The patients' awareness of the presence of cataract disease and potential treatment were unbalanced. The main treatment barriers were lower demand for vision improvement and financial problems. It is imperative to educate patients on eye health care and to provide low cost, but high quality, cataract surgery to these patients.
Aim: This study aimed to compare the clinical effects of lobectomy and sublobar resection in the treatment of lung metastasis and to analyse the factors affecting patient prognosis. Methods: A retrospective analysis was performed on the clinical data of patients with pulmonary metastasis who underwent thoracic surgery at the Affiliated Cancer Hospital of Xinjiang Medical University between March 2010 and May 2021. Results: A total of 165 patients who underwent pulmonary metastasectomy (PM) for lung metastasis met the inclusion criteria. Compared with the lobectomy group, the sublobar resection group had shorter operation time for pulmonary metastases (P < 0.001), lower intraoperative blood loss (P < 0.001), lower drainage volume on the first day after surgery (P < 0.001), lower incidence of prolonged air leak (P = 0.004), shorter drainage tube indwelling time (P = 0.002), and shorter postoperative hospital stay (P = 0.023). Multivariate analysis showed that sex (95% confidence interval (CI), 0.390-0.974; P = 0.038), disease-free interval (DFI) (95% CI, 1.082-2.842; P = 0.023), and postoperative adjuvant therapy (95% CI, 1.352-5.147; P = 0.004) were independent influencing factors of disease-free survival of patients who underwent PM. DFI (95% CI, 1.062-3.894; P = 0.032) and preoperative carcinoembryonic antigen (CEA) level (95% CI, 1.420-5.163; P = 0.002) were independent factors influencing the overall survival of patients in this group. Conclusion: Sublobar resection provides a safe and effective treatment option for patients with pulmonary metastasis on the premise of ensuring resection of lung metastasis R 0 . Female sex, longer DFI, the use of postoperative adjuvant therapy and a lower preoperative CEA level were all favourable prognostic factors. † STS and ESTS defined prolonged air leak as air leakage time >5 days. DFS, disease-free survival; OS, overall survival.
With the continuous growth of China’s elderly population, the demand for elderly care services has increased dramatically. Due to the influence of Chinese people’s cultural concept of elderly care, most of the elderly are more inclined to home-based care, enjoy the happiness of children and grandchildren, and enjoy family happiness. At present, there are some problems in home-based health care services, such as lack of professional talents and single service mode. This entrepreneurial project which is proposed by Wish Magic has grasped the pain points of China’s elderly care problems, and brought about some problems. Efforts should be made to build a sharing platform for elderly care services, attract professionals to provide professional services for the elderly, and hold diversified activities to meet the material and spiritual needs of the elderly. The planned market strategy of the project is divided into three steps. Firstly, the project will be carried out in the first and second tier cities, and then expanded to the third tier cities. Later, the market will be expanded to the fourth tier cities. At the same time, the project will cooperate with government departments to strive for government funding and policy support, and provide accurate services in combination with online and offline ways, so as to meet the diversified pension needs of the elderly.
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