ABSTRACT
Amniotic fluid embolism(AFE)is a rare complication that threatens the maternal and fetal life.Early identification and initiation of the rapid response team(RRT)and the correct rescue protocol can improve the prognosis.Unnecessary obstetrical interventions should be avoided to reduce the risk of AFE.Medical center should make standardized rescue protocol for AFE and implement standardized treatment.Establishing a RRT to perform early identification and implementation of multidisciplinary treatment is the key to successful rescue.Periodic training and simulations can improve communication skills and comprehensive treatment capabilities in a team emergency.
ABSTRACT
<p><b>OBJECTIVE</b>To study the feasibility and cost-effectiveness of a case-finding program on tuberculosis (TB) in richer rural areas.</p><p><b>METHODS</b>Screening was implemented every three months for a total period of 9 months, in rural areas with high case notification rates. Three villages, each with ten thousand population, were selected to carry out a household screening program. A suspect was defined as who coughed for more than 3 weeks. The suspect was then referred to further diagnosis in county TB dispensary to undergo chest X-ray and sputum test.</p><p><b>RESULTS</b>Of the 86,168 community population screened, 26 TB patients were identified with 7 of them were smear positive. The ratio of effectiveness vs. cost decreased on the second but slightly increased on the third screening program. The direct costs for the 3 screening programs were 6,312,397 and 1637 RMB respectively. Of total direct cost, 5.9% was paid by TB patients, whereas 35.9% was through financing of the county itself.</p><p><b>CONCLUSION</b>The community household screening program could achieve higher case detection rate than passive case-finding approach which could be used in richer areas with low case detection rate in China.</p>