简介:Primarycentralnervoussystemlymphoma(PCNSL)isararedisorderthat,in95%ofcases,representsdiffuselargeB-celllymphoma.Assuch,makinganaccuratediagnosisisimportant.Atpresent,stereotactic-guidedbiopsyisarecognizedmethodofchoicefortissueanalysis.However,thediagnosticwork-upforhigh-riskpatientsisdeterminedbytheirperformancestatus.Here,wereportacaseofPCNSLinahigh-riskpatient,forwhomdiagnosiswasestablishedbycerebrospinalfluidcytologyandflowcytometry,whichsignificantlyshortenedadiagnosticwork-upperiodandallowedfortheimmediatetreatmentofthepatient.
简介:Thispaperfirstintroducesthefundamentalstepsof“TheWorldCafé”(TWC)anditsrelationshipwithhumanresourcestraininginbanks.Afterthat,acoupleofTWCtrainingcasesforthemiddleandthejuniormanagementinbankswillbediscussed.Next,thebettermentanalysisofimprovementsonTWCinhumanresourcestraininginbankswillbecarriedout.Lastly,thelimitationsandthefutureprospectsofTWCwillbeexplored.
简介:Introduction:Congestiveheartfailure(CHF)accountsforover$32billioninhealthcarecostsperyearandisattheepicenterofhealthcarereform.CHFremainsamajorcauseofhospitalizations.Itisknownandhasbeenreportedthatmisseddiagnosisofandmissedopportunitiestotreatheartfailureareassociatedwithhighermortalityandmorbidity.CHFdiseasemanagementprogramshaveemergedasapotentialsolutiontotheCHFepidemic.TheparadoxremainsthatCHFdiseasemanagementprogramsstillclusterintertiaryhospitalsystems.Theimpactofheartfailurespecialistsandspecialtyteamsincommunityhealthsystemsislesswellunderstood.CurrentlytherearenotenoughCHF-trainedteamsinthecommunitysettingtoaddressthisunmethealthneed.Methods:WeexploredtheimpactofCHFclinicsinacommunity-basedhospitalsystemonreadmissionrates,mortality,andsymptomaticrelief.Atotalof384patientswereenrolledintheclinicbetween2012and2015.Datacollectedincludedage,sex,typeofheartfailure,NewYorkHeartAssociationclass,ejectionfraction,serumcreatinineandbrainnatriureticpeptidevalues,andreadmissionandmortalityrateswithin30days,3months,6months,and1year.WealsocomparedreadmissionratesbetweenpatientswhowerefollowedupintheCHFclinicversusthosewhowerenotseenintheCHFclinic.Results:AstatisticallysignificantdifferencewasdemonstratedinreadmissionratesbetweenpatientswhowerefollowedupintheCHFclinicversusthosewhodidnotvisittheCHFclinicforupto1yearoffollow-up.Conclusion:CHFcommunityhospitalclinicsthatusearapidandfrequentfollow-upformatwithCHF-trainedteamseffectivelyreducerehospitalizationratesupto1year.
简介:OnMarch25,2014,thefirstplenarymeetingoftheLeadingGroupofHealth,FamilyPlanningandAgingWorkofNationalHealthandFamilyPlanningCommission(NHFPC)wasconvenedinBeijing.Mr.WangPei'an,ViceMinisterofNHFPCattendedthemeetingandmadeaspeech.WangpointedoutthatthePartyCentralCommitteeandtheStateCouncil
简介:【摘要】:分层教学是实施素质教育的必要环节,教学环节的起点,同时也是提高英语教学质量的关键。基于学生在学习英语的过程中,存在"哑巴英语"的实际情况,在教学中,教师采用口语分层模式和教学评价进行综合学习活动的分层模式。基于对研究重点的差异,这一行动研究分为Pair Work的初步研究和Pair Work的分层教学研究,侧重于口语表达能力较差的学生。
简介:TernarymetalchalcogenidesemiconductorAg8SnS6,whichisanefficientphotocatalystundervisiblelightradiation,isstudiedbyplane-wavepseudopotentialdensityfunctionaltheory.Aftergeometryoptimization,theelectronicandopticalpropertiesarestudied.Ascissoroperatorvalueof0.81eVisintroducedtoovercometheunderestimationofthecalculationbandgaps.Thecontributionofdifferentbandsisanalyzedbyvirtueoftotalandpartialdensityofstates.Furthermore,inordertounderstandtheopticalpropertiesofAg8SnS6,thedielectricfunction,absorptioncoefficient,andrefractiveindexarealsoperformedintheenergyrangefrom0to11eV.TheabsorptionspectrumindicatesthatAg8SnS6hasagoodabsorbencyinvisiblelightarea.Surfaceenergiesandworkfunctionsof(411),(413),(211),and(112)orientationshavebeencalculated.TheseresultsrevealthereasonforanoutstandingphotocatalyticactivityofAg8SnS6.
简介:AhighalloyedVanadis4(V4)steelwasproducedbysprayformingprocessinBaosteel,andthemicrostructureoftheas-sprayedsteelanditsevolutionduringhotrollingandannealingprocesseswerecharacterized.Itwasfoundthattheas-sprayedV4steelhasahomogeneousandfinescalemicrostructurewithuniformdispersionofcarbides.Thehotrollingtemperatureisthekeyfactorincontrollingtheevolutionoftype,morphologyanddistributionofcarbides,aswellasthematrixmicrostructureoftheas-rolledsteels.Theoptimizedprocessingparametersfortheas-sprayedV4steelarerollingat1050℃andthenannealingat900℃.Themicrostructuralevolutionmechanismsduringhotrollingandannealingaredeterminedaccordingtothemicrostructuralanalyasisofthematerialatdifferentstages.
简介:<正>"…enableJiangxitobecometheexampleofecologicalcivilizationandpacesetterofbuildingbeautifulChina,andrealizethedreamofaprosperous,harmoniousandbeautifulJiangxithroughourearnestefforts."RecentyearshavewitnessedvigorouseffortsmadebytheProvincialForeignAffairsandOverseasChineseAffairs
简介:AbstractObjective:To examine the association between sleep characteristics and night shift work and the risk of polycystic ovary syndrome (PCOS) in Chinese women and to investigate their relationship with infertility in PCOS.Methods:From March 21, 2021 to April 31, 2021, 3927 Chinese women with or without PCOS were recruited online. All participants completed WeChat-based electronic questionnaires. Sleep characteristics were measured using the Pittsburgh sleep quality index.Results:A total of 2871 women were included in the final analysis. Sleep duration (odds ratio [OR], 0.857; 95% confidence interval [CI], 0.763-0.963), sleep midpoint (OR, 1.142; 95% CI, 1.049-1.244), sleep disturbance (OR, 1.320; 95% CI, 0.957-1.146), daytime dysfunction (OR, 1.136; 95% CI, 1.030-1.253), and night shift work (OR, 1.628; 95% CI, 1.264-2.097) were associated with a higher risk of PCOS. After adjusting for confounders, including age, body mass index, smoking status, and coffee and tea drinking status, sleep disturbance (OR, 1.314; 95% CI, 1.111-1.555), daytime dysfunction (OR, 1.143; 95% CI, 1.034-1.264), and night shift work (OR, 1.800; 95% CI, 1.388-2.333) remained associated. In addition, sleep disturbance (OR, 1.887; 95% CI, 1.400-2.542) and subjective sleep quality (OR, 1.299; 95% CI, 1.037-1.627) were associated with infertility in women with PCOS, and sleep disturbance (OR, 1.750; 95% CI, 1.281-2.390) remained significant after adjusting for confounders.Conclusions:Sleep disturbance, daytime dysfunction, and night shift work are significantly associated with PCOS. Screening for sleep disturbances and providing appropriate treatment could be potential strategies for managing PCOS and its long-term complications.