ABSTRACT
Objective:To make statistics on the annual frequency of patients with eczema by traditional Chinese medicine (TCM) physique, syndrome differentiation, and western medicine staging based on questionnaire survey, in order to infer the distribution and characteristics of the annual frequency by different TCM physique, syndrome differentiation and western medicine stage, and provide new ideas and new methods for the prevention and treatment of Eczema. Method:According to the Dermatovenerology of Traditional Chinese Medicine edited by QU Xing, and Clinical Diagnosis and Treatment of Chinese Medicine for Dermatovenerology edited by CHEN Da-can, and Traditional Chinese Medicine for Dermology edited by YU Wen-qiu, and Physique Classification and Patient Self-Testing Table formulated by China Association of Chinese Medicine and Professor WANG Qi's nine categories of physique, the TCM Physique Classification and Patient Self-Testing Table for eczema patients and the Syndrome Differentiation and Classification Table for Eczema Patients were formulated. General conditions of 482 cases of eczema patients treated at Tianjin Academy of Traditional TCM Affiliated Hospital and their types of TCM physique, TCM syndrome differentiation, western medicine staging and annual frequency were surveyed. Result:There were significant differences in the annual frequency of patients with different physical constitutions. By single physique, Tanshi, Shire and Qiyu had more frequent occurrences every year, and Pinghe had the lowest annual frequency. There were differences in the annual occurrences among cases with different TCM syndrome types. Shire syndrome patients have more frequent annual occurrences than other types of eczema patients. There were significant differences in the annual occurrences among cases of different western medicine staging, and the annual occurrences of acute eczema were more than those of subacute and chronic eczema. Conclusion:The annual occurrences of patients with Tanshi, Shire and Qiyu physique were higher than those of other physiques. There are fewer outpatients with Pinghe physique than other physiques. The annual occurrences of Shire syndrome patients are higher than that of other types of eczema patients. The annual occurrences of acute eczema are more than those of subacute and chronic eczema. The annual occurrences of chronic eczema are less than acute and subacute eczema.
ABSTRACT
Objective Emergency department overcrowding (EDO) is an increasingly international occurrence which affects the quality and access of health care across the globe.We assessed perceptions of EDO by a detailed and comprehensive surveying of current international research literatures.Methods Through PubMed and BMC electronic literatures search engines from 1974 to 2012,1587 papers of original articles,reviews and comments with key wordsemergency departmentANDcrowding OR overcrowding are selected.Results 52.6％ (835/1587) all selected literatures is original research articles.21.2％ (n =337) of these papers involved the disciplinary construction of emergency medicine,and editorial comment (included viewpoints) holds almost one fifth (302,19.0％).Most common types of study methods in all original researches is single-center cohort study (722/835,86.5％),and none of them was multi-center,randomized control clinical trial.The number of papers on EDO is 8 during 1974 and 1988,and gradually elevated to 325 during 1989 and 2002.Yet the number has climbed up to 1254 dramatically (account for 79％) during 2003 and 2012.Together,USA,Canada and Austria,these three countries generated more than three-quarters of all published literatures (81.0％).So far,the authors in 48 countries and areas gave forth initial contributions in the field of EDO.Conclusions The studies and papers about EDO are steadily increasing in recent years.But the investigation shows the research quality still remain need to improve.This systemic review on EDO studies showed that the standardized measurement of EDO has become the bottleneck of EDO study.It is very important and urgent for ED staff to establish an objective and effective EDO evaluation system.