Originally from Baku,Azerbaijan,mixologist Tural Hasanov's illustrious career in the hospitality industry has seen him win many awards-including the 2020 Mixologist of the Year at the That's Shanghai Food&...Originally from Baku,Azerbaijan,mixologist Tural Hasanov's illustrious career in the hospitality industry has seen him win many awards-including the 2020 Mixologist of the Year at the That's Shanghai Food&Drink Awards.Currently working as a Director of Beverage for the Portman Ritz-C arlton,Shanghai,Ha sanov has now turned his hand to writing,and just published his first book,Distilled,the first installment of five in his My Encyclopedia of Beverages series.展开更多
An itinerant exhibition of the Jiajing version of the Yongle Encyclopedia,the world's earliest and largest general encyclopedia,was launched on Dec.9 at the Hubei Provincial Library,showcasing three volumes of thi...An itinerant exhibition of the Jiajing version of the Yongle Encyclopedia,the world's earliest and largest general encyclopedia,was launched on Dec.9 at the Hubei Provincial Library,showcasing three volumes of this ancient print.The Yongle Encyclopedia is|a collection of Chinese categorized books commissioned by the Ming Dynasty(1368-1644)Emperor Yongle in 1403 and completed in 1408.展开更多
目的探索小儿法洛四联症根治术后ICU阶段应用临床路径的可行性和有效性。方法随机选择沈阳军区总医院心脏外科2006年1-12月间实施法洛四联症根治术(tetralogy of fallot,TOF)的小儿33例为对照组,对2007年5-12月间实施法洛四联症根治术...目的探索小儿法洛四联症根治术后ICU阶段应用临床路径的可行性和有效性。方法随机选择沈阳军区总医院心脏外科2006年1-12月间实施法洛四联症根治术(tetralogy of fallot,TOF)的小儿33例为对照组,对2007年5-12月间实施法洛四联症根治术的34例小儿实施临床路径(clinical pathway,CP),有3例因术后发生变异而中途退出,其余31例小儿作为试验组,实施ICU阶段的临床路径。两组均符合临床路径的准入、退出标准。比较两组术后相关指标的差异性。结果试验组术后住院天数、住院费用、侵入性管路拔除时间、术后首次排便时间、机械通气时间、血气分析数据等方面均低于对照组(P<0.05),ICU停留时间、术后并发症等两组间差异无统计学意义(P>0.05)。结论小儿法洛四联症根治术后ICU阶段应用临床路径对降低术后住院天数、增加床位周转率、减少住院费用、提高医院经济效益和社会效益、贯彻"以人为本"的整体护理理念、规范诊疗行为、促进康复有着明显的效果,符合我国"低成本、广覆盖"的卫生改革政策。因此,CP在小儿TOF根治术后ICU阶段的应用是可行、有效的。展开更多
目的:观察三种不同入路的腹横肌平面阻滞(TAP)应用于小儿下腹部手术术后镇痛的效果。方法:选择90例下腹部手术的患儿,年龄1~6岁,按照随机数字表法将其分为L、C、H三组,每组30例。L组行全身麻醉+肋缘下TAP,C组行全身麻醉+侧路TAP,H组行...目的:观察三种不同入路的腹横肌平面阻滞(TAP)应用于小儿下腹部手术术后镇痛的效果。方法:选择90例下腹部手术的患儿,年龄1~6岁,按照随机数字表法将其分为L、C、H三组,每组30例。L组行全身麻醉+肋缘下TAP,C组行全身麻醉+侧路TAP,H组行全身麻醉+后路TAP。观察并记录术后2、6、12、24 h的CHEOPS疼痛评分、Ramesay评分,以及与术后镇痛相关的不良反应。结果:与术后2 h比较,L组的术后12、24 h及C、H组的术后24 h CHEOPS评分均升高(P<0.05)、Ramesay评分下降(P<0.05);与L组术后12 h比较,C、H组术后12 h CHEOPS评分升高(P<0.05)、Ramesay评分下降(P<0.05)。与H组比较,L组、C组的下肢运动异常的发生率更低(P<0.05)。结论:三种腹横肌平面阻滞均可以有效地缓解小儿下腹部手术术后12 h内的疼痛,肋缘下入路TAP镇痛时间稍短,后路入路TAP有一定的下肢肌力下降。展开更多
文摘Originally from Baku,Azerbaijan,mixologist Tural Hasanov's illustrious career in the hospitality industry has seen him win many awards-including the 2020 Mixologist of the Year at the That's Shanghai Food&Drink Awards.Currently working as a Director of Beverage for the Portman Ritz-C arlton,Shanghai,Ha sanov has now turned his hand to writing,and just published his first book,Distilled,the first installment of five in his My Encyclopedia of Beverages series.
文摘An itinerant exhibition of the Jiajing version of the Yongle Encyclopedia,the world's earliest and largest general encyclopedia,was launched on Dec.9 at the Hubei Provincial Library,showcasing three volumes of this ancient print.The Yongle Encyclopedia is|a collection of Chinese categorized books commissioned by the Ming Dynasty(1368-1644)Emperor Yongle in 1403 and completed in 1408.
文摘目的探索小儿法洛四联症根治术后ICU阶段应用临床路径的可行性和有效性。方法随机选择沈阳军区总医院心脏外科2006年1-12月间实施法洛四联症根治术(tetralogy of fallot,TOF)的小儿33例为对照组,对2007年5-12月间实施法洛四联症根治术的34例小儿实施临床路径(clinical pathway,CP),有3例因术后发生变异而中途退出,其余31例小儿作为试验组,实施ICU阶段的临床路径。两组均符合临床路径的准入、退出标准。比较两组术后相关指标的差异性。结果试验组术后住院天数、住院费用、侵入性管路拔除时间、术后首次排便时间、机械通气时间、血气分析数据等方面均低于对照组(P<0.05),ICU停留时间、术后并发症等两组间差异无统计学意义(P>0.05)。结论小儿法洛四联症根治术后ICU阶段应用临床路径对降低术后住院天数、增加床位周转率、减少住院费用、提高医院经济效益和社会效益、贯彻"以人为本"的整体护理理念、规范诊疗行为、促进康复有着明显的效果,符合我国"低成本、广覆盖"的卫生改革政策。因此,CP在小儿TOF根治术后ICU阶段的应用是可行、有效的。
文摘目的:观察三种不同入路的腹横肌平面阻滞(TAP)应用于小儿下腹部手术术后镇痛的效果。方法:选择90例下腹部手术的患儿,年龄1~6岁,按照随机数字表法将其分为L、C、H三组,每组30例。L组行全身麻醉+肋缘下TAP,C组行全身麻醉+侧路TAP,H组行全身麻醉+后路TAP。观察并记录术后2、6、12、24 h的CHEOPS疼痛评分、Ramesay评分,以及与术后镇痛相关的不良反应。结果:与术后2 h比较,L组的术后12、24 h及C、H组的术后24 h CHEOPS评分均升高(P<0.05)、Ramesay评分下降(P<0.05);与L组术后12 h比较,C、H组术后12 h CHEOPS评分升高(P<0.05)、Ramesay评分下降(P<0.05)。与H组比较,L组、C组的下肢运动异常的发生率更低(P<0.05)。结论:三种腹横肌平面阻滞均可以有效地缓解小儿下腹部手术术后12 h内的疼痛,肋缘下入路TAP镇痛时间稍短,后路入路TAP有一定的下肢肌力下降。
