Search

随着人口老龄化，长期接受抗血小板治疗的患者在神经外科手术治疗人群中的比例不断增加。抗血小板药物导致的潜在血小板功能低下会影响术中止血效果，并增加术中大出血和术后出血并发症风险。因此，如何在术前快速准确地评估血小板功能，对于全面评估患者止血功能具有重要意义。本文通过总结相关文献，结合血小板功能检测在神经外科的使用现状，分析目前常用血小板功能检测方法的优缺点，介绍改善血小板功能的相关疗法，以期提高神经外科医师对血小板功能的认识。 Abstract: With the aging of the population, the proportion of patients receiving long-term antiplatelet therapy among those undergoing surgical treatment is increasing. Potential platelet hypofunction caused by antiplatelet drugs can affect intraoperative hemostasis and increase the risks of massive intraoperative hemorrhage and postoperative bleeding complications. Therefore, a quick and accurate assessment of platelet function before surgery is of great significance in comprehensively evaluating a patient’s hemostatic function. Based on the summary of relevant literature and the current status of the application of platelet function tests in neurosurgery, this paper analyzed the advantages and disadvantages of the currently commonly used platelet function tests, and introduced relevant therapies to improve platelet function, with the aim of improving the understanding of platelet function among neurosurgeons.

Copyright of Advanced Textile Technology is the property of Zhejiang Sci-Tech University Magazines and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of China Brewing is the property of China Brewing Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Journal of Stroke is the property of Chinese Journal of Stroke Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Feed Industry is the property of Liaoning Provincial Institute of Agricultural Mechanization and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Inorganic Chemicals Industry is the property of Editorial Office of Inorganic Chemicals Industry and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Advances in Earth Science (1001-8166) is the property of Advances in Earth Science Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的 构建临床军医岗位胜任力特征指标体系,为临床军医提供评估和培养的参考依据。方 法 通过文献研究归纳临床军医岗位胜任力相关特征指标,运用德尔菲法对15名专家进行2轮函询,筛选、完 善,确定指标体系,再结合熵权法确定指标的组合权重。结果 2轮函询专家积极系数均为100%,专家权威系 数为0.850>0.700,第二轮专家意见协调系数为0.384(P<0.05),确立了包括军队价值观与职业素养、医疗服 务与临床知识技能、军队卫勤保障能力、团队协作与领导能力、军事素质与体能、人际交往与医患沟通能力、科 学研究与终身学习能力、信息与管理能力8个一级指标、33个二级指标。结论 指标体系建构科学合理,可为 军队医院开展临床军医岗位胜任力评估与军医人才培养提供参考。 [ABSTRACT FROM AUTHOR]

This paper explores the effect of emotional exhaustion on the satisfaction of decision ⁃making of attending physicians and the mediating role of work regulatory focus. Using the emotional exhaustion scale, the work regulatory focus scale and the decision satisfaction scale, this study investigated 300 (78%) healthcare workers from a tertiary public hospital in Chongqing. The results showed that the emotional exhaustion score was (21.108 ± 9.135), with 57.94% of participants being moderately exhausted or above. The total score of decision satisfaction was (15.712 ± 4.152) and correlation analysis showed that emotional exhaustion, promotion focus and prevention focus correlated with decision satisfaction (r=-0.295、0.402、0.488, P<0.01). The mediating effect test showed that emotional exhaustion could indirectly affect decision satisfaction through the mediating effect of promoting focus and prevention focus (25.41%, 24.77%). It is necessary to set up a professional emotion processing department to establish a proper cognitive structure of the attending physician responsibility system and rationally adjust the focus of regulation of different medical personnel. [ABSTRACT FROM AUTHOR]

Copyright of Practical Pharmacy & Clinical Remedies is the property of Editorial Department of Practical Pharmacy & Clinical Remedies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Shandong Medical Journal is the property of Shandong Medical Health Newspapers and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To observe the anatomical morphology of root canal system of human mandibular first premolar based on the reconstructed images of cone-beam CT (CBCT). Methods The CBCT images of 1 102 mandibular first premolars meeting the inclusion criteria were reconstructed. We observed the root canal morphology and root canal groove (depression)of mandibular first premolars, and measured the thinnest root canal wall thickness of single premolars in different cross sections by one volume viewer software. Results Among the 1 102 mandibular first premolars, there were 958 type I root canals, 92 type V root canals, 42 type C root canals and 10 type III root canals. The detection rates of type I, type III, type V and C root canals in 424 male patients were 75. 0%, 2. 4%, 15. 6% and 7. 1%, respectively. The detection rates of type I, type III, type V and C root canals in 678 female patients were 94. 4%, 0, 3. 8%, and 1. 8%, respectively (all P<0. 05). Among the 1 102 mandibular first premolars, 524 (564) had root groove (depression), and the incidence of root groove (depression)was 47. 5%. Among the 524 teeth with root surface groove (depression), the starting positions were 4 at 1/3 of root crown, 500 at 1/3 of root middle and 20 at 1/3 of root apex. Among the 564 root surface grooves (depressions), 356 were on the mesial root surface, 194 on the distal root surface, 10 on the lingual root surface, and 4 on the buccal root surface. The starting positions were 4 at 1/3 of the root crown, 536 at 1/3 of root middle, and 24 at 1/3 of root apex. The thickness of the thinnest root canal wall at the junction of crown and root was (1. 74±0. 14)mm, and the thickness of the thinnest root canal wall at the junction of crown and root in men was greater than that in women (P< 0. 05). The thinnest root canal wall thickness at the junction of 1/3 of root neck and 1/3 of root middle was (1. 24± 0. 10)mm, with no significant difference between men and women (P>0. 05). The thinnest root canal wall thickness at the junction of 1/3 of the middle root and 1/3 of the apical root was (0. 85±0. 11)mm, with no significant difference between men and women (P>0. 05). Conclusions The root canal morphology of mandibular first premolar is complex and changeable. Type I is the most common root canal type, and there are differences between men and women. The incidence of root surface groove (depression)of mandibular first premolar is high. And it often occurs on the mesial root surface and mostly starts at 1/3 of the root. The thickness of the thinnest root canal wall of a mandibular first premolar with a single root canal in different cross sections is different, and the thickness of the thinnest root canal wall at the junction of crown and root differs in gender. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Food Safety & Quality is the property of Journal of Food Safety & Quality Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The liver is the key place for most metabolic pathways, so it is often involved earliest and has the most severe injury, and liver injury of some inherited metabolic diseases may develop into liver cirrhosis and even malignant tumors of the liver and tended to have poor prognosis. Inherited metabolic liver disease often has complicated clinical manifestations, and the limitations of conventional diagnostic and therapeutic methods are difficult issues for clinical physicians. With the development of cellular and molecular biology techniques, new diagnostic and therapeutic methods, such as gene detection, gene therapy, and stem cell transplantation, have been gradually applied in clinical practice, bringing hope to patients with refractory diseases. This article reviews the recent advances in the diagnosis and treatment of inherited metabolic liver diseases commonly seen in clinical practice, such as hepatolenticular degeneration, hereditary hemochromatosis, glycogen storage disease, α1 — antitrypsin deficiency, hereditary hyperbilirubinemia, and hereditary cholestasis. [ABSTRACT FROM AUTHOR]

Ｓｐｏｎｔａｎｅｏｕｓ ｂａｃｔｅｒｉａｌ ｐｅｒｉｔｏｎｉｔｉｓ ｉｓ ａ ｃｏｍｍｏｎ ｃｏｍｐｌｉｃａｔｉｏｎ ｏｆ ｌｉｖｅｒ ｃｉｒｒｈｏｓｉｓ，ａｎｄ ｏｎｃｅ ｉｔ ｏｃｃｕｒｓ，ｔｈｅ ｄｉｓｅａｓｅ ｍｉｇｈｔ ｐｒｏｇｒｅｓｓ ｑｕｉｃｋｌｙ ｔｏ ｌｉｖｅｒ ｆａｉｌｕｒｅ ａｎｄ ｍｕｌｔｉｐｌｅ ｏｒｇａｎ ｆａｉｌｕｒｅ，ｗｈｉｃｈ ｈａｓ ａ ｈｉｇｈ ｍｏｒｔａｌｉｔｙ ｒａｔｅ． Ｉｔ ｈａｓ ｂｅｅｎ ｄｏｃｕｍｅｎｔｅｄ ｔｈａｔ ｄｅｌａｙｅｄ ｄｉａｇｎｏｓｉｓ ｏｆ ｐｅｒｉｔｏｎｉｔｉｓ ｉｓ ａｎ ｉｍｐｏｒｔａｎｔ ｆａｃｔｏｒ ｆｏｒ ｈｉｇｈ ｍｏｒｔａｌｉｔｙ ｒａｔｅ，ｂｕｔ ｔｈｅｒｅ ｉｓ ｓｔｉｌｌ ｎｏ ｓｅｎｓｉｔｉｖｅ，ｒａｐｉｄ，ａｎｄ ａｃｃｕｒａｔｅ ｍｅｔｈｏｄ ｆｏｒ ｅａｒｌｙ ｄｉａｇｎｏｓｉｓ ｏｆ ｔｈｉｓ ｄｉｓｅａｓｅ ｉｎ ｃｌｉｎｉｃａｌ ｐｒａｃｔｉｃｅ． Ｔｈｅｒｅｆｏｒｅ，ｈｏｗ ｔｏ ｍａｋｅ ａｎ ｅａｒｌｙ ｄｉａｇｎｏｓｉｓ ｏｆ ｓｐｏｎｔａｎｅｏｕｓ ｂａｃｔｅｒｉａｌ ｐｅｒｉｔｏｎｉｔｉｓ ｒｅｍａｉｎｓ ａ ｒｅｓｅａｒｃｈ ｈｏｔｓｐｏｔ ａｔ ｐｒｅｓｅｎｔ． Ｔｈｉｓ ａｒｔｉｃｌｅ ｉｎｔｒｏｄｕｃｅｓ ｔｈｅ ｐａｔｈｏｇｅｎｅｓｉｓ，ｒｉｓｋ ｆａｃｔｏｒｓ，ａｎｄ ｍｅｔｈｏｄｓ ｆｏｒ ｅａｒｌｙ ｄｉａｇｎｏｓｉｓ ｏｆ ｓｐｏｎｔａｎｅｏｕｓ ｂａｃｔｅｒｉａｌ ｐｅｒｉｔｏｎｉｔｉｓ ｉｎ ｐａｔｉｅｎｔｓ ｗｉｔｈ ｌｉｖｅｒ ｃｉｒｒｈｏｓｉｓ，ｓｏ ａｓ ｔｏ ｉｍｐｒｏｖｅ ｔｈｅ ａｗａｒｅｎｅｓｓ ｏｆ ｔｈｉｓ ｄｉｓｅａｓｅ ｉｎ ｃｌｉｎｉｃａｌ ｐｒａｃｔｉｃｅ． [ABSTRACT FROM AUTHOR]