Objective: To study the clinical progress, risk factors, management, and outcomes of suspected ectopic pregnancy (EP). Design: Retrospective clinical case study. Population: All 184 patients hospitalized for suspected...Objective: To study the clinical progress, risk factors, management, and outcomes of suspected ectopic pregnancy (EP). Design: Retrospective clinical case study. Population: All 184 patients hospitalized for suspected EP during the period 1.1.2008-31.12.2011. Setting: Oulu University Hospital, Finland. Methods: The clinical progress, risk factors, management, complications and outcomes were based on studies of hospital records. Main outcome measures: Symptoms, serum quantitative human chorionic gonadotropin (hCG) levels, management, complications and outcome of patients. Results: At least one of the risk factors was found in 117 women (66%). There were 11 patients without symptoms. In the initial visit, the median hCG concentration was 1915 (20 - 73,000) IU/l. The most common treatment was surgical, 137/181 (76%), followed with medical treatment, 22/181 (12%) and expectant management, 22/181 (12%). Conclusions: Surgery was the most widely used treatment for EP. We might thus draw attention to more conservative management.展开更多
Objective: to analyze the treatment effect of closed anal sphincter partial tomy on anal fissure.Methods: in this study, 40 confirmed anal fissure patients admitted from October 2018 to October 2019 were selected as t...Objective: to analyze the treatment effect of closed anal sphincter partial tomy on anal fissure.Methods: in this study, 40 confirmed anal fissure patients admitted from October 2018 to October 2019 were selected as the study members, which were divided into two groups and 20 cases each.To contrast the surgical effect, recurrence and infection, clinical effect and treatment recognition, open internal anal sphincter partial tomy and closed intraanal sphincter tomy were performed, with the control group and the latter in the study group.Results: the surgical effect, recurrence, clinical effect, and treatment approval outperformed the control group (P <0.05).Conclusion: the use of closed anal sphincter partial treatment, improve the treatment effect of anal fissure, most patients have significant improvement, relieve the clinical symptoms, reduce the pain, reduce the chance of infection and recurrence, at the same time, after treatment, the patients feel very recognized.展开更多
The ratio of total organic carbon to total nitrogen (TOC:TN) and the stable carbon isotope ratio of organic matter (δ13Corg) are widely applied for inferring the origin of organic matter (OM) in Quaternary marine sed...The ratio of total organic carbon to total nitrogen (TOC:TN) and the stable carbon isotope ratio of organic matter (δ13Corg) are widely applied for inferring the origin of organic matter (OM) in Quaternary marine sediments. A plot of TOC:TN vs. δ13Corg is useful for such studies but is strongly based on qualitative constraints. This study is based on the qualitative characterization of the source of Quaternary OM via analysis of TOC:TN and δ13Corg signatures, but also proposes a probability parameter, which combines both signatures, to infer the amount of Terrestrial OM Input (TOMI). This index provides a method for quantifying the proportion of terrestrial OM vs. marine OMin a more comprehensive manner. The TOMI index concept was applied to a study area in theJoetsuBasin, eastern margin of theJapanSea, where previous studies have characterized theOMfrom the Last Glacial Maximum (LGM) to the present. The upwards increase in TOC indicates thatOMproduction during the Holocene was higher than during the LGM. The enriched δ13Corg signature upwards and decrease in TOC:TN suggest predominantly marine phytoplankton OM during the Holocene. Throughout the LGM, low OM production with depleted δ13Corg values and high TOC:TN values in the sediments suggest a predominantly C3 terrestrial plant source for the OM. Using these data, it was possible to calculate a proxy for a sea level variation curve during that period and to investigate the influence of the proximity of the coastal line to the continental slope on the input of terrestrial material to the basin. The proposal provides information for the application of sequence stratigraphic concepts. The TOMI index could confirm that the proximity to the shoreline and shelf break has a strong influence on the input of terrestrial material during lowstand periods.展开更多
文摘Objective: To study the clinical progress, risk factors, management, and outcomes of suspected ectopic pregnancy (EP). Design: Retrospective clinical case study. Population: All 184 patients hospitalized for suspected EP during the period 1.1.2008-31.12.2011. Setting: Oulu University Hospital, Finland. Methods: The clinical progress, risk factors, management, complications and outcomes were based on studies of hospital records. Main outcome measures: Symptoms, serum quantitative human chorionic gonadotropin (hCG) levels, management, complications and outcome of patients. Results: At least one of the risk factors was found in 117 women (66%). There were 11 patients without symptoms. In the initial visit, the median hCG concentration was 1915 (20 - 73,000) IU/l. The most common treatment was surgical, 137/181 (76%), followed with medical treatment, 22/181 (12%) and expectant management, 22/181 (12%). Conclusions: Surgery was the most widely used treatment for EP. We might thus draw attention to more conservative management.
文摘Objective: to analyze the treatment effect of closed anal sphincter partial tomy on anal fissure.Methods: in this study, 40 confirmed anal fissure patients admitted from October 2018 to October 2019 were selected as the study members, which were divided into two groups and 20 cases each.To contrast the surgical effect, recurrence and infection, clinical effect and treatment recognition, open internal anal sphincter partial tomy and closed intraanal sphincter tomy were performed, with the control group and the latter in the study group.Results: the surgical effect, recurrence, clinical effect, and treatment approval outperformed the control group (P <0.05).Conclusion: the use of closed anal sphincter partial treatment, improve the treatment effect of anal fissure, most patients have significant improvement, relieve the clinical symptoms, reduce the pain, reduce the chance of infection and recurrence, at the same time, after treatment, the patients feel very recognized.
文摘The ratio of total organic carbon to total nitrogen (TOC:TN) and the stable carbon isotope ratio of organic matter (δ13Corg) are widely applied for inferring the origin of organic matter (OM) in Quaternary marine sediments. A plot of TOC:TN vs. δ13Corg is useful for such studies but is strongly based on qualitative constraints. This study is based on the qualitative characterization of the source of Quaternary OM via analysis of TOC:TN and δ13Corg signatures, but also proposes a probability parameter, which combines both signatures, to infer the amount of Terrestrial OM Input (TOMI). This index provides a method for quantifying the proportion of terrestrial OM vs. marine OMin a more comprehensive manner. The TOMI index concept was applied to a study area in theJoetsuBasin, eastern margin of theJapanSea, where previous studies have characterized theOMfrom the Last Glacial Maximum (LGM) to the present. The upwards increase in TOC indicates thatOMproduction during the Holocene was higher than during the LGM. The enriched δ13Corg signature upwards and decrease in TOC:TN suggest predominantly marine phytoplankton OM during the Holocene. Throughout the LGM, low OM production with depleted δ13Corg values and high TOC:TN values in the sediments suggest a predominantly C3 terrestrial plant source for the OM. Using these data, it was possible to calculate a proxy for a sea level variation curve during that period and to investigate the influence of the proximity of the coastal line to the continental slope on the input of terrestrial material to the basin. The proposal provides information for the application of sequence stratigraphic concepts. The TOMI index could confirm that the proximity to the shoreline and shelf break has a strong influence on the input of terrestrial material during lowstand periods.
