简介：标题MINI研究:一个关于对比阿加曲班或肝素作为组织型纤溶酶原激活剂(tPA)的附加剂应用于急性心肌梗死患者的多中心、随机临床试验作者JangI-K,BrownDFM,GinglianoRP,etal

简介：男生的青春期一般在12岁开始，女生的青春期在10～12岁开始，这个青春期最短持续5—7年，整个生长期女生会长高20厘米左右，男生会长高20～25厘米，虽然男生的生长期比女生晚了点，但是一点也不影响青春期男生女生对身高的追求，青春期怎么长高，成为男生女生和家长们都关心的问题。

简介：Theconcentrationofsodiumchlorideisofprimeimportanceintheinitiationandreversalofspermquiescenceinthecaudaepididymis.Otherfactorssuchasinorganicandorganicconstituentsoftheluminalfluidareofsecondaryimportanceandmightassistininducingspermquiescence.

简介：ThisarticlereviewstheeffectivenessofintratympaniccorticosteroidsforvertigocontrolinM_eni_ere'sdiseaseat2-yearsfollow-upaccordingtotheguidelinesexpressedbytheAmericanAcademyofOtolaryngology-Head&NeckSurgery.DespitetheincreaseduseofintratympaniccorticosteroidsforvertigocontrolinM_eni_ere'sdiseasethereisdebateastotheireffectiveness,particularlycomparedtogentamicin.Evenso,afterjustasinglecourseofinjections,corticosteroidscanreliablyprovidecompletevertigocontrol(ClassA)at2-yearsinabout50%ofcasesasindicatedinarecentdouble-blindrandomizedcontrolledclinicaltrial(Pateletal.,2016).Buttheeffectivenessofintratympaniccorticosteroidstrulyincreaseswhentreatmentisprovided'as-needed',wherebycompletevertigocontrolisestablishedinupto91%ofcases.Onthebasisofavailableliterature,thereisgoodevidencetorecommendtheuseofintratympanicsteroidtreatmentforvertigocontrolinM_eni_ere'sdisease,butpatientsmustbemonitoredfornon-response.Therationalefortreatingpatientsas-neededandthepossiblereasonsforcorticosteroidnonresponsearediscussed.

简介：摘要：迷你临床评估锻炼（Mini-CEX）是一种同时评估受训者临床技能并向他们提供绩效反馈的方法。这是对传统床旁检查的简单修改，因此，它依赖于实际患者的使用以及熟练的临床医生的判断。本文介绍了Mini-CEX，叙述了它的开发方式，然后说明了它在现代化医疗职业（MMC）基础计划评估中的使用。

简介：通过多分辨率建模技术,可以实现不同分辨率模型的互联运行。在分析多分辨率建模技术的基础上,从互联运行的方法和一致性问题两个方面进行研究。使用聚合解聚的方法,讨论和比较了三种扩展接口方案。采用低分辨率模型为主线,高分辨率模型为修正参考的思想,确定了将互联扩展接口放在高分辨率模型中。从任务的解聚、位置的更新、毁伤的计算三个方面来解决互联运行的一致性问题,并给出了一个互联运行实例,为多分辨率模型互联运行的实现提供了一种解决思路。

简介：摘要感染源控制是腹腔感染治疗的核心，准确定位以及有效引流是控制感染源的要点和难点。笔者基于膜解剖理论及对腹腔感染状态下解剖结构异常的理解，结合自身的临床实践，探索性提出腹腔感染分区概念，旨在引导判断并定位感染源，同时规划精准、安全的引流路径，以期提高腹腔感染的救治水平，改善患者预后。

简介：本系统是针对中小型电子企业中仓储过程而设计研究的，主要是为了提高企业工作人员的效率，减少仓储所占用的大量空间和时间。通过自行设计的仓储管理系统和立体元器件仓库的合理分配，来实现元器件仓库的自动分拣存取和管理记录，仓储运输，安全防盗等功能，实现元器件的仓库智能化应用。本文通过以元器件仓储系统的概念起点展开对如何实现和设计元器件智能仓储系统来研究。

简介：Minipigmodelsarelargemammalsandtheirearsaremoresimilarwithhumanbeingsinstructureanddevelopmentthanotheranimals.However,thestudyonporcineearsisstillintheinitialstageandthereisnodescriptionofanidealoperationapproachtoendocochlearpotentialandpotassiumionconcentrationmeasurements.Inthisarticle,wedescribeapre-auricularsurgicalapproachtoaccessthemiddleandinnerearforendocochlearpotentialandpotassiumionconcentrationmeasuresinminipigmodels.Tenone-weekoldnormalminipigswereusedinthestudy.Thebullaofthetemporalbonewasaccessedviaapre-auricularapproachforendocochlearpotentialandpotassiumionconcentrationmeasurements.Theconditionoftheanimalsduringthefirstpost—experiment24hwasobserved.Oneanimaldiedduringsurgery.Thepreauricularapproachimprovedprotectionandpreservationofrelevantnervousandvascularelementsincludingthefacialnerveandcarotidartery.So,thepre-auricularapproachcanbeusedforendocochlearpotentialandpotassiumionconcentrationmeasurementswithimprovednerveandarterypreservationminipigs.

简介：在将医疗技术引入医疗机构的过程中,医疗机构的决策层常需要进行快速决策,传统的卫生技术评估(HTA)作为用于指导卫生决策的重要工具可以取代经验模式,但对于需要快速决策但资源有限的医疗机构而言,开展传统的HTA存在诸多困难,因此,亟需一种针对医疗机构层面的HTA方法。Mini-卫生技术评估(Mini-HTA)是应用循证医学和传统卫生技术评估原理和方法,基于医疗机构实际需求,对卫生技术做出全面系统评价,为医疗机构决策层提供决策参考。文章介绍国内外Mini-HTA开展情况,对于医疗机构Mini-HTA指标体系和评估方法进行探索,旨在为医疗机构提供一种适宜的卫生技术评估方法,为医疗机构决策和技术实施提供科学的循证决策依据。

简介：摘要目的为了保证药品质量，需加强医院药品的贮藏保管。

简介：【摘要】目的 :探讨分析迷你临床演练（ mini-cex）在整体护理中的应用。方法：选取 2018年 3月 - 2019年 3月 60例产科低年资护理人员作为研究对象，随机分为对照组和观察组，每组 30例，给予患者整体护理干预，在此基础上给予对照组传统教学模式。给予观察组迷你临床演练（ mini-cex）综合评价教学模式，比较两组综合考核成绩、两组直接观察、反馈时间及师生满意度评价。结果：培训后观察组问诊技巧、沟通技能、人文关怀、检查技巧、临床判断、组织效能、综合能力等各项得分均高于对照组（ P<0.05），两组教师满意度无显著差异（ P>0.05），观察组观察时间、反馈时间、护理人员满意度评分高于对照组（ P<0.05）。结论： mini-cex在整体护理中可有效加强护理人员各项临床沟通、临床判断、人文关怀及能力，且更容易被临床护理人员接受，可作为临床能力评估体系在医学院校广泛推广。

简介：每当古灵精怪的萌娃跳上各自的小自行车,自由穿梭,相互嬉戏时,总能在父母关切的眼神中看到欢喜和欣慰,是啊,这份纯真的快乐,令人振奋的生命活力,也总是会在这项训练平衡力,有益儿童骨骼健康的运动中,被体现得淋漓尽致!日前,始终致力于儿童玩具研发生产的星辉互动娱乐股份有限公司(股票代码:300043)同时推出两款全新星辉宝马MINI儿童自行车,再度引爆市场关注。这两款由星辉娱乐(股票代码:300043)和宝马MINI双品牌携手共创的儿童自行车,在聚光灯下熠熠生辉,不拘一格的时尚气质,流畅简洁的精美外形,科学考究的功能设计,无不令人称道。

简介：[摘要]目的 分析微创经皮肾镜（mini-PCNL）在儿童上尿路结石中的应用效果。方法 选取院内上尿路结石患儿50例行对比调查，随机分为2组，对照组行标准通道经皮肾镜碎石治疗，观察组行mini-PCNL治疗，统计组间疗效相关指标。结果 观察组中有1例患儿体内残留结石，对照组中有2例患儿体内残留结石，组间结石排净率对比有差异性；观察组中1例患儿术后出血，平均出血量122.25±6.35ml；对照组中6例患儿术后出血，平均出血量151.15±6.05，组间出血率及出血量对比有差异性。结论 微创技术在尿路结石治疗中应用广泛，将微创经皮肾镜应用到儿童上尿路结石治疗中疗效显著，不容易出现术后出血问题，安全性较高。

简介：摘要目的探讨Mini-CEX在心内科临床教学管理中的应用及存在的价值。方法选取2017年3月至2018年3月于我院心内科实习与培训的本科医学生62例，将其随机分为两组，每组各31名。其中，观察组采用Mini-CEX教学方法管理；对照组采用传统教学方法管理。所有人员均在入科及出科时采用Mini-CEX量表进行测评。结果与入科时测评成绩相比，所有学员出科时整体测评合格率均有所上升，经卡方检验差异具有统计学意义（P＜0.05）；观察组实习生在病史采集、医患沟通、临床思维、操作技能、治疗方案等方面的合格率要优于传统教学法的对照组，经卡方检验差异具有统计学意义（P＜0.05）。结论Mini-CEX在心内科临床教学管理中实施有利于提高医学生的临床实践能力及综合素质，临床中值得进一步推广应用。

简介：本区占地面积200平米，包括一个多功能展区、特色休息室和洗手间。游客可以欣赏到各类石雕如皇帝赏赐的五龙石雕、青石栓马柱和鱼子石门礅等雕件，此外还有清朝大水缸及酒缸，给游客拍照留念。

简介：宗教是自有人类以来在历史上一种悠久而普遍的社会现象，是人类精神生活不可缺少的部分。宗教反映了信教者的世界观、人生观、价值观及道德观，并指导他们生活的方方面面。道教、儒教和佛教这三大宗教对中国的历史发展影响深远。佛龛源自古印度，于汉代始进入信徒家中作供奉神佛之用。

简介：摘要：本文以急诊分级分区分流患者的现状研究为题，重点研究我国急诊分级、分区以及分流患者的现状，并提出所存在的问题，以求更好的解决方式，为后续的研究者提供理论基础。

简介：AbstractPurpose:The main aim is to provide clinical reference for the application of mini suture anchor in the reduction and fixation of displaced temporomandibular joint (TMJ) disc with intracapsular condylar fracture.Methods:From October 2018 to October 2019, 21 patients (31 sides) with intracapsular condylar fractures and articular disc displacement from West China Hospital of Stomatology, Sichuan University were included. The selection criteria were: (1) mandibular condylar fractures accompanied by displacement of the TMJ disc, confirmed by clinical examination, CT scan and other auxiliary examinations; (2) indication for surgical treatment; (3) no surgical contraindications; (4) no previous history of surgery in the operative area; (5) no facial nerve injury before the surgery; (6) informed consent to participate in the research program and (7) complete data. Patients without surgical treatment were excluded. The employed patients were followed up at 1, 3, 6 and 12 months after operation. Outcomes were assessed by success rate of operation, TMJ function and radiological examination results at 3 months after operation. Data were expressed as number and percent and analyzed using SPSS 19.0.Results:All the surgical procedures were completed successfully and all the articular discs were firmly attached to the condyles. The articular disc sufficiently covered the condylar head after the fixation. The fixation remained stable when the mandible was moved in each direction by the surgeons. No complications occurred. The functions of the TMJ were well-recovered postoperatively in most cases. CT scan revealed that the screws were completely embedded in the bone without loosening or displacement.Conclusion:Mini suture anchor can provide satisfactory stabilization for the reduced articular disc and also promote the recovery of TMJ functions.

简介：AbstractSince October 2021 in Alabama, the United States, and March 2022 in central Scotland, the United Kingdom, the number of cases of severe acute hepatitis of unknown etiology/causes in children was found to increase, and the total number of cases has reached 920 worldwide by June 22 this year, 45 cases (5%) required liver transplantation, and 18 cases (2%) died according to World Health Organization (WHO). To understand the basic characteristics of this disease/syndrome, a literature search was performed at PubMed, websites of WHO, UK Health Security Agency, and US and European Centers for Disease Control and Prevention, and more than 20 reports were enrolled as references for this review. The main clinical manifestations are anorexia, vomiting, fatigue, jaundice, and so forth. Most of the cases seemed to have a self-limited course of the disease, about 6% of cases may develop life-threatening acute liver failure. The disease seems to be transmissible from person to person. Human adenovirus was detected in up to 75% of cases, but this virus seems not to be the only and major etiologic agent, other cofactors probably are involved. Researchers proposed many hypotheses concerning the etiology and pathogenesis, and many important works and studies are ongoing. This mini-review is aimed at summarizing, reviewing, and further understanding the characteristics of the disease, raising some clinically relevant questions, and trying to discuss some questions that may be related to the treatment of the disease for consideration.