Objective: To compare maternal and fetal outcome associated with two methods Reverse breech extraction versus Head pushing to deliver the impacted fetal head in advanced labor requiring emergency Cesarean section. Met...Objective: To compare maternal and fetal outcome associated with two methods Reverse breech extraction versus Head pushing to deliver the impacted fetal head in advanced labor requiring emergency Cesarean section. Method: A prospective comparative study was conducted on 80 pregnant women at term with cephalic presentation in advanced labour, requiring emergency Cesarean Section. Reverse breech extraction technique (pull method) was used in 40 cases (group I) and pushing the head up through the vagina (“push” method) was tried in (group II) 40 cases. The maternal outcome was assessed by extension of the uterine Incision, bladder injury, intra and postoperative blood transfusion, Postpartum hemorrhage, wound infection and duration of hospital stay. Fetal outcome was Apgar score and admission to neonatal intensive care unit. Results: Extension of the uterine incision was significantly lower in women undergoing reverse breech extraction compared to cephalic delivery (20% versus 50%;p = 0.001). The mean operative time (pull group) was lower than that in the (push group) 59.7 ± 4.2, versus 75.2 ± 6.1 p = 0.001 and blood loss was significantly lower in the (pull group) than that in the (push group) 878 ± 67 ml, versus 1321 ± 57 ml, p = 0.001. No significant difference between groups regarding maternal and neonatal outcome. Conclusion: Reverse breech extraction (pull) is safer than pushing head up through vagina (push) for delivery of a deeply impacted fetal head in advanced labour sensitizing emergency Cesarean Section and is associated with the least maternal complications.展开更多
The sarcoma structure of goldfish was first analyzed by frozen section technique. The present study revealed the alkaline and acid phosphatase distribution in the head sarcoma of goldfish. And the histochemical staini...The sarcoma structure of goldfish was first analyzed by frozen section technique. The present study revealed the alkaline and acid phosphatase distribution in the head sarcoma of goldfish. And the histochemical staining in situ by calcium-cobalt method and lead nitrate method displayed a large amount of alkaline and acid phosphatases in the head sarcoma, with higher enzyme activity. The alkaline and acid phosphatases belong to hydrolases, which are widely present in various tissues. The results showed that the activity of external sarcoma is similar to the middle one, while there was more alkaline phosphatase near to the tissue sarcoma under the goldfish scales. And they have the strong activity. The study will lay the theoretical basis on enhancing the ornamental value of goldfish.展开更多
目的探讨自我表露和反刍思维在头颈癌术后患者自我形象与病耻感的中介效应,为制订针对性干预措施提供参考依据。方法按疾病类型采用配额抽样法,选取2022年8月—2023年4月在山东省某三级甲等综合医院住院的390例头颈癌术后患者作为研究对...目的探讨自我表露和反刍思维在头颈癌术后患者自我形象与病耻感的中介效应,为制订针对性干预措施提供参考依据。方法按疾病类型采用配额抽样法,选取2022年8月—2023年4月在山东省某三级甲等综合医院住院的390例头颈癌术后患者作为研究对象,使用一般资料调查问卷、头颈部恶性肿瘤患者羞耻与耻辱量表(shame and stigma scale in head and neck cancer,SSS-HNC)、痛苦表露指数量表(distress disclosure index,DDI)、反刍思维量表(ruminative responses scale,RRS)、自我形象量表(body image scale,BIS)进行调查。使用AMOS 24.0软件构建自我表露和反刍思维在自我形象和病耻感的中介效应结构方程模型,并采用Bootstrap法检验中介效应。结果360例患者完成研究。头颈癌患者病耻感、自我表露、反刍思维与自我形象得分分别为(37.9±11.0)分、(28.9±7.3)分、(56.5±12.4)分和(13.9±5.6)分;病耻感与自我表露呈负相关(r=-0.386,P<0.001),与自我形象、反刍思维呈正相关(r=0.455、0.565,均P<0.001);自我表露、反刍思维在头颈癌术后患者病耻感和自我形象间存在并行中介效应,中介效应占总效应的38.82%。结论头颈癌术后患者自我形象不仅直接影响病耻感,而且通过自我表露和反刍思维间接影响病耻感。临床医护人员可通过提高患者自我形象水平和自我表露能力,降低其反刍思维水平,从而减轻病耻感。展开更多
文摘Objective: To compare maternal and fetal outcome associated with two methods Reverse breech extraction versus Head pushing to deliver the impacted fetal head in advanced labor requiring emergency Cesarean section. Method: A prospective comparative study was conducted on 80 pregnant women at term with cephalic presentation in advanced labour, requiring emergency Cesarean Section. Reverse breech extraction technique (pull method) was used in 40 cases (group I) and pushing the head up through the vagina (“push” method) was tried in (group II) 40 cases. The maternal outcome was assessed by extension of the uterine Incision, bladder injury, intra and postoperative blood transfusion, Postpartum hemorrhage, wound infection and duration of hospital stay. Fetal outcome was Apgar score and admission to neonatal intensive care unit. Results: Extension of the uterine incision was significantly lower in women undergoing reverse breech extraction compared to cephalic delivery (20% versus 50%;p = 0.001). The mean operative time (pull group) was lower than that in the (push group) 59.7 ± 4.2, versus 75.2 ± 6.1 p = 0.001 and blood loss was significantly lower in the (pull group) than that in the (push group) 878 ± 67 ml, versus 1321 ± 57 ml, p = 0.001. No significant difference between groups regarding maternal and neonatal outcome. Conclusion: Reverse breech extraction (pull) is safer than pushing head up through vagina (push) for delivery of a deeply impacted fetal head in advanced labour sensitizing emergency Cesarean Section and is associated with the least maternal complications.
文摘The sarcoma structure of goldfish was first analyzed by frozen section technique. The present study revealed the alkaline and acid phosphatase distribution in the head sarcoma of goldfish. And the histochemical staining in situ by calcium-cobalt method and lead nitrate method displayed a large amount of alkaline and acid phosphatases in the head sarcoma, with higher enzyme activity. The alkaline and acid phosphatases belong to hydrolases, which are widely present in various tissues. The results showed that the activity of external sarcoma is similar to the middle one, while there was more alkaline phosphatase near to the tissue sarcoma under the goldfish scales. And they have the strong activity. The study will lay the theoretical basis on enhancing the ornamental value of goldfish.
文摘目的探讨自我表露和反刍思维在头颈癌术后患者自我形象与病耻感的中介效应,为制订针对性干预措施提供参考依据。方法按疾病类型采用配额抽样法,选取2022年8月—2023年4月在山东省某三级甲等综合医院住院的390例头颈癌术后患者作为研究对象,使用一般资料调查问卷、头颈部恶性肿瘤患者羞耻与耻辱量表(shame and stigma scale in head and neck cancer,SSS-HNC)、痛苦表露指数量表(distress disclosure index,DDI)、反刍思维量表(ruminative responses scale,RRS)、自我形象量表(body image scale,BIS)进行调查。使用AMOS 24.0软件构建自我表露和反刍思维在自我形象和病耻感的中介效应结构方程模型,并采用Bootstrap法检验中介效应。结果360例患者完成研究。头颈癌患者病耻感、自我表露、反刍思维与自我形象得分分别为(37.9±11.0)分、(28.9±7.3)分、(56.5±12.4)分和(13.9±5.6)分;病耻感与自我表露呈负相关(r=-0.386,P<0.001),与自我形象、反刍思维呈正相关(r=0.455、0.565,均P<0.001);自我表露、反刍思维在头颈癌术后患者病耻感和自我形象间存在并行中介效应,中介效应占总效应的38.82%。结论头颈癌术后患者自我形象不仅直接影响病耻感,而且通过自我表露和反刍思维间接影响病耻感。临床医护人员可通过提高患者自我形象水平和自我表露能力,降低其反刍思维水平,从而减轻病耻感。
