Objective:To study the clinical treatment method of mid-term pregnancy with placenta previa.Methods:7 cases of midterm pregnancy induced labor with placenta previa from January 2005 to December 2007 in our hospital were retrospectively analyzed. Results:Caesarean section performed in the patients with mid-term pregnancy complicating central placenta previa had more operative bleeding,and caesarean section adding intrauterine packing gauze for 24 h had less vaginal bleeding and better uterine contraction.Conclusion: High attention should be paid to mid-term pregnancy induced labor complicating placenta previa.Especially to the patients with the history of cesarean section,placenta adherence and placenta accrete should be considered.Selecting suitable method to artificially terminate pregnancy in cooperated with drug treatment is more safe and effective with avoiding severe injury and doctor-patient disputes.
[Objective]To study the incidence of injuries among minors from Sunan areas of Jiangsu Province.[Methods]A household questionnaire survey on the injuries from September 1,2004 to August 31,2005 was conducted to 22 624 minors in three cities of Sunan areas with stratified-cluster sampling. Data were analyzed with Epidata 3.01 and SPSS 10.0 software.[Results]The injury rate was 20.7% in total,and it was the highest in the age group of 3-5. The treatment to injuries was hospitalization(4.77%),out patient service(54.77%),self-treatment or treatment from others(27.51%)and no treatment(7.73%)respectively. The leading causes of injuries was falls(32.01%),bruise(19.11),stain(11.34%),animal bites(7.89%),burn(6.99%),and cut(6.14%)respectively.[Conclusion]Injury is common in minors in Sunan areas of Jiangsu Province. It is necessary and urgent to strengthen the intervention on injury prevention and control among minors.
Sun and moon have no light left, earth is dark; / Our women’s world is sunk so deep, who can help us? / Jewelry sold to pay this trip across the seas, Cut off from my family I leave my native land. / Unbinding my feet I clean out a thousand years of poison, / With heated heart arouse all women’s spirits. / Alas, this delicate kerchief here / Is half stained with blood, and
We aimed to investigate the correlation between the serum D-dimer (D-D) to albumin (ALB) ratio (DAR) and 28-day all-cause mortality in patients with sepsis. Data from sepsis patients admitted to the intensive care unit (ICU) of Wuhan Fourth Hospital from October 2021 to January 2024 were collected. Univariate cox analysis was performed for mortality factors in sepsis patients, and multiple cox regression models were used to analyze independent mortality risk factors. The receiver operating characteristics (ROC) curve was used to analyze the value of DAR in predicting sepsis mortality, and the Kaplan–Meier method was used to plot the survival curve. A total of 833 patients with sepsis in the ICU of our hospital were selected and divided into alive group (n = 574) and death group (n = 171) according to their 28-day survival. In the death group, D-D and DAR levels were higher, while ALB levels was lower than in the alive group. Spearman analysis found that DAR level were positively correlated with APACHE II and SOFA scores. Multivariate cox regression analysis showed that DAR was an independent predictor of all-cause mortality within 28 days of admission for sepsis patients (HR = 17.956, 95% CI 3.435–93.851, p < 0.001). The ROC curve results showed that the cut-off value of DAR was 0.068, with a sensitivity of 78.4% and a Youden index of 0.375, predicting mortality in sepsis patients, with an area under curve (AUC) of 0.767 (95% CI 0.744–0.790, P < 0.001). Further analysis divided patients into low DAR (DAR < 0.068) and high DAR (DA ≥ 0.068) groups based on the optimal cut-off value. Kaplan–Meier analysis found higher mortality in the high DAR group. DAR is an independent predictor of all-cause mortality within 28 days of admission in sepsis patients. Combining these two indicators can improve clinical treatment guidance and reduce the risk of death.
Abstract. Relationship between wheat quality indexes and physicochemical properties of wheat meal was studied to offer a useful reference for feed processing. Quality indexes and physicochemical properties of 59 wheat cultivars from 7 major wheat growing provinces and municipalities of China were determined and their correlations were analyzed. The present study indicates that there are strong correlations for quality indexes of wheat. Crude protein content of wheat presented significant positive correlation with crude ash content(r=0.518***, P<0.001), crude acid detergent fiber (CADF) content and crude neutral detergent fiber (CNDF) content (r=0.349**, 0.344** respectively, P<0.01), but a negative correlation with bulk density (r=-0.399**, P<0.01). High and significant positive correlations between crude ash content (r=0.611***, P<0.001), CADF (r=0.446***, P<0.001) and CNDF were found. In physicochemical properties of wheat meal, significant negative relations between peak viscosity(r=-0.285*, P<0.05), trough viscosity (r=-0.318*, P<0.05) and particle size of wheat meal were observed. Specific heat showed a significant positive correlation with particle size (P<0.05). The coefficients of correlation (r) between peak viscosity, trough viscosity and final viscosity were exceed 0.97 (P<0.001). Crude protein content (P<0.01), Crude ash content (P<0.001) and CNDF content (P<0.01) of wheat were negatively and significantly correlated with pasting properties of wheat meal. Bulk density and CADF content showed low but significant correlations with pasting properties (P<0.05). Particle size presented significant positive correlations with crude fat content and crude ash content (r=0.524***, 0.462*** respectively, P<0.001). It was noteworthy that specific heats of wheat meal at different temperatures were positively and significantly correlated with crude ash content (P<0.001). There were not remarkable correlation between pasting properties and crude fat content. In addition, specific heat had no significant correlation with crude protein content.
Some patients exhibit septic symptoms following laparoscopic surgery, leading to a poor prognosis. Effective clinical subphenotyping is critical for guiding tailored therapeutic strategies in these cases. By identifying predisposing factors for postoperative sepsis, clinicians can implement targeted interventions, potentially improving outcomes. This study outlines a workflow for the subphenotype methodology in the context of laparoscopic surgery, along with its practical application. This study utilized data routinely available in clinical case systems, enhancing the applicability of our findings. The data included vital signs, such as respiratory rate, and laboratory measures, such as blood sodium levels. The process of categorizing clinical routine data involved technical complexities. A correlation heatmap was used to visually depict the relationships between variables. Ordering points were used to identify the clustering structure and combined with Consensus K clustering methods to determine the optimal categorization. Our study highlighted the intricacies of identifying clinical subphenotypes following laparoscopic surgery, and could thus serve as a valuable resource for clinicians and researchers seeking to explore disease heterogeneity in clinical settings. By simplifying complex methodologies, we aimed to bridge the gap between technical expertise and clinical application, fostering an environment where professional medical knowledge is effectively utilized in subphenotyping research. This tutorial could primarily serve as a guide for beginners. A variety of clustering approaches were explored, and each step in the process contributed to a comprehensive understanding of clinical subphenotypes.
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