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Objective To explore the role and effectiveness of flexible fiberoptic brochoscopy ( FFB) in critically ill children with continuous invasive respiratory support. Methods From July 2014 to June 2017,135 critically ill children with severe pneumonia had received continuous invasive respiratory sup-port and undergone FFB in the pediatric intensive care unit( PICU) of our hospital. These patients were en-rolled into the therapy group. Another 104 severe pneumonia patients who had not received FFB were enrolled into the control group. Clinical characteristics of both groups were collected and compared. Results No sig-nificant differences were detected in patients′gender, age, PCIS, usage of antibiotics, and the levels of CRP and PCT assayed at the time of admission to PICU between the therapy group and control group(P>0. 05). The positive rate of bacteria culture of the bronchoscopic lavage was 78. 52％( 106 cases ) in the therapy group,and it was significantly higher than that in the control group(60. 58％,63 cases) (χ2 =5. 681,P <0. 005). For 106 cases in the therapy group,117 bacteria strains were identified,while there were 72 bacteria strains found in 63 cases with positive bacteria culture in the control group. Gram negative bacteria were the most common type,followed by Gram positive bacteria. The third most common pathogenic microbes were fungi,with a significantly higher frequency in the therapy group. No significant differences were found in PaO2 and oxygenation index between both groups before FFB. However,in a half hour after FFB,the PaO2 and oxygenation index significantly increased in the therapy group,and higher than those in the control group (P<0. 005). The levels of CRP and PCT assayed before and the first day after FFB were not significantly changed(P>0. 05). But the levels of CRP and PCT in the therapy group significantly decreased in the third day after FFB,and more than those in the control group. Furthermore,duration of invasive respiratory sup-port,and the stay of PICU were significantly shorter in the therapy group(P<0. 005). Conclusion FFB can play an important role in the collection of pathogenic microbes. It also achieves better results in the treatment of severe pneumonia for children in PICU. Therefore,it is worthwhile to be recommended as a safe and feasi-ble intervention in PICU.
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Objective To summarize the surgery nursing cooperation points of liver procurement of brain death contributions (DBD) donor in the uninterrupted blood flow way . Methods Complete the following preoperativepreparation such as personnel,brain death donation donor,environment ,surgical content,multiple organ repair system and other related equipments;intraoperative preparation includes surgical instruments and related equipments ,assisting intubation of arteria lienalis ,portal vein and the choledochus and the organ procurement . Result About 3 cases of donor liver procurement were successfully implemented in the interrupt blood flow way, operation time was 3~4 h,bleeding was 200~400 mL,an average of 300 mL. Conclusions Uninterrupted flow liver transplantation can protect liver function to the greatest extent , thus greatly avoids the common complication of organ transplantation.The tacit understanding surgery cooperation improves the rate of surgery successfully.
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Objective:Uninterrupted power supply (UPS) has been widely used in hospital. Hospital medical equipment, information and monitoring equipment run mostly 24 hours without interrupt. To explore hospital monitoring and management of uninterruptible power supply (UPS), rescue patients well, protect all kinds of data and ensure the safety of the medical personnel and hospital property.Methods:This article mainly analyzed some problems including the definition, basic principle, classification, function, risks and management, in order to find out the solutions. Results: Through the analysis the problems, a set of feasible measures for the monitoring and management were made up to eliminate hidden danger in use and ensure medical security. Conclusion: UPS is sustainable and safe as a new power supply. Satisfactory monitoring and management can reduce failure rate, extend lifetime of the equipment and provide security for hospital economy and medical safety.
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Uno de los componentes más importantes de la violencia social son los delitos sexuales. La Sección de Clínica Médico Forense del Departamento de Medicina Legal se encarga de valorar una destacada proporción de los mismos las 24 horas del día, 365 días al año mediante el servicio médico forense ininterrumpido. A continuación se presentan los resultados de una revisión de la base de datos de dicha Sección del 01 de abril al 30 de junio de 2009 de la cual se obtiene el perfil de las víctimas.
One of the most important issue in social violence is sexual crimes. "the Section of Clínica Médico Forense" of "Departamento de Medinica Legal" in Costa Rica is responsible for the atention of one important proportion of these 24 hours during 365 days a year by the continuous medical forensic service. Here are the results of a review from database of this section from the April 01 to June 30 of 2009 which gives the profile of the victims.
Subject(s)
Humans , Child , Adolescent , Adult , Rape , Sex Offenses/trends , Child Abuse, Sexual , Forensic Medicine , Costa RicaABSTRACT
Objective To introduce a kind of UPS for portable type-B ultrasonic in vehicular-charging at the situation of flowing in battle field. Methods Long time power supply for type-B ultrasonic and other related medical devices was realized through AC/DC alteration switch. Conclusion It functioned well in field test. Conclusion Being light and convenient with AC/DC, it is worth popularizing.