This study aimed to compare the complications of preterm twins versus singletons and analyze differences across gestational ages.Preterm twins delivered between 2 March 2022 and 6 November 2022 were compared to an age...This study aimed to compare the complications of preterm twins versus singletons and analyze differences across gestational ages.Preterm twins delivered between 2 March 2022 and 6 November 2022 were compared to an age-matched control group of singletons,involving 65 twins and 103 singletons.The most common complication in premature infants was neonatal jaundice(87.72%),followed by patent foramen ovale(79.76%)and neonatal respiratory distress syndrome(NRDS)(57.14%).Twins had significantly higher Apgar scores at 1,5,and 10 minutes compared to singletons.However,twins showed a higher incidence of ventricular septal defect(VSD)(7.69%)than singletons,with a statistically significant difference.In contrast,twins exhibited significantly lower rates of neonatal jaundice(78.46%),electrolyte imbalance(18.4%),and acid-base imbalance(9.23%)compared to singletons.Furthermore,as gestational age increased,the incidence of intrauterine infection,electrolyte and acid-base imbalances,neonatal coagulation disorders,patent ductus arteriosus(PDA),anemia,and NRDS in preterm infants gradually decreased,with all differences reaching statistical significance(P<0.05).These findings highlight the importance of close monitoring and timely management of complications in premature infants to prevent severe outcomes.展开更多
David’s Story by Zoë Wicomb addresses the complexities of representing female suffering and the limitations of traditional historical narratives in capturing the experiences of marginalized bodies.It challenges ...David’s Story by Zoë Wicomb addresses the complexities of representing female suffering and the limitations of traditional historical narratives in capturing the experiences of marginalized bodies.It challenges the grand narratives of national history by emphasizing the indispensable role of women’s experiences.Through characters like Dulcie and Rachael,Wicomb portrays the female body as a site of resistance and resilience,highlighting the need for more nuanced and inclusive ways of documenting history.Underscoring the inexpressibility of trauma and the limitations of language and representation,the novel self-reflexively acknowledges its own aporia of completing the narrative,embodying the ongoing struggle to capture the full breadth of human experience.展开更多
David Eddy教授是循证医学的奠基人之一、美国著名循证医学专家,1990年以第一作者身份在JAMA上撰文,首次提出"循证"一词。他在医疗决策、应用数学、卫生经济学等众多领域都做出了杰出贡献,并长期致力于循证指南的制定与推广...David Eddy教授是循证医学的奠基人之一、美国著名循证医学专家,1990年以第一作者身份在JAMA上撰文,首次提出"循证"一词。他在医疗决策、应用数学、卫生经济学等众多领域都做出了杰出贡献,并长期致力于循证指南的制定与推广。本文简要介绍了他的个人奋斗历程与学术研究过程,阐述了他对循证医学的独特见解与全新诠释。展开更多
文摘This study aimed to compare the complications of preterm twins versus singletons and analyze differences across gestational ages.Preterm twins delivered between 2 March 2022 and 6 November 2022 were compared to an age-matched control group of singletons,involving 65 twins and 103 singletons.The most common complication in premature infants was neonatal jaundice(87.72%),followed by patent foramen ovale(79.76%)and neonatal respiratory distress syndrome(NRDS)(57.14%).Twins had significantly higher Apgar scores at 1,5,and 10 minutes compared to singletons.However,twins showed a higher incidence of ventricular septal defect(VSD)(7.69%)than singletons,with a statistically significant difference.In contrast,twins exhibited significantly lower rates of neonatal jaundice(78.46%),electrolyte imbalance(18.4%),and acid-base imbalance(9.23%)compared to singletons.Furthermore,as gestational age increased,the incidence of intrauterine infection,electrolyte and acid-base imbalances,neonatal coagulation disorders,patent ductus arteriosus(PDA),anemia,and NRDS in preterm infants gradually decreased,with all differences reaching statistical significance(P<0.05).These findings highlight the importance of close monitoring and timely management of complications in premature infants to prevent severe outcomes.
基金This work was supported by Humanities and Social Sciences Fund of Ministry of Education of China(No.19XJA7520012020)by National Social Science Fund of China(No.20BWW069).
文摘David’s Story by Zoë Wicomb addresses the complexities of representing female suffering and the limitations of traditional historical narratives in capturing the experiences of marginalized bodies.It challenges the grand narratives of national history by emphasizing the indispensable role of women’s experiences.Through characters like Dulcie and Rachael,Wicomb portrays the female body as a site of resistance and resilience,highlighting the need for more nuanced and inclusive ways of documenting history.Underscoring the inexpressibility of trauma and the limitations of language and representation,the novel self-reflexively acknowledges its own aporia of completing the narrative,embodying the ongoing struggle to capture the full breadth of human experience.
