This study assesses the causes and prevention measures of rabies through epidemiological investigation and analysis. A field epidemiological survey was conducted to investigate a case of rabies by fox bite. The onset ...This study assesses the causes and prevention measures of rabies through epidemiological investigation and analysis. A field epidemiological survey was conducted to investigate a case of rabies by fox bite. The onset of symptoms began 50 days after the bite. The patient did not receive standard treatment, rabies vaccination, or rabies immunoglobulin injection. The fox was killed on the spot. Saliva and pre-death blood samples were collected at different periods, and only blood RT-PCR tests yielded positive results. Wild fox bite is a major risk factor of rabies infection in Xinjiang Province, China.展开更多
BACKGROUND The complex anatomy of the maxillary first molars has always been a major challenge for complete root canal treatment in endodontic therapy. Here, we present two cases of maxillary first molars, each with o...BACKGROUND The complex anatomy of the maxillary first molars has always been a major challenge for complete root canal treatment in endodontic therapy. Here, we present two cases of maxillary first molars, each with only two root canals, which have been rarely reported. We also perform a literature review of maxillary first molar anatomy.CASE SUMMARY The two patients were referred to the hospital after 1) finding a cavity in their tooth with a color change and, 2) a toothache during mastication, respectively.Both of these cases were diagnosed as apical periodontitis by X-ray imaging and cone beam computed tomography(CBCT). Non-surgical endodontic therapy was performed with the assistance of a dental operating microscope(DOM). CBCT showed rare but accurate images of both patients, each with two root canals and two roots in their maxillary first molars. Both roots were located in the buccal in the palatal direction, and each root had only one clear root canal. In addition,each maxillary first molar in both patients was symmetrical to that on the opposing side with only two separate root canals. Non-surgical endodontic therapy was performed with the assistance of a DOM. Finally, the teeth were restored using composite resin and the patients were satisfied with the results.CONCLUSION Making full use of CBCT and DOM would contribute to helping dentists make correct diagnoses and successfully treat teeth with rare root canal morphologies.展开更多
目的探讨基于临床案例的进阶式培训模式在提升护理实习生急救技能中的应用效果。方法选取2024年9—12月某三级甲等综合性医院急诊护理实习生86名,分为干预组和对照组。干预组采用基于临床案例的进阶式培训模式,对照组采用传统培训模式...目的探讨基于临床案例的进阶式培训模式在提升护理实习生急救技能中的应用效果。方法选取2024年9—12月某三级甲等综合性医院急诊护理实习生86名,分为干预组和对照组。干预组采用基于临床案例的进阶式培训模式,对照组采用传统培训模式。通过理论考核、培训意愿、培训总体满意度、护士综合能力、专业承诺评价、自我效能感比较两组的效果。结果干预组急救培训总体满意度高于对照组(90.2%vs 84.4%)。干预组临床护理(26.80±4.78 vs 24.87±3.67)、领导能力(30.61±4.67 vs 28.69±3.76)及法律伦理实践(24.83±3.43 vs 23.36±3.41)评分均显著优于对照组(均P<0.05)。结论基于临床案例的进阶式培训模式能有效提升护理实习生的临床急救综合能力,具有临床推广价值。展开更多
Transducers that are widely applied in cement bond evaluation tools, such as cement bond logs and variable density logs, cannot radiate acoustic energy directionally because of the characteristics of monopole sources....Transducers that are widely applied in cement bond evaluation tools, such as cement bond logs and variable density logs, cannot radiate acoustic energy directionally because of the characteristics of monopole sources. A phased arc array transmitter, which is a novel transducer that differs from monopole and dipole transducers, is presented in this study. To simulate the acoustic field generated by a phased arc array in a fluid-filled cased borehole with different channelings, a 3D finite-difference time-domain method is adopted. The acoustic field generated by a traditional monopole source is also simulated and compared with the field generated by the phased arc array transmitter. Numerical simulation results show that the phased arc array radiates energy directionally in a narrow angular range in the borehole, thereby compressing the acoustic energy into a narrow range in the casing pipe, the cement, and the formation. We present the analyses of first-arrival waveforms and the amplitudes of casing waves at different azimuthal angles for the two different sources. The results indicate that employing a directional source facilitates azimuthal identification and analysis of possible channeling behind the casing pipe.展开更多
Emergency physicians are often the first providersto encounter patients with complications in earlypregnancy. Point-of-care （POC） pelvic ultrasound isbeing increasingly used in the evaluation of emergencydepartment ...Emergency physicians are often the first providersto encounter patients with complications in earlypregnancy. Point-of-care （POC） pelvic ultrasound isbeing increasingly used in the evaluation of emergencydepartment （ED） patients with first trimester symptoms.[1]While the initial aim of POC ultrasound in this settingis to confirm an intrauterine pregnancy, a secondarygoal is to differentiate between a normal and abnormalpregnancy. There exist a number of sonographic featuresto suggest a pregnancy is non-viable.展开更多
文摘This study assesses the causes and prevention measures of rabies through epidemiological investigation and analysis. A field epidemiological survey was conducted to investigate a case of rabies by fox bite. The onset of symptoms began 50 days after the bite. The patient did not receive standard treatment, rabies vaccination, or rabies immunoglobulin injection. The fox was killed on the spot. Saliva and pre-death blood samples were collected at different periods, and only blood RT-PCR tests yielded positive results. Wild fox bite is a major risk factor of rabies infection in Xinjiang Province, China.
文摘BACKGROUND The complex anatomy of the maxillary first molars has always been a major challenge for complete root canal treatment in endodontic therapy. Here, we present two cases of maxillary first molars, each with only two root canals, which have been rarely reported. We also perform a literature review of maxillary first molar anatomy.CASE SUMMARY The two patients were referred to the hospital after 1) finding a cavity in their tooth with a color change and, 2) a toothache during mastication, respectively.Both of these cases were diagnosed as apical periodontitis by X-ray imaging and cone beam computed tomography(CBCT). Non-surgical endodontic therapy was performed with the assistance of a dental operating microscope(DOM). CBCT showed rare but accurate images of both patients, each with two root canals and two roots in their maxillary first molars. Both roots were located in the buccal in the palatal direction, and each root had only one clear root canal. In addition,each maxillary first molar in both patients was symmetrical to that on the opposing side with only two separate root canals. Non-surgical endodontic therapy was performed with the assistance of a DOM. Finally, the teeth were restored using composite resin and the patients were satisfied with the results.CONCLUSION Making full use of CBCT and DOM would contribute to helping dentists make correct diagnoses and successfully treat teeth with rare root canal morphologies.
文摘目的探讨基于临床案例的进阶式培训模式在提升护理实习生急救技能中的应用效果。方法选取2024年9—12月某三级甲等综合性医院急诊护理实习生86名,分为干预组和对照组。干预组采用基于临床案例的进阶式培训模式,对照组采用传统培训模式。通过理论考核、培训意愿、培训总体满意度、护士综合能力、专业承诺评价、自我效能感比较两组的效果。结果干预组急救培训总体满意度高于对照组(90.2%vs 84.4%)。干预组临床护理(26.80±4.78 vs 24.87±3.67)、领导能力(30.61±4.67 vs 28.69±3.76)及法律伦理实践(24.83±3.43 vs 23.36±3.41)评分均显著优于对照组(均P<0.05)。结论基于临床案例的进阶式培训模式能有效提升护理实习生的临床急救综合能力,具有临床推广价值。
基金supported by the National Natural ScienceFoundation of China (Grant Nos. 11204380, 11374371, 11134011 and 61102102)National Science and Technology Major Project (Grant No. 2011ZX05020-009)PetroChina Innovation Foundation (2013D-5006-0304)
文摘Transducers that are widely applied in cement bond evaluation tools, such as cement bond logs and variable density logs, cannot radiate acoustic energy directionally because of the characteristics of monopole sources. A phased arc array transmitter, which is a novel transducer that differs from monopole and dipole transducers, is presented in this study. To simulate the acoustic field generated by a phased arc array in a fluid-filled cased borehole with different channelings, a 3D finite-difference time-domain method is adopted. The acoustic field generated by a traditional monopole source is also simulated and compared with the field generated by the phased arc array transmitter. Numerical simulation results show that the phased arc array radiates energy directionally in a narrow angular range in the borehole, thereby compressing the acoustic energy into a narrow range in the casing pipe, the cement, and the formation. We present the analyses of first-arrival waveforms and the amplitudes of casing waves at different azimuthal angles for the two different sources. The results indicate that employing a directional source facilitates azimuthal identification and analysis of possible channeling behind the casing pipe.
文摘Emergency physicians are often the first providersto encounter patients with complications in earlypregnancy. Point-of-care （POC） pelvic ultrasound isbeing increasingly used in the evaluation of emergencydepartment （ED） patients with first trimester symptoms.[1]While the initial aim of POC ultrasound in this settingis to confirm an intrauterine pregnancy, a secondarygoal is to differentiate between a normal and abnormalpregnancy. There exist a number of sonographic featuresto suggest a pregnancy is non-viable.
