routine

摘要： BACKGROUND The Impella pump has emerged as a promising tool in patients with cardiogenic shock(CS).Despite its attractive properties,there are scarce data on the specific clinical setting and the potential role of Impella devices in CS patients from routine clinical practice.METHODS This is an observational,retrospective,single center,cohort study.All consecutive patients with diagnosis of CS and undergoing support with Impella 2.5?,Impella CP?or Impella 5.0?from April 2015 to December 2020 were included.Baseline characteristics,management and outcomes were assessed according to CS severity,age and cause of CS.Main outcome measured was in-hospital mortality.RESULTS A total of 50 patients were included(median age:59.3±10 years).The most common cause of CS was acute coronary syndrome(ACS)(68%),followed by decompensation of previous cardiomyopathy(22%).A total of 13 patients(26%)had profound CS.Most patients(54%)improved pulmonary congestion at 48 h after Impella support.A total of 19 patients(38%)presented significant bleeding.In-hospital mortality was 42%.Among patients with profound CS(n=13),five patients were previously supported with venoarterial extracorporeal membrane oxygenation.A total of eight patients(61.5%)died during the admission,and no patient achieved ventricular recovery.Older patients(≥67 years,n=10)had more comorbidities and the highest mortality(70%).Among patients with ACS(n=34),35.3%of patients had profound CS;and in most cases(52.9%),Impella support was performed as a bridge to recovery.In contrast,only one patient from the decompensated cardiomyopathy group(n=11)presented with profound CS.In 90.9%of these cases,Impella support was used as a bridge to cardiac transplantation.There were no cases of death.CONCLUSIONS In this cohort of real-life CS patients,Impella devices were used in different settings,with different clinical profiles and management.Despite a significant rate of complications,mortality was acceptable and lower than those observed in other series.

摘要： Given the increase in life expectancy indeveloped countries,nonagenarian population will become clinically and numerically relevant in our daily routine practice in the near future.Age has been observed to exert a profound influence on the prevalence of severe mitral regurgitation (MR) in the population.[1]Mitral valve surgery remains the gold standard of care for patients with symptomatic severe MR.

摘要： 1.Introduction Global Healtii Journal focuses on global health-related topics,including global health practice,global health education,and so on.In this special issue,we focus on following themes:(1)an advanced therapy;(2)management strategy of infertility in polycystic ovary syndrome(PCOS);(3)optimizing menopausal hormone therapy(MHT);and(4)an interpretation of expert consensus.All those works are the intense and painstaking efforts made by the researchers across the world,which cover some important topics on gynecological and reproductive endocrinology and improve the clinical routine as well further researches.

摘要： Neurosyphilis can mimic many neurological and psychiatric disorders.Though several of its varied central nervous system manifestations can be measured clinically and by neuroimaging,they are non-specific.Thus,this mimicry and the relative rarity of the illness in the present era make the diagnosis elusive.However,neurosyphilis is readily treatable;therefore,it must be considered a diagnostic possibility in the routine workup of early-onset dementia.This case report is of a young man presenting with psychosis and cognitive impairment.His brain scan showed hippocampal atrophy,a finding not often seen in neurosyphilis but more common in Alzheimer’s disease.Without awareness of the various causes of mesiotemporal atrophy,clinicians may erroneously diagnose cases such as this one as a neurodegenerative disorder.

摘要： The national standardization technical committee on electrostatics,SAC/TC 597,was set up by Standardization Administration of China(SAC)recently.The Ministry of Industry and Information Technology(MIIT)is in charge of its routine management and operational guidance,and China Electronics Standardization Institute(CESl)undertakes the secretariat.

摘要： Background: Hepatic tumors with complex vascular supply or poor relative perfusion are prone to decreased rates of objective response. This is compounded in the setting of Yttrium-90(Y90) transarterial radioembolization(TARE), which is minimally embolic and flow-dependent, relying on high threshold dose for complete response.Objective: We describe our experience with intrahepatic flow diversion(FD) prior to TARE of hepatocellular carcinoma(HCC) with challenging vascular supply.Materials and methods: Between April 2014 and January 2020, 886 cases of coinciding MAA or TARE and bland embolization or temporary occlusion were identified.Intraprocedural embolizations performed for more routine purposes were excluded. FD was performed by bland embolization or temporary occlusion of vessels supplying non-malignant parenchyma in cases where flow was not preferential to target tumor. Lesion characteristics, vascular supply, treatment approach, angiography, and adverse events(AEs) were reviewed. Radiographic response was assessed using mRECIST criteria.Results: 22 cases of FD of focal HCC were identified. Embolics included calibrated microspheres(n = 11), microcoils(n = 4), gelfoam(n = 3), temporary balloon occlusion(n = 2) and temporary deployment of a microvascular plug(n = 1). Post-treatment SPECT-CT dosimetry coverage was concordant with target lesions in all cases. Mean follow-up was 16.7 months(1.4–45 mos). Tumor-specific response per m RECIST was 41% complete response, 50% objective response, and 59% disease control rate. No major adverse events or grade 3/4 hepatotoxicity were reported.Conclusion: Our findings suggest that FD prior to TARE is safe and potentially effective in treating HCC with complex vascular supply or poor tumor perfusion.

摘要： Objective:To evaluate the efficacy of Tian dan shu gan rehabilitation exercise in improving the short-term survival quality of patients after percutaneous coronary intervention(PCI)and explore whether patients’symptoms,physical function,cognitive function,and psychosocial function are improved after this exercise.Methods:Patients with acute myocardial infarction who underwent PCI in Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine from August to November 2020 were selected.A total of 110 patients were selected by the convenience sampling method.Patients in the control group were given routine nursing measures after PCI for coronary heart disease,and patients in the experimental group received Tian dan shu gan rehabilitation exercise in addition to routine nursing.Results:After 3 wk,the quality of life in the experimental group was improved compared with that in the control group,and the differences in symptom scores,physical functions,cognitive functions,and psychosocial functions were statistically significant(P<0.01).After 3 wk of Tian dan shu gan rehabilitation exercise,patients with body mass index(BMI)between 27 and 29.9 had the highest score of body function,which was statistically significantly better compared with that of other groups(P<0.001).Patients who had remained bachelors for a long period of time had the highest score of symptoms,which was statistically significant compared with the other groups(P<0.001).The nursing satisfaction of the experimental group was 96.3%.Conclusions:Tian dan shu gan rehabilitation exercise was effective in improving the short-term quality of life of patients with acute myocardial infarction after PCI,and the nursing satisfaction rate was high,use of which should be further extended to more clinical patients.

摘要： High school students who want to help save the environment may feel powerless in the face of global warming.But what if we were to tell you that there are easy ways you can go green in your daily routine?Here are six tips for saving the planet.One small step at a time.Read e-textbooks Rather than paying for expensive printed textbooks.

摘要： Sports have always been a popular way to stay in shape.In more recent decades,the increased popularity of aerobic exercise routines has resulted in millions of gyms equipped with devices such as rowing machines,elliptical trainers,stationary bicycles,treadmills,and“StairMasters”being built all over the world,and even more millions of aerobic workout DVDs being sold to people who believe that,in order to be healthy,they need to move around a lot.

摘要： 你的日常活动是什么样的呢?试着记录并改善它们吧!Daily routines can help us live a healthier,more productive life,with a little bit of motivation and discipline.From taking some time to exercise and eat right to setting aside other times to study and set goals,you’ll find yourself living a balanced,fulfilling lifestyle.Here are some examples of productive daily routines.