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World Journal of clinical Cases 2024年第33期12卷 6620-6628页

作者： Yun Liu Hong Li Jin-Jing Wu Jian-Hong Ye Department of Reconstructive Hand and Plastic SurgeryZhejiang Chinese Medical UniversityLishui Central Hospital289 Kuocang RoadLiandu DistrictLishui 323000Zhejiang ProvinceChina Department of Operation Room Zhejiang Chinese Medical UniversityLishui Central Hospital289 Kuocang RoadLiandu DistrictLishui 323000Zhejiang ProvinceChina

BACKGROUND Mucocutaneous separation(MCS)is a common postoperative complication in enterostomy patients,potentially leading to significant *** identification of risk factors is crucial for preventing this ***,predictive models for MCS remain *** To construct a risk prediction model for MCS in enterostomy patients and assess its clinical predictive *** A total of 492 patients who underwent enterostomy from January 2019 to March 2023 were included in the *** were divided into two groups,the MCS group(n=110),and the non-MCS(n=382)based on the occurrence of MCS within the first 3 weeks after *** and multivariate analyses were used to identify the independent predictive factors of MCS and the model *** operating characteristic curve analysis was used to assess the model’s *** The postoperative MCS incidence rate was 22.4%.Suture dislodgement(Pclinical utility on decision curve *** The mucocutaneous separation prediction model constructed in this study has good predictive performance and can provide a reference for early warning of mu

关键词： Enterostomy Mucocutaneous separation Risk assessment model Performance validation

Surgical treatment of multiple magnet ingestion in children:A singlecenter study

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World Journal of clinical Cases 2020年第23期8卷 5988-5998页

作者： Duo-Te Cai Qiang Shu Shu-Hao Zhang Jia Liu Zhi-Gang Gao Department of General Surgery the Children’s Hospital of Zhejiang University School of MedicineHangzhou 310051Zhejiang ProvinceChina Department of General Surgery National Clinical Research Center for Child HealthHangzhou 310051Zhejiang ProvinceChina Department of Pediatric Surgery the Children’s Hospital of Zhejiang University School of MedicineHangzhou 310058Zhejiang ProvinceChina Department of Pediatric Surgery National Clinical Research Center for Child HealthHangzhou 310058Zhejiang ProvinceChina Department of Ear Noseand Throat Surgerythe Children’s Hospital of Zhejiang University School of MedicineHangzhou 310051Zhejiang ProvinceChina

BACKGROUND Since 2017,the number of magnet ingestion cases has increased year over year in our *** all of the ingested magnetic foreign bodies were magnetic beads,and most of the patients experienced intestinal perforations,causing substantial *** To summarize our experience with surgical treatment of multiple magnet ingestion in *** The data for general surgeries were collected from January 2010 to April 2020,and the clinical characteristics,treatment methods,and outcomes were summarized and *** typical cases were selected and *** Fifty-six cases of ingested magnetic foreign bodies were collected,of which 47 were magnetic *** average patient age was 4.7±3.0 years *** number of ingested magnetic foreign bodies ranged from 2 to *** were 26 cases with symptoms at the time of admission,including two cases of *** patients were discharged successfully following conservative treatment and 43 were treated by *** was the main method of *** was used in four cases,of which three were converted to open surgery,and one was treated successfully using surgery through the *** complications occurred in seven cases,incision infections were observed in six,and adhesive ileus was observed in *** Clinicians need to summarize their experiences with treating magnetic foreign body ingestions in detail and carry out clinical research to reduce the damage to children.

关键词： Children Magnetic foreign body Pediatric surgery Intestinal perforation Buckyball Magnetic bead

Comparison of outcomes between immediate implantbased and autologous reconstruction: 15-year, single-center experience in a propensity score-matched Chinese cohort

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Cancer Biology & Medicine 2022年第9期19卷 1410-1421页

作者： Shanshan He Bowen Ding Gang Li Yubei Huang Chunyong Han Jingyan Sun Qingfeng Huang Jing Liu Zhuming Yin Shu Wang Jian Yin Department of Breast Reconstruction Key Laboratory of Breast Cancer Prevention and TherapyTianjin Medical UniversityMinistry of EducationSino‐Russian Joint Research Center for Oncoplastic Breast SurgeryTianjin Medical University Cancer Institute&HospitalNational Clinical Research Center for CancerKey Laboratory of Cancer Prevention and TherapyTianjinTianjin’s Clinical Research Center for CancerTianjin 300060China School of Pharmacy University College LondonLondon WC1N 1AXUK Department of Cancer Epidemiology and Biostatistics Tianjin Medical University Cancer Institute&HospitalNational Clinical Research Center for CancerKey Laboratory of Cancer Prevention and TherapyTianjinTianjin’s Clinical Research Center for CancerTianjin 300060China

Objective:The number of immediate breast reconstruction(IBR)procedures has been increasing in *** study aimed to investigate the oncological safety of IBR,and to compare the survival and surgical outcomes between implant-based and autologous ***:Data from patients diagnosed with invasive breast cancer who underwent immediate total breast reconstruction between 2001 and 2016 were retrospectively ***-term breast cancer-specific survival(BCSS),disease-free survival(DFS),and locoregional recurrence-free survival(LRFS)were *** satisfaction with the breast was compared between the implantbased and autologous ***,DFS,and LRFS were compared between groups after propensity score matching(PSM).Results:A total of 784 IBR procedures were identified,of which 584 were performed on patients with invasive breast cancer(implantbased,n=288;autologous,n=296).With a median follow-up of 71.3 months,the 10-year estimates of BCSS,DFS,and LRFS were 88.9%[95%confidence interval(CI)(85.1%–93.0%)],79.6%[95%CI(74.7%–84.8%)],and 94.0%[95%CI(90.3%–97.8%)],respectively.A total of 124 patients completed the Breast-Q questionnaire,and no statistically significant differences were noted between groups(P=0.823).After PSM with 27 variables,no statistically significant differences in BCSS,DFS,and LRFS were found between the implant-based(n=177)and autologous(n=177)*** stratification according to staging,histological grade,lymph node status,and lymph-venous invasion status revealed no significant survival differences between ***:Both immediate implant-based and autologous reconstruction were reasonable choices with similar long-term oncological outcomes and patient-reported satisfaction among patients with invasive breast cancer in china.

关键词： Oncological safety immediate breast reconstruction implant-based autologous Chinese propensity-score matched

The Nature of “Natural Disasters”: Survivors’ Explanations of Earthquake Damage

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International Journal of Disaster Risk Science 2019年第3期10卷 293-305页

作者： Alessandro Massazza Chris R.Brewin Helene Joffe Department of clinical Educational and Health PsychologyUniversity College London

The distinction between natural and human-made disasters is ingrained in everyday language. Disaster scientists have long been critical of this dichotomy. Nonetheless,virtually no attention has been paid to how disaster survivors conceptualize the causes of the disasters they experience. In this mixed-methods longitudinal study, 112 survivors of the2016–2017 Central Italy earthquakes completed questionnaires 3 and 16 months following the earthquakes, with the aim of assessing attributions of blame for the earthquake damage. In-depth interviews were also conducted with 52 participants at the 3-month mark to explore representations of causation for the earthquake damage. The distinction between disasters caused by nature and disasters caused by humans was not supported by survivors of the earthquake. In the longitudinal surveys, building firms and the State were assigned as much blame as nature for the earthquake damage, at both 3 months and 16 months after the *** this complexity, in the interviews, the causes of the earthquake damage, rather than being understood as purely natural, were perceived as a complex mosaic composed of political, technological, natural, and moral *** empirical work shows that disaster survivors combine both nature-based and human-based explanations of disasters, rather than subscribing to one or the other. These findings have practical implications for disaster risk reduction and response.

关键词： Amatrice Attributions Disaster causes Disaster survivors Human-made disasters Natural disasters 2016–2017 Central Italy earthquakes

Impact of specialized nursing outpatient case management on postcoronary artery bypass grafting patients

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World Journal of clinical Cases 2024年第17期12卷 3035-3044页

作者： Tong Li Fang-Hui Lu Qing Zhao Department of Outpatient Comprehensive Medical Service CenterThe First Affiliated Hospital of Air Force University of Military MedicineXi’an 710032Shaanxi ProvinceChina

BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)*** is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management ***,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is *** To observe the impact of specialized nursing outpatient case management on patients after CABG *** A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study *** patients were divided into two groups using an odd-even number grouping *** control group received routine nursing care,while the case management group received specialized nursing outpatient case *** differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two *** After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,

关键词： Specialized nursing Case management Coronary artery bypass grafting Adherence to medical treatment Knowledge mastery Psychological status

Lessons learned from ECMO support in pediatric patients with D-transposition of the great arteries:preoperative,intraoperative and postoperative

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World Journal of Pediatric Surgery 2021年第4期4卷 9-15页

作者： Lijun Yang Lifen Ye Jiangen Yu Jianhua Li Zewei Zhang Qiang Shu Ru Lin Extracorporeal Circulation and Extracorporeal Life Support The Children's HospitalZhejiang University School of MedicineNational Clinical Research Center for Child HealthHangzhouChina Cardiac Surgery The Children's HospitalZhejiang University School of MedicineNational Clinical Research Center for Child HealthHangzhouChina

Background Extracorporeal membrane oxygenation(ECMO)support on D-transposition of the great arteries(D-TGA)carries formidable *** A retrospective study was performed on pediatric patients with D-TGA supported by ECMO from July 2007 to December *** study summarized the clinical experience of ECMO support in pediatric patients with D-TGA preoperative,intraoperative,and *** Overall,16 children with D-TGA received ECMO support during this ***(2 of 16)were supported before cardiac surgery,3(3 of 16)were supported postoperatively in the intensive care unit,and 11(11 of 16)failed to wean off cardiopulmonary *** cases of preoperative ECMO support for patients with D-TGA with an intact ventricular septum and restrictive atrial septum due to severe hypoxemia *** this study,D-TGA with coronary artery malformation and other complicated deformities died(8 of 14),whereas uncomplicated D-TGA without coronary artery malformation all survived(6 of 14).The wean-off rate of ECMO patients supported in D-TGA was 62.5%(10 of 16),while the 30-day survival rate was 44%(7 of 16).Conclusion Although a promising ECMO weaning rate was obtained,30-day survival of this population was frustrating,mainly attributed to the original anatomy of coronary arteries and the concomitant deformities.

关键词： ECMO patients postoperative

Percutaneous coronary interventions in the elderly:a 10-year experience in Northern New England

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Journal of Geriatric Cardiology 2005年第1期2卷 17-22页

作者： David J.Malenka James T.DeVries Samuel J.Shubrooks for the Northern New England Cardiovascular Disease study Group Section of Cardiology Dartmouth-Hitchcock Medical Center LebanonNH Center for the Evaluative clinical Sciences Dartmouth Medical SchoolHanoverNHUSA for the Northern New England Cardiovascular Disease study Group Section of Cardiology Dartmouth-Hitchcock Medical Center LebanonNHUSA for the Northern New England Cardiovascular Disease study Group Division of Cardiology Beth Israel-Deaconess Medical Center BostonMAUSA Jr

Background There is a paucity of information available for clinical decision making applying to the elderly patient population. Therefore, data of percutaneous coronary interventions (PCI) including demographic information on the elderly patients, procedural practices, and outcomes are needed. Objectives and Methods From consecutive PCIs of participating institutions, demographics data, clinical, angiographic success and adverse clinical outcomes were collected. Standard statistical methods were used to compare crude differences in patient and procedural characteristics across age groups. Results At baseline, the prevalence of comorbid conditions ( renal failure and heart failure) increased with age. Unstable angina or a non-ST elevation MI were the most common indications for PCI across all age groups. Fewer patients ≥ 80 years old were undergoing primary PCI and older patients were somewhat less likely to receive a Ⅱb/Ⅲa receptor blocker. Slightly more patients ≥ 80 years old underwent a 2-vessel PCI ( consistent with them having more multivessel disease) and these patients were more likely to have an intervention on a Type C lesion. Compared to patients ＜ 50 years old, those aged ≥ 70 years old had a significantly increased risk of death, MI, stroke, or vascular complications at the access site. Conclusions This study suggests increasing age is associated with increasing risk for an adverse outcome following PCI. This is in part attributable to case-mix but likely, also related to the changing physiology of aging. Despite the increased risk of the procedure, the clinical success rate for PCI is quite high and makes it a reasonable alternative for the treatment of CAD in the elderly.

关键词： coronary artery disease elderly percutaneous coronary intervention

Validity and reliability of the evaluation tool of TCM confidence in students with TCM learning experience

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Frontiers of Nursing 2023年第4期10卷 465-469页

作者： Rui-Min Jia Xiao-Ning Yan Xing-Yu Liu Jin-Nan Wang School of Nursing Shanxi University of Chinese MedicineJinzhongShanxi 030619China Third clinical College Shanxi University of Chinese MedicineJinzhongShanxi 030619China

Objective:This study aimed to design an evaluation scale of traditional Chinese medicine(TCM)confidence and then evaluate its validity and ***:Three parallel samples with TCM learning experience were included in this current *** selected 500 nursing students were included factor analysis and reliability and validity *** 4 weeks,200 nursing students were recruited to retest the *** evaluation tool of TCM confidence included 6 dimensions and 25 ***:Cronbach's a coefficient of the evaluation scale was 0.95 and that of the 6 observed aspects were higher than 0.90,and splithalf reliability was *** the retest reliability,Cronbach's a coefficient of the evaluation scale was 0.93 and that of the 6 examined aspects was all over *** index of content validity Scale Content Validity Index(S-CVI)was 0.92 and Item Content Validity Index(I-CVI)was 0.83–***:Observed results may indicate that the designed tool can be used to assess the TCM confidence level of students with TCM studied experience and also can evaluate results of TCM education during studying TCM lectures.

关键词： Chinese medicine confidence Evaluation tool of Chinese medicine confidence student with TCM experience traditional Chinese medicine validity and reliability

Rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes postoperative gastrointestinal function recovery

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World Journal of Gastroenterology 2020年第23期26卷 3271-3282页

作者： Li-Xing Cao Zhi-Qiang Chen Zhi Jiang Qi-Cheng Chen Xiao-Hua Fan Shi-Jun Xia Jin-Xuan Lin Hua-Chan Gan Tao Wang Yang-Xue Huang Perioperative Research Team The Second Affiliated Hospital of Guangzhou University of Chinese MedicineGuangzhou 510000Guangdong ProvinceChina The Second clinical College of Guangzhou University of Chinese Medicine Guangzhou University of Chinese MedicineGuangzhou 510000Guangdong provinceChina

BACKGROUND During the perioperative period, the characteristic therapy of traditional Chinese medicine is effective in improving postoperative rehabilitation. In large-scale hospitals practicing traditional Chinese medicine, there is accumulating experience related to the promotion of fast recovery in the perioperative *** To evaluate the efficacy and safety of Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation *** This prospective, multicenter, randomized, controlled study included two groups: Treatment group and control group. The patients in the treatment group and control group received Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique and routine treatment, respectively. clinical observation regarding postoperative recovery of gastrointestinal function was performed, including the times to first passage of flatus, first defecation, and first normal bowel sounds. The comparison between groups was conducted through descriptive analysis, χ~2, t, F, and rank-sum *** There was a statistically significant difference in the time to postoperative first defecation between the treatment and control group(87.16 ± 32.09 vs 109.79 ±40.25 h, respectively;P 0.05). The hospitalization expenses for the two groups of patients were 62283.45 ±12413.90 and 62059.42 ± 11350.51 yuan, respectively. Although the cost of hospitalization was decreased in the control group, the difference was not statistically significant(P > 0.05). This clinical trial was safe without reports of any

关键词： Rapid rehabilitation technique Traditional Chinese Medicine Western Medicine Colorectal cancer Postoperative gastrointestinal function

Therapy of replenishing Yin and regulating Yang for manic episode in bipolar disorder:study protocol for a prospective,double-blind,randomized controlled trial

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Journal of Traditional Chinese Medicine 2023年第3期43卷 594-601页

作者： YANG Yang YUAN Haining JIA Hongxiao NING Yanzhe WANG Di ZHANG Lei YAN Kaijuan GUO Yumeng WANG Fei SUN Weishuang CHEN Pei Beijing Key Laboratory of Mental Disorders National Clinical Research Center for Mental Disorders and National Center for Mental DisordersDepartment of integrated traditional Chinese and Western medicineBeijing Anding HospitalCapital Medical UniversityBeijingChina Advanced Innovation Center for Human Brain Protection Capital Medical UniversityBeijing 100088China Beijing Key Laboratory of Mental Disorders National Clinical Research Center for Mental Disorders and National Center for Mental DisordersBeijing Anding HospitalCapital Medical UniversityBeijing 100088China Advanced Innovation Center for Human Brain Protection Capital Medical UniversityBeijing 100069China

Bipolar disorder(BD) is a chronic and recurrent disorder characterized by biphasic mood episodes of mania or hypomania and *** affects more than 1% of the global population and is a leading cause of disability in young *** available treatments for BD are still fairly limited in terms of efficacy,with high rates of non-adherence,non-response,and undesirable side *** Chinese medicine(TCM) has a long history and rich experience in stabilizing mania and improving quality of *** at rebalancing Yin and Yang in BD,therapy of replenishing Yin and regulating Yang(RYRY therapy) has been in clinical use for years in *** present prospective,double-blind,randomized controlled trial is designed to investigate the efficacy and safety of RYRY therapy for bipolar mania and its possible mechanism from the point of regulating gut microbiota and anti-inflammation.A total of 60 eligible participants will be recruited from Beijing Anding *** will be randomized to either the study group or the control group in a ratio of 1∶*** allocated to the study group will receive RYRY granule,while placebo granule will be applied in the control *** in both groups will be prescribed conventional therapy for manic episode in *** scheduled visits will be conducted over 4 *** measurements include Young Mania Rating Scale,TCM Symptom Pattern Rating Scale,Treatment Emergent Symptom Scale,levels of C-reactive protein,interleukin-6 and tumor necrosis factor-α and the gut microbial community profile of stool *** outcomes and adverse events will also be *** this study,we set a number of scientific and objective assessments to evaluate the efficacy of RYRY therapy and study into its possible mechanism,hopefully offering clinicians an alternative approach to BD.

关键词： bipolar disorder replenishing Yin and regulating Yang gastrointestinal microbiome inflammation clinical protocol