021China

Fetal growth restriction(FGR)is a common complication of pregnancy associated with higher rates of perinatal mortality and morbidity,as well as a variety of long-term adverse *** standardize the clinical practice for the management of FGR in China,Fetal Medicine Subgroup,Chinese Society of Perinatal Medicine,Chinese Medical Association and Maternal-Fetal Medicine committee,Chinese Society of Obstetrics and Gynecology,Chinese Medical Association organized an expert committee to provide official consensus-based recommendations on *** evaluated the evidence provided by relevant high-quality literature,performed a three-round Delphi study and organized face-to-face meetings with experts from multidisciplinary *** consensus includes the definition,prenatal screening,prevention,diagnosis,monitoring and management of FGR.

关键词： Delphi technique Fetal growth restriction Practice guideline

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Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders:executive summary and 2019 update of clinical management of spontaneous subarachnoid haemorrhage

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Stroke & Vascular Neurology 2019年第4期4卷 176-181页

作者： Yi Dong Zhen-Ni Guo Qi Li Wei Ni Hongqiu Gu Yu-Xiang Gu Qiang Dong 无 Department of Neurology Huashan HospitalFudan UniversityShanghaiChina Department of Neurology The First Hospital of Jilin UniversityJilinChina Department of Neurology the First Affiliated Hospital of Chongqing Medical UniversityChongqingChina Neurosurgery Fudan University Huashan Hospital Department of NeurosurgeryShanghaiChina China National Clinical Research Center for Neurological Diseases Beijing Tiantan HospitalCapital Medical UniversityBeijingChina State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science Institutes of Brain ScienceFudan UniversityShanghaiChina Chinese Stroke Association Stroke Council guideline Writing committee

caused by ruptured cerebral aneurysm is a severe subtype of haemorrhagic *** the incidence of SAH is relatively low among all cerebrovascular diseases,the mortality is the *** critical management of SAH is *** provide this evidence-based guideline to present current and comprehensive recommendations for the diagnosis and treatment of non-trauma *** A formal literature search of MEDLINE(1 January 1990-30 June 2019)was *** were synthesised with the use of evidence *** group members met by teleconference to discuss data-derived *** Chinese Stroke Association’s levels of evidence grading algorithm was used to grade each *** guideline draft was reviewed by Chinese Stroke Association’s Stroke Fellow *** is intended that this guideline be fully updated every 3 *** Evidence-based guidelines are presented for the care of patients presenting with non-trauma *** focus of the guideline was subdivided into transfer and systems of care,diagnosis flowchart,aetiology and differentiation,prevention of rebleeding,surgical and endovascular repair of ruptured aneurysms,management of vasospasm and delayed cerebral ischaemia,management of hydrocephalus,management of seizures and management of medical *** The guideline offers a framework for SAH *** professional and aggressive care of SAH might help dramatically.

关键词： diagnosis prevention tables

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