ABSTRACT
Based on the community research experience of heat-sensitive moxibustion, this study explained technical recommendations for pragmatic randomized controlled trials (pRCTs) of heat-sensitive moxibustion in community from 7 aspects: selection of community research sites, ethical approval and registration, patient recruitment, training of standard operating procedures, ensuring patient compliance, quality control of follow-up visits and patient safety, which aimed to reduce the difficulty of research execution and improve the quality of pRCTs implementation and follow-up visits of heat-sensitive moxibustion.
Subject(s)
Humans , Follow-Up Studies , Hot Temperature , Moxibustion/methods , Randomized Controlled Trials as TopicABSTRACT
@#AIM: To develop diabetic retinopathy treatment and follow-up system to screen and follow up the patients with diabetic retinopathy, and to reduce the incidence of diabetic retinopathy and blindness. <p>METHODS: Through the establishment of diabetic retinopathy diagnosis and follow-up system, we established diabetic retinopathy fundus image database, and to do early intervention treatment and regular follow-up of patients with diabetes. <p>RESULTS: Through more than 1a of follow-up and timely and effective medical intervention, significantly reduced the incidence of severe proliferative diabetic retinopathy, delayed the further vision damage. <p>CONCLUSION: “Diabetic retinopathy diagnosis and treatment and follow-up system” builds “health education-screening-treatment-follow-up-health management” as the main line of the “active” service system, reduces the blindness rate and the incidence of diabetic retinopathy.
ABSTRACT
The paper introduces the user demands and the concept of health management,proposes the design idea of the health management system,and develops a comprehensive health management service platform integrating functions of health registration,medical examination,health assessment,exercise and physiotherapy,and regular follow-up.It mainly describes the system architecture and major functional modules.
ABSTRACT
El egreso precoz del neonato ha devenido en una práctica cada vez más frecuente. Aunque una consulta de supervisión a las 48 horas del alta ha sido reglamentada para detectar complicaciones inadvertidas, su cumplimiento por parte de los padres puede ser inconstante. Objetivo: Determinar la observancia de la visita de seguimiento y las morbilidades detectadas en ella luego del alta precoz. Metodología: Estudio observacional, de diseño cohorte prospectivo, que abarcó 427 neonatos egresados antes de las 48 horas, en quienes se registraron la frecuencia de asistencia a la consulta, los hallazgos anormales y las causas de readmisión hospitalaria. Resultados: Setenta y dos (16,9%) de los egresados fueron prematuros, 64 (15.1%) fueron hijos de adolescentes y 233 (54,7%) nacieron por cesárea. Solo 86 (20%) de los 427 neonatos asistieron a la consulta. El cumplimiento de la visita fue inversamente proporcional al peso al nacer, y únicamente el 22,2% de los prematuros fue supervisado. Cuarenta y cinco (51,2%) de los niños consultados presentaron alguna anormalidad. Los hallazgos más comunes fueron problemas de lactancia e ictericia. 12 niños fueron readmitidos para recibir fototerapia. Conclusiones: Una fracción importante de recién nacidos que son egresados antes de las 48 horas no satisface los criterios mínimos para el alta precoz. El acatamiento de la consulta de seguimiento es bajo y no guarda relación con el riesgo individual del niño. Se deben definir las barreras particulares que interfieren con el cuidado posnatal inmediato del neonato expuesto al egreso precoz.
Early newborn discharge and immediate follow-up visit Background: Early newborn discharge has become a common clinical practice. Because of inherent risks related to it, an immediate follow-up visit has been proposed to prevent inadvertent complications. Parents compliance toward this visit may be inconsistent. Objective:To assess parents observance toward the follow-up visit and the frequency of abnormalities identified during that surveillance. Methods: A longitudinal observational analysis was undertaken in 427 early discharged infants, in whom attendance to the scheduled visit and morbidities were estimated. Results: 16.9% were preterm infants, 15.1% were born to teenage mothers, whereas 54.7% were born by C- section. Only 86 (20%) attended the follow-up visit. Compliance toward the visit was inversely proportional to birth weight. 45 (51.2%) newborns showed some abnormal finding, mainly breast feeding problems and jaundice. 12 infants were readmitted for phototherapy. Conclusions: A relevant proportion of newborns do not meet the standarized minimal criteria for early discharge. Adherence toward the early follow-up visit is extremely low. Barriers to the accomplishment of the visit must be defined in our population.