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Objective:To observe the demographic data, disease composition and convenience of remote consultation in ophthalmology.Methods:A retrospective study. From 2015 to 2021, the demographic data, changing trends, disease classification of teleconsultation patients, and hospitals participating in teleconsultation, and the waiting time of patients for teleconsultation was analyzed retrospectively; remote consultation physician level composition and other data was analyzed.Results:During the 7-year period, 1 216 patients with remote consultation were obtained through the platform of the telemedicine center. Among them, there were 680 males and 536 females; the average age was 50.8 years. In 2016 and 2017, the number of patients participating in telemedicine consultations reached a peak of 260 and 221 cases, respectively. Among the ophthalmic diseases, there were 490 cases (40.30%, 490/1 216) of retinal and optic nerve-related diseases, 212 cases (17.43%, 212/1 216) of ocular trauma. 678 cases (56.27%, 678/1 205) of remote consultation waiting time were less than 24 hours, 991 cases (82.24%, 991/1 205) were less than 48 hours. Among the physicians who participated in the remote consultation, there were 733 chief physicians (60.3%, 733/1 216) and 466 deputy chief physicians (38.3%, 466/1 216).Conclusions:During the seven-year period from 2015 to 2021, there are relatively few patients with ophthalmology teleconsultation; retinal and optic nerve-related diseases accounted for a high proportion. Remote consultation has high convenience.
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Objective To analyze the disease constitution and trend of inpatients with malignant tumors in Shanxi Provincial Cancer Hospital. Methods The clinical data of inpatients with malignant tumors in Shanxi Provincial Cancer Hospital from 2008 to 2017 were collected, and the characteristics of disease composition and variation trend of patients were analyzed retrospectively by using Excel, SPSS 22.0 and R3.5.0 statistical software. Results The top 10 malignant tumors from 2008 to 2017 in Shanxi Provincial Cancer Hospital were successively lung cancer (22.92％), gastric cancer (18.34％), cervical cancer (14.31％), esophageal cancer (11.41 ％), breast cancer (10.85 ％), rectal cancer (6.90 ％), thyroid cancer (6.06 ％), colorectal cancer (4.30％), ovarian cancer (2.89％) and uterine cancer (2.03％), accounting for 120319 cases in the top 10 malignancies in total. The number of cases presented an increasing trend from 2008 to 2017 (P<0.05). The constitutions of top 10 malignant tumors between men and women were different, and the peak age of malignant cancers was from 51 to 70 years old. Conclusions The number of inpatients with malignant tumors in Shanxi Provincial Cancer Hospital is increasing year by year. Except the special malignant tumors in females, the disease spectrums of malignant tumors inpatients show a consistent trend. Respiratory and digestive system malignancies are the main malignant tumors in Shanxi Province. It is of great significance to master the characteristics of cancer and the changing situation, adjust prevention measures, optimize the allocation of hospital beds as well as medical resources, strengthen clinical specialized subject construction.
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@#AIM: To investigate the changes in constituent ratio and operation of the inpatients with ophthalmology from a key hospital in province. <p>METHODS: A retrospective analysis was conducted including the data of medical record first sheet of patients from January 1 2015 to December 31 2017 using the hospital medical statistical analysis system. All cases were classified by clinical specialties, and the surgery quantity was counted according to the first operation method. The database was established and analyzed with Excel 2007 and SPSS 17.0. <p>RESULTS: Total of 43 307 patients were research studied, including 21 063 males(48.64%)and 22 244 females(51.36%)with an average age of(55.0±20.4)years. The proportion of patients over 60 years old accounted for 49.92% of the total number, and this value tended to increase year by year while that decrease among patients aged 0 to 19 years. These included 31.49% of diseases of the lens, 20.61% of retino-choroidal diseases, 10.29% of glaucoma, 8.70% of strabism, 8.49% of ocular trauma, 7.44% of vitreous body disease, 6.51% of eyelid-conjunctiva and lacrimal apparatus disease, 2.69% of eye neoplasm, 1.06% of optic-nerve disease, 0.89% of sclera, corneal, iris or ciliary body disease, 1.82% of other eye disease. There was 89.40% of cases underwent an ophthalmic surgery(38 718 cases), 16 590 were operation on lens(42.85% of cases), 4 697 were intravitreal injection(12.13% of cases), 3 491 were strabismus surgery(9.02% of cases), 2 597 were glaucoma operation(6.66% of cases). <p>CONCLUSION: Lens disease, retino-choroid disease, glaucoma, strabismus and ocular trauma were constituted the top five diseases. At present, treatment of cataract is still the main work of prevention and treatment of blindness, while retino-choroid disease is increasing rapidly and becoming the focus of prevention and treatment.
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Objective To investigate the change of disease constitution at different stages of a long voyage on the sea in a frigate. Methods The participants included the crew members in a frigate of PLA navy force. The disease types of the crew members were recorded at different stages of a long voyage on the sea in the frigate, including the whole voyage, early stage of voyage, middle stage of voyage and the late stage of voyage. Then, the disease constitution ratios at different stages was calculated, compared and sorted. Results It was found that the disease constituent ratios during the whole course, from high to low, was: respiratory infection,acute gastroenteritis,lumbar muscle degeneration,insomnia,kinetosis,dermatitis,oral ulcer,conjunctivitis,trauma,disease of cardiovascular system,paronychia and urinary calculi. The ranking during the early stage, from high to low, was: kinetosis, respiratory infection,trauma,acute gastroenteritis,lumbar muscle degeneration,disease of cardiovascular system,insomnia and dermatitis; the ranking during the middle stage was respiratory infection,acute gastroenteritis,lumbar muscle degeneration,insomnia,dermatitis,oral ulcer,trauma,conjunctivitis, urinary calculi and paronychia; and that during the late stage was: respiratory infection,lumbar muscle degeneration,insomnia,dermatitis,oral ulcer,acute gastroenteritis,conjunctivitis,kinetosis,disease of cardiovascular system,trauma,urinary calculi and paronychia. Conclusion Both the disease type and the disease constitution of the crew members change during different stages of a long voyage on the sea in a frigate.
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Objective To analyze the change of disease constitution of complications in preterm infants in our hospital and to provide a scientific basis for the clinical prevention and treatment in the future. Methods Two hundred and sixty-eight preterm infants were admitted in NICU of our hospital from Jan. 2004 to Dec. 2009. The constitutions of complications in preterm infants were retrospectively analysed by year. Results One hundred and ninety-seven cases had complications and the incidence of complications was 73.51% ( 197/268 ). The most common complications of preterm infants in our hospital included neonatal hyperbilirubinemia (41. 62% ,82/197), neonatal hypoxic-ischemic encephalopathy (39. 59% , 78/197) and neonatal aspiration syndrome (34. 01%, 67/ 197). The change of disease constitution of the complications were as follows: the disease constitution of neonatal hyperbilirubinemia always located within the first 3 diseases ( ranged from 28. 57% to 75.76% , χ2 =13. 582, P < 0. 001) ;the occurrence of neonatal hypoxic-ischemic encephalopathy showed upward trend( increased from 10. 71% to 56. 25% ,χ2 =7. 577,P<0. 001) ,but decreased in 2008,2009;the neonatal aspiration syndrome presented with a high but fluctuant incidence among the 6 years (ranged from 15. 15% to 56. 25% ,x2=12.002,P < 0.001) ; the neonatal hypoglycemia increased in the nearly 3 years;the incidence of neonatal asphyxia was stationary;the disease constitution of neonatal respiratory distress syndrome fluctuated up and down( ranged from 3. 57% to 20.41% ,χ2 = 4. 125,P<0. 05) ;the anemia in premature infant showed upward trend,increasing from 3.03% to 18. 37% (χ2 = 4. 332,P< 0.05 ) ; the occurrence of neonatal scleredema decreased with no statistical significance; the preterm infants suffered from infectious diseases with lower rate. Conclusions The disease constitution of the hospitalized preterm infants in our hospital in the last 6 years is mainly non-infectious diseases. The neonatal asphyxia recovery technology should be further improved. The serum bilirubin concentration should be monitored early after birth of preterm infants and intervened timely. Cranial imaging studies should be performed timely for early detection of brain injury.
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Objective To analyze the trend of disease constitution of hospitalized neonates in China-Japan Friendship Hospital and provide a scientific basis for the focus adjustment of perinatal health.Methods Six hundred and ninety-eight neonates were admitted during Jan.2004 to Dec.2008.Relevant data of all cases were retrospectively collected.The discharge diagnosis of the neonates was counted accor-ding to the year,and the trends of the neonatal disease constitution of the 5 years were analyzed.Results 1.The first 10 diseases of hospita-lized neonates were centralized,and the first 3 diseases including premature infants,neonatal hypoxic-ischemic encephalopathy(HIE) and neonatal hyperbilirubinemia accounted for 42.84% of the neonate diseases.2.The characteristics of neonatal disease constitution were as fo-llows:the disease constitution of premature infants always located within the first 3 diseases;the location of neonatal HIE went ahead from number 8 to number 1 or 2,and its constitution proportion increased from 4.93% to more than 15.00%(P