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Objective. A retrospective cohort study was carried out to research the effect of stent combined with laparoscopy combined with enhanced recovery after surgery (ERAS) in the operation of acute intestinal obstruction and to explore and analyze the prognostic factors. Methods. During February 2019 to April 2021, sixty patients with acute intestinal obstruction cured in our hospital were enrolled. Randomly assigned control group patients ( n = 50 ) were divided into the research group and control group patients. The control group accepted stent combined with laparoscopic therapeutic, and the research group accepted stent combined with laparoscopic therapeutic based on ERAS. The general data, operative index, Short Form 36 (SF-36) score, visual analogue scale (VAS) score, procalcitonin (PCT), CRP, prealbumin (PA) index, curative effect, and incidence of complications were investigated. Results. No difference was found in age, gender, or type of disease among the general population ( P > 0.05 ). A lower amount of blood was lost during the operation, less anal exhaustion was experienced by the research group, and a shorter hospital stay and lower hospitalization cost was experienced in the research group compared to the control group ( P < 0.05 ). There exhibited no remarkable difference in SF-36 score and VAS score before operation, but after operation, the VAS score lessened, the SF-36 score augmented, while the VAS score was lower, and the SF-36 score in the research group was higher ( P < 0.05 ). There exited no remarkable difference in the indexes of PCT, CRP, and PA before operation, but after operation, the levels of PCT and CRP lessened as well as the level of PA augmented, and the levels of PCT and CRP were lower, while the level of PA in the research group was higher. In terms of the clinical efficacy, the effective rate of the research group (98.00%) was higher compared to the control (86.00%) ( P < 0.05 ). The main postoperative complications were pulmonary infection and incision infection. One case of incision infection occurred in the research group, and the probability of postoperative complications was 2.00%. In the control group, there were 3 cases of pulmonary infection, 0 cases of perforation, and 4 cases of incision infection, and the probability of postoperative complications was 14.00%. The prevalence in the research group was remarkably lower ( P < 0.05 ). Conclusion. Compared with the traditional concept of surgical therapeutic, it can more effectively reduce stress reaction, relieve postoperative pain, promote the recovery of postoperative gastrointestinal function as soon as possible, and reduce postoperative complications, which is worth to explore the application in the therapeutic of acute abdomen.
Long-term monitoring of satellite microvibrations generates a significant amount of data streams, placing strain on satellites with limited transmission capacity. To relieve this transmission strain, a dynamic compressed sensing (CS) framework is proposed for satellite microvibration measurements. Microvibration streams are measured block by block and then reconstructed by a dynamic recovery algorithm. The recovery solution of one block can be used as a priori knowledge for the next block, allowing for faster updates. However, the existing dynamic recovery algorithms are only applicable to the real domain and cannot be applied to the microvibrations projected on a Fourier basis in the complex domain. In light of this, the dynamic homotopy algorithm is expanded to the complex domain to deal with microvibration signals that are sparse on the Fourier basis. In comparison to the traditional uniform sampling methods, the experimental results show that the dynamic CS with the expanded recovery algorithm can achieve a maximum root-mean-square acceleration (Grms) deviation of 4% in power spectrum density (PSD) with 1/5 sampling points. Compared with recovery algorithms applicable to fixed measurements, the dynamic algorithm can achieve comparable accuracy in about 1/3 of computation time. The experimental results demonstrate the feasibility of satellite microvibrations measurement using dynamic CS.
Aim: This study was conducted to determine the impact of patient-centered care (PCC) on treatment adherence and outcome of patientswith multidrug- or rifampicin-resistant tuberculosis (MDR/RR-TB). Background: Treatment adherence is critical to successful outcomes of MDR/RR-TB. However, very few studies published had addressed how to improve it. Methods: This study retrospectivelyanalyzed treatment outcomes of MDR/RR-TB patient with two different kinds of care: clinical care for group A and PCC for group B. Results: There were 128 patients were assigned in group A and 155 patients in group B. Patients in group B achieved a higher rate of negative 6-month sputum culture conversionthan those in group A (81.6% versus 95.3%, P = 0.0141). The treatment success rates of group A and B were 46.9% versus 68.4% (P = 0.0003), while failure, death, and default rates were4.7%, 9.4%, and 39.1% in group A, versus 1.3% (P = 0.1751), 12.9% (P = 0.3509), and 17.4% (P = 0.0000) in group B, respectively. Conclusions: The PCC promoted MDR/RR-TB patients’ adherence and improved treatment outcomes.
The etiology of unexplained periodic fever is often complex, and hereditary factors play an important role. This article describes a 26-year-old chinese women with intermittent fever for 9 years, with 10-year history of IgA nephropathy. Her fever is relieved during pregnancy, but after a baby is born, fever reappears, accompanied by headache, gasping after activity, chest pain, abdominal pain, blood in the stool, ataxia, intermittent back erythema, skin biopsy suggests amyloidosis, the autoinflammatory PLCG2 associated antibody deficiency and immune dysregulation was diagnosed by genetic testing. The fever was gradually relieved after treatment with rilonacept.
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